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Bowels, Lax.--A teaspoonful of lemon juice (freshly expressed), along with hot water and sugar, will often relieve where the bowels are acting excessively. For infants in diarrhoea a mixture of honey and lemon juice is an excellent cure, and has been most successful in our experience. Avoid brandy and alcohol generally.
Bowels, Locking of.--Sometimes when one part of the bowels is much more active than another, it pa.s.ses into that other, and they become _locked_, like a stocking half turned inside out. This causes dreadful pain, and if not soon relieved is fatal. Purgatives are of no use, and usually make matters worse. A surgical operation in very skilful hands will relieve, and must be quickly performed when necessary.
In cases in which the one part of the bowels has not yet gone far into the other, nothing more is required than a cold cloth gently pressed over the parts. We have seen relief set in on the fifth or sixth change of such a cloth, when nothing else was used whatever. When a hot bag, or bran poultice, has been put on the back, and cold cloths persistently changed over the bowels, the whole matter has been put to rights, and natural motion of the bowels has been had within an hour after the applications have been begun.
[Ill.u.s.tration: Interior of small intestine.]
There is, however, a stronger measure than merely heating the back and cooling the front in this way. The patient may be put at once into a sitting bath or small tub, and a panful of cold water poured or dashed on to the bowels; they then contract so powerfully, and shorten themselves so much, that all inv.a.g.i.n.ation, as it is called, is made to cease instantly. We should be disposed to try the mildest method in the first instance, unless the case is one in which the lock in the bowels had just taken place. Then it might be well to dash the pailful of water on so as to put all right at once, and afterwards simply to apply such remedies as would tend to prevent a recurrence of the evil.
It is, however, usually the case that the distress has lasted some time before an opportunity of doing anything occurs, inflammation, more or less, has set in, weeks may have pa.s.sed, and blundering treatment may have done great mischief. Then it is safe to use the heat at the back, and frequently changed cold cloths in front, so as to reduce the inflammation, and contract the bowels more slowly, so as to remove the obstruction. When these have been used for some time, if the obstruction is not removed it will be well to resort to the stronger measures. Nothing is more beautifully simple than the ordinary action of the bowels. The healthful movement is like that by which an earth-worm moves along the ground: so long as the tube is thus moving its contents onward, by contraction and expansion, no part can pa.s.s inside or outside that which is before it; but when one part loses nervous tension, and expands without contracting quickly enough, the part behind it tends to worm itself into it, and a "knot," as it is sometimes called, is formed. No possible instrument can reach it except by cutting the body outright, but the action of cold is so powerful in contracting the tube that the "loop," as it is also called, is drawn out, and the right state of things is produced. It is important to remark that there are glands near the lower bowel that swell and form tumours. The cold applications reduce these very speedily to their usual size, and if their swelling is an obstruction, it is soon removed. But it is the lock in the tube itself that is the real malady of which so many die, and with which so many more narrowly escape.
The trouble is best avoided by attention to the regular action of the bowels. It arises from great irregularity in that action.
Bowels, Reversed.--_See_ Bowels, Locking of, above.
Brain Exercise.--Proper exercise for the brain is most important. But this is not to be found in that kind of severe mental labour which is sometimes mistaken for it. Children at play have genuine brain exercise. So has a man at what is called a "hobby," such as photography, golf, or cycling. The child at school, the man in his office, are not at exercise, but at wearing work. This distinction is most important. Exercise, again, is not found in careless dreaming, but in some form of "play" which calls for steady, but almost unconscious, and altogether enjoyable thinking. Books sometimes furnish this, when they lift the mind as far as possible out of its usual track, and produce only pleasant thoughts. Tragedies, novels which end miserably, or which are pessimistic, should all be avoided. Perhaps some easy science or art is the best exercise of all, when the brain is suffering from overstrain. But taste will guide in this. The great matter is to have pleasurable, easy, and natural employment for the brain. This and not work is strengthening "exercise," whether in child or man. So far as we can we should see that the weary get it. For he who procures this for his fellow works immense good.
We have seen, for instance, a student attacked with dysentery while in the hardest part of the session at the university. His whole system became prostrate, and muscular activity to a very small degree would have killed him; so would the continued mental toil necessary to go on with his studies. Yet his brain was in need of exercise almost from the first appearance of his disease. He must have this or be miserable, and not likely soon to recover. An intensely interesting book fell into his hands, altogether away from his track of toil. He read day after day at this book. This was his "exercise"--that is, it was the activity of that one only part of his physical system which needed such exercise for the time. That exercise allowed all the other organs to recuperate.
