CHAPTER I

Produced by Juliet Sutherland, Chris Logan and the Online

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The Home Medical

Library

By

KENELM WINSLOW, B.A.S., M.D.

_Formerly Assistant Professor Comparative Therapeutics, Harvard

University; Late Surgeon to the Newton Hospital;

Fellow of the Massachusetts Medical Society, etc._

With the Cooeperation of Many Medical

Advising Editors and Special Contributors

IN SIX VOLUMES

_First Aid :: Family Medicines :: Nose, Throat, Lungs,

Eye, and Ear :: Stomach and Bowels :: Tumors and

Skin Diseases :: Rheumatism :: Germ Diseases

Nervous Diseases :: Insanity :: Sexual Hygiene

Woman and Child :: Heart, Blood, and Digestion

Personal Hygiene :: Indoor Exercise

Diet and Conduct for Long Life :: Practical

Kitchen Science :: Nervousness

and Outdoor Life :: Nurse and Patient

Camping Comfort :: Sanitation

of the Household :: Pure

Water Supply :: Pure Food

Stable and Kennel_

NEW YORK

The Review of Reviews Company

1907

Medical Advising Editors

Managing Editor

ALBERT WARREN FERRIS, A.M., M.D.

_Former Assistant in Neurology, Columbia University; Former Chairman,

Section on Neurology and Psychiatry, New York Academy of Medicine;

Assistant in Medicine, University and Bellevue Hospital Medical

College; Medical Editor, New International Encyclopedia._

Nervous Diseases

CHARLES E. ATWOOD, M.D.

_Assistant in Neurology, Columbia University; Former Physician, Utica

State Hospital and Bloomingdale Hospital for Insane Patients; Former

Clinical Assistant to Sir William Gowers, National Hospital, London._

Pregnancy

RUSSELL BELLAMY, M.D.

_Assistant in Obstetrics and Gynecology, Cornell University Medical

College Dispensary; Captain and Assistant Surgeon (in charge),

Squadron A, New York Cavalry; Assistant in Surgery, New York

Polyclinic._

Germ Diseases

HERMANN MICHAEL BIGGS, M.D.

_General Medical Officer and Director of Bacteriological Laboratories,

New York City Department of Health; Professor of Clinical Medicine in

University and Bellevue Hospital Medical College; Visiting Physician

to Bellevue, St. Vincent's, Willard Parker, and Riverside Hospitals._

The Eye and Ear

J. HERBERT CLAIBORNE, M.D.

_Clinical Instructor in Ophthalmology, Cornell University Medical

College; Former Adjunct Professor of Ophthalmology, New York

Polyclinic; Former Instructor in Ophthalmology in Columbia University;

Surgeon, New Amsterdam Eye and Ear Hospital._

Sanitation

THOMAS DARLINGTON, M.D.

_Health Commissioner of New York City; Former President Medical Board,

New York Foundling Hospital; Consulting Physician, French Hospital;

Attending Physician, St. John's Riverside Hospital, Yonkers; Surgeon

to New Croton Aqueduct and other Public Works, to Copper Queen

Consolidated Mining Company of Arizona, and Arizona and Southeastern

Railroad Hospital; Author of Medical and Climatological Works._

Menstruation

AUSTIN FLINT, JR., M.D.

_Professor of Obstetrics and Clinical Gynecology, New York University

and Bellevue Hospital Medical College; Visiting Physician, Bellevue

Hospital; Consulting Obstetrician, New York Maternity Hospital;

Attending Physician, Hospital for Ruptured and Crippled, Manhattan

Maternity and Emergency Hospitals._

Heart and Blood

JOHN BESSNER HUBER, A.M., M.D.

_Assistant in Medicine, University and Bellevue Hospital Medical

College; Visiting Physician to St. Joseph's Home for Consumptives;

Author of "Consumption: Its Relation to Man and His Civilization; Its

Prevention and Cure."_

Skin Diseases

JAMES C. JOHNSTON, A.B., M.D.

_Instructor in Pathology and Chief of Clinic, Department of

Dermatology, Cornell University Medical College._

Diseases of Children

CHARLES GILMORE KERLEY, M.D.

_Professor of Pediatrics, New York Polyclinic Medical School and

Hospital; Attending Physician, New York Infant Asylum, Children's

Department of Sydenham Hospital, and Babies' Hospital, N. Y.;

Consulting Physician, Home for Crippled Children._

Bites and Stings

GEORGE GIBIER RAMBAUD, M.D.

_President, New York Pasteur Institute._

Headache

ALONZO D. ROCKWELL, A.M., M.D.

_Former Professor Electro-Therapeutics and Neurology at New York

Post-Graduate Medical School; Neurologist and Electro-Therapeutist to

the Flushing Hospital; Former Electro-Therapeutist to the Woman's

Hospital in the State of New York; Author of Works on Medical and

Surgical Uses of Electricity, Nervous Exhaustion (Neurasthenia), etc._

Poisons

E. ELLSWORTH SMITH, M.D.

_Pathologist, St. John's Hospital, Yonkers; Somerset Hospital,

Somerville, N. J.; Trinity Hospital, St. Bartholomew's Clinic, and the

New York West Side German Dispensary._

Catarrh

SAMUEL WOOD THURBER, M.D.

_Chief of Clinic and Instructor in Laryngology, Columbia University;

Laryngologist to the Orphan's Home and Hospital._

Care of Infants

HERBERT B. WILCOX, M.D.

_Assistant in Diseases of Children, Columbia University._

Special Contributors

Food Adulteration

S. JOSEPHINE BAKER, M.D.

_Medical Inspector, New York City Department of Health._

Pure Water Supply

WILLIAM PAUL GERHARD, C.E.

_Consulting Engineer for Sanitary Works; Member of American Public

Health Association; Member, American Society Mechanical Engineers;

Corresponding Member of American Institute of Architects, etc.; Author

of "House Drainage," etc._

Care of Food

JANET MCKENZIE HILL

_Editor, Boston Cooking School Magazine._

Nerves and Outdoor Life

S. WEIR MITCHELL, M.D., LL.D.

_LL.D. (Harvard, Edinburgh, Princeton); Former President, Philadelphia

College of Physicians; Member, National Academy of Sciences,

Association of American Physicians, etc.; Author of essays: "Injuries

to Nerves," "Doctor and Patient," "Fat and Blood," etc.; of scientific

works: "Researches Upon the Venom of the Rattlesnake," etc.; of

novels: "Hugh Wynne," "Characteristics," "Constance Trescott," "The

Adventures of Francois," etc._

Sanitation

GEORGE M. PRICE, M.D.

_Former Medical Sanitary Inspector, Department of Health, New York

City; Inspector, New York Sanitary Aid Society of the 10th Ward, 1885;

Manager, Model Tenement-houses of the New York Tenement-house Building

Co., 1888; Inspector, New York State Tenement-house Commission, 1895;

Author of "Tenement-house Inspection," "Handbook on Sanitation," etc._

Indoor Exercise

DUDLEY ALLEN SARGENT, M.D.

_Director of Hemenway Gymnasium, Harvard University; Former President,

American Physical Culture Society; Director, Normal School of Physical

Training, Cambridge, Mass.; President, American Association for

Promotion of Physical Education; Author of "Universal Test for

Strength," "Health, Strength and Power," etc._

Long Life

SIR HENRY THOMPSON, Bart., F.R.C.S., M.B. (Lond.)

_Surgeon Extraordinary to His Majesty the King of the Belgians;

Consulting Surgeon to University College Hospital, London; Emeritus

Professor of Clinical Surgery to University College, London, etc._

Camp Comfort

STEWART EDWARD WHITE

_Author of "The Forest," "The Mountains," "The Silent Places," "The

Blazed Trail," etc._

[Illustration: A DESIRABLE METHOD OF CARRYING THE INJURED.

By this plan even the unconscious victim of an accident may be

transported a long distance, because the bearers' hands are left

entirely free and thus prevented from becoming cramped or tired, as

when a "seat" is made with clasped hands. In the method illustrated

above the patient is placed in a seat made by tying a blanket, sheet,

rope, or strap in the form of a ring. Each bearer then places his

inner arm about the patient's body and with his outer hand holds the

patient's arm around his neck.]

