Part 4
The interest in the new method became so great that numerous other individuals, equally ignorant and possessing less shrewdness, undertook to imitate the German innovator. Some of them were successful, many of them were not; all were alike in committing numerous blunders through ignorance of scientific medicine. But the public attention was called to the utility of water as a remedial agent so forcibly that a powerful impression was produced in its favor. From that time until the present, the use of water has been largely in the hands of unscientific empirics who have advocated it as a specific, and employed it to the exclusion of other remedies in a great degree. This course, together with many other gross errors connected with the practice, has deterred scientific physicians from employing it sufficiently to test its merits, only in a few exceptional instances.
The friends of Priessnitz claimed for him a great discovery; but as we have seen, he discovered nothing which was not known a century before, if not, indeed, some thousands of years previous. It is doing Priessnitz no injustice to say that he did little or nothing toward establishing principles, but followed, chiefly, a routine method of practice.
Some scientific members of the medical profession have investigated the subject in some degree, however, at various times, and the result has been that at the present day the utility of water is a well-recognized fact, and it is now often prescribed in the standard text-books as an excellent remedy for many diseased conditions. Yet, that there is still a want of appreciation of the remedy is fully attested by the infrequency of its use by the regular profession. This neglect may be due in part to a prejudice which the members of the regular profession have acquired, on account of the quackery which has too often been connected with the use of this remedy. Nevertheless, there is no good reason why an efficient remedial agent should be suffered to receive the stigma which properly attaches only to those who are responsible for its abuse.
REMEDIAL PROPERTIES.
The value of a drug is judged by its medicinal properties. The more properties it has, and the more powerful its “action,” the more valuable it is considered to be. We need not here enter into a discussion of the nature of medicinal properties, since there is no question among scientific physicians, that the medicinal properties—so-called—of drugs, or their effects upon the human system in diseases, are, in general, the result of vital resistance on the part of the system, an attempt to expel or remove the poison, or defend itself against it. Water also possesses remedial properties, some of which are due to vital resistance, while others grow out of the aid which it affords the vital organs by its physical properties. As its value as a curative agent depends upon these properties, it is important to know what they are.
_Refrigerant._—Refrigerant or antiphlogistic medicines are used for the purpose of diminishing the heat of the body. The most they can do is to so depress and paralyze the vital forces as to diminish the _production_ of animal heat. Water, when applied at a proper temperature—any temperature less than 98°—not only diminishes the production of heat, but removes the superfluous heat by conduction. There is not a drug in the whole materia medica that will diminish the temperature of the body so readily and so efficiently as water. How this is effected, has been previously explained in considering the physiological effects of water.
_Sedative._—Drugs, the administration of which is followed by a diminished action of the heart, are termed sedatives. They comprise the most powerful poisons known. Their sedative effects are the result of their poisonous influence upon the heart or the nerve centers controlling it. Water is a much more efficient sedative, and its use is never followed by poisonous effects, as is the use of sedative drugs, the “action” of which is often very uncertain. By the cool or cold bath, the pulse may often be reduced twenty to forty beats in a few minutes.
_Tonic._—Water may be used in such a way as to increase the rapidity of the circulation and the temperature very quickly and powerfully. The hot bath is a most efficient stimulant, in the true sense of the word. It will so excite the circulation as to increase the pulse from seventy to one hundred and fifty in fifteen minutes. The tonic effects of a cool bath are well appreciated by all who have ever enjoyed it.
_Anodyne._—Certain drugs are called anodyne because they diminish nervous sensibility, thus relieving pain. Water applied in the form of a hot fomentation will not infrequently give relief when every drug has failed. Applied in various other ways, it is very effectual in allaying nervous irritability.
_Antispasmodic._—No remedy is so certainly successful in hysterical convulsions as water. In infantile convulsions, its success is also unrivaled. In cramp, and even in puerperal convulsions, its utility has been well demonstrated.
_Astringent._—The value of cold water in arresting hemorrhage is well attested by all physicians.
_Laxative._—Used in various ways, water is very effectual in producing movement of the bowels, but never occasions those violent and unpleasant symptoms which accompany and succeed the use of purgatives.
_Emetic._—In the great majority of cases, no other emetic is needed, and no better can be found.
_Eliminative._—Water is a most perfect eliminative. It dissolves the excrementitious and other foreign elements of the blood, and thus materially aids in their elimination. Hence, it is a very useful _diaphoretic_, increasing the action of the skin, and is equally valuable as a _diuretic_, having the same effect upon the kidneys.
