,! ,home ,m$ical ,libr>y ,by ,,k5elm ,,w9sl[1 ,b4,a4,s41 ,m4,d4 ,=m]ly ,assi/ant ,pr(essor ,comp>ative ,!rapeutics1 ,h>v>d ,univ]sity2 ,late ,surgeon to ! ,newton ,hospital2 ,fell[ ( ! ,massa*usetts ,m$ical ,society1 etc4 ,) ! ,coop]ation ( ,_m ,m$ical ,advis+ ,editors & ,special ,contributors ,,9 ,,six ,,volumes ,fir/ ,aid 33 ,family ,m$ic9es 33 ,nose1 ,?roat1 ,lungs1 ,eye1 & ,e> 33 ,/oma* & ,b[els 33 ,tumors & ,sk9 ,diseases 33 ,rheumatism 33 ,g]m ,diseases ,n]v\s ,diseases 33 ,insanity 33 ,sexual ,hygi5e ,woman & ,*ild 33 ,he>t1 ,blood1 & ,dige/ion ,p]sonal ,hygi5e 33 ,indoor ,ex]cise ,diet & ,conduct = ,long ,life 33 ,practical ,kit*5 ,sci5ce 33 ,n]v\sness & ,outdoor ,life 33 ,nurse & ,pati5t ,camp+ ,com=t 33 ,sanitation ( ! ,h\sehold 33 ,pure ,wat] ,supply 33 ,pure ,food ,/able & ,k5nel ,,new ,,york ,! ,review ( ,reviews ,company #aijg ,m$ical ,advis+ ,editors ,manag+ ,editor ,,alb]t ,,w>r5 ,,f]ris1 ,a4,m41 ,m4,d4 ,=m] ,assi/ant 9 ,neurology1 ,columbia ,univ]sity2 ,=m] ,*airman1 ,section on ,neurology & ,psy*iatry1 ,new ,york ,academy ( ,m$ic9e2 ,assi/ant 9 ,m$ic9e1 ,univ]sity & ,bellevue ,hospital ,m$ical ,college2 ,m$ical ,editor1 ,new ,int]national ,encyclop$ia4 ,n]v\s ,diseases ,,*>les ,e4 ,,atwood1 ,m4,d4 ,assi/ant 9 ,neurology1 ,columbia ,univ]sity2 ,=m] ,physician1 ,utica ,/ate ,hospital & ,bloom+dale ,hospital = ,insane ,pati5ts2 ,=m] ,cl9ical ,assi/ant to ,sir ,william ,g[]s1 ,national ,hospital1 ,london4 ,pregnancy ,,russell ,,bellamy1 ,m4,d4 ,assi/ant 9 ,ob/etrics & ,gynecology1 ,cornell ,univ]sity ,m$ical ,college ,disp5s>y2 ,capta9 & ,assi/ant ,surgeon 79 *>ge71 ,squadron ,a1 ,new ,york ,cavalry2 ,assi/ant 9 ,surg]y1 ,new ,york ,polycl9ic4 ,g]m ,diseases ,,h]mann ,,mi*ael ,,biggs1 ,m4,d4 ,g5]al ,m$ical ,(fic] & ,director ( ,bact]iological ,laboratories1 ,new ,york ,city ,dep>tm5t ( ,heal?2 ,pr(essor ( ,cl9ical ,m$ic9e 9 ,univ]sity & ,bellevue ,hospital ,m$ical ,college2 ,visit+ ,physician to ,bellevue1 ,/4 ,v9c5t's1 ,will>d ,p>k]1 & ,riv]side ,hospitals4 ,! ,eye & ,e> ,j4 ,,h]b]t ,,claiborne1 ,m4,d4 ,cl9ical ,in/ructor 9 ,oph?almology1 ,cornell ,univ]sity ,m$ical ,college2 ,=m] ,adjunct ,pr(essor ( ,oph?almology1 ,new ,york ,polycl9ic2 ,=m] ,in/ructor 9 ,oph?almology 9 ,columbia ,univ]sity2 ,surgeon1 ,new ,am/]dam ,eye & ,e> ,hospital4 ,sanitation ,,?omas ,,d>l+ton1 ,m4,d4 ,heal? ,commission] ( ,new ,york ,city2 ,=m] ,presid5t ,m$ical ,bo>d1 ,new ,york ,f\ndl+ ,hospital2 ,consult+ ,physician1 ,fr5* ,hospital2 ,att5d+ ,physician1 ,/4 ,john's ,riv]side ,hospital1 ,yonk]s2 ,surgeon to ,new ,croton ,aqu$uct & o!r ,public ,works1 to ,copp] ,que5 ,consolidat$ ,m9+ ,company ( ,arizona1 & ,arizona & ,s\!a/]n ,railroad ,hospital2 ,au?or ( ,m$ical & ,climatological ,works4 ,m5/ruation ,,au/9 ,,fl9t1 ,,jr41 ,m4,d4 ,pr(essor ( ,ob/etrics & ,cl9ical ,gynecology1 ,new ,york ,univ]sity & ,bellevue ,hospital ,m$ical ,college2 ,visit+ ,physician1 ,bellevue ,hospital2 ,consult+ ,ob/etrician1 ,new ,york ,mat]nity ,hospital2 ,att5d+ ,physician1 ,hospital = ,ruptur$ & ,crippl$1 ,manhattan ,mat]nity & ,em]g5cy ,hospitals4 ,he>t & ,blood ,,john ,,bessn] ,,hub]1 ,a4,m41 ,m4,d4 ,assi/ant 9 ,m$ic9e1 ,univ]sity & ,bellevue ,hospital ,m$ical ,college2 ,visit+ ,physician to ,/4 ,joseph's ,home = ,consumptives2 ,au?or ( ,consumption3 ,its ,relation to ,man & ,8 ,civilization2 ,its ,prev5tion & ,cure4 ,sk9 ,diseases ,,james ,c4 ,,john/on1 ,a4,b41 ,m4,d4 ,in/ructor 9 ,pa?ology & ,*ief ( ,cl9ic1 ,dep>tm5t ( ,d]matology1 ,cornell ,univ]sity ,m$ical ,college4 ,diseases ( ,*ildr5 ,,*>les ,,gilmore ,,k]ley1 ,m4,d4 ,pr(essor ( ,p$iatrics1 ,new ,york ,polycl9ic ,m$ical ,s*ool & ,hospital2 ,att5d+ ,physician1 ,new ,york ,infant ,asylum1 ,*ildr5's ,dep>tm5t ( ,syd5ham ,hospital1 & ,babies' ,hospital1 ,n4 ,y42 ,consult+ ,physician1 ,home = ,crippl$ ,*ildr54 ,bites & ,/+s ,,george ,,gibi] ,,rambaud1 ,m4,d4 ,presid5t1 ,new ,york ,pa/eur ,in/itute4 ,heada*e ,,alonzo ,d4 ,,rockwell1 ,a4,m41 ,m4,d4 ,=m] ,pr(essor ,electro-,!rapeutics & ,neurology at ,new ,york ,po/-,graduate ,m$ical ,s*ool2 ,neurologi/ & ,electro-,!rapeuti/ to ! ,flu%+ ,hospital2 ,=m] ,electro-,!rapeuti/ to ! ,woman's ,hospital 9 ! ,/ate ( ,new ,york2 ,au?or ( ,works on ,m$ical & ,surgical ,uses ( ,electricity1 ,n]v\s ,exhau/ion 7,neura/h5ia71 etc4 ,poisons ,e4 ,,ellswor? ,,smi?1 ,m4,d4 ,pa?ologi/1 ,/4 ,john's ,hospital1 ,yonk]s2 ,som]set ,hospital1 ,som]ville1 ,n4 ,j42 ,tr9ity ,hospital1 ,/4 ,b>?olomew's ,cl9ic1 & ! ,new ,york ,we/ ,side ,g]man ,disp5s>y4 ,cat>rh ,,samuel ,,wood ,,?urb]1 ,m4,d4 ,*ief ( ,cl9ic & ,in/ructor 9 ,l>yngology1 ,columbia ,univ]sity2 ,l>yngologi/ to ! ,orphan's ,home & ,hospital4 ,c>e ( ,infants ,,h]b]t ,b4 ,,wilcox1 ,m4,d4 ,assi/ant 9 ,diseases ( ,*ildr51 ,columbia ,univ]sity4 ,special ,contributors ,food ,adult]ation ,s4 ,,joseph9e ,,bak]1 ,m4,d4 ,m$ical ,inspector1 ,new ,york ,city ,dep>tm5t ( ,heal?4 ,pure ,wat] ,supply ,,william ,,paul ,,g]h>d1 ,c4,e4 ,consult+ ,eng9e] = ,sanit>y ,works2 ,memb] ( ,am]ican ,public ,heal? ,association2 ,memb]1 ,am]ican ,society ,me*anical ,eng9e]s2 ,correspond+ ,memb] ( ,am]ican ,in/itute ( ,ar*itects1 etc42 ,au?or ( ,h\se ,dra9age1 etc4 ,c>e ( ,food ,,janet ,,mck5zie ,,hill ,editor1 ,bo/on ,cook+ ,s*ool ,magaz9e4 ,n]ves & ,outdoor ,life ,s4 ,,weir ,,mit*ell1 ,m4,d41 ,,ll4,d4 ,,ll4,d4 7,h>v>d1 ,ed9burgh1 ,pr9ceton72 ,=m] ,presid5t1 ,philadelphia ,college ( ,physicians2 ,memb]1 ,national ,academy ( ,sci5ces1 ,association ( ,am]ican ,physicians1 etc42 ,au?or ( essays3 ,injuries to ,n]ves1 ,doctor & ,pati5t1 ,fat & ,blood1 etc42 ( sci5tific works3 ,rese>*es ,^u ! ,v5om ( ! ,rattlesnake1 etc42 ( novels3 ,hugh ,wynne1 ,*>act]i/ics1 ,con/ance ,trescott1 ,! ,adv5tures ( ,francois1 etc4 ,sanitation ,,george ,m4 ,,price1 ,m4,d4 ,=m] ,m$ical ,sanit>y ,inspector1 ,dep>tm5t ( ,heal?1 ,new ,york ,city2 ,inspector1 ,new ,york ,sanit>y ,aid ,society ( ! #aj? ,w>d1 #ahhe2 ,manag]1 ,model ,t5em5t-h\ses ( ! ,new ,york ,t5em5t-h\se ,build+ ,co41 #ahhh2 ,inspector1 ,new ,york ,/ate ,t5em5t-h\se ,commission1 #ahie2 ,au?or ( ,t5em5t-h\se ,inspection1 ,h&book on ,sanitation1 etc4 ,indoor ,ex]cise ,,dudley ,,all5 ,,s>g5t1 ,m4,d4 ,director ( ,hem5way ,gymnasium1 ,h>v>d ,univ]sity2 ,=m] ,presid5t1 ,am]ican ,physical ,culture ,society2 ,director1 ,normal ,s*ool ( ,physical ,tra9+1 ,cambridge1 ,mass42 ,presid5t1 ,am]ican ,association = ,promotion ( ,physical ,education2 ,au?or ( ,univ]sal ,te/ = ,/r5g?1 ,heal?1 ,/r5g? & ,p[]1 etc4 ,long ,life ,,sir ,,h5ry ,,?ompson1 ,b>t41 ,f4,r4,c4,s41 ,m4,b4 7,lond47 ,surgeon ,extraord9>y to ,8 ,maje/y ! ,k+ ( ! ,belgians2 ,consult+ ,surgeon to ,univ]sity ,college ,hospital1 ,london2 ,em]itus ,pr(essor ( ,cl9ical ,surg]y to ,univ]sity ,college1 ,london1 etc4 ,camp ,com=t ,,/ew>t ,,edw>d ,,:ite ,au?or ( ,! ,=e/1 ,! ,m\nta9s1 ,! ,sil5t ,places1 ,! ,blaz$ ,trail1 etc4 ,illu/ration3 ,,h>vey ,,wa%+ton ,,wiley1 ,ph4,d41 ,,ll4,d4 ,! rese>*es ( ,dr4 ,wiley1 ,*ief ( ! ,bureau ( ,*emi/ry 9 ! ,unit$ ,/ates ,dep>tm5t ( ,agriculture1 7 important factors 9 ha/5+ ! enactm5t ( ! pres5t pure food law4 ,he analyz$ ! v>i\s food products & made public ! deceptions practic$ by unscrupul\s manufactur]s4 ,he ar\s$ att5tion ?r\gh\t ! c\ntry by po9t+ out ! necessity ( a campaign ( education1 9 ord]1 z /at$ 9 ,volume ,v1 ,"p ,,ii1 t ! h\sekeep] might be able to det]m9e ! purity ( e article ( food (f]$ = sale4 ,z an example ( 8 me?ods1 he organiz$ a poison squad ( gov]nm5t employees :o re/rict$ !mselves to special diets1 consi/+ ( food prep>ations conta9+ drugs commonly us$ z adult]ants4 ,9 ?is way he actually demon/rat$ ! effect ( ^! sub/ances ^u ! human sy/em4 ,! ,home ,m$ical ,libr>y ,volume ,,ii ,,! ,,eye ,,& ,,e> ,,! ,,nose1 ,,?roat ,,& ,,lungs ,,sk9 ,,diseases ,,tumors 33 ,,rheumatism ,,heada*e 33 ,,sexual ,,hygi5e ,by ,,k5elm ,,w9sl[1 ,b4,a4,s41 ,m4,d4 7,h>v47 ,=m]ly ,assi/ant ,pr(essor ,comp>ative ,!rapeutics1 ,h>v>d ,univ]sity2 ,late ,surgeon to ! ,newton ,hospital2 ,fell[ ( ! ,massa*usetts ,m$ical ,society1 etc4 ,,insanity ,by ,,alb]t ,,w>r5 ,,f]ris1 ,a4,m41 ,m4,d4 ,=m] ,assi/ant 9 ,neurology1 ,columbia ,univ]sity2 =m] ,*airman1 ,section on ,neurology & ,psy*iatry1 ,new ,york ,academy ( ,m$ic9e2 ,assi/ant 9 ,m$ic9e1 ,univ]sity & ,bellevue ,hospital ,m$ical ,college2 ,m$ical ,editor1 ,new ,int]national ,encyclop$ia ,,new ,,york ,! ,review ( ,reviews ,company #aijg ,copyright1 #aijg1 by ,,! ,,review ,,( ,,reviews ,,company ,,! ,,tr[ ,,press1 ,,new ,,york ,cont5ts ,,"p ,i ,,*apt] ,,page ,i4 ,,! ,,eye ,,& ,,e> #ac ,=eign ,bodies 9 ! ,eye--,black ,eye--,twit*+ ( ! ,eyelids--,w\nds & ,burns--,conge/ion-- ,conjunctivitis--,p9k ,eye--,/ra9--,a/igmatism-- ,deafness--,=eign ,bodies 9 ! ,e>--,e>a*e--,simple ,rem$ies4 ,,ii4 ,,! ,,nose ,,& ,,?roat #ea ,noseble$--,=eign ,bodies 9 ! ,nose--,cold 9 ! ,head--,too?a*e--,m\?-,brea?+--,sore ,m\?-- ,ph>yngitis--,h[ to ,treat ,tonsilitis--,qu9sy-- ,diph!ria--,cr\p--,l>yngitis4 ,,iii4 ,,! ,,lungs ,,& ,,bron*ial ,,tubes #hg ,acute & ,*ronic ,bron*itis--,c\ghs 9 ,*ildr5-- ,l9im5ts & ,p\ltices--,c\gh ,mixtures--,treatm5t ( ,pneumonia--,consumption--,a/hma--,influ 5za1 its ,symptoms & ,cure4 ,,iv4 ,,heada*es #aac ,causes ( ,sick ,heada*e--,symptoms & ,treatm5t-- ,heada*es ,caus$ by ,indige/ion--,organic ,disease a ,frequ5t ,s\rce--,n]v\s & ,neuralgic ,heada*es-- ,effect ( ,poison--,heat-,/roke4 ,,"p ,,ii ,i4 ,,gr[?s ,,& ,,enl>gem5ts #abc ,canc]s--,fatty ,tumors--,use ( ,pat5t ,prep>ations ,dang]\s--,symptoms & ,cure ( ,rupture--,! ,be/ ,k9d ( ,truss--,v>icose ,ve9s--,v>icocele--,ext]nal & ,int]nal ,piles--,op]ations ! ,mo/ ,c]ta9 ,cure4 ,,ii4 ,,sk9 ,,diseases ,,& ,,relat$ ,,disord]s #aci ,it*+1 ,*af+1 & ,*app+--,treatm5t ( ,hives--,nettl]a%--,pimples--,fev] ,bli/]s--,prickly ,heat--,cause ( ,r+worm--,freckles & ,o!r ,sk9 ,discolorations--,ivy ,poison--,w>ts & ,corns-- ,boils--,c>buncles4 ,,iii4 ,,rheumatism ,,& ,,k9dr$ ,,diseases #afi ,inflammatory ,rheumatism--,symptoms & ,treatm5t-- ,muscul> ,rheumatism--,lumbago--,/iff ,neck--,rheumatism ( ! ,*e/--,*ronic ,rheumatism--,rheumatic ,g\t-- ,scurvy 9 ,adults & ,infants--,g\t1 its ,causes & ,rem$ies4 ,,"p ,,iii ,i4 ,,heal? ,,& ,,purity #aia ,duties ( ,p>5ts--,sexual ,abuse--,dang]s to ,heal?--,physical ,exam9ation ( ,infants--,necess>y ,k ( ,sex ,functions ,natural--,! ,critical ,age ( ,pub]ty--,m>riage ,relations4 ,,ii4 ,,g5ito-,,ur9>y ,,diseases #aii ,gonorrhea 9 ,m5 & ,wom5--,dang]s ( ,infection-- ,syphilis1 its ,causes1 ,symptoms1 & ,treatm5t-- ,incont95ce & ,suppression ( ,ur9e--,b$-wett+-- ,inflammation ( ! ,bladd]--,acute & ,*ronic ,bright's ,disease4 ,,"p ,,iv ,i4 ,,insanity #bbi ,m5tal ,disord] ,n ,insanity--,illusions ( ! ,insane--,halluc9ations & ,delusions--,signs & ,causes ( ,insanity--,p>anoia--,h[ ! ,physician ,%\ld ,be ,aid$--,! ,be/ ,prev5tive4 ,app5dix4 ,,pat5t ,,m$ic9es #bde ,advice ,reg>d+ ! ,use ( ,pat5t ,m$ic9es--,laws ,regulat+ ! ,sale ( ,drugs--,propriet>y ,m$ic9es--,good ,rem$ies--,dang]s ( ,s-call$ ,cures--,heada*e ,p[d]s--,! ,great ,am]ican ,fraud4 ,"p ,i ,,! ,,eye ,,& ,,e>1 ,,! ,,nose ,,& ,,?roat1 ,,! ,,lungs ,,& ,,bron*ial ,,tubes1 ,,heada*es ,,by ,,k5elm ,,w9sl[ ,,*apt] ,i ,! ,eye & ,e> ,injuries to ! ,eye--,inflammatory ,conditions--,p9k ,eye--,ne>sight$ness & ,f>sight$ness--,deafness--,rem$ies = ,e>a*e4 ,,c9d]s ,,& ,,o!r ,,=eign ,,bodies ,,9 ,,! ,,eye4--,=eign bodies are mo/ frequ5tly lodg$ on ! "u surface ( ! upp] lid1 al?\gh ! surface ( ! eyeball & ! inn] aspect ( ! l[] lid %\ld also be c>efully inspect$4 ,a drop ( a two-p]-c5t solution ( coca9e w r5d] pa9less ! manipulations4 ,! pati5t %\ld be direct$ to cont9ue look+ d[nw>d1 & ! la%es & edge ( ! lid are grasp$ by ! =ef+] & ?umb ( ! "r h&1 :ile a v small p5cil is g5tly press$ aga9/ ! upp] "p ( ! lid1 & ! l[] "p is lift$ outw>d & upw>d aga9/ ! p5cil s t x is turn$ inside out4 ,! lid may be kept 9 ?is position by a little pressure on ! la%es1 :ile ! c9d]1 or :atev] =eign body x may be1 is remov$ by g5tly sweep+ x (f ! muc\s membrane ) a fold ( a s(t1 clean h&k]*ief4 ,hot c9d]s & pieces ( metal may become s deeply lodg$ 9 ! surface ( ! eye t x is necess>y to dig !m out ) a ne$le 7:i* has be5 pass$ ?r\gh a flame to kill ! g]ms on x7 aft] coca9e solution has be5 dropp$ into ! eye twice at a m9ute int]val4 ,su* a proc$ure is1 ( c\rse1 appropriate = an oculi/1 b :5 x is impossible to secure m$ical aid = days x c be attempt$ )\t mu* fe>1 if done c>efully1 z m h>m w result if ! (f5d+ body is left 9 place4 ,x is surpris+ to see :at a hole 9 ! surface ( ! eye w fill up 9 a few days4 ,if ! =eign body has caus$ a good deal ( irritation be=e its removal1 x is be/ to drop into ! eye a solution ( boric acid 7t5 gra9s to ! ounce ( wat]7 f\r times daily4 ,,black ,,eye4--,to relieve ?is condition x is fir/ necess>y to r$uce ! swell+4 ,?is c be done by apply+ to ! clos$ lids1 e ?ree m9utes1 little squ>es ( :ite cotton or l951 f\r fold & ab\t z l>ge z a silv] doll>1 :i* h laid on a cake ( ice until ?or\ghly cold4 ,?is treatm5t is mo/ effective :5 pursu$ almo/ cont9u\sly = tw5ty-f\r h\rs4 ,! cold compresses %\ld n be p]mitt$ to ov]lap ! nose1 or a viol5t cold 9 ! head may ensue4 ,! swell+ hav+ subsid$1 ! discoloration next occupies our att5tion4 ,?is may be remov$ spe$ily by apply+1 m or less con/antly bel[ ! l[] lid1 little pieces ( flannel dipp$ 9 wat] z hot z c be borne4 ,! clo?s mu/ be *ang$ z (t5 z !y cool4 ,repeat ?is treatm5t = a half h\r e two h\rs or s dur+ ! day4 ,,/ye4--,a /ye is a boil on ! eyelid2 x beg9s at ! root ( a hair z a h>d swell+ :i* may ext5d to ! :ole lid4 ,! tip ( ! swell+ takes on a yell[i% color1 breaks d[n & dis*>ges matt] or pus4 ,!re are pa9 & a feel+ ( t5sion 9 ! lid1 &1 v r>ely1 "s fev]4 ,:5 "o /ye foll[s ano!r x is well to h ! eyes exam9$ by an oculi/1 z eye-/ra9 is (t5 an invit+ cause ( ! tr\ble1 & ?is c be correct$ by ! use ( glasses4 ,o!rwise ! pati5t is probably run d[n f *ronic con/ipation & anaemia 7pov]ty ( ! blood7 & o!r causes1 & ne$s a *ange ( air1 tonics1 & ex]cise out ( doors4 ,9 a depreciat$ condition1 rubb+ ! lids causes introduction ( disease g]ms4 ,! imm$iate treatm5t1 :i* may cut %ort ! tr\ble1 consi/s 9 ba?+ ! eyelid = fifte5 m9utes at a "t1 e h\r1 ) a hot solution ( boric acid 7half a teaspoonful to ! cup ( wat]74 ,!n at night ! swell+ %\ld be pa9t$ ) collodion1 sev]al coats1 be+ c>eful n to get x 9 ! eye1 z x w\ld cause mu* sm>t+4 ,if ! /ye p]si/s 9 progress+1 ba?+ x 9 hot wat] w cause x to dis*>ge pus & t]m9ate mu* soon]4 ,,twit*+ ,,( ,,! ,,eyelids4--,?is condition may be due to eye-/ra91 & c be reliev$ if ! eyes are fitt$ to glasses by an oculi/ 7n an optician74 ,x is frequ5tly an accompanim5t ( inflammation ( ! eyes1 & :5 ?is is cur$ ! twit*+ ( ! lids disappe>s4 ,:5 ! eyes are o!rwise normal ! twit*+ is frequ5tly "o ( ! signs ( n]ve fag & ov]work4 ,,w\nds ,,& ,,burns ,,ab\t ,,! ,,eyes4--,slight w\nds ( ! inn] surface ( ! eyelids close readily )\t /it*+ if ! boric-acid solution 7t5 gra9s to ! ounce ( wat]7 is dropp$ into ! eye f\r times daily4 ,burns ( ! inn] surface ( ! lids foll[ ! entrance ( hot wat]1 hot a%es1 lime1 acids1 & molt5 metals4 ,burns produc$ by lime are treat$ by dropp+ a solution ( v9eg> 7"o "p ( v9eg> to f\r ( wat]7 into ! eye1 :ile ^? caus$ by acids are reliev$ by simil> treatm5t ) limewat] or solution ( bak+ soda 7half a teaspoonful to ! glass ( wat]74 ,if ^! rem$ies are n at h&1 ! ess5tial object is atta9$ by wa%+ ! eye ) a /rong curr5t ( wat]1 z f a hose or faucet4 ,if !re is mu* swell+ ( ! lids1 & inflammation aft] ! accid5t1 drop boric-acid solution into ! eye f\r times daily4 ,treatm5t by cold compresses1 z recomm5d$ = black eye1 w d mu* also to quiet ! irritation1 & ! pati5t %\ld we> d>k glasses4 ,,sore ,,eyes2 ,,conjunctivitis4--,! muc\s membrane l9+ ! inn] surface ( ! eyelids also cov]s ! front ( ! eyeball1 al?\gh s transp>5t "h t x is n app>5t to ! obs]v]4 ,inflammation ( ?is membrane is m commonly limit$ to t portion cov]+ ! inn] surfaces ( ! lids1 b may ext5d to ! eyeball :5 ! eye becomes blood%ot & ! condition m s]i\s4 ,= ! sake ( conv5i5ce we may speak ( a mild =m ( sore eye1 z conge/ion ( ! eyelids1 & ! m sev]e type1 z true conjunctivitis 7see p4 #ah74 ,,conge/ion ,,( ,,! ,,eyelids4--,?is may be caus$ by smoke or du/ 9 ! atmosph]e1 by o!r =eign bodies 9 ! eye2 frequ5tly by eye-/ra91 due to f>- or ne>-sight$ness1 a/igmatism1 or muscul> weakness1 :i* may be correct$ by an oculi/'s 7nev] an optician's7 prescription = glasses4 ,exposure to an excessive gl>e ( light1 z 9 ! case ( firem51 or1 on ! o!r h&1 read+ con/antly & (t5 9 a poor light1 w induce irritation ( ! lids4 ,! g]ms :i* cause cold 9 ! head (t5 f9d _! way into ! eyes ?r\gh ! te> ducts1 :i* connect ! inn] corn] ( ! eyes ) ! nose1 & ?us may set up simil> tr\ble 9 ! eyes4 ,symptoms4--,! eyes feel we>y & z if !re 7 s& 9 !m4 ,!re may be also sm>t+1 burn+1 or it*+ ( ! lids1 & !re is dis9cl9ation = any prolong$ use ( ! eyes4 ,! lids1 :5 exam9$1 are f\nd to be mu* deep] r$ ?an usual1 & slightly swoll51 b !re is no dis*>ge f ! eye1 & ?is fact s]ves to di/+ui% ?is mild type ( inflammation f ! m sev]e =m4 ,treatm5t4--,! use ( d>k glasses & a few drops ( z9c-sulphate solution 7"o gra9 to ! ounce ( wat]7 9 ! eye1 ?ree times daily1 w (t5 cure ! tr\ble4 ,if ?is does n d s )9 a few days !n an oculi/ %\ld be consult$1 & x w frequ5tly be f\nd t glasses are ne$$ to secure fre$om f irritation ( ! eyes4 ,9 us+ eye-drops ! head %\ld be held back1 & sev]al drops be squeez$ f a m$ic9e dropp] into ! inn] corn] ( ! eye4 ,,conjunctivitis2 ,,cat>rhal ,,inflammation ,,( ,,! ,,eyes4--,9 ?is disord] !re is dis*>ge :i* /icks ! lids toge!r dur+ ! night4 ,! inn] surface ( ! lids is mu* r$d5$1 ! blood vessels 9 ! l9+ membrane are mu* enl>g$1 & ! lids are slightly swoll54 ,! r$ness may ext5d to ! eyeball & give x a blood%ot appe>ance4 ,!re is no int]f]5ce ) sight o!r ?an mom5t>y blurr+ caus$ by ! dis*>ge1 & occasionally !re is v sev]e pa91 z if a c9d] _h sudd5ly fall5 9 ! eye4 ,?is symptom may occur at night & awak5 ! pati5t1 & may be ! reason = 8 fir/ consult+ a physician4 ,"o eye is commonly attack$ tw5ty-f\r to ?irty-six h\rs be=e ! o!r1 & ev5 if x is ?\ght t ! cause is a c9d]1 9 case ( "o eye1 x c h>dly be possible to su/a9 ?is belief 9 ! case ( ! involvem5t ( bo? eyes4 ,!re is a feel+ ( discom=t ab\t ! eyes1 & (t5 a burn+1 & con/ant wat]+1 ! te>s conta9+ flakes ( :ite dis*>ge4 ,:5 ! dis*>ge is a copi\s1 creamy pus or matt]1 associat$ ) great swell+ ( ! lids & pa9 on exposure to light1 ! cause is usually a g]m ( a special disease1 & ! eyesight w v probably be lo/ unless a skillful physician be imm$iately secur$4 ,e>ly treatm5t is1 h[ev]1 ( great s]vice1 &1 until a physician c be obta9$1 ! treatm5t recomm5d$ bel[ %\ld be foll[$ consci5ti\sly2 by ?is means ! sight may be sav$4 ,?is dang]\s v>iety ( inflammation ( ! eyes is n r>e 9 ! newborn1 & infants hav+ r$ eyes )9 a few days ( bir? %\ld imm$iately receive prop] att5tion1 or bl9dness = life w be ! issue4 ,?is is ! usual s\rce ( t =m ( bl9dness ) :i* babies are commonly said to h be5 born4 ,all =ms ( sev]e inflammation ( ! lids are contagi\s1 especially ! v>iety la/ consid]$1 & c be convey$1 by means ( ! dis*>ge1 ?r\gh ! ag5cy ( t[els1 h&k]*iefs1 soap1 wa% bas9s1 etc41 & produce ! same or sometimes diff]5t types ( inflammation 9 heal?y eyes4 ,!re=e1 if ! sev]e =m ( conjunctivitis breaks out among any l>ge numb] ( p1 z 9 s*ools1 prisons1 asylums1 & alm%\ses1 isolation ( ! pati5ts %\ld be en=c$4 ,,p9k ,,eye4--,?is is a sev]e epidemic =m ( cat>rh ( ! eye1 :i* is caus$ by a special g]m kn[n z ! ,ko*-,weeks bacillus4 ,! treatm5t ( ?is is ! same z t outl9$ bel[4 ,! g]m ( pneumonia & t ( grippe also (t5 cause conjunctivitis1 & cat*+ cold1 *ronic nasal cat>rh1 exposure to f\l vapors & gases1 or tobacco smoke1 & ! o!r causes enum]at$1 z lead+ to conge/ion ( ! lids1 are also responsible = cat>rhal inflammation ( ! eye4 ,treatm5t4--,9 ! mild] attacks ( conjunctivitis ! treatm5t %\ld be t recomm5d$ above = conge/ion ( ! lids4 ,! swell+ & inflammation1 9 ! sev]] types1 are greatly reliev$ by ! application ( ! cold-wat] compresses1 advis$ "u ! section on black eye1 = an h\r at a "t1 ?rice daily4 ,conf9em5t 9 a d>k room1 or ! use ( d>k glasses1 & drops ( z9c sulphate 7"o gra9 9 an ounce ( wat]7 ?ree times a day1 ) h\rly dropp+ ( boric acid 7t5 gra9s to ! ounce ( wat]7 con/itute ! ord9>y treatm5t4 ,9 inflammations ) copi\s dis*>ge ( creamy pus1 & great swell+ ( ! lids1 ! eyes %\ld be wa%$ out ) ! boric-acid solution e half h\r1 & a solution ( silv] nitrate 7two gra9s to ! ounce ( wat]7 dropp$ into ! eye1 once daily1 foll[$ imm$iately by a weak solution ( common salt 9 wat] to neutralize ! nitrate ( silv]1 aft] its action has be5 secur$4 ,! con/ant use ( ice clo?s1 already m5tion$1 =ms a necess>y adjunct to treatm5t4 ,! s\nd eye mu/ be protect$ f ! *ance ( contagion1 aris+ f a possible infection f ! pus dis*>g+ f its mate4 ,?is may be secur$ by b&ag+ ! well eye1 or1 bett]1 by cov]+ x ) a wat* cry/al kept 9 place by surgeon's pla/]4 ,9 treat+ sore eyes ) dis*>ge1 9 babies1 ! infant %\ld be held 9 ! lap ) its head backw>d & incl9$ t[>d ! side ( ! sore eye1 s t 9 wa%+ ! eye no dis*>ge w fl[ into ! s\nd eye4 ,! boric acid may !n be dropp$ f a m$ic9e dropp]1 or appli$ ^u a little wad ( absorb5t cotton1 to ! inn] corn] ( ! eye1 :ile ! eyelids are held ap>t4 ,hemorrhages occurr+ "u ! conjunctiva 7or membrane l9+ ! inn] surface ( ! lids & cov]+ ! front surface ( ! eyeball7 may be caus$ by bl[s or o!r injury to ! eye1 by viol5t c\gh+1 by /ra9+1 etc4 ,d>k-r$ spots may appe> 9 ! :ite ( ! eyeball1 slightly rais$ above ! surface1 :i* are little blood clots "u ! conjunctival membrane4 ,no special tr\ble results & !re is no?+ to be done except to wait till ! blood is absorb$1 :i* w happ5 9 "t4 ,if ! eyes wat]1 solution ( z9c sulphate 7"o gra9 to ! ounce ( wat]7 may be dropp$ into ! eye1 twice daily4 ,hot applications are b5eficial "h to promote absorption ( ! clot4 ,,eye-,,/ra94--,eye-/ra9 is commonly due to ei!r a/igmatism1 ne>sight$ness1 f>sight$ness1 or weakness ( ! eye muscles4 ,! f>sight$ eye is "o 9 :i* p>allel rays ent]+ ! eye1 z f a di/ance1 come to a focus beh9d ! ret9a4 ,! ret9a is ! s5sitive area = receiv+ light impressions 9 ! back ( ! eyeball4 ,sight is really a bra9 function2 "o sees ) ! bra91 s9ce ! optic n]ve end+s 9 ! back ( ! eye m]ely c>ry light impressions to ! bra9 :]e !y are prop]ly int]pret$4 ,9 ord] t vision be cle> & p]fect1 x is ess5tial t ! rays ( light ent]+ ! eye be b5t s t !y /rike ! ret9a z a s+le po9t4 ,9 ! f>sight$ or hyp]opic eye1 ! eyeball is usually too %ort = ! rays to be prop]ly focus$ on ! s5sitive n]ve area 9 ! back ( ! eye4 ,?is defect 9 vision is1 h[ev]1 ov]come by ! act ( accommodation4 ,!re is a beautiful transp>5t1 d\ble-convex body1 ab\t "o-?ird ( an in* ?ick1 :i* looks v mu* l an ord9>y glass l5s1 & is situat$ 9 ! eye j back ( ! pupil4 ,?is is :at is kn[n z ! cry/all9e l5s1 & ! rays ( light are b5t 9 pass+ ?r\gh x s z to be prop]ly focus$ on ! ret9a4 ,! =ego+ /atem5ts h be5 made z ?\gh objects 7 always at a di/ance f ! eye1 s t ! rays ( light com+ f !m 7 almo/ p>allel4 ,yet :5 "o is look+ at an object )9 a few in*es ( ! eye ! rays div]ge or spread out1 & ^! ! normal eye 7if rigid7 c\ld n focus on ! ret9a--mu* less ! f>sight$ eye4 ,b ! eye is adaptable to *ange ( focus ?r\gh ! action ( a c]ta9 muscle1 situat$ )9 ! eyeball ab\t ! l5s1 :i* controls to a consid]able ext5t ! %ape ( ! l5s4 ,:5 ! muscle contracts x all[s ! l5s to bulge =w>d by virtue ( its ela/icity1 &1 !re=e1 become m convex4 ,?is is :at happ5s :5 "o looks at ne> objects1 ! increas$ convexity ( ! l5s b5d+ ! rays ( light s t !y w focus z a po9t on ! ret9a4 7,see ,plate ,i1 p4 #cj47 ,n[ 9 ! f>sight$ eye ?is muscul> control or accommodative action mu/ be cont9ually ex]cis$ ev5 9 look+ at di/ant objects1 & x is ?is con/ant attempt ( nature to cure an optical defect ( ! eye :i* frequ5tly leads to n]v\s exhau/ion or eye-/ra94 ,! n]ve c5t]s1 :i* animate & control ! n]ves supply+ ! eye muscles to :i* we h j allud$1 are 9 close proximity to o!r mo/ important n]ve c5t]s 9 ! bra91 s irritation ( ! eye c5t]s w produce sympa!tic irritation ( ^! o!r c5t]s1 lead+ to manifold & complex symptoms :i* we w describe "u ?is head4 ,b ^! symptoms d n necess>ily develop 9 ev]yone hav+ f>sight$ness or a/igmatism1 s9ce bo? are (t5 pres5t at bir?4 ,! p[] ( accommodation is suffici5t to ov]come ! optical defect ( ! eye1 provid+ t ! g5]al heal? is good & ! eye is n us$ mu* = ne> "w4 ,if1 on ! o!r h&1 excessive use ( ! eyes 9 read+1 writ+1 figur+1 sew+1 or o!r f9e "w is requir$1 & especially if ! heal? becomes impair$1 x happ5s t ! con/ant dra9 on ! eye c5t] 9 ! bra9 w result 9 a gr\p ( symptoms :i* we w consid] lat]4 ,failure ( accommodation comes on at ab\t =ty1 & gradually increases until all accommodation is lo/ at ! age ( sev5ty-five4 ,= ?is reason x is necess>y = p]sons ov] =ty-five ye>s ( age1 hav+ normal or f>sight$ eyes1 to we> convex glasses 9 read+ or do+ ne> "w1 & ^! %\ld be *ang$ = /rong] ones e ye> or two4 ,^! convex glasses save ! eyes 9 _! attempt to make ! l5s m convex :5 look+ at ne> objects 9 f>sight$ness1 & also prove s]viceable 9 ! same mann] :5 accommodation beg9s to fail 9 ! case ( :at is call$ old sight4 ,! neglect to provide prop] glasses = read+ any "t aft] ! age ( =ty-five1 & ! failure to replace !m by /rong] l5ses :5 requir$1 di/9ctly favor ! occurr5ce ( cat>act 9 lat] life4 ,9 ! act ( accommodation1 9 addition to ! muscul> action by :i* ! l5s is made m convex1 !re is ! t5d5cy = ! action ( ano!r gr\p ( muscles outside ! eyeball1 :i* turn ! eyes inw>d :5 !y are direct$ t[>d a ne> object4 ,"h !n is ano!r s\rce ( tr\ble result+ f f>sight$ness1 i4 e41 ! n infrequ5t occurr5ce ( inw>d squ9t occasion$ by ! con/ant use ( ! muscles pull+ ! eyes inw>d dur+ accommodation = ne> objects4 ,aga91 inflammation ( ! eyelids1 & sometimes ( deep] p>ts ( ! eyeball1 foll[s untreat$ hyp]opia4 ,e>ly di/a/e = read+ is (t5 acquir$ by f>sight$ p]sons1 ow+ to ! /ra9 on ! accommodative app>atus4 ,! convex l5s is t us$ to correct f>sight$ness4 ,,ne>sight$ ,,eye4--,9 ! ne>sight$ eye ! eyeball is too long = p>allel rays ent]+ ! eye to be focus$ ^u ! ret9a2 !y are b5t1 in/ead1 to a po9t 9 front ( ! ret9a1 & !n div]ge mak+ ! vision blurr$4 7,plate ,i1 p4 #cj47 ,! act ( accommodation 9 mak+ ! l5s m convex w n aid ?is condition1 b only make x worse1 s t x is n attempt$4 ,eye-/ra9 9 ?is optical defect is br\ght on by con/ant use ( ! eye muscles 7atta*$ to ! outside ( ! eyeball7 9 direct+ bo? eyes inw>d s t !y w bo? c5t] on ne> objects2 ! only ones :i* c be se54 ,outw>d squ9t frequ5tly results1 because ! muscul> ef=ts requir$ to direct bo? eyes equally inw>d to see ne> objects are s great t ! use ( bo? eyes toge!r is giv5 up1 & ! poor] eye is n us$ & squ9ts outw>d1 :ile ! bett] eye is turn$ inw>d 9 ! endeavor to see4 ,ne>sight$ p]sons are apt to /oop1 ow+ to ! habitual necessity = com+ close to ! object look$ at4 ,_! facial expression is also likely to be r vacant1 s9ce !y d n di/9ctly see1 & d n respond to ! facial movem5ts ( o!rs4 ,ne>sight$ness1 or myopia1 is n a cong5ital defect1 b is usually acquir$ ow+ to excessive ne> "w :i* requires t ! eye muscles con/antly direct bo? eyes inw>d to see ne> objects4 ,9 s act+ ! muscles compress ! sides ( ! eyeballs & t5d to increase _! l5g?1 int]f]e ) _! nutrition1 & aggravate ! condition :5 x is once begun4 7,see ,diagram47 ,concave l5ses are us$ to correct myopia1 & !y mu/ be worn all ! "t4 ,,a/igmatism4--,?is is a condition caus$ by inequality ( ! out] surface ( ! front ( ! eyeball1 & r>ely by a simil> defect 9 ! surfaces ( ! l5s4 ,! curvature ( ! eyeball 9 ! a/igmatic eye is great] 9 "o m]idian ?an 9 ! opposite4 ,9 o!r words1 ! front ( ! eyeball is n regul>ly sph]ical1 b bulges out along a c]ta9 l9e or m]idian1 :ile ! curvature is flatt5$ or normal 9 ! o!r m]idian4 ,= in/ance1 if two imag9>y l9es 7 drawn1 "o v]tically1 & ! o!r horizontally across ! front ( ! eyeball int]sect+ 9 ! c5t] ( ! pupil1 !y w\ld repres5t ! pr9cipal m]idians1 ! v]tical & ! horizontal4 ,z a rule ! m]idian ( greate/ curvature is approximately v]tical1 & t ( lea/ curvature is at "r angles to x1 or horizontal4 ,rays ( light 9 pass+ ?r\gh ! diff]5t m]idians ( ! a/igmatic eye are diff]5tly b5t1 s t 9 "o ( ! pr9cipal m]idians rays may focus p]fectly on ! ret9a1 :ile 9 ! o!r ! rays may focus on a po9t beh9d ! ret9al field4 ,9 ?is case ! eye is made f>sight$ or hyp]opic 9 "o m]idian1 & is normal 9 ! o!r4 ,or aga91 ! rays may be focus$ 9 front ( ! ret9a 9 "o m]idian1 & directly on ! ret9a 9 ! o!r2 ?is w\ld be an example ( ne>sight$ or myopic a/igmatism4 ,f>sight$ness & ne>sight$ness are !n bo? caus$ by a/igmatism1 al?\gh 9 ?is case n by ! l5g? ( ! eyeball1 b by inequality 9 ! curvature ( ! front "p 7cornea7 ( ! eyeball4 ,= example1 9 simple a/igmatism "o ( ! pr9cipal m]idians is hyp]opic 7turn+ ! rays s t !y focus beh9d ! ret9a7 or myopic 7b5d+ ! rays s t !y focus 9 front ( ! ret9a71 :ile ! o!r m]idian is normal4 ,9 mix$ a/igmatism1 "o ( ! pr9cipal m]idians is myopic1 ! o!r hyp]opic2 9 comp\nd a/igmatism ! pr9cipal m]idians are bo? myopic1 or bo? hyp]opic1 b diff] 9 degree2 :ile 9 irregul> a/igmatism1 rays ( light pass+ ?r\gh diff]5t p>ts ( ! out] surface ( ! eyeball are turn$ 9 s _m v>i\s directions t !y c nev] be br\ght to a p]fect focus by glasses4 ,x is n by any means possible = a layman to be able always to in=m himself t he is a/igmatic1 unless ! defect is consid]able4 ,if a c>d1 on :i* are heavy black l9es ( equal size & radiat+ f a common c5t] l ! spokes ( a :eel1 be plac$ on a wall 9 good light1 x w appe> to ! a/igmatic eye z if c]ta9 l9es 7:i* are 9 ! faulty m]idian ( ! eyeball7 are mu* blurr$1 :ile ! l9es at "r angles to ^! are cle> & di/9ct4 ,ea* eye %\ld be te/$ sep>ately1 ! o!r be+ clos$4 ,! *>t %\ld be view$ f a di/ance z great z any "p ( x c be se5 di/9ctly4 ,all ! l9es on ! te/ c>d %\ld look equally black & cle> to ! normal eye4 ,a/igmatism is correct$ by a cyl9drical l5s1 :i* is 9 fact a segm5t ( a solid cyl9d] ( glass4 ,! axis ( ! cyl9drical l5s %\ld be at "r angles to ! defective m]idian ( ! eye1 9 ord] to correct ! a/igmatism4 ,eye-/ra9 is caus$ by a/igmatism 9 ! same mann] t x is br\ght ab\t 9 ! simple f>sight$ eye1 i4 e41 by con/ant /ra9 on ! cili>y muscle1 :i* regulates ! convexity ( ! cry/all9e l5s4 ,= x is possible = ! inequalities ( ! front surface ( ! eyeball or ( ! l5s to be (fset or c\nt]balanc$ by *ange 9 ! convexity ( ! l5s produc$ by ! action ( ?is muscle1 & x is conceivable t ! axis ( ! l5s may be tilt$ "o way or ano!r by ! same ag5cy1 & = ! same purpose4 ,b1 z we h already po9t$ out1 ?is cont9ual muscul> action entails great /ra9 on ! n]ve c5t]s :i* animate ! muscle1 & if con/ant ne> "w is requisite1 or ! heal? is impair$1 ! n]v\s exhau/ion becomes app>5t4 ,! less] degrees ( a/igmatism (t5 give m tr\ble ?an ! great]4 ,illu/ration3 ,,plate ,i ,plate ,i ,,anatomy ,,( ,,! ,,eye ,! upp] illu/ration %[s ! six muscles atta*$ to ! eye4 ,! ,sup]ior ,rectus ,muscle pulls & directs ! eye upw>d2 ! ,inf]ior ,rectus1 d[nw>d2 ! ,ext]nal & ,int]nal ,rectus ,muscles pull ! eye to ! "r & left2 ! ,oblique ,muscles move ! eye slantwise 9 any direction4 ,lack ( balance ( ^! muscles1 & especially inability to focus bo? eyes on a ne> object )\t ef=t1 con/itute eye-/ra94 ,! l[] cut illu/rates ! relation ( ! cry/all9e l5s to sight4 ,l5s ,ne>sight ,focus %[s ! l5s bulg+ =w>d & v convex2 ,l5s ,f>sight ,focus %[s x flat & less convex4 ,?is adju/m5t ( ! %ape ( ! cry/all9e l5s is call$ accommodation2 x is effect$ by a small muscle 9 ! eyeball4 ,9 ! normal eye1 ! rays ( light f an object pass ?r\gh ! l5s1 adju/$ = ! prop] di/ance1 & focus on ! ret9a4 ,9 ! ne>sight$ eye1 ^! rays focus at a po9t 9 front ( ! ret9a2 :ile 9 ! f>sight$ eye ^! rays focus beh9d ! ret9a2 ! ne>sight$ eye be+ elongat$1 & ! f>sight$ eye be+ %ort5$4 ,,weakness ,,( ,,! ,,eye ,,muscles4--,!re are six muscles atta*$ to ! outside ( ! eyeball :i* pull x 9 v>i\s directions1 & s enable ea* eye to be direct$ ^u a common po9t1 o!rwise objects w appe> d\ble4 ,weakness ( ^! muscles or insuffici5cy1 especially ( ^? requir$ to direct ! eyes inw>d = ne> "w1 may lead to symptoms ( eye-/ra94 ,:5 read+1 = example1 ! muscles :i* pull ! eye inw>d soon gr[ tir$ & relax1 all[+ ! oppos+ muscles to pull ! eye outw>d s t ! eyes are no long] direct$ t[>d a common po9t1 & two images may be p]ceiv$ or1 m frequ5tly1 !y become fus$ toge!r produc+ a g5]al blurr+ on ! page4 ,!n by a new ef=t ( w ! int]nal muscles pull ! eyes into l9e aga91 only to h ! p]=mance repeat$1 all ( :i* entails a great /ra9 ^u ! n]v\s sy/em1 & may lead to p]man5t squ9t1 z has be5 po9t$ out4 ,9 addition to ^! symptoms caus$ by weakness ( ! eye muscles--see+ d\ble1 blurr$ vision1 & want ( endurance = close "w--!re are o!rs :i* are common to eye-/ra9 9 g5]al1 z heada*e1 nausea1 etc41 describ$ 9 ! foll[+ p>agraph4 ,symptoms ( ,eye-/ra94--,heada*e is ! mo/ frequ5t symptom4 ,x may be ab\t ! eyes1 b !re is no special *>act]i/ic :i* w positively enable "o to "k an eye heada*e f t aris+ f o!r s\rces1 al?\gh eye-/ra9 is probably ! mo/ common cause ( heada*e4 ,! heada*e result+ f eye-/ra9 may !n be 9 ! =ehead1 temples1 top or ! back ( ! head1 or limit$ to "o side4 ,x frequ5tly takes ! =m ( sick heada*e 7p4 #aac74 ,x is p]haps m apt to appe> aft] any unusual use ( ! eyes 9 read+1 writ+1 sew+1 rid+1 %opp+1 or sight-see+1 & go+ to !at]s & picture gall]ies1 b ?is is n by any means inv>iably ! case1 z eye heada*e may appe> )\t app>5t cause4 ,nausea & vomit+1 ) or )\t heada*e1 n]v\sness1 sleeplessness1 & dizz9ess (t5 accompany eye-/ra94 ,sometimes !re is weakness ( ! eyes1 i4 e41 lack ( endurance = eye "w1 twit*+ ( ! eyelids1 weep+1 /yes1 & inflammation ( ! lids4 ,9 view ( ! extreme frequ5cy ( eye-disord]s :i* lead to eye-/ra91 x behooves p1 9 ! words ( an em95t m$ical writ]1 to recognize t ! subtle influ5ce ( eye-/ra9 ^u "* is ( enorm\s importance inasmu* z ! disposition may be w>p$1 injur$1 & wreck$1 especially 9 ! "y4 ,"s ( ! m s]i\s n]v\s diseases1 z n]v\s exhau/ion1 convulsions1 hy/]ia1 & ,/4 ,vitus's dance may be caus$ by ! reflex irritation ( ! c5tral n]v\s sy/em foll[+ eye-/ra94 ,treatm5t ( ,eye-/ra94--,! ess5tial treatm5t ( eye-/ra9 consi/s 9 ! we>+ ( prop] glasses4 ,x %\ld be a rule1 )\t any exception1 to consult only a regul> & compet5t oculi/1 & nev] an optician1 = ! selection ( glasses4 ,x is z egregi\s a piece ( folly to employ an optician to *oose ! glasses z x w\ld be to seek an apo!c>y's advice 9 a g5]al illness4 ,consid]ably m damage w\ld probably accrue f foll[+ ! optician's prescription ?an t ( ! apo!c>y1 because nature w\ld soon (fset ! effects ( an inappropriate drug2 b ! damage to ! eyes f we>+ improp] glasses w\ld be la/+4 ,prop]ly to det]m9e ! optical error 9 a/igmatic & f>sight$ eyes x is ess5tial to place drops 9 ! eye1 :i* dilate ! pupil & p>alyze ! muscles t control ! convexity ( ! cry/all9e l5s1 & to use in/rum5ts & me?ods ( exam9ation1 :i* c only be prop]ly und]tak5 & int]pret$ by "o ) ! g5]al & special m$ical tra9+ possess$ by an oculi/4 ,! /atem5t has be5 emphasiz$ t f>sight$ & a/igmatic p]sons1 up to ! age ( =ty-five or fifty1 c sometimes ov]come ! optical defects 9 _! eyes by ex]cise ( ! cili>y muscle :i* alt]s ! %ape ( ! l5s1 &1 !re=e1 x w\ld be impossible = an exam9] to discov] ! fault )\t putt+ drops 9 ! eye1 :i* tempor>ily p>alyze ! cili>y muscles = f ?irty-six to =ty-eight h\rs1 b o!rwise d no h>m4 ,aft] ! age ( fifty x may be unnecess>y to use drops1 z ! muscul> p[] to alt] ! convexity ( ! l5s is greatly dim9i%$4 ,opticians are incompet5t to employ ^! drops1 z !y may d great damage 9 c]ta9 conditions ( ! eye :i* c only be detect$ by a m$ical man specially tra9$ = su* "w4 ,opticians are ?us sure to be caught on "o ( ! horns ( a dilemma2 ei!r !y d n use drops to p>alyze ! cili>y muscle1 or1 if !y d employ ! drops1 !y may d irrep>able damage to ! eye4 ,any abnormality connect$ ) ! vision1 especially 9 *ildr51 %\ld be a w>n+ to consult an oculi/4 ,squ9t1 cross-eye 7,/rabismus71 z has be5 /at$1 may (t5 result f ne>- or f>-sight$ness1 & x may be possible 9 "y *ildr5 to cure ! squ9t by ! use ( glasses or ev5 drops 9 ! eye1 :]eas 9 lat] life x may be necess>y to cut "s ( ! muscles ( ! eyeball to correct ! condition4 ,x is a wise rule to subject e *ild to an oculi/'s exam9ation be=e ent]+ ^u s*ool life4 ,,deafness4--,sudd5 deafness )\t app>5t reason is m apt to result f an accumulation ( wax ?an f any o!r cause4 ,x is a v common e> disord]4 ,! op5+ into ! e> is ab\t an in* long1 or a little m1 & is sep>at$ f t "p ( ! e> )91 :i* is kn[n z ! middle e>1 by ! e>drum membrane4 ,! drum membrane is a ?91 sk9like membrane /ret*$ tightly across ! bottom ( ! ext]nal op5+ 9 ! e> or auditory canal1 & %uts x (f completely f ! middle e> )91 & 9 ?is way protects ! middle e> f ! entrance ( g]ms1 du/1 & wat]1 b only second>ily aids he>+4 ,! ob/ruction caus$ by wax usually exi/s 9 ab\t ! middle ( ! auditory canal or op5+ 9 ! e>1 & only causes deafness :5 x completely blocks ?is passage4 ,! deafness is sudd5 because1 ow+ to ! accid5tal entrance ( wat]1 ! wax quickly swells & *okes ! canal2 or1 9 attempts to relieve irritation 9 ! e>1 ! f+] or "s o!r object is ?ru/ into ! op5+ 9 ! e> 7auditory canal7 & presses ! wax d[n on ! e> drum4 ,! ob/ruction 9 ! e> is usually a mixture ( waxy secretion f ! canal1 & little scales ( dead sk9 :i* become matt$ toge!r 9 unwise ef=ts at cleans+ ! e> by introduc+ a twi/$ t[el or "s o!r object into ! e> passage & !re turn+ x ab\t2 or x may occur ow+ to disease ( ! e> alt]+ ! "* ( ! natural secretion4 ,9 ! normal /ate1 ! purpose ( ! wax is1 app>5tly1 to repel insects & to glue toge!r ! little flakes ( ca/-(f sk9 9 ! auditory canal1 & ^!1 cat*+ on ! hairs l9+ ! canal1 are ?r[n out ( ! e>s ^u ! %\ld]s by ! motion ( ! jaws 9 eat+4 ,no?+ %\ld be introduc$ into ! e> ) ! idea ( cleans+ x1 z ! sk9 gr[+ m rapidly f )9 t5ds naturally to pu% ! dead portions out z requir$1 & s ! canal is self-cleans+4 ,symptoms4--,sudd5 deafness 9 "o e> usually calls ! att5tion ( ! pati5t to an accumulation ( wax4 ,!re is apt to be m or less wax 9 ! o!r e> z well4 ,noises 9 ! deaf e> & a feel+ ( pressure are also common4 ,among r>] symptoms are nausea & dizz9ess4 ,b ! only way to be sure t deafness is due to *ok+ ( ! e> passage ) wax is to see x4 ,?is is usually accompli%$ by a physician 9 ! foll[+ way3 he ?r[s a good light f a mirror into a small tube introduc$ into ! e> passage4 ,?is is1 ( c\rse1 impossible = laym5 to d1 b if ! e> is drawn upw>d1 backw>d1 & outw>d1 s z to /raight5 ! canal1 x may be possible = anyone to see a mass ( yell[i%-br[n or blacki% mat]ial fill+ ! passage4 ,& 9 any ev5t1 if ! wax _c be se51 "o is ju/ifi$ 9 treat+ ! case z if x 7 pres5t1 if sudd5 deafness has occurr$ & compet5t m$ical aid is unobta9able1 s9ce no h>m w be done if wax is abs5t1 &1 if x is pres5t1 ! escape ( wax w usually give imm$iate relief f ! deafness & o!r symptoms4 ,treatm5t4--,! wax is to be remov$ ) a syr+e & wat] z hot z c be com=tably borne4 ,a h>d-rubb] syr+e hav+ a pi/on1 & hold+ f two teaspoonfuls to two tablespoonfuls1 is to be employ$--! l>g] ones are bett]4 ,! clo?