Part 6

When the cooling treatment, given twice a day, or oftener if it can be without discomfort, has reduced the swelling and put back the tumour, till it may fairly be regarded as capable of absorption, it will be well to try the effect of hot fomentation by bathing (_see_ Breast, Swelling in). This will not do harm, but good, if it is only used so far as to try whether the stage for hot treatment has been reached. If the hot bathing is agreeable, and instead of causing pain, rather soothes and comforts, it may be strongly tried. But this will be only if the effectual cooling has put back the disease, or if it has been really mastered. So long as it shows a tendency to increase, it will be well to continue the cooling.

Even if it be not possible to remove the disease, its progress may be arrested, and it may be rendered dormant for the rest of life. We know persons sent off to die with growths who are now quite well and have been so for many years, with these growths only rendered dormant. Even if this is not possible, it may be that we render the growth so slow that it shall come to nothing important in the remainder of even a long life. We should never hesitate to do our utmost in any case.

Besides the local treatment given above, vital action in the whole bodily system has to be increased on a definite line. This is the ripening and removing used-up substance from the body. It is sluggish ripening of substance to which we trace the morbid living growth; that sluggishness must be overcome. The first and most important means for this is fresher air for the lungs. The seaside home, if there are no drugs or drinks prescribed in ignorance, nor any other drawback, will be found of immense value here.

Next in importance to fresh air is pure distilled water. It should be used both in preparing food and for drinking. This constant use of distilled water is one of the most important remedies in cases of cancer. Comfortable clothing (_see_ Underwear) should be worn by night and day, and damp avoided. The food should be such as can be most easily assimilated. Whole wheaten meal in various forms and pure water work wonders on "hopeless cases."

But when all these conditions have been supplied, "pack" the whole body at eight o'clock at night in cloths lightly wrung out of hot vinegar and water, half and half, and covering these with dry sheets and blankets, give the patient an hour in this "pack." On taking out of this, rub gently all over with hot olive oil, dry that off and put to bed. In the morning, at half-past seven or so, pack in a soapy blanket for an hour, then sponge with vinegar and rub with oil. Take a stick of good liquorice, with half an ounce of senna leaves, and put these in a quart of water, boil the whole down to a pint, giving a teaspoonful of this in a little hot water three times a day.

Cancer in Face.--Treat as far as possible as recommended for breast cancer.

Cancer in Foot.--We have noted one case in which "Cancerous Gangrene" in the foot, pronounced incurable by the medical attendant, was cured by our instructions in the following simple manner. Buttermilk poultices (_see_) were used over the whole foot to thoroughly cleanse the sores. These were then carefully lathered with soap (_see_ Lather and Soap). Vinegar or weak acid was applied with sponges and syringe after this, and made thoroughly to penetrate all the sores to the bottom. This was done twice a day, and in one week improvement set in. In a comparatively short time the patient could walk miles without fatigue. This treatment may be applied to all angry sores.

Cane Syrup.--In the original edition, good treacle was recommended as a laxative. This treacle, which was prepared from cane sugar, we understand is now not to be had--what is sold as treacle being largely mixed with glucose. We therefore recommend instead the use of golden syrup made from pure cane sugar. This can be had (in tins), guaranteed by the makers to be genuine.

Carbuncle.--_See_ Boil.

Catarrh.--Is simply an inflammation due to impurity of the blood. These impurities arise from bad air or wrong food, and remain in the body till a chill of some kind or other forces the blood and the impurities with the blood to some part, resulting in inflammation. Catarrh in the mucous membrane, connected with respiration, is commonly called a "cold," and is decidedly infectious (_see_ Air). A cold must be regarded as an effort of Nature to get rid of these impurities. Breathing of fresh, even cold air, will expedite, not hinder the cure.

Washing the hands and face in _cold_ water, and drying vigorously, will often cure it when beginning as "cold in the head." Cold, applied in a certain way, cures the after effects of chill, but it must be so applied as only to affect the part to which it is applied, while the general heat of the body is kept up. Catarrh may occur in any internal membrane of the body. If these can be reached, as the nostrils, or even the bowels, may be by syringing, then nothing is better to effect a cure than cool water and vinegar, or weak acetic acid. Brush the nostrils often with this, and cold in the head will soon be cured. It can be applied still better by means of a nasal douche. Syringing the bowels with this cool acid mixture in the more serious catarrh of these will also cure. Patient perseverance is wanted, however, in the latter case. Get also the external skin to act thoroughly. Where the cause of internal catarrh is exhaustion, through overwork or worry, the cause must be removed. Let the sufferer learn trust in a living Heavenly Father, and cast all burdens upon Him, and the physical treatment will have a fair chance to cure. _See_ Breath and Skin.

