CHAPTER XII.

MANUFACTURING CHILBLAINS.

At the period of my life to which we have at length arrived, I was for

four or five months of every year a school teacher. This was, in no

trifling degree, an educational process; for is it not well known that,

"Teaching we learn, and giving we retain?"

It was at least an education in the great school of human nature.

Every morning of one of these winter sessions of school keeping, Lydia

Maynard, eight years of age, after walking about a mile, frequently in

deep snow, and combating the cold northwest winds of one of the southern

Green Mountain ranges, would come into the schoolroom with her feet

almost frozen, and take her seat close to the stove, so as to warm them

and be ready for school as quickly as possible. Here she would sit, if

permitted to do so, till the bell rang for school.

It was not long before I learned that she was a great sufferer from

chilblains. Whether she inherited a tendency to this troublesome and

painful disease, which was awakened and aggravated by sudden changes of

temperature, or whether the latter were the original cause of the

disease, I never knew with certainty. But I was struck with the fact

that sudden warming was followed by such lasting and terrible

consequences.

And herein is one reason why I have opposed, from that day to this, the

custom or habit, so exceedingly prevalent, of rushing to the fire when

we are very cold, and warming ourselves as quickly as possible. I have

reasoned; I have commanded; and in some few instances I have ridiculed.

Every one knows it is hazardous to bring the ears or fingers or toes,

or any other parts of the body, suddenly to the fire when really

frozen,--that is, when the temperature is lowered down in the part to

32 deg.; and yet, if it is only down to 33 deg., and the part not quite

frozen, almost every one, young and old, will venture to the fire. Can

there be such a difference in the effects when there is only a difference

of one degree in temperature? No reflecting person will for one moment

believe it. The trouble is we do not think about it.

Sudden changes from heat to cold are little more favorable than when the

change is in the other direction. Indeed, it often happens that children

at school are subjected to both these causes. Thus, in the case of

Lydia, suppose that after roasting herself a long time at the stove, she

had gone to her seat and placed her feet directly over crevices in the

floor, through which the cold wind found its way at almost freezing

temperature. Would not this have greatly added to the severity of the

disease?

There are, it is true, other reasons against sudden changes of

temperature, particularly the change from cold to heat, besides the fact

that they tend to produce chilblains; but I cannot do more just now than

barely advert to them. The eyes are apt to be injured; it renders us

more liable than otherwise we should be to take cold. Occasionally it

brings on faintness and convulsions, and still more rarely, sudden

death. I will only add now, that sudden warming after suffering from

extreme cold, whether we perceive it or not at the time, is very apt to

produce deep and lasting injury to the brain and nervous system.

But my main object in relating the story is answered if I have succeeded

in clearly pointing out to the reader one of the avenues through which

light found its way to my benighted intellect, and led me to reflection

on the whole subject of health and disease. Here was obviously one cause

of a frequent but most painful complaint. It was natural, perfectly

natural, that by this time I should begin to inquire. Have all diseases,

then, their exciting causes? Many certainly have; and if many, perhaps

all. At least, how do we know but it may be so? And then again, if the

causes of chilblains are within our control, and this troublesome

disease might be prevented, or its severity mitigated if no more, why

may it not be so with all other diseases?

To revert for a moment to the case of Lydia Maynard. Though I was the

cause, in a certain sense, of her suffering, yet it was a sin of

ignorance. But it taught me much wisdom. It made me cautious ever

afterward. I do not doubt but I have been a means of preventing a very

considerable amount of suffering in this form, since that time, by

pointing out the road that leads to it.

Prevention is better than cure, was early my motto, and is so still. And

from the day in which I began to open my eyes on the world around me,

and to reason from effects up to their causes, I have been more and more

confirmed in the belief that mankind as a race are to be the artificers

of their own happiness or misery. All facts point in this direction,

some of them with great certainty. And facts, everywhere and always, are

stubborn things.

Forty Years in the Wilderness of Pills and Powders Cogitations and Confessions of an Aged Physician · 第 12 / 56 章