+ %\ld be protect$ f wat] by t[els plac$ ov] ! %\ld]1 & a bas9 is held "u ! e> to cat* ! wat] fl[+ out ( ! canal4 ,! tip ( ! syr+e is introduc$ j )9 ! entrance ( ! e>1 :i* is to be pull$ backw>d & upw>d1 & ! /ream ( wat] direct$ ) "s =ce aga9/ ! upp] & back wall ( ! passage r ?an directly d[n ^u ! wax4 ,! wat] :i* is fir/ return$ is discolor$1 & !n1 on repeat$ syr++1 little flakes ( dry sk91 ) p]haps "s wax adh]+1 may be se5 float+ on ! top ( ! wat] :i* fl[s f ! e>1 & f9ally1 aft] a long] or %ort] p]iod1 a plug ( wax becomes dislodg$1 & ! :ole tr\ble is ov]4 ,?is is ! rule1 b sometimes ! process is v long & t$i\s1 only a little com+ away at a "t1 &1 r>ely1 dizz9ess & fa9tness w require ! pati5t to lie d[n = a :ile4 ,! wat] %\ld always be remov$ f ! e> aft] syr++ by twi/+ a small wisp ( absorb5t cotton ab\t ! end ( a small /ick1 z a too?pick1 :i* has be5 dipp$ into wat] to make ! cotton adh]e4 ,! tip ( ! too?pick1 ?us be+ ?or\ghly protect$ by dry cotton appli$ s tightly t !re is no dang] ( x slipp+ (f1 :ile ! e> is pull$ backw>d & upw>d to /raight5 ! canal1 is g5tly pu%$ into ! bottom ( ! canal & remov$1 & ! process repeat$ ) fre% cotton until x no long] returns moi/4 ,f9ally a pl$get ( dry cotton %\ld be loosely pack$ into ! e> passage1 & worn by ! pati5t = twelve or tw5ty-f\r h\rs4 ,,p]si/5t ,,& ,,*ronic ,,deafness4--,a consid]ation ( deafness requires "s und]/&+ ( ! /ructure & relations ( ! e> ) o!r p>ts ( ! body1 notably ! ?roat4 ,x has be5 po9t$ out t ! ext]nal e>--compris+ ! fle%y portion ( ! e>1 or auricle1 & ! op5+1 or canal1 ab\t an in* long--is sep>at$ f t portion ( ! e> )9 7or middle e>7 by ! drum membrane4 ,! middle e>1 :ile protect$ f ! out] air by ! drum1 is really a "p ( ! upp] air passages1 & p>ticipates 9 disord]s affect+ !m4 ,x is ! important "p ( ! e> z x is ! seat ( mo/ e> tr\bles1 & disease ( ! middle e> n only endang]s ! he>+1 b ?reat5s life ?r\gh proximity to ! bra94 ,9 ! middle e> we h an air space connect$ ) ! ?roat by ! ,eu/a*ian tube1 a tube ab\t an in* long runn+ d[nw>d & =w>d to jo9 ! upp] air passage at ! junction ( ! back ( ! nose & upp] "p ( ! ?roat4 ,if "o %\ld run ! f+] along ! ro( ( ! m\? & !n hook x up beh9d & above ! s(t palate "o c\ld feel ! op5+s ( ^! tubes 7"o = ea* e>7 on ei!r side ( ! top ( ! ?roat or back ( ! nose1 accord+ to ! view we take ( x4 ,!n ! middle e> is also connect$ ) a cavity 9 ! bone back ( ! e> 7ma/oid cavity or cells71 & ! out] & l[] wall is =m$ by ! drum membrane4 ,vibrations />t$ by s\nd waves :i* /rike ! e> are connect$ by means ( a *a9 ( ?ree little bones f ! drum ?r\gh ! middle e> to ! n]v\s app>atus 9 ! int]nal e>4 ,! head ( "o ( ^! little bones may be se5 by an exp]t1 look+ into ! e>1 press+ aga9/ ! inside ( ! drum membrane4 ,/iff5+ or immovability ( ! jo9ts betwe5 ^! little bones1 f cat>rh ( ! middle e>1 is mo/ important 9 produc+ p]man5t deafness4 ,! middle e> space is l9$ ) muc\s membrane cont9u\s ) t ( ! ?roat ?r\gh ! ,eu/a*ian tube4 ,?is s]ves to dra9 mucus f ! middle e>1 & also to equalize ! air pressure on ! e>drum s t ! pressure )9 ! middle e> %all be ! same z t )\t4 ,:5 !re is cat>rh or inflammation ( ! ?roat or nose x is apt to ext5d up ! ,eu/a*ian tubes & involve ! middle e>4 ,9 ?is way ! tubes become *ok$ & ob/ruct$ ) ! ov]secretion or by swell+4 ,! air 9 ! middle e> !n becomes absorb$ 9 "p1 & a species ( vacuum is produc$ ) increas$ pressure f )\t on ! e>drum4 ,! drum membrane w be press$ 91 & ?r\gh ! little bones pressure w be made aga9/ ! s5sitive n]v\s app>atus1 irritat+ x & giv+ rise to deafness1 dizz9ess1 & ! s5sation ( noises 9 ! e>4 ,noises f )\t w also be int5sifi$ 9 pass+ ?r\gh ! middle e> :5 x is conv]t$ into a clos$ cavity ?r\gh ! block+ ( ! ,eu/a*ian tube4 ,a v important feature foll[+ ob/ruction ( ! ,eu/a*ian tubes1 & r>efaction ( ! air 9 ! middle e>1 is t conge/ion ( ! blood vessels ensues & increas$ secretion1 because ! usual pressure ( ! air on ! blood vessels )9 ! middle e> is tak5 away4 ,?is !n is ! cause ( mo/ p]man5t deafness1 to :i* is giv5 ! "n cat>rhal deafness1 because e fre% cold 9 ! head1 or sore ?roat1 t5ds to />t up tr\ble 9 ! e> su* z we h j describ$4 ,repeat$ attacks leave ve/iges beh9d until p]man5t deafness rema9s4 ,9 normal conditions e act ( swall[+ op5s ! ap]tures ( ! ,eu/a*ian tubes 9 ! ?roat1 & all[s ( equalization ( ! air pressure )9 & )\t ! e>drum1 b if ! nose is /opp$ up by a cold 9 ! head1 or enl>gem5t ( ! tonsil at ! back ( ! nose 7z f ad5oids1 see p4 #fa71 ! process is rev]s$ & air is exhau/$ f ! ,eu/a*ian tubes ) ea* swall[+ motion4 ,! moral to be drawn f all ! =ego+ is to treat colds prop]ly :5 !y are pres5t1 keep+ ! nose & ?roat clean & cle> ( mucus1 & to h any abnormal ob/ruction 9 ! nose or ?roat & s\rce ( *ronic cat>rh remov$1 z enl>g$ tonsils1 ad5oids1 & nasal outgr[?s4 ,,=eign ,,bodies ,,9 ,,! ,,e>4--,=eign bodies1 z buttons1 pebbles1 beans1 *]ry /ones1 c(fee1 etc41 are frequ5tly plac$ 9 ! e> by *ildr51 & insects sometimes f9d _! way into ! e> passage & create trem5d\s di/ress by _! /ruggles4 ,smoo?1 nonirritat+ bodies1 z buttons1 pebbles1 etc41 d no p>ticul> h>m = a long "t1 & may rema9 unnotic$ = ye>s4 ,b ! mo/ s]i\s damage n infrequ5tly results f unskillful attempts at _! removal by p]sons 7ev5 physicians unus$ to in/rum5tal "w on ! e>7 :o are driv5 to imm$iate & viol5t action on ! false supposition t in/ant int]f]5ce is call$ =4 ,insects1 x is true1 %\ld be kill$ )\t delay by dropp+ into ! e> sweet oil1 ca/or1 l9se$1 or ma*9e oil or glyc]91 or ev5 wat]1 if ! o!rs are n at h&1 & !n ! insect %\ld be remov$ 9 half an h\r by syr++ z recomm5d$ = wax 7p4 #ce74 ,to remove solid bodies1 turn ! e> conta9+ ! body1 d[nw>d1 pull x outw>d & backw>d1 & rub ! sk9 j 9 front ( ! op5+ into ! e> ) ! o!r h&1 & ! object may fall out4 ,fail+ 9 ?is1 syr++ ) w>m wat]1 z = removal ( wax1 :ile ! pati5t is sitt+1 may prove successful4 ,! ess5tials ( treatm5t !n consi/1 fir/1 9 keep+ cool2 !n 9 kill+ insects by dropp+ oil or wat] into ! e>1 &1 if syr++ proves ineffective1 9 us+ no in/rum5tal me?ods 9 an attempt to remove ! =eign body1 b 9 await+ su* "t z skill$ m$ical s]vices c be obta9$4 ,if beans or se$s are n wa%$ out by syr++1 ! wat] may cause !m to swell & produce pa94 ,to obviate ?is1 drop glyc]9 9 ! e> :i* absorbs wat]1 & w ?us %rivel ! se$4 ,,e>a*e4--,e>a*e is due usually n to neuralgia ( ! e>1 b to a true inflammation ( ! middle e>1 :i* ei!r subsides or results 9 ! accumulation ( inflammatory products until ! drum is ruptur$ & dis*>ge occurs f ! ext]nal canal4 ,! tr\ble commonly orig9ates f an ext5sion ( cat>rhal disease ( ! nose or ?roat2 ! g]ms :i* are responsible = ^! disord]s f9d+ _! way into ! ,eu/a*ian tubes1 & ?us into ! middle e>4 ,any s\rce ( *ronic cat>rh ( ! nose or ?roat1 z enl>g$ & diseas$ tonsils1 ad5oids 9 *ildr51 or nasal ob/ruction1 favor ! gr[? ( g]ms & ! occurr5ce ( frequ5t attacks ( acute cat>rh or colds4 ,! grippe has be5 ! mo/ fruitful cause ( middle-e> inflammation & e>a*e 9 rec5t ye>s4 ,any act :i* =ces up fluid or secretions f ! back ( ! nose into ! ,eu/a*ian tubes 7see section on ,deafness7 & ?us into ! middle e>1 is apt to set up inflammation !re1 ei!r ?r\gh ! introduction ( g]ms1 or ow+ to ! me*anical injury su/a9$4 ,?us ! use ( ! nasal d\*e1 ! act ( sniff+ wat] into ! nose1 or bl[+ ! nose viol5tly :5 !re is secretion or fluid 9 ! back ( ! nose1 or ! employm5t ( ! po/-nasal syr+e are "o & all att5d$ ) ?is dang]4 ,swimm+ on ! back1 div+1 or surf ba?+ also endang]s ! e>1 z cold wat] is =cibly driv5 n only into ! ext]nal auditory canal1 b1 :at is m frequ5tly a s\rce ( damage1 into ! ,eu/a*ian tubes ?r\gh ! m$ium ( ! nose or ?roat4 ,9 ?is case ! plugg+ ( ! nose ) cotton w\ld be ( m value ?an ! ext]nal canal1 z is commonly practic$4 ,if wat] has ent]$ ! ,eu/a*ian tube1 bl[+ ! nose & *ok+ m]ely aggravate ! tr\ble4 ,! wis] plan is to d no?+ b tru/ t ! wat] w dra9 out1 & if pa9 ensues treat x z recomm5d$ bel[ = e>a*e4 ,wat] 9 ! e>s is sometimes remov$ by jump+ ab\t on "o foot ) ! tr\blesome e> held d[nw>d1 & if x is 9 ! ext]nal canal x may be wip$ out g5tly ) cotton on ! end ( a mat*1 z recomm5d$ 9 ! article on treat+ wax 9 ! e> 7see p4 #ce74 ,9 ! treatm5t ( cat>rh 9 ! nose or ?roat only a spray f an atomiz] %\ld be us$1 z ,dobell's or ,seil]'s solutions foll[$ by m5?ol & camphor1 tw5ty gra9s ( ea* to ! ounce ( albol9e or liquid vasel9e4#a ,exposure to cold & ! common eruptive diseases ( *ildr51 z sc>let fev]1 measles1 & also diph!ria1 are common causes ( middle-e> inflammation4 ,9 ! latt] disord]s ! protection af=d$ by a nightcap :i* comes d[n ov] ! e>s1 & worn con/antly dur+ ! illness1 is frequ5tly suffici5t to w>d (f e> complications4 ,al?\gh e>a*e or middle-e> inflammation is common1 its dang]s are n fully appreciat$1 s9ce ! v>i\s complications are likely to arise1 & ! result is n r>ely s]i\s4 ,ext5sion ( ! inflammation to ! bone beh9d ! e> may necessitate *isel+ away a "p ( ! skull to lib]ate pus or dead bone 9 ?is locality1 & ! occurr5ce ( abscess ( ! bra9 w necessitate op]ation4 ,! use ( lee*es 9 ! beg9n+ ( ! attack is ( great value1 & ?\gh unpleasant are n difficult or pa9ful 9 _! application4 ,"o %\ld be appli$ j 9 front ( ! op5+ into ! e> 7:i* %\ld be previ\sly clos$ ) cotton to prev5t ! entrance ( ! lee*71 & ! o!r beh9d ! e> 9 ! crease :]e x jo9s ! side ( ! head & at a po9t a little bel[ ! level ( ! ext]nal op5+ into ! e>4 ,a drop ( milk on ^! spots w (t5 />t ! lee*es imm$iately at "w1 or a drop ( blood obta9$ ) a p9 prick4 ,:5 ! lee*es are gorg$ ) blood & cease to suck1 !y %\ld be remov$ & ble$+ enc\rag$ = half an h\r ) applications ( absorb5t cotton dipp$ 9 hot wat]4 ,!n clean1 dry absorb5t cotton is appli$1 & pressure made on ! w\nds if ble$+ does n soon /op or is excessive4 ,! aft] treatm5t ( ! bites consi/s 9 cleanl9ess & ! use ( vasel9e4 ,! pati5t mu/ /ay 9 b$1 & ! hot-wat] bag be con/antly kept on ! e> till all pa9 ceases4 ,if ! drum p]=ates1 a dis*>ge w usually appe> f ! ext]nal e>4 ,!n ! canal mu/ be cleans$1 once or m daily1 by inject+ v g5tly into ! e> a solution ( boric acid 7z mu* ( boric acid z ! wat] w dissolve71 foll[+ ?is by wip+ ! wat] out ( ! canal ) /]iliz$ cotton1 z direct$ = ! treatm5t ( wax 9 ! e> 7p4 #ce74 ,! syr++ is p]missible only once daily1 unless ! dis*>ge is copi\s1 b ! canal may be wip$ out 9 ?is mann] sev]al times a day ) dry cotton4 ,x is well to keep ! op5+ into ! e> greas$ ) vasel9e1 & a plug ( clean absorb5t cotton loosely pack$ into ! canal to keep out ! cold4 ,excessive or too =cible syr++ may br+ ab\t t complication mo/ to be fe>$1 al?\gh x may appe> ?r\gh no fault 9 c>e1 i4 e41 an implication ( ! cavity 9 ! bone back ( ! e> 7ma/oid disease74 ,g]ms f9d _! way ?r\gh ! connect+ passage by :i* ?is cavity is 9 t\* ) ! middle e>1 or may be =c$ 9 by viol5t syr++4 ,:5 ?is happ5s1 e>a*e1 or pa9 j back ( ! e>1 commonly returns dur+ ! fir/ or second week aft] ! fir/ attack1 & t5d]ness may be obs]v$ on press+ on ! bone j back ( ! e> close to ! canal4 ,fev]1 & local r$ness & swell+ ( ! p>ts ov] ! bone 9 ?is region may also occur4 ,conf9em5t to b$1 & con/ant application ( a rubb] bag conta9+ crack$ ice1 to ! pa9ful p>ts mu/ be en=c$4 ,if ! t5d]ness on pressure ov] ! bone & pa9 d n subside )9 tw5ty-f\r to =ty-eight h\rs1 surgical assi/ance mu/ be obta9$ at any co/1 or a fatal result may ensue4 ,! op5+ 9 ! drum membrane1 caus$ by escape ( dis*>ge 9 ! c\rse ( middle-e> inflammation1 usually closes1 b ev5 if x does n deafness is n a necess>y sequ5ce4 ,! e>drum is n absolutely ess5tial to he>+1 b x is ( great importance to exclude s\rces ( irritation1 du/1 wat]1 & g]ms :i* are likely to set up middle-e> tr\ble4 ,m ord9>y aft]-effects are *ronic dis*>ge f ! e> foll[+ acute inflammation & p]=ation ( ! e>drum1 :i* may mean at any "t a sudd5 return ( pa9 ) ! occurr5ce ( ! m dang]\s conditions j recit$1 toge!r ) deafness4 ,be>+ all ?is 9 m9d x is advisable nev] to neglect a sev]e or p]si/5t e>a*e1 b to call 9 exp]t att5tion4 ,:5 ?is is n obta9able ! treatm5t outl9$ bel[ %\ld be c>efully foll[$4 ,symptoms4--,pa9 is sev]e & (t5 excruciat+ 9 adults4 ,x may be felt ov] ! temple1 side & back ( ! head & neck1 & ev5 9 ! l[] tee?1 z well z 9 ! e> itself4 ,! pa9 is increas$ by bl[+ ! nose1 sneez+1 c\gh+1 & /oop+4 ,!re is consid]able t5d]ness usually on press+ on ! sk9 9 front ( ! e> passage4 ,9 infants !re may be little evid5ce ( pa9 9 ! e>4 ,!y are apt to be v fretful1 refuse food1 cry out 9 sleep1 (t5 lie ) ! affect$ e> re/+ on ! h&1 & %[ t5d]ness on pressure imm$iately 9 front or beh9d ! e> passage4 ,dullness1 fev]1 *ills1 & convulsions are n uncommon 9 *ildr51 b1 on ! o!r h&1 aft] "s slight illness x is n infrequ5t = dis*>ge f ! e> to be ! fir/ sign :i* calls ! att5tion ( p>5t or m$ical att5dant to ! s\rce ( ! tr\ble4 ,= ?is reason ! c>eful physician always exam9es ! e> 9 d\btful cases ( *ildr5's diseases4 ,unless ! inflammation subsides ) treatm5t1 ei!r a ?91 wat]y fluid 7s]um7 is =m$ 9 ! middle e>1 or pus1 :5 we h an abscess ( ! e>4 ,! drum if left to itself breaks d[n 9 ?ree to five days1 or mu* soon] 9 *ildr5 :o possess a ?9n] membrane4 ,a dis*>ge !n appe>s 9 ! canal ( ! ext]nal e>1 & ! pa9 is reliev$4 ,x may occasionally happ5 t ! ,eu/a*ian tube dra9s away ! dis*>ge1 or t ! dis*>ge f ! drum is s slight t x is n p]ceiv$1 & recov]y ensues4 ,dis*>ge f ! e> cont9ues = a few weeks1 & !n ! hole 9 ! drum closes & ! tr\ble ceases4 ,?is is ! hi/ory 9 favorable cases1 b un=tunately1 z we h indicat$1 ! opposite /ate ( affairs results n infrequ5tly1 especially 9 neglect$ pati5ts4 ,treatm5t4--,! pati5t ) sev]e e>a*e %\ld g to b$ & take a ca?>tic to move ! b[els4 ,he %\ld lie all ! "t ) ! pa9ful e> on a rubb] bag conta9+ wat] z hot z c be com=tably borne4 ,e two h\rs a jet ( hot wat]1 :i* has be5 boil$ & cool$ j suffici5tly to p]mit ( its use1 is all[$ to fl[ g5tly f a f\nta9 syr+e into ! e> = t5 m9utes1 & !n ! e> is dri$ ) cotton1 z describ$ "u ! treatm5t ( wax 9 ! e> 7p4 #ce74 ,no o!r drops ( any k9d are admissible = use 9 ! e>1 & ev5 ?is treatm5t is ( less importance ?an ! dry heat f ! hot-wat] bag1 & may be omitt$ altoge!r if ! appliances & skill to dry ! e> are lack+4 ,t5 drops ( laudanum#b = an adult1 or a teaspoonful ( p>egoric = a *ild six ye>s old1 may be giv5 by ! m\? to relieve ! pa94 ,! temp]ature ( ! room %\ld be ev5 & ! food s(t4 ,if ! pa9 cont9ues x is wis] to h an auri/ lance ! drum1 to avoid complications1 ?an to wait = ! drum membrane to break op5 spontane\sly 9 8 abs5ce4 ,loss or damage ( ! e>drums may call = artificial e>drums4 ,!y d n act at all l ! drumhead ( ! musical in/rum5t by _! vibrations1 b only are ( s]vice 9 putt+ on ! /ret* ! little bones 9 ! middle e> :i* convey s\nd4 ,"s ( ^? adv]tis$ d h>m by sett+ up a me*anical irritation 9 ! e> aft] a "t1 & a bett] result is (t5 obta9$ ) a ball ( cotton or a pap] disc introduc$ into ! e> by an auri/4 ,illu/ration3 ,,plate ,,ii ,plate ,,ii ,,anatomy ,,( ,,! ,,e> ,! illu/ration on ! opposite page %[s ! int]ior /ructure ( ! e>4 ,! con*a & ,meatus1 or canal1 comprise ! ext]nal e>1 :i* is sep>at$ f ! middle e> by ! ,drum ,membrane4 ,wax is secret$ by gl&s locat$ 9 ! l9+ ( ! meatus1 & %\ld be deta*$ by ! motion ( ! jaws dur+ talk+ & eat+4 ,if x adh]es to ! drum membrane x causes p>tial deafness4 ,! int]nal e>1 or labyr9?1 a cavity 9 ! bone1 back ( ! middle e>1 consi/s ( ?ree p>ts3 ! ,co*lea1 ! ,semicircul> ,canals1 & a middle portion1 ! ,ve/ibule4 ,! middle e> is connect$ ) ! ?roat by ! ,eu/a*ian ,tube4 ,s\nd vibrations1 :i* /rike ! drum membrane1 are convey$ by means ( a *a9 ( ?ree small bones ?r\gh ! middle e> to ! n]v\s app>atus ( ! int]nal e>4 ,! ,eu/a*ian tube & middle e> are l9$ ?r\gh\t ) muc\s membrane1 & any sev]e inflammation ( ! ?roat may ext5d to & involve ! tube & ! middle e>1 caus+ deafness4 ,,mod]ate ,,or ,,slight ,,e>a*e4--,a slight or mod]ate e>a*e1 :i* may1 h[ev]1 be v p]si/5t1 n suffici5t to incapacitate ! pati5t or prev5t sleep1 is (t5 caus$ by "s ob/ruction 9 ! ,eu/a*ian tube1 ei!r by swell+ or muc\s dis*>ge4 ,?is condition gives rise to ! tra9 ( effects not$ 9 ! section on deafness4 ,! air 9 ! middle e> is absorb$ to "s ext5t1 & !re=e ! pressure )9 ! e> is less ?an t outside ! drum1 s t ! latt] is press$ inw>d ) ! result t pa91 & p]haps noises & deafness ensue1 &1 if ! condition is n reliev$1 inflammation ( ! middle e> z describ$ above4 ,treatm5t4--,treatm5t is direct$ t[>d clean+ ! back ( ! nose & r$uc+ swell+ at ! op5+s ( ! ,eu/a*ian tubes 9 ?is locality1 & inflat+ ! tubes ) air4 ,a spray ( ,seil]'s solution#c is ?r[n f an atomiz] ?r\gh ! no/rils1 ) ! head tipp$ backw>d1 until x is felt 9 ! back ( ! ?roat1 & aft] ! wat] has dra9$ away ! process is repeat$ a numb] ( times4 ,?is treatm5t is pursu$ twice daily1 & "o h\r aft] ! fluid 9 ! nose is well cle>$ away ! ,eu/a*ian tubes may be inflat$ by ! pati5t4 ,to accompli% ?is ! lips are clos$ tightly1 & ! no/rils also1 by hold+ ! nose2 !n an ef=t is made to bl[ ! *eeks out till air is =c$ into ! tubes & is felt ent]+ bo? e>s4 ,?is act is att5d$ ) dang] ( c>ry+ up fluid into ! tubes & greatly aggravat+ ! condition1 unless ! wat] f ! spray has _h "t to dra9 away4 ,bl[+ ! nose1 z has be5 po9t$ out1 is unwise1 b ! wat] may be remov$ to "s ext5t by cle>+ ! ?roat4 ,! r$uction ( swell+ at ! entrance ( ! ,eu/a*ian tube 9 ! back ( ! nose c be prop]ly treat$ only by an exp]t1 z "s a/r+5t 7glyc]ite ( tann97 mu/ be appli$ on cotton w\nd on a curv$ applicator1 & ! in/rum5t pass$ above & beh9d ! ro( ( ! m\? into ! region back ( ! nose4 ,rubb+ ! p>ts j 9 front ( ! ext]nal op5+ into ! e> ) ! tip ( "o f+] = a p]iod ( a few m9utes sev]al times a day w also favor recov]y 9 ?is tr\ble4 ,,footnotes3 #a ,see p4 #di4 #b ,caution4 ,ask ! doctor fir/4 #c ,tablets = ! prep>ation ( ,seil]'s solution are to be f\nd at mo/ druggi/s4 ,,*apt] ,,ii ,! ,nose & ,?roat ,cold 9 ! ,head--,m\?-,brea?+--,too?a*e--,sore ,m\?--,treatm5t ( ,tonsilitis--,qu9sy--,diph!ria4 ,,noseble$4--,noseble$ is caus$ by bl[s or falls1 or m frequ5tly by pick+ & viol5tly bl[+ ! nose4 ,! c>tilage ( ! nasal septum1 or p>tition :i* divides ! two no/rils1 v (t5 becomes sore 9 spots1 ow+ to irritation ( du/-lad5 air1 & ^! cru/ ov] & lead to it*+4 ,!n pick+ ! nose removes ! cru/s1 & frequ5t noseble$ results4 ,noseble$ also is common 9 bo? full-blood$ & anaemic p]sons2 9 ! =m] because ( ! high pressure )9 ! blood vessels1 9 ! latt] ow+ to ! ?9 walls ( ! art]ies & capill>ies :i* readily rupture4 ,noseble$ is aga9 an accompanim5t ( c]ta9 g5]al disord]s1 z he>t disease & typhoid fev]4 ,! ble$+ comes usually f "o no/ril only1 & is a g5]al ooz+ f ! muc\s membrane1 or m commonly fl[s f "o spot on ! septum ne> ! no/ril1 ! cause ( :i* we h j not$4 ,! blood may sp\t =? 9 a /ream1 z aft] a bl[1 or trickle away drop by drop1 b is r>ely dang]\s except 9 infants & ag$ p]sons ) weak blood vessels4 ,9 ! case ( ! latt] ! occurr5ce ( ble$+ f ! nose is ?\ght to indicate brittle vessels & a t5d5cy to apoplexy1 :i* may be av]t$ by ! noseble$4 ,?is is unc]ta94 ,if noseble$ comes on at night dur+ sleep1 ! blood may fl[ into ! /oma* )\t ! pati5t's k1 & on be+ vomit$ may sugge/ ble$+ f ! /oma*4 ,treatm5t4--,! avoidance ( excitem5t & ( bl[+ ! nose1 hawk+1 & c\gh+ w assi/ recov]y4 ,! pati5t %\ld sit quietly ) head erect1 unless !re is pallor & fa9tness1 :5 he may lie d[n on ! side ) ! head held =w>d s t ! blood w fl[ out ( ! nose4 ,!re is no cause = al>m 9 mo/ cases1 because ! m blood lo/ ! m readily does ! rema9d] clot & /op ble$+4 ,z ! blood g5]ally comes f ! l[] "p ( ! p>tition sep>at+ ! no/rils1 ! f+] %\ld be introduc$ into ! ble$+ no/ril & pressure made aga9/ ?is po9t1 or ! :ole l[] "p ( ! nose may be simply compress$ betwe5 ! ?umb & =ef+]4 ,if ?is does n suffice a lump ( ice may be held aga9/ ! side ( ! ble$+ no/ril1 & ano!r plac$ 9 ! m\?4 ,! injection into ! no/ril ( ice wat] conta9+ a little salt is sometimes v s]viceable 9 /opp+ noseble$4 ,bl[+ ! nose mu/ be avoid$ = "s "t aft] ! ble$+ ceases4 ,if none ( ^! me?ods arre/ ! ble$+ ! no/ril mu/ be plugg$4 ,a piece ( clean cotton clo?1 ab\t five in*es squ>e1 %\ld be pu%$ g5tly b firmly into ! no/ril ) a sl5d] cyl9d] ( wood ab\t z l>ge z a slate p5cil & blunt on ! end4 ,?is sub/itute = a probe is press$ aga9/ ! c5t] ( ! clo?1 :i* folds ab\t ! /ick l a clos$ umbrella1 & ! cotton is press$ into ! no/ril 9 a backw>d & slightly d[nw>d direction1 = two or ?ree in*es1 :ile ! head is held erect4 ,!n pl$gets ( cotton wool are pack$ into ! bag =m$ by ! cotton clo? aft] ! /ick is )drawn4 ,! m\? ( ! bag is left project+ slightly f ! no/ril1 s t ! :ole c be )drawn 9 tw5ty-f\r h\rs4 ,! ble$+ no/ril may be m readily plugg$ by simply press+ into x little pl$gets ( cotton ) a sl5d] /ick1 b x w\ld be impossible = an unskill$ p]son to get !m out aga91 & a physician %\ld )draw !m inside ( =ty-eight h\rs4 ,,=eign ,,bodies ,,9 ,,! ,,nose4--,*ildr5 (t5 put =eign bodies 9 _! nose1 z %oe buttons1 beans1 & pebbles4 ,!y may n tell ( x1 & ! mo/ conspicu\s symptoms are ! appe>ance ( a ?ick dis*>ge f "o no/ril1 hav+ a bad odor1 & "s ob/ruction to brea?+ on ! same side4 ,if ! =eign body c be se51 ! no/ril on ! unob/ruct$ side %\ld be clos$ & ! *ild made to bl[ out ( ! o!r "o4 ,if bl[+ does n remove ! body x is be/ to secure m$ical aid v spe$ily4 ,illu/ration3 ,,plate ,,iii ,plate ,,iii ,,! ,,nasal ,,cavity ,9 ! illu/ration on ! opposite page1 ! ,r$ ,portion indicates ! ,septum ( ! nose1 ! p>tition :i* sep>ates ! no/rils4 ,inflammation ( ! membrane l9+ ! nasal cavity is ! condition peculi> to cat>rh or cold 9 ! head4 ,de=mity ( ! septum may ob/ruct ! entrance ( air into ! nose & create suction on ! walls ( ! nasal cavity1 caus+ an ov]fill+ ( ! blood vessels1 or conge/ion1 ) subsequ5t ?ick5+ ( ! muc\s membrane4 ,polypi1 small gr[?s :i* =m 9 ! nose1 or enl>gem5t ( ! gl&s 9 ! upp] "p ( ! ?roat 7j beyond dott$ l9e at inn] edge ( r$ portion7 also block ! air passages & give rise to m\?-brea?+ & its att5dant disord]s4 ,ano!r cause ( m\?-brea?+ is extreme swell+ ( ! membrane :i* cov]s ! turb9at$ bones ( ! nose4 ,,cold ,,9 ,,! ,,head ,,f ,,ov]heat+4--,*ill+ ( ! surface ( ! body favors ! occurr5ce ( colds1 9 :i* l[]$ bodily vitality all[s ! gr[? ( c]ta9 g]ms always pres5t ^u ! muc\s membrane l9+ ! cavities ( ! nose4 ,du/ & irritat+ vapors also pr$ispose to colds4 ,ov]w>m clo?+ makes a p]son susceptible to colds1 :ile ! daily use ( cold ba?s is an effective prev5tive4 ,!re is no suffici5t reason = dress+ m w>mly 9 a heat$ h\se 9 w9t] ?an "o w\ld dress 9 summ]4 ,x is1 moreov]1 unwise to cov] ! *e/ m heavily ?an ! re/ ( ! body4 ,"s "o has wisely said3 ,! be/ place = a *e/ protector is on ! soles ( ! feet4 ,! rule %\ld always be to keep ! feet dry & w>m1 & adapt ! clo?+ to ! surr\nd+ temp]ature4 ,among ! g]ms :i* cause colds 9 ! head1 t ( pneumonia is ! "o commonly f\nd 9 ! dis*>ge f ! nose4 ,:5 pneumonia is epidemic x is !re=e wise to take extra precautions to avoid colds1 & c>e = !m :5 !y occur4 ,! pres5ce ( *ronic tr\ble 9 ! ?roat & nose1 su* z describ$ "u ,m\?-,brea?+1 ,ad5oids1 etc4 7p4 #fj71 is p]haps ! mo/ frequ5t cause ( colds1 because ! natural resi/ance ( ! heal?y muc\s membrane to ! attack ( g]ms is dim9i%$ !reby1 & ! cat>rhal secretions =m a s\rce ( food = ! g]ms to gr[ ^u4 ,x %\ld also be kept 9 m9d t cold 9 ! head is ! fir/ sign ( measles & ( grippe4 ,colds are m common 9 ! spr+ & fall4 ,symptoms4--,colds beg9 ) *ill9ess & sneez+1 &1 if sev]e1 !re may be also heada*e1 fev]1 & pa9 9 ! back & limbs1 z 9 grippe4 ,! nose at fir/ feels dry1 b soon becomes m or less /opp$ ) secretion4 ,! cat>rh may ext5d f ! back ( ! nose ?r\gh ! ,eu/a*ian tube to ! e>1 caus+ e>a*e1 noises 9 ! e>1 & deafness 7see p4 #da74 ,?is un=tunate result may be av]t$ by prop] spray+ ( ! nose1 & avoidance ( bl[+ ! nose viol5tly4 ,treatm5t4--,treatm5t mu/ be begun at ! fir/ suspicion ( an attack to be ( mu* s]vice4 ,! b[els %\ld be op5$ ) calomel or o!r ca?>tic2 two-fif?s ( a gra9 = an adult1 half a gra9 = a *ild4 ,re/ 9 b$ = a day or two1 aft] tak+ a hot ba? & a glass ( hot lemonade conta9+ a tablespoonful or two ( :isky1 is ! mo/ valuable treatm5t4 ,! ,turki% ba? is also v efficaci\s 9 cutt+ %ort colds1 b involves great risk ( increas+ ! tr\ble unless ! pati5t c return home 9 a clos$ c>riage directly f ! ba?4 ,( ! num]\s rem$ies :i* are commonly us$ to arre/ colds 9 ! fir/ /ages are two :i* possess special virtue2 namely1 qu99e & ,dov]'s p[d]1 giv5 9 s+le dose ( t5 gra9s ( ea* = an adult4 ,bo? ( ^! rem$ies may be tak51 b :ile ! ,dov]'s p[d] is mo/ effective x is (t5 necess>y = ! pati5t to rema9 9 b$ twelve to eighte5 h\rs aft] tak+ x on acc\nt ( nausea & fa9tness :i* w\ld be produc$ if ! pati5t 7 up & mov+ ab\t4 ,rh9itis tablets %\ld nev] be us$4 ,!y are g5]ally abus$1 &1 inde$1 "s fatal cases are on record 9 :i* !y caus$ dea?4 ,drugs are ( little value except 9 ! beg9n+ ( a cold1 :5 !y are giv5 ) ! hope ( cutt+ %ort an attack4 ,! local applications ( rem$ies to ! inflam$ region is ( s]vice4 ,at ! onset ( ! cold1 ,seil]'s solution 7conv5i5tly made f tablets :i* are sold 9 ! %ops7 or ,dobell's solution %\ld be spray$ f an atomiz]1 into ! no/rils1 e half h\r1 &1 :5 ! dis*>ge becomes ?ick & copi\s1 ?is is to be disc>d$ = a spray consi/+ ( albol9e 7f\r ounces7 & camphor & m5?ol 7ea* ?irty gra9s71 us$ 9 ! same mann] z long z ! cold la/s4 ,conta9+ bottles %\ld be /ood 9 hot wat]1 9 ord] t all sprays = ! no/rils may be us$ w>m4 ,x is well to give babies a teaspoonful ( ca/or oil & a w>m ba?1 & keep !m 9 b$4 ,if !re is fev] ) ! cold1 five drops ( sweet _s ( nit] may be giv5 9 a teaspoonful ( sweet5$ wat] e two h\rs4 ,liquid vasel9e1 or ! albol9e mixture advis$ = adults1 may be dropp$ into ! no/rils ) a m$ic9e dropp] m conv5i5tly ?an appli$ by spray4 ,,too?a*e4--,:5 !re is a cavity 9 an a*+ too? x %\ld be clean$ ( food1 & a little pl$get ( cotton wool wrapp$ on a too?pick may be us$ to wipe ! cavity dry4 ,!n ! cavity %\ld be loosely pack$1 by means ( a too?pick or "o prong ( a hairp91 ) a small piece ( absorb5t cotton roll$ betwe5 ! f+]s & saturat$ ) "o ( ! foll[+ sub/ances1 pref]ably ! fir/3 oil ( cloves1 wood creosote or *lor(orm4 ,if wood creosote is us$ ! cotton mu/ be well squeez$ to get rid ( ! excess ( fluid1 z x is poison\s if swall[$1 & w burn ! gum & m\? if all[$ to ov]fl[ f ! too?4 ,,alveol> ,,abscess 7improp]ly call$ ,ulc]at$ ,too?74--,an ulc]at$ too? beg9s z an inflammation 9 ! socket ( a too?1 &1 if ne> its deepe/ "p1 causes great pa91 ow+ to ! fact t ! pus =m$ c nei!r escape nor exp& ! unyield+ bony wall ( ! socket4 ,?is expla9s :y an abscess ne> ! too? is s mu* m pa9ful ?an a simil> "o ( s(t p>ts4 ,!re may be no cavity 9 ! too?1 b ! too? is commonly dead1 or its n]ve is dy+1 & ! too? is frequ5tly d>k] 9 color4 ,x (t5 happ5s t ?reat5$ abscess at ! root ( a too?1 :i* has be5 fill$1 c be av]t$ by a d5ti/'s bor+ d[n into ! root ( ! too?1 or remov+ ! fill+4 ,x is n always possible to locate ! tr\blesome too?1 f ! pa91 b by tapp+ on ! v>i\s tee? 9 turn ) a knife1 or o!r metal in/rum5t1 special sor5ess w be discov]$ 9 ! ulc]at$ too?4 ,! ulc]at$ too? frequ5tly projects beyond its fell[s1 & s gives pa9 :5 ! jaws are br\ght toge!r 9 bit+4 ,treatm5t4--,! treatm5t = ?reat5$ abscess ne> a too? consi/s 9 pa9t+ t9cture ( iod9e1 ) a camel's hair bru%1 ^u ! gum at ! root ( ! pa9ful too?1 & apply+1 e h\r or s1 ov] ! same spot a too?a*e pla/] 7sold by all druggi/s74 ,! gum mu/ be wip$ dry be=e apply+ ! moi/5$ too?a*e pla/]4 ,wat]1 z hot z c be borne1 %\ld be held 9 ! m\?1 & ! process repeat$ = z long a "t z possible4 ,!n ! pati5t %\ld lie ) ! pa9ful side ( ! face ^u a hot-wat] bag or bottle4 ,! tr\ble may subside "u ?is treatm5t1 ow+ to disappe>ance ( ! inflammation1 or to ! unnotic$ escape ( a small am\nt ( pus ?r\gh a m9ute op5+ 9 ! gum4 ,if ! inflammation cont9ues ! pa9 becomes int5se & ?robb+2 !re is (t5 entire loss ( sleep & re/1 fev]1 & ev5 *ills1 ow+ to a c]ta9 degree ( blood poison+4 ,! gum & face swell on ! pa9ful side1 & ! pati5t (t5 suff]s m ?an ) _m m s]i\s diseases4 ,aft] sev]al days ( di/ress1 ! bony socket ( ! too? gives way1 & ! pus makes its exit1 &1 bulg+ out ! gum1 f9ally escapes ?r\gh ?is also1 to ! imm$iate relief ( ! pati5t4 ,b s]i\s results sometimes foll[ lett+ nature alone 9 su* a case1 z ! pus f an eyetoo? may burr[ its way into ! int]nal p>ts ( ! upp] jaw1 or into ! *amb]s ( ! nose1 :ile t f a back too? (t5 breaks ?r\gh ! sk9 on ! face1 leav+ an ugly sc>1 or1 if 9 ! l[] jaw1 ! pus may f9d its way betwe5 ! muscles ( ! neck1 & n come to ! surface till x escapes ?r\gh ! sk9 above ! coll> bone4 ,pull+ ! too? is ! mo/ effective way ( reliev+ ! condition1 ! only objection be+ ! loss ( ! too?1 :i* is to be avoid$ if possible4 ,if ! pa9 is be>able & !re are no *ills & fev]1 ! pati5t may save ! too? by rema9+ 9 b$ ) a hot-wat] bottle cont9ually on ! face1 & tak+ t5 drops ( laudanum to relieve ! pa9 at int]vals ( sev]al h\rs4 ,!n _m h\rs ( suff]+ may be prev5t$ if ! gum is lanc$ ) a %>p knife 7previ\sly boil$ = five m9utes7 z soon z ! gum becomes swoll51 to all[ ( ! escape ( pus4 ,! d5ti/ is1 ( c\rse1 ! prop] p]son to consult 9 all cases ( too?a*e1 & ! means h]e9 sugge/$ are to be foll[$ only :5 x is impossible to obta9 8 s]vices4 ,,m\?-,,brea?+ 7includ+ ,ad5oids1 ,*ronic ,tonsilitis1 ,deviation ( ! ,nasal ,septum1 ,enl>g$ ,turb9ates1 & ,polypi74--,any ob/ruction 9 ! nose causes m\?-brea?+ & gives rise to "o or m ( a long tra9 ( un=tunate results4 ,among ! disord]s produc+ m\?-brea?+1 enl>gem5t ( ! gl&ul> tissue 9 ! back ( ! nose & 9 ! ?roat ( *ildr5 is mo/ important4 ,gl&ul> gr[?s 9 ! upp] "p ( ! ?roat opposite ! back ( ! nasal cavities are kn[n z ad5oids2 !y (t5 completely block ! air passage at ?is po9t1 s t brea?+ ?r\gh ! nose becomes difficult4 ,associat$ ) ?is condition we usually see enl>gem5t ( ! tonsils1 two project+ bodies1 "o on ei!r side ( ! entrance to ! ?roat at ! back ( ! m\?4 ,9 heal?y adult ?roats ! tonsils %\ld be h>dly visible2 9 *ildr5 !y are active gl&s & easily visible4 ,we are unable to see ad5oids because ( _! position1 b c be reasonably sure ( _! pres5ce 9 *ildr5 :]e we f9d symptoms result+ f m\?-brea?+ z describ$ bel[4 ,! surgeon assures himself positively ( ! exi/5ce ( ad5oids by ins]t+ a f+] into ! m\? ( ! pati5t & hook+ x up back ( ! ro( ( ! m\?1 :5 !y may be felt z a s(t mass fill+ ! back ( ! nose passages4 ,o!r less common causes ( m\?-brea?+1 se5 9 adults z well z *ildr51 are deviation ( ! nasal septum1 swell+ ( ! muc\s membrane cov]+ c]ta9 bones 9 ! nose 7turb9ates71 & polypi4 ,deviation ( ! nasal septum means displacem5t ( ! p>tition divid+ ! two no/rils1 s t m or less ob/ruction exi/s4 ,?is condition may be occasion$ by bl[s on ! nose receiv$ 9 ! accid5ts common to *ildhood4 ,! de=mity :i* results leads 9 "t to fur!r ob/ruction 9 ! nose1 because :5 air is drawn 9 ?r\gh ! n>r[$ passages a c]ta9 degree ( vacuum is produc$ & suction on ! walls ( ! nose1 z w\ld occur if we drew 9 air f a l>ge pair ( bell[s ?r\gh a small ?9 rubb] tube4 ,?is induces an ov]fill+ ( ! blood vessels 9 ! walls ( ! passages ( ! nose1 & ! cont9u$ conge/ion is foll[$ by increas$ ?ickness ( ! l9+ muc\s membrane1 ?us /ill fur!r ob/ruct+ ! entrance ( air4 ,a "o-sid$ nasal ob/ruction 9 a *ild ) dis*>ge f t side leads "o to suspect t a =eign body1 z a %oe button1 has be5 put 9 by ! *ild4 ,polypi are small pe>-%ap$ gr[?s :i* =m on ! membrane l9+ ! nasal passages & sometimes completely block !m4 ,!y resemble small grapes )\t sk9s4 ,^!1 !n1 are ! usual causes ( m\?-brea?+1 b ( mo/ importance1 on acc\nt ( _! frequ5cy & be>+ on ! heal? & developm5t1 are ad5oids & enl>g$ ?roat tonsils 9 *ildr54 ,ad5oids & enl>g$ tonsils are (t5 due to inflammation ( ^! gl&s dur+ ! c\rse ( ! contagi\s eruptive disord]s1 z sc>let fev]1 measles1 or diph!ria2 probably1 also1 to con/ant exposure to a g]m-lad5 atmosph]e1 z 9 ! case ( *ildr5 h]d$ toge!r 9 t5em5ts4 ,symptoms4--,! m\?-brea?+ is m noticeable dur+ sleep2 snor+ is common1 & ! brea?+ is ( a snort+ "* ) prolong$ pauses4 ,*ildr5 suff]+ f enl>g$ tonsils & ad5oids are (t5 backw>d 9 _! /udies1 look dull1 /upid1 & ev5 idiotic1 & are (t5 cross & sull52 ! m\? rema9s op51 & ! l[] lip is roll$ d[n & prom95t2 ! nose has a p9*$ aspect1 & ! ro( ( ! m\? is high4 ,air drawn into ! lungs %\ld be fir/ w>m$ & moi/5$ by pass+ ?r\gh ! nose1 b :5 inspir$ ?r\gh ! m\?1 produces s mu* irritation ( ! ?roat & air passages t con/ant colds1 *ronic cat>rh ( ! ?roat1 l>yngitis1 & bron*itis ensue4 ,! con/ant irritation ( ! ?roat occurr+ 9 m\?-brea!rs weak5s ! natural resi/ance aga9/ su* diseases z acute tonsilitis1 sc>let fev]1 & diph!ria1 s t !y are especially subject to ^! diseases4 ,b ^! are n ! only ailm5ts to :i* ! m\?-brea!r is liable1 = e>a*e & deafness naturally foll[ ! cat>rh1 ow+ to ob/ruction ( ! ,eu/a*ian tubes 7see ,e>a*e1 p4 #dj1 & ,deafness1 p4 #ch74 ,de=mity ( ! *e/ is ano!r result ( ob/ruction to nose-brea?+1 ! common =m be+ ! pigeon brea/1 :]e ! brea/bone is unduly prom95t4 ,! voice is alt]$ s t ! pati5t1 z ! say+ goes1 talks ?r\gh ! nose1 al?\gh1 9 reality1 nasal resonance is r$uc$ & difficulty is exp]i5c$ 9 pron\nc+ ,n & ,m correctly1 :ile /utt]+ is n uncommon4 ,nasal ob/ruction leads to poor nutrition1 & h5ce *ildr5 ) ad5oids & enl>g$ tonsils are apt to be puny & weakly specim5s4 ,treatm5t4--,! treatm5t is purely surgical 9 all cases ( nasal ob/ruction3 removal ( ! ad5oid gr[?s1 enl>g$ tonsils1 & polypi1 /raight5+ ! displac$ nasal septum1 & burn+ ! ?ick5$ muc\s l9+ ob/ruct+ ! air passages 9 ! nose4 ,none ( ! op]ations are dang]\s if skillfully p]=m$1 & %\ld be g5]ally done1 ev5 9 ! case ( delicate *ildr51 z ! v means ( ov]com+ ?is delicacy4 ,! aft] treatm5t is n unimportant1 consi/+ 9 ! use ( simple g5]\s diet1 z pl5ty ( milk1 bread & butt]1 gre5 vegetables & fre% meat1 & ! avoidance ( pa/ries1 sweets1 fri$ food1 pork1 salt fi% & salt meats1 also ! roots1 z p>snips1 turnips1 c>rots & beets1 & tea & c(fee4 ,life 9 ! op5 air1 emulsion ( cod-liv] oil1 daily spong+ ) cold wat] :ile ! pati5t /&s 9 w>m wat]1 foll[$ by vigor\s rubb+1 w all assi/ ! return to heal?4 ,,sore ,,m\?2 ,,inflammation ,,( ,,! ,,m\?4--,!re are v>i\s =ms ( inflammation ( ! m\?1 g5]ally dep5d5t ^u ! entrance ( g]ms1 associat$ ) indige/ion or g5]al weakness foll[+ "s fev] or o!r disease4 ,unclean nipples ( ! "m or ( ! bottle1 or unclean bottles1 all[ entrance ( g]ms1 & are frequ5t causes4 ,irritation ( a %>p too?1 or f rubb+ ! gum1 or f too vigor\s cleans+ ( ! m\?1 may />t ! disease4 ,"s *emicals1 especially m]cury improp]ly prescrib$1 produce ! disease4 ,! g]ms may ga9 admission 9 impure milk 9 "s cases4 ,inflammation ( ! m\? is ess5tially a *ildr5's disease1 only ! ulc]at$ =m be+ common 9 adults4 ,symptoms4--,9 g5]al1 ! m\? is hot1 v r$1 dry1 & t5d]2 ! *ild is fretful & has difficulty 9 nurs+1 (t5 dropp+ ! nipple & cry+2 ! tongue is coat$1 & !re may be fev] & symptoms ( indige/ion1 z vomit+2 sometimes ! disease occurs dur+ ! c\rse ( fev]s2 lat] 9 ! c\rse ( ! disord] ! saliva (t5 runs freely f ! m\?4 ,simple ,=m4--,9 ?is !re are only r$ness1 swell+1 & t5d]ness ( ! inside ( ! m\?4 ,! tongue is at fir/ dry & :ite1 b ! :ite coat+ comes (f1 leav+ x r$ 9 pat*es4 ,aft] a :ile ! saliva becomes pr(use4 ,! treatm5t consi/s 9 wa%+ ! m\? (t5 9 ice wat] conta9+ ab\t "o-half dra*m ( boric acid to f\r ounces ( wat] by means ( cotton ti$ on a /ick1 & hold+ lumps ( ice 9 ! m\? wrapp$ 9 ! corn] ( a h&k]*ief4 ,x is well also to give a teaspoonful ( ca/or oil4 ,aph?\s ,=m4--,9 ?is !re are yell[-:ite spots1 result+ 9 little %all[ depressions or ulc]s1 on ! inside ( ! *eeks & lips1 & on ! tongue & ro( ( ! m\?4 ,^! occur 9 crops & la/ f t5 to f\rte5 days4 ,! disease is (t5 prec$$ by vomit+1 con/ipation1 & fev]1 ) pa9 9 ! m\? & ?roat1 & is accompani$ by lumps or swell+ ( ! gl&s "u ! jaw & 9 ! neck4 ,! treatm5t consi/s 9 ! use ( ca/or oil1 & swabb+ ! m\?1 sev]al times a day1 aft] ea* fe$+1 ) boric-acid solution1 z advis$ be=e1 or bett] ) p]manganate ( pota% solution1 us+ t5 gra9s to ! cup ( wat]4 ,?ru% 7,sprue74--,?is =m is due to ! gr[? ( a special fungus 9 ! m\?1 caus+ ! appe>ance ( :ite spots on ! inside ( ! *eeks1 lips1 tongue1 & ro( ( ! m\?1 look+ l flakes ( curdl$ milk1 b n easily remov$4 ,!re are also symptoms ( indige/ion1 z vomit+1 di>rhea1 & colic4 ,! disease is contagi\s1 & is due to "s uncleanl9ess1 (t5 ( ! bottles1 nipples1 or milk4 ,sometimes ulc]s or sore depressions are left 9 ! m\?1 & 9 weak *ildr51 9 :i* ! disease is apt to occur1 ! result may be s]i\s1 & a physician's s]vices are dem&$4 ,! treatm5t consi/s 9 apply+ sal]atus & wat] 7"o teaspoonful 9 a cup ( wat]7 to ! :ole inside ( ! m\?1 betwe5 fe$+s1 ) a camel's-hair bru% or ) a s(t clo?4 ,a dose ( ca/or oil is also desirable1 & great c>e z reg>ds cleanl9ess ( ! bottles & nipples %\ld be ex]cis$4 ,ulc]\s ,=m4--,?is does n occur 9 *ildr5 "u five1 b may attack p]sons ( all great] ages4 ,x is (t5 se5 foll[+ measles & sc>let fev]1 & 9 ! poor & ill n\ri%$1 & aft] ! unwise use ( calomel4 ,!re are r$ness & swell+ ( ! gum ab\t ! base ( ! l[] front tee?1 & ! gums ble$ easily4 ,matt]1 or pus1 =ms betwe5 ! tee? & ! gum1 & ! m\? has a f\l odor4 ,! gum on ! :ole l[] jaw may become inflam$1 & a yell[ b& ( ulc]ation may appe> along ! gums4 ,! gl&s "u ! jaw & 9 ! neck are enl>g$1 feel+ l t5d] lumps1 & saliva fl[s freely4 ,9 sev]e cases ! gums may become de/roy$ & eat5 away by ! ulc]ation1 & ! bone ( ! jaw be diseas$ & expos$4 ,z 9 ! grav] cases x may become necess>y to remove dead bone & tee?1 & ! v dang]\s =m next describ$ may sometimes foll[ x1 x w be se5 t x is a disease requir+ skill$ m$ical att5tion4 ,! treatm5t consi/s 9 us+1 z a m\? wa% & g>gle1 a solution ( *lorate ( pota% 7fifte5 gra9s to ! ounce7 e two h\rs4 ,cases usually la/ at lea/ a week4 ,gangr5\s ,=m4--,?is is a r>e & fatal =m ( inflammation ( ! m\? & occurs 9 *ildr5 weak & debilitat$ f o!r diseases1 z f ! contagi\s eruptive fev]s1 *ronic di>rhea1 & scurvy4 ,x is se5 m (t5 9 hospitals & is contagi\s4 ,a f\l odor is notic$ ab\t ! m\?1 9 :i* w be se5 an ulc] on ! gum or inside ( ! *eek4 ,! *eek swells trem5d\sly1 ) or )\t pa91 & becomes v>i\sly discolor$--r$1 purple1 black4 ,! l>g] proportion ( pati5ts die ( exhau/ion & blood poison+ )9 "o to ?ree weeks1 & ! only hope is ?r\gh surgical int]f]5ce at ! e>lie/ possible mom5t4 ,,cank]4--,a small1 %all[1 yell[ ulc]1 appe>+ on ! inside ( ! lips or b5ea? ! tongue dur+ "s disord] ( ! dige/ion4 ,x is v t5d] :5 t\*$ & r5d]s *ew+ or talk+ some:at pa9ful4 ,treatm5t consi/s ( t\*+ ! ulc] c>efully ) ! po9t ( a wood5 too?pick :i* has be5 dipp$ 9 pure c>bolic acid 7a poison7 & !n r9s+ ! result+ :ite spot & ! :ole m\? v c>efully1 s z n to swall[ any ( ! acid4 ,inflammation ( ! m\? occurs 9 two o!r g5]al diseases1 9 syphilis & r>ely 9 diph!ria4 ,9 *ildr5 born ( syphilitic p>5ts1 deep cracks (t5 appe> at ei!r side ( ! m\? & d n heal z readily z ord9>y sores1 b cont9ue a long "t1 & ev5tually leave deep sc>s4 ,9 diph!ria ! membrane :i* cov]s ! tonsils sometimes spreads to ! *eeks1 tongue1 & lips1 b 9 ei!r case ! g5]al symptoms w s]ve to di/+ui% ! diseases1 & nei!r c be treat$ by ! layman4 ,,mild ,,sore ,,?roat 7,acute ,ph>yngitis74--,! mild] sore ?roat is commonly ! beg9n+ ( an ord9>y cold1 al?