COLUMBIA LIBRARIES OFFSITE HEALTH SCIENCES STANDARD RECAP HX64090060 QP38 .H28 The physiology and h Q?38 MR Columbia Qtttfctttftp intijeCttpofJIrttigork College of ipjjpgictan* anb burgeon* Htbrarp fr// f. c jf;» / Digitized by the Internet Archive in 2010 with funding from Columbia University Libraries http://www.archive.org/details/physiologyhygienOOhatf THE D r\ (J J T AND HYGIENE OF THE HOUSE IN WHICH WE LIVE. uv MARCUS P. HATFIELD, A.M., M.D., Professor Diseases of Children, Medical Department, North-ivestern University. " Know ye not that ye are the temple of God, and that the Spirit of God dwelleth in you ? If any man defile the temple of God, him shall God destroy ; for the temple of God is holy, which temple ye are." NEW YORK: CHAUTAUQUA PRESS, C. L. S. C. Department, 805 Broadway. The required books of the C. L. S. C. are recommended by a Council of six. It must, however, be understood that recom- mendation does not involve an approval by the Council, or by any member of it, of every principle or doctrine contained in the book recommended. * PB E*T S. F REEOMAN ^^ RAND AVERY COMPANY, PRINTERS, BOSTON. Copyright 1807, by PHILLIPS & Hunt, 805 Broadway, New York. PREFACE. The body, in this book, has been likened, in its various parts, to a house, and it may be truthfully claimed that no other of man's dwellings has as many "modern con- veniences " as his body. There is nothing that his inge- nuity has yet devised for the safety and comfort of his home that he may not find foreshadowed, and usually bet- tered, in the body. Where, for instance, can you find an automatic steam or hot-water heater that will perform its work as well as the thermogenetic system of the body ? Where can the block or building be found that is as well sewered and ventilated ? Furthermore, he finds in this house of ours elevators, telegraphs, and telephones innumer- able, also pictures, photographs, library and music-rooms, and a dining-room from twenty to thirty feet long. But the best of all are the hosts of trained and uncomplaining servants that go with the premises ; porters, cooks, wait- ers, messengers, photographers, carpenters and joiners, are all found on the estate, and ready to work without other wages than food and lodgings for their life-time, and they never leave the property on any pretext whatever. Moreover, this house of ours is portable, and can be moved whenever we please ; and, what is more remark- able, this house of clay, as the theologians call it, can be ■k Preface. rented for a term of years under the most reasonable con- ditions. All the Landlord asks in return is that the prem- ises should be kept in good repair. Surely the terms are not hard, not difficult to comply with ; but, light and easy as they are, the penalties attached to non-fulfillment are heavy. Health is prompt and cheerful compliance with the terms upon which we hold our bodies. Disease is our witting or unwitting breaking of them. Hence the absurdity of the question, " Why is not health catching instead of disease?" Disease never occurs until the laws of health have been broken somewhere — either by " this man, or his father," by violation of personal or public hygiene. This little book is designed to aid, as far as possible, its readers to keep these laws, and in so far as it accomplishes this, its purpose has been fulfilled. M. P. Hatfield. CONTENTS. CHAPTER I. MOSAICS AND TAPESTRIES. The body a mosaic — Hair follicles, number — Epithelial scales — Germinal matter — Karyokinesis — Protoplasm, and alcohol — Blisters — Hairs in court — Cowlicks and goose-skin — Care of the hair — Wigs and hair-dyes — Dan- druff — Furred tongues and finger-nails — Corns, scars, cartilage — Areolar tissue, fascia — Wrinkles — Rameses Page 9 CHAPTER II. BEAMS, RAFTERS, CUSHIONS, AND SERVANTS. Two hundred and forty timbers, long, flat, short, irregular — Rickety houses and children — Skull, cupola, "brain shell" — Cowley's comparison, cubic contents and greatness — Phrenology and sinuses, fourteen face bones and uses, seven neck bones and mechanism — Atlas and axis — Crooked backs and round shoulders, how made and how remedied — Five sections to arms, horses', pigs', and monkeys'; Ribs and thorax; Body really a double tube, Chinaman on corsets, and Dr. Brown on fashion — Backbone, thirty- three levers, Pott's disease, bumpers in back-bone and why shorter at night than in the morning, Rabbi's immortal bone — Chemistry of the bones — Fossil soap, adipocere and Frenchman's soap — Earthy part of bones, pecul- iar markings — Growth requires twenty to thirty-five years — Varieties of joints, and why — Walking, what — The uses of muscles, etymology, number, Darning of more important groups — Voluntary and involuntary — How dif- fer — Necessity for involuntary — Striped muscular tissue — Checkers in a purse — Delicacy of action — The hand as a machine — All work moving something — Skill, exactness of muscular action — Cramp, what — Muscular sense — Blind physicians, tailors, postmaster-general — Wonder of walking, muscular growth, heat, and exhaustion — Starved muscles — Calisthenics COKTBNTS. versus house-work — Folly of laziness — Blessing and necessity of work — Paralysis — Death of muscles — Rigor mortis — Necessity and uses of fat — Where found— Starvation— Shakespeare on fat— Fat globules— Cellular tis- sue a buttery, marrow a preserve closet Page 25 CHAPTER III. DINING-ROOM, COOKS, AND SCULLIONS. Food, what, necessary elements (15), and where used, bricks and mortar of house, proximate principles, groups, body chemically an egg — Three groups of foods required — Frenchman's scheme to make a body, why fail- ure — Cooked versus raw food — Teaching of teeth concerning food ; Tooth dyspepsia, grinders required, why two sets, parts of a tooth, enamel prisms, toothache, decay and candy — False teeth not new — Chinese tooth carpenters — Eupepsia, what — Digestive ferments — Antiquity of pepsin — Chyme, chyle, lacteals, and lymphatics, lymphatic glands — Scrofula — Glut- tony more frequent than drunkenness — John Wesley's rules — Adulteration of food — Cost of food — Carbonaceous foods and heat 60 CHAPTER IV. THE WHEEL AT THE CISTERN. Eastern irrigation — Aptness of the comparison — Size of the heart — Daily work — The heart pump, parts and valves — Heart disease and sudden death — Size and place of heart, apex beat, the round of circulation — " Chair courante," color and chemistry of blood, red rouleaux, white corpuscles, hasmatoblasts, amoeba, pus corpuscles, inflammation, Nature's surgery, fi brine, importance of, " Bleeders," corpuscles Swiss body-guard, numbers, coats of arteries, veins, intervascular spaces — Fainting, blushing, vaso- motor system, heating the body — Coagulation of the blood, fibrine, exercise — Jenness Miller costume — Tobacco heart — Apoplexy 94 CHAPTER V. SEWERAGE AND VENTILATION. Skin more than an elastic bag — Its miles of tubing remove one half sew- erage of the bod} r — Relation of skin to kidneys — Pope's gilded boy — Water cures, rubber bandage, relation of perspiration to heat — Fatality of burns, and why — Lymphatics of skin — Lymph spaces — Tonsils and relation to liver — Liver, what — "Blue devils" — Ur.ea ashes, uric acid cinders — Diabetes Contents. 7 — Anatomy of the kidney — Dropsy, catching cold, cold feet and death — Creatin and creatiuin, typhoid fever, filth diseases— Ptoaminea and leucoa- mines — Effects on system, life an eddy — The body's Gehenua — The wisdom of Moses — Earth closets — Dangers of constipation — Saint Simeon Stylites — " Fear God," etc. — Keep the body clean — Importance of ventilation — Black Hole at Calcutta — Asphyxiated prayer-meetings — Ranch and Adirondack cures — Quantity of air required for adult, sleeping-rooms, body, how ven- tilated — Principle that of latest science — Cilia of air-passages — How not to die of consumption — Tidal air, its impurities, respirators — Chloride of pal- ladium alarm — Sewer-gas and diphtheria — Surgical pavilions Page 128 CHAPTER VI. " THE DAUGHTERS OF MUSIC, AND THEY THAT LOOK OUT AT THE WINDOWS." The tongue's box, not necessary for speech, Paul and 0. W. Holmes, Unguals, labials, and palatals — Need of soft palate — Epiglottis, larynx, vo- cal cords, speaking machines, audiphone, clergyman's sore throat, errors in public speaking, John Wesley's prohibitions — Turbinated bones — Nasal catarrh, cigarette-smoking — Catiline's "Keep your mouth shut" — Eusta- chian tube, bones of the middle ear, membranes, windows, semicircular canals, cochlea bags, semicircular filaments, otoliths, aural staircase, rods of Corti, eight thousand tuning-forks — Rood's resonators, sound-waves, lim- its of hearing — Music and rods of Corti — The new song and the music of the spheres — " Eye hath not seen " — Camera whose negatives are preserved — Retina, first plate — Lens, dark box, screens, diaphragm, lids, and lachrymal apparatus — Why cry — Lachrymal duct, handkerchiefs and tear jugs — Red eyes — Leah — Cross eyes and remedy — Muscles of lens — Headache from eye- tire, far sight with age, spectacles, albinos, beauty and use of iris, light in brain, not eye — Seeing stars, vitreous and aqueous humors — One-eightieth inch retina, rods and cones — Length of impression, wheel of light — Light for reading and whence, black spots, blur, dread of light, twilight reading, twitching lids, eyes versus ears 1 G3 CHAPTER VII. TELEGRAPHS AND PHONES. Body in threes — Nerve first telegraph cable — Substance of Schwann, sheath, axis cylinder — Plexus — Ganglion a relay station — Sympathetic nervous system — "Involuntary nerves" — Neurasthenia-Spinal cord, A. M. and P. S. roots— Pile of ganglia — Brain knots — Brains of insect-, corpus 8 Contents. callosum and dusty blanc-mange, ventricles, nerve cells and tubes- Student's comparison of membranes of brain, " spider's web " — " The tree of life" — Crumpled cloths — Medulla and relation to P. S. ganglia — Two hun- dred and sixty feet per second quick as thought, 3,155,160,000 ideas — Phosphates and thought— Neuralgia — Exhausted batteries — Sleep, victory of sympathetic over cerebro-spinal — Amount required — Insomnia and busi- ness — Dreams — Somnambulism— Mental habits, memorj' — Soul's picture house vs. Pompeiian frescoes — As a man thinketh so he is — Mrs. Browning on reading — Newspapers, slang and gossip, and habit — White Cross Knights Page 185 CHAPTER VIII. MOTH, RUST, AND MICROBES. Mortgage with each lease — Foreclosure largely optional with tenant — Terms irrevocable, and the best possible under the circumstances — Earache and brain fever, diphtheria and filth — The place of the doctor — Faith cures — Dr. Buckley — Hercules and the wagoner — The mystery of death and suffering — Hilton on pain — Saxe Holm — Chinese and cholera — Providence never does for us what we can do for ourselves — Gold, silver, grain, tim- ber — School-house to study the works of God — Ourselves not least — Neg- lect of body for books foolishness, since only one lease permitted — Paul's letter to the Corinthians — The body a Shylock when wronged — Rack-rent — Law inflexible but just — Ignorance no bar — As yet in part — Through a glass, darkly — What science has to say of moth and rust — Aptness of terms — Oxidation — Erernacausis — Life a perpetual miracle — Why — Moses's bush a type of the body — On microbes and bacteria — Definition, varieties — Torula and fermentation — Sore mouth — Anthrax — Scarlet fever — Tuberculosis — Malaria — Beale on bacteria — Fascination of the subject — Infinitely great and little— Wordsworth 210 PART II.— APPENDIX. Practical hints in regard to the care and development of the body, ac- cording to the methods of Dr. Anderson and Wm. Blaikie 257 Index 211 Physiology and Hygiene. CHAPTER I. MOSAICS AXD TAPESTRIES. There are at Rome four marvelous mosaics. Viewed from the pavement beneath they appear like exquisite life- size paintings representing the four evangelists, but with a nearer approach they become gigantic in their proportions, and it is found that their Avealth of color and beauty of form are due to bits of colored glass and stone, so skillfully arranged that at a distance they produce all the effect of an oil-painting. So it is with the human body when studied beneath a microscope. All the beauties of color and form of this earthly habitation are there found to be due to a marvel- ous mosaic of cells whose workmanship is more exquisite than that of any Roman or Florentine workman. Even an ordinary hand-glass will reveal the ragged edges and rough joinings of these pictures in stone, but the finest micro- scope fails to show any imperfection in the finish of the mosaic of cells found in the body. Take for instance the cross section of a single human hair and the sac in which it is held. In what king's palace can a more beautiful piece of mosaic be found than this ? German patience, like divine wis- dom, has recently taken the time to number the hairs of our heads, and iimls that a red head has 90,000 of these mosaics, a black 108,000, and two brown ones 109,000 and 140,000 10 Physiologt a.m> Hygiknb. respectively, and each one perfectly shown in the cut. Cross section of human hair follicle, show- ing outer fibrous coat, basement membrane, outer root sheath, polyhedral cells, inner root sheath, and hair itself. finished with a dainty care im- No wonder Paul declares that a woman's hair is her glory. What would he have said could he have looked through tlie modern micro- scope, which reveals thou- sands of wonders never dreamed of without its aid ? And yet we take weary journeys to far-off Rome and Naples to see Pompeian mosaics with- out a tithe of the beauty of those we carry about with us daily. Nor are the tissues, or tapestries of the body less wonderful than those of the Gobe- lin factory, which cannot produce such a sack as the human integument, or skin. Such another bag was never elsewhere woven, for its fabrics are so delicate that they need to be kept covered with fine powder lest they should be in- jured. Histologists call this powder dried epithelial scales, and with these the whole surface of the body is dusted in layers of various thickness, always deepest where there is the greatest pressure. Hence, on the soles of the feet and the palms of the hands the outer layers of the skin become thick and horny ; but epithelial scales are found every-where else as well, completely covering the surface of the true skin, which lies beneath, and is thus protected by these fine white scales, softer than snow and serving a not dissimi- lar use. Take the blade of a penknife and gently scrape the back of the hand, and in a few seconds these scales may be found as a fine white dust on the knife blade. So light and impalpable is this epithelial powder that a breath carries it away, and fortunately so, for otherwise we should grow as thick-skinned as a rhinoceros. Layer after layer of these Mosaics and Tapestkies. 11 dried scales are continually falling from the surface of the body in larger numbers than the dead leaves of an autumn forest, so that epithelial scales can be found every-where that dust gathers, "from the tops of the highest mountains to the innermost recesses of the pyramids." And whence comes this never-ending supply of fine, branny scales ? They are pushed up from below by an incessant growth of new integument, or skin, which shoulders away the parent cells which produced it, and thrusts them out to die of ex- posure, like a pious Hindoo on the banks of the Ganges. Integument consists therefore of two kinds of matter: loose white scales on the surface of the body and the rounder, moister ones beneath ; the former are dying or dead, and the latter are alive, and possess germinal matter. Germinal matter, so named by Dr. Lionel Beale, is per- haps the most marvelous thing in all the human body. It is, in a certain sense, its builder ; for there is a time when the body begins its existence as a transparent mass in which are imbedded granular points. These differ from the matter in which they are imbedded by the latter refusing to take a stain from a carmine solution, which readily tints germinal matter with its characteristic color. This germinal matter is almost as transparent as that by which it is surrounded, and, so far as can at present be ascertained, is perfectly structureless. It consists of minute points not larger than one fifty-thousandth of an inch in diameter, scattered or in groups, and always surrounded by larger or smaller quanti- ties of so-called formed material (matrix). This formed material is supposed to be the product of germinal matter, and, unlike germinal matter, has no more vitality than any other organic compound. Like other organic matter, formed material is subjected to the usual laws of chemistry, and is oxidized and changed like similar material outside of the body;, but germinal matter resists such agents, and as long as it lives possesses the property of being able to project one part of itself in advance of the remainder. In this way germinal matter may travel directly through any of the tis- 12 Physiology and Hygiene. sues of the body, apparently using formed material for nutri- ment as it divides and subdivides. The chief work of germinal matter seems to be its division and subdivision; upon this the growth of the tissues depends, while cell walls and in- termediate substance (formed material) become variously modified and form the various parts of the body, such as bone, cartilage, muscle, and integument. And thus it is the body grows, germinal matter breaking up into smaller por- tions, or nuclei, as they are called, each taking a spheroidal portion of formed material with it, and dividing and sub- dividing as growth requires, often after the most intricate fashion, weaving itself into graceful stars, loops, rosettes, wreaths, etc. (such as here figured), infinitesimally small, of course, for they can be seen only through a microscope. Upon these freaks of motion, for such they seem, depend the exist- ence of the body; for these twistings and turnings of germinal matter precede its self- division, and upon its subdivison depends the multiplication of cells and all that it implies in the matter of growth and decay. Germinal matter is the same thing as the protoplasm over which the scientists and theologians have often so unwisely fought. Protoplasm is not God, as some of the scientific men would have us believe, but, on the other hand, it as really exists as air, and is as cap- able of being shown in its wondrous work. Denying the ex- istence of protoplasm, or whatever you may prefer to call it, does not abolish it. It may be used unfairly as a weapon against revealed religion, but too many such efforts have failed in the past, to give the Christian any uneasiness in re- Karyokinesis, or movements of cellular proto- plasm. Mosaics and Tapestries. 13 gard to the final outcome. Let him wait patiently, and he finds that his enemy's weapons become his best defense, as to-day one of the weightiest arguments against alcohol is framed from its effects upon this germinal or protoplasmic matter. ^ Strong alcohol dropped on heart muscles first paralyzes, then kills, this germinal matter. But, it may be said, only dilute alcohol is used for drinking, and this, when taken into the circulation, quickens the heart's action. Yes, temporarily, as it also makes us for a time think ourselves wiser and stronger than any one else. "O," says Dr. Holmes, "if the alcoholic virtues would only wash! " But, alas! they will not, for the poem, the book, the lecture delivered under alcoholic stimulus is never taken elsewhere at its valuation. The dyn- amometer is pitiless in its verdict, and that says absolutely that these servants of ours cannot lift, pull, or do any kind of work as well after as before the glass of whisky that makes one feel — that is exactly it: apparently, not really — stronger; for physiological experimentation proves that alco- hol, in whatever form, diminishes the sensibility and lessens the contractility of germinal matter wherever it is found. Dip your fingers into alcohol, and after a little you will find them numb from the effect of the alcohol upon the germinal matter of the skin, for it is this germinal matter that perpet- ually renews the loose scales which make up the outer or scarf skin, which protects the sensitive nerves and tissues be- neath. The necessity of such protection is shown whenever the scarf skin is removed, either by rubbing or blistering, and the sensitive true skin exposed to the air. This same is seen in a chapped skin, which is one from which the outer layer of epithelial scales has been removed by cold or irritat- ing fluids, leaving the lower and softer layers to crack and bleed. This will be readily understood by a reference to the annexed cut, which represents the different layers of the skin on the tips of the fingers. The ends of the nerves and the blood-vessels of the skin are not well shown in the picture, which is simply designed i<> show ihe epidermis, <>r layer 14 Physiology and 1Iy Bay that nothing is impossible to the really 50 Physiology and Hygiene. determined man. Matching Scotch plaids by a blind man would seem to be very near a physical impossibility, and yet there is well authenticated proof of a canny blind tailor doing this so well as to become very successful in his business. Hardly less wonderful are the India ink drawings made with a brush held in the mouth of a helpless cripple of Boston. One of the famous French painters had no arms, and did all of his work with a brush held between his toes; and there was, until recently, if not at present, a member of the English Parlia- ment without arms or legs, and yet this trunk of a man was so efficient that it was re-elected repeatedly to a seat in the House of Commons. A willing servant may be overworked, and this sometimes occurs with the muscles, as happened frequently on some of the fearful marches of Napoleon's army, where the soldiers often would drop dead from sheer exhaustion. Such cases, however, are rare, for the protest of a jaded muscle is usually too emphatic to be disregarded, as can readily be tested by try- ing to hold the arm out horizontally for only ten minutes. If there has been no previous practice, it will prove the hardest bit of work you have attempted in many a day, for the complaint of the overtasked muscular libers is so vehe- ment that, unless there is a most determined will, long before the ten minutes are up the arm drops back to an easier posture. If, on the other hand, the protest is persistently disregarded, the muscle at length loses its power of contraction and re- laxation, and it becomes impossible at last to move the rigid muscles. Thus the limbs of East Indian fakirs become at last permanently fixed when, in compliance with some vow, they are long enough held in a single position. Simple inaction, then, may atrophy a muscle, or cause it to Avaste until it is unable to perform its duties. Just what the change is that takes place within the muscular sheath we can- not describe, but the fact remains that an unused muscle is a dying one. In the realm of the body, as in spiritual mat- ters, the hath nots lose even that which they have, and phys- ical and moral skeletons are the inevitable results. Beams, Rafters, Cushions, and Servants. 51 Manual labor is irksome both from nature and habit, but the law of the house in which we live is that in no other way can its health be preserved. The contraction of each tiny fibril is absolutely necessary for its cleansing from effete material. Otherwise the House Beautiful grows dusty and filthy in the hidden corners, until its occupant is poisoned by his own fault. As we shall learn in the chapter on sewerage, these effete substances have been at last properly studied, but their headaches, lassitude, and general malaise have been known since the day when bounteous harvests and man's natural sloth first gave him the opportunity to take his ease to his own hurt. Exercise is as essential to good health as are sweeping and dusting to good housekeeping. Furthermore, inaction leads to a substitution of fat instead of muscle. A certain quantity of fat is needed both for pro- tection and ornament. It rounds out the angles and arms of the English and German maidens and matrons in a way that makes them the envy of their less favored American sis- ters, of whom it might well be said, with Cresar, " Would they were fatter." " Sleek-headed " men and women sleep well o' nights, for they have a good supply of extra adipose to meet the wear and tear incidental to modern life, which does not leave them at night nervous wrecks too utterly unstrung even to sleep. George I. thought a woman's beauty was in direct proportion to her avoirdupois, and gross as was his idea of beauty it was preferable to the school girl's " spirituel " ideal. Plumpness makes its owner warmer, happier, and gen- erally better tempered than ninety pounds of flesh and bones, no matter how vivacious. So that so long as full weight (gee tables for relation of height to weight) does not come from sloth, or gluttony, it should be regarded not as some- thing to be dreaded and lamented over, but as a surplus fund upon which sickness and worry may draw in times of neces- sity. An undue amount of fat may be safely removed by the methods detailed in the appendix, but the cases in which this is required are rare in this country. Chalk, vinegar, pickles, and other school girl abominations are n«>t to be 52 Physiology am> Hygiene:. thought of, as they arc both inefficient and dangerous. Properly arranged exercise and regulation of diet (see Chap- ter III) will do far more to reduce fat than any quack medi- cine. Such methods as are detailed in the Appendix should be adopted when the body becomes too well padded for coin- fort; but it should be remembered that a considerable quan- tity of fat is requisite for protection against cold, for a fat man does not dread a drop in the thermometer as does his thinner brother. And naturally so, for our fat friend has on an extra undergarment; or, if we return to the comparison of the body to a house, his is well sheathed, and bound with felt beneath its clapboards. Fat is a poor conductor of heat; and hence an overheated person, if fat, cools slowly, and, vice versa, endures with com- fort an amount of cold that is exceedingly irksome to one thinner. The arrangement of fat in the body is as daintily adjusted as if the despised substance was really an object of value, for fat is not spread over the internal surfaces of the body like butter upon bread; but each tiny roll of fat has its own envelope and cell. Under the microscope these fat cells appear like a spheroidal sac, containing an amber-col- ored fluid; for the fats of the body are held there in a liquid condition, since they melt at about the same heat as good butter. After death they cool, or as soon as the temperature of the body falls below normal. On the side of each sac can be found, according to some observers, a tiny point of Beale's germinal matter, whose duty is to elaborate fat from the fat- making foods. Others think fat comes from a churning of the fatty foods in the intestines, and that the butter, so to speak, is drained off and deposited in these cells, which may be found wherever areolar tissue — or that which is spongy and has numerous interstices — affords a suitable repository. No amount of starvation can ever remove all the fat from the body, for, no matter how emaciated the body becomes, fat may always be found behind the eye, around the heart, in the brain, and about the spinal cord. In short, it may be said that fat may be found normally every- where in the body Beams, Rafters, Cushions, and Servants. 53 except between the air-cells of the lungs, in the Lobes of the ears, and in the upper eyelids. Beside normal fat there is what is known as pathological fat. Normal fat is designed to pad the body, and, like a camel's hump, to feed it in time of need; for many a plump body escapes at last, hollow-eyed and exhausted, from a te- dious illness which it never would have survived if it had not been for the reserve-commissary department in its adipose tissue. The fat of disease is a vastly different thing, for it is not available fat, but fat that comes from the change of muscle into useless tissue. The pathologists call this fatty degeneration, and it is well named; for a muscle so changed has degenerated into a substance that is unable longer to properly perform its duties. If such change takes place in the muscles of the heart they may suddenly refuse to con- tract, and death inevitably result. More frequently they perform their work with increasing difficulty, making loco- motion and work almost impossible, until the same result is obtained. If such fatty degeneration takes place in the walls of a blood-vessel they may suddenly rupture and the person die instantly of apoplexy, or be stricken with paraly- sis and drag along a precarious existence for a term of years. It is a well-known fact that malt liquors often enormously fatten those who freely imbibe them; but it should also be remembered that this fattening is largely of the pathological variety, for there is in these cases not only an abnormal de- position of fat from the superfluous hydrocarbons taken Digestion, Chapter IV), but there is also fatty degenera- tion of tissue, and consequent increased liability to death from heart disease and apoplexy. So well known is this that many life insurance companies refuse to take risks on the lives of those who work in breweries or largely use malt liquors. Cuts, wounds, and bruises upon such persons from similar reasons are very difficult to heal, and there is no one upon whom a surgeon more dreads to operate than one of these beer-bloated objects. Beer, it should be remembered, cannot make muscles or 54 Physiology and Hygiene. strength. It may and does benumb the faculties, and fatten; but this fattening is useless, and even harmful, unless it is oik's ambition to transform his body into adipocere after death. Adipocere is the name given to an ammoniacal soap into which the fats of the body are sometimes converted after death. This is especially prone to happen in the case of fleshy bodies buried in moist ground and excluded from the atmosphere. Such bodies do not putrefy, but are slowly transmuted into a yellowish white, cheesy substance, unctu- ous and soapy to the touch. Such cases are rare, and cer- tainly present no inducement to beer-drinking, even though these corpses are said to have been converted into a very fail- variety of toilet soap by a sacrilegious Frenchman. Moreover, it has been clearly shown, by actual experiment, that even a single glass of porter diminishes muscular contrac- tilitv. A half pint of beer may make man feel as if he could lift a ton, but when placed on trial in the gymnasium it will be found that his lifting power is always less. Push it a little further, and the lifting power disappears entirely, for the man is poisoned — or intoxicated; for the words mean exactly the same. Muscles poisoned with alcohol are always para- lyzed to a greater or less extent. Paralysis is a loss of muscular power, either temporary or permanent. A temporary paralysis may be produced in any of the voluntary muscles by striking them sufficiently hard across their long diameter. Paralysis, however, usually oc- curs in a muscle from some trouble with the nervous apparatus, upon which it relies for the necessary directions for contrac- tion. If for any reason the nerve wires become interfered with, the waiting muscle at the other end grows weary of the delay and, failing to get its fair share of the body's nutriment, like all other idle beings begins to waste away. Hence it is that a paralyzed limb is smaller than its sound mate; not because there is necessarily disease in the mus- cle, but because its disuse necessarily brings wasting. In a measure the same is true of every muscle disused from whatever cause. Hence the great need for systematic exer- Beams, Rafters, Cushions, and Servants. 55 cise for all the muscles. An unused muscle is a starved muscle, and starvation inevitably brings emaciation. It is a stingy master who starves a willing servant, and no one was ever better served than we by our five hundred odd battalions of muscular disks; but they must, to perform efficient work, be well fed and cared for or they soon lose their cunning. The foods that are necessary to build up the muscles will be spoken of more in detail in a succeeding chapter; but it should be remembered that no amount of food can take the place of judicious exercise. With our modern civilization and labor-saving machinery we find it necessary to resort to calisthenics, massage, and gymnastics to supply what is lacking in our way of living. All are excellent in place, and so greatly needed by the present generation that, by the aid of Dr. W. G. Anderson, an Ap- pendix has been added to this book for the purpose of giving specific directions for the physical development of any part of the body that may be deficient. The needs of such sys- tematic cultivation may be seen by looking over any miscel- laneous audience in this country. Bright eyes, intelligent faces, and quick wit may be met with on every side; but a well-developed body can hardly be found. Almost every vocation dwarfs or disfigures the body in some way, so much so that a skillful surgeon can generally tell what a man's business is from the marks it leaves upon his body, unless he devotes some time daily to its symmetrical development. William Blaikie, in his JToio to Get /Strong, claims that ten minutes a day, preferably either just before breakfast or at bed-time, is amply sufficient for this purpose; and the results obtained by Professors Maclaren and Anderson amply bear out this statement. No one is too busy to take that amount of time daily for the care of the body, and no investment of time pays better, in the hardest American sense; for, as has been well said by Herbert Spencer, the first requisite for (continued) success is that a man should be a good animal. This is so often forgotten in our zeal for book knowledge that it will bear repetition. A dilapidated body is no more 56 Physiology and Hygiene. a help to religion than any other dilapidated house to wor- ship in, and we may he as much to blame for the body as the house. Muscles are tools ready prepared for use, and they must be employed or they rust. How they then damage the body will be further explained in the chapter on Moth, Rust, and Microbes. Such damage is as criminal as willful misuse of a friend's property, and as foolish as cutting shingles from one's own roof for kindling wood. Fine tools deserve line care, and daintier tools than muscles never yet have been designed. Work is not the curse laid upon Adam, for before the fall he was set to dress and keep the garden. It is our unwilling- ness to work that constitutes its grievance. Our subterfuges to escape from it are but another instance of our folly; for the greater our success in this direction the greater our un- happiness. We often learn much of the value of a substance from the care taken in its packing. From the great care that has been taken to wrap in sheathing each fiber and muscle it seems as if this held true of these patient servants of ours. First, each fiber has its own particular sheath (sarcolemma), in which the piles of disks are held as coins in a long purse ; then these sheaths are bound together into larger bundles by a large sheath (perimysium), and lastly, the muscles are held together by a loose frame-work of areolar tissue and firmer fascia — bandages — for the word really means that. It has been well chosen, too, for no Egyptian mummy with its mul- titudinous yards of linen was ever bandaged more skillfully than is the human body with its many fascia, superficial and deep. See Chapter I. Fascia rolled in a hard white cord is usually called tendon or sinew, which are the strings by which muscles are fastened to the bones. The tendons are exceedingly tough, and will support a weight large in pro- portion to their size, but once raptured they are slow to heal. Ligaments, except in name, are the same as tendons and are designed to hold the articular surfaces of bones together and thus prevent their dislocation or separation. Violent .stretching of these ligaments gives rise to what are known Beams, Rafters, Cushions, and Servants. 57 popularly as sprains, and which are often exceedingly slow to recover unless the joint is copiously bathed with hot water, and put as perfectly as possible at rest. Dislocations and fractures require the surgeon's aid. To one interested in mechanics, a careful study of the joints of the body would well repay the time spent upon it, for there are found in the body hinge joints (elbow), ball and socket (hip), wedge joints, and most of the forms of mortice known to the carpenter. Probably no simpler or more efficient piece of joining was ever designed than the method adopted for binding together the bones of the fore- arm, which are so arranged that they allow both rotary and angular motion. This is done by making a hinge joint in the expanded end of one bone (ulna) at the elbow, and grooving the same so that the rounded head of the second (radius) rolls over it like a wheel, while at the wrist the expansion is reversed. In fact, there is not a joint or a bone in the body which is not well worth more careful study than it is possible to give it in this chapter. Human and comparative osteology have taught us all that is known of the former inhabitants of this earth. Through all of them runs a general plan of structure and increasing perfection until we come to man, whom the Creator himself pronounced good. The ground-plan, so to speak, on which man and all animals are constructed is that of a double tube, and the lower the animal the more nearly equal and parallel are the tubes. In the anterior tube the lungs and abdominal organs are held, in the posterior the nervous system. These tubes, or cavities, in man differ widely in size, the anterior cavity, except in the head, where it holds the brain, being very much the larger, as is well shown in the cut on page 58. The larger of these cavities is bisected by a partition or diaphragm, which divides it into two parts; namely, the thoracic and abdominal cavities. Each of these cavities has :i separate entrance, both of which can be found in the mouth; that Leading to the thoracic cavity being known as 3* 58 Physiology and IIy<;iene. the windpipe, directly behind which can be found the tube ((esophagus), leading to the lower or abdominal cavity. Cross Section of Thorax at the Level of the Shoulders. Anterior or thoracic cavity, b. Vertebral cavity. The thoracic cavity, or chest, as it is usually called, lies entirely above the diaphragm, and contains the right and left lungs, and between them the heart and great vessels soon to be described. Their approximate situation may be fixed by remembering that a bullet would pierce the heart if it entered the chest at a right angle just above the fifth rib, and to the middle line just above the left nipple. A wound exactly in the middle line would involve both the heart and great vessels, and if to the right would escape the heart but pass through the right lung. A knife thrust into the lower intercostal spaces would wound the base of the lung during inspiration, but if done during expiration the lung itself might escape injury. See page 40. The abdominal cavity, as its name indicates, is located in the abdomen. It is the largest cavity in the body, and en- tirely separated from the thorax by the diaphragm. Anat- omists divide the abdomen by imaginary lines into nine regions, which are numbered in Plate I. The upper tier of these, namely, 1, 3, and 7, contain some of the most important of the abdominal viscera; namely, the liver, stomach, and spleen, all of which lie directly beneath the diaphragm. The spleen, concerning whose uses we have .'.•■■::-' >\ .. ,-• fi Beams, Rafters, Cushions, and Servants. 59 much yet to learn, lies to the left of the stomach in region V, and is an oval body, weighing four to eight ounces, well supplied with blood; but what it does there is yet a mystery to physiologists. In regard to the stomach and liver we are Liver, Stomach, Spleen, and Branches of C-* o a O Perct. < Per ct. Per ct. Per ct. Per it. Per ct. 54.6 45.4 17.2 27.2 ... 1.0 76.0 24.0 21.8 0.9 . • • 1.3 66.7 33.3 23.0 9.0 • • • 1.3 60.0 40.0 20.0 19.0 1.0 64.5 35.5 19.9 14.5 1.1 69.5 30.5 20.1 5.4 3.5 1.5 63.5 36.5 17.4 18.0 1.1 56.5 43 5 16.3 26.2 1.0 78.8 21.2 19.9 0.8 , . . 0.5 72.3 27.7 18.9 7.5 1.3 45.9 54.1 14.7 38.7 • . • 0.7 61.8 38.2 ■18.3 19.0 • > • 0.9 58.6 41.4 18.1 22.4 6.9 49.3 50.7 15.0 35.0 0.7 58.6 41.4 30.3 4.4 6.7 58.1 41.9 13.3 26.6 • ■ . 2.0 41.5 58.5 16.7 39.1 2.7 10.0 90.0 3.0 80.5 6.5 72.2 27.8 24.4 2.0 1.4 66.2 33.8 23.8 8.7 1.3 38.0 62.0 15.9 45.6 0.5 87.4 12.6 3.4 3.8 4.8 0.7 90.7 9.3 3.1 0.7 4.8 0.7 90.3 9,7 4.1 0.9 4.0 0.7 93 2 6.8 0.9 0.2 5.0 0.7 31.2 68.8 27.1 35.4 2.4 3.9 41.3 58.7 38.3 6.8 9.0 4.6 9.0 91.0 1.0 87.5 0.5 2.0 73.1 26.9 13.4 11.8 0.7 1.0 84.2 15.8 13.8 0.7 1.3 SI. 4 18.6 17.1 0.3 1.2 78.5 21.5 19.0 1.2 #. . 1.3 64 Physiology and Hygiene. Kinds of Food Materials. {Italics indicate European analysis; the rest are American. Fish, etc. Cod. dressed Whitefish, whole Shad, whole Mackerel, average, whole. Salmon, whole Salt Cod Smoked Herring, Salt Mackerel. . . Oysters 87.2 Per ct. S2.G 69.8 70.G 71. G 63. G 5:;. 8 34.5 42.2 Per ct. 17.4 30.2 29.4 28.4 3G4 26. 1 53.8 47.2 12.8 Nutrients. o c Per 15. 22. 18. 18. 21, 21. 36 22, 6.0 Per rice. It is said, furthermore, not to have the bad 90 Physiology and Hygiene. effect of wakefulness that belongs to the unadulterated coffee ; and the same may be said of chicory coffee, rye coffee, potato paring coffee, and all the endless variety of adulterations that the high price of coffee has forced upon the market ; and, worst of all, there seems at present to be no satisfactory method of recognizing these adulterations except the microscope in the hands of an expert. Sugar has fared almost as badly in the contest between honesty and illegitimate profits, for sugar is sold in the markets at a less price than it can be honestly manufactured from sugar-cane. Whole cargoes of white earth are brought from Chili for this purpose, and car-load after car-load of corn is worked up into glucose to adulterate syrup and mo- lasses, to say nothing of the more dangerous use of poisonous salts of tin that are used in making what is known as new process sugar. And so the list might be almost indefinitely prolonged ; and yet after all most of us are more frightened than hurt by these adulterations of food. They are a crying evil which needs the appointment of a State chemist, and heavy penalties for any contamination of food either from carelessness or fraud. But as yet the staple articles of food in this country are good and cheap. The per diem cost of honestly feeding an inmate of our State institutions is from fifteen to twenty-five cents. Atkinson, in a recent article on the subject of food, estimates that twenty-four cents daily is sufficient to feed an adult in this country, divided as follows : Meat, \ lb 10 cents. Eggs 5 " Bread, J lb 2} « Milk, \ pint 5 " Vegetables 2% " Sugar and syrup 2 cents. Tea and coffee 1 " Salt, spices, etc 1£ a Total 24 cents. So that for less than a quarter of a dollar daily the ma- chinery may be run and the waste repaired of the houses in which we live, for, as says another, " man, in a strictly ma- terialistic point of view, is an engine, fire-box, boiler, and fuel complete. The carbonaceous foods are the fuel, and muscu- lar contraction and heat are the power and results produced Dining-Room and Scullions. 91 by its combustion. This combustion of food is not accom- panied with flame, but its results are none the less real in the way of heat and carbon dioxide gas which is produced whenever carbon is burned, whether inside or outside of the body. Between 1,200 and 1,300 grains of this gas, ac- cording to Huxley, are given off daily from the body; but as we do not eat charcoal directly this gas must be formed from the carbon in our food, in which form we consume nearly seven ounces of charcoal daily. A white spongy loaf little resembles black, brittle charcoal, but the loaf may easily be converted into the latter by simply letting it bake at a high enough temperature to drive off all of the water of the dough and leave its carbon only behind as a crisp, brittle mass, no longer fit for eating, but excellent for burning and keeping indefinitely unless put in the fire. In fact, pure car- bon is, except by heat, one of the most unalterable things in the world. That is why the loaves of bread baked in Pom- peii more than eighteen hundred years ago may be seen to-day in the museum at Naples, carbonized like charcoal, and hence almost indestructible. They will show you in Zurich blackened wheat, burned, long before the destruction of Pompeii, in one of their Swiss lake villages built on piles over the water. Possibly the whole village was con- sumed at the same time; but, be that as it may, these black- ened bits of grain, mixed with similarly carbonized domestic utensils, have been preserved under the waters of the lake hundreds and hundreds of years unchanged, for carbon under such circumstances is one of the most unchangeable of all substances. And fortunately it is so, for otherwise in course of time the letters in our books would have all faded away and Birmingham and its coal mines disappeared in thin air. But unchanging as is carbon outside of the body, except at a heat higher than the thermometer measures in the mouth, some- how these carbonaceous foods are oxidized within us just rapidly enough neither to burn us to a fever nor, in health, ever to leave us uncomfortably cool. We have for the house 92 Physiology and Hygiene. in which we live a perfectly regulated automatic furnace and engine which runs our machinery by burning the refuse of the body, something as the engine at a saw-mill is run by burning the useless slabs. If now these slabs should take fire and spread to the rest of the mill we have a fair com- parison of fever, which is an ungoverned combustion, beyond the control of the inhabitant of the house. Often he is to blame for the accumulation of refuse in the house, to remove which fever comes, but the conflagration once under way he is powerless to stay it, for the heat-regulating center, ac- cording to H. C. Wood, is located in the brain, but is entirely involuntary in its action. In fact, the physiologists are find- ing altogether too many of these nerve-centers for the com- fort of the ordinary student of ph}^siology, and, worse than all, they are burdening them with such names as thermogenetic and thermolytic, meaning by the former heat-producing and by the latter heat-discharging. They have also coined an- other word, thermotaxy, which is used to express the adjust- ment of heat within the body. " The temperature of the body," says Dr. Macalister in the last Croonian Lectures, " is due to the action of a heat-generating mechanism in the body, the chief source of heat being changes in the muscles. The loss of heat is controlled by a heat-losing mechanism, mainly associated with vaso-motor and respiratory activity. The balance between heat-production and heat-loss is maintained by a heat-adjusting apparatus. The three mechanisms are successively evolved as we ascend in the animal scale. Cold- blooded animals have little more than a thermolytic or heat- losing mechanism. Infants have only the thermogenetic and thermolytic, there being hardly any adjusting mechanism, as is shown by the instability of their temperature. Fever is a dissolution process — the last mechanism evolved, the thermo- taxic, gives way first, then the thermogenetic, and lastly the thermolytic. Or, in plainer English, the heat engine loses its governor and runs wild. Conversely, when the patient convalesces thermolysis is first restored to normal, then ther- mogenesis, then thermotaxy." Warming the body is a more DlNlNG-RoOM AND SCULLIONS. 