The Home Medical

Library

Volume I

FIRST AID IN EMERGENCIES

By KENELM WINSLOW, B.A.S., M.D. (Harv.)

_Formerly Assistant Professor Comparative Therapeutics, Harvard

University; Late Surgeon to the Newton Hospital; Fellow of the

Massachusetts Medical Society, etc._

ASSISTED BY

ALBERT WARREN FERRIS, A.M., M.D.

_Former Assistant in Neurology, Columbia University; former Chairman,

Section on Neurology and Psychiatry, New York Academy of Medicine;

Assistant in Medicine, University and Bellevue Hospital Medical

College; Medical Editor, "New International Encyclopedia"_

GERM DISEASES

By KENELM WINSLOW, B.A.S., M.D. (Harv.)

NEW YORK

The Review of Reviews Company

1907

Copyright, 1907, by

THE REVIEW OF REVIEWS COMPANY

THE TROW PRESS, NEW YORK

_Contents_

PART I

CHAPTER PAGE

I. RESTORING THE APPARENTLY DROWNED 27

Reviving the Patient--How to Expel Water from the

Stomach and Chest--Instructions for Producing

Respiration--When Several Workers are at Hand--When

One must Work Alone--How to Save a Drowning Person.

II. HEAT STROKE AND ELECTRIC SHOCK 39

First-aid Rules--Symptoms of Heat

Exhaustion--Treatment of Heat Prostration--What to

Do in Case of Electric Shock--Symptoms--Artificial

Respiration--Mortality in Lightning Strokes.

III. WOUNDS, SPRAINS, AND BRUISES 50

Treatment of Wounds--Bleeding from Arteries and

Veins--Punctured Wounds--Oozing--Lockjaw--Bruises--

Abrasions--Sprains and Their Treatment--Synovitis--

Bunions and Felons--Weeping Sinew--Foreign Bodies in

Eye, Ear, and Nose.

IV. FRACTURES 80

How to Detect Broken Bones--Fracture of Rib and

Collar Bone--Instructions for Applying

Dressings--Bandage for Broken Jaw--Fracture of

Shoulder-blade, Arm, Hip, Leg, and Other

Bones--Compound Fractures.

V. DISLOCATIONS 118

Varieties of Dislocations--Method of Reducing a

Dislocated Jaw--A Dislocated Shoulder--Indications

when Elbow is Out of Joint--Dislocation of Hip,

etc.--Forms of Bandages.

VI. ORDINARY POISONS 139

Unknown Poisons--Symptoms and Antidotes--Poisoning

by Carbolic and Other Acids--Alkalies--Metal

Poisoning--Aconite, Belladonna, and Other

Narcotics--Chloral--Opium, Morphine, Laudanum,

Paregoric, and Soothing Sirups--Tobacco, Strychnine,

etc.

VII. FOOD POISONS 147

Poisons in Shellfish and Other Food--Symptoms and

Remedies--How Bacteria are Nourished--Infected Meat

and Milk--Treatment of

Tapeworm--Trichiniasis--Potato Poisoning.

VIII. BITES AND STINGS 155

Country and City Mosquitoes--How Yellow Fever is

Communicated--Treatment of Mosquito Bites--Bee,

Wasp, and Hornet Stings--Lice--Fleas and

Flies--Centipedes and Scorpions--Spiders--Poisonous

Snakes--Cat and Dog Bites.

IX. BURNS, SCALDS, FROSTBITES, ETC. 171

General Rules for Treating Burns and Scalds--Hints

on Dressings--Burns Caused by Acids and

Alkalies--Remedies for Frostbite--Care of Blisters

and Sores--Chilblains--Ingrowing Toe Nails--Fainting

and Suffocation--Fits.

PART II

I. CONTAGIOUS MALADIES 191

Symptoms and Treatment of Scarlet

Fever--Diagnosis--Duration of Contagion--Difference

Between True and German Measles--Smallpox--Cure a

Matter of Good Nursing--Chickenpox.

II. INFECTIOUS DISEASES 221

Typhoid Fever--Symptoms and Modes of

Communication--Duration of the Disease--The Death

Rate--Importance of Bathing--Diet--Remedies for

Whooping Cough--Mumps--Erysipelas.

III. MALARIA AND YELLOW FEVER 247

Malaria Caused by Mosquitoes--Distribution of the

Disease--Severe and Mild Types--Prevention and

Treatment--Yellow Fever not a Contagious

Disease--Course of the Malady--Watchful Care and

Diet the only Remedies.

INDEX

_To First Aid and General Topics_

NOTE.--The Roman numerals I, II, III, IV, V, and VI indicate the

volume; the Arabic figures 1, 2, 3, etc., indicate the page number.

