It must be remembered that anything which creates a greater activity of
the tissues, such as muscular exercise, liberates a greater amount of
heat. The reverse is also true;—a decrease in the amount of muscular
movement means a decrease of heat liberated. During exercise, a large
amount of fat, protein, and dextrose (sugar) are released by the
movements and oxidized; the liberated heat is carried to all parts of
the system and the temperature is raised. Mental work, for the same
reason, tends to raise the body temperature, though to a much less
degree. Food in the alimentary canal causes an activity in the glands
of the digestive organs and also increases the temperature.
Of course, while digestion and mental and muscular activity are at
their height, the body temperature is highest. These activities usually
reach a maximum in the afternoon and the temperature is then highest,
while, as a rule, it decreases from about six at night until four or
five in the morning, when it is usually at its lowest ebb. This is a
point of importance to physicians. Even five degrees above the average
human temperature, if recorded about six at night, is not considered
abnormal.
Anything which causes an increase in heat radiation, as perspiration,
lowers the temperature, and the open pores of the skin are valuable
aids in equalizing the body heat. A person who perspires freely does
not suffer with heat, during excessive exercise, as does one whose
pores are closed.
One ready means of regulating the body heat is the _bath_. If one takes
a hot bath, the temperature is materially raised by the artificial
heat, but there is a recompense in the increase of heat radiation from
the skin. If one takes a cold bath, the immediate effect is cooling,
but the activity set up within, to create a reaction, soon heats the
body to a greater degree than before the bath. The best way to increase
the evaporation and thus decrease the temperature of the body is with
a tepid shower or a tepid sponge. The tepid water is not so extreme
as to create a strong reaction and it will cause a marked decrease in
temperature. Thus, for fever patients or for a warm day, the tepid
shower or sponge is commended; for a cold day, or for the individual
whose circulation is sluggish, the cold bath is desirable. Where the
vitality is low, so that there is not sufficient reaction, the bath
must be tempered.
Heat generation is also increased by solid foods that require more than
normal activity on the part of the glands for digestion. For this
reason the food for fever patients should be that most easily digested
and should be reduced to the minimum to keep up the strength.
Diuretic foods and beverages, which increase the activity of the skin
and the kidneys, also tend to lower the body temperature.
Public-domain text, read in full here on John Shaqi.
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