Cauliflower Growths.--These begin like warts, and in the earlier stages poulticing and soaking with weak acid almost invariably cure. After some months the growth looks like the head of a cauliflower, and becomes dangerous if on a vital region. It is not really a parasite, but rather a diseased state of the skin, which is perfectly curable. First every part is carefully cleansed with a small camel's-hair brush and weak acid (_see_ Acetic Acid). Then the buttermilk poultice is applied all night, or even night and day (_see_ Buttermilk Poultice). Cleanse again after poulticing. Careful and persevering continuance of this treatment will effect a cure.

Cayenne and Mustard.--Mustard spread on a _cold_ towel and applied to the spine or lumbar region of the back is often an effective aid to the cold treatment. If such applications have to be made more than once, cayenne pepper is preferable to the mustard, and equally powerful. When cold cloths alone fail, this more powerful treatment may be tried. Pain and burning after cayenne are relieved by applying olive oil.

Cayenne Lotion, or "Sweating Mixture."--This is made with one or two tablespoonfuls of cayenne pepper (as desired weak or strong), half a pint of white vinegar, and a pint of boiling water. These are mixed and infused for half-an-hour. The mixture is then carefully strained so as to remove the pepper grains. Dilute, if too strong, with water.

Cayenne "Tea."--Infuse an ounce of good cayenne pepper in a pint of boiling water. Strain out the pepper. This produces a glow of heat on the skin when rubbed on, and may be a valuable adjunct to oil rubbing where that is intended to raise such a glow.

Changing Treatment.--To wisely alter and arrange the treatment in any case is of the utmost importance. Treatment which at first gives great relief will often become ineffective or even painful. Then some other way of cure must be tried. Sometimes cold applications will become painfully cold. Heating for a time is then effective, and cooling can again be given after the heating. Soapy lather on an inflamed part will do delightful service for a while, then it may become painful. Warm oil may then be used instead. When this becomes irritant, a return to the soap will cure. Or the hot bathing of a sore knee may be most effective for a while, and then may give rise to sore pain. In such a case, cease the bathing, and for a time apply the soapy lather. Do not despair because a thing "loses its effect." Its apparent loss of power only indicates a needed change of treatment. Common sense will guide in this, and the true healer and nurse will be able to judge what is best to do.

We have a case in which, after long rubbing with acetic acid, the skin seemed to become so used to it that little or no effect was produced. For a few days an alkali, in the simple form of "hartshorn" (ammonia) was rubbed on instead of the acid. The acid rubbing was then resumed, and produced its usual effect. Such plans will occur to all who are thoughtful, and do not just blindly follow instructions.

Cold-water cloths have got in certain circles to be fashionable, so that they are used exclusively in all cases. A knee joint has got wrong, and it is deemed the right thing to wear a cold bandage constantly round it. But this fails to have the desired effect. It may not fail entirely, so long as there is some vital energy on which to "come and go," as we say, the effect of the reaction will be to give a measure of relief. But in very many cases this vital energy is deficient. If in such a case the person advising it has only thought enough to have recourse to an hour's hot fomentation once or twice a day, the effect desired may not be long delayed. Supposing something like inflammation of the lungs has to be dealt with. Cold is applied on the chest, as it is often most successfully applied, when there is still a good deal of energy to be drawn upon. But in this case there is not sufficient energy. Well pack the feet and legs in a thoroughly hot fomentation, such as will renew a full supply of heat all over the body. Then you will find the cooling of the chest thoroughly effectual. In a very considerable correspondence we meet often with this resolve: "We shall continue to do as you direct till we hear from you again." We remember telling a young man to put a hot bran poultice between his shoulders for a troublesome cough. We saw him no more for months, but when we did meet him he apologised for not continuing the application. He said, "I poulticed my shoulders for three weeks, and they began to get soft, so I stopped doing it." We certainly thought his head had been soft to begin with! Why should not sensible men and women get a little independent thought of their own?

It may be well to remark that the cessation of all treatment is a change, and often a very beneficial one too. If you do not know what to do when any treatment is "losing its effect," or having the opposite effect to that which it had, just cease to do anything till you see manifestly what is needed. The rest of a week, or even two, may be just the thing wanted. If it is, it will ease the pain; if it does not, you will see that probably the opposite of what you had been doing will suit.