93 complex process than it was once supposed, for it requires other and more delicate adjustments than simply swallowing so much food like shoveling coal into a furnace. Fortunately these adjustments are beyond our powers, or we should burn ,-up from carelessness or freeze o' nights. Heat, like life, is above food, and science reiterates the biblical advice to take no " worry " over what we shall eat and what we shall drink, for if we follow the teachings of common sense we will eat sufficient nutritious and properly cooked food. " O fool, do not gormandize, neither stint yourself to a scanty allowance. Nature will see to it that the body is kept in repair, and that fuel sufficient to supply its engines will be absorbed, if you but follow her dictates." Sympathetic Ganglia and Large Vessels of the Chest. 9-i Physiology and Hygiene. CHAPTER IV. THE WHEEL AT THE CISTERN. In Chapter III the preparation of food in the twenty odd feet of kitchen with its four million cooks has been described. But the best cooked food must be eaten promptly or it be- comes worse than useless; hence arrangements have been made to deliver that for the body, after it has been properly prepared, in the fraction of a minute. The agents by which it is accomplished are the villi of the intestines, the lymphatics, and the heart, with its arteries and veins. The chyme, already described (see page 81), after its preparation for food, is taken by a multitude of tiny absorbents which line the intes- tinal walls. Though they are identical with the lym- phatics, hereafter to be de- scribed, they are called lac- teals, for the reason that when they are filled Avith absorbed chyme, now called chyle, they appear as if filled with milk (lac, in Latin). These lacteals soon unite to form larger trunks, which increase in size by aggrega- tion until they unite to form a vessel about the size of a goose quill, known as the tho- racic duct, which runs along the spinal column and at last emp- ties its contents into the venous circulation, near the junction of the left jugular and subclavian veins (see page 93), whence the chyle and lymph, which have been added to it, are carried Absorbents of the Colon. The Wheel at the Cistern. 95 with the blood the round of its circulation. Lymph is chem- ically the same as blood serum, and circulates throughout the body through what are known as lymph-vessels, or the lym- phatic system of vessels. These are exceedingly delicate tubes, whose coats are so thin that the fluid they contain can be readily seen through their walls. The lymphatics are the general absorbents of the body. The lacteals are the lym- phatics whose especial duty is to take up the digested food from the intestine, for lacteals and lymphatics are identical in structure. All parts of the body which are supplied with capillary blood-vessels are also supplied with lymphatics, which are so numerous that could they be injected with quicksilver the surface of the body would appear like a mir- ror. Lymphatics also originate from the inner surfaces of all of the cavities of the body and most of its organs, except brain substance, the spinal cord, cartilage, tendons, nails, and hairs, which are destitute of lymphatic vessels and glands. The lymphatic glands are small, oval bodies, varying in size from a small pea to an almond, located along the tract of the lymphatic vessels. In fact, the lymphatic vessels pass directly through these lymphatic glands, which act appar- ently as filters for the lymph as it passes through them. As may be seen by the cut, they are admirably arranged for this purpose, the multitude of their divisions (trabeeulce) necessitating a slow flow and an efficient straining of the lymph as it passes through. The lymphatic glands are numerous in the mesentery, groin, axilla, and neck, section through the Medulla where they are especially prone to en- of a Lymphatic Glan _ d ^. n large. What are familiarly known as "kernels," are these lymphatic glands engorged with foreign matters. Tf there is a sufficient quan- tity of i liis to se1 ii]) inflammation in the gland, it becomes enlarged, red, and tender, and may go on to form an absc< If the enlargement is less, the gland may simply remain 96 Physiology and Hygiene. swollen, distinctly visible, and unless properly treated may continue in this condition for years, giving rise to what is known as scrofula (literally, pig-neck). Physicians are not yet agreed as to the cause of scrofula, but, what is more im- portant, generally agree that scrofula can be cured, provided it be taken in hand sufficiently early. Enlarged glands about the neck — except those following diphtheria or scarlet-fever — should always be considered of sufficient importance to re- quire medical advice ; for these enlarged glands are usu- ally the forerunners of other scrofulous manifestations. In Part II may be found some general directions for the care of those thus affected, which, if properly followed, will more than repay all time thus given, for old scrofulous ulcers and fistula? are among the most persistent and annoying of ail- ments. The lymphatic fluid, so named from its resemblance to water {lympha), circulates, or, more properly, percolates, through all the tissues of the body, by means of an intermin- able network of lymphatics, and the perivascular spaces. Thus all of the body is supplied both with blood and lymph by means of the two circulatory systems of the body; namely, the lymphatic and the sanguinous, or that containing the blood. The lymphatics differ from arteries and veins in that the latter unite to form trunks of increasing size, whereas the lymphatics pursue, as it were, an independent course, not enlarging much in diameter, though they freely communicate with each other. Moreover, the fluid which is constantly passing through the veins performs its circuit under the impulse of the heart's ac- tion, while the lymphatic fluid is propelled solely by the action of the walls of the lymphatic vessels, whose exact ac- tion is not yet definitely understood. The structure of these lymphatic vessels is not unlike that of the smaller veins, ex- cept that the lymphatics are more delicate and transparent, though their two coats may be recognized, and in the case of the thoracic duct separated. As may be inferred from what has previously been said in regard to the circulation of lymph, the lymphatic vessels The Wheel at the Cisteex. [i , have a propulsive power of their own, the absorbents having been seen to contract and propel their contents with consid- erable power, independent of pressure or motion communi- cated from other parts of the body; and this motion is aided by the presence of valves in the course of the lymphatics, one or two always being found where the absorbents open into the veins, to prevent regurgitation of blood. There is much yet to be learned concerning the lymphatics and their contents; but we may summarize our present knowl- edge as follows: Chyle is the fluid contained in the lacteals or the lymphat- ics of the intestines. This fluid is transparent after fasting, but milky during digestion, owing to the presence of minute particles of fat. Chyle taken from the thoracic duct is dis- tinctly yellowish or pinky white in color, with a salty taste; and after its removal from the body forms a pinkish white clot, from which an opalescent fluid is squeezed out as the clot grows firmer. Lymph differs from chyle in that the former contains no fat, but is a watery fluid containing what are known as lymph corpuscles, which are probably identical with the colorless blood corpuscles. In fact, some believe that these corpuscles are formed during the passage of lymph through its vessels. In short we find: 1. That lymph and chyle are substantially alike, except that chyle contains fat, and lymph none, or nearly none. 2. Lymph and chyle are substantially like blood, the difference being only one of degree. In fact, these liquids are possibly rudimental blood, containing corpuscles in proc- ess of development into red corpuscles. The difference be- tween the lymph and chyle and the blood becomes less and less as the two former pass through the thoracic duct, or, in other words, as they approach the place where they are to be mingled with the blood. '■'>. Blood, lymph and chyle agree in that they contain fibrine and coagulate spontaneously, although the clot of lymph and chyle is softer than that of blood. In this prop- 98 Physiology and Hygiene. erty of spontaneous coagulation they differ from all other animal fluids. What is coagulation ? A Latin term for the process of clotting; a phenomenon that, fortunately for us, occurs in the blood whenever it is exposed to the air. In the days when bleeding was part of the treatment for almost every disease great stress was laid upon the appearance of the blood clot which formed in the basin wherein the blood was caught. Latterly it has been learned that the appearance of the clot is largely due to the amount of fibrine it contains, and that the coagulation of the blood depends upon the fibrine found there, or, more properly, formed there; for there is reason to believe that fibrine does not exist as such in the blood, but is formed by a chemical reaction between sub- stances found in the blood plasma and blood serum. The difference between these two fluids is this: blood plasma is the fluid in which the corpuscles, hereafter to be described, float, while blood serum is the fluid which sep- arates from clotted blood upon standing; or blood serum is blood minus the clot, or blood plasma minus its fibrine, if we accept the former idea that fibrine is held in solution in the watery part of the blood. Fibrine can readily be obtained in long threads by whipping fresh blood with twigs, but the latest teaching on the subject is that it is not held in solution, or only in part. It is now supposed that during the whipping fibrine is formed by the reaction of two other substances (fibrino-plastin and fibrinogen). One of these can be readily obtained from any serous exudate of the body, and can be kept indefinitely without coagulation unless blood serum be added to it, when clotting immediately takes place. Thus it seems proven that the coagulation of the blood and the formation of fibrine are caused primarily by the inter- action of two substances (or two modifications of the same substance), fibrino-plasters and fibrinogen, the former of which exists in the serum of the blood and in some tissues of the body; while the latter is known at the p resent only in the The Wheel at the Cisterx. 99 plasma of the blood, of the lymph and of the chyle, and fluids derived from them. Fibrine is insoluble in water, alcohol, and ether, soluble in dilute alkalies forming albuminates. When digested with a two per cent, solution of muriatic acid, fibrine is transformed into a semi-transparent, jelly-like mass. By the action of gastric juice, fibrine is converted into peptone, the change being a chemical one and not one of simple solution. If the gastric juice contains but little pepsin the products of the digestion of fibrine with this fluid will be precipitated by neutralizing the solution. By the action of pancreatic juice fibrine is transformed into peptone, for which see Chapter III. But however formed, or digested, fibrine is the most impor- tant element found in the blood, as regards the preservation of life. If it were not for this substance, in the blood or formed from it, the slightest nick into a blood-vessel would necessarily cause death; for the only reason that blood ever ceases to flow from such an opening is that the passage of the blood over the edges of the artery causes a clot of blood and fibrine in the wound and thus stanches the flow. Later the coloring matter of the blood-clot is taken up, and the fibrine becomes organized, as it is called, or so like natural tissue that it can indefinitely serve in its stead, and thus the gap is permanently filled. Occasionally we find persons in whom the process is imperfectly performed, and hence they are known as bleeders, because the slightest wound becomes a grave source of danger from their inability to check the bleeding originating therefrom. As trivial a matter as draw- ing a tooth may cost such a bleeder his life, for the oozing may persist from the tooth socket until, death ensues from exhaustion. The late Duke of Albany died from a like trivial accident, for he was one of those in whom a scratch is a serious event, and so would it be with all of us if it were not for this property of spontaneous coagulation in blood exposed to the air. Blood will also coagulate within the vein- niter death, but this takes place more; slowly than in blood drawn from the body. When from any reason the 100 Physiology and Hygiene. fibrine contracts less rapidly than usual, a white layer forms on the surface of the clot, consisting of fibrine and white corpuscles, forming what is known as the buffy coat. This buffy coat contracts more rapidly than the rest of the clot, so that a cup-like depression is found on the surface of the clot, which is then said to be cupped. These coagulatory changes are hastened by a variety of circumstances, among the more important of which are : Sex. IVomoSs blood coagulates more rapidly than the blood of men, but the clot is less firm. Embryonic blood coagulates imperfectly. Arterial blood coagulates more rap- idly than venous. A warmth of 100 to 120 degrees F. (37.8 to 48.0 degrees C.) promotes coagulation. A higher temperature than this retards it, while a temperature of 200 degrees F. (93.3 de- grees C.) stops coagulation altogether, even after the blood has been cooled. Conversely, a cold of 40 degrees F. (4.5 degrees C.) entirely stops coagulation ; but coagula- tion will, under these circumstances, take place as well as ever after the normal temperature of the blood has been restored. Motio?} retards coagulation, but rest promotes it. The multiplication of points of contact promotes coagula- tion. Thus we whip blood with a bundle of twigs to coag- ulate the fibrine. Or, again, the blood coagulates more rapidly in the rough cavities of the heart than in the smooth veins and arteries. Conversely, coagulation is retarded by a variety of circumstances, some of which have already been men- tioned, among which are: (a) Cold, which, according to some experimenters, if suf- ficient, entirely prevents. (b) TJie addition of soluble matter to the blood. Many saline substances, and more especially sulphate of soda and common salt, the alkaline hydrates, carbonates, and acetates dissolved in the blood in sufficient quantity, prevent its coagulation ; but coagulation sets in when water is added so as to dilute the saline solution. The same is true of dilute acids, potassic and calcic nitrates, and ammonia chloride. The Wheel at the Cistern. 101 (c) Contact with living tissue retards coagulation, while contact with dead or foreign tissue favors it. Thus we pass a thread through an aneurism to form a nucleus for coagula- tion and to assist the cure. Blood drawn into a basin begins to coagulate where it touches the sides of the basin, and a wire acts like a thread in an aneurism. (d) Large dilution with water retards, if the quantity- used is greater than twice the bulk of the blood. (e) Exclusion of air retards, and certain gases apparently prevent entirely coagulation of the blood. (f) The mode of death. Thus in death by asphyxia, where the blood is imperfectly aerated, coagulation is re- tarded. According to Hunter, the same result occurs in death from lightning, blows on the stomach, over-exertion, fits of anger. Some little space has been given to the matter of the coagu- lation of the blood for the reason that the explanation of co- agulation in many of our text-books is imperfect, and second- ly because we have no more striking instance of Almighty foresight than the formation of these tiny white threads in freshly flowing blood. These soft curly bits seem a very ineffi- cient means to stay an alarming hemorrhage, but feeble as they appear they are the threads upon which life literally hangs, for science knows no means by which bleeding can be permanently arrested without the aid of these threads of fibrine. Fibrine and coagulable lymph, which is nearly the same thing, are nature's carpenters and joiners to repair the breaks made in the house in which we live, which, without their aid, would become too dilapidated for habitation before its occupant had passed through childhood. No other article of dress wears half so long or well as the body, for none other of our clothes can repair themselves as does this house of clay. Let us look for a moment at how this is done. The best thing that can happen to a wound is to have it heal, as the Burgeons say, by first intention, that is, that its edges shall immediately grow together after the bleeding has been checked. The arrest of bleeding is due, as has already been 102 Physiology and Hygiene. said, to the formation of a clot in the rough edges of the cut blood-vessels, whose inner coat is clastic, and retracts so as to form an edge for the formation of a clot. This acts as a plug within the bleeding vessel, if not too large, and thus stops the hemorrhage. If now the edges of the wound can be accurately brought together, in the course of an hour or two they become reddened and slightly swollen. This swell- ing is due to an interference in the circulation of blood in the part, which causes the exudation of plastic material through the walls of the blood-vessels — to be described later in this chapter. This plastic material is like the temporary callus, described in connection with broken bones (see Chapter II), and like it glues together the sides of the wound, provided there is no foreign substance to interfere and the edges of the wound have not been bruised or otherwise injured. This is the result which every surgeon hopes to obtain when he care- fully cleanses and stitches together the edges of a fresh cut, whether made by himself or accident. Sometimes the process is so perfect that there is absolutely no scar, but more frequently a narrow white line can be seen after adhe- sion has taken place. This whiteness is due to a destruction of the skin — as is seen also in the pits of small-pox; for true skin is never reproduced, but the gap filled in as best it may be with plastic lymph, which at first is soft and sticky as fresh glue, but later hardens into a tough white substance, known as cicatrix, the Latin name for scar. Much else of the body is replaced every few months, but a cicatrix is un- changeable, for it contains no germinal matter — and hence remains as more or less of a deformity during life. But a scar is better than a gaping wound, and is the best result that can be hoped from a large wound, or an extensive burn, for if repair does not take place in this way the only thing that can then be done is to trust to the slower process of union by granulation. This is what usually happens after serious burns, or extensive injuries, where the edges of the wound are too far separated to be glued together by plastic lymph. In these cases we find the swelling about the neigh- The Wheel at the Cistern. 103 boring blood-vessels so great that not only plastic lymph es- capes through their walls, but also the lymph, blood and pus corpuscles. Or in other words the wound is said to maturate and discharge pus. Beneath this pus, granulations — " proud flesh " — form in the shape of rosy red mounds that en- deavor by their rapid growth to fill up the gap, until on a level with the surrounding skin, which it at last unites by a cicatrix, exactly as in the case of union by first intention. At least that is what is sought to be done, but sometimes the strength of the patient gives out before the process is com- pleted, either from a too profuse discharge of pus, or too srreat inflammation. And what is this inflammation so greatly dreaded in a wound? Inflammation, according to our present theories, is a conflict between the white blood cor- puscles and minute forms of life, so tiny that they cannot be seen except through a microscope. These beings are known as microbes, and will be more fully described in Chapter VIII; for the present it is sufficient to remember that they lodge and grow in every fresh cut. Their presence there produces the heat, pain, and swelling of an inflaming wound, in which the white blood corpuscles are doing their utmost to over- whelm these invaders. Inflammation then is, as Mr. Sutton well puts it, " a battle between the microbes and the white blood corpuscles; the latter are the defending army, whose roads and base of supplies are the blood-vessels." Re- cent experiments seem to show that the method adopted by the white blood corpuscle to dispose of its adversary is to envelope the attacking microbe and devour it. These de- vouring white corpuscles constitute the pus or matter so freely discharged from an inflamed wound. There is no more wonderful thing in our wonderful bodies than these same white eorpuseles, or leucocytes, as they an' sometimes called. Twenty-five hundred of them must be laid in a line together before they measure an inch, but they are undoubtedly the most truly vital parts of our bodies. These bits of colorless matter, which occupy only one twenty- five-hundredth of an inch in diameter each, arc in incessant 104 Physiology and Hygiene. movement, not only from their being carried forward by the current of the blood, but from independent motion of their Leucocytes. own. When watched beneath the microscope they slowly writhe and twist like an impatient school-boy kept in after school. The cut well shows these changes of form, which occur from movements in every part of the white corpuscle, contracting and dilating, like one of the lower forms of organisms (amoeba) which are found in stagnant water. While living and moving the structure of the white cor- puscles can be ascertained with difficulty, if at all; but by largely diluting blood with water or weak acetic acid the vitality of these moving bodies is destroyed and they swell up, and now they are seen to be roundish sacks with very thin walls which hold within them a colorless fluid contain- ing more or less granular matter, which is gathered together in an irregular form in the center. Huxley believes this cen- tral body is the red corpuscle, hereafter to be described, which is set free by the bursting of the sack of the white corpuscle. Whether these white corpuscles bear this relation to the red corpuscles is still under dispute. Dalton thinks there is no evidence of any transformation of the white corpuscles into the red either in man or the lower animals, while Huxley, as we have seen, inclines to the belief that " the red corpus- cle is simply the nucleus of the colorless corpuscle some- what enlarged, flattened from side to side, changed by the development within itself of a red coloring matter. ... In other words, the red corpuscle is a nucleus free." Others be- lieve the red originate in the spleen, and others think the red marrow of the bones converts protoplasmic marrow cells into red corpuscles. Nor do we know much more about the The Wheel at the Cistern. lod origin of the white corpuscles except that they possibly be- gin their existence as the lymph corpuscles already described. Where then the white corpuscle originates, or whither it is going, we know but little more than that it is a form of germinal matter, vital, moving, vigilant to beat back the in- visible foes with which the body is constantly assailed, and possibly performing other duties as well. According to Klein, some of these white corpuscles are stationed in the lymphatic glands, where they lie in wait in their meshes to devour inflammatory and other products as they are caught in the filters, but the bulk of these colorless corpuscles are constantly wheeling to and fro, backward and forward, through the blood-vessels, as it was once thought, aimlessly; but, if we accept MetshnikofTs theories, they are under arms to repel bacterial invaders. This observer has carefully studied the behavior of certain of the bacteria in the blood of the lower animals. Where it was found these animals were not susceptible to the diseases caused by bacteria, it was found that the white corpuscles en- veloped these lower forms of life within themselves, and thus prevented their multiplication, but when the white cor- puscles failed to do this the animal experienced the disease in all its virulence. If this holds true for man, our health and life even hang on these invisible squirming points of matter far more than it pleases our pride to think. They are our Swiss body-guards, whose ceaseless vigilance makes life possible, by giving up their lives in the defense of the house in which we live. But the blood has other duties than simply to patch a flaw and beat back bacterial invaders. The crimson color, greasy feel, and characteristic odor of fresh blood are known to all, but few have any just idea of what an exceedingly complex compound blood really is. " Red as blood " is one of the old- est of similes, but the microscope shows us that blood is in re- ality not red, but a colorless fluid in which float an innumer- able number of amber disks, which, when gathered together in mass, give blood its color. This color varies with the 106 Physiology and Hygiene. source from which the blood is obtained, for blood spurting from an artery is florid red, while that which flows from an opened vein is purplish B in tint. This variation in -^ color is due to changes in each of the red corpuscles, whose numbers are almost inconceivable, for a cubic inch of blood contains sev- enty times as many red cor- puscles as the world does Corpuscles of Human Blood. inhabitants. Nevertheless, (Magnified about eoo diameters.) each of these is well worth a. Red corpuscles: a, a corpuscle seen Our careful Study beneath edgeways ; b, a corpuscle in an altered state, . J . arising from pressure. A small spheroidal the microscope, where it red corpuscle, such as may be frequently met must be made* for the red with in the Dl00d « is represented beside tbe larger discoidal ones, corpuscles are even smaller jj. Colorless corpuscles: a, a colorless cor- (one thirty-two-hundredths P uscle acted u P° n °y diluted acetic acid, P , \ J , , , . showing its nucleus, or an inch) than the white. But they are no less important to the body, for if the white corpuscles may be likened to body-guards, red corpuscles are liveried servants, ceaselessly hurrying to and fro to feed the germinal matter of the body. The French call the blood "running flesh," and aptly ; for flesh or muscle is made up of a multitude of stationary, waiting servants. In the blood we find the corpuscles taking the pface of the muscular stria, or checkers, already described. These blood corpuscles are the w r aiters in this hotel in which we live, and they are kept exceedingly busy, for they are only given about two minutes to make their entire round. They start out from the lungs, as we shall hereafter see, very ruddy and jolly from their draughts of fresh air, but as they hurry onward, exchanging their surplus oxygen for ref- use carbonic dioxide, they at last become blue and overload- ed, and finally stagger into the air-cells of the lungs, just in time to save themselves and us from death by asphyxia. So accurately is the whole matter arranged that a few minutes' The Wheel at the Cistern. 107 delay anywhere along the line is matter of serious importance to all concerned. This change in the color of the blood can be readily shown by winding several turns of twine tightly about the root of a finger. In a few seconds it loses its rosy tint and becomes dusky and swollen. If the experiment is persisted in long enough, and the twine tightly enough wound, the finger may actually mortify, or die from lack of blood, or rather lack of aerated blood, for no other will feed and keep alive germinal matter. Aerated blood, then, differs from blue blood in that the red corpuscles of the former contain oxygen, and in the latter the oxygen is largely replaced by carbon diox- ide gas, which changes the tint of the red corpuscle from amber to blue, owing to the effect that these gases produce upon one of the constituents (haemoglobin) of the red corpuscle. Haemoglobin is an iron compound, of which there is said to be enough in the blood to enable a sentimental Frenchman to make a mourning iron finger-ring from the blood of his friend. Haemoglobin is the most important chemical constituent of the red corpuscles of the higher animals, for in man, the dog, pig, and ox, the red corpuscles are almost entirely pure haemo- globin, and in fact, solution of hemoglobin behaves almost exactly like blood in regard to its change of color with various gases. A watery solution of haemoglobin has the bright red color of arterial blood, and like it contains oxygen, so loosely held in combination that it can be removed by an air-pump. If a current of nitrogen, hydrogen, or carbon dioxide gas is sent through a solution of haemoglobin it Loses its bright red color and takes on the hue of venous blood. If now this solution of haemoglobin be shaken with the aif, oxygen is absorbed and the solution again becomes bright red, and the change may be indefinitely repeated. So then we conclude thai the change in the color of the blood corpuscles i^ not due to their change in form, as was once taught, but is dependent on the relative oxidation of its haemoglobin, or blood-coloring matter. Thus, in arterial blood the haemoglobin is oxidized and of a scarlet color, while in venous blood a part of the haemoglobin is deoxidized and 108 Physiology and Hygiene. of a purple color. Possibly the physical condition of the cor- puscles, and also the presence of carbonic acid, may be elements in the case ; nevertheless, there can be but little doubt that the change of color is primarily, if not entirely, due to the oxidation and deoxidation of the hemoglobin. To recapitulate, the blood is to the naked eye a crimson- red fluid, but under the microscope it is found to be in reality a colorless fluid in which float a multitude of minute bodies, to which the name of corpuscles has been given. These are of various sizes and shapes, the largest (one twenty-five- hundredths of an inch), being known as Avhite or colorless corpuscles. These are probably identical with lymph and pus corpuscles, whose functions have already been described. The red corpuscles are the oxygen carriers for the body, and are more numerous and smaller than the white corpuscles. The red corpuscles make up about one half of the bulk of the blood, and in shape closely resemble a microscopic muffin — and a heavy one at that, for its top and bottom are sunken so as to make the edge of the muffin biconcave; hence when viewed edgewise they appear as rods with slightly expanded ends. Their transverse diameter is from one three-thousandth to one thirty-two-hundredth of an inch, and their consistence apparently about that of a stiff jelly, for if watched beneath the microscope the red corpuscles are found first to fluctuate and then to arrange themselves in piles, like rouleaux of coin, adhering to each other by their broad surfaces, very likely from the coagulation, already described, taking place in the blood. Great dilution of the blood causes the red corpuscles to swell, and solutions of certain salts cause them to lose their smooth outlines and become irregular or crenated, and still further shrinking causes them to become covered with minute projections something like a horse-chestnut. What are known as N orris's third or invisible corpuscles are probably simply discolored red corpuscles; but others which have been described as ha3matoblasts deserve a little further attention. These hamiatoblasts are granular matter more or less oval in form, paler, and about one third to one The Wheel at the Cistern. 109 half the- size of the red blood corpuscle, and arc always found in the blood of man and mammals. By many they are re- garded simply as granular debris carried along by the circu- lation; but by others (Hayem, Osier, Kemp) are thought to be elementary red corpuscles or intermediate forms in their development. Recently they have been called blood plaques, or plates, a term worth preserving for the sake of clearly dis- tinguishing them from the other varieties of corpuscles found in the blood. These plaques are composed of smooth, struct- ureless protoplasm, but whether with or without a nucleus is not yet determined ; and they have a remarkable tendency to adhere to one another and adjacent objects when removed from the blood-vessels. The origin of these blood plaques is still a matter of dispute, for they are variously regarded as young red blood corpus- cles; as derived from the red corpuscles; as de- rived from the white corpuscles; as nuclei float- ing free in the blood; as fibrin, and, finally, as independent elements. It seems scarcely worth while to mention the evidence upon which these views have been founded. Suffice it to say that all have been carefully examined byjvemp, and 1. Blood plaques, sufficient evidence brought against all other colorless and vary- theories to render them most improbable, except ing a little in size. . r x 2. Miciocytesof a the one that considers the third corpuscles as deep red color, hajmatoblasts, or young red corpuscles. That 'i. Two ordinary . ' t \ t • i red corpuscles, they are not due to changes produced m other 4. Asoiidtrunsiu- elements after the blood is drawn is shown by cent, lymphoid ... . n , . ., . . \ cell or free nu- packing the linger under osmic acid, which flteus. coagulates all of the other elements of the blood as they leave the blood-vessel and still these blood plaques may be shown in the fluid. Furthermore, we could scarcely ask for more conclusive proof than that five competent ob- servers have Been them circulating in the vessels of the mes- entery and in the uninjured vessels of the connective tissue of young rats. Kemp's opinion is that they are bi-concave, like the red corpuscles, and that they are in all probability 110 Physiology and Hygiene. incipient red corpuscles. If so, we are a step nearer their origin ; but we have yet much to learn concerning all of the various corpuscles found in the blood. There is a time before birth when all of the corpuscles of the blood are while, gradually becoming mingled with the red also. Later in life the red marrow of the bones gives birth to marrow cells which are apparently converted into red corpuscles, which some think are again destroyed in the spleen; others that they are formed there as well. This, then, is about the sum of our knowledge concerning the origin and end of the red corpuscles, which give to blood its vitalizing power; for science and Moses unite in declaring that "blood is the life," and that our well-being and com- fort depend more largely upon its composition than on that of any other fluid of the body. Excess of red blood corpuscles produces vertigo, plethora, and headache; deficiency, anaemia, pallor, and the listlessness so common to the school-girl of to-day. Pie, cake, the piano, and the bad air of a modern school-room are poor materials out of which to make good blood; and good blood is essential to health and happiness. Better fewer books, better less company, better less culture, better less almost every thing, than to start into life such wretched apologies for womanhood as are too many of our high-school graduates. It is too high a price to pay for our modern civilization; one that is too dearly bought even at the return of an occasional Jex Blake or a Frances Willard. As a rule it is bad living rather than mental overwork that is to blame for this condition of affairs; for bad air, bad houses, and improper food will ruin the best animal, and it must be remembered that a part of us is as truly animal as the beasts that are nightly tied up within their stalls. There is an efficient society for the prevention of cruelty to ani- mals; but there seems to be no Henry Bergh to interfere when a growing child abuses the animal body that is of infinite- ly more value to the world than many horses. Moreover, cus- tom and fashion have so contrived to Hem in a growing girl that she cannot get a fair chance for a sound body without The Wheel at the Cistern. Ill a life-long struggle with the community. " The natural des- tination of the woman over thirty," says Mr. William Blaikie, " is the sofa, a shawl, and the neuralgia. And why ? Be- cause until recently the modern girl was brought up in such a way that the brain is developed at the expense of her red blood corpuscles, and she comes to womanhood a bundle of nerves and physical degeneration. A girl has as good a claim to strength and health as a boy, and in general needs them more ; but she can acquire them in no other way than he does, namely, by systematic exercise. A daily half hour's recess, or even Saturday's shopping, cannot supply this, and it is especially for the growing school-girl and the woman of sedentary life that there can be found in Part II practical hints for physical culture, carefully prepared by one who has devoted his life to the work. Johns Hopkins University and a few of the more advanced of our female seminaries of this country have efficient classes in physical culture for young ladies; but such institutions are lamentably few and far between. A college class, however, is not neces- sary for this purpose. A little very simple apparatus, and determination and perseverance in its use for only a few min- utes daily, would transform many a listless being into "a queen and sister of the gods." Tennis, croquet, boating, skating, fencing, tricycling, and horse-back riding are all good, and if regularly practiced may be substituted for the exercises detailed in Part II when possible. Where these for any reason are impossible, walking ought to be substituted. "Every girl blessed with moderately good health can walk a mile or two every day and feel the better for it." The more confin- ing and monotonous one's employment the greater the need for daily systematic exercise, and, as Blaikie well says, no one can be so crowded with work that he will not be the better for a short walk before retiring; and the greater the pressure of other duties the greater and more pressing the oeed for just this outing. It requires no little resolution and self-control to force tireri and unwilling feel from a comfort- able seal and ;i cozy fireside; but unless this La done daily, at 112 Physiology and Hygiene. some present inconvenience, the muscles grow soft and flabby, and the body becomes clogged with refuse. Fashion onee in a while stumbles upon a sensible fad, and just now it is walking clubs for young girls. "The magnifi- cent girl," says the New York News, " who swings along at a four-mile gait is not only a subject for reflection, but a theme for admiration, congratulation, and tenderness. Tins is true American womanhood, . . . not that of Washington living's day, when flimsy dresses were in style, which, like Mary Anderson's classic costumes, required to be damp- ened overnight to make them cling closely to the form. Paper-soled shoes were then in general favor, and those were the days of meager meals and of diseased and dyspeptic stomachs, hesitating hearts, pinched cheeks, and fragile limbs. Fashionable American womanhood of the past was a ghost. "American womanhood of to-day is one of rosy cheeks, sparkling eyes, shoulders thrown back, firm and certain step. Notice how well nourished the cheeks are, how deep and true the inspirations, and how plump and well-rounded the arms, which taper down to the well-gloved hands. Is it not a glorious sight? There is no chance for paper-soled shoes here. Broad, substantially soled button boots cover the handsome, muscular feet, and in place of the tawdry costume whose likeness is preserved for us by dozens of old engrav- ings, here we have a neat and well-made cloth suit, which fits the owner's form to perfection. Can any thing be more satisfactory to the eye than this picture of honest health, of alert though not perhaps of subtle intelligence and womanly beauty ? There may be no suggestion of sentimentality here, nothing of what every-day novelists call poetry, and there is no romantic melancholy, but without any sacrifice of woman- liness there is grace, and, above all, there are life and strength." Fashion has committed many abominations in her day, and doubtless in the past deserved Dr. John Brown's wish that he could see her " dressed in her own crinoline, tight The Wheel at the Cistern. 113 shoes, a man's tall hat, and trailing petticoats, with her taper waist well nipped by a circlet of nails, points inmost, and with all the other small torments with which she makes us all fools, sent drummed, hissing, and blazing out the world;" but it should be remembered that never before in the knowl- edge of the writer have fashions been as a rule so sensible and conducive to health and comfort as at the present time. Even common sense shoes and the less objectionable forms of corsets may be found in the wardrobes of those who mold the fashions, which latterly do not arise solely from the caprices of queens and kings' mistresses, but from well- paid artists and thrifty manufacturers. When these shall learn to cater to the demands of health as well as to the eye the millennium for women is not far off. One of the most efficient workers to this end is a Mrs. Jenness Miller, of Washington, whose wit and beauty have succeeded in dem- onstrating that dress may be both healthful and beautiful at the same time. The great objection to the proposed Bloomer and Mary Walker dress reforms was that it left its adherent a hideous guy among women, and consequently all such advice was as useless as St. Anthony's preaching to the fishes. When, however, it can be proven that a woman can be both comfortable and fashionable at the same time, sooner or later comfort will win the day. This is exactly what Mrs. Miller is striving to do, arguing that fashionable follies and their resulting penalties have long enough been supreme. " No Greek ever dreamed of wearing sandals an inch nar- rower than her foot, and elevated on heels three inches hierh and located somewhere near the middle of the sole. Neither did she ever wear a sixteen-inch corset, or fasten an uncouth bundle of fantastic drapery to the small of her back with long skirts to trail in the mud. And if women again desire to be beautiful after the Grecian model they must abandon these abominations of fashion in the shape of long skirts with their endless complications of loops, puffs, and a weight that is death to health and happiness and to prolonged usefulness. Science objects to the practice of lacing, steeling and swad 114 Physiology and Hygiene. dling for the reason chiefly that it is inconvenient, ugly, and a burden of sorrow to the unborn world. Science also pro- poses dress without ligatures or bands, steels or whalebones — the essential thing being freedom from pressure, weight, and deformity. Science and sense abhor petticoats, corsets, and French heels." Mrs. Miller therefore entirely discards corsets, petticoats, ligatures and bands, and clothes her body after this fashion: Innermost is a union garment of silk or wool for winter, fitting closely as a jersey. Over that is worn a muslin gar- ment, also made to follow the form. Then leglets, or, in plain English, short trowsers, of material adopted to the sea- son and made to reach just below the knee. Over this, without petticoats, hangs a dress made princess fashion, of any material preferred, but so cut as to place no weight upon the hips. Thus dressed a girl would be as untrammeled in her motions as a boy, and with as fair a chance for life, liberty, and the pursuit of happiness as Miss Alcott's "Rose in bloom." Such girls and such doctors are few and far between, for the doctor is usually called in to repair damages after they have been inflicted, rather than to prevent them. The physi- cian's best work is not to patch up dilapidated humanity, but to anticipate as far as possible such tinkering and repairing. The Chinese pay their physicians only so long as they keep their patients well, and while it might be impos- sible to successfully adopt their custom in this country, its principle is sound, and is the one on which a physician should be employed. According to Sir Henry Thompson, more than half of the sickness in the world is due to preventible causes which it would be far wiser to employ some one to antici- pate rather than to cure their results. The best physician is not one with some 'pathy or proprietary salve, but the one who can best instruct his patients in regard to the care of their souls' houses, whose abuse inevitably brings penal- ties that are far more our own making than of divine interposition. The Wheel at the Cistern. 