The Atlantic Monthly, Volume 11, No. 68, June, 1863: A Magazine of Literature, Art, and PoliticsVarious
Science
The Atlantic Monthly, Volume 11, No. 68, June, 1863: A Magazine of Literature, Art, and Politics
Various
American periodicals
Many exercises have been advised with reference to general health and
strength. I submit a series possessing peculiar virtues for the
consumptive. To him all exercises are not equally profitable. Ten
movements of a sort adapted to his special needs are worth a hundred not
so adapted. He has a narrow chest and drooping shoulders. This
distortion results in displacement of the lungs. And yet he may have
legs and hips comparatively vigorous. Ten movements concentrated upon
those muscles whose deficiency permits the drooping of the shoulders
will be more valuable than a hundred for the legs. There are several
hundred muscles in the human body. In every case of consumption certain
groups of these muscles are defective. Restoration of the lost symmetry
calls for those exercises which will develop the defective groups.
Prescribing a walk for a patient whose legs are already vigorous, but
whose arms and shoulders are contracted and weak, is like prescribing a
medicine because it _is a medicine_, without regard to the nature of the
malady.
A blister applied to the chest relieves pain within. It accomplishes
this by drawing the blood to the surface, and thus subtracting from the
congestion at the point of disease. If the blister were applied to the
foot or leg, it would not sensibly relieve the congestion in the chest.
If, instead of applying a blister, we use exercise as the remedial
measure, and by drawing blood into the muscles we would relieve the
congestion within, the importance of subtracting from the vessels which
bear the blood to the diseased part is not less than in the case of the
blister. For the relief or cure of disease in any of the chest organs a
few well-directed movements of those muscles about the chest which lack
circulation will accomplish more than hours of walking.
The intelligent physician, in prescribing muscular training, will not
say, simply and generally, "I advise you to exercise," but he will
indicate the particular exercises applicable to the case. He will first
thoughtfully ask, "What group of muscles is defective?" When he has
answered this question accurately, he is prepared for a second,--"What
exercises will bring into direct training the defective group?" When
these points are settled, he can direct the training wisely. To
recommend horseback-riding--good as it is--for _all_ consumptives, is
not a whit more discriminating than to prescribe a particular variety of
food for all invalids. The medical man who has a general formula for a
certain class of patients is hardly more thoughtful than the vender of
the "all-healing ointment."
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