Abrasions, I, 64

Abscess, alveolar, II, 58

Acids, burns by, I, 176, 177

poisoning by, I, 140

Acne, II, 145

Adenoids, II, 61

Adulterated food, tests for, V, 91

Adulteration of food, V, 87

Ague, I, 247

cake, I, 254

Air-bath, the, IV, 159

Albumen, IV, 262

Alcohol, use of, IV, 44, 153

Alcoholic drinks, IV, 153

Alcoholism, III, 47, 52

Algae, remedy for, V, 56

Alkalies, burns by, I, 177

poisoning by, I, 140

Amenorrhoea, III, 75

Anaemia, III, 174

Ankle, sprain of, I, 65, 67, 68

Ankle-joint fracture, I, 115

Antitoxin, II, 77

Apoplexy, III, 49

Appendicitis, III, 256

Arm, fracture of, I, 91

Arteries, systemic, III, 168

Artery, bleeding from an, I, 51, 52

Arthritis, II, 177

Artificial respiration, I, 28

Asthma, II, 104

Astigmatism, II, 26

Athletics, home, IV, 69

Auricles of the heart, III, 168

=BABY=, bathing the, III, 109

care of the, III, 108

clothing of the, III, 110

diet for the, III, 134

food for the, III, 132; IV, 261

nursing the, III, 114

teething, III, 113

temperature of the, III, 110

weaning the, III, 117

weighing the, III, 112

Bacteria, destruction of, V, 238-253

in food, I, 147-154

in soil, V, 135

Baldness, II, 167; IV, 21

=BANDAGES=, I, 133

forms of, I, 132, 134, 136, 137

for bruises, I, 62-64

for fractures, I, 83-117

for sprains, I, 65-72

for wounds, I, 51-61

Barley water, IV, 263

Bathing, indoor, IV, 19, 155

outdoor, IV, 16

in convulsions, III, 35

in malaria, I, 259

in pneumonia, II, 94

in scarlet fever, I, 197

in skin irritations, II, 140

in smallpox, I, 216

in typhoid fever, I, 231

in yellow fever, I, 266

=BATHS=, cold, IV, 15

foot, IV, 157

hot, IV, 19, 156

tepid, IV, 19

Turkish, IV, 20, 159

warm, IV, 19

Bed sores, I, 233

Bed-wetting, II, 213

Bee stings, I, 158

Beef, broth, IV, 261

juice, IV, 262

parts of, IV, 198

scraped, IV, 262

tea, IV, 261

Bellyache, III, 247

Bilious fever, I, 247

Biliousness, III, 184

=BITES=, cat, I, 170

dog, I, 170

flea, I, 162

fly, I, 164

lice, clothes, I, 161

lice, crab, I, 162

lice, head, I, 160

mosquito, I, 155

snake, I, 166

spider, I, 164

tarantula, I, 164

wood tick, I, 159

Black eye, II, 14

Blackheads, II, 145

Black water fever, I, 256

Bladder, inflammation of the, II, 215

stone in the, III, 264

=BLEEDING=, from an artery, I, 51, 52

from a vein, I, 51, 52

from punctured wounds, I, 52, 53

from the lungs, I, 62

from the nose, I, 61

from the scalp, I, 60

from the stomach, I, 62

from the womb, III, 82

Blood, deficiency of, III, 174

oozing of, I, 54

Bloody flux, III, 222

Boils, II, 157

Bottles, milk, III, 128

Bowel, prolapse of the, III, 143

=BOWELS=, catarrh of the, III, 205

diseases of the, III, 205

inflammation of the, III, 252

obstruction of the, III, 268

passages from the, IV, 247

Bowleg, III, 162

Brain, anatomy of the, III, 22

arteries of the, III, 22

autopsies of the, II, 230

Breasts, care of, after childbirth, III, 105

inflammation of the, III, 140

Breath, holding the, III, 153

Breathing, how to test the, IV, 248

to produce artificial, I, 28, 34, 43, 178, 186

Bright's disease, acute, II, 220

chronic, II, 222

=BROKEN BONE=, I, 80

ankle, I, 115

arm, I, 91

collar bone, I, 85

finger, I, 101

forearm, I, 94

hand, I, 101

hip, I, 104

how to tell a, I, 80

jaw, I, 89

kneepan, I, 109

leg, I, 111

rib, I, 83

shoulder blade, I, 91

thigh, I, 106

wrist, I, 99

Bronchial tubes, diseases of the, II, 87

Bronchitis, II, 88, 91

Broth, beef, IV, 261

chicken, IV, 261

clam, IV, 263

mutton, IV, 261

oyster, IV, 267

veal, IV, 261

=BRUISES=, bandages for, I, 63

treatment of, I, 62, 63

Bunion, I, 72

=BURNS=, I, 171

about the eyes, II, 16

from acids, I, 176

from alkalies, I, 177

from electric shock, I, 45

first class, I, 172

second class, I, 172

third class, I, 173

severe, I, 174

Callus of the skin, II, 156

Camp comfort (See Contents VI)

Camp cookery (See Contents VI)

Camp cure (See Contents VI)

=CAMPING=, in the North Woods, VI, 195

in the Western Mountains, VI, 214

outfit, VI, 212

Cancer, II, 123

of the breast, II, 124

of the lip, II, 125

of the stomach, II, 125

of the womb, II, 125

Canker, II, 68

Capillaries, systemic, III, 168

Carbuncle, II, 161

Carotid arteries, III, 22

Catarrh, II, 41, 54, 55

of the bowels, III, 205

effect of, on the ears, II, 38, 41

of the stomach, III, 185

Catarrhal deafness, II, 39

inflammation of eye, II, 18

Cat bite, I, 170

Catheter, how to use a, II, 219; IV, 252

Centipede sting, I, 164

Cereals as food, IV, 35, 229

Cerebellum, III, 22

Cerebral arteries, III, 22

Chafing, II, 142

Chagres fever, I, 256

Change of life, III, 70

Chapping, II, 142

Chicken broth, IV, 261

Chickenpox, I, 217

Chilblains, I, 182

Childbed fever, III, 107

Childbirth, after-pains in, III, 105

articles needed during, III, 96

bleeding after, III, 86

care after, III, 103

care in, III, 98

=CHILDREN, DISEASES OF=, III, 140

adenoids, II, 61

bed-wetting, II, 213

bowel, prolapse of the, III, 143

bowels, catarrh of the, III, 209

bowleg, III, 162

breath, holding the, III, 153

breasts, inflammation of the, III, 140

chickenpox, I, 217

cholera infantum, III, 211

chorea, III, 155

colic, III, 267

constipation, III, 238

convulsions, III, 34

cord, bleeding of the, III, 142

cough, II, 91

croup, II, 83

diarrhea, III, 208, 209

diphtheria, II, 77

dysentery, III, 213

epilepsy, III, 39

earache, II, 48

fever, III, 146

food for, III, 132-139

foreskin, adhering, III, 141

glands, enlarged, III, 149

hip disease, III, 161

holding the breath, III, 153

knock knees, III, 163

larynx, spasm of the, III, 153

measles, I, 198

German measles, I, 203

membranous croup, II, 79

milk poisoning, III, 209, 211

mumps, I, 235

navel, sore, III, 142

pains, growing, III, 146

Pott's disease, III, 157

rickets, III, 151

ringworm, II, 149

rupture, II, 128

scarlatina, I, 192

scarlet fever, I, 192

scrofula, III, 149

scurvy, II, 182

sore mouth, II, 65

spine, curvature of the, III, 157, 159

St. Vitus's Dance, III, 155

stomach, catarrh of the, III, 209

urine, painful passage of, III, 141

urine, retention of, III, 141

wasting, III, 144

whooping cough, I, 238

worms, III, 240

Chills and fever, I, 247

Cholera, III, 228

infantum, III, 211

morbus, III, 226

Chorea, III, 158

Cinder in the eye, I, 176; II, 13

Circulation, the, III, 168

Circumcision, III, 142

Clam broth, IV, 263

Climacteric, the, III, 70

Clothing, proper, IV, 22

Cochlea, II, 46

Coffee, use of, IV, 43

Cold, exposure to, I, 181

in the head, II, 55

sore, II, 147

=COLIC=, III, 247

gallstone, III, 261

in babies, III, 267

intestinal, III, 249

mucous, III, 219

renal, III, 263

Collar-bone fracture, I, 85

Complexion, the, IV, 20

Confinement, III, 97

Congestion of the eyelid, II, 17

Conjunctivitis, II, 16, 18

Constipation, in adults, III, 233

in children, 238

Consumption, II, 96

fresh-air treatment for, II, 102

outdoor life for, VI, 72

prevention of, II, 104

Contagion, in cholera, 229

in conjunctivitis, II, 19

in diphtheria, II, 80

in eruptive fever, I, 191-220

in gonorrhea, II, 199

in grippe, II, 108

in mumps, I, 236

in syphilis, II, 206, 209

in whooping cough, I, 238

=CONTAGIOUS DISEASES=, I, 191

Convalescence (See Contents VI)

Convulsions, in children, III, 34

in adults, I, 188

=COOKING= (See Contents IV)