115 For instance, a principal in one of our larger young ladies' high-schools found himself greatly perplexed at finding his opening hour largely taken up in going from room to room and looking after pupils who had fainted or were otherwise indisposed. These attacks, at first so mysterious, were soon found to be due to over-fatigue, both social and mental, and a lack of a proper breakfast before school hours. No amount of prayer or physic cured such cases until more sleep, ade- quate food, and fresh air removed their cause; for fainting is not a direful disease, like the cholera, but is simply the blind protest of a brain not sufficiently supplied with the proper kind of blood. Since young ladies have given up living exclusively in-doors, fainting, says a recent society paper, has gone out of fashion; and it is a custom more hon- ored in the breach than in the observance. The more so because usually exactly the wrong thing is done for one found fainting. The trouble is an insufficient supply of blood to the brain, due to a missed beat of the heart, either from feebleness or some mental impression — as bad news, the sight of fresh blood, or even a mouse; for there is no reason- able explanation of such antipathies. Boyle is said to have grown faint whenever he heard the splashing of water, Scaliger at the sight of water-cresses, and Erasmus notes the case of a clergyman who fainted whenever he heard a cer- tain verse in Jeremiah read. But whatever the mental im- pression, its direct result and the one which causes the faint- ness is the failure of the heart to send sufficient blood to the brain; consequently the first thing to be done is to remedy this defect. Blood, like every other fluid, flows most easily down hill, and the common sense thing to be done is to lower the head of the one fainting below that of the body; so, when you find the world growing black before you, lay yourself out as flat as you can. Smelling salts, cold air, loosening the clothing and forty particular friends are all good enough in ili.ii- place, except the last — who would do better to stand aside and let their friend have sonic fresh air; but the one great thing to be done is to put the head of a person in a lit) Physiology and Hygiene. faint at least on a level willi their heels. Fainting means that the supply of blood in the brain is insufficient, and of course the iir.st thing to be done is to put the person in such a posture that blood will find its way most easily back. The thing usually done is to lift or set upright the victim, while the distraeted friends crowd about and insist upon cutting off what little air would otherwise come to their aid. The recumbent position, a draft of fresh air, and a little water sprinkled in the face are usually all that is required in such cases, which are not at all alarming unless they occur in the course of protracted illness. Under such circumstances repeated faintness is alarming, for it betokens failing ability of the heart longer to perform its duties. The wonder is that this does not oftener happen, for the heart is the hardest worked organ of the body; ^lay and night, for our entire life-time, it pumps away seventy or more times a minute. To be sure it drives but six ounces of blood with each impulse, but as there are something over a hundred thousand of these impulses in the twenty-four hours it follows that the heart lifts over twenty tons of blood a day, and may perform this work for seventy years or more, with- out a rest of longer than a fraction of a minute at any one time. About one quarter of the time required for each beat of the heart is taken for rest ; that is, for say each second its first half is occupied in making the sound lup, the next quarter second makes the sound pup, and then comes a quarter of a second rest, provided the heart beats but sixty times a minute. A longer rest on the part of the heart than a quarter of a second brings a feeling of faintness, and if the resting con- tinues death ensues from heart failure, or syncope, as the doctors call it. Solomon compares the heart to the wheel at the cistern, or the shadoof used in Eastern lands to lift the water from a spring to a reservoir. The comparison is good as relates to the method, but poor as regards the instrument, for the shadooff is an inefficient pump compared to the double hand- ful of muscles which labor for us more incessantly than any The Wheel at ttte Cistern. 117 engine yet invented. Solomon's comparison is the more re- markable from the fact that in his day the circulation of the blood was not understood, although the pulsation of the ar- teries could not have escaped the attention of the ancient physicians. And yet it Avas not until the time of William Harvey (1619) that work done by the wheel at the cistern was understood. From the influence which the emotions have upon the circulation of the heart it was considered by the ancient Jews as the seat of the passions and the intellect, which were then supposed to be located in the breast and not in the brain. The error is not strange when we remember that excitement of any kind increases the heart's action. Even the difference betAveen standing and sitting makes a variation in the heart's beat sufficient to be noted by many of the life insurance companies. Exercise of any kind quickens the heart's action, and hence benefits the whole body un- less carried to excess. Boat-races, walking-matches, and foot-ball contests are dangerous when they call for violent work by the heart ; so too does intense excitement of any kind, which leads eventually to enlargement of the heart and feeble action. A majority of professional athletes finally die either from this cause or consumption, strange as it may appear, although there is a good reason for the latter, as well as the hypertrophy of the heart so often found in such cases. Heart disease is frequently reported as the cause of sudden death, which is popularly believed often to take place with- out warning. Such is not the case. Heart disease rarely, if ever, causes death without premonition, and the majority of cases of unexpected death, supposed to be due to heart disease, are found to have other causes. "A truer report would have a tendency to save many lives. It is through a report of 'disease of the heart' that many an opium-eater is let off into the grave, which covers ;ii once his folly and his crime ; the brandy drinker, too, quietly slides round the corner thus and is heard of no more; iii short, this 'report' of 'disease of the heart ' is the mantle of charily which the politic coroner and the 118 Physiology and Hygiene. sympathetic physician throw around the graves of l genteel people.' " At a late scientific congress at Strasburg it was reported that of sixty-six persons who had suddenly died, an imme- diate and faithful post-mortem showed that only two of them had any heart affection whatever : one sudden death only in thirty-three from disease of the heart. Nine out of the sixty-six died of apoplexy — one out of every seven — while forty-six — more than two out of three — died of lung affec- tions, half of them of ' congestion of the lungs,' that is, the lungs were so full of blood they could not work ; there was not room for air enough to get in to support life." Thus wrote Dr. W. W. Hall, some years ago, and increasing knowledge confirms his statement. It is furthermore proven that many cases of supposed heart disease are really those of chronic tobacco poisoning, and cease with the discontinuance of the weed. Tobacco's effects are chiefly expended upon the nervous system, which the poisonous alkaloid of tobacco (nicotine) affects. Tobacco has been dropped from medical use as too uncertain and dangerous a drug to be used with satisfaction, but half -grown lads persist in poisoning them- selves with it until at last the body tolerates it and even de- mands its after-soothing effects. American hurry and worry doubtless have done much to beget the almost universal use of tobacco in this country, but, whatever the fancied need, tobacco cannot be used without paying the penalties. These are that it taints the breath, over-stimulates the kidneys, and saturates the skin with the characteristic odor of nicotine. It also disorders digestion, may produce cancer, and inevi- tably disorders sooner or later the heart's action. This is chiefly shown in rapid, irregular palpitations, short breath, languor, and, according to Franzel, sleeplessness. In one case in the writer's knowledge this sleeplessness bordered closely on delirium tremens, although the person did not use alcohol in any form. Such results are slow in appearing, the smoker often using tobacco for years without any supposed bad effects until going to consult his physician for bus- The Wheel at the Cistern. 119 pectecl heart trouble, without any idea that the use of tobacco has had any thing to do with the strange feelings and sudden pains about the heart ; he discovers their cause and he finds that the discontinuance of the use of tobacco brings relief from discomfort. And yet the habit is often so firmly implanted that the cessation of pain is usually the signal to begin anew the use of a drug that its user will freely admit he knows is injuring him. The fascination of tobacco, I pre- sume, is never fully understood by one who has never been addicted to its use, but as strong men truly declare that a breath of tobacco smoke, after years of abstinence, has the power to force them to walk the floor all night in desperate conflict with their old enemy, it can scarcely be less irksome to be in bondage to tobacco than alcohol. Tobacco does not drive men to the gallows, or peniten- tiary, nor as a rule make moral wrecks of them, but it does put its devotee under a needless bondage, and whatever may be said in favor of its use by the overworked professional or laboring man, its effects upon growing youths are unequiv- ocably bad. Decaisne found that in boys of fifteen it pro- duced, almost without an exception, anaemia, palpitation of the heart, and an intermittent pulse, beside stunting the growth. In an English public school twenty-two of the thirty-eight juvenile smokers examined showed similar dis- turbance of digestion and circulation. So clearly has this been proven that in France the minister of public instruction, and certainly not from moral reasons, prohibits the use of tobacco in all the government schools, and the same is true, if the writer is correctly informed, in our naval training school at Annapolis, where tobacco is again on the prohibited list, after the experiment having been tried of allowing its free use Tn short, science and experience unite in declaring, first, that the use of tobacco is not merely an expensive and un- desirable habit for the young, but a positive injury, for no young man can ever reach It is highest physical condition if lie uses tobacco before reaching maturity (thirty-three years) ; and secondly, that cigarette-smoking is the most delete- 120 Physiology and Hygiene. rious form in which tobacco is used. " A cigarette-smoking boy will not make a Btrong man. He will have impaired digestion, small and poor muscles, irritable temper, and a lack of capacity for sustained effort of any kind." (L>ar- tholow.) From a whiff of cigarette smoke to the size and shape of the heart requires one of Mark Twain's " natural and easy transitions ;" but before leaving the subject of the heart it would be well to describe a little more fully its shape and location. The adult heart is a hollow, muscular organ about the size of a man's fist, of conical shape, located between the right and left lungs, its apex lying about an inch and a half from the surface of the body. It is inclosed in a fibrous sac, called the pericardium, and lies obliquely in the chest, and so placed that a bullet pene- trating the breast-bone on a level with the nipple, and strik- ing the vertebra? at right angles with the axis of the body, would pass through three cavities of the heart; namely, both right and left ventricles and the left auricle. The heart's base, or broad end, is directed upward and backward toward the right, and corresponds to the interval between the fifth and eighth dorsal vertebras. Its apex, or conical end, is directed forward and to the left, lying in the interspace between the fifth and sixth ribs, an inch to the inner side of the nipple, where the heart's impulse can usually be distinctly seen on watching the bared breast. The lungs cover the greatest part of the heart, especially during inspi- ration, when the edges of the lungs nearly meet behind the breast-bone, behind the lower two thirds of which the heart mainly lies. A thin layer of lung tissue alwaj^s rovers the roots of the large vessels, but a large part of the heart's surface is exposed during expiration, when the edges of the lungs recede from each other. The anterior surface of the heart is rounded and directed upward and forward, and is composed mainly of the right ventricle. The posterior surface of the heart is slightly flattened, and rests upon the diaphragm; hence the The Wheel at the Cistern. 121 heart's distress when the diaphragm is pushed upward by- gases within the stomach. The heart in the adult measures five inches in length, three inches and a half in breadth in the broad part, and two inches and a half in thickness. The average weight in the male varies from ten to twelve ounces ; in the female from eight to ten ; its proportion to the entire weight of the body- being as 1 to 169 in males ; 1 to 149 in females. The heart continues increasing in weight, and also in length, breadth, and thickness, up to an advanced period of life. This increase is more marked in "men than in women. The heart is divided by a longitudinal, muscular septum, or division, into two lateral halves, which are known from their po- sition as the right and left heart, and each of these is again subdivided by a transverse wall into two cavities, known as right and left auricles and ven- tricles, respectively ; the upper cavities on each side being called auricles, from their fancied resemblance in shape to an ear. The lower cavities are known as the right and left ventricles, according to their position. The right is the venous side of the heart, receiving into its auricle the dark or venous blood of the body through the veme cava3 which empty into it. The course of the blood from this point is as follows : This venous blood passes downward through the tricuspid valve (e,f) from the right auricle into the right ventricle, whence it is propelled by the contraction of the heart into (d) the pulmonary artery, its return into the auricle being prevented by means of the tricuspid valve just mentioned ; and its regurgitation from the pulmonary 6 Right Side of the Heart laid Open. 122 Physiology and Hygiene. artery back into the ventricle is similarly prevented by semi- lunar valves (m) placed at the cardiac orifice of the artery. By the pulmonary artery the blood, still blue and venous, reaches the lungs, where it loses its dark color by the pro- cesses to be described, and now becomes bright red. Having been thus purified, it returns to the heart from the lungs through the pulmonary veins, which, however, convey arte- rial blood, and empties into the left auricle, well shown in Plate II. These veins, unlike the majority of the vessels which empty into the heart, have no valves at their openings into the left auricle, so that there is a slight reflux of blood toward the lungs, but the greater part of the blood which passes into the left auricle is forced by the contraction of the heart through the mitral valve (m. v. Plate II), which separates the left auricle from the left ventricle. From thence it passes through the semi-lunar valves, which are designed to prevent the regurgitation of blood back into the heart, into the aorta, and carried the round of the circulation, until the blood reaches the capillaries, hereafter to be described, from which it at last reaches the veins, and ultimately the venae cavse, or great veins which empty into the right side of the heart. The course of the blood through the heart has already been described, and if the round of the circulation seems some- what intricate, by reference to Plate II the matter may be greatly simplified and fixed permanently in the mind of the reader, as the arrows given in the plate indicate the direction of the blood currents, and their color shows whether they are those of arterial or venous blood. The heart sounds already alluded to, which can readily be heard by applying the ear to the bared chest, just above the location of the apex beat, are due to the rhythmic contrac- tions of the heart forcing the blood through its partitions and out into the general circulation. If you listen attentively you may be able to distinguish, first, a longish, dull sound which has been likened to lup, then a shorter — about one half the duration of the first — sound, called tup, and then a The Wheel at the Cistern. 123 pause for the same length of time as the second sound ; then comes the first sound again, and so on, the first sound occu- pying one half the time of a heart-beat, and the second and the pause the other two quarters. The first, or lup, sound is probably produced by several causes, the second is due to the flapping back of the semi-lunar valves {I. v.) at the aortic opening (see Plate II). Sometimes these and the other valves in the heart become diseased, especially after or during rheumatism, and their owner ever after suffers from a leaky blood-pump, which will not allow him to run or take violent exercise for the remainder of his life. And yet, with care, many of these leaky hearts perform their duty for a surpris- ingly long time, and, contrary to general belief, rarely sen- tence their owners to sudden death. In fact, with any thing like reasonable care the heart is more tolerant of protracted work than any other organ of the body, and so long as a regular full pulse can be felt at the wrist th*e less thought given the heart the better. The pulse, or impulse given to the fingers laid over an artery, is due to dilatation of its elastic walls each time a fresh quantity of blood is forced into it. Hence it closely follows each contraction of the left ventricle, and counting the pulse gives us the number of these contractions during the minute. The jets of blood from a freshly cut artery give us the same information ; but such knowledge is dearly purchased, for if long persisted in it brings death from loss of blood. As long as the blood flowing from a wound is dark-colored, even though it comes freely, it need cause no particular alarm, for pressure over the wound will usually stanch the flow; but crimson spurting blood must be stopped at once by the surgeon, and until he comes a bandage should be placed around the limb between it and the heart, and twisted as tightly as possible by thrusting a stout fork or strong stick beneath the bandage, and thus twisting the bandage until sufficient pressure is obtained to check the flow of" blood. Pressure is the only thing that can be relied upon to check arterial hemorrhage, but, intelligently used, it 124 Physiology and Hygiene. will and has saved many a life until professional aid could be obtained. Having now considered the blood and the heart, there re- mains but little in the way of description of the blood-vessels to complete the mechanism of the circulation. These blood- vessels are of two varieties; namely, arteries and veins. The former were originally called arteries, from the idea enter- tained by the ancients that these vessels contained only air, which mistake arose from the fact that the arteries are usu- ally found empty after death. Galen was the first to refute this opinion, for he was able to prove that the arteries con- tain blood in the living body. Except in the case of the pulmonary artery, they contain bright red, or well aerated blood. The pulmonary artery, as may be remembered, al- though it is called an artery, conveys venous blood from the heart to the lungs, whence it is returned by the pulmonary veins to the 6ther side of the heart, constituting what is sometimes known as the lesser or pulmonary circulation, whose arteries and veins contain exactly the reverse of the blood found elsewhere in the body; that is, the pulmonary veins contain arterial blood, and the pulmonary artery venous blood. The arteries are round, fibrous tubes, dense in structure, quite strong, and elastic enough when cut to preserve their cylindrical form. The arteries have three coats or layers, and are also included in a sheath, which holds in addition generally a vein and nerve. Arteries give off branches which freely communicate one with another by means of larger and smaller branches. These anastomoses, as they are called, are found wherever great freedom in the circulation is required, as at the base of the brain and about the joints. The arteries and their branches divide and subdivide, until in its general contour the arterial circulation resembles an invert- ed tree whose common trunk would be represented by the aorta and its twigs by the capillaries, which are found in nearly every part of the body except in the nails, hairs, cartilages, and cornea. The capillary blood-vessels are so named because The Wheel at the Cistern. 125 in size they are about that of a hair or less (one fifteen hundredth to one two-thousandth of an inch), sometimes dis posed in loops, sometimes in meshes, in which the blood almost imperceptibly passes from the arterial to the venous side of the circulation. Just how this change is made is somewhat in dispute, but the following facts seem well at- tested. The larger arteries, as has already been said, possess three coats, and, as the arte- ries grow smaller, these coats imperceptibly disappear, until the capillaries have only the inner (endothelium) left, which, as may be seen from the cut, is made up of endothelial plates, or germinal matter set like tiles in a cement substance. These arterial twigs communicate with the venous capillaries either directly or by means of intervas- cular spaces, into whiih the cor- puscles pass by means of the minute Endothelial plates. Minute Micro- scopic Artery. e, Endotheli- um ; i, intima ; w, muscular me- dia, composed of a single layer of openings between the endothelial circular iy- a r- plates. This always takes place in inflamma- striped mU scuiar tion, when these capillaries become abnormally ceils , a, adven- distended, and the openings between the plates so much enlarged that the white corpuscles (pus) readily pass through them. The veins are formed by the union of the venous capillaries, which are found in nearly every tissue of the body. These venous twigs unite to form venous trunks, which increase in size as they pass toward the heart by union with other veins on the way. In general, the veins are larger and more numerous than the arteries, so that the en- tire capacity of the venous system is much greater than that of the arterial. From the combined capacity of the smaller venous branches being greater than the main trunks, it re- sults that the venous system represents a cone, the summit of which corresponds to the heart, its base to the circumfer- ence of the body. In form the veins are not perfectly cylin- 126 Physiology axd Hygiene. drical like the arteries, their walls being collapsed when empty, and the uniformity of their surface being interrupted at intervals by slight contractions, which indicate the posi- tion of the valves placed within them to prevent the back- ward flow of the blood. These valves are formed by a re- duplication of the inner and a part of the middle coat of the vein, and consist, therefore, of connective tissue and elastic fibers, covered on both surfaces by endothelium. Their form is semilunar. They are attached by their convex edge to the walls of the vein ; their concave margin is free, di- rectly in the course of the venous current, and lies in close apposition with the wall of the vein so long as the current of blood takes its natural course ; if, however, any regurgi- tation takes place, the valves become distended, their op- posed edges are brought into contact, and the current of blood is intercepted. Most commonly two such valves are found placed opposite one another, especially in the smaller veins, and in the larger venous trunks at the point where they are joined by small branches. Just above the valve the wall of the vein expands into a pouch, whrch gives a vein its knotted appearance when dis- tended with blood. These pouches are especially numerous in the veins of the legs, which are thus provided to assist the blood current, against gravity, toward the heart, where all the veins at last empty. Increasing age is apt to produce en- largement of these pouches (varicose veins), which become a serious impediment to walking, but which may be relieved by snug bandaging. A more serious accident is the forma- tion of a fibrinous clot in a blood-vesssel or the fatty degen- eration of their walls. Alcohol is a frequent cause of this, and such vessels are prone to rupture. This accident in the brain is apoplexy. There are two hundred and seventy arteries, and as many or more veins, all of which are of interest to the anatomist and surgeon; but instead of attempting a description of the more important of these, we give a cut illustrating the rela- tion of the aorta, or great artery of the body, to the other The Wheel at the Cistern. 127 large vessels of the trunk of the body, which for further comparison should be studied in connection with Plate II. Diagram op ttie Large Vessels of the Heart and Lungs (from Wilson). 1. .Ascending aorta. 2. Transverse portion of the arch. 3. Thoracic or descending aorta. 4. Arterla innominata. 5. Right common carotid. 6. External and internal carotids. 7. Right subclavian artery. 8. Axillary artery. 9. Brachial artery. 10. Right pneumosastrlc nerve. 11. Left common carotid. 12. Left subclavian artery. 13. Pulmonary artery. 14. Left pulmonary artery. 15. Right pulmonary artery. 16. Trachea. 17. Right bronchus. 18. Left bronchus. 19. 19. Pulmonary veins. 20. Bronchial arteries. 21. 21. Intercostal arteries; the branches from the front of the aorta above and below the number 3 are pericardiac and esophageal. • Physiology and Hygiene. CHAPTER V. SEWERAGE AND VENTILATION. In the preceding chapter we have briefly considered the composition of the blood and the mechanism of its circula- tion. This naturally brings us to the question, Why is the blood thus carried its ceaseless round ? Because if delayed at any one point the blood there stagnates, grows blue, dis- tends the tissues, and finally, by an escape of its corpuscles, produces death of the part. Such an accident is called in its earlier stages congestion, later it is known as mortification. Congestion happens whenever the nerves which preside over the circulation of any organ fail to do their duty; for each tiny arterial twig has its own nerve connections which regu- late the quantity of blood contained by contracting or dilat- ing the vessel as required. The pallor of fainting means that there has been a sudden contraction of the little vessels upon the surface of the body, driving the blood to the internal or- gans. Blushing denotes exactly the contrary, or that the vessels are widely dilated, from shame or other causes, and no longer able to contract. Congestion is a protracted blushing, that is, a continued dilation of the capillary blood-vessels from any cause, and serious in proportion to its persistence. Congestion of the lungs is a more frequent cause, of death than heart disease, while transient congestion is a matter of every-day occurrence and of little importance, provided the equilibrium of circulation is soon restored. A hot fire, a cold walk, wet feet, all produce localized congestion, but of a kind that is quickly relieved if one is in health ; but if, as the doctors say, the system fails to react, a pair of thin shoes or a cold walk may prove the cause of untimely death. The late Dr. Durbin's rule of never allowing himself to become chilly is Sewerage and Ventilation. 129 v 1 ■v an excellent one, for one can never be sure that he is in con dition to react after even a slight chilliness. Thin slippers may look very beautiful upon the tiny feet which peep in and out like mice beneath the petticoat, or the excursion with bare feet from the warm bed to the cold floor may be of but a moment's duration; but that moment may suffice to drive the blood from the surface of the body to your lasting injury. Chilliness is always a sign that something is going wrong within the house in which we live ; for a chill is nat- ure's automatic alarm, by which the sympathetic nervous sys- tem gives warning that the tiny blood-vessels over which they watch are being imposed upon. If you are wise you heed the warning, and at almost any personal inconvenience by means of hot drinks and baths bring about a reaction. If this is done promptly, no harm results; but if the blood-ves- sels have been too long contracted, instead of returning to their former condition they expand to an undue amount and now contain twice as much blood as they ought. In other words, you find your nose is all stopped up after catching cold, because its blood-vessels have crowded into them twice or thrice as much blood as they can conveniently hold; for one of the spots most liable to become chilled is the sensitive membrane lining the nose. The swelling renders it almost impossible to breathe through the nostrils, and if the conges- tion passes downward there is hoarseness as well. If, on the other hand, the cold is confined to the head, the swelling passes up into the bone cavities communicating with the nose and lined with the same mucous membrane, and there is headache, and we feel generally too mean to live, until here, as elsewhere, nature does the best thing that she can under the circumstances. And what is that? Why, relieve the swollen blood-vessels as promptly as possible by allowing the excess of fluid to transude through their walls. Hence we often find the sneezing and irritation in the nose, of the first few hours of a hard cold, disappear as soon as there is an active demand for handkerchiefs. Now if we have 6* 130 Physiology and Hygiene. sense enough to give nature sufficient time to thoroughly repair the errors we have committed, we are none the worse for the experience, which otherwise might have been pneumonia or something more serious, but in this country we are generally too much in a hurry to get thoroughly well. Some very im- portant sewing society engagement, or call to save the coun- try from impending danger by the aid of our invaluable advice, tempts us out, and we repeat the congestion before it is thoroughly well. The natural result is that we find ourselves at last afflicted with catarrh, or a chronic discharge from some one of the air passages — for nature after a while gets tired of her repeated efforts at repair, and at last abandons us to our own devices and those of the physicians. These at best are a poor substitute for nature's original methods, as we find at last, to our regret, when a cold is no longer a trivial matter. Curiously enough, cold has, ordi- narily, very little, if any thing, to do with catching cold. Indeed, some think that the very best way to cure a cold is to breathe as much cold air as possible, and the colder the better; but there are colds and colds, and while some are, beyond dispute, contracted by sitting in a cold draft, there are other colds, and these are the more frequent ones, which are due to impure air and a generally clogged up system. The bad air produced by the modern hot-air furnace is a prolific source of winter colds, as are also poorly ventilated churches, theaters, and other places of public resort, especially if to the bad air be added improper diet. Any kind of food, of which more is taken than can be easily disposed of in the body, begets a susceptibility to colds which needs only some slight cause to fan it into an active congestion. So true is this that if you find an overfed child and house him in furnace-heated apartments all winter, no amount of care will prevent his having frequent colds, whereas if the same child be properly bathed, housed, and fed he will in the great majority of cases escape this affliction. At all events, what- ever may be the rationale of a cold, the fact remains that the very best treatment yet devised for an incipient cold is star- Sewerage and Ventilation. 131 vation. "Feed a cold and starve a fever" has made lots of mischief, for whatever may be said of the treatment proposed for fever it certainly is most excellent for colds. The trouble is to induce one's friends, or even one's self, to carry out the prescription. You are a little feverish, achy, with a bad taste in your mouth, and generally feeling worse than an organ-grinder's monkey, when a meal is announced, and from force of habit, or want of something better to do, you sit down and force yourself to eat, although you know you do not need it. For a while, eating distracts your attention and calls it away from yourself, but shortly after the meal the cold grows worse than ever. In other words, the body while suffering from a cold very imperfectly attends to digestion and elimination, and any thing that increases its work in that direction increases our discomfort. The sensible thing to do when a cold is coming on is to stop eating entirely, and for a day or two to live on hot beef-tea and other liquids. Many a cold treated in this way yields most gratifyingly in a few hours. Indeed, if the dear people would but learn to keep their feet dry, their heads- cool, and their bodies properly protected, a large share of the doctor's work would be sadly cut into. But the majority will not. It is too much trouble; it takes too much time to put on wraps. We are too indo- lent to carry an overcoat for emergencies. We are loth to deny ourselves the pleasure of eating, so we drag out a week of wretchedness, which might be cut short by a day or two of abstinence, or just as long as feverishness persists ; for a cold is always attended with fever. There may be a feeling of chilliness, but a thermometer placed in the mouth will register one or two degrees higher than in health. This fever is due to the disturbance of the capillary circulation already described, associated with inflammatory ehanges in the germinal matter of the skin and mucous membrane, which fb only a turning of the skin inward to line the cavities of the body, for mucous membrane is the same three-ply tapestry found on the surface of the body. The lower layer of mucous membrane is the same corium 132 Physiology and Hygiene. that has already been described in speaking of the skin. It lias similar fibrous tissue, vessels, and nerves, over which lies a thin transparent basement membrane, and on top of this lie epithelial scales or cells. Epithelium and endothelium are the poorly selected Greek names given to these wondrous bits of germinal matter with which the body is lined inside and out. The scales of the mouth are well named, for a scraping with a penknife from the inside of the lips shows beneath the microscope a multitude of flat scales not unlike those that may be found upon a fish. But this is not their only form, for elsewhere in the body they have the shape of columns, waving tufts, tiny spindles, goblets, chalices, and polygonal plates, each one placed where it can best perform its special work. The essential difference between the epithelium on the surface of the body and that within its cavities is that the former is protected by a layer of dried scales, and the latter is without these, being bathed constantly instead with a bland fluid. The rosy, glistening mucous membrane of the lips is exactly the same as the skin minus nature's coat of white- wash, for a blister that has just been drawn has about the same appearance as the lips. If, then, mucous membrane is so nearly like blistered skin, why don't we feel all raw in- side ? We should if it were not for a beneficent arrange- ment by which this membrane is kept constantly bathed in a bland fluid (mucus). Holding a blistered finger in milk will take away the smarting quicker than almost any thing else ; so there are myriads of little sacs or mucous glands scattered all over the mucous membrane whose duty it is to keep it moistened with a thin, watery fluid, and at the same time wash it clean from refuse; for it must be remembered that mucous membrane is as constantly growing as the skin, and needs to be kept clean as well. Do you remember those days of protracted fever when your mouth was asfcdry as a chip and tasted like old leather and copperas ? That simply meant that the mucus was not sufficient to wash away the growing epithelial scales, which were left to dry and rot Sewerage and Ventilation. 133 there; and no wonder your mouth tasted badly. But that is not all ; there is another set of glands pouring fluid into the mouth, and at such a time these are tainted as well- These are the salivary glands, already spoken of under Di- gestion. Their deficient and tainted secretion makes the mouth dry, and awakens a desire for lemonade or other acid. Refraining from fluid may help to cut short the in- flammatory trouble, but it is done at a cost of personal inconvenience few feel willing to submit to. Moreover, as recovery in these cases results from the removal, from the blood and fluids of the body, of the poisonous substances whose accumulation there produces the fever and discom- fort, this process is assisted by the free use of fluids. These stimulate the kidneys, skin, and mucous glands to increased action, and, as we have all learned, when the latter begin to act freely the fever of a cold disappears. The bad taste in the mouth may linger for a few days, with loss of appetite — which means clearly that it is better to refrain from eat- ing until the appetite returns and the tongue cleans. Starva- tion usually brings both promptly to time, though in the case of the tongue the process may be hastened by cleaning off its refuse with the edge of a silver fruit-knife and scrub- bing up after with a little saleratus water. There is no bet- ter reason for leaving a dirty tongue in one's mouth than for neglecting to clean the teeth. It was once the fashion for every lady to keep on her table a tiny silver hoe with which to clean her tongue after dining, not wisely but too well, the previous evening. It was not an irrational practice, in fact vastly wiser than the modern plan of taking stomach or liver bitters when, according to the advertising almanac, you an- swer in the affirmative its staple questions of, " Are you dull and heavy in the morning? Have you a bad taste in the mouth? Is your appetite poor?" These symptoms need attention ; they mean that your body is growing dirty, and possibly needs a spring house- cleaning, but that is a very different thing from putting its servants to sleep with alcohol, so that they will not know 134 Physiology and Hygiene. whether the house is dirty or not. Taking stomach or spring bitters means exactly this. As I write there lies be- fore me the official analysis by the State chemist of Rhode Island of all such bitters on sale in that State, and there is not one which does not contain alcohol, the most popular (Hostetter's and Drake's) being stronger than brandy. A wine-glass of brandy twice or three times a day makes the drinker feel comfortable while its effect lasts, but that gone there is need of another ; and such is exactly the effect of these much-advertised bitters, which are all the more dan- gerous because they are taken by many who would utterly refuse to take liquor, and yet ignorantly take daily poor whisky enough to keep them just within its influence. The effect of alcohol upon germinal matter has already been noted in Chapter I. It is not necessary here to further dis- cuss the subject, except to say that after liquors have done their work within the body their alcohol is excreted through the lungs and kidneys. In both of these places alcohol works mischief. Its passage through the delicate tubes of the kidneys, hereafter to be described, damages their epithe- lium often irreparably, and the alcohol escaping through the lungs does no less harm, for, aside from the foul odor it gives to the breath, it so irritates the air passages that " whisky drinker's bronchitis " is a well recognized form of disease. Of minor evils a bad breath is one of the most annoying of troubles. Aside from that due to whisky, onions, and to- bacco, it betokens dirt somewhere. Dirt was happily defined by Palmerston as " matter in the wrong place," and there is no instance of worse misplaced matter than putrefying material coming out between rosy lips. A bad breath is thus pro- duced, though it is often quite difficult to find out exactly where the decay is taking place. Sometimes the trouble is with the food in the stomach; sometimes it arises from de- caying epithelium on the tongue, and again it comes from the perverted secretions of the tonsils or the nostrils. What- ever the source, such odors, as in all dirty houses, call for Sewerage and Ventilation. 135 increased cleanliness. Cleanliness in the body means that all refuse must be either swept out or burned up, for if any residue of unused food escapes these processes, like all other organic matter it begins to ferment and becomes a nuisance. Strict search should be made for the corner in which such bodily nuisances originate, and these thoroughly deodorized, and all pains taken to prevent their recurrence; for latterly we are coming to believe that much of our disease comes from bodily filth and its results. A wonderful change has come in public opinion since the time of the Middle Ages in regard to the matter of dirt. The early Church so far forgot Moses's teachings on this subject that filth and sanctity were supposed to be necessa- rily associated. Like the East Indian fakirs of to-day, the greater their personal uncleanliness the greater the odor of sanctity, and other odors, doubtless, as well. There is, for in- stance, a Church tradition, and a most improbable one too, that St. James never took a bath, and a much better authenticated one concerning St. Anthony, whose biographer declares that " up to extreme age he never even washed his feet, and yet was healthier than those who bathe and often change their clothes." (No wonder he is the patron saint of erysipelas.) Saint Hilarion must have been a kindred spirit, for history relates that he never washed the sackcloth which he wore until it rotted off, like the rags of an Egyptian hermit spoken of in highest praise by St. Jerome. The last named saint only combed his hair on Easter Sunday, and, like St. Abraham of Edessa, never was known to wash his face. " The fourth century," says a recent writer on this subject, " was the religious apotheosis of dirt, not because the her- mits and Church had any quarrel with clean skins, but be- cause of the sensuous delight and comfort of bathing in hot climates. Bathing was one of the luxuries renounced at baptism, and fulminated against by various bishops and councils as late as the fifteenth century." " Like priest, like people," brought its inevitable results in the way of plague, black death, and the other awful epidemics 136 Physiology and Hygiene. of the Middle Ages. With our modern resources of quaran- tine and cleanliness, we can have no just idea of the terror and fearful mortality produced by these tilth diseases. Black death, for instance, between the years 1333-1348, is believed to have killed upward of 45,000,000 persons. The very means devised by the Church to stay their progress — namely, masses, processions, and flagellations — were exactly those which assisted the spread of contagious diseases, for such they were. The general dispersion of the people from their filthy abodes at last brought these diseases to a close, not because, as was then believed, the wrath of an angry God was calmed, but because his creatures had ceased violating the unchangeable laws of health. Medicine is often reproached with its slow advance com- pared with other sciences, but it should be always remem- bered that medicine has made such epidemics impossible again. A better knowledge of the spread of contagious diseases, of the value of quarantine and the danger of filth has brought this to pass. According to Erasmus, the filth of the English home, in his times, must have been almost past endurance; for not only the hovels of the poor but the homes of the well-to-do had their floors of clay covered with rushes, instead of carppts, under which lay an unmolested accumulation of half-picked bones, decaying grease, stale beer, and other unmentionable things which need not be described with the particularity of Erasmus. The table manners of those days (1457-1536) were equally startling, if we may judge from some of the don'ts of the books of the etiquette of that time. For instance, we find that it was considered "uncomely to spit on the table," and "improper, after rinsing the mouth, to reject the water into the basin again," as others would wash their mouths from the same vessel. Handkerchiefs and forks were entirely unknown to Englishmen, when it was good form to hold the "joint in the left hand and carve with the other; after which the fingers should be wiped on the shirt, and not on the table-cloth." Small wonder that with such habits there came dreadful Sewerage and Ventilation. 137 diseases like the sweating sickness, the black death, and the plague. The proper care of the body and our homes has abolished, forever, as it seems, these dread pests. Our mod- ern epidemics are insignificant as compared with those of the Middle Ages, and the most dreaded of these — cholera — could probably be practically annihilated by proper sanitary regulation of the pilgrim gatherings at Mecca and on the Ganges. (See page 68.) Public health can only be ob- tained by individual cleanliness, and this implies that our bodies, like our houses, shall be well-ventilated and clean outside as well as in. To be happy and well requires that we shall be clean, within and without. I. The skin must be able to perform its duties properly. The structure of the skin has already been described (page 14), and does not need repetition here further than to call attention to the fact that it is more than an elastic bag, in which are held the muscles and bones. The skin is both a secreting and excreting organ as well. The distinction between a secretion and excretion is this : A secretion is a substance formed for further use by the body, while an excretion is a substance that is taken away, because useless or dangerous to the body. The tears, for instance, are secre- tions, for the reason that they are needed to 'wash away irritating substances from the eyes, while urea is an excretion whose continuance in the body produces convulsions and death. Secretion and excretion are performed mainly by bodies known as glands, located in various parts of the body, and modified in shape in accordance with the work they are expected to perform. We find two varieties of glands in the skin by which it carries off about one fourth of the liquid sewerage of the body. The sebaceous glands have al- ready been described, and the other and more important of the glands of the skin are the sudoriferous glands, so named from the Latin word for perspiration. These sweat glands, already figured on page 14, number over two million, and consist of spiral tubes, each about one fourth of an inch long, but so numerous that they aggregate in length about two and 138 Physiology and Hygiene. a half miles. They are not uniformly distributed over the body, being less in number on the back and neck (four hundred to the square inch) and most frequent on the face, palms of the hands, and soles of the feet. In a bright light on a warm day the moisture can be seen to ooze from the open ends of these sweat-glands in minute drops; hence the disagreeable moisture of the hands in bashful persons, for the quantity of perspira- tion is regulated by the amount of blood in the capillaries, and this, as we have seen, is under the control of the nervous system (see Chapter VII.). A limited amount of perspiration always takes place even in the coldest weather, as may be proven by wrapping a limb for some time in an impermeable substance, as a piece of India rubber, and examining it after a few hours. Although the rest of the body appears perfectly dry, that beneath the rubber will be found moist, and if the wrapper has been kept long enough in place it will have a decidedly unpleasant odor from the re- tained excretions; or, mother words, invisible perspiration is constantly taking place, but is unnoticed unless its evaporation is prevented. Clothing in a measure does this, and hence is wisely laid off at night to allow this insensible perspiration to escape, and even then at length clothing acquires a goat-like odor, due to the volatile fatty acids which escape with the perspiration. This can be in a measure removed by baking the offensive clothing when it cannot be washed, but the ap- pearance of such odor is either proof of the need of more frequent bathing, or that the clothing has been worn for too long a time and ought to be destroyed, and fresh underwear and bathing employed. Much that goes under the name of a bath as little resem- bles it as the historic one prescribed for the Duke of Gloucester, which was thus prepared: " Five or six large sponges were first placed upon the floor for the duke to sit or lie upon, and a larger sponge was then placed in the middle of the room with a sheet spread over it, after which the duke, having been stripped, was made to sit upon the largest sponge, while an- other dipped in a hot decoction of herbs was to be lightly passed Sewerage and Ventilation. 