SEA AIR - AN D S E A B A T H I N G - THEIR IN FLUEN CE HEALTH ON R A OTI CA L G UI D E F OR TH E US E OF VI S I T OR A T TH E S E A - S I D E CH A R L E S H o n o ra ry S u rgeo n “ P BY AR S ON S, MD to th e D o ver Co n va les cen t THE SE A IS HIS, AN D H E MAD E . . ED IN H o mes , IT ” . PH I LAD E LPH IA L IN D SAY BLAK I STON 1 877 . P R E FA C E IN th e c o mplian c e with P ublisher s , th e c ourteo us reque st - and of th at I wo uld prepare for th em a sh ort and reliabl e w ork S ea Air . on S ea- B athing, ” subj e ct the th e foll o wing page s h av e b een written in the in t ervals busy pro fe ss ional w ork of of . In perform ing my ta sk i t h as b ee n m y o bj e c t , t o produc e a th oro ughly pra cti c al and trust w or thy Guide t o H ealth sh o uld b e a s free a t th e S ea - s ide whic h , a s po ss ibl e fro m t e chnic al t erm s s o a s t o b e easily underst ood by general , reader s . In endeav ouring t o giv e s cientifi c a ccura cy t o the subj e c t i t w a s impo ss ibl e t o av oid the in trodu ction o cc a s ionally of s om e PE A iv E R F C . v ery el em en tary p hys iol o gy and ch emistry and , I venture t o h ope th at this will b e fo und t o impart additional int ere st t o th e perus al whilst , i t c an in no wi s e impair th e pra cti c al utility the w ork . CHARLES 2, S . A S S TREET J ME May , 1877 , . D OVER , P A RS ON S . of CO N T E N T S CH AP TER I . . P S ea b athin g—It Mo de of A ct ion on th S kin—Ci lat ion—Re spiration— Glan dular S yst em—More E g t i t h an Fre sh Wat er by R ea s on b f it s Great er D ensit y — S aline C onst itut ion — C on st ant agit ation AG E ” s - rcu e n er e c , &c . CH A P TER II . S ea b athing— General Di ect ions — The S ea b athing Seas on—Time of D ay for B athin g— Fre q uency H W t B at he— O ught one t B at he wh en H eat e d " E xerci s e nece ss a y B efore an d Aft er t h e B at h D uration of t h e B at h —A ft er t h B at h—Wh at t t do r - O o - o r no e o CH A P TE R I II . Warm S ea wat er B at h —It Mo de of A ction on t h e Sld — Cir fl t i —N ervou s S yst em—Abs orb ent S yst em —General Direct ions for Adm inist ration as t Temperat ure — Time of D ay— D t i — Fre q uency —Aft er th B at h — Cold Afi io — Act ion of H o t and C old B aths resp ectively C ompared—D ifference b et ween S line and Fre sh H t wat er B at hs Th e - n c 14 s a on o u ra e a us o - on n 27 vi CON TEN TS CH A P T E R . IV . Minor Ablutions — Their Use an d Mo de of A pplication The Dripping sheet —Shallow b ath or S lipper b at h—Tepid b at h— Spinal b ath—Th e D o Ch e —Us e ful in Surgical C a s e s &c — C aut ion - - u - , . CH A P T E R —It s 41 V . uence upon th e Human Syst em — A cknowle dge d S alubrit y— The A t mo sphere or C ommon Air—It s C ompo sition— Import ance of Oxygen—Re spirat ion C ont amin at ors of t h e Air S ea air po sse ss e s Great er D ensity—More Oxygen at t h e S ea side — Infl en ce on C ombu st ion— Effect of C onst ant A git ation upon th e Skin— Great er U i formit y of T emperature— Mildn e ss of S ea c oast E xplaine d— Great er Humi dit y— In fl en c e on L ungs and Skin— More abundant O z one —It s ole— Im atio n wit h S alin e n article s e p g - A GE - - S ea P Infl air - u n - u P r r CH A P T E R VI . P Sea ir and S ea b athing a s Remedial A gent s in D is ease—Function o f Excret ory O rgans— romot e d by S ea b athing — O verwork — C on stit ut ional D is ea se—St ruma or S crof l a —Ricket s— At o i c D ys — D t i er v ou s i s ea s e s S V t u s D ance N i P p p H y te i P N euralgia—C at arrh—A st hma an d B ron h it is —Rheumat i sm and Gout — D is eas e s of Women L eu c orrh ea —A menorrh ea— Menorrhagia - a 51 - - n u e s a s ’ - . r a - c r o o CH A Is PTER VII 64 . Sea b athing ever Inj urious n d Wh en In Acute Disease— Infancy— Old A ge— let hora or full habit O rgani D is ease— Heart D i sease —C on sumpt ion —Skin D isease s— regnancy and M - , - s t ru at io n c P P a - en 82 NTENTS CO CH A P T E R vii . VIII P . AG E ent s and D is comfort s which somet ime s Ao c omp n y a C ourse Of S ea b athing—Bilious At t acks Co nst ip at ion— D iarrhoea— Irrit ation of Skin — B oils C onge stive Headache —Faintne ss N ett le rash and Vomitin g— C at amenia Th e Ailm a - - CH A PTER I" . The General Hygiene Of a Temporary Re sidence at th e Seaside wit h Remarks on Clothing Food Exercise &c 020 t ": ta g— Woollen under clot hin g Linen Calico— Cheviot Suit s— S erge s an d Home spuns Fo o d—T ime s of E at ing — Regularit y Quant it y Kin ds— D iet t able — C aut ion s — Exercise—N ece ss ary fo r all— Imp o rt ance t o Healt h— Mo derat e rat her th an Violent — Walking —Ridin g—R OWin g—Swim min g —B e st t ime £01 Exercis e— C aut ion—Rest an d S leep indispen s able , , - . - , , 89 SEA AIR AND SEA B ATHING - - CH A P T ER I . . SEA B ATHI NG—ITS MOD E OF ACTION ON THE S KI N —C R CLE LATIO N— R E SP IRATI ON SY STEM— MO RE E NER GE T I C THAN FRE S H WATER BY R EAS ON OF ITS GEEATE R D ENSITY — S AL INE CONSTITUTI ON— CONS TANT A GITATI ON I - . ET C . A CCORDIN G t o an ancient writer the pra cti c e O f b athing w as in stitut ed w ith a View t o cl ean lin ess t o th e increa s ing th e b ody s h ea t for th e pre s ervation o f h e alth o r for v o lup tu ous grati fi c ation I n the s e days h o w e v er w e canno t b e s aid t o us e s ea b athing for p urpo s e s O f clean li ne ss but rath er fo r per s onal gratific a tion o r u nder m edi c al dire ctio n fo r th e prevention alle viation o r c ure Of dis ea s e o r m ore genera lly for th e reno v ation o f h ealt h and strength wh en i m paired by the w ear and t ear O f m odern life 5 o r wh en th e syst e m i s en fee bl ed by th e de l e t erio u s h ab its and pra c ti c e s O f a c ultured c ivil i z at io n A m ore us e ful re m edy at on c e s alutary and effi c a cio us doe s n o t e xi st when ju di cio usly , ’ , , , ” , , . - , , , , , . , B SEA 2 - AIR AND em pl oye d ; n o r o ne m ore perni cio us in its co n s equ en c e s wh en improperly and un wi s ely u s ed The h ab it o f daily imm ers ing th e b ody in c ol d w at er h a s b e c o m e s o e stabli sh ed in thi s c o un try th at th e m orning tub h a s c o m e t o b e regarded alm o st a s a na tional in st itu tion t o th e great b ewilderm en t O f foreign ers wh o w onder at th e e cc entri c itie s O f les droles , . , ” , , ' A ngle rs . Th e popul ar b elie f w i th regard t o s ea b athing i s th at it i s b o th strength ening b ra cing and h ardening ; and th ere c an b e l ittl e do ubt but that thi s opinion i s well fo unded I t doe s no t h o w ev er foll o w th at th e pra c ti c e o f it sh o ul d b e indulg ed in by all indis criminat ely S om e indeed h ol d th at th e i m er sion O f th e b ody in w at er wh i ch i s o f l ow er tem perature th an th e air fo rt ifi es th e syst emagain st att a cks o f c atarr h and chill and render s it indi fferen t t o vicissi tu de s o f t emperature wh ilst s o me fe w c ont end that perfe ct immunity fro m c ol d s m ay b e insured by c on tinuing th e m orning plunge thro ugh o ut th e y ear I t i s undo ubt e dly tru e th at s ea b athing render s th e b ody far l e ss s en si tive t o th e influ en c e o f c o l d and t o th e injurio us e ffe cts O f prol ong ed e xpo sure than any o th er a g en t wi th w h i c h w e are a c qu ain t ed ; but th i s i s cl early d u e t o its invig orat in g and strength e h ing propert ie s g enerally and no t t o any - , , . , , m . , , , , . - , , , SEA— BATHIN G . . 3 spe cial virtue dependent upo n l owne ss O f t emperature al one T h e immedia te a c tion O f c ol d b athing upon th e system i s very nearly identi c al wh e th er th e m ediu m empl o yed b e s alt w at er o r fre sh ; its remo te e ff e c ts h o w ev er are v aried s o m e wh at by th e differen c e in den s ity c o mpo s ition and o th er m o difyin g cir cum st an c e s t o b e c on s idered p re s ently When a healthy pers on is suddenly imm ers ed in c o l d w at er h e experien c e s a s erie s o f s en s a t ion s famil iar eno ugh to all wh o h av e pra cti s ed c old b athing wh ich fo llo w ea ch o ther in rapid su cc e ss ion He is fi r st Of all c on s cio us o f a sh o ck wh ich s eems t o penetra t e th e wh o l e sys t em a cc ompanied by a general s en s ation Of c ol d and shivering : t h e sk in b e c o m e s pal e and c on tra cted renderin g th e h air bulbs prom inent and produ cing th at pe culiar appearan c e o f th e surfa c e which is c o mm only c all ed g oo s e sk in fro m its re s embl an c e t o th at o f a newly plu ck ed g oo s e : th e Cir cul ation i s a cc el era ted and th e pul s e b e c o m e s s m all and frequ en t ; th e re spira tion at fi r st hurried and g asping gro ws deep and l ab orio us with a feeling o f oppre ss ion or c onstriction O f th e ch e st and o f fulness and w eight in t h e h ead The s e p h eno m ena are but o f m o mentary d uration h o w ev er and rapidly yield t o a general s ens ation o f w armth whi ch by degree s perv ade s . , , , , , . , , , . , - , , - , , - , , , , . , , , SEA 4 - AIR AN D th e wh ol e b ody and th e w eight in th e h ead in st an tly di s appear s ; th e re spiratory e mb ar ras smen t i s re lie ved and th e p uls e grad u ally return s t o i ts norm al c ondition w ith perh ap s a little in crea s e o f v o lum e T h e surrou n d ing w at er n o w no l onger feels c ol d but rath er pl ea s ant and agreeabl e and the b ath er “ i s in full enj o ym ent o f wh a t i s c all ed re a ction If t h e b ody b e no w rapi dly dried and c o vered from th e air the feelin g o f w arm th i s p ers i stent a gl o w pervade s th e sk in and e v ery fun ction appear s t o b e c arried on wi th in crea s ed energy the s pirits are bu o y an t and el a sti c and th e wh ol e syste m feels strength ened and refre sh ed by th e b ath It i s import an t h o w e v er t o b ear in mind t hat th e b enefi ts o f c o l d b athing c anno t b e in creas ed a ol tnfi n ita m by prol onging th e im mersion but o n th e c ontrary th e y are greatly diminish ed by it I f th e b ath b e s o impr udently c ontin u ed th at th e s en s ation o f w armth grow s l e ss and fi nally dis appear s th en numb ne ss and shiv ering c o me o n th e t ee th ch atter th e ex tre mit ies o f the fi nger s b e c o m e blue dark ring s appear beneath th e ey e s whi ch h av e a sunk en appearan c e th e skin i s bl an ch ed and apparen tly bloodl e ss naus ea and v o mitin g frequ ently superv ene th e feeling Of depre ss ion is in ten s e re s piration i s irre gular an d rapid and th e puls e , , , . , , ” . , , , , , . , , , , , , . , , , , , , , , , , , , SEA BATHIN G 5 - . ” w eak and s m all Rea c tion fro m th i s c ondi tion i s o f ne c ess ity a sl o w pro ce ss : but i f imm ers ion b e prol onged till cramp s o f th e l imbs a feeling o f c oldne ss a t th e st o m a ch and vi tal e xh austion e v en t o fainting en su e th en rea ction i s diffi cult s o m e tim e s im po ss ibl e and death m ay ultim ately follo w — 1 flor a Fro m th e foreg oing rem arks it i s e viden t th at th e prim ary a ction Of c o l d b athing i s upon th e nerve s o f th e cutaneo us surfa c e and s e c ondarily upon its c apill ary c ir c ul ation Th e c ut aneo us nerve s m ay b e re g arded a s o utpo sts wh o s e d uty i t i s t o t el e graph t o h ead qu art er s wh atev er s en s a tion s are m ade upon th eir e xtre mitie s : i t i s alm o st i mpo ssibl e t o e stim at e th eir nu mb er s o num e ro us are th e y bu t t ak en in th e aggre ga t e th ey pre s en t a s entien t surfa c e o f enor m o us e xten t c apabl e Of re c eiving th e m o st po werful i mpre ssion s and trans mitting th e m with n u dim ini sh ed intens ity H en c e wh en a plung e is su ddenly m ade int o c ol d w a t er th e w h ol e cut aneo us sur fa c e i s imm ediately bro ught under th e influ en c e o f thi s agent and th e c o ll e ctiv e violen c e o f th e impre ss ion i s c on v e yed wi th lightning rapidi ty t o th e central nervo us a s a h ealthy sh o c k Th e nerv o us syst e m c entre s b eing thus stimul at ed and aro us ed tran s mi t c orre s ponding energy t o th e vital — organ s th e h eart and lung s a s w ell a s t o . , , , ” , . , . , . , - , , , , . , , , , , . , , , SEA 6 - AIR AN D —b y th e gland ular syst e m and th e sk in th e agen cy o f a s et o f nerv e s wh o s e O ffi c e i t i s t o c ontrol and regulat e th e v ario us fun ctions o f th e b ody 2 Circu la tio n — Moreov er th e c ont a c t w ith c old wat er in b ath ing c aus e s th e m inut e blood v e ss els o f th e c ut aneo us surfa c e t o c on tra ct th e s mall art erie s are redu c ed in s ize and th e fl o w o f bl ood fro m the m int o th e c apill arie s i s c on s equ en tly dimini sh ed ; h en c e th e bl an ch ed appearan c e o f th e sk in The surro unding stru cture s b eing no l ong er distended by s o great a v olum e O f bl ood as usu al yield t o th eir natural el a sti ci ty and cl o s e in imparting t o th e skin a c on tra cted appearan c e and rendering the h air bulbs pro minent and th e h ai r s ere c t a s any o n e can Obs erv e for him s elf wh o c are s t o w at ch the a c tion in hi s o wn pers on Thi s Obstru c tion t o th e free pa ss ag e o f th e bl o od in th e surfa c e o f th e b od y c aus es it t o be ponded b a ck s o t o s peak upon th e internal organ s and it a ccu mul at e s in th e gl and s an d in th o s e re gion s wh i ch are m o st v a s cul ar em b arrassin g th e h eart and lungs in no ordinary degree Bu t wh en th e re fl ex stimulus arriv e s fro m the nerv o us c en tre s w hi ch th e sh o c k t o th e cut aneo us nerv e s h ad e xc ited th e h eart i s rous ed t o great er e x ertio n c ontra cts m ore vig oro usly and propels th e bl ood w ith in crea s ed for c e ; at th e s am e tim e th e s pa sm odi c c o n trac , , . , . - , , . , , - , , . , , , , . , , , , SEA t io n ‘ - BATHINC 7 . of the c apillary v e ss els i s rel ax ed dil ata tion follow s and th e cu rrent Of th e b lood flo w s w ith m ore th an w o nt ed energy thro ugh th e a cc us t o med c h annels I t i s no w w h en th i s rea c tion i s s e tting in th at th e genial and pleas ant gl o w i s e xperien c ed t o which referen ce h a s b een made and s o l ong a s th e vital po wer s c an re s i st th e dep re ssing e ffe cts o f c ol d s o l ong will this rea ction c ontinu e and th e warmth o f th e surfa c e b e m aint ained But wh en prol ong ed imm er s ion h as s o red uc ed th e ani m al h eat that num b ne ss and in s en s ib ility o f t h e sk in is produ ced th e nerv o us syst em part icip at e s in th e exh austion refl e x stimul ation is no l o nger po ss ibl e and general c ollap s e i s imminent This rea ctiv e po wer wh i ch enabl e s th e hum an b ody t o re s ist e xt ernal influen c e s and impre ss ion s by whi ch i t m ight o th erwi s e b e injured appears t o b e th e o ut c o m e o f th at c on s ervativ e energy whi ch i s s tored up in th e anim al e c ono my an d is suffi cient for all th e de mand s whi ch m ay b e rea s onably m ade upon i t Th e cl o s e st re la tion ship e x i sts b e tw een re a ction and th e c aus e by whi ch i t is exc it ed Th ey are proportionat e th e one t o t h e o th er th e m ore inten s e th e e xciting c a us e th e m ore energ e ti c i s th e fo ll ow ing rea ction H en c e the c ol der t h e b a th th e m ore pow erful i s th e impre ss ion o n the c ut aneo us s urfa c e and th e , , . , , , , , . , , , . , , , . . , , : . , , 8 SEA - AIR AND re u i c k er and m ore a c t i v e i s th e c on s eq u en t q a ction ; o u th e o th er h and h o w ev er the m ore rapid abstra ction o f c al ori c in th e c ol der m edium sh ort en s th e dura tion o f rea ctiv e gl o w t h o ugh it doe s n o t dimini sh its in t en s it y and render s a b rief imm er s ion im , , , , , ra t iv e e p 3 . Resp ira tion — W h av e s een th at in th e c ol d b ath th e re s pirat ion b e c o m e s deep and l ab orio us and th e ch e st i s filled t o its utm o st c apa city T h e s e deep in s pirat ory m ov e m ents are entirely b ey ond th e c on trol o f th e b ath er H e c anno t sus pend th e m ev en for a m om en t Th e y are perform ed independen tly O f hi s w ill in Ob edien c e t o th e l aw s whi ch regulat e reflex m ov e m ents Th e s en s ory nerv e s o f th e general surfa c e o f th e b ody and e spe cially Of th e fa c e are th e m o st import ant ag ents in e xc iting th e s e m o v em ents for th ey c onve y th e im pr e s si o n s made upon th eir e xtre mitie s t o th e c en tre wh en c e th e m o t or im p uls e aris e s whi ch i s tran s m itted t o th e re s pirat ory mus cl e s and o cc a s ion s th eir c ontra ction Everyb ody must h ave e xperien c ed th e s e ph eno m ena s om e tim e o r o th er in th e g a s ping s igh w hi c h fo ll o w s th e s udden sprinkl ing o f th e fa c e with c ol d w at er B u t an equ ally impor t an t par t i s perform ed by th e efflu x o f bl ood in l arger and m ore frequ ent qu antity t o th e c apill arie s o f th e lun gs wh ereby th e excitor impre ss ion m ade . e , . . ‘ . , , , , . , , , . , . , 10 SEA - AIR AN D c o mm on s alt ; sulph at e o f m agne s ia or Ep s o m s alt ; sulph at e o f s oda o r Gl aub er s alt ; als o m uriat e o f m agne s ia and lim e w ith s alts o f e W iodine and bro min e Maury, h o w ev er e st i m ate s th e s aline ingre dien ts a t 4 per c en t Th e ab ov e c on sti tu en ts are uni for m a s t o pre s en c e but are unequ al in qu antity in v ario us “ par ts o f th e w orl d s o t h at in th e B alti c a pint Of w at er c ont ain s nearly tw o s crupl e s o f s alt ; on th e c oasts O f Great Brit ain i t c ontain s m ore th an h alf an o un c e ; in th e Medit erranean m u ch m ore and in s o m e parts under th e Line th e qu antity amo unts t o m ore ” th an tw o o un c es 1 I t i s in c on s equen c e o f i ts s aline ch ara ct er th at s ea water doe s no t e vaporat e s o rea dily as fre sh w at er fro m th e skin and ev en wh en th e b ody i s c are fully dried part i cle s o f s aline matter rem ain ad h erent and fi n d th eir w ay int o th e pore s o f th e sk in —a s m ay b e pro v ed by th e applic ation O f th e t ongu e t o th e sur fa c e— and k eep u p a tingling gl o w l ong aft er th e b ath h a s t erminated I t i s a we ll kno wn fa c t th at per s on s w h en w e tt ed t o th e skin by s ea w a t er do no t t ak e c ol d so readily a s th ey do wh en c aught in a sh o w er O f rain ; and th e e xpl anation prob ably i s th at this p ungen t a ction O f th e s alts O f s ea w at er s o stim ul at e s th e cut aneo us cir culation a s t o enabl e it t o , , , . , . , , . - , , - . - , - *5 L ee . I oid . SEA - BATHIN C 1I . re si st th e depre ssin g effe cts o f th e c o l d pro du c e d by th e e vaporation O f th e flu id por tion Ag ain i t i s t o its s aline ch ara ct er th at th e t emperature O f th e s ea in grea t m ea sure i s due A re c ent writ er s ays I t i s the s alts o f th e s ea th at a ss ist th e rays o f h eat t o penetrat e its b o s o ; but for th e s e th e s olar ray in stead o f h ea tin g l arg e m a ss e s o f w a t er lik e th e Gulf S tream w o ul d p l ay only at o r n ear th e surfa c e rai s ing th e t emperature o f th e w ater s t h ere l ik e th e s and in de s er t pl a c e s t o an inordinat e ” d egree I n stead Of thi s h o w ev er th e t e m rat u re o f th e s ea on o u r c oa sts i s t o l erably e p equ abl e and s el do m so l o w a s th at o f river w at er ; s o th at s ea b ath ing may b e enj o yed at a tim e wh en th e fre sh wat er b a th w o ul d h ardly b e t ol era ted ; and ind ulg en c e in th e lux ury m ay b e permitt ed for a m u ch l onger period th an w o ul d b e advi s abl e in fre sh w at er w ith o ut fear O f any di s a stro us re s ult La stly in fre sh w a ter b athin g w e h av e t o de al for th e m o st par t w ith a still and pla cid agen t whilst th e sea o n th e c ontrary i s s el do m or nev er a t re st and o ft entim e s s everely trie s th e strength o f th e stronge st b ath er s in th eir endeav o ur s t o withstand its w av e s H er e w e h ave an agen t in c on st an t m o tio n wh o s e b ene fi cial influ en c e i s in n o s m all de gree due t o th i s fa ct W e h av e s een th at th e immediat e . , , . m , , , , , . , , , - - . - , , , , , . , . Maury . SEA 12 - AIR AN D e ffe c t o f plunging int o c ol d w ater i s a stimu l ation O f th e nervo us and c ir c ul at ory syst em s o f th e b ody ; th e bl ood v e ss e ls o f th e skin in th e fi r st pl a c e c on tra c t and subs equently dil at e all o win g m ore bl ood t o flo w through th eir w alls a s s oon as th e refl e x stimulus rea ch e s th e m fro m th e nerv o us c entre s N o w wh en th e wav e s o f th e s ea strik e th