A Handbook of Health Part 15

Bathing as a Tonic. But bathing is of much greater value than simply as a means of cleansing. Splashing the body with water is the most valuable means that we have of toning up and hardening the skin, and protecting us against the effects of cold. The huge and wonderfully elaborate network of blood vessels that lies in and just under our skins all over our bodies is, from the point of view of circulation, second only in importance to our hearts, and from the point of view of taking cold, and of resisting the attack of disease, one of the most important structures in our entire body. If, by means of daily baths, you keep this mesh of blood vessels in your skin toned up, vigorous, and elastic, and full of red blood, it will do more to keep you in perfect health and vigor than almost any other one thing, except an abundance of food, and plenty of fresh air and exercise. A healthy skin is the best undergarment ever invented.

Right and Wrong Bathing. The best form of bath is either the tub or the shower bath; and the cooler the water, provided that you warm up to it quickly and pleasantly, the greater the tonic effect, the more exhilaration and pleasure you will get out of it, and the more it will harden your skin against cold. But it should never under any circ.u.mstances be any cooler than you can _readily_ and pleasantly react, or warm up to, during the bath and afterward. The habit of plunging into a great tub of ice-cold water all winter long, except for people of vigorous const.i.tutions and active habits, may often do quite as much harm as good. Have your bath water just cool enough to give you a slight, pleasant shock, as you plunge into it, or turn it on, so that you will enjoy the glow and sense of exhilaration that follows; and you will get all the good there is out of the cold bath, and none of the harm. By beginning with moderately cool water you will find that you come to enjoy it cooler and cooler. If a bath-room is not at hand, a large wash-bowl of cool, or cold, water into which you can dip your hands and splash well over the upper half of your body every morning, and once or twice a week all over your body, will keep your skin clean and vigorous. If you cannot warm up properly after a cool bath, there is something wrong about your habits of life; and you had better change them, and keep changing them, until you find you can enjoy it. For some delicate children, a quick plunge into, or splash with, very hot water in the morning will give somewhat the same tonic effect as stronger ones can get from cold water.

[Ill.u.s.tration: AS A TONIC, SWIMMING IS THE BEST FORM OF BATHING]

Warm baths are best taken at night, just before going to bed, though the danger of catching cold after them on account of their "opening up the pores of the skin," has been very greatly exaggerated. They have, however, a relaxing effect upon the skin, and take out an undue amount of the natural oil which nature provides for its oiling and softening, so that, except for special reasons, it is best not to take them oftener than once, or twice, a week.

Soaps and Scrubbing Brushes. As part of the perspiration deposited upon our skins is in the form of a delicate oil, and as this oil may become mixed with dirt, or dust, and form a mixture not readily soluble in water, it is at times advisable to add to the water something that will dissolve oil. The commonest thing used for this purpose is soap, which is a combination of an _alkali_--most commonly _soda_, though occasionally _potash_ (lye) is used in the soft soaps--with a fat or an oil. The combination of the two, which we call soap, has been invented for two reasons; one, that it makes a convenient, solid form in which the alkali, needed to dissolve the body oil, can be used in such strength as not to burn or injure the skin; the other, that the fat in the soap will, to some extent, take the place of the natural oil, or fat, which it washes off.

Necessary as soap is, it should be used very moderately. You should never lather and scrub your skin as if it were a kitchen floor, for the reason that, with the dirt, the alkali also washes and dissolves out a considerable amount of the natural oil of the skin, and leaves it harsh and dry. On this account, it is best not to use soap upon the covered portions of the body, and in the full bath, oftener than once or twice a week; and upon the face, oftener than once or twice a day. But the hands may be washed with soap more frequently.

It is also best to avoid the too frequent use of hot water, even upon the hands and face, for the same reason; it takes out too much of the natural oil of the skin, along with the dirt. Unless the dirt be of some infectious, or offensive, character, it is often best to content yourself with washing off just the "big dirt," and wait for the bubbling up of the perspiration through your skin to bring the deeper dirt up to the surface, and wash that off later, in the course of two or three hours.

Soaps to be Avoided. Soaps that lather too quickly and easily should always be avoided, for this shows that they contain an excessive amount of soda or other alkali. It is also best to avoid, or at least be very wary of, any soaps which are dark-colored or heavily perfumed, as these disguises may indicate the presence of decaying, offensive fats, and even of grease extracted from garbage. This is what strong perfumes in soaps are chiefly used for. Beware of all such, and especially of tar soaps, for the black color and the strong odor of tar can cover up any amount of bad quality.

Medicated soaps (soaps containing medicines) are also best let alone.