139 over the body; after which rose-water was splashed over him, as a rinsing. The duke was then dried by being wrapped in a sheet and marched off to bed to cure his troubles." This was the ideal bath in the times of Shakespeare, for it was for one of his characters that this particular bath was ordered and administered, to what advantage we may readily guess. A bath to be efficient for cleansing thoroughly the skin ought to be warm, and large enough in quantity to cover the whole body, and long enough continued to wash free the dried epi- dermis and sebaceous matter which clog the openings of the glands. Perfect health requires, for two reasons, that the glands of the skins should act efficiently: 1. The sweat-glands thus prompt- ly relieve the blood of any excess of liquids. How quickly this is done may be tested by drinking in succession two or three glasses of cold water on a warm clay. Hardly is the last one swallowed before the whole surface of the body is covered with moisture. To produce this the absorbents of the stomach must have taken up the water and, via the lymphatics, carried it into the current of the circulation. The slight ex- cess of fluid was sufficient to distend the capillaries of the skin. This distension and thinness of the blood caused its watery portion to transude through the frail walls of the capil- lary and into the cavity of the sudoriferous tubes, from whose open ends it exudes upon the surface of the body in less time than it has taken to tell of it. Perspiration thus relieves the tension of the blood-vessels, and carries off dangerous sub- stances from the body. So important is this function that to coat the body with varnish or with gold leaf, as once did one of the popes with a slave in a triumphal procession, inevitably produces death, from the inability of the kidneys to carry off effete material : 2. But perspiration does more than this. Its further duty is to regulate the external heat of the body. Evaporation of any kind requires heat to be abstracted from gome neighboring body. The evaporation from the surface of the body is carried on under the same laws as elsewhere, but within our own bodies we find this beautiful provision in 140 Physiology and Hygiene. regard to heat ; namely, that the warmer we become the more we perspire, the more we perepire the greater the evapora- tion of this perspiration, and hence the more rapid the cool, ing of the body. The sudoriferous glands, then, are a sort of heat regulator for the body, and so well do they perform their work that we have little fear of sunstroke so long as one per- spires freely; but when perspiration does not appear on a sultry day, sunstroke, or heat apoplexy, is not far off. (Sun- stroke, until the doctor comes, can be best treated with ice or cold applications to the head, and plenty of cool water poured over the overheated body.) A dry, branny skin is always to be looked upon with suspicion, for unless it can be made to properly perform its work it is very apt to sooner or later result in some obstinate skin disease or kidney trouble. The amount of water that may pass through the skin with- out injury is remarkable, as for instance at the Swansea cop- per furnaces, where the thermometer at the chest of the stoker marks 120 degrees and that at his back but 50 de- grees. To meet this intolerable heat he drinks freely, at least two or three gallons daily, and perspires accordingly — 500 to COO gallons a year — and yet is none the worse for it, but lives to a hearty old age. Sweating is often disagreeable, to put it mildly, but it is so valuable a discomfort that it is far bet- ter to perspire than carry about with us the pound and a half of dangerous material that it is designed to relieve us of daily. The only precautions to be observed in the matter are that we must not allow this effete material to gather in our clothes, nor ourselves to become chilled when moist with per- spiration. The amount of perspiration determines the fre- quency of bathing required, but the minimum should be a weekly bath, apropos of which Dr. Hunt very candidly remarks, " We have never known a person by nature so cleanly as not to be benefited by at least a weekly bath." His further sug- gestion that the best time for taking a bath is at night is worth remembering. A sponging of the neck, head, and chest on rising is also an excellent tonic, and as preventive of sore throat and colds is not sufficiently appreciated. Sewerage and Ventilation. 141 A climate so changeable as ours requires woolen under- wear, of varying weight for different seasons of the year, as the only safeguard against chilling of the surface of the body. There is a great difference in the susceptibility of the skin in persons, but even the most sensitive one will tolerate the long-fibered woolen garment, and where this cannot be afforded, the lighter grades of flannels can be used with a muslin garment beneath. The value of such protection of the body can hardly be overestimated, for it keeps the skin gently stimulated to action and prevents the congestion of internal organs, which happens whenever the blood is driven from the surface of the body. Flannel well deserves a high place in the doctor's regard, for the physician who attempts to cure rheumatism, bowel, or kidney troubles without its aid has thrown away his best medicine. In these latter days kidney diseases have become the bug- bear of all intelligent readers. There is hardly a board fence or a religious paper that does not serve to advertise some one's sure cure for Bright's disease, until one is sorely tempted to wish that Dr. Bright had kept his discoveries secret. Quack almanacs and Safe Cures have gathered so rich a har- vest that it would almost be better for the world at large if they could believe with the ancient Jews that the kidneys were the home of the affections. The kidneys, or reins, as they were formerly called, are simple sacs in the lowest animals, but as the animal rises in the scale of organization the kid- neys become more intricate, until in man they are so complex that it is hardly possible to describe them properly without further illustrations than can be here used. Essentially, how- ever, the kidneys are clusters of sudoriferous glands which do their sweating inside of the body, and whose tubes bear the name of urinif erous tubules instead of sweat-glands. Through these tubes the watery portion of the blood filters through the kidneys, very like the perspiration on the surface of the body; and in fact in the older works on physiology the kid- neys and skin are spoken of as the common eniunctories (fil- ters) of the body. The work of the one can in a measure 142 Physiology and Hygiene. be done by the other, as is seen in summer, when the secretion from the kidneys is small and that from the skin profuse, while in winter exactly the contrary is found. A cross sec- tion of a human kidney shows that it is made up of two parts, a cortical, or outer, and an inner, or medulla, composed of eight to twenty cones, the so-called pyramids, whose apexes point toward a central cavity, from which a tube about the size of a goose-quill runs to the bladder. On the apexes of the cones are found a multitude of minute openings which correspond to the opening of the sweat-glands upon the sur- face of the body, and through which fluid is likewise con- tinually passing, by filtration from the blood. The tubes on the skin are called sudoriferous tubes, in the kidney they are known as the uriniferous tubules, and if we follow up one of these tubules from the kidney, from its opening on the surface of a pyramid, we shall find that it terminates in a dila- tation not unlike those found in the sweat-glands. The dilatation in the urinary tubule is known as the Malpighian (from its dis- coverer, Malpighi) capsule (see figure b), which incloses within it a network of capillaries (glomer- ulus) given off from the branches of the renal artery. Through this tuft of capillaries the liquid ref- use of the blood exudes and passes into the tubule, making its way down this until it at last reaches the bladder. The Mal- pighian capsule, then, is a funnel, and the glomerulus a net- work of delicate filters to extract from the renal blood what should be carried away from the body as liquid sewerage. The quantity of this varies considerably with the season of the year and the amount of liquid taken, but the total urine should be slightly above the amount of water taken during Urinary tubule. (Huxley.) SE WEE AGE AND VENTILATION. 143 the twenty-four hours. A persistent variation from this in- dicates something wrong in our plumbing department. The most frequent error arises from too sparing a use of water to avoid annoyance. Professor Vaughan says very plainly on this subject: " The merchant goes behind his counter, and to avoid frequent visits to the water-closet drinks but little water. The same mistake is made by ladies who are out in society much, and by the student who does not wish to be interrupted in his studies by the calls of nature; but the result is that the urine becomes small in amount, strongly acid, of high specific gravity, and deposits urates, uric acid, or oxalate of lime which produce irritation of the bladder, or even gravel." A false squeamishness in these matters often inflicts perma- nent injury, for the urinary apparatus is a delicate bit of machinery, lined with epithelium as sensitive as that on the lips, and so located that when once diseased it inflicts serious injury upon the kidney. By reference to the cut on page 142, it will be seen that the entire length of the urinary tubule is lined with epithelium. This when diseased or removed by sickness allows the fibrinous part of the blood to escape into the tube and there solidify and form a " cast," or it may escape so rapidly that the person dies of exhaustion. Such injury to the tubules constitutes Bright's disease, apparently upon the increase in America, from a variety of causes, chief among which may be noticed mental strain and a too largely meat diet and exposure to cold and wet, etc. The nervous theory of kidney disease may not be generally accepted, but it is well known that the nervous system has a marked influence in the matter. Fright or hysteria may largely increase the urine, and, per contra, irritation of the nerves which supply the vessels of the kidney has, according to Huxley, the im- mediate effect of stopping the excretion of urine. And, lastly, any physician who has carefully watched the prog- ress of a chronic case of kidney trouble will tell you that business anxieties and responsibilities invariably aggravate such cases, whose only chance for permanent recovery is to escape from all kind of anxiety, dress warmly, and avoid a 144 Physiology and Hygiene. too largely animal diet. The latter is strongly insisted upon by Fothergill, and with a good show of reason, for those na- tions that are most largely meat-eaters are those most afflicted with kidney troubles. The reason given for this is as fol- lows: Nitrogenous foods are exuded from the body as urea. Meat is our most largely nitrogenous food. Excess of urea stimulates the kidneys to overaction. The more meat, the more urea, the greater the stimulation of the kidney to its own hurt. Next to Australia, we are the greatest meat-eaters on the face of the earth, and consequently, says Fothergill, grievously afflicted with kidney affections. The red or white sediment often found in the urine is often a cause of anxiety, but it has no causal relation to kidney disease, and usually indicates, as has already been said, that sufficient water is not being taken to keep the drainage pipes well flushed out. More water generally will cure the majority of these cases, except where a cayenne pepper deposit persists. This means, where the means mentioned above have been faithfully tried, that more animal diet is being taken than can be burned up in the system. Nature's method of warming the body is to* burn up its garbage to a soluble ash, which can be readily washed out of the body. This ash is known as urea, and is so soluble that it never forms sand or gravel. If, however, the body's fuel is not perfectly consumed it forms an ash, or clinker, which cannot thus be washed away, and this clinker is the red sand (uric acid) just described. The place where the conversion of uric acid to urea ought to take place is in the liver, next to be described; but before considering this, just a word further concerning the hygiene of the sewage of the body. It contains substances danger- ous if retained in the body, for a continued failure of the kidneys to act invariably produces death with convulsions (uraemia.) Scarcely less dangerous is the retention of other refuse in the body. It is a slouchy servant who does not clean away the ashes from her kitchen stove at least once a day, and we are poor tenants if we cannot do as much for the house in which we live. Habit is second nature in this as in Sewerage and Ventilation. 145 many other less important matters, and those are healthiest and live longest who are scrupulous in this. Its neglect brings a bad breath, a sallow skin, headache, and loss of ap- petite, as it ought, for the whole body is poisoned by the re-absorption of poisonous matters that ought to have been voided from the body. But carelessness, or some seem- ingly more important engagement, is allowed to interfere with what ought to be as faithfully attended to as washing the hands and face, until the house of clay becomes truly filthy, and then comes a bilious attack. And what is a so-called bilious attack ? It is simply nat- ure's house-cleaning, and fully as inconvenient as its domestic namesake. One of the duties, and in the opinion of the writer the chief duty, of the liver is to burn up, or oxidize, certain substances no longer of use in the body. One of these is uric acid, just mentioned, but if there is too much of this uric acid turned in upon the liver to be readily dis- posed of, the liver refuses at first to work, sulks awhile, then turns every thing upside down within us in its efforts to turn out the offending substances. This emeate we call a bilious attack, and it certainly efficiently accomplishes what it sets out to do; but one such strike begets another, and in a little time we find a liver prone to rebel on the slightest excuse, and thoroughly not to be depended upon. The liver is one of the worst abused and least understood organs in the body. The ancients thought its chief duty was to secrete black bile, and that blacli bile was synonymous with melancholy, for the Greeks believed that the soul resided in the liver, and in their language melancholy and black bile mean one and the same thing. We have learned that there are other causes for melancholy than black bile, but that there are none more efficient than a disordered liver. Whether we think life worth living depends largely upon the condition of the body's chemical works, for to such a factory the liver can be well likened. It lies in regions 1 and 2, figured in Plate I, and, as may be seen by the annexed cut, it is abundantly supplied with V 146 Physiology and Hygiene. blood-vessels, so much so that the liver acts as a sort of siding into which are switched trains of both venous and arterial blood for a transfer of their freight. Much of this, gathered up by the veins from the stomach, intestines, pancreas, etc., is hurtful, and must be rapidly excreted or it will bring damage to the body. This the liver effects by working over these ref- use materials in such a way that they either be- come harmless or are transformed into new substances of further value. Its method of disposing of uric acid has already been spoken of, and the formation of bile is an instance of Diagram op the Circulation in the Lobules ., _ T . » of the liver. the second. It is one ot a, a. Intralobular veins, ib, b. Interlobular the triumphs of modern yeina - chemistry that it can ex- tract from useless coal-tar carbolic acid and other valuable sub- stances, but long before modern antiseptics were dreamed of the liver was patiently making, in bile, one of the most efficient preservatives yet discovered. But bile is more than this, for it not only prevents the decomposition of food, but also, as nature's castor oil, emulsifies fats and carries off the excess of carbon and hydrogen from the blood, thus purifying it. The failure to do this in the spring, or rather our stupidity in forcing the liver to dispose of the same amount of hydro- carbons as during the cold of winter (see page 91), brings on what is familiarly known as spring fever, for which our grandfathers were not irrationally bled. A wiser thing, however, is to eat such food (see Chapter IV) as shall not force extra work upon a liver already overtaxed with a winter's buckwheat cakes. These, like the Esquimaux' whale blub- Sewerage and Ventilation. 147 ber, are excellent fuel for the heat required during the win- ter, but when the spring brings a milder temperature they are as useless and harmful as it would be to keep a furnace running all summer; and worse than that, for the liver, so to speak, burns itself out in the process. It clogs like another furnace under the same mistreatment, and its unfortunate owner suffers from its smoke in the shape of a crop of boils. All this because we abuse one of the most important organs of the body, in spite of its protests in the way of headache, loss of appetite, and general lassitude, whose rational treat- ment has already been spoken of in Chapter IV. Moreover, there is good reason to believe that a healthy liver is necessary to destroy certain poisonous compounds that are continually being formed in the body. This was first proven by Drs. Schiff and Lautenbach of Geneva, who found that tying the portal vein — the great vein which brings blood to the liver — in the lower animals produces a tendency to sleep, loss of sensibility in general, slowing of the pulse, ster- torous respiration, and death without convulsions in a few hours. Ligation of the hepatic viens produced no such effect, wherefore Dr. Lautenbach believes that these symptons are due to the accumulation in the blood of a poisonous substance, or substances, which normally are destroyed in the liver. This is furthermore proven by the fact that blood taken from the circulation of one of the animals whose portal vein had been tied invariably produced toxic symptoms when injected into another animal ; while the same animal had remained unaffected when injected with blood before the ligation of the portal vein. Schiff was unable properly to isolate the poison thus produced, but considered it volatile, and antag- onistic in its action to nicotine, conia, and hyoscyamus. .More recently it has been rendered more than probable that the poison found at such times in the blood belongs to those known at the present as leucomaines. Careful experiment proves thai these Leucomaines are constantly being formed in the body, and unless they are neutralized invariably produce symptoms like those described by Schiif. Selmi discovered 148 Physiology and Hygiene. some years ago certain poisonous alkaloids of putrefaction to which he gave the name of ptomaines. Gauthier subse- quently found analogous poisonous alkaloids in the living healthy body ; these he named leucomaines to distinguish them from the alkaloids of putrefaction. The leucomaines are being carefully studied in their relation to health by the French physicians, foremost among whom are M. Peter and Professor Bouchard. Gauthier thinks he has succeeded in isolating no less than five of these alkaloids from the muscular juice of the larger animals. These leucomaines, he believes, are formed in life largely by the action of oxygen. For instance, thought is attended with heat, and heat pro- duces, according to Gauthier, in the brain neurin, an alka- loid injurious to life ; muscular movements similarly form creatinine and the alkaloids mentioned above. All of the working organs of the body are now supposed to form these leucomaines; for example, according to Kossel, in the pancreas and spleen can be found adenine, derived from the cell nuclein. Adenine, when tested upon the lower animals, produces paral- ysis of the vasomotor system, congestion of the lungs, liver, and kidneys. The kidneys, if Bouchard's experiments can be relied upon, carry off no less than seven of these leuco- maines from the body, and the remainder are destroyed in the liver, whither they are carried by the portal circulation. Some of these, or others, are doubtless excreted constantly through the skin, for the evil effects of coating it with var- nish, or having it destroyed by burning, have long been known. Death in the latter cases results not from shock, but from the retention in the system of substances which are normally carried off through the skin. Life is then not merely an eddy, as Huxley describes it, but also almost a pro- longed suicide, for we are constantly producing these leuco- maines, and if they are not speedily removed or destroyed they produce disease and death. Health is the equilibrium between a proper production and elimination of toxic sub- stances which are prepared within the body by the action of its own organs ; disease is often due to accumulation of these Sewerage and Ventilation. 149 poisonous materials within the body, an auto-intoxication, as it is called (intoxication, whether from alcohol or other causes, means and is poisoning). The leucomaine poisons are derived from digestive changes in the food in the intestinal canal, and from changes within the tissues them- selves. The contents of the intestines, according to Bouchard, are particularly poisonous, and their re-absorption undoubtedly produces what is known as the typhoid state or condition. Fortunately, in a sound body this rarely takes place, because of the disposition of the leucomaines, already spoken of. No wonder then that a crippled liver casts a man into gloom ; but it is not the liver per se that depresses the entire man, but the poisons that the man has generated within himself and is unable to carry off without the liver's aid. Truly we are fearfully and wonderfully made, and nowhere is this more perfectly shown than in the daily balance between life and poisoning, through which we all hope to struggle for seventy years or more. The wonder is not that we die, but that we live at all, shut in and hemmed around by dangers seen and unseen, not the least of which are the poisons we make ourselves and invisible bacteria hereafter to be described. Perfect sewerage is the price of health, in our bodies no less than in our houses, and any deviation from this is sure to bring its penalty. In the case of the body, as in our homes, one of the surest means of suspecting that something is out of the way is the appearance of disagreeable odors. Such warning we have when the breath grows fetid, as it always does when food decomposes in the body instead of being digested. This putrefaction may take place in the stomach, but more frequently occurs lower down in the in- testinal canal. The favorite location for this decomposition of |'<>od is the sigmoid flexure and descending colon, where the partially digested food is prone to lodge and by the re- absorption of the gases thus generated poison the breath. Pain and tenderness in these regions, a fetid breath, and ;i persistently sallow skin with constant weariness indicate this slow poisoning and call for a physician's advice, without 150 Physiology and Hygiene. which the case is prone to run into an invalidism whose cause is often undreamed of. (Region IX, Plate I.) An unpleasant breath, as has elsewhere been said, may also proceed from chronic disease of the lungs, nose, or throat; but these have other so well marked symptoms that their ori- gin can hardly escape one's attention. That just alluded to is so remote from its cause that it often passes unsuspected. We also find in many of these cases the tonsils endeavor to do extra work, and become enlarged and show cheesy masses in their folds. This is not diphtheria, though often treated as such, but a little forced energjr on the part of the glands on the surface of the tonsils to carry off poisonous substances. These cheesy excretions are very prone to decompose and poison the breath, especially of one who has the bad habit of breathing through the opened mouth instead of through the nose as nature intended. The nasal passages are especially designed to warm the air passing through them be- fore it reaches the lungs. Indians are said to judge of a man's courage by his ability to keep his mouth shut, and pos- Bibly from them, with whom he spent many years of his life, George Catlin derived the ideas embodied in his little pam- phlet, Keep Your Mouth Shut. It is capital reading, even yet. After many years of careful observation, among both civilized and uncivilized nations, Catlin came to the conclusion that " those who hunt about open-mouthed, like chub or trout," are never healthy nor long-lived. So important did Catlin es- teem his subject that he concludes his little book in this way: " If I had a million dollars I would spend it in printing four million of my books and distributing them to four million mothers, rich and poor. I would not obtain therefor any monument or decoration of nobility, but I would have ob- tained the peculiarly joyful satisfaction of knowing that I had left to posterity a legacy of much higher value than money can ever have." Catlin, in the main, was right; for, to say nothing of the air of vacant stupidity imparted to the countenance from going about with the mouth half opened, the practice is positively injurious. Inhalation through the Sewerage and Ventilation. 151 nose warms the air and frees it from dust during its passage downward. Nor is it a matter of chance that there is so direct a passage for the air via the nose to the windpipe. The root of the tongue and the soft palate veiy materially interfere with free breathing through the mouth, while a probe carried along the floor of the nostril soon finds itself in an opening behind the soft palate and directly over the windpipe, or the tube conveying the air to the lungs. You can trace this tube down the neck with your fingers until it disappears behind the top of the breast-bone. If you were inside of it you would see that it divides there into a right and left branch, going respectively to the right and left lungs, where it branches and rebranches into the bronchial tubes {bronchioles), which finally end in little cells. The bronchial tubes are at first cartilaginous, or rubbery, like the windpipe; but as they descend this cartilage vanishes and the bronchioles, at last, become only soft, flexible tubes of muscle and mucous membrane. The mucous membrane of the lungs is peculiar on account of its covering of waving hairs — ciliated epithelium — which keep fanning the air in and out of these delicate tubes and air-cells (alveoli). These alveoli or air-cells (one fortieth to one seventy-fifth of an inch) look like a bunch of tiny grapes from the outside; in- side they are literally little cells opening into one another, whose walls are frescoed every-where with the tints of the smallest conceivable blood-vessels. These minute vessels (cap- illaries) have walls thinner than the most delicate blotting- paper. Through these cell walls the exchange of gases be- tween the blood and the air -takes place under the most favor- able circumstances. Gases will pass through animal mem- branes like water through filter paper, and in these delicate air-cells the venous blood is separated from its necessary oxy- gen only by tihis frail partition of membrane. Through this carbon -dioxide quickly finds its way and diffuses itself through the air in the lungs, while the oxygen of the air unites with the haemoglobin of the blood, as already described (page 107), and is by it carried the round of the circulation to be 152 Physiology and Hygiene. again exchanged for carbonic acid gas. Just how or where this exchange is made is not yet definitely known. It re- quires a more intimate knowledge of physiological chemistry than is yet possessed; for man is the modern miracle of the burning bush, which is perpetually burning and yet never consumed. The results of this combustion are invaluable to us, for upon them hang our warmth and the possibility of living at all. Without this oxidation of disused tissues we should either be swathed in unbearable fat or poisoned with leucomaines, just described. And all this is done so quietly and easily that we never stop to think any thing about what is being done unless there is an interference somewhere in the process. Chemists are acquainted with more than thirty compounds produced by the action of the oxygen of the blood on the tissues, and the failure to form any one of these disturbs more or less the whole economy of the body. Curiously enough, but three of these are ordinarily excreted by the lungs, and these form nature's soda-water, if not in exactly the same proportion as that of the shops, which contains, besides the water, only carbon-dioxide and syrup. Respiration amounts finally to the air hurrying down and paying priceless oxygen in exchange for the vilest soda-water, compounded of water, carbon dioxide, and too often flavored with onions, whisky, or tobacco. It would be a fair criticism to say that the soda- water furnished by the blood is an outrageous swindle; for there is a great deal too much dioxide for the water, and as for its syrup — pugh ! To tell the truth, no sooner is the trade made than the air seems disgusted with it, and by the help of the ciliated epithelium climbs up and out of the wind- pipe and hurries off to the plants, which are nature's verita- ble old junk-men, buying up all sorts of cast-off things and paying in precious oxygen. This trading has been going on ever since the first breath of life, and for all w» can see must go on until there shall be a new heaven and a new earth. The best that we can do is to see that fair play is given in both of the trades, but to do this you must keep a sharp lookout on carbon-dioxide, which will play you many a mean Sewerage and Ventilation. 153 trick if not well watched. Carbon, or charcoal, in its various forms, is one of our most useful possessions; but burn it and it gives rise to this colorless, transparent gas, which ought to be excluded from all decent society. But this gas finds its way in almost every-where. We use up daily about a coffee-cup of water and a bit of charcoal about the same size in making that vile mixture which was politely called soda-water, but which is really damp carbon-dioxide. It is a narcotic poison, worse than liquor; for whisky gives its poor victims at least a short period of happiness, while carbon-dioxide only stupe- fies and leaves him with a worse headache the next morning, or a very little more kills him. If you have any doubt of it, read some of those fearful stories of ignorance, such as that of the famous Black Hole of Calcutta, where one hundred and forty-six men were shut up in a room eighteen feet square, and in the morning one hundred and twenty-six were found dead and the larger portion of those remaining died after their release from fever contracted during that fearful night. But that is not the worst thing that carbon-dioxide ever did, for such places as the Black Hole put us on our guard; but there are thousands — principally women — who are slowly being poisoned to death by close rooms and bad air. I have often wished that this carbon-dioxide was as black as ink, so that we might know of its coming; but though it has not this cuttle-fish power, it gives no less certain warning of its coming if you will only watch for it. Drowsiness, head- ache, and the corpse-like smell of too many of our churches and school-rooms tell you in a most convincing way what I mean. It is not always the fault of the preacher or teacher that thoughts will wander and the head grow weary. There is more than one prayer-meeting which needs, instead of singing, "My drowsy powers, why sleep ye so? Awake my sluggish soul!" to have its sexton open the windows. 15;i7* 154 Physiology and Hygiene. rooms and its lack of proper ventilation. The sleeping-room ought to be the largest and airiest room in the house, and preferably on the second floor, and heated, if possible, with an open grate fire. Such should always be the room selected for a run of fever or other protracted sickness; for in no other way can a room be so easily and thoroughly ventilated as by a draft of hot air up an open chimney. Failing this, two hundred and fifty to three hundred cubic feet of space should be supplied for each person in the room for the night, and provision made for removing six hundred and fifty cubic feet of vitiated air per hour. Less cubic contents per person is unsafe, and will certainly result in carbonic acid poisoning of a milder or severer type. Much of that which passes for sewer-gas poisoning is simply the result of sleep- ing in unventilated rooms; for Dr. Harwood says most justly on this subject: "The want of wholesome air does not mani- fest itself on the system imperatively; no urgent sensation being produced, like that of hunger, there is great danger of mistaking its indications. The effects of the absence of pure air are only slowly and insidiously produced, and thus too frequently are overlooked until the constitution is generally impaired and the body equally enfeebled." The difficulties, however, in northern climates of efficiently ventilating a modern house without expensive apparatus or dan- gerous draughts are such that with most builders the whole subject is neglected, and the only resource left us is the win- dow. In moderate weather a room can be well ventilated by this, by raising the lower sash an inch or so and placing be- neath it a tightly fitting board. This leaves an opening be- tween the upper and lower sash about the middle of the win- dow, through which fair ventilation takes place without direct drafts of cold air. No thoroughly efficient and cheap method, so far as the writer is informed, of winter ventilation has yet been devised for private dwellings, although many excellent devices for larger edifices are in operation where a steam- engine and blower can be used. The best that can be done in an ordinary dwelling during the winter is to rely upon Sewerage and Ventilation. 155 small holes bored in the upper part of the sash into which small bent tubes or elbows pointing upward may be inserted with valves to open or shut as required. But even with these the temperature in different parts of our living rooms varies too greatly for the health of children and feeble adults. Dr. Benjamin's careful investigations show that with a tem- perature of seventy-five at the level of an adult's head, the floor registers only fifty degrees, and this in a well built brick house with a warmed cellar. In similar rooms the tempera- ture at the ceiling was ninety, four feet from an ordinary window seventy, one foot from the window fifty, and at the window forty degrees. Or, in other words, a little child finds a difference of twenty-five degrees, Fahrenheit, between sitting in its mother's lap and playing on the floor, and between thirty and forty degrees from the neighborhood of the stove and the window, which is probably one of the reasons that keeping little children in bed is no small factor in their recov- ery from cold and the minor ailments of childhood. Thin shoes, even in the house, are dangerous experiments, for the reasons given above, and sunshine, a frequent change of rooms, and a free ventilation by opening the windows of the room just left are potent aids to long life and usefulness. Moreover, fresh air is not alone sufficient unless we learn how to properly inflate the lungs, for which purpose we must breathe deeply in whatever pure atmosphere we are placed. Up and down the windpipe a current and return current of air need to pass fifteen to eighteen times a minute, and oftener if we are children, or if for any reason respira- tion is imperfectly done. " As easy as breathing " is a fre- quent simile, but a sufferer from asthma or pneumonia tells a very different story. With them existence requires a ter- rible struggle with asphyxia — the doctor's term for a lack of air and its resulting imperfect aeration of the blood, pre- viously described in this chapter. This aeration requires, in addition to the nose and ^windpipe, the aid, of the lungs, which are continuous with the windpipe, and are inclosed each in a tough, closed sac, known as the pleura (plural 156 Physiology and Hygiene. plurne). The two pleurre, as may be seen from the annexed cut, do not meet except at one point in front. This leaves an interspace between them, called the mediastinum, and in this mediastinum are held all of the viscera of the thorax ex- cept the lungs. In the cavity of the pleura? we find the lungs, which extend from one to one and a half inches above the collar bones to the diaphragm, or from the root of the neck to the sixth and seventh ribs. The broad concave bases of the lungs rest upon the convex surface of the diaphragm, the thin lower edges of the lungs fitting accurately into the wedge-like space between the ribs and the diaphragm. The lungs are of unequal size, somewhat conical in shape, and lie in the right and left sides of the thorax respectively, the base of the right lung being considerably hollowed out by the bulging upward of the liver, which projects upward as far as the fifth rib ; the base of the left lung is also concave, though to a less degree, by the upward projection of the stomach, spleen, and left lobe of the liver. The right lung is some- what larger and broader, owing to the location of the heart. The right lung weighs about two ounces more than the left Sewerage and Ventilation. 157 lung, and is nearly two inches shorter than the left, owing to the projection upward of the liver upon that side. The right lung has three lobes, the left two, and both lungs hang sus- pended in the thoracic cavity by what is known as the root of the lungs. This root is a collection of blood-vessels and the trachea, sending a branch to each lung composed of a bronchial tube, pulmonary artery, bronchial arteries and veins, and the pulmonary nerves, lymphatics, and glands in- closed in a reflection of the pleura. The weight of the lungs is about forty ounces, and their color at birth is pinkish, but they grow darker with age, so that the lungs of an adult are slate-colored, or even darker. Lung tissue is so light and spongy that when it is inflated it floats on water, and crackles when handled, owing to the air in the inter- stices of its lobules. Each of these lobules contains one of the branches of the bronchial tubes with its terminal air- cells, vessels, and fibrous tissue holding them together. These air-cells are blind pouches in which the subdivisions of the bronchi terminate, and it will be remembered that the bronchi are branches or prolongations of the windpipe, which, under the name of the main bronchus, enters the lungs and di- vides and subdivides into smaller bronchi, right and left, un- til, as has been said, each of these bronchioles terminates in an air-cell, or alveolus, as it is sometimes called. The form of these air-cells is well shown on the following page, which gives a cross-section of one of the ultimate bron- chioles and its terminal vesicles. Each of these is held in a network of capillaries, which inclose each alveolus of the lungs in a sort of basketwork of blood-vessels. Each air-cell measures about one seventy-fifth of an inch in diameter, but as there are estimated to be eighteen million of these air-cells their combined surface amounts to more than two hundred square yards, or more than fifty times the extent of the surface of the body. Through this thin film of tissue, ex- posed to the air on both sides, the entire amount of blood in the body flows three times in a minute, requiring for its aeration twelve thousand quarts of air daily, which must be 158 Physiology and Hygiene. breathed in and out daily to keep the body properly venti- lated. This is accomplished by inspiration and expiration, as it is called; for breathing, simple as it seems, is a complex act composed of breathing in, breathing out, and rest- ing; for the lungs, like the heart, must have an interval for rest. Each inspiration ought to draw into the lungs thirty cubic inches of fresh air, and each expiration ought to send out about the same amount, although not the identical air just breathed in; for we never force out all of the air con- tained in the lungs. The average ait ceil (W, alveoli (c), and capacity of the lungs may be set at bronchiole (a). two hundred and thirty cubic inches of air ; thirty may be driven out by an ordinary expiration, so that at the close of expiration there should be two hundred cubic inches in the lungs. The thirty cubic inches that flows to and fro is known as tidal air; the two hundred cubic inches is divided into what is known as resid- ual air (one hundred to seventy-five cubic inches), which can- not be driven out by any force on our part, and about an equal amount that is known as supplemental air, or that which ordinarily remains in the lungs, although it can be driven out by forced expiration. The two hundred cubic inches of residual and supplementary air are those which are left in the lungs after expiration. Add to this the thirty cubic inches of tidal air drawn in by inspiration, and we find two hundred and thirty inches within us at the close of an ordinary inspiration. Now two hundred and thirty cubic inches of air uncom- fortably distend the lungs, so we ease them by expiring, or squeezing out, about thirty cubic inches of impure air, for only one seventh of all the air that is in the lungs is changed at each breath. The remaining two hundred inches aerate the blood, while the thirty cubic inches of tidal air hur- Sewerage and Ventilation. 159 rying up and down the throat, may be considered the fresh recruits and returning on sick leave being carried away to be refreshed, then hurrying back to relieve the two hundred cubic inches of air which stand between us and death ; for as- phyxia results if fresh air is not speedily brought to their re- lief. In addition to the two hundred and thirty cubic inches of air — tidal, residual, and supplemental — in times of emerg- ency seventy-five to one hundred cubic inches more may be forced in temporarily. This is known as complemental air, and is invaluable to the gasping asthmatic or the sufferer in the last stages of chronic heart trouble. The importance of early increasing the amount of the sup- plemental air that can be taken into the lungs can hardly be overestimated. "Writing and studying at a desk or table so inevitably tend to round the shoulders and hollow the chest that some method of counteracting this should be systemat- ically adopted. Indian clubs, an inhaling tube, dumb-bells, and mountain climbing, when possible, will do wonders in this direction. Singing, under a competent teacher, also does much to expand the chest, and if half the attention were given to the development and care of the lungs which is given to the hair, consumption might be nearly eradicated, instead of causing nearly a fifth of all the deaths of adults in this country. A sunless, unventilated house will certainly germi- nate the seeds of the disease whenever they are latent, or, if the bacterial theories of tuberculosis are correct, prepare a suitable ground in which the bacillus tuberculosis (see Chap- ter VIII) will increase and multiply, until the consumptive is worn out in a vain effort to expel them by coughing. And what is a cough ? It is nature's way of clearing out the windpipe ; really only a spasmodic expiration. For instance, instead of the normal inspiration and expiration, when \\c cough we first draw in a deep inspiration — these are the few seconds of blissful uncertainty of whether you are going to or not which usually precede a cough or a sneeze — but the glottis closes while something tickles a nerve, say in the larynx, which grows rebellious, and instead of giving us time 160 Physiology and Hygiexe. for a well regulated expiration, with a t spasm it forces the air back through the glottis with a rush that carries the offend- ing crumb or mucus before it ; if not, the process is repeated as long as necessary. Sneezing is essentially the same, except that in sneezing the trouble is in the nose ; so instead of the air being forced out from the mouth, the soft palate and the back of the tongue come together and force the air out with a " chee-chee " through half -closed teeth and nose. Sighing is a prolonged inspiration, and, when not due to first love, like yawning is a proof of bad air or an exhausted nervous system. Yawning differs from sighing in that its prolonged inspiration is followed by a prolonged expiration, both of which are largely involuntary. Snoring is a flapping to and fro of the soft palate during sleep. With some the sound occurs only during inspiration, with others during both inspiration and expiration, and takes place during very profound sleep, or in those whose nervous control over the parts has been lessened. Laughing and sobbing are physi- ologically the same, for they are both spasmodic inspiration and expiration, and hence the ease with which the practiced orator will carry his auditors from one to the other. Hic- cough is also a spasmodic expiration due to a spasm of the diaphragm, or the great fan-shaped muscle which divides the trunk of the body into the thoracic and abdominal cavities. Its front edge is attached to the breast-bone, and its sides slope downward and are fastened to the lower six ribs. The diaphragm, therefore, does not form a horizontal partition, but arches upward in shape not unlike a policeman's helmet; but un- like that in that it is not stiff, but exceedingly flexible, changing its position with every inspiration and expiration. It is par excellence the muscle of respiration, assisting it like the flexible side of a pair of bellows. (See cut, page 40). Gaseous disten- sion of the stomach may press upon the diaphragm so as to be mistaken for heart disease. Fasting relieves this trouble in short order, while it will aggravate real cases of heart trouble, for which it is often mistaken. The dia- phragm may be even ruptured by distension, as happened in the Sewerage and Ventilation". 