BATHS AND BATHING

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Why We Bathe.—The first object of bathing is cleanliness. The importance of this object is so widely recognized as to have passed into a proverb, “Cleanliness is next to godliness.” A second object of the bath is to stimulate the functions of the skin. A large amount of waste matter is thrown off through the pores, and unless removed by frequent bathing, soon becomes clogged, and sickness ensues. A third object is the pleasurable exhilaration which attends a plunge into the swimming pool, stream, or surf. The street urchin, with no ungovernable desire for cleanliness, and with little thought of the importance of keeping his cuticle in good working condition, plunges into the nearest stream long before the summer days have tempered the water to such a degree as to beguile his older brother.

The Skin.—In order that the advantages of bathing may be fully understood, it is necessary that we have some knowledge of the nature and structure of the outer covering of the body. This garment is soft, pliable, close-fitting, and quite thin, yet sufficiently strong to resist the ordinary contact with surrounding objects.

The skin is composed of two layers, the outer, called the epidermis, or cuticle, and the inner, called the cutis, or true skin. The two layers are closely united. When, from a burn or other cause, a blister is formed, a watery fluid separates the cuticle from the true skin.

The cuticle is very thin, and is composed of minute flat cells, arranged layer upon layer. These, as they are worn out, fall from the body in the form of fine scales. When the cuticle in the palms of the hands or other parts of the body is subjected to severe pressure, or friction, it becomes thick and hard, and better adapted to manual labor.

The cutis, or true skin, is firm, elastic, and very sensitive. Its surface is covered with minute elevations called papillÆ. These contain the blood vessels which supply the waste of the skin, and also the nerves which are largely concerned in the sense of touch.

Its uses.—The skin, which seems like a very simple membrane in structure, is, in reality, a very complex and elaborate organ. With its numerous blood-vessels, lymphatic vessels, and nerves; its millions of papillÆ and pores and sweat ducts; its innumerable hair-follicles with their sebaceous glands and muscles; its odoriferous glands and special pigment-bearing cells, it is well equipped to perform the various duties assigned it.

First, it serves to protect the softer parts of the body which lie underneath it. Secondly, it regulates the temperature of the body by preventing, on the one hand, the too rapid radiation of natural heat, and, on the other hand, by reducing the temperature through the process of perspiration. Thirdly, through its millions of pores, it is constantly throwing off the useless materials found in the excretions of the perspiration and the sebaceous glands.

In order that the skin may perform its functions properly, it must be perfectly clean, the pores must be kept open, and the sweat glands free to throw off all the effete matter and prevent its accumulation within the system. While soap and water are necessary and helpful, free perspiration induced by vigorous bodily exercise or artificial heat will also enable the glands to cast off the more solid substances which accumulate at the bottom.

An eminent French physician has discovered that the annoying odors from the skin which characterize certain persons have their seat in the bottom of the sweat sack, and can be successfully removed by free perspiration followed by a bath.

In addition to the general benefits to the health, of systematic, vigorous exercise and the bath, they will give freshness of color to the skin, prevent the coming of wrinkles, and give to the face a beauty such as no paint or powder can approximate. If ladies with sallow complexions and shrunken countenances would substitute exercise and bathing for facial massage, the benefits of which last only so long as its use is continued, the results would be much more satisfactory.

Many of the common diseases of the skin which destroy the beauty of the complexion are believed to be due to certain microbes. If the skin were kept, by exercise and bathing, in a thoroughly healthy condition, these microbes would find no lodgment, or, gaining a temporary foothold, would readily yield to judicious hygienic treatment.

The Hair and Nails.—These, properly considered, are appendages of the skin. The hair follicles are hollow receptacles, from the bottom of which the hair grows. Alongside each hair follicle are two glands, called the sebaceous glands, which provide the hair with a natural oil or grease, and prevent excessive dryness. This sebaceous matter tends to keep the skin flexible, and serves to protect both skin and hair from the acridity arising from perspiration. The hair serves as a protection, shielding the brain from extremes of heat and cold, and moderating the force of blows upon the head.

The nails not only serve as a protection to the ends of the fingers, but also enable us to grasp more firmly, and to pick up small objects. Well-kept nails contribute much to the beauty of the hand. They are not only an indication of cleanliness but also a mark of refinement.