e surfa c e O f the b od y in c on st an t succ e ssion th e sh o c k o f th e fi r s t plung e i s repea t ed a g ain and a g ain th e do ubl e a ction Of alt ernat e c ontra c tion and dil atation i s m aint ained in th e c ut aneo us c ir c ul ation th e rea c ti ve gl o w 1 s m u c h in t en s ifi ed by th e c on stant fri ction di s pl a c e m ent and renew al O f th e surro u nding w at er in v io l ent a git ation and th e wh o l e syst e m i s stimul at ed and e xcit ed to m ore energ e ti c a c tion On th e o th er h and b athing in a ro ugh or turbul ent s ea i s in th e nature o f th ings m ore e xh aust iv e th an b a thing in c al m w eath er fro m th e n ece s s it y o f str uggl in g w i th t h e w av e s whi c h i s inv olv ed and fro m th e t emp t ation t o prol o n g th e b ath b eyond wh at i s pru dent b e c aus e o f th e imm ediate e xhilara tion wh ich i t afford s Bu t when ind ulged in ju di c io usly and re strained by pru den c e th ere i s no t a m ore b en efi cral stimulus n o r a more exh il arating enj oy m ent th an s ea b a thi n g o n a bree zy day Fro m wh at h a s b een st at ed in th e pre c eding pag e s it will b e suffi cien tly evident that s ea - , , , . , , , , , . , , , , . , , , - . , SEA BATHIN G 13 - . b athing m ay be c o m e a m o st import an t auxiliary b o th in th e treatm ent o f di s ea s e and in th e renov at ion o f h ealth wh en imp aired if e m pl oyed with ju dgment and dis cre tion ; wh ilst i t i s equ ally cl ear th a t wh en rashly us ed o r th o ughtle ssly abus ed it i s c apabl e O f produ cing the m o st di s a stro us c on s equ en c e s Brie fly summ arized th en th e pra cti c e o f s ea b athing appear s t o b e attended w ith the foll ow ing ph eno m ena — A su dden and vio l en t sh o ck i s giv e n t o th e wh ol e syst e m by th e fi rst imm er s ion ; refrigerat ion o f th e s u rfa c e by abstra ction o f h eat foll o w s and i s acc o mpanied by a retro c e ss ion o f th e bl ood fro m th e e x terior o f the b ody and a de t ermin ation o f i t t o th e int erior ; a rea ction o f th e syst e m en su e s in v ir tu e o f th a t prin c ip l e O f s elf c on s erv ation w hic h i s inh eren t in all org anized b eing s c o unt era cts th e sh o ck re e st abli sh e s the capil l ary cir cul a tion reviv e s th e anim al h eat till a t l ength th e rea ctiv e gl o w pre v ails thro ugh o u t the wh ol e syst e m I t i s thi s po w er o f s timu l ating the vital energi e s t o u nw onted ex ertion which s ea b athing u ndo ubt ed ly po ss e ss e s th a t c on sti tute s i ts chie f cl ai m t o b e c on s idered a re st orative agent o f great v alu e and e ffic a c y , , , . , , , , , - , - , , , . , - , . SEA 14 - CH A AIR AN D P T ER II . — G E NERAL D IRECTI ONS T H E S EA B ATHING S EASO N— TIME OF D AY FO R BATHING—FRE QUE NCY — T O B A TH E OUGHT O N E T O BA THE WH EN H EATED " H ow S EA - B AT H IN e - - ERCISE N ECESSARY B EF RE AND A FTER T HE B ATH D URATI ON OF TH E B ATH —AFTER TH E B ATH — WHAT N O TO D o E" O T . order t o b a th e with adv ant age w e m u st do Many per s on s h o w ev er c o m e S O in t ellig en tly t o th e s eas ide for b a thing with no very cl ear ide a s o f wh at th ey ou ght t o do n o r Of wh a t th ey o ught no t t o do th ey s imply g o int o th e s ea wh en th ey l ik e and h o w th e y lik e and only leav e it when th ey are t o o fatigu ed t o re m ain an y lo n g er th erein t h ey h av e n o intel ligen t per c ep tion Of th e prin cip l e s O f s ea b athing Th e s e prin c ipl e s th e y ignorantly trans gre ss and c on s equ ently deriv e littl e o r no b enefi t On th e c ont rary s o m e tim e s ev en po s i tiv e h arm i s th e re sult O f wh at under o th er c ir cum st an c e s w o uld h av e b een a h ealth giving pro “ c e ss s ea b athing doe s no t N o w onder th at agree w ith th em " I n this ch ap ter th en w e propo s e t o l ay down “ a fe w broad prin cipl e s in th e form o f general dire ction s for th e guidan ce o f th o s e wh o are u na ccust o med t o s ea b athi n g and for th e in fo r m ation o f th o s e wh o th o ugh n o t ine xperien c ed delight t o re gard ev erythin g fro m a s cien tifi c standpoint IN , . , , , , , , - . , . , , - , - . ” , , , ” , - , , . , SEA - B ATHIN C 15 . — B e tw een l Th e S th e fi rst S day o f June and th e l ast day o f S ep te mb er i s undo ubt edly th e b e st tim e Of the y ear fo r a c o ur s e O f s ea b ath in g b e c aus e at thi s period th e temperature o f th e s ea range s high er th an at any o th er and on o u r sh ore s c om It m only av erage s fro m 5 5 t o 7 0 Fahr h a s b een c al c ul ated tha t the s ea att ain s its l o we st t empera t ure in th e m onth o f March fro m whi ch pe riod i t b egin s gradu ally t o a ccu mu lat e h eat fro m th e in crea s ing in t en s ity Of th e sun s rays till it rea ch e s its m aximum in th e m onth o f August Th e summ er b eing n o w a t i ts high e st th e s ea sl o wly c ools down m onth by m onth with th e de clinin g sun till th e annu al e xtrem e o f c ol d is ag ain rea ch ed and the cy cl e i s repeat ed Many per s on s prol on g th eir b a thing thro ug h O ct ob er with m anife st b ene fi t and th ere really c an b e no v alid obj e c tion t o it ina sm u ch a s th e c ol der m edium e x erts a m ore bra c ing and t oni c infl u en c e upon th e syste m : and s o m e e ven c ontinue th e pra c tic e thr ough o ut th e winter m onths w ith m ark ed improv em ent In h ealth S u c h a c o ur s e h o w ev er c an o nly b e fo ll o w ed by tho s e wh o in addition t o grea t rea ctiv e po wer and l arg e v ital c apa city are po ss e ss ed als o o f a s o u n d and vig oro us c on stitution I nvalid s and th o s e in delic a t e h ealth sh o ul d their o n no a cc o un t b e t e mp t ed t o c ont in u e ea ba thin g - . eason - , , ° ° . , ’ . , , . , , , . , , , , . 16 AN D S EA- AIR b athing in th e Open s ea b eyond Oct ob er at th e l a te st ; and e ven S ept emb er w o uld b e l ate I t need h ardly b e en o u gh fo r ma n y per s on s s aid th at it w o ul d b e hi ghly im proper for a b eginner t o c o mm en c e a c o ur s e o f s ea b athing 1n th e wint er s eas on 2 Time of D a y fo r Ba thing — It i s im po ss ibl e in thi s m att er t o l ay dow n a h ard and fast rule Of univ er s al app li c ation ; l o c al cir cum st an c e s su ch as th e nature O f th e c oast and th e st at e o f but a s th e tide s o m e tim e s c o mpe l a de viation a g eneral rul e it m ay b e s aid th at all s ea b athin g sh o ul d b e o v er by 1 p m I t appear s th a t th e m inimu m te mperature O f th e s ea for ea ch day i s in th e m orning b efore 1 0 O cl o ck its ma x i T here c an b e no do ubt mum fro m 1 2 t o th at th e b e st tim e for tak in g th e c o l d b ath i s imm ediat ely on rising fro m b ed w h en th e b od y h a s b een refre sh ed by the night s repo s e and th e surfa c e i s w arm ; few per s on s h ow ever h av e th at rea ctive energy whi ch i s abs o lut ely ne c e ss ary t o render b ath ing in th e open s ea b e fore b reakfa st b ene fi cial Early m orning b ath ing th erefore c an o nly b e s afely reco m m ended t o th o s e wh o are ro bust and vig oro us in c on stitution and for th em it i s the m o st invig orating and po tent o f s ea s ide ag en c ie s Fo r th e m aj ority o f pers on s and for invalid s e spe cially the m o st suitabl e time for b athin g i s ‘ . - . . , , - . ’ . , , ’ , , . , , , - . , , Lee . 18 SEA - AIR AN D o ftener th an on c e a day N O augm en tation o f h ealth foll ows m ore frequ ent immer sion s but rath er a diminution Of strength ; fo r th e reao tiv e energy O f th e b ody i s speedily e xhaust ed wh en in c e ss an t dem and s are m ade upon i t and inordinat e nervo us stimul ation i s inv ariably fo ll o wed by corre spon ding e xh austion and de pre ss ion I t i s impo ssibl e t o c ondem n t oo s trongly th e fo lly O f th o s e wh o thus trifl e with th eir h e alth — dai ly repe t i t ion O f th e open A s ea b a th i s no t suit able fo r all per s on s and can only b e s afely re c o mm ended t o th e h e althy and th e strong By th e m aj ority b a thing on alt ernat e days will b e fo und amply suffi cient and qui te a s m uch a s th e av erage S ea s ide vi s i tor c an sustain It i s a v ery g ood r ul e t o b egin w ith tw o b aths a w eek only and th en t o advan c e t o three and no t e xc eed this l imit I nv alid s and th o s e w h o are o f deli c at e c on sh o ul d no t b ath e 1 n th e open s ea st it ut io n o ftener th an twi c e a w eek at m o st ; and w e c anno t e xpre ss t oo for cibly th e opinion th a t t h e y w o uld do w e ll no t t o v en ture in t o th e s ea a t all w ith o ut Obt ainin g in th e first pl a c e Much t h e s an c tion o f th eir m edi c al advi s er m is chie f re sults s o m e tim e s fro m th e negl e c t o f this s i mpl e pre c aution T h e fi r st b aths sh oul d c er tainly b e t en ta tiv e t o a s c ert ain th e rea c tiv e . , , . . , . , , - . , . , , , . . , SEA - BATHINC 19 . po wer and th e que stion o f frequ en cy sh oul d b e regul at ed and det erm ined by th e experien c e thus Obt ained 4 H o w to B ath e — Th e s en s a tion o f c o mfor t whi ch usually a cc ompanie s th e Open s ea b at h i s m uch l e ss ened and s o me tim e s ev en c on v ert ed in to o n e o f dis c o mfor t and mi s ery by an Th e imprope r m e th od O f ent ering th e w a t er c orre ct and proper m ode no do ubt i s t o g o in h ead forem o st by m ean s Of th e plun g e wh en e ver circum stan c e s permit in a cc ordan ce wi t h th e experien c e Of all w h o are pra cti c ally It requ ire s a c qu ain ted w ith th e subj e ct h ow ever s o m e degree o f b ol dne ss an d re s o lu tion t o t ak e this step for th e fi rst tim e ; but th e e xhil aratin g e ffe c t upon th e syste m amply repays one fo r th e effor t an d in as m u c h a s th e phys iologi c al rea c tio n i s m u ch in ten s ifi ed by the sho ck o f th e plu nge w e re c omm end e very b ath er to cul tiva t e thi s m ode O f entering th e w at er Upon fl a t s andy b ea ch e s wh ere th e t ide re c ede s s o m e c on siderabl e di st an c e su ch pro and w e are driven by c e du re i s i mpra c t i c able ne c e ssity t o en t er th e s ea o n foo t in this c a s e no tim e sh o uld be lo st in du cking b eneath th e fi rst advan cing w av e in order th at th e el em ent o f su ddenne ss m ay no t b e w antin g t o the sh o ck Many timid per s on s wh o c anno t summ on , . . - , , . , , ” , , , . , , , , . , , ” , . , 20 SEA - AIR AND “ ” sufficien t re s o lution eith er t o plunge o r du ck m ay no w and th en b e Obs erv ed st and m g knee deep in w at er wi th c h att ering t ee th sh ivering in e very limb and h elple ssly wai ting for th e needful c o urag e whi ch nev er c o m e s N o w su ch peopl e deri v e no b ene fit fro m s ea b athing but alm o st always re turn fro m th e b ath wi th c ong e stive h eada ch e and s o m e ti m e s s i ckne ss ; no rea ction foll ow s but a wre t ch ed depre ss ing s en s a tion o f ch illine ss t ak e s its p la c e and i s o c cas ionally succ eeded by th e cong e stion o f s o m e import an t internal org an S u ch b athing i s utt erly wo rt h less a n d no t alt o ge th er free fro m danger ; i t h ad b e tter therefore b e ab andoned I t is h ighly adv i s abl e whilst in th e w at er t o k eep th e b ody and limbs c on stantly in mo tion th ereby stimul ating th e cir cul ation prom o ting a nim al w armth and renderin g th e b ath er le ss liabl e t o cramp ; th ere i s no b e tter e x er ci s e fo r thi s p urpo s e th an s wimming It i s a g ood pl an t o all o w th e w av e s t o break u pon t h e b ody t ak ing c are th a t th e sh o c k b e no t re c eiv ed upon th e h ead o r th e pit O f th e sto m a ch a s unpl ea s ant c on s e q u en c e s may en su e fro m viol ent c on cuss ion o f th o s e parts Ev ery S h o ck o f ev ery w av e i s a repe tition in miniature O f th e prim ary sh o ck o f th e fi rst plunge and c ond u c e s t o vig oro us rea ction A w ord o f c auti o n h o w ev er i s ne c e ss ary : wh en ” , - , , , . , , , , . , . , , , , , . , , . , . , , SEA - B ATHINC 21 . th e b ea ch sl ope s rapidly th e w av e s are deeper and h eavier th an th ey appear t o b e and th e b ath er i s v ery l iabl e t o b e c arried O ff h i s fee t by th e s wiftly fl o wing b a ck w a sh o f th e s ea unle ss h e i s o n hi s guard against thi s a cc iden t T h o s e wh o c ann o t s w im m ay qu i ck en th eir rea ction by w e ll rubbin g th e v ario us par ts o f th e b ody whilst in the w ater a s a s u bstitut e for th e mus cular ex er ci s e wh i ch th e art o f swimm in g inv o lv e s — 5 Ough t On e to B a t he wh en H ea ted l Thi s i s a que stion whi ch i s frequ en tly ask ed and mu ch m i s c onc ep tion s eem s t o prev ail o n th e — subj e ct I t us ed t o b e th o ught and th e opinion i s still h el d by m any— th at i t w a s a highly dangero us pra c ti c e t o pl un ge int o c ol d w ater when o v erh eat ed by e x er ci s e o r o th er wi s e S O l on g ag o a s 1 7 9 7 thi s b e lief was pro v ed by Dr Currie t o b e erroneo us and th e e xperim en ts Of Dr Ford yc e and S ir Ch arl e s * Bl agdon l end support t o hi s vie ws In m ore re c en t tim e s th e pra cti c e o f h ydmpa th y h as cl early dem onstrated th e fa ct t h a t per s on s m ay pass fro m th e sw ea ting b ath in th e m os t pro fus e per spiration dire ct t o th e c o l d sh all o w plung e o r do u ch e b ath no t only wi th o ut t aking any h arm but als o with po s itive b enefi t " I t appear s th at wh en the fun ction o f th e Skin i s e x alt ed in th e a ct Of pers piration th e i mpre ss ion ‘ “ hilo s ophical Trans a c t ion s v o l lx v , . - . . . , . . . , . . , , , , , , 3 P ” , . . 22 SEA - AIR AND re c eiv ed and c onv eyed by th e cut aneo us nerve s o n th e applic at ion o f c o l d i s m u c h m ore v io l en t th an un der an y o ther c ondition and i s foll o w ed by a rea ction o f c orre spon ding inten s ity inas m uch a s th e cir cul ation w a s already e xc it ed by th e per s pira tory a c t b e fore th e additional stim ulus arrived fro m th e c utaneo us surfa c e Ano th er w ord o f c aution h o w ev er i s n e ce s s ary I f th e b ody b e o v er fatigu ed by viol ent ex er ci s e o r th e po w er s o f th e syst em l ow ered by th e l o ss o f anim al h eat whi ch long c on t inned pro fus e per s pira tion en tails then t o plun g e int o th e s ea w o uld b e highly im pruden t and a tt ended with c on siderabl e dang er Re a c tion under su ch cir c um st an c e s is a m att er o f grea t diffi culty 6 Exercise N ecessa ry befo re a n d after th e Ba th — Fro m wh a t h a s been already st at ed i t will b e o bvio us th at th o s e wh o by previo us e xer cis e h av e e xcit ed th e c apill ary cir c ul ation and a s it w ere prepared th em s elv e s fo r th e s ea b ath m ay c ertainly ex pe c t t o deriv e m o st b enefi t fro m it S o als o after th e b ath in o rder th a t th e rea c tiv e gl o w m ay c on tin u e and a ugm ent it w ill b e w ell t o t ak e gen tle no t vio l en t ex er cis e fo r s o m e littl e tim e su bse q u ently till th e s ens ation o f w arm th and c om fort i s g eneral th ro ugh o ut the system — D u r a tio n o B a th T h i m ust b e re g u t h e s 7 f lat ed in a cc ordan c e wi th the prin cipl e s already , , . , , - . , - , , , . . . , , , . , , , , . . S EA BATHIN C 23 - . st ated As a general rul e fro m which no devia tion sh o ul d b e all ow ed all s ea b athing to b e b ene fi cial sh o ul d t erminat e b efore th e stag e o f ch ill ine ss c o m e s o n i e b e fore th e anim al h eat h a s b een l o wered b elo w th e proper degree and wh ilst th e primary rea ctive gl ow c ontinu e s in forc e ; always rem emb ering th at th e c ol der th e wat er th e m ore po werful and depre ss ing are i ts effe c ts and th o ugh th e rea c tion b e m ore S peedy and a c ti ve i ts d u ra t ion i s sh or ter Th e t e mperature o f th e w a ter therefore i s o n e fa ct or t o b e c on s idered in det ermining th e d uration o f th e b ath Ano th er import ant guide i s the ch ara ct er o f th e p uls e , whi ch enabl e s o n e t o e stim ate with s u mcien t a ccura cy th e am o unt o f react iv e po wer po ss e ss ed by th e indiv id ual A vig oro us circul ation and a full p uls e i mply energeti c rea c tion ; but a w eak and languid puls e feebl e rea c tion I t i s clear th erefore th at wh at w ould b e proper in th e o n e c as e wo ul d b e injurio us in th e o th er Fo r tho s e in g ood h ealth a b ath o f fro m fi v e t o s ix minut e s will generally b e fo und s uffi cient ; th o s e wh o are weak and feebl e sh o uld no t e xc eed three o r fo ur m inut e s ; and th e deli c ate and invalid sh o ul d b e c ontent with tw o or three dip s in th e s ea and o u t again T hi s l atter plan indeed m ay b e re c omm ended t o all wh o are u na ccusto m ed t o s ea b at hing in order . , - , , . . , , ‘ , . , , , . . , , , . . , . - , 24 SEA - AIR AN D t o a s c ertain th eir pow ers o f rea ction and th en their period o f stay in th e wat er m ay b e gradu ally prol ong ed Vig oro us and robust per s on s wh o are stron g s wi mm er s m ay rem ain in th e w ater a qu arter o f an h o ur th o ugh e v en for th e m t en m in ut e s w o ul d b e b etter Many people wh o b ath e m erely for s elf rat ifi cat io n and en o ym en t fall int o th e grie v o us g j error o f rem aining t o o l ong in th e w at er h alf an h o ur and upw ard s till th e y are th oro ughly ch ill ed and in c apabl e o f rea c tion B oys and girls and y o ung adults o f b o th s e x e s are th e chief o ffender s in th i s re spe ct I t i s surpri s ing h o w m u ch h arm frequ ently re sults fro m this mis ch iev o u s pra c t i c e e spe cially t o th o s e o f feebl e c on stitution ; it c anno t therefore b e t o o stron gly c ondem ned Ev eryb od y k no w s th e ch illing e ffe c ts o f a l ong railway j o urne y in mid wint er wh en a fter l ong e xpo sure t o c old th e s en s ation o f chilline ss and sh iv erin g i s no t eradi c ated fo r m any h o ur s after th e b ody h as b e c om e th oro ughly w arm ed Similar s en s ation s obt ain after pro tra c ted s ea b ath ing I n b o th c a s e s c onge stion o f th e in t ernal org an s e spe cially o f th e lung s i s t o b e appreh ended ; and no t till th e lo c al c ong e stion subs ide s doe s the fee ling and th e h arm onio us o f di s c o m for t pa ss aw ay pl ay o f th e v ario us org ans i s re stored , . , , , . , , . , , . , , , . - , . - . , , , . 26 SEA - AIR A ND th e cl o th e s a s qui ckly a s po ss ibl e and pro ce edin g t o t ak e b ri sk w alking e x erc is e till rea c tion b e fully and perm anently e st abli sh ed Wh en th is h as b een a cc o mp li sh ed th e s en s a tion o f w arm th and c o mfort rem ain s thro ugh o ut th e day I n s o m e cas e s wh ere rea ction i s d el ayed o r imperfe c tly de v el oped by reas o n o f fee bl e ne ss o f cir cul ation or impr u den t pro tra ction o f th e b ath it m ay b e ne c e ss ary t o re s ort t o s o m e stimul ant o r o th er t o c o un tera c t th e depre ssin g e ff e ct o f th e c o l d w at er Fo r th i s p urpo s e no th ing i s b e tt er th an h o t s o up b ee f t ea and c o ffee o r in ex trem e ca s e s sh erry por t wine negus and ev en h o t br andy and w ater ; w alking e x er cis e w ill th en in all prob ab ili ty c o mple t ely re store th e usual anim al w armth 9 Wh a t n o t to do — In order th a t th i s s e c tion m ay n o t s ee m in c o mple t e w e add a fe w h ints as t o wh at o ught n o t t o b e done by any wh o de s ire t o derive perm anent b enefi t fro m th e pra cti c e Of s ea b ath ing D o no t b ath e aft er a full m ea l o r aft er m u ch wine i e with a l oaded st om a ch D o n o t b at h e wh en e xh aust ed by e x er cis e o r o v er fa tig u ed ; nor wh en ch i ll ed and c o l d D o n o t b a th e m ore th an on c e a day D O no t a s a g eneral rul e e xc eed fi v e or s ix m in ut e s in b athing D O no t re m ain in th e w a t er till th e rea o tive gl o w subs ide s and chilline ss t ak e s its pl ac e on , . , . , , . , , - , , . . . , - . , . . . , - . . , , . . SEA - BATHIN C 27 . Wh en h eat ed and per spiring but n o t e xh a u st ed and fa tigu ed do no t w ait till th e surfa c e h a s c ooled do wn b efore ent ering th e wat er no t en t er i t f ee t f ore m o st u n l e ss o D 7 ( o bliged by l o c al cir cum stan c e s t o do so D O no t l oiter o v er y o ur dre ss ing D o no t forge t t o t ak e b ri sk e x er c is e a ft er y o ur b ath A fe w g eneral dire c tion s fo r inv alid s s pe cially w ill b e in clu ded in a future ch ap t er upo n S ea b athing in D is ea s e , , , . . . . ” . CH A T P III ER . S M OD E O F A CTI ON ON WARM S A WATER B ATH THE S K N C R CULA ON —N E RV US S Y STEM—A S R ENT S S T EM— G E NERA D I RECT IONS FO R A D M NI S TRAT I ON As T EMP ERATUR E— T IME OF D AY — D URATION— F To B ATH —CO D AFFUS ION— A CTI N QUE N CY— AF T E R T H E OF H BATH S RE SP E CT V AN D CO D COMF A R D D FFERENCE ETWEE N S AL INE AN D FRE SH H O WAT ER B ATHS T HE E I : - I F Y TI IT B O O B I L RE O L OT I E I E LY L B T- . importan c e o f th e war m s ea w at er b ath as a re m edial ag en t h a s no t b een suffi c ien tly re c ogni s ed alth o ugh its infl uen c e upon th e human b ody I s no t le ss po tent th an th at o f the Open s ea b ath I n s o m e re s pe c ts indeed it THE - , - . 