161 following unique case, reported some years ago by Dr. Bren- ner, of a man who actually split his diaphragm in two, and Cut showing diaphragm from its lower side, and openings through which pass the vena cava U3), esophagus (12), and aorta (11). died from eating four plates of potato soup, "numerous" cups of tea and milk, followed by a large dose of bicarbonate of soda to aid digestion. His stomach swelled enormously, and tore the diaphragm on the right side, causing immediate death. But if the diaphragm is at times a source of danger, it is, on the other hand, invaluable for breathing and laughter. The real value of the latter to the body is that, as says another, "probably there is not a remote corner or little inlet of the minute blood-vessels of the body that does not feel some wavelet from the great convulsion produced by hearty laughter shaking the central man. The blood moves more, it conveys a different impression to all the organs of the body, as it visits them on that particular mystic journey, when the man is laughing, from what it does at other times. And thus it is that a good laugh lengthens a man's life by conveying a distinct and additional stimulus to the vital 162 Physiology and Hygiene. forces. The time may come when physicians, attending more closely than they do now to the innumerable subtle influences which the soul exerts upon its tenement of clay, shall prescribe to a torpid patient ' so many peals of laughter, to be undergone at such and such a time,' just as they do that far more objectionable prescription — a pill, or an electric or galvanic shock ; and shall study the best and most effective method of producing the required effect in each patient." Diagram of Heart and Circulation (Plate II). a. a. Vena cava, inferior and superior. r. a. Right auricle with orifices of the venae cavae emptying into it. t v. Tricuspid valve, closing orifice between right auricle and ventricle of heart. r. v. Right ventricle of heart. p. a. o. Orifice of pulmonary artery. p. a. Right and left pulmonary arteries. p. v. Pulmonary veins, arising from the lungs and emptying by four orifices into the left auricle. I. a. Left auricle. m. v. Mitral valve, closing orifice between left auricle and left ventricle. I. v. Left ventricle. a. o. Aortic orifice. a. o. a. Arch of the aorta. a. a. Ascending aorta. a. d. Descending aorta, at last communicating by capillaries with the in- ferior vena cava, though this communication is not shown in the plate, as in the case of the ascending aorta. N. B. The course of the blood is shown by the arrows in the diagram, it3 color indicating whether it is arterial or venous. The Daughters of Music. 163 CHAPTER VI. THE DAUGHTERS OF MUSIC, AND THEY THAT LOOK OUT AT THE WIXDOWS. The diaphragm, in addition to its duties described in the preceding chapter, greatly assists speech, the most precious of all of man's accomplishments. The means by which this is done was poetically described in Punch many years ago as follows : " The pharynx now goes up, The larynx, with a slam, Ejects a note from out the throat, Pushed by the diaphragm" — a jingle that may better serve to fix the order of events in speech than a more technical description of speaking, or singing ; which differs one from the other mainly in the aid furnished by the lips and the tongue in speaking. Lips were made for other purposes than merely to be kissed; and in fact they are kissed too often for peace and safety, especially in the case of little children, who apparently have no rights in this matter that adults feel bound to respect. A kiss in Iceland, even if the lady consents, is punished with a fine sufficient to furnish a whole ship's crew with pilot jackets, and a similar or heavier penalty ought to be laid upon the promiscuous kissing of babies, and ladies among themselves. It is a foolish and nonsensical practice, and worse than that, dangerous, for diphtheria and worse diseases are thus carried about a community to the perplexity of the doctor and the dismay of his patient. Diphtheria is often, if not usually, communicated in this way, from what is sup- pled to be a simple sore throat. As competent authorities as Drs. Pepper and Jacobi believe that there are more cases 164 Physiology and Hygiene. of mild diphtheria out of bed than in, and that the severer forms of the disease may be produced from these mild cases. The possibility of this ought to put an end to the indiscriminate kissing of babies, for, as it was recently well put in the Scientific American, " The children will not suffer if they go unkissed ; and their friends ought for their sake to forego the luxury. A single* kiss has been known to infect a family ; and the most careful may be in a condition to communicate the disease without know- ing it. Beware, then, of playing Judas to the little ones." But osculation is not the only use to which lips can be put. Their sense of touch is so delicate that the blind have been able to read by moving their lips to and fro over an embossed page. The chief use, however, of the lips aside from their as- sistance in eating is the part that they play in speech. Cer- tain of the letters are known as labials, for the reason that they are formed by the lips, and many others cannot be formed without their aid. For instance, the same expira- tion may be made to sound either e, a, or o, according to the position of the lips. L, r, f, and v sounds are made by the tongue and lips jointly, and whispering is the voice produced by the vibration of the muscular walls of the lips, or, as Hux- ley puts it, a whisper is in fact a very low whistle. The wild beast of the mouth, which, according to St. James, is untamable — " For every kind of beasts, and of birds, and of serpents, and of things in the sea, is tamed, and hath been tamed of man- kind: but the tongue can no man tame" — usually gets the blame of speech; but the fact is that the tongue is really the least important organ in speaking, and has nothing to do with voice at all. The distinction between the two is that voice is the sound produced by the vibration of elastic cords; speech is this sound modified by the throat, tongue, and lips. Voice is the music produced by the pipe-organ of the throat, while speech is its notes modified by the sounding-board of the pharynx and the various shapes the cavity of the mouth can be made to assume; many and various in that The Daughters of Music. 165 amazing " ready, spontaneous, automatic, self-sustaining flow of speech peculiar to our sisters, in which each develops her proposition without the slightest regard to what the other is saying." (O. W. Holmes.) But, useful as is the tongue, it is not absolutely indispensa- ble for talking. We shall see hereafter that the larynx plays the major part in speech. Huxley gives a long account of a man who had his tongue cut off clear back to the soft palate and yet was able to talk fluently, and pronounce all letters except t, d, m, s, and p, which were strangely changed into other consonant sounds; thus, tin was fin; dog, thog; cat, catf; big, pig; tack, fack or pack; dine, vine; mad, madf; tool, pool; do, thew; goose, gooth, etc. So that cutting out the tongue might no more cure a gos- sip than the pilgrim fathers' remedy of the ducking-stool. But extirpating her tongue would ruin her enjoyment of her neighbor's preserves, for the sense of taste is located in the mucous membrane of the tongue, especially in its back part. Much of that which passes for taste is really smell, for it is the odor of food which makes the mouth water. The tongue, like the fingers, has papillae, or ridges, scattered over it vary- ing in shape according to their location and duties. Three forms of these are known, namely, filiform, fungiform, and circumvallate. The filiform are long and pointed, and probably do little more than roughen the tongue, and thus help it to move the food hither and thither. In the calf these are almost spines, as you have appreciated if you ever happened to get your hand into its mouth when you were feeding " bossy " salt. These are the papillae which when coated give your tongue its furred look. (See Chapter I, page 18.) The fungiform (club- shaped) papillae are found here and there over the front of the tongue, while the fortified or circumvallate are arranged in the shape of the letter V at the base of the tongue. These latter are the chief organs of taste; but just how these little knobs tell us that sugar is sweet and vinegar is sour is more than at present is known, except that it must be done through the filaments of the nerves which cluster over them. We 166 Physiology and Hygiene. are very apt to confound smell with taste, so that mothers do a very sensible and physiological thing when they hold Johnnie's nose to make him take the luscious castor oil. If she could only keep her fingers there all day it would be all right; but when they are removed, then comes that awful corpse-like taste which must be known to be appreciated, and yet doubtless the Esquimaux, who guzzle train oil, would smack their lips over a bottle of " cold pressed." A Russian peasant would turn up his nose at the American idol, " pie," but feast like a king on raw whisky and tallow candles, and even our refined French brethren go into ecstasies over a dish of fried frogs or squirming snails. One man's meat is an- other's poison. There are whole families who have a horror of cheese. Some people cannot even take a homeopathic globule of mutton. There are well authenticated cases on record of gout always following fish, fearful sickness from eating strawberries, and many similar cases in regard to shell- fish. Strange as these may seem, we must leave them with the thought that they are no stranger than many other pecu- liarities that we inherit from our parents. If it be true, as some most excellent people assert, that we ought to pay no more attention to the food we are eating than if we were shoveling coal into a furnace, too much time has been spent on this matter of taste. So let us proceed past the soft palate, which hangs as a curtain before the pharynx, or the cavity at the top of the throat. The use of the soft palate is to prevent water and food from passing into the nostrils, which it closes as it is forced up in swallowing. Behind this palate curtain we find a little triangular room called the pha- rynx, from which we can either go up stairs by way of the sky- lights opening into the nostrils, or down stairs via either the windpipe or esophagus. The last-named route takes into the kitchen and dining-room, already visited (see Chapter IV) ; the former leads into the larynx, which different routes were evidently unknown to the school-boy who wrote: " A throat is convenient to have, especially for ministers and roosters. The one eats corn and crows with it; the other preaches The Daughters of Music. 167 ■** through hisn and ties it up." If the young author had, how- ever, taken his stand before a looking-glass and pushed down the root of his tongue as far as possible, at the same time ut- tering the sound a-a, he could have seen why food and preach- ing do not travel the same route. At the top of the wind- pipe with a good light may be seen a yellowish-white leaf- like body — the epiglottis — moving to and fro with every inspiration and expiration and shutting down like a trap-door, or bridge, over which the food passes when we swallow. The larynx is essentially a triangular carti- ^A^\ laginous box, flattened behind and at the sides, while in front it forms a vertical ridge — named Adam's apple, in memory of Eve's gift, the core of which is fabled to have stuck at this point. This larynx box is hung on a V-shaped bone and consists of nine cartilages, the largest of which is named the shield, or thyroid, cartilage, from its shape. On its lower edge it is joined to another, the cricoid, or seal ring, cartilage, whose seal being placed behind leaves a gap in front filled trachea and larynx. in only with membrane. By the aid of a e p- Epiglottis, Or. cricoid, laryngoscopic mirror, properly held in the throat, we may see, if we are curiously inclined, on the upper and back part of the seal-ring cartilage fastened two curly cartilaginous bits, known as the funnel (arytenoid) cartilages, to which are fastened tiny muscles to pull these funnel cartilages to- gether or apart. Just below these cartilages are the vocal chords proper, which correspond to the strings of a violin, of which the human pharynx represents the body, or sounding-board, for a violin more nearly resembles a human voice in its tones than any other musical instrument. Musically speaking, the human vocal apparatus is a combination of a reed-organ and the violin, of which the trachea is the pipe, and the pharynx and the nasal cavities the body of the violin, whose 168 Physiology and Hygiene. strings are in th^ larynx, which we have seen is placed below the epiglottis in the windpipe. These violin strings are known to the anatomist as vocal cords, but when we speak of them as such please drive out of your mind any idea that they look at all like violin strings or wrapping cords. On the contrary, if you ever have the opportunity to look with a small mirror (laryngoscope) properly held over the larynx, you will find the windpipe just below the epiglottis nearly closed by two, pale reddish projections, or swellings, on its inner surface. These do not completely come together, but leave a V-shaped opening between them. With an attempt to say Ah-a you will find these edges become nearly parallel, the chink narrower, and its thin edges vibrate from the cur- rent of air set in motion below from the lungs outward. The principle is that of the blade of grass held between our thumbs which we blow upon to make squeak. Put two blades of grass at a slight angle between your thumbs and you have, except in color, a very fair working model of the human vocal cords in repose. The size, shape, and relative position of the blades of grass are about those of a human glottis, or the apparatus by which we sing and talk. The sound produced by this grassy musical instrument is caused by the vibrations produced in the grass by the motion of the air blown upon it. These vibrations start waves of sound, and upon the frequency of these depends the pitch of our musical instrument — if we may so call the grass be- tween our thumbs. In exactly the same way the human larynx is made to produce sounds by the passage of the air from the lungs outward. When the chords are separated so as to form a V-shaped chink the air passes quietly in and out without giving rise to any sounds ; but when the chords are drawn parallel and their free edges put upon the stretch, the passage of the breath through this narrow opening causes its edges to vibrate, just as it did with the blades of grass, or as does the reed in a pipe-organ, and similarly produces audi- ble sounds, or sound waves, upon which they depend; for all sounds depend upon vibrations of varying rapidity. If they The Daughters of Music. 169 are irregular rind of uncertain intervals we call the result a noise, but if these vibrations come with regularity we pro- duce what is known as a musical note. This may be proven by holding a card against a toothed-wheel slowly rotating. If struck irregularly it makes only a noise, and so long as the wheel turns slowly we can distinguish between these separate noises, or in other words the vibration of the card is so transient and irregular that it fails to produce the regularity in vibration necessary to make a musical note. Turn the wheel faster, and hold the card against the teeth, and the whole character of the sound changes. It becomes continuous and musical, and as the machine revolves faster and faster, the pitch of the sound is heightened to a shriek, and then becomes inaudible, or in other words the vibrations may become so rapid as to fail to make an impression upon the auditory nerves, which can hear sound vibrations only between certain limits. The exact number of sound waves necessary to produce any given note has been accurately counted, and by a proper instrument giving these vibrations any given note can be reproduced. Now the number of these vibrations depends upon the length and tension of the string vibrating, and all this is regulated in our throats by the action of the tiny muscles guiding the vocal cords. The quality of a voice — bass, tenor, etc. — depends uj)on the relative shape of the larynx, and hence the different quality of male and female voices, and the inability of the gentler sex to sing bass. The range of a voice depends upon the differ- ence of tension to which the vocal chords can be subjected, and accuracy in singing depends upon our ability to adjust this tension to any point desired. No amount of training can give a man, or a woman, longer or shorter vocal cords, and hence we cannot greatly vary the natural range of voice; but education is all-essential to accuracy in singing. The differences of adjustment in the vocal cords are so slight and so delicate that those who cannot sing are lost in wonder, love and praise in the presence of an artist such as Catilani, whose voice is said to have been accurate to a register of 8 170 Physiology and Hygiene. three octaves, while their own voices can accomplish only three notes, and cannot certainly be depended upon for even those ; or, still worse, like the unfortunate boy, may get the credit for Sunday wood-sawing when only holding a private praise service in the barn. Speech, as has already been said, depends upon the modi- fication in the sounds produced by the vibrations of the vocal cords by the cavities of the nose and mouth. This was clearly demonstrated by Professor Rood, of New York, in his popular lectures on the voice, in which he shows a serviceable set of vocal cords made from a sheet of rubber. These by blowing through them will howl most dismally ; then by placing this sheet of rubber in different shaped pipes, through which air is forced by a bellows, it can be made to utter very distinct sounds, and even cry out Pa-pa in a way that would call a loving father out of bed on the coldest winter night. The French dolls that say Ma-ma when squeezed are made on the same principle. Professor Kemplon, of Vienna, has further practically applied the principle so that he has invented a machine which speaks not only syllables, but whole words and sentences. A Mr. Faber has done still bet- ter, having invented a singing machine which runs up and down the scale ; and perhaps the time will come when the church will order a choir of these along with their organ, and thus put an end to those everlasting squabbles which make miserable the life of the music committee — unless Dr. Tourjee brings in the millennium by congregational singing before that time. All these artificial singing and talking ma- chines are, however, cumbersome and intricate comj^ared with ours, which is held in a space hardly larger than your two thumbs. It is, to be sure, a single pipe-organ, but Von Kamper has proven that with a single pipe only fourteen stops are necessary for speech ; namely, those represent- ing the vowels and 1, r, w, f, s, b, d, g, sch, which by the aid of the tongue, lips, and lungs can give forth an almost infinite variety of sounds. According to Scripture, our voices ought to be as " one who playeth well on an in- The Daughters of Music. 171 strument," or " as a very lovely song of one that hath a pleasant voice," for there is no music so sweet as a properly modulated, human voice. Unfortunately, in this country the vocal chords seem to be generally out of tune, for the harsh, shrill, nasal American voice is the butt of the civilized stasre. There is an intenseness and a " concert pitch " to the voice of the average American young lady that goes through the ears of an educated foreigner like a knife, for there is a soft- ness and gentle modulation to the feminine voice abroad that is exceedingly enjoyable. The shrillness of the average American voice is due in part to habit, for its high pitch can be lowered by carefulness, but its original cause may be found in the dryness of our climate as compared with Europe. We have, it is true, as large a rainfall, but the wind springs up as soon as the rain is over, and dries out the moisture from the atmosphere, so that cabinet work made on the other side of the water soon drops to pieces in America. This quality in the atmosphere tends to beget a restlessness which never fails to attract the attention of a foreigner. The same cause produces nasal catarrh, so frequent in this country, and sooner or later affects the quality of the voice also. Possibly the presence of ozone in our atmosphere has also something to do with the timbre of the American voice, for experiments recently carried on in Paris show that the inhalation of vari- ous volatile substances will change the quality of the human voice. Dr. Sandras found that he could in this way produce the characteristic voice of the drunkard and remove it tem- porarily at will, as well as alter the pitch of the voice and its range also. " Tar- water, alcohol, ether, and the oils employed for this purpose are not new ; it is only their application which may be said to be novel. The most curious part of the experiments is the accuracy with which certain well-defined effects are said to be obtained. Thus, a certain number of inhalations of one kind will diminish the compass by so many notes, while another will confer an additional eight <>r ten ; some even limit the range to five or six notes." 172 Physiology and Hygiene. It is claimed by some that the quality of the Italian voice is due to the presence of ammonia in the air of Italy, and an enterprising Yankee has actually invented and patented an ammoniaphone, which it is hoped will transform the native harshness of the American voice to the sweetness of a Patti's. Speed the day ! but, as his progress as yet seems discouragingly slow, the best thing that can be done in the interval is to use the voice naturally and give it a fair op- portunity to work untrammeled. Tight collars have more to do with clergymen's sore throats than continuous speak- ing, provided the voice be used in natural speaking, not preaching, with its artificial intonations. During public speaking the neck expands an inch or more, from the surplus of blood required for the brain and vocal cords. At such a time an ordinary collar becomes too tight, and congests the throat and neck and head so that the unconventional circuit rider of the earlier day would, as he spoke, divest himself of cravat and collar and speak at his best with bared neck. " Women," says H. L. Hastings, " go with their necks bare and men keep theirs swathed and bandaged, and ten women have sweet voices where one man has one. A man's voice should be as pure as a woman's. Why is it not ? He is shaved and choked. God has provided a covering for man's throat — light and soft, it clothes the neck and pre- serves the health ; but a man gets a sharp iron, scrapes his neck, ties a rag around it, takes cold, has sore throat, bron- chitis, and consumption, and dies." Or if it does not come to that he finds himself afflicted with a chronic sore throat and a perpetual sniffing and hawking, which makes him an easy prey to all of the brethren " late in the ministry " who have a sure cure for catarrh. Loose collars, frequent bathing of the neck with cold water, and the exercise of care to avoid getting chilled will do more for the radical cure of catarrh than all the inhalers ever advertised, unless the congestion of the nose has proceeded to chronic disease of the turbinated bones. The Daughters of Music. 173 These are two scroll-shaped bones, situated at the back of the nose, very light and spongy, because filled with cavities which communicate with the interior of the nose, and are lined with the same mucous membrane (ciliated). Above and to the front of these turbinated bones, about on the level with the upper part of the nose, is a delicate perforated plate of bone (cribriform) through which the olfactory nerve sends innumerable filaments to the mucous membrane of this and the surrounding parts of the nose. By these we are enabled to smell, a faculty which requires that the air con- taining the odorous particles must find its way up the nose to the cribriform plate, and there make its impression upon the terminal fibers of the olfactory nerve. These odors may pass directly up from the mouth or through the nostrils, where the process is assisted by sniffing, or drawing by a sudden inspiration, these odoriferous particles further up into the nose. If, however, the turbinated bones are swollen, as takes place in recent colds or chronic catarrh, the passage upward of the fragrant air is impeded and the sense of smell is either partially or entirely lost. The organs of smell are not as fully developed in man as in some of the lower animals, notably insects and certain fishes ; the shark, for instance, having no less than twelve square feet of olfactory organs. The faculty of scent may be cultivated like all other faculties, as is proven by blood- hounds and breeds of dogs which have been especially trained in this direction until it becomes an hereditary faculty. Those who deal in teas, coffees, perfumes, wine, and butter often cultivate their powers to a wonderful degree in their especial lines, but with the majority of people it is the least culti- vated of the senses, although O. W. Holmes thinks it the one which most powerfully appeals to memory. Professor Valentine has recently tested the delicacy of the sense of smell in regard to various odorous substances, and found " that a current of air containing 1-30,000 milligram of bromine, or 1-500,000 milligram of sulphureted hydrogen, or 1-2,000,000 milligram of oil of roses can be perceived by 174: Physiology and Hygiene. the sense of smell. He also determined that the amount of odoriferous air which must pass over the olfactory membrane in order to excite the sense of smell was from 50 to 100 cubic centimeters (one tenth to one fifth of a pint). He cal- culated, therefore, that the actual amount of bromine neces- sary to excite a sense of smell was 1-600 milligram ; of sulphureted hydrogen, 1-5,000 milligram ; of oil of roses, 1-20,000 milligram (about 1-120,000 of a grain). Two recent experimenters, E. Fischer and F. Pentzoldt, of'Erlangen, have found two other substances which far exceed the foregoing in their capacity for affecting the olfactory nerves. These were mercaptan (sulphureted alcohol) and chlorphenol. They found that in air containing 1-230,000,000 milligram to the cubic centimeter of chlorphenol, and 1-23,000,000,000 mil- ligram of mercaptan, these substances can be appreciated, and it was estimated that only 1-4,600,000 milligram of chlorphenol and 1-460,000,000 milligram of mercaptan is necessary to excite a sensation of smell. There exists, there- fore, a substance which in so small a subdivision as 1-2,760,- 000,000 grain, or not far from one three-billionth of a grain, is capable of calling out a nerve impulse. This subdivision of matter is quite beyond comprehension, yet the nose alone can appreciate it. The smallest subdivision appreciable by the eye through the spectroscope is 1-1,400,000 milligram of sodium, which is a 250 times coarser division of matter than the minimum of odor-exciting merca]3tan.'" Contrary to general belief, the sense of smell is more acute in man than in woman, for the experiments of Nicolls and Bailey have proved this beyond a reasonable doubt. Their experiments were made by means of a series of solutions of oil of cloves, extract of garlic, and prussic acid, which were successively diluted and then submitted to a number of per- sons of both sexes in order to classify properly their sense of smelling. The result showed conclusively that the sense of smell was generally much more delicate in males than in females, but that the degree of acuteness had a wide indi- vidual variation; thus some were able to detect one part of The Daughters of Music. 175 prussic acid to two million parts of water, a dilution too weak to be detected by any chemical test, while others of both sexes were unable to detect prussic acid in solutions of dangerous strength. While it is possible for disease to be introduced into the system through the nasal organs, as a rule they are our best protection against toxic vapors. Doubtless the sense of smell becomes weary by continued exposure to unpleasant odors, but fortunately most of these are disagreeable rather than dangerous. With rare exception those employed at work in the rank odors of a fertilizing factory or a fish-rendering es- tablishment enjoy comparatively good health, provided respi- ration is carried on through the nose. It may even be fairly questioned whether the perfume of flowers is not as mis- chievous as those from such factories. Says a recent writer on this subject, " The odors of flowers in a closed chamber of limited space, especially during the night, manifest them- selves by serious disorders, such as headache, syncope, and even by asphyxia, if their action is too prolonged. In nerv- ous persons numbness may occur in all the members, con- vulsions, and loss of voice; but in general only a state of som- nolence, accompanied by feebleness and retardation of the action of the heart. This state is often associated with well- marked dimness of vision. Among the flowers that are most deleterious may be mentioned the lily, hyacinth, narcissus, crocus, rose, carnation, honeysuckle, jasmine, violet, elder, etc. In addition to the danger caused by their smell should be mentioned their action on the air. During the night flowers actively produce carbonic acid, which is injurious to health. Majendie cites a case of death caused by a large bouquet of lilies which the sufferer, a previously healthy woman, allowed to remain in her bed-room while she slept. Among the more dangerous plants may be mentioned the walnut, the bay-tree, and the hern]). The action of these is well known, the latter, indeed, producing a kind of drunkenness. Certain drugs may even produce death by the inhalation of their vapors only ; noticeable among these are the so-called anaesthetic 176 Physiology and Hygiene. vapors, prussic and osmic acid. At a session of the French Academy of Sciences, some years ago, a noted French chemist presented to that body a small tin box containing, according to his statement, enough osmic acid to kill every inhabitant of the city of Paris provided the package was broken. The sense of smell is sometimes so intensified that with certain persons it produces the effects of intoxication, so that Pope's lines. " Die of a rose in aromatic pain By swift effluvia darting through the brain," was almost realized in the case of Grebry, the composer, and Anne of Austria, upon whom the odor of roses produced poisonous effects. There is also on record a well-authenti- cated case of a man falling down in strong convulsions at the smell of mutton, and the writer is personally acquainted with cases where intense nausea is produced whenever a cat is admitted into the room, and another where similar effects are produced by the odor of caraway seeds. Handling ipecac with many druggists produces attacks closely resem- bling hay fever, which by the way is now generally believed to be excited by the microscopic pollen of certain weeds floating in the air. Per contra, Hahnemann, during the last years of his life, taught that all diseases could be cured by olfaction, or the smelling of certain medicated sugar glob- ules. Unfortunately, his hopes have not been realized, and the nose serves us only as an organ for the enjoyment of sweet odors and the utilization of pocket-handkerchiefs. The reason why it was necessary, as says the old song, for Nancy "to wipe her apron with the corner of her eye" when the sad news of her true lover's death came is that just there, on the outer side of the eye, the tear-factory, or the lachry- mal gland, is situated. On the outer and upper margin of the eye we find this gland, which is about the size of an almond, kept constantly at work pouring out its fluid and spreading it by means of seven minute canals over the surface of the eye. Thus the eye is kept bathed and freed from dust, and so important is this work done by the lachrymal gland The Daughters of Music. 177 that if, for any reason, it is unable to perform its duty the eye grows opaque and loses its sight ; so that all are not "tears, idle tears," though there must have been many such in Rome, if the Roman ladies ever filled the " tear jugs" which are found there in almost every tomb. Ours are disposed of in a much less romantic way. If there are too many for the eye to hold comfortably they trickle over the lids down the cheeks ; but ordinarily they find their way out by means of a couple of little passages of their own into the nose. If you will turn down the lid you will find near its inner corner a little black spot on its inner margin. Xow, if you had a very fine silver probe you would find that it would enter a little canal, and, by some dexterous turnings, you could at last bring out this probe near the floor of the nostrils, and this is the course that the tears usually take; hence the sudden desire for a pocket-handkerchief when our feelings begin to melt. Retracing our steps, let us return to what the poets call " the curtained windows of the ivory palace of the soul." This is poetical. Facts are better expressed by saying that the eye is an optical instrument admirably adapted for the use of "those that look out at the windows." We find it amply protected from injury by the fluids already spoken of, the eyelids, and the eyebrows. The latter act as a screen, or as the gutters on a roof, to turn aside fluid or dust which other- wise might find its way into the eye. The eyebrows further- more contain several small muscles, which act both voluntarily and involuntarily to protect the eyes from harm by narrowing the opening over them. This is more perfectly accomplished by means of the eyelids, which are two movable shutters made to close at will over the eye. The rapid involuntary motion of these constitutes winking, which is designed by the aid of the eyelashes to beat back insects or dust which would otherwise find their way into the eye proper. This, known as the eyeball, is a round body a little more than an inch in diameter, made up of several layers or coatings, and securely lodged in its own bony chamber or orbit, In the 178 Physiology and Hygiene. back part of the orbit we find an opening through which the optic nerve passes clown from the brain and perforates the back part of the eye a little to the inner side, where it spreads out at the back of the eyeball through a thin mem- brane called the retina. This is at no point more than one eightieth of an inch in thickness, and represents the sensitive plate used in a photographers shop. The retina is sometimes called the third coat, or tunic, of the eye, resting behind on the choroid, or second coat, hereafter to be de- scribed, and in front lying in immediate contact with a jelly- like fluid known as the vitreous humor. The retina itself, then, is an exceedingly delicate membrane, which, under the microscope, can be divided into several distinct layers. At its back, that is, nearest to the orbit, are nerve fibers and cor- puscles. (See Chapter VIII). Above this we find what has been called the layer of rods and cones, minute, rod-like, and conical bodies standing perpendicularly to the plane of the re- tina. These rods and cones occupy the anterior quarter of the retina, standing above the connective tissue which binds it to the choroid, and placing the nerve fibers and vessels to the front. It should be understood, therefore, that the rods and cones are not really modifications of the nerve tissue, but of the membrane through which this is interspersed. This is best shown at what is known as the yellow spot (macula lutea, a circular depression of a yellowish color about the middle of the retina), near wdiich is the point of entrance for the optic nerve, whence it spreads its fibers into the retina proper. At this point of entrance the nerve fibers predomi- nate, and the rods and cones are absent, while at the yellow spot the cones are abundant and close-set, while the rods are scanty, and found only toward its margin. The exact use to which these rods and cones are applied is not definitely known further than that it is their function to transform the waves of light into the impression which we know as sight. This sensation takes place in the brain, for a hard blow on the back of the head will make us see stars, although it be broad daylight. The Daughters of Music. 179 Similarly, irritation or galvanization of the optic nerve will produce the sensation of light even though the eye and the retina are destroyed. Light, says Huxley, falling on the optic nerve does not excite it; " the fibers of the optic nerve in themselves are as blind as any other part of the body." But just as the delicate filaments of the ear and the fibers of Corti are contrivances for converting the vibration of the fluids of the ear, so the vibration of the fluids of the eye may be similarly converted into the sensation of light and color. " There is," says Professor Barret, " a striking analogy between music and color; the rate of vibration in sound gave rise to the gamut, and in colors the rate of vibra- tion in like manner gave rise to the notes forming the spec- trum. The colors of the spectrum showed a sequence analo- gous to the sequence of pitch in the gamut. Newton thought that there might " be a correspondence between the length of the spectrum colors and the vibrations of musical sounds, but the true relationship was between the vibrating pitch of color and the vibrating pitch of sound. The extreme limits of the spectrum embraced an octave in music. Calling red 100, the proportionate vibration of orange was 89, that of yellow 81, that of green 75, that of blue 69, that of indigo 64, that of violet 60, that of ultra-violet 53, and an obscure or extreme violet 50. The vibration of C in music corresponded to that of red in color, and taking C as 100, the vibration of D was 89, that of E 80, that of F 74, that of G 67, that of A 60, that of B 53, and that of C 50. The vibration of unison, rendered visible, produced on a screen the figure of a circle, that of an octave formed a figure resembling 8, and combina- tions of figure formed by the visible reflection of intervals of a fourth, a sixth, etc., were proportionately complicated." The sensibility of the different portions of the retina to color and light varies very greatly. At the entrance of the optic nerve the retina is absolutely blind, but elsewhere light and color impressions have a duration of their own. About an eighth of a second is required for the first of these, so that impressions of light which follow each other more rapidly 180 Physiology and Hygiene. than an eighth of a second are practically continuous. A striking illustration of this may sometimes be seen in riding rapidly past a board fence in which there are numerous per- pendicular cracks. Through each of these the eye gets but a passing glimpse, but these succeed each other so rapidly that to all appearance the fence is abolished, and we can see almost as plainly what is beyond it as if no fence were there. The excitability of the retina is, however, soon exhausted, for continued gazing at a bright light quickly exhausts the sus- ceptibility of that part of the retina upon which its rays have fallen. Turning now from the bright light and looking to- ward a light surface you find a dark spot corresponding to the bright one just looked upon. If the bright light be of one color the retina becomes exhausted for that tint only, but may recognize other colors. Each color has what is known as its complementary color, and these are those which will be seen in the image produced by this temporary blindness of the retina; for instance, if a red cross be made upon a sheet of white paper and steadily gazed upon for a while with one eye, and then this turned to look upon a page of perfectly white paper there will be apparently seen upon this a green cross of exactly the same size and shape as the red one just looked upon, although somewhat less distinct in outline. Boll, a recent observer, thinks that the ability of the retina to recognize hues is due to a peculiar red color, which is con- stantly being destroyed by the influence of light and is as con- stantly being regenerated by the ordinary processes of nutri- tion. The "vision red" or " erythopsin," as its discoverer names it, attains its maximum after a night's rest and sleep, or when an animal has been kept for some hours in darkness; it is soluble in solutions of the biliary acids and in glycerine, and probably plays a part in the production of the red reflec- tion from the fundus of the eye seen by the opthalmoscope. Possibly the loss of erythopsin constitutes the color-blindness whose more common form is that caused by the absence of perception of one of the three fundamental colors. These are mentioned in the order of their comparative frequency; The Daughters of Music. 181 namely, where the elementary sensation corresponding to red is wanting; next, the absence or imperfect perception of green; and third, of blue or violet. It will be noticed as a remarkable fact that the first two colors are those now used to make up the entire code of railway signals, and that this defect for red occurs more frequently than for any other color. This is an item of the greatest importance in railway and vessel management, since red is almost always used for the danger signal. To add still further to the deceptive and dangerous character of these defects, there are quite a number of persons who are unable to distinguish between the pri- mary colors at night, while their perception or sensation of color by daylight is apparently perfect. Again, there is another defect, which is an inability to distinguish between or to recognize the primary colors at certain distances, vary- ing more or less in individuals. This was found to be the most difficult of all defects to detect by the ordinary tests for color-blindness. On account of the importance of color blindness, in relation to the danger signals on railroads and steamboats, it is usual to test all those wishing for employment by means of the match- ing various colored worsteds. Samples of various colors are given to the one on trial, which he endeavors to match. Examinations show, among men at least, one out of every fifty defective, and many to a degree that unfits them for any service requiring accuracy in the percerjtion of colors. The defect is often congenital, but is also known to be caused by alcohol or tobacco, and by some forms of mental disease. Besides color-blindness the eye is subject to various de- fects inherited and acquired, such as squint, myopia, presby- opia. Squint or cross eyes are where their axes do not corre- spond, so that vision is practiced with one eye instead of two. Squinting is often a bad habit, which, as soon as observed, should be obviated by using the eyes one at a time, and look- ing with each in a direction opposite to that toward which it inclines, or using the affected eye a little from time to time 182 Physiology and Hygiene. with the finger extended over the nose as an additional septum to increase its height. Myopia, or near-sightedness, is most frequently found in students and school-children, and is caused by poor light, poor printing, either in regard to the size of the type or color of the paper; improper ventilation; faulty positions while studying; whatever tends to produce any congestion about the head, and lowering the vitality from any cause what- ever. Dr. Andrews says on this subject: "In early life the tis- sues are soft. Some eyes are believed to have a more yield- ing or plastic tissue than others. The extensible, sclerotic coat becomes stretched. The yielding occurs most at the rear of the eye-ball, which thus becomes elongated. So the retina is moved behind the best locality for focalizing. No doubt this exists sometimes as an inheritance or an anatom- ical defect. But far of tener it is a yielding caused by the improper use of the eye. " The act of accommodation of the eye is, by nature, one of slight but of healthy tension. But if constantly overdrawn, or if the tissue of the eye is flabby or not sufficiently resist- ant, the form is changed so as to become a serious defect. The child that uses the eye too early or too much in study, or with wrong type or books, or when the general health is not good, or too soon after recovery from sickness, or in overheated or foul air, or in too great a glare, or with defi- ciency of light, is too likely to give a training to the eye which secures for it more or less imperfection of vision." Some practical hints for the care of the eyes may be found at the close of the present chapter, in which, if space allowed, it would be interesting to attempt to solve the ques- tion Avhether sight, or perception of the form of external ob- jects, is possible in any other way than by the eyes. It would open a long and difficult theme for discussion, but in the midst of much willful deception on the part of clairvoy- ants and mind-readers it seems clearly proven that som- nambulists, or sleep-walkers, go wherever they please The Daughters of Music. 183 without hesitation, read and write, and give ample evidence of a power of perception independent of the usual organs of vision. Persons subject to attacks of catalepsy frequently show the same peculiarity. M. Despine, late inspector of the mineral waters of Aix, in Savoy, mentions the following among many other cases : "Not only could our patient hear by means of the palm of her hand, but we have seen her read without the assistance of the eyes, merely with the tips of the fingers, which she passed rapidly over the page that she wished to read. At other times Ave have seen her select from a parcel of more than thirty letters the one which she was required to pick out ; also, write several letters, and correct on reading them over again, always with her finger ends, the mistakes she had made ; copy one letter, word for word, reading it with her left elbow, while she wrote with her right hand. During these proceedings a thick paste- board completely intercepted any visual ray that might have reached her eyes. The same phenomenon was manifested at the soles of her feet, on the epigastrium, and other parts of the body, where a sensation of pain was produced by the mere touch." Persons who have become blind have also been known to acquire the same power, for example : Har- riet Martineau tells of an old lady who had been blind from her birth, and yet saw in her sleep, and in her waking state described, the color of the clothing of individuals correctly. In these cases, no doubt, perception is, as usual, in the brain ; but either all the nerves of the surface have the power of conveying the impressions of light to that organ, or some special parts of the body, as the ends of the fingers, the occiput, or the epigastrium, assume the office of the eves. These phenomena might be explained by the heightened muscular sense spoken of previously. In their last analysis all sense perceptions are some form of touch. But the eye is also a well-constructed optical instrument, for without taking further time to describe minutely all the parts of the eye — and it is most daintily put together — please to remember that it is essentially a water camera. The sclerotic is the 184 Physiology and Hygiene. box, the cornea and crystalline lens are the lenses, and the retina the plate on which the picture falls, upside down, too, just as you have noticed it at the photographers ; but we have been so used to seeing things upside down that when we do see them right side up they look just the other way. This and some other minor defects so provoked a crabbed pedantic German optician, that he declared lately that if the eye was brought to him as an optical instrument he would throw it away on account of its many faults. If this is so, it is a great pity that he was not consulted before our eyes were made ; for unfortunately a poor eye cannot be made as good as new. Moreover, good care must be taken of the " blue seas," " dark pools," " lode stars," or whatever else the poets may call them ; these willing servants must not be overtaxed. Nature gives you fair warning when you are doing this, and just as soon as the eyes begin to feel tired give them rest, even if you are only two pages distant from the blissful marriage of the heroine. Eyes that look as if they were trimmed with red tape would take away half the charms of a Venus, to say nothing of the unlovely temper that it produces to have your eyes feel as if they were full of sticks. For all of which reasons take good care of these photographic galleries of yours, and above all never admit there a picture which you would be unwilling to see again. It may color the retina but for the fraction of a second, and then is gone, as we think forever ; but not so. Its negative has only been laid away in the brain, and we know not at what day or what hour memory's magical chemicals may bring it back in all its sickening realities. Finally, heed Dr. Lincoln's directions for the use of the eyes, which are so practical and useful that we copy them entire from Dr. Hunt's Hygiene: Kt When writing, reading, drawing, sewing, always take care that, (a) the room is comfortably cool, and the feet warm ; (b) there is nothing tight about the neck ; (c) there is plenty of light, without dazzling the eyes ; (d) the sun does not shine directly upon the object you are at work upon, or upon The Daughters of Music. 