CHAPTER IV.

DISEASES IN WHICH THE WATERS ARE USEFUL.

Acute Gout and Rheumatism--Chronic Gout and Rheumatism--Chorea--Paralysis

Agitans--Many Forms of Paralysis--Muscular Atrophy consequent upon the

Gouty Diathesis--Loco Motor Ataxia--Syphilis--Local

Injuries--Neuralgia--Sciatica, Lumbago, &c.--Number of Baths Constituting

a Course--Length of Residence Required--Action of Water upon Acute and

Chronic Disease--Extract from Devonshire Hospital Report--Inference.

The following are amongst the principal diseases for the relief of which

the Buxton medicinal thermal water is deservedly celebrated: Acute gout

and rheumatism (in neither of which can the baths be taken with advantage

until the acute or inflammatory stage has subsided), the water may be

used locally, either by sponging or wearing a compress over the affected

parts, and also internally, two or even three quarts, being drunk in the

twenty-four hours.

In the acute stage of gout or rheumatic fever, when the water is drunk in

large quantity daily, profuse perspiration of a critical nature takes

place about the sixth day, and is usually succeeded in twenty-four hours

by a measly eruption over the whole surface of the body and extremities,

quickly followed by a total subsidence of all the acute symptoms, leaving

the patient free from pain and on the high road to convalescence. Under

its influence the urine becomes copious, the muddy brickdust deposit

disappears, and the normal specific gravity and action upon litmus paper

is restored. The sudorific glands over the whole cutaneous surface

receive a fresh stimulus, thus assisting to eliminate the materies morbi,

and making the skin cool and moist, which prior to drinking the water was

dry, hot, and parched. A direct action upon the liver is also obtained,

as indicated by the relaxed condition of the bowels, and the perceptible

increase of bile in the motions. Such being the action of the Buxton

thermal water, it will be readily understood how the distressing and

excruciating pains of an attack of acute gout or rheumatism are so

quickly relieved, and the sufferer restored to comparative comfort.

Chronic gout and rheumatism: These diseases are much more common than the

acute forms, and are greatly benefited both by the use of the baths and

drinking of the water.

In such cases the baths may be prescribed either hot or natural,

according to the nature and character of the complaint, and may be taken

each day, every other day, or even two or three days consecutively. The

temperature, frequency, time of immersion, and amount of water to be

drunk after bathing, are usually given by the medical adviser in his

prescription.

The above remarks apply equally to the various forms of chronic

rheumatism, chorea, paralysis agitans, infantile paralysis, hysterical

paralysis, mercurial and lead poisoning, muscular atrophy; rigid atrophy,

consequent upon the rheumatic diathesis; locomotor ataxia, as a result of

rheumatism; syphilis, or local injury; cranial, facial, and intercostal

neuralgia; sciatica, lumbago, and their allied affections, especially of

a neurotic nature.

The number of baths which constitute a course are usually reckoned at

from 15 to 17, which necessitates a residence in Buxton of about one

month, provided they can be steadily and uninterruptedly continued

throughout that period. If, however, the course has to be discontinued

on account of the supervention of acute symptoms (not an unfrequent

occurrence) a longer residence is required. Some persons (though all

goes on regularly) require more and some less, according to the age,

strength, and constitution of the bather and nature of the case. As a

rule, experience teaches that the younger the individual, and the more

recent and acute the disease, the fewer number of baths will be requisite

to give permanent relief, the full effects of the medicinal water being

obtained more rapidly, and the ultimate result being more satisfactory.

This, however, need not be a discouragement to those advanced in life,

whose misfortune it has been to suffer from repeated attacks of gout or

rheumatism, as may be gathered from a perusal of the annual report of the

Devonshire Hospital, an institution mainly for the reception of patients

of all ages, suffering from the gouty and rheumatic diatheses.

Subjoined I give an extract from the medical report of the Hospital,

which clearly indicates the nature and character of those diseases

specially benefited by the use of the Buxton thermal water. According to

the report, 2,351 patients were admitted under treatment during 1891,

2,222 suffering from gout rheumatism or some of the allied affections,

and 129 unconnected with either diatheses. The following types of

disease, as connected with the two diatheses, are included in the

2,351:--

DISEASES OF THE LOCOMOTORY SYSTEM.

Rheumatism 1322

Specific Rheumatism 5

Podagra 51

Rheumatic Arthritis 550

Synovitis 2

Chronic Periostitis 1

Sciatica 197

Lumbago 15

Sciatica and Lumbago 14

Neuralgia 10

Peripheral Neuritis 3

Poliomyelitis Anterior Chronica 1

Lateral Sclerosis 7

Progressive Muscular Atrophy 1

Pseudo, Hypertrophic Muscular Paralysis 1

Locomotor Ataxia 15

Multiple Sclerosis 1

Chronic Myelitis 1

Hemiplegia 8

Chorea 10

Paralysis Agitans 1

Lead Poisoning 10

2222

I find that during thirty-two years, the Devonshire Hospital, which

contains 300 beds, has admitted between fifty-two and fifty-three

thousand patients, suffering principally from the various forms of gout

rheumatism and those diseases which are allied to them. Out of this vast

number were returned only 6,753, having obtained no relief, which may be

accounted for by the fact that most of these latter were labouring under

affections unconnected with either gout or rheumatism. These figures

will, I think, be admitted as conclusive evidence of the medicinal

efficacy of the Buxton Spa in relieving suffering humanity from some of

the most painful and intractable forms of disease to which high and low,

rich and poor, are alike amenable.

* * * * *

JOHN HEYWOOD, Excelsior Printing and Bookbinding Works,

Manchester.

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