baking, IV, 171

boiling, IV, 180

braising, IV, 182

broiling, IV, 172

camp, VI, 220

cereals, IV, 229

eggs, IV, 184

entrees, IV, 219

fish, IV, 188

frying, IV, 175

game, IV, 202

poultry, IV, 202

roasting, IV, 171

sauces, IV, 216

sauteing, IV, 174

shellfish, IV, 195

soups, IV, 207

stewing, IV, 181

time of, IV, 177

utensils, IV, 232

vegetables, IV, 223

Copper sulphate method, V, 52

Copper vessels, use of, V, 67

Cord, bleeding of the, III, 142

Corns, II, 154

Costiveness, III, 233

=COUGH=, acute, II, 87, 91

whooping, I, 238

Cricoid cartilage, II, 70

Cross eye, II, 33

Croup, membranous, II, 79

ordinary, II, 83, 92

Curvature of the spine, III, 157, 159

Cystitis, II, 215

Dandruff, II, 167

Deafness, catarrhal, II, 39

chronic, II, 36

temporary, II, 33

Delirium tremens, III, 50

=DIARRHEA=, acute, III, 205

chronic, III, 217

of children, III, 208, 209

=DIET=, IV, 26, 107, 123, 138, 153

animal, IV, 39

details of, IV, 146

errors of, IV, 107

for babies, III, 132

for brain workers, IV, 126

for long life, IV, 107

for the aged, IV, 112

proper, IV, 138

relation to climate, IV, 108

rules for, IV, 110, 123

simplicity of, IV, 138

vegetable and animal, IV, 39

Digestion, effect of dress on, IV, 42

hygiene of, IV, 26

processes of, IV, 28

Diphtheria, II, 77

=DISINFECTANTS=, chemical, V, 243

physical, V, 240

solutions for, V, 247

Disinfection, V, 238

of rooms, V, 249

=DISLOCATIONS=, elbow, I, 125

hip, I, 129

jaw, I, 118, 120

knee, I, 119

shoulder, I, 122

Dog bite, I, 170

Doses of drugs, IV, 255

Dressings, for bruises, I, 63, 64

for wounds, I, 53, 57

surgical, I, 131

Drink, nutritious, IV, 118

Drinking, steady, III, 52

=DROWNED=, arousing the, I, 27

producing respiration in the, I, 28, 34

restoring the, I, 27

saving the, I, 36

Drowning person, death grasp of a, I, 37

saving a, I, 36

swimming to relief of a, I, 36

Drugs, doses of, IV, 255

Drum membrane, II, 33, 43, 45, 46, 48

Dysentery, in adults, III, 222

in children, III, 213

Dysmenorrhea, III, 71

=DYSPEPSIA=, III, 185

causes of, IV, 27

nervous, III, 190

=EAR=, anatomy of the, II, 33, 37, 46

diseases of the, II, 33

foreign bodies in the, I, 78; II, 39

water in the, II, 42

wax in the, II, 35

Earache, II, 40

moderate, II, 48

Eating, proper mode of, IV, 140-149

Eczema, II, 163

climatic, II, 164

occupation, II, 164

seborrheic, II, 164, 165, 167

Eggnog, IV, 268

Eggs, as food, IV, 33, 184

soft-boiled, IV, 266

Egg water, IV, 262

Elbow, dislocation of, I, 125

=ELECTRIC SHOCK=, I, 43, 46

Enteric fever, I, 221

Enteritis, catarrhal, III, 205

Entero-colitis, III, 209

Enteroptosis, IV, 43

Environment, importance of, III, 65

Epiglottis, II, 70

Epilepsy, III, 39

spasms in, III, 39

without spasms, III, 40

Erysipelas, I, 244

Eustachian tube, II, 37, 38, 41, 46, 49, 50

Exhaustion, mental and nervous, VI, 91-145

=EXERCISE=, IV, 48, 66

corrective, IV, 57

effect of, IV, 51

excessive, IV, 52

for all-round development, IV, 59, 101

for boyhood, IV, 69

for children, IV, 67

for elderly men, IV, 79

for everyone, IV, 66

for girls, IV, 73

for middle-aged men, IV, 77

for women, IV, 76

for young men, IV, 71

for youth, IV, 69

home, IV, 57

regular, IV, 53, 58

results of, IV, 98

without apparatus, IV, 57

=EYE=, anatomy of the, II, 30

astigmatism of the, II, 26 black, II, 14

catarrhal inflammation of the, II, 18

cinder in the, I, 76

cross, II, 33

diseases of the, II, 13

farsighted II, 21

foreign bodies in the, I, 76; II, 13

hyperopic, II, 22

lens of the, II, 30

muscles of the, II, 30

nearsighted, II, 25

pink, II, 19

retina of the, II, 30

sore, II, 16

strain, II, 21

wounds and burns of the, II, 16

Eyelid, congestion of the, II, 17

stye on the, II, 15

twitching of the, II, 15

Eye muscles, weakness of the, II, 28

Eye-strain, II, 21

Facial, neuralgia, III, 28

paralysis, III, 25

=FAINTING=, I, 185; III, 45

Farsightedness, II, 21

Fat as a food, IV, 35

Fatigue, causes of, IV, 50

Felon, I, 74, 75

=FEVER=, bilious, I, 247

black water, I, 256

Chagres, I, 256

chills and, I, 247

enteric, I, 221

gastric, III, 179

intermittent, I, 247

marsh, I, 247

remittent, I, 247

rheumatic, II, 169

scarlet, I, 192

swamp, I, 247

typhoid, I, 221

yellow, I, 261

Fever blister, II, 147

Fevers, eruptive contagious, I, 191

Fish as food, IV, 188

Finger, fracture of, I, 101

=FIT=, I, 188

Flea bites, I, 162

Fly bites, I, 164

Food, adulteration of, V, 87

containing parasites, I, 152

elements of, IV, 29

for babies, III, 132; IV, 261

for the sick, IV, 261

infected, I, 150

laws, V, 88

poisoning, I, 147

preparation of, IV, 171

pure, selection of, V, 89

Foods, advertised, IV, 116

Foot gear, IV, 24

Forearm fracture, I, 94

=FOREIGN BODIES=, in the ear, I, 78; II, 39

in the eye, I, 76; II, 13

in the nose, I, 79; II, 53

Foreskin, adhering, III, 141

Fourth-of-July accidents, I, 56

=FRACTURE= (See Broken Bone)

Colles', I, 99

compound, I, 80, 116

how to tell a, I, 81

simple, I, 80

Freckles, II, 150

Freezing, I, 178

=FROSTBITE=, I, 178, 180

Gallstone colic, III, 261

Ganglion, I, 75

Garbage, disposal of, V, 171

Gastric fever, III, 179

Genito-urinary diseases, II, 199

Germs (See Bacteria)

Girls, exercises for, IV, 73

physical training for, IV, 72; VI, 39

Glands, enlarged, III, 149

Gonorrhea, II, 199

in women, II, 203; III, 90

Gout, common, II, 183

rheumatic, II, 177

Grippe, la, II, 56, 108

Growing pains, III, 146

Hair, the, IV, 21

Hallucinations, II, 232

Hand, anatomy of the, III, 30

arteries of the, III, 30

fracture of the, I, 101

nerves of the, III, 30

tendons of the, III, 30

=HEADACHE=, constant, II, 120

due to disease, II, 117

due to eye strain, II, 29

due to heat stroke, II, 120

due to indigestion, II, 115

due to poisoning, II, 118

nervous, II, 117

neuralgic, II, 117

sick, II, 113

sympathetic, II, 116

Head gear, IV, 24, 160

Head injuries, III, 46

=HEART=, anatomy of the, III, 167, 168

enlargement of the, III, 169

palpitation of the, III, 171

Heart disease, III, 167

Heat exhaustion, I, 39, 40

Heating, cost of, V, 254

methods of, V, 161

=HEAT STROKE=, I, 39, 41

Hemorrhage (See Bleeding)

Hemorrhoids, II, 135

Heredity, III, 57

in consumption, II, 97

Hernia, II, 128 (See Rupture)

strangulated, II, 129

umbilical, II, 128

ventral, II, 128

Hiccough or hiccup, III, 21

Hip disease, III, 161

Hip, dislocation of, I, 129

fracture of, I, 104

Hives, II, 143

Hoarseness, II, 80

Hornet stings, I, 158

"Horrors," the, III, 50

House, proper construction of, V, 141

Housemaid's knee, I, 72

Hypodermic syringe, the, IV, 250

Hysteria, VI, 20

=INDIGESTION=, acute, III, 178

a result of errors, IV, 130

chronic, III, 185

intestinal, III, 202

not disease, IV, 134

Infants, bathing, III, 109

care of, III, 108

clothing for the, III, 110

feeding of, III, 118

Infection, V, 238

in erysipelas, I, 244

in malaria, I, 247

in typhoid fever, I, 221

in yellow fever, I, 261

=INFECTIOUS DISEASES=, I, 221

Influenza, II, 108

Ingrowing toe nail, I, 184

Injections, III, 238, 239

=INJURED, CARRYING THE=, I, Frontispiece

Insane, criminal, II, 234

delusions of the, II, 233

illusions of the, II, 231

sanitariums for the, II, 245

Insanity, II, 229; VI, 164

causes of, II, 239

false ideas regarding, II, 241

physical signs of, II, 235

prevention of, II, 240

types of, II, 236

Insensibility, III, 44

Insomnia, III, 23

Intermittent fever, I, 247

Invalids, care of, VI, 155

Itching, II, 139

Ivy poison, II, 152

Jaundice, III, 180

Jaw, dislocation of, I, 118, 120

fracture of, I, 89

Joint, injury of a, I, 65, 69

Junket, IV, 266

Kerosene, extermination of mosquitoes by, V, 77

Kidneys, inflammation of the, II, 220

Bright's disease of the, II, 219

stone in the, III, 265

Knee, dislocation of, I, 119

sprain of, I, 67, 70

Kneepan fracture, I, 109

Knock knees, III, 163

Laryngitis, II, 80

Larynx, anatomy of the, II, 70

spasm of the, III, 153

Leeches, use of, II, 43

Leg bones, fracture of, I, 111, 116

Leucorrhoea, III, 86

Lice, body, I, 161

clothes, I, 161

crab, I, 162

head, I, 160

Life-saving service, U. S., I, 27

Lightning stroke, I, 43

Limewater, IV, 268

=LOCKJAW=, I, 56

Long life, rules for (See Contents IV, Part III)