28 SEA - AIR AN D m ay b e regarded alm o st a s th e m ore po w erful agent o f th e t wo ; whilst its w ide rang e o f a c tion wi th in c ert ain limits all o w s o f its m ore univ er s al appl ic ation a s a rem edial measur e H o w e ver it m ay b e w ith th e ordinary w arm b ath a s a m att er o f fa ct th e w arm s ea wat er b ath i s s el do m re s orted t o for p urpo s e s o f luxury and s elf grat ifi cat io n but g enerally a s a hygie ni c and cu rativ e re m edy” under m edic al advi c e and supervi s ion s o th at w e s el do m h ear o f di s a stro us re sults fro m its c arel e ss e mp l o y m en t In re g ard t o its ultim at e effe cts upon th e c on stitution i t b ear s a cl o s e re s emblan c e e spe cially in t oni c and stim ulant proper tie s t o th e c o l d s ea w at er b ath ; but in imm ediat e a c tion upon the syste m th e tw o are diam e tri c ally oppo s it e Th e fea ture s o f s imilarity an d differen c e are no t at fi rst s ight v ery readily apparent ; but in th e c o ur s e o f th e fo ll ow in g o bs er vat ion s w e sh all endeav o ur t o render th e m suffi ciently e viden t t o all B e fore pro c eeding t o giv e dire ction s for th e proper administration o f the w ar m s ea w ater b ath i t will b e w ell t o c on s ider its m ode o f action upon — T he s en s ation s whi ch are k T h e i n S 1 e xperien c ed o n ent ering th e w arm b ath are fam iliar eno ugh t o m o st people A feelin g o f c o m fort and enj o ym en t i mm e di a t ely fo ll ow s i mm ers ion and c on tinue s t o augmen t u ntil th e , , . - , - , , . , , , - . , , . - , . . , SEA - RATHIN C 29 . t ermination o f th e b ath imparting t o th e syste m gen erally a g enial s en s ation o f lu xurio us warm th and refre shm en t Th e h eat whi c h th e surro unding w a ter c o mmuni c at e s t o th e surfa c e o f th e b ody i s propaga ted t o th e c entral nervo us syste m and e xcite s rea c t ion with its att endant pheno m ena already de s crib ed in a previo us ch ap ter o n th e c o ld s ea —wat er b a th I n this l att er c a s e h o w ev er th e rea c tiv e gl o w i s de vel oped fro m within by th e m ore energ etic a ction o f the vit al org an s th e wh ol e Sy st em h avin g b een e xcit ed by th e first p lung e t o re s ist th e re frig erating pro c e ss ; but in th e warm b ath th e w armth i s c omm uni c at ed fro m witho u t and its radiation fro m th e b ody i s prev ented T h e fi rst e ffe c t upon th e skin wh i c h i s no tic eabl e is a s welling and e xpan s ion o f th e surfa c e d u e t o dil a tation o f th e c apillarie s under th e influen c e o f h eat ; and th e l on ger th e immer s ion i s c ontinu ed th e greater i s its rel a x ant a ction no t onl y upon th e sk in i ts elf but als o upon th e str u c ture s wh i ch lie b eneath it ; s o that ev en th e m us cl e s th e ms el ve s s eem t o s o ften and t o h ave l e ss ten s ion H en c e it i s th at after the b ath an ea sy fi tting b oo t o r sh oe i s fo und t o b e tight and i s dra wn o n with diffi culty rings als o th at previo usly fi tt ed loo s ely c anno t no w b e re m o ved a t all T hi s in c reas e in v olum e i s to b e attribut ed , . , , , . , , , , . , . , , , . , , . 3O SEA - AIR AN D t o th e rel ax an t a c tion o f th e w ater upon th e skin and t o th e degree O f h eat whi ch th e w arm b ath c ommuni c ate s t o th e syste m generally a s well a s t o th e abs orp tion o f fluid th i s l att er b eing proportioned t o th e den s ity o f the w ater Fo r a l o n g t im e i t w a s a m u c h di sp ut ed poin t wh e ther th e skin h ad th e po wer o f abs orbing w at er o r no t and auth oritie s w ere divided in opinion upon th e qu e stion ; th e l o ss o f w at er by evaporation fro m th e skin h avin g b een an Obsta cl e t o th e s ati sfa ct ory s olution o f th e inquiry I t m ay h o w ev er now b e re garded a s fi nally s e ttl ed th at th e sk in doe s po ss e ss this abs orb en t property Th e m an y e xperi m ents o f D r Madden c onfi rm ed by th e o b of M B erth ol d and M Edw ard s serv at io n s in th e s am e dire ction h av e c on clus iv ely e sta I n th e w arm s ea w ater blish e d th i s tr uth b ath th erefore th e s aline ingredients already en umerat ed are a ctu ally abs orb ed in t o th e syste m and e x er t th eir spe cial influ en c e upon th e organis m g enerally ; h en c e i ts superiori ty t o th e S imple fre sh — wa t er b a th a s a re m edy wh ere th e obj e ct i s n o t t o e x haust but t o stimul a te and refre sh — Th e e ffe c ts o f th e 2 0n th e Circu la tio n w arm s ea b a th upon th e for c e and frequen cy o f th e h ear t s a ction a s indic ated by th e puls e depend v ery mu ch upon th e tempera ture o f Of c o urs e th e nervo us e xcit ab i lity t h e b ath , , , . , . , , . , . , . . , - . . , , , , , . . - ’ , . , SEA BATHIN G 31 - . th e patient a s in th e c ol d b ath ex er cis e s a Bu t di sturb ing influen c e in thi s dire c tion pra c ti c ally th e t e mpera ture o f th e b ath is th at which de t ermine s th e ch ara c t er o f th e h eart s a ction and th e frequ en cy o f the puls e On fi rst ent erin g th e b ath th e p ul s e and re s piration are b o th qu i ck ened b e th e t e m 2 rat u re wh at i t m ay f ro m 9 u p w ard s I f e p th e h ea t b e m oderat e h o w ev er th e p ul s e gradually subs ide s t o its ordinary frequ en cy a s s oon as th e b ody i s th oro ughly warmed and i s only m ark ed by greater fulne ss AS th e t empera ture o f th e b ath i s rais ed s o i s th e frequ en cy o f th e puls e p a ri p assu th e h eart b e c o me s m ore and m ore e xcit ed with ev ery additional in cre m ent o f h ea t b e yond bl ood h eat and th is e xci te m en t o f th e cir cul ation o ft en tim e s c ontin u e s l ong aft er th e term ina tion o f th e b ath and subs ide s but sl o wly and gradu ally Ano th er e ffe c t o f th is high t emperature i s t o c aus e a l arg er flo w o f blood thro ugh th e c apillarie s e v erywhere in c on s equen c e o f th eir dil at ation under th e relax ing influen c e o f w arm th I f th e heat b e m oderate th e distri b u t io n o f th e bl ood appear s t o b e de t ermined t o ward s t h e c apill arie s o f th e surfa c e only I t i s u pon th e s kin and subj a c ent stru c tu re s sh own th at th e stimul ant and a s w e h av e rel a x an t propertie s o f th e s alin e b a th i s e x er of , , . ’ . , ° , . , , , . , , , . . , , . . , ’ , SEA 32 - AIR AND cise d, and h en c e th e in crea s ed c apa city o f th e superfi c ial bl ood v e ss els a ttra cts a s it were a larger qu antity o f bl oo d from th e internal organs th ereby relieving c onge stion an dc au sin g a mo re equa bl e di stribution in th e ex ternal par ts 3 0u th e N ervo us S ystem — Ev eryb ody must b e c on s cio us o f th e g entl e s oo th ing e ffe c t o f the w arm b ath ; no s ooner i s i t en tered th an the m o st deli c io us l an gu or steals ov er th e b ody allays irritabili ty and blunts th e pain ex er ci s ing a s edativ e o f o v er s en s i t iv e nerv e s influ en c e upon th e wh ole nervo us syst e m I ts e ffi c a cy in all evia ting l o c al pain i s m o st m ark ed in c a s e s o f cramp and spa s m ; but its s ooth ing an d refre shing propertie s are never m ore e viden t th an after a fati guing railway j o urney wh ere the phys i c al w ear and t ear are but trivial a s c o mpared with th e nerv o us w earine ss and irrit ab ili ty I n order t o s e c ure thi s s eda t ive a ction the t emperature must b e m oderate an d th en re fre sh m ent fo ll o w s ; a h i gh er t e m rat u re sti mul a t e s th e ner v o us syst e m u nd uly e p and l eav e s b eh ind depre ss ion and e xh austion a s th e re sult o f inordinate e xcit ement — Fro m wh at h as b een already r t o n o i 4 A bs p adv an c ed i t will b e unne c e ss ary t o do m ore th an allu de t o th e infl uen c e o f th is b ath upon abs orp tion ; h o w th e stimul atin g a ction o f th e s alts o f the w ater qu i ck en s th e pro c e ss and - , , , , . . , , - , . , . , , , . . , 34 SEA - AIR AN D b e h ad t o individu al pe culiaritie s AS a general rul e a te mperatu re ranging fro m 9 4 t o 9 6 will b e fo und t o b e th a t wh i c h i s m o st univers ally adop ted wh en it i s de sired t o pro d u c e a t oni c and s oo th ing e ffe ct o nly au d it i s o n e als o which i s p l ea s an t and a greea bl e t o th e s en s ation s o f m o st peopl e I f h o w ever w e de s ire t o m du ce per spira tion it will b e n eces s ary t o us e a t emperature no t l o w er th an 9 8 After a fe w b aths ea ch per s on will b e enabl ed t o fix th e t em pera tu re w hi ch i s m o st s alut ary and b ene fi cial t o h im s elf ; and a s a m atter o f pruden c e and c aution i t i s s afe st t o b egin with a b ath o f l o w t e mperature and rad u a l ly t o rai s e i t t i ll th a t de g ree o f h ea t i s g rea ch ed wh i ch imparts th e greate st am o unt o f c o mfort and b ene fi t t o th e patient Wh a tever b e th e t e mpera ture adop t ed it sh o ul d b e m aintained t o th e end o f th e b ath by th e addition o f h o tter wat er fro m tim e t o tim e a cc ording t o the indi c ation o f th e th erm om e t er and thi s in strum ent al one sh oul d b e relied upon fo r de t er min in g th e proper t emperature I nv alid s and per s on s On e w ord o f c aution wh o are del i c a t e and t h o s e w h o suffer fro m a ctu al di s ea s e o r are c onv al e s cent fro m it sh oul d o n no a cc oun t indulg e in w arm s ea b at hs witho ut medic al advi c e — t On th i s point a c on 2 Time fo r B a hing s iderable degree o f l a titu de m ay b e all o w e d . ° , ° , . , , , ° , , . , , , . . , , , . . , S EA- B AT HIN G 35 . pro vided always th at du e re gard b e h ad t o th o s e general prin cipl e s w h i ch w ere l aid dow n w hen s peaking o f th e c ol d s ea b ath Unle ss c ir cum stan ce s render it e xpedient th a t s om e defi nite tim e sh o ul d b e fi x ed for t aking th e b ath th e per s onal h ab its and c onvenien c e o f th e individual m ay b e c on sidered As a g eneral rule th e b e st time for b ath ing fo r th o s e wh o dine l at e i s ab o ut an h o ur and a h alf or t wo h o ur s b e fore dinner ; and for th o s e wh o dine early a m ore suit abl e tim e will b e ab o ut three h o urs after breakfast I n eit h er c a s e th e pre c eding m eal will b e w ell dig e sted prior t o th e b ath and th e syste m will b e pl a c ed in th e b e s t c ondi tion for deriving b enefi t b o th fro m it and fro m th e m eal foll o wing it 3 D u ra tio n of th e B a th — Th e period o f st ay in th e b ath mus t b e g o verned by th e require m ents and pe culiaritie s o f e v ery indi v idu al c a s e just as in th e m atter o f t e mpera ture and must th erefore b e e ver v aryin g and inc on st an t S ufficien t a ccura cy in th i s par ti c ul ar w ill b e att ained h o w e v er i f the fo ll o wi n g c ons ideration s b e c are fully b orne in m ind Fir st w ha t i s t h e effe ct wh i ch i t i s de s ired t o produ c e " and s e c on dly wha t te mperature i s b e s t c al cul ated t o prom o te th i s end " N o w a b a th at 9 8 i s stimul ant i f us ed fo r a brie f perio d o nly s ay t en minute s ; but if imm ers ion b e c ontinued fo r h alf an h o ur or s o th e e ffe c t i s - . , . , , . , . . , - , . , , . , , ° , SEA 36 - AIR AN D de cidedly rel a x ant and thi s b e c o m e s m ore pro n o u n c ed a s th e b a th i s st ill l on g er pro tra c t ed I t i s cl ear th en th at thi s rel ax ation c om e s o n o nly aft er t h e stimul ant and t oni c e ffe ct h as subs ided s o th at really th e ch ara ct er and in flu en c e o f th e w arm s ea b ath m ay b e s aid t o b e de t ermined by i ts duration I f a s oo th in g an d t onic e ffe c t b e de s ired the period o f imm er s ion s h o uld b e c o mparative ly brief ; but if rel ax a tion or s w eating b e th e obj e ct th en it sh o uld b e m ore prol on ged As a general rule subj e c t o f c o ur s e t o m odi fi cat io n fro m fi ft een t o t wen ty m inut e s w ill b e fo und th e period b e st adap ted t o produ c e t oni c and s oo thing e ffe c ts ; and fro m h alf to th ree qu art er s o f an h o u r t o pro m o t e rel ax ation o r s weating Th e l o w er th e t emperature o f th e b ath th e l ong er must i mm er s ion b e c ontin ued b efore th e e ffe c t whi ch i s de s ired b e att ained and nice rersd w ith regard t o th e high er t em , . , - . , , . , , . , ra t u re s e p 4 . — Th e y F qu e stion o f th e repe ti tion o f th e w arm b ath is o n e whi ch c anno t b e s e ttl ed abs olut ely I t m ay b e su ffic ient t o stat e th at for general p urpo s e s three or fo ur b aths a w eek i e one ev ery o th er day will b e am p l e In S pe cial c as e s o f c ours e i t m ay be ne c e ss ary t o redu c e and ev en to exc eed thi s Bu t ina s mu c h a s th o s e w h o us e numb er w arm sea w ater b aths are for th e m o st part re u en c q . . , , . . , , . , , , . - , , SEA - BATHIN e O 0 . 7 pers on s o f de li c ate c on stitution and requirin g c are it is b e tt er for th em th at t h e y sh o uld n o t s e ttl e thi s point them s elve s but refer it t o medical opinion an d a ct a cc ordingly — 5 After th e B a th Many o f th e dire ction s already giv en for th e c o l d b ath are equ ally app li c abl e h ere and need n o t b e repeat ed but there are o n e or t wo parti cul ar s h avi n g spe cial relation ship t o the w arm b ath wh ich require t o b e m ent ioned in this pla c e First it will add v ery m u ch t o th e lux ury and c o m for t o f th e b ath er if th e to wels which are us ed for drying th e b ody b e th oro ughly w arm ed thus ge tting rid o f th e s en s at ion o f l ch i line ss whi ch i s alwa ys e xperien ced m ore o n c o mi n g o u t o f th e w ar m b a th int o o r l e ss an a tm o sp here m any degree s l ow er th an th e t emperatur e o f th e w ater N e x t sh o ul d e x er ci s e b e t ak en a ft erw ard s " Th i s must depend a g ood deal upon c ir cu m stan c e s As a general rule applic abl e t o th e m aj ority o f patients i t i s b e tt er t o re m ain quiet un til dinn er tim e o r at m o st t o tak e only a gentl e w alk fo r a brief period and th en t o re st till the dinner h our arrive s Wh ere it i s de s ired t o pro m o t e s weating th e patien t sh o ul d b e env el oped in w arm bl ank e ts o n l eavin g th e b ath and b e pl a c ed in b ed for an h o ur o r th en b efore dre ss ing h e sh ould b e so ; rubb ed do wn with a shee t dippe d in c o l d , ' , , , . . , . , , , , . , . , , - , , . , , , , , 38 SEA - AIR AN D s ea w at er an d bri skly dried with ro ugh t o w els I f o n e o r tw o pails o f c ol d s ea w ater b e da sh ed o v er th e b od y imm ediat ely o n leavin g th e b ath th e to n ic e ffe ct i s greatly enh an c ed T h e sk in at thi s ti m e with its bl ood v e ss els full and turgid h o ld s a l arge a mou nt o f h eat and i s th erefore in th e b e st c ondition for re c eiving and rea ctin g ag ain st th e im pre ss ion o f c ol d ; t h e Obj e ct o f c o ur s e b ein g t o re store t o it th e t one wh i ch th e dire c t applic ation o f h eat and th e pro c e ss o f sweatin g h av e for th e tim e b eing l o wered Thi s re sult i s qui ckly b rou ght ab o ut and a feeling o f exhil aration foll ows whi ch i s in ten s ely pl ea surabl e Th e stimulus h o w ever i s s o po w erful th at o nly th o s e in h ealth sh o ul d v enture t o re s ort t o i t w ith out m e dic al adv i c e Wh enever t h e w arm b ath i s foll o w ed by th e appl i c ation o f c ol d w ater i t will b e proper t o us e a c tive ex er ci s e aft erw ard s in order t o re st ore th e anim al w arm th and th i s m ay b e sh o ul d never b e re g arded a s a r ul e w hi ch vio lated I t s eem s h ardly ne c e s s ary t o s ay th at to lie upon the b ea ch o n a windy day o r t o s it in a draughty pl a c e by an Open windo w aft er th e b ath i s in th e high e st degree dang erous and ye t the prac ti c e i s by no m ean s un c o mm on th o ugh th e ri sk o f c at ching c ol d at this - , . - . , - , , , , , . , . , , , . , , , . , , , , , , ” S EA BAT HIN G 39 - . t im e i s infinit ely gre ater th an under any o th er circum s t ance s as th e p roce ss o f coo lin g d own procee ds with unusual rapidi ty Be fore cl o sing this ch ap t er i t will b e well p erh aps t o compare th e relative a cti on o f h o t and cold salin e b ath s re sp ectively an d if th e previ o us s ec ti ons h ave b ee n cle arly und ers t oo d there will b e n o diffi culty in recognising th e promin en t p oint s o f agreement and differen ce in th e foll owin g comparis on We h ave s ee n th at th e cold b ath c aus e s firs t contra c ti o n o f th e skin and c apillar ie s and afterw ar ds dilat ati on I n th e w arm b ath o n th e contrary swelling and enlargemen t o f th e s urfa ce is th e firs t re sult and con tra cti o n o nly e nsu e s wh e n th e appli c ati o n o f h e at is with d r aw n Th e w arm b ath r ais e s th e t emp era ture by furnishing h e at from with o u t and preve nting it s radiati o n from th e surfa ce o f th e b o dy ; the cold b ath ab s tr a ct s h e at by refriger ati on and th e anim al w armth is re s t ore d from with in b y in cre as e d fun cti onal a ctivity o f th e vi tal organs Th e w arm b ath c alm s and s oo th e s by supply ing h e at and th ereby l e ss ening th e n ee d o f it s p ro du cti on by th e a c tivity o f th e vit al pro ce ss e s th e cold b ath re fre sh e s by th e very a ctivity whi ch i t excit e s Th e w arm b ath o f high t emp erature rese m , . , , , , . , , . , , . , , . , . a 40 S EA- AIR AND bl e s th e cold b a th in i t s a cti o n as a stimu lan t o f th e h e art and n ervo us cen tre s bu t from its na ture th e i mpre ssi o n w hi c h i t co nveys is l e ss vi ol e n t in ch ara ct er and i t s mo d e o f a c ti o n more ge n tl e and gr adual Th e warm b ath th erefore is well adap t e d for th o s e wh o are t o o d eli c a t e t o wi th s tand th e s h ock o f th e cold b ath for y o ung children and als o for th e age d and infirm The cold b ath is b e s t suite d for th o s e in he al th wh o h ave n o organi c dis e as e and wh o suffer from fun c ti onal dis turb an ce only Th e warm b ath o f high t emp er ature unduly p rol o nge d c aus e s fainting giddin e ss and s ome time s vom i ting and int ens e h e ada ch e Th e co ld b ath pro tr a c t e d b eyo nd pro p er limi ts occ asi o ns co nge s ti o ns o f th e in ternal organs and all th e symp tom s o f collaps e I n th e warm b ath transuda ti o n by th e ski n excee ds ab s orp ti on and th e exce ss k eeps pa ce wi th th e el ev atio n o f t em p erature ; in th e cold b ath h owever ab s orp ti on excee ds transu dati on and th is h olds goo d o f all l ow t em , , , . . , , , , . , , . , , , , . , , , . , , , , , rat ur es e p . W e h ave th us bri e fly rec api tula t e d th e dis t in ct ive ch ara c t eris ti c s o f h o t and cold s e a w ater b ath s re sp ectively and i t o nly rem ains th at we s h o ul d add a few ob s ervati ons up o n th e i mp ortan ce o f it s salin e cons titu ti o n as dis tinguishing th e w arm s ea w a ter b ath from , - 42 S EA- AIR AN D th e op e n s e a b ath whils t th e w arm b ath m ay b e equally unsui tabl e t o the ir c as e The min or ablu ti ons which we prop o s e t o d e s crib e in this ch ap ter m ay very well th erefore clai m an int er me diat e p o sition b e twee n th e cold b ath o n th e o n e h and and th e w arm b ath o n th e o th er ; whils t th ei r are a o f us efuln e ss is s o ex t ensive th at b ut few m aladi e s e ntirely exclud e th eir empl oyme nt O f all cold appli c ati ons th e on e which is mo s t ge ntl e and refre shing i n l t s a cti o n and by n o me ans wantin g in t oni c and s trength enin g prop erti e s is 1 Th e Dripp ing sh eet — Th is is adminis tere d in th e foll owing m ann er : Th e pati en t s tands in an ordinary round sp onging b ath whils t an atte ndant t ak e s from a b u ck e t o f s ea w at er a Malvern b