185 objects in front of you ; (e) the light does not come from in front ; it is best when it comes over the left shoulder ; (/) the head is not bent very much over the work ; (//) the page is nearly perpendicular to the line of sight ; that is, that the line of the eye is nearly opposite the middle of the page, for an object held slanting is not seen so clearly ; (A) that the page or other object is not less than fifteen inches from the eye ; (i) in any case where the eyes have any defect, give up needlework, drawing of fine maps, and all such work, except for very short tasks in the morning, (j) In addition, never study or write before breakfast by lamplight ; (k) do not lie down when reading ; (l) if your eyes are aching from fire- light, from looking at the snow, from overwork, or other causes, a pair of colored glasses may be advised to be used for a while ; (m) never play tricks with the eyes, as squinting or rolling them. («) The eyes are often troublesome when the stomach is out of order, (o) Avoid reading or sewing by twilight, or when debilitated by recent illness, especially fever, (p) It is indispensable in all forms of labor requiring the exercise of vision on minute objects that the worker should rise from his task now and then, take a few deep in- spirations with closed mouth ; stretch the frame out into the most erect posture, throw the arms backward and forward, and if possible step to a window, or open air, if only for a minute. To test for color-blindness, obtain a set of test worsteds, which should be spread upon a white cloth. First lay the green skein a little to one side, and tell the subject to lay alongside of the test skein all the skeins containing a shade of that color in any degree. Avoid naming " green " to him. If he throws out only shades of green or light blues his color sense is normal (C.S.N.) and the test is completed. But if in addition he throws out any shade of gray, or light yellow, salmon, or pink, he is color-blind. If he hesitates, as if in doubt about them, but yet does not throw them out, lie probably has " feeble color sense " (C.S.F). 186 Physiology and Hygiene. CHAPTER VII. TELEGRAPHS AND PHONES. What is a nerve ? If you ever watched a dentist draw one out you will probably remember that when it came it looked like nothing as much as a little snip of wet, white cotton thread. Very likely you were provoked that such a contemptible little thing should have given you so much pain, but if you put this thready bit of nerve beneath a mi- croscope you will find it far different from any thread that ever came from the reels of a Clark or Coates. One of their fibers would look beneath such a glass like a huge, knotty hawser ; but this nerve is shut up in a smooth, shining sheath. Break into this and we find the true nerve fibers, which consist of tubes made of a white substance (of Pur- kinje), and the axis cylinder, or gray substance (of Schwann). This pearly gray substance is the really essential part of the nerve, the wire in this telegraph system, and all else are but accessories and packing, something like the gutta percha wrapped around the wires in a submarine cable. Hence we find that wherever we are to receive impressions, this gray substance of Purkinje is always on hand to receive and transmit these messages, pleasurable or otherwise. In the nerve we have been considering we have all the kinds of nervous matter that are known to us ; namely, the gray, white, and their various sheaths. But these substances may be arranged in very different ways. We may have a simple nerve fiber, or we may have a perfect whorl and maze of these simple nerves, looking so much like a tangled spool of thread that they have been called a plexus, from plexto, to weave. • Again, we have nervous masses which are called ganglia, Telegraphs and Phones. 187 knots. And such they are, for they are really gordian knots of the gray substance, which in these ganglia takes the form of brambly cells, each containing in its center a clot of our old friend, germinal matter. These ganglia, or nerve knots, appear to be in fact small brains, placed where most needed, and doing their peculiar work without troub- ling the greater brain, or en- cephalon ; thus, for instance, there are fifteen or twenty of these ganglia scattered through the heart, and it is to these that the heart car- ries its wants, only in rare and dangerous cases appeal- ing to the higher court of the brain proper for assistance. These ganglia, plexi, and simple nerve fibers are all that we find in the sympathetic nervous system. (See cut, page 93.) Nerves, like the muscles, are of two kinds; namely, those which act without our knowl- edge, and those which give us fair warning of their troubles and trials. The involuntary nerves have been named the sympathetic, the others the cerebro-spinal system. It is the sympathetic system by which, when we sleep as well as when we are awake, we live and have our being, for it regulates the work of the heart and lungs and all the functions of mere animal life. The lowest forms of animals have only this sympathetic nervous system, the very lowest owning nothing but a single ganglion with two or more nerves attached. Rising in the scale, we next find animals with two or more of these nerve knots about the mouth, or arranged in pairs like the ganglia down the back of a caterpillar. Sympathetic ganglion cell from Klein. man.— 188 Physiology and Hygiene. But we have no right to despise those animals which have only nerve-knots for brains ; for to tell the truth we are all made after the same plan. There was a time when all this wonderful nervous system of ours consisted of only two white cords wrapped in a bit of cartilage. After a little there appeared on these little cords five tiny swellings, look- ing like beads on a string, and if you should look into the Cross-section of the skull and brain, made just behind the ears, showing the ven- tricles, corpus callosum, cerebrum, and the longitudinal and transverse sinuses — Rosers' Vademccum. brains of all the higher animals yov, would find the same five swellings, somewhat enlarged, to be sure, and now we call them ganglia; but these same five ganglia can be detected in almost every cranium. In the lowest fishes they lie open, like eggs in the nest of a bird, but in our brains they are sheltered beneath an arch which we call the hemisphere of the brain. (See cut above, which also shows that the larger Telegraphs and Phones. 189 brain, like the rest of us, is made of two halves, so joined together by a strung band that they form a sort of flattened sphere, rough outside and smooth inside.) The heads into which I have had the privilege of looking I have found well packed with a grayish pulp which goes un- der the name of brains. You have all heard this compared to blanc-mange, but to me it always looks as if the blanc- mange had been allowed to get very dusty, and, to tell the truth, they remind one by their color and appearance of hasty pudding or well boiled Indian meal. This grayish tint is due to the same gray substance that we found in the nerve fiber. There it was inside, but here mainly on the outside (excepting the ganglia). Hence we might consider the brain as made up of a vast number of little star- like bodies (nerve-cells) held together by millions of pellucid threads, the same which, wrapped together in bundles, we call nerves, and when we cut down into this mass of connecting threads they look as white and creamy as the nerves them- selves. It is nerve matter, and, as we presently shall see, its office is the same as nerves every-where else ; namely, to carry messages. Few of you, I presume, will ever peep at the brain of a human being ; but any of you can get a very fair idea of its shape from the next English walnut which you crack at dessert. This resemblance was observed at least as early as the days of Cowley, who found similarity not only in shape, but also in its coverings to those of the brain: " Membranes soft as silk her kernel bind, Whereof the innermost is of the tenderest kind, Like those which on the brain of man we find, And which are in a seam-joined shell confined." And just here we must spare a moment for the three mem- branes which line our "seam-joined" brain-shell. These the anatomists have named the dura mater, the arachnoid, and the pia mater; or, the harsh mother, the spider's web, and the lov- ing mother. Very poetical, to be sure, but the medical stu- 190 Physiology and Hygiene. dent gave us a better idea of their uses when he called them respectively the brain's coat, shirt, and flannel; and truly the dura mater coat is a good fit of the best material, for it is so tough, and lines the cranium so closely, that you can crack a skull with a hammer without tearing the dura mater. The spider's web shirt, as its name implies, is very delicate, and scarcely more than a smooth surface over which the tough dura mater can glide without injuring the blood- vessels in the pia mater. The latter is not so much a mem- brane as a perfect net-work of capillaries, into which larger blood-vessels divide and subdivide, lest by their pulsation they should disarrange the pulpy structure of the brain. And now, though these membranes have been spoken of as the brain's clothing, please remember that they are found not only around the brain, but the same three, with only slight modi- fications, are also stretched over the after -brain and clear down the spinal cord ; for the spinal cord and its fluids are held in a triple sack like the brain. And now just a word or two about that little after-brain, or cerebellum, which is hung on the back of the cerebrum, like the little " cannon-ball water-falls " with which the rage of false hair began. The cerebellum is hollow and fur- rowed and puckered, but so unlike the rest of the brain that it seems to have been made on a different plan. It is so curiously mixed gray and white nerve matter, that a cross section of it would make you think of marble-cake. So it appears as if the cerebellum was made up of three crumpled bags. From this bag issue four legs ; three of these unite to make, as we shall presently see, the most vital part of the body, the medulla. The whole spinal cord might be considered as a tail to the cerebellum, and is made up of a pile of the ganglia, or nerve knots, from whose sides issue thirty-one pairs of nerves, whose functions will be described later. The different parts of the nervous system have very dif- ferent duties. Unfortunately for physiology, most men ob- ject to have their brains experimented upon ; but dumb animals have no rights that French physiologists think them- Telegraphs and Phones. 191 selves bound to respect ; so they have thrust red-hot needles through the various ganglia of pigeons' brains and noticed what faculties were impaired by so doing. From these ex- periments, and the various injuries to the human brain of which we have reliable accounts, it seems very probable that its various faculties might be mapped like a geography into regions of a — Conscious thought. b— Smell. c — Conscious sensation. d — Voluntary motion. e — Sight. f— Forwarding house. g — Vital point. -u cannot thrust in the point of the finest cambric needle with- out touching a nerve: for it is these alone that make us feel pain. Blood, bone and muscles uive us no sensations when they are cut, for a paralyzed limb may even be amputated 200 Physiology and Hygiene. without feeling, because its nerves no longer respond to their usual stimuli. What, then, is this nervous system, which, like most of the other good things we enjoy in this world, is capable of mak- ing us exquisitely happy or Avretchedly miserable ? It is made up, as has already been said, of at least three parts; namely, (1) the general office (brain), (2) automatic trunk-lines (spinal cord), and (3) special receiving offices, distributed over the whole body, so that you cannot touch one of them anywhere, even with a pin, without having word instantly sent to the general office as to where the trouble is. This general office we call the brain. As already said, when taken from the body it looks very like a bowl full of ill-cooked mush or blanc-mange. And yet on the way in which we use those two handfuls of grayish matter hang our destinies for all time and eternity. It would take a large library to hold the books that have already been written upon the various parts and functions of a human brain, and we are very far yet from knowing all that we would like to in the matter. Suffice it now to say that we have good reasons for believing that the different parts of our brains do different parts of our head-work. One part tells us of forms and colors, another of distances, another of words and thoughts, and so on, until a map of the brain under the present system is almost a short course on the mental and moral faculties of man. It is, in fact, an unsurpassable telephone board for all the wants, desires, and pleasures of man, such as nothing but infinite wisdom could have constructed. Hardly less wonderful are the automatic trunk-lines, or spinal cord and nerves, as they are usually called. These are really, as you see, a prolongation of the brain, located in the backbone to protect it from injury. (See cut, page 58.) In regard to their functions, imagine, if you can, a telegraph line whose wires are capable of doing their work without direction, and you have in brief a very good idea of the work done by the spinal or reflex nerves. If you look at them a little more closely, you will find that, like the brain, they are divided Telegraphs and Phones. 201 into two equal parts, longitudinally, one to serve each half of the body, and that these halves, on account of their soft, gelatinous composition, are wrapped in no less than three tough enveloping membranes, and then the whole is inclosed in a bony case. Like the brain, they are made up of white and gray matter, the latter inside of the white and forming there on cross section a sort of rude letter H. From the ex- tremities of these H's sixty-two spinal nerves are given off and pass out to perform their duties through as many notches, or holes, in the backbone. These nerves form thirty-one pairs, and soon unite into a common trunk by means of a ganglion. Now, ganglion is a Greek word for a knot, and is used to denote curious little knots or swellings found every now and then along the course of nerves, especially where they branch or unite with other nerves. The use of these ganglia was for a long time unknown, but latterly it has been well proven that they act the part of subsidiary brains, and are capable of doing automatically less important work. They all have direct or indirect connection with the brain proper, and if necessary can communicate with it, but are capable of running very much of our body without any interference with it from the brain proper. For instance, we start off to walk. We are conscious of willing that our leg machinery should propel us forward, but once having started it we leave the rest of the work to the ganglionic and spinal nervous system, without giving any thought to it until it is time for us to will to go in some other direction; then we telegraph to the ganglia to carry us in that way, or stop, as the case may be, like the con- ductor and the fireman on a train. These ganglia, then, regulate automatically the pressure of our feet and the proper contrac- tion and relaxation of all the muscles necessary for locomotion without our giving any conscious thought to it. Thisthcvdo by automatically regulating and controlling the proper nerve supply — or co-ordination, as we call it. Why, for instance, does a babe put his spoon as often into hie ear as into his mouth ? Because hifl ganglia have not yet learned to co-ordinate hia muscles and to fore- them into work in harmony. And 9* 202 Physiology and Hygiene. so it would be with us in every action requiring more than a single muscle, if it were not for these little insignificant knots of gray nervous matter. Alcohol takes away their power of co-ordination, and hence we see drunk- en men " reel to and fro and be at their wits' end" to know which way to lean, or how to sit down without hold- Isolated ganglion cell from the anterior horn of the ing on ; and the most human cord.-Klein. soher man in the world would be in like plight if it were not for these ganglia, which act very much like the relays, I believe they call them, on a telegraphic circuit, which do so much of the work of trans- mission without requiring a conscious operator in their stead. So it is with our ganglia. If it were not for them we should be tired to death merely trying to remember to keep alive. How is it that we never forget to breathe ? We certainly do not think to do so every time. Why, these ganglia and respiratory centers take the matter in hand, and we have never to give it a second thought until our lungs get out of repair, or are overtasked with an unusual amount of work. Whether we are sleeping or waking, busy or idle, happy or broken- hearted, these patient, uncomplaining servants work on and on and on for us, giving us leisure for improvement and the pursuit of happiness. The work of certain ganglia, as the res- piratory centers, we can increase or diminish somewhat at will, but we cannot entirely stop them at our volition, for we cannot hold our breath, voluntarily, until we choke. And over other of these automatic centers we have no control at all, as, for instance, those which regulate the heart's actions, which are entirely beyond our willing. The brain's function is to receive the messages passed into it by the nerves, and to de- cide from these impressions what is best to be done under the circumstances. This is what we call psychic force or power, Telegraphs and Phoxes. 203 and its seat is located in the anterior hemispheres of the brain, especially in the gray matter of the cerebrum, as this part is called. Just behind and below the cerebrum, as may be seen on page 188, is the cerebellum, or little brain, and its prolongation, the medulla and spinal cord. In this cere- bellum you see a curious leaf-like arrangement, to which the older anatomists gave the name of the arbor vitce, or the tree of life ; and it is well named, for in it are the ganglia, or centers, which regulate our breathing, heart's beating, and all the func- tions which are necessary to carry on our lives. These are automatic, as has already been said, and hence, as we sometimes see, a man may live for years after all his powers of thinking and perception are gone; for these automatic centers work without his will or wish. Other of these ganglia act reflexly, or by irritation elsewhere than where the results are produced; for example, | sneezing, which is a spasmodic expulsion of air from the lungs, and is produced not by irrita- tion in the lungs, where the spasm takes place, but in the nose, whence the irritation is trans- mitted to the ganglia, whose duty it is to forci- bly drive the air out of our lungs when required, whether we like it or not ; for we can no more help sneezing than breathing. How does this impulse or irritation pass from the nose to these centers ? Their microscopic appearance has already been described; but we would again call to mind the axis- cylinder, the central tiny white fiber, and around this [a. c.) we find an oily grayish substance that in life is probably fluid, but after death becomes gelatinous and acts like the rubber that is incited and poured around the central core of our great submarine cables, white substance Outside of the rubber in these cables we of the brain, have an outer sheathing, and we find a similar arrangement The axis, (a) a pale, faintly flbrillated band or cylinder— the gray substance of Purkinje. This has a very deli- cate transparent sheath, and ex- ternal t<> tin's we And the white substanc e of Schwann (c) an- alogous to the 204 Physiology and Hygiene. in our nervous system; for each nerve is covered over with a sheath, and each bundle of nerves is again covered, exactly as we find the cables of wires covered with par- afline for the use of the telegraph and telephone companies. The purpose of the paraffine or rubber in these is to prevent leakage of the electricity, as these packings and sheathings are non-conductors of electricity. The same is true of the nerve-envelopes ; in fact, their arrangement is so exactly like that of the best constructed electrical cables that we cannot help thinking that both were constructed to con- duct something very much alike. I know there are those that stoutly maintain that nerve force is not electricity; and it is not, in the sense that an electrical battery is the same thing as a live man; but nevertheless nerve force is closely allied to that wonderful thing that for want of some better name and clearer understanding we agree to call electricity. In these latter days they photograph with electric light, and perhaps something analogous takes place within the brain. Each of its billions of starry cells may possibly hold within it photographic transparencies waiting for memory's lantern to restore them to us with all their original beauty and color. Thus each of us may carry about with us a picture-gallery like that of blind old Xiebuhr, or Louis Philippe's state china which was decorated with views of all the homes in which he had lived, and they were many and various; for if we will we may paint every old pot and pan with the paintings of memory and imagination until they are fairer than Sevres china. " Make for yourself nests of pleasant thoughts," says Ruskin, and the hap- piest man is the one whose brain is full of such pleasant resting nooks; but what shall we say of the man or boy who fills his mind with Pompeiian pictures and vile thoughts, to keep them there for the rest of his life. He is a vandal, or worse, who would defile a king's palace in this way, and still coarser if it is his own home. Such pictures and stories burn into mem- ory like a hot iron, and, unfortunately, they are so common that the White Cross League is needed fully as much here as in old England, where it originated. (See Appendix.) Telegraphs and Phones. 205 To turn to another and pleasanter subject, let us look briefly for a few moments at our ears; for we have in the body no daintier adaptation of means to ends than that seen in the organs of hearing. "We think the telephone a great invention, and so it is, but it is an old one — older than most of us think ; for unless we do so stop to think we forget that each of us carries about with us a pair of telephones better than either the Edison or the pan-electric. Our ears, fortunately, are not so cumbersome as a Bell instrument; but if we examine them carefully we shall find the same princi- ples underlying their construction which are employed in all the modern telephones. The essential parts of all of these are a vibrating plate and transmitting wires to carry these vibra- tions to some listener at a distance. Now this is essentially what we find our ears to be — true telephones, though con- structed more delicately than any of those of man's make. Where, for instance, can you find a receiver as delicately fashioned as the external ear ? At its worst it is a thing of beauty and most admirably adapted to the purpose for which it was made — namely, catching and conveying to the mem- brane of the drum of the ear as large a number as possible of the sounds about us. This membrane of the ear corresponds to the vibrating plate of the telephone, and is shaped, though smaller, exactly like the membranes used in the ordinary home-made telephone. Thee." Such mental echoes add nothing to the sum of human knowledge, and are dangerous from their opportunity to fraud, as has been over and over again proven. There may be honest clairvoyants and spirit-rappers, but their feats are per- formed under surroundings better adapted for fraud than any professional magician would ask. Many of the tricks of these so-called mediums are startling, but they have all been dupli- cated and excelled by those who make no pretense of any higher powers than sleight of hand. Dreams are less explicable than the clairvoyant's feats. The latter, deprived of the gross amount of fraud mixed with the larger part of them, are, when any thing more than fraud, the interpretation of another's thoughts into the Telegraphs and Phones. 217 medium's words. Hence it is that the hypochondriac is sure to find " the seventh son of a seventh son " agreeing with him in his own ideas of his ailments, even if unexpressed. Those that agree with us we are ready to adjudge wise, and hence the number of victims who fall ready prey to these. But whence come the suggestions from which originate dreams, and why do we dream at all ? Sleep has been defined by some one as the victory of the sympathetic over the cerebro- spinal system. Less technically, it may be said to be brain and body rest, produced most probably by a periodic lessen- ing of the supply of blood sent to the brain. Eating a hearty meal attracts the blood from the brain to assist in digestion, and hence the drowsiness that comes to many after a full meal. Perfect sleep is "sore labor's bath, balm of hurt minds, chief nourisher in life's feast," and should be dream- less, or that from which we awake without remembrance of having dreamed. Thought, memory, and conscience ought all to slumber when sleep " knits up the raveled sleeve of care," but too often mind and spirit labor too, while the wearied body is trying to sleep and we dream. Dreaming is, then, involuntary mental action, while the body is cut off from its ordinary avenues of sensation. So we often say and think, and yet it is more frequently true than we think that dreams are bodily sensations misinter- preted by the dazed and bewildered brain. For instance, Dr. O. W. Holmes says: " I once inhaled a pretty full dose of ether with the determination to put on record at the earliest moment of regaining consciousness the thought I should find uppermost in my mind. . . . The veil of eter- nity was lifted. The one great truth which underlies all human experience, and is the key to all the mysteries which philosophy has sought in vain to solve, flashed upon me in a sudden revelation, . . . and staggering to my desk I wrote in ill-shaped, straggling characters the all-embracing truth still glimmering in my consciousness. The words were these (children may smile; the wise will ponder): * A strong smell of turpentine prevails throughout.'" 10 218 Physiology and Hygiene. And why should not both children and wise men smile ? for the witty doctor had scribbled his ludicrous sentence while he was but half awakened from a grandiloquent dream, produced by the pungent odor of the ether. Thought works with almost inconceivable rapidity in the case of these suggested dreams. The report of a gun may between the time of its sound and the awakening of the dreamer give rise to a three volume novel in the mind of the sleeper. It is almost incredible what a multitude of ideas may under certain circumstances follow each other with surprising celerity. What books we have written, what orations delivered and dramas enacted in our minds, while we are vainly trying to grasp the idea that it is time to get up, or shivering from an exposed limb, or uncomfortable from dining not wisely, but too well. The last is extremely prone to produce unpleasant dreams — night- mares, so-called, though why it is hard to say — from the an- noyance of the undigestible food, mistaken, perhaps, by the half-awakened brain for the prince of darkness sitting astride the dreamer. Eating a light meal just before retiring does not interfere with sleep, provided the food is such that it is easily digested ; for, as has already been said, normal diges- tion aids sleep, and a late meal is the best treatment for the insomnia of night and brain workers. Not a little valuable literary work has been done in sleep. Coleridge's Kubla Khan was thus written, as was Tartini's DeviiVs Sonata. One of Lord Thurlow's best Latin compositions was thus dreamed out and Cordorcet and Frank- lin — hapnjmen! — were said to have been able to work out elaborate mathematical calculations after the same fashion. In these cases, as in the mathematical prodigies which are occasionally met with, the brain undoubtedly acts automat- ically, like one of the patent automatic adding machines. In the innumerable multitude of dreams it would be strange if some of them did not occasionally come true, and probably every one has had such coincidences in his own experience. History is full of notable examples, as the famous one of the Prince of Conde, who dreamed just before the battle of Telegraphs and Phones. 219 Dreux that he engaged in three battles, in which he was suc- cessively victorious, and that his victories would cost his enemies their three chief officers ; and that after these victo- ries he himself should be slain ; all of which was afterward realized exactly as dreamed. There is a copious literature on such realization of dreams, and of the appearance of those dead, about the time of their death, to dreaming friends, whose discussion belongs to psychology rather than physiol- ogy, and must be here dismissed with the thought that there may be " more things in heaven and earth than are dreamed of in our philosophy." The explanation of somnambulism is less difficult, for sleep-walking is a sort of intermediate station between hypnotism and dreaming. It differs from the first in that the actions performed are voluntary with the one perform- ing them, and differs from dreaming in that the acts are actually done, and not merely willed, as is the case in dream- ing. In the latter we have the combined action of the will and the imagination only, while in somnambulism we have the assistance of the voluntary muscles as well. The sleep-walker usually has absolutely no remembrance of what he has done; occasionally he will remember his performances as those of an unusually distinct dream, unless he is suddenly awakened in the midst of his actions, when he generally is unable to give any rational account of himself. Some of the exploits of somnambulists are so extraordinary that they can hardly be explained— except upon the theory of a sixth sense, which takes cognizance of form and distance without sight. How otherwise, for instance, can be explained their perilous night walks with safety along the ridge of a roof where one could scarcely venture with his eyes wide open ? More remarkable are the apparently well authenticated cases of letters written, pictures drawn, and needle-work done accurately in the dark by somnambulists, who for the time were like the idols of Scripture, in that having eyes they see not, in the or- dinary acceptation of the term, and yet are able to work as- if they were blessed with the keenest of sight. 220 Physiology and Hygiene. Another strange mental freak is that of dual existence, so called, in which the person thus afflicted leads a double ex- istence for a part of the day or week, being entirely uncon- scious of what was done in the other half of his existence, but able to take up the change of thought and work with the passage from one condition to another. Such cases, fort- unately, are rare, and, if explicable at all by physiology, are explained by an independent action of the two halves of the brain. Possibly these are simple cases of intermittent memory, from whose lapses we all suffer. It is doubtful if we ever forget entirely any thing which we ever thoroughly knew, but men differ greatly in their ability to recall desired infor- mation. Often the harder we try the less successful we are in our efforts, so that often the best way in which to accomplish our end is to allow the brain automatically to work out the problem for us. Napoleon said that his mind was a case of drawers, of which he could pull out or shut up any one as he desired; but the mental chiffoniers of many men have become wedged from disuse. Fortunately, the brain will coax open these refractoiy drawers if we will but give it time. Quietly, and unconsciously to ourselves, the lock is at last turned, and the desired fact lies open to our scrutiny. Such seems to have been the process by which Sir William Hamilton discov- ered the relation of quaternions. " I was walking," says he, "on the 15th of October, 1843, with Lady Hamilton, when on reaching Brougham Bridge I felt the galvanic circle of thought close, and the sparks that fell from it were the fundamental relations between i, j, and k." This is done by unconscious cerebration, begotten of repeated practice. The great value of all education lies in the fact that we can at last do with facility what at first was difficult and painful. The school-girl laboriously fingering " Days of Absence " may, if she please, learn to play almost unconsciously most dif- ficult music and keep her mind fixed upon other subjects at the same time. So it is with knitting, type-setting, stenography, or any pursuit which requires manual dexterity; and the Telegkaphs and Phones. 221 same in a measure is true of intellectual work, in which practice is all important. Anthony Trollope's financial success as a novelist was due to his invariable practice of writing daily twenty-five hundred words of a projected story, no matter where or what his surroundings were. This he did in the midst of a busy official life, which many another man would have thought more than sufficient for his waking hours. Thackeray, with far more genius, was always in the drag with his writings and finances, simply because he had never learned Trollope's habits of literary thrift. " Habit is second nature, and man is a bundle of habits." Habits of some kind we must have; all have some more or less useless and ludicrous. Schiller thought he could not write well unless he had the odor of rotten apples in his room. Dr. Johnson must touch each lamp-post as he swayed along the streets of London, and — but who is there who has not some odd trick of gesture or manner that he carries with him through life ? The vast majority of these habits are formed between twenty and thirty, or, as Lord Colling- wood put it, " Before you are five-and-twenty you must establish a character that will serve you all your life ; " for fortunately good habits become as strongly fixed as evil ones, of which we hear vastly more. " Habits are a necklace of pearls," says the Russian proverb, and such' they are if they are habits of self-respect, self-help, industry, integrity, and decision. There is, says the Popular Science Monthly, " no more miserable being than one in whom nothing is habitual but indecision, and for whom the drinking of every cup, the time of rising and going to bed, and the beginning of every bit of work are subjects of express volitional deliberation. Full half the time of such a man goes to the deciding or re- gretting of affairs which ought to have been so thoroughly ingrained in him as practically not to exist for his conscious- at all." The great thing, then, in all education, is to make auto- matic and habitual as early as possible as many useful actions as we can. The more of the details of our daily 222 Physiology and Hygiene. life we can hand over to the infallible and effortless custody of automatism the more our higher powers of mind will be set free for their own proper work." Habits, if good, are conservative and helpful even though they may seem ludicrous to others with their different ways of thinking and doing. Bad habits degrade by destroying little by little self-respect, until at last their victim is bound in chains that he finds him- self unable to break, for habit has wound itself about him until it has become an integral part of himself. The comfort or wretchedness of our residence in this house in which we live turns largely upon our habits — personal, mental, and moral. If they are those of Peter the First, the man is an animal — that is all. His stable may be decorated with all that the wealth of the Russias can buy, but after all it is a stable, and no amount of whitewash or outside gilding can make it any thing else. Nor is the body designed merely for a literary work-shop. A library is a more enjoyable spot than a menagerie, but the body was given to us for other purposes than mere culture. Culture is better than barbar- ism, but culture is not God, and men and women were born to worship God, not culture. The only satisfactory explana- tion of the body is that given by St. Paul, already quoted ; namely, " Know ye not that ye are the temple of God, and that the spirit of God dwelleth in you. If any man defile the temple of God, him shall God destroy, for the temple of God is holy, which temple ye are." Science and revelation join hands over this declaration of the apostle. The body is too magnificent a piece of work- manship to lodge an animal. It is fit to be the temple of its maker. It ought to be, or it misses pitifully the end for which it was built, and with the failure comes the penalty. Whatever science may fail to corroborate in the way of rev- elation, it is not at the point of penalty. " Whatsoever a man soweth, that shall he also reap," is the emphatic teaching of science, and nowhere is this more pitilessly true than in regard to certain sins against the body. It is literally true that such sins bring certain destruction to those who thus de- Telegraphs and Phones. 223 file the temple of God. It would be far pleasanter to pass such by without mention, but their frequency forbids. Bad men and women, and worse pictures and books, abound for the avowed purpose of defiling the temple of God with worse than Pompeiian frescoes; and the time has come when it is no longer right to keep silence on temptation* which menace even the school-boys and girls of this country. The evil can- not be met too early, nor too fiercely. Its aims are diabolical, and its results are such as to make the angels weep. The large majority of fallen men and women go astray before they are fourteen. Ignorance is not safety, for the only way in which this evil can be met is by conjoined effort — mothers with daughters, and every brave, pure man and boy in the White Cross League. The Knights of the Red Cross fought to save from desecration the holy sepulcher; the aim of the Knights of the White Cross of to-day is to save from defilement the "temple of God, . . . which temple ye are." There is a touching little story in medieval Latin of a sick pauper who came to the operating room of a renowned surgeon of those days. The great man, who thought he could not waste his time on so poor a patient, turning to his assistant said, "Experiment on this vile body;" whereat the poor wretch — for it was before the days of anaesthetics — pleaded, " No body is vile for which Christ was not ashamed to die." " Corpus 7ion tarn vile pro quo Christus ipse non dedlgnatus est more" might be well chosen for the motto of the modern White Cross Knights, who already number many thousand, although their organization dates back only a very few years. The disappearance of the knights of the age of chivalry has left a need of like self-sacrifice and devotion by some similar brotherhood. This the White Cross Knights promise to fill, making, if possible, social purity as binding upon man as woman. The White Cross obligations, as may !)<• seen, are few and simple, and all true men and women should bid them Godspeed in their efforts to make the world better and purer. 224 Physiology and Hygiene. White Cross Obligations. My strength is as the strength of ten, Because my heart is pure. " I promise to treat all women with respect, and to endeavor to protect them from wrong and degradation. " I promise to endeavor to put down all indecent language and coarse jests. " I promise to maintain the law of purity as equally bind- ing upon men and women. " I promise to endeavor to spread these principles among my companions, and try to help my younger brothers." Moth, Rust, and Microbes. 225 CHAPTER VIII. MOTH, RUST, AND MICROBES. It must not be forgotten, in our study of the human body, that it is a chemical compound as well as a complex piece of machinery; or, rather, the organs and parts of a human body, like every thing else material, are composed of molecules and subject to the laws which govern them. And what are these molecules ? The word means literally a little mass, but is used in chemistry and physics with the more exact meaning of a little mass composed of two or more atoms. " A molecule," says Tidy, " is the smallest possible cluster of atoms existing as a compound and capable of having an independent chemical action." The molecules are then, ac- cording to these definitions, composed of atoms, and this leads us naturally to inquire in what atoms differ from molecules. The name will help us to an answer. Atom is from the Greek, and means uncutable. The atom is then the uncutable or indivisible part of the molecule, for it is at least possible to think of dividing matter until its further division becomes in thought impossible. The results of the last divisions of all matter are what are called atoms. One miorht think, from the infinite variety of matter with which we are acquainted, that there would be an infinite variety of atoms, but chemists believe that there are as yet not more than seventy different kinds of atoms known, although these are found linked together in an almost infinite number of molecules. In the molecule the atoms are supposed to be held together by chemical affinity, and the molecules are influenced by other forces. These molecules, or tiny groups of atoms, even in the firmest stone, are supposed never to be abso- lutely quiet, but are swaying to and fro with a motion 10* 226 Physiology and Hygiene. varying in rapidity with their attraction or repulsion to- ward each other. If this attraction is strong, they constitute a solid in which they can be lifted together in mass ; if their attraction is less, but still such that they have a certain amount of cohesion, the molecules then form a liquid ; but if there is absolutely no attraction between the molecules, but repulsion, they constitute a gas. Heat is supposed to increase the repulsive powers of molecules, and hence heat will trans- form a liquid into a gas, as we do whenever we boil the water in the kettle. Cold acts in an exactly contrary way, for cold drives the molecules nearer together, and thus trans- forms liquid water to solid ice. The solids, liquids, and gases of the body are subject to the same laws of physics and chemistry as matter elsewhere, with the single exception of that strange thing we call germinal or living matter. This may be killed by heat, strong acids, alcohol, and a variety of other agents, but then it becomes dead matter and subject to the laws of dead matter. So long as it lives it is vital, and resists the forces and powers which incessantly assail it. The wonder, then, is not that we die, but that we are able to live, beset, as we are, within and without, with foes begotten of our own bodies. Resurrection, Hume claimed, is too great a miracle to be believed on any amount of testimony; but modern science declares that life is more marvelous than resurrection, for the power requisite to set the perfectly pre- pared machinery to running again is feeble compared with the intelligent foresight necessary to protect it from the ceaseless assaults of invisible foes. Man is in exactly this condition, constantly beset by an innumerable army of mol- ecules and microbes, which no man can see, but which are none the less persistent in their onslaught, until at last the vital tissues give up the unequal contest and die, as did Arnold of Winkelreid. This defeat we call death ; and we should discriminate, as Huxley has done, between the forms of death met in the body. There is : 1. "Local death, which is going on at every moment Moth, Rust, and Microbes. 227 and in most, if not in all, parts of the living body. Individual cells of the epidermis and of the epithelium are incessantly dying and being cast off to be replaced by others, which are as constantly coming into separate existence. The like is true of blood corpuscles, and probably of many other elements of the tissues. " This form of local death is insensible to ourselves, and is essential to the due maintenance of life. But, occasional])-, local death occurs on a larger scale, as the result of injury, or as the consequence of disease. A burn, for example, may suddenly kill more or less of the skin ; or part of the tissue's of the skin may die, as in the case of the slough which lies in the midst of a boil ; or a whole limb may die, and exhibit the strange phenomena of mortification. " The local death of some tissues is followed by their re- generation. Not only all the forms of epidermis and epi- thelium, but nerve, connective tissue, bone, and, at any rate, some muscles, may be thus reproduced, even on a large scale. Cartilage once destroyed is not restored. 