Ver.10/04/01*END*
Created by Steve Solomon (ssolomon@soilandhealth.com)
APPENDICITIS
THE ETIOLOGY, HYGIENIC AND DIETETIC TREATMENT
BY JOHN H. TILDEN, M.D.
Author of
"Impaired Health," 2 Vol.; "Cholera Infantum," "Typhoid Fever,"
"Diseases of Women and Easy Childbirth," "Venereal Diseases,"
"Appendicitis," "Care of Children," "Food," 2 Vol.; "Pocket
Dietitian."
=====================NOTICE*===================
You have recently purchased some of my earlier writings, hence the
following suggestion:
As my regular readers know, I do not favor the use of _protein_ and
starchy foods in the same meal. The only exceptions that I ever made
to this combination was the use of potatoes with meat in the same
meal and the serving of milk with starch. I still allow the
occasional use of potatoes with meat for well people, for the potash
content of the potato helps with the digestion of these two foods.
_But the combination of milk with starch I discontinued some years
ago._
In some of my former writings this correction has not yet been made,
therefore we are asking our readers to keep this in mind when
studying those particular works. Where you find milk in combination
with starch, change the milk to teakettle tea, which means hot water
with a little cream (which is fat, not protein) and a small amount
of sugar.
In some of my former writings this correction has not yet been made,
therefore we are asking our readers to keep this in mind when
studying those particular works. Where you find milk in combination
with starch, change the milk to teakettle tea, which means hot water
with a little cream (which is fat, not protein) and a small amount
of sugar.
*(This notice was slipped inside the book, printed on a small,
glossy sheet. Editor)
THE ROAD OF ILL HEALTH
To understand the cause of appendicitis we must go back to the
beginning, and when we do we find that it starts just where all
diseases start, namely, _where health leaves off! _When the laws of
health are broken for the first time, it can be said that the
individual has started on the road of ill health. How fast he will
travel and just what will be the character of the disease he meets
with will depend upon his constitution, inheritance, environment and
education.
APPENDICITIS
CHAPTER I.
This cut represents the back view of the cecum, the appendix, a part
of the ascending colon, and the lower part of the ileum, with the
arterial supply to these parts.
"A, ileo-colic artery; B and F, posterior cecal artery; C,
appendicular artery; E, appendicular artery for free end; H, artery
for basal end of appendix; 1, ascending or right colon; 2, external
sacculus of the cecum; 3, appendix; 6, ileum; D, arteries on the
dorsal surface of the ileum."--Byron Robinson.
The reader will see how very much like a blind pouch the cecum is,
2. The ileum, 6, opens into the cecum, all of the bowel below the
opening being cecum, the opening of the appendix, 3, is in the lower
part of the cecum.
The arterial supply to these parts is great enough to get them into
trouble in those people who are imprudent eaters, and it is also
great enough to save the parts when diseased if the patient has the
proper treatment.
For the benefit of the lay reader I will say that the blood-vessels
represented in the cut are the arteries; there are also veins,
nerves, and lymphatics imbedded in the folds of the peritoneum,
accompanying and paralleling the arteries, but they are not shown in
the cut.
The peritoneum is the lining membrane of the peritoneal cavity. It
is well to remember that there is nothing in the peritoneal cavity
except a little serum. The layman will say that the bowels are in
this cavity, but they are not; they project into the cavity, and
their outside covering is the lining membrane of the peritoneal
cavity, but they are truly on the outside of the cavity, and to
enable the layman to understand the anatomy so that he can apply it
when reading of the disease, I shall describe the course of an
ulcer: If an ulcer starts in the bowel it first eats through the
mucous coat which is the lining membrane of the bowel then through
the submucous coat, which is the second layer or coat of the bowel,
then through the muscular coat, which is the third layer of the
bowel; this brings the ulcer to the serous coat or peritoneum. When
the peritoneum is eaten through it is called perforation, for it
means that there is an opening into the peritoneal cavity, and,
unless the cavity is cut into, cleaned and properly drained death
will take place in a very short time. I say death is inevitable
without surgical treatment. In this I appear to be more radical than
the most radical, for the best authors have much to say about
perforation, diffuse peritonitis, and of patients who live after
perforation, as though it were a common occurrence; I say they are
mistaken.