CHAPTER XL.

CLOTHING.

=Physiological Considerations.=—The average temperature of the surface

of the body in man is 98·4 to 98·6°. The maintenance of a tolerably

uniform temperature is an essential condition of life. The factors

governing the temperature of the body are _the amount of heat produced_

and _the amount lost_. If more heat escapes, more has to be generated;

and the source of all the heat produced in the body is the food taken.

This becomes changed by the metabolic processes occurring in the body

which produce heat.

=Heat is lost=, (1) by the _skin_; (2) in _respiration_, the expired

air having been heated during its stay in the lungs; (3) with the _food

and drink_ taken, if not at the temperature of the body; (4) with the

_excreta_; and (5) by transformation of heat into _mechanical energy_.

Of the whole loss by these different channels, probably eighty to

ninety per cent. is through the skin.

=The Loss of Heat by the Skin= is in three different ways. First, by

_conduction_, when the skin comes in contact with anything cooler

than itself; secondly, by _radiation_ into space; and thirdly,

by _evaporation_ of the perspiration. The last cause produces a

considerable reduction of temperature, even when the perspiration is

not so abundant as to be visible, but is in the form of insensible

perspiration. The losses by these different sources vary in amount;

when one is increased, another is diminished, by way of compensation.

Thus, in very cold weather, the amount of radiation and conduction

of heat are increased; but evaporation greatly decreases, and the

diminished loss of heat in this respect counter-balances in some degree

the increased loss by radiation and conduction.

When the external warmth is considerable, increased evaporation occurs;

while when the weather is cold, the cutaneous arteries contract, and

less blood goes to the skin, and so the loss of heat is diminished.

In most climates, however, this action of the skin requires to be

supplemented by some kind of clothing.

=Requisites of Dress.=—1. The first and most important requirement is

that _clothing should maintain a uniform and equable temperature_ in

all parts of the body.

In hot climates clothes are required in order to protect the body

from external heat. In this country, they are required to prevent the

too rapid escape of heat from the body. For both these purposes,

dress must be of a non-conducting material, in order not to encourage

transfer of heat into or from the surrounding atmosphere.

The loss of heat by the skin may be prevented by interfering with

radiation or conduction of heat, or with evaporation from its surface.

Radiation of heat from the skin is prevented by clothing, the dress

taking the place of the skin as a radiating surface. The amount of

radiation from the dress will depend on the rapidity of conduction of

heat from the skin. The amount of conduction and of radiation of heat

will vary considerably with the _material_ and _colour_ of the dress.

As regards =conductivity=, the two extremes are represented by linen

and fur. It is found that if the conducting power for heat of linen =

100, then that of wool = 50 to 70. This partly explains why woollen

goods are so much warmer than linen. We shall find that there is

another explanation in the relative hygroscopic properties of the two

materials.

As regards =radiation= of heat, in one experiment it was found that

while a piece of linen took 10½ minutes to cool, a corresponding

piece of flannel took 11½ minutes.

Apart from the material, the =colour of dress= has some influence

in regulating the loss of heat. Dark-coloured materials absorb more

light and heat than lighter coloured materials; they may be good or

bad conductors of heat, according to the nature of the material. White

reflects the rays of light and heat; hence it is a poor absorber. In

summer it prevents the passage of heat inwards, and, in winter, may

prevent its passage from the body. It is thus well adapted for both

winter and summer clothing, and has the additional advantage of being

the cleanest colour.

Franklin placed a number of squares of different coloured cloths of the

same material on snow, and found after a time that the snow covered

by the black piece was most, and by the white piece least melted. In

another set of experiments, shirting materials dyed various colours

were taken, and it was found that if the rays of heat received by white

were represented as 100, pale straw received 102, dark yellow 140,

light green 155, Turkey red 165, dark green 168, light blue 198, black

208.

The influence of colour is antagonised to a large extent by the nature

of the material; the increased heat absorbed by a dark material may

be counterbalanced by the material being a good conductor. Also the

influence of colour is only exerted superficially; hence, although it

produces considerable effect in thin textures, as gauze, it has little

influence on thick materials.

2. _The dress should not interfere with perspiration._ In order that

it may not do this, it should be competent to absorb moisture easily,

without its surface becoming wetted. Materials like linen which lose

their porosity and rapidly become wetted by perspiration, cause rapid

loss of heat from the body, inasmuch as water is a better conductor of

heat than air. Pettenkofer found that while the maximum hygroscopic

power of wool (flannel) is 174 and the minimum 111; the maximum of

linen is 75 and the minimum 41. Hence, with a flannel vest next the

skin, the liability to chill is much less than with a linen one. There

is one slightly counterbalancing drawback; hygroscopic materials absorb

moisture from the air, as well as from the skin. A woollen coat during

a damp day, without rain, increases considerably in weight.