They are only fit to be used on the advice of a doctor. Most of them are out and out humbugs, and make up for their richness in drugs by their poorness in good, pure fat and alkali. Moreover, what may suit one particular diseased condition of the skin is quite as likely to be injurious as helpful to another. Any drug which has the power of curing disease is almost certain to be irritating to a healthy skin; and nothing can be put into a soap beyond pure, sweet fat, or oil, and good soda, which will make it any better, or more wholesome, for a healthy skin. If your skin be red, or itchy, or scaly, or out of condition in any way, go to a doctor and get the appropriate treatment for that particular disease, instead of smearing on the surface of your body some drug of which you know nothing, in the hope of its being the proper thing for the little patch of diseased skin.

Avoid Using Skin Brushes. Scrubbing brushes and skin brushes of all sorts should be used even more sparingly than soap or hot water, for the same reason. Nature did not coat us over with either boards or rubber, but with delicate, velvety, sensitive, living skin worth ten times as much as any sort of leather, bark, rubber, or cloth, for resisting cold, heat, and injuries. It is most important for the health of the skin that we keep that velvety coating unscratched and unbroken. The use of brushes and bristles of all sorts, therefore, should be chiefly restricted to the hair and the finger nails, as for every ounce of dirt that they take out of the skin, they do a pound of damage to it. They scrub off the delicate epidermis, as well as the natural oil in it, and leave it dry and irritated and ready to crack open. Then more dirt gets into the cracks just formed, and more scrubbing with bristles and hot water and soap is indulged in to get it out. This opens the cracks still further, and the next layer of dirt is worked in still deeper. Wash frequently with cold or cool water, occasionally with hot water, and sparingly with soap; and limit the use of brushes to the nails and the hair.

CARE OF THE NAILS

Importance of Clean Nails. On account of their constant use, your hands are brought in contact with dusty or dirty substances in your work and in your play; and it is very easy for some of this dirt, and such germs as it may contain, to lodge in the little c.h.i.n.k under the free edge of the nail, between it and the rounded end of the finger. It is of great importance that this nail c.h.i.n.k should be kept clean, not only because it looks both ugly and untidy to have the ends of your fingers "in mourning," with black bands across them, but also because the germs lodged under your nails may get onto your food the next time that you eat, and set up irritation and fermentation in your stomach. They may also cause other trouble; for instance, if your collar chafes the back of your neck, and to relieve the itching you rub it a little too hard with your finger, your nail may scratch the skin; and if it be blackened with infectious dirt, this may get into the little scratch and give rise to a boil, or a festering sore.

How to Clean the Nails. This cleaning of the nails, however, must be done carefully and gently; for, if too harsh methods are used, the delicate skin on the under surface of the nail will be torn, the nail will be roughened or split, the dirt will work in just that much deeper next time, and the germs in it may set up inflammations under the nail.

For this reason it is best not to use a sharp-pointed knife in cleaning the nails, but a blunt-pointed nail cleaner, such as can be bought for a few cents at any drug store, or such as many pocket-knives are now provided with. It is also best to trim the nails with a file or with scissors, instead of a knife, as the latter may split or tear the nail, or cut down to the quick. Before any of these are used, the nails should be thoroughly softened in warm water, and scrubbed with a moderately stiff nailbrush, such as should be kept on every washstand.

It is also best not to push back the fold of skin at the base of the nails, with instruments of any sort; or indeed, with anything harder than the ball of the thumb or finger. This fold protects the delicate growing part, or root, of the nail; and if it is shoved back too vigorously, the root may become exposed, or even inflamed and infected, and cause one of those extremely irritating little sores known as a "hangnail."

DISEASES AND DISTURBANCES OF THE SKIN

Their Chief Causes. Skin troubles are of two main kinds according to their cause: _internal_, due to the irritation of waste-poisons, or toxins, in the blood; and _external_, from direct injury or irritation of the skin from without.

The latter are often due to the wearing of too tight or too heavy clothing, or the failure properly to wash, cleanse, and ventilate the skin. Some of the lesser disturbances come from the chafing of collars, wristlets, and belts, and are, of course, relieved by loosening the clothing or subst.i.tuting soft, comfortable cotton for rasping flannels.

Others come from the use of too strong soaps, or the too frequent use of hot water, or too vigorous scrubbing of the skin, and these can be relieved by the avoidance of their cause.

Sunburn and Freckles and how to Cure Them. Upon the hands and face, sunburn and freckles may occur from exposure to the weather. They are not caused necessarily by exposure to direct sunlight; as the bright light and the cold air out of doors, also, will produce this irritating effect upon the skin.