athing sh eet throws it drippin g o ver th e pati ent and vigoro usly rub s him with i t th e fri cti o n b ein g continu e d till re a cti o n is well d evel op e d This proce ss m ay b e rep e ate d until three o r fo u r drippin g s h eet s h ave b ee n us e d in su cce ssi on a ccording t o th e re a cti onary p ower s o f th e pati ent and th e impre ssi on whi ch it is d e sire d t o p ro du ce o n th e sys tem ; the ab s tr a ctio n o f c al ori c in this m ann er b e ing mu ch b e tt er b orn e b y s ome th an by o th er s Th e patie n t is n ex t e nvel op e d in a dry b athing sh ee t and th e fri c ti o n proce ss p rol o n ge d t ill th e I t is obvi o us th at wh o l e surfa ce gl ow s again - , . , , , , , . , , - . , - - , , , . - , . , . S EA- BAT HIN G 43 . th e re a cti o n in this inst an ce is similar in ch ara ct er t o th a t which h as b ee n alre ady d e s crib e d in a previ ous page ; h ere h owever th e sh ock is brie f and moment ary th e bl oo d ve ss els contra ct rapidly and as rapi dly rela x ag ain whils t th e a ccompanying fri cti o n draw s the bl oo d largely t o th e surfa ce and m aint ains i t th ere in th e dilate d c apillari e s Many p ers o ns wh o pr a ctis e sea b athing for th e firs t time are una ccus tome d in th e ir o wn h ome s t o b athe in w ater o f l ower t emp er ature th an their b o dy and fo r th e s e th e dripping s hee t is an invaluable me ans o f preparing th e sys tem t o receive the full e s t b e nefit from op e n s ea b ath ing O ther s again i t is t o b e fe are d are e ntirely inn ocen t o f b ath s and th e p ore s o f th e i r skin are so o b s tru c t e d th a t cu t an eo us transpir ati o n is almo s t a m att er o f impo ssi bilit y th e sur fa ce is wh it e and bl oo dl e ss and it s circula ti o n languid t o a d egree Und er su ch circum st an ce s vigoro us re a c ti o n co uld h ardly b e exp ecte d t o foll ow sudd e n i mmersi o n in th e op e n s e a ; s ome preparat ory proce ss is n ece ssary t o re s tore the ob s tru cte d fun ctions o f th e skin and t o a ccus tom i t t o th e s h ock o f cold w at er ; and for this purp o s e als o the dripping s h ee t e nerge ti c ally appli e d c an b e s trongly recommende d 2 Th e S h a llo w ha th or as i t is s ome time s ” “ c all e d slipp er b ath from it s s h ap e is a more , , , , . - , ” - . , , , . , , - . - . , - , 44 S EA AIR - AND p ot e nt reme dy th an th e prece din g and m ay b e u s e d a s a sub s ti t ut e for i t in app rop ria t e c as e s I ts a cti o n o n th e sys tem is mo difi e d by th e t emp erature o f th e w ater employ e d ; and th is in it s turn m us t b e regulat e d by th e re a c t i onary p ower o f th e patie nt Th e b e s t time for t aking this b ath is e arly in th e morning imm e diately o n rising from b e d ; and i t sh ould con tain ab ou t ei ght in ch e s of w ater in whi ch th e pati e nt sit s wi th l egs ex t end e d Fri cti o n o f th e b o dy with rough t owels or fle sh brush e s sh oul d b e vigorously empl oye d during th e wh ol e p eri o d o f immer si on and th e w at er copi ously p o ure d over t h e neck and s ho uld er s F or th o s e wh o c an b e ar a more s timulating me th o d o f adminis tra ti on t wo or three pail s o f — s e a w ater in su cce ssi o n m ay b e dash e d over th e b o dy imme diat ely o n e nt ering th e b ath I t is cle arly evid e nt t h a t th e co ns tant re n ew al o f th e w at er in co nta c t wi th th e surfa ce of t h e b o dy ab s tra ct s a larger amo un t o f animal h e at th an th e dripping s h ee t wh e n this is o nly o n ce or twi ce appli e d and d em ands consid er abl e p ower o f circ ula ti o n in or d er th a t th e co ns t an t re frigerat io n m ay b e b e n e fi c ial and n o t hur tful to th e patie n t A s reg ar ds t emp erature th e sh all o w b ath is und oubt e dly mo s t b e nefi cial wh en cold w a ter is use d ers ons wh o are d eli c ate m ay p erhaps find th e s h ock o f ab solut ely cold wat er t oo , . . , , . , . , . - , , . - , . P , S EA BAT HIN G 45 - . vi ol en t an d d epressing for th eir vi tal p owers and m ay mo dify i t by th e ad diti o n o f o n e or t wo pails o f w arm w a t er till th e t emp er ature o f adding l e ss th e b ath is rais e d t o 7 0 o r w arm water day b y day till a t las t cold imm er si on c an b e b orn e wi th b e nefit and pl e asure An oth er plan is t o us e t e pid w at er o f a t em fi rs t e n terin g th e o n rat u re from 8 0 t o 9 2 e p b ath and th e n b y th e gr adual ad ditio n of cold w ater t o excit e th e re a cti onary p owers o f th e pati e nt I t m ay b e well in this pla ce t o add a few rem arks up o n th e tep id ba th (t emp Excep t as a sub s titu t e for th e w arm b ath wh e n this is indi cat ed bu t c anno t b e b orn e th e t epid b ath c an h ardly fi n d a pla ce as a reme dial age n t in sea b athing I t s a cti o n is n eith er pl e asan t n or agree abl e and if prol on ge d for any le ngth o f time a s en sati on o f chillin e ss r adually p er ad e s th e b o dy Th e o n y w ay l g in whi c h an y d egree o f s timul a ti o n c an b e obtain e d from it is by h avin g on e o r two pails o f cold wat er (or w at er of as l ow a t emp erature as c an b e b orn e" dash e d over th e b o dy whils t th e gl ow o f th e t epid b ath con tinu e s and b efore th e cold clammy feeling comes o n This s h ould o f cours e b e foll owe d b y vigorous fri cti o n with rough t owels and brush e s as alre ady d e s crib e d F or th e m aj ority o f c as e s we c ann o t b u t regar d th e sh all ow b ath admin is t ere d a ccordin g , ° , . ° ° , . - . - ” - . , , v . , , - . , . , - , 46 S EA AIR AN D - o ur ins tru cti o ns as a very m u ch sup eri or met h o d o f obtaining th e b en efit s o f s e a b athing th an th e us e o f th e t epid : i t is appli c abl e und er so m any circum s tan ce s affords su ch m ark e d b en efit and is c apabl e o f adap tati o n t o co nditi o ns whi ch are s o cons tan tly v aryin g th at ay b e allowe d t o t ak e prece d en ce o f th e it m t epid b ath and ind ee d m ay alt oge th er repla ce it excep t in th o s e c as e s w h ere th e t epid s eem s t o b e sp ecially indi c at e d 3 Th e Sp in a l ba th is an o th er me ans o f applyin g sea wa ter r ath er as a th erap euti c reme dy in th e tre atme nt o f dis e as e th an as a hygieni c age n t in th e ren ov ati on o f h e al th I n i t s e ffect s it b e ar s a re s emblan ce t o th e pail d ou ch e excep t th at th e refrigerati o n is l oc al ins t e ad o f b eing gen eral The fo ll owing will b e fo und th e mo s t co nve nient meth o d o f using i t A pi ece o f b o ard is pla ce d a cro ss a S i tz b a th or th e narrow part o f a s hall ow b ath o n w hich th e patie nt sit s wi th his b a ck t owards th e b ath whil st an att endant e ither b ath e s th e Spin e wi th a t owel whi ch is cons t antly dipp e d in a b u ck e t o f sea w a ter empl oyin g me anwhil e mo derat e fri cti o n ; or p o urs a s tre am from a c an al on g th e Spin e till three o r four pails are us e d Th e b ath s h ould las t from three t o five m inut e s a ccordin g t o circums tan ce s and s h ould b e fo llowe d b y th e usual fri cti on with ro ugh t o wels and brisk exercis e afterwards to , - , , , , , . - . - . , . . , , , - , , . , , . E A S As BAT HIN G 47 . a mo difi c a ti o n the spinal w ash m ay b e thus us e d as an adjunc t t o th e or dinary morning sp onging b ath and ins t e ad o f em pl o ying an att endant copi o us affusi o n d own th e spine m ay b e pra c tis e d b y s q u ee zing a large sa tura t e d sp o nge a t th e nap e o f th e n eck and co n tinuing this proce ss till the requisi t e re frigerati o n o f th e part is attain e d This b ath app e ars t o exert a p owerful influ e n ce up o n th e n erve s in this regi on which is communic ate d through them t o the n erve centre s ge n er ally s timulating e sp ecially dige s ti on and th e vari ous fun cti o ns i nvolve d in this proce ss 4 Th e D0u ch e —We h ave las tly t o sp e ak o f wh a t m ay b e jus tly re arde d as th e mo s t g p o werful o f th e arti fi cial me tho ds o f employing s e a w at er I n a work o f this kind we co uld h ardly omit all re fere n ce t o i t alth o ugh there are few w atering pla ce s whi ch p o ss e ss th e requisit e applian ce s for i t s ad minis trati o n ; indee d it is only in b aths o f very rece nt co ns tru cti on th at th e d o u ch e fin ds a pla ce In th o s e m agnifi ce nt b athing e s tablis hme nt s which are found at v ari o us s t ati o ns al ong ou r co as t n o form o f b ath is omitte d and t o visit ors a t th e s e pla ce s s ome d e s crip ti o n o f th e d o u che will b e a ccept abl e It co nsis t s o f a j e t o f w ater whi ch is dis ch arge d through a tub e att a ch e d t o a cis tern or t ank ab ou t 2 0 ft from th e gro und Th e force , , , , . , , . . . z - . , - , . , , . , . . S EA—AI R AN D 48 th e s tre am is regulate d by th e diame ter of th e tub e thro ugh whi ch i t is proj ect e d I n this co untry d o u ch e s o f on e in ch two in ch e s and two and a—h alf in ch e s in diame ter are co m us e d Th e s t re am is direct e d ei ther over the ge n er ally t o s ome pa r t in pa r t i c ula r r o b o dy e sp ecial c are b e ing tak e n th a t it d oe s n o t fall direc tly o n th e h e ad or t h e s t om a ch The b o dy in c lin e d s o th a t th e f orce o f th e is slightly s tre a m is divert e d obliq uely and i t s vio le n ce mo d er at e d ; th e parts whi ch ge ner ally rece ive th e d ou ch e b ein g th e l ower t wo thirds o f th e spinal co lum n and th e ex tremiti e s alt erna t ely Th e dur ati o n of th e b ath sh o uld n o t ext end b ey ond two or three m inut e s F rom th is b ri e f d e s crip ti on i t is m anife s t th at th e d o u ch e is an age nt o f very gre at p ower I n additi o n t o th e re frigera ting e ffec t o f co nt a ct w i th co ns t antly ch anging part icl e s o f w ater th ere is th e s timulan t excitemen t o f the — v i ol en t i mpa c t o f th e ever d e s cending s tre am c i rc a t i o n is q ui c k e n e d th e n ervo us u l Th e sys tem is arous e d and a b urning tingling in the skin e nsu e s wh i ch is a sign th at th e full b e n e fit t o b e derive d from th e b a th h as b ee n r h o d i t un h appily b e fu th er p ro u l S att ain e d l o nge d all th e symp tom s o f faintn e ss and collaps e b efore d e s crib e d qui ckly sup erven e W e h ave alre ady p oint e d o u t in a previ ous ch apt er wh e n sp e akin g o f o p e n sea b athing of . , , . , . , - . . . , . , , , . , . - , , S EA AIR AN D 5O - th e s e are e ith er ab s en t o r eve n d efi cient th e d ou ch e sh ould b e s tri c tly fo rbidd e n I n surgi c al c as e s n o t le ss dis criminati o n is n ee dful in t h e empl oyme nt o f th e d o u ch e o r th e mo s t s eri o us cons equ en ce s m ay follow ; an old infl amm at ory affecti o n m ay b e kindl e d afre s h and mis chie f l ong sin ce d orm an t m ay b e excit e d t o re n ewe d a ctivity W e d o n o t h e si tate th erefore t o say mo s t emph ati c ally th at th e d ou ch e o ught n ever t o b e us e d as a surgi c al reme dy wi th o ut pro fe ssi o nal advice A s a h ygi e ni c lu xury i t m ay b e enj o y e d b y th o s e w h o are in vigoro us h e alth ; b u t i t is safer even for th em t o b e guid e d fir s t o f all by me di c al o pi n l o n l e s t s ome lat en t dis e as e o f wh i ch th ey are them s elve s un co ns ci o us sh ould rend er th e empl oyment o f th e d o u ch e a t b e s t b ut a dangerous exp erimen t , . , , . , , . , , , . S EA BAT HIN G 51 - CH A P TE . R V . AIR —ITS INFLUENCE UPO N THE H UMAN SYSTEM A CKN OWLED GED S AL UB RITY —T H E A TMOS P HERE OR COM MON AI R —IT S COMP OS ITION— IMPO RTANCE O F O" Y GE N R ES PIRATION CO NT AMIN ATO R S O F THE A I R S A AIR O" Y GEN AT THE o ssE S SEs GREATE R D E NS ITY — MO RE S EA SIDE — INFLUE NCE O N COMB US TI ON — E FFE CT 0 F CON STANT A GITATIO N UP ON THE S KI N — GREATER UNIF ORMITY OF T EMPERATUR E — MILDNE S S O F S E A C OAS T E " PLAINE D G REATE R H UMI DITY — IN FLUEN CE O N L UNGS AND S KIN; MORE A UN D AN T O" ON E —ITS R 6LE — IMPREGNATION WITH SAL INE ARTICLES S EA - P E - - - ‘ P B . THE sup eri or salubri ty o f s e a air s eem s t o b e s o univer sally a ckn owl e dge d th at it woul d b e i dl e t o qu e s tio n th e opini o n whi ch th e general expe rie n c e o f m ankind h as forme d re sp ec ting i t It mu st b e a ckn owl e dge d th at t h ere is un mis t akably a s ome thing in th e air o f o ur sea co as t w hich g ive s n ew life t o th e inv alid and t o th o s e wh o are well nigh worn out by exce ssive ment al and b o dily t oil ; it revive s th e ir drooping en ergi e s expands th eir lungs qui ck ens th eir puls e arous e s th eir app eti te s oo th e s th e irri tabili ty O f th eir n erve s and aw ak ens n ew h op e s o f a life o f h appin e ss and us e fuln e ss y e t t o b e e nj o y e d S c arce ly a family circl e c an b e fo und o f wh i c h s ome memb er or oth er h as n o t a grate ful t al e t o t ell o f h e alth ren ewe d vigo ur re s tored an d li fe pro lo nge d by a timely s oj o urn a t th e sea - . - , - , , , , , . , , 52 S EA AIR AND - Sid e O fte ntime s wh e n all o th er reme di e s h ave fail e d and all h op e o f recovery is appare ntly go n e and s ome time s t o o w he n eve n th e co astwis e j ourn ey it s elf s eem s more th an th e exhaus te d invalid c an survi ve n o s oon er is th e s e a Side re a ch e d th an sig ns o f a me nd me nt b egin t o Firs t th ere is th e d eli ci o us b almy app e ar indu ce d b y th e s e a bree z e whi ch slu mb er all evia ting pain and we arine ss is th e h arbinger N ex t come s a re lis h for o f re turnin g h e alth foo d and e nj o yment o f all t h a t b e fore w as dis t as te ful or s wall owe d o nly with diffi cul ty I n cre asin g appe tit e brings with an d l o a th ing i t imp rove d dige s ti o n b e tt er assi milat io n and as a resul t we h ave a ri ch er quali ty o f bl o o d and gen erally improve d nutriti o n N o w “ i t is th at a d eli ghtfu l co ns ci o usn e ss o f ge tting b etter s te als over th e invalid and th e p o s si qui t e well ag ain is b ility o f living t o b e re alis e d and ch erish e d as an almo s t a cco m h f li s d fa c t Wh a t wo nd er if su c h a s t a t e o e p mind p ro du ce b u oyan cy o f spirit s " H ow c an i t b e o therwis e " Th e in cub us o f si ckne ss and dis e as e is prog re ssively remove d and th e co n s eque nt elas ti ci ty and c h eerfuln e ss o f temp er a me nt foll ow in th e w ak e o f re turning h e alt and vigo u r as naturally as th e s had ow a cco m a n ies th e sub s tan ce u c h a b r i e f o u t lin e S i s p o f th e b e n e fi c ial a c ti o n O f sea ai r up o n th e invalid . , , , - , . - , , , , . , , . , , ' . , ” . , . - . S EA - 53 RAT HING . Nor is th e b e n e fit l e ss re al th ough i t m ay n o t b e s o conspi c u o usly evid e nt in th o s e wh o worn o u t b y th e h arassing c are s whi ch a cco mpany th e s truggl e for comp et e n ce in thi s country s ee k re s t re fre shm en t and re p o s e a t th e s e a sid e S eld om indee d is h ealth s o ught thus in vain unle ss i ts law s are d elib er ately transgre ss e d or c arele ssly dis regard e d as s ome time h app ens by th o s e wh o pro fe ss t o b e e ngage d in th e pur suit o f i t Th ere is every re as o n t o b e li eve that in m any c as e s the indis cret io n s th us c o mmi t t ed pro ce e d from im p erfect a cquain t an ce wi th th o s e fundame nt al law s o f life whi ch mus t b e ob ey e d by all wh o d e sire t o p o ss e ss h e alth o r t o regain it whe n l o s t I n a fu ture ch ap ter we s hall co nsid er this subj ec t more in d e tail and t o lay d own s ome p rin cipl e s for th e guidan ce O f v al e tudinarians and oth er s at th e sea Sid e H av in g thus b ri e fly allud e d t o th e a c kn ow l e dge d salub rity of sea air we procee d in th e n ext pla ce t o in quire t o wh at this quality is t o b e attribute d Wh a t are the fa ct or s whi ch combin e t o impart such h e alth giving p rop er ti e s and h o w and in wh at re sp ec t d oe s s e a air differ from commo n or inland air " I n ord er t o compre h e nd this m a tter cle arly it will b e n ece ssary for a few moment s t o co nsid er th e el emen t s whi ch e nter in to th e comp o siti o n o f th e atmo sph ere Surro und e d as we are by i t , , , , , - . , , , . ' . , , - . - , . - - , , . 54 S EA- A IR AN D a t all time s and n ever free from i t s infl ue n ce fOr goo d o r e vil any d eviati o n from i t s n orm al co ns tituti o n cann o t b ut h ave a b en efi cial or injuri ous e ffect up o n h e alth Th e comp o siti o n o f th e atmo sp h ere o r commo n air is a m atter o f gre at si mplici ty Two g as e s are mixe d t ogeth er in d efinit e p rop orti o ns viz oxyge n twe nty—o n e parts and nitroge n s eve nty nin e parts in o n e hundre d and th e re sulting com p ound is th e air we bre ath e The nitroge n is re ally O f li ttl e u se excep t t o dil ute th e oxyge n and re s tr ain its t oo e n ergeti c a c ti o n up o n th e h um an frame jus t as we us e w a ter t o qualify th e p o t en cy o f al coh o l as a b everage I t is the oxyge n alon e which is th e all imp ortant cons ti tu e nt o f th e atmo sph ere and up o n i ts pre s e n ce in suffi ci ent quanti ty h e alth very m u ch d ep e nds Let us Ob s erve it s b eh avi our wh e n t ak e n int o th e lungs during the a c t o f bre ath ing With every inspirati o n an ab s orbing surfa ce e s tim ate d at m any time s gre a ter th an th e exteri or surfa ce O f th e b o dy is exp o s e d t o th e influ en ce o f th e air inspire d and oxyge n is freely ab s orb e d int o th e bl oo d ve ss els and co n v ey ed by th em t o every part O f th e b o dy Thu s all th e stru c ture s o f th e hum an frame are b rou ght int o conta ct with oxyge n by me ans o f th e bl oo d and in th e cours e of i t s c ircul ati o n th e oxyge n s eiz e s with avidity up o n th e hydro gen and c arb on o f th e b o dy forming in th e o n e , ‘ , . , , . . , , - , . , . - , . . , , , - e . , , 55 S EA BAT HIN G - . ’ c as e w at er and in th e o ther c arb oni c a cid b o th o f which are remove d b y th e a ct o f ex pi ratio n I n b o th ins tan ce s th e proce ss o f ox ida ti o n is a ccompani e d by th e d evel op ment o f h e at and in this way th e anim al warmth is m aint ain e d I f th e n th e p re s e n ce o f a d efini t e quanti ty o f ox yge n in th e ai r b e n ece ssary t o m aint ain th at equilibrium o f the vit al proce ss e s which we c all h e alth it is m anife s t th at any devia ti o n from th e n orm al prop orti o n mus t interfere with th e du e p erform an ce o f th o s e fun cti o ns up o n w hi ch h e althy life dep e nds and b ecome a p owerful age nt in d evel oping th at co nditi o n o f ill he alth wh i ch we c all dis e as e N ow th e chie f cont aminat ors o f th e puri ty o f th e air are c arb oni c a cid gas and th e em anatio ns from decayin g animal and vege t abl e m atters ; and by h ow mu ch th e s e are p re s ent by so m u ch is oxyge n ab s e nt and th e air rendere d unfit for re spirati on I n large t owns wh ere m ass e s o f h um an b ein g s are crowd e d t oge th er in s m all space th e c arb onic a cid give n Offby th em and b y co untle ss ch imn eys and gas j et s e t c p ois ons th e air l owers vi tality and co ntribut e s largely t o th e pro du cti o n o f dis e as e H en ce th e high de ath r at e o f th e m anufa cturing dis tri cts as compare d with rur al are as Let us n o w procee d t o ex amin e th e p rev ail ing conditi o n o f th e atmo sph ere at th e sea sid e , , . , . , , , , - . , . , , , , , . , , . - . - , 56 S EA AIR AN D - and see wh erein it s differen ce from commo n air consis ts In th e firs t pla ce o n th e s e a co ast we inh al e more ox yge n and l e ss c arb o ni c a cid in a give n volume This will b e s elf evid ent if we for a momen t b e ar in mind th at th e pre ssure o f th e — air at the sea l evel regard e d as th e s t andar d — f referen ce is e s tim ate d at fi ftee n p o unds t o o th e s quare in ch and that th e l ower s tr at a o f th e air h ave t o b e ar th e sup erin cumb e nt weight o f th e s tr ata ab ove i t From th is i t is m ani fe s t tha t air s o circum s tan ce d is more com pre ss e d or cond ens e d and as a n ece ssary cons equ e n ce con t ains in th e same volume more ox yge n th an th e sup eri mp o s e d s trata ab ove it O n th e o th er h and this d e nsi ty o f th e ai r diminish e s with in cre asing al ti tud e and th at very rapidly so th at a ccor ding t o Mr — mil e s ab ove th e se a t o tak e Gr ah am a t — an extreme ex ampl e th e air would expand t o d o ubl e th e volu me th at i t occ upi e d at th e s e a l eve l ; in o th er words would b e more rarefi e d and co nt ain l e ss ox ygen in a give n quanti ty Ag ain th e more oxyge n we consu me th e more r api dly d o th o s e cha nge s in th e tissu e s o f o u r b o di e s t ak e i la ce w h c h a re d e p e nd e n t o n p th e comb us ti o n o f c arb o n ; th e o ld m at erials are more qui ckly disint egr at e d and remove d wh ils t th e d emand fo r n ew is satisfi e d by th e in cre asing app e tit e Thus th e hu man frame is . - , - . , . , , . , , , . , , . , , . 