The Perspiratory Glands.—The skin is provided with numerous sweat-glands which consist of very small tubes with globe-like coils at their deeper extremity. It is estimated that there are 2,800 of these glands to the square inch of the surface of the body.

These glands or pores of the skin are, day and night, constantly excreting a watery fluid. Ordinarily this evaporates as rapidly as it is formed, and the process is called insensible perspiration. Under the influence of heat or exercise the flow is more abundant, and appears upon the surface of the body in the form of minute, colorless drops. This is known as sensible perspiration.

This excretion consists of about ninety-eight parts of water and two parts of solid matter. The quantity of perspiration varies with the temperature, the occupation of the individual, and other circumstances. In an adult, the daily amount is about thirty ounces, or more than nine grains a minute.

Benefit of Perspiration.—Besides freeing the blood of a large amount of water, with the effete matter it contains, perspiration serves to reduce the temperature of the body. This function is most active in hot weather, and the cooling process is proportionally increased, thereby contributing to the comfort of the individual. A partial or temporary check of this excretion is usually attended with headache, fever, and other unpleasant symptoms, and its total interruption is fatal. For the purposes of experiment, rabbits and other small animals have been covered with a coating of varnish, and death invariably ensued in from six to twelve hours.

Importance of Bathing.—As the watery portion of the perspiration evaporates, the solid matter is left on the surface of the skin, and soon clogs the mouths of the pores. The scales of the worn-out cuticle also accumulate, and further impede the action of the skin. These impurities must be removed, not only from motives of cleanliness but also from considerations of health.

General Effects of the Bath.—Bathing, in every form, increases the activity of the internal machinery. It increases the rate of respiration, the activity of the heart, the rapidity of the circulation, the combustion in the tissues, and the perspiration through the skin. This increased activity causes a degree of exhaustion, and makes demand upon the vital forces. The reaction that follows more than restores the depleted vitality, and the bath serves as a tonic to the system.

A Satisfactory Experiment.—A prominent Philadelphia merchant gives the following as a result of his experience: “For a number of years I was troubled with indigestion, and a feeling of general depression. My muscles were soft and flabby, and I was easily fatigued. I was seldom free from colds and their many discomforts. Although there were several gymnasiums near my place of business, I felt that I could not take the time for practice. My condition gradually grew worse, and the drugs and medicines I took did me no good. In sheer desperation, I concluded to see what a little exercise and bathing would do. I chose the early morning and the late evening, as interfering least with business. Upon rising in the morning, and with slight encumbrance of clothing, I devote fifteen minutes to such simple body movements as give exercise to the muscles of the arms, legs, upper and lower trunk, and expand the chest. Then I stand in the bath tub, and with a large sponge filled with cold water, I quickly drench the head, neck, chest, and every part of the body, and, after drying with a soft towel, I give myself a vigorous rubbing with a coarse towel, which produces a delightful glow that lasts for several hours. At night, just before retiring, I again devote ten or fifteen minutes to exercise, and enjoy sound refreshing sleep.

“Since I began this plan of exercise and bathing, some five years ago, my digestion has been excellent, and I enjoy my meals, and seldom ask myself whether it is safe for me to eat this or that, as I used to do. I accomplish much more labor, with less fatigue than formerly, and with none of the old-time languor and depression. My mind is clear and alert, and to my cold sponge bath I ascribe the fact that I rarely have a cold.”

Temperature of the Body.—By a wonderful provision of nature, the temperature of the surface of the body is preserved at about 98.4 degrees Fahrenheit, whether the individual resides in the arctic regions or within the limits of the torrid zone. The range of the internal heat of the body is not very great. A deviation of seven degrees from the normal is dangerous. If the temperature of the body rises to 109 degrees or falls to 76, death is almost sure to follow.

Temperature and Kinds of Baths.—From the standpoint of temperature, baths may be classed as hot, warm, tepid, cool, and cold. A hot bath has a temperature ranging from 98 degrees to 112 degrees Fahrenheit; a warm bath from 92 degrees to 98 degrees; a tepid, from 85 degrees to 92 degrees; a cool bath from 60 degrees to 75 degrees; and a cold bath from 60 degrees down to the freezing point of water.