Lotions, II, 145, 151, 152, 155, 166

Lues, II, 206

Lumbago, II, 173

=LUNGS=, bleeding from the, I, 62

diseases of the, II, 87

inflammation of the, II, 93

tuberculosis of the, II, 96

=MALARIA=, I, 247

chronic, I, 253

mosquito as cause of, I, 157, 247

pernicious, I, 255

remittent, I, 254

Malt soup, IV, 267

Marasmus, III, 144

Marketing, hints on, IV, 232

Marriage relations, II, 197

Marsh fever, I, 247

Measles, common, I, 198

German, I, 203

Meat as food, IV, 32

Median nerve, III, 30

Medicine chest, contents of the, IV, 243

=MEDICINES, PATENT=, II, 245

antiphlogistine, II, 258

belladonna plasters, II, 257

dangers of, II, 260

hamamelis, II, 255

headache powders, II, 262

Listerine, II, 256

Platt's Chlorides, II, 259

Pond's Extract, II, 255

proprietary, II, 246

Scott's Emulsion, II, 257

vaseline, II, 254

witch-hazel, II, 255

Medulla oblongata, III, 22

Membranous croup, II, 79

Menopause, the, III, 70

Menstruation, III, 67

absence of, III, 75

arrest of, III, 79

cessation of, III, 78

delayed, III, 79

painful, III, 71

scanty, III, 79

Metals, poisoning by, I, 141

Miliaria, II, 148

=MILK=, as food, IV, 33

curd, IV, 266

mixtures, III, 124

peptonized, IV, 264

poisoning, III, 209, 211

porridge, IV, 267

Mind cure, VI, 31

disorder of the, II, 229

Miscarriage, danger of, III, 80

=MOSQUITO= bites, I, 155, 158; V, 71

destruction of the, I, 258; V, 75

exterminating the, V, 70

malaria due to the, I, 248

yellow fever due to the, I, 261; V, 70

Motor nerve, III, 38

Mouth-breathing, II, 60

Mouth, inflammation of the, II, 64

sore, II, 64

Mumps, I, 235

Muscular action, IV, 48

development, by will power, IV, 63

=MUSHROOM POISONING=, V, 112

Mushrooms, edible, V, 115

how to tell, V, 114

poisonous, V, 124

Mutton broth, IV, 261

Myalgia, II, 173

Myopia, II, 25

Narcotics, poisoning by, I, 142

Nasal cavity, II, 54

Navel, sore, III, 142

Nearsightedness, II, 25

Nervous debility, III, 13

diseases, III, 13

exhaustion, III, 13; VI, 70, 167

=NERVOUSNESS= (See Contents VI)

remedy for, VI, 70, 167; III, 20

Nervous system, reflex action of the, III, 38

Nettlerash, II, 143

Neuralgia, III, 27

facial, III, 28

of the chest, III, 29

Neurasthenia, III, 13

=NOSE=, anatomy of the, II, 54

bleeding from the, II, 51

catarrh of the, II, 55

diseases of the, II, 51

foreign bodies in the, I, 79; II, 53

obstructions in the, II, 60

septum of the, II, 51, 54, 61

Nosebleed, I, 61; II, 51

Nostrum, II, 248

Nurse and patient (See Contents VI)

Nurse, selection of the, VI, 150

Nursing, VI, 146

Oatmeal water, IV, 263

Olfactory nerves, III, 22

Oozing of blood, I, 54, 55

Optic nerves, III, 22

=OUTDOOR LIFE= (See Contents VI)

for consumption, VI, 72

for nervous exhaustion, VI, 70, 167

Overworked, hints for the, VI, 91

Oyster broth, IV, 267

Palmar arch, III, 30

Pains, growing, III, 146

Palpitation of the heart, III, 171

Paralysis, facial, III, 25

Paranoia, II, 237

Parasites, malarial, I, 247

yellow fever, I, 261

Paresis, II, 237

Patent medicines, II, 247

Peritonitis, III, 252

Petit mal, III, 40

Pharyngitis, II, 69

Phthisis, II, 96

Pigeon breast, II, 63

Piles, external, II, 135

internal, II, 136

Pimples, II, 145

Pink eye, II, 19

Plumbing, connections, V, 194

defects in, V, 231

drains, V, 206

fixtures, V, 216

joints, V, 194

pipes, V, 191, 206

tests, 233

traps, V, 198

Pneumonia, II, 93

=POISONING= (See Poisons)

by canned meats, I, 150

by fish, I, 148

by meat, I, 148, 150, 151

by milk, I, 148, 150, 151

food, bacterial, I, 147

food, containing parasites, I, 152

food, infected, I, 150

mushroom, V, 112

potato, I, 154

Poison ivy, II, 152

=POISONS=, acetanilid, I, 146

acid, carbolic, I, 140

acid, nitric, I, 140

acid, oxalic, I, 140

acid, sulphuric, I, 140

acids, I, 140

aconite, I, 142

alcohol, I, 143

alkalies, I, 140

ammonia, I, 141

antidotes, I, 139

antimony, I, 142

arsenic, I, 141

belladonna, I, 142

bichloride of mercury, I, 141

blue vitriol, I, 141

bug poison, I, 141

camphor, I, 142

caustic soda, I, 141

chloral, I, 143

cocaine, I, 145

copper, I, 141

corrosive sublimate, I, 141

digitalis, I, 142

ergot, I, 142

Fowler's solution, I, 141

headache powders, I, 146

hellebore, I, 142

ivy, II, 152

knockout drops, I, 143

laudanum, I, 144

lobelia, I, 142

lye, I, 141

matches, I, 142

mercury, I, 141

metals, I, 141

morphine, I, 144

narcotics, I, 142

nux vomica, I, 145

opium, I, 144

paregoric, I, 144

Paris green, I, 141

phenacetin, I, 146

phosphorus, I, 142

potash, I, 141

"rough on rats," I, 141

silver nitrate, I, 141

sleeping medicines, I, 143

soothing sirup, I, 144

strychnine, I, 145

tartar emetic, I, 142

tobacco, I, 144

unknown, I, 139

verdigris, I, 141

washing soda, I, 141

white precipitate, I, 141

Polypi, II, 54, 62

Pons Varolii, III, 22

Pott's disease, III, 157

Poultry as food, IV, 201

Pox, II, 206

Pregnancy, III, 91

diet during, III, 91

exercise during, III, 91

mental state during, III, 95

signs of, III, 80, 93

Prickly heat, II, 148

Proprietary medicines, II, 248

Pruritus, II, 139

Pulse, how to feel the, IV, 247

Punctured wound, bleeding from, a, I, 52, 53

Pure food bill, II, 249

=PURE FOOD, SELECTION OF=, V, 89-111

canned articles, V, 107

cereals, V, 98

chocolate, V, 107

cocoa, V, 107

coffee, V, 104

flavoring extracts, V, III

meat, V, 92

meat products, V, 95

olive oil, V, 110

shellfish, V, 94

spices, V, 108

sugar, V, 108

tea, V, 104

vegetables, V, 96

vinegar, V, 110

Purifying water supply, V, 52

Quinsy, II, 75

Radial nerve, III, 30

Recipes, for babies, IV, 261

for the sick, IV, 261

Reflex action illustrated, III, 38; IV, 49

Remittent fever, I, 247

Renal colic, III, 263

Respiration, to produce artificial, I, 28, 34, 43, 178, 186

Respirations, counting the, IV, 248

Rest cure, III, 20

Reversion, III, 59

Rheumatic fever, II, 169

gout, II, 177

=RHEUMATISM=, acute, II, 169

chronic, II, 175

effect on the heart, II, 170

inflammatory, II, 169

muscular, II, 173

of the chest, II, 174

Rhinitis, II, 77

Rib, broken, I, 83

Rice water, IV, 264

Rickets, III, 151

Ringworm, of body, II, 149

of scalp, II, 149

=RUN-AROUND=, I, 73

Rupture, II, 128

Salt rheum, II, 163

Sanitariums for the insane, II, 245

=SANITATION= (See Contents V)

