Cold water is sometimes of use when locally applied, and seems to act
as a wholesome stimulant to parts which have become stiffened by want
of use, such as strained and sprained joints. In some skin diseases
benefit will be derived by the use of cold water. This is particularly
the case in itching of the skin or _Prurigo_, and _Acne_.
Warm baths are far more generally useful in diseases than cold baths.
For the removal of the thickenings around joints, which have been
caused by gout or rheumatism or “rheumatic gout,” bathing in tepid or
hot water is justly considered as a powerful means of alleviation,
and as a valuable accessory to treatment by diet and regimen. The hot
water of Bath and the tepid water of Buxton have long enjoyed a great
reputation for gout and rheumatic gout, and there are many baths on
the Continent, which have a reputation, equally high, in the treatment
of these affections, such as _Teplitz_, _Gastein_, _Wiesbaden_, and
_Wildbad_. The treatment of gout by bathing is usually aided by the
internal administration of mineral water, but into this question we are
unable to enter, notwithstanding its great importance.
For exudations round joints, which have arisen from causes other than
gout and rheumatism, warm bathing is of very great service, as well as
in relieving the stiffness and thickenings which sometimes occur as the
result of severe wounds.
For _paralysis_ warm bathing is often of great use, provided the cause
of the paralysis be a removable one. Formerly, the principal method of
treating cases of lead paralysis occurring in the cider counties of the
West of England, was the sending of the patient to the warm springs at
Bath, and the results were generally very good. There are many forms
of paralysis which could not be benefited by treatment with hot water
or anything else; but it is impossible, in an elementary treatise, to
enter into a question requiring a high degree of medical knowledge for
its proper appreciation.
For neuralgia, sciatica, lumbago, and many forms of muscular
rheumatism, hot bathing may be employed with advantage.
For Bright’s disease of the kidneys, warm baths, vapour baths, and
Turkish baths, are all employed with benefit.
An occasional Turkish or hot bath is a very great aid to the well-being
of dwellers in cities who get an insufficiency of air and exercise,
since it produces an activity of the skin which can only be brought
about by such means or by violent exertion.
A common cold may sometimes be cured by means of a Turkish bath. To
bring about this result, however, the treatment must be applied in
the very earliest stages of the disease, when the slight tension in
the head, or a trifling feeling of chilliness, is warning the patient
of his coming trouble, and before the running of the eyes and nose
has thoroughly set in. A Turkish bath in this very earliest stage of
a cold will sometimes cut the disease short, but such a result is,
unfortunately, by no means invariable.
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