Tepid, warm, and hot baths are employed, not only for cleansing the body, but to diminish blood pressure and to reduce nervous excitability. The hot bath is used in restoring warmth to the body in certain cases of shock, and to remove the effects of exposure to a low temperature.

When the water is of about the same temperature as the body, the effects are neither stimulating nor depressing. In some forms of sleeplessness, a tepid bath taken just before retiring has been found to be effective. In such cases, the body should be covered by the water for ten or fifteen minutes, and quietly dried with a soft towel, without vigorous rubbing or friction.

Hot Bath.—The cold bath stimulates, the hot bath facilitates function. Both hot and cold baths increase the combustion going on within the body. The immediate effect of a cold bath is to chill the surface of the body. This sensation is promptly conveyed by the nerves of the skin, through the spinal cord, to the brain. Respiration and circulation are at once increased, and the temperature of the interior of the body is raised.

The effect of a hot bath is to raise the temperature of the surface of the body and the temperature of the blood. As in the case of a cold bath, the respiration and pulse are quickened, and the escape of carbonic acid from the lungs is increased.

Warm baths can be borne for a longer time than cold baths, but if the temperature be very high they deplete the system rapidly, and faintness is apt to occur. The warm or hot bath leaves the skin in a very delicate condition, susceptible to chill from exposure followed by internal congestion. The bather should dress quickly after a warm or hot bath, and spend a half hour or more in a warm room so as to allow the body to assume its normal temperature, or he may go from the bath to bed, and cover up well.

Popular Error.—The belief is current that it is extremely dangerous to enter a cold bath when the body is heated or perspiring. The bracing effects of the bath are most manifest if taken while the individual is warm. The clothing should be removed quickly, the plunge or douche boldly taken, and immediately followed by a vigorous rubbing with a coarse towel.

Some years ago, an eminent physician, desiring to test the effects of the cold bath when the body is warm, made a series of observations upon himself. The following is his statement: “Every afternoon a free perspiration was produced by a brisk walk in the sun. As soon as the clothing could be cast off, and while the body was still freely perspiring, a plunge was taken into a fresh water bath of about 60 degrees Fahrenheit. No ill result followed. On the contrary, the sensation which immediately followed the bath, and which continued for six or eight hours afterward, was exceedingly pleasant. The health remained perfect, and the weight decidedly increased during the two months the practice was continued. There is probably no danger to a healthy person in this practice, but it is considered advisable to immerse the head first, to avoid increasing the blood pressure in the brain too greatly, which might result if the body were gradually immersed from the feet upward.”

The douche consists of a stream of water, hot or cold, which is made to strike the body with force. Its value consists partly in the impact of the water, and partly upon its temperature. It is an exhaustive method of treatment, and must be used with caution.

The Scottish Douche consists in the use of alternating streams of hot and cold water, which produces a powerfully stimulating action. Hot and cold affusion are mild forms of the douche.

The Shower Bath differs from the douche in the division of the streams of water, causing it to strike the body with less force. This method, too, should be used with caution, especially by persons who are not robust.

The Needle Bath is a form of fine shower bath. The bather stands within a coil of pipes perforated with very small holes through which the finely divided streams of water impinge upon every part of the body.

The Vapor Bath combines the two agents, warmth and moisture. The patient sits in a small cabinet or other confined space, into which steam from a boiler or kettle is conducted. In some instances, the head is enclosed so that the vapor may be breathed, but more frequently the head and face are shut out from the vapor-inclosed chamber. The vapor bath can be borne much better than the water bath, the temperature often ranging from 120 degrees to 150 degrees Fahrenheit. Various forms of steam or vapor cabinets are advertised in the popular magazines at small prices. The Russian Vapor Bath consists of a vapor bath of high temperature, followed by a cold douche, and is useful where a quick reaction is desired. The Galvanic Bath and the Electro-magnetic Bath consist merely of a bath of water through which a gentle current from a battery is passed. This is so arranged that the current passes from the water through the body, and affords a powerful stimulant to the skin.

Various forms of medicated baths are employed for specific purposes, but these should not be used except upon the advice of a physician.