\gh sometimes x is caus$ by dige/ive disord]s4 ,exposure to cold & wet is1 h[ev]1 ! mo/ frequ5t s\rce ( ?is =m ( sore ?roat4 ,sor5ess1 dryness1 & tickl+ fir/ call att5tion to ! tr\ble1 toge!r ) a feel+ ( *ill9ess &1 p]haps1 slight fev]4 ,!re may be "s /iffness & sor5ess ab\t ! neck1 ow+ to swell+ ( ! gl&s4 ,if ! back ( ! tongue is held d[n by a spoon h&le1 ! ?roat w be se5 to be g5]ally r$d5$1 includ+ ! back1 ! b&s at ! side =m+ ! entrance to ! ?roat at ! back ( ! m\?1 & ! uvula or small1 s(t body hang+ d[n f ! middle ( ! s(t palate at ! v back ( ! ro( ( ! m\?4 ,! tonsils are n l>ge & r$ nor cov]$ ) :ite dots1 z 9 tonsilitis4 ,nei!r is !re mu* pa9 9 swall[+4 ,! surface ( ! ?roat is fir/ dry1 gli/5+1 & /reak$ ) /r+y1 /icky mucus4 ,treatm5t4--,! disord] r>ely la/s m ?an a few days4 ,! b[els %\ld be mov$ 9 ! beg9n+ ( ! attack by "s purge1 z two comp\nd ca?>tic pills or ?ree gra9s ( calomel1 & ! ?roat g>gl$1 six times daily1 ) potassium *lorate solution 7"o-qu>t] teaspoonful to ! cup ( wat]71 or ) ,dobell's solution4 ,9 g>gl+1 simply ?r[ back ! head & all[ ! fluid to fl[ back z f> z possible into ! ?roat )\t swall[+ x4 ,! frequ5t use ( "o ( ^! fluids 9 an atomiz] is ev5 pref]able to g>gl+4 ,z an additional treatm5t1 ! employm5t ( a soo?+ & pleasant sub/ance1 z pepp]m9ts1 ho>h\nd or lemon drops1 or m>%mall[s or gelat9 loz5ges1 is efficaci\s1 & w prove an agreeable rem$y to ! pati5t 9 sad contra/ ) _m ( our prescriptions4 ,! use ( tobacco mu/ be /opp$ :ile ! ?roat is sore4 ,illu/ration3 ,,plate ,,iv ,plate ,,iv ,,! ,,l>ynx ,! illu/ration on ! opposite page %[s ! upp] "p ( ! l>ynx & ! base ( ! tongue4 ,dur+ ! inspiration ( a full brea?1 or :5 s++ a l[ note1 ! ,epiglottis lies =w>d & po9ts upw>d1 z %[n 9 ! cut1 ) ! glottis 7! passage lead+ into ! w9dpipe betwe5 ! vocal cords7 wide op54 ,dur+ ! act ( swall[+1 ! epiglottis is turn$ d[nw>d & backw>d until x t\*es ! ,cricoid ,c>tilage1 ?us clos+ ! glottis4 ,! cricoid c>tilage1 :i* =ms ! upp] "p ( ! framework ( ! l>ynx1 re/s on ! ,adam's apple4 ,! ,false ,vocal ,cords are b&s ( ligam5t1 & take no "p 9 ! production ( s\nd4 ,! ,true ,vocal ,cords move dur+ talk+ or s++1 & relax or contract :5 s\nd+1 respectively1 a l[ or high note4 ,ho>s5ess & c\gh occurr+ dur+ l>yngitis1 diph!ria1 & cr\p1 are ! result ( inflammation ( ! muc\s membrane l9+ ! l>ynx4 ,,tonsilitis 7,follicul> ,tonsilitis74--,tonsilitis is a g]m disease & is contagi\s4 ,exposure to cold & wet & to g]m-lad5 air r5d]s p]sons m liable to attacks4 ,x is m likely to occur 9 "y p1 especially ^? :o h already suff]$ f ! disease & ^: tonsils are *ronically enl>g$1 & is mo/ preval5t 9 ?is c\ntry 9 spr+4 ,! disease appe>s to be (t5 associat$ ) rheumatism4 ,tonsilitis beg9s mu* l grippe1 ) fev]1 heada*e1 backa*e & pa9 9 ! limbs1 sore ?roat1 & pa9 9 swall[+4 ,on inspect+ ! ?roat 7) ! tongue held d[n firmly by a spoon h&le & ! m\? widely op5 9 a good light1 pref]ably sunlight7 ! tonsils w be se5 to be swoll51 mu* r$d5$1 & dott$ ov] ) pe>l-:ite spots4 ,sometimes only "o tonsil is s affect$1 b ! o!r is likely to become inflam$ also4 ,occasionally !re may be only "o spot ( :ite on ! tonsil4 ,! swell+ diff]s 9 degree2 9 "s cases ! tonsils may be s swoll5 z almo/ to meet toge!r1 b !re is no dang] ( suffocation f ob/ruction ( ! ?roat1 z occurs 9 diph!ria & v r>ely 9 qu9sy4 ,! *>act]i/ic appe>ance !n consi/s 9 l>ge1 r$ tonsils cov]$ ) :ite spots4 ,! spots repres5t dis*>ge :i* fills 9 ! depressions 9 ! tonsil4 ,! fev] la/s ?ree days to a week1 g5]ally1 & !n subsides toge!r ) ! o!r symptoms4 ,) app>5t tonsilitis !re mu/ always be kept 9 m9d ! possibility ( diph!ria1 &1 un=tunately1 x is at times impossible = ! mo/ acute physician to di/+ui% betwe5 ^! two diseases by ! appe>ances ( ! ?roat alone4 ,9 ord] to d s x is necess>y to rub (f "s ( ! dis*>ge f ! tonsils1 & exam9e1 microscopically1 ! k9d ( g]ms conta9$ !re94 ,! g5]al po9ts ( diff]5ce are3 9 diph!ria ! tonsils are usually completely cov]$ ) a gray membrane4 ,9 ! e>ly /age1 or 9 mild cases ( diph!ria1 !re may be only a spot on "o tonsil1 b x is apt to be yell[ 9 color1 & is ?ick] ?an ! :ite spots 9 tonsilitis4 ,^! are ! difficult cases4 ,ord9>ily1 9 diph!ria1 n only are ! tonsils cov]$ ) a grayi% membrane1 b ?is soon ext5ds to ! surr\nd+ p>ts ( ! ?roat1 :]eas 9 tonsilitis ! spots are always f\nd on ! tonsil alone4 ,! :ite spot c be readily wip$ (f ) a little absorb5t cotton w\nd on a /ick1 9 ! case ( tonsilitis1 b 9 diph!ria ! membrane c be remov$ 9 ?is way only ) difficulty1 & leaves und]nea? a r\gh1 ble$+ surface4 ,! brea? is apt to h a bad odor 9 diph!ria1 & ! temp]ature is l[] 7n mu* ov] #ajj deg4 ,f47 ?an 9 tonsilitis1 :5 x is frequ5tly #aja deg4 to #ajc deg4 ,f4 ,not)/&+ ^! po9ts1 x is nev] safe = a layman to und]take ! diagnosis :5 a physician's s]vices are obta9able4 ,on ! o!r h&1 :5 ?is is n possible & ! pati5t's tonsils pres5t ! :ite1 dott$ appe>ance describ$1 especially if subject to simil> attacks1 "o may be reasonably sure t ! case is tonsilitis4 ,treatm5t4--,! pati5t %\ld be put to b$ & kept ap>t f *ildr5 & "y p]sons1 &1 if liv+ among l>ge numb]s ( p1 %\ld be /rictly qu>ant9$4 ,=1 al?\gh ! disease is n dang]\s1 x quickly spreads 9 in/itutions1 bo>d+ s*ools1 etc4 ,if ! tonsils are pa9t$ ) a solution ( silv] nitrate 7"o dra*m to ! ounce ( wat]71 appli$ c>efully ) a camel's-hair bru%1 at ! beg9n+ ( ! attack1 & mak+ two applications twelve h\rs ap>t1 ! disease may sometimes be arre/$4 ,x is well also at ! />t to op5 ! b[els ) calomel1 giv+ ?ree gra9s 9 a s+le dose1 or divid$ doses ( "o-half gra9 ea* until ?ree gra9s h be5 tak54 ,pa9 is reliev$ by ph5acet9 9 ?ree- to five-gra9 doses z requir$1 b n tak5 (t5] ?an once 9 ?ree h\rs1 :ile at night five to t5 gra9s ( ,dov]'s p[d] 7= an adult7 w secure sleep4 ,= *ildr5 "o-half drop doses ( ! 7poison\s7 t9cture ( aconite is pref]able to ph5acet94 ,! outside ( ! ?roat %\ld be kept cov]$ ) wet flannel wrung out 9 cold wat] & cov]$ ) oil silk1 or an ice bag may be conv5i5tly us$ 9 its place4 ,a half teaspoonful ( ! foll[+ prescription is b5eficial unless x disagrees ) ! /oma*4 ,x mu/ n be tak5 )9 half an h\r ( a meal1 & is n to be dilut$ ) wat]1 z x acts1 p>tly ?r\gh its local effect1 on ! tonsils :5 all[$ to fl[ f a spoon on ! back ( ! tongue4 ,rx ,glyc]9 #d ounces ,t9cture ( *loride ( iron #a_/b ounce ,mix4 ,directions1 half teaspoonful e half h\r4 ,a mixture ( hydrog5 dioxide1 equal p>ts1 ) wat] c also be us$ to advantage z a spray 9 an atomiz] e two h\rs4 ,! ph5acet9 & ,dov]'s p[d] mu/ be discont9u$ z soon z ! pa9 & sleeplessness cease1 b ! iron prep>ation & spray %\ld be cont9u$ until ! ?roat rega9s its usual condition4 ,a liquid diet is desirable dur+ ! fir/ "p ( ! attack1 consi/+ ( milk1 cocoa1 eggnog 7made ( ! :ite ( egg71 s\ps1 & gruels2 orange juice may be all[$1 also grapes4 ,! b[els mu/ be kept regul> ) mild rem$ies1 z a ,seidlitz p[d] 9 a glass ( wat] 9 ! morn+1 or "o or two two-gra9 tablets ( extract ( casc>a sagrada at night4 ,,qu9sy4--,qu9sy is a p]itonsilitis2 t is1 x is an inflammatory disease ( ! tissues 9 :i* ! tonsil is imb$d$1 an inflammation ar\nd ! tonsil4 ,! swell+ ( ^! tissues ?ru/s ! tonsil out into ! ?roat2 b ! tonsil is little affect$4 ,qu9sy involves ! surr\nd+ /ructures ( ! ?roat1 & usually results 9 abscess4 ,! disease is said to be frequ5tly h]$it>y1 & (t5 occurs 9 ^? subject to rheumatism & g\t4 ,x is se5 m (t5 9 spr+ & autumn & 9 ^? liv+ an out-(-door exi/5ce1 & hav+ once _h qu9sy ! victim is liable to frequ5t recurr5ces ( ! disease4 ,qu9sy is *>act]iz$ by mu* great] pa9 9 ! ?roat & 9 swall[+ ?an is ! case 9 tonsilitis1 & ! temp]ature is (t5 high]--sometimes #ajd deg4 to #aje deg4 ,f4 ,:5 ! ?roat is inspect$1 "o or bo? tonsils are se5 to be enl>g$ & cr[d$ into its cavity f ! swell+ ( ! neighbor+ p>ts4 ,! tonsils may almo/ block ! entrance to ! ?roat4 ,! voice is ?ick & indi/9ct1 ! gl&s 9 ! side ( ! neck become swoll51 & ! neck is sore & /iff 9 consequ5ce1 :ile ! m\? c be only p>tially op5$ on acc\nt ( pa94 ,= ! same reason ! pati5t c swall[ nei!r solid nor liquid food1 & sits b5t =w>d1 ) saliva runn+ out ( ! m\?4 ,! secretion ( saliva is increas$1 b is n swall[$ on acc\nt ( ! pa9 produc$ by ! act4 ,sleep is also impossible1 & altoge!r a m pite\s spectacle ( pa9 & di/ress is r>ely se54 ,hav+ rea*$ ?is /age ! inflammation usually goes on to abscess 7=mation beh9d or above or bel[ ! tonsil71 &1 aft] five to t5 days f ! beg9n+ ( ! attack1 ! pus f9ds its way to ! surface ( ! tonsil1 & breaks into ! m\? to ! inexpressible relief ( ! pati5t4 ,?is ev5t is foll[$ by quick subsid5ce ( ! symptoms4 ,qu9sy is r>ely a dang]\s disease1 yet1 occasionally1 x leads to s mu* ob/ruction 9 ! ?roat t dea? f suffocation ensues unless a surgeon op5s ! ?roat & ins]ts a tube4 ,occasionally ! pus f ! ruptur$ abscess ent]s ! l>ynx & causes suffocation4 ,qu9sy diff]s f tonsilitis 9 ! foll[+ respects3 ! swell+ affects ! imm$iate surr\nd+ area ( ! ?roat2 !re are no :ite spots to be se5 on ! tonsil unless ! tr\ble beg9s z an ord9>y tonsilitis2 !re is great pa9 on swall[+1 & f9ally abscess ne> ! tonsil 9 mo/ cases4 ,treatm5t4--,a ?or\gh pa9t+ ( ! tonsils at ! onset ( a ?reat5$ attack ( qu9sy ) ! silv]-nitrate solution1 z recomm5d$ "u tonsilitis1 may cut %ort ! disord]4 ,a s+le dose ( calomel 7?ree to five gra9s7 is also useful = ! same purpose4 ,! t9cture ( aconite %\ld be tak5 h\rly 9 ?ree-drop doses until five su* h be5 swall[$1 :5 ! drug is to be no long] us$4 ,! con/ant use ( a hot flaxse$ p\ltice 7z l>ge z ! :ole h& & an in* ?ick1 spread betwe5 ?9 lay]s ( cotton & appli$ z hot z c be borne1 & *ang$ e half h\r7 gives m relief ?an any?+ else1 & may possibly lead to disappe>ance ( ! tr\ble if employ$ e>ly en\gh4 ,! use ( ! p\ltices is to be kept up until recov]y1 al?\gh !y ne$ n be appli$ s frequ5tly z at fir/4 ,a surgeon's s]vices are especially desirable 9 ?is disord]1 z e>ly puncture ( ! p]itonsill> tissue may save days ( suff]+ 9 af=d+ exit = pus z soon z x =ms4 ,,diph!ria4--,! consid]ation ( diph!ria w be limit$ to emphasiz+ ! importance ( call+ 9 exp]t m$ical advice at ! e>lie/ possible mom5t 9 suspici\s cases ( ?roat tr\ble4 ,=1 z we not$ "u tonsilitis1 x is impossible 9 "s cases to decide1 f ! appe>ance ( ! ?roat1 :e!r ! disease is diph!ria or tonsilitis4 ,a specim5 ( secretion remov$ f ! ?roat = microscopical exam9ation by a bact]iologi/ z to ! pres5ce ( diph!ria g]ms alone w det]m9e ! po9t4 ,:5 su* an exam9ation is impossible1 x is always be/ to isolate ! pati5t1 especially if a *ild1 & treat ! case z if x 7 diph!ria4 ,diph!ria may invade ! nose & be discov]able 9 ! no/rils4 ,a *ronic membran\s rh9itis %\ld be treat$ z a case ( walk+ diph!ria4 ,antitox9 is ! treatm5t above all o!r rem$ies4 ,x has s alt]$ ! outlook 9 diph!ria t1 =m]ly reg>d$ by physicians ) al>m & dismay1 x is n[ r5d]$ comp>atively h>mless4 ,! dea? rate has be5 r$uc$ f an av]age ( ab\t =ty p] c5t1 be=e ! introduction ( antitox91 to only t5 p] c5t s9ce its use1 &1 :5 x is us$ at ! onset ( ! disease1 ! results are mu* m favorable /ill4 ,?is latt] fact is ! reason = obta9+ m$ical advice at ! e>lie/ opportunity 9 all d\btful cases ( ?roat ailm5ts2 &1 we might add1 t ! diagnosis ( any case ( sore ?roat is d\btful1 p>ticul>ly 9 *ildr51 :5ev] !re is se5 a :iti%1 yell[i%-:ite1 or gray deposit on ! ?roat4 ,antitox9 is an absolutely safe rem$y1 its ill effects be+ sometimes ! production ( a nettl]a% or "s mild =m ( jo9t pa9s4 ,9 small doses1 x w prev5t ! occurr5ce ( diph!ria 9 ^? expos$1 or liable to exposure1 to ! disease4 ,! prop] dose & me?od ( employ+ antitox9 x is impossible to imp>t 9 a book ( ?is k9d4 ,p>alysis ( ?roat1 ( vocal cords1 or ( arms or legs--p>tial or entire--is a frequ5t sequel ( diph!ria4 ,x is n caus$ by antitox94 ,! po9ts :i* x is desirable = ev]yone to "k are1 t any sore ?roat--) only a s+le :ite spot on ! tonsil--may be diph!ria1 b t :5 ! :ite spot or deposit n only cov]s ! tonsil or tonsils 7see ,tonsilitis7 b creeps up on to ! surr\nd+ p>ts1 z ! palate 7! s(t curta9 :i* %uts (f ! back ( ! ro( ( m\? f ! ?roat71 ! uvula 7! little body hang+ f ! middle ( ! palate 9 ! back ( ! m\?71 & ! b&s on ei!r side ( ! back ( ! m\? at its junction ) ! ?roat1 !n ! case is probably "o ( diph!ria4 ,b x is (t5 a day or two be=e ! :ite deposit =ms1 ! ?roat at fir/ be+ simply r$d5$4 ,! fev] 9 diph!ria is usually n high 7(t5 n ov] #ajj deg4 to #ajb deg4 ,f471 & ! heada*e1 backa*e1 & pa9s 9 ! limbs are n s m>k$ z 9 tonsilitis4 ,,membran\s ,,cr\p4--,membran\s cr\p is diph!ria ( ! l[] "p ( ! ?roat 7l>ynx71 9 ! region ( ! ,adam's apple4 ,if 9 a case ( :at appe>s to be ord9>y cr\p 7p4 #hc7 ! symptoms are n soon reliev$ by treatm5t1 or if any membrane is c\gh$ up1 or if1 on inspection ( ! ?roat1 x is possible to see any evid5ce ( :ite spots or membrane1 !n a physician's s]vices are imp]ative4 ,x is n v uncommon = pati5ts ) mild =ms ( diph!ria to walk ab\t & att5d to _! usual duties &1 if *ildr51 to g to s*ool1 & 9 t invit+ field to spread ! disease4 ,^! cases may pres5t a :ite spot on "o tonsil1 or 9 o!r cases h :at looks to be an ord9>y sore ?roat ) a simple r$ness ( ! muc\s membrane4 ,sore ?roats 9 p]sons :o h be5 9 any way expos$ to diph!ria1 & especially sore ?roats 9 *ildr5 "u su* circum/ances1 %\ld always be subject$ to microscopical exam9ation 9 ! way we h allud$ to be=e1 = ! safety ( bo? ! pati5t & ! public4 ,!re is /ill ano!r po9t p]haps n g5]ally kn[n & t is ! fact t ! g]ms ( diph!ria may rema9 9 ! ?roat ( a pati5t = weeks1 & ev5 mon?s1 aft] all signs 9 ! ?roat h disappe>$ & ! pati5t seems well4 ,9 su* cases1 h[ev]1 ! disease c /ill be communicat$ 9 its mo/ sev]e =m to o!rs4 ,!re=e1 9 all cases ( diph!ria1 exam9ation ( ! secretion 9 ! ?roat mu/ %[ ! abs5ce ( diph!ria g]ms be=e ! pati5t c rightfully mix ) o!r p4 ,g>gl+ & swabb+ ! ?roat ) ! 7poison\s7 solution ( bi*loride ( m]cury1 #a "p to #aj1jjj p>ts ( wat] 7none ( :i* mu/ be swall[$71 %\ld be employ$ e ?ree or f\r h\rs ea* day till ! g]ms are no long] f\nd 9 ! mucus ( ! tonsils4 ,,ho>s5ess 7,acute ,l>yngitis74--,?is is an acute inflammation ( ! muc\s membrane ( ! l>ynx4 ,! l>ynx is t "p ( ! ?roat1 9 ! region ( ! ,adam's apple1 :i* incloses ! vocal cords & o!r /ructures us$ 9 speak+4 ,ho>s5ess is commonly due to ext5sion ( cat>rh f ! nose 9 cold 9 ! head & grippe4 ,x also foll[s ov]use ( ! voice 9 public speak]s & s+]s1 & is se5 aft] exposure to du/1 tobacco1 or o!r smoke1 & v commonly 9 ^? addict$ to alcohol4 ,symptoms4--,ho>s5ess is ! fir/ symptom notic$1 & p]haps slight *ill9ess1 toge!r ) a prickl+ or tickl+ s5sation 9 ! ?roat4 ,!re is a hack+ c\gh & expectoration ( a small am\nt ( ?ick secretion4 ,!re may be slight difficulty 9 brea?+ & "s pa9 9 swall[+4 ,! pati5t feels g5]ally pretty well1 & is tr\bl$ *iefly by impairm5t ( ! voice1 :i* is ei!r husky1 r$uc$ to a m]e :isp]1 or entirely lo/4 ,?is condition la/s = "s days or1 r>ely1 ev5 weeks4 ,!re may be a mild degree ( fev] at ! outset 7#ajj deg4 to #aja deg4 ,f474 ,v uncommonly ! brea?+ becomes hurri$ & emb>rass$1 & swall[+ pa9ful1 ow+ to excessive swell+ & inflammation ( ! ?roat1 s mu* s t a surgeon's s]vices become imp]ative to intube ! ?roat or to op5 ! w9dpipe1 9 ord] to avoid suffocation4 ,?is s]i\s =m ( l>yngitis may foll[ colds1 b m (t5 is br\ght ab\t by swall[+ v hot or irritat+ liquids1 or ?r\gh exposure to fire or /eam4 ,9 *ildr51 aft] slight ho>s5ess = a day or two1 if ! brea?+ becomes difficult & is accompani$ by a cr[+ or :i/l+ s\nd1 ) blu5ess ( ! lips & signs ( imp5d+ suffocation1 ! condition is v sugge/ive ( membran\s cr\p 7a =m ( diph!ria71 :i* c]ta9ly is ! case if any :ite1 membran\s deposit c be ei!r se5 9 ! ?roat or is c\gh$ up4 ,:5ev] !re is difficulty ( brea?+ & cont9u\s ho>s5ess1 9 *ildr5 or adults1 ! s]vices ( a compet5t physician are urg5tly dem&$4 ,treatm5t4--,! use ( cold is ( advantage4 ,crack$ ice may be held 9 ! m\?1 ice cream c be employ$ z "p ( ! diet1 & an ice bag may be appli$ to ! outside ( ! ?roat4 ,! application ( a l95 or flannel clo? to ! ?roat wrung out ( cold wat] & cov]$ ) oil silk or wat]pro( mat]ial1 is also b5eficial1 & (t5 m conv5i5t ?an an ice bag4 ,! pati5t mu/ absolutely /op talk+ & smok+4 ,if ! attack is at all sev]e1 he %\ld rema9 9 b$4 ,if n s1 he mu/ /ay indoors4 ,at ! beg9n+ ( ! disord] a teaspoonful ( p>egoric & tw5ty gra9s ( sodium bromide are to be tak5 9 wat] e ?ree h\rs1 by an adult1 until ?ree doses are swall[$4 ,inhalation ( /eam f a pit*] conta9+ boil+ wat] is to be recomm5d$4 ,fifte5 drops ( comp\nd t9cture ( b5zo9 p\r$ on ! surface ( a cup ( boil+ wat] increases ! efficacy ( ! /eam inhalation4 ,! head is held above ! pit*]1 a t[el cov]+ bo? ! head & pit*] to reta9 ! vapor4 ,! employm5t1 e two h\rs1 ( a spray conta9+ m5?ol & camphor 7( ea*1 t5 gra9s7 dissolv$ 9 albol9e 7two ounces7 %\ld be cont9u$ ?r\gh\t ! disease4 ,if ! ho>s5ess p]si/s & t5ds to become *ronic1 x is mo/ advisable = ! pati5t to consult a physician skill$ 9 su* diseases = local exam9ation & special treatm5t4 ,,cr\p4--,cr\p is an acute l>yngitis ( *ildhood1 usually occurr+ betwe5 ! ages ( two & six ye>s4 ,! n]v\s elem5t is m m>k$ ?an 9 adults1 s t ! symptoms appe> m al>m+4 ,! tr\ble frequ5tly arises z "p ( a cold1 or z a =]unn] ( a cold1 & (t5 is h]ald$ by "s ho>s5ess dur+ ! day1 increas+ t[>d night4 ,! *ild may !n be slightly fev]i% 7temp]ature n ov] #ajb deg4 ,f41 usually74 ,! *ild goes to b$ & to sleep1 b awak5s1 g5]ally betwe5 #i & #ab ,p4,m41 ) a h>d1 h>%1 b>k+ c\gh 7cr\py c\gh7 & difficulty 9 brea?+4 ,! brea?+ is noisy1 & :5 ! air is drawn into ! *e/ !re is (t5 a cr[+ or :i/l+ s\nd produc$ f ob/ruction 9 ! ?roat1 due to spasm ( ! muscles & to dri$ mucus coat+ ! l9+ membrane1 or to swell+ 9 ! l>ynx4 ,x is impossible to sep>ate ^! causes4 ,! *ild is fright5$1 z well z 8 p>5ts1 & cries & /ruggles1 :i* only aggravates ! tr\ble4 ,! wor/ "p ( ! attack is1 commonly1 soon ov]1 s t z a rule ! doctor arrives aft] x is pa/4 ,:ile x does la/1 h[ev]1 ! h\sehold is m al>m$ ?an1 p]haps1 by any o!r common ailm5t4 ,dea? f an attack ( cr\p1 pure & simple1 has probably nev] occurr$4 ,! condition describ$ may cont9ue 9 a less urg5t =m = two or ?ree h\rs1 & v r>ely reappe>s on foll[+ nights or days4 ,! *ild falls asleep & awak5s next morn+ ) evid5ces ( a cold & c\gh1 :i* may la/ sev]al days or a week or two4 ,! only o!r disease ) :i* cr\p is likely to be confus$ is membran\s cr\p 7diph!ria ( ! l>ynx71 & 9 ! latt] disord] ! tr\ble comes on sl[ly1 ) ho>s5ess = two or ?ree days & gradually increas+ fev] 7#ajc deg4 to #aje deg4 ,f47 & great re/lessness & difficulty 9 brea?+1 n %ortly reliev$ by treatm5t1 z 9 simple cr\p4 ,9 fifty p] c5t ( ! cases ( membran\s cr\p x is possible to see a :ite1 membran\s deposit on ! upp] "p ( ! ?roat by hold+ ! tongue d[n ) a spoon h&le & inspect+ ! p>ts ) a good light4 ,cr\p is m likely to occur 9 *ildr5 suff]+ f ad5oids1 enl>g$ tonsils1 indige/ion1 & decay$ tee?1 & is favor$ by dry1 furnace heat1 by exposure to cold1 & by scream+ & %\t+ out ( doors4 ,treatm5t4--,place ! *ild 9 a w>m ba? 7#aja deg4 ,f47 & hold a sponge soak$ 9 hot wat] ov] ! ,adam's apple ( ! ?roat1 *ang+ x z frequ5tly z x cools4 ,hot camphorat$ oil rubb$ ov] ! neck & *e/ aids recov]y4 ,if ! b[els are n loose1 give a teaspoonful ( ca/or oil or "o or two gra9s ( calomel4 ,! mo/ successful rem$ies are ipecac & p>egoric4 ,x is wise to keep bo? on h& ) *ildr5 9 ! h\se4 ,a s+le dose ( p>egoric 7fifte5 drops = *ild ( two ye>s2 "o teaspoonful = *ild ( sev5 ye>s7 & repeat$ doses ( syrup ( ipecac 7"o-qu>t] to "o-half teaspoonful7 %\ld be giv5 e h\r till ! *ild vomits & ! c\gh loos5s1 & e two h\rs aft]w>ds4 ,! g5]ation ( /eam ne> ! *ild also is exce$+ly helpful 9 reliev+ ! symptoms4 ,a kettle ( wat] may be heat$ ov] a lamp4 ,a rubb] or t9 tube may be atta*$ to ! sp\t ( ! kettle & c>ri$ "u a sort ( %eet t5t1 cov]+ ! *ild 9 b$4 ,! t5t mu/ be arrang$ s z to all[ ! entrance ( pl5ty ( fre% air4 ,v r>ely ! "* ( ! inflammation 9 cr\p *anges1 & ! difficulty 9 brea?+1 caus$ by swell+ )9 ! ?roat1 increases s t x is necess>y to employ a surgeon to pass a tube d[n ! ?roat into ! l>ynx1 or to op5 ! *ild's w9dpipe & introduce a tube ?r\gh ! neck to prev5t suffocation4 ,! pati5t recov]+ f cr\p %\ld g5]ally be kept 9 a w>m1 well-v5tilat$ room = a numb] ( days aft] ! attack1 & receive syrup ( ipecac ?ree or f\r times daily1 until ! c\gh is loos5$4 ,if ipecac causes nausea or vomit+1 ! dose mu/ be r$uc$4 ,! disease is prev5t$ by a simple diet1 especially at night2 by ! removal ( enl>g$ tonsils & ad5oids2 by daily spong+1 be=e breakfa/1 ) wat] z cold z x comes f ! faucet1 :ile ! *ild /&s1 ankle deep1 9 hot wat]2 & by an out-(-door exi/5ce ) mod]ate s*ool h\rs2 also by evaporat+ wat] 9 ! room dur+ ! w9t] :5 furnace heat is us$4 ,:5 *ildr5 %[ signs ( an approa*+ attack ( cr\p1 give ?ree doses ( sodium bromide 7five gra9s = *ild two ye>s old2 t5 gra9s = "o eight ye>s old7 dur+ ! day at two-h\r int]vals & give a w>m ba? be=e b$time1 & rub *e/ & neck ) hot camphorat$ oil4 ,,*apt] ,,iii ,! ,lungs & ,bron*ial ,tubes ,mean+ ( ,bron*itis--,symptoms & ,treatm5t--,rem$ies = ,infants--,pneumonia--,consumption ! ,great ,de/roy]--,a/hma--,la ,grippe4 ,,c\gh 7occurr+ 9 ,bron*itis1 ,pneumonia1 ,consumption or ,tub]culosis1 ,a/hma1 & ,influ5za or ,grippe74--,c\gh is a symptom ( _m disord]s4 ,x may be caus$ by irritation ( any "p ( ! brea?+ app>atus1 z ! nose1 ?roat1 w9dpipe1 bron*ial tubes1 & 79 pleurisy & pneumonia7 cov]+ membrane ( ! lung4 ,! irritation :i* produces c\gh is commonly due ei!r to conge/ion ( ! muc\s membrane l9+ ! air passages 79 e>ly /age ( inflammation ( ^! tissues71 or to secretion ( mucus or pus block+ !m1 :i* occurs 9 ! lat] /ages4 ,c\gh is caus$ by a sudd51 viol5t expulsion ( air f ! *e/ foll[+ ! draw+ 9 ( a deep brea?4 ,a loose c\gh is to be enc\rag$1 z by its means mucus & o!r dis*>ge is expell$ f ! air passages4 ,a dry c\gh is se5 9 ! e>ly /ages ( v>i\s respiratory diseases1 z bron*itis1 pneumonia1 pleurisy1 consumption1 :oop+ c\gh1 & ) irritation f enl>g$ tonsils & ad5oids 7see p4 #fa7 occurr+ 9 *ildr54 ,irritation produc$ by inhal+ du/1 or any irritation exi/+ 9 ! nose1 e>1 or ?roat may lead to ?is v>iety ( c\gh4 ,! dry c\gh accompli%es no good1 & if cont9u\s & excessive may d h>m1 & dem&s m$ic9al relief4 ,bron*itis4--,c\gh foll[+ or accompany+ cold 9 ! head & sore ?roat g5]ally means bron*itis4 ,! l>ynx or l[] "p ( ! ?roat ends j bel[ ! ,adam's apple 9 ! w9dpipe4 ,! w9dpipe is ab\t f\r & a half in*es long & ?ree-qu>t]s to an in* 9 diamet]1 & t]m9ates by divid+ into ! two bron*ial tubes 9 ! upp] "p ( ! *e/4 ,ea* bron*ial tube divides & subdivides 9 turn l ! bran*es ( a tree1 ! bran*es gr[+ m num]\s & small] & small] until !y f9ally end 9 ! microscopic air sacs or air cells ( ! lungs4 ,! bron*ial tubes convey air to ! air cells1 & 9 ! latt] ! oxyg5 is absorb$ into ! blood1 & c>bonic acid is giv5 up4 ,bron*itis is an inflammation ( ! muc\s membrane l9+ ^! tubes4 ,9 c\gh ( an ord9>y cold only ! muc\s membrane ( ! w9dpipe &1 p]haps1 ( ! l>g] tubes is inflam$4 ,?is is a v mild disord] comp>$ to inflammation ( ! small] & m num]\s tubes4 ,9 bron*itis1 besides ! ord9>y symptoms ( a sev]e cold 9 ! head1 z sneez+1 runn+ ( mucus f ! nose1 sore ?roat & "s ho>s5ess p]haps1 & languor & sor5ess 9 ! muscles1 !re is at fir/ a feel+ ( tightness1 pressure1 & rawness 9 ! region ( ! brea/bone1 ) a h>%1 dry c\gh4 ,! c\gh+ causes a /ra9 ( ! diaphragm 7! muscle :i* =ms ! floor ( ! *e/71 s t !re are (t5 pa9 & sor5ess along ! l[] bord]s ( ! *e/ :]e ! diaphragm is atta*$ to ! inside ( ! ribs4 ,aft] a few days ! c\gh becomes loos]1 greatly to ! pati5t's com=t1 & a mixture ( mucus & pus is expectorat$4 ,9 a heal?y adult su* a c\gh is usually n 9 itself a s]i\s affair1 & ap>t f ! discom=t ( ! fir/ day or two1 !re is n suffici5t di/urbance ( ! g5]al heal? to int]f]e ) ! ord9>y pursuits4 ,! temp]ature is ! be/ guide 9 su* cases2 if x is above normal 7#ih-c_/e deg4 ,f47 ! pati5t %\ld /ay indoors4 ,9 infants1 "y *ildr51 enfeebl$ or eld]ly p1 bron*itis may be a s]i\s matt]1 & may be foll[$ by pneumonia by ext5sion ( ! inflammation f ! small bron*ial tubes into ! air sacs ( ! lungs1 & infection ) ! pneumonia g]m4 ,! pr9cipal signs ( sev]e attacks ( bron*itis are rapid brea?+1 fev]1 & rapid pulse4 ,! normal rate ( brea?+ 9 adults is sev5te5 a m9ute1 t is1 sev5te5 inbrea?s & sev5te5 outbrea?s4 ,9 *ildr5 ( "o to five ye>s ! normal rate is ab\t tw5ty-six brea?+ movem5ts a m9ute4 ,9 s]i\s cases ( bron*itis ! rate may be tw5ty-five to =ty 9 adults1 or =ty to sixty 9 *ildr51 p] m9ute4 ,( c\rse ! only exact way ( le>n+ ! nature ( a *e/ tr\ble is ?or\gh1 c>eful exam9ation by a physician1 = c\gh1 fev]1 rapid brea?+ & rapid pulse occur 9 _m o!r diseases besides bron*itis1 p>ticul>ly pneumonia4 ,pneumonia beg9s sudd5ly1 (t5 ) a sev]e *ill1 heada*e1 & g5]al pa9s l grippe4 ,9 a few h\rs c\gh beg9s1 %ort & dry1 ) viol5t1 /abb+ pa9 9 "o side ( ! *e/1 g5]ally ne> ! nipple4 ,! brea?+ is rapid1 ) exp&+ no/rils1 ! face is anxi\s & (t5 flu%$4 ,! matt] c\gh$ up at fir/ is (t5 /reak$ ) blood1 & is ?ick & l jelly4 ,! temp]ature is (t5 #ajd deg4-#aje deg4 ,f4 ,if ! disease proce$s favorably1 at ! end ( five1 sev51 or t5 days ! temp]ature1 brea?+1 & pulse become normal sudd5ly1 & ! pati5t rapidly em]ges f a /ate ( dang] & di/ress to "o ( com=t & safety4 ,! sudd5 onset ( pneumonia ) *ill1 agoniz+ pa9 9 side1 rapid brea?+1 & (t5 delirium ) lat] bloody or ru/y-color$1 gelat9\s expectoration1 w !n usually s]ve to di/+ui% x f bron*itis1 b n always4 ,:5ev]1 ) c\gh1 rapid & difficult brea?+ occur ) rise ( temp]ature 7z %[n by ! !rmomet]7 & rapid pulse1 ! case is s]i\s1 & m$ical advice is urg5tly dem&$4 ,treatm5t ( ,acute ,c\gh & ,bron*itis4--,9 ! case ( heal?y adults ) a c\gh accompany+ an ord9>y cold1 ! treatm5t is v simple1 :5 !re is little fev] or di/urbance ( ! g5]al heal?4 ,! rem$ies recomm5d$ = cold 9 ! head 7p4 #ee7 %\ld be tak5 at fir/4 ,x is also p>ticul>ly desirable = ! pati5t to /ay 9 ! h\se1 or bett] 9 b$1 = ! fir/ day or two1 or until ! temp]ature is normal4 ,! feel+ ( tightness & di/ress 9 ! *e/ may be reliev$ by apply+ a mild mu/>d pap] ov] ! brea/bone1 or a p\ltice conta9+ mu/>d1 "o "p1 & fl\r1 ?ree p>ts1 mix$ ) w>m wat] into a pa/e & spread betwe5 two s+le ?icknesses ( cotton clo? ab\t eight in*es squ>e4 ,! t9cture ( iod9e pa9t$ twice ov] a simil> area =ms ano!r conv5i5t application in/ead ( ! mu/>d4 ,if ! c\gh is excessive & tr\blesome at night ! tablets ( ammonium *loride comp\nd ) code9e are conv5i5t4 ,"o may be tak5 e h\r or two by an adult1 till reliev$4 ,*ildr5 suff]+ f a rec5t c\gh & fev] %\ld be kept 9 b$ :ile ! temp]ature is above normal4 ,x is well to give infants at ! />t a gra9 ( calomel or half a teaspoonful ( ca/or oil1 & to *ildr5 ( five to eight ye>s d\ble ! dose4 ,! *e/ %\ld be rubb$ ) a l9im5t compos$ ( "o "p ( turp5t9e & two p>ts ( camphorat$ oil4 ,x is well also to apply a jacket made ( %eet cotton ov] ! :ole *e/4 ,x is ess5tial to keep ! room at a temp]ature ( ab\t #gj deg4 ,f4 & well v5tilat$1 n p]mitt+ babies to crawl on ! floor :5 able to be up1 or to pass f a w>m to a cold room4 ,sweet _s ( nit] is a s]viceable rem$y to use at ! beg9n+3 five to fifte5 drops e two h\rs 9 wat] = a *ild f "o to t5 ye>s ( age1 = ! fir/ day or two4 ,if ! c\gh is h>%1 h>d1 or cr\py 7see p4 #hc71 give syrup ( ipecac e two h\rs3 t5 drops to an infant ( "o ye> or "u1 ?irty drops to a *ild ( t5 ye>s1 unless x causes nausea or vomit+1 :5 ! dose may be r$uc$ "o-half4 ,if *ildr5 become /uff$ up ) secretion s t ! brea?+ is difficult & noisy1 give a teaspoonful ( ! syrup ( ipecac to make !m vomit1 = until !y are six or sev5 ye>s old *ildr5 _c expectorate1 & mucus :i* is c\gh$ up into ! m\? is swall[$ by !m4 ,vomit+ n only gets rid ( t secretion :i* has be5 swall[$1 b expels x f ! bron*ial tubes4 ,?is treatm5t may be repeat$ if ! condition recurs4 ,9 infants "u a ye> ( age m$ic9e is to be avoid$ z mu* z possible4 ,a teaspoonful ( sweet oil & molasses1 equal p>ts1 may be giv5 occasionally to loos5 ! c\gh 9 mild cases4 ,9 o!r cases use ! c\gh tablet = infants describ$ on p4 #ia4 ,a pa/e consi/+ ( mu/>d1 "o "p1 & fl\r1 tw5ty p>ts1 is v useful :5 spread on a clo? & appli$ all ab\t ! *e/1 front & back4 ,! diet %\ld be only milk = "y *ildr5 dur+ ! fir/ day or two1 & old] pati5ts %\ld n h mu* m ?an ?is1 except toa/ & s\ps4 ,9 feeble babies ) bron*itis x is wise to give five or t5 drops ( br&y or :isky 9 wat] e two h\rs1 to relieve difficulty 9 brea?+4 ,*ildr5 :o are subject to frequ5t colds1 or ^? 9 :om c\gh is p]si/5t1 %\ld receive ,pet] ,moell]'s cod-liv] oil1 "o-half to "o teaspoonful1 accord+ to age1 ?ree times daily aft] eat+4 ,"o ( ! emulsions may be us$ in/ead if ! pure oil is unpalatable4 ,ad5oids & enl>g$ tonsils are a fruitful s\rce ( con/ant colds & sore ?roat1 & _! removal is advisable 7see p4 #fa74 ,h>d5+ ( ! sk9 by daily sponge ba?s ) cold salt wat]1 :ile ! *ild /&s or sits 9 w>m wat]1 is effective z a prev5tive ( colds1 z is also an out-(-door life ) prop] att5tion to clo?+ & foot ge>4 ,treatm5t ( ,pneumonia4--,pati5ts develop+ ! symptoms describ$ z sugge/ive ( pneumonia ne$ ! imm$iate att5tion ( a physician4 ,if a p]son is un=tunate en\gh to h ! c>e ( su* a case1 :5 x is impossible to secure a physician1 x may af=d "s com=t to "k t good nurs+ is really ! prime requisite 9 aid+ recov]y1 :ile skillful treatm5t is ( mo/ value if complications arise4 ,"o 9 e t5 cases ( pneumonia 9 ord9>ily heal?y p proves fatal4 ,9 specially select$ "y m51 z soldi]s1 ! dea? rate f pneumonia is only "o 9 tw5ty-five cases4 ,on ! o!r h&1 pneumonia is ! common cause ( dea? 9 old age2 ab\t sev5ty out ( e hundr$ pati5ts :o die f pneumonia are betwe5 sixty & eighty ye>s ( age4 ,infants "u a ye> old1 & p]sons enfeebl$ ) disease or suff]+ f excesses1 p>ticul>ly alcoholism1 are also likely to die if /rick5 ) ! disease4 ,! pati5t %\ld g to b$ 9 a l>ge1 well-v5tilat$1 & sunny room4 ,! temp]ature ( ! room %\ld be ab\t #gj deg4 ,f41 & ! pati5t mu/ n be cov]$ s w>mly ) clo?+ z to cause p]spiration4 ,a flannel jacket may be made to surr\nd ! *e/1 & %\ld op5 d[n ! :ole front4 ,! night%irt is worn ov] ?is2 no?+ m4 ,daily spong+ ( ! pati5t ) tepid wat] 7#he deg4 to #ij deg4 ,f47 %\ld be practic$4 ,! body is n to be all expos$ at once1 b ea* limb & ! trunk are to be sep>ately spong$ & dri$4 ,if ! fev] is high 7#ajd deg4 ,f47 ! wat] %\ld be cold 7#gg deg4 to #gb deg4 ,f471 & ! spong+ done e ?ree h\rs 9 ! case ( a /rong pati5t4 ,visitors mu/ be absolutely =bidd54 ,no m ?an "o or two p]sons are to be all[$ 9 ! sick room at once4 ,! diet %\ld consi/ *iefly ( milk1 a glass e two h\rs1 v>i$ ) milk mix$ ) ?9 cook$ c]eal or eggnog4 ,x is wise to give at ! beg9n+ ( ! disease a ca?>tic1 su* z five gra9s ( calomel foll[$ 9 twelve h\rs by a ,seidlitz p[d]1 if ! b[els d n act freely be=e t "t4 ,to relieve ! pa9 9 ! side1 if excruciat+1 give "o-qu>t] gra9 morph9e sulphate1#d & repeat once1 if necess>y1 9 two h\rs4 ,! application ( an ice bag to ! pa9ful side frequ5tly /ops ! pa91 &1 moreov]1 is excell5t treatm5t ?r\gh\t ! c\rse ( ! disease4 ,! seat ( pa9 usually indicates t ! lung on t side is ! inflam$ "o1 s t ! ice bag %\ld be all[$ to re/ aga9/ t portion ( ! *e/4 ,wat] %\ld be freely suppli$1 & %\ld be giv5 z well z milk ev5 if ! pati5t is deliri\s4 ,! b[els are to be mov$ daily by glyc]9 suppositories or injection ( w>m wat]4 ,dov]'s p[d] 9 doses ( five gra9s is useful to assuage c\gh4 ,x may be repeat$ once1 aft] two h\rs' int]val if desirable1 b mu/ n be employ$ at ! same "t z morph9e4 ,aft] ! fir/ two or ?ree days are pass$1 or soon] 9 weak subjects1 give /ry*n9e sulphate1 "o-?irtie? gra91 e six h\rs 9 pill or tablet =m4 ,! /ry*n9e is to be cont9u$ until ! temp]ature becomes normal1 & !n r$uc$ ab\t "o-half 9 am\nt = a week or t5 days :ile ! pati5t rema9s 9 b$1 z he mu/ = "s "t aft] ! temp]ature1 pulse1 & brea?+ h become normal4 ,,consumption2 ,,tub]culosis ,,( ,,! ,,lungs2 ,,ph?isis4--,?is disease dem&s especial att5tion1 n only because x is above all o!rs ! great de/roy] ( human life1 caus+ "o-sev5? ( all dea?s1 b because1 s f> f be+ a surely fatal disease z popul>ly believ$1 x is an em95tly curable disord] if recogniz$ 9 its e>lie/ /age4 ,! mo/ c>eful laboratory exam9ations ( bodies dead f o!r causes1 %[ t v _m p h _h tub]culosis at "s "t1 & to "s ext5t1 dur+ life4 ,! reason :y ! disease fails to progress 9 mo/ p]sons is t ! sy/em is /rong en\gh to resi/ ! inroads ( ! disease4 ,! process becomes arre/$ by ! g]ms be+ surr\nd$ by a b>ri] ( heal?y tissue1 & s p]i%+ 9 _! wall$-9 position4 ,^! facts prove t s f> f be+ incurable1 recov]y f consumption frequ5tly occurs )\t ev5 our k ( ! disease4 ,x is only ^? cases :i* become s f> advanc$ z to be easily recogniz$ t are likely to result fatally4 ,_m m cases ( consumption are n[ cur$ ?an =m]ly1 because exact me?ods h be5 discov]$ :i* enable u to det]m9e ! exi/5ce ( ! disease at an e>ly /age ( its developm5t4 ,consumption is due to ! gr[? ( a special g]m 9 ! lungs4 ,! disease is contagi\s1 t is1 x is capable ( be+ communicat$ f a consumptive to a heal?y p]son by means ( ! g]ms pres5t 9 ! sputum 7expectoration7 ( ! pati5t4 ,! dang] ( ?us acquir+ ! disease directly f a consumptive is slight1 if "o take simple precautions :i* w be m5tion$ lat]1 except 9 ! case ( a husb&1 wife1 or *ild ( ! pati5t :o come 9 close p]sonal contact1 z 9 kiss+1 etc4 ,?is is prov$ by ! fact t att5dants 9 hospitals = consumptives1 :o devote _! lives to ! c>e ( ^! pati5ts1 are r>ely affect$ ) consumption4 ,! *ief s\rce ( dang] to p]sons at l>ge is du/ conta9+ ! g]ms d]iv$ f ! expectoration ( human pati5ts1 & ?us f9d+ entrance into ! lungs4 ,consumption is said to be inh]it$4 ,?is is n ! case1 z only mo/ r>ely is an infant born actually be>+ ! liv+ g]ms ( ! disease 9 its body4 ,a t5d5cy to ! disease is se5 9 c]ta9 families1 & ?is t5d5cy may be inh]it$ 9 ! s5se t ! lung tissue ( ^! p]sons possesses less resi/ance to ! gr[? ( ! g]m ( consumption4 ,x may well be1 h[ev]1 t ! *ildr5 ( consumptive p>5ts1 z has be5 sugge/$1 are m resi/ant to ! disease ?r\gh inh]it$ immunity 7z is se5 9 ! (fspr+ ( p>5ts :o h _h o!r contagi\s diseases71 & t ! reason t !y m (t5 acquire tub]culosis is because !y are con/antly expos$ to contact ) ! g]m ( consumption 9 _! ev]yday home life4 ,x is kn[n t !re are c]ta9 occupations & diseases :i* r5d] ! individual m susceptible to consumption4 ,?us1 /one cutt]s1 knife gr9d]s & poli%]s1 on acc\nt ( inhal+ ! irritat+ du/1 are m liable to ! disease ?an any o!r class4 ,pla/]]s1 cig> mak]s1 & uphol/]]s are next 9 ord] ( susceptibility = ! same reason2 :ile out-(-door work]s1 z f>m]s1 are less likely to contract consumption ?an any o!r body ( work]s except bank]s & brok]s4 ,among diseases pr$ispos+ to consumption1 ord9>y colds & bron*itis1 influ5za1 pneumonia1 measles1 nasal ob/ruction caus+ m\?-brea?+1 & sc>let fev] are ! mo/ important4 ,no age is exempt1 f ! cradle to ! grave1 al?\gh ! liability to ! disease dim9i%es m>k$ly aft] ! age ( =ty4 ,ab\t "o-?ird m wom5 ?an m5 recov] f consumption1 probably because x is m practicable = !m to alt] _! mode ( life to suit ! requirem5ts ( treatm5t4 ,x is1 !n1 ! neglect$ cold & c\gh 7bron*itis7 :i* (f]s a field mo/ commonly favorable = ! gr[? ( ! g]ms 9 ! lungs :i* cause consumption4 ,& x is ess5tial to discov] ! exi/5ce ( ! disease at its beg9n+1 :at is call$ ! incipi5t /age1 9 ord] to h ! be/ *ance ( recov]y4 ,x becomes important1 !re=e1 t ea* individual "k ! signs & symptoms :i* sugge/ beg9n+ consumption4 ,c\gh is ! mo/ con/ant e>ly symptom1 dry & hack+ at fir/1 & mo/ tr\blesome at night & 9 ! e>ly morn+4 ,expectoration comes lat]4 ,loss ( weight1 ( /r5g?1 & ( appetite are also important e>ly symptoms4 ,dyspepsia ) c\gh & loss ( weight & /r5g? =m a common gr\p ( symptoms4 ,! pati5t is pale1 has nausea1 vomit+1 or he>tburn1 & !re is rise ( temp]ature 9 ! aft]noon1 toge!r ) g5]al weakness2 &1 9 wom51 abs5ce ( mon?ly p]iods4 ,slight daily rise ( temp]ature1 usually z mu* z a half to "o degree1 is a v suspici\s feature 9 connection ) *ronic c\gh & loss ( weight4 ,to te/ ! condition1 ! temp]ature %\ld be tak5 once 9 two h\rs1 & w commonly be f\nd at its highe/ ab\t #d ,p4,m41 daily4 ,! pulse is also increas$ 9 frequ5cy4 ,night sweats are common 9 consumption1 b n z a rule 9 ! fir/ /age2 !y occur m (t5 9 ! e>ly morn+ h\rs4 ,*ills1 fev]1 & sweat+ are sometimes ! fir/ symptoms ( consumption1 & 9 a mal>ial region w\ld v probably lead to error1 s9ce ^! symptoms may appe> at ab\t ! same int]vals z 9 ague4 ,b ! *ills & fev] are n arre/$ by qu99e1 z 9 mal>ia1 & !re are also pres5t c\gh & loss ( weight1 n commonly prom95t 9 mal>ia4 ,p]si/5tly enl>g$ gl&s1 :i* may be felt z lumps b5ea? ! sk9 along ! sides ( ! neck1 or 9 ! armpits1 %\ld be look$ ^u ) suspicion z g5]ally tub]cul\s1 conta9+ ! g]m ( consumption4 ,!y c]ta9ly dem& ! att5tion ( e>ly removal by a surgeon4 ,! spitt+ ( bright-r$ blood is "o ( ! mo/ c]ta9 signs ( consumption1 & occurs 9 ab\t eighty p] c5t ( all cases1 b r>ely appe>s z an e>ly w>n+4 ,! pupils ( ! eyes may be con/antly l>ge at ! onset ( ! disease1 b ?is is a sign ( g5]al weakness4 ,pa9 is also a frequ5t b n con/ant e>ly symptom 9 ! =m ( /it* 9 ! side1 or pa9 betwe5 or b5ea? ! %\ld] blades1 or 9 ! region ( ! brea/bone4 ,?is pa9 is due to pleurisy accompany+ ! tub]culosis4 ,%ortness ( brea? on ex]tion is pres5t :5 consumption is well e/abli%$1 b is n s common z an e>ly symptom4 ,! voice is (t5 some:at ho>se or husky at ! onset ( consumption1 ow+ to tub]cul\s l>yngitis4 ,to sum up !n1 "o %\ld always suspect tub]culosis 9 a p]son afflict$ ) *ronic c\gh :o is los+ weight & /r5g?1 especially if !re is fev] at "s "t dur+ ! day & any additional symptoms1 su* z ^? describ$4 ,su* a "o %\ld imm$iately apply to a physician = exam9ation ( ! *e/1 lungs1 & sputum 7expectoration74 ,if ! g]ms ( tub]culosis are f\nd on microscopical inspection ( ! sputum1 ! exi/5ce ( consumption is absolutely e/abli%$4 ,failure to f9d ! g]ms 9 ?is way does n on ! o!r h& prove t ! pati5t is free f ! disease1 except aft] repeat$ exam9ations at diff]5t times1 toge!r ) ! inability to discov] any signs by exam9ation ( ! *e/4 ,?is exam9ation 9 "s in/ances produces no positive results1 & x may be impossible = ! physician to discov] any?