Waterproof clothing is injurious when worn beyond a short period, on

account of its being non-porous and consequently keeping the body

enveloped in a vapour bath composed of its own perspiration. For a

similar reason India-rubber boots are objectionable, except for short

periods; they make the feet damp, and even sodden. Sealskin jackets

are objectionable for walking, not only because of their weight, but

because they are not porous.

3. _The warmth of clothing should be uniformly distributed_ throughout

the body. This principle is very frequently departed from; and

consequently one part may be chilled while another is over-heated.

This is seen especially in female apparel. The same evil is seen in

the short sleeves, and short and low-necked dresses of young children.

“Combination” garments for women, and sleeves and leggings for young

children are happily becoming more generally adopted, and will diminish

the diseases due to exposure to cold.

4. _The clothing should not be tight_; and this for three reasons.

First, because _loose clothing is warmer_ than tight; this everyone

has experienced in the case of gloves. The retention of air in the

meshes of clothing is one of the main causes of its warmth, air being

a bad conductor of heat. The imprisonment of air in the meshes of the

material largely explains the warmth of eider-down quilts, furs, and

flannels as contrasted with linen.

Secondly, clothing should not be tight, in order _to avoid interference

with the action of the muscles_. Tight sleeves prevent the muscles of

the arms and chest from being exercised. Tightly laced corsets imprison

the trunk muscles, prevent their contractions, and so lead to muscular

weakness and occasionally spinal curvature. Tight skirts similarly

prevent free play of the lower limbs, leading to a halting gait, a

diminished amount of exercise, with all the evils following deficient

exercise. Tight clothing is not confined to one sex, and in all cases

leads to hampered movements and deficient muscularity.

Thirdly, tight clothing tends to _impede the functions of circulation,

respiration, and digestion_. The fashion which more than any other

interferes with important functions is _tight-lacing_. This produces

(1) compression and displacement of the viscera; the liver and the

stomach especially suffer. (2) Respiration and circulation are impeded,

the action of the diaphragm being impeded. (3) The muscles of the trunk

being tightly encased, are incapable of movement, and consequently

tend to waste and atrophy. The general outline of the body is altered.

Instead of the waist being elliptical, as it naturally is, it becomes

nearly circular; and instead of its circumference averaging twenty-six

to twenty-seven inches, it may be eighteen to twenty-one inches. Tight

_garters_ tend to produce varicose veins.

_Tight boots_ are injurious, as they tend to destroy the natural

elasticity of the movements, and confine them within narrow limits.

They act to some extent the part of splints. By interfering with the

circulation of blood through the feet, they cause cold feet, and not

uncommonly chilblains. _High-heeled boots_ do not allow the natural

elasticity of the foot to come into action. They distort the movements

of the body and cause corns and bunions. Similar effects are produced

by boots which are too narrow and have pointed toes, thus not allowing

free movement of the toes.

5. _The weight of the clothing should be the smallest amount consistent

with warmth, and it should be evenly distributed._ The chief weight

should not be suspended from the waist, as here the parts are not

well supported by bones. The shoulders and hips should share in the

suspension of clothing, thus diminishing the danger of compression and

displacement of internal organs. In order that garments may be as light

as possible, they should be made to fit to each limb separately, thus

diminishing the amount of material required.

6. _The materials of dress should be as far as possible

non-inflammable._ This may sometimes be disregarded, but is often

important, as in the nursery. In this respect, as in many others,

wool possesses great advantages. Woollen fabrics smoulder rather than

burst into flames, and thus the injury resulting from any accident is

limited. Cotton is more inflammable than linen, linen than silk, and

silk than wool. A closely woven cloth is less inflammable than one with

open meshes.

Dress materials, and more particularly muslin, have been rendered

non-inflammable by treating with a solution of ammonic phosphate,

or ammonic phosphate and ammonic chloride mixed. The best material,

however, is sodic tungstate, which, unlike the others, is not affected

by ironing. Sodic molybdate is used in arsenals to render the workmen’s

clothing non-inflammable. All the above plans are objectionable, as

the weight of the material is increased 18 to 29 per cent., and they

all wash out. To remedy this, a “fire-proof starch,” containing sodic

tungstate has been devised.