Brain, Inflammation of.--This arises often from over-schooling of young boys and girls. Care should ever be taken to avoid this. Obstinate constipation in the bowels, chills and exposure, are also fruitful sources. Much worry and anxiety also bring on this serious illness. All sometimes combine to produce a bad case. Pain in the head sets in, followed by convulsive attacks; yet the trouble may be cured in many cases with comparative ease. Leeches, opium, and blistering are to be avoided as most injurious. For treatment it is well to begin at the feet; if these are clammy and cold, wrap in hot fomentation up over the knees (_see_ Fomentation). Proceed to give a pretty warm injection of water into the lower bowel (_see_ Enemas). This should be repeated several times, allowing it to pa.s.s off each time. If this increases the pain, try an injection of cold water. This treatment of feet and bowels is most important, and should never be neglected; it renders the treatment of the head tenfold more effective. Cold cloths may now be gently pressed for some time over the head. If the pulse is violent and feverish, let several towels be well wrung out of cold or even iced water, fold one so as to cover the entire head and back of the neck, and have the others ready, similarly folded. Press the first on gently, especially at the back of the head, so that the cooling cloth covers the head all over and soothes the violently heated brain. As soon as one towel grows warm, take a fresh cold one. Relief should come in an hour at least, but longer may be required. During the cooling see that the heat of the fomentation on the legs is well kept up; change if necessary. When the more painful symptoms abate, oil the lower part of the back, and place on it a bran poultice (as recommended in Bowels, Inflammation of). This will go far to prevent any relapse. If the symptoms recur, use the treatment again. _See_ Brow, Weary; Eyes, Failing Sight. _See also_, for other brain troubles: Restlessness; Sleeplessness.
Brain Rest.--The need for this is often indicated by irritability of temper. This coming on is generally a warning that a period of rest must be taken. An overheated brow is also another indication. If this shows itself in a child during or after school, together with listlessness and excitability, all idea of lessons should at once be laid aside for a time. It is nothing less than cruelty to work an overheated brain in such a case. Let the child go free from school till all the head trouble is removed. Also let the head be soaped (_see_ Head, Soaping).
Sometimes pain in the head sets in from overwork. Even in the young, fainting may show itself. Rest is essential, and will prove a perfect cure, together with a little brain exercise of the kind described in article Brain Exercise, always avoiding fatigue. Let all readers remember that it is better to lose six months in rest than become permanently incapable, therefore let old and young take rest in time.
Bran Poultice.--Get a sufficient quant.i.ty of good bran in an ordinary washhand basin. _Heat_ the basin before beginning operations. Have also a boiling kettle at hand. Pour the boiling water by little and little into the bran, and mix and stir it up until it is all a moist ma.s.s, but not _wet_. The thing is to avoid putting in more water than the bran can easily absorb and hold. Then have ready a flannel bag of the size and shape required for the poultice. Fill this with the bran, and it is ready. The skin to which it is applied should first be oiled with olive oil. The poultice may be fastened on with flannel bands. In any case it must lie tightly on the skin. The patient must lie on it, if it be applied to the back. One or two tablespoonfuls of mustard may be added if great power is required, not otherwise.
Instead of this poultice, an india-rubber bag full of hot water may be used, with two or three ply of moist flannel between it and the skin.
Our only reason for recommending bran is that many could not afford the india-rubber bag.
Bread, Wheaten.--In some cases the bran in whole wheaten bread and Saltcoats biscuits is found to irritate the stomach and bowels. As diet for those able to digest the bran, nothing is better. Where it cannot be digested, ordinary bakers' bread boiled in water to soft pap is found to make a good subst.i.tute. This must not be boiled with milk unless where there is diarrhoea to be cured, as milk tends to produce bile and costiveness. Oatmeal jelly (_see_ Food in Illness) is also a good subst.i.tute for biscuits and wheaten bread.
Often the water with which bread is baked causes it to be difficult of digestion. Hard water is bad for this. For an invalid, bread baked with distilled water, or pure rain water, is often a means of great comfort and help. A slight admixture of pure CANE SYRUP (_see_) or liquorice juice in the water will tend to prevent bile and costiveness. A sufficient action of the bowels is of great importance for where good nutrition is desired.
Bread, especially when fresh, is made much more digestible by slowly toasting it in the oven till it is a golden brown throughout. It is then known as "zweibach" (twice baked). When eaten dry, it requires considerable mastication, and for that reason is much better than soft bread. It can be also broken up and eaten with hot milk and sugar.