2. " General death is of two kinds : death of the body as a ichole, and death of the tissues. By the former term is implied the absolute cessation of the functions of the brain, of the circulatory and of the respiratory organs ; by the latter, the entire disappearance of the vital actions of the ultimate structural constituents of the body. When death takes place, the body, as a whole, dies first, the death of the tissues sometimes not occurring until after a considerable interval. (See page 47.) " Hence it is that, for some little time after what is ordi- narily called death, the muscles of an executed criminal may be made to contract by the application of proper stimuli. The muscles are not dead, though the man is." Local death is generally painful, for its efforts are con- sc -rvative and look toward the repair of the injured part. General death, as a rule, is painless at the last, for here as elsewhere nature is merciful as well as just, and does the kindliest thing possible for our best good. Mr. Beecher, 228 Physiology and Hygiene. when asked how he expected to feel when he came to die, answered, more truthfully than piously, " Stupid." And it is to this merciful state, whatever may be the apparent agony of the last moments of dissolution, that we at last all come. General death comes in one of three ways, says Bichat ; either death beginning at the heart, death beginning at the lungs, or death beginning at the head. The last is in reality death from failure of circulation or respiration, or both, from injury to the centers located in the brain. In all such cases there is failure, due either to the heart or lungs, to properly aerate the blood. Failure to obtain sufficient oxygen results in an undue accumulation of carbon dioxide in the blood, and carbon dioxide is as truly an anaesthetic, in poisonous quantities, as is chloroform. The poison may pro- duce convulsive movements most painful to witness, but their presence is conclusive proof that the dying man is already narcotized beyond pain. The " king of terrors " is most frightful to those who walk through the " valley of the shadow of death," but at last his arms are as tender and soothing as a mother hushing her tired child to sleep. The moral questions which may have been left unanswered until death may prove the source of the most torturing anguish, but at last there comes merciful oblivion. One with many opportunities for observation on this subject says : " I have talked with persons who have been poisoned, or who have poisoned themselves, and who may be said to have died, inasmuch as they have fully decided and expected to die. They very rarely suffered in body or mind, and they lost their senses as gradually as when laying their head upon the pillow at night. Whatever pain they had was not in going from but in coming back to life, which would make it seem that the arrowheads, directing to death, wound only those anxious to return. We have on record the ante-mortem diaries of men who, having swallowed poison with the delib- erate purpose of suicide, had wished to leave a record of the effect upon themselves of the conscious approach of death. Moth, Rust, and Microbes. 229 Most of these diaries show the surprise of the writers at the total absence of the awe or fear commonly believed to be in- separable from such circumstances. Doubtless the deter- mination of self-extinction had absorbed the anticipated strangeness, and discounted the impressiveness and solemnity of the mortal occasion. It is natural to die, but hardly nat- ural to desire to die. To will to die is all there is of death. To be killed outright by a gun-shot wound must certainly be easy. I have seen so many men slain in battle that I am sure of this. I have narrowly watched officers struck when leading a charge. Their faces evinced startled surprise, not anguish, and their nervous system received such a shock that, before sensation could rally, they had ceased to breathe. To say that a man suddenly put out of life by violence does not know what hurts him is exactly true. He is dead with- out thought of death, and therefore spared all mental appre- hension, which is the worst part of dying. Abrupt death by external agencies must be very analogous to the shock from a Leyden jar." Nor is death an exception to the general law that pain is conservative. Pain is the alarm given us whenever the foes of the body are assaulting it with dangerous intent. It is the signal that the line of battle is giving way somewhere, un- der the combined pressure of earth, air, fire, and water ; for against all these man must incessantly fight. Hunger, fatigue, cold, and thirst are points at which these enemies crowd the closest, and where, if relief is not quickly brought, defeat is certain. Hunger is the irrepressible clamor for the fruits of the earth, which must be wrested from it at the point of the spade, hoe, and the knife, or we die. Fatigue is the inevitable result of the attraction of gravitation, that is, the ever-present weight of our bodies, conjoined to the atmos- pheric pressure of fifteen pounds to each square inch of its surface. So accurately is this adjusted we never notice its pitiless persistence until the wearied limbs at last succumb. Fire is at the same time man's best friend and most inexora- ble creditor. Fire is essential to civilization, but civiliza- 230 Physiology and Hygiexe. tion demands its pound of flesh for every forfeited bond, and these are many, for modern society demands that man shall give many a pledge to fortune. Even water, without whose aid we must perish in a few short hours, may serve, as we have seen (page 70), to introduce within the camp the most treacherous of enemies. Gravitation, oxidation, and pois- oning from within and without are some of the foes against which this warfare must constantly be waged. To these must be added another, and, until recently, an unsuspected, foe of man — the microbes ; a barbarous sort of Greek word, invented to name forms of life too minute to be seen except by means of the microscope. The part that these tiny be- ings play in fermentation, decomposition, and disease was little dreamed of fifty years ago. Within that time these tiny points, less in size as a rule than the red blood corpuscle, have revolutionized all our ideas and theories in regard to putrefaction and practical hygiene, and bid fair to do the same in the domain of practical medicine. The causes of the decomposition of the human body after death were vainly sought for by the ancient philosophers and physicists, of whom none came nearer the truth than Van Helmont, who attributed it to the loss of Varcliee, or, as we now call it, vital force. He was also the first to appre- ciate the relation between the air and putrefaction, for an organic body, entirely preserved from contact with the air, under proper precautions, can be preserved indefinitely. These facts were apparently well known to the Egyptians, and utilized by them in the preparation of their mummies, and also by the Ethiopians, if we can believe Herodotus's tales in reference to the preservation of their dead in glass. Un- der ordinary circumstances exposure of a body to light, air, and moisture accomplishes the dissolution of its soft parts entirely in from two to three years, and in so far as air is excluded is the process delayed. This was strikingly shown in the bodies of the Etruscan kings found some years ago in their sepulchers, where they had been preserved, protected from the atmosphere, unchanged for hundreds of years ; but Moth, Rust, and Microbes. 231 no sooner was air admitted than these bodies began to crum- ble, and in a few hours were converted into unrecognizable dust. The same principle was applied to the preservation of food by the Romans, for canned fruit has been found in Pompeii, but its secret was forgotten until a little more than a hundred years ago, when Benjamin Appert demonstrated that meat sealed in air-tight boxes, after being heated so as to expel the air, would keep for an indefinite length of time at ordinary temperatures. On this depends the modern extensive use of canned meats, for it is well known that, after having been heated and sealed up in air-tight cans, and thus protected from the atmosphere, meats will remain sweet and fresh as long as the receptacle remains air-tight. For many years it was supposed that the oxygen of the air was the sole cause of the spoiling of meats and fruits ; but it must be remembered that the oxygen of the air is not the sole cause of putrefaction, for it has been over and over again proven that, while air is apparently nec- essary to begin decomposition, it is not essential to its con- tinuance after it has once begun; and hence the failure of hermetically sealed coffins to prevent decomposition. The explanation of this is found in the fact that putrefaction largely depends upon microscopic microbes and germs con- stantly floating in the atmosphere, whose growth and multi- plication take place whenever they are deposited by the air in an appropriate soil or fluid, among the best of which are the fluids of the body. With a good microscope (1,200 diameters) multitudes of microbes may be found in the mucus which can be scraped from the inside of the cheeks or lips, as spherical or oval particles with multitudes of delicate filaments. The numbers and rapidity of multiplication of these bacteria with proper food is almost incredible, for Cohn has shown that bacterial reduplication can arise in the course of about an hour. At this rate a single bacte- rium would produce two in one hour, these by doubling would increase to four in the second hour, and so on until in the lapse of three days the scarcely conceivable figure of 232 Physiology and Hygiene. 4,772,000,000,000 would be attained. Whence do they come ? Formerly it was believed by spontaneous generation from decaying matter, for the ancients entertained the wildest ideas in regard to the origin of life. Virgil believed that bees were produced from entrails, and Lepidus that mud and heat would generate crocodiles. For a long time it was believed that certain birds grew upon trees, and that the flesh of a duck could give birth to an owl. Similarly, ser- pents were supposed to originate from the spinal cord, and mice to be spontaneously begotten by sawdust and old rags. Even in our own times there are many intelligent people who believe that a horsehair left in the waters of a brook will be transformed into the thread-like worm that bears its name, and that maggots are spontaneously gener- ated in decaying meat, although two hundred and twenty years ago Francesco Redi settled the question definitely. Like others, he had seen the maggots begotten in putrefying flesh, but unlike many others he observed that flies invariably were found also about the meat, and that they frequently alighted upon it. Surmising that there was some causal relation between these flies and the maggots, he covered meat with paper, and afterward with fine gauze, and found that no maggots were developed — naturally enough, for it is well known to-day that maggots are the half-developed progeny of flies. These facts were soon overshadowed by the greater dis- coveries of Leeuwenhock, a Dutch microscropist, who discov- ered the yeast plant and certain animalculae, as he called them. He was also the first to understand that the turbid- ity which occurs in animal and vegetable infusions was due to the growth of these minute forms of life, about which immediately sprang up most vehement controversies. These at first were mainly about fermentation, for although the yeast plant was discovered and figured by Leeuwenhock as early as 1680, yet its true nature was not definitely understood until it was rediscovered and explained in 1836 by Cagniard de la Tour. Moth, Rust, and Microbes. 233 Lavoisier and other chemists had previously studied atten- tively beer -yeast, or the plant which produces alcoholic fermentation ; but it was reserved for Cagniard de la Tour to demonstrate its real nature. He proved that yeast is composed of granules of albuminous matter, which, when introduced into a saccharine fluid, there grows and repro- duces itself. This is done by gemmation, as it is called, that is, by the growth of buds on the surface of the yeast plant. These again bud, and in turn produce new yeast plants. Yeast ferment is living, since the plants multiply themselves, and absorb oxygen, give off carbon dioxide, and produce alcohol from the sugar during the process. De la Tour furthermore proved that if the saccharine fluid does not contain albuminous matter fermentation still takes place, but the yeast plant exhausts itself in the process, and none remains to begin it anew elsewhere. The next question was, Whence came this yeast plant? for fermentation takes place in grape-juice whether the yeast plant be added to it or not. Becker much earlier had taught that a dead body attracts microscopic eggs from the air, and that these were the cause of its decomposition. These theories and that of an astral fire and the balsamic spirit of the blood, which resisted putrefac- tion in the living body, were considered the wild dreams of a theorist rather than practical realities, until Schwann, many years later, demonstrated that these microscopic eggs, or spores, as we now call them, had a definite existence, and that to them we owe the changes produced by fermentation and putrefaction. That these spores are always present in the atmosphere was demonstrated by allowing boiling infusions to communicate with the air, but in such a manner that no air could enter the flask without having first passed through a red-hot glass tube, and been thus freed from any germs that might float in it. In this case the air had fair pJay, in a chemical sense, but yet no life of any kind made its appear- ance, and even the chemical changes failed to set in. Ex- actly similar results were obtained by Schwann in experi- 234 Physiology and Hygiene. ments with grape-juice, whether previously mixed or not with yeast. These experiments demonstrate the fact that the process of putrefaction is not only analogous to fermen- tation, but that putrefaction cannot take place without the access of the living germs constantly floating in the atmos- phere. 'But he carried his experiments still further. For instance, he found that white arsenic (arsenious acid) and cor- rosive sublimate, being poisonous both to plants and animals, stop both putrefaction and fermentation, while extract of mix vomica, being destructive to animal but not to vegetable life, prevents putrefaction, but does not interfere with vinous fermentation. Justus Liebig published a memoir in 1848 upon the sub- ject of fermentative changes, in which he reviewed and brought into a more definite form Schwann's theory. He, too, considered all fermentations and putrefactions as anal- ogous phenomena, but considered yeast a " purely accidental phenomenon " in vinous fermentation, and thought its power of promoting the fermentative process was owing to the unstable albuminoid substances it contained. Schroeder and Dusch, in 1854, proved by an extensive series of experiments that the something in the air which enables it to start fermentative changes in boiled infusions of meat, etc., can be effectually removed by filtration of the air through cotton-wool. Such experiments, carried on through the first half of the present century, proved that the intervention of air was not indispensable to putrefaction, but that the contact of a ferment with a putrescible body was sufficient to bring about the decomposition of the latter. Gay-Lussac combated this opinion, and attempted to prove that with- out air or oxygen vinous fermentation could not begin, for, said he, grape-juice shut off from access to the air, as in a test tube over mercury, does not undergo fermentation; but if a few bubbles of air or oxj-gen are passed into it, fermentation begins, and manifests itself by the evo- lution of carbonic acid gas, and this gas occupies exactly Moth, Rust, a\d Microbes. 235 the same volume as that of the oxygen which has been absorbed. Louis Pasteur first carefully discriminated between true fer- ments and the germs of ferments. Atmospheric dust is made up, in the greater part, of earthy matter mixed with organic debris; to wit, microscopic spores and infusorial eggs, which latter are, according to Pasteur, the prime agent in decompo- sition. Oxygen is not the motive agent in these decomposi- tions, as affirmed by Gay-Lussac, neither do the nitrogenous atoms of the atmosphere play the important part in decompo- sition, but these minute organisms which possess a frightful power of multiplication. Moreover, he showed that the oxy- gen of the air is powerless to bring about these alterations if the corpuscles that it usually contains are eliminated or in- cinerated. In 1864 the French Academy chose from itself a commission which repeated the experiments of Pasteur and proved their exactness by taking a flask filled with calcined air and attaching it to a tube, whereby a partial vacuum may be produced. By a proper arrangement blood was drawn from a living animal directly into such a flask without coming in contact at all with the air; and such blood does not under- go putrefaction, provided the air in the flask has previously been brought to a red heat. Further experiments conclusively proved that the develop- ment of putrefaction took place, not from the gaseous ele- ments of the air, but from something that they allowed to fall from them in a vertical direction, for a sterilized fluid placed in a flask with a long neck laid sideways did not un- dergo putrefaction until the neck was allowed to stand up- right and open to the air. To isolate this matter M. Pasteur forced the aspirated air through a tube filled with%un-cotton, which is entirely soluble in ether, and this solution showed on the slide of a microscope minute bodies now known to be the genus or ova of these lower forms of the life. There is, then, no such thing as spontaneous generation, but only growth and reproduction from these invisible spores floating every-whcrc in the atmosphere. Wherever dust is found \ 236 Physiology and Hygiene. these microscopic germs are there also; and wherever dust settles, there these spores may, under favoring circumstances, reproduce themselves. The only way in which they can be entirely removed from the air is to filter it through many layers of cotton-wool, or to heat it sufficiently to destroy all these organisms. This requires a heat of at least 100 degrees C. (2i2 degrees F.), although, according to Tyndall's experi- ments, the same result may be at last obtained by inclosing air for a considerable length of time in a glass box whose walls are smeared with glycerine. A ray of electric light sent through the space within the box shows it at first full of the same floating motes that can be seen in the air of our living-rooms but little by little these subside and are caught and held by the sticky glycerine until at last the electric spark shows that the air is clear as crystal and absolutely moteless. The air upon the tops of high mount- ains is similarly free from organic germs, and hence unable to produce purefaction, for without germs no microbes and without microbes no putrefaction. It was on the mountain top of the Alps that Prof. Tyndall gave spontaneous gener- ation its final quietus, by a series of experiments worthy of recital here, as the advocates of spontaneous generation have never yet met or disproved them. Prof. Tyndall took thin turnip slices, barely covered them with distilled water at a temperature of 120 degrees, and after allowing it to stand four or five hours poured off the liquid, filtered it, and thus obtained a clear infusion. This was sucked into sixty small, clean, empty flasks, with long necks, projecting side- ways, by the process of alternately heating and cooling the flasks. Then the flasks were plunged into a trough filled with oil, ritad the contents made to boil. Finally, the neck of the flask was closed by heating the glass, and the flask " is lifted from the oil-bath sealed hermetically," that is, from the air. " The flasks are then taken to the Alps, seven thousand feet above the sea. There six of them are found to be broken, and the infusion within is found to be muddy. Air has en- Moth, Rust, and Microbes. 237 tered through the broken necks, and hence this muddiness. Examined with a microscope the infusion is found full of organisms, some wabbling slowly, others shooting rapidly, across the microscopic field. They dart hither and thither like a rain of minute projectiles ; they pirouette and spin so quickly round that the retention of the retinal impression transforms the little living rod into a whirling wheel." These are the bacteria. Has this multitudinous life been spontaneously generated in these six flasks, or is it the progeny of living germs carried into the flasks by the entering air ? If the former be true, how does it happen that the fifty-four un- injured flasks are destitute of ail forms of life ? Is it said that the air itself is the one thing needed to wake up the dormant infusion? He solved the problem after this fashion: Twenty-three of the flasks are taken to a hay-loft, and with a pair of steel pliers their sealed ends are snipped off. At once, of course, there is an inrush of air. Then twenty-seven are taken to a ledge overlooking the Aletsch glacier, about two hundred feet above the hay-loft, from which ledge the mountain falls almost precipitously to the north-east for about a thousand feet, with the following results, given in TyndalFs own words : " A gentle wind blows toward us from the north-east — that is, across the crests and snowfields of the Oberland Mountains. We are, therefore, bathed by air which must have been for a good while out of practical contact with either animal or vegetable life. I stand carefully to leeward of the flasks, for no dust or particles from my clothes or body must be blown toward them. An assistant ignites the spirit-lamp, into the flame of which I plunge the pliers, thereby destroy- ing all attached germs or organisms. Then I snip off the sealed end of the flask. Prior to every snipping the same process is gone through, no flask being opened without the previous cleansing of the pliers by the flame. In this way we charge our twenty-seven flasks with clean, vivifying mountain air. "Now note the result. In three days every one of the 238 Physiology and Hygiene. twenty-three flasks opened in the hay-loft were invaded by organisms. After three weeks' exposure to precisely the same conditions not one of the twenty-seven flasks opened in the free air but is as clear as on the day it was brought from London. "What is the conclusion ? Is not the inference imperative that it is not the air of the loft, which is connected by a con- stantly open door with the general atmosphere, but something that is within the air that has produced the observed effects ? " This " something " is the microscopic spores or germs, al- ready described by Pasteur, and which can be seen floating in every ray of sunlight let into a darkened room. These spores or germs are produced within microscopic plants or animals, from which they escape by a rupture of the parent cell wall, and, drying, form an object of such infinitesimal lightness that it can be carried hither and thither and every- where by every breath of air. Any ordinary range of tem- perature does not affect them, but, as has been seen in Pas- teur and Tyndall's experiments, they can be destroyed by a heat sufficient to bring glass to redness. Air thus treated is said to be sterilized, a term that is also applied to flasks and other instruments similarly treated to avoid mistakes in studying these minute forms of life. Spores under the microscope are bluish, opalescent bodies, which do not readily take up artificial coloring matter unless their membranes have been previously acted upon by acids or a great heat. The latter is sufficient, as has already been said, to destroy their vitality, but unless thus treated they preserve their power of growth on the average about three years, although Pasteur claims to have kept them vital for twenty-two years in hermetically sealed tubes. For the growth of microbes from these spores it is necessary only that they should fall into the proper soil. Putrid meat, beef -tea, or any vegetable or animal infusions form excellent culture- fluids, as they are called; that is, liquids well adapted for the rapid growth and multiplication of these spores. Latterly, solids have been more largely employed for this purpose, on account of the Moth, Rust, and Microbes. 239 difficulty of keeping fluids free from the spores of all but one kind of the lower forms of life, for each of these has its own particular spore, or seed, and these are very apt to be found together. All spores closely resemble each other, but, like germinal matter, they only produce after their own kind, as certainly as a duck's egg never hatches out any thing but a duck. Various Bacterial Forms. 1. Micrococcus septicus; a, scattered; b, in chains— torula. 2. Same in zooglcea form. 3. Bacterium termo. 4. Same— zooglcea. 5. Bact. lineola. 6. Bacillus sub- tilis. 7. Bacillus anthracis and blood-corpuscles. 8. Bacillus (from mouth) with cilium. 9. Bacillus leprae. 10. Bacilli with spores. 11. Bacillus malarise. 12. Vibrio serpens. 13. Spirochaete Obermeieri. 14. Spirillum volutans. 15. Sarcina. X 500. (Copied from Ziegler's path. Anatomie, Jena, 1882.) The general name of bacteria (singular, bacterium) is applied popularly to all forms of life produced as just de- scribed. At first, they were known as animalculse ; later, as infusoria ; at present, microbes (little lives) is their proper scientific name. By whatever name they may be called, they are essentially microscopic bits of protoplasmic matter, whose place in the scale of life has not been definitely settled. The Germans call them " spaltpilze," that is, split or divided fttligi, and such they are in so far as they have no chlor- ophyl, or the greet) coloring matter found in plants proper. On the other hand, their growth is more like the algce, or sea- weeds, than the true fungi, but the alga' have chlorophyl, 80 it is impossible to group the microbes with them. Most 240 Physiology and Hygiexe. probably microbes form a group by themselves, resembling the plants in their mode of growth, but like animals absorb- ing oxygen and excreting carbon dioxide gas. Wherever they belong these microbes are infinitesimally small beings, without nuclei or cell walls, almost colorless and structureless. They have no blood-vessels or nerves. They seem to be simple protoplasmic or germinal matter with the same power of self-motion possessed by the white blood corpuscles. Some of them have minute paddles or tails, by which they proi^el themselves with wonderful rapidity through the fluids in which they live, but most of them undulate and oscillate to and fro without any visible means of propulsion. So nearly colorless and structureless are the microbes that their study would be almost impossible without the aid of the coal-tar colors. The black refuse from the main of a gas- house is about as unlikely and unpromising an object as you will often meet with, to be of any real value to man. But chemistry is always bringing the unlikely to pass, for the study of a most unpromising subject often brings brilliant re- sults. A common ant crushed on a bit of blue litmus leaves a red stain, and from that red stain came the discovery of chloroform. The red stain is due to formic acid, from formic acid came formyl, and from formyl came its terchlo- ride, or chloroform, the best gift that ever came to suffering humanity. A little more than sixty years ago a chemist by the name of Unverdorben found a coloring matter in indigo, to which he gave the n.irae aniline, from the Portuguese word for indigo. It was a discovery that attracted but very little attention, and was supposed to be of no practical use, as it was for the next thirty years. About that time an- other investigating genius, named Perkins, found the same substance in the coal-tar just mentioned. Very little atten- tion was paid to this discovery as well, until it was found that from aniline oil could be made a dye called alizarine, which could be made to take the place of madder. The dis- covery of alizarine has revolutionized the industry of dye- ing. Hundreds of acres that were formerly given up to the Moth, Rust, and Microbes. 241 cultivation of the root from which madder was obtained are now utilized for the cultivation of wheat, or other foods. But it is not our purpose here to speak of all the changes that the aniline colors have wrought, but simply of their very great value in staining microscopic objects, especially these lower forms of life, which take from the aniline dyes a deeper tint than the surrounding tissues. In this way the microbes have been made distinct, and their study possible and exact. It is not our purpose here to name all the forms and vari- eties of microbes that have been discovered up to the pres- ent time. The literature on the subject is already extensive, and the names chosen are so largely from the Greek that they are not adapted for general use. Take, for instance, the naming of the colonies of bacteria; for example, 1. Torula, in the form of a necklace. (Pages 224, 220.) 2. Leptothrix, made up of bacteria clustered end to end. 3. Mycoderma, immobile, composed of bacteria in sheets. 4. Zoozoea, being masses of bacteria, immobile, inclosed in a sort of jelly which holds them together. For all these the simpler names of necklace, chains, sheets, and jelly would have answered every purpose. Three of these names, however, have come into so general use that they re- quire definition here, which can be greatly assisted by comparing these microbes to well -known objects. The first, except that it is infinitely smaller, closely resembles a billiard ball. This is the micrococcus. Next in order of frequence are the bacil- li, so named from the Latin name Bacilli and mirromrd m tuber- f. , , .,, r , cular deposit. J or :i rod, bacillus; lor these resem- ble in shape an unsharpened lead-pencil, and are the most hardy of all the microbes. Lastly, we have the spirilla, or those which resemble a corkscrew in shape. The varieties and Subdivisions of these are almost endless, but their tcch- Jl 24:2 Physiology and Hygiene. nical names do not particularly concern us, except, perhaps, their further division into aerobians, or those which require air for their growth, and the anaerobians, or those microbes which flourish without the presence of oxygen. And flour- ish they do amazingly, for the most wonderful thing in re- gard to these microbes is their wonderful power of multipli- cation. A generation of bacteria can be begotten in a single hour ; or, in other words, a single bacterium may produce two in that time, and these again four in another hour; and if this rate of increase should continue for only three days, at the end of that time there would be 4,772,000,000,000, or 7,500 tons. Fortunately this cannot happen, for this fearful rate of multiplication is cut short by their inability to obtain proper food; for microbes, like all other living beings, must have food or die. Moreover, fortunately, by their growth they produce compounds, such as alcohol, which are destruc- tive to coming generations, for otherwise the presence of a single bacterium would soon overwhelm us with a deluge of infusorial life compared to which the biblical deluge was but a trivial matter. Microbes reproduce themselves in two way ; snamely, by fission, or gemmation, and by the formation of spores. The first takes place wherever the exceedingly rapid growth occurs which has just been spoken of. This fission consists of a splitting of the animal into various segments, or buds, which soon dissolve partnership with their parent and set up housekeeping on their own account. As we have already seen, in the course of half an hour they themselves may suffer internal convulsions and split up, or send out seg- ments which similarly divide until their supply of food is exhausted. For you must know that these microbes, like us of larger growth, have their likes and dislikes in the w r ay of diet. One microbe's food is -emphatically another mi- crobe's poison, or at least his starvation, for some forms will grow and flourish in beef-tea, but absolutely refuse the dain- tiest raw potato; as is the case with the bacillus, which is sup- posed to produce consumption. The one that causes chicken Moth, Rust, and Microbes. 243 cholera is decidedly ghoulish in its tastes, for it likes best of all a broth made from the chicken which it has slain. The bacillus of cholera morbus is not at all dainty, for it will grow equally well in animal or vegetable broth, and the hay- tea bacillus is equally at home in old cheese. In these latter days the scientists have become very Delmonicos in providing for the taste of the microbes ; for instance, at Koch's laboratory they have a bill of fare set before them consisting of Pasteur's fluids, hay-soup, beef- tea, chicken -broth, putrid urine, milk, raw potatoes, old cheese, peptonized meat, and gelatinized blood. Surely it must be a dainty microbe that cannot find here something to its liking. But seriously, in Berlin and elsewhere, with almost infinite patience and painstaking precaution against error, these lower forms of life have been carefully studied, with results that have revolutionized our theories concerning fermentation, putrefaction, molds, parasites, and many forms of disease. It lies outside of our intention to attempt a review of all that the study of microbes has accomplished. But it has already repaid a thousand-fold in money all that the investigation has cost. In proof of this we have but to instance the results obtained in checking the vine and silk-worm diseases, which were devastating these industries in France. In 1853 the French silk crop amounted to some- thing over 50,000,000 pounds. Little by little this gradually decreased until it reached only one fifth of this amount, owing to a strange mortality which occurred in the caterpil- lars which produced the cocoons. This disease was found by Pasteur to be due to infusorial life, and by carrying out the precautions suggested by him it was brought to a halt, until the silk crop of France has again reached the proportions of 1853. Neither have we space to speak of the results ob- tained in the treatment of chicken cholera, anthrax, sheep tag, or of the changes wrought in brewing, distilling, and bread-making, but in conclusion only of some of the possible relationships of these lower forms of life to our own bodies and their diseases. 244 Physiology and Hygiexe. Beale and his school claim that microbes have nothing at all to do with the production of disease, but are simply an accidental accompaniment. It certainly is true that some of these lower forms of life are perfectly harmless to a healthy body. In fact, there is good reason to believe that certain of them actually serve as scavengers in the intestinal canal, there feasting and gorging themselves, like the vultures of the East, on what would otherwise be dangerous and hurtful to us. So long as they keep within their bounds these organisms are helpful ; but let them in any manner enter the blood and they produce poisonous effects. At least this is the present theory of many diseases, and it has been worked out with remarkable ingenuity and plausibility. In medicine, as elsewhere, the pendulum is too apt to swing from one extreme to the other, and just now there is an effort to explain almost every form of disease, from erysipelas to cholera, as originating from bacterial infection, and in many cases with apparent success. In the case of consumption, for instance, this has been done with so much care, and it explains so many features of the disease that have hitherto been inexplicable, that it may be taken as a fair instance of what is known as a bacterial disease. The infection in the case of consumption is supposed to be a straight rod-like body, discovered by Koch, of Berlin, and named by him bacillus tuberculosis. This rod-like body is so minute, and in color so closely resembles the tissues in which it is imbedded, that it is only by the most careful staining and manipulation that it can be recognized. So difficult is this that not a few good microscopists at first denied its existence entirely, claiming that Professor Koch had mistaken fat crystals and all sorts of other small objects for bacilli. But with wonder- ful patience Koch so verified his work that to-day even his most obstinate opponents admit that this microbe is found in consumptive tissues, and, so far as we now know, nowhere else. So generally is this admitted that, to the knowledge of the writer, a lady has been exiled from her home for a year and more solely on the evidence of a single bacillus in matter Moth, Rust, and Microbes. 245 that was coughed up. And wisely, too, if we admit this theory of consumption, for the presence of this bacillus in the sputum indicated that it had found a lodgement in the lungs, and, in the natural course of events, unless promptly exterminated, would grow and multiply until its unfortunate hostess should fall a victim to its ravages. The origin of the disease as thus explained is that these ba- cilli, escaping from some other consumptive patient, become dried, and with other microscopic spores are carried hither and thither in the atmosphere until they find some suitable lodging-place. Probably they will not grow on the air pas- sage of a perfectly healthy lung any more than thrash will in a perfectly healthy mouth. But let either parasite find a mucous membrane in the proper condition for its growth, it will fasten and multiply there each after its own fashion. The consumption bacillus is one of slow growth, so that it may be years in producing death, but it nevertheless slowly multiplies at the expense of the lung in which it is imbedded, until at last the person dies, not so much from the presence of the bacillus as from the products resulting from its growth. If for any reason the deposit is small, or the consumptive changes his residence to such a climate that the microbe, after a struggle for existence, perishes, recovery may take place, as not unf requently happens. Similar causes are given for cholera, malaria, hydrophobia, erysipelas, yellow and typhoid and all of the contagious fevers, with much plaus- ibility, but as yet without convincing proof. In the blood of measles and scarlet fever it is claimed that rod-like bacilli can be found, and that the in- oculation of these conveys the disease from one to another. The degree of virulence of lli<: f the scientist who figured the act as given on this page. Given sufficient white corpuscles to 246 Physiology and Hygiene. devour the bacilli, there will be but slight fever ; given more bacilli, a severer attack. At least this is the theory of the adherents of the germ-theory of disease, but in fair- ness those of Dr. Beale ought also to be given. In writing on the subject, he says : " Old epithelial cells, like other old and formed tissue, or other dead, organic, animal, or vegetable matter, very soon become invaded by low vegetable organisms, which grow at their expense and live upon their substance. Not only in the substance of these cells, but upon their surface, the fungus germs are found, and frequently project from them, form- in o- little collections which mav be detached from time to time. " Among the hair-like epithelial processes projecting from the free extremities of the filiform papillae are often found masses which have a granular appearance under low magnify- ing powers; but when examined under objective magnifying more than three hundred diameters, will be found to consist of millions of spherical and oval fungi, or micrococci, grouped together. . . . The first question you will ask will probably be this: 'Do these germ -particles perform any distinct office, or function, in connection with the solution of food or diges- tion, or do they merely live and grow upon the old epithelial cells and the debris of the food, which must needs undergo change in such a solution, and at the temperature of the inside of the mouth?' We find such bodies in animals as well as man, and though they are found in greatest number in cer- tain derangements, multitudes are constantly present in the most healthy individuals. " Wherever organic matter is undergoing change and disin- tegration, in an organism or outside of it, at the temperature of man's body or some degree lower or higher than this, and in some cases at a much lower temperature, such organisms exist in a countless multitude, and grow and multiply at the expense of the disintegrating organic matter. At this time of the year (October) there is not a leaf in which you will not find millions of low vegetable organisms in various stages Moth, Rust, and Miceobes. 247 of development and growth. Fungus germs exist in the air at every part of the earth's surface at all times. Though by- no means constantly present in precisely the same amount, some are always to be detected in appreciable numbers if the air is properly examined. Many coming into contact with the moist surface of the leaf about to decay find there a surface favorable for their development. The spores ger- minate, and from the surface of the tissues of the plant the growth easily makes its way into the substance. ... As the leaf grows old, substances are formed which are easily appro- priated by the fungi. The germs of these are present, and are ready to develop just at the time when the appropriate pabulum is formed. The fungus does not spring from the leaf, neither is the leaf caused to grow old by the fungus, and its deterioration begins before the growth of the fungus commences. ... In the case of the higher animals and man, at least, in many instances in which low organisms are asso- ciated with morbid processes, these last are neither the cause of disease nor are they produced by it. Germs, being pres- ent, will grow and multiply wherever the surrounding con- ditions become favorable. If these remain for a considerable time unfavorable, the germs, if present, remain quiescent and may at last die. C4 As it is with regard to deteriorating vegetable tissues, so it is with regard to decaying animal tissue. Whether the body be in a state of health or disease, wherever tissue is about to undergo chemical change, wherever decomposition is taking place, or is approaching, the conditions may be favorable for the growth and multiplication of certain low vegetable organisms, the germs of which are present. Long before the changes akin to deterioration and decay are ordinarily supposed to commence, even from the very earliest period of construction and growth, fungus germs are ever present, ready to grow and multiply should death and disin- tegration of a living particle occur. No wonder, then, that \v<- find so many low organisms growing in connection with the old epithelium of the mouth and of the tongue, of the 248 Physiology and Hygiene. esophagus and other parts. Under certain circumstances, the fungi grow and multiply to a vast extent lower down the alimentary canal. Multitudes, as I have said, pass down the alimentary canal every time we swallow food or fluid. Such ordinary bacteria and their germs do us no harm what- ever. But please do not infer from what I have said that the putrid fluids loaded with bacteria are innocuous, or to be recommended. Organic matter in a state of putrefactive decomposition, when introduced into the alimentary canal, gives rise to pathological phenomena irrespective of the bac- teria it may contain. . . . "Whether it is some special bacterium which causes the results consequent upon the introduction of specific poison into the organism, or whether the active particles are of a totally different nature, altogether independent of bacteria and allied organisms, is still an open question. Some evi- dence has been recently adduced in favor of the hypothesis that there are bacteria and bacteria — that the real contagious bacterium is an organism altogether apart from the harmless bodies so intimately connected with every part of every one of us. Further, it has been surmised that the horrible death- carrying bacteria of various orders have been somehow de- rived from the harmless form by pathological transformations, or developed in the course of evolutional struggles proceeding through the ages, or that they are the product of a constantly altering environment. But many new facts must be discov- ered and much must be learned concerning special bacterial phenomena before the problem can be solved." And to solve this problem is being waged just now most acrimoniously what may hereafter be known as the battle of the microbes. Whatever may be its result, we shall be forced to confess with St. Augustine that the power of God is shown most in the little things. Whether these microbes prove eventually to be our deadliest foes, or nature's invisible scavengers, who injure us only when we force them to work where they ought not, they have already taught us much of practical value. A clean wound is not one which has been Moth, Rust, and Microbes. 249 merely washed, but one protected from the presence of these, microbes. Modern surgery in this way obtains results un- dreamed of by our fathers, for their best efforts were op- posed by invisible foes whose existence they never suspected. The blessings of clean streets, quarantine, and increasing years of life are largely the results of the patient study in a Parisian laboratory of the difference between tartaric and paratartaric acids — a subject that the so-called practical man would have sneered at as of not the slightest earthly im- portance. As yet we know but in part, but from this partial knowledge, if we are wise, we have learned sufficient to con- vince us that this house in which we live is not a mere joining together of chance atoms. On the contrary, the greatest care has been taken in its construction and in its protection from injury, wherein we find the explanation of the mystery of pain. No truer or more beautiful words have ever been written on this subject than those of an un- known writer in Temple Bar some years ago : "The power which rules the universe — this great, tender power — uses pain as a signal of danger. Just, generous, beautiful Nature never strikes a foul blow; never attacks us behind our backs; never digs pit-falls or lays ambuscades; never wears a smile upon her face when there is vengeance in her heart. Patiently she teaches us her laws, plainly she writes her warnings, tenderly she graduates their force. Long before the fierce red danger-light of pain is flashed, she pleads with us, as though for her own good's sake, not ours, to be merciful to ourselves and to teach each other. She makes the overworked brain to wander from the subject of its labors. She turns the over-indulged body against the delights of yesterday. These are her caution signals, 'Go slow.' She si amis in the filthy courts and alleys that we pass daily and beckons us to enter and realize with our senses what we allow to exist in the midst of the culture of which we brag. And what do we do for ourselves? We ply whip and spur on the jaded brain as though it were a jibbing horse 11* 250 Physiology and Hygiene. — force it back into the road which leads to madness, and go on full gallop. " We drug the rebellious body with stimulants ; we hide the signal and think we have escaped the danger, and are very festive before night. We turn aside, as the Pharisee did of old, and pass by on the other side with our handker- chief to our nose. At last, having broken Nature's laws and disregarded her warnings, forth she comes — drums beating, colors flyings — right in front, to punish us. " Then we go down on our knees and whimper about it having pleased God Almighty to send this affliction upon us, and we pray him to work a miracle in order to reverse the natural consequences of our disobedience, or save us from the trouble of doing our duty." In other words, we thrust our fingers into the fire and then pray that we may not be hurt, for that in reality is what the so-called metaphysical and faith cures amount to. They are in the same line of argument as Ingersoll's sneering blas- phemy: " Why is not good health catching, as well as disease ? " The body, like all else of the Creator's work, was originally « very good," and if our bodies at present are not so, then either we or our parents have damaged them. Why we should be allowed to do this we shall probably never be able to explain until we cease to see in part, and that which is earthly is done away with; but recognizing the fact, which is beyond dispute, what are we going to do about it ? And we ask the question reverently, and as one of importance, for our bodily ills, trivial as they may seem to others, are very im- portant factors in our lives for good or ill. Paul's thorn in the flesh did as much to make him the invincible apostle that he was as did Byron's club-foot to make him a gloomy, misanthropic cynic. Strangest of all, in these latter days we find good men and women who claim that Paul had no busi- ness with thorns in the flesh. No Christian doubts the power of God to perform miraculous cures if it seem best to him, but as yet the evidence is not sufficient to warrant Moth, Rust, and Microbes. 