58 S EA- AIR AN D this cons tant agit atio n o f th e wind favo urs c u tan eo us exh alation ; b y alw ays sur ro un din g th e b o dy with re newe d c urre nt s o f air the fun cti ons O f th e skin as an excre t ory organ are more e n erge ti c ally p erforme d W e s h all re fer t o this subj ect again in a future ch ap t er w h en dis cussing th e advant age s o f sea b athing Thi rdly s ea air m ay cer tainly lay claim t o gre ater uniformity o f t emp er ature th an obt ains in pla ce s remove d from t h e co as t From wh a t h as b ee n alre ady said i t is evid e nt th at th e p roximity o f th e s ea mus t h ave a controlling in flu en ce in d e t erminin g th e r ange s o f t emp er at ure o f any l oc ali ty I t h as b een s een how th e law o f th e m ut ual d if fusi o n o f g as e s c aus e s th e h e at e d a tmo sph ere o f th e land t o b e repla ce d b y the cool bree z e from th e s e a and vice vers ct Thus th e he at o f summer is mo d erat e d and rend ere d enj oyabl e I n ob e die n ce t o th e same law the t emp erature of th e co as t l in e in wint er is r ais e d by th e admixture o f th e w armer air from th e sea w i th th e colder air O f th e land ; fo r th e h e at wh i ch is s t ore d up in th e w at er is very s t e adily m aint ain e d b y th e Gulf S tre am and impart s t o th e air in cont a ct with i t a t emp er ature o f at l e as t te n o r fift ee n d egree s ab ove th at o f th e terre s trial at mo sph ere Th e two commin gling equalis e their re sp ective tem e ratu res and b e s t ow a mildn e ss and ge niali ty p Ag ain, . . - , . . . , . , . , S EA BAT HIN G - 59 . up on the sea co as t whi ch are unkn own i n th e in teri or N o r is this all Th e w armer air from th e s ea h olds a large amo unt o f invisibl e a qu eo us v ap our in susp ensi o n ; as this mixe s with th e cold er air O f th e land i t is co nd ens e d give s o ut it s lat ent h e at and b ecome s visibl e in th e form a ti o n o f clo uds e sp ecially at sundown and thus th at radi ati o n o f h e at from th e e arth s su r fa ce int o spa ce whi ch always take s pla ce in cl e ar clo udl e ss ni ghts is preven t e d I t m ay th erefore b e safely assume d th at th e me an t emp erature o f th e s e a co as t is n e ith er s o high in th e summer n or s o l ow in th e winter a s th at whi ch prevail s in th e int eri or in pla ce s remove d from th e b enign in fluen ce s o f th e s ea This assum p ti o n is b orn e o ut b y th e me t eoro l ogi c al records o f th e prin cipal Co ntin ent al c iti e s bu t i t would occupy t oo m u ch Spa ce t o repro d u ce th em h ere Let us r ath er p rocee d t o th e consid era ti o n o f th e n ex t distinguishing fe ature o f s e a air i t s gre a t h u mi dit y Th e mois ture of th e atmo sph ere is n o t a fi xe d and d efinit e b ut r ath er an ever v arying quan ti ty regulate d by th e t emp era ture o f th e air We h ave s ee n th at a certain amo unt is always pre s e nt and wh e n th e air c an h old n o more in susp ensi o n i t is said t o b e sat urat e d b ut if n ow th e temp erature b e rais e d a few d egree s th e c apa city o f th e air fo r mois ture is th ereb y - . . , , , ’ . - , . , . - , , . - . , , 60 S EA AIR AND - in cre as e d and i t gree dily ab s orb s th e pro du cts o f saturati on a t a l ower t e mp erature and fog s and mis ts fad e away int o thin air I n lik e m ann er this c apaci ty for mo is ture is di minis h e d b y l o wering th e temp erature N o w th e se a is th e gre at s o urce from whe n ce mo s t o f th e v ap o ur o f th e air is drawn b y the p roce ss o f evap or ati on and th e land adja cen t t o i t parti c ipate s very largely in th a t h um idity w hi c h is gre at er up o n th e oce an than any wh ere els e It is imp o ssible t o over e s tim at e the i mp ortan ce O f th e dryn e ss and moisture o f th e air t o h e alth ; and th e two organs whi ch are e sp ecially co n cern e d are th e lungs and skin Wh en th e air is very dry it sp ee dily rob s the b o dy o f it s mois ture in th e a c t O f re spir ati o n and every o n e is familia r w i th th e dis comfort and bro n chial irritati o n whi ch atte nds a drying e as t wind On th e o th er h and a h ot mois t wind alre ady suffi ci ently satura te d ab s orb s b ut littl e v ap o ur from th e lungs and th e coolin g o f th e b o dy is p erforme d by th e skin in th e a ct o f p erspira ti o n I n th e s e a sid e affords th e o n e c as e th e ai r Of th e mois ture wh i ch drying winds would ab s tra c t from o ur b o die s ; and in th e o th er th e co ns t ant agi tati o n o f the atmo sph ere p romo t e s th e trans i rat io n b y th e skin o f th a t mo is t ure whic h th e p humid air c ann o t remove b y th e lungs H ence th e fain tn e ss and Opp re ssio n s o o fte n o b s erve d in h o t clo s e vall eys and large towns wh ere th e , , . . . - . , . , . - . , , S EA- BAT HIN G 61 . air is s tagnant and gen erally im pu re are b ut rarely ex p eri e n ce d by th e sea sid e O z on e is an o th er co ns ti tu e nt o f th e a tmo Sph ere which is fo und in ab undan ce o n th e se a and adj oining co as t S ch On bein i t s dis coverer b eli eve d i t t o b e na tur ally forme d o u t o f atmo spheri c oxygen by th e elec tri c al di s ch arge s co nst antly t aking pla ce in th e ai r I t is a mo s t p owerful oxidisin g agent so d es tru c tive t o org ani c mias mata th a t wh e n o z o n e is pre s en t the ab s en ce Of th e latter m ay b e inferre d I t is more ab undan t by th e s ea than inland o n mountain t ops than in th e plains in windy than in c alm we ath er and with S and W winds rather th an N and E winds I n co n se quan ce of th e irrit ating quali ti e s o f pure o z on e up o n th e m u co us lining Of th e air passa ge s i t is b elieve d by s ome t o b e th e c ause o f e pid emi c s o f c at arrh influe nz a and th e s o c all ed h ay fever Th e p op ul ar opinio n is th a t th e clim at e o f any pla ce where o z o ne is fo und in abundan ce m us t b e h e althy and exhilara tin g ; and this is s omewh a t co nfirme d by the fa c t th at o z o ne is n ever fo und in impure air A ccording t o S ch On b ein and Moffat a p rop er admixture o f o z on e and atmo sph eric air is indisp e nsably n ece ssary t o th e due a ccomplis hmen t o f all th e vi t al fun cti ons and to th e reli e f and mo difi c ati o n o f dis ord er and dis e as e O n th e wh ol e h owever it mus t b e fairly admitte d that th e pre s e nt , - . . , , . , , . , , , . . . . . , - , , ” . ' . , . , , 62 S EA- AIR AND s t at e Of o ur knowle dge d oe s n o t furnis h abs o lute and und eniabl e evid e n ce o f the influ en ce s o f atmo sph eri c o z on e up o n h e alth ; and un til furth er dat a h ave a ccumulate d i t will b e im p o ssibl e t o assign t o i t i ts prop er p o siti on as a c lim ati c fa ct or N everth el e ss it s pre s e n ce as a natural cons ti tu e n t o f s e a air m us t b e regar d e d as und eniabl e evid e n ce Of i t s puri ty Las tly th ere are th e in gre di e n t s whi ch e nt er int o th e comp o si ti o n of s e a wat er and impart t o it i t s p eculi ar saline ch arac t er su ch as chl orid e o f s o dium i o din e and bromin e Th e s e are largely d erive d from th e s o il o f th e e arth by th e s olvent a c ti o n o f rain and are co nve y e d in t o th e oce an b y countle ss rivers ; whils t m arin e plants and anim als als o furnis h n o s m all pro p orti o n Th e p eculiar briny smell is familiar t o every visitor a t th e s e a sid e b ut i t is at l ow w a ter wh en th e m arin e plant s a re exp o s e d t o th e ev ap orating infl u e n ce Of th e air th at th e dis tin c t o d o ur o f i o din e is mo s t pro n oun ce d erh aps h owever th e sea air is n ever s o s tro ngly im pregnat e d w i th salin e parti cle s as during a g al e o f wind wh e n th e w ave s thund er up o n th e b e a ch an d th e salt w ater in th e form o f the fin e s t at omis e d spr ay is freely inh al e d with every bre ath th at is bre a the d I nd ee d with every re turn o f th e tid e b ut in l e ss d egree th e s e salin e parti cl e s are w aft e d o n th e bree z e from th e cre s t s o f th e rising u . , - . , - , , , . , , . - , , , P . - , , , , , , . , , , S EA BAT HIN G 63 - . w ave s ; th e skin t as t e s salt th e cl o th e s like wis e and in fa ct th e spray saturate s every thin g O f lat e ye ar s th e inh alati o n Of th e at omis e d spray o f v ari o us chemi c al s oluti o ns h as b ecome a recognis e d me th o d in th e tre at men t o f vari o us afi e ct io n s o f th e thro at larynx windpip e and air passage s gen erally It woul d b e diffi t t o co n ceive me ans b e tt er adap t e d t o th e e nd th an th e inhalatio n o f th e natur ally at omis e d S p ray o f th e s e a ; but we S hall h ave occ asi o n t o enlarge up o n this su b u in a f t u re c h ap t er c t e j O n e o th er po m t rem ains t o b e me ntio n e d viz th at inasm u ch as th e s ea co as t m us t o f n ece ssity b e op e n sea w ard it is imp o ssibl e fo r a re sid e n t a t th e s ea sid e t o b e su rro u n ded b y a p ernici o us a tmo sph ere ; co ns equ en tly by h ow mu ch th e exh alati o n from impuriti e s is le ss b y s o m u ch is th e air re nd ere d purer Th e imp ortan ce Of this t o h e alth c ann o t b e ex agger ate d W e h ave thus b ri efl y d e s cri b e d the p eculiar ch ar a c t eris ti c s Of s e a air and h ave sh ow n wh erein it differ s from commo n air ; and h ave indi c at e d th e s o urce s o f th o s e prop erti e s w hi ch h ave end owe d it with su ch a ckn owl e dge d salu I t o nly rem ains t o consider h ere aft er brit y th e b en efi cial effect s Of sea air up o n th e hum an b o dy und er vari o us con diti ons in dis e as e , , . ' ‘ , , . , . , - . , : - , - , . , . - , . - . 64 S EA- AIR CH A S EA-AI P TE AN D R VI . R AN D S E A B ATH IN G AS B EMEDIAL AGENT S IN D I S EAS E —FUNCTI ON 0 F E" C RE TO RY OR GANS — R OMO TE D B Y CO NS TI T UT IO NAL D I S EA E S EA RATE IN G OVERWORK S TR UMA O R S CR FULA— R I CKE T S — A T ONI C D Y S PE PS IA VITUS D ANCE — H Y ST ER lA N ERVOUS D I SEAS ES — S T — — — TI H I E U R A I A A T ARR A T E A A N D B N O S R HEU H S M R O L C N G LE UOO R RmE A MATI SM AND G OUT —D IS EASE S O F WOMEN — — AMENO RRH( EA —MENO RRHAGIA P v S - O ’ e . . is n o ex agger a ti o n t o say th a t mo s t Of th e s ea b a th in g a t o u r w a t ering pla ce s is a fa rc e n ei ther be ne fi cial n or enj o yabl e d e s ti tut e Of all in t e lligen t ai m and O bj ec t and c al cula te d r ath er t o ind u ce p erni ci ous and m is chievo us re sul ts th an t o promo t e he alth and we ll b e in g I f this a cco un t b e tru e o f s e a b athing empl oy e d as a hygi eni c me asure simply — and n o physi o ian re sid e n t a t th e se a Sid e w ill q u e s ti o n it h ow m u ch more disas tro us m us t b e th e e ffec t s which follow i ts imp rop er us e in dis e as e " I n the prece ding page s we h ave alre ady laid d own th e prin cipl e s up o n whi ch th e u s e o f and th e s e it is sea b a th in g S h o uld b e b as e d h op e d will b e fo und a suffici e ntly trus tworthy g u id e t o it s judi ci o us empl o yme nt in th e tre at me n t o f dis e as e I t wo ul d b e imp o ssibl e and O bvi o usly o u t o f pla ce in a work o f thi s kind in t e nd e d fo r IT - , , , - . - - - , , , . , , S EA 66 - AI R AN D w hils t i t excre t e s salin e m atter lik e th e kidn eys ; and if by any chan ce th e fun cti on o f th e latter sh ould b e int errup t e d o r susp end e d th e Skin end e avo urs t o m ak e up th e de fi ci e n cy by it s own in cre as e d a ctivi ty and rice rersct I t h as b een e s tim at e d th at in twenty fo ur h our s th e amoun t o f w at er exh ale d by th e lung s of a h e althy adult is abo ut 9 o z and c arb oni c a cid grains w hils t th e Skin give s o fl in th e same p eri o d as m u ch as 1 8 o z o f wa t er 4 00 grains o f c arb oni c a cid and ab o ut " 3 00 grains o f s o lid m at t ers fi S ee in g th e n th e amo unt o f work whic h th e s e org ans h ave t o p erform i t is o f th e h igh e s t imp ort an ce t o h e alth th at th e in t egrity o f th eir fun cti ons S h o uld b e m ain t ain e d in p er fec t working or d er and n o th in g co n tribu t es t o this e nd more satis fa ct o rily th an th e h ygi e n e o f th e sea Sid e I n Sp e aking o f th e appli ca ti o n o f sea b a thin g in dis e as e o ur rem arks m us t b e und er s t oo d t o apply t o th e tre atmen t o f chroni c c as e s ge n erally for th o ugh i t o ft en time s prove s a mo s t us eful reme dy in th e t edi o us co n v a les c e n c e whi ch s ome ti me s foll ow s a cu t e dis e as e it is for th e mo s t part inappli c abl e in th e a cut e s t age i t s elf 1 Overw0r7e —Now Sh ort o f a c t ual dis e as e th ere is a numerous class o f c as e s very com mo n by th e s ea sid e frequ ently coming und er , . , - . , , . , , , , ' - . - , , , . . . , , , - , *9 H u x ley . S EA BAT HIN G - 67 . tre a tme nt comprisin g th e vi ctim s o f overwork in i ts vari e d form s ; wh e th er i t b e exce ssive ment al applic atio n o r in ordinat e b o dily t oil in combinati o n with th e in cre asin g anxi e ty and c are whi ch are ins e parabl e from th e fi erce comp etiti o n w hi ch ch ara c t eris e s mo dern life I n th e s truggle fo r suprem a cy every m an t axe s his p owers t o th e utmo s t and frequ e ntly eve n excee ds this limi t ; h e draw s s o re p e at e dly up on the re s erve fund o f n ervous e n ergy; w ith whi ch we are endowe d fo r extra ordinary n ee d that a t las t th e time come s whe n this c apital is utt erly exh aust e d th ere is n o l o nger any re sp ons e t o su ch app e als and th e m an is b ank rup t in he alth sh attere d in cons titu ti on and alt oge th er un equal t o th e dis ch arge of his ordinary dutie s In this as in o th er ins t an ce s i t is th e pa ce which kills ; in ce ssant we ar and t e ar and inad equate in t erv al s o f re st l e ave th eir mark eve n up o n th e s tro ng es t co n stitu ti on and Sp e ak in w arn ing to n e s w hi ch ought n o t t o b e misund ers t oo d Ge n er ally th e h e art is th e org an th a t fi r s t sh ow s symp tom s o f failure wh en th e n ervo us en ergy o f th e sys t em is exh aus te d by i rregular a c ti on palpitatio n and faintn e ss up o n eve n mo d erat e exerti on Th e n th e s t om a ch and dige stive o rgans fo ll ow foo d is n eith er dige s t e d n or assim ilat e d prop erly, th e bl oo d is co n se qu en tly d efi ci ent in nut ri e nt prop erti e s and th e , , , . , - , , , _ , , . , , , , . , , , , . , , 68 S EA- AIR AN D b o dy be gins t o wast e Me anwh ile irritab ility re stle ssn e ss an d d e sp ond e n cy sup erven e and fin ally inab ility t o Sl eep fairly wears o u t th e overwro ught patie nt a n d :comp els h im t o a b and o n all wor k b efore i t b e :t oo l at e and t o s ee k res t and re fre s hme n t in c h an ge o f s ce n e Su ch in b ri ef is th e co ndit i o n Of man y wh o c o me t o th e se a sid e i n th e h o p e th a t a few ill s oo n s et th em o n th e ir dips in :the sea w To s e nd l egs a gain This :is a d e lus i o n p ers o ns in t his co n ditio n i nt o t h e s ea w ould b e t h e h e ight o f fo lly W e h a ve a lre a dy s ee n th at for se a bathin g t o b e E h en efi cIial it tmu st b e a ccompanie d by fh ealt h y re actio n ; and h o w o rn o u t this is :p o ssibl e in :p erso n s wh o are w k and and p ro s tr a t e wit h fa ti g u e and co v erwo r w h o s e h e arts give indi c ati o n o f: failin g prop el ling p owe r we are at a l o ss t o p erceive Su ch a p roce dure t ends r ath er t o fu rth er exh au st th e enfeebl e d s ys tem favours con ges ti on o f th e in t ernal org ans and th e de ve l op men t o f lat e n t dis e as e Th e tre atmen t which is pro p er:for t h is class o f c as e s is s omewh at as fo ll o ws For t h e fi r s t few days n o thing S h o uld b e don e in :t h e w ay o f b athing b ut mo s t o f th e time sh o ul d b e Sp en t in th e Op en air e i th er in c arriage ex er cis e or in l ounging o n th e b e ach Th e n a w arm S alt wat er b at h may be t ak e n every o th er day fo r a week foll owe d by fri cti o n with th e ' . i , , , , ' ' , ' " , . ‘ “ . , , ' . ' - " ” - . . , . ’ - " i , r , : , . . . ' ' , ‘ ' , , . r _ . " ‘ , , . - ' , SEA- BAT HING 69 . drippin Sh ee t an d dry t owels I n : th is way th e fun cti o ns o f th e skin are re st ore d and th e fo llowing week a tepid b ath wi th a pail do u che o f cold s e a w at er o n rising from b ed may t ak e th e pla c e o f th e w arm bath If th e re a cti o n b e sa tisfa ct o ry an d suffic i ent cold sp o n in n a d t h pa i l d u c h m ay b e e o o w e n g g subs ti tut e d in th e e arly mornin g, and o n alt er na te day s a pl u nge in t he se a ma y b e safely indulge d in wit h ou t risk o f disas tro us co n s e u e n ces Th re a c t i o n e n t ly p o mo t d us i s r e q g s trength st ea dily ren ewe d and h e alth per man en tly re es t abli sh e d Co n stitu tio n a l D isease — In th e dis e as e s o f cons titutio nal origin wh c h m anife s t th em s e lve s in c hildh oo d and y ou th the b e n efi cial e ffe c ts f sea air and sea ba thing are very s triking This is e sp ecially evid ent in th e st rumo us ha bit o f b o dy so commo n in o u r c o untry and th e cha nge whi ch is s ome time s Wro ught is littl e S h ort o f ma rvello us Every t h ing d ep e nds h owever u p on t h e judi ci o u s a ppli c a ti o n o f th e reme d and m pl o y me n t i t s e y Sh oul d b e adapt e d t o th e p eculiariti e s o f every individual cas e S tru m a is so e s s e nti ally a dis e as e o f debilit y w ant o f t o n e an d vit al ower in ever v a r yin g d egree a t an h uh t p d evi ating lin e o f tre at ment suitable t o every b o dy is impo s sible S tru ma or S erofu lm— Th e mo s t commo n form s g - . , - . . - . r . , - : . , , , , - i . , " - - , , . , . , , ; . , , - , , . 