Breast with Corded Muscles.--Often a slight hardness shows itself in a woman's breast, when the muscular tissue becomes what is called "corded." It is well, first of all, in all cases of breast trouble to avoid alarming the patient. Great anxiety is often endured through fear of cancer when there is no need. A "corded" breast may usually quite easily be cured, and the patient should be made perfectly easy in mind about it.
Take a good lather of soap (_see_ Lather; Soap). Apply this night and morning, gently lathering the breast for some time. After this, each time, rub the back well with hot olive oil, so as to produce a thorough glow of heat all over it. Sometimes the swelling will disperse under this treatment. It may, however, grow larger and show a tendency to break. In this case treat as in next article.
We shall also probably find, on examining, that the skin was failing to do its part well. If rubbed with Cayenne lotion the clean, healthy skin will send off much more waste than was allowed to pa.s.s through it before.
Breast, Swelling in.--A blow on the breast, or the drain of nursing a child, along with a chill, often produces swelling, sometimes hard and painful. This, if left uncured, may even develop into an ABSCESS (_see_). As it sometimes arises from dirt being left on the nipples, all nursing mothers should be particular about cleanliness, which itself prevents many ills.
For cure, bathe the feet in hot water (_see_ Bathing Feet), rub them over with warm olive oil, and wear good cotton stockings if in bed. If going about, put a pair of woollen stockings over the cotton ones. Rub the back as recommended above, using first a little hot vinegar, then the oil. The feet bathing may be every three days, and rubbing the same. If the swelling does not yield to this, place the patient comfortably in bed. Put a good-sized basin of hot water, which has been boiled and allowed to cool so far, tightly under the breast, so that it may be bathed with a sponge. Do not use too hot water, but just comfortably hot. Keep up fresh supplies, and bathe for an hour if patient can bear it. If she becomes fatigued, lay her down to rest for fifteen minutes or so, and then continue treatment. No poulticing is needed when this is well done. A thorough heating of the whole breast is what is wanted; rub gently with olive oil, and cover warmly after bathing (_see_ Cancer).
Breast, Sore Nipples on.--Take a little warm vinegar or weak acid (_see_ Acetic Acid). Bathe the sore nipple with this, _avoiding pain_, for about ten minutes. Every two minutes dry, and anoint gently with warm olive oil. We have seen _one application_ cure a bad nipple; but apply twice daily as long as needed.
Breath and Blood.--Often difficulty of breathing, especially in close air, mistaken even for asthma, is due simply to the quality of blood supplied to the lungs. Sometimes giving up the use of sugar effects a cure, for sugar produces an excess of carbon in the blood, which requires an excess of oxygen in the lungs to purify it. Thus breathing is difficult, especially where oxygen is deficient in the air breathed.
Sometimes the lungs are not strong enough to stand the necessary fresh air required in such cases, or other troubles may prevent a delicate person from exposing themselves. Then it is of importance so to regulate the diet that less oxygen will do all that is needed in the lungs. "Rich" food, much fatty matter, sugar, and all sweets and sweetened things, are to be avoided. If this be done, the need for much oxygen disappears, and the patient will have no difficulty of breathing in suitably ventilated places.
But the best treatment is hot oil rubbing along the spine, over the stomach, and even down the limbs to the ankles. An hour of this every day will work wonders. Or a large BRAN POULTICE (_see_) may be laid across the back for an hour twice a day. Cultivate also all cheerful thoughts, and banish sad ones as far as possible. Sad thoughts greatly diminish nerve power.
Breath, and the Heart.--Stout people are usually more or less "scant of breath." Acc.u.mulations of fatty material, or changing of muscle into fat, cause this, especially if about the chest and heart. To reduce the fat, and grow healthy muscle instead, will perfectly cure the difficulty of breath. Moderate open-air exercise and simple food, such as Saltcoats biscuits, oatmeal jelly, and barley puddings will largely help this. Avoid also all alcoholic liquors, the use of which is often _the sole cause_ of the trouble. Keep the skin active (_see_ Skin).
The hot FOMENTATION (_see_) to feet and legs is a truly powerful remedy for all lack of force in the system, especially if followed by the ma.s.sage treatment described in Ma.s.sAGE (_see_).
Breath, Hot.--This may be felt either because the breath is actually hot, or because the membranes of the tongue and mouth are unusually tender, and _feel_ the breath hot in consequence when it is not really so. This latter case is usually accompanied by a sore tongue. To heal the tongue, it must be soaked freely with vinegar or weak ACETIC ACID (_see_), so diluted as to give only a very slight feeling of smarting after even prolonged application. Apply it with a good camel's hair brush, and brush with a little fine almond or olive oil after the acid.