_Alterative._—For a long period, mercury has been considered as the champion alterative of the materia medica. It must yield the place to water, however; for the most it can do is to destroy the elements of the blood, while water not only accelerates waste, but increases construction in the same proportion, according to the experiments of Prof. Liebig.
_Derivative._—One of the most important properties of water applications is their powerful derivative effect. No other application, internal or external, can equal them in efficiency and certainty of action.
There are very few agents which possess so many remedial properties as water. There are none which effect so much with so little expense to the vital powers of the patient. Many drugs will produce results similar to those obtained by the use of water, and thus accomplish good, no doubt; but at the same time, they often work so much mischief in the system that the evil done is frequently much greater than the good accomplished. The aim of the faithful physician should be to accomplish for his patient the greatest amount of good at the least expense of vitality; and it is an indisputable fact that in a large number of cases water is just the agent with which this desirable end can be obtained.
=Testimony of Eminent Physicians.=—The testimonies of Currie, Jackson, and numerous other physicians of the last century have already been quoted in favor of water. There are numerous practitioners of the present day who are equally favorable to this remedial agent. Perhaps we cannot do better than to quote from the _Health Reformer_ the following paragraphs of an abstract report of a paper read before the New York Academy of medicine, by Prof. Austin Flint, M. D., president of the society, the title of the paper being, “The Researches of Currie, and Recent Views Concerning the Use of Cold Water”:—
“Currie employed scientific methods in observing the phenomena of disease. He was one of the first to employ the thermometer in studying disease, and his observations can be received as reliable.
“The use of water externally as a means of reducing the temperature of the body in disease has recently been coming quite prominently into notice. According to Liebermeister, a noted German medical author, Currie was the first to systematize the use of water. His work was published in 1797. Liebermeister, in his recent article on typhoid fever, accords to cold water the first place in importance as an article for reducing the temperature. The use of water for this purpose is at present attracting much attention; and it is safe to predict that _it will soon occupy an important place as a remedial agent_.
“Much harm has been done by the ‘rude empiricism’ of Priessnitz, and the various water cures in the country; though much good has also been accomplished by the latter institutions, and they have in a measure prepared the public mind for the general introduction of water as a remedial agent.
“After the publication of the views of Currie in 1797, his method of practice, which was chiefly hydropathic, became quite general, but it was soon nearly forgotten. Trousseau recommended water treatment in scarlatina, and the use of the remedy has continued to be recommended in the text-books; but as a measure of treatment in practice, it has become nearly obsolete. It is, however, obvious that unless we accept the absurd proposition that diseases have changed since Currie’s time, the remedy which he recommended so highly must be just as efficient now as then.
“Dr. Currie made use of the cold douche in fevers, applying it vigorously to the patient while in the height of the fever, and continuing it until the temperature became decreased, as indicated by the thermometer and the pulse. He treated seven cases of continued fever by this method at the Liverpool Infirmary. All recovered. In an epidemic of typhoid fever among a regiment of troops, he treated fifty-eight cases, using the cool tepid douche in all but two cases. The latter died. The remaining fifty-six recovered, the disease being greatly shortened in more than half the cases.
“Dr. Currie asserted that, in small-pox, the use of the bath afforded instant relief to the patient, and caused the disease to assume a benignant form.
“He found the cold bath always effectual in tetanus and convulsions, as also in hysteria.
“In temporary insanity from the use of liquor, this acute observer found that the cold plunge was the most efficient remedy for the worst cases.
“But Dr. Currie’s practice was not confined to _cold_ water. He observed that affusion with tepid water was not only a more pleasant application, but that it was even more effectual in reducing unnatural heat than cold water, as it produced no reaction, not being at all stimulating in character.
“With regard to the efficacy of this agent, Dr. Currie stated that by its use in fevers the pulse would be reduced thirty or forty beats, with a corresponding decrease of temperature and almost immediately relief of headache.
“In his second volume, published some six years after his first volume, Dr. Currie declared that although his experience in the use of water, especially in fevers, had been very extensive, he had had only four fatal cases in which water was employed, and had never met with a single evidence of its being in the least degree objectionable or injurious. Neither had he found that it had been thought to be objectionable by those whom he had treated. He details a very interesting account of his treatment of scarlatina in the cases of his two sons, aged, respectively, three and five years. He gave the older, in thirty-two hours, fourteen affusions, varying from cold to tepid. Twelve were found to be sufficient for the younger one. Both became convalescent in three days.
“It was established by Currie that by the use of water the course of typhoid fever may be abbreviated. This is not even claimed for the modern remedies in common use.