Sarcoma, II, 124

=SCALDS=, I, 171

Scalp wounds, I, 60

Scarlatina, I, 192

Scarlet fever, I, 192

Sciatica, III, 31

Scorpion sting, I, 164

Scrofula, III, 149

Scurvy, common, II, 180

infantile, II, 182

Seasickness, III, 195

Self-abuse, II, 192

Semicircular canals, II, 46

Sensory nerve, III, 38

Septum, II, 54

deviation of the, II, 60

Serum, antivenomous, I, 169

Sewage, V, 170

disposal of, V, 172

Sewer gas, V, 187

Sewers, V, 182

Sexual organs, care of the, II, 191

diseases of the, II, 199

Sexual relations, II, 194

Shingles, III, 29

Shoulder, dislocation of, I, 122

sprain of, I, 67

Shoulder-blade fracture, I, 91

Sick, food for the, IV, 261

Sick room, the, VI, 150

=SKIN=, callus of the, II, 156

chafing of the, II, 142

chapping of the, II, 142

cracks in the, II, 156

discolorations of the, II, 150

diseases of the, II, 139

irritation of the, II, 142

itching of the, II, 139

Sleeplessness, III, 23

Sling, how to make a, 87, 88

Smallpox, I, 206

Snake bite, I, 166, 168

Soap, use of, IV, 32

Soil, bacteria in, V, 135

constituents of, V, 131

contamination of, V, 136

diseases due to, V, 139

Soil, improving the, V, 140

influence of, V, 137

Sore mouth, aphthous, II, 66

gangrenous, II, 67

simple, II, 65

ulcerous, II, 67

Sore eyes, II, 16

Sore throat, II, 69

Soup, malt, IV, 267

Soups, IV, 207

Spider bite, I, 164, 165

Spinal cord, III, 38

Spine, curvature of, III, 157, 159

Spleen, enlargement of, II, 254

Splinters, removing, I, 54

Splints, I, 61, 71, 93, 97, 102, 107, 110, 111, 114, 128

=SPRAINS=, bandages for, I, 65, 67

treatment of, 65, 66

Sprue, II, 66

Squint, II, 33

St. Vitus's Dance, III, 155

Stiff neck, II, 174

=STINGS=, bee, I, 158

centipede, I, 164

hornet, I, 158

scorpion, I, 164

wasp, I, 158

Stitching a wound, I, 58

=STOMACH=, bleeding from the, I, 62

catarrh of the, III, 185, 209

diseases of the, III, 178

neuralgia of the, III, 251

Stomachache, III, 247

Stone, in the bladder, III, 265

in the kidney, III, 263

Strabismus, II, 33

Stye, II, 15

=SUFFOCATION=, from gas, I, 186

Sunstroke, I, 40

Surgical dressings, I, 131

Swamp fever, I, 247

=SYNOVITIS=, I, 69

Syphilis, II, 206, 212

Syringe, the bulb, III, 239

the fountain, III, 238

the hypodermic, IV, 250

Tan, II, 150

Tapeworm, I, 152

Tarantula bite, I, 164

Tea, use of, IV, 43

Teeth, artificial, IV, 119

care of the, IV, 26

Teething, III, 113

Temperature, how to tell the, IV, 246

proper, IV, 161, 162

Tetter, II, 163

Thermometer, clinical, use of the, IV, 246

Thigh-bone fracture, I, 106

=THROAT=, diseases of the, II, 51,

sore, II, 69

Thrush, II, 66

Tic douloureux, III, 28

Toe nail, ingrowing, I, 184

Tongue, noting appearance of the, IV, 249

Tonsilitis, II, 71

Tonsils, enlarged, II, 63

Tooth, ulcerated, II, 58

Toothache, II, 58

Training, physical, IV, 124; VI, 38

Trichiniasis, I, 153

Truss, use of the, II, 130

Tuberculin, II, 101

Tuberculosis of the bones, III, 157

of the lungs, II, 96

=TUMORS=, II, 123

Turbinates, enlarged, II, 60

Typhoid fever, I, 221

complications of, I, 228

Ulcerated tooth, II, 58

Ulnar nerve, III, 30

=UNCONSCIOUSNESS=, III, 44

due to drunkenness, III, 47

due to epilepsy, III, 48

due to fainting, III, 45

due to head injuries, III, 46

Unconsciousness, due to kidney disease, III, 48

due to opium poisoning, III, 48

due to sunstroke, III, 48

Underclothing, proper, IV, 22

=URINE=, incontinence of, II, 213

involuntary passage of, II, 213

painful passage of, III, 141

retention of, II, 218; III, 141

stoppage of, II, 218

suppression of, II, 218

Urticaria, II, 143

Vaccination, I, 211-215

Varicocele, II, 134

Varicose veins, II, 132

Varioloid, I, 211

Veal broth, IV, 261

Vegetables as food, IV, 34, 223

Vein, bleeding from a, I, 51, 52

Veins, systemic, III, 168

=VENTILATION=, artificial, V, 157

forces of, V, 148

methods of, V, 150

natural, V, 151

Ventricles of the heart, III, 168

Vision, defects of, II, 21-33

Vocal cords, II, 70

=VOMITING=, III, 194

of blood, III, 200

of indigestion, III, 199

of pregnancy, III, 196

Wakefulness, III, 23

Warming, V, 160

Warts, flat, II, 154

moist, II, 154

seed, II, 153

threadlike, II, 153

Wasp stings, I, 158

Wasting, III, 144

=WATER=, barley, IV, 263

egg, IV, 262

lake, V, 27

lime, IV, 268

oatmeal, IV, 263

pure, V, 21, 52

rain, V, 26

rice, IV, 264

spring, V, 29

well, V, 31-37

wheat, IV, 264

Water cure, for nervous exhaustion, III, 20

Water distribution, V, 39

engines for, V, 42

hydraulic rams for, V, 40

pressure systems for, V, 47

storage tanks for, V, 46

windmills for, V, 41

Water supply, laws of, V, 37

plants which pollute, V, 54

pollution of, V, 22

purifying the, V, 52

sources of, V, 19

system for country, V, 47

Wax in the ear, II, 34

Wear and tear (See Contents VI)

Weaning, III, 117

=WEEPING SINEW=, I, 75

Wen, II, 126

Wheat water, IV, 264

Whey, mixtures, IV, 265

wine, IV, 266

Whites, III, 87

Whitlow, I, 74, 75

Whooping cough, I, 238

Womb, hemorrhage from the, III, 82

Women, exercises for, IV, 76

Wood tick, bite of, I, 159

=WORMS=, pin, III, 243

round, III, 242

tape, III, 245

=WOUNDS=, I, 50

about the eyes, II, 16

caused by pistols, I, 56

caused by firecrackers, I, 56

cleansing, I, 59

foreign bodies in, I, 54, 56

scalp, I, 60

stitching, I, 58

treatment of, I, 50, 57

Wrist, fracture of the, I, 99

sprain of the, I, 65, 67

Yellow fever, I, 261

mosquito as cause of, I, 157, 261, 265

Preface

Medicine, as the art of preserving and restoring health, is the

rightful office of the great army of earnest and qualified American

physicians. But their utmost sincerity and science are hampered by

trying restrictions with three great classes of people: those on whom

the family physician cannot call _every day_; those on whom he cannot

call _in time_; and those on whom he cannot call _at all_.

To lessen these restrictions, thus assisting and extending the

healer's work, is the aim of the pages that follow.

Consider first the average American household, where the family

physician cannot call _every day_. Not a day finds this household

without the need of information in medicine or hygiene or sanitation.

More efforts of the profession are thwarted by ignorance than by

epidemic. Not to supplant the doctor, but to supplement him, carefully

prepared information should be at hand on the hygiene of

health--sanitation, diet, exercise, clothing, baths, etc.; on the

hygiene of disease--nursing and sick-room conduct, control of the

nervous and insane, emergency resources, domestic remedies; above all,

on the prevention of disease, emphasizing the folly of self-treatment;

pointing out the danger of delay in seeking skilled medical advice

with such troubles as cancer, where early recognition may bring

permanent cure; showing the benefit of simple sanitary precautions,

such as the experiment-stations method of exterminating the

malaria-breeding mosquito. The volumes treating of these subjects

cannot be made too clear, nontechnical, fundamental, or too well

guarded by the supervision of medical men known favorably to the

profession.

Again, the physician cannot come _on time_ to save life, limb, or

looks to the victim of many a serious accident. And yet some bystander

could usually understand and apply plain rules for inducing

respiration, applying a splint, giving an emetic, soothing a burn or

the like, so as to safeguard the sufferer till the doctor's

arrival--if only these plain rules were in such compact form that no

office, store, or home in the land need be without them.

