strength, but a tepid cleansing bath, with the temperature from five to ten degrees below that of the body. There is no occasion to stay in the bath a moment longer than to obtain a free ablution; then the patient should rapidly but effectually dry himself all over with a rough towel, and dress with the flannel garment undermost.
The clothes of the patient should be scrupulously clean; the underclothing should be changed every day.
Rule IX. Abstinence from all Habits of Gross Sensual Indulgence is an Essential Part both in the Prevention and the Cure of Consumption.—I need not particularize the vicious sensual indulgences to which many of human-kind habituate themselves; for as suggestive descriptions are better left unwritten for those who are ignorant of sensual indulgences, so for those who require to be forewarned no such descriptions are demanded, since they know too much already. In a word, I should say that, the grosser the sensuality indulged in, the greater is the physical evil resulting from it. Let the consumptive, at least, bethink themselves what vices affect and prostrate most, and then with strong mind and will give them up altogether.
To those who have charge of the young, no duty is so imperative as that of carefully watching over the physical interests. Let these make it their first care to prevent the tendency to sensual debasement. In large schools, a little attention and firmness on the part of teachers and governors, with the assistance of medical supervision, would obviate a host of life-long evils.
Rule X. The Diet of Consumptive Patients should he ample, and should contain a Larger Proportion of the Respiratory Constituents of Food than is required in Health.—The appetite of consumptive patients is very capricious, and daily grows more so if it be not sharpened up by exercise. When the food taken is not applied to the purposes of nutrition, it is better left untasted; for otherwise it lies undigested in the alimentary canal, and sets up a serious train of dyspeptic symptoms, nausea, and diarrhoea. Kind friends often, with the most provoking and mistaken good-nature, thrust upon the consumptive relays of the most improper food, because the necessity for nourishment is so obvious. But the fact is that, when the lungs are acting indifferently, digestion can not go on actively, since, as Arbuthnot well observed, respiration is "the second digestion." Hence the quantity of food taken by the consumptive person should be small at each meal; but the meals may, if the sensations of the patient require it, be more frequent than in health. Of animal foods, mutton is the best. Fatty and oily foods, which constitute the respiratory class, should predominate, and fresh butter, with bread, may be taken almost ad libitum, so long as it agrees with the stomach. Cream, too, is excellent, and the luxury of curds and cream is very suitable. Milk, whenever it suits, is advisable as a constant drink-food, and good cows' milk, new, answers every purpose. There are, as far as I can gather from numerous
