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I
The first step towards the reduction of disease is, beginning at the
beginning, to provide for the health of the unborn. The error, commonly
entertained, that marriageable men and women have nothing to consider
except wealth, station, or social relationships, demands correction.
The offspring of marriage, the most precious of all fortunes, deserves
surely as much forethought as is bestowed on the offspring of the lower
animals. If the intermarriage of disease were considered in the same
light as the intermarriage of poverty, the hereditary transmission of
disease, the basis of so much misery in the world, would be at an end in
three or at most four generations.
II
Greater care than is at present manifested ought to be taken with women
who are about to become mothers. Wealthy women in this condition are
often too much indulged in rest and are too richly fed. Poor women in
this condition are commonly underfed and made to toil too severely. The
poor, as we have seen, fare the best, but both, practically, are badly
cared for. Nothing that is extraordinary is required for the woman
during this condition named. She needs only to live by natural rule. She
should retire to rest early; take nine hours' sleep; perform walking or
similar exercise, to an extent short of actual fatigue, during the day;
partake moderately of food, and of animal food not oftener than twice in
the day; avoid all alcoholic drinks; take tea in limited quantities;
forego all scenes that excite the passions; hear no violence of
languages, be clothed in warm, light, loose garments; and shun, with
scrupulous care, every exposure to infectious disease.
III
In meeting the uncontrollable causes of disease the special influence of
season deserves particular regard. It should always be remembered that,
other things being equal, during winter the body loses, during summer
gains in weight. Further, it should be remembered that these changes are
abrupt: that usually the loss commences, sharply, in September and lasts
until April, and that the gain commences in April and lasts until
September. In September, though the weather even be warm, it is right,
therefore, to add to the clothing and to commence a little excess of
food. In summer it is right not only to reduce the clothing, but to eat
less food than in winter.
IV
The best means of preventing the spread of the communicable diseases is
perfect and instant isolation of the affected, and removal and thorough
purifying of all clothing and bedding with which the affected have come
in contact. It is a vulgar error to suppose that every child must
necessarily suffer from the contagious maladies, and that the risk of
exposure to infection is, therefore, of little moment. The chance of
infection lessens with advance of life, and that person is strongest who
IX
One of the surest means for keeping the body and mind in perfect health
consists in learning to hold the passions in subservience to the
reasoning faculties. This rule applies to every passion. Man,
distinguished from all other animals by the peculiarity of his reason,
is placed above his passions to be the director of his will, can protect
himself from every mere animal degradation resulting from passionate
excitement. The education of the man should be directed, not to suppress
such passions as are ennobling, but to bring under governance, and
especially to subdue, those most destructive passions, anger, hate, and
fear.
X
To escape the evils arising from the use of alcohol there is only one
perfect course, namely, to abstain from alcohol altogether. No fear need
be entertained of any physical or mental harm from such abstinence.
Every good may be expected from it. True, a certain very qualified
temperance, a temperance that keeps the adult to a strict allowance of
one ounce and a half of alcohol in each twenty-four hours, may possibly
be compatible with a healthy life; but such indulgence is unnecessary
and encourages the dangerous desire to further indulgence. A man or
woman who abstains is healthy and safe. A man or woman who indulges at
all is unsafe. A man or woman who relies on alcohol for support is lost.
XI
Smoking tobacco, and the use of tobacco in every form, is a habit better
not acquired, and when acquired is better abandoned. The young should
especially avoid the habit. It gives a doubtful pleasure for a certain
penalty. Less destructive than alcohol, it induces various nervous
changes, some of which pass into organic modifications of function. So
long as the practice of smoking is continued the smoker is temporarily
out of health. When the odour of tobacco hangs long on the breath and
other secretions of the smoker, that smoker is in danger. Excessive
smoking has proved directly fatal.
XII
Indulgence in narcotics, opium, chloral, chlorodyne, ether, absinthe,
and all others of the class, is an entire departure from natural law.
Except under the direction of skilled opinion and for the cure of
disease, the use of these agents is subversive of the animal functions,
and is a certain means of embittering and shortening life. It is
doubtful whether the freedom of the subject ought to be permitted to
extend to the uncontrolled self-indulgence in these poisons. The
indulgence indicates an unsound reason which requires to be governed by
sound reason, temperately enforced.
XIII
The food on which the man who would be healthy should live should be
The natural duration of sleep is eight hours out of the twenty-four, and
those who can secure this lead the soundest lives. It is best taken from
ten o'clock till six, and it is most readily obtained by cultivating it
as an automatic procedure. All stimulants, all excitements, all
excessive fatigues, all exhaustions pervert sleep even if they do not
prevent it. The room in which sleep is taken should be the best
ventilated and the most equably warmed room in the house. The air of the
room should be maintained at the natural standard of 60 Fah., and the
body of the sleeper should always be kept completely warm. The bed
should be soft and yielding. A regular tendency to sleep at other hours
than the natural is a sure sign of error of habit or of nervous
derangement.
XVIII
Dress, to be perfectly compatible with healthy life, should fit loosely,
should be light, warm, and porous, should be adapted to the season as to
colour, should be throughout every part of the clothing, upper as well
as under, frequently changed, and should be, at all times, scrupulously
clean. The wearing of clothes until they are threadbare, is an
invariable error in all that respects the health, to say nothing of the
comfort of the wearer. All bands or corsets which in any way restrict
the course of the blood in any part of the body are directly injurious.
Dresses dyed with irritating dyestuffs ought to be carefully avoided.
XIX
Connected with cleanliness of clothing, as a means of health, is
personal cleanliness. Perfected action of the skin, so essential to the
perfect life, can only be obtained by thorough ablution of the whole
body. The ablution ought, strictly, to be performed once in every
twenty-four hours. It is best to train the body to the use of cold water
through all seasons, so that the requirement for water of raised
temperature may not become a necessity. The simplest and best bath is
the ordinary sponge-bath. Plungings, splashings, showers, and the like
are mere pastimes. The occasional use of the hot air or Turkish bath is
an important adjunct to the means of maintaining health.