+ wrong 9 ! lungs at ! comm5cem5t ( consumption4 ,b1 g5]ally1 exam9ation ei!r ( ! lungs or ( ! sputum w decide ! matt]1 "o or bo? giv+ positive in=mation4 ,! use ( ! ,x-rays 9 ! h&s ( "s exp]ts sometimes reveals ! pres5ce ( consumption be=e x is possible to detect x by any o!r me?od4 ,!re is also a sub/ance call$ tub]cul91 :i*1 :5 inject$ "u ! sk9 9 suspect$ cases ( consumption causes a rise ( temp]ature 9 p]sons suff]+ f ! disease1 b has no effect on ! heal?y4 ,?is me?od is t commonly appli$ 9 te/+ cattle = tub]culosis4 ,z ! results ( tub]cul9 injection 9 ! consumptive are some?+ l an attack ( grippe1 & z tub]cul9 is n :olly devoid ( dang] to ^! pati5ts1 ?is te/ %\ld be res]v$ to ! la/1 & is only to be us$ by a physician4 ,treatm5t4--,!re is no special rem$y at our disposal :i* w de/roy or ev5 h9d] ! gr[? ( ! g]ms ( tub]culosis 9 ! lungs4 ,our endeavors mu/ consi/ 9 improv+ ! pati5t's /r5g?1 weight1 & vital resi/ance to ! g]ms by prop] fe$+1 & by means ( a con/ant out-(-door life4 ,! ideal conditions = out-(-door exi/5ce are pure air & ! l>ge/ numb] ( sun%9y days 9 ! ye>4 ,dryness & an ev5 temp]ature1 & an elevation ( f #b1jjj to #c1jjj feet1 are (t5 s]viceable1 b n necess>ily successful4 ,:5 x is impossible = ! pati5t to leave 8 home he %\ld rema9 out ( doors all h\rs ( bright days1 t5 to twelve h\rs daily 9 summ]1 six to eight h\rs 9 w9t] )\t reg>d to temp]ature1 & %\ld sleep on a por* or on ! ro(1 if possible4 ,9 ! ,adirondacks1 pati5ts sit on v]&as ) p]fect com=t :ile ! !rmomet] is at t5 degrees bel[ z]o4 ,a pati5t 7a physician7 9 a ,massa*usetts sanit>ium has arrang$ a %elf1 protect$ at ! sides1 along ! outside ( a w9d[1 on :i* 8 pill[ re/s at night1 :ile he sleeps ) 8 head out ( doors & 8 body 9 b$ 9 a room inside4 ,if x becomes /ormy he retires )9 & closes ! w9d[4 ,if ! temp]ature ranges above #ajj deg4 ,f4 pati5ts %\ld re/ 9 b$ or on a c\* 9 ! op5 air1 b1 if bel[ ?is1 pati5ts may ex]cise4 ,a /eam] *air set inside ( a padd$1 wick] ba? *air1 f :i* ! seat has be5 remov$1 makes a conv5i5t protect$ arrangem5t 9 :i* a consumptive c pass 8 "t out ( doors4 ,if ! pati5t is q weak & fev]i% he may rema9 9 b$1 or on a c\*1 plac$ on a v]&a or balcony dur+ ! day1 & 9 a room 9 :i* all ! w9d[s are op5 at night4 ,scre5s may be us$ to protect f direct draughts4 ,no degree ( cold1 nor any ( ! common symptoms1 z night sweats1 fev]1 c\gh1 or spitt+ ( blood1 %\ld be all[$ to int]f]e ) ?is fre%-air treatm5t4 ,! treatm5t may seem h]oic1 b is mo/ successful4 ,! pati5t mu/ be w>mly clo!d or cov]$ ) blankets1 & protect$ f /rong w9ds1 ra91 & sn[4 ,dur+ cle> wea!r pati5ts may sleep out ( doors on piazzas1 balconies1 or 9 t5ts4 ,nutriti\s food is ( equal value ) ! op5-air life4 ,a lib]al diet ( milk & cream1 eggs1 meat & vegetables is indicat$4 ,raw eggs swall[$ :ole ) a little %]ry1 or pepp] & salt on !m1 may be tak5 betwe5 meals1 beg9n+ ) "o & increas+ ! numb] till ?ree are tak5 at a "t1 or n9e daily4 ,if ! appetite is v poor x is be/ t a glass ( milk be tak5 e two h\rs1 v>i$ by :ite ( egg & wat] & meat juice4 ,drug treatm5t dep5ds on individual symptoms1 & c1 !re=e1 only be giv5 "u a physician's c>e4 ,sanit>ium treatm5t is ! mo/ successful1 because pati5ts are "u ! absolute control ( exp]ts & usually 9 an ideal climate4 ,*ange ( climate is (t5 useful1 b pati5ts %\ld n leave _! homes )\t ! advice ( a compet5t physician1 z !re are _m que/ions to consid] 9 tak+ su* a /ep4#e ,!re is a gr[+ t5d5cy among physicians to give consumptives out-(-door treatm5t at _! homes1 if liv+ out ( cities1 z c>eful p]sonal sup]vision gives mu* bett] results ?an a r&om life 9 a popul> climatic resort4 ,prev5tion4--,weakly *ildr5 & ^? born ( consumptives mu/ receive a g5]\s diet ( milk1 eggs1 meat1 & vegetables1 & sp5d mo/ ( _! "t 9 ! op5 air4 ,_! milk %\ld be heat$ = fifte5 m9utes to a temp]ature ( #afj deg4 ,f41 9 ord] to kill any g]ms ( tub]culosis1 unless ! c[s h be5 te/$ = ?is disease4 ,! pati5t mu/ h a sep>ate sleep+ room1 & refra9 f kiss+ or c>ess+ o!r memb]s ( ! family4 ,! c>e ( ! sputum 7expectoration7 is1 h[ev]1 ! ess5tial means ( prev5t+ contagion4 ,out ( doors1 x %\ld be deposit$ 9 a bottle :i* is clean$ by r9s+ 9 boil+ wat]4 ,indoors1 pap] bags or pap] boxes made = ! purpose are us$ to receive ! sputum1 & burn$ be=e !y become dry4 ,! use ( rags1 h&k]*iefs1 & pap] napk9s is dirty1 & apt to cause soil+ ( ! h&s & clo!s & lead to contagion4 ,pl5ty ( sunlight 9 ! sick room w cause de/ruction ( ! g]ms ( consumption1 besides prov+ b5eficial to ! pati5t4 ,no du/+ is to be done 9 ! invalid's room2 only moi/ cleans+4 ,all di%es us$ by a consumptive mu/ be boil$ be=e !y are aga9 employ$4 ,,a/hma4--,?is is a disord] caus$ by sudd5 n>r[+ ( ! small] air tubes 9 ! lungs4 ,?is n>r[+ is produc$ by swell+ ( ! muc\s membrane l9+ !m1 or is due to contraction ( ! tubes ?r\gh reflex n]v\s influ5ces4 ,x may accompany bron*itis1 or may be uncomplicat$4 ,x may be a manife/ation ( g\t4 ,! suff]]s f a/hma are usually app>5tly well 9 ! p]iod betwe5 ! attacks4 ,! attack (t5 comes on sudd5ly 9 ! night2 ! pati5t wak5+ ) a feel+ ( suffocation4 ,! difficulty 9 brea?+ soon becomes s great t he has to sit up1 & (t5 goes to a w9d[ & ?r[s x op5 9 ! attempt to get 8 brea?4 ,! brea?+ is v labor$ & pant+4 ,!re is little difficulty 9 draw+ ! brea?1 b expiration is v difficult1 & usually accompani$ by :eez+ or :i/l+ s\nds4 ,! pati5t appe>s to be on ! br9k ( suffocation2 ! eyeballs protrude2 ! face is anxi\s & pale2 ! muscles ( ! neck /& out2 ! lips may be blue2 a cold sweat cov]s ! body2 ! h&s & feet are cold1 & talk+ becomes impossible4 ,altoge!r1 a case ( a/hma pres5ts a mo/ al>m+ appe>ance to ! by/&]1 & ! pati5t seems to be on ! v]ge ( dy+1 yet dea? has probably nev] occurr$ dur+ an attack ( ?is disease4 ,! attacks la/ f "o-half to "o or sev]al h\rs1 if n /opp$ by treatm5t1 & !y (t5 return on sev]al successive nights1 & !n disappe>1 n to recur = mon?s or ye>s4 ,attacks are br\ght on by ! mo/ curi\s & div]se means4 ,atmosph]ic conditions are mo/ important4 ,emanations f plants1 or animals1 are common excit+ ag5cies4 ,fright or emotion ( any k9d2 c]ta9 articles ( diet2 du/ & nasal ob/ruction are also frequ5t causes4 ,pati5ts may be free f ! disease 9 cities & attack$ on go+ into ! c\ntry4 ,m5 are subject to a/hma m ?an wom51 & ! victims belong to families subject to n]v\s tr\bles ( v>i\s k9ds4 ,! attack frequ5tly subsides sudd5ly1 j :5 ! pati5t seems to be on ! po9t ( suffocation4 ,!re is (t5 c\gh+ & spitt+ ( little yell[i%1 semitransp>5t balls ( mucus float+ 9 a ?9n] secretion4 ,a/hma is n likely to be mi/ak5 = o!r diseases4 ,! temp]ature is normal dur+ an attack1 & ?is w enable u to exclude o!r *e/ disord]s1 z bron*itis & pneumonia4 ,occasionally a/hma is a symptom ( he>t & kidney disease4 ,9 ! =m] x occurs aft] ex]cise2 9 ! latt] ! attack cont9ues = a consid]able "t )\t relief4 ,b1 z 9 all o!r s]i\s diseases1 a physician's s]vices are ess5tial1 & x is our object to supply only su* in=mation z w\ld be desirable 9 em]g5cies :5 x is impossible to obta9 "o4 ,treatm5t4--,an attack ( a/hma is mo/ successfully cut %ort by means ( "o-qu>t] ( a gra9 ( morph9e sulphate#f ) #a_/bj ( a gra9 ( atrop9e sulphate1 tak5 9 a glass ( hot wat] conta9+ a tablespoonful ( :isky or br&y4 ,t5 drops ( laudanum1#g or a tablespoonful ( p>egoric1 may be us$ in/ead ( ! morph9e if ! latt] is n at h&4 ,sometimes ! inhalation ( tobacco smoke f a cig> or pipe w /op an attack 9 ^? unaccu/om$ to its use4 ,9 ! abs5ce ( morph9e1 or opium 9 ! =m ( laudanum or p>egoric1 fifte5 drops ( *lor(orm or half a teaspoonful ( e!r may be swall[$ on sug>4 ,a useful application = use on ! outside ( ! *e/ consi/s ( mu/>d1 "o "p1 & fl\r1 ?ree p>ts1 mix$ into a pa/e ) w>m wat] & plac$ betwe5 s+le ?icknesses ( cotton clo?4 ,v>i\s cig>ettes & pa/illes1 usually conta9+ /ramonium & saltpet]1 are sold by druggi/s = ! use ( a/hmatic pati5ts4 ,!y are (t5 effici5t 9 arre/+ an attack ( a/hma1 b x is impossible to recomm5d any "o k9d1 z "o br& may agree ) "o pati5t bett] ?an ano!r4 ,amyl nitrite is sold 9 pe>ls or small1 glass bulbs1 ea* conta9+ ?ree or f\r drops1 "o ( :i* is to be brok5 9 & inhal$ f a h&k]*ief dur+ an attack ( a/hma4 ,?is (t5 af=ds tempor>y relief4 ,to avoid ! cont9uance ( ! disease x is emphatically advisable to consult a physician :o may be able to discov] & remove ! cause4 ,! diet %\ld consi/ *iefly ( eggs1 fi%1 milk1 & vegetables 7) ! exception ( beans1 l>ge quantities ( potatoes1 & roots1 z p>snips1 beets1 turnips1 etc474 ,meat %\ld be eat5 b sp>+ly1 & also pa/ries1 sug>1 & />*es 7z c]eals1 potato1 & bread74 ,! ev5+ meal ought to be light1 d9n] be+ s]v$ at midday4 ,any *ange ( climate may /op a/hmatic seizures = a "t1 b ! relief is apt to be tempor>y4 ,climatic conditions affect diff]5t pati5ts diff]5tly4 ,w>m1 moi/ air 9 places de/itute ( mu* vegetation 7z ,florida1 ,s\!rn ,cali=nia1 & ! %ore ( ,cape ,cod & ! ,isl& ( ,nantucket1 9 summ]7 enjoy popul>ity ) _m a/hmatics1 :ile a dry1 high altitude influ5ces o!rs mu* m favorably4 ,,influ5za2 ,,la ,,grippe4--,influ5za is an acute1 highly contagi\s disease due to a special g]m1 & t5d+ to spread ) amaz+ rapidity ov] va/ areas4 ,x has occurr$ z a _w-wide epidemic at v>i\s times 9 hi/ory1 & dur+ f\r p]iods 9 ! la/ c5tury4 ,a p&emic ( influ5za began 9 ! w9t] ( #ahhi-ij1 & cont9u$ 9 ! =m ( local epidemics till #aijd1 ! disease sudd5ly appe>+ 9 a community &1 aft] a preval5ce ( ab\t six weeks1 disappe>+ aga94 ,"o attack1 x is1 p]haps1 unnecess>y to /ate1 does n protect aga9/ ano!r4 ,! mortality is ab\t #a dea? to #djj cases4 ,! feeble & ag$ are ^? :o are apt to succumb4 ,fatalities usually result f complications or sequels1 su* z pneumonia or tub]culosis2 neura/h5ia or insanity may foll[4 ,symptoms4--,!re are commonly f\r important symptoms *>act]i/ic ( grippe3 fev]2 pa91 cat>rh2 & depression1 m5tal & physical4 ,grippe attacks ! pati5t ) great sudd5ness4 ,:ile 9 p]fect heal? & engag$ 9 ord9>y "w1 "o is (t5 seiz$ ) a sev]e *ill foll[$ by g5]al depression1 pa9 9 ! head1 back1 & limbs1 sor5ess ( ! muscles1 & fev]4 ,! temp]ature v>ies f #ajj deg4 to #ajd deg4 ,f4 ,! cat>rh attacks ! eyes1 nose1 ?roat1 & l>g] tubes 9 ! lungs4 ,! eyes become r$d5$ & s5sitive to light1 & movem5ts ( ! eyeballs cause pa94 ,sneez+ comes on e>ly1 &1 aft] a day or two1 is foll[$ by dis*>ge f ! nose4 ,! ?roat is (t5 sore & r$d5$4 ,!re may be a feel+ ( weight & tightness 9 ! *e/ accompani$ by a h>%1 dry c\gh1 :i*1 aft] a few days1 becomes loos] & expectoration occurs4 ,bodily weakness & depression ( spirits are usually prom95t & =m (t5 ! mo/ p]si/5t & di/ress+ symptoms4 ,aft] ?ree or f\r days ! pa9s decrease1 ! temp]ature falls1 & ! c\gh & oppression 9 ! *e/ less51 & recov]y usually takes place )9 a week1 or t5 days1 9 s]i\s cases4 ,! pati5t %\ld g to b$ at once1 & %\ld n leave x until ! temp]ature is normal 7#ih-c_/e deg4 ,f474 ,= "s "t aft]w>ds g5]al weakness1 associat$ ) he>t weakness1 causes ! pati5t to sweat easily1 & to get out ( brea? & h a rapid pulse on slight ex]tion4 ,su* is ! picture ( a typical case1 b x (t5 happ5s t "s ( ! symptoms are abs5t1 :ile o!rs are exagg]at$ s t diff]5t types ( grippe are (t5 describ$4 ,?us ! pa9 9 ! back & head may be s int5se z to resemble t ( m5+itis4 ,occasionally ! /oma* & b[els are attack$ s t viol5t vomit+ & di>rhea occur1 :ile o!r memb]s ( ! same family pres5t ! ord9>y =m ( influ5za4 ,!re is a =m t attacks pr9cipally ! n]v\s sy/em1 ! nasal & bron*ial tracts escap+ altoge!r4 ,cont9ual fev] is ! only symptom 9 "s cases4 ,grippe may la/ = weeks4 ,:5ev] d\bt exi/s z to ! nature ( ! disord]1 a microscopic exam9ation ( ! expectoration or ( ! mucus f ! ?roat by a compet5t physician w def9itely det]m9e ! exi/5ce ( influ5za1 if ! special g]ms ( t disease are f\nd4 ,x is ! prevail+ & errone\s fa%ion = a p]son to call any cold 9 ! head ! grippe2 & !re are1 inde$1 _m cases 9 :i* x becomes difficult = a physician to di/+ui% betwe5 grippe & a sev]e cold ) muscul> sor5ess & fev]1 except by ! microscopic te/4 ,influ5za becomes dang]\s *iefly ?r\gh its complications1 z pneumonia1 inflammation ( ! middle e>1 ( ! eyes1 or ( ! kidneys1 & ?r\gh its depress+ effect ^u ! he>t4 ,^! complications c (t5 be prev5t$ by avoid+ ! slighte/ imprud5ce or exposure dur+ convalesc5ce4 ,eld]ly & feeble p]sons %\ld be protect$ f contact ) ! disease 9 e way4 ,:ole prisons h be5 exempt f grippe dur+ epidemics1 ow+ to ! en=c$ seclusion ( ! inmates4 ,! "o absolutely ess5tial feature 9 treatm5t is t ! pati5t /ay 9 b$ :ile ! fev] la/s & 9 ! h\se aft]w>ds1 except z 8 /r5g? w p]mit him to g out ( doors = a "t ea* sunny day until recov]y is fully e/abli%$4 ,treatm5t4--,! m$ic9al treatm5t consi/s at fir/ 9 combat+ ! tox9 ( ! disease & assuag+ pa91 & lat] 9 promot+ /r5g?4 ,hot lemonade & :isky may be giv5 dur+ ! *illy p]iod & a s+le six- to t5-gra9 dose ( qu99e4 ,pa9 is combat$ by ph5acet91#h ?ree gra9s repeat$ e ?ree h\rs till reliev$4 ,at night a mo/ useful m$ic9e to af=d com=t :5 pa9 & sleeplessness are tr\blesome1 is ,dov]'s p[d]1 t5 gra9s 7or code9e1 "o gra971 ) ?irty gra9s ( sodium bromide dissolv$ 9 wat]4 ,aft] ! fir/ day x is usually advisable to give a two-gra9 qu99e pill toge!r ) a tablet conta9+ "o-?irtie? ( a gra9 ( /ry*n9e ?ree times a day aft] meals = a week or two z a tonic 7adult74 ,only mild ca?>tics are suitable to keep ! b[els regul> z a ,seidlitz p[d] 9 ! morn+ be=e breakfa/4 ,! diet %\ld be liquid :ile ! fev] la/s--z milk1 cocoa1 s\ps1 eggnog1 "o ( ^! ea* two h\rs4 ,a tablespoonful ( :isky1 rum1 or br&y may be add$ to ! milk ?ree times daily if !re is mu* weakness4 ,! g]m caus+ grippe lives only two days1 b successive crops ( spores are rais$ 9 a prop] m$ium4 ,neglect$ mucus 9 nose or ?roat af=ds an invit+ field = ! g]m4 ,!re=e x is ess5tial to keep ! no/rils free & op5 by means ( spray+ ) ! ,seil]'s tablet solution 7p4 #di71 & !n always brea?+ ?r\gh ! no/rils4 ,,footnotes3 #d ,caution4 ,dang]\s4 ,use only on physician's ord]4 #e ,arizona1 ,new ,mexico1 ,colorado1 & ! ,adirondacks conta9 ! mo/ favorable climatic resorts 9 ?is c\ntry4 #f ,caution4 ,dang]\s4 ,use only on physician's ord]4 #g ,?is dose is only suitable = /rong1 heal?y adults ( av]age weight & ^? :o are n affect$ peculi>ly by opium4 ,delicate wom5 & o!rs n com+ "u ! above head %\ld take b half ! dose & repeat 9 an h\r if necess>y4 #h ,caution4 ,a p[]ful m$ic9e4 ,,*apt] ,,iv ,heada*es ,treatm5t ( ,sick ,heada*e--,effects ( ,indige/ion--,neuralgia--,heada*es ,occasion$ by ,disease--,o!r ,causes--,poison+--,heat ,/roke4 ,heada*e v>ies accord+ to its nature & causes4 ,! fir/ v>iety to be consid]$ is sick heada*e or migra9e4 ,,sick ,,heada*e4--,?is is a peculi>1 "o-sid$ heada*e :i* takes ! =m ( sev]e1 p]iodic attacks or p>oxysms1 & is (t5 inh]it$4 ,x recurs at m or less regul> int]vals1 z on a c]ta9 day ( ea* week1 =tnight or mon?1 & ! attacks appe> & disappe> at regul> h\rs4 ,! disord] g5]ally p]si/s = ye>s & !n goes away4 ,if x beg9s 9 *ildhood1 z x frequ5tly does betwe5 ! ye>s ( five & t51 x may /op ) ! com+ ( adult life1 b if n outgr[n at ?is "t x commonly vani%es dur+ late middle life1 ab\t ! age ( fifty-"o 9 a man1 or ) ! *ange ( life 9 a woman4 ,:ile 9 _m in/ances aris+ )\t app>5t cause1 yet 9 o!rs sick heada*e may be precipitat$ by indige/ion1 by eye-/ra91 by enl>g$ tonsils & ad5oids 9 *ildr51 or by fatigue4 ,!re may be "s w>n+ ( ! approa* ( a sick heada*e1 z m5tal depression1 we>9ess1 di/urbances ( sight1 buzz+ 9 ! e>s1 or dizz9ess4 ,! pa9 beg9s at "o spot on "o side ( ! head 7m commonly ! left71 z 9 ! eye1 temple1 or =ehead1 & lat] spreads ov] ! :ole side ( ! head &1 9 "s cases1 ! neck & arm4 ,! face may be pale1 or pale on "o side & r$ on ! o!r4 ,! heada*e is ( a viol5t1 bor+ nature1 aggravat$ by light & noise1 s t ! pati5t is incapacitat$ = any ex]tion & is mo/ com=table :5 ly+ d[n 9 a quiet1 d>k room4 ,vomit+ usually comes on aft] a :ile1 & (t5 gives relief4 ,! heada*e la/s sev]al h\rs or all day1 r>ely long]4 ,! duration is usually ab\t ! same 9 ! case ( any p>ticul> individual :o is sudd5ly reliev$ at a c]ta9 h\r g5]ally aft] vomit+1 a feel+ ( well-be+ & an enorm\s appetite foll[+ (t54 ,pati5ts may feel p]fectly well betwe5 ! attacks1 b if !y occur frequ5tly ! g5]al heal? suff]s4 ,9 ! majority ( cases !re is no app>5t cause discov]able save h]$ity1 & = ^! ! foll[+ treatm5t is applicable4 ,ea* case %\ld1 h[ev]1 be c>efully /udi$ by a physician1 if possible1 z only 9 ?is way c any exi/+ cause be f\nd & remov$4 ,treatm5t4--,any article ( diet :i* exp]i5ce has %[n to provoke an attack %\ld naturally be avoid$4 ,a ,seidlitz p[d]1 or tablespoonful ( ,epsom salts 9 a glassful ( wat]1 is advisable at ! onset ( an attack4 ,rubb+ ! =ehead ) a m5?ol p5cil w af=d "s relief4 ,hot /rong tea ) lemon juice is sometimes ( s]vice4 ,to actually less5 ! pa9 "o ( ! foll[+ may be tri$3 ph5acet9 7eight gra9s7 & repeat once 9 an h\r if necess>y until ?ree doses are tak5 by an adult2 or1 migra9e tablets1 two 9 numb]1 & d n repeat2 or fluid extract ( cannabis indica1 two drops e half h\r until reliev$1 or until six doses are tak54 ,,heada*e ,,f ,,v>i\s ,,causes4--,x is impossible to decide f ! location or nature ( ! pa9 alone to :at v>iety ( heada*e x belongs1 t is1 z to its cause4 ,x is only by consid]+ ! g5]al condition ( ! body t su* a decision c be atta9$4 ,heada*e f ,indige/ion4--,! pa9 is m (t5 9 ! =ehead1 b may be 9 ! top or back ( ! head4 ,! heada*e may la/ = h\rs1 or (f & on = days4 ,dull heada*e is se5 9 bili\sness :5 ! :ites ( ! eyes are slightly t+$ ) yell[ & ! tongue coat$ & yell[i%1 & p]haps dizz9ess1 di/urbances ( sight & a feel+ ( depression are pres5t4 ,among o!r signs ( heada*e due to indige/ion are3 discom=t 9 ! /oma* & b[els1 con/ipation1 nausea & vomit+1 bel*+ ( w9d1 hicc\gh1 & t5d] or pa9ful eyeballs4 ,9 a g5]al way1 treatm5t = ?is sort ( heada*e consi/s 9 ! use ( a ca?>tic1 su* z calomel 7?ree-fif?s ( a gra97 at night1 foll[$ by a ,seidlitz p[d] or a tablespoonful ( ,epsom salts 9 a glass ( cold wat] 9 ! morn+4 ,a simple diet1 z v small meals ( milk1 bread1 toa/1 crack]s ) c]eals1 s\ps1 & p]haps a little /eak1 *op1 or fre% fi% = a few days1 may be suffici5t to complete ! cure4 ,sympa!tic ,heada*es4--,^! are caus$ by irritation 9 v>i\s p>ts ( ! body1 :i* is convey$ ?r\gh ! n]v\s sy/em to ! bra9 produc+ heada*e4 ,heada*e f eye-/ra9 is "o ( ?is class1 & probably ! mo/ common1 &1 !re=e1 mo/ important ( all heada*es4 ,!re is un=tunately no sure sign by :i* we c tell eye-heada*es f o!rs1 except exam9ation ( ! eyes 7see p4 #bi74 ,r$ness1 twit*+1 & sor5ess ( ! eyelids1 & wat]+ ( ! eyes1 toge!r ) heada*e1 aft] _! excessive use may sugge/ ! cause 9 "s cases4 ,! pa9 may be occasion$ or almo/ con/ant1 & ei!r ab\t ! eyes1 =ehead1 top or back ( ! head1 & (t5 takes ! =m ( sick heada*e4 ,! heada*e may at times appe> to h no connection ) use ( ! eyes4 ,:5 heada*e is frequ5t ! eyes %\ld always be exam9$ by a compet5t oculi/ 7a physician7 n by any sort ( an optician4 ,decay$ ,tee?4--,^! n uncommonly give rise to heada*e4 ,disord]s ( ! ,nose & ,?roat4--,su* tr\bles1 especially ad5oids & enl>g$ tonsils 9 *ildr51 enl>g$ turb9ates1 & polypi 7see ,nose ,disord]s1 p4 #fj7 are fruitful s\rces ( heada*e4 ,9 nose-heada*es !re is (t5 t5d]ness on press+ on ! inn] wall ( ! bony socket inclos+ ! eyeball4 ,diseases ( ! ,mat]nal ,organs4--,^! 9 wom5 produce heada*e1 p>ticul>ly pa9 9 ! back ( ! head4 ,if local symptoms are also pres5t1 z backa*e 7l[ d[n71 leucorrhea1 pa9ful mon?ly p]iods1 & irregul> or excessive fl[+1 or tr\ble 9 ur9at+1 !n ! cause ( ! heada*e is probably "s disord] :i* c be cur$ at ! h&s ( a skillful speciali/ 9 wom5's diseases4 ,n]v\s ,heada*es4--,^! occur 9 bra9 exhau/ion & anaemia1 & 9 n]v\s exhau/ion4 ,!re is a feel+ ( pressure or weight at ! back ( ! head or neck1 r ?an real pa94 ,?is is (t5 reliev$ by ly+ d[n4 ,heada*e f anaemia is (t5 associat$ ) pallor ( ! face & lips1 %ortness ( ! brea?1 weakness1 & palpitation ( ! he>t4 ,re/1 abundance ( sleep1 *ange ( sc5e1 out-(-door life1 n\ri%+ food1 milk1 cream1 butt]1 eggs1 meat1 & iron are useful 9 aid+ a return to heal? 7see ,n]v\s ,exhau/ion1 ,vol4 ,,iii1 p4 #ag74 ,neuralgic ,heada*es4--,! pa9 is usually ( a %oot+ "*1 & ! scalp is (t5 exce$+ly t5d] to pressure4 ,!y may be caus$ by exposure to cold1 or by decay$ tee?1 or sometimes by inflammation ( ! middle e> 7see ,e>a*e1 p4 #dj74 ,heada*e f ,poison+4--,p]sons addict$ to ! excessive use ( tea1 c(fee1 alcohol1 & tobacco are (t5 subject to heada*e f poison+ ( ! sy/em by ^! sub/ances4 ,9 tea1 c(fee1 & tobacco poison+ !re is also palpitation ( ! he>t 9 _m cases2 t is1 ! pati5t is consci\s ( 8 he>t beat+1 irregul>ly & viol5tly 7see ,palpitation1 ,vol4 ,,iii1 p4 #aga71 :i* causes al>m & di/ress4 ,cessation ( ! habit & sodium bromide1 tw5ty gra9s ?ree times daily1 dissolv$ 9 wat]1 adm9i/]$ = n m ?an ?ree days1 may relieve ! heada*e & o!r tr\ble4 ,_m drugs occasion heada*e1 z qu99e1 salicylates1 nitroglyc]91 & "s =ms ( iron4 ,! poisons =m$ 9 ! blood by g]ms 9 acute diseases are among ! mo/ common s\rces ( heada*e4 ,9 ^! disord]s !re is always fev] & (t5 backa*e1 & g5]al sor5ess 9 ! muscles4 ,"o ( ! mo/ prom95t symptoms 9 typhoid fev] is con/ant heada*e ) fev] increas+ t[>d night1 & also high] ea* night ?an x 0 ! night be=e4 ,! heada*e & fev]1 toge!r (t5 ) occasional noseble$ & g5]al feel+ ( we>9ess1 may cont9ue = a week or two be=e ! pati5t feels sick en\gh to g to b$4 ,! exi/5ce ( heada*e ) fev] 7z %[n by ! !rmomet]7 %\ld always w>n "o ( ! necessity ( consult+ a physician4 ,heada*e ow+ to g]m poisons is also "o ( ! mo/ di/ress+ accompanim5ts ( grippe1 measles1 & smallpox1 & sometimes ( pneumonia4 ,! heada*e caus$ by ! poison ( ! mal>ial p>asite 9 ! blood is v viol5t1 & ! pa9 is situat$ usually j ov] ! eye1 & occurr+ (t5 9 ! place ( ! p>oxysm ( ! *ill & fev] at a regul> h\r daily1 e o!r day1 or e f\r? day4 ,if ! heada*e is due to mal>ia1 qu99e w cure x 7,mal>ia1 ,vol4 ,i1 p4 #beh74 ,! heada*e ( rheumatism is ow+ also to a special poison 9 ! blood1 & is (t5 associat$ ) sor5ess ( ! scalp4 ,if !re are symptoms ( rheumatism else:]e 9 ! body1 exi/+ heada*e may be logically attribut$ to ! same disease 7see ,rheumatism1 p4 #afi74 ,! poison ( g\t circulat+ 9 ! blood is sometimes a s\rce ( int5se heada*e4 ,! heada*e ( ,bright's disease ( ! kidneys & ( diabetes is dull & commonly associat$ ) nausea or vomit+1 swell+ ( ! feet or ankles1 pallor & %ortness ( brea? 9 ! =m]2 ) ?ir/ & ! passage ( a l>ge am\nt ( ur9e 7normal quantity is ?ree p9ts 9 tw5ty-f\r h\rs7 9 ! case ( diabetes4 ,! heada*es ( indige/ion are also ( poison\s orig91 ! products ( imp]fectly dige/$ food be+ absorb$ into ! blood & act+ z poisons4 ,ano!r v>iety ( heada*e due to poison+ is se5 9 *ildr5 cr[d$ toge!r 9 ill-v5tilat$ s*oolrooms & ov]work$4 ,/ill ano!r k9d is due to inhalation ( illum9at+ gas escap+ f leaky fixtures4 ,heada*e f ,heat ,/roke4--,p]sons :o h be5 expos$ to excessive heat or h actually _h a heat /roke 7,vol4 ,i1 p4 #dj7 are v prone to heada*e1 :i* is made worse by movem5ts ( ! head4 ,sodium bromide1 tw5ty gra9s dissolv$ 9 wat]1 may be giv5 to advantage ?ree times daily betwe5 meals 9 ^! cases = n m ?an two days4 ,ph5acet9 9 eight-gra9 doses may also af=d relief1 b %\ld n be us$ m (t5 ?an once or twice a day4 ,con/ant ,heada*e4--,?is1 afflict+ ! pati5t all day & e day1 & increas+ 9 sev]ity at night1 is sugge/ive ( "s disease ( ! bra91 z conge/ion1 bra9 tumor1 or m5+itis1 & urg5tly dem&s skillful m$ical att5tion4 ,"p ,,ii ,,tumors ,,sk9 ,,diseases ,,rheumatism ,,by ,,k5elm ,,w9sl[ ,,& ,,alb]t ,,w>r5 ,,f]ris ,,*apt] ,i ,gr[?s & ,enl>gem5ts ,b5ign & ,malignant ,tumors--,treatm5t ( ,rupture--,h]nia 9 ,*ildr5--,v>icocele--,causes ( ,v>icose ,ve9s--,ext]nal & ,int]nal ,piles4 ,,tumors4--,a tumor--9 its orig9al mean+--signifies a swell+4 ,z commonly us$ x means a new gr[? or enl>gem5t ( a "p1 :i* is n due to injury or inflammation4 ,tumors occur at all ages1 9 bo? sexes1 & may attack any "p ( ! body4 ,tumors are usually divid$ into b5ign & malignant gr[?s4 ,9 a g5]al way ! malignant tumors are pa9ful2 !y d n move ab\t freely b become fix$ to ! adjac5t p>ts2 _! gr[? is m rapid2 !y (t5 h no well-def9$ bord]s2 frequ5tly !y return aft] removal2 ! sk9 cov]+ !m is (t5 atta*$ & _c be mov$ readily )\t also mov+ ! tumor4 ,malignant tumors are divid$ into canc]s 7c>c9omata7 & s>comas 7s>comata74 ,canc] is mu* m frequ5t ?an s>coma4 ,canc] occurs m (t5 9 p]sons ov] ?irty2 !re appe>s to be a h]$it>y t5d5cy to x 9 "s families1 & a numb] ( individuals 9 ! same h\se or locality sometimes develop canc] z if x 7 9 "s way communicat$ f "o to ano!r4 ,! common situations ( canc] are ! brea/ & womb 9 wom51 & ! lip & /oma* ( m54 ,! neighbor+ gl&s become enl>g$1 z are %[n by ! lumps :i* =m "u ! jaw 9 canc] ( ! lip1 & :i* may be felt sometimes 9 ! armpit 9 canc] ( ! brea/2 ^! are1 h[ev]1 late signs1 & ! gr[? %\ld nev] be p]mitt$ to rema9 long en\gh = !m to develop4 ,pal5ess1 weakness1 & loss ( /r5g? (t5 att5d ! developm5t ( canc]1 b _m d n exhibit ^! symptoms4 ,s>coma is (t5 se5 9 ! "y & well n\ri%$2 x gr[s v rapidly2 ! sk9 is usually n adh]5t to ! tumor2 !re is g5]ally no pa92 h]$ity has no relation to its developm5t2 pal5ess is abs5t 9 _m cases2 ! favorite seats are ! muscle1 bone1 gl&s ( neck1 bra91 & _m o!r localities2 x is n ne>ly s common z canc]4 ,canc] ( ! brea/ beg9s z a lump1 occurr+ m (t5 to ! outside ( ! nipple1 b may develop 9 any "p4 ,x may or may n be pa9ful at fir/1 b ! sk9 becomes atta*$ to x2 & soon] or lat] ! nipple is drawn 94 ,x is se5 9 wom5 ov] =ty1 z a rule4 ,lumps 9 ! brea/1 occurr+ dur+ ! nurs+ p]iod1 are (t5 due to inflammation1 b ^! g5]ally h no relation to canc] unless !y p]si/ = a long "t4 ,any lump :i* appe>s 9 ! brea/ )\t app>5t cause1 or :i* p]si/s = a consid]able "t aft] inflammation ceases1 %\ld be promptly remov$ by ! surgeon1 z )\t microscopic exam9ation ! mo/ skill$ practition]s w be unable absolutely to di/+ui% betwe5 a h>mless & malignant tumor4 ,z ev5 s-call$ b5ign tumors (t5 become canc]\s 7e4 g41 inflammatory lumps 9 ! brea/1 w>ts1 & moles71 an em95t surgeon 7,dr4 ,maurice ,ri*>dson7 has rec5tly =mulat$ ! rule t all tumors1 :]ev] situat$1 %\ld if possible be remov$1 :atev] _! app>5t nature4 ,canc] ( ! womb may be suspect$ 9 middle-ag$ wom5 if fl[+ is m pr(use ?an is usual1 or occurs at irregul> times2 if !re is a dis*>ge 7(t5 ( (f5sive odor7 f ! front passage2 & sometimes pa91 z backa*e1 & p]haps pal5ess4 ,e>ly exam9ation %\ld be s\ght at ! h&s ( a physician2 x is suicidal to delay4 ,canc] ( ! /oma* is obs]v$ m (t5 9 m5 ov] =ty1 & beg9s ) loss ( appetite2 nausea or vomit+2 vomit+ ( blood2 pa9 9 ! /oma*2 loss ( weight1 & pal5ess4 ,"s ( ^! symptoms may be abs5t4 ,improv$ me?ods ( surg]y h r5d]$ e>ly op]ation = canc] ( ! /oma* a hopeful measure1 & if cure does n result1 ! life w be prolong$ & mu* suff]+ sav$4 ,canc] ( ! lip arises z a small lump1 l a w>t g5]ally1 on ! l[] lip 9 m5 f =ty to sev5ty4 ,sometimes x appe>s at fir/ simply z a slight sore or crack :i* repeat$ly scabs ov] b does n heal4 ,its gr[? is v sl[ & x may seem l a trivial matt]1 b any sore on ! l[] lip 9 a man ( middle age or ov]1 :i* p]si/s1 %\ld dem& ! imm$iate att5tion ( a surgeon1 because e>ly removal is m successful 9 canc] ( ! lip ?an 9 any o!r =m4 ,!re are1 ( c\rse1 _m comp>atively h>mless or b5ign =ms ( tumors :i* w n return if remov$ & d n endang] life unless !y gr[ to a l>ge size4 ,among ^! are ! s(t1 flatt5$1 fatty tumors ( ! %\ld]s1 back1 buttocks1 & o!r p>ts1 & ! w54 ,?is is (t5 se5 on ! head & occurs frequ5tly on ! scalp1 f ! size ( a pea to an egg1 9 gr\ps4 ,w5s are ela/ic lumps1 pa9less & ( sl[ gr[?1 & mo/ readily remov$4 ,space does n p]mit u to rec\nt ! o!r =ms ( b5ign tumors & x w\ld be impossible to describe h[ !y c\ld be di/+ui%$ f malignant gr[?s4 ,causes4--,! causes ( tumors are almo/ :olly unkn[n4 ,!re is no o!r bran* ( m$ic9e :i* is receiv+ m sci5tific /udy ! _w ov] ?an canc]1 & "s def9ite & helpful k may soon be expect$4 ,a canc] c be communicat$ by introduction ( canc]\s mat]ial into heal?y tissues4 ,?is & o!r reasons h l$ _m to believe t ! disease 0 caus$ by a special g]m2 a *emical cause is ?\ght to be ! orig9 ( canc] by o!r au?orities4 ,nei!r ( ^! !ories has be5 sub/antiat$ & we are /ill completely at sea 9 ! matt]4 ,canc] appe>s to be excit$ sometimes by local irritation1 z 9 ! lip by ! con/ant irritation ( ! h>d1 hot /em ( a clay pipe2 canc] ( ! tongue by ! irritation ( a r\gh1 %>p too?4 ,bl[s & injuries are also occasional ag5cies 9 ! developm5t ( canc]4 ,malignant gr[?s n r>ely arise f moles & w>ts4 ,treatm5t4--,e>ly removal by ! knife is ! only =m ( treatm5t :i* is to be consid]$ 9 mo/ cases4 ,delay & neglect are suicidal 9 malignant disease4 ,cure is successful 9 j s f> z ! op]ation is done e>ly4 ,if dread ( surgical op]ation 7 n s preval5t1 ! results ( removal ( canc] w\ld be immeasurably bett]4 ,! common1 bad results ( op]ation--t is1 return ( ! disease--are *iefly due to ! late /age 9 :i* surgeons are compell$ to op]ate ?r\gh ! reluctance ( ! pati5t &1 /rangely en\gh1 (t5 ( 8 family m$ical man4 ,canc] %\ld be remov$ 9 s e>ly a /age t its true nature c (t5 n be recogniz$1 except by microscopical exam9ation aft] its removal4 ,if ,maurice ,ri*>dson's rule 7 foll[$1 _m canc]s w\ld nev] occur1 or w\ld be remov$ be=e !y _h develop$ suffici5tly to %[ _! nature4 ,all treatm5t by *emical pa/es & special rem$ies is simply c\rt+ fatal results4 ,mo/ special cures adv]tis$ to be p]=m$ 9 sanitoriums are money-gett+ humbugs4 ,ev5 ! ,x-ray has prov$ useless except 9 ! case ( mo/ sup]ficial gr[?s limit$ to ! sk9 or :5 direct$ aga9/ ! sc> left by removal ( a canc]2 & :ile ! gr[? may disappe> dur+ treatm5t1 9 a l>ge proportion ( cases !re is a recurr5ce4 ,b :5 tumors are s f> advanc$ t removal by ! knife is inop]able1 !n o!r means w (t5 secure great relief f suff]+ & w prolong life = a v consid]able p]iod 9 _m cases4 ,,rupture4--,h]nia or rupture consi/s 9 a protrusion ( a portion ( ! cont5ts ( ! abdom5 7a "p ( ! b[el or its cov]+1 or bo?7 ?r\gh ! belly wall4 ,! common seats ( rupture are at ! navel & 9 ! gro94 ,rupture at ! navel is call$ umbilical h]nia2 t 9 ! gro9 ei!r +u9al or femoral1 accord+ to slight diff]5ces 9 site4 ,umbilical h]nia is common 9 babies & occurs z a :ole 9 only five p] c5t ( all ruptures1 :]eas rupture 9 ! gro9 is se5 to ! ext5t ( n9ety-f\r p] c5t ( all ruptures4 ,!re is /ill ano!r v>iety ( h]nia happ5+ 9 ! sc>s ( w\nds ( ! belly aft] injuries or surgical op]ations1 & ?is may arise at almo/ any po9t4 ,causes4--,rupture is sometimes pres5t at bir?4 ,9 o!r cases x is acquir$ z a result ( v>i\s causes1 ( :i* natural weakness ( ! "p is ! *ief4 ,tw5ty-five p] c5t ( p]sons ) rupture give a hi/ory ( ! same tr\ble 9 _! p>5ts4 ,rupture is ?ree times m frequ5t 9 m5 ?an 9 wom51 & is favor$ by sev]e muscul> "w1 fatness1 *ronic c\gh+1 con/ipation1 di>rhea1 sudd5 /ra91 or bl[s on ! abdom54 ,symptoms4--,rupture fir/ appe>s z a fullness or swell+1 m noticeable on /&+1 lift+1 c\gh+1 or /ra9+4 ,x may disappe> entirely on ly+ d[n or on pressure ) ! f+]s4 ,9 ! beg9n+ !re may be discom=t aft] /&+ or walk+ = any l5g? ( "t1 & lat] !re is (t5 a dragg+ pa9 or uneas9ess compla9$ (1 or a s5sation ( weakness or grip+ at ! seat ( ! rupture4 ,9 case ! rupture _c be return$1 x is call$ irr$ucible & is a m s]i\s =m4 ,! great dang] ( h]nias is ! likelihood ( _! be+ /rangulat$1 z ! t]m is2 t is1 s nipp$ 9 ! divid$ abdom9al wall t ! blood curr5t is %ut (f & (t5 ! b[els are completely ob/ruct$4 ,if ?is condition is n spe$ily reliev$ dea? w ensue 9 f two to eight days4 ,su* a result is occasion$1 9 p]sons hav+ rupture1 by heavy lift+1 sev]e c\gh+ or /ra9+1 or by a bl[ or fall4 ,! symptoms ( /rangulat$ h]nia are sudd5 & complete con/ipation1 p]si/5t vomit+1 & sev]e pa9 at ! seat ( ! rupture or (t5 ab\t ! navel4 ,! vomit+ consi/s fir/ ( ! cont5ts ( ! /oma*1 !n ( yell[i%-/a9$ fluid1 & f9ally ( d>k mat]ial hav+ ! odor ( excrem5t4 ,great weakness1 di/5tion ( ! belly1 ret*+1 hicc\gh1 ?ir/1 pr(\nd exhau/ion1 & dea? foll[ if ! condition is n rem$i$4 ,9 "s cases1 :]e ! ob/ruction is n complete1 ! symptoms are comp>atively mild]1 z occasional vomit+ & slight pa9 & p>tial con/ipation4 ,if ! pati5t _c return ! protrusion spe$ily1 a surgeon %\ld be secur$ at all co/s--! pati5t mean:ile ly+ 9 b$ ) an ice bag or cold clo?s ov] ! rupture4 ,! surgeon w r$uce ! protrusion "u e!r1 or op]ate4 ,/rangulation ( any rupture may occur1 b ( c\rse x is less likely to happ5 9 ^? :o we> a well-fitt+ truss2 /ill x is always a dang]\s possibility1 & ?is fact & ! liability ( ! rupture's increas+ 9 size make a surgical op]ation = complete cure advisable 9 prop] subjects4 ,treatm5t4--,two means ( treatm5t are op5 to ! ruptur$3 ! use ( ! truss & surgical op]ation4 ,by ! we>+ ( a truss1 fifty-eight p] c5t ( ruptures recov] completely 9 *ildr5 "u "o ye>4 ,9 *ildr5 f "o to five ye>s1 ) rupture1 t5 p] c5t get well ) ! truss4 ,/ati/ics %[ t 9 rupture :i* has be5 acquir$ aft] bir? b five p] c5t recov] ) a truss aft] ! age ( fifte51 & b "o p] c5t aft] ?irty4 ,! truss mu/ be worn two ye>s aft] cure ( ! rupture 9 *ildr51 & 9 adults practically dur+ ! re/ ( _! lives4 ,a truss consi/s ( a /eel spr+ :i* encircles ! body1 hold+ 9 place a pad :i* fits ov] ! seat ( h]nia4 ,! ,knight truss is "o ( ! be/4 ,! truss is mo/ satisfactory 9 ruptures :i* c be readily return$4 ,9 v small or l>ge h]nias1 & 9 ^? :i* are n r$ucible1 ! action ( ! truss is n s effective4 ,9 irr$ucible ruptures !re is likely to be con/ipation & colic produc$1 & /rangulation is m liable to occur4 ,a truss hav+ a holl[ pad may prove ( s]vice 9 small irr$ucible ruptures1 b no truss is ( mu* value 9 l>ge h]nias ( ?is k9d4 ,e p]son ) a r$ucible rupture %\ld we> a prop] truss until ! rupture is cur$ by "s means4 ,su* a truss %\ld keep 9 ! h]nia )\t caus+ pa9 or discom=t4 ,x %\ld be tak5 (f at night1 & replac$ 9 ! morn+ :ile ! pati5t is ly+ d[n4 ,9 cases :]e ! protrusion appe>s dur+ ! night a truss mu/ be worn day & night1 b (t5 a light] =m w s]ve = use 9 b$4 ,to te/ ! effici5cy ( a truss let ! pati5t /oop =w>d ) 8 knees ap>t1 & h&s on ! knees1 & c\gh4 ,if ! truss keeps ! h]nia 91 x is suitable2 if n1 x is probably unsuitable4 ,op]ation = complete cure ( ! h]nia is successful 9 #ie cases out ( #ajj1 9 suitable subjects1 9 ! ruptures 9 ! gro94 ,! dea? rate is b ab\t #a 9 #ejj to #a1jjj op]ations :5 done by surgeons skill$ 9 ?is special "w4 ,pati5ts ) v l>ge & irr$ucible h]nias1 & ^? :o are v fat & 9 advanc$ life1 are unfavorable subjects = op]ation4 ,9 "y m5 op]ation--if x c be done by a skillful surgeon & 9 a hospital ) all facilities--is usually to be recomm5d$ 9 e case ( rupture4 ,umbilical h]nias & v5tral h]nias1 foll[+ surgical op]ations1 may be held 9 place by a wide1 /rong belt ab\t ! body1 :i* holds a circul> flat or holl[ plate ov] ! rupture4 ,^! h be5 ! mo/ difficult ( cure by op]ation2 b rec5t improvem5ts h yield$ v good results--?irty-five cures out ( ?irty-six op]ations = umbilical rupture1 & "o dea?1 by ,mayo1 ( ,ro*e/]1 ,m9n4--& !y are usually ! v wor/ pati5ts1 ( middle age1 or old]1 & v /\t4 ,umbilical rupture 9 babies is v common aft] ! cord has dropp$ (f4 ,!re is a protrusion at ! navel :i* increases 9 size on c\gh+1 /ra9+1 or cry+4 ,if ! rupture is pu%$ 9 & ! fle% is br\ght toge!r f ei!r side 9 two folds ov] ! navel1 s z to bury ! navel out ( sight1 & held 9 ?is position by a /rip ( surgeon's pla/]1 rea*+ across ! front ( ! belly & ab\t two & "o-half in*es wide1 complete recov]y w usually take place )9 a few mon?s4 ,x is well to cov] ! pla/] ) a snug flannel b& ab\t ! body4 ,! pla/] %\ld be replac$ z ne$ be1 & %\ld be appli$ 9 all cases by a physician if "o c be secur$4 ,,v>icose ,,ve9s4--,v>icose ve9s are enl>g$ ve9s :i* are m commonly pres5t on ! legs1 b are also se5 9 o!r p>ts ( ! body4 ,!y /& out f ! sk9 z blui%1 knotty1 & w9d+ cords :i* flatt5 out :5 pressure is made ^u !m1 & %r9k 9 size 9 mo/ cases ^u ly+ d[n4 ,sometimes blui%1 small1 s(t1 r\nd$ lumps1 or a f9e1 bran*+ network ( ve9s may be se54 ,(t5times v>icose ve9s may exi/ = ye>s--if n ext5sive--)\t ei!r increas+ 9 size or caus+ any tr\ble :atsoev]4 ,at o!r times !y occasion a feel+ ( weight & dull pa9 9 ! legs1 especially on long /&+4 ,:5 !y are ( long duration ! legs may become swoll5 & h>d1 & eczema1 ) it*+1 is !n n uncommon4 ,?is leads to scrat*+ & sores1 & ^! may enl>ge & become :at are call$ v>icose ulc]s1 :i* are sl[ & difficult ( heal+4 ,occasionally an old v>icose ve9 may break op5 & give rise to pr(use ble$+4 ,causes4--,v>icose ve9s are m frequ5t 9 wom51 especially 9 ^? :o /& mu*1 z d cooks4 ,any ob/ruction to ! return fl[ ( ! blood f ! ve9s t[>d ! he>t w produce !m1 z a tight g>t] ab\t ! leg2 or ! pressure ( ! l>ge womb 9 pregnancy ^u ! ve9s1 or ( tumors 9 ! same region4 ,he>t & lung diseases also pr$ispose to ! =mation ( v>icose ve9s4 ,treatm5t4--,v>icose ve9s are exce$+ly common1 & if !y are n ext5sive & produce no discom=t !y may be ignor$4 ,o!rwise1 x is well to h an ela/ic /ock+ made to come to1 or above1 ! knee4 ,! /ock+ %\ld be put on & remov$ :ile ly+ d[n4 ,cold ba?+1 outdoor ex]cise1 & ev]y?+ :i* w improve ! g5]al heal? & tone are desirable1 also ! avoidance ( con/ipation4 ,9 ! mo/ aggravat$ cases surgical op]ation w cure v>icose ve9s4 ,ble$+ f a brok5 ve9 is /opp$ by pressure ( a b&age & ly+ on ! back ) ! foot rais$ on a pill[4 ,,v>icocele4--,?is consi/s ( an enl>gem5t ( ! ve9s 9 ! scrotum above ! te/icle ( ! male1 on ! left side 9 mo/ cases4 ,! l>ge ve9s feel m l a bun* ( e>?worms ?an any?