“In referring to his own experience in the use of water, Dr. F. remarked, ‘The relation of my own experience will of necessity be stated in a few words, as my employment of the remedy has heretofore been much more limited than it will be in the future if my life is spared.’ He then related some very interesting cases in which he had employed water as the chief remedy with the most excellent success. He also took occasion to recommend, as one of the best means of applying water in fevers, the wet-sheet pack as employed in the various hydropathic institutions of the country. He had used the continued cold pack in a number of the worst cases of sun-stroke in Bellevue Hospital with marked success. This remedy is still employed there in this class of cases.
“In a case of obstinate remittent fever, which was not in the least benefited by the thorough use of quinia, he employed the cool pack thirty-five times in a week, continuing each application from ten to thirty minutes, and always with great relief to the patient, although he finally died [perhaps from the huge doses of quinine previously given]. He expressed the opinion that if he had employed the pack more thoroughly, making the applications longer and more frequent, the patient might have recovered.
“Currie announced a true theory when he said that _the voice of nature should not be superseded by theories_. He advocated the free use of water as a beverage in febrile diseases [fever] as an important remedial agent. Dr. F. unhesitatingly advanced the belief that the chief benefit derived from the numerous mineral waters so largely used was only that which was due to the properties of pure water. He stated as proof that it was not long since demonstrated by chemical analysis that the only thing peculiar about the water of a certain spring, famous for medicinal virtues, was its remarkable purity. He also suggested the introduction of distilled water for cooking and drinking purposes as a necessary sanitary measure.
“Dr. F. then related a remarkable case of acute inflammation of the kidneys in which the patient exhibited the characteristic symptoms of poisoning from the retention of urea. After other remedies were tried in vain, the patient’s life was saved by the simple administration of water as a beverage at short intervals. The diuretic effects of the water soon washed away the poison and gave immediate relief.”
“After the conclusion of the paper, by Dr. Flint, the venerable Dr. Richards arose and gave his experience in the use of water. His ideas of hydropathy were obtained when he has a young man, from Dr. Currie’s works. He adopted the practice of Dr. C. at that time in an epidemic of typhoid fever, and with such remarkable success as to astonish old practitioners. He stated that he had cured more than one hundred cases of obstinate constipation by simply directing the patient to drink a glass of cold water half an hour before breakfast, each morning. In one of these cases the patient had not had a natural passage from the bowels for a number of years; but he was effectually cured, by the simple remedy mentioned, in the course of a few months.
“Dr. Loyle gave an interesting resumé of ten years’ experience in the use of water, with uniform success, especially in convulsions and scarlatina. He had employed water alone in about one hundred cases of acute inflammation of the kidneys and dropsy after scarlatina, and with wonderful success in every case. He had found it equally successful in coma, restoring consciousness when life was apparently extinct. During the late war, he on one occasion renovated twenty ambulance loads of exhausted soldiers who had fallen on the march, by the judicious use of water. He recommended water most highly as an excellent diuretic and a capital regulator of the bowels, far superior to ‘after-dinner pills.’ He commended it also as an efficient remedy for sun-stroke and frozen feet.
“The sentiment of the audience—which was wholly composed of medical gentlemen—was shown by the hearty applause with which the remarks of each speaker were received.”
We might add much other medical testimony; but as we could give no higher authority than the distinguished Dr. Flint, who stands at the head of medical practice in America, being author of the standard American text-book on practical medicine, we will not weary the reader with further quotations. The German physicians, as well as German medical works, abound with tributes to the value of water. American medical journals are full of accounts of the beneficial results following its use in fevers and numerous other diseased conditions.
In surgery, the employment of water is rapidly gaining entire precedence. It has replaced nearly all other kinds of dressing for wounds, and its use has saved a valuable limb to many a poor sufferer who must otherwise have submitted to amputation.
In short, wherever it is faithfully and intelligently applied, water is working wonders. Yet it is still little used in comparison with its importance. Especially is its use neglected in chronic diseases. The only reason we have been able to discover for this neglect of a remedy, the merits of which are so well demonstrated and generally acknowledged, is that its use is more troublesome and laborious than the use of drugs. A half-dozen purgative pills are administered much more easily than an enema. The administration of a diaphoretic powder is far more convenient than a pack. A blister is easier to manage than a fomentation. But the true physician, who has at heart the real good of his patient, will not sacrifice the safety or comfort of the latter to his own personal convenience.
ERRORS IN WATER CURE.
