In Mr. Edgerton's case the gradual descent to 1/2 grain per diem, when
we leave off the opium entirely, consumes let us say a period of one
month. It is not to be expected that this period will pass without
considerable discomfort and some absolute suffering, for the nervous
system can not be dealt with artfully enough to hide from it the fact
that it is losing its main support. It is the nature of that system
not even to rest content with the continuation of the same dose. It
grows daily less susceptible to opium and more clamorous of
increase. When the dose does not even remain _in statu quo_ but
suffers steady diminutions however small, the nerves can not fail to
begin revenging themselves. Still, this period may be made very
tolerable by keeping the mind diverted in every pleasant occupation
possible, such as I shall presently refer to as abounding on our
Island. Our physical treatment for the month is especially directed to
the establishment of such healthy nutrition and circulation as shall
provide the nervous system with a liberal capital to for at least the
first ten days or fortnight after the complete abandonment of
opium. The patient's digestion must be carefully attended to, and kept
as vigorous as is consistent with the still continued use of the
drug. Beef-tea, lamb-broth with rice, all the more concentrated forms
of nutriment, are to be given him, in small quantities at a time, as
frequently as his appetite will permit; and if progressive gastric
irritability does not develop itself as the diminution of the narcotic
proceeds, he is to have generous diet of all kinds. We must pay
particular attention to the excretory functions--getting them as
nearly as possible in complete working order for the extra task they
have presently to fulfill when the barriers are entirely withdrawn and
the long pent-up effete matters of the body come rushing forth at
every channel. The bowels must be trained to perfect regularity, and
the skin roused to the greatest activity of which it is capable.
Exercise, carried to the extent of healthy fatigue, but rigorously
kept short of exhaustion, may be secured in our bowling-alley,
gymnasium, and that system of light gymnastics perfected by Dio
Lewis--a system combining amusement with improvement to a remarkable
degree, as being a regular drill in which at certain regular hours all
those patients, both ladies and gentlemen, who are able to leave their
rooms, join under the command of a skillful leader to the sound of
music. This system has an advantage, even for well people, with its
bars, poles, ropes, dumb-bells, etc., inasmuch as it secures the
uniform development, on sound anatomical and physiological principles,
of every muscle in the human body, instead of aiming at the
hypertrophy of an isolated set. I do not mean by this to deny the
value of the old style gymnasium, our Island will possess as good a
one as any athlete could desire. Horseback riding will form another
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