+ else4 ,if !y cause no discom=t !y may be entirely neglect$ & are n ( ! slighte/ consequ5ce4 ,ev5 :5 !y produce tr\ble x is *iefly imag9>y1 9 mo/ in/ances1 s9ce !y are a common s\rce ( worry 9 "y m5 9 case ( any irregul>ities 9 ! sexual functions4 ,advantage is tak5 ( ?is fact by quacks1 :o f9d x = _! pr(it to adv]tise all sorts ( horrible & impossible results ( ! condition4 ,! te/icle on ! diseas$ side may become small] ?an its fell[1 b 9 few cases does any s]i\s consequ5ce result f v>icocele4 ,pa9 9 ! holl[ ( ! back may be ! only symptom ( v>icocele 9 cases :]e !re are any symptoms4 ,a dragg+ pa9 9 ! gro91 a pa9 9 ! te/icles & ab\t ! rectum & 9 ! bladd] may cause compla9t4 ,causes4--,v>icocele occurs usually 9 "y1 unm>ri$ m5 & (t5 disappe>s ( itself 9 lat] life4 ,undue sexual excitem5t may produce ! condition4 ,treatm5t4--,:5 any treatm5t is necess>y1 ! application ( a snugly fitt+ susp5sory b&age--:i* c be procur$ at any good drug %op--& ba?+ ! te/icles night & morn+ 9 cold wat]1 ) ! avoidance ( con/ipation & ( ! cause not$1 w be g5]ally suffici5t to relieve any discom=t aris+ f v>icocele4 ,! enl>gem5t ( ! ve9s w n1 ( c\rse1 be alt]$ by ?is treatm5t1 & absolute cure c only be effect$ by a surgical removal ( ! ve9s1 :i* is n a s]i\s und]tak+1 b is r>ely necess>y4 ,,piles--,,hemorrhoids4--,piles consi/ ( enl>g$1 & (t5 inflam$1 ve9s 9 ! rectum1 or l[] "p ( ! b[el4 ,ext]nal ,piles4--,^! are blui% swell+s or little lumps :i* project f ! b[el1 int]f]+ ) walk+ or ! toilet ( ! p>ts1 & are sometimes exquisitely t5d] & pa9ful :5 inflam$4 ,9 ! c\rse ( "t ^! become m]e projections or fr+es ( fle% & cause no tr\ble unless ?r\gh uncleanl9ess or o!r reasons !y are irritat$4 ,! treatm5t ( ext]nal piles may be summ$ up 9 great cleanl9ess--wa%+ ! p>ts aft] ea* movem5t ( ! b[els2 re/ 9 b$1 if ! sor5ess is great2 ! application ( cold wat] or p[d]$ ice 9 a rubb] bag1 or ( hot p\ltices1 & ( v>i\s drugs4 ,among ^! are hamamelis extract1 or wit*-hazel1 ) :i* ! p>ts may be frequ5tly ba!d2 an o9tm5t ( nut-gall & opium2 or extract ( belladonna & glyc]91 equal p>ts4 ,sitt+ 9 cold wat]1 night & morn+1 9 a tub also w prove s]viceable4 ,! m rapid & effectual me?od ( cure consi/s 9 op5+ ( ! rec5t pile by ! surgeon1 or clipp+ (f ! fle%y projections4 ,! b[els %\ld always be kept regul> 9 any =m ( piles by small doses ( ,glaub]'s or ,epsom salts tak5 9 a glass ( hot wat] on ris+1 or "s m9]al wat]4 ,9 case ^! d n agree1 extract ( casc>a or comp\nd licorice p[d] may be tak5 at night4 ,equal p>ts ( sulphur & cream ( t>t> is an old-fa%ion$ dome/ic ca?>tic ( :i* a teaspoonful may be tak5 ea* morn+ to advantage 9 piles4 ,int]nal ,piles4--,9 ! beg9n+ pati5ts ) int]nal piles feel z if ! b[els 7 n :olly empti$ aft] a passage1 & sometimes !re is difficulty 9 ur9at+ & also pa9s 9 ! holl[ ( ! back & 9 ! ?ighs4 ,!re is (t5 pa9 on movem5t ( ! b[els1 & blood foll[s ! passage4 ,lat]1 blood may be lo/ at o!r times1 & ! loss may be s great z to cause pron\nc$ pal5ess & weakness4 ,it*+ is a frequ5t occurr5ce4 ,mucus & pus 7matt] su* z comes f an abscess7 may also be dis*>g$4 ,loss ( sexual desire & p[] is n uncommonly pres5t4 ,!re may be no ext]nal protrusions2 b ble$+1 it*+1 & pa9 dur+ movem5t ( ! b[els are ! *ief symptoms4 ,if ! pa9 is v sev]e dur+ & also aft] a passage1 x is probable t !re is also pres5t a fissure or crack 9 ! fle%1 or ulc] at ! exit ( ! b[el :i* ne$s surgical att5tion4 ,x n infrequ5tly happ5s t ! piles come out dur+ ! b[el movem5t1 :5 !y %\ld be ?or\ghly wa%$1 greas$1 & pu%$ back4 ,sometimes ?is is impossible1 al?\gh aft] ly+ d[n = a :ile & apply+ ice or cold wat] ! mass may %r9k s z to admit ( its return4 ,:5 a l>ge mass is ?us protrud$ & _c be return$1 & becomes nipp$ by ! anus muscles1 x und]goes inflammation & is v pa9ful1 b a cure (t5 results f its de/ruction4 ,su* a mode ( cure is n a safe or desirable "o1 h[ev]4 ,treatm5t4--,! cold sitz ba?s 9 ! morn+ or injections ( a half p9t ( ice wat] aft] a passage are useful4 ,o9tm5ts may be introduc$ into ! b[el ^u ! f+]1 or1 bett]1 ) h>d rubb] plugs sold = ! purpose2 or suppositories may be employ$4 ,an o9tm5t1 conta9+ sixty gra9s ( iron subsulphate to ! ounce ( l>d 7or1 if !re is mu* it*+1 an o9tm5t consi/+ ( or?(orm1 ?irty gra9s1 ) "o-half ounce ( l>d71 w prove ( value4 ,also ! injection ( "o-half p9t cold wat]1 conta9+ a teaspoonful ( extract ( hamamelis1 aft] a passage1 af=ds relief4 ,two or ?ree gra9s ( ! subsulphate ( iron may be employ$ 9 suppositories1 & "o ( ^! may be introduc$ ?ree times daily4 ,! comp\nd gall o9tm5t or ! glyc]ite ( tann9 w be f\nd to act successfully 9 "s cases4 ,:5 "o rem$y does n s]ve1 try ano!r4 ,! only positive cure = piles consi/s 9 surgical op]ation = _! removal4 ,self-treatm5t is n recomm5d$1 z ! physician c d bett]1 & an exam9ation is always advisable to rule out o!r conditions :i* may be mi/ak5 by ! layman = piles4 ,causes4--,piles are se5 *iefly 9 adults1 9 ^? 9 advanc$ life1 & 9 ^? :o ex]cise little b eat mu*4 ,con/ipation favors _! occurr5ce1 & ! condition is commonly pres5t 9 pregnant wom54 ,fatigue1 exposure1 horseback ex]cise1 or an alcoholic debau* w cause _! appe>ance4 ,c]ta9 diseases also occasion ! =mation ( piles4 ,,*apt] ,,ii ,sk9 ,diseases & ,relat$ ,disord]s ,h\sehold ,rem$ies = ,it*+--,*af+ & ,*app+--,hives1 ,cold ,sores & ,pimples--,r+worms1 ,w>ts & ,corns--,eczema & o!r ,inflammatory ,disord]s4 ,no attempt w be made to give an ext5d$ acc\nt ( sk9 diseases1 b a few ( ! common] disord]s :i* c be readily recogniz$ by ! layman w be notic$4 ,al?\gh ^! cutane\s tr\bles are (t5 ( s trivial a nature t a physician's assi/ance is uns\ght1 yet ! annoyance is (t5 suffici5t to make x wor? :ile = ! pati5t to in=m himself ab\t ! ailm5t4 ,!n ! affections are s frequ5t t !y may occur :]e x is impossible to procure m$ical aid4 ,:5ev] an eruption ( ! sk9 is accompani$ by fev]1 sore ?roat1 heada*e1 pa9s 9 back & limbs1 vomit+1 or g5]al illness1 "o ( ! s]i\s1 contagi\s1 eruptive diseases %\ld be suspect$1 p>ticul>ly 9 *ildr51 & ! pati5t mu/ be remov$ f contact ) o!rs1 kept 9 isolation1 & a physician imm$iately summon$4 ,,it*+ 7,pruritus74--,it*+ is n a di/9ct disease by itself1 b a symptom or sign ( o!r sk9 or g5]al disord]s4 ,occasionally x mu/ be treat$ z if x 7 a sep>ate disease1 z :5 x occurs ab\t ! entrance to ! b[el 7anus71 or to ! ext]nal female sexual p>ts 7vulva71 or attacks ! sk9 g5]ally1 & is n accompani$ by any sk9 eruption except t caus$ by scrat*+1 & ! cause be unasc]ta9able4 ,it*+1 )\t app>5t cause1 may be due to p>asites1 z lice & fleas1 & ?is mu/ always be kept 9 m9d2 al?\gh debilitat$ /ates ( ! body & c]ta9 diseases1 z g\t & diabetes1 are sometimes ! s\rce4 ,commonly1 it*+ is caus$ by "o ( ! _m recogniz$ sk9 diseases1 & is accompani$ by an eruption *>act]i/ic ( ! p>ticul> disord] exi/+1 & special treatm5t by an exp]t1 direct$ to rem$y ?is condition1 is ! only reasonable way to relieve ! it*+ & cure ! tr\ble4 ,x may n1 h[ev]1 be improp] to sugge/ means to relieve su* a s\rce ( suff]+ z is it*+1 al?\gh unsci5tific1 ) ! cle> und]/&+ t a cure _c always be expect$1 b relief may be obta9$ until prop] m$ical advice c be secur$4 ,! treatm5t to be giv5 w be appropriate = it*+ due to any cause1 ) or )\t exi/+ eruption on ! sk91 unless o!rwise specifi$4 ,if "o rem$y is unsuccessful1 try o!rs4 ,= it*+ afflict+ a consid]able portion ( ! sk91 ba?s are peculi>ly effective4 ,cold %[] ba?s twice daily1 or swimm+ 9 cold wat] at ! prop] "t ( ye>1 may be tri$1 b tepid or lukew>m ba?s are g5]ally m useful4 ,! addition ( sal]atus or bak+ soda1 "o to two p\nds to ! ba?1 is valuable1 or bran wat] obta9$ by boil+ bran ti$ 9 a bag 9 wat]1 & add+ ! result+ solution to ! ba?4 ,ev5 m effici5t is a ba? made by dissolv+ half a cupful ( boil$ />* & "o tablespoonful ( wa%+ or bak+ soda 9 f\r gallons ( w>m wat]4 ,! tepid ba?s %\ld be z prolong$ z possible1 )\t *ill+ ! pati5t4 ,! bran wat]1 or />* wat]1 may be put 9 a bas9 & sopp$ on ! pati5t ) a s(t l95 or cotton clo? & all[$ to evaporate f ! sk91 )\t rubb+1 b :ile ! sk9 is /ill moi/ a p[d] compos$ ( boric acid1 "o "p1 & pulv]iz$ />*1 f\r p>ts1 %\ld be du/$ on ! it*+ area4 ,h\sehold rem$ies ( value include sal]atus or bak+ soda 7"o teaspoonful to ! p9t ( cold wat]71 or equal p>ts ( alcohol1 or v9eg> & wat]1 :i* are us$ to ba! ! it*+ p>ts & !n p]mitt$ to dry on !m4 ,cold solution ( c>bolic acid 7"o teaspoonful to ! p9t ( hot wat]7 is1 p]haps1 ! mo/ efficaci\s s+le rem$y4 ,b if x causes burn+ x mu/ be wa%$ (f at once4 ,dress+s wet ) x mu/ nev] be all[$ to become dry1 z !n ! acid becomes conc5trat$ & gangr5e may result4 ,calam9e lotion 7p4 #ade7 is also a s]viceable prep>ation :5 !re is r$ness & swell+ ( ! sk94 ,:5 ! it*+ is conf9$ to small areas1 or due to a pimply or scaly eruption on ! sk91 ! foll[+ o9tm5ts may be tri$3 a mixture ( t> o9tm5t & z9c o9tm5t 7two drams ea*7 ) f\r drams ( cold cream1 or fl[]s ( sulphur1 "o "p1 & l>d1 twelve p>ts4 ,,*af+ ,,& ,,*app+4--,*af+ occurs :5 two oppos+ sk9 surfaces rub toge!r & are irritat$ by sweat1 z 9 ! armpits1 "u ! brea/s & b5ea? ov]lapp+ p>ts ( ! belly ( fat p1 & betwe5 ! ?ighs & buttocks4 ,! same result is caus$ by ! irritation induc$ by dis*>ges con/antly runn+ ov] ! sk91 z t se5 9 infants1 due to ! pres5ce ( ur9e & b[el dis*>ges1 & t irritation :i* arises f saliva :5 ! lips are frequ5tly lick$4 ,! latt] condition ( ! lips is commonly call$ *app+1 b x is prop] to consid] *af+ & *app+ toge!r z ! morbid /ate ( ! sk91 & ! treatm5t is ! same = bo?4 ,*af+ occurs m (t5 9 hot wea!r & aft] viol5t ex]cise1 z r[+1 rid+1 or runn+1 & is aggravat$ by ! friction ( clo?+ or ( tight boots4 ,x may1 on ! o!r h&1 appe> 9 p]sons :o sit a great deal1 ow+ to con/ant pressure & friction 9 "o place4 ,! p>ts are hot1 r$1 & t5d]1 & emit a disagreeable odor :5 secretions are reta9$4 ,! sk9 becomes sodd5 by reta9$ sweat1 & may crack & ble$4 ,! same r$ness & t5d]ness are se5 9 *app+ ( ! face & lips1 & crack+ ( ! lips is frequ5t4 ,9 *af+ ! fir/ requisite is to remove ! cause1 & !n ?or\ghly wa% ! "p ) soap & wat]4 ,!n a saturat$ solution ( boric acid 9 wat] %\ld be appli$ ) a s(t clo?1 & ! p>ts du/$ ) a mixture ( boric acid & p[d]$ />*1 equal p>ts1 ?ree times daily4 ,if ! lips are badly crack$1 t\*+ !m1 once daily1 ) a /ick ( silv] nitrate 7dipp$ 9 wat]7 is ( s]vice4 ,,hives2 ,,nettl]a% 7,urtic>ia74--,hives is *>act]iz$ by ! sudd5 appe>ance ( h>d r\nd or oval lumps 9 ! sk91 f ! size ( a pea to t ( a silv] doll>1 ( a p9ki%-:ite color1 or :ite 9 ! c5t] & (t5 surr\nd$ by a r$ blu%4 ,! ra% is accompani$ by mu* it*+1 burn+1 or t+l+1 especially at night :5 ! clo!s are remov$4 ,! peculi>ity ( ?is eruption is ! sudd5ness ) :i* ! ra% appe>s & disappe>s2 ! it*+1 ! :iti% or r$ lumps1 ! fact t ! eruption affects any "p ( ! body & does n run toge!r1 are also *>act]i/ic4 ,scrat*+ ( ! sk9 (t5 br+s out ! lumps 9 a few m9utes4 ,! swell+s may la/ a few m9utes or h\rs1 & sudd5ly disappe> to reappe> 9 "s o!r place4 ,! :ole tr\ble usually cont9ues only a few days1 al?\gh at times x becomes a *ronic affection4 ,scrat*+ alt]s ! "* ( ! eruption1 & causes r$1 raw m>ks & cru/s1 b ! ord9>y swell+s c be se5 usually 9 "s "p ( ! body4 ,r>ely1 ! eruption comes 9 ! ?roat & leads to sudd5 & sometimes dang]\s swell+1 s t suffocation has ensu$4 ,) hives !re are no fev]1 sore ?roat1 backa*e1 heada*e1 :i* are common to ! contagi\s eruptive disord]s1 z measles1 sc>let fev]1 etc4 ,indige/ion is ! mo/ frequ5t cause4 ,c]ta9 articles ( diet are almo/ sure to br+ on an attack ( hives 9 susceptible p]sons2 ^! include %ellfi%1 clams1 lob/]s1 crabs1 r>ely oy/]s2 also oatmeal1 buck:eat cakes1 acid fruits1 p>ticul>ly /rawb]ries1 b sometimes raspb]ries & pea*es4 ,nettl]a% is common 9 *ildr51 & may foll[ any local irritation ( ! sk9 caus$ by r\gh clo!s1 bites ( mosquitoes & fleas1 & ! /+s ( jellyfi%1 ,portuguese man-(-w>1 & nettles4 ,treatm5t4--,remove any s\rce ( irritation 9 ! dige/ive canal1 or ext]nally1 & employ a simple diet = a few days1 z bread & milk4 ,a dose ( ca/or oil1 "o teaspoonful = *ildr52 "o tablespoonful = adults1 or "s o!r ca?>tic is advisable4 ,locally we use1 z dome/ic rem$ies1 a saturat$ solution ( bak+ soda 7or sal]atus7 9 wat]1 or equal p>ts ( alcohol or v9eg> & wat] to relieve ! it*+4 ,! ba? conta9+ soda & />* 7p4 #ada7 is ! mo/ useful treatm5t :5 ! nettl]a% is g5]al4 ,calam9e lotion is "o ( ! be/ applications :i* c be employ$ = ?is disord]4 ,x %\ld be sopp$ on frequ5tly ) a s(t clo? & all[$ to dry on ! sk94 ,,calam9e ,,lotion ,z9c oxide #a_/d ounce ,p[d]$ calam9e #a_/d ,limewat] #f ounces ,mix & %ake be=e apply+ to ! sk94 ,if *ok+ is ?reat5$1 give an emetic ( mu/>d1 "o teaspoonful1 & w>m wat]1 half a p9t4 ,,pimples2 ,,blackheads 7,acne74--,?is eruption is situat$ *iefly on ! face1 b (t5 on ! back1 %\ld]s1 & *e/ z well4 ,x is a disord] :i* is se5 mo/ly 9 "y m5 & wom5 at ab\t ! age ( pub]ty4 ,x consi/s ( conical elevations ( ! sk91 f a p9 head to a pea 9 size1 (t5 r$d5$ & t5d] on pressure1 & hav+ a t5d5cy to =m matt] or pus1 z %[n by a yell[ spot 9 ! c5t] ( ! pimple4 ,aft] ?ree to t5 days ! matt] is dis*>g$1 b r$ elevations rema91 :i* lat] become br[n & disappe> )\t sc>r+1 except 9 r>e cases4 ,blackheads appe> z slightly elevat$ black po9ts1 sometimes hav+ a yell[i% t9t f :i* a little1 ?91 wormlike mass may be press$4 ,pimples & blackheads are bo? due to inflammation ab\t ! gl&s ( ! sk9 :i* secrete oily mat]ial2 ! m\?s ( ! gl&s become plugg$ ) du/1 ?us reta9+ ! oily secretion & caus+ blackheads4 ,!n if ^! gl&s are invad$ by g]ms produc+ pus1 we h a pimple1 :i* usually results 9 ! =mation ( matt] z describ$ above4 ,con/ipation & indige/ion favor ! occurr5ce ( pimples & blackheads2 also a poor /ate ( ! blood1 or anaemia4 ,treatm5t4--,tea1 c(fee1 tobacco1 & alcohol %\ld be avoid$1 toge!r ) veal1 pork1 fats1 & *eese4 ,! b[els mu/ be mov$ daily by "s prop] ca?>tic1 z casc>a tablets conta9+ two gra9s ea* ( ! extract4 ,! dose is "o to two tablets at night4 ,! blackheads %\ld be squeez$ out ) a wat* key1 or ) an in/rum5t made = ! purpose1 n f+] nails1 & pimples conta9+ matt] mu/ be empti$ aft] be+ prick$ ) a ne$le 7:i* has be5 pass$ ?r\gh a flame to kill g]ms on x74 ,if !re is r$ness ( ! sk9 & irritation associat$ ) pimples1 x is suffici5t to ba! ! sk9 ) v hot wat] & gre5 soap ?ree times daily1 & apply calam9e lotion 7see p4 #ade7 at night4 ,9 o!r cases1 :5 ! sk9 is n s5sitive1 & z9c or m]cury has n be5 us$1 ! employm5t ( sulphur soap & hot wat] at b$time1 all[+ ! suds to dry & rema9 on ! face dur+ ! night1 is to be recomm5d$4 ,an o9tm5t consi/+ ( half a dram ( precipitat$ sulphur ) half an ounce ea* ( p[d]$ />* & vasel9e appli$ ea* night1 & hot wat] us$ on ! face ?ree times daily are also efficaci\s4 ,sulphur lotion is bett] ?an sulphur o9tm5t4 ,,cold ,,sore2 ,,fev] ,,bli/]4--,cold sores occur usually ab\t ! lips or at ! angles ( ! m\?1 al?\gh !y may appe> any:]e on ! face4 ,cold sore has a r\nd1 oval1 or irregul> outl9e1 f ! size ( a pea to t ( a qu>t] ( a doll>1 & is se5 z a slightly rais$ pat* on ! sk9 on :i* is a gr\p ( v m9ute bli/]s1 ?ree to twelve 9 numb]4 ,cold sore may be s+le or multiple1 & ne> toge!r or widely sep>at$ on ! face4 ,hav+ fir/ ! appe>ance ( a r$ pat*1 x lat] becomes cov]$ ) a br[n cru/ f ! dry+ ( ! cont5ts ( ! t9y bli/]s4 ,cold sore (t5 gives rise to burn+1 it*+1 or t+l+1 ! disfigurem5t usually caus+ m annoyance1 h[ev]1 ?an ! pa94 ,! duration ( ! tr\ble is f f\r to twelve days4 ,cold sores are commonly induc$ by indige/ion & fev]s1 & also are occasion$ by local irritation ( any sort1 z f nasal dis*>ge accompany+ cold 9 ! head 7f :i* ! "n is d]iv$71 by ! irritation produc$ by a pipe/em or cig>1 & by rubb+ ! sk94 ,treatm5t4--,pick+ & scrat*+ are v h>mful1 & cig> or pipe smok+ mu/ be /opp$4 ,pa9t+ ! sore ) collodion1 by means ( a camel's-hair bru%1 is poor treatm5t 9 ! e>ly /ages4 ,bett] use spirits ( camphor1 & aft]w>ds1 if !re is mu* it*+ or burn+1 sopp+ ! eruption ) calam9e lotion 7p4 #ade7 w relieve ! discom=t4 ,,prickly ,,heat 7,mili>ia74--,?is is a common eruption ( adults 9 hot wea!r1 & v frequ5tly attacks *ildr54 ,x consi/s ( f9e1 po9t$1 r$ ra%1 or m9ute bli/]s1 & occurs on p>ts ( ! body cov]$ by clo?+1 m (t5 on ! *e/4 ,! eruption is caus$ by mu* sweat+1 lead+ to conge/ion & swell+ ( ! sweat gl&s4 ,burn+1 /++1 & it*+ accompany ! disord]4 ,! condition mu/ be di/+ui%$ f ! contagi\s sk9 eruptions4 ,9 ! latt] !re are fev]1 sore ?roat1 backa*e1 heada*e1 & g5]al sickness1 :ile 9 prickly heat !re is no g5]al di/urbance ( ! sy/em1 or fev]1 unless ! eruption comes out 9 ! c\rse ( fev]s1 :5 x is ( no significance except z "o ( ! symptoms ( fev]4 ,treatm5t4--,! treatm5t ( prickly heat1 occurr+ 9 hot wea!r1 consi/s 9 avoid+ heat z mu* z possible & spong+ ! surface ) cold wat]1 & !n du/+ x ) "s simple p[d]1 z />* or fl\r1 or bett]1 borat$ talcum4 ,to relieve ! it*+1 spong+ ) limewat] or a saturat$ solution ( bak+ soda 7z mu* z w dissolve7 9 wat]1 or bran ba?s1 made by ty+ "o p\nd ( bran 9 a t[el :i* is all[$ to soak 9 ! ba?1 are all good rem$ies4 ,,r+worm ,,( ,,! ,,body2 ,,r+worm ,,( ,,! ,,scalp4--,?is sk9 disease is caus$ by a vegetable fungus & n by a worm z ! "n sugge/s4 ,! disease on ! body & scalp is caus$ by ! same p>asite1 b r+worm ( ! body may attack adults z well z *ildr51 & is readily cur$2 r+worm ( ! scalp is a disease conf9$ to *ildr51 & is difficult ( cure4 ,r+worm is contagi\s & may be acquir$ f *ildr5 ) ! disease1 & !re=e pati5ts suff]+ f x %\ld n be s5t to s*ool1 & %\ld we> a skull cap & h bru%1 comb1 t[els1 & wa% clo?s res]v$ = _! p]sonal use alone4 ,*ildr5 frequ5tly contract ! disease f fondl+ & h&l+ cats & dogs4 ,symptoms4--,on ! body1 r+worm attacks ! face1 neck1 & h&s4 ,x appe>s fir/ z small1 r$1 scaly spots :i* may spread into a circul> pat* z l>ge z a doll> ) a r$ r+ ( small1 scaly pimples on ! outside1 :ile ! c5t] exhibits heal?y sk91 or sometimes is r$ & ?ick5$4 ,!re may be sev]al pat*es ( r+worm ne> ea* o!r & !y may run toge!r1 or !re may be only "o pat* ( ! disease4 ,r+worm ( ! scalp occurs z a circul>1 scaly pat* ( a du/y-gray or pale-r$ color on :i* !re are /ubs ( brok5 hairs po9t+ 9 diff]5t directions1 & readily pull$ out4 ,! disease 9 ?is locality is v resi/ant to treatm5t4 ,!re are no cru/s or it*+ z 9 eczema4 ,treatm5t4--,! application ( pure t9cture ( iod9e or c>bolic acid to ! spots ) a camel's-hair bru%1 on "o or two occasions1 w usually cure r+worm on ! sk94 ,on ! scalp ! hairs %\ld be pull$ out ( ! pat* ( r+worm1 & ea* day x %\ld be wa%$ ) soap & wat] & a solution ( boric acid 7z mu* acid z ! wat] c dissolve71 de/roy+ ! clo? us$ = wa%+4 ,! foll[+ o9tm5t is !n appli$3 sulphur1 "o "p2 t>1 two p>ts2 & l>d1 eight p>ts4 ,x is desirable to secure ! s]vices ( a physician 9 ?is disease1 9 :i* v>i\s rem$ies may h to be tri$ to secure recov]y4 ,if untreat$1 r+worm is likely to la/ indef9itely4 ,,freckles1 ,,tan1 ,,& ,,o!r ,,discolorations ,,( ,,! ,,sk94--,freckles appe> z small1 yell[i%-br[n spots on ! face1 arms1 & h&s1 foll[+ exposure to ! sun 9 summ]1 & g5]ally fad+ away almo/ completely 9 w9t]4 ,h[ev]1 sometimes !y d n disappe> 9 w9t]1 & d occur on p>ts ( ! body cov]$ by clo?+4 ,freckles are commonly se5 9 r$-hair$ p]sons1 r>ely 9 brunettes1 & nev] on ! newborn4 ,_! removal is accompli%$ by ! employm5t ( ag5ts :i* cause a flak+ (f ( ! sup]ficial lay] ( discolor$ sk91 b aft] a few weeks ! discolorations are apt to return4 ,l>ge1 br[n spots ( discoloration appe>+ on ! face are obs]v$ m (t5 9 wom51 & are due to disord] ( dige/ive organs ( ! sexual organs or to pregnancy2 !y also occur 9 p]sons afflict$ ) exhau/+ diseases4 ,tan1 freckles1 & discolorations ( ! sk9 g5]ally are b5efit$ by ! same rem$ies4 ,treatm5t4--,prev5tion ( tan & freckles is secur$ ?r\gh nonexposure ( ! unprotect$ sk9 to ! sun1 ?\gh x is d\btful :e!r ! end ga9$ is wor? ! sacrifice1 if c>ri$ s f> z to ! avoidance ( ! op5 air & sunlight :5ev] possible4 ,boric acid 7sixte5 gra9s to ! ounce ( wat]7 is an absolutely h>mless & s]viceable ag5t = ! removal ( sk9 pigm5tations4 ,! sk9 may be freely ba!d ) x night & morn+4 ,corrosive sublimate is ! mo/ effective rem$y1 b is exce$+ly poison\s if swall[$ accid5tally1 & mu/ be kept out ( *ildr5's way1 & %\ld n be appli$ ov] any l>ge or raw surface ( sk9 or on any muc\s membrane4 ,its application is inadvisable z soon z any irritation ( ! sk9 appe>s f its use4 ,! foll[+ prep>ation conta9+ x is to be pa9t$ on ! sk9 ) a camel's-hair bru%1 night & morn+3 ,,poison\s ,,sublimate ,,solution ,corrosive sublimate #g gra9s ,alcohol #a-a_/b ounces ,glyc]9 #a-a_/b ,oil ( lav5d] #aj drops ,mix4 ,! foll[+ lotion is also efficaci\s3 ,z9c oxide #cj gra9s ,p[d]$ />* #cj ,kaol9 #fj ,glyc]9 #b drams ,rose wat] #b ounces ,mix4 ,,directions4--,%ake & pa9t on spots1 & all[ ! prep>ation to dry2 wa% x (f be=e ea* fre% application4 ,x is be/ to use only cold wat]1 r>ely soap1 on ! heal?y sk9 ( ! face4 ,w>m wat] favors relaxation ( ! sk9 & =mation ( wr9kles4 ,,ivy ,,poison4--,! poison ivy 7,rhus toxicod5dron71 poison suma* 7,rhus v55ata71 & poison oak 7,rhus div]siloba ( ! ,pacific ,coa/1 ,u4 ,s4 ,a47 cause inflammation ( ! sk9 9 c]ta9 p]sons :o t\* ei!r "o ( ^! plants1 or 9 "s cases ev5 if approa*+ )9 a %ort di/ance ( !m4 ,! plants conta9 a poison\s oil1 & ! poll5 bl[n f !m by ! w9d may ?us convey en\gh ( ?is oil to poison susceptible individuals :o are ev5 at a consid]able di/ance4 ,tr\ble beg9s )9 f\r to five h\rs1 or 9 z _m days aft] exposure to ! plants4 ,! sk9 ( ! h&s becomes r$1 swoll51 pa9ful1 & it*+4 ,soon little bli/]s =m1 & scrat*+ breaks !m op5 s t ! p>ts are moi/ & !n become cov]$ ) cru/s4 ,! poison is convey$ by ! h&s to ! face &1 9 m51 to ! sexual organs1 s t ^! p>ts soon p>take ( ! same tr\ble4 ,! face & head may become s swoll5 t ! pati5t is almo/ unrecognizable4 ,!re is a common belief t ivy poison recurs at ab\t ! same "t ea* ye>1 b ?is is n s except 9 case ( new exposures4 ,diff]5t eruptions on ! same p>ts (t5 foll[ ivy poison+1 h[ev]4 ,treatm5t4--,a ?or\gh wa%+ ) soap1 especially gre5 soap1 w remove mu* ( ! poison & aft] effects4 ,sal]atus or bak+ soda 7a heap+ tablespoonful ( ei!r to ! p9t ( cold wat]7 may be us$ to relieve ! it*+1 b ord9>y lead & opium wa% is ! be/ h\sehold rem$y4 ,=ty m9ims ( laudanum#i & f\r gra9s ( sug> ( lead dissolv$ 9 a p9t ( wat] =m ! wa%4 ,! affect$ p>ts %\ld be kept cont9ually wet ) x4 ,ari/ol 9 p[d]1 ?or\ghly rubb$ 91 is almo/ a specific4 ,,w>ts4--,w>ts are flatt5$ or r\nd$ outgr[?s f ! out] & middle lay]s ( ! sk91 v>y+ 9 size f a p9 head to half an in* 9 diamet]4 ,!re are sev]al v>ieties4 ,se$ ,w>ts4--,^! h num]\s1 little1 fle%y projections ov] _! surface1 :i* are enl>g$ normal /ructures 7papillae7 ( ! middle lay] ( ! sk91 toge!r ) ! ?ick5$1 out]1 horny lay]4 ,?readlike ,w>ts4--,^! are se5 along ! edge ( ! nails1 on ! face1 neck1 eyelids1 & e>s4 ,!y are =m$ by ! great prolongation & gr[? ( ! projections1 or papillae ( ! middle lay] ( ! sk9 j describ$4 ,flat ,w>ts1 rais$ b slightly above ! surface are m common 9 old p4 ,moi/ ,w>ts occur :]e !y are s(t5$ by secretions ( ! body1 z ab\t ! sexual organs 79 connection ) diseases ( ! same71 & ab\t ! anus 7or op5+ ( ! b[el74 ,!y are ( a :ite1 p9k1 or r$ color1 & consi/ ( num]\s1 little1 fle%y projections1 usually cov]$ ) a f\l-smell+ secretion4 ,w>ts mo/ commonly appe> on ! h&s ( *ildr51 b may appe> on any "p ( ! body & at all ages4 ,!y may disappe> quickly or rema9 indef9itely4 ,!y are n communicable f "o p]son to ano!r4 ,treatm5t4--,w>ts may be remov$ by pa9t+ !m frequ5tly ) ! fre% juice ( ! milkwe$1 or ) acetic acid or t9cture ( iod9e4 ,^! rem$ies are all h>mless1 b some:at sl[ & n always effective4 ,application1 morn+ & ev5+1 ( a saturat$ solution ( wa%+ soda 7impure bic>bonate ( pota%7 w (t5 remove a w>t4 ,,corns4--,corns are local1 cone-%ap$ ?ick5+s ( ! out] lay] ( ! sk9 ( ! feet1 due to pressure & friction ( ! %oes1 or oppos$ surfaces ( sk9 betwe5 ! toes4 ,!y are n 9 !mselves s5sitive1 b pa9 foll[s pressure ^u !m1 z !y act z =eign bodies 9 be>+ d[n ^u ! s5sitive l[] lay]s ( ! sk94 ,cont9u$ irritation (t5 leads to inflammation ( ! sk9 ar\nd & b5ea? ! corn ) ! =mation ( pus4 ,ord9>ily1 corns are t\gh1 yell[i%1 horny masses1 b1 :5 moi/5$ by sweat betwe5 ! toes1 !y are :ite1 & are call$ s(t corns4 ,treatm5t4--,com=table %oes are ! fir/ requisite2 well-fitt+ & nei!r tight nor loose4 ,pressure may be tak5 (f ! corns by surr\nd+ !m ) felt r+s or corn pla/]4 ,to remove ! corn ! foot %\ld be soak$ = a long "t 9 w>m wat]1 9 :i* is dissolv$ wa%+ soda1 & !n ! surface ( ! corn is g5tly scrap$ (f ) a clean1 %>p knife4 ,ano!r useful me?od consi/s 9 pa9t+ ! corn1 night & morn+ = five days1 ) ! foll[+ =mula1 :5 bo? ! coat+ & corn w come (f on soak+ ! same = "s "t 9 w>m wat]3 ,salicylic acid #cj gra9s ,t9cture ( iod9e #aj drops ,extract ( ,cannabis ,indica #aj gra9s ,collodion #d drams ,mix4 ,:5 ! tissues ab\t ! corn become inflam$ ! pati5t mu/ re/ ) ! foot elevat$ & wrapp$ 9 a ?ick lay] ( absorb5t cotton saturat$ ) a hot solution ( corrosive sublimate 7"o tablet to ! p9t ( wat]7 & cov]$ ) oil silk or rubb] clo?4 ,pus mu/ be let out ) a knife :i* has be5 laid 9 boil+ wat]4 ,if corns are remov$ by ! knife ! foot %\ld be previ\sly made absolutely clean1 ! knife boil$1 & ! p>+ n c>ri$ to ! ext5t ( draw+ blood4 ,! too-close removal ( a corn may lead to infection ( ! w\nd$ tissues ) g]ms1 & 9 old p1 & ^? ) feeble circulation1 gangr5e or erysipelas may result4 ,s(t corns are treat$ by removal ( ! surface lay]1 by soak+ 9 wa%+ soda & hot wat] & scrap+ z above /at$1 & !n ! corn %\ld be du/$ ) a mixture ( boric acid & z9c oxide1 equal p>ts1 & ! toes kept ap>t by pads ( absorb5t cotton4 ,,callus ,,& ,,cracks ,,( ,,! ,,sk94--,callus consi/s ( r\nd or irregul>1 flatt5$1 yell[i% ?ick5+s ( ! upp] or horny lay] ( ! sk94 ,! sk9 becomes hyp]trophi$ & resembles a ?ick1 horny lay]1 caus$ by int]mitt5t pressure ( tools1 %oes1 etc4 ,! :ole palm ( ! h& or soles ( ! feet may be ! seats ( a cont9u\s callus4 ,callus is n h>mful1 except 9 lead+ to cracks ( ! sk9 ne> ! b5d ( jo9ts1 &1 r>ely1 9 caus+ irritation1 heat1 pa91 & ev5 ! =mation ( pus 9 ! sk9 b5ea?4 ,callus usually disappe>s :5 ! excit+ cause or pressure is remov$4 ,treatm5t4--,! h&s & feet %\ld be soak$ cont9u\sly 9 hot ba?s conta9+ wa%+ soda1 & !n %\ld be cov]$ ) dia*ylon 7or o!r7 o9tm5t4 ,?is may be done ea* night2 or collodion 7"o ounce conta9+ ?irty gra9s ( salicylic acid7 may be pa9t$1 night & morn+ = sev]al days1 on ! callus1 & !n1 aft] soak+ = "s "t 9 hot wat]1 ! surface %\ld be scrap$ (f ) a dull knife & ! process repeat$ z (t5 z necess>y to effect a cure4 ,fissure or cracks ( ! sk9 caus$ by callus are treat$ 9 ! same mann]3 by prolong$ soak+ 9 hot wat]1 p>+ away ! edges1 & apply+ dia*ylon o9tm5t or cold cream to ! "p4 ,inflammation ab\t callus mu/ be c>$ = z recomm5d$ above = inflam$ corns4 ,,boils4--,a boil is a circumscrib$ inflammatory process1 caus$ by ! entrance ( pus-produc+ g]ms into ! sk9 ei!r ?r\gh ! pores 7! m\?s ( ! sweat gl&s7 or along ! %afts ( ! hair1 & 9 ?is way invad+ ! gl&s :i* secrete a greasy mat]ial 7sebace\s gl&s74 ,9 ei!r case ! pus g]ms set up an inflammation ( ! sweat or sebace\s gl&s1 & ! surr\nd+ /ructures ( ! sk91 & a small1 r$1 it*+ pimple results4 ,r>ely1 aft] a few days1 ! r$ness & swell+ disappe>1 & ! pus1 if any1 dries & ! :ole process subsides4 ,?is is call$ a bl9d boil4 ,b usually ! boil increases 9 size = sev]al days1 until x may be z l>ge z a pigeon's egg4 ,x assumes a bright-r$ %>ply def9$1 r\nd$ %ape1 ) a conical po9t1 & is at fir/ h>d & !n s(t5s z pus or matt] =ms4 ,!re is sev]e pa9 ( a ?robb+1 bor+ "*1 :i* is worse at night1 & de/roys ! pati5t's sleep & appetite4 ,!re may be "s fev]4 ,! gl&s 9 ! neighborhood may be enl>g$ & t5d]1 ow+ to "s ( ! pus g]ms' escap+ f ! boil & lodg+ 9 ! gl&s4 ,if ! boil is n lanc$1 x rea*es its full developm5t 9 sev5 to t5 days ) ! =mation ( a c5tral core ( dead tissue & "s pus1 :i* gives to ! c5t] ( ! boil a :iti% or yell[i%-br[n appe>ance4 ,! boil !n breaks d[n spontane\sly 9 "o or m places 7usually only "o7 & dis*>ges "s pus1 &1 ) a little pressure1 also ! :ite1 c5tral core ( dead tissue4 ,! rema9+ w\nd closes 9 & heals 9 a week or two4 ,boils occur s+ly or 9 numb]s1 & sometimes 9 successive crops4 ,:5 ?is happ5s x is because ! pus g]ms f ! previ\s boils h invad$ fre% areas ( sk94 ,causes4--,boils are ?us contagi\s1 ! pus g]ms be+ communicat$ to new po9ts on ! pati5t's sk91 or to t ( ano!r p]son4 ,local irritation ( ! sk91 f :atev] cause1 enables ! g]ms to gr[ m readily4 ,! exi/5ce ( sk9 diseases1 z eczema 7salt rheum71 prickly heat1 & o!r s\rces ( it*+ & scrat*+1 is conducive to boils1 z ! pus g]ms conta9$ 9 ord9>y dirt are rubb$ into ! irritat$ sk94 ,:5ev] ! sk9 is *af$ by r\gh clo?+1 z ab\t ! wri/s & neck by fray$ coll>s & sweat]s1 etc41 boils are likely to occur4 ,also :5 ! face & neck are h&l$ by b>b]s ) dirty h&s or in/rum5ts1 a fruitful field is provid$ = _! invasion4 ,:ile boils are always ! result ( pus g]ms ga9+ entrance to ! sk9 gl&s1 &1 !re=e1 /rictly due to local causes1 yet !y are m prone to occur :5 ! body is weak5$ & unable to cope ) g]ms :i* might d no h>m "u o!r circum/ances4 ,! conditions favor+ ! occurr5ce ( boils are3 an impov]i%$ /ate ( ! blood1 errors ( diet & indige/ion1 ov]work1 dissipation1 & c]ta9 diseases1 z typhoid fev]1 diabetes1 & smallpox4 ,boils are ?\ght to occur m frequ5tly 9 p]sons ) r\gh sk9 & ) a vigor\s gr[? ( d>k hair4 ,!y may be situat$ on any "p ( ! body1 b c]ta9 localities are m commonly attack$1 z ! scalp1 ! eyelids1 *eeks1 neck1 armpits1 back1 & buttocks4 ,boys & "y m5 are g5]ally ! suff]]s4 ,treatm5t4--,! importance ( cleanl9ess _c be ov]e/imat$ 9 ! c>e ( boils if we keep _! cause 9 m9d4 ,dirty und]clo!s or f+]s us$ 9 squeez+ or o!rwise h&l+ ! boil1 may c>ry ! tr\ble to fre% p>ts4 ,any sort ( local irritation %\ld be remov$2 also all articles ( clo?+ :i* h come 9 contact ) ! boils %\ld n be worn until !y h be5 wa%$ 9 boil+ wat]4 ,!re is no s+le rem$y ( mu* value = ! cure ( boils1 al?\gh pills ( calcium sulphide 7ea* "o-t5? gra97 are commonly prescrib$ by physicians1 e ?ree h\rs4 ,! mo/ rational measure consi/s 9 remov+ ! g5]al causes1 z not$ above1 if ?is is possible4 ,:5 ! pati5t is ?9 & poorly n\ri%$1 give food & cod-liv] oil2 & if ! lips & sk9 are pale1 iron ars5ate pills 7"o-sixte5? gra9 ea*7 are to be tak5 ?ree times daily = sev]al weeks4 ,a boil may sometimes be arre/$ by pa9t+ x ) t9cture ( iod9e until ! boil is almo/ black1 or ) a v heavy coat+ ( collodion4 ,if a boil cont9ues to develop1 not)/&+ ?is treatm5t1 "o %\ld ei!r use an o9tm5t ( vasel9e conta9+ t5 p] c5t ( boric acid spread on s(t cotton ov] ! boil1 or1 if ! latt] is v pa9ful1 resort to ! frequ5t application ( hot flaxse$ p\ltices4 ,:5 ! boil has bur/1 & pus is fl[+ out on ! surr\nd+ sk91 x %\ld be kept v clean by frequ5t wa%+ ) hot wat] & soap & ! application ( a solution ( corrosive sublimate 7"o "p to #a1jjj7 made by dissolv+ "o ( ! tablets1 sold ev]y:]e = surgical purposes1 9 a p9t ( w>m wat]4 ,?is w prev5t ! lodgm5t ( ! pus g]ms 9 ! sk9 & ! =mation ( m boils4 ,p\ltices mix$ ) bi*loride 7corrosive sublimate7 solution are less likely to enc\rage inoculation ( neighbor+ areas4 ,! p\ltices %\ld be /opp$ z soon z ! pa9 ceases1 & ! boil dress$ z recomm5d$ above1 du/$ ) pure boric acid & cov]$ ) clean absorb5t cotton & b&age4 ,aft] pus has begun to =m 9 a boil recov]y w be mat]ially ha/5$ by ! use ( a knife1 al?\gh ?is is n ess5tial4 ,! boil %\ld be ?or\ghly clean$1 & a %>p knife1 :i* has be5 boil$ 9 wat] = five m9utes1 is ins]t$1 po9t fir/1 into ! c5t] ( ! boil1 f> en\gh to lib]ate ! pus & dead tissue4 ,by ?is means heal+ is mu* m rapid ?an by nature's unassi/$ me?ods4 ,pure c>bolic acid1 appli$ on ! tip ( a too?pick1 ?ru/ into ! head ( a boil1 is g5]ally curative4 ,:5 _m boils occur1 consult a physician4 ,,c>buncle4--,a c>buncle is simil> to a boil 9 its causation & /ructure1 b is usually a mu* m s]i\s matt] hav+ a t5d5cy to spread lat]ally & involve ! deep] lay]s ( ! sk94 ,x is commonly a disease ( old p]sons1 ^? prematurely old or debilitat$1 & occurs mo/ frequ5tly on ! neck1 back1 or buttocks4 ,x is p>ticul>ly dang]\s :5 attack+ ! back ( ! neck1 upp] lip1 or abdom54 ,c>buncle (t5 beg9s1 ) a *ill & fev]1 z a pimple1 & rapidly increases 9 size =m+ a hot1 dusky r$1 r\nd$ lump :i* may gr[ until x is f ?ree to six in*es 9 diamet]4 ,occasionally x runs a mild c\rse1 rema9s small1 & beg9s to dis*>ge pus & dead tissue at ! end ( a week & heals rapidly4 ,m commonly ! pa9 soon becomes int5se1 ( a burn+1 ?robb+ "*1 & ! c>buncle cont9ues to enl>ge = a week or t5 days1 :5 x s(t5s & breaks op5 at v>i\s po9ts dis*>g+ %r$s ( dead tissue & pus4 ,! sk9 ov] ! :ole top ( ! c>buncle dies & sl\ghs away1 leav+ an angry-look+ excavation or crat]-l ulc]4 ,?is sl[ly heals f ! edges & bottom1 s t ! :ole p]iod ( heal+ occupies f a week to two1 or ev5 six mon?s4 ,! dang] dep5ds l>gely ^u blood poison+1 & also ^u pa91 cont9u\s fev]1 & exhau/ion :i* foll[ x4 ,sweat+ & fev]1 high] at night1 are ! m prom95t signs ( blood poison+4 ,c>buncles diff] f boils 9 be+ mu* l>g]1 9 hav+ r\nd$ or flat tops in/ead ( ! conical %ape ( boils1 9 hav+ num]\s1 sievelike op5+s1 9 ! occurr5ce ( dea? ( ! sk9 ov] ! top ( ! c>buncle1 & 9 be+ accompani$ by int5se pa9 & high fev]4 ,treatm5t4--,c>buncle dem&s ! e>lie/ incision by a skill$ surgeon1 z x is only by cutt+ x freely op51 or ev5 remov+ ! :ole c>buncle z if x 7 a tumor1 t ! be/ results are accompli%$4 ,h[ev]1 :5 a surgeon _c be obta9$1 ! pati5t's /r5g? %\ld be su/a9$ by fe$+ e two h\rs ) beef tea1 milk & raw eggs1 & ) w9e or alcoholic liquors4 ,?ree two-gra9 qu99e pills & t5 drops ( ! t9cture ( ! *loride ( iron 9 wat] %\ld be giv5 ?ree times daily4 ,! local treatm5t consi/s 9 apply+ l>ge1 hot1 fre% flaxse$ p\ltices frequ5tly1 ) ! removal ( all dead tissue ) scissors1 :i* h be5 boil$ 9 wat] = t5 m9utes4 ,:5 ! pa9 is n unbe>able1 dress+s made by soak+ ?ick %eets ( absorb5t cotton 9 hot solution ( corrosive sublimate 7#a to #a1jjj z direct$ "u ,boils1 p4 #afa7 %\ld be appli$ & cov]$ by oil silk or rubb] clo? & b&age4 ,!y are pref]able to p\ltices z be+ bett] g]m de/roy]s1 b are n s com=table4 ,:5 ! dead tissue comes away & ! c>buncle pres5ts a r$1 raw surface1 x %\ld be wa%$ twice a day 9 ! #a to #a1jjj corrosive-sublimate solution1 du/$ ) pure boric acid1 & cov]$ ) clean1 dry absorb5t cotton & b&age4 ,,eczema2 ,,salt ,,rheum2 ,,tett]4--,eczema is really a cat>rhal inflammation ( ! sk91 ) ! exudate 7fluid t escapes7 conceal$ b5ea? ! surface1 or appe>+ on ! surface aft] irritation has occurr$4 ,! _m v>ieties are be/ classifi$ z foll[s3 7#a7 ,eczema ( int]nal orig91 includ+ cases due to morbid ag5cies produc$ )9 ! body1 cases due to drugs1 & possibly reflex cases4 7#b7 ,eczema ( ext]nal orig91 includ+ cases caus$ by occupation1 by climate1 or by seborrhea4 ,eczema ( int]nal orig9 almo/ inv>iably appe>s on bo? sides ( ! body at once1 z on bo? *eeks1 or bo? arms1 or bo? ?ighs4 ,its bord] %ades into ! surr\nd+ sk91 x is dott$ ) papules 7or heads7 fill$ ) fluid1 & its surface is clean & n greasy4 ,z x spreads1 ! symmetry ( di/ribution is lo/4 ,among ! morbid ag5cies produc+ ?is v>iety ( eczema are ! products ( indige/ion4 ,among ! drugs produc+ x is cod-liv] oil4 ,occupation eczema occurs fir/ on expos$ p>ts1 z ! h&s1 arms1 face1 & neck1 9 ^? :o h&le irritant dyes1 sug>1 =mal91 etc4 ,climatic eczema includes ! w9t] it*1 common 9 ?is latitude1 appe>+ on wri/s & ankles 9 ! =m ( clean1 scaly pat*es1 (t5 r+$4 ,! seborrheic v>iety spreads f ! scalp to ! folds ( ! sk94 ,its bord]s are %>ply def9$1 & its cru/s & scales yell[i% & greasy4 ,x spreads f a c5t] 9 all directions at once4 ,treatm5t4--,! treatm5t ( eczema puzzles a physician1 & only speciali/s 9 sk9 diseases are able easily to diagnose ! subacute or *ronic =ms4 ,x may appe> diff]5t1 & ne$ diff]5t treatm5t almo/ f day to day1 & consequ5tly only g5]al sugge/ions c be made = home managem5t ( a case ( ?is disease4 ,! outlook is always good2 & ev5 9 ! case ( weak & debilitat$ pati5ts1 !re is excell5t *ance ( cure4 ,! diet mu/ be regulat$ at once4 ,meat %\ld be eat5 9 small quantities once a day only1 & none b v dige/ible meats %\ld be eat51 z f[l1 beef1 & lamb4 ,sug> & sweet food ne$ be cut d[n only :5 !re is indige/ion ) a production ( gas4 ,fre% air & ex]cise are imp]ative4 ,five gra9s ( calomel1 at night1 foll[$ by "o heap$ tablespoonful ( ,ro*elle salts dissolv$ 9 a full tumbl] ( wat] ! next morn+ be=e breakfa/1 %\ld be repeat$ twice a week till m>k$ improvem5t is se54 ,mean:ile1 ext]nal treatm5t mu/ be pu%$4 ,g5]ally speak+1 o9tm5ts mu/ n be us$ on weep+ or exud+ surfaces2 all scales & cru/s mu/ be remov$ f ! surface2 & acute pat*es mu/ be soo!d1 *ronic pat*es /imulat$4 ,wat] is h>mful & increases ! tr\ble2 b x is necess>y to use x once1 9 cleans+ ! affect$ area1 9 ! =m ( soap & wat]4 ,if !re are ?ick1 adh]5t cru/s1 a p\ltice ( boil$ />*1 cov]$ ) a musl9 clo?1 w loos5 !m 9 a night4 ,?ick5$ or horny lay]s on ! palms & soles may be cov]$ ) salicylic pla/] 7t5 p] c5t /r5g?71 :i* is remov$ aft] two days1 & ! :ole "p soak$ 9 w>m wat]1 :5 ! horny lay] is to be peel$ (f4 ,?ick5$ surfaces are be/ treat$ ) wood t>1 9 ! =m ( oil ( cade o9tm5t1 or ! pix liquida ( ! drug %ops mix$ ) twice its am\nt ( olive oil4 ,?is %\ld be well rubb$ into ! affect$ "p4 ,seborrheic eczema ( ! scalp & neighbor+ areas is be/ treat$ ) a f\r p] c5t o9tm5t ( ammoniat$ m]cury1 rubb$ 9 once a day = five days1 foll[$ by ! application ( a solution ( resorc9 9 wat]1 f\r gra9s to ! ounce4 ,weep+ & exud+ pat*es %\ld be treat$ ) p[d]$ /e>ate ( z9c1 or oleate ( bismu?1 or ari/ol1 ei!r "o du/$ on till ! area is fairly cov]$4 ,:5 ! surface beg9s to dry up1 ! foll[+ pa/e may be appli$3 ,salicylic acid #e to #ae gra9s ,z9c oxide #b drams ,p[d]$ />* #b drams ,vasel9e #a ounce ,if weep+ returns1 /op ! o9tm5t & resume ! p[d] treatm5t1 or use ! foll[+ lotion3 ,z9c oleate #a dram ,magnesium c>bonate #a dram ,i*?yol #a_/b ounce ,lime wat] #d ounces ,:5 ! sk9 aft] scal+ (f becomes ?91 all swell+ hav+ disappe>$1 lead pla/] is ( s]vice1 or dia*ylon o9tm5t tw5ty-five p] c5t1 made ) olive oil4 ,an eczema ( mod]ate ext5t %\ld recov] aft] f\r to six weeks' treatm5t1 unless ! soles or palms be attack$1 :5 six or m mon?s ( treatm5t may be necess>y4 ,if it*+ is pron\nc$1 remove cru/s & scabs aft] soak+ ) olive oil1 du/ borax1 f9ely p[d]$ on ! surface4 ,if ! it*+ is n controll$ 9 tw5ty m9utes1 wipe (f ! borax ) a v oily clo? 7us+ olive oil71 & !n apply a little solution ( c>bolic acid 7made by add+ a half teaspoonful ( c>bolic acid to a p9t ( hot wat]74 ,if ?is does n allay ! it*+1 wipe x (f ?or\ghly ) ! oil$ clo?1 & rub 9 ! t> o9tm5t made ( equal p>ts ( pix liquida & olive oil4 ,aft] ! it*+ ceases1 treat z direct$ accord+ to ! v>iety exi/+4 ,it*+ (t5 disappe>s aft] a good sal9e ca?