Air Bath.—The Hot Air Bath, since the days of ancient Rome, has been not only a popular luxury but also a means of treating disease. Unclad, the bather sits in a room heated to a temperature of 120 degrees to 150 degrees. A glass of cold water is sometimes taken to stimulate free perspiration, after which the bather reclines on a marble slab and is shampooed by an attendant. The body is then thoroughly washed with hot water, and rubbed down with a horse-hair glove. This is followed by a cold shower-bath or douche, after which one is rubbed dry, dresses, and reclines for half an hour on bed or couch.

Sun Bath.—The value of sunshine to animal and vegetable life is apparent to all. Plants become blanched and tender, and lack hardihood, if left without sunlight. Fishes in the subterranean lakes are dwarfed, and have no eyes. Tadpoles kept in the dark never develop into full-grown frogs. Men, growing up in mines or in dark prison cells, are sallow and ill-formed. When Fashion smiles upon brown arms and a tanned face, health is improved, and the darker skin is rendered more hardy and better able to resist exposure.

Sand Baths have, at different times, been held in high esteem. The patient is buried in sand, except his head, and exposed to the full rays of the sun. The surface irritation caused by the sand, combined with the effect of the heat, produces a copious perspiration.

Mud Baths and Pine Baths are popular in parts of Germany. In the former, the body of the patient is imbedded, for a time, in the thick paste or mud deposited by some of the mineral springs, or formed of a mixture of moor-earth and water. In the Pine Baths, a strong decoction is made of the fragrant limbs and tops of the resinous pine trees, which, blended with water, has a stimulating action on the skin.

Surf Bathing.—Sea bathing is more invigorating than fresh water bathing. Persons who cannot bathe in fresh water are often benefited by surf bathing. The stimulating action of the salt water, the impact of the waves, the exhilaration and excitement occasioned by the incoming breakers, and the wholesome exercise which usually attends a sea bath, all contribute to the benefit of surf bathing.

While the danger of chilling and taking cold are less in sea bathing, yet the usual precautions should be observed. If warm, do not wait to cool off before going into the water. This is always hazardous. Plunge boldly in, taking care to wet the head, neck, and face as quickly as possible. Exercise to keep up the circulation. Dive through the rollers, or jump up to prevent being overwhelmed by them. If, after being in the water a few minutes, there is a growing sense of chilliness which cannot be overcome by exercise, the bather, for his own safety, should withdraw at once, however enjoyable the occasion, and seek comfort in dry, warm clothing. A prolonged stay at the sea-shore will enable him to renew his bath daily, and gradually increase its length. At most, it should not exceed thirty minutes. Persons of vigorous constitution may take two dips a day with advantage. A short rest should follow the bath, whenever possible. But if reaction is not established by rubbing and putting on dry clothing, it should be restored by taking a short brisk walk before the rest.

Salt-Water Bath at Home.—Aside from the tonic effects of the sea-air, and the absence of business anxiety and the change in food and habits which a temporary residence at the sea-side involves, a good substitute for the sea-bath may be had by the use of an inexpensive preparation of salt which may be found at almost any drug store.

Reaction.—The phenomenon commonly known as reaction, which accompanies both hot and cold bathing, is quite remarkable. Experiments have shown that if the temperature of a healthy person be raised or lowered by bathing, the subsequent reaction will restore the equilibrium by supplying the loss or withdrawing the excess. Thus nature seems to resent any interference with her normal functions. A German scientist subjected a robust patient to a series of baths of a temperature of 50 degrees Fahrenheit, each lasting twenty-five minutes. The rapid abstraction of heat produced chilliness and shivering, which lasted for several hours after each bath, but this was followed, after an interval, with such an increase of temperature as precisely compensated for the previous loss, and thus the average normal temperature was maintained.

The chronically ill may be divided into two general classes, the one made up of those individuals whose vitality suggests the possession of strong powers of reaction, and for whom the system of heroic treatment, vigorous exercise, cold baths, surf bathing, and sea air are best adapted; the other requiring gentle treatment, much indulgence, mild climate, warm baths, and mountain air.

Frequency of the Bath.—The physical condition of the bather must always be regarded as an important factor in determining the kind of bath, the length of time it should consume, and the frequency with which it should be repeated.

A brisk, cold bath to tone up the system, prevent colds, stimulate digestion, and promote circulation may be taken daily. For many persons, the most convenient time is just after rising in the morning. Fifteen minutes of vigorous exercise before the bath will add to its advantages.