Perfect non-inflammability is only required in certain dangerous

occupations. The plans hitherto mentioned simply prevent the fabric

breaking out into flame. The only cloth absolutely unaffected by fire

is asbestos cloth.

7. _Elegance of dress_, although not so important as utility, is not to

be neglected, and the two are perfectly compatible. In fact, elegance

is indirectly associated with utility, for nothing which is awkward,

or leads to obstructed movements or distortions of the body, is really

elegant. A sudden constriction, as in a very tight waist, is not only

bad from a hygienic point of view, but is also ugly.

=Materials for Clothing.=—The materials used are derived partly from

the vegetable world, as hemp, flax, cotton; and partly from the animal

world, as silk, wool, hair, feathers. The most important materials are

wool, silk, cotton, and flax.

1. _Wool_ varies somewhat in character, according to the animal from

which it is derived. In all its varieties, however, it preserves the

character of a bad conducting and porous substance, the two most

important requisites in a dress material.

(1) Wool from the sheep is really a soft and elastic hair, composed of

fibres three to eight inches long, and about 1∕1000 inch thick. The

finer and shorter wools are used for fine cloth, the longer and coarser

for “poplins,” “worsted pieces,” etc. Flannel is a woollen stuff of

rather open and slight fabric. Wool is irritating to delicate skins,

and may be so much so, that it cannot be worn next the skin, whether

as flannel, worsted, or merino. In these cases, it may be worn outside

a linen or gauze vest, and so all its advantages secured. It is one of

the worst conductors of heat, and ought always to be worn in winter;

while even in summer, it ensures a greater immunity from chill after

perspiration than any other material.

(2) _Cashmere_ is made from the down found about the roots of the hair

of the Thibet goat. Imitation cashmere is made of various materials

mixed together.

[Illustration: FIG. 56.

MICROSCOPICAL APPEARANCE OF FIBRES OF A—COTTON. B—SILK. C—LINEN.

D—WOOL.]

(3) _Alpaca_ is obtained from the fleece of the llama, alpaca, and

vicuna. It is longer than the fleece of the sheep, the fibres, which

are soft and strong, averaging six inches in length. It is commonly

made up with cotton or silk.

(4) _Mohair_ is the hair of a goat inhabiting the mountains near

Angora. It is woven into an almost waterproof cloth, and used in making

plush, braid, etc.

2. _Hair_ derived from the horse or cow differs from the hair usually

called wool, in the greater solidity of its structure, which makes it

ill adapted for clothing. Its chief use is in the manufacture of felts,

of which hats are made.

3. _Leather_ is a kind of natural felt, very close and firm in its

texture. It is used in this country chiefly for boots, but in some

colder climates also for coats, etc. It is impervious to moisture, like

sealskin, and is consequently not very healthy. The same objection

applies to _chamois-leather underclothing_, which is non-porous,

and consequently keeps the skin hot and clammy; also, it cannot be

washed without becoming stiff on drying. This necessitates wearing the

material after it has become impregnated with perspiration.

4. _Silk._ The thread spun by the silk-worm is composed of filaments

1∕2000 inch wide, and is the strongest and most tenacious of textile

fabrics. Its thread is three times as strong as a thread of flax of the

same thickness, and twice as strong as a thread of hemp.

Its fibres are round like those of linen, but softer and smaller; it

gives an agreeable sensation of freshness to the skin even more than

linen. It is a worse conductor of heat than cotton or linen. Its great

disadvantage for wearing next the skin, apart from its expense, is that

it irritates delicate skins. _Satin_ is silk so prepared as to form a

smooth, polished surface.

_Velvet_ is a silk fabric of which the pile is due to the insertion of

short pieces of silk thread under the weft or cross-thread. Cheaper

kinds are made, containing a certain proportion of cotton.

_Crape_ is made of raw silk gummed and twisted to form a gauze-like

fabric. Taffety, moire, brocade, and plush are made of silk alone or

combined with cotton.

5. _Cotton_ consists of the downy hairs investing the seeds of the

gossypium plant. The threads of which it is composed are flat,

ribbon-like, and twisted, about 1∕800 to 1∕2000 inch wide. Owing to its

flat fibres with sharp edges, it is apt to irritate delicate skins;

linen is preferable for dressing wounds for a similar reason. Cotton

is warmer than linen, being a worse conductor of heat. It also absorbs

moisture better, not becoming wet so soon; but it lacks the “freshness”

which makes linen materials pleasant to wear. Calico, fustian, jean,

velveteen, and muslin are the chief cotton fabrics.