>tic has act$--,ro*elle salts1 solution ( magnesia citrate1 or phosphate ( soda4 ,scrat*+ mu/ be avoid$4 ,9 ! case ( *ildr5 x is prev5t$ by putt+ mitt5s ( musl9 on ! h&s4 ,! be/ ca?>tic = "y *ildr5 is a teaspoonful ( ca/or oil4 ,c>bolic-acid solution mu/ n be us$ on !m4 ,! folds & creases ( _! sk9 mu/ be kept dry & p[d]$ ) borat$ talcum4 ,a great po9t 9 ! treatm5t ( all eczema is to avoid ! use ( wat]1 & to sub/itute oil+ ) olive oil & wip+ (f = ! usual wa%+ ( ! affect$ area4 ,,baldness ,,& ,,d&ruff4--,baldness is commonly caus$ by seborrhea ( ! scalp1 an affection probably due to a microbe1 & consi/+ ( an inflammation ( ! sk91 ) great increase ( d&ruff ( a ?ick1 greasy v>iety4 ,sometimes x appe>s z a ?ick film1 n only cov]+ ! scalp1 b also ! =ehead & back ( ! neck4 ,! greasy sub/ance %\ld be remov$ ) olive oil or vasel9e1 & ! scalp treat$ ) o9tm5t ( ammoniat$ m]cury1 f\r p] c5t /r5g?4 ,%ampoos ) t>-soap suds %\ld be giv5 once 9 f\r or five weeks1 & ! hair %\ld n be wet ) wat] betwe5 ! %ampoos4 ,! hair mu/ be arrang$ by comb+1 ! bru% be+ us$ to smoo? ! surface ( ! hair only4 ,deep & repeat$ bru%+ does great damage1 :i* is equall$ only by ! frequ5t wa%+ "s ill-advis$ suff]]s employ4 ,massage ( ! scalp is useless to control seborrheic eczema1 :i* is practically always pres5t 9 ^! cases4 ,tight hats are sometimes a cause ( baldness4 ,! lead us$ 9 ! prep>ation ( ! sweat lea!r ( hats is said to be a cause ( loss ( hair ov] ! temples4 ,:5 once kill$1 hair c r>ely be made to gr[ aga94 ,e>ly treatm5t ( seborrhea is ! be/ prev5tive ( baldness4 ,! baldness occurr+ dur+ an attack ( syphilis1 :5 ! hair falls out 9 r\nd pat*es1 is treat$ & (t5 reliev$ by antisyphilitic rem$ies 7see p4 #baj74 ,,footnotes3 #i ,caution4 ,poison\s4 ,,*apt] ,,iii ,rheumatism & ,k9dr$ ,diseases ,causes ( ,rheumatic ,fev]--,relief ( ,pa9 9 ! ,jo9ts--,lumbago--,/iff ,neck--,g\t--,symptoms & ,cure ( ,scurvy4 ,,rheumatic ,,fev]2 ,,inflammatory ,,rheumatism2 ,,acute ,,rheumatism4--,?is v>iety ( rheumatism is q di/9ct f ! o!r =ms1 be+ 9 all probability due to "s special g]m4 ,x occurs 9 temp]ate climates dur+ ! fall1 w9t]1 & spr+--less (t5 9 summ]4 ,p]sons m frequ5tly suff] betwe5 ! ages ( t5 & =ty ye>s4 ,x is r>e 9 infants2 _! pa9 & swell+ ( ! limbs c be attribut$ m (t5 to scurvy 7p4 #ahj71 or to surgical disease ) abscess ( jo9t or bone4 ,exposure to cold & damp1 9 p]sons insuffici5tly f$1 fatigu$1 or ov]work$1 is ! mo/ common excit+ cause4 ,symptoms4--,rheumatic fev] may beg9 ) tonsilitis1 or o!r sore ?roat1 ) fev] & pa9s 9 ! jo9ts4 ,! jo9ts rapidly become v pa9ful1 hot1 r$1 swoll51 & t5d]1 ! l>g] jo9ts1 z ! knees1 wri/s1 ankles1 & elb[s1 be+ attack$ 9 turn1 ! inflammation skipp+ f "o jo9t to ano!r4 ,! muscles ne> ! jo9ts may be also some:at swoll5 & t5d]4 ,) ! fev]1 :i* may be high 7! temp]ature rang+ f #ajb deg4 to #ajd deg4 ,f471 !re are rapid pulse1 copi\s sweat+1 & (t5 ! developm5t ( v>i\s ra%es & m9ute bli/]s on ! sk94 ,!re is also loss ( appetite1 & ! b[els are con/ipat$4 ,! ur9e is usually v d>k-color$4 ,altoge!r1 victims ( ! disease are truly pitiable1 = !y suff] agony1 & are unable to move )\t increas+ x4 ,! weakness & pro/ration are m>k$4 ,small1 h>d lumps1 f ! size ( a %ot to t ( a pea1 sometimes appe> on ! sk9 ( ! f+]s1 h&s1 wri/s1 knees1 & elb[s4 ,^! are n t5d]2 !y la/ = weeks & mon?s4 ,!y are se5 m (t5 9 *ildr51 & are mo/ *>act]i/ic ( rheumatic fev]1 b d n %[ !mselves till late 9 ! disease4 ,complications ( rheumatic fev] are _m4 ,9 ab\t half ! cases ! he>t becomes involv$1 & m or less p]man5t crippl+ ( ! he>t p]si/s 9 aft] life4 ,unconsci\sness & convulsions may develop--m (t5 :5 ! fev] runs high4 ,lung tr\ble & pleurisy are n infrequ5t4 ,*orea or ,/4 ,vitus's dance foll[s inflammatory rheumatism1 9 *ildr51 9 "s in/ances4 ,repeat$ attacks at int]vals1 v>y+ f "o to f\r or five ye>s1 are r ! rule--m p>ticul>ly 9 "y p]sons4 ,acute rheumatism frequ5tly takes a mild] =m1 ) slight fev] 7! temp]ature runn+ n ov] #ajj deg4 or #aja deg4 ,f47 & slight pa91 & swell+ ( ! jo9ts4 ,9 *ildr5 ?is is a common occurr5ce1 b he>t disease is j z apt to foll[1 &1 !re=e1 su* cases %\ld receive a physician's att5tion at ! e>lie/ mom5t4 ,recov]y f rheumatic fev] is ! usual result1 b ) an increas$ t5d5cy to future attacks1 & ) ! possibility ( m or less p]man5t weakness ( ! he>t1 = acute rheumatism is ! mo/ common orig9 ( *ronic he>t tr\bles4 ,! mild] =m (t5 foll[s ! m sev]e1 & may p]si/ = a long "t4 ,! duration ( rheumatic fev] is v>iable2 9 sev]e cases ! pati5t is b$ridd5 = six weeks or s4 ,rheumatism may be nam$ ?r\gh a mi/ake 9 diagnosis4 ,!re are num]\s o!r febrile disord]s 9 :i* inflammation ( ! jo9ts may occur4 ,among ^! are gonorrhea1 pneumonia1 sc>let fev]1 blood poison+1 diph!ria1 etc4 ,! jo9t tr\ble 9 ^! cases is caus$ by ! tox9s accompany+ ! special g]m :i* occasions ! orig9al disease1 & ! jo9t inflammation is n 9 any way connect$ ) rheumatism4 ,! con/ant att5tion ( a physician is emphatically dem&$ 9 e case ( rheumatic fev]1 s9ce ! complications are s num]\s1 & s9ce p]man5t damage ( ! he>t may be prev5t$ by prop] c>e4 ,only frequ5t exam9ations ( ! he>t by ! m$ical man w reveal ! pres5ce or abs5ce ( he>t complications4 ,treatm5t4--,x appe>s extremely d\btful :e!r rheumatic fev] c be cut %ort by any =m ( treatm5t4 ,! disease is self-limit$1 t is1 x w pass away ( itself aft] a c]ta9 "t4 ,! pa91 h[ev]1 c be rapidly abat$ by treatm5t4 ,w>m? is ( great value4 ,x is be/ = ! pati5t to sleep betwe5 blankets in/ead ( %eets1 & to we> flannel nightg[ns1 *ang+ !m z (t5 z !y become damp ) sweat4 ,to facilitate ! *ang+1 x is well to h ! nightg[ns slit all d[n ! front1 & also on ! outside ( ! sleeves4 ,wrapp+ ! jo9ts 9 cotton batt+ & apply+ spl9ts to secure absolute re/ are great aids to com=t4 ,! diet %\ld be fluid1 consi/+ ( gruels1 milk1 bro?s1 & s\ps4 ,to relieve pa9 9 ! jo9ts1 clo?s1 wrung out ( a saturat$ solution ( bak+ soda & v hot wat]1 wrapp$ ab\t ! jo9t & cov]$ ) oil silk w be f\nd extremely s]viceable4 ,oil ( w9t]gre5 is ano!r rem$y :i* has prov5 ( value :5 appli$ to ! jo9ts on clo?s saturat$ 9 ! oil & cov]$ ) cotton wool4 ,! b$ mu/ be smoo? & s(t1 ) good spr+s4 ,high fev] is r$uc$ by ! employm5t ( cold to ! head & by spong+ ! body ) cool wat] at int]vals ( two h\rs or s4 ,! two drugs ( mo/ value are "s =m ( salicylic acid & an alkali4 ,sodium salicylate 9 solution 9 wat] %\ld be giv5 to ! adult 9 doses ( t5 to fifte5 gra9s e two h\rs till ! pa9 is reliev$1 & !n once 9 f\r h\rs z long z ! fev] la/s4 ,at ! same "t bak+ soda %\ld be adm9i/]$ e ?ree h\rs1 "o-half a level teaspoonful dissolv$ 9 wat]1 & ?is may be cont9u$ z long z ! fev] p]si/s4 ,! pati5t mu/ use a b$pan 9 reliev+ ! bladd] & b[els1 & %\ld rema9 9 b$ = a great :ile if ! he>t is damag$4 ,x is a disease :i* no layman %\ld ?9k ( treat+ if x is possible to obta9 ! s]vices ( a m$ical man4 ,,muscul> ,,rheumatism 7,myalgia74--,9 ?is disease !re is pa9 9 ! muscles1 :i* may be con/ant1 b is m pron\nc$ on movem5t4 ,exposure to cold & wet1 comb9$ ) muscul> /ra91 frequ5tly excite an attack4 ,on ! o!r h&1 x (t5 occurs dur+ hot1 dry1 f9e wea!r4 ,attacks la/ usually b a few days1 b may be prolong$ = weeks4 ,! pa9 may be dull1 z if ! muscle _h be5 bruis$1 b is (t5 v %>p & cramplike4 ,!re is1 commonly1 slight1 if any1 fev]1 & no g5]al di/urbance ( ! heal?4 ,! foll[+ are ! mo/ common v>ieties3 ,,lumbago4--,?is attacks ! muscles 9 ! small "p ( ! back4 ,x comes on (t5 ) great sudd5ness1 z on /oop+ or lift+4 ,x may be s sev]e t ! body _c be mov$1 & ! pati5t may fall 9 ! /reet or be unable to rise or turn 9 b$4 ,9 less sev]e cases ! pa9 cat*es ! pati5t :5 attempt+ to /raight5 up aft] /oop+4 ,pa9 9 ! back is (t5 attribut$ by ! laity to ,bright's disease1 b is r>ely se5 9 ! latt] disord]1 & is mu* m (t5 due to rheumatism4 ,,/iff ,,neck4--,?is is a v common v>iety ( muscul> rheumatism1 & is se5 m especially 9 "y p]sons4 ,x may appe> v sudd5ly1 z on awak5+4 ,x attacks ! muscles ( "o side & back ( ! neck4 ,! head is held /iffly to "o side1 & to turn ! head ! body mu/ be turn$ also1 z mov+ ! neck causes sev]e pa94 ,sometimes ! pa9 on mov+ ! neck sudd5ly1 or gett+ x into c]ta9 positions1 is agoniz+1 b :5 x is held 9 o!r positions a fair am\nt ( com=t may be secur$4 ,,rheumatism ,,( ,,! ,,*e/4--,9 ?is =m !re is m or less con/ant pa91 mu* increas$ by c\gh+1 sneez+1 tak+ long brea?s1 or by movem5ts4 ,x attacks usually "o side1 m (t5 ! left4 ,x may resemble neuralgia or pleurisy4 ,9 neuralgia ! pa9 is m limit$ & comes 9 %>p] attacks1 & !re are pa9ful spots4 ,! abs5ce ( fev] 9 rheumatism ( ! *e/ w t5d to sep>ate x f pleurisy1 9 :i* !re is1 moreov]1 (t5 c\gh4 ,exam9ation ( ! *e/ by a physician1 to det]m9e ! brea? s\nds1 is ! only me?od to secure c]ta9ty 9 ?is matt]4 ,muscul> rheumatism also affects ! muscles ab\t ! %\ld] & %\ld] blade & upp] "p ( ! back2 sometimes also ! muscles ( ! belly & limbs4 ,treatm5t4--,re/1 heat1 & rubb+ are ! mo/ satisfactory rem$ies4 ,9 /iff neck1 rub well ) "s l9im5t1 z *lor(orm l9im5t1 & lie 9 b$ on a hot-wat] bag4 ,ph5acet9 or saloph5 9 doses ( t5 gra9s1 n repeat$ m frequ5tly ?an once 9 f\r h\rs = an adult1 may af=d relief2 only two or ?ree doses %\ld be tak5 9 all4 ,9 lumbago ! pati5t %\ld rema9 9 b$ & h ! back iron$ ) a hot flatiron1 ! sk9 be+ protect$ by a piece ( flannel4 ,?is %\ld be repeat$ sev]al times a day4 ,or a l>ge1 hot1 flaxse$ p\ltice may be appli$ to ! back1 & repeat$ z (t5 z x becomes cool4 ,at o!r times ! pati5t may lie on a hot-wat] bag4 ,pla/]s w give com=t 9 mild] cases1 or :5 ! pati5t is able to leave ! b$4 ,a good ca?>tic1 z two comp\nd ca?>tic pills1 sometimes acts v favorably at ! beg9n+ ( ! attack4 ,salicylate ( sodium is a useful rem$y 9 _m cases1 ! pati5t tak+ t5 gra9s ?ree times daily1 9 tablets aft] eat+1 = a numb] ( days4 ,9 rheumatism ( ! *e/1 secur+ immobility by /rapp+ ! *e/1 z recomm5d$ = brok5 rib 7,vol4 ,i1 p4 #hd71 gives m com=t ?an any o!r =m ( treatm5t4 ,_m o!r measures may be employ$ by ! physician1 & are applicable 9 p]si/5t cases1 z electricity & tonics4 ,! hot ba?1 or ,turki% ba?1 w sometimes cut %ort an attack ( muscul> rheumatism if employ$ at ! onset ( ! tr\ble4 ,,*ronic ,,rheumatism4--,*ronic rheumatism is a disease attack+ p]sons ( middle age1 or aft]1 & is se5 m commonly 9 poor1 h>d-work+ individuals :o h be5 expos$ to cold & damp1 z labor]s & wa%]wom54 ,sev]al ( ! l>g] jo9ts1 z ! knees1 %\ld]s1 & hips1 are usually affect$1 b occasionally only "o jo9t is attack$4 ,!re is little swell+ & no r$ness ab\t ! jo9t2 ! *ief symptoms are pa9 on motion1 /iffness1 & t5d]ness on pressure4 ,! pa9 is increas$ by cold1 damp wea!r1 & improv$ by w>m1 dry wea!r4 ,!re is no fev]4 ,! g5]al heal? suff]s if ! pa9 is sev]e & p]si/5t1 & pati5ts become pale1 dyspeptic1 & weak4 ,! disease t5ds r to gr[ worse ?an recov]1 & ! jo9ts1 aft] a long "t1 to become immovable & mis%ap54 ,life is n1 h[ev]1 %ort5$ to any consid]able degree by *ronic rheumatism4 ,he>t disease is n caus$ by ?is =m ( rheumatism1 al?\gh x may arise f some:at simil> t5d5cies exi/+ 9 ! same pati5t4 ,x may be di/+ui%$ f o!r v>ieties ( rheumatism by ! fact t ! l>g] jo9ts are ^? attack$1 & also by ! age ( ! pati5ts & g5]al progress ( ! disease4 ,x v r>ely foll[s acute rheumatism4 ,treatm5t4--,! treatm5t ( *ronic rheumatism is g5]ally n v successful unless ! pati5t c live 9 a w>m1 dry climate ! ye> r\nd4 ,pa9t+ ! jo9t ) t9cture ( iod9e & keep+ x b&ag$ 9 flannel af=ds "s relief4 ,! application ( a cold1 wet clo? cov]$ ) oil silk & b&age1 by night1 also proves useful4 ,hot ba?s at night1 ,turki% ba?s1 or special treatm5t conduct$ "u ! sup]vision ( a compet5t m$ical man at "o ( ! hot1 natural1 m9]al spr+s1 z ^? 9 ,virg9ia1 (t5 prove ( great value4 ,rubb+ & movem5t ( ! jo9ts is ( mu* s]vice 9 all cases2 any l9im5t may be us$4 ,drugs are ( m9or importance1 b cod-liv] oil & tonics may be requir$4 ,^! %\ld be prescrib$ by a physician4 ,,rheumatic ,,g\t 7,ar?ritis74--,not)/&+ ! "n1 ?is disease has no connection ) ei!r g\t or ! o!r =ms ( rheumatism describ$4 ,x occurs mu* m frequ5tly 9 wom51 ) ! exception ( t =m 9 :i* a s+le jo9t is attack$4 ,! disease may appe> at any age1 b m (t5 x beg9s betwe5 ! ye>s ( ?irty & fifty-five4 ,! cause is /ill a matt] ( d\bt1 al?\gh x (t5 foll[s1 or is associat$ )1 n]v\s diseases1 & 9 o!r cases ! onset seems to be connect$ ) ! exi/5ce ( influ5za or gonorrhea1 s t x may be ( g]m orig94 ,con/ant exposure to cold & dampness1 excessive c>e & anxiety1 & injury are ?\ght to favor ! disease4 ,! disease is sometimes limit$ to ! small] jo9ts ( ! f+]s & toes1 little1 h>d knobs appe>+ on !m4 ,at times ! jo9ts may be swoll51 t5d]1 & r$1 & are usually s at ! beg9n+ ( ! disease1 z well z at irregul> int]vals1 ow+ to indige/ion1 or foll[+ injury4 ,at fir/ only "o jo9t1 z ( ! middle f+]1 may be attack$1 & (t5 ! correspond+ f+] on ! o!r h& is next affect$4 ,! jo9ts ( ! f+]s become enl>g$1 de=m$1 & /iff5$4 ,! results ( ! disease are p]man5t s f> z ! de=mity is conc]n$ & ! /iffness :i* causes int]f]5ce ) ! movem5t ( ! f+] jo9ts1 b ! disease may /op dur+ any p]iod ( its developm5t1 leav+ a s]viceable1 ?\gh some:at crippl$1 h&4 ,9 ^! cases ! l>g] jo9ts are n g5]ally involv$4 ,!re is "s evid5ce to indicate t ?is =m ( ! disease is m commonly se5 9 ! long-liv$4 ,g5]al ,=m4--,9 ?is type ! disease t5ds to attack all ! jo9ts1 &1 9 _m cases1 to g f bad to worse4 ,! h&s are usually fir/ attack$1 !n ! knees1 feet1 & o!r jo9ts4 ,9 ! wor/ cases e jo9t 9 ! body becomes diseas$1 s t ev5 movem5ts ( ! jaw may become difficult4 ,!re are at fir/ slight swell+1 pa9 & r$ness ab\t ! jo9ts1 ) t5d]ness on pressure4 ,creak+ & grat+ are (t5 he>d dur+ motion ( ! affect$ jo9ts4 ,?is condition may improve or subside = int]vals1 b gradually ! jo9ts become mis%ap5 & de=m$4 ,! jo9ts are enl>g$1 & irregul> & /iff2 ! f+]s become drawn ov] t[>d ! little f+]1 or b5t t[>d ! palm1 & are wa/$ & clawlike4 ,! l>g] limbs are (t5 b5t & _c be /raight5$1 & ! muscles wa/e away1 mak+ ! jo9ts look l>g]4 ,9 ! wor/ cases ! pati5t becomes absolutely crippl$1 helpless1 & b$ridd51 & ! jo9ts become immovable4 ,! pa9 may be great & p]si/5t1 or slight4 ,usually ! pa9 gr[s less z ! disease advances4 ,numbness & t+l+ ( ! sk9 (t5 tr\ble ! pati5t1 & ! sk9 is sometimes smoo? & glossy or freckl$4 ,! g5]al heal? suff]s1 & weakness1 anaemia1 & dyspepsia are common4 ,ev5 ?\gh mo/ ( ! jo9ts become useless1 !re is (t5 suffici5t suppl5ess 9 ! f+]s to all[ ( _! use1 z 9 writ+ or knitt+4 ,9 old m5 ! disease is se5 attack+ "o jo9t alone1 z ! hip1 %\ld]1 knee1 & sp9e4 ,*ildr5 are occasionally suff]]s1 & 9 "y wom5 x may foll[ frequ5t conf9em5ts or nurs+1 & (t5 beg9s 9 !m l a mild attack ( rheumatic fev]4 ,! he>t is n damag$ by rheumatic g\t4 ,x is frequ5tly impossible to di/+ui% rheumatic g\t f *ronic rheumatism 9 ! beg9n+4 ,9 ! latt]1 creak+ & grat+ s\nds on movem5t ( ! jo9ts are less m>k$1 ! small jo9ts1 z ( ! h&1 are n s g5]ally attack$1 nor are !re z great de=mity & loss ( motion z is se5 9 late cases ( rheumatic g\t4 ,outlook4--,x (t5 happ5s t aft] attack+ sev]al jo9ts1 ! disease is completely arre/$ & ! pati5t becomes free f pa91 & only a c]ta9 am\nt ( int]f]5ce ) ! use ( ! jo9t & /iffness rema94 ,life is n necess>ily %ort5$ by ! disease4 ,! de=mity & crippl+ are p]man5t4 ,treatm5t4--,rheumatic g\t is a *ronic disease 9 mo/ in/ances1 & requires ! c>eful /udy & cont9u\s c>e ( ! m$ical man4 ,he may frequ5tly be able to arre/ x 9 ! e>li] /ages1 & prev5t a life ( pa9 & helplessness4 ,9 a g5]al way n\ri%+ food1 z milk1 eggs1 cream1 & butt]1 ) abundance ( fre% vegetables1 %\ld be tak5 to ! ext5t ( ! dige/ive p[]s4 ,ev]y?+ t t5ds to r$uce ! pati5t's /r5g? mu/ be avoid$4 ,cod-liv] oil & tonics %\ld be us$ ov] long p]iods4 ,v>i\s =ms ( ba?s are valuable1 z ! hot-air ba?1 & hot natural or artificial ba?s4 ,a dry1 w>m climate is mo/ appropriate1 & flannel clo?+ %\ld be worn ! ye> r\nd4 ,mod]ate ex]cise & outdoor life1 9 w>m wea!r1 are advisable1 & massage1 except dur+ ! acute attacks ( pa9 & inflammation1 is b5eficial4 ,surgical measures w sometimes aid pati5ts 9 rega9+ ! usefulness ( crippl$ limbs4 ,,scurvy4--,scurvy us$ to be mu* m common ?an x is n[4 ,9 ! ,civil ,w> !re 7 ne>ly #ej1jjj cases 9 ! ,union ,army4 ,sailors & soldi]s h be5 ! common victims1 b n[ ! disease occurs mo/ (t5 among ! poorly f$1 on %ore4 ,x is caus$ by a diet conta9+ nei!r fre% vegetables1 pres]v$ vegetables1 nor vegetable juices4 ,9 ! abs5ce ( vegetables1 limes1 lemons1 oranges1 or v9eg> w prev5t ! disease4 ,x is also ?\ght t poison\s sub/ances 9 ! food may occasion scurvy1 z ta9t$ meat has exp]im5tally produc$ 9 monkeys a disease resembl+ x4 ,c]ta9 conditions1 z fatigue1 cold1 damp qu>t]s1 m5tal depression & homesickness1 favor ! developm5t ( ! disease4 ,x attacks all ages1 b is mo/ sev]e 9 ! old4 ,symptoms4--,scurvy beg9s ) g5]al weakness & pal5ess4 ,! sk9 is dry1 & has a dirty hue4 ,! gums become swoll51 t5d]1 spongy1 & ble$ easily1 & lat] !y may ulc]ate & ! tee? loos5 & drop out4 ,! tongue is swoll51 & saliva fl[s freely4 ,! appetite is poor & *ew+ pa9ful1 & ! brea? has a bad odor4 ,! ankles swell1 & blui% spots appe> on ! legs :i* may be rais$ 9 lumps above ! surface4 ,! pati5t suff]s f pa9 9 ! legs1 :i* sometimes become swoll5 & h>d4 ,! blue spots are also se5 on ! arms & body1 & are due to ble$+ "u ! sk91 & come on ! slighte/ bruis+4 ,occasionally !re is ble$+ f ! nose & b[els4 ,! jo9ts are (t5 swoll51 t5d]1 & pa9ful4 ,con/ipation is r ! rule1 b 9 bad cases !re may be di>rhea1 nausea1 & vomit+1 & ! victim becomes a walk+ skeleton4 ,m5tal depression or delirium may be pres5t4 ,treatm5t4--,recov]y is usually rapid & complete1 unless ! disease is f> advanc$4 ,s\ps1 fre% milk1 beef juice1 & lemon or orange juice may be giv5 at fir/1 :5 ! dige/ion is weak1 & !n gre5 vegetables1 z sp9a* 7) v9eg>71 lettuce1 cabbage1 & potatoes4 ,! sor5ess ( ! m\? is reliev$ by a wa% conta9+ "o teaspoonful ( c>bolic acid to ! qu>t ( hot wat]4 ,?is %\ld be us$ to r9se ! m\? sev]al times daily1 b mu/ n be swall[$4 ,pa9t+ ! gums ) a two p] c5t solution ( silv] nitrate 9 wat]1 by means ( a camel's-hair bru%1 twice daily1 w also prove s]viceable4 ,to act z a tonic1 a two-gra9 qu99e pill & two ,blaud's pills ( iron may be giv5 ?ree times daily4 ,,infantile ,,scurvy4--,scurvy occasionally occurs 9 infants betwe5 twelve & eighte5 mon?s ( age1 & is due to fe$+ on pat5t foods1 cond5s$ milk1 malt$ milk1 & /]iliz$ milk4 ,9 case x is ess5tial to use /]iliz$ or pa/euriz$ milk1 if ! baby receives orange juice1 z advis$ "u ! c>e ( infants1 scurvy w n develop4 ,scurvy is frequ5tly mi/ak5 = ei!r rheumatism or p>alysis 9 babies4 ,symptoms4--,! l[] limbs become pa9ful1 & ! baby cries out :5 x is mov$4 ,! legs are at fir/ drawn up & become swoll5 all ar\nd j above ! knees1 b n ! knee jo9ts !mselves4 ,lat] ! :ole ?igh swells1 & ! baby lies )\t mov+ ! legs1 ) ! feet roll$ outw>d & appe>s to be p>alyz$1 al?\gh x is only pa9 :i* prev5ts movem5t ( ! legs4 ,sometimes !re is swell+ ab\t ! wri/ & =e>m1 & ! brea/bone may appe> sunk5 94 ,purpli% spots occur on ! legs & o!r p>ts ( ! body4 ,! gums1 if !re are tee? pres5t1 become s(t1 t5d]1 spongy1 & ble$ easily4 ,!re may be slight fev]1 ! temp]ature rang+ f #aja deg4 to #ajb deg4 ,f4 ,! babies are exce$+ly pale1 & lose all /r5g?4 ,treatm5t4--,! treatm5t is v simple1 & recov]y rapidly takes place z soon z x is c>ri$ out4 ,! fe$+ ( all pat5t baby foods--cond5s$ or /]iliz$ milk--mu/ be in/antly /opp$4 ,a diet ( fre% milk1 beef juice1 & orange juice1 z direct$ "u ! c>e ( infants1 w br+ ab\t a spe$y cure4 ,,g\t4--,not)/&+ ! frequ5cy ) :i* "o enc\nt]s allusions to g\t 9 ,engli% lit]ature1 x is unque/ionably a r>e disease 9 ! ,unit$ ,/ates4 ,9 ! ,massa*usetts ,g5]al ,hospital !re 71 among #bh1jjj pati5ts admitt$ 9 ! la/ t5 ye>s1 b f\r cases ( g\t4 ,?is is n an altoge!r fair crit]ion1 z pati5ts ) g\t are n g5]ally ( ! class :o seek hospitals1 nor is ! disease "o ( ^? :i* w\ld be mo/ likely to lead "o into a hospital4 ,/ill1 ! exp]i5ce ( physicians 9 private practice sub/antiates ! view ( ! r>ity ( g\t 9 ?is c\ntry4 ,we are /ill ignorant ( ! exact *anges 9 ! bodily condition :i* lead to g\t1 b may say 9 a g5]al way t 9 ?is disease c]ta9 products1 d]iv$ f our food & f ! we> & te> ( tissues1 are n prop]ly us$ up or elim9at$1 & are reta9$ 9 ! body4 ,"o ( ^! products is kn[n z sodium biurate1 & is deposit$ 9 ! jo9ts1 giv+ rise to ! inflammation & *anges to be describ$4 ,g\t occurs *iefly 9 m5 pa/ =ty4 ,! t5d5cy to ! disease is usually inh]it$4 ,ov]eat+1 toge!r ) insuffici5t ex]cise & indulg5ce 9 alcohol1 are conducive to its developm5t 9 susceptible p]sons4 ,injuries1 viol5t emotion1 & exposure to cold are also ?\ght to favor attacks4 ,! heavi] be]s & ales ( ,engl&1 toge!r ) _! /rong] w9es1 z port1 ,madeira1 %]ries1 & *ampagne1 are m prone to induce g\t ?an ! light] be]s drunk 9 ! ,unit$ ,/ates & ,g]many4 ,di/ill$ liquors1 z br&y & :isky1 are n s likely to occasion g\t4 ,poor man's g\t may arise 9 individuals :o lead ! mo/ temp]ate lives1 if !y h a /rong inh]it$ t5d5cy to ! disease1 or :5 dige/ion & assimilative disord]s are pres5t1 z well z 9 ! case ( ! poor :o dr9k mu* be] & live 9 bad surr\nd+s1 & h improp] & insuffici5t food4 ,work]s 9 lead1 z typesett]s & h\se pa9t]s1 are m liable to g\t ?an o!rs4 ,symptoms4--,!re is (t5 a set ( prelim9>y symptoms v>y+ 9 diff]5t p]sons1 & giv+ w>n+ ( an approa*+ attack ( g\t1 su* z neuralgic pa9s1 dyspepsia1 irritability1 & m5tal depression1 ) re/less nights4 ,an acute attack g5]ally beg9s 9 ! e>ly morn+ ) sudd51 %>p1 excruciat+ pa9 9 ! l>g] jo9t ( "o ( ! big toes1 m (t5 ! "r1 :i* becomes rapidly d>k r$1 mottl$1 swoll51 hot1 t5se1 %9y1 & exce$+ly s5sitive to t\*4 ,!re is commonly "s fev]2 a temp]ature ( #ajb deg4 to #ajc deg4 ,f4 may exi/4 ,! pa9 subsides 9 mo/ cases to a consid]able degree dur+ ! day1 only to return = sev]al nights1 ! :ole p]iod ( suff]+ la/+ f f\r to eight days4 ,occasionally ! pa9 may be pres5t )\t ! r$ness1 swell+1 etc41 or vice v]sa4 ,o!r jo9ts may be involv$1 p>ticul>ly ! jo9t ( ! big toe ( ! o!r foot4 ,complete recov]y ensues1 z a rule1 aft] ! fir/ attack1 & ! pati5t may !reaft] feel exceptionally well4 ,a return ( ! disease is r to be expect$4 ,sev]al attacks )9 ! ye> are n uncommon1 or !y may appe> at mu* long] int]vals4 ,occasionally ! g\t seems to /rike 94 ,9 ?is case x sudd5ly leaves ! foot & attacks ! he>t1 caus+ ! pati5t sev]e pa9 9 t region & great di/ress 9 brea?+2 or ! abdom5 becomes ! seat ( viol5t pa91 & vomit+1 di>rhea1 collapse & dea? r>ely result4 ,9 ! lat] hi/ory ( su* pati5ts1 ! acute attacks may cease & v>i\s jo9ts become *ronically diseas$1 s t ! case assumes ! appe>ance ( a *ronic =m ( rheumatism4 ,! e>ly hi/ory ( attacks ( %>p pa9 9 ! great toe & ! appe>ance ( h>d deposits 7*alk /ones7 9 ! knuckles & ! e>s are *>act]i/ic ( g\t4 ,! greate/ v>iety ( o!r disord]s are common 9 ^? :o h suff]$ f g\t1 or 9 ^? :o h inh]it$ ! t5d5cy4 ,g\t9ess is sometimes us$ to describe su* a condition4 ,9 ?is !re may nev] be any attacks ( pa9 or inflammation affect+ ! jo9ts1 b eczema & o!r sk9 diseases2 tonsilitis1 neuralgia1 indige/ion & bili\sness1 lumbago & o!r muscul> pa9s1 sick heada*e1 bron*itis1 disease ( he>t & kidneys1 ) a t5d5cy to apoplexy1 d>k-color$ ur9e1 /one 9 ! bladd]1 & a hot1 it*+ s5sation 9 ! palms ( ! h&s & soles ( ! feet1 all give evid5ce ( ! g\ty con/itution4 ,treatm5t4--,"o ( ! mo/ popul> rem$ies is col*icum--a p[]ful drug & "o :i* %\ld only be tak5 "u ! direction ( a physician4 ,a ca?>tic at ! beg9n+ is useful2 = in/ance1 two comp\nd ca?>tic pills or five gra9s ( calomel4 ,x is well to give five gra9s ( li?ium citrate dissolv$ 9 a glass ( hot wat] e ?ree h\rs4 ,laville's antig\t liquid1 import$ by ,f\g]a ( ,new ,york1 tak5 accord+ to directions1 may suffice dur+ ! abs5ce ( a physician4 ,! inflam$ toe %\ld be rais$ on a *air or pill[1 & hot clo?s may be appli$ to x4 ,! g5]al treatm5t1 betwe5 ! attacks1 consi/s 9 ! avoidance ( all =ms ( alcohol1 ! use ( a diet ri* 9 vegetables1 except peas1 beans1 & oatmeal1 ) meats sp>+ly & b once daily4 ,sweets mu/ be r$uc$ to ! m9imum1 b c]eals & bread/uffs are g5]ally all[able1 except hot bread4 ,all fri$ articles ( food1 all smok$ or salt$ meats1 smok$ or salt$ fi%1 pa/ry1 griddle cakes1 gravies1 spices & season+1 except r$ pepp] & salt1 & all indige/ibles are /rictly =bidd51 includ+ ,wel% r>ebit1 etc4 ,fruit may be g5]ally eat51 b n /rawb]ries nor bananas4 ,l>ge quantities ( pure wat] %\ld be tak5 betwe5 meals--at lea/ ?ree p9ts daily4 ,m9]al wat]s (f] no p>ticul> advantage4 ,"p ,,iii ,,sexual ,,hygi5e ,,by ,,k5elm ,,w9sl[ ,,*apt] ,i ,heal? & ,purity ,duties ( ,p>5ts--,abuse ( ! ,sexual ,function--,false ,tea*+s--,crim9al ,neglect--,secure ! ,*ild's ,confid5ce--,! ,be/ ,corrections--,m>riage ,relations4 ,e individual %\ld "k h[ to c>e = ! sexual organs z well z ^? ( any o!r "p ( ! body1 provid+ t ! in/ruction be giv5 by ! prop] p]son & at ! prop] "t & place4 ,su* in=mation %\ld be imp>t$ to *ildr5 by p>5ts1 gu>dians1 or physicians at an e>ly age &1 if ?is is neglect$ ?r\gh ignorance or false mode/y1 errone\s ideas ( ! nature & purpose ( ! sexual function w v surely be suppli$ lat] by ignorant & probably evil-m9d$ p]sons ) correspond+ly bad results4 ,!re is no o!r responsibility 9 ! :ole range ( p>5tal duties :i* is s commonly %irk$ & ) su* deplorable consequ5ces4 ,:5 ! subject is %orn ( ! morbid & s$uctive my/]y ) :i* cu/om has fooli%ly surr\nd$ x 9 ! pa/1 & consid]$ 9 ! same _s ) :i* we /udy ! hygi5e ( ! dige/ion & o!r natural functions1 x w be f\nd possible to give in/ruction ab\t ! sexual function 9 a natural way & )\t excit+ unheal?y & morbid curiosity4 ,a ^w 9 ! beg9n+ z to ! h>m produc$ by abuse ( ! sexual function4 ,! injury ?us receiv$ is purposely magnifi$ t5fold = reasons ( ga9 by quacks :o "w ^u ! fe>s ( _! victims = _! own selfi% purposes4 ,! volunt>y ex]cise ( ! sexual function--unlike t ( any o!r important organs--is n necess>y to heal? until maturity has be5 rea*$2 on ! contr>y1 cont95ce is conducive to heal?1 bo? physical & m5tal4 ,ev5 aft] maturity1 unless m>riage occurs1 or by improp] liv+ ! sexual desires are unnaturally /imulat$1 x is q possible to ma9ta9 p]fect heal? ?r\gh life )\t ex]cis+ ! sexual function at all4 ,undue irritation ( ! sexual organs causes disord] ( ! n]v\s sy/em1 & if cont9u$ x w result ultimately 9 ov]fatigue & failure ( ! n]v\s activities :i* control ! normal functions ( e organ 9 ! body4 ,9 o!r words1 x w result 9 n]v\s exhau/ion4 ,damage is also wr\ght by excit+ local irritation1 conge/ion1 & inflammation ( ! sexual organs :i* result 9 impairm5t ( ! prop] functions ( ^! p>ts & 9 local disord]s & di/ress4 ,x is unnecess>y fur!r to p>ticul>ize o!r ?an to /ate t abuse ( ! sexual organs 9 ! "y is usually ow+ to ! almo/ crim9al neglect or ignorance ( ! *ild's p>5ts4 ,b s f> f increas+ al>m 9 ! pati5t x is almo/ always possible to enable ! *ild to be rid ( ! habit by k9dly in/ruction & judici\s ov]sight 9 ! future1 & no s]i\s p]man5t local damage to ! sexual organs or g5]al injury to ! n]v\s sy/em w be likely to p]si/4 ,! opposite tea*+ is t peculi> to ! quack :o prophesies e imag9able evil1 f complete loss ( sexual function to insanity4 ,any real or fanci$ disord] ( ! sexual function is extremely apt to lead to mu* m5tal anxiety & depression1 s t a *e]ful outlook is ess5tial 9 inspir+ ef=t to correct bad habits & is :olly w>rant$ 9 view ( ! entire recov]y 9 mo/ cases ( ! "y :o h abus$ _! sexual organs4 ,insanity or imbecility are seldom ! result b m (t5 ! cause ( su* habits4 ,x is a sad fact1 h[ev]1 t1 "u ! prevail+ cu/om ( failure ( ! p>5ts to ex]cise prop] sup]vision ov] ! sexual function ( _! *ildr51 self-abuse is g5]ally practic$ 9 y\?1 at lea/ by boys4 ,?is (t5 leads to tempor>y physical & m5tal suff]+ & is v prejudicial to ! morals1 b does n commonly result 9 p]man5t injury except 9 ! deg5]ate4 ,*ildr5 at an e>ly age--?ree to f\r ye>s--%\ld be taught n to t\*1 h&le1 rub1 or irritate _! sexual organs 9 any way :atsoev] except s f> z is necess>y 9 ur9ation or 9 ! c\rse ( ! daily cleans+4 ,if !re seems to be any incl9ation to d s x w usually be f\nd t x is due to "s local tr\ble to :i* a physician's att5tion %\ld be call$ & :i* may g5]ally be readily rem$i$ by him4 ,x is always advisable to ask ! m$ical advis] to exam9e babies = any exi/+ tr\ble & abnormality ( ! sexual organs1 z a tight1 adh]5t1 or elongat$ =esk9 9 boys--& r>ely a correspond+ condition 9 girls--may give rise to mu* local irritation & remote n]v\s di/urbances4 ,! pres5ce ( worms may lead to irritation 9 ! b[el1 :i* excites ma/urbation 9 *ildr54 ,girl babies %\ld be wat*$ to prev5t !m f irritat+ ! ext]nal sexual p>ts by rubb+ !m betwe5 ! inn] surfaces ( ! ?ighs4 ,z ! *ild beg9s to play ) o!r *ildr5 he or %e %\ld be caution$ to avoid ^? :o 9 any way try to ?w>t ! p>5ts' advice1 & be in/ruct$ to report all su* occurr5ces4 ,x is wise also to try & gratify ! *ild's natural curiosity ab\t ! sexual function s f> z may be judici\s by explanations z to ! purpose ( ! sexual organs1 :5 ! *ild is old en\gh to compreh5d su* matt]s4 ,! retic5ce & dis9cl9ation ( p>5ts to in/ruct _! *ildr5 9 matt]s relat+ to sex _c be too /rongly condemn$4 ,x is p]fectly natural t ! y\? %\ld wi% to "k some?+ ( ! orig9 ( life & h[ human be+s come into ! _w4 ,! my/]y & concealm5t ?r[n ar\nd ^! matt]s only s]ve to /imulate 8 curiosity4 ,x is a habit ( mo/ p>5ts to rebuke any que/ions relat+ to ?is subject z improp] & immode/1 & ! fir/ lesson ! *ild le>ns is to associate ! idea ( %ame ) ! sexual organs2 &1 s9ce he is n enlight5$ by 8 natural in/ructors1 he picks up 8 k ( ! sex function 9 a haphaz>d way f old] & (t5 deprav$ companions4 ,evasive replies ) ! int5t ( /av+ (f ! dread$ explanation d no good & may result 9 unexpect$ evil4 ,by secur+ ! *ild's confid5ce at ! />t1 "o may n only keep in=m$ ( 8 actions b protect him f seek+ or ev5 li/5+ to bad c\nsels4 ,at ! age ( t5 or twelve x is well t ! family physician or p>5t %\ld give in/ruction z to ! special h>m :i* results f unnaturally excit+ ! sexual nature by h&l+ & /imulat+ ! sexual organs & also w>n+ ! *ild aga9/ fil?y lit]ature & improp] companions4 ,at ! age ( pub]ty he %\ld be w>n$ aga9/ ! moral & physical dang]s ( sexual int]c\rse ) lewd wom54 ,! physical dang]s ref] to ! great possibility ( infection ) "o or bo? ( ! common diseases--syphilis & gonorrhea--acquir$ by sexual contact ) "o suff]+ f ^! t]rible disord]s 7p4 #aii74 ,x is usually q impossible = a layman to detect ! pres5ce ( ^! diseases 9 o!rs1 or r1 to be sure ( _! abs5ce1 & ! p]man5t damage :i* may be wr\ght to ! suff]] & to o!rs ) :om he may h sexual relations is incalculable4 ,x is g5]ally kn[n t syphilis is a disease to be dread$1 b n p]haps t x n only endang]s ! life & happ9ess ( ! pati5t1 b ! future g5]ation ( 8 desc5dants4 ,gonorrhea--! mu* m common disease--:ile (t5 treat$ lightly by y\?1 frequ5tly leads to long1 *ronic1 local disease & may ev5 result fatally 9 dea?2 lat] 9 life x may cause infection ( a wife result+ 9 *ronic invalidism & necessitat+ surgical removal ( h] mat]nal organs4 ,^! possibilities (t5 occur long aft] ! pati5t ?9ks he is :olly free f ! disease4 ,gonorrhea 9 wom5 is ! mo/ frequ5t cause ( _! /]ility1 & also is a common s\rce ( abortion & premature bir?4 ,x is ! cause 9 mo/ cases ( bl9dness 9 infants 7p4 #bje7 & also ( vulvo-vag9itis 9 girl babies4 ,fur!rmore1 gonorrhea is s al>m+ly preval5t t x is /at$ on good au?ority t ! disease occurs 9 eighty p] c5t ( all males "s "t dur+ _! lives4 ,! disease is n conf9$ to pro/itutes1 b is common1 mu* m frequ5tly ?an is suspect$1 9 all walks & classes ( life & at all ages4 ,ev5 among boys att5d+ bo>d+ s*ools & simil> in/itutions ! disease is only too frequ5t4 ,x is p>ticul>ly important t ! true situation be expla9$ to boys ab\t to ent] college or a bus9ess c>e]1 = x is at ?is p]iod ( life t _! temptations become greate/4 ,alcohol is ! mo/ dang]\s foe--next to bad companions--) :i* !y mu/ cont5d 9 ?is matt]1 =1 weak5$ by its influ5ce & associat$ ) p]suasive fri5ds1 _! w gives way & ! advice & w>n+1 :i* !y may h receiv$1 are =gott54 ,idl5ess is also ano!r influ5tial factor 9 indirectly caus+ sexual disease2 h>d physical & m5tal "w are p[]ful correctives ( ! passions4 ,x may be ( int]e/ to read]s to "k t b rec5tly an association ( ,am]ican physicians1 al>m$ by ! fe>ful preval5ce ( sexual diseases 9 ?is c\ntry1 has be5 tak+ measures to in=m y\?s & adults & ! g5]al public1 ?r\gh special in/ruction 9 s*ools1 & by means ( pamphlets & lectures to tea*]s & o!rs1 ( ! preval5ce & great dang] ( ?is evil4 ,:5 "y adult life has be5 atta9$ x is also desirable = ! p>5t1 or ! family physician1 to in=m ! "y man or woman--especially if ei!r is ab\t to ent] a m>riage engagem5t--t close & frequ5t p]sonal contact ) ! opposite sex1 especially :5 ! affections are involv$1 w necess>ily1 ?\gh involunt>ily1 excite local /imulation ( ! sexual organs & g5]al irritability & exhau/ion ( ! entire n]v\s sy/em4 ,long engagem5ts--:5 ! p>ticipants are frequ5t companions--are ?us peculi>ly un=tunate4 ,x is only :5 ! sexual functions are normally ex]cis$ 9 adult life1 z 9 sexual int]c\rse1 t sexual excitem5t is n h>mful4 ,"y wom5 ab\t to m>ry %\ld receive in/ruction f _! mo!rs z to ! sexual relations :i* w exi/ aft] m>riage4 ,mo/ girls are all[$ to gr[ up ignorant ( su* matt]s & 9 consequ5ce may become greatly %ock$ & ev5 disgu/$ by ! sexual relations 9 m>riage--fancy+ t !re mu/ be some?+ unnatural & wrong ab\t !m because ! subject 0 avoid$ by ^? responsible = _! welf>e4 ,any excess 9 frequ5cy ( sexual int]c\rse aft] m>riage is foll[$ by feel+s ( depression & debility ( "s sort :i* may be readily attribut$ to ! cause & s correct$4 ,any deviation f ! natural mode ( int]c\rse is pretty c]ta9 to lead to physical disa/]2 ?us1 unnatural prolongation ( ! act1 or )drawal on ! "p ( ! man be=e ! natural completion ( ! act 9 ord] to prev5t conception1 (t5 results 9 deplorable n]v\s disord]s4 ,9 conclusion1 x may be said t p>5ts mu/ take ^u !mselves ! burd5 ( in/ruct+ _! *ildr5 9 sexual hygi5e or %ift x ^u ! %\ld]s ( ! family physician1 :o c und]take x ) mu* less m5tal p]turbation & ) m intellig5ce4 ,o!rwise !y subject _! (fspr+ to ! possibility ( incalculable suff]+1 disease1 & ev5 dea?--l>gely ?r\gh _! own inexcusable neglect4 ,,*apt] ,,ii ,g5ito-,ur9>y ,diseases ,contagi\s ,disord]s--,common ,tr\bles ( ,*ildr5--,inflammation ( ! ,bladd]--,/oppage & ,suppression ( ,ur9e--,causes & ,treatm5t ( ,bright's ,disease4 ,,gonorrhea4--,gonorrhea is a contagi\s inflammation ( ! ure?ra1 accompani$ by a :ite or yell[i% dis*>ge4 ,x is caus$ by a specific g]m1 ! gonococcus1 & is acquir$ ?r\gh sexual int]c\rse ) a p]son suff]+ f ?is disease4 ,exceptionally ! disease may be convey$ by objects soil$ ) ! dis*>ge1 z bas9s1 t[els1 &1 9 *ildr51 diap]s1 s t 9 in/itutions = infants x may be ?us transf]r$ f "o to ! o!r1 caus+ an epidemic4 ,! muc\s membrane ( ! l[] "p ( ! b[el & ! eyes are also subject to ! disease ?r\gh contam9ation ) ! dis*>ge4 ,! disease beg9s usually ?ree to sev5 days aft] sexual int]c\rse1 ) symptoms ( burn+1 sm>t+1 & pa9 on ur9ation1 & a wat]y dis*>ge f ! passage1 soon foll[$ by a yell[i% or :ite secretion4 ,swell+ ( ! p5is1 frequ5t ur9ation1 & pa9ful erections are also common symptoms4 ,! disease1 if uncomplicat$ & runn+ a favorable c\rse1 may end 9 recov]y )9 six weeks or e>li]1 ) prop] treatm5t4 ,on ! o!r h&1 complications are exce$+ly frequ5t1 & ! disord] (t5 t]m9ates 9 a *ronic inflammation :i* may p]si/ = ye>s--ev5 )\t ! k ( ! pati5t--& may result 9 ! infection ( o!rs aft] all visible signs h ceas$ to appe>4 ,treatm5t4--,re/ is ! mo/ important requisite2 at fir/1 be/ 9 b$2 if n1 ! pati5t %\ld keep z quiet z possible = sev]al days4 ,! diet %\ld consi/ ( l>ge quantities ( wat] or milk1 or milk & vi*y1 ) bread1 c]eals1 potatoes1 & vegetables--absolutely avoid+ alcohol 9 any =m4 ,sexual int]c\rse is h>mful at any /age 9 ! disease & w communicate ! infection4 ,ap]i5t salts %\ld be tak5 to keep ! b[els loose4 ,! p5is %\ld be soak$ 9 hot wat] ?ree times daily to r$uce ! inflammation & cleanse ! organ4 ,a small wad ( absorb5t cotton may be held 9 place by draw+ ! =esk9 ov] x to absorb ! dis*>ge1 or may be held 9 place by means ( a bag fitt+ ov] ! p5is4 ,all clo?s1 cotton1 etc41 :i* h become soil$ ) ! dis*>ge1 %\ld be burn$1 & ! h&s %\ld be wa%$ aft] contact ) ! dis*>ge2 o!rwise ! contagion may be convey$ to ! eyes1 produc+ bl9dness4 ,x is advisable = ! pati5t to take "o-half teaspoonful ( bak+ soda 9 wat] ?ree times daily betwe5 meals = ! fir/ f\r or five days1 or1 bett]1 fifte5 gra9s ( potassium citrate & fifte5 drops ( sweet _s ( nitre 9 ! same way4 ,pa9ful erections may be reliev$ by ba?+ ! p5is 9 cold wat]1 ur9at+ e ?ree h\rs1 & tak+ tw5ty gra9s ( sodium bromide at night 9 wat]4 ,aft] all swell+ & pa9 h subsid$1 local treatm5t may be begun4 ,injections or irrigations ) v>i\s m$icat$ fluids con/itute ! be/ & mo/ effici5t measures ( local treatm5t4 ,!y %\ld be us$ only "u ! advice & managem5t ( ! physician4 ,no great] mi/ake c be made ?an to resort to ! adv]tis+ quack1 ! druggi/'s cl]k1 or ! prescription furni%$ by an oblig+ fri5d4 ,skillful treatm5t1 result+ 9 a complete radical cure1 may save him mu* suff]+ f avoidable complications & mon?s or ye>s ( *ronic tr\ble4 ,at ! same "t ! fir/ m$ic9es advis$ are /opp$ & oleores9 ( cubebs1 five gra9s1 or copaiba balsam1 t5 gra9s--or bo? toge!r--are to be tak5 ?ree times daily aft] meals1 9 capsules1 = sev]al weeks1 unless !y di/urb ! dige/ion too mu*4 ,a susp5sory b&age %\ld be worn ?r\gh\t ! cont9uance ( ! disease4 ,! approa* ( ! cure ( ! disease is m>k$ by a dim9ution 9 ! quantity & a *ange 9 ! "* ( ! dis*>ge1 :i* becomes ?9n] & less purul5t & r$uc$ to m]ely a drop 9 ! passage 9 ! e>ly morn+1 b ?is may cont9ue = a great :ile4 ,*ronic dis*>ge ( ?is k9d & ! complications _c be treat$ prop]ly by ! pati5t1 b require skill$ m$ical c>e4 ,9 ?is connection x may be said t mo/ pati5ts h an idea t ! subsid5ce or disappe>ance ( ! dis*>ge is an evid5ce ( ! cure ( ! disease4 ,exp]i5ce %[s t ! disease may lapse into a lat5t or *ronic =m & rema9 quiesc5t1 )\t visible symptoms1 dur+ a prolong$ p]iod1 :ile susceptible ( be+ reviv$ "u ! influ5ce ( alcoholic dr9ks or sexual int]c\rse4 ,x is important t treatm5t %\ld be cont9u$ until all disease g]ms are de/roy$1 :i* c only be det]m9$ by an exam9ation ( ! secretions f ! ure?ra "u ! microscope4 ,! m common complications ( gonorrhea are inflammation ( ! gl&s 9 ! gro9 7bubo71 acute inflammation ( ! pro/ate gl&s & bladd]1 ( ! sem9al vesicles1 or ( ! te/icles4 ,! latt] complication is a mo/ common cause ( /]ility 9 m54 ,=m]ly x 0 ?