70 S EA AIR AN D - o f s cro ful o us affecti o n whi ch occur in s e a Sid e pr a c t i ce are in childre n pre s enting large and proj ecting h e ads co ntr acte d ch e s ts tumid ab do men s and e nl arge d j o int s wi th feebl e puls e and languid circ ul ati o n and n e arly alw ays cold ex tre miti e s ; the b owels are gen erally irregular and dis or dere d th e app e tit e c apri ci ons and t h e littl e pati e n t s h ave an o ld expre ssi o n o f fa ce whi ch is s eld om w antin g S u ch a de s crip ti o n appli e s t o all th o s e in wh om th e s trumo us cons titu ti on ex is t s— in a passive — or d orm ant s t at e Simply S ome ti me s it ex h i bi ts gre at er a c tivi ty and in additi o n t o the s e Signs there are s welling s o f th e j oints or enlargement and suppurati o n o f t h e glands o f the n eck and ind ol ent or cold absce ss e s Of th e Skin ; occ asi onally tro ubl e s ome erupti o ns o f th e s c alp e ar s mouth and n o s e ; o ft entimes o ph t h almia mo s t di ffi cul t t o c ure ; enl arge d t o nsil s and affecti ons o f th e bo ne s and j o mt s ; and fi nally co nsump ti o n i ts elf I n m any c as e s this h abit o f b o dy or con as i t is c all e d is h er edit ary and is stit u t io n th e natur al re sul t o f th e ill ass orte d m arriage o f unh e al thy we akly or S cro ful o us pare nts I n o ther c as e s i t is artifi cially d evel op e d b y b ad bringing up by th e adm inis trati o n o f improp er and indige s tibl e foo d by th e w ant o f fre sh air and exercis e by insuffi ci ent cl o thin g an d th e n egl ec t o f all th a t rela t e s t o h ygi e n e - , , , , , , , . o . , , , , , , , . , , , - , , . ” , , , , . S EA BATHIN G 71 - . bro ught up by h and up o n uns uit able n o urish me nt Ofte ntime s fall vi ctim s t o this dis e as e during th eir ch ildhoo d Mo s t fre qu en tly h owever it origina t e s from th e com bin ed e ffec t s o f the s e p ern i ci ous influ e n ce s in i mp e ding and p erverting h e althy d evel op me n t In th e w ay o f tre atme n t n o thi ng is more e ffica ci o us th an a prolo nge d re sid en ce by t h e sea sid e and th e frequ en t us e o f se a b a th in g Bu t inas m u ch as s tr u mo us c hildre n h ave in ge neral a thin s emi transpare nt Skin very s ensitive t o cold as well as a feebl e h ear t gre at care is n ee dful th at t h e temp era ture o f th e b a th b e n o t a t fi r s t t oo l ow or th e re a c tive p ower o f th e pa tien t will b e overt axe d and th e Sh ock will b e hurtful ins t e ad o f b ene fi cial In every c as e th e firs t i mmersi o n in co ld w at er sh ould b e bri ef and sudd e n fo ll owe d by r apid Bu t wi th d eli c at e fri c ti o n an d ge ntl e exerc is e ch ildre n it is b e tter t o begin with a b ath o f h igh t emp era tu e re du cing this day b y day till cold w a ter ca n b e b orne wi th comfort and b e n e fit Aft er w arm b ath s fri ct i o n with h o t flann els will b e fo und very gr at eful t o th e li ttl e pati e nt s ; b ut after t h e col d b ath th e u se o f th e rou gh b ath ing sh e et is t o b e pre ferred W e mus t pro t e s t agains t th e s ens ele ss and cruel pra ctice o f b athing childre n shri e king with terror in th e Op e n s e a The ago ny o f Infan ts . , , . - - , . - , , , , , . , . r , . ’ . . S EA 72 - AIR AN D fri ght d oe s more h arm th an th e b ath c an d o good B e tt er far th at su ch timid o nes sh ould u se c old sp o n g in g in th e Sh allo w b ath a t h ome th an th e Op en sea wi th Su ch me ntal suffering Wh e n this lin e o f tre atmen t is aid ed b y suit ab l e regim en dige s tio n i mprove s b e tt er bl oo d is m ad e n ervous e n ergy revive s and in cre as e d a c tivity o f th e capillary c irculati o n foll ows ; thus th e h ealthy nutriti o n o f th e b o dy is p erm an ently e s tablis he d and in some c as es th e co ns ti tuti on it s elf complet ely ren o . , . , , , , , v at e d . Riehets — Ricket s is an o ther di se ase of c hild ‘ ‘ . h oo d cl o s ely alli e d rece din g in w h i c h p th e b en efit s o f resid e nc e b y th e sea S id e are even more marked Th e ch aract eris ti c appear an ce o f a ri cke ty ch ild is So We ll kn own that a minute des crip ti o n is unn ece ssary th e b on e s are bent and di st o rt ed in varyin g d egree part icu larly t he c o lla rb on e s th e rib s and th e l o n g b on e s This conditi on app e ar s o f th e a rm s an d l eg s t o b e du e t o th e retardati o n o f th e d ep o siti on o f th o s e e arthy m at t er s Which impart fi rm n ess and s olidi ty t o th e b ony s tructure s and th e y con s equ e ntly rem ain So ft and yielding H en ce i t is th at wh en th e child b egins t o r ais e i ts elf up o n i t s arms and t o feel it s l egs th e b o n e s b e nd ben e ath th e weight O f th e b o dy and assume th e app e aran ce c alle d b owin g Al th ou gh this dis e as e is So formi dabl e in it s e ffec t s , t o th e , - . , - , , . , . ” , , , ” . , 74 S EA- AIR AN D say for Six nine o r twelve month s o r even two y e ars if p erm an e nt b e n e fit h e d e sire d ; s h ort er p eri o ds are us el e ss Gen erally th e d e formi ty o f th e upp er extremitie s complet ely disa pp e ars b u t th e l egs h aving t o supp or t th e weight Of th e b o dy s eld om l o s e th e ir “ b o we d app e ar an ce Wi th reg ard t o th e us e o f Sea w a t er th e mo d e of appli c ati o n sug ge s te d for s truma is appli c abl e here ; excep t th at i t Sh ould n ot b e empl oye d s o e arly in th e tre atme nt as in th e former c ase sea ai r ‘ al o n e b eing su fiicien t at th e commen ceme n t o f re sid e nce At o ni c dysp e psia— o r Ato n ic Dysp ep sia th at M pairmen t o f th e dige s ti o n whi ch is ch ara ct eris e d by fail u re o f fun cti o nal p ower is o f very commo n occ urren ce in th o s e con dit io n s o f d e p re ss e d vit ali ty wh i ch follo w up o n co n tinuo us overwork in combinati o n with an xi e ty an d mental worry I t is m ark e d by a feeling o f we ight dis comfor t and fl atul e n ce a ft er fo o d and gre at irri t ab ilit y and d e pre ssi o n o f S pir i t s Th e m alady is g enerally chroni c inas mu ch as i t is s truggl e d agains t as l on g as p o ssibl e b efore advi ce is s o ught ; the n wi th th e aid o f drugs the pati en t co ntinu e s fo r a littl e whil e to d o work for whi ch h e h as l ong b een u n fi tt ed A t las t th e j ad e d sys t em is o bli ge d t o yield ; th e nutri ti o n o f th e b o dy h as b ecome impaire d th a t the m a chin ery is al mo s t so , , , , . , , ” . - , - , . . , . , , ~ , . , , , . S EA BA T HIN G - 75 . brought t o a s t andst ill and re s t from t oil is indisp e nsabl e Th e tre atme nt o f c as e s o f this nature S h ould be e ntirely re st or ative and to ni c O ur Obj ec t is t o i mpro ve th e qu ality o f th e bl oo d by suitabl e di et and regimen and als o t o cre at e a d em an d for foo d by th e c areful removal from th e sys tem Ch ange o f th e worn o u t and w as t e p ro du ct s ys b e ne fi cial and th e sea Sid e is o f s cen e is alw a t o b e preferre d ; for s e a air is prob ably th e b e s t t o ni c in th e se c as e s whils t s e a bathing is a mo st p owerful promo ter o f tissue ch ange A dry ch alky or gr avelly s o il sh o uld b e s el ecte d Mo derat e exercis e short o f fatigue may be t ake n as augme ntin g in m ark e d d egree t h e dige s ti ve p ower T epid salt water b ath s wi th — th e u se o f th e flesh bru sh will ge nerally be found th e b e st mo d e o f using s e a wat er until suffi cien t re a cti onary p ower h as b ee n a cquire d t o enable th e pati ent t o ve n ture int o th e op e n Th us th e Skin aids th e lungs in th e se a oxidati o n o f th e tissu e s a b e tter qu ality o f bl oo d re sults and improve d nutriti o n s oo n ren ew s th e vit al en ergy o f th e sys tem at large I n s ome c as e s where th e Skin is dry and inac tive it will b e nece ss ary t o b egin th e tre at men t wi th w armsea b aths o r n o improvemen t in the patie nt will b e m anife s t e d In th e class o f n ervous N ervo u s D isea3e3 dise as e s mu ch may b e said in favo ur o f sea , . . , . - . , . - - , - . . , , , , - . , , ; - , . , , . ” , , - , . m . — 76 S EA- AIR AN D b athin g We Sh all co nfin e o ur Ob s ervatio ns h owever t o th o s e min or a ffec ti on s whic h h ave b ee n fo und t o yield mo st r eadi t o this reme dy or t o h ave b ene fit e d by it S t Vita s Da n ce —" Ir ch o rea o r S t Vi tus dan ce we h ave an ins tanc e o f the ne rvo us syst em runnin g ri o t t h e infl u en ce o f th e will n o l o n ger co ntro ls m us c u lar a c t i on and th e unfortunat e pa ti en t is dist orte d by convulsive and irregular je rking o f th e limb s and b y i ludic ro us grim ace s w h ch h e is utterly unable t o con trol Generally b ut n o t alw ays the s e movements ceas e w ith slee p This malady affect s childre n o f all age s from s eve n ye ars an d upw ards and in girls is common ab o ut the age o f pu b er ty i t is n e arly al ways ass ociat e d with con s tipati o n dis ordere d dige s ti on and s ome ti me s worm s ; the irrit ati on is reflect e d from th e spinal cor d t o th e m us c l e s and occ asions th e s e spa smo di c co ntorti o ns Aft er an v exc iting c aus e h as b ee n clea red aw ay b y a brisk purgative n o agent e xercis e s su ch m arke d co ntrol up o n th e s e moveme nt s as s e a b athing I n excit able subj ects t h e drippin g s hee t will b e the b e s t form o f b ath to b egin wi th th e n th e sh all ow b a th and pail d ou ch e and las tly th e open s e a bath I f th is t re atmen t b e ad op te d p ers ev erin gly th e sh ower b ath will b e unnece ssary and th e improvemen t w ill b e rapid ; b ut the c ure is o fte ntime s . , , , . ’ - s . ’ ' n , , , , , . . , , . , . , " . : , , , " . . , - " , . , , , S EA- 77 BAT HIN G . exp e dite d by t h e ad ministrati o n o f s ome p re par atio n o f iro n in full do ses with an occ asi onal , Hys teria is a n oth er form o f n er vous affe ctio n in wo men e xh ibiting a v a riety o f ph eno mena :mQS t tro ubl e s o me t o deal with gen erally asso ciate d with debility and i n thes e days largely On th e in crea se This i s p ro bab ly du e to th e modern me th o d o f e duca ti o n o f m d o o t o o s i u n t l t r m c h e a a n l ittl e b o dily l g exercis e —whils t th e emo tio ns a re undlfly ex ci te d by th e w orthle ss n ovels o ft h e day "Hence th e frequ en cy with which hys teria present s it self o n th e s ligh tes t p rovo cation In clo s e relatio ns h ip are l o ss ofta st e and s me ll and part i cul arly l o ss o f vo ice whi ch i s p e rh aps th e mo s t c ommon o fall hy s terieala ffectio n s — Th e trea tm ent of h yst eria m31 st o f ; n eees sity v ary a ccordin g t o circ ums tances Bu t generally sp eaki ng cold a s t h e tep idébat h foll owe d by th e c old pail do u che ger th e dripping s h e et t wo o r three in s uceessio n ; is ; t h e b ar co mmencing tre atment fo r ordi nary eases an d as s o on as p o s sible t he cold p lung e sh o u ld b e re s orte d t o ; t h e obj e ct o f co urse ;b ei ng t o str eng th e n ; th e n ervo us sys t em ; h y t h e h eal th y s h oc k o f su dden c o ld appli ed t o t h e s urfa ce o f In every c as e fricti o n wi t h flesh t h e b o dy brushe s S ho uld h e co ntinu e d till reac tio n i s co mplet ely es tablish e d H ysteria * . , , , , , - . ‘ , -w , . , - . , , . r . , , , ‘ ' - . , , , ' . ~ . 78 AN D S EAe-AIR N — a i N e u r a lg ia , g eu ra l e ous pain as the o ut c om e o f d ebility ho w ev er induc e d whether by o v erwork m ent al an xi ety pro l o nge d l a ctati on exh aus ting di sch arge s or de fe c tiv e nutrit i o n i s a m o s t refr a c tory m al ady In s e a ai r and s e a b a thin g ho w e v er t o tre at we p o ss e ss a c o mbinati o n which s el d om fails to e ffe ct a cure eve n in the m o s t ob s tinate c as e s The w arm sea water b ath wi ll be found the m o s t grateful to n e uralgi c pati ent s and thi s s ho uld be t ake n three or four tim e s a w eek till the a cute s e n sitiven e ss to pain i s sub du e d ; the n th e te pid b a th and fin ally the c ol d plun g e in the op en s e a m ay be t ake n with ad vant age till the full toni c e fi ect o f the rem e dy i s m anife s te d : Ca ta rrh a l Afactio n s — In c at arrh al affe ctio n s and all tho s e c ompl aints pro duc e d by vicissi tud e s of temp erature or by p rol onged e xp o sure t o c o l d n o re m e dy i s sup eri or to s e a b a thing a s a preventiv e me a sure It n ot only s trengthen s and invi gor a te s the skin and a ccu s toms it t o su dd en ch ang e s o f tem p er ature but als o fo rtifi es t h e sys te m gen erally and e nab l e s i t to re s i s t As w e h av e e ls e t h e inj urio us e ffe c ts o f c ol d where rem arke d the c o mbin e d influe n c e o f s e a air and s e a b athin i s e xp en de d up o n the v ery organ s liabl e to be affe cte d b y e xternal impre ss i on s v i z the skin and the air pa ss age s It i s only n e c e ss ary to add th at whe n the sea n rv or . , , , , , , , , - - . , , . - , , , , ‘ , , - , - . , , , ‘ . , g - - , . , . S EA- BATE IN G 79 . ” b athing s e a s o n i s ov er the m ornin g tu b should be c ontinue d througho ut the winter re memb erin g that pre ve nti o n i s better th an cure Fo r the s am e re a s on s i t h a s bee n fo und an e xc elle nt rem e d y in the in terv als o f bron chitis and a s thm a in pre venting a re curren c e o f tho s e c o mpl ain ts The te s tim o ny o f o n e who w a s hims elf a vi ctim to a s thm a i s quite t o the I th ink it i s a l aw p oint and is as follows w ithout an e xc ep ti o n th at n erv ous affe cti o n s are le ss pro n e to o ccur in prop orti o n t o the ge n eral bo dily vi gour a n d wh at for w ant o f a m ore d efinite term w e mus t c all the ton e o f the n ervous sys te m Anything there fore th a t invigorate s rend er s as thm ati cs l e ss pro n e to their atta cks I n this w ay s e a b athing i s o fte n By rais ing the o f gre at s ervic e to a s th m ati cs s tandar d o f the ge n eral he alth i t te nd s t o p rev e nt tho s e hum oral deran g eme nts whi ch are ” * ofte n the e xcitin g c aus e o f a s thm a We mus t n ot ho wev er om it the c au ti o n that imm ers i o n s houl d be very bri e f and o n n o pretext prol onge d bey ond tw o o r three dip s and o u t again l e s t the re m e dy b y inducin g c onge s ti o n of the air pa ss age s s houl d p rom ote the d ev el opme nt o f di s e a s e I n tho s e ca s e s o f chro ni c bro n chitis ch ar a c t eris e d b y ge n er al w ant o f to n e in whi c h the se creti on from the bron chial m e mbran e i s , , ” . , . , , , , ‘ , , , . - . . , 9 . , , , , , - , . , , H y de S alter . 80 E A S AIR AN D er s i s te n t n oth in g i s s o be n efi c ia l a s a p ro l o n g e d p re s id e n c e at the c o as t wh ere the cli mate i s dry and bra cing and th e a tm o sphere is s atur ate d wi th the natur ally ato mi s e d spr ay o f the wav e s Fo r a cc ording to t h e o bs ervat io n s o fB e ig el and others the inh al ati o n o f the atomise d sp ray o f v ari o us fluid s i s a m os t e ffi ci e nt m o d e o f tre ating affe cti o ns of the air pa s sage s ; and tho s e li quid s are fo u nd to b e m o s t us e ful for the pu rp o s e wh o s e c o n stit u t io n l arge ly part ak e s o f the s alin e ch ara c ter o f s e a w ater In c ert ain c a s e s o f d ebili ty where the skin i s p erp etually p ers piring a n d the su rfa ce i s c ol d a n d cl a mmy s ea b athing o n a cc o unt o f i t s to nic p ro p ertie s is a m o s t reliable ag ent R h eu ma tism a n d Go a t — In chro nic rheum a ti sm rhe um a ti c go ut s tiffn e ss o f the j o in ts and musc ul ar c o ntra cti o n s fe w re m e die s c an s ho w s uch s a ti sfa c tory re sul t s a s wa rm s ea b a thing I n all the s e ca s e s the b ath s houl d be t ake n o n alternate days and fri c tio n with flan n els or fi esh sbrus h es sho uld be p ra cti s e d during i mmer and in short the dire ction s alre ady given si o n in a previ o us c h ap ter for the adminis trati o n o f the w arm b ath shoul d be c arefu lly ob s erve d — As regard s the di s e a s e s Disea ses of Wo men p e culiar to w om en thos e whi ch are m o s t c om m o nly p rev al en t vi z l euc orrh oea am en orrh oe a and m en orrh agia are p e culiarly am enable to tre atme nt b y s e a b athing whe n they are , , , . . , , , - . . - . . . , - , , , ( . “ s , , , , - . , , , - , . . 4 , . , . , , , - , , 82 S EA- AIR AN D the sho ck I n l euc orrh oe a much be nefit will foll o w the da ily adminis tr atio n o f an internal d ouche by m e an s o f a Higgin s on s syrin ge and w e c ann ot s p e ak t o o highly o f thi s s impl e m o d e of tre a tm e nt After e very b ath re a cti o n shoul d be e n c ourage d by friction w ith flesh brushe s o r rou gh tow els or b a thin g s heet s till a genial gl o w p ervad e s the bo dy . ’ , . - - - , . P C H A T E R VII . THING EVE R IN JURIOUS AN D WHEN — IN ACUTE “ — — — D ISEASE I NFAN CY OLD AGE LE THORA 3 FULL H A IT — O R GANI c D I SEASE— H EA RT D I SEASE — CO N SUMP Tio N —S KI N D I SEASES — RE GNAN CY AN D ME N S TRUATI O N I s S E A -B A ' , P 0 . P B . m any min d s th e que s ti o n with which w e be gin this ch ap ter m ay s eem sup erflu ous and u nn e ce ss ary Bu t We a sk it advi s e dly be c aus e there i s a wide s pre ad beli ef th at sea b athin g c an n e ver d o h arm an d it i s within o u r know l e dge th at much inj ury doe s s o m etim e s re sul t fro m re ckl e ss indi scretio n in this m a tter We p urp o s e there fore in this pl a c e to p oint o u t tho s e c ondition s o f the sys te m in whi ch sea b athing c ann ot bu t be attend e d with dan ger or at any rate with the ri sk o f danger and sho ul d there fore be forbidd en or o nly us e d with e xtrem e cau ti on u nd er me dic al advi c e To " . , - - , . , , , , , . S EA- BATH I N G 83 . Th is w arning i s all the m ore n e ce ss ary in the s e days o f e xcur s i o n train s fo r alm o s t the firs t thing an e xcur s ionis t d oe s whe n he get s to the s e a s id e i s to t ake a dip in the s e a qu ite regardle ss o f h is c o nditio n at the tim e " Then o n the prin cipl e th at o n e cannot h av e ” too much o f a goo d thing and prob ably after a he avy m e al and a day o f much fatigu e he t ake s an other dip be fore h i s train s t art s ho m ew ard s an d o fte ntim e s he c arri e s with him the punishme nt o f his fo lly in the s h ap e o f s om e 1 n c1pien t dis e a s e o r other S o m e e xtre m e c a s e s h av e als o c o m e under our n oti c e inwh i ch d e ath h as qui ckly follo w e d immersi o n in the s e a in c on s equ en c e o f the e xi sten c e o f s om e l aten t mi schi ef in the sys te m o f whi ch the u n fortunate vi ctims w ere entirely ign or ant The w o nd er i s h o w ever n ot th at the s e a ccid ent s o ccur at all but th a t they do n o t h app e n m ore frequ ently c on sid ering the v a s t am ou nt o f in discriminate b athing which goe s o n througho ut the s e a s o n in ev ery w aterin g p l a c e around o u r c o ast — A cu te Disea se It m ay be l aid d own a s a g en eral rule witho u t e xc ep ti on th at n obo dy suffering from a cu te dis e as e in any form shoul d b athe in the s e a unl e ss u n d er m e dic al direc ti o n I nfa n cy — Again i t w ill be obvi ous to m o s t p eopl e th at n either the v ery y oung n or the , - , , , , , . , . , , , , - . , , . , 84 E A S : AIR AN D very ag e d are fit subj e c ts for s e a b a thing We h ave els ewhere e xp re ss e d the opinio n th a t all the be n efit whi ch i s d erive d fro m s e a b athing in infan cy c an be obtain e d jus t a s w e ll from the us e o f s e a w ater in b aths a t home witho u t the ag oni sin g fright which i s alm o s t in sepa rabl e fro m imm ersi o n m the op e n s e a and the ri sk o f inj ury whi ch such terror may pro duc e Old Age —In the ag e d be s id e s the w e ar and te ar o f a l ong life there are c ert ain s truc tur al c hange s in cid e nt al to adv an cing y e ar s t aking pl a c e in the v ario us orga n s o f the bo dy whi ch re nd er them l e ss and l e ss abl e to with s tand any sudde n s train th at m ay be thrown u p on them H e n c e the s ho ck o f s e a b a thing m ay driv e the bl oo d fro m the surfa c e with such forc e th at s o m e ve ss el alre ady s tructurally w eak (e g in the br ain " yiel ds to the i mpuls e o f the s tre am and i s rup ture d and w e c all thi s ap opl exy Or ag ain the c ol d m ay c aus e the bl oo d s o to s tag n a te in the minu te v e ss e ls o f the lungs th a t an att a ck o f c onge s ti o n foll ows which i s s o m e tim e s fat al I n old p eopl e too dis e as e whi c h m ay h av e e xi s te d for ye ar s in s o m e organ or other quite unp er c e ive d is re adily excite d to d e adly a ctivity whe n s om e unusual d e mand i s m ad e up on the di s e a s e d organ to whi ch i t i s quite unabl e to re s po nd H en c e the imp ort an c e o f forbidding s e a b athing to all who are - . - , , . , , , . - , . . , . , , , , . , , . - , , , S EA- BATHI N G 85 . advan c e d in ye ars A tepid or e ve n w arm b ath i s better adap te d to their s t ate with fri ctio n afterward s to aid the failing a ctivi ty o f the skin leth o ra — S ea b a th ing c ann ot be reco m m end e d (and b y thi s term w e m e an o f c o urs e b athing in the op e n s e a" to p ers on s o f wh at is “ c all e d full h abi t or to tho s e wi th any te n den cy to bl oo d to the he ad o r bl ee ding fro m the n o s e or giddine ss and swimming in the he ad I n such c a s e s there i s always a pre dis p o s itio n o r fa cility fav ourabl e to the c ong e s tio n and e ngorge me nt o f imp ortant in ternal org an s whi ch i s s o gre atly aggravate d by s e a b athin g a s s o m etim e s to induc e fat al re sult s Orga n ic D isea se In org ani c di s e a s e s o r tho s e m aladi e s in whi ch the s truc ture o f an org an be c om e s involv e d— a s w ell a s in an e uri sms in c an c erous and fungous growth s and als o in ind u ration chronic infla mm ati on or ob s tructi on o f the internal org an s — s e a—b athing i s altogether inad missibl e — r Ca dia c D isea se N ei ther i s it to be all o w e d in affe cti o n s o f the he art e s p e cially where valvul ar ob s tructi on e xi s t s From the fre l w i th w h i c h h i s ai lm e n t f o l o ws rhe um a t i c u n c t e q y fe ver w e re c omm end all p ers o n s wh o h av e suffere d fro m thi s dis e a s e to be a ssure d by their me dic al advi s er that th e he art i s s o und be fore ve nturing into the s e a Where there i s re a s o n . , P . - . , , ” , ” , , . , - . _ . , , , , , . , . , . 