251 other conclusions than that the laws of Nature are allowed to take their course with the body just as they do with other material objects. No one dreams of faith being necessary to heal the galled back of an overworked farm-horse. Natural laws have to be utilized for the recovery of disease for the same reasons that their violation brings disease. Sickness, as is well said by Dr. Hunt, is "providential penalty" for violated law, and it is gross disrespect to the Judge of all to expect that these providential penalties should be annulled by the request of one of his petit jury. Trophimus had to be left sick at Miletum notwithstanding the prayers of Paul and himself, or the then Christian Church. And yet in these latter days there has grown up the strange delusion that with an illogical, hysterical girl or an ignorant backwoods- man has been placed power such as was denied Paul. No fairer putting of the whole case of faith-cures can be made than will be found in the following inductions taken from an article by Rev. Dr. James M. Buckley in the Century Magazine. " 1. That subjective mental states, as concentration of the attention upon a part with or without belief, can produce effects either of the nature of disease or cure. " 2. Active incredulity in persons not acquainted with these laws, but willing to be experimented upon, is often more favorable to sudden effects than mere stupid, acquiescent credulity. The first thing the incredulous, hard-headed man, who believes that ' there is nothing in it,' sees that he can- not fathom may lead him to succumb instantly and entirely to the dominant idea. " 3. That concentrated attention, with faith, can produce very great effects ; may operate powerfully in acute diseases, with instantaneous rapidity upon nervous diseases, or upon any disease capable of being modified by direct action through the nervous or circulatory system. "4. That cures can be wrought upon diseases of accu- mulation, such as dropsy and tumors of various kinds, with great rapidity, where the increased action of the various 252 Physiology and Hygiene. excretory functions can eliminate the accumulations from the system. " 5. That rheumatism, sciatica, gout, neuralgia, contraction of the joints, and certain inflammatory conditions, may dis- appear under similar mental states suddenly, so as to admit of helpful exercise, which exercise by its effect upon the cir- culation, and through it upon the nutrition of diseased parts, may produce a permanent cure. " 6. That the ' mind-cure,' apart from the absurd philoso- phy of the different sects into which it is already divided, and its repudiation of all medicine, has a basis in the laws of nature. The pretense of mystery, however, is either honest ignorance or consummate quackery. " 7. That all are unable to dispense with surgery where the case is in the slightest degree complex and mechanical ad- justments ar« necessary ; also that they cannot restore a limb, or eye, or finger, or even a tooth which has been lost. But in certain displacements of internal organs, the conse- quence of nervous debility, which are sometimes aided by surgery, they all sometimes succeed by developing latent energy through mental stimulus. " 8. All that they really accomplish can be paralleled with- out assuming any supernatural cause, and a formula can be constructed out of the elements of the human mind which will give as high average results as their prayers or anoint- ings. " Is there then no warrant in the New Testament for the ordinary Christian to pray for the sick, and is there no utility in such prayers ? The operation of the providence of God upon the minds of men and upon their bodies, through the order of cause and effect which he has established, has not come under review. The New Testament affirms that * All things work together for good to them that love God.' It also teaches that the Spirit of God has constant access to the minds of men, and sets forth an all-inclusive doctrine of Providence, without which not even a sparrow falls. It does not say that prayer will always secure the recovery of the Moth, Rust, and Microbes. 253 sick, for it gives the case of Paul, who had a thorn in the flesh, and who said, ' I besought the Lord thrice that this thing should depart from me,' but received, 'My grace is sufficient for thee.' "None can demonstrate that God cannot work through second causes, bringing about results which, when they come, appear to be entirely natural, but which would not have come except through special providence or in answer to prayer. The New Testament declares that he does so inter- fere 'according to his will.' " It was not his will in the case of Paul, and he did not in- terfere, but gave spiritual blessings instead. No one can tell when he will interfere. But prayer for the sick is one of the most consoling privileges, and it would be a strange omission if we were not entitled to pray for comfort, for spiritual help, for such graces as will render continued chastening un- necessary, and for recovery, when the thing prayed for is in harmony with the will of God. The belief that when the prayer is in accordance with the mind of God 'the prayer of faith shall save the sick, and the Lord shall raise him up,' is supported by many explicit promises. But as all who die must die from disease, old age, accident, or intentional vio- lence, every person must at some time be in a state when prayer cannot prolong his life. " When we or others are sick the Christian doctrine is that we are to use the best means at command, and to pray, 1 Father, if it be possible, let this cup pass from me ; never- theless, not my will but thine be done.' The prayer may be answered by its effect upon the mind of the patient ; by directing the physician, the nurse, or the friends to the use of such means as may hasten recovery ; or, for aught we know, by a direct effect produced upon the physical system, behind the visible system of causes and effects, but reaching the pa- tient through them ; then, if the patient recovers, it will Beera as though he recovered naturally, though it maybe in an un- usual manner. The Christian in his personal religious ex- perience may believe that his prayer was the element that 254 Physiology and Hygiene. induced God to interfere and prolong life. Assuming that there is a God who made and loves men, none can show his faith irrational or unscriptural; but such testimony can be of no value to demonstrate to others a fact in the plane of sci- ence. When the time comes that the Christian is to die, he must then rest, even while praying for life, upon the prom- ise, * My grace is sufficient for thee.' " The faith-healers represent God as interfering constantly, not by cause and effect in the order of nature, but effecting the result directly. Their want of superiority to those who are not Christians, but who use either false pretenses or natural laws, and their inferiority to Christ and the apostles, con- demn their pretensions. Nor does it avail them to say, e Christ would not come down from the cross when taunted by unbelievers.' They might, perhaps, with propriety refuse a test for the test's sake, though Elijah forced one. But in a close observation of their works the radical difference be- tween them and those who they say have no divine help should be manifest. Some of them affirm that the Mor- mons, Newton, and others, do their mighty works by the aid of devils. If so, since casting out devils was a miracle-work- ing power of a very low grade, it is wonderful that none of these persons Jiave been able to cast out the devils from any of the great number who are working in this way, and thus demonstrate their superiority as the apostles vindicated their claims against Simon the sorcerer and others. " Faith-cure, technically so called, as now held by many Protestants, is a pitiable superstition, dangerous in its final effects. " It may be asked, What harm can result from allowing persons to believe in ' faith-healing?' Very great, indeed. Its tendency is to produce an effeminate type of character which shrinks from any pain, and to concentrate attention upon self and its sensations. It sets up false grounds for determining whether a person is or is not in favor of God. It opens the door to every superstition, such as attaching importance to dreams, signs, opening the Bible at random, expecting the Moth, Rust, and Microbes. 255 Lord to make it open so that they can gather his will from the first passage they see, * impression,' ' assurances,' etc. Practically it gives great support to other delusions which claim a supernatural element. It greatly injures Christianity by subjecting it to a test which it cannot endure. It directs attention from the moral and spiritual transformation which Christianity professes to work — a transformation which, wherever made, manifests its divinity, so that none who behold it need any other proof that it is of God. It destroys the ascendency of reason in the soul, and thus like similar delusions it is self-perpetuating, and its natural, and in some minds its irresistible, tendency is to mental derangement. " Little hope exists of freeing those already entangled, but it is highly important to prevent others from falling into so plausible and luxurious a snare, and to show that Christianity is not to be held responsible for aberrations of the imagina- tion which belong exclusively to no party, creed, race, clime, or age." PART II -APPENDIX. PRACTICAL HINTS FOR THE DEVELOPMENT OF THE BODY. First wealth is health, says Emerson ; but health can no more be kept than wealth without care for its preservation. The more so in the case of health, for the reason that, as we grow older, outside cares distract us, and the body is neglected until damaged beyond repair. Few bodies, like few houses, are absolutely perfect in all their parts, but neither houses nor bodies should be neglected ; especially in the case of the body, since we are absolutely sure that it is the only one which will be given us for our use here, and when once dilapidated we must bear the consequences. Exercise is Nature's method of keeping this house of ours in good order, for if the ablest bodied man sits down, like an Indian fakir, to do absolutely nothing, his joints, like the East Indian devotee's, will become stiff and useless. And in direct measure as we defraud ourselves of necessary exercise shall we find ourselves crippled thereby. Exercise will do much more than keep us in good health, for when properly used it will repair inherited and acquired defects, and much of what is hereafter detailed is designed for that purpose — that is, for body-building, as it is well called by Dr. Hunt. Wherever, says he, a particular organ shows a lack of development or vigor this is required ; but " to over-develop a set of muscles, as those of the arm for great lifting, does not always inclui the hands, as in boxing, but keeping at it a while, keeps these muscles well Occupied ; while the 264 Physiology and Hygiene. sword, or foil, or single-stick, freely plied, or the ax or bat, tell directly here. Filling Out the Shoulders and Upper Back. Stand erect again with the chin up and chest high (in all the exercises stand erect where it is possible), and have the dumb-bells in the hands, hanging easily at the sides. Now carry them slowly backward and upward, keeping the arms straight at the elbows, and parallel until the hands are about as high as they can well go. Hold them there a moment, then drop them slowly to the sides. Do it again, and keep on until you begin to feel like stopping. Laying one dumb-bell down, now repeat the above exer- cise with the remaining one, say in the right hand, this time placing the left hand on the back just under the right arm, or on the inner portion of the triceps or upper muscle of the right arm. These muscles will be found vigorously at work, and hardening more and more the higher the bell is carried ov the longer it is held up. Development Above the Waist. "With a pair of dumb-bells, at first weighing not over one thirtieth of the weight of the person using them, and grad- ually, as the strength increases, substituting larger ones, until they weigh, say, one-tenth of the person's weight, there is scarcely a muscle above the belt which cannot, by steady and systematic work of never over one half hour daily, be rounded and strengthened up to what it ought to be in a thoroughly developed, strong, and efficient person of its owner's sex, size, and age, if long enough continued. To Enlarge and Give Power to the Loins. All stooping over when lifting is done, as with a spade, or fork, or bar, whether the knees are held straight or bent, or lifting any weight directly in the hands, horizontal pulling, on a pulley- w T eight, rope, or oar — in short, nearly every sort Appendix. 265 of work where the back is actively employed, keeps these muscles thoroughly active. You cannot bend over without using them. Counterwork foe the Abdominal Muscles. Stand erect. Now gradually draw the head and shoulders backward until as far past the vertical as possible. Return slowly to erect position. All work such as swinging clubs, or an axe or sledge ; putting up dumb-bells, especially when both hands go up together ; swinging by the hanc}^ from rope or bar, or pull- ing the body up until the chin touches the hands ; standing with back to pulley- weights, and taking the handles in the hands, and, starting with them high over the head, then pushing the hands far out forward ; standing two or more feet from the wall, and, placing the hands side by side against it, about as high up as the shoulders, then throwing the chest as far forward as possible — these all do excellent serv- ice in bringing to these important muscles the length and elasticity they ought to have, and so contributing materially to the erect carriage of the body. All kinds of pushing with the hands, such as one does in putting them against any heavy substance and trying to push it before him, striking out in boxing, in fencing, or single-stick, with dumb-bells, or in swimming, are capital ; while the drawing of the head back swiftly, as in boxing, to avoid a blow, can hardly be surpassed as an aid in this direction. The Abdominal Muscles. Lie flat on the back, as, for instance, just on awaking. Taking first a deep full breath, draw the feet upward, keep- ing the knees unbent, until the legs are vertical. Lower tin 'in slowly till horizontal, then raise again and continue. It will not take many minutes, or seconds, to bring these muscles enough work for one morning. Or, this time keeping the Legs down, and first filling the chest, now draw the body up until you are sitting erect. 12 266 Physiology and Hygiene. Then draw slowly back, and repeat. This will be likely to take even less time than did the other, but it will tell tremendously on these muscles. To Develop the Leg Below the Knee. The main part of the leg, below the knee, for instance, is composed of muscles which raise the heel. Stand erect, with the head high, chest out, and shoulders down, keeping the knees all the time well sprung back, having the feet about three inches apart, with the toes turned slightly outward. Now slowly raise the heels until they are high off the floor, and the whole weight rests on the soles and toes. Now drop slowly down. Then repeat. Next place the hand on the muscles of the calf, and, while at first not firm, feel them harden as you rise, and all doubt as to whether the exercise in question uses these muscles will speedily vanish. Continue this exercise at the same rate, keeping at it until you have risen fifty times. There remains one other prominent muscle below the knee, that in front, running down along the outer side of the shinbone. Fast walking when one is unused to it, especially when the knees are held pretty straight, will work this muscle so vigorously as to make it sore. But a plain, safe, and simple exercise for it, yet one which, if protracted, will soon swell it into notice, and give it un- wonted strength and beauty, is effected by stooping down as low as possible, the feet being but a few inches apart, and the heels never being allowed to rise even a quarter of an inch off the floor. Lift the heels, and this muscle is at once relieved. Laying any weight on the foot, and lifting it clear from the ground, will also call on this muscle. Simply standing on one foot, first holding the other clear of the floor, and then drawing it up as near as possible to the front of its own ankle, and then opening it as wide as you can, will be found a safe and reasonably effective way of bringing forward this Appendix. 267 small but useful muscle ; while walking on the heels, with the toes drawn up high, is simpler yet. Work for the Front of the Thigh. Scarcely any muscles are more easily brought into action than these of the upper or front thigh. Stand erect, with head and chest high, and the feet about six inches apart. Now, bend the knees a little, say until the head has dropped verti- cally six inches. Then rise to the perpendicular again. This movement is very much akin to that in dancing, the latter being the harder of the two, because the weight is first on one foot, and then on the other, while in the former it is always on both. A more severe tax yet is had by holding one foot far out, either in front or back, and then stooping down wholly on the other foot. Few can do this many times, and most persons cannot do this at all. Jumping itself, either high or flat, is admirable for the thighs. Maclaren says that hardly any work will quicker bring up the whole legs ; but this will probably prove true where a large number of moderate jumps are taken daily than where a few extreme efforts are made. Both fast walking and running bring vigorous action to these muscles ; slow walking does Uttle for them, hence the number of weak, undeveloped thighs among men who do little or no quick foot- work. Hopping, which is so good for the calves, is hardly less so for these muscles, and is one of the best possible movements to develop them in the shortest time. A more moderate exercise than the running, though not always so available, is walking up hill. This, besides, as already mentioned, doing so much for the calves, tells directly and markedly on the thighs as well. Skating makes a pleasant substitute for walking during a part of the colder months, and, when much distance is covered daily, brings, strong shapely thighs. All lifting of heavy objects from the ground tells heavily 268 Physiology and Hygiene. on these muscles, but occasional heavy lifting tends rather to harden than to rapidly increase its size, protracted effort at lighter but good-sized weights doing the latter to better advantage. Brisk horseback -riding keeps these muscles very actively employed. Every sort of work which calls for frequent stooping down does the same. To Enlarge the Under Thigh. The muscles of the under thigh do not get nearly so much to do as those in front, in many persons seeming not to exist at all. The exercise already recommended, of pressing the sole of the foot hard on the ground just as it leaves it, is scarcely more beneficial to the muscles of the calf than to these ; likewise walking up hill. Fastening a weight of any sort, a dumb-bell or flat-iron, to the ankle, say with strap or towel, and raising the foot as high up backward and outward as possible, and repeating until tired ; putting the foot in the handle of a pulling-weight, and frequently drawing it far down ; or, standing with back to the wall, and placing the heel against the base-board of the room, or any solid vertical surface, and pressing hard many times — these all tell on the hidden under-muscle. To Strengthen the Sides op the Waist. Notice a man weak just here, and see his body sway a lit- tle from side to side as he walks, seeming to give at the waist. Were such a one to practice daily hopping straight ahead on one foot, and then on the other, until he could by- and-by cover half a mile without fatigue, he would find his swaying propensity fast disappearing ; and if he has been troubled with a feeble or unshapely waist, that will also have gradually changed, until at the end it has become firm and well-set. Take the long balancing pole of the tight-rope walker and try to walk a rope a while, or try the more simple expedient of walking on the railroad rail, and these muscles are at once Appendix. 269 uncommonly busy. Notice the professional tight-rope man and see how strong he is here. His profession has compelled the continued use of these muscles. Daily Exeecise for Wo^iex. And what should the girls and women do each day? With one-pound wooden dumb-bells at first, let them, be- fore breakfast, go through with the exercises already given to develop the chest (page 259). After six weeks or two months they can increase the number gradually, and if this does not bring the desired increase in size and strength of arm, chest, and back, they can try dumb-bells weighing four or five pounds each. Out of doors, either in the latter part of the morning or afternoon, let them, in broad, easy shoes, walk for one hour, not at any listless two-mile pace, but at first as fast as they comfortably can, and then gradually increase the pace. In a fortnight or more they can make sure of three miles and a half at least, if not of four miles within the hour, and that without great fatigue. Girls should also learn to run. Few of them are either easy or graceful runners ; but it is an accomplishment quickly learned; and begun at a short distance and at a slow jog and continued until the girl thinks nothing of running a mile in seven minutes, and that without once touching a heel to the ground, it will do more than almost any other known exercise to make her graceful and easy on her feet, and also to enlarge and strengthen her lungs. If besides these things the girl or woman will determine that, as much as possible of the time each day in which she is sitting down, she will sit with head and neck up, trunk erect, and with her shoulders low, and that whenever she stands or walks she will at all times be upright) she will shortly find that she is getting to be far Btraighter than she was, that six- has a larger, finer chest than formerly, and that she can mure easily till her lungs. 270 Physiology and Hygiene. Anthropometey. The question naturally arises, What should be considered the normal development for a healthy adult. Up to fourteen, girls as a rule are slightly heavier and taller than boys, but after that time the average boy is larger than the girl of the same age. As a standard of comparison, and for learning what parts are deficient in one desiring symmetrical develop- ment, we add the following table by the courtesy of the Nar- ragansett Chest Weight Company: A TABLE Showing the Pbopeb Weight, Height, and Measurement of a Folly Developed Adult. 1 X *s PS J3 '3 S. 5 s d o Ee, ,3 H 3 5 ft. 5 " 1 in. 103-107 107-111 1H 32-33 33-34 29 29* S-i o 8^ °8 4 15 16 5 " 2 " 5 " 3 " 111-116 116-121 12 12£ 34-35 35-36 30 30£ 03 03 n 10 17 18 c3 5 " 4 " 121-127 13 36-37 31 +3 lOf 19 5 •' 5 " 127-133 13± 37-38 3l£ lof 11} 20 & . EM 5 " 6 " 133-140 14 38-39 32 21 5 " 1 " 140-147 m 39-40 321 p a 111 22 S a 5 " 8 " 147-155 15 40-41 33 111 23 c3 5 " 9 " 155-164 15* 41-42 33| B i4 24 a 5 "10 " 164-174 16 42-43 34 12j 25 5 "11 " 174-185 16$ 43-44 34| B 13 26 a 6 " 185-196 17 44-45 35 c3 13f 27 o3 OS Furthermore a few explanatory words should be added as to the exact methods which have been agreed upon for making these measurements: 1. Weight, if possible, should be taken without clothes, but where this is impracticable the weight of the clothing should be learned, and subsequently deducted. 2. JVeck girth should be taken by passing the tape around the neck just below "Adam's Apple." (See page 167.) The chest should be measured by a tape embracing it so as to pass over the lower part of the shoulder blades, with the Appendix. 271 arms held horizontally. Chest girth should be taken before and after inspiration. Waist should be measured at the smallest part after a nat- ural expiration. Biceps can best be measured by bending the arm hard at the elbow and holding it horizontally away from the body, passing the tape around the greatest prominence on the arm. Forearm is measured by the tape being passed around the largest part, the fist being firmly clenched and the palm of the hand turned upward. Thigh. Stand with the feet about six inches apart, with the weight equally distributed on each leg, and measure the thigh just below the nates. Calf. Stand as for measurement of thigh and take the measurement around the most prominent part of the calf. Furthermore, in addition to the measurements already pro- posed, special attention should be called to the defects most frequently found from the disproportionate use of the various parts of the body; for instance, the head is drawn oftener forward than backward, and hence as a rule the head is held too far forward. For similar reasons the muscles of the right arm tend to pull that shoulder down, except in the case of left-handed people, when the reverse is true. Lack of use of the muscles of the back converts the shoulder-blades into " wings," and thin, narrow waists come from lack of use of the waist muscles, etc. Important as are these defects in the adult, they are still more so in the growing child, where they are more easily remediable than in the adult. Physical Defects Common in Children and Adults. With children the most frequent of these defects, as noted by Dr. W. G. Anderson, are the following, concerning which it should be remembered that three months may possibly correct some, but that a year is oftener required to straighten round shoulders, and a longer time for a crooked spine. " After fifteen or sixteen years of age it is a long and 272 Physiology and Hygiene. tedioics task, and such as no one of that age will work at alone," says Dr. Anderson, after his wide experience in these matters, and hence the very great value of class work in the development of children. (a.) Head. — Droops forward. Carried on one side. (&.) Shoulders. — Round, stooped, or sloping. Right lower than left. In left-handed people the reverse is generally seen. The lower and inner border of the shoulder-blade is too prominent. (c.) Spine. — Lateral curve of the spine between shoulders. (d.) Arms. — The forearm larger in proportion than upper. (e.) Waist. — Small, narrow, and weak. (/.) Hips. — Thrown too far forward. (g.) Leg. — Developed more than thigh. (h.) Thigh. — Poorly developed on the back and inside. The exercises which have been found most helpful for the correction of the common defects of children are given, es- pecial pains having been taken to select those that can be performed without expensive apparatus. (a.) Head. — To correct drooping, move the head backward and sideward, but not to the front. Roll the head from left to right backward, and throw the head to the rear as far as possible, keeping it level. (b.) Shoulders. — To elevate a depressed shoulder, raise the arm, rigid, to the front or side. Draw the shoulder as high as possible. To draw the shoulders back, raise the arms to the front and force them back as far as possible, for any motion by which the hands come together back of the body is a good one. Place the hands on the hips, thumbs forward and fingers touching back, or clasp the hands back of the head and force the elbows back as far as possible. To return protuberant shoulder-blades to their places, any motion whereby the hands or arms are brought together behind the body is helpful, as are full swinging motions of the arms from front to rear. (c.) Spine. — Any movement that will level the shoulders Appendix. 273 will tend to cure lateral curvature and draw the shoulders to their proper position. To depress a shoulder, any movement whereby the hand is drawn to the side forcibly or to the front or back of the body. (d.) Arms. — To develop the front upper arm, any move- ment that will bring the hand to the shoulder or the shoulder to the hand. To develop the back upper arm, any movement that will push the hand from the shoulder or the shoulder from the hand. To develop the front forearm, any movement drawing the palmar surface of the hand toward the elbow and clinch- ing the hand. The back forearm, opening the hand. Drawing the back of the hand toward the elbow. To develop the chest, any movement where the hands are drawn to the front of the body. (e.) Waist. — Front, any movement that bends the body forward. Sides. Any movement that bends the body to one side will develop that side. Back. Bending the body backward. General rules: A rolling motion of the body on the hips. Twisting the shoulders to right or left. (f.) Hips. — To draw the hips back, bend the body forward and backward. Raise each knee as high as possible. Raise each leg without bending the knee. (g.) Legs. — Back. Any movement that raises the body on the toes. Front. Any movement that raises the toes. (h.) TJxigh. — Front. Any movement that pushes the heels from the hips or the hips from the heels. Back. Any movement that draws the hips to the heels or the heels to the hips. Inside. Any movement that crosses the knees in front or behind. (i.) Ankles. — The leg movements will strengthen the ankl< 12* 274 Physiology and Hygiene. Throw the ankles apart by bending feet to the side. Give a rotary motion to each foot when raised from the floor. (j.) Toes. — To cure what is commonly called "pigeon toes," or " toeing in," keep the heel on the floor, and, raising the toes of the right foot, turn them forcibly to the right as far as possible. (k.) Chest. — Cultivation of deep inspiration is exceedingly valuable in all cases of rickety or scrofulous children, or when there is any family history of consumption. Dr. Anderson recommends the use of the spirometer for this purpose. According to Hutchinson, the chief authority on the use of this instrument, persons should "blow" according to their height. It will be seen by glancing at the tables given that there is a difference of eight cubic inches for each inch in height. A Boy. In. height. 48 should Klow en. in. 70 In. height. 48 shoulc 49 " 50 " 51 " 52 « 53 " 54 " 55 " 56 " 57 " 58 " 59 " 60 " 61 " 62 " 63 " 64 " 65 « 66 " 67 " 68 " 69 " 70 " 71 " 72 " A Girl. blow en. in. 32 49 ii (i 78 ii 40 50 a << 86 ii 48 51 11 a 94 5 a 88 56 (1 (( <( u .... 134 142 a 96 57 a a 104 58 (( II ii a 150 158 112 59 a a a 120 60 61 a ii ii ii u <( ii ii ii (i 166 , . 174 182 190 198 128 136 62 63 64 a H a a a a a 144 152 160 65 66 67 68 <( (i a II << il ii li li ii ii a (( <( u it , , . 206 . 214 , 222 , , 230 238 . 246 , 254 262 168 176 184 192 69 70 71 72 (i a a a 200 208 216 224 Where a spirometer is not accessible excellent results may be obtained by the use of Julian Hawthorne's directions, Appexdix. 275 to inspire for seven steps and expire for the same time, or even, slow, deep inspirations and expirations (seven to eight per minute), through a quill or straw, are exceedingly valuable for the expansion of sunken chests. Such methods will slowly but surely broaden and deepen the chest of scrof- ulous, rickety, and consumptive children; and when con- joined with good plain diet — beef, eggs, and milk — and sen- sible clothing, will lengthen their days and build them up into the vigorous manhood and womanhood that it has been the aim of this book to inculcate as the duty and privilege of all tenants of the " House Beautiful." INDEX. Abdominal aorta, 59. Abdominal cavity, 58. Abdominal muscles, to develop, 265. Abdominal viscera, 58. Absorbents of intestine, 94. Abstinence, value of, 83. Adam's apple, 167. Adenine, 148. Adipocere, 54. Adulteration of food, 87, 88. Aerobians, 242. Air-cells, 151-158. Albuminoid ammonia, 69. Albuminoid foods, 80. Albuminoids of body, 74. Alcohol, 13. Alcohol as a medicine, 85. Alcohol as a food, 84. Alcohol and cold, 85. Alcohol and co-ordination, 202. Alcoholic fermentation, 233. Alveoli, 151. American voice, 171. Ammoniaphone, 172. Amount of food, 62. Anaemia, 110. Anaerobians, 242. Anastomoses, 124. Aniline colors, 241. Anorexia, 83. Anterior root of cord, 191. Anthrax, 243. Antipathies, 115. Antiseptic surgery, 249. Anvil of ear, 205. Aorta, 127. Apoplexy, 118. Arachnoid, 189. Arbor vitae, 203. Areolar tissue, 21. Ami, divisions of, 44. Arteries, 124. Arterial hemorrhage, 123. Artificial eggs, 89. Arytenoid ciurtilages, 167. Asphyxia, 106,156. Atoms, VJ.r>. Atrophy of muscle, 50. Audible sounds, 208. Auricles of heart, 121. Automatic centers, 202. Axillary arteries, 127. Bacilli, 241. Bacillus anthracis, 239. Bacillus lepra?, 239. Bacillus malarias, 239. Bacillus subtilis, 239. Bacillus tuberculosis, 244. Backbone, 41. Bacteria, multiplication of, 232. Bacterium termo, 239. Bad air, 154. Bad breath, 134. Bad taste in mouth, 133. Basement membrane, 14. Bass voice, 169. Bathing, 135. Beef, chemistry of, 63. Beer, action of, 54. Biceps, to develop, 262. Bile, 66, 81, 146. Bilious attack, 145. Black death, 136. Bleached butter, 88. Bleached hair, 17. Bleeders, 99. Bleeding, 147. Blisters, 132. Blood, 66, 106. Blood clot, 98. Blood placques, 109. Blood plasma, 99. Blood serum, 95. Blushing, 128. Body building, 257. Boils, 147. Bones, 66. Bones at Cologne, 35. Bone cells, 36. , Bone fertilizer, 37. Bone gelatine, 36. Bow legs, 32. Brachial arteries, 127. Brain, the, 200. Brain fever, 209. 278 Physiology and Hygiene. — Index. Bread, chemistry of, 65. Breast-bone, 40. Bright's disease, 141. Bronchi, 127. Bronchial arteries, 127. Bronchioles, 151. Bronze age of man, 26. Bush, the burning, 152. Business men, exercise for, 259. Butter, adulterations of, 87. Butterine, 87. Calcium, quantity of, 61. Calcium phosphates, 74. Camera, of the eye, 184. Canaliculi, 35. Cancellated bone, 34. Canned fruits, 231. Capillaries, 124. Carbo-hydrates, 72. Carbon, 61, 153. Carbonaceous foods, 91. Carbonates of the body, 73. Carbon dioxide, 73, 116, 153. Care of the ear, 208. Care of the eyes, 185. Care of the skin, 137. Carotid arteries, 127. Cartilage, 21, 31, 66. Casein, 81. Catalepsy, 183. Catarrh, 130. Catching cold, 129. Cause of sickness, 114. Cerebellum, 190, 192. Cerebro-spinal system, 187. Cerebrum, 188. Chemical affinity, 62. Chemistry of bones, 36. Chest, bones of, 58. Chest, to develop, 259, 260. Chicken cholera, 242. Chicken gizzards, 82. Chilliness, 129. Chinese dwarfs, 32. Chinese false teeth, 77. Chinese feet, 32. Chinese physicians, 114. Chloride of sodium, 74. Chlorides of the body, 73. Chlorine in body, 61. Chloroform, 240. Cholera, 68, 245. Choroid coat, 178. Chrondrogen, 74. Chyme, 81. Chyle, 66, 94, 97. Cicatrix, 102. Cigarette-smoking, 120. Cilia of microbes, 240. Ciliated epithelium, 151. Circulation, course of, 122. Circulation in lymphatics, 97. Circumvallate papulae, 165. Clergymen's sore throat, 172. Coagulation, 98. Coal-tar colors, 240. Coats of artery, 125. Coccyx, 44. Coeliac axis, 59. Coffee, 89. Cold, 229. Colds, treatment of, 131. Collar bones, 40. Color-blindness, 181. Color of hair, 16. Common sense shoes, 39. Complementary colors, 180. Composition of foods, 63. Cones of kidney, 142. Congestion, 128. Congestion of the lungs, 118. Connective tissue, 21. Constituents of the body, 61. Consumption, 159, 245. Convulsions, 48. Cooking, 74. Co-ordination, 201. Corium, 14. Corned beef, 88. Corpus callosum, 188. Corns, 19. Corsets, 39. Cortex of kidney, 142. Cosmetics, 20. Coughing, 159. Cowlicks, 16. Cramp, 48. Cranium, 188. Cribriform plate, 173. Cricoid cartilage, 167. Critical periods of life, 27. Cuckoo bone, 44. Culture- fluids, 238. Curd of milk, 79. Curdling ferments, 81. Curling of hair, 16. Cuts and wounds, 20. Daily shrinking, 41. Dairy products, chemistry of, 63. Dandruff, 17. Dangerous water, 70. Dead teeth, 77. Deafness, 208. Death, modes of, 228. Delicacy of smell, 174. Dessicated eggs, 89. Dextrine, 81. Diaphragm, 57, 58, 160. Physiology and Hygiene. — Index. 279 Diaphragm, rupture of, 161. Digestion, 81. Diphtheria, 150. Dirty saints, 135. Division of cells, 33. Double tube, man, 57. Dress reform, 114. Drink, amount of, 66. Drinking water, 69. Dropsy, 22. Drowsiness, 153. Drum of the ear, 205. Duodenum, 59. Duke of Gloucester's bath, 138. Dura mater, 189. Dyspepsia, 60, 81. Earache, 206. Ears, 205. Earthy salts of bone, 36. East Indian fakirs. 50. Eburnated bone, 34. Eggs, chemistry of, 63. Egyptian mummies, 230. Elastic tissue, 66. Elbow joint, 57. Emulsive ferment, 81. Enamel of teeth, 76. Encephalon, 187. Endothelium, 125. Enlarged glands, 96. Epidermis, 13. Epiglottis, 167. Epithelial scales, 10. Epithelium, 132. Erythopsin, 180. Etruscan kings, 230. Eupepsia, 81. Excretion, 137. Exercise, 51, 257. Exercise for girls, 111. Exercise, time for, 258. Eyeball, 177. Evebrows, 177. Eyelids, 177. Face bones, 43. Faith-cures, 251. Fainting, 115. False teeth, 77. Fascia, 22, 46. Fat, 66. Fat, advantages of, 52. Fat cells, 52. Fats as food, 72. Fatigue, 229, 258. Fatty degeneration, 51. Feathers, 16. Fermentation, 234. Fibero of Corti, 807. Fibrine, 74, 98. Fibrinogen, 98. Fibrinoplastin, 98. Fibro-cartilage, 21. Filiform papillae, 165. Filling teeth, 77. Filth and sanctity, 135. Finger-nails, 18. Fingers, to strengthen, 261. Fire, 229. First intention healing, 102. Fish foods, chemistry of, 64. Fission of microbes, 242. Flannels, 141. Floating ribs, 40. Flour, adulterations of, 87. Flourens' law, 26. Flowers, odor of, 175. Fluorides of the body, 73. Fluorine, quantity of, 61. Flying, 43. Food, 61. Food as fuel, 72. Food, quantity of, 83. Foods, division of, 72. Foods for microbes, 242. Fore-arm, to strengthen, 262. Fossil bones, 25. Fowl, chemistry of, 63. Fractures, 57. Fragility of bones, 42. Free acids of the body, 73. French heels, 39. Fungiform papillse, 165. Funnels of kidney, 142. Furred tongue, 18. Gall bladder, 59. Ganglia, 187, 201. Ganglia of the heart, 187. Gases of the body, 61. Gastric juice, 79. Gelatine, 23. Gemmation, 233. General death, 227. Germinal matter, 11. Gilding the skin, 139. Globulin, 74. Glottis, 168. Glucose, 81. Glue, 36. Gluttony, 60. GoMen age of man, 26. Goose-skin, 16. Granulation, 103. Gray substance of the brain, 189. Grip, to strengthen, 261. Growth of the body, 27. Haematoblasts, 108. Haemoglobine, 107. 280 Physiology and Hygiene. — Index. Hair as evidence, 15. Hair dyes, 17. Hair follicle, 15. Hairs, number of, 9. Hammer of the ear, 205. Hand, to develop, 260. Harmless germs, 247. Haversian canals, 35. Hay fever, 176. Headache, 153. Healing of a wound, 101. Heart disease, 117. Heart sounds, 116. Heart, weight of, 121. Heat and spores, 238. Heat apoplexy, 140. Heat centers, 92. Heat of the body, 92. Height and weight, 28. Hemispheres of the brain, 188. Hiccough, 160. High heels, 113. Hoarseness, 129. Hole, Black, of Calcutta, 153. How to grow old, 27. Hunger, 229. Hyaline cartilage, 32. Hydration and digestion, 80. Hydrogen, 61, 73. Hydrophobia, 245. Idiosyncrasies, 166. Immunity from disease, 245. Infant digestion, 78. Infant foods, 79. Inflammation, 103. Inhalation battery, 171. Innominate artery, 127. Inorganic constituents of body, 73. Inorganic food, 73. Insalivation, 78. Insomnia, 196. Integument, 10. Inter vascular spaces, 125. Intervertebral disks, 41. Intoxication, 149. Inverted sugar, 81. Invertin, 81. Involuntary muscles, 46, 47. Iron age or man, 26. Iron in body, 61. John "Wesley's questions, 82. Joints of the body, 57. Karyokinesis, 12. Keep your mouth shut, 150. Keratin, 74. Kidneys, 66, 141. Kidney dise,ase, 141. Kissing, danger of, 163. Kitchen of the body, 60. Labials, 164. Lachrymal duct, 177. Lachrymal gland, 176. Lacteals, 80, 94. Lacunae of bone, 35. Lamellae of bone, 35. Leptothrix, 241. L'archee, 230. Laryngoscope, 168. Larynx, 167. Latticed hone, 34. Laughing, value of, 162. Leaky heart, 1 23. Leberwurst, 88. Legs, bones of, 44. Leucocytes, 104. Leucoamines, 148. Ligaments, 56. Light, sensation of, 179. Limit of work, 49. Liver, 59, 66. Living skeletons, 22. Local death, 226. Location of heart, 58, 120. Loins, to strengthen, 264. Long bones, 33, 37. Longevity, increase in, 26. Loose teeth, 77. Lower leg, to develop, 266. Lungs, 156, 157, 158. Lymph, 66, 95. Lymphatic glands, 95. Lymphatics of bone, 35. Macula lutea, 178. Maggots, 232. Magnesium, quantity of, 61. Malaria, 245. Malphigian capsule, 141. Manganese, quantity of, 61. Marsh gas, 73. Mastication, 75. Mastodon soup, 36. Measles, 245. Mediastinum, 156. Medulla oblongata, 190. Medulla of kidney, 142. Membranes of the brain, 189. Membrane of the ear, 205. Metalloids of the body, 61. Microbes, 103, 230. Micrococcus, 241. Micrococcus septicus, 239. Microcytes, 109. Microscopic eggs, 233. Middle ear, 206. Milk, 66, 79. Physiology and Hygiene. — Index. 281 Milk, digestion of, 79. Milk teeth, 75. Mitral valve, 122. Molars, 78. Molecules, 252. Mouth breathing, 151. Mucous membrane, 132. Mucus, 66. Muscle, 45, 66. Muscles, number of, 45. Muscles, naming of, 45. Muscular fibers, 46. Muscular sense, 183. Music and color, 179. Mustard, 73. Mutton, chemistry of, 63. Mycoderma, 241. Myopia, 182. Nasal inhalation, 151. Neck, bones of, 43. Nerves, 66. Nerve cells, 189. Nerve force, 193. Nerve structure, 186. Nerve tire, 197. Nerve tuner, 195. Nervous dyspepsia, 83. Neuralgia, 111, 197. Neurasthenia, 198. Nutritious food, 86. Nitrates of the body, 73. Nitrogen, 73. Nitrogen, quantity of, 61. Nitrogenous food, 72. Non-nitrogenous foods, 72. Norris's corpuscles, 108. Noses, study of, 31. Odor of water, 69. Old men, 26. Old bones, 25. Oleomargarine, 88. Olfactory nerve, 173. Optic nerve, 178. Optic thalamus, 192. Orbit, 178. Organic germs, 246. Osmic acid, 176. Ossification of cartilage, 33. Ostein, 74. Osteoblasts, 33. Overworked muscles, 50. Oxygen, 73, 153. j ii and fermentation, 234. Oxygen, quantity of, 61. Packing of i.erves, 203. Pain of dying, 228. Pancreas, 59. Pancreatic diastase, 81. Pancreatic fluid, 81. Papillae of fingers, 14. Paralysis, 54. Parotid gland, 78. Patent foods, 86. Pearl powder, 43. Pelvis, 33, 44. Pepper, 73. Pepsin, 79, 81. Peptic glands, 79. Peptone, 79, 80. Pericardium, 120. Perimysium, 56. Perivascular spaces, 96. Perspiration, 138. Perspiration, amount of, 140. Pharynx, 166. Phosphates of the body, 73. Phosphorus, quantity of, 61. Phrenology, 42. Pia-mater, 190. Pitch of voice, 168. Plague, 135. Plethora, 110. Pleura, 156. Plexus, 186. Plumpness, 51. Pomatum, 16. Poor teeth, 75. Pork, chemistry of, 63, 75. Posterior roots of cord, 191. Potable water, 69. Potassium, quantity, 61. Potatoes, 74. Prespyopia, 181. Price of food, 90. Protoplasm, 12. Psychic force, 202. Ptoamines, 148. Pty aline, 81. Pulmonary arteries, 122. Pulmonary veins, 122. Pulse, 123. Purkinje, substance of, 186. Pus, 20, 103. Putrefaction, 231. Pylorus, 59, 81. Quarantine, 136. Rameses II., 24. Rain-water, 69. Red corpuscles, 104, 105, 106. Red corpuscles, origin of, 110. Regulation of heat, 140. Reins, 141. Residual air, 158. Respiration, 152. Respiratory centers, 202. 282 Physiology and Hygiene. — Index. Retina, 178. Ribs, number of, 40. Rickety children, 42. Rigor mortis, 47. River water, 69. Rods and cones, 178. Root of tbe lungs, 157. Roses, odor of, 176. Running, 269. Sacrum, 33. Saliva, 66, 75, 78. Salivary diastase, 81. Salivary glands, 78. Salt, common, 74. Salts and coagulation, 100. Saratoga chips, 89. Sarcina, 239. Sarcolemma, 56. Sausages, 88. Scapula?, 43. Scarf skin, 13. Scarlet fever, 245. Scars, 20. Scent, 173. Schwann, substance of, 186. Sclerotic coat, 182. Scrofula, 96. Scurvy, 87. Sebaceous glands, 15. Secretion, 137. Semicircular canals, 206. Semilunar valves. 122. Sensibility of retina, 180. Ser-albumen, 74. Sewer-gas poisoning, 154. Sex, relation to coagulation, 100. Shadoof, the, 116. Shafts of long bones, 34. Shaving, 172. Sheep tag, 243. Shoulder-blades, 43. Shoulders, to develop, 263. Sick headaches, 82. Sighing, 160. Sight without eyes, 183. Sigmoid flexure, 150. Silkworm disease, 243. Singing, 159. Sinuses of the brain, 188. Sinews, 56. Six-year molars, 76. Skeleton, 25, 33. Skin, 66. Skull, a box, 42. Skull, arches of, 42. Slang, 194. Sleep, 195. Sleeping-rooms, 154. Smelling, 173. Sneezing, 160. Snoring, 160. Sobbing, 160. Soda water, 152. Sodium, in body of, 61. Soft palate, 166. Sound waves, 169. Spaltpilze, 239. .Speaking machines, 170. Speech, 164. Spinal column, 41. Spinal cord, 41, 66, 191. Spinal curvature, 42. Spinal fluid, 66. Spirilla?, 241. Spirillum volutans, 239. Spleen, 59, 66. Sponge baths, 140. Spongy bone, 34. Spontaneous generation, 232. Spores, 238. Sprains, 57. Spring fever, 147. Spring water, 69. Squinting, 181. Stairs, 39, 258. Stale clothing, 138. Standing, 34, 37. Starches, digestion of, 81. Starchy foods, 74, 80. Stepping, 38. Sterilization, 238. Stimulants, 84. Stomach, 59. Stomach bitters, 134. St. Vitus dance, 48. Sublingual glands, 78. Subclavian arteries, 127. Submaxillary glands, 78. Sudoriferous glands, 137. Sugar, 90. Sulphates of the body, 73. Sunstroke, 140. Sulphureted hydrogen, 73. Supplemental air, 158. Sweat glands, action of, 138. Sweating sickness, the, 137. Synovial fluid, 31. Sympathetic nerves, 93. Sympathetic nervous system, 187 Table manners, early English, 136. Tactile corpuscles, 14. Taste, 165. Taste of water, 70. Tear jugs, 177. Tears, 137, 177. Teeth, 66, 75. Telephones, 205. Temperature and coagulation, 100. Physiology and Hygiene. — Index 283 Temperature of rooms, 155. Tendon, 56. Tenor, i69. Thigh, to develop, 267, 268. Thennogenesis, 92. Thermolysis, 92. Thermotaxy, 92. Third corpuscles, 108. Thirst, 67, 229. Tidal air, 158. Tight collars, 172. Timbre of voice, 171. Thoracic cage, 40. Thoracic duct, 94. Throat, 166. Thyroid cartilage, 167. Toasting, 75. Tobacco heart, 118. Toothache, 76. Tongue. 164. Tongueiess speech, 165. Tonsils, 150. Torula, 241. Trachea, 127. Tricuspid valve, 121. Triceps, to strengthen, 261. Trypsin, 81. Tunics of the eye, 178. Turbinated bones, 173. Typhoid fever, 68, 245. Tyndall's experiments, 237. Upper back, to develop, 264. Uraemia, 144. Urea, 144. Uriniferous tubules, 142. Uric acid, 144. Urine, 142. Valves in veins, 126. Value of pain, 249. Varicose veins, 126. Veal, chemistry of, 63. Vegetables, chemistry of, 64. Veins, 125, 126. Velocity of nerve force, 193. Vena cava, 94. Ventilation, 154. Ventricles of the brain, 188. Ventricles of the heart, 122. Vertebras, 41. Vertigo, 110. Vocal cords, 167, 168. Vocal culture, 208. Voice, 164. Voice, range of, 169. Volition, 192. A'oluntary muscles, 45. Vibrations in ear, 207. Vibrio serpens, 239. Vision, red, 180. Vitality of spores, 238. Wakefulness, 196. Waist, to strengthen, 268. Walking, 38, 39, 111. 112. Water, 68, 73. Water proportion in body, 66. Water tests, 71. Weight and height, 28. Weight of dried body, 66. Well-water, 71, 72. Whisky bronchitis, 134. White blood corpuscles, 103. Wigs, 17. Windpipe, 151. 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