\ght t gonorrhea 0 a local inflammation conf9$ to ! ur9>y canal & neighbor+ p>ts1 b advances 9 our k h %[n t ! g]ms may be tak5 up into ! g5]al circulation & affect any "p ( ! body1 su* z ! muscles1 jo9ts1 he>t1 lungs1 liv]1 sple51 kidneys1 etc41 ) results always s]i\s & (t5 fatal to life4 ,"o ( ! mo/ common complications is gonorrheal ar?ritis1 :i* may affect "o or sev]al jo9ts & result 9 /iffness or complete loss ( movem5t ( ! affect$ jo9t1 ) m or less de=mity & p]man5t disability4 ,ano!r complication is gonorrheal inflammation ( ! eye1 f direct transf]5ce ( ! pus by ! f+]s or o!rwise1 & result+ 9 p>tial or complete bl9dness4 ,,gonorrhea ,,9 ,,wom54--,gonorrhea 9 wom5 is a mu* m frequ5t & s]i\s disease ?an 0 =m]ly suppos$4 ,! g5]al impression among ! laity is t gonorrhea 9 wom5 is limit$ to ! pro/itute & vici\s classes :o indulge 9 lic5ti\s relations4 ,un=tunately1 ?is is n ! case4 ,!re is p]haps m gonorrhea1 9 ! aggregate1 among virtu\s & respectable wives ?an among pr(essional pro/itutes1 & ! explanation is ! foll[+3 ,a l>ge proportion ( m5 contract ! disease at or be=e ! m>ry+ age4 ,! great majority are n cur$1 & ! disease simply lapses into a lat5t =m4 ,_m ( !m m>ry1 believ+ !mselves cur$1 & ignorant ( ! fact t !y are be>]s ( contagion4 ,!y transmit ! disease to ! wom5 !y m>ry1 _m ( :om1 f motives ( mode/y & an unwill+ness to und]go an exam9ation d n consult a physician1 & !y rema9 ignorant ( ! exi/5ce ( ! disease until ! heal? is s]i\sly involv$4 ,9 wom51 gonorrhea is n usually s acute & pa9ful z 9 m51 unless x involves ! ure?ra4 ,x usually beg9s ) sm>t+ & pa9ful ur9ation1 ) frequ5t desire to ur9ate & ) a m or less abundant dis*>ge f ! front passage4 ,9 ! majority ( cases ! infection takes place 9 ! deep] p>ts1 t is1 9 ! neck or body ( ! womb4 ,9 ?is location x may n give rise at fir/ to pa9ful symptoms1 & ! pati5t (t5 attributes ! increas$ dis*>ge to an aggravation ( leucorrhea f :i* %e may h suff]$4 ,! special dang] to wom5 f gonorrhea is t ! inflammation is apt to be aggravat$ dur+ ! m5/rual p]iod & ! g]ms ( ! disease asc5d to ! cavity ( ! womb1 ! tubes1 & ov>ies1 & invade ! p]itoneal cov]+1 caus+ p]itonitis4 ,pregnancy & *ildbir? af=d favorable opportunities = ! upw>d asc5sion ( ! g]ms to ! p]itoneal cavity4 ,! *anges caus$ by gonorrheal inflammation 9 ! mat]nal organs are ! mo/ common cause ( /]ility 9 wom54 ,x is e/imat$ t ab\t fifty p] c5t ( all /]ility 9 wom5 proce$s f ?is cause4 ,9 addition to its effects ^u ! *ild-be>+ function1 ! dang] to ! heal? ( su* wom5 is always s]i\s4 ,9 ! l>ge proportion ( cases !y are made p]man5t invalids1 no long] able to walk freely1 b compell$ to pass _! lives 9 a recl9+ position until worn out by suff]+1 :i* c only be reliev$ by ! surgical removal ( _! mat]nal organs4 ,x is e/imat$ t f fifty to sixty p] c5t ( all op]ations p]=m$ on ! mat]nal organs ( wom5 are due to disease caus$ by gonorrheal inflammation4 ,treatm5t4--,re/ 9 b$1 ! use ( injections ( hot wat]1 m$icat$ ) v>i\s a/r+5ts1 by means ( a f\nta9 syr+e 9 ! front passage ?ree times daily1 & ! same rem$ies & ba? recomm5d$ above1 ) hot sitz ba?s1 w usually relieve ! di/ress4 ,9 view ( ! s]i\s "* ( ?is affection 9 wom5 & its un=tunate results :5 n prop]ly treat$1 x is important t !y %\ld h ! b5efit ( prompt & skillful treatm5t by a physician4 ,o!rwise1 ! heal? & life ( ! pati5t may be s]i\sly compromis$4 ,! social dang] ( gonorrhea introduc$ aft] m>riage is n limit$ to ! risks to ! heal? ( ! woman4 ,:5 a woman ?us infect$ be>s a *ild ! contagion ( ! disease may be convey$ to ! eyes ( ! *ild 9 ! process ( bir?4 ,gonorrheal pus is ! mo/ virul5t ( all poisons4 ,a s+le drop ( ! pus transf]r$ to ! eye may de/roy ?is organ 9 f tw5ty-f\r to =ty-eight h\rs4 ,x is e/imat$ t f sev5ty-five to eighty p] c5t ( all babies bl9d$ at bir? h suff]$ f ?is cause1 :ile f tw5ty to ?irty p] c5t ( bl9dness f all causes is due to gonorrhea4 ,:ile ! horrors ( ?is disease 9 ! newborn h be5 mitigat$ by :at is call$ ! ,cr$e me?od 7in/illation ( nitrate ( silv] solution 9 ! eye imm$iately aft] bir?71 x /ill rema9s "o ( ! mo/ common factors 9 ! causation ( bl9dness4 ,ano!r social dang] is caus$ by ! pus be+ convey$ to ! g5ital p>ts ( female *ildr51 ei!r at bir? or by "s object ^u :i* x has be5 accid5tally deposit$1 su* z clo!s1 sponges1 diap]s1 etc4 ,^! cases are v common 9 babies' hospitals & in/itutions = ! c>e ( *ildr54 ,q a numb] ( epidemics h be5 trac$ to ?is cause4 ,! disease occurr+ 9 *ildr5 is exce$+ly difficult ( cure & is (t5 foll[$ by impairm5t 9 ! developm5t ( _! mat]nal organs4 ,mu* ( ! ill heal? ( "y girls f disord]$ m5/ruation & o!r ut]9e diseases may be trac$ to ?is cause4 ,ano!r s]i\s infection 9 babies & "y *ildr5 is gonorrheal inflammation ( ! jo9ts1 ) m or less p]man5t crippl+4 ,,syphilis2 ,,! ,,pox2 ,,lues4--,syphilis is a contagi\s g]m disease affect+ ! entire sy/em4 ,:ile commonly acquir$ ?r\gh sexual int]c\rse ) a p]son affect$ ) ! disord]1 x may be inh]it$ f ! p>5ts1 "o or bo?4 ,x is (t5 acquir$ ?r\gh accid5tal contact ) s\rces ( contagion4 ,syphilis & tub]culosis are ! two great de/roy]s ( heal? & happ9ess1 b syphilis is ! m common4 ,symptoms4--,acquir$ syphilis may be divid$ into ?ree /ages3 ! prim>y1 second>y1 & t]ti>y4 ,! fir/ /age is *>act]iz$ by ! appe>ance ( a pimple or sore on ! surface ( ! sexual organ n usually e>li] ?an two1 nor lat] ?an five to sev51 weeks aft] sexual int]c\rse4 ,! appe>ance ( ?is fir/ sore is subject to su* v>iations t x is n always possible = ev5 ! mo/ skillful physician to det]m9e positively ! pres5ce ( syphilis 9 any individual until ! symptoms *>act]i/ic ( ! second /age develop4 ,foll[+ ! pimple on ! surface ( ! p5is comes a raw sore ) h>d deposit b5ea?1 z ( a co9 "u ! sk94 ,x may be s slight z to pass unnotic$ or become a l>ge ulc]1 & may la/ f a few weeks to sev]al mon?s4 ,!re are sev]al o!r k9ds ( sores :i* h no connection ) syphilis & yet may resemble ! syphilitic sore s closely t x becomes impossible to di/+ui% betwe5 !m except by ! lat] symptoms to be describ$4 ,along ) ?is sore1 lumps usually occur 9 "o or bo? gro9s1 due to enl>g$ gl&s4 ,! second /age appe>s 9 six to sev5 weeks aft] ! initial sore1 & is *>act]iz$ by ! occurr5ce ( a copp]-color$ ra% ov] ! body1 b n (t5 on ! face1 :i* resembles measles consid]ably4 ,sometimes a pimply or scaly eruption is se5 foll[+ ?is or 9 place ( ! r$ ra%4 ,at ab\t1 or prec$+1 ?is p]iod o!r symptoms may develop1 z fev]1 heada*e1 nausea1 loss ( appetite1 & sleeplessness1 b ^! may n be prom95t4 ,moi/ pat*es may appe> on ! sk91 9 ! armpits1 betwe5 ! toes1 & ab\t ! rectum2 or w>ty outgr[?s 9 ! latt] region4 ,!re is sore ?roat1 ) frequ5tly grayi% pat*es on ! inside ( ! *eeks1 lips1 & tongue4 ,! hair falls out 9 pat*es or1 less (t51 is all lo/4 ,inflammation ( ! eye is sometimes a symptom4 ,^! symptoms d n always occur at ! same "t1 & "s may be abs5t or less noticeable ?an o!rs4 ,! ?ird /age comes on aft] mon?s or ye>s1 or 9 ^? subject$ to treatm5t may n occur at all4 ,?is /age is *>act]iz$ by sores & ulc]ations on ! sk9 & deep] tissues1 & ! occurr5ce ( disease ( diff]5t organs ( ! body1 includ+ ! muscles1 bones1 n]v\s sy/em1 & blood vessels2 e int]nal organ is susceptible to syphilitic *ange4 ,a great _m affections ( ! int]nal organs--! he>t1 lungs1 liv]1 kidneys1 bra91 & cord--:i* 7 =m]ly attribut$ to o!r causes1 are n[ recogniz$ z ! product ( syphilis4 ,! c5tral n]v\s sy/em is peculi>ly susceptible to ! action ( ! syphilitic poison1 & :5 affect$ may %[ ! fact ?r\gh p>alysis1 crippl+1 disabl+1 & disfigur+ disord]s4 ,ye>s aft] cure has app>5tly result$1 pati5ts are m liable to c]ta9 n]v\s disord]s1 z locomotor ataxia1 :i* attacks practically only syphilitics2 & g5]al p>esis1 ( :i* sev5ty-five p] c5t ( ! cases occur 9 ^? :o h _h syphilis4 ,inh]it$ ,syphilis4--,*ildr5 born ) syphilis ( syphilitic p>5ts %[ ! disease at bir? or usually )9 "o or two mon?s4 ,!y pres5t a gaunt1 wa/$ appe>ance1 suff] cont9ually f snuffles or nasal cat>rh1 h sores & cracks ab\t ! lips1 loss ( hair1 & tr\blesome sk9 eruptions4 ,! syphilitic *ild has be5 describ$ z a little old man ) a cold 9 8 head4 ,! int]nal organs are almo/ inv>iably diseas$1 & sixty to eighty p] c5t ( ! cases =tunately die4 ,^? :o live to gr[ up are puny & poorly develop$1 s t at tw5ty !y look n old] ?an twelve1 & are always delicate4 ,x is to be not$ t syphilis is n necess>ily a v5]eal disease1 t is1 acquir$ ?r\gh sexual relations4 ,x may be communicat$ by kiss+1 by accid5tal contact ) a sore on a pati5t's body1 by ! use ( pipes1 cups1 spoons1 or o!r eat+ or dr9k+ ut5sils1 or contact ) any object ^u :i* ! virus ( ! disease has be5 deposit$4 ,any "p ( ! surface ( ! body or muc\s membrane is susceptible ( be+ inoculat$ ) ! virus ( syphilis1 foll[$ by a sore simil> to :at has be5 describ$ z occurr+ ^u ! g5ital p>ts & lat] ! developm5t ( con/itutional symptoms4 ,! contagi\sness ( ! disease is suppos$ to la/ dur+ ! fir/ ?ree ye>s ( its exi/5ce1 b !re are _m au!ntic cases ( contagion occurr+ aft] f\r or five ye>s ( syphilis4 ,diagnosis4--,! positive det]m9ation ( ! exi/5ce ( syphilis at ! e>lie/ mom5t is ( ! utmo/ importance 9 ord] to set at re/ d\bt & t treatm5t may be begun4 ,x is necess>y to wait1 h[ev]1 until ! appe>ance ( ! eruption1 sore ?roat1 enl>gem5t ( gl&s1 fall+ out ( hair1 etc41 be=e x is safe to be positive4 ,treatm5t4--,! treatm5t %\ld be begun z soon z ! diagnosis is made1 & mu/ be cont9u\sly & consci5ti\sly pursu$ = ?ree ye>s or long]4 ,if treatm5t is in/itut$ be=e ! second>y symptoms1 x may prev5t _! appe>ance s t ! pati5t may rema9 9 d\bt :e!r he _h ! disease or n1 = x is impossible = ! mo/ skill$ speciali/ absolutely to di/+ui% ! disease be=e ! eruption1 no matt] h[ probable its exi/5ce may seem4 ,?is happ5s because !re are sev]al k9ds ( sores :i* attack ! sexual organs & :i* may closely simulate syphilis4 ,! treatm5t is *iefly c>ri$ out ) v>i\s =ms ( m]cury & iodides1 b s mu* k & exp]i5ce are requir$ 9 adapt+ ^! to ! individual ne$s & peculi>ities ( ! pati5t t x is impossible to describe _! use4 ,pati5ts %\ld n m>ry until f\r or five ye>s h elaps$ s9ce ! appe>ance ( syphilis 9 _! p]sons1 & at lea/ twelve mon?s aft] all manife/ations ( ! disease h ceas$4 ,if ^! conditions h be5 compli$ )1 !re is little dang] ( communicat+ ! disease to _! wives or transmitt+ x to _! (fspr+4 ,!y mu/ moreov]1 h be5 "u ! treatm5t dur+ all ?is p]iod4 ,ab/95ce f alcohol1 tobacco1 dissipation1 & especial c>e ( ! tee? are necess>y dur+ treatm5t4 ,results4--,! majority ( syphilitics recov] :olly "u treatm5t & nei!r h a return ( ! disease nor communicate x to _! wives or *ildr54 ,x is1 h[ev]1 possible = a man1 :o has app>5tly :olly recov]$ = five or six ye>s or m1 to imp>t ! disease4 ,)\t prop] treatm5t or )\t treatm5t = ! prop] "t1 recurr5ce ( ! disease is frequ5t ) ! occurr5ce ( ! de/ructive & (t5 s]i\s symptoms *>act]i/ic ( ! ?ird /age ( ! disease4 ,:ile syphilis is n s fatal to life z tub]culosis1 x is capable ( caus+ m suff]+ & unhapp9ess1 & is directly transmitt$ f fa!r to *ild1 :i* is n ! case ) consumption4 ,syphilis is also :olly prev5table1 :i* is n true ( tub]culosis at pres5t4 ,x is n probable t syphilis is ev] transmitt$ to ! ?ird g5]ation directly1 b de=mities1 g5]al debility1 small & poor tee?1 ?91 scanty gr[? ( hair1 n]v\s disord]s1 & a g5]al mis]able physique are se5 9 *ildr5 ^: p>5ts 7 ! victims ( inh]it$ syphilis4 ,9 m>ri$ life syphilis may be communicat$ to ! wife directly f ! prim>y sore on ! p5is ( ! husb& dur+ sexual int]c\rse1 b contam9ation ( ! wife m (t5 happ5s f ! lat] manife/ations ( ! disease 9 ! husb&1 z f secretion f op5 sores on ! body or f ! m\?1 :5 ! moi/ pat*es exi/ !re4 ,x is possible = a *ild to inh]it syphilis f ! fa!r--:5 ! g]ms ( syphilis are transmitt$ ?r\gh ! sem5 ( ! fa!r at ! "t ( conception--& yet ! "m escape ! disease4 ,on ! o!r h&1 x is n uncommon = ! *ild to become ?us infect$ & infect its "m :ile 9 h] womb2 or ! "m may receive syphilis f ! husb& aft] conception1 & ! *ild become infect$ 9 ! womb4 ,! *ief social dang] ( syphilis comes f its introduction into m>riage & its morbid radiations ?r\gh family & social life4 ,probably "o 9 e five cases ( syphilis 9 wom5 is communicat$ by ! husb& 9 ! m>riage relation4 ,!re are s _m s\rces & modes ( its contagion t x is spread f "o p]son to ano!r 9 ! ord9>y relations ( family & social life--f husb& to wife & *ild1 f *ild to nurse1 & to o!r memb]s ( ! family1 s t small epidemics ( syphilis may be trac$ to its introduction into a family4 ,syphilis is ! only disease :i* is transmitt$ 9 full virul5ce to ! (fspr+1 & its effect is simply murd]\s4 ,z se5 above1 f sixty to eighty p] c5t ( all *ildr5 die be=e or soon aft] bir?4 ,"o-?ird ( ^? born alive die )9 ! next six mon?s1 & ^? t f9ally survive are blight$ 9 _! developm5t1 bo? physical & m5tal1 & affect$ ) v>i\s organic defects & de=mities :i* unfit !m = ! battle ( life4 ,syphilis has come to be recogniz$ z "o ( ! mo/ p[]ful factors 9 ! depopulation & deg5]ation ( ! race4 ,,involunt>y ,,passage ,,( ,,ur9e--,,b$-,,wett+ ,,9 ,,*ildr54--7,incont95ce ( ,ur9e74--,?is ref]s to an escape ( ur9e f ! bladd] uncontroll$ by ! w4 ,x naturally occurs 9 infants "u ?irty mon?s1 or !reab\ts1 & 9 ! v old1 & 9 connection ) v>i\s diseases4 ,x may be due to disease ( ! bra91 z 9 idiocy or insanity1 apoplexy1 or unconsci\s /ates4 ,injuries or disord]s ( ! sp9al cord1 :i* controls ! action ( ! bladd] 7subject to ! bra971 also cause incont95ce4 ,local disord]s ( ! ur9>y organs are m frequ5t causes ( ! tr\ble1 z inflammation ( any "p ( ! ur9>y tract1 diabetes1 nephritis1 /one 9 ! bladd]1 tumors1 & mal=mations4 ,! involunt>y passage ( ur9e may arise f irritability ( bladd]--! mo/ frequ5t cause--or f weakness ( ! muscles :i* re/ra9 ! escape ( ur9e1 or f ob/ruction to fl[ ( ur9e f ! bladd]1 ) ov]fl[ :5 x becomes di/5d$4 ,x is a v common disord] ( *ildr5 & "y p]sons1 & 9 "s cases no cause c be f\nd2 b 9 _m in/ances x is due to ma/urbation 7p4 #aic71 to a n>r[ =esk9 & small ap]ture at ! exit ( ! ur9>y passage1 to worms 9 ! b[els or disease ( ! l[] end ( ! b[els1 su* z fissure or eczema1 to dige/ive disord]s1 to reta9+ ! ur9e ov]long1 to fright1 to dream impressions 7dream+ ( ! act ( ur9ation71 & to great weakness br\ght on by fev]s or o!r diseases4 ,9 old m5 x is (t5 due to an enl>gem5t ( a gl& at ! neck ( ! bladd] :i* prev5ts ! bladd] f clos+ prop]ly4 ,a conc5trat$ & irritat+ ur9e1 f excessive acidity or alkal9ity1 may induce incont95ce4 ,*ildr5 may recov] f x z !y approa* adult life1 b !y %\ld n be puni%$1 z x is a disease & n a fault4 ,exception %\ld be made 9 case *ildr5 wet _! clo?+ dur+ play1 ?r\gh failure to take ! "t & tr\ble to pass wat] naturally4 ,x is m common among *ildr5 at night1 lead+ to wett+ ( ! b$1 b may occur 9 ! day1 & (t5 improves 9 ! spr+ & summ]1 only to return ) ! cold wea!r4 ,*ildr5 :o sleep v s\ndly are m apt to be subject to ?is disord]4 ,treatm5t4--,9 ! case ( a disord] dep5d+ ^u "o ( s _m conditions x w be realiz$ t x w\ld be folly = ! layman to attempt to treat x4 ,*ildr5 :o are weak ne$ build+ up 9 e possible way1 z by an outdoor life1 cold spong+ daily1 etc4 ,if !re is 9 boys a long =esk91 or tight =esk91 h9d]+ ! escape ( ur9e & natural secretions ( ?is "p1 circumcision may be p]=m$ to advantage by ! surgeon1 ev5 9 ! infant a few mon?s old4 ,sometimes a simpl] op]ation1 consi/+ ( /ret*+ or ov]di/5d+ ! =esk91 c be done4 ,a some:at correspond+ condition 9 girls occasionally causes b$-wett+ & o!r tr\bles4 ,x c be discov]$ by a physician4 ,*ildr5 :o wet _! b$s1 or clo!s1 %\ld n dr9k liquid aft] five 9 ! aft]noon1 & %\ld be tak5 up frequ5tly dur+ ! night to pass wat]4 ,! b$ cov]+ mu/ be light1 & !y %\ld be prev5t$ f ly+ on ! back :ile asleep by we>+ a t[el knott$ 9 ! small "p ( ! back4 ,elevation ( ! foot ( ! b$ a few in*es is recomm5d$ z hav+ a corrective influ5ce4 ,ma/urbation1 if pres5t1 mu/ be correct$4 ,x is a v difficult disord] to treat1 & physicians mu/ be excus$ = failures ev5 aft] e attempt has be5 made to discov] & remove ! cause4 ,ev5 :5 cure seems assur$1 ! disord] may recur4 ,,inflammation ,,( ,,! ,,bladd] 7,cy/itis74--,! condition :i* we describe "u ?is head commonly causes frequ5t pa9ful ur9ation4 ,prim>ily !re is usually "s ag5cy :i* me*anically or *emically irritates ! bladd]1 & if ! irritation does n subside1 inflammation foll[s ow+ to ! entrance ( g]ms 9 "s mann]4 ,! introduction into ! bladd] ( unboil$1 & !re=e unclean1 in/rum5ts is a cause2 ano!r cause is failure to pass ur9e = a long p]iod1 f a feel+ ( delicacy 9 "s p]sons :5 9 unfavorable surr\nd+s4 ,n]v\s spasm ( ! ur9>y passage f pa91 injuries1 & surgical op]ations con/itutes ano!r cause4 ,inflammation may ext5d f neighbor+ p>ts & attack ! bladd]1 z 9 gonorrhea1 & 9 v>i\s inflammations ( ! sexual organs ( wom51 z 9 *ildb$ infection4 ,c]ta9 foods1 wat]s1 & dr9ks1 z alcohol 9 l>ge am\nts1 & drugs1 z turp5t9e or can?>ides appli$ ext]nally or giv5 int]nally1 may lead to irritation ( ! bladd]4 ,exposure to cold 9 susceptible p]sons is frequ5tly a s\rce ( cy/itis1 z well z ext]nal bl[s & injuries4 ,! =ego+ causes are apt to br+ on sudd5 or acute attacks ( bladd] tr\ble1 b (t5 ! disease comes on sl[ly & is cont9u\s or *ronic4 ,among ! causes ( *ronic cy/itis1 9 m5 ov] fifty1 is ob/ruction to ! outfl[ ( ur9e f enl>gem5t ( ! pro/ate gl&1 :i* blocks ! exit f ! bladd]4 ,9 "y m51 n>r[+ ( ! ure?ra1 a sequel to gonorrhea1 may also cause cy/itis2 also /one 9 ! bladd] or =eign bodies1 tumors gr[+ 9 ! bladd]1 tub]culosis ( ! organ4 ,p>alysis ( ! bladd]1 :i* r5d]s ! organ incapable ( empty+ itself1 ?us reta9+ "s f]m5t+ ur9e1 is ano!r cause ( bladd] inflammation4 ,symptoms4--,! comb9ation ( frequ5cy ( & pa9 dur+ ur9ation1 ) ! appe>ance ( blood or :ite cl\d9ess & s$im5t 9 ! ur9e1 are evid5ces ( ! exi/5ce ( inflammation ( ! bladd]4 ,! tr\ble is aggravat$ by /&+1 jolt+1 or active ex]cise4 ,! pa9 may be felt ei!r at ! beg9n+ or end ( ur9ation4 ,!re is also g5]ally a feel+ ( weight & heav9ess l[ d[n 9 ! belly1 or ab\t ! l[] "p ( ! b[el4 ,blood is n frequ5tly pres5t1 b ! ur9e is n cle>1 if !re is mu* inflammation1 b deposits a :ite & (t5 slimy s$im5t on /&+4 ,9 *ronic inflammation ( ! bladd] ! ur9e (t5 has a f\l odor & smells ( ammonia4 ,treatm5t4--,! treatm5t ( acute cy/itis consi/s 9 re/--pref]ably on ! back1 ) ! legs drawn up1 9 b$4 ,! diet %\ld be *iefly fluid1 z milk & pure wat]1 flaxse$ tea1 or m9]al wat]s4 ,potassium citrate1 fifte5 gra9s1 & sweet _s ( nitre1 fifte5 drops1 may be giv5 9 wat] to advantage ?ree times daily4 ,hot full ba?s or sitz ba?s two or ?ree times a day1 & 9 wom5 hot vag9al d\*es 7t is1 injections into ! front passage71 ) hot p\ltices or ! hot-wat] bag ov] ! l[] "p ( ! abdom51 w s]ve to relieve ! suff]+4 ,if1 h[ev]1 ! pa9 & frequ5cy att5d+ ur9ation is consid]able1 no?+ is s effici5t z a suppository conta9+ "o-qu>t] gra9 ea* ( morph9e sulphate & belladonna extract1 :i* %\ld be introduc$ into ! b[el & repeat$ once 9 ?ree h\rs if necess>y4 ,?is treatm5t %\ld be employ$ only "u ! advice ( a physician4 ,9 *ronic cy/itis1 urotrop9 9 five-gra9 doses dissolv$ 9 a glass ( wat] & tak5 f\r times daily (t5 af=ds great relief1 b ^! cases dem& c>eful /udy by a physician to det]m9e _! cause1 & (t5 local treatm5t4 ,avoidance ( all s\rce ( irritation is also ess5tial 9 ^! cases1 z sexual excitem5t & ! use ( alcohol & spices4 ,! diet %\ld consi/ *iefly ( c]eals & vegetables1 ) an abundance ( milk & wat]4 ,! b[els %\ld be kept loose by means ( hot rectal injections 9 acute cy/itis4 ,,ret5tion1 ,,/oppage1 ,,or ,,suppression ,,( ,,ur9e4--,ret5tion ref]s to t condition :]e ! ur9e has be5 accumulat+ 9 ! bladd] = a consid]able "t--ov] twelve h\rs--& _c be pass$4 ,x may foll[ an ob/ruction f disease1 to :i* is add$ tempor>y swell+ & n]v\s contraction ( "s "p ( ! ur9>y passage2 or x may be due to spasm & closure ( ! outlet f n]v\s irritation1 z 9 ! cases ( injuries & surgical op]ations 9 ! vic9ity ( ! sexual organs1 ! rectum1 or 9 o!r p>ts ( ! body4 ,ov]di/5tion ( ! bladd] f failure to pass wat] = a long "t may lead to a condition :]e ur9ation becomes an impossibility4 ,v>i\s g5]al diseases1 z sev]e fev]s1 & conditions ( unconsci\sness1 & o!r disord]s ( ! n]v\s sy/em1 are frequ5tly accompani$ by ret5tion ( ur9e4 ,9 ret5tion ( ur9e !re is (t5 an escape ( a little ur9e f "t to "t1 & n necess>ily entire abs5ce ( outfl[4 ,treatm5t4--,ret5tion ( ur9e is a s]i\s condition4 ,if n reliev$1 x may end 9 dea? f toxaemia1 caus$ by back pressure on ! kidneys1 or f rupture ( ! bladd]4 ,!re=e surgical assi/ance is dem&$ z soon z x c be obta9$4 ,fail+ ?is1 beg9 ) ! simpl] me?ods4 ,a hot sitz ba?1 or1 if ! pati5t _c move1 hot applications1 z a hot p\ltice or hot clo?s appli$ ov] ! l[] "p ( ! belly1 may af=d relief4 ,injections ( hot wat] into ! b[el are (t5 m effici5t /ill4 ,a s+le full dose ( opium 9 "s =m1 z fifte5 drops ( laudanum#aj or two teaspoonfuls ( p>egoric#aj or "o-qu>t] gra9 ( morph9e1#aj w frequ5tly all[ ( a free passage ( ur9e4 ,! introduction ( a suppository into ! b[el1 conta9+ "o-qu>t] gra9 ea* ( morph9e sulphate1#aj & belladonna extract1 is (t5 pref]able to giv+ ! drug by ! m\?4 ,^! measures prov+ ( no avail1 ! next endeavor %\ld be to pass a ca!t]4 ,if a s(t rubb] or ela/ic ca!t] is us$ ) reasonable c>e1 little damage c be done1 ev5 by a novice4 ,! ca!t] %\ld be boil$ 9 wat] = t5 m9utes1 & aft] wa%+ 8 h&s ?or\ghly ! att5dant %\ld ano9t ! ca!t] ) sweet oil 7:i* has be5 boil$7 or clean vasel9e & proce$ to introduce ! ca!t] sl[ly into ! ur9>y passage until ! ur9e beg9s to fl[ out ?r\gh ! in/rum5t4 ,a m$ium-siz$ ca!t] is mo/ g5]ally suitable1 z a ,no4 #af ( ! ,fr5* scale1 or a ,no4 #h-a_/b ( ! ,engli% scale4 ,,brights ,,disease ,,( ,,! ,,kidneys4--,bright's disease ( ! kidneys is acute or *ronic1 & its pres5ce c be def9itely det]m9$ only by *emical & microscopical exam9ation ( ! ur9e4 ,acute ,bright's disease com+ on 9 p]sons previ\sly well may (t51 h[ev]1 pres5t c]ta9 symptoms by :i* its exi/5ce may be suspect$ ev5 by ! layman4 ,,acute ,,bright',s ,,disease2 ,,acute ,,inflammation ,,( ,,! ,,kidneys4--,acute ,bright's disease is (t5 ! result ( exposure to cold & wet4 ,inflammation ( ! kidneys may be produc$ by swall[+ turp5t9e1 _m ( ! *eap flavor+ extracts 9 l>ge am\nts1 c>bolic acid1 & ,spani% flies2 ! ext]nal use ( l>ge quantities ( turp5t9e1 c>bolic acid1 or ,spani% flies may also lead to acute inflammation ( ! kidneys4 ,x occurs occasionally 9 pregnant wom54 ,! contagi\s g]m diseases are v frequ5tly ! s\rce ( acute ,bright's disease ei!r z a complication or sequel4 ,?us sc>let fev] is ! mo/ frequ5t cause1 b measles1 smallpox1 *ick5pox1 yell[ fev]1 typhoid fev]1 erysipelas1 diph!ria1 *ol]a1 & mal>ia are also causative factors4 ,symptoms4--,acute ,bright's disease may develop sudd5ly ) pallor & puff9ess ( ! face ow+ to dropsy4 ,! eyelids1 ankles1 legs1 & l[] "p ( ! belly are apt to %[ ! dropsy mo/4 ,!re may be nausea1 vomit+1 pa9 & lam5ess 9 ! small "p ( ! back1 *ills & fev]1 loss ( appetite1 & (t5 con/ipation4 ,9 *ildr5 convulsions sometimes appe>4 ,! ur9e is small 9 am\nt1 p]haps n m ?an a cupful 9 tw5ty-f\r h\rs1 in/ead ( ! normal daily excretion ( ?ree p9ts4 ,occasionally complete suppression ( ur9e occurs4 ,x is high-color$1 ei!r smoky or ( a port] color1 or sometimes a d>k or ev5 bright r$1 f ! pressure ( blood4 ,/upor & unconsci\sness may sup]v5e 9 sev]e cases4 ,recov]y usually occurs1 9 favorable cases1 )9 a few weeks1 ) gradually dim9i%+ dropsy & increas+ secretion ( ur9e1 or ! disease may end 9 a *ronic disord] ( ! kidneys4 ,if acute ,bright's disease is caus$ by1 or complicat$ )1 o!r diseases1 ! probable result becomes mu* m difficult to pr$ict4 ,treatm5t4--,! failure ( ! kidneys to p]=m _! usual function ( elim9at+ wa/e matt] f ! blood makes x necess>y = ! sk9 & b[els to d d\ble duty4 ,! pati5t %\ld rema9 9 b$ & be kept v w>m ) flannel night clo!s & blankets next ! body4 ,! diet %\ld consi/ :olly ( milk1 a glass e two h\rs1 9 ^? ) :om x agrees1 & 9 o!rs gruels may be sub/itut$ to "s ext5t4 ,! addition to milk ( m9]al wat]s1 limewat]1 small am\nts ( tea1 c(fee1 or salt (t5 makes x m palatable to ^? o!rwise dislik+ x4 ,z ! pati5t improves1 bread & butt]1 gre5 & juicy vegetables1 & fruits may be p]mitt$4 ,an abundance ( pure wat] is always desirable4 ,! b[els %\ld be kept loose f ! outset by salts giv5 9 z little wat] z possible & imm$iately foll[$ by a glass ( pure wat]4 ,a teaspoonful may be giv5 h\rly till ! b[els move4 ,epsom or ,glaub]'s salts are effici5t1 b ! comp\nd jalap p[d] is ! be/ purgative4 ,*ildr51 or ^? to :om ^! rem$ies are repugnant1 may take ! solution ( citrate ( magnesia1 ( :i* ! dose is "o-half to a :ole bottle = adults4 ,! sk9 is /imulat$ by ! pati5t's ly+ 9 a hot ba? = tw5ty m9utes ea* day or1 if ?is is n possible1 by wrapp+ ! pati5t 9 a blanket wrung out ( hot wat] & cov]$ by a dry blanket1 & !n by a rubb] or wat]pro( %eet1 & he is all[$ to rema9 9 x = an h\r ) a cold clo? to ! head4 ,if ! pati5t takes ! hot ba? he %\ld be imm$iately wrapp$ 9 w>m$ blankets on leav+ x1 & receive a hot dr9k ( lemonade to /imulate sweat+4 ,= treatm5t ( convulsions1 see ,vol4 ,i1 p4 #ahh4 ,vomit+ is allay$ by swall[+ crack$ ice1 s+le doses ( bismu? subnitrate 7"o-qu>t] teaspoonful7 once 9 ?ree h\rs1 & by heat appli$ ext]nally ov] ! /oma*4 ,recov]y is ha/5$ by avoid+ cold & damp1 & p]si/+ ) a liquid diet = a consid]able p]iod4 ,a c\rse ( iron is usually desirable aft] a few weeks h elaps$ to improve ! quality ( ! blood2 t5 drops ( ! t9cture ( ! *loride ( iron tak5 9 wat] ?r\gh a glass tube by adults2 = *ildr5 five to t5 drops ( ! syrup ( ! iodide ( iron4 ,9 ei!r case ! m$ic9e %\ld be tak5 ?ree times daily aft] meals4 ,,*ronic ,,bright',s ,,disease4--,?is includes sev]al =ms ( kidney disease4 ,! symptoms are (t5 v obscure1 & ! condition may n be discov]$ or suspect$ by ! physician until an exam9ation ( ! ur9e is made1 :i* %\ld always be done 9 any case ( s]i\s or obscure disord]4 ,accid5tal discov]y ( ,bright's disease dur+ exam9ation = life insurance is n r>e4 ,! disease may exi/ = ye>s )\t s]i\s impairm5t result+4 ,causes4--,*ronic ,bright's disease (t5 foll[s & is ! result ( fev]s & acute inflammation ( ! kidneys4 ,x is m common 9 adults4 ,ov]eat+1 m especially ( meat1 & ov]dr9k+ ( alcohol are frequ5t causes4 ,g\t is a frequ5t factor 9 its causation4 ,! disease has 9 ! pa/ be5 reg>d$ z a local disease ( ! kidneys1 b rec5t rese>* makes x probable t !re is a g5]al disord] ( ! sy/em due to "s faulty assimilation ( food--especially :5 ! diet itself is faulty--) ! production ( *emical products :i* damage v>i\s organs 9 ! body z well z ! kidneys1 notably ! he>t & blood vessels4 ,symptoms4--,! symptoms are mo/ div]se & v>i$ & x is n possible to be sure ( ! exi/5ce ( ! disease )\t a c>eful physical exam9ation1 toge!r ) a complete exam9ation ( ! ur9e1 bo? made by a compet5t physician4 ,pati5ts may be afflict$ ) ! disease = long p]iods )\t any symptoms until "s sudd5 complication calls att5tion to ! und]ly+ tr\ble4 ,symptoms sugge/+ *ronic ,bright's disease are among ! foll[+3 indige/ion1 di>rhea & vomit+1 frequ5t heada*e1 %ortness ( brea?1 weakness1 pal5ess1 puff9ess ( ! eyelids1 swell+ ( ! feet 9 ! morn+1 dropsy1 failure ( eyesight1 & noseble$1 & sometimes apoplexy4 ,z ! disease comes on sl[ly ! pati5t has usually "t to apply = m$ical aid1 & att5tion is call$ to ! =ego+ symptoms m]ely to emphasize ! importance ( att5d+ to su* 9 due season4 ,outcome4--,:ile ! outlook z to complete recov]y is v disc\rag+1 yet p]sons may live & be able to "w = ye>s 9 comp>ative com=t 9 _m cases4 ,:5 a physician pron\nces ! v]dict ( *ronic ,bright's disease1 x is n by any means equival5t to a dea? w>rant1 b ! condition is (t5 compatible ) _m ye>s ( usefulness & fre$om f s]i\s suff]+4 ,treatm5t4--,m$ic9es w no m cure ,bright's disease ?an old age4 ,out-(-door life 9 a dry1 w>m1 & equable climate has ! mo/ favorable influ5ce ^u ! cause ( *ronic ,bright's disease1 & %\ld always be recomm5d$ z a rem$ial ag5t :5 available4 ,prop] diet is ( great importance4 ,c]eals1 vegetables1 an abundance ( fat 9 ! =m ( butt] & cream--to ! am\nt ( a p9t or s a day ( ! latt]1 & ! avoidance ( alcohol & meat1 fi% & eggs con/itute ! ideal regim5 :5 ?is c be c>ri$ out4 ,tea & c(fee 9 mu* mod]ation are usually all[able & wat] 9 abundance4 ,! und]clo?+ %\ld be ( wool ! ye> r\nd1 & especial c>e is ess5tial to avoid *ill+ ( ! surface4 ,m$ic9es h _! usefulness to relieve special conditions1 b %\ld only be tak5 at ! advice ( a physician1 ^: s]vices %\ld always be secur$ :5 available4 ,"p ,,iv ,,disease ,,& ,,disord] ,,( ,,! ,,m9d ,,by ,,alb]t ,,w>r5 ,,f]ris ,,*apt] ,i ,insanity ,insanity is ! "n giv5 to a collection ( symptoms ( disease ( ! bra9 or disord] ( bra9 nutrition or circulation4 ,! pr9cipal te/ ( insanity lies 9 ! adju/m5t ( ! pati5t to 8 surr\nd+s1 z evid5c$ 9 conduct & spee*4 ,yet "o mu/ n include )9 ! field ( insanity ! improp] conduct & spee* ( ! vici\s1 nor ( ! m5tally defective4 ,crime is n insanity1 ?\gh !re are und\bt$ly "s insane p conf9$ 9 prisons :o h be5 arre/$ because ( ! commission ( crime4 ,!n1 too1 :ile m5tal defect may exi/ 9 ! insane1 !re is a c]ta9 class ( m5tal defectives ^: condition is due n to disease ( ! bra91 b to arre/ ( developm5t ( ! bra9 dur+ *ildhood or y\?1 & ^! we call idiots or imbeciles2 b !y are n class$ ) ! insane4 ,m5tal ,disord] ,n ,insanity ,we frequ5tly he> repeat$ ! ass]tion1 ,ev]ybody is a little insane1 & ! quotation is report$ z com+ f an exp]t 9 insanity4 ,?is quotation is untrue4 ,! fact is t anyone is liable to m5tal disord]2 b m5tal disord] is n insanity4 ,to illu/rate3 a gre5 glove is %[n to a c]ta9 man & he ass]ts t its color is br[n1 & y _c prove to him t he is wrong1 because he is color-bl9d4 ,gre5 & br[n appe> alike to him4 ,?is is m5tal disord]1 b n insanity4 ,aga91 a fri5d w expla9 to y h[ he c make a l>ge pr(it by inve/+ 8 money 9 a c]ta9 way4 ,he does s inve/ x & loses x1 because he has ov]look$ c]ta9 factors1 has n giv5 prop] weight to c]ta9 influ5ces1 & has ignor$ probable occurr5ces1 all ( :i* 7 app>5t to y4 ,he 0 a victim ( 8 m5tal disord]1 8 judgm5t1 reason1 & conception be+ faulty2 yet he 0 n insane4 ,aga91 y answ] a lett] f a correspond5t1 copy+ on ! envelope ! address y read at ! head ( 8 lett]4 ,a few days lat] y\r answ] is return$ to y undeliv]$4 ,9 a/oni%m5t1 y ref] to 8 lett] & f9d t y h misread ! address he gave1 mi/ak+ ! numb] ( 8 h\se4 ,?is 0 an in/ance ( m5tal disord] 9 y\r n read+ ! figure aright2 b x 0 n insanity4 ,:at ,autopsies ( ! ,bra9 ,reveal ,! *anges 9 ! bra9 accompany+ or result+ f disease1 z f\nd 9 "s *ronic cases ( insanity 9 :i* autopsies are made1 consi/ l>gely 9 alt]ation ( ! n]ve cells ( ! bra94 ,! cells are small] & few] ?an !y %\ld be1 !y are alt]$ 9 %ape1 & _! ?reads ( communication ) o!r cells are brok54 ,n]ve cells & (t5 l>ge areas ( gray matt] are replac$ by connective tissue 7resembl+ sc> tissue71 :i* gr[s & increases 9 :at w\ld o!rwise be vacant spaces4 ,all areas :i* conta9 ?is connective tissue1 ?is fill+ :i* has no function1 ( c\rse1 cease to jo9 ) o!r p>ts ( ! bra9 9 conc]t$ action1 & s ! p[] ( ! bra9 is dim9i%$1 & c]ta9 ( its activities are re/rict$ or aboli%$4 ,curi\s ,illusions ( ! ,insane ,9 ! normal bra9 c]ta9 impressions are receiv$ f ! special s5ses3 impressions ( sight or ( he>+1 = example4 ,^! impressions are call$ consci\s p]ceptions1 & ! heal?y bra9 gr\ps !m toge!r & =ms concepts4 ,= in/ance1 y see some?+ :i* is flat & %9y ) squ>e-cut edges4 ,y t\* x1 & le>n t x is cold1 smoo?1 & h>d4 ,lift x & y f9d x heavy4 ,gr\p+ toge!r y\r s5se p]ceptions y =m ! concept1 & decide t ! object is a piece ( m>ble4 ,aga91 y ent] a dimly light$ room & see a figure 9 a corn] ! height ( a woman1 ) a g[n l a woman's4 ,y approa* x1 speak to x & get no reply1 & y f9d y c walk directly ?r\gh x1 = x is a %ad[4 ,p]haps y 7 fright5$4 ,p]haps y imag9$ %e 0 a ?ief4 ,y\r fir/ judgm5t 0 wrong & y correct x4 ,! insane p]son1 h[ev]1 has defective m5tal processes4 ,he _c gr\p toge!r 8 p]ceptions & =m prop] conceptions4 ,8 imag9ation runs riot4 ,8 emotions ( fe> or ang] are n easily limit$4 ,he has to "s ext5t lo/ ! control ov] 8 m5tal actions t y & o!r p possess if y\r bra9s are normal4 ,! insane man w insi/ t !re is a woman !re1 & n a %ad[1 & to 8 m9d x is n absurd to walk directly ?r\gh ?is p]son4 ,he _c correct ! wrong idea4 ,su* a wrongly int]pret$ s5se p]ception is call$ an illusion4 ,ano!r example ( illusion is ! mi/ak+ ! :i/le ( a locomotive = ! %riek ( a pursu+ assass94 ,:at ,halluc9ations ,are ,! insane man may also suff] f halluc9ations4 ,a halluc9ation is a false p]ception aris+ )\t ext]nal s5sory exp]i5ce4 ,9 a halluc9ation ( sight1 ! disease 9 ! bra9 causes irritation to be c>ri$ to ! sight-c5t]s ( ! bra91 ) a result t is simil> to ! impression c>ri$ to ! same c5t]s by ! optic n]ves :5 light is reflect$ into ! eyes f "s object4 ,an insane man may be delud$ ) ! belief t he sees a face aga9/ ! wall :]e !re is no?+ at all4 ,:5 ! air is pure & sweet & no odor is discov]able1 he may smell fea!rs burn+1 & ?us reveal 8 halluc9ation ( smell4 ,delusions ,common to ,insanity ,! insane man may h wrong ideas )\t logical reason = !m4 ,?us1 an insane man may decl>e t a beautiful actress is 9 love ) him1 :5 !re is absolutely no f\ndation = su* an idea4 ,or1 he may believe t he c lift #ejj p\nds & run fa/] ?an a locomotive c g1 :ile 9 reality he is s feeble z sc>cely to be able to walk1 & unable to dress himself4 ,su* ideas are delusions4 ,sane p may be mi/ak52 !y may h halluc9ations1 illusions & delusions2 b !y ab&on _! mi/ak5 notions & correct _! judgm5t at once1 on be+ %[n _! errors4 ,sane p see ! =ce ( logical argum5t1 & act ^u x1 ab&on+ all irrational ideas4 ,! insane p]son1 on ! o!r h&1 _c see ! =ce ( logical argum5t2 _c realize ! absurdity or impossibility ( error4 ,he cl+s to 8 own beliefs1 = ! evid5ce ( 8 p]v]t$ s5ses or ! d$uctions f 8 disease-irritation are v real to him4 ,:5 we f9d ?is to be ! fact we "k he is insane4 ,yet we mu/ n conf\nd delirium ( fev] ) insanity4 ,a pati5t suff]+ f typhoid fev] may h a delusion t !re is a pail by 8 b$ into :i* he p]si/s 9 ?r[+ articles4 ,or he may h ! halluc9ation t he is be+ call$ into ! next room1 & try to obey ! suppos$ voice4 ,c]ta9 delusions are commonly f\nd 9 c]ta9 types ( insanity4 ,depress$ pati5ts frequ5tly manife/ ! delusion t !y h committ$ a great s91 & are unfit to associate ) anyone4 ,excit$ & maniacal pati5ts (t5 believe !y are important p]sonages--k+s or que5s1 old hi/orical celebrities1 etc4 ,p>anoiacs commonly h delusions ( p]secution & ( a conspiracy among _! relatives or _! associates or rivals4 ,victims ( alcoholic insanity h delusions reg>d+ sexual matt]s1 & g5]ally *>ge ) infidelity ^? to :om !y are m>ri$4 ,g5]al p>etics 9 mo/ cases h delusions ( gr&eur2 t is1 false ideas ( great /r5g?1 weal?1 political p[]1 beauty1 etc4 ,! emotion :i* accompanies m5tal activity is g5]ally exagg]at$ 9 all insane p except ! dem5t$4 ,"o sees extreme depression1 or undue elation & exaltation1 or silly glee & absurd joy4 ,int5sity ( emotion is frequ5t4 ,crimes ,impulsively ,committ$ by ! ,insane ,an int]e/+ m5tal feature ( _m insane pati5ts is ! imp]ative conception1 or imp]ative impulse4 ,?is is a /rong urg+ felt by ! pati5t to commit a c]ta9 act4 ,he may "k ! act is wrong & dread ! puni%m5t :i* he expects w foll[ its commission4 ,b s con/antly & /rongly is he impell$ t he f9ally yields & commits ! act4 ,crimes are ?us p]petrat$ by ! insane1 ) a full k ( _! enormity4 ,! fact t su* impulses und\bt$ly exi/ %\ld modify ! common te/1 z to an insane p]son's responsibility be=e ! law4 ,! /atute 9 _m c\ntries reg>ds an insane crim9al z responsible = 8 act1 if he kn[s ! diff]5ce betwe5 "r & wrong4 ,?is decision is unju/ & ! basis is wrong2 = an impulse may be ov]:elm+1 & ! pati5t utt]ly helpless dur+ its cont9uance4 ,h[ev]1 a pati5t :o has committ$ a crime "u /ress ( su* an irresi/ible impulse %\ld be put "u p]man5t cu/odial c>e4 ,physical ,signs ( ,insanity ,! physician :o is skill$ 9 psy*iatry f9ds 9 v _m insane pati5ts m>k$ physical signs4 ,!re are pa9s1 ins5sitive areas1 hyp]s5sitive areas1 *anges 9 ! pupils ( ! eyes1 unre/ra9$ reflex action1 & p>tial loss ( muscul> control1 z %[n 9 talk+1 walk+1 & writ+4 ,con/ipation & insomnia are v e>ly symptoms ( disease 9 a v l>ge proportion ( ! insane4 ,x is productive ( no good result = a layman to try to classify ! insane4 ,! matt] ( classification w be = sev]al ye>s 9 a condition ( developm5tal *ange4 ,x is en\gh to speak ( ! pati5t z depress$ or excit$1 agitat$ or /upid1 talkative or mute1 homicidal1 suicidal1 neglectful1 uncleanly 9 p]sonal habits1 etc4 ,illu/rations ( ,v>i\s ,types ,!re are v int]e/+ features connect$ ) typical in/ances ( sev]al v>ieties ( insanity1 z !y 7 not$ 9 c]ta9 cases "u ! writ]'s c>e4 ,a depress$ pati5t ) suicidal t5d5cies *]i%$ ! delusion t w> ) ,great ,brita9 0 imm95t1 & t 9 su* an ev5t ,briti% troops w\ld be l&$ on ,long ,isl& betwe5 ,new ,york ,city & ! spot :]e he conceiv$ ! cattle to be kept4 ,?is1 he argu$1 w\ld cut (f ! beef & milk supply f ! city4 ,he !re=e decid$ to d 8 "p t[>d husb&+ ! pres5t supply ( food by refus+ to eat2 an act :i* necessitat$ fe$+ him ?r\gh a rubb] tube = _m weeks4 ,he also attempt$ suicide by dr[n+1 ?r[+ himself face d[nw>d 9 a %all[ swamp1 :5ce he 0 rescu$4 ,?is "y man 0 an exp]t *ess play] ev5 dur+ 8 attack4 ,a maniacal pati5t wore on h] head a t5t ( newspap] to keep ! devil f com+ ?r\gh ! ceil+ & attack+ h]4 ,%e frequ5tly he>d h] husb& runn+ ab\t ! upp] floor ) ! devil on 8 back4 ,z a fur!r precaution %e /a9$ h] gray hair r$ ) pickl$ beet juice1 & w\ld occasionally hurl loose furniture at ! walls & ceil+s ( h] rooms & assault all :o approa*$ h]4 ,a man :o pres5t$ a case ( dem5tia pull$ ! hairs f 8 be>d & plant$ !m 9 r[s 9 ! g>d51 wat]+ !m daily1 & %[+ mu* a/oni%m5t t !y did n gr[4 ,he sp5t h\rs ea* day 9 spell+ words backw>d & =w>d1 & also by repeat+ _! lett]s 9 ! ord] 9 :i* !y appe> 9 ! alphabet4 ,:5 he want$ funds he sign$ yell[ fall5 leaves ) a ne$le1 & !y turn$ into money4 ,a case ( g5]al p>esis 7commonly ?