86 E A AIR S AND to susp e ct a thin dil ate d he art the s ame pro h ibit iv e c au ti o n i s n e c e ss ary Co nsu mp tio n The que s ti o n is frequ e ntly a sk e d whether i t i s right and prop er for c o n N 0 qu e s ti o n re s u mpt iv e p eo pl e to b a the quire s gre ater di scrimina tio n in an s wering th an this fo r the c o n s equ en c e s inv olv e d are w e ighty and s erio us As a g e n eral rul e whe n co n su mp tio n is o n c e d evel o p e d s e a b a thing c an o nly d o h arm b y e xh a u s ting the alre ad y d e clining s tre ngth o f the pati e nt c aus ing c o ng e s ti o n o f the a ffe cte d l u ngs with p o ss ibl e haem orrh ag e an d a cc el er ating the fa t al term i nati o n o f the di s e as e I ndee d w e g o s o far a s to say th at the s e a sid e i s b y n o m e an s the pl a c e for c a s e s o f a dva n ced c o n sump ti o n S ea air i s much t o o s timul ating for the m and o cc a si o n s suc h r apid o xidatio n th at the y b urn o u t s o to Sp e ak m ore qui ckly th an they would in m ore s hel t ere d p o s iti o n s To us e a familiar illus tra ti o n i t i s v ery much like pl a ci ng a lighte d c andl e in an Op e n wind o w ; the free curre n t o f air c aus e s it to be c o n sum e d much m ore r apidly th an it w ould ha ve bee n in the s ti ll atm o sphere o f the apartm e nt B u t whe n o nly a d eli c a cy or p re di s p o si ti o n to c on su mp ti o n e xis t s with n o a ctu al m ani fes t at io n o f the di s e a s e i t s elf there c an be n o p o ssible obj e c ti o n to s e a b athing p ro vid e d only that there be s uffi ci ent re a c tiv e p o w er in the , , . . , , . - , , , . , - - . , , . , , . , , - , S EA- BATH I NG 87 . pa ti e nt On the c o ntrary s e a b athing i s much to be re c o mmend e d in the s e c a s e s as a hygi eni c age nt likely to be be n efi cial in e very w ay impro ving the n utrit io n and he alth o f the bo dy to such a d e gree th at o fte ntime s the v ery te nde n cy o r p re di sp o s itio n i t s elf i s eradic a te d The pre c autio n s and dire cti o n s giv e n in a p re vio us pag e mus t h o we ver be ri gidly o b s erv e d ; and gre a t pain s mus t be take n by r apid fri c ti o n to i nd uc e a g oo d re a c ti o n othe r wi s e the b ath is a failure and will p rob ab ly prove injuri ous I n a ll cas e s o f d oubt or where any c o ugh e xis t s it i s better for ob vi o us re a s on s to s ee k me dic al ad vi c e before rather th an after s e a b athing S kin D isea ses Fro m wh a t h a s bee n pre vio u sl s aid re a r din g the infl u e n c e o f s e a y g b athing in pro m oting the fun ctio nal a ctivity o f th e skin; it m ay be supp o s e d th a t i t w o ul d p rove an e xc ell ent re m e dy in skin dis e a s e s atte nd e d by erup tio n s up o n the surfac e I n former time s thi s opinio n wa s e ntertain e d by m any who beli eve d th at the dis e as e w a s in the bl oo d and th at it w as better th a t it shoul d c o me o ut N o w s e a b athing c ertainly h a s the e ffe c t o f bringing an er up ti on well o ut bu t this is re ally due to a n aggrav ati o n o f the m al ady and b y n o m e an s curativ e The c o m p o sitio n o f s e a water re nd ers it too irrit ating an - . , , , . , , , , , , , . , , , - . ' . , . , , ” - . , . , - 88 S EA- A IR AN D ppli c ati o n in cut an eous dis e a s e s and it m ay therefore be re g ard e d as inadmissibl e in such c as e s It must ho wev er be all ow e d th at c ertain forms o f skin di s e as e are s o cl o s ely allie d with ge n er al d eb ility and imp ov eri she d bl oo d th at whe n w e cure the l atter the form er will vani s h and our tre atm e nt shoul d cl e arly be dire c te d to thi s e nd Bu t it mus t alw ays be a qu e s ti on for m e di c al Opini on whether in any giv en c a s e s e a b athing shoul d be o n e of the to ni cs e m pl oy e d o r n o t and u nl e ss such s an cti o n be obt ain e d it i s better to a bs t ain — regn a n cy With regard to s e a b ath ing in pregnan cy there c an be n o d oubt th at for the m aj ority o f w om en i t w oul d be an u n s afe pro ceedin g to v e ntu re in t o the op e n s e a a t s u ch a time Th e s ho ck wo ul d p rob ably be too gre at and might po ssibly o cc asi on a m i sc arriag e S o m e fe w c a s e s h av e c o m e und er o ur n oti c e where l adi e s h av e c on tinu e d a c our s e o f s e a b athing throu gh the gre ater p orti o n o f their pregnan cy n ot only without h arm bu t with p o sitive ben efit ; but such a pra ctic e w e c ann ot re c o mm end— o n a cc ou nt o f the ri sk inc urr e d for g e ner al ad o pti on On the other h and n othing c o nduc e s s o muc h to gen eral he al th or bra c e s up the sys tem and w ard s o ff the te nd e n cy to mi sc arriag e s o much a s spo nging the bo d y wi th s ea w ater a t fir s t te p id and the n c ol d gr ad u a , . , , , . , , - P , . - , , , . , . , . , , " - , , , 9O S EA - A IR AN D ‘ g oo d d e al a t firs t at the s e a s id e until they be c om e a s it w ere gr adu ally a cclim ati s e d B ilio u s A tta cks — N o w the c o mm o n e s t ail m e nt o f all at the s e a s id e with wh i ch e very bo dy is m ore or l e ss a c qu ainte d is tha t whi ch “ i s p o pul arly k now n a s a bilio us a tta ck m anife s ting its elf gen erally abou t fo ur o r five days after arrival at the c o as t The hi s tory o f e very c as e i s alm o s t ide nti c al and run s s om e wha t a s foll ows : Fo r the firs t fe w days the fre s hn e ss o f the s e a breeze s eems to qui ck e n all the fun c ti o ns o f the bo dy a l arger qu antity o f o xyg e n i s inh al e d and c o mb us ti o n p ro c ee d ing m ore r apidly cre ate s a d e m and for more foo d to supply the w a s te o f the ti ssu e s He n c e the in cre a s e o f app etite and the gro wth o f th at feeling o f c on s t ant hunger whi c h i t i s s o diffi — t o cul t app e a s e always e ating and n ev er feel ing s ati s fie d The dig e s tiv e organ s d o their be s t to ge t rid o f thi s sup erab undanc e o f foo d b ut in v ain it c o ntin ue s to a ccumul a te and at l as t a s h arp atta ck o f b ili o us v o miting reli eve s the m and the sys te m together The e xpl anation o f thi s cl a ss o f c a s e s i s suffi ci e n tly s impl e Mo s t inv alid s suffer fro m c apri ci o us and failing app eti te whi ch n othing c an te mp t to the gre at dism ay o f an x io us fri e nds As s oo n the n a s a ch ang e to the s e a cre ate s a l onging for foo d e v erybo dy w elc om e s the returning app etite with d elight and frie nd s - , . , , - , , ” , . , , , , . , . , , . . , , . , , S EA- BATH IN G 91 . and relative s vi e with e ach other in pro curing daintie s with which to s atisfy i t Bu t they forg et th at there i s a li mit to dige s tiv e p ow er e ve n in the s trong much m ore in tho s e who are w e akly and ailing ; and the y indi screetly e n ough e nde avour to h as ten the patie n t s re c ov ery by indiscriminate fee din g till the o ccurre n c e o f a bili ous a tta ck w arn s the m o f their error I f a t the s am e tim e s e a b athing be pr a ctis e d the dis turb an c e o f the sys te m i s s o much the gre a ter ; b ut it i s r are ind ee d to ob s erve bil ious v omiting after legitim ate b ath ing p er se whils t i t i s o f frequ en t o ccu rren c e in c o njun cti o n with o ver indulge n c e o f the appe tite in the m atter o f foo d Eve n tho s e who n ot being in s e arch o f he alth m ay be regard e d a s p le a sure s eek er s s o metim e s suffer fro m att a cks o f thi s kind fro m s imil ar in discreti on in di et They e at freely o f s alad s and s hell fi sh o f all kind s and at all time s o f the day till the s to m a ch s trik e s and for a time rej e ct s all foo d We h av e l aid d o wn in an other pl a c e the di et ary which w e c o n s id er m o s t suit abl e for the s e a s id e and i t s c are ful ob s erv an c e is re c o mm e nd e d to all wh o d e s ire t o e scap e the mi s erie s o f a bilio us a tta ck I n the w ay o f tre atm en t littl e i s n ee d e d be y o nd a whol e s om e ab s tin en c e fro m s olid foo d The blinding he ada che and c o a te d . , ’ , - . , . , - . , - , , . - , ” , , . ” - , ” . . 92 S EA - AIR AN D tongue and dis agr ee abl e t as te will all dis app e ar after an ap erie nt d o s e a t be dtim e follo we d by a s eidlitz p o w d er in the m orning As a bev er ag e equ al part s o f s o da w a ter and milk will be fou nd v ery grat eful to the pati ent b ut all s timulants sh ould be av oid e d unl e ss t ak e n under m e di c al dire c tio n in s p e cial c a s e s I t i s h ardly n e c e ss ary to add th at s e a b at hing s ho ul d be sus p e nd e d till all feeling o f in dispo sit io n h a s sub s id e d Co nstip a t io n C o n stipati o n a s a co n se u en c e o f s e a b athin g r arely o ccur s l ater th an q the firs t w ee k I f it t ak e s pl a c e a t all it i s g en er ally after the fir s t fe w b ath s before the sys te m h a s be c o me a ccus tom e d to th e sho ck o f the c ol d w ater It s el d o m h app e ns to tho s e who b athe judici ously and s en s ibly and d o n ot p rol o ng their s t ay in the s e a bey o nd wha t i s re as o nabl e ; whils t the m o s t frequ ent vi ctims are furni she d by tho s e who h av e been temp te d to rem ain s o lo n g imm er s e d th a t their re a cti on if any i s o f the m ild e s t ch ar a c ter The c o n t in u e d appli c a ti o n o f c ol d p ro duc e s te mp or ary c o nge s ti o n and s t agnati o n in the v e ss els o f the liver and in te s tin e s and thi s sluggi shn e ss o cc a s i on s a sus p en si on or r ather a ret ardati o n o f the usu al fun cti o nal a c tivity o f the s e part s and c o s tiven e ss i s the re sul t On the other h and whe n us e d rati o nally s e a bathing b y qui ck ening the cir culati o n throughout the , , , . , , , . - . . , - , . , . , , , . , , , . , - , , 94 S EA- A IR AND e xi s te d in the s e days e cc e ntric e no ugh to pre scribe it A l e ss dis agree ab l e re m e dy an d equ ally e ffi will be found in the Hunya di water c acio u s a win egla ss full every m orning for a w eek and the n rep e ated o n alterna te m ornings fo r an other w ee k ; o r a d o s e m ay be t ak en every night at be dtim e c on sis ting o f fo ur grain s Of al oe s an d myrrh pill and c ontinu e d fo r a w ee k I n v ery ob s tin ate c as e s it m ay be n e c e ss ary to c o mbin e both p lan s be fore the c on s tipati o n yield s It r are ly h app en s th at o n e o r other o f the s e re m e die s fails to pro duc e O ther s impl e ag e n t s suit abl e t h e d e s ire d e ffe c t for the purp o s e are the l eni tiv e el e ctu ary a t be d tim e or C arls b ad s alt s s ei dlitz p owd ers o r Frie dricksh al w ater in the m orning acc or ding to cir cums t an c e s — D iarrhoe a i s an ailm e n t o f much D ia rrh oea more freque nt o ccurren c e durin g a c ours e o f s e a b athing and app e ar s to be a natural re sult o f the in creas e d a ctivi ty with whi ch the vi tal pro c e ss e s are p erform e d whe n the sys tem is fully un d er the influ e n c e o f thi s s ti mulus I n other w or d s the in ter ch ang e o f w a s te and repair i s c arri e d o n s o r apidly und er the s e c ir cumst an c e s th a t the e xcretory organ s h ave a s much a s they c an d o to re m o ve the w orn o u t parti cle s fro m the bo dy in or der to m ak e roo m for the n e w and o cc as i o nally the bo w els are c alle d up o n . , , , , . , , . . . , , , , . - , . , - , S EA - BATH IN G 95 . assis t in the w ork and a sh arp att a ck o f diarrhoea i s the re sul t It rarely la s t s m ore th an tw o or t h ree day s and i t i s s el do m n eces s ary to d o m ore th an susp end s e a b athing till i t c e a s e s I f ho w ev er i t s ho ul d be p ers i s ten t and a cc ompanie d with griping pal n s i t will be advis abl e t o s ee k m e dic al advic e e s p e cially i f the app etite fails and a feelin g o f faintn e ss and e xh aus tio n ari s e s O ur rem arks are intend ed o f c o ur s e to app ly s o l e ly t o tho s e c a s e s whi ch are attributabl e to the s alut ary influ e n c e o f s e a b athing s i mply an d n ot t o tho s e whi ch are cl e arly due to error s i n di et or t o s o m e chill fro m e xp o sure to w et and c ol d I n the on e inst an c e it i s N ature s o wn m etho d o f re c o n s tructi on o f bri nging abo ut wh at h a s bee n “ aptly c all e d the ren e w al of life and sho ul d n ot be interfere d with Wi thout goo d re a s o n ; and in the other the s oo n er appropriate m e dic al tre atme nt i s re s orte d t o the better — t i Ii m Irri ta ti o n o f the ita tio n of h e Sk n skin though a trifling is s o m etim e s a v ery troubl e s om e re sult o f s e a b athing The narra t iv e s o f ship wre ck furnis h us wi th ab undan t evid en c e o f the cut an eo us suffering e x p eri en c e d und er c on stan t e xp o s u re o f the bo dy to the and fro m it s chemi cal acti o n o f s e a w ater c o mp o s iti o n thi s i s n o m ore th an might be e xp e cte d I n s om e c o n s tituti o n s h ow ever the intoleran c e o f it is s o gr e at th a t even the to , . , - , , . , , . , , - , . ’ , ” , . . , , - . - , . , , 96 S EA- A IR A N D tr an sient i mm ersi o n o f the b ath i s suffi ci e nt to c aus e much pers On al di sco mfort The skin be c o m e s ro s e —c o l oure d s o metim e s sc arl et wi th el ev ate d p o int s sc attere d o v er the surfa c e giving ri s e o cc a si o nally to gro undl e ss al arm ; and there i s much burning tingling and i t ch ing parti cul arly at night or whe n the bo dy i s w arme d b y e x er cis e Bu t the s e unp l e a s an t symp toms gr adu ally sub s id e a s s oo n a s the skin h a s be c om e a ccus tom e d to the b ath and n o further in c o nve nie nc e i s e xp eri en c e d — r l N t t e a s h Ev ery n o w and the n il s a n d e Bo how ev er and prob ably in co ns equ e n c e o f t h e in cre as e d w ork whi ch the sk in a s an e xcretory organ i s calle d up o n to p erform during the progres s o f a c ours e o f s e a b a thing the cu tan e o u s irri t at i o n i s s o gre at th a t a crop o f bo ils s prings up o n the surfa c e o r a n ettl e —ra s h m ak e s i ts app e ar an c e The s e in co nve nien c e s are gen er ally to be reg ard e d a s b e n efi cial and a ffording much rel i e f to the irritab ili ty o f the sys te m a t l arge In all such c a s e s s e a b ath ing s houl d be di sc o ntinu e d for a tim e and in th e m aj ority a littl e c ooling l ax a tive m e di cin e i s a ll th a t i s n e ce ss ary in the w ay o f tre atm en t H ea da ch e — S o m eti m e s c o ng e s tiv e he ada che c ome s o n ei ther during or after the b ath and i s n ot s eld o m du e to protr acte d s t ay in the w ater o r to the h ab it o f diving and rem ainin g ben e ath the su rfa ce t o o l ong O cca si onally i t . , , , , , , , . , . - . , , - , , . - . , . , , . 98 S EA- AIR AN D a re n e c e ss ary for the re s torati o n of the pati ent Let him be p l a c e d in a w arm b ath for te n minute s o r a quarter o f an ho ur having pre v io u sl sw a l o w e d a gl a ss o f hot br and y and l y w a ter and be w ell rubbe d w ith c o ar s e flan n els or fl esh brus he s a cc ording to t h e in s tructio n s give n in the ch ap ter o n Warm b ath and re c overy will s pe e dily foll o w Foo d might n ow be t aken with a dvantag e and g e ntl e e x erci s e all o we d afterwar d s Fa in tn ess a n d Vo miting Faintn e ss and v omi ting after b athin g are v ery s eld o m o b s erve d in m e n b ut in an aemi c and d e li cate w om e n the y are s o m etim e s m et with and m o s t c ommo nly w he n the b ath h a s bee n tri e d be fore bre akfas t or after too l o ng ab s tin en c e fro m foo d whe n the sys tem i s n o t suffi cie ntly forti fi ed t o w ith s t and the sh o ck o f i mm er s i o n A gl ass o f win e and re s t in the re cumbe nt p o s ture will obviate the dis tre ss ing symp toms ; b ut c omm on s en s e di c t ate s th at the b ath shoul d n ev er be attemp te d when the bo dy i s e xh aus te d and th e cir cula ti o n l ow ere d by the w ant o f foo d Ca ta men ia — Fro m wh at h a s been s aid with regard to the p ow erful influ e n c e o f s e a b athin g in pro m oting and qui cke ning the p erform an c e o f fun cti o n g en erally throughout the bo dy i t will be re adily u nd er s too d that few agen t s i f any are s o eflicacio u s in c orre cting any . , , - - . . . , , , , . . . - , , , S EA- BATH IN G 99 . ab s en c e o r irre gularity o f the c at am e nia It i s unne c e ss ary however to s ay m ore o n thi s subj e ct in a work o f this kind bu t m erely to add the cautio n th at whe n the p eri o d m ak e s i t s app e ar an c e s e a b ath ing should be i mm ediately disc on tinu e d . , , , - . P C H A T ER I" . P H YGIENE OF A TE M O RARY RESID E N CE AT TH E S EA SIDE , WIT H REMAR KS O N C L OTHIN G, FOOD , E " ER CI SE , E T C — CLOT HIN G — WOO LLE N UN DE R CL OT HIN G —LINE N—CAL I CO— CH EVI OT SUI TS — SERGES AN D H OME S UN S — FOOD —T IMES OF E A T IN G —R E GUL ARITY QUAN T HE GE NERAL - - . P - T IT Y — K I N D S D IET TAB LE CAUTI ONS E" E RCISE N E O RTAN CE To H EALTH— MODERATE CE S SAB Y FOR AL L— I MP THAN VIOLENT — WALKING — RID IN G — RO WING R AT HE R SWI MMING —B EST T IME FOR E " E RCISE — CAUTION — RES T I N D I SP ENSAB LE AND S LEEP - - . pre c e din g ch ap ters we h ave e nd e avoure d t o p o in t o u t the be n efit s w hi ch s e a air and s e a b ath in g are c apable o f co n ferring up o n the c om mun ity in ge n eral and up o n invalid s in par t icu lar ; and we h av e a ls o gi ve n pr a c ti cal dir c e t i o n s for the purs uit o f s e a b athing under the c on s tantly varying c o nditio n s of the human sys tem both in he alth and di s e as e It rem ains fo r us to c on s ider in thi s pl a c e the m o d e o f li fe IN the - , - , . 1 00 - S EA AIR - AN D whi ch in o ur op inion shoul d be foll ow e d b y all who d e s ire to e xp eri e n c e a s much be nefit a s p o ssibl e fro m a temp or ary re s id en c e a t the s e a side I f there be a tot al di s regard o f o r c arel e ss in differe n ce to tho s e hygienic l aws up o n whi ch our w e ll being d ep e nd s i t i s b ut littl e th at s e a b a thing c an d o for us in the w ay o f ren e w al and re s toratio n The transg re ssio n o f the prim ary l aws o f he alth or o f the c o ndi ti o n s n e c e ss ary to be ob s erve d to e n sure he alth e ntails c ertain e vil c on s equ en c e s whi c h s e a ai r and s e a b athing c ann ot entirely avert though the y may p erhap s mo dify a n d l e ss en them There i s g oo d re a s o n to fe ar th at m an y p erso n s e sp e cially th e inh abitant s o f larg e ci ti e s diminis h in marked d e gree the ben efit s whi ch they w o uld otherwi s e d eriv e from t he ir s e a s ide holiday by following the amus e me nt s and excitem ents with whi ch the y are o nly t o o familiar at ho m e It i s a n otew orthy fe ature o f the age th at in s o me o f o ur fa shionabl e w atering pl a ce s it h a s been found n e c e ss ary t o intro duc e b alls c on c ert s and musi c h alls as indisp ens abl e to t h e daily life o f th e vi s itor s in or d er to be guil e t h e en n u i of the ir e x i s te n c e " It part ake s s o m e wh at o f s atire th at p er s on s p ro fe ss e dly s eek ing he alth s ho ul d s hun the life givin g s e a breeze s for the he ate d and unwhol e s om e atm o s phere o f such pl a ce s o f amus em ent I Bu t there are m any other s who in th ei r , , - . , , - , - . , , - - , . , , - . , , , - 1 02 S EA- AIR A N D s e a s on o f the ye ar D uring the he at o f su m m er n othing i s better th an a thin me rin o or fin e We ls h flann el v e s t n ex t the s kin ; and a s c old er w e ather adv an c e s he avi er and s to uter v ari eti e s m ay be sub s ti tu te d It s hould be born e in mind th at th e w arm th afford e d by the s e u nd er v e s t s v ari e s a cc ording a s they fit t h e bo dy cl o s e ly or l oo s ely the form er be in g be s t adap te d for win ter w e ar and the l atter for summ er Lin en n ex t the skin i s v ery obj e c ti o nabl e for being a g oo d c o nductor o f he at i t allo ws i t t o ra diat e fro m th e b o dy wi th undu e r api dity and whe n p erspirati on en su e s a s en s ati o n o f chilli n e ss prevails and the ri sk o f c a tching c ol d i s greatly in cre a s e d C ali c o co n du ct s h eat r ather l e ss rapidly th an lin en and i s c o n s equ ently much warm er ; m oreo ver i t ab s orb s m oi s ture in l arger qu an tity It i s there fore l e ss obj e cti o nab le th an lin e n for u nder g arment s b ut va s tly inferi or to w ool Wool o n th e co ntrary i s a gre at ab s orber o f w ater bu t a b ad c o nductor o f he at its tex ture i s much warmer and n ot e a si ly p en etrate d by c ol d As affordin g p rote cti o n agains t sudde n chang e s o f temp er ature or pro l onge d exp o sure to kee n wind s w ooll en und er cl othing i s gre atly sup eri or to ei ther line n or c ali c o and shoul d be w orn by all who h ave any c on c ern for