Chapped Hands.--Our idea is that this is caused by the soda in the soap used. At any rate, we have never known any one to suffer from chapped hands who used M'Clinton's soap _only_.

It is made from the ash of plants, which gives it a mildness not approached by even the most expensive soaps obtainable.

If the hands have become chapped, fill a pair of old loose kid gloves with well wrought Lather (_see_), putting these on just when getting into bed, and wearing till morning. Doing this for two or three nights will cure chapped, or even the more painful "hacked" hands, where the outer skin has got hard and cracked down to the tender inner layer.

Chest Pains.--_See_ Angina Pectoris.

Chest Protectors.--These are often piled on the front of the body, while the far more important _back_ is left exposed. In many cases of delicacy and cough, particularly with women, it is far more effective to protect the upper back with warm extra flannel than to place covering on the chest. This alone will sometimes cure distressing coughs. In every case, such "protection," whether to back or breast, should be such as to secure free escape of perspiration (_see_ Underwear). A sheet of fine wadding is excellent. Where less heat is desired, new flannel is the best. Often, also, chest trouble is best helped by protecting the soles of the feet. If these and the back are kept warm, there is little fear or harm at the front of the chest. Let the back covering, where it is used, come down as far as the top of the hip bones.

Chilblains.--These occur in hands and feet where the circulative power is feeble, either from weakness or from tight pressure of boots or gloves. The cold has power, owing to lack of circulation, to partly kill the skin, which thus becomes painfully inflamed, and swells. To increase and maintain circulation in the part is to cure it. In the early stages, when heat and itching are felt, a good rubbing with hot olive oil and cayenne tea will often cure. But if this fail, pack the foot or hand in cloths soaked with vinegar. If the pain is great, place the packed foot or hand in hot water for a few minutes or more. After this immersion repack with vinegar-soaked cloths, cover well up with dry flannel, and wear this packing all night. In cases where weakness is the root of the trouble, rub the back once a day with hot oil until a glow of heat arises all over it. Do this daily for a fortnight _at least_. Where tight boots or gloves are the cause, these must be discarded for more easily fitting ones.

Child-bearing.--Simple remedies such as we advocate are found of immense service in mitigating both the pains of child-birth and the troubles coming before and after it.

To see that the medical man is one thoroughly competent is the first duty of those responsible in such a case. Incompetent and careless doctors are the cause of much trouble. Get, then, the _best you can_. Much may be done, however, to prevent trouble by very simple means.

The sufferings usually accompanying pregnancy and the birth of children in civilized countries are largely confined to the higher classes. Working women escape much of the pain their more luxurious sisters have to endure. Travellers tell us how, among the Red Indians, Negroes, South Sea Islanders and others who live more in a state of nature than we, the women suffer but little in childbirth, and return to their ordinary occupations almost immediately after the event. The adoption of a simple and natural diet, healthy exercise combined with sufficient rest and rational clothing, have been found to ensure an easy delivery as well as good health for mother and child.

The _diet_ of the pregnant mother is of great importance. Too much food is worse than useless. Food should only be taken of such a kind and quality as can be easily assimilated. The mother is best who takes only so much light food as she can easily convert into good blood. More, simply loads the system with useless waste or fat.

The diet during pregnancy should be mainly vegetables, fruit, salad, rice, tapioca, milk, eggs in moderation, and a small amount of wholemeal bread. A little meat or fish once a day is allowable for those whom it suits, but rich, spicy dishes, pastry, strong tea, coffee and all alcoholic drinks are very injurious. Three meals a day with no "snacks" of any kind between, are sufficient. For those who have reason to dread a hard confinement, oatmeal is best avoided. To avoid fluids while eating is important, especially for those who have a weak digestion. One may drink half-an-hour before meals or three hours after, but if plenty of fruit and salad is eaten and little salt used with the food there will be little thirst. Too much fluid should not be drunk, if thirst is felt, water very slowly sipped will quench it better than copious draughts. During pregnancy there is often a craving for acid fruits, this is nature's call for what is needful at such a time. Fruits and green vegetables supply a large quantity of most valuable salts which go to make good blood and build up all parts of the body. Never force the appetite. Food that is neither relished nor digested will do more harm than good.

It must never be forgotten that the blood of the child is being directly derived from that of the mother, consequently if the diet is of such a nature as to induce over-abundance of fat, the child will be born too fat. This does not mean a healthy child by any means, and it may mean considerable extra pain for the mother. A mother inclined to thinness need not fear that this diet will reduce her. The taking of cream, eggs, bacon and other fat foods often has the opposite effect from that desired. A thin person adopting the above light diet will generally get into good condition.