Finally, the doctor _cannot come at all_ to hundreds of thousands of

sailors, automobilists, and other travelers, to ranchers, miners, and

country dwellers of many sorts. This third class has had, hitherto,

little choice between some "Practice of Medicine," too technical to be

helpful, on the one hand, and on the other, the dubious literature of

unsanctioned "systems"; or the startling "cure-all" assertions

emanating from many proprietors of remedies; or "Complete Family

Physicians," which offer prescriptions as absurd for the layman as

would be dynamite in the hands of a child, with superfluous and

loathsome pictures appealing only to morbid curiosity, and with a

general inaccuracy utterly out of touch with twentieth-century

knowledge. What such people need, much more than the dwellers in

settled communities, is to learn the views of modern medicine upon the

treatment of the ever-present common ailments--the use of standard

remedies, cautions against the abuse of narcotics, lessons of

discrimination against harmful, useless, or expensive "patent

medicines," and proper rules of conduct for diet, nursing, and general

treatment.

Authentic health literature existed abundantly before the preparation

of these volumes, but it was scattered, expensive, and in most cases

not arranged for the widest use. Not within our knowledge has the body

of facts, most helpful to the layman on Sanitation and Hygiene, First

Aid, and Domestic Healing, been brought together as completely, as

clearly, as concisely, with a critical editing board so qualified, and

with special contributions so authoritative as this work exhibits.

"Utmost caution" has been a watchword with the editors from the start.

Those to whom the doctor _cannot come every day_ have been repeatedly

warned of the follies of self-treatment, and reminded that to-day it

is the patient that is treated--not the disease. Those to whom the

doctor _cannot come in time_ are likewise warned that the "First-aid

Rules" of this Library are for temporary treatment only, in all

situations where it is possible to get a physician. And the utmost

conservatism has been striven for by the author and the several

revisers in every part of the work that appeals particularly to

dwellers in localities so removed that the doctor _cannot come at

all_. Especial delicacy was also sought in the treatment of a chapter

which, it is hoped, will aid parents to guide their children in sexual

matters. The illustrations represent helpful, normal conditions (with

the exception of some necessary representations of fracture, etc.)

with instructive captions aimed to make them less a sensation than a

real benefit; and no pictures appear of a sort to stimulate mere

morbid curiosity.

The greatest sympathy and appreciation of this work have been shown by

the progressive and recognized practitioners who have seen early

copies. They recognize it as a timely attempt to create and compile

health literature in a form most complete within its limits of space,

and in a manner most helpful and sane. The eager curiosity regarding

_themselves_ that has been sweeping over the American people has been

diverted into frivolous and harmful channels by much reckless talk and

writing. A prominent newspaper, in its Sunday editions, recently took

up the assertion, in a series of articles, that appendicitis

operations resulted from a gigantic criminal conspiracy on the part of

surgeons; that a sufficient cure for appendicitis, "as any honest

doctor would tell you," is an injection of molasses and water! The

endless harm done by such outright untruth is swelled by a joining

stream of slapdash misinformation and vicious sensation, constantly

running through the press.

Education is sorely needed from authority. People _will_ read about

their bodies. They have a right to information from the highest

accredited source. And to apply such knowledge Dr. Winslow has labored

for many years during his practicing experience, condensing and

setting into clear order the most vitally important facts of domestic

disease and treatment; an eminently qualified staff of practicing

specialists has cooeperated, with criticism and supervision of

incalculable value to the reader; and the accepted classics in their

field follow: Dr. Weir Mitchell's elegant and inspiring essays on

Nerves, Outdoor Life, etc.; Sir Henry Thompson's "precious documents

of personal experience" on Diet and Conduct for Long Life; Dr. Dudley

A. Sargent's scientific and long-prepared system of exercises without

apparatus; Gerhard's clear principles of pure water supply; Dr.

Darlington's notes and editing from the unequaled opportunity of a New

York City Health Commissioner--and many other "special contributions."

It is the widely accepted modern medicine, and no school or "system,"

that is reflected here. While medicine, as a science, is far from

being perfect, partly because of faulty traditions and misinterpreted

experience, yet the aim of the modern school is to base practice on

_facts_. For example, for many years physicians were aware that

quinine cured malaria, in some unexplainable way. Now they not only

know that malaria is caused by an animal parasite living and breeding

in the blood and that quinine destroys the foe, but they know about

the parasite's habits and mode of development and when it most readily

succumbs to the drug. Thus a great discovery taught them to give

quinine understandingly, at the right time, and in the right doses.

An educated physician has at his command all knowledge, past and

present, pertaining to medicine. He is free to employ any means to

better his patient. Now it is impossible to cure, or even better, all

who suffer from certain disease by any one method, and a follower of a

special "system" thus ignores many agencies which might prove

efficient in his case. While there is a germ of good and truth in the

various "systems" of medical practice, their representatives possess

no knowledge unknown to science or to the medical profession at large.

Many persons are always attracted by "something new." But newness in a

medical sect is too often newness in name only. These systems rise and

fall, but scientific, legitimate medicine goes ever onward with an eye

single to the discovery of new facts.

That these volumes will result in an impetus to saner, quieter,

steadier living, and will prove a helpful friend to many a physician

and many a layman, is the earnest wish of

THE PUBLISHERS.

Part I

FIRST AID IN EMERGENCIES

BY

KENELM WINSLOW

AND

ALBERT WARREN FERRIS

_Introductory Note_

With the exception of the opening chapter, which contains the valuable

Life-saving Service Rules _verbatim_, the Editors have adopted the

plan of beginning each article in Part I of this volume with a few

simple, practical instructions, telling the reader exactly what to do

in case of an accident. For the purpose of distinguishing them from

the ordinary text, and making them easy of reference, these

_"First-aid Rules" are printed in light-faced type_.

CHAPTER I

=Restoring the Apparently Drowned=

_As Practiced in the United States Life-Saving Service_

NOTE.--These directions differ from those given in the last

revision of the Regulations by the addition of means for securing

deeper inspiration. The method heretofore published, known as the

Howard, or direct method, has been productive of excellent results

in the practice of the service, and is retained here. It is,

however, here arranged for practice in combination with the

Sylvester method, the latter producing deeper inspiration than any

other known method, while the former effects the most complete

expiration. The combination, therefore, tends to produce the most

rapid oxygenation of the blood--the real object to be gained. The

combination is prepared primarily for the use of life-saving crews

where assistants are at hand. A modification of Rule III, however,

is published as a guide in cases where no assistants are at hand

and one person is compelled to act alone. In preparing these

directions the able and exhaustive report of Messrs. J. Collins

Warren, M.D., and George B. Shattuck, M.D., committee of the

Humane Society of Massachusetts, embraced in the annual report of

the society for 1895-96, has been availed of, placing the

department under many obligations to these gentlemen for their

valuable suggestions.

=IF SEVERAL ASSISTANTS ARE AT HAND.=

RULE I. _Arouse the Patient._--Do not move the patient unless in

danger of freezing; instantly expose the face to the air, toward the

wind if there be any; wipe dry the mouth and nostrils; rip the

clothing so as to expose the chest and waist; give two or three quick,

smarting slaps on the chest with the open hand.

If the patient does not revive, proceed immediately as follows:

RULE II. _To Expel Water from the Stomach and Chest_ (see Fig.

1).--Separate the jaws and keep them apart by placing between the

teeth a cork or small bit of wood, turn the patient on his face, a

large bundle of tightly rolled clothing being placed beneath the

stomach; press heavily on the back over it for half a minute, or as

long as fluids flow freely from the mouth.

[Illustration: FIG. 1.

TO EXPEL WATER FROM STOMACH AND CHEST.

Patient lying face downward; roll of clothes beneath stomach; jaws

separated by piece of wood or cork; note rescuer pressing on back to

force out water.]

RULE III. _To Produce Breathing_ (see Figs. 2 and 3).--Clear the mouth

and throat of mucus by introducing into the throat the corner of a

handkerchief wrapped closely around the forefinger; turn the patient

on the back, the roll of clothing being so placed as to raise the pit

of the stomach above the level of the rest of the body. Let an

assistant, with a handkerchief or piece of dry cloth, draw the tip of

the tongue out of one corner of the mouth (which prevents the tongue

from falling back and choking the entrance to the windpipe), and keep

it projecting a little beyond the lips. Let another assistant grasp

the arms, just below the elbows, and draw them steadily upward by the

sides of the patient's head to the ground, the hands nearly meeting

(which enlarges the capacity of the chest and induces inspiration).