the ir he al th . , . - , , . ‘ , , . ’ , , . - , . , , , , , . , , , . S EA- BATH I N G ers o n s with hot dry skin s P 1 03 . , wh o s el d o m p er spire m ay w e ar c ali c o with s afety but tho s e who p er spire re adily o n slight e x erti o n require w oolle n cl othing to avert liability to c ol d Fo r Similar re a s o ns w ooll en s to ck in gs are pre fer abl e for tho s e who p er spire freely o r who t ak e much walkin g e xer ci s e the ab s orben t prop erty o f w oolle n m aterials a ffording the gre ate s t am ount o f p ers onal c omfort whe n ev er the p erspir ati o n i s pro fus e bu t for others c otto n m ay suffi c e Wi th re g ard to outer cl othin g for the s e a s ide n othing i s equ al to w oolle n fabri cs whether for m e n w o m e n or chil dren Wha t c an b e b etter for the form er th an the l oo s ely w oven C hevi ot sui t s o f all w ool n either too hot n or too c ol d bu t a ffording ampl e p ro t e ct io n u nd er or dinary e m erg e n ci e s " Or c an anything be better adap te d to the e xig e n ci e s o f s e a side life th an the light hom e sp un s and s erge s n o w h appily be c oming s o fa shi o nabl e with l adi e s " Or wh at i s sup erior to the navy and other s erge s for childre n s we ar " The s e fabri cs are both w arm and c ool (a s di s t in gu is h e d fro m c ol d " re adily cl e an e d and d o n ot pre s e nt the dr aggle d app e aran c e o f s t ar c he d dre ss e s when subj e cte d to the a cti o n o f the spray o n the shore o r to a s e a fo g There c an be n o obj e ctio n to the s e lighter , , . , , , . , , , . , ” , , , - ’ e , , , . ' 1 04 S EA AIR A - N D m aterials for ev enin g w e ar o r in the ho us e but for o u t o f d oor re cre ati o n w oolle n i s to be pre ferre d E xtra w ooll e n wr ap s shoul d alw ays be us e d by invalid s and others whe n re cli ning for l engthen e d p eri o d s up o n the be a ch Thi s pre c auti o n i s e s p e cially n e c e ss ary at the cl o s e o f a hot day whe n after sun s et the s e a breeze c oole d d o wn by c on ta c t wi th the w ater s tre ams in l andw ard s and rob s the bo dy o f its anim al he at with e xtraor dinary rapidity unl e ss ad e no t un u at el p rote c te d uc h e x p o su re i s S q y frequ e ntly the origin o f m any s eri ous ill n e ss e s It i s w ell als o to re m e mber th at w et gar m en ts Sho uld be ch ang e d a s s oo n a s p o ss ibl e for dry o n e s the bo dy h aving previ ously bee n w ell rubbe d wi th rough tow els Fo o d — An d fir s t a s to the tim e s o f e ating It i s a m atter o f s om e diffi cul ty to fi x d efinite hour s for m e als at the s e a sid e for the t empt a tio n to prol o nge d e nj oym ent o ut o f d oors i s s o gre at th at they are ap t to be c om e very m ov ” abl e fe as t s ind ee d It h a s bee n e s tim ate d that there shoul d be an 1 n t erval o f fiv e or S ix hours betwee n e a ch me al in ord er th a t foo d m ay be thoroughly dig e s te d and the s to ma ch e nj oy a bri e f p eri o d o f rep o s e to e nable i t t o re c ov er it s ton e be fore it i s c alle d up o n to re sum e it s fun cti o ns S o l o ng as thi s e xc elle n t , - - . - . - , , , , , . . , , , . , . - , , . , , . . 1 06 AND S EA- AI R s hort and e ve nings l o n g it m ay be w ell to din e l ate s o a s to s e cure a s much time a s p o ss ibl e for out o i d oor re cre a ti o n The third and la s t m e al s ho ul d be t ak e n at s eve n or eight o cl o ck and n ever later th an tw o hours before retiring to re s t It n ee d n ot be m ore th an a light m e al for dig e sti o n i s n ot s o vigorous a s in the m orning and the w a s te o cc a s i o n e d b y e x er cis e after dinn er i s prob ab ly n ot s o gre a t a s th at whi ch foll o we d the e x er ti o ns o f the e arli er part o f the day I n the c as e o f inv alids it m ay be n e c e ss ary th at s o me l ight foo d or other in additi o n shoul d be t ake n a t be dtime and to thi s there c an be n o o bj ec ti o n ers on s als o with sl o w and w e akly dig e s ti o ns m ay require foo d in sm all er qu antity a t s horter intervals ; b ut for the m aj ority w e beli ev e the hour s re c omm e nd e d abov e to be be s t adap te d to the require me n ts o f the sys te m an d the p re s erv a ti o n o f he al th H aving fix e d the tim e s o f e ating it i s v ery imp ort ant to ob s erv e the m with regul arity E verybo dy mus t h ave e xp eri e n c e d the in co n v en ie n ce and p er s o nal di sc o mfort w hi c h re sult from di sregar d o f thi s whol e s o me rul e The hum an bo dy i s much give n to p eri o di cit y and the s toma ch i s such a cre ature o f h ab it th at the app etite returns with alm o s t tidal regu larity a t the a ccus to m e d hour ; b u t if the usu a l tim e be pass e d the app eti te fails a di s agree , , - - . ’ , . , , . , P , . , , , . , . . , , ’ , , 1 07 S EA- BATIIIN G . abl e s en s ati o n of e mptin e ss and indifferen c e t o foo d succ ee ds and thi s i s gen er ally foll o we d Re gulari ty there fore i s w orth by indig e s ti o n cultivating With reg ard to qu antity i t i s to be fe are d th a t m o s t p eopl e trans gre ss 1 n the w ay o f e xc e ss and at the s e a s id e this i s e s p e cially likely to h app en whe n a vigoro us app etite e n ti cin g foo d and abu ndant l e isure all c o m bin e to te mp t I t w a s an o ld fa shion e d m axi m th at w e s ho uld ri s e fro m tabl e with s om e app etite s till l eft ; b ut witho ut in s i s tin g o n such Spart an training w e w ould c ert ainly advis e n o o n e to e at un til the app etite i s fully s atis fie d for thi s i s to pro duc e s ati ety w hich i s e xc e ss ; b u t r ather to d e s i s t whe n the s tom a ch s ays en o ugh and whe n the pl e asurabl e fee ling o f s a tisfa cti o n whi ch su ffi ci e n cy o f foo d imparts i s fi rst p er cep tibl e By ob s erving this m axi m m any dysp epti c trouble s c on s tipati o n and a v ari et y o f littl e ailm e nts will be av oide d AS to the kind s o f foo d the Simpl e s t are the m o s t whol e s om e and the be s t ; b ut s o m e littl e variety s ee ms to be n ee dful to m eet the v arying ch ange s o f the app eti te an d to gratify o ur ta s te s I n fr aming any di et ary i t i s n e ce ss ary to re member tha t both flesh forming and he a t giving foo ds in du e prop orti on are e ss ential to he alth and tha t neither sho ul d be en tirely e xclu de d E very m ember o f the s e tw o cl a ss e s , . . , - , , , , , - . , , , , , . , , . , , , . - , , . , 1 08 S EA- AIR AND pro duc e s re s ult s in the sys tem ch ar a cteri s ti c o f the cla ss to which it bel o ngs and by su b sti tuting o n e for the other we obtain the v ari ety which pl e as e s the pal ate wh ils t the s tandard o f nutri ti o n i s in n o w ay impaire d by the ch ang e The dige s tibility o f different kind s o f foo d v ari e s v ery gre atly and tho s e in s e arch o f he alth will d o wel l to av oid n ot only wh at i s diffi cult o f dig e s ti o n b ut als o wh a t i s sl o w o f dige s ti o n In either c a s e the p ow ers o f the s tom a ch are o vertax e d and the foo d pa ss e s ou t all the n ouri s h m e n t i s o f the bo dy be fore e xtr a cte d fro m i t or els e the s to ma ch i s d eprive d o f th at in terv al o f tonic re s t whi ch app e ars to be indi s p en s abl e to the p erfe c t dig e s tio n o f the n ex t m e al Hen c e shell fi sh such a s cr ab s and l ob s ter s and sc oll op s as well a s p ork and ve al and all s alte d o r pi ckl e d m e at s and fi sh s houl d be avoide d b y tho s e who d o n ot p o ss e ss rob us t dige s tion s All di et ary t able s mus t be g e n er al and i t i s imp o ss ible to c o n c eiv e o n e o f univ ers al app li c a tio n N everthele ss w e v enture in thi s pl a c e to sk et ch a bil l o f fare whi ch wi th sli ght v aria tio n will m eet the require m ent s o f tho s e who s ee k he al th r ather th an the m om e ntary grat ifi c a ti on o f the pal ate — a k Bre fa st Thi s m ay c o n sist o f fres h fi sh , , , . , , ‘ . , , . - , , , , . , . , . , 1 10 S EA - AIR A D N regulate d in a cc or dan c e wi th the diet ary for bre akfa s t It s hould be born e in mind th at in youth v eget abl e and farina c eous foo d s are m ore e a s ily dige ste d th an in after life ; that s o up and v eg et able s a re ge ner ally p ro d u c tiv e o f much flatul e n c e in the dysp ep ti c ; th a t ri c h c ake s and p u d dings and pa s try bel on g t o the s am e “ c ate g ory o f thin gs t o be av oid e d and th at Spiri t s o f all kind s are u nn e c e ss ary and n ot to be t ak e n exc ep t und er m e dic al dire cti o n — Exercise This 1 S e ss e ntial t o he alth and i s o nly s e c o nd in imp ort an c e t o foo d i ts elf I nd ee d w itho ut ex er ci s e the d e m and for foo d w ould be re duc e d to a mi n 1 mu m and the bo d y w oul d l o s e in bulk and vi go ur I n you th i t pro m ote s growth and in m iddl e age c o n trib u te s to the m ainte nan c e o f he alth When the bo d y i s in m oti o n bre ath ing i s both a cc el era te d and d eep ene d the cir cul ati o n is qui cken e d c om b u stio n pro c ee d s apa c e p er spir a ti o n foll ows and vital a c ti o n i s intens ifie d ; a s a re sult o f all thi s w e ar and te ar d ig e s ti o n i s s timulate d app etite in cre a s e d m ore foo d i s tak e n and thus the o ld s tructure s are w orn o u t and rem ov e d from the bo dy by the e xcretory organ s i a s e x p l ain e d in a p re v o us c h ap ter and a re " ( repl a c e d b y n e w The m ore c o mpletely the s e ch ang e s are wrought in the sys tem the m ore p erfe ct i s the s t ate o f he alth and vice versd . , , , . , . , . , . , , , , , , , , . , , . S EA- BATH IN G 111 . Many p ers on s wh o h av e bee n a c tive in youth ce a s e to take much ex er ci s e after forty co n se qu ently the elimina ting fun cti on s o f the bo dy are v ery imp erfe c tly p erform e d and e ffete m atters whi ch sho ul d h av e bee n rem o ve d are ret ain e d within the sys te m and giv e origin to m any c ompla int s whi ch are in cid ent al to thi s p eri o d o f li fe Thi s i s e sp e cially the ca s e wi th the pro fe ss io nal tra din g and m er c antil e cl ass e s o f the c o mmu ni ty who s e o ccupati o n i s o f a s e d e ntary ch ara c ter and who s e n ee d of a ctive re cre atio n i s there fore the gre a ter A holiday at the s e a s ide wi thout w ell re gul ate d e x er cis e co nfers bu t a m o der ate d egree of be n efit up o n any o n e but daily e x erti o n m e an s daily in cre a s e in s tren gth and vigo ur and a b uo yan cy o f s pirit s whi ch the enj oym e n t o f p erfe c t he alth alo n e c an impart All e x er ci s e to be be n efi cial s houl d be m o d erate and gentl e in char a cter and anything like viol e n t su dd en and r apid muscul ar e ffort s are quite u nne ce ss ary fo r the m ain te nan c e o f he alth Such e x ertio n i s alw ays injuri ous to the w e akly and deli c ate in c o n s tituti on by throwing too gre at a s tr ain up o n the vit al organ s and s hould be c arefully a void e d S l o w and s te ady e x er ci s e i s wh a t i s n ee de d wi th o cc as i onal intervals o f re s t th at the muscle s m ay re c o ver their to ne and the sys te m m ay n ot be dis tre ss e d I n this a s in other things it i s the pa c e whi ch kills , , , , , . , , , , . ; - - , , . , , , . , , . , , , . , . , 1 12 S EA- W lhing A IR AN D —Of the vari o us k ind s of e x ercis e w alking i s that which i s p erh ap s the m o s t wid ely us eful a s givin g the l arg e s t a mount o f m oti o n to the gre ate s t number o f muscl e s whils t a t the s am e time the lungs are e xpande d b y the d eep en e d in spira tion s The dis tan c e to be w alk e d daily mus t v ary o f ne c e ssity with the cir cums t an c e s o f in divid ual c a s e s but it is better to err o n the S id e o f d oin g t o o littl e than too much and e x er ci s e Sho ul d alw ays s top s hort o f ab s olute fatigu e and dis tre ss It is a v ery o ld rule and o n e th at is w orthy of obe di e n c e th at tho s e who d e s ire he alth s ho ul d p ers pire freely o n c e a day at l e a s t semel die mo tu ” When this p oint h as been re a che d in ca lcscere i t i s e vid en ce th a t the be neficial a cti o n o f e x er cis e h as been a ttain e d — Riding i s better adap te d to tho s e R iding who require e x er cis e wi tho ut fatigue and whils t giving free play to m o s t o f the muscl e s the m oti o n through the air e x er ci s e s an e xhilarating e ffe ct up o n the whole sys tem and qui cke ns the c ircul a ti o n in the cut an eous v e ss els H en c e the heighten e d c ol our and bu oyan cy o f s pirit w hi ch succ ee d the m orning s rid e — Ro wing i s the e x er ci s e p a r coc Ro wing and it d oe s n o d o ubt cellen ce o f the s e a s id e give much w ork to the arms should ers and l oin s and e xpand s the che s t ; but i t i s o n e tha t e sp e cially require s careful and c auti o us training As a rul e fe w p eop l e us e the muscl e s o f th e a . , , , , . , , . , , , , . . . , , , . ’ . , . - , , , , , . , 1 14 S EA- AIR AN D the i nv alid The rob us t and s tro ng m ay t ak e a short w alk in the e arly m orning b ut tho s e who are bel o w par h ad better jus t be fortifie d wi th a g oo d bre akfa s t About an h o ur o r tw o ho urs a fter a m e al i s the be s t t im e for e x er ci s e and i t s ho ul d terminate s o a s to a ll o w a s uffi cie nt interval o f re s t to in terv en e be fore the n e x t m e al When thi s pre c autio n i s n egl e cte d the inv alid c om e s to t h e t abl e with all hi s n ervous e nergy us ed up h a s n o ne l eft for the dige s tio n o f h is foo d and suffers in co n se u en ce all the mi s eri e s o f indi e s ti o n q g Si milarly e x erc i s e after a ful l m e al n ot o nly o cc a s i o n s gre at p er s o nal di sco mfort and dis tre ss a s e verybo d y kn o ws bu t it div ert s from the dig e s tive organ s the bl oo d and n erv o us e n ergy whi ch the pro c e ss o f dige s tio n ab s olutely d em and s for it s p erfe ct perform anc e H ere again foo d i s n o t assim ilate d and the system i s t a x e d wi th the e xtra w ork o f freeing i ts e lf of the ill dig e s te d m ass wh ils t the bl oo d i s im rish ed be c aus e n ot re pl e ni s he d b y n e w and e v o p prop erly el abor ate d m aterials O n e w or d o f c auti o n z— All e mul ati o n in e x er ci s e Should be avo id e d a s lik ely to le ad t o ov er e x erti on Ou r obj e c t s hould be to pro m ote he alth and n ot to p erform this or tha t fe at w ithin a giv en t ime better th an s o mebo dy els e Thi s i s the ro ck o n wh ich s o many yo u ng m e n m ak e s hip wre ck of . , , . , . , , , . , . , , . , - , ' . , - . , . S EA- BAT HINC 1 15 . — ee l S p The s e are both n ee dful fo r the re mov al o f fa tigue the re s torati o n o r ren ew al o f the bo dy and the m ain te nan c e o f li fe rol o ng e d e x er tio n c ause s muscul ar e xh aus tion and re s t i s e ss e ntial th a t the w a s te Aft er e x er ci s e th e bo d y m ay be re paired Sho ul d be pl a ce d in th at p o si ti o n wh i c h afford s Thus the l egs t h e gre at est e as e and c o mfort Sho ul d be rai s e d to l e ss e n the tensi o n o f the c olumn o f bl oo d in the dis tend e d v e ss els and the whol e bo dy s ho ul d re clin e a s n e arly a s o ss i b l e in the h r i zo n t a l p o s i t i o n Th i s g i v e s o p re s t to the he a rt b y reli eving it o f the e x tra w ork whi ch i s requi s i te to propel the bl oo d p erp endicul arly e g to the brain ; whils t the re cumbe nt p o s ture h a s als o the effe c t o f redu c in g the frequ en cy o f the pul s e and s o giving further reli e f to the h e a rt Thi s c ompar ativ e re s t i s all the m ore i mp ort an t be caus e d uring a ctive e x er ci s e the he art i s the organ up o n whi ch the gre ate st strai n falls It h a s bee n e s tim ate d th at whe n s itting at re s t the be at s o f the he art m ay be 64 p er minute w alking at tw o mil e s p er ho ur 8 0 a t three mile s p er hou r 9 0 and at fo ur mil e s p er ho ur 1 1 0 to AS re g ard s sl eep i t i s an ol d s aying th a t o n e ho ur s Sl ee p be fore m idni ght i s better th an tw o afterwards H o wev er thi s m ay be there c an be n o d oubt that tho s e who d e sire B est an d , . P , , . ' . , . , . . , , . . . : , , , ’ , E Sm th i . 116 S EA- AIR AN D S EA- BATH I N G . he alth s ho ul d go to be d e arly Th e valetudi narian a t the s e a s id e shoul d retire at te n an d tho s e who are s tro nger n ot later than el eve n B u t when s ho ul d they g et up I t is gen er ally believed th at eight hour s sl eep is su fi cien t fo r all adults and r ather m ore fo r childre n and o ld p eopl e I f a dul t s require nine hours it is ge n erally be c aus e they are m ore w e akly th an their n eighbour s To lie in be d after the bo dy h a s bee n suffi cie ntly refre she d is n ot o nly t o w as te tim e b ut als o to lo s e he alth and vigour ; the s e c o nd sl eep is n e ver s o re fre s hing a s the firs t and Shou l d n o t be indulge d in Let tho se who retire e arly ri s e e arly an d they will gre a tly in cre as e the be ne fit d eriv e d fro m the ir holiday by the s e a and add c o n s id erably to their p ers o na l enj oym e nt I n c o n clus i o n a holiday w ell and in t elli g e ntly s p e nt n o t o nly affo rd s us re s t whe n w e ari e d with toil an d c are but als o re fre she s and s trengthen s for future l abours an d gre atly tend s to prol o n life . - , . ’ , . . , , . , , . , , , g . 1 18 IN bu tion influence of air on 56 Contaminators of th e air Com s D E" , dis ch ildhood , D 55 , eas es a ide 9 9 a s re gar ds clothing 1 01 food 104 exercise 1 10 s , , , . , Malv ern b athingsh eet 2 5 Meals re gularity in 1 06 time for 1 04 —1 06 - , s , , , , , , in surgical cas e s 49 caut ion in u s e of 50 Drink for breakfast 1 09 din ner 1 09 evening meal 1 1 0 D ripping sh eet mode of a d minist ration 42 D iseases constitut ional of childhoo d 69 0 , , , , , . O rgans , excretory, offi ce O xygen, of 65 , importance of in res p irat io n , 5 4 , - s ea , 69 , , . H ygiene general of th e of D i t ry table 1 08 D inner time for 1 05 dietary table for 1 09 D ouch e de cription of 4 7 e H se a , Con stitutional . nece ssary to h eal th O zone 6 1 , 55 . , , , R , , Re t s an d R isin g, atin g t imes of 104 E vening meal time for 1 06 E xcretory organs offi ce of 65 E xercis e importance of 1 1 0 walking 1 1 2 riding 1 1 2 rowin g 1 12 swi mming 1 1 3 time for 1 14 caution as to 1 1 4 E Sle e p early , - , , , , , , , , , S ea - , 1 16 . air influence of on the human s ystem 5 1 caus e of s alubrity of 5 3 greater density of 56 more o xygen in 5 6 maintenance of purity of , , , , , , 57 , , 1 15 , S , , . uniformity of tempera ture of 5 8 greater humidity of 5 9 efi ect of on lungs a n d , , Foo d, 1 04 Skin regu larity in taking 1 06 proper q uant ity of 1 06 kinds of 1 07 dige s t ibility of 1 08 1 10 proper for bre akfas t 108 dinner 1 09 evenin g meal 1 09 , , , , , , , , , 60 ozone in 62 s aline impreg nation of 6 2 in dis e as e 6 4 in di s ea se s of children 6 9 S e a b athin g effects of on t h e s ystem 2 ph enomena atten ding 1 3 , , , , - , , , IN D E" g general direc tions for 1 4 s eas on 1 5 time of day for 1 6 fre q uency of 1 7 wh at to avoid in 26 in di s ea s e 64 o verwork 66 cons tit utional dis eas es of chil dren 6 9 struma or s crofula 69 rickets 7 2 atonic dyspepsia 74 nervous dis eas es 7 5 S t Vitus dance 7 6 hysteria 7 7 neuralgia 7 8 catarrh a1 affections 78 rheumatis m an d gout S ea -b at hi n , , , , , , , , , , , , 1 19 . athin g constipation from 9 2 diarrhoea from 9 4 irritation of skin from 9 5 b oils from 9 6 nettle ra sh from 96 headache from 9 6 faintness an d vomiting from 9 8 catamenia from 99 S e a b reez es caus e of 5 7 S e a coast mildnes s of 5 8 5 9 S e a side general hygiene of S e a-b , , , , , - , , , , - , - , - . , , , , , 80 disea s es of women 8 0 inj uri ous effe cts of in acute dis eas e 8 3 infancy 8 3 o ld age 8 4 plethora 8 5 organic dis eas e 8 6 cardiac dis eas e 85 consumpt ion 8 6 skin dis ea s e s 8 7 pregnancy 8 8 menstruation 89 ailments s ometimes ac companying 8 9 “ bili ous attacks from 9 0 , , , , , , , 99 regards clothing 1 01 foo d 1 04 exercis e 1 1 0 S e a water compo s ition of 1 0 temperature of 1 1 u se of internally 93 in leucorrhoea 8 2 Sh allow or slipper b ath 4 3 Spinal bath 4 6 Sleep need of 1 1 5 hours of 1 1 6 Spray atomi s ed in halation of 6 3 as , , , - , , , , , , , , , , , , , , , T“ , , T , , , ” , L ON DO N 3 P A B D ON A N D S O N , , , , ’ , epid b ath 4 5 temperature of , , 45 W Warm s ea water b ath temperature of 33 . - , 27 , P RI N T E R S . 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