Under the head of _exercise_, the first we would recommend is general housework, provided windows are kept open, avoiding the more laborious parts, and always being careful not to get over-fatigued. Light gardening, walks, if not too long, and light gymnastic exercises are all beneficial. The exercises described in the appendix, practised for ten minutes at a time, once or twice a day, are quite suitable for the expectant mother, while deep breathing (_see_ Breathing, Correct Method of) is most valuable.

The subject of _dress_ should be particularly studied. Garments which are light, warm, porous, and which in no way impede or restrict the movements and natural functions of the body, should be worn. It has been found that those who wear no corset nor tight band or bodice will suffer but little, if at all, from morning sickness. Corsets, by holding immobile the waist muscles, prevent their getting strong. Anyone who is accustomed to corsets, when she leaves them off for a day will complain of "such a tired feeling, as if she would break in two." This is easily accounted for, the muscles, unused to the task of holding up the body, are flabby and useless. These same muscles when called on, at the moment of delivery, are totally unfit for their work, hence comes a large amount of the unnecessary suffering. The remedy is--discard the corsets, bear with the tiredness for a week or two and regularly practice the exercises recommended above, especially the waist exercises of bending and turning. The muscles will soon gain strength, and the corset be found to be quite unnecessary and most uncomfortable.

In the commencement of pregnancy, when there is sickness and vomiting, we have seen it cured, even when so severe as to threaten life, by spreading over the patient's irritated stomach, a soft, fine soap lather (_see_ Lather and Soap). It acts in such cases like a charm. The lather is well and _gently_ spread with a _soft_ brush all over the stomach. Wipe it gently off with a _soft_ cloth. Cover again with fresh lather. Do this five or six times. Then treat the back in the same manner, behind the stomach. In half-an-hour all retching should cease. When the stomach has had a rest of some hours, a small quantity of light food may be given. Half a Saltcoat's biscuit (_see_) thoroughly masticated, and a little milk and boiling water may be enough to take at one time. Do not force the appetite, wait until a desire for food is felt. Pass by degrees to ordinary food.

If the mother, at any time, feels faint, on no account give brandy. Drop five drops of tincture of cayenne on a lump of sugar. Dissolve it in half a teacupful of hot water, and give this instead. In cases of heartburn, take small drinks of hot water, say a tablespoonful every five minutes. A very great help to the expecting mother is found in the cold sitz-bath (_see_ Sitting Bath). Baths known as "Matlock Baths" may be had, which suit very well for this purpose; but a tub for washing, of a suitable size, would do very well, or even a large sized bedroom basin will serve. Put in cold water, three inches deep, and let the patient sit in it. In winter have the water cold, but not freezing. The rest of the body may be kept warm with a wrap, and if the patient feels cold, the feet may be placed in hot water. Taken once or twice a day this bath will have a tonic effect on the whole system, and a markedly cheering effect on the mind. The time in the bath is shorter or longer according to the patient's strength and power of reaction. Feeling will be the best guide, but even a dip of half-a-minute will do good.

In regard to the actual birth, we repeat that those concerned should see to the attendance of a _really_ skilful medical man. Chloroform in the hands of such a doctor is of immense value, but in unskilful hands it is dangerous. Therefore let expense be no bar, where it is possible, to the obtaining the best medical aid that can be had.

Many trivial matters greatly affect the mother during child-birth, and the few succeeding hours. We have known a stupid remark by an incompetent nurse spoil a mother's health for months. The greatest care must be exercised by all concerned to say only cheerful and soothing things to the sufferer. Even the aspect of the room is important. It should look sunwards, if possible, and hideous pictures should be removed, while perhaps some text speaking comfortably of the Good Shepherd, who "will gently lead those that are with young," may be hung up. Trifles these, but their effect is no trifle.

Do not keep the patient in too hot a room; fresh air is of great value. Do not leave her for nine days in an unchanged bed. The necessary sponging and changing should be done daily. Cleanliness means comfort here, and comfort health. It is not early sponging and washing, but a nine days' steaming in unchanged bedclothes which causes chills. After cool sponging, a gentle rubbing under the bedclothes with hot olive oil, over the body and limbs, will be very refreshing. All clothes, etc., and the hands of the attendants should be most carefully washed and cleaned before they touch the patient. Too much care in this matter of cleanliness cannot be taken, as it is of the _first importance_ as a preventative of many troubles.