(Fig. 2.) While this is being done let a third assistant take position

astride the patient's hips with his elbows resting upon his own knees,

his hands extended ready for action. Next, let the assistant standing

at the head turn down the patient's arms to the sides of the body, the

assistant holding the tongue changing hands if necessary[1] to let the

arms pass. Just before the patient's hands reach the ground the man

astride the body will grasp the body with his hands, the balls of the

thumb resting on either side of the pit of the stomach, the fingers

falling into the grooves between the short ribs. Now, using his knees

as a pivot, he will, at the moment the patient's hands touch the

ground, throw (not too suddenly) all his weight forward on his

hands, and at the same time squeeze the waist between them, as if he

wished to force something in the chest upward out of the mouth; he

will deepen the pressure while he slowly counts one, two, three, four

(about five seconds), then suddenly let go with a final push, which

will spring him back to his first position.[2] This completes

expiration. (Fig. 3.)

[Illustration: FIG. 2.

TO PRODUCE BREATHING.

First Position: Patient lying face upward; roll of clothes under back;

tongue pulled out of mouth with handkerchief; note rescuer drawing

arms upward to sides of head to start act of breathing in.]

[Illustration: FIG. 3.

TO PRODUCE BREATHING.

Second Position: Forcing patient to breathe out; note rescuer with

thumbs on pit of stomach, pressing against front of chest over lower

ribs; also, assistant drawing down arms to body.]

At the instant of his letting go, the man at the patient's head will

again draw the arms steadily upward to the sides of the patient's head

as before (the assistant holding the tongue again changing hands to

let the arms pass if necessary), holding them there while he slowly

counts one, two, three, four (about five seconds).

Repeat these movements deliberately and perseveringly twelve to

fifteen times in every minute--thus imitating the natural motions of

breathing.

If natural breathing be not restored after a trial of the bellows

movement for the space of about four minutes, then turn the patient a

second time on the stomach, as directed in Rule II, rolling the body

in the opposite direction from that in which it was first turned, for

the purpose of freeing the air passage from any remaining water.

Continue the artificial respiration from one to four hours, or until

the patient breathes, according to Rule III; and for a while, after

the appearance of returning life, carefully aid the first short gasps

until deepened into full breaths. Continue the drying and rubbing,

which should have been unceasingly practiced from the beginning by

assistants, taking care not to interfere with the means employed to

produce breathing. Thus the limbs of the patient should be rubbed,

always in an upward direction toward the body, with firm-grasping

pressure and energy, using the bare hands, dry flannels, or

handkerchiefs, and continuing the friction under the blankets, or over

the dry clothing. The warmth of the body can also be promoted by the

application of hot flannels to the stomach and armpits, bottles or

bladders of hot water, heated bricks, etc., to the limbs and soles of

the feet.

RULE IV. _After Treatment. Externally._--As soon as breathing is

established let the patient be stripped of all wet clothing, wrapped

in blankets only, put to bed comfortably warm, but with a free

circulation of fresh air, and left to perfect rest. _Internally:_ Give

whisky or brandy and hot water in doses of a teaspoonful to a

tablespoonful, according to the weight of the patient, or other

stimulant at hand, every ten or fifteen minutes for the first hour,

and as often thereafter as may seem expedient. _Later Manifestations:_

After reaction is fully established there is great danger of

congestion of the lungs, and if perfect rest is not maintained for at

least forty-eight hours, it sometimes occurs that the patient is

seized with great difficulty of breathing, and death is liable to

follow unless immediate relief is afforded. In such cases apply a

large mustard plaster over the breast. If the patient gasps for breath

before the mustard takes effect, assist the breathing by carefully

repeating the artificial respiration.

=IF ONE PERSON MUST WORK ALONE.=

MODIFICATION OF RULE III

[_To be used after Rules I and II in case no assistance is at hand_]

_To Produce Respiration._--If no assistance is at hand, and one person

must work alone, place the patient on his back with the shoulders

slightly raised on a folded article of clothing; draw forward the

tongue and keep it projecting just beyond the lips; if the lower jaw

be lifted, the teeth may be made to hold the tongue in place; it may

be necessary to retain the tongue by passing a handkerchief under the

chin and tying it over the head.[3]

Grasp the arms just below the elbows and draw them steadily upward by

the sides of the patient's head to the ground, the hands nearly

meeting. (See Fig. 4.)

Next lower the arms to the side, and press firmly downward and

inward on the sides and front of the chest over the lower ribs,

drawing arms toward the patient's head. (See Fig. 5.)

Repeat these movements twelve to fifteen times every minute, etc.

[Illustration: FIG. 4.

ONE PERSON WORKING.

First Position: Note arm movement same as in Fig. 2; also, tongue held

between teeth by handkerchief tied under chin pressing teeth against

wooden plug.]

[Illustration: FIG. 5.

ONE PERSON WORKING.

Second Position: Note rescuer lowering arms to patient's sides and

pressing downward and inward over lower ribs.]

=INSTRUCTIONS FOR SAVING DROWNING PERSONS BY SWIMMING TO THEIR

RELIEF.=

1. When you approach a person drowning in the water, assure him, with

a loud and firm voice, that he is safe.

2. Before jumping in to save him, divest yourself as far and as

quickly as possible of all clothes; tear them off, if necessary; but

if there is not time, loose at all events the foot of your drawers, if

they are tied, as, if you do not do so, they fill with water and drag

you.

3. On swimming to a person in the sea, if he be struggling do not

seize him then, but keep off for a few seconds till he gets quiet, for

it is sheer madness to take hold of a man when he is struggling in the

water, and if you do you run a great risk.

4. Then get close to him and take fast hold of the hair of his head,

turn him as quickly as possible on to his back, give him a sudden

pull, and this will cause him to float, then throw yourself on your

back also and swim for the shore, both hands having hold of his hair,

you on your back, and he also on his, and of course his back to your

stomach. In this way you will get sooner and safer ashore than by any

other means, and you can easily thus swim with two or three persons;

the writer has even, as an experiment, done it with four, and gone

with them forty or fifty yards in the sea. One great advantage of this

method is that it enables you to keep your head up, and also to hold

the person's head up you are trying to save. It is of primary

importance that you take fast hold of the hair, and throw both the

person and yourself on your backs. After many experiments, it is

usually found preferable to all other methods. You can in this manner

float nearly as long as you please, or until a boat or other help can

be obtained.

5. It is believed there is no such thing as a _death grasp_; at least,

it is very unusual to witness it. As soon as a drowning man begins to

get feeble and to lose his recollection, he gradually slackens his

hold until he quits it altogether. No apprehension need, therefore, be

felt on that head when attempting to rescue a drowning person.

6. After a person has sunk to the bottom, if the water be smooth, the

exact position where the body lies may be known by the air bubbles,

which will occasionally rise to the surface, allowance being, of

course, made for the motion of the water, if in a tide way or stream,

which will have carried the bubbles out of a perpendicular course in

rising to the surface. Oftentimes a body may be regained from the

bottom, before too late for recovery, by diving for it in the

direction indicated by these bubbles.

7. On rescuing a person by diving to the bottom, the hair of the head

should be seized by one hand only, and the other used in conjunction

with the feet in raising yourself and the drowning person to the

surface.

8. If in the sea, it may sometimes be a great error to try to get to

land. If there be a strong "outsetting tide" and you are swimming

either by yourself or having hold of a person who cannot swim, then

get on your back and float till help comes. Many a man exhausts

himself by stemming the billows for the shore on a back-going tide,

and sinks in the effort, when, if he had floated, a boat or other aid

might have been obtained.

9. These instructions apply alike to all circumstances, whether as

regards the roughest sea or smooth water.

FOOTNOTES:

[1] Changing hands will be found unnecessary after some practice; the

tongue, however, must not be released.

[2] A child or very delicate patient must, of course, be more gently

handled.

[3] If there is stuck through the tongue a pin long enough to rest

against the teeth and keep the tongue out of the mouth, the desired

effect may be obtained.--EDITOR.

The Home Medical Library, Volume 1 (of 6) · 第 1 / 10 章