The best way to cure sunburn is to bathe in cool water, take a night's rest, then go out the next day, and the day after, and take another dose of exposure, keeping this up until your face is hardened to stand a reasonable amount of sun. If you are in proper condition, neither your face nor your hands will sunburn uncomfortably. If they do, except under extreme exposure, it is a sign that you have not been living out of doors enough.

The various face-washes and creams and dusting powders which are used for the relief of sunburn, while they may, if mild enough, make the face feel somewhat more comfortable for a little time, owe most of their virtues to the fact that they are generally used at bedtime and then get the credit for the cure which nature works while you are asleep. If you should buy them, and keep them on your dressing-table unopened, where you could see them before you went to bed, you would in nine cases out of ten be just as much better in the morning as if you had used them.

The only harm done by freckles is to your vanity. They and sunburn both, in fact, are protective actions on nature's part, filling the skin with coloring matter, or _pigment_, so as to protect it, and the tissues below, from the irritating effects of the strong rays of light.

A like deposit of pigment, in greater amounts, in the skins of races who live in or near the tropics, gives rise to the characteristic coloring of the black, brown, and yellow races. The pigment, or coloring matter, is of exactly the same kind in all, from the negro to the white. The brown race having a little less of it than the negro, the yellow race a little less yet, and the white least of all, though there is some of it in even the whitest of skins.

Real Skin Diseases. Most of the serious and lasting diseases of the skin are caused by the attack of germs. Perfect cleanliness and ventilation are the best protection against them all; but if you should be unfortunate enough to catch one of these diseases, your doctor will be able to give you the mild germicide or antiseptic that will kill the particular germ that may have lodged upon your skin.

The commonest form of inflammation of the skin is called _eczema_, and eight-tenths of all eczemas are due to some mild germ, and can be cured by the appropriate poison for it.

Other diseases, particularly of the scalp, such as _ringworm_ and _dandruff_, are due to other forms of vegetable germs, and may be cured by their proper poisons; while others, such as the so-called "prairie itch" (_scabies_), and lice in the hair, are due to the presence of tiny animal _parasites_.

The Hookworm. Another disease which enters through the skin is the now famous _hookworm_, or blood-sucking parasite, which has been found to be so common in tropical regions and in our Southern States. This parasite has the curious habit of attaching itself by hooks surrounding its mouth (which gave it its name), to the lining of the human intestine, particularly its upper third. There it swings, and lives by sucking the blood of its victim. When the worm has once attached itself in the intestine, it may live for from five to fifteen years. All this time it is constantly laying eggs; and these eggs, which are so tiny that they have to be put under a microscope to be seen, pa.s.s out in the feces; and if they are not deposited in a proper water closet, or deep vault, but scattered about upon the surface of the soil, the eggs quickly hatch into tiny, little wriggling worms called _larvae_, which are still scarcely large enough to be seen with the naked eye.

These larvae live in the soil; and, when it is wet and muddy, they get up between the toes of boys and girls who are going barefoot, burrow their way in through the skin, and produce a severe itching inflammation of the skin of the feet, known as "ground-itch," "toe-itch" or "dew-itch."

When they have worked their way through the skin, they bore on into a blood vessel, are carried to the heart, pumped by the heart into the lungs, and there again work their way out of the blood vessels into the bronchial, or air tubes, crawl up these through the windpipe and voice organ into the throat, are swallowed into the stomach, and from there pa.s.s on into the upper intestine to attach themselves for their blood-sucking life. If they are sufficiently numerous, their victim becomes thin, weak, and bloodless, with pale, puffy skin, and shortness of breath; he is easily tired on the least exertion, and ready to fall a victim to any disease, like tuberculosis, pneumonia, or typhoid, that may happen to attack him.

Their spread can be absolutely prevented either by the strict use of toilets or deep vaults, thus preventing the deposit of feces anywhere upon the surface of the ground; or by the constant wearing of shoes or sandals, thus preventing the larvae from attacking the feet and working their way through the skin and body into the intestine.

Fortunately, the disease is as curable as it is common, and two doses of a proper germicide, with a day in bed, and a laxative, will promptly cure it except in the worst cases.

The Rashes of Measles, Scarlet Fever, etc. Many of the infectious fevers, such as measles, scarlet fever, chicken-pox, and smallpox, are attended by rashes, or _eruptions_, upon the surface of the skin, due to a special gathering or acc.u.mulation of the particular germs causing each disease, just under the skin. When the skin sheds, or flakes off, after the illness, the germs are shed in the scales and float, or are carried about, and thus spread the disease to others.