6. _Flax_ is formed from the fibres of the flax plant. Linen is made

from it. Cambric and lawn are very fine and thin linen materials. The

fibres of linen are round and pliable; thus it is smooth and soft, and

peculiarly agreeable to the skin. It is, however, a good conductor of

heat, and consequently “it feels cold” to the skin. Furthermore its

pores quickly become filled with perspiration, which escapes rapidly,

thus chilling the body.

7. _Mackintoshes_ are valuable as a temporary protection against

external wet. Worn for more than a short period, they produce great

heat and a sense of closeness, owing to retention of the perspiration.

The best form of mackintosh is one having a cape, with a space for

evaporation between it and the rest of the garment.

=The Amount of Clothing required= varies with circumstances. 1.

_Health_; those of robust constitution require less than the feeble.

The more active are digestion and assimilation, the less is the amount

of clothing required. If heat is preserved by clothing, less food is

required. Thus a distinct saving of food is effected by warm clothes.

Warm clothes are the equivalent of so much food that would have been

required to keep up the temperature of the body, if the clothes had not

been worn. Thinly clad persons under conditions of starvation die more

quickly than those who are better protected.

2. Clothing requires to be adapted to _climate and season_. In winter

and in cold climates the amount of clothing must be increased, and

warmer materials chosen. In the changeable climate of Great Britain, it

is difficult to adapt the character of one’s dress to the requirements

of the weather. _Clothing ought, however, not to be changed according

to the calendar_, but according to the weather. The tendency is to

assume summer clothing too early in the spring, and to continue it too

far into the autumn. According to Boërhave, winter clothing should be

put off on Midsummer day, and resumed the day after. This, although

rather exaggerated, may serve to impress the caution required. The same

authority says that only fools and beggars suffer from cold, the latter

not being able to procure sufficient clothes, the former not having the

sense to wear them.

3. _Age._ Those at the two extremes of life are specially susceptible

to cold. The mortality of infants during the first three months of

life is nearly doubled in winter. Bronchitis and pneumonia prove fatal

chiefly at the two extremes of age.

The younger a child the larger is its surface as compared with its

bulk, inasmuch as the area of a body varies as the square of its

dimensions, while its mass varies as their cube. Thus a cube 1 inch

each side has 6 square inches of surface to 1 cubic inch of bulk, while

a cube 10 inches each side has 600 square inches of surface to 1000

cubic inches in bulk. Similarly a child 1∕10 the size of its mother,

besides its feebler powers of producing heat, has ten times as much

surface in proportion to its size by which heat is lost.

After the age of thirty-five, it is better to exceed than to be

deficient in clothing. A degree of cold that would act as a useful

tonic to the robust and middle-aged, produces serious and even fatal

depression of the vital powers in children or aged people. For the same

reason it is advisable to discontinue cold baths as age advances.

A very pernicious delusion is prevalent, that children ought to be

“hardened” to the influences of cold, and that too much clothing “makes

them tender.” Excessive clothing may possibly increase the tendency

to “catch cold,” owing to its exciting perspiration, or owing to the

fact that the extra clothing is commonly thrown off at irregular

intervals—witness the effects of wearing a scarf round the neck

occasionally. But to suppose that children can be hardened by exposure

of arms and legs, and other parts of their bodies, is irrational.

A large amount of heat is lost from these bare surfaces, and apart

altogether from the danger of chill, more food must be taken to

compensate for this loss of heat, and keep up an equable temperature.

Also if the food taken is expended in preserving the warmth of the

unprotected body, less material is left for the purpose of growth. From

these causes it frequently happens that children remain stunted in

growth, even if latent disease is not actually developed by the extra

strain on their resources.

The children of the very poor are often pointed to as demonstrating the

power of hardening. It is forgotten how many of these poor children

have perished under the hardening system, and that the good health of

those remaining is in spite of the hardening.

=Poisonous Dyes in Clothing.=—These, like poisonous wall-papers, were

formerly much more common than at present, and, as in wall-papers, the

poisonous agent has most frequently been arsenic, large quantities

of which were formerly used in the preparation of certain dyes.

Occasionally such poisonous pigments are still employed.

The means of detecting arsenic in any fabric or wall-paper are given on

page 216.

Hygiene: a manual of personal and public health (New Edition) · 第 40 / 48 章