The mouth may be rinsed with the acid, but brushing is best.
But where real heat is found in the breath, it arises from an overheated state of the body internally. This frequently arises from failure in the stomach to digest properly. If the hot breath arises from this, small drinks of hot water, frequently taken, will usually cure it. A warm bran poultice, placed on the back at bedtime opposite the stomach, will prove a more powerful remedy in addition to the hot water. More powerful effect still will be found in such stimulus to the skin as washing it all over twice a week with vinegar or weak acetic acid. On other days let the patient be rubbed over with good olive oil, mixed with enough CAYENNE "TEA" (_see_) to cause a slight burning sensation. Let this also be done twice a week, and twice a week also wash all over with M'Clinton's soap and hot water. A plain diet of course, should be observed (_see_ Digestion; Dyspepsia; Food; Teeth, etc.).
Breath, and Muscles.--Sometimes difficulty of breathing is due, not to anything wrong with lungs or windpipe, but to failure in the diaphragm (or large muscular "floor" of the chest), and the other chest muscles, which work the lungs. A feeling of sinking and weakness round the waist indicates in such a case diaphragm failure. Gentle heat at the small of the back, and olive oil rubbing, form treatment for this. For other chest muscles, give a warm washing each night with SOAP (_see_) over the body, and rub, especially the back and chest, with hot olive oil.
You soon bring the muscles into good trim.
Breath, and Nerve.--Difficult breathing, especially in ascending a hill, is often due simply to the lack of the nerve power by which the breathing muscles work. A teacupful of hot water half-an-hour before each meal, by helping digestion, will often remove the difficulty. Rub each evening along the spinal cord with hot olive oil.
Breath, and the Skin.--The organs of breathing remove much waste from the system, but the skin also removes a very large part. If either fails, the other has more work thrown upon it, as we see in the severe "night sweats" which accompany chest and lung failure. In such cases, rub with CAYENNE LOTION (_see_ and Night Sweats). Avoid the use of hard water in washing and bathing, especially with infants.
Cold baths for the weakly, chills, damp beds, and such things, cause rheumatism and colds by stopping the proper discharge of waste by the skin. After such chill, or cold in damp bed, a hot wash and good hot oil rubbing will avert all evil. This may not always be available; but, if it can be got at all, should be given as soon as possible. The use of the soapy blanket is of the utmost value in severe cases (_see_ Soapy Blanket). Strict cleanliness of person and underwear should be observed. The AIR BATH (_see_) will also give tone to the skin (_see_ Skin and Underwear).
Breathing, and Bronchia.--The _bronchia_ are the branching small tubes which lead from the windpipe to all parts of the lungs. Two different states of these often pa.s.s as bronchitis. In one of these the tubes are swelled, congested, and full of fiery heat. The whole body is also fevered, and breathing is difficult, with cough. This is true BRONCHITIS (_see_). But often, with difficult breathing and irritating cough, there is no heat and fever. In this case bronchitis treatment gives no relief. This is, indeed, only an irritated state of the lining of the tubes, and far from dangerous. A change of climate to a drier atmosphere will often entirely cure it. Often also a time spent in a room, where the air is kept dry but fresh, and at one steady temperature of about 60 deg., will cure. Our chief purpose in mentioning it, however, is that this comparatively slight trouble may not be mistaken for true bronchitis.
[Ill.u.s.tration: The Lungs and other internal organs.]
Breathing, Correct Method of.--The capacity of an ordinary pair of lungs is about 250 cubic inches. In ordinary breathing, however, we only take in from 20 to 30 cubic inches. Hence the necessity for practising correct deep breathing.
Correct breathing requires cultivation and effort at first, afterwards it will become unconscious. The head should be thrown back, the shoulders squared, and a slow deep breath gradually inspired through the nose till the lungs are filled throughout with air. The expiration should be just as gradual with relaxation of every muscle. It is most important that the _lower_ part of the chest should first be filled by depressing the diaphragm (the muscular floor of the lungs). Some practise is needed before this habit is acquired, but it is well worth cultivating. Place the hands on the sides of the abdomen while inspiring, to feel that _this_ is expanding. Teachers of singing insist on diaphragmatic breathing, which is also of great benefit to the stomach, liver, and other organs. By the movement it gives to the intestines their action is also a.s.sisted, and constipation is prevented.