Much of the prejudice against the use of water in treating disease has grown out of abuses of the remedy, and the putting forward of absurd claims by ignorant persons professing to understand its use. In order to vindicate the character of this powerful curative agent, it is necessary to expose the errors and ignorance of those who have abused it.
=“Cold Water Doctors.”=—In the early days of the modern water cure practice, which was very largely introduced by Priessnitz, cold water was the universal remedy. No matter what the nature of the disease, or the condition or temperament of the patient, the remedy was the same. At the establishment of the Græfenberg doctor, ice-cold douches, precipitated from a height of sixteen to eighteen feet, the plunge, directly supplied by the cold mountain springs, and the shower bath of the same temperature, were all administered to patients with little discrimination of modifying circumstances, in rooms unwarmed by artificial heat, even in the depths of the coldest mountain winters. As Græfenberg was the source whence most water doctors of that time drew their knowledge, the same practice was pursued elsewhere. The unreasonableness of such a course was perceived by the more judicious, and thus its influence was prejudicial.
=Heroic Treatment.=—Such treatment as that described in the preceding paragraph could not result otherwise than disastrously in numerous cases. The evil effects were sometimes seen at once, but more frequently they appeared after periods more or less remote. In some cases, patients were led to drink twenty or thirty glasses of cold water before breakfast, under the absurd doctrine that the evils of a small excess would be cured by greater indulgence. Hundreds of persons adopted the practice of daily bathing in cold water in a cold room, even in the coldest weather. A few even went so far as to spring from their warm beds on the coldest mornings, run to a neighboring brook in a state of nudity, and plunge into its frigid waters through a hole in the ice. So infatuated were these enthusiasts, they really thought they enjoyed this refrigerating process; but, generally, a few years’ continuance of it was sufficient to produce such a “sedative” effect upon their systems that some became the victims of consumption and other constitutional diseases, while others were compelled to discontinue the practice from absolute inability to continue it. A few of the more vigorous were enabled to survive this violent treatment without apparent injury for a long time; but those of weaker vital powers soon showed the results of its evil effects.
By such processes, together with the cold sitz bath, the dry pack, and other harsh measures, the patient was sometimes brought to the very verge of the grave.
Strange as it may appear, those who have been the strongest opponents of the use of water, themselves afford the best instances of its excessive use. For instance, in a case of low typhus fever, a “regular” physician ordered the patient, a young woman, to be immersed in cold water for half an hour. The attendants attempted to carry out the prescription, but in a few moments her symptoms became so alarming that the patient was removed from the bath. It will not be considered remarkable that she died. A prominent New York physician, a professor of practice in one of the largest medical colleges in America, in a report of a case of remittent fever which he had treated with water, said that he administered thirty-five cold packs in a week. The patient died; but the doctor thought that if he had been more thorough in his treatment, giving more packs and longer ones, he would have lived. Another professor, of a rival college in the same city, cited, in a public lecture, a case of pneumonia which was treated hydropathically by a regular physician of note. The patient, while very feeble, was placed in a cold bath. He was taken out shivering, and died an hour afterward. His conclusion was that water was a very hazardous remedy. We would certainly agree with the professor’s conclusion if the case cited were an example of the _proper_ use of water. In the preceding case, we will not say that the packs were not beneficial; but if they had been thus used by a professed hydropathist, the treatment would have been pronounced decidedly heroic by “regulars.”
=Crisis.=—By the violent processes which have been mentioned, the patient was frequently brought into a condition similar to that produced by the old process of depletion by bleeding, antimony, mercury, and purgatives. Painful skin eruptions, boils, and carbuncles, often covered the whole body. Acute pains racked the body of the patient from head to foot. If he survived this “crisis,” he usually got well, which was regarded as an evidence of the salutary effect of the crisis, and so it became an important object to be attained; and the worse a patient felt, the more certain and speedy, he was encouraged to believe, would be his recovery. No account was taken of the immense waste of vital energy during these painful morbid processes.
The use of the abdominal bandage, continued for a long time until an eruption is produced, is another means by which some have sought to effect a cure of their patients. This course is pursued under the belief that the discharge occurring from the surface which thus becomes diseased is a vicarious means of removing impurities from the system—an absurd notion which no one acquainted with the first principles of physiology and surgical pathology could entertain for a moment.
=Hydropathic Quacks.=—Unfortunately for the reputation of water as a remedy, its use has been largely in the hands of empirics who have used it in a routine manner, and have supposed it to be a cure-all, and the only remedy of any value. At least, such have been the claims made for it. This has served to bring it into disrepute, the disgrace which ought to attach to individuals being applied by an undiscriminating public to the innocent victim of abuse.