These rashes or eruptions are not dangerous in themselves, though often very uncomfortable, but help us to recognize the disease; they probably show us the sort of thing that is going on in the deeper parts of the body. If you imagine that your throat and bronchial tubes and lungs are peppered as full of the disease spots as your skin is, in measles and in scarlet fever, you will readily understand why your throat is so sore and why you have so much tickling and coughing.

The Health of the Scalp and Hair. The scalp, being covered by hair, does not perspire so freely as the rest of the skin of the body; but a considerable amount of oily waste matter is poured out on it, and the surface of its skin scales off in exactly the same way as does the rest of the body. If this acc.u.mulation of tiny scales and grease is not properly brushed out, it forms an excellent seed-bed for some of the milder kinds of germs that attack the skin; and a scurfy, itchy condition of the scalp is set up, known as dandruff.

The best way to keep the scalp clean of these acc.u.mulations of greasy scales is by vigorous and regular brushing with a moderately stiff, but flexible, bristle brush. Wire brushes should not be used, as the wires scratch and irritate the delicate scalp and do more harm than good. If you watch a groom brushing and currying the coat of a thoroughbred horse, you will get a fair idea of hew you ought to treat your own scalp at least twice a day, night and morning.

If this currying of the hair be thoroughly done, and the head washed with soap and hot water about once a week for short hair and twice a month for long hair, most of the dangers of dandruff and of other infections of the scalp will be avoided. One thing to be remembered is, don't brush too hard or too deep. There is an old saying and a good one, "You can't brush the scalp too little, or the hair too much."

Wetting the hair for the purpose of "slicking" it or combing it, is about as bad a thing as could be done; for the moisture sets up a sort of rancid fermentation in the natural oil of the scalp, giving the well-known sour smell to hair that is combed instead of brushed, and furnishing a splendid soil for germs and bugs of all sorts to breed in.

There is no objection to boys' and men's wetting their hair in cold water as often as they wish, provided that they rub it thoroughly dry afterward and give it a brisk currying with the brush.

Hair oils and greases of all sorts are sanitary nuisances, and mere half-civilized and lazy subst.i.tutes for proper brushing and washing.

There is no drug known to medicine which will cause hair to grow, or make it thicker or curlier. All "hair tonics" claiming to do this are frauds.

Corns, Calluses, and Warts. Our skin not only made our hair, teeth, and nails, but still retains in every part a trace of its nail-making powers, so that under pressure or irritation, it can thicken up into a heavy leather-like substance which we call _callus_. This is naturally and healthfully present in the soles of the feet and the palms of the hands. Savage, or barbarous, races who wear no shoes get the skin of their soles thickened into a regular human leather, almost half an inch thick, and as tough as rawhide. A somewhat similar condition develops in the palms of the hands of those who work hard with spades, axes, or other tools.

Any good process carried to excess becomes bad, and this is true of this power of callus formation in the skin; for parts of it which are under constant pressure, like the surface of the toes inside the shoe, and particularly of the outside toes, the little and the big toe, develop under that pressure patches of thickened, h.o.r.n.y skin, which we call _corns_. These patches start to grow into cone-shaped projections or b.u.t.tons; but being prevented from growing outward by the pressure of the shoe, they turn upon themselves and burrow into the skin itself, and we get the well-known ingrowing corn.

If there is anything in the human body which we ought to be thoroughly ashamed of, it is corns; for they are caused by our own vanity, and nothing else, in cramping our feet into shoes one or two sizes too small for them. There are a number of things that can be done to relieve the discomfort of the corn, but the only sure way is to remove its cause, namely, the tight shoe.

Under other kinds of irritation, the skin has the power of growing curious little b.u.t.ton-like buds, or projections, which we call _warts_.

These are commonest in childhood, and generally disappear at about twelve or fifteen years of age, when we no longer delight in dirt, and glory in mud pies.

They can be produced upon the hands of grown men and women by irritating fluids and substances, such as wet sugar in the case of bakers and confectioners, and various color-stains in dye works. They seldom last for more than a few months, and usually narrow at their base and drop off, when the particular irritation that caused them ceases. On this account it is seldom worth while to try to remove them by burning with acids or cutting them off; and it is best not to pick at, or irritate, or scratch them too much.

CHAPTER XVII

THE PLUMBING AND SEWERING OF THE BODY

The Wastes of the Body. Almost everything that the body does in the process of living means the breaking down, or burning, of food; and produces, like every other kind of burning, two kinds of waste--"smoke"