The _immediate_ effect of a cold bath is to chill the _surface_ of
the body, the temperature of which, as tested by a thermometer, may
fall several degrees. At the same time there is produced a pallor of
the surface and goose-skin. While the surface is cooled, however,
the blood itself undergoes an increase of temperature, due to an
increase of the combustion processes going on in the body, of which
we get additional evidence in the increase of the rate of the pulse
and respiration, and an augmented discharge of carbonic acid from the
lungs. There is a sudden sense of chilliness, and this impression, made
upon the nerves of the skin, produces, by its action on the brain and
spinal cord, some slight mental excitement and shivering of the limbs.
After the bath has been continued some little time the temperature of
the blood falls (sometimes as much as three or four degrees), the pulse
and respiration get slow, the shivering gives place to lassitude, and
the mental excitement to listlessness. On removal from the bath the
phenomenon of “reaction” sets in. The vessels of the skin enlarge, the
chilliness gives place to warmth, and the feeling of uneasiness is
succeeded by a sense of comfort. This reaction follows most quickly
when the bath is of short duration, and when its effects are suddenly
induced. The shorter the bath the less is the ultimate depression of
the temperature of the blood. The shorter the bath the greater is its
power of _stimulating_ function; the longer it is continued the greater
is the effect of _cooling_.
The effect of a _warm_ bath is to raise slightly the temperature of the
surface and the temperature of the blood. The pulse and respiration are
both quickened, and the escape of carbonic acid from the lungs is also
increased. The blood-vessels of the skin get dilated, and the surface
is reddened in proportion to the heat of the water. Warm baths of a
moderate temperature can be borne for a longer time than cold baths;
but if the temperature be too high, and the bath too long-continued,
faintness is liable to occur. On removal from the hot bath the skin
is in a very delicate and susceptible state, and the vessels are
liable to “re-act” in the direction of extreme contraction, in which
case dangerous internal congestion may occur. If, however, the skin
be protected, and the patient be placed in a warm room, or in bed,
a violent perspiration will ensue. In the cold bath the muscles are
liable to become stiff; but in the warm bath a stiff and fatigued
muscle will resume its suppleness. After a hard day’s hunting a warm
bath is a well-known and agreeable luxury.
Public-domain text, read in full here on John Shaqi.
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