_Local Cold Bathing_.--The genital organs should be daily bathed in
cold water just before retiring. Simply dashing water upon the parts
for two or three minutes is insufficient; more prolonged bathing is
necessary. A short application of cold occasions a strong and sudden
reaction which increases local congestion; hence, the bath should be
continued until the sedative effect is fully produced, which will
require at least fifteen minutes. The water must be cold; about 60
degrees is the best temperature. Ice should be used to cool the water
in warm weather. It should be applied thoroughly, being squeezed from
a sponge upon the lower part of the abdomen and allowed to run down.
_Enemata_.--The use of the enema is an important means of aiding
recovery, but it has been much abused, and must be employed with caution.
When the bowels are very costive, relieve them before retiring by a
copious injection of tepid water. The "fountain syringe" is the best
instrument to employ.
Useful as is the syringe when needed, nothing could be much worse than
becoming dependent upon it. The bowels must be made to act for
themselves without such artificial assistance, by the use of proper
food, especially graham flour and oatmeal, and the avoidance of hot
drinks, milk, sugar, and other clogging and constipating articles; by
wearing the abdominal bandage; by thorough kneading and percussion of
the abdomen several times daily for five minutes at a time; by taking
one or two glasses of cold water half an hour before breakfast every
morning; and by plenty of muscular exercise daily. The enema should
be used occasionally, however, rather than allow the bowels to continue
costive, and to avoid severe straining at stool.
A small, cold enema taken just before retiring, and retained, will often
do much to allay local irritation.
_Electricity_.--Probably no single agent will accomplish more than
this remedy when skillfully applied. It needs to be carefully used,
and cannot be trusted in the hands of those not acquainted with the
physical properties of the remedy and scientific methods of applying
it.
_Internal Applications_.--Complete and rapid success greatly depends
upon skillful internal treatment, in a large number of cases. We are
aware that there is considerable prejudice, in certain quarters,
against internal treatment; but having had the opportunity of observing
the effects of careful treatment applied in this way, and having put
to the test of practical experience this method, we feel justified in
recommending that which is approved on both theoretical and practical
grounds; for it is rational to suppose that proper treatment applied
directly to the seat of disease must be at least equally efficacious
with methods less direct.
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