\gh improp]ly call$ s(t5+ ( ! bra97 pass$ into ! second /age z a delusion 0 upp]mo/ to ! effect t !re 0 opium ev]y:]e2 opium 9 8 hat1 opium 9 8 newspap]1 opium 9 8 ba? sponge1 opium 9 8 food4 ,he !reupon refus$ to eat1 & 0 f$ ) a tube = two ye>s1 at ! end ( :i* "t he resum$ natural me?ods ( nutrition & ate voraci\sly4 ,ano!r g5]al p>etic promis$ to 8 physician su* gifts z an ivory ve/ ) diamond buttons1 boa/$ ( 8 great /r5g? :ile sc>cely able to walk alone1 & decl>$ he 0 a celebrat$ vocali/1 :ile 8 lips & tongue 7 s tremul\s he c\ld sc>cely articulate4 ,fix$ ,delusions ( ,p>anoia ,p>anoia is an infrequ5t v>iety ( insanity 9 :i* ! pati5t is dom9at$ by c]ta9 fix$ delusions1 :ile = a long "t 8 intellect is b slightly impair$4 ,! delusions are usually p]secutory1 & ! pati5t alleges a conspiracy4 ,he is g5]ally delud$ ) ! belief t he is a prom95t p]son 9 hi/ory1 or an ,old ,te/am5t wor?y1 & !re is usually a religi\s t+e to 8 delusions4 ,a pati5t ( ! writ] believ$ himself to be ! re9c>nation ( ,*ri/1 appe>+ z ! ,*ri/ ( ! ,jews & ! ,*ri/ ( ! ,*ri/ians 9 "o4 ,ov] ! head ( 8 l&lord1 :o reque/$ ov]due r5t1 ! pati5t fir$ a revolv]1 to %[ t ! reign ( peace _h begun 9 ! _w4 ,he wrote a new bible = 8 foll[]s1 & arrang$ = a triumphal procession head$ by 8 bro!r & himself on horseback1 we>+ :ite />s4 ,h[ ! ,physician ,%\ld ,be ,aid$ ,:5 !re is a suspicion ( irrationality 9 a p]son's conduct1 & c]ta9 acts or spee*es sugge/ insanity1 ! :ole surr\nd+s & ! pa/ life mu/ be consid]$4 ,frequ5tly :5 ! eyes are once op5$ to ! fact ( insanity1 a :ole *apt] ( corroborat+ peculi>ities c be recall$4 ,x is wise to recall z _m ( ^! circum/ances z possible & note !m 9 ord] z !y occurr$1 = ! use ( ! physician4 ,/rik+ly ecc5tric lett]s %\ld be sav$4 ,odd arrangem5t ( clo!s1 or ! collect+ ( useless articles1 %\ld be not$ 9 writ+4 ,*anges 9 "*1 alt]ation 9 ideas ( propriety1 *anges 9 disposition1 bus9ess or social habits1 & great v>iation 9 ! bodily heal? %\ld be not$ 9 writ+4 ,delusions1 halluc9ations1 & illusions %\ld be report$ 9 full4 ,x conveys no?+ to anyone's m9d to say t ! pati5t is que]2 tell :at he does or says t leads y to ?9k he is que]1 & let ! physician draw 8 own inf]5ces f ! de$s or spee*es4 ,write d[n1 = example1 t ! pati5t talks z if answ]+ voices t are imag9>y2 or t ! pati5t br\ght an ax into ! d9+ room & /ood x aga9/ ! table dur+ ! meal2 or t he p>ad$ up & d[n ! lawn ) a wrea? ( will[ bran*es ab\t 8 neck2 9 ea* case /at+ ! actual fact4 ,x is important to asc]ta9 exactly :at ! pati5t's habits are1 z to ! use ( alcoholic bev]ages1 tobacco1 & drugs 7su* z opium71 & also z to sexual matt]s4 ,to secure su* in=mation is extremely difficult1 & ! help ( a close fri5d or companion w be necess>y4 ,aft] ! m9d beg9s to wav] _m a pati5t plunges into dissipation1 ?\gh =m]ly a model ( propriety4 ,! ,causes ( ,insanity ,! two great causes ( insanity are h]$ity & /ress or /ra94 ,lunacy is n infrequ5t 9 *ildr5 ( epileptic1 alcoholic1 or insane p>5ts1 & ^? born ( p>5ts suff]+ f n]v\s disease frequ5tly are 9 su* condition t %ock1 int5se emotion1 dissipation1 or exhau/+ diseases r5d] !m insane4 ,dr9k+ alcoholic bev]ages is ! mo/ pot5t factor 9 ! production ( insanity4 ,m5tal /ra91 ov]work1 & worry come next4 ,adv]se conditions1 b]eavem5t1 bus9ess tr\bles1 etc41 rank ?ird1 equally ) h]$ity4 ,! art]ial diseases ( old age1 epilepsy1 *ildbir? 7g5]ally 9 ! neurotic71 *ange ( life1 fright & n]v\s %ock1 v5]eal diseases1 sexual excesses or irregul>ities foll[ 9 ! ord] nam$4 ,a ,temp]ate1 ,virtu\s ,life ! ,be/ ,prev5tive ,to avoid insanity1 !re=e1 "o %\ld lead a righte\s1 indu/ri\s1 s5sible life1 pres]ve z mu* equanimity z possible1 & be cont5t ) mod]ate pleasure & mod]ate success4 ,9 _m cases1 p :o are neurotic f e>ly y\? are s plac$ t unusual dem&s are made ^u !m4 ,adv]sity br+s necessity = ov]work1 duties are manifold1 & responsibilities are heavy4 ,9 ignorance ( ! fact t !y are on dang]\s gr\nd & driv5 by circum/ances1 !y ov]work1 cut %ort _! sleep1 &1 consci5ti\sly press+ on1 f9ally lose _! m5tal balance & insanity is ! result1 a great calamity :i* is really no fault ( !irs4 ,und\bt$ly su* is frequ5tly ! sad hi/ory2 & = ?is reason1 z well z = ! g5]al reason t ! insane are simply ill1 all insane %\ld be c>$ = sympa!tically4 ,to consid] ! insane z con/antly malevol5t is a relic ( ! old-"t1 absurd belief t insane p 7 possess$ ( ! devil4 ,x is no disgrace to be insane1 & ! feel+ ( *agr9 at discov]+ disease ( ! bra9 9 a relative is ano!r absurdity4 ,avoidance ( insanity %\ld be /udi$ ) z mu* devotion z avoidance ( tub]culosis4 ,yet !re %\ld be no detraction f ! fact t ! h]$ity is /rong4 ,no "o %\ld be all[$ to m>ry :o has be5 insane1 = ! (fspr+ ( ! insane are defective4 ,! t5d5cy ( ! times is t[>d n]v\s & m5tal disord]4 ,9 ! l>ge cities ! /ra9 is too con/ant1 ! /ruggle is too ke51 ! pace is too swift4 ,ha/e to be ri*1 desire to appe> ri*1 or ambition = social di/9ction has wreck$ _m a bright1 /rong intellect4 ,?is is ! age ( ! greate/ luxury ! _w has ev] se51 & a l>ge proportion ( p 9 cities are liv+ beyond _! means1 9 ! gratification ( luxuri\s desires or ! ef=t to appe> z well z o!rs4 ,/ress & /ra9 are volunt>ily invit$4 ,*ildr5 are pu%$ 9 _! /udies & ov]load$ ) too _m subjects4 ,g5ius & insanity1 worry & dem5tia1 proce$ among u h& 9 h&2 ! ov]wr\ght bra9 f9ally tott]s4 ,false ,ideas ,reg>d+ ,insanity ,curi\s ideas reg>d+ insanity are common1 & are app>5tly fo/]$ by ! reportorial writ]s ( ! daily pap]s4 ,we read ( p :o are insane on a subject4 ,?is is an impossibility4 ,_m p c be drawn out & l$ into a betrayal ( _! m5tal condition only :5 a c]ta9 topic or idea is discuss$4 ,b al?\gh exhibit+ _! insane condition only :5 ?is topic is broa*$1 !y are 9 no respect sane4 ,n e act ( an insane man is an insane act1 we mu/ rememb]4 ,=getfulness ( ?is fact leads to errors 9 ! sup]ficial4 ,y w he> p say t a c]ta9 p]son mu/ be sane1 because dur+ a half day's companion%ip no?+ a/ray 0 notic$4 ,true1 !re may be a long p]iod ( self-control1 or ( abs5ce ( te/2 b occasional conduct w e/abli% ! fact ( con/ant insanity4 ,aga91 we he> ! expression3 ,he _c be insane2 !re is too mu* me?od 9 su* madness4 ,! answ] to ?is silly rem>k is t !re is me?od 9 all madness except "s epileptic insanity & t]m9al dem5tia4 ,insane p prep>e c>eful plans1 ) all ! details ?or\ghly consid]$1 & p]fect me?ods to escape f hospitals ) ! greate/ cunn+4 ,"o mu/ nev] take x = grant$ t ! insane p]son is s dem5t$ m5tally z to be unable to appreciate :at is said & done4 ,"o %\ld nev] talk ab\t ! insane man 9 8 pres5ce1 b %\ld include him 9 ! conv]sation z if sane1 z a g5]al rule1 allay+ 8 suspicions & avoid+ antagonism4 ,d n agree ) ! delusions ( an insane p]son1 except s f> z may be necess>y to draw !m out4 ,yet avoid argum5t ov] !m4 ,simply d n agree1 & d n /r5g!n !m by appe>+ to %>e !m4 ,8 food %\ld be prep>$ = him1 & 8 m$ic9es adm9i/]$ to him z to any o!r sick p]son4 ,8 ba?s %\ld be regul>ly tak54 ,a depress$ pati5t %\ld be v c>efully wat*$4 ,if ! slighte/ suspicion ( a suicidal impulse be pres5t1 ! pati5t %\ld nev] be left alone4 ,_m a valuable life has be5 sav$ ?r\gh ! moral support ( con/ant companion%ip2 :ile we read v frequ5tly ( ! dea? ( an insane pati5t :o sprang f a w9d[ dur+ a brief p]iod ( relaxation ( wat*ful c>e4 ,"s p ?9k x a protection to "o insane to elicit f him a promise n to be depress$1 & n to d any?+ wrong4 ,"o might z well secure a promise n to h a rise ( temp]ature4 ,! gloom ( despond5cy & ! suicidal impulse are z p[]ful z !y are unwelcome & uns\ght2 & ! wret*$ly unhappy pati5t _c alone meet ! issue & resi/4 ,x is unreasonable to be (f5d$ by acts or spee*es ( an insane pati5t1 to be> a grudge or expect an apology4 ,v frequ5tly su* a pati5t w turn savagely ^u ! ne>e/ & de>e/1 & make cutt+ rem>ks & accusations or exhibit baseless contempt4 ,all ?is conduct mu/ be ignor$ & =gott52 = ! unk9d words ( an unacc\ntable & really ill p]son %\ld n be tak5 at all s]i\sly4 ,%\ld a pati5t escape f home1 x is ! duty ( ! "o 9 *>ge )\t hesitation to ov]take him1 & !n accompany him or at lea/ foll[ at a %ort di/ance4 ,! nurse %\ld g ) & /ay ) ! pati5t1 telephon+ or telegraph+ home :5 opportunity (f]s1 & f9ally secur+ aid2 he %\ld "k :]e ! pati5t is at all times1 =ego+ sleep if necess>y to protect 8 *>ge1 & %\ld avoid z long z prud5ce p]mits ! publicity ( an arre/2 ?\gh ! latt] may f9ally be ess5tial to safety1 & to ! prev5tion ( emb>k+ on a voyage1 or tak+ a tra9 to a di/ance1 or pur*as+ weapons4 ,div]sions4--,music favorably affects _m pati5ts1 s ! pleasure ( li/5+ to x %\ld be af=d$ at frequ5t int]vals4 ,pati5ts %\ld be enc\rag$ to absorb !mselves 9 x4 ,x is (t5 possible to take insane p to op]a1 musical com$y1 or conc]t4 ,vocal & in/rum5tal practice at suitable int]vals is ( great value 9 fix+ ! att5tion1 fill+ ! m9d ) desirable ?\ghts & memories1 & allay+ irritability4 ,draw+ & pa9t+ are ( s]vice :5 )9 ! numb] ( ! pati5t's accompli%m5ts4 ,intellectual pa/imes1 z au?ors1 anagrams1 billi>ds1 *ess1 & _m games ) play+ c>ds1 are g5]ally helpful4 ,g>d5+1 croquet1 & t5nis are v desirable4 ,golf1 r[+1 swimm+1 & skat+ are excell5t1 b are )9 ! rea* ( v few insane pati5ts4 ,all regul> occupation t necessitates att5tion & conc5tration is ( supreme value2 9 fact1 insane pati5ts n infrequ5tly ask = occupation & f9d relief 9 ! accompli%m5t ( some?+ useful1 z well z 9 ! heal?ful sleep & increas$ appetite t att5d judici\s physical fatigue4 ,! ,b5eficial ,atmosph]e ( ,sanit>iums ,aft] c>+ = an insane pati5t = a "t at home1 ! "q arises z to ! desirability ( s5d+ him away to a sanit>ium4 ,g5]ally ?is is a wise c\rse to pursue4 ,! con/ant association ) an insane p]son is und]m9+2 ! responsibility is (t5 too heavy2 *ildr51 (t5 inh]it+ ! same neurotic t5d5cy & always impressionable1 %\ld n be expos$ to ! p]v]t+ influ5ce2 x may n be safe to keep a pati5t ) suicidal or homicidal impulses 9 8 home2 ! surr\nd+s amid :i* ! insane ideas fir/ />t$ may t5d to cont9ue a sugge/ion ( ^! ideas4 ,removal to /range locality & new sc5es1 ! influ5ce ( /rang]s1 ! ab&onm5t ( all responsibilities & duties1 & ! atmosph]e ( ob$i5ce1 r\t9e1 & discipl9e are all b5eficial4 ,an insane p]son w g5]ally make a great] ef=t = a /rang] ?an = a famili> relative4 ,discipl9e1 9 ! =m ( ord]s ( ! physicians1 & exact ob$i5ce is v (t5 v salut>y4 ,!re is a feel+ ) "s t all discipl9e is cruel4 ,?is is n s1 = ! conduct ( an insane p]son is n all insane1 b frequ5tly ne$s correction4 ,_m cases ( m5tal ali5ation improve promptly "u cu/odial c>e1 _m ne$ x all _! lives4 ,a great _m cases ( insanity are nev] oblig$ to g away f home1 & !re is a consid]able numb] :o c>ry on a bus9ess :ile /ill insane1 re> a family1 & take c>e ( !mselves4 ,9 g5]al1 a depress$ pati5t %\ld be kept at home z long z !re is absolute safety 9 s do+4 ,mo/ o!r =ms ( m5tal disease progress m rapidly t[>d recov]y 9 sanit>iums or hospitals equipp$ = su* pati5ts4 ,prospects ( recov]y are nev] jeop>diz$ by conf9em5t 9 a prop] in/itution4 ,m5tal & physical re/1 quiet1 regul>ity ( eat+1 ex]cis+1 & sleep+ are ! ess5tials :i* und]lie all successful treatm5t ( ^! cases4 ,dietetics1 div]sion by means ( games1 music1 etc41 regul> occupation ( any practicable sort1 toge!r ) ! association ) ! hopeful1 tactful1 & reason+ m9ds ( physicians & nurses tra9$ = ?is purpose are ( great value4 ,x mu/ be rememb]$ t 9 :olly civiliz$ localities madh\ses h be5 replac$ by hospitals1 keep]s h be5 replac$ by nurses & att5dants1 & ! old me?ods ( puni%m5t & co]cion h be5 long s9ce ab&on$1 9 ! light ( mod]n compassionate cu/ody4 ,c]ta9 =ms ( insanity are hopeless f ! />t4 ,few recov] aft] two ye>s ( m5tal ab]ration4 ,omitt+ ! hopeless cases1 ov] =ty p] c5t ( ! cases ( insanity recov]4 ,ab\t sixty p] c5t recov] ( ! cases class$ z melan*olia & mania4 ,mo/ recov]ies occur dur+ ! fir/ ye> ( ! disease2 b depress$ pati5ts may em]ge & recov] aft] sev]al ye>s' treatm5t4 ,,footnotes3 #aj ,caution4 ,dang]\s4 ,use only on physician's ord]4 ,,app5dix ,pat5t ,m$ic9es#aa ,! t]m pat5t m$ic9e is loosely us$ to designate all rem$ies ( a secret1 non-secret1 or propriet>y "*1 :i* are widely adv]tis$ to ! public4 ,?is use ( ! "n is errone\s1 & x is bett] fir/ to und]/& ! exact diff]5ce betwe5 ! diff]5t classes ( m$ic9es g5]ally compris$ "u ?is head+4 ,only 9 ?is way c "o compreh5d _! "r & wrong use4 ,a ,pat5t ,m$ic9e is a rem$y :i* is pat5t$4 ,9 ord] to secure ?is pat5t1 an exact /atem5t ( ! +r$i5ts & ! mode ( manufacture mu/ be fil$ ) ! gov]nm5t4 ,^! true pat5t m$ic9es are g5]ally artificial products ( *emical manufacture1 su* z ph5acet94 ,! v fact ( _! be+ pat5t$ makes !m non-secret1 & if an intellig5t idea is held ( _! nature & mode ( action1 !y may be prop]ly us$4 ,physicians ) a full k ( _! uses1 limitations1 & dang]s (t51 & legitimately1 prescribe !m1 & ?us us$ !y are ! safe/ & mo/ useful ( all drugs & comp\nds ( ?is class4 ,a ,no/rum4--,! ,c5tury ,diction>y def9es a no/rum z a m$ic9e ! +r$i5ts ( :i*1 & ! me?ods ( comp\nd+ !m1 are kept secret = ! purpose ( re/rict+ ! pr(its ( sale to ! inv5tor or proprietor4 ,"s no/rums h /at$1 on _! label1 ! names ( _! +r$i5ts1 b n ! am\nt4 ,!re has be5 no re/riction ^u _! manufacture or sale 9 ?is c\ntry1 !re=e ! us] has only ! manufactur]'s /atem5t z to ! nature ( ! m$ic9e & its uses1 & ^! /atem5ts1 9 _m in/ances1 h be5 prov$ utt]ly false & unreliable4 ,a ,propriet>y ,m$ic9e is a non-secret comp\nd :i* is m>ket$ "u ! mak]'s "n4 ,?is is usually done because ! manufactur] claims "s p>ticul> m]it 9 8 product & its mode ( prep>ation1 & z ^! drugs are p]fectly e?ical & l>gely us$ by physicians1 x is to ! mak]'s int]e/ to ma9ta9 8 reputation = ! purity & accuracy ( ! drug4 ,famili> in/ances ( ?is class are3 ,squibb's ,e!r & ,*lor(orm1 & ,p[]s ,weightman's ,qu99e4 ,f ! above def9ition x may be se5 t ! only unreliable m$ic9es are ^? :i* are1 9 reality1 no/rums4 ,9 reg>d to all ( ^! m$ic9es ! foll[+ rules %\ld be obs]v$3 ,fir/4--,don't use any rem$y t does n %[ its =mula on ! label4 ,second4--,no matt] :at y\r confid5ce 9 ! m$ic9e1 or h[ highly recomm5d$ x is1 consult a physician be=e us+ v mu* ( x4 ,?ird4--,take no m$ic9e int]nally )\t a physician's advice4 ,?r\gh\t ?is *apt] ! ^w pat5t m$ic9e w be us$ 9 its widely accept$ =m1 9 ! ev]yday s5se1 )\t reg>d to its legal def9ition1 & w be held to include any ( ! above-m5tion$ classes1 unless a direct /atem5t is made to ! contr>y4 ,9 ,g]many ! cont5ts ( pat5t m$ic9es are commonly publi%$1 & 9 ?is c\ntry1 notably 9 ,massa*usetts1 ! ,/ate ,bo>ds ( ,heal? are analyz+ ^! prep>ations1 & mak+ public _! f9d+s4 ,9 ,nor? ,dakota a law has be5 pass$ :i* requires t a propriet>y m$ic9e conta9+ ov] five p] c5t ( alcohol1 or any "o ( a numb] ( specifi$ drugs1 be label$ accord+ly4 ,,pure ,,food ,,bill4--,a f>-rea*+ & important /ep1 9 ! movem5t = re=m ( pat5t m$ic9es & = ! protection ( ! public1 has n[ be5 tak5 by ! ,unit$ ,/ates ,gov]nm5t4 ,on ,june #cj1 #aijf1 an act 0 approv$ =bidd+ ! manufacture1 sale1 or transportation ( adult]at$1 misbr&$1 or poison\s or delet]i\s foods1 drugs1 m$ic9es1 or liquors4 ,?is act regulates int]/ate comm]ce 9 ^! articles1 & w5t into effect ,janu>y #a1 #aijg4 ,section #g ( ?is act /ates3 ,t = ! purposes ( ?is ,act an article %all be deem$ to be adult]at$3 9 case ( drugs3 ,fir/4 ,if1 :5 a drug is sold "u or by a "n recogniz$ 9 ! ,unit$ ,/ates ,ph>macopoeia or ,national ,=mul>y1 x diff]s f ! /&>d ( /r5g?1 quality1 or purity1 z det]m9$ by ! te/ laid d[n 9 ! ,unit$ ,/ates ,ph>macopoeia or ,national ,=mul>y (ficial at ! "t ( inve/igation2 ,provid$1 t no drug def9$ 9 ! ,unit$ ,/ates ,ph>macopoeia or ,national ,=mul>y %all be deem$ to be adult]at$ "u ?is provision if ! /&>d ( /r5g?1 quality1 or purity be pla9ly /at$ ^u ! bottle1 box or o!r conta9] !re( al?\gh ! /&>d may diff] f t det]m9$ by ! te/ laid d[n 9 ! ,unit$ ,/ates ,ph>macopoeia or ,national ,=mul>y4 ,second4 ,if its /r5g? or purity fall bel[ ! pr(ess$ /&>d or quality "u :i* x is sold4 ,section #h /ates t a drug %all be deem$ misbr&$3 ,fir/4 ,if x be an imitation ( or (f]$ = sale "u ! "n ( ano!r article4 ,second4 ,if x 7! package1 bottle or box7 fails to be> a /atem5t on ! label ( ! quantity or proportion ( any alcohol1 morph9e1 opium1 coca9e1 h]o91 alpha or beta euca9e1 *lor(orm1 cannabis indica1 *loral hydrate1 or acetanilid1 or any d]ivative or prep>ation ( any su* sub/ances conta9$ !re94 ,:at are ! motives :i* impel p]sons to buy & use pat5t m$ic9es8 ,! hi/ory ( m$ic9e (f]s a p>tial explanation4 ,9 some:at remote times we f9d t ! m$ic9es 9 use by regul> physicians 7 ( ! mo/ vile1 nauseat+1 & p[]ful nature4 ,we read ( purg+ g5tly ) a teaspoonful ( calomel4 ,!n dur+ ! wond]ful progress ( sci5tific m$ic9e1 beg9n+ a little m ?an a half c5tury ago1 ! mo/ illu/ri\s & useful work]s 7 s busily engag$ 9 f9d+ ! causes ( disease & ! *anges wr\ght 9 ! v>i\s organs1 9 obs]v+ ! noticeable symptoms & 9 classify+ & diagno/icat+ !m1 t treatm5t 0 giv5 b scant att5tion4 ,?is 0 n[h]e m noticeable ?an 9 ,g]many1 ! bir?place1 home1 & _w-c5t] ( sci5tific m$ic9e1 to :i* all ! m$ical pr(ession flock$4 ,pati5ts became simply mat]ial :i* c\ld be wat*$ & /udi$4 ,?is 0 an exempl>y _s1 b did n suit ! pati5ts :o want$ to be treat$ & cur$4 ,?is fact1 toge!r ) ! peculi> word+ ( ! laws regulat+ ! practice ( m$ic9e1 :i* all[ anyone ) ! exception ( graduates to treat pati5ts1 b n to prescribe or op]ate ^u !m1 acc\nts = ! numb] ( quacks 9 ,g]many4 ,dr4 ,jacobi /ates t !re is "o quack doctor to e two regul> physicians 9 ,saxony & ,bav>ia4#ab ,ano!r cause = ! use ( pat5t m$ic9es is my/icism4 ,ignorance is ! "m ( cr$ulity4 ,x is report$#ac t ,cato1 ! eld]1 recomm5d$ cabbages z a panacea = all sorts ( ills1 t he treat$ dislocations ( ! limbs by incantations1 & ord]$ ! ,greek physicians out ( ,rome4 ,! ignorant are greatly influ5c$ by ?+s t !y _c und]/&4 ,!re=e1 z ! mass ( p are utt]ly ignorant ( ! *anges 9 /ructure & function ( ! body caus$ by disease1 & also ! limitations ( m$ic9es 9 _! p[] ( heal+ su* alt]ations1 _! belief 9 ! my/]i\s p[] said to atta* to pat5t m$ic9es is n surpris+4 ,:5 te/imonials ( ! efficacy ( pat5t m$ic9es purport+ to come f respectable div9es1 m]*ants1 & /atesm5 are (f]$1 ! pro( ( _! p[] seems inconte/able4 ,economy & conv5i5ce are add$ inc5tives to ! employm5t ( pat5t m$ic9es4 ,?is me?od ( sav+ ! doctor's fee is eng5d]$ by ^? physicians :o !mselves write prescriptions = no/rums4 ,:y n1 inde$1 elim9ate ?is middleman 7! doctor7 & buy ! no/rums direct8 ,s say ! un?9k+4 ,b :at doctor wor?y ( ! "n w\ld prescribe a m$ic9e ! composition ( :i* he 0 ignorant8 ,yet x is frequ5tly done4 ,z ,dr4 ,cabot has s aptly put x1 :at w\ld be ?\ght ( a bank] or f9ancial advis] :o recomm5d$ 8 cli5t to buy a security simply on ! recomm5dation ( ! exploit] ( ! security8 ,yet t is exactly ! position ( a doctor :o recomm5ds a no/rum4 ,9 view ( ! fact1 !re=e1 t p]sons ( und\bt$ intellig5ce are 9 ! habit ( pur*as+ & us+ rem$ies ( ?is "* & s9ce _m ( ! mo/ widely adv]tis$ prep>ations are extremely h>mful1 ev5 poison\s1 we h tak5 ! lib]ty ( po9t+ out a few dang] signals1 9 ! guise ( extravagant ass]tions & impossible claims1 :i* are *>act]i/ic signs ( ! pat5t m$ic9es to be avoid$4 ,,dang] ,,signals4--,!re are _m picturesque & easily grasp$ features 9 ! lit]ature1 labels1 & adv]tis+ ( pat5t m$ic9es t spell dang]4 ,:5 ^! features are se51 ! m$ic9e %\ld be ab&on$ imm$iately1 no matt] :at y\r fri5ds tell y ab\t x1 or h[ highly recomm5d$ x may h be5 by o!rs ?an y\r physician4 ,claim+ a ,great ,v>iety ( ,cures4--,p]haps ( all features ( pat5t m$ic9e adv]tis+1 ?is is ! mo/ allur+4 ,no "o drug or comb9ation ( drugs1 ) possibly "o or two exceptions1 c or does cure any disease4 ,pati5ts recov] only :5 ! resi/ance ( ! body is great] ?an ! /r5g? ( ! disease4 ,?is body resi/ance v>ies 9 diff]5t p]sons1 & is nev] j alike 9 any two individuals or illnesses4 ,! pati5t mu/ be treat$ & n ! disease1 s x is ! aim ( e consci5ti\s physician to cons]ve & /r5g!n ! vital =ces &1 at ! same "t1 gu>d aga9/ fur!r encroa*m5t ( ! disease4 ,!re is no cure-all1 & ev5 if a drug or comb9ation ( drugs 7 helpful 9 any s+le case1 !y might easily be totally unsuit$1 or ev5 h>mful1 9 ano!r case1 ) app>5tly simil> symptoms4 ,:5 a mak] claims t 8 p>ticul> concoction w cure a long li/ ( diseases1 ! ass]tion be>s on its face evid5ce ( its falsity4 ,"o ( ! mo/ widely adv]tis$ & l>gely sold cat>rh rem$ies claims to cure pneumonia1 consumption1 dyspepsia1 ent]itis1 app5dicitis1 ,bright's disease1 he>t disease1 cank] sores1 & measles4 ,?is is absolute fraud4 ,no matt] :at virtues ?is m$ic9e might h 9 ! treatm5t ( "o or two ailm5ts1 no "o rem$y c\ld possibly be ( s]vice 9 su* a v>i$ li/ ( diseases1 & x c\ld n cure "o ( !m4 ,ano!r rem$y bases its ass]tion ( cures on ! fact t x claims to be a g]m kill]1 & assumes t all disease is caus$ by g]ms4 ,to quote f its adv]tis+ lit]ature1 x claims to cure ?irty-sev5 diseases :i* are m5tion$ by "n1 & !n foll[s ! ass]tion t x cures all diseases t beg9 ) fev]1 all inflammations1 all cat>rhal contagi\s diseases1 all ! results ( impure or poison$ blood4 ,9 n]v\s diseases--acts z a vitaliz]1 accompli%+ :at no drugs c d4 ,x w\ld seem t an intellect ( any pret5sions w\ld recognize ! fraudul5t nature ( ?is claim1 yet ?\s&s ( bottles ( ?is /uff are annually sold to a gullible public4 ,^! wide & unju/ifiable claims are real dang] signals1 & any m$ic9e mak+ !m %\ld be avoid$4 ,!re are _m o!r rem$ies = :i* j z great claims are made2 ! two in/ances cit$ are m]ely repres5tative ( a l>ge class4 ,x is a wa/e ( "t1 money1 & heal? to buy !m ) any idea t !y c fulfill _! pret5sions4 ,claim+ to ,cure ,heada*es4--,! use ( any heada*e p[d]s or tablets %\ld be avoid$1 except on ! advice ( a physician4 ,! pres5ce ( pa9 9 ! head1 or 9 any o!r "p ( ! body1 may be a symptom ( a s]i\s & deep-seat$ disord]1 & x may (t5 be a s]i\s matt] to temporize ) x4 ,at ! be/1 ^! pa9 reliev]s c give only tempor>y relief1 & _! use may prove to be dang]\s 9 ! extreme4 ,_! action is dep5d5t ^u "o ( ! mod]n coal-t> products1 usually acetanilid1 because x is ! *eape/4 ,b1 un=tunately1 acetanilid is also ! "o ) ! mo/ depressant action on ! he>t4 ,! dang] ( heada*e p[d]s lies 9 ! habit :i* !y induce1 because ( _! quick pa9-reliev+ qualities & _! easy procurability1 & f ov]dosage4 ,if a p]son is o!rwise 9 good heal?1 ! use ( "o heada*e p[d] w 9 all probability d no h>m1 b ! dose %\ld n be repeat$ )\t a doctor's au?ority4 ,_m dea?s h occurr$ f _! cont9u$ use1 or because ( an idiosyncrasy on ! "p ( ! tak]1 b x is _! abuse m ?an _! use :i* has br\ght ^u !m su* almo/ univ]sal condemnation4 ,!re=e1 :ile ! physician may advocate _! use1 d n take !m )\t 8 advice & specific directions z to k9d & dosage4 ,claim+ ,exhil>ation4--,^! m$ic9es1 by _! insidi\s "*1 con/itute a p>ticul>ly dang]\s v>iety4 ,!y dep5d1 = _! effect1 ^u ! am\nt ( alcohol t !y conta94 ,_m consci5ti\s temp]ance work]s h n only unsuspect+ly tak5 !m1 b h actually indors$ !m4 ,rec5tly ! publi%$ analyses ( sev]al ,/ate ,bo>ds ( ,heal? & ! inve/igations made by ,samuel ,hopk9s ,adams1 & publi%$ 9 8 s]ies on ,! ,great ,am]ican ,fraud h %[n t a majority ( ! tonics1 vitaliz]s1 & recon/ructors dep5d = _! exhil>at+ effect ^u ! fact t !y conta9 f sev5te5 to fifty p] c5t ( alcohol2 :ile be] conta9s only five p] c5t1 cl>et eight p] c5t1 & *ampagne n9e p] c5t4 ,pure :isky conta9s only fifty p] c5t ( alcohol1 yet few p w\ld dr9k ?ree w9eglassfuls 9 =ty-five m9utes#ad z a m$ic9e pure & simple4 ,! ,unit$ ,/ates ,gov]nm5t has prohibit$ ! sale ( "o ( ^! m$ic9es to ! ,indians1 simply on acc\nt ( ! fact t z an intoxicant x 0 f\nd too tempt+ & effective4#ae ,if "o mu/ h a /imulant x is bett] to be assur$ ( its purity4 ,^! m$ic9es are n only co/ly1 b conta9 *eap1 & (t5 adult]at$1 spirits4 ,_! wor/ feature is t !y (t5 induce ! alcoholic habit 9 o!rwise upright p4 ,comm5c+ ) a small dose1 ! am\nt is gradually increas$ until ! us] becomes a slave to dr9k4 ,c\ld ! true hi/ory ( ^! widely us$ m$ic9es be writt51 x w\ld und\bt$ly %[ t _m drunk>ds 7 />t$ on _! d[nw>d c>e] by m$ic9al doses ( ^! tonics & brac]s4 ,claim+ ,pa9-reliev+ or ,soo?+ ,qualities4--,! prop]ties ( ?is class ( rem$ies dep5d g5]ally ^u ! pres5ce ( coca9e1 opium1 or "s equally subtle & alli$ sub/ance4 ,x %\ld be ne$less to /ate t su* p[]ful drugs %\ld be tak5 only ^u a physician's prescription4 ,habit-=m+ & insidi\s 9 "*1 !y are an actual m5ace4 ,:5 pres5t 9 c\gh syrups1 !y give by _! soo?+ qualities a false s5se ( security1 & :5 pres5t 9 soo?+ syrups or colic cures = babies1 !y may be giv5 ) fatal result4 ,nev] take a m$ic9e conta9+ ^! drugs )\t a full und]/&+ ( _! dang]\s "*1 & a realization ( ! possible consequ5ces4 ,te/imonials4--,^! may mean any?+ or no?+2 g5]ally ! latt]4 ,!y are usually g5u9e1 b1 z ,mr4 ,adams obs]ves1 !y repres5t1 n ! av]age evid5ce1 b ! mo/ gl[+ op9ions :i* ! no/rum-v5d] c obta91 & g5]ally !y are ! expression ( a l[ ord] ( intellig5ce4#af ,x is a sad comm5t>y on _m m5 & wom51 prom95t 9 public life1 t !y l5d _! names & ! weight ( _! te/imony to fur!r ! ends ( su* que/ionable v5tures4 ,political & newspap] int]e/s are responsible = ! collection ( ?is class ( te/imonials4 ,an inve/igation ( "s m51 :o p]mitt$ ! use ( _! names = ?is purpose1 reveal$ t _m ( !m _h nev] ta/$ ! comp\nd1 b t !y 7 will+ to sign ! te/imonials = ! joy ( appe>+ 9 pr9t z prom95t citiz5s4#ag ,prom95t m9i/]s & di/+ui%$ temp]ance work]s are (t5 cit$ z be>+ te/imony to ! virtues ( "s pat5t m$ic9e4 ,x has be5 %[n t1 :ile ! te/imonials 7 real1 ! p :o sign$ !m _h little "r ( cr$5ce1 & 7 possess$ ( *>act]s & attributes :i* w\ld %[ _! op9ions to be ( little value4 ,money & en]gy c be productive ( any numb] ( te/imonials = any rem$y4 ,:ile "s ( !m may be au!ntic1 yet ! fact t a m$ic9e cur$ any "o ( ! sign]s is no evid5ce t x w cure or ev5 help anyone else4 ,_m p recov] f diseases ) no m$ic9e at all1 & isolat$ cures c nev] be tak5 z a crit]ion ( ! value ( any rem$y or me?od4 ,(f]+ ,money ,back ,unless ,cur$4--,c>eful read+ ( ?is clause 9 mo/ adv]tis+ lit]ature w %[ t !re is a /r+ atta*$4 ,! manufactur]s are usually safe 9 mak+ ?is proposition4 ,9 ! fir/ place1 ! av]age p]son w n put ! matt] to a te/4 ,! second reason :y ?is is a safe proposition = ! mak] is1 t if ! m$ic9e does n cure1 ! pati5t may die1 & dead m5 are h>dly possible claimants4 ,claim+ to ,cure ,diseases ,incurable by ,m$ic9e ,alone4--,probably no class ( p are great] us]s ( pat5t m$ic9es ?an ^? un=tunates afflict$ ) ! s-call$ incurable diseases4 ,! v fact ( ! s]i\s nature ( _! compla9t1 & ! dread ( surgical int]v5tion1 makes !m easy victims to ! allurem5t ( sure cures4 ,! committee on ! prev5tion ( tub]culosis ( ! ,*>ity ,organization ,society ( ,new ,york ,city has ann\nc$ 9 decid$ t]ms t !re is no specific m$ication = consumption4 ,canc]1 likewise1 _c be cur$ by ! use ( int]nal m$ic9e alone4 ,surg]y holds out ! greate/ hope 9 ?is dread disease4 ,! m$ic9es claim+ to cure ^! diseases are1 !re=e1 ( ! mo/ fraudul5t nature4 ,_! use is positively h>mful1 = 9 tak+ !m priceless "t is lo/4 ,nev] temporize if !re is any suspicion ( ! exi/5ce ( su* diseases z consumption or canc]4 ,self-treatm5t ) pat5t m$ic9es 9 su* cases is worse ?an useless--x is actually dang]\s to life itself4 ,consult a physician at ! e>lie/ possible mom5t1 & put no fai? 9 pat5t m$ic9es4 ,!re are1 h[ev]1 z has be5 po9t$ out1 c]ta9 pat5t & propriet>y m$ic9es :i* may prop]ly be employ$ by ! physician4 ,^! include ! newly discov]$1 manufactur$ *emicals ( kn[n composition & action2 & s+le sub/ances or comb9ations ( kn[n drugs 9 kn[n proportions1 :i* c only be made to be/ advantage by ^? hav+ ! adequate facilities4 ,! habit ( prescrib+ propriet>y mixtures ( sev]al sub/ances = special diseases is1 h[ev]1 g5]ally a matt] ( laz9ess1 c>elessness1 or ignorance on ! doctor's "p4 ,?is foll[s because no disease is alike 9 any two pati5ts2 because any "o disease has _m phases & /ages2 & because a doctor %\ld always treat ! pati5t & n ! disease4 ,?us a doctor1 aft] c>efully que/ion+ & exam9+ ! pati5t1 %\ld adju/ ! rem$y to ! peculi>ities ( ! pati5t & disease4 ,x is impossible to make a giv5 comb9ation ( drugs fit all pati5ts ) ! same disease4 ,! quantity ( pat5t m$ic9e sold 9 ! ,unit$ ,/ates is enorm\s4 ,a s]ies ( articles by ,samuel ,hopk9s ,adams appe>$ 9 ,colli]'s ,weekly dur+ #aije & #aijf1 9 :i* he n only %[$ ! fraudul5t "* ( _m ( ! be/-kn[n pat5t m$ic9es1 giv+ _! names & mo/ m9ute details conc]n+ !m1 b furni%$ mu* reliable in=mation 9 an int]e/+ & conv9c+ mann]4 ,9 ! c\rse ( ^! articles he po9t$ out t ab\t "o hundr$ millions ( doll>s are paid annually = pat5t m$ic9es 9 ! ,unit$ ,/ates4 ,z expla9+ ?is1 9 "p1 he affirm$ t z _m z five companies ea* exp5d$ ov] "o million doll>s annually 9 adv]tis+ pat5t m$ic9es4 ,:at ,are ! ,good ,ones ,good ,=8--,9 any great movem5t1 :5 a dormant public sudd5ly awak5s to ! fact t a fraud has be5 p]petrat$ or a wrong committ$1 ! in/9ctive & ov]:elm+ desire is = f>-rea*+ re=m4 ,9 ef=ts to obta9 ne$$ & radical improvem5t1 & ) ! impetus ( a s5se ( wrong deal+1 ! p5dulum ( public op9ion is apt to sw+ too f> 9 an opposite direction4 ,!re are bad pat5t m$ic9es--! pro( ( _! fraudul5t "* is cle> & ov]:elm+2 b !re are good ones ^: m]its h be5 obscur$ by ! cl\d ( :olesale & popul> condemnation4 ,x is true t ! manufactur]s ( ev5 "s ( ! valuable ones h an absurd habit ( claim+ ! impossible4 ,?is attitude is to be regrett$1 = ! mak]s h ?us (t5 caus$ u to lose fai? 9 ! really helpful uses to :i* _! products might be put4 ,h[ev]1 x is well 9 condemn+ ! bad n to ov]look ! good4 ,! m]e fact t a m$ic9e is pat5t$1 or t x is a s-call$ propriet>y rem$y1 does n mean t x is valueless or actually h>mful4 ,! safety l9e is k ( ! m$ic9e's real nature1 its uses & its dang]s2 ! rules giv5 above %\ld be rigor\sly foll[$4 ,x is f> easi] to give g5]al indications = ! guidance ( ^? wi%+ to %un unwor?y pat5t m$ic9es ?an to enable ! read] to recognize ! wor?y article4 ,x is safe to assume1 h[ev]1 t !re are c]ta9 simple rem$ies1 p>ticul>ly ^? = ext]nal application1 :i* h a def9ite use & are dep5dable4 ,9 ju/ice x mu/ be said t great improvem5t has tak5 place1 & is n[ tak+ place 9 ! e?ical "* ( pat5t m$ic9es1 ow+ to rec5t agitation1 & :at is true conc]n+ !m to-day may n be true to-morr[4 ,! only prop]1 e?ical pat5t m$ic9e is ! "o %[+ its exact composition1 & refra9+ f promise ( a cure 9 any disease4 ,su* a "o might1 nev]!less1 adv]tise its purity1 reliability1 advantage\s mode ( manufacture1 & ! excell5ce ( its +r$i5ts ) m mode/ & tru?ful claims z to its use4 ,! pur*as] ( a pat5t m$ic9e pays n only = ! +r$i5ts1 ! co/ ( comb9+ !m1 & ! mak]'s j pr(it1 b he also pays ! exploit]'s bills = adv]tis+ & di/ribut+ ! f9i%$ product4 ,) su* /&>d rem$ies z ^? m5tion$ above1 ?is add$ co/ is usually a good inve/m5t = ! pur*as]1 because trade-m>k$ rem$ies :i* h made good possess two advantages ov] ^? less adv]tis$1 & ov] _! prototypes 9 crude =m3 procurability & integrity4 ,ev5 at remote cross-roads /ores1 x is possible to obta9 a popul> rem$y1 "o :i* has be5 well pu%$ comm]cially4 ,& an article sold 9 packages seal$ by ! mak]s gets to ! consum] j z pure z :5 x left ! laboratory4 ,?is is n always true ( +r$i5ts held 9 bulk by ! retail]2 witness ! evid5ce br\ght =w>d 9 rec5t prosecutions = drug adult]ation4 ,x is n ! purpose ( ?is *apt]1 9 any s5se1 to adv]tise or place ! seal ( its unre/rict$ approval ^u any "o article ( a class4 ,its position 9 ! matt] is absolutely imp>tial4 ,b 9 ord] t x may be z helpful z possible1 x def9itely m5tions ! mo/ widely kn[n1 & !re=e ! mo/ easily obta9able1 rem$ies4 ,!re are o!r equally good rem$ies 9 ea* case1 b z x w\ld be almo/ impossible to m5tion ea* individual rem$y ) simil> virtues n[ on ! m>ket1 ! ones discuss$ mu/ be tak5 z repres5tative ( _! class 9 ea* in/ance4 ,d n =get t ! use ( ^! simple rem$ies does n ju/ify _! abuse4 ,!y may make great claims :ile _! use is really limit$4 ,d n rely ^u !m to d ! impossible4 ,vasel9e4--,?is is pure & ref9$ petroleum1 & w be f\nd ( mu* s]vice 9 _m =ms ( sk9 irritation4 ,x is useful 9 ! prev5tion ( *app+1 = s(t5+ r\gh sk91 = prev5t+ & heal+ ble$+ & crack$ lips1 z a protective dress+ 9 burns1 cuts1 or any acute inflammation ( ! sk9 :]e ! cuticle has be5 injur$ or de/roy$1 or :]e x is desirable t a w\nd %\ld be protect$ & kept clos$ f ! air4 ,rubb$ ov] ! surface ( ! body :5 a pati5t is desquamat+ or peel+ aft] sc>let fev] or measles1 x keeps ! sk9 smoo?1 soo!s ! it*+1 & prev5ts ! scales f be+ c>ri$ ab\t 9 ! air & s infect+ o!rs4 ,vasel9e is a soo?+1 nonirritat+1 & bl& protective o9tm5t = ext]nal use4 ,x is p]fectly h>mless1 b %\ld n be us$ = sev]e sk9 disease or = int]nal use1 unless recomm5d$ by a physician 9 conjunction ) o!r means ( heal+4 ,pond's ,extract4--,al?\gh ! mak]s h claim$ special virtues = ?is rem$y1 x is 9 reality an extract ( hamamelis or wit*-hazel1 & probably diff]s little 9 its application or results f ! ord9>y m>ket$ extract made by ! av]age druggi/4 ,x is mild & bl&1 h>mless :5 us$ ext]nally1 b %\ld n be us$ int]nally unless ord]$ by a physician4 ,x is soo?+ & heal+ :5 appli$ to w\nds1 spra9s1 & bruises2 dilut$ ) wat] x is a pleasant g>gle = a sore ?roat1 & may be appli$ ext]nally on ! ?roat by means ( a flannel wrung out 9 a solution ( x 9 hot wat]4 ,= noseble$ x is (t5 effici5t :5 snuff$ up ! nose1 or :5 pl$gets ( cotton are soak$ 9 x & plac$ 9 ! no/rils4 ,x may be us$ z an application 9 ulc]s or v>icose ve9s1 & f two to f\r teaspoonfuls ) an equal am\nt ( wat] inject$ into ! rectum two or ?ree times daily w (t5 prove ( great help 9 piles1 p>ticul>ly if ble$+4 ,x gives relief :5 us$ = sore or inflam$ eyes or eyelids1 b 9 ?is1 z 9 all o!r s]i\s inflammations1 x is n a cure all1 & ! physician %\ld be consult$ if ! relief is n prompt4 ,li/]9e4--,( ! _m mild liquid antiseptics ,li/]9e is probably ! be/ kn[n4 ,! rem>ks & recomm5dations conc]n+ x1 h[ev]1 are equally applicable to _m o!r rem$ies ( a some:at simil> nature1 su* z glyco?ymol9e1 borolyptol1 ly?ol1 alkalol1 =malid1 etc4 ,li/]9e is a solution ( antiseptic sub/ances ) ! addition ( ?ymol & m5?ol 9 quantities suffici5t to give x a pleasant odor & ta/e4 ,x has a v /rong hold on ! public1 & is a des]v$ly useful rem$y4 ,li/]9e has _m helpful uses4 ,x is pot5t en\gh to kill _m g]ms1 & is excell5t = ?is purpose :5 us$ z a m\? wa%1 p>ticul>ly dur+ illness4 ,9 acute cold 9 ! head x is soo?+ to ! muc\s membrane ( ! nose1 if us$ dilut$ ) w>m wat] z a nasal d\*e4 ,x s]ves a simil> purpose :5 us$ z a g>gle 9 mild sore ?roat4 ,if !re is any reason to suspect t dirt or o!r =eign matt] has come 9 contact ) a sore or cut1 ! w\nd may be freely wa%$ ) a solution ( li/]9e 9 ord] to clean x & r5d] x z ne>ly aseptic z possible4 ,:5 !re are di/9ct signs ( inflammation x %\ld n be reli$ ^u4 ,d n use x int]nally )\t a physician's advice4 ,scott's ,emulsion4--,?is is a good emulsion ( cod-liv] oil1 widely prescrib$ by physicians = ! _m pati5ts :o are too delicate-/oma*$ to reta9 ! pure oil4 ,= ^? :o c take ! ref9$ oil /raight1 ,pet] ,moell]'s br& is 9 a class by itself4 ,9 c]ta9 conditions cod-liv] oil is "o ( ! mo/ valuable rem$ies kn[n4 ,z a conc5trat$ & recon/ructive food 9 _m wa/+ diseases x is ( great s]vice4 ,weak & puny *ildr51 & all suff]+ f malnutrition may take x ) b5efit4 ,x does help produce fle%1 increase /r5g?1 & add to ! body's resi/+ p[]s4 ,x does n conta9 any m$ic9al prop]ties1 & its virtue is l>gely 9 its fat or oil1 b z an aid to o!r rem$ies1 or alone1 :5 increas$ nutrition is desir$1 x is a reliable & helpful rem$y4 ,antiphlogi/9e4--,!re are _m clay p\ltices on ! m>ket3 antiphlogi/9e1 anti!rmol9e1 cretame?yl1 s$ol1 ungu5tum1 yorkel91 & ! ,empla/rum ,kaol9i ( ! ,u4 ,s4 ,ph>macopoeia4 ,antiphlogi/9e1 be+ probably ! mo/ widely kn[n1 is "h discuss$4 ,x is ( value :5 a p\ltice is indicat$4 ,x is pref]able to ! homemade v>ieties 9 t x reta9s heat = a long] p]iod ( "t & is antiseptic4 ,x %\ld nev] be us$ 9 deep-seat$ inflammations1 su* z p]itonitis1 app5dicitis1 deep abscesses ( any "p ( ! body1 or o!r s]i\s conditions1 unless recomm5d$ by a physician2 = su* ailm5ts ne$ m ?or\gh treatm5t ?an c be af=d$ by any p\ltice4 ,x is p]fectly h>mless1 & may be us$ ) decid$ b5efit 9 abort+ or prev5t+ _m inflammatory diseases4 ,appli$ 9 ! e>ly /ages ( a boil1 felon1 or c>buncle x may ei!r abort ! tr\ble or1 if ! disease has already progress$ too f>1 x w ha/5 suppuration & %ort5 ! c\rse ( ! disease4 ,:5 a p\ltice is indicat$ 9 bron*itis or pleurisy x is an excell5t "o to use2 x w af=d mu* com=t1 & (t5 ha/5 recov]y4 ,9 nurs+ mo!rs1 :5 ! brea/s become full & t5d] & signs ( beg9n+ inflammation are pres5t1 antiphlogi/9e spread 9 a w>m & ?ick coat ov] ! brea/s w (t5 af=d relief4 ,platt's ,*lorides4--,:5 x is desirable to use a liquid dis9fectant ,platt's ,*lorides w be f\nd a useful article1 z w lysol & o!r m>ket$ products4 ,! s\rce ( a f\l smell or dang]\s infection %\ld nev] be ov]look$4 ,no dis9fectant c (f] a safegu>d if plumb+ is defective1 or o!r unsanit>y conditions exi/2 9 fact1 dis9fectants are (t5 deprecat$1 s9ce !y af=d a false s5se ( security4 ,if a contagi\s disease exi/s 9 a h\sehold1 o!r means ?an ! use ( a dis9fectant mu/ be tak5 9 ord] to prev5t ! spread ( ! contagion4 ,dis9fectants d h _! uses1 h[ev]1 & are (t5 ess5tial4 ,9 case ( an illness ( a contagi\s or infecti\s nature1 a solution ( ,platt's ,*lorides or a simil> dis9fectant %\ld be kept 9 all vessels conta9+ or receiv+ dis*>ges f ! body4 ,pails conta9+ su* a solution %\ld be 9 read9ess to receive all clo?s1 b$d+1 or wa%able clo!s :i* h come1 9 any way1 9 contact ) ! pati5t4 ,,footnotes3 #aa ,! publi%]s ann\nce ?is *apt] z prep>$ indep5d5t ( ,dr4 ,w9sl[ or any ( ! ,advis+ ,editors4 ,consid]$ z an ef=t to give helpful in=mation1 free ( adv]tis+ on ! "o h& & s5sational exposures on ! o!r1 ! article meets ) ! approval ( cons]vative physicians4 ,b ! problems dealt ) are too involv$ at pres5t = discussion direct f ! pr(ession to ! public4 #ab ,jacobi1 ,j\r4 ,am4 ,m$4 ,assn41 ,sept4 #bi1 #aijf4 #ac ,ibid4 #ad ,s4 ,h4 ,adams1 ,! ,great ,am]ican ,fraud4 #ae ,ibid4 #af ,s4 ,h4 ,adams1 ,! ,great ,am]ican ,fraud4 #ag ,s4 ,h4 ,adams1 ,! ,great ,am]ican ,fraud4 ---------------------------------------- ---------------------------- ,,transcrib]',s ,,note4 ,! prescription symbol has be5 transcrib$ z ,rx4 ---------------------------------------- ----------------------------