Hot baths, if prolonged, are debilitating and should be taken less frequently. To clean out the pores and remove the excretions and dead cuticle from the surface of the body, two thorough hot baths a week will, for most persons, be sufficient. Some persons get on very well with only one, especially in the winter season when perspiration is less active. The dust, grime, and soil, resulting from one’s daily toil, must be removed from hands, face, and body, as often as occasion requires. For this purpose, a basin of warm water and soap will be found sufficient.

Many weakly babes have been sacrificed to their mothers’ vanity by subjecting the little ones to the exhausting process of two or three elaborate baths and costly toilets each day. Boys living near ponds, creeks, or rivers often waste their physical forces by spending a large part of the warm summer days in the water. They go in too frequently and remain too long. A morning swim of half an hour, or two dips, one in the forenoon and another in the afternoon, of twenty minutes each, is as much as the strongest boy should take.

Regularity.—In bathing, as in exercise, regularity and system should control, if any physical advantage is expected to follow. A bath now and then, when it happens to suit the convenience of the bather, will not tone up the system nor fortify it against colds. A daily cold bath is best. If that is impossible, it should be taken at least three or four times a week.

Best Time for Bathing.—As remarked elsewhere, every form of bath makes greater or less demand upon the vital forces, and some forms are quite exhausting. It is therefore proper to consider the most suitable times for bathing. It is best not to take a bath when the body is much exhausted, nor to engage in intense physical or mental exercise immediately after a bath.

Under no circumstances should a bath be taken directly after a full meal. Generally speaking the most appropriate time is from two to three and a half hours after a meal, preferably near the noon hour.

For the cold bath, taken quickly, no time is better than just after rising. A warm bath just before retiring will quiet the nerves and assist in producing sleep.

The Value of Soap.—The eminent chemist, Liebig, asserts that the civilization of a nation is high in proportion to the amount of soap it consumes, and that it is low in proportion to its use of perfumes. The cleanliness and refinement of an individual may be measured by the same test. Soap removes impurity; perfume is often employed to conceal it.

Many soaps are positively injurious to the skin. In this, as in other matters, judgment and caution must be exercised. A free use of a good skin soap, with warm or hot water, may be recommended for the weekly or semi-weekly bath when the primary object is cleanliness. The soapy lather should be vigorously rubbed over the body, by the hand or a small coarse towel, so as to remove all excretions from the pores, all greasy deposits of the sebaceous glands, and all dead scales from the cuticle.

This lather must be carefully rinsed off before rubbing with the towels. For the cold tonic and other baths, it is better not to use soap.

Cosmetics.—The use of cosmetics for the complexion is a fertile source of disease. Many of these preparations contain lead and other poisonous mineral substances. The skin readily absorbs these, and the most distressing conditions often ensue.

Hair-dyes also contain lead and other objectionable ingredients. Although less harmful than cosmetics, being generally kept away from the skin, they rob the hair of its lustre and vitality, and should be avoided.

Caution.—Bathing, whether for cleanliness or for recreation, is a most healthful exercise, yet certain precautions are necessary.

1. Avoid bathing within two and a half hours after a meal. The sudden interruption of the process of digestion, especially by a cold bath, is apt to produce nausea. Cases of drowning, usually ascribed to cramps, have been due, in some instances, to interrupted digestion.

2. Avoid bathing when exhausted by fatigue, or from any other cause.

3. Avoid bathing when the body is cooling after perspiration.

4. Avoid bathing in stream or surf if experience proves that after being a short time in the water, there is a sense of chilliness, with numbness of the hands or feet.

5. Avoid chilling the body by sitting or standing undressed, either before going into or coming out of the water.

6. Avoid remaining too long in the water. Rub briskly and dress quickly upon the first sensation of chilliness.

7. The best time for bathing is two or three hours after breakfast. The vigorous and strong may safely take a cold bath before breakfast; the weakly and the young should not attempt it.

8. Those who are subject to dizziness or faintness, should not bathe in stream or surf without first consulting a physician.

9. Avoid a warm or hot bath, if liable to be exposed to a low temperature within two or three hours after the bath.

10. Women should carefully consult their physical condition before venturing to take a cold bath.

11. All persons suffering from organic heart disease should avoid surf bathing.


                                                                                                                                                                                                                                                                                                           

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