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Treatment.--Must be in regulating the diet. The person must avoid all excess in food and drink, and avoid especially foods that contain starch and sugar. There must be regular and systematic exercise, hot baths and ma.s.sages are helps. Medicines made from the poke berry are much used and are successful in some cases.
Diet.--The food of a fleshy person should be cut down gradually. Its bulk can be great, but its nourishing properties should be small. The diet for reduction of obesity should consist chiefly of bulky vegetables, but not too much of any one article or set of articles. The following list is recommended by Dr. Hare of Philadelphia:
For Breakfast.--One or two cups of coffee or tea, without milk or sugar, but sweetened with a fraction of a grain of saccharin. Three ounces of toasted or ordinary white bread or six ounces of brown bread; enough b.u.t.ter may be used to make the bread palatable, not more than one ounce.
Sliced raw tomatoes with vinegar, or cooked tomatoes without any sugar or fats. This diet may be varied by the use of salted or fresh fish, either at breakfast or dinner. This fish must not be rich like salmon or sword-fish, but rather like perch or other small fish.
Noon Meal--Dinner.--One soup plate of bouillon, consomme julienne, or other thin soup, or Mosqueras beef-jelly, followed by one piece of the white meat of any form of fowl or a small bird. Sometimes a small piece, the size of one"s hand, of rare beef, or mutton but no fat, may be allowed, and this should be accompanied by string beans, celery (stewed or raw), spinach, kale, cabbage, beans, asparagus, beets and young onions.
Following this, lettuce with vinegar and a little olive oil (to make a French dressing), a cup of black coffee or one of tea, and a little acid fruit, such as sour grapes, tamarinds and sour oranges, or lemons may be taken, and followed by a cigar, if the patient has such a habit.
Supper.--This should consist of one or two soft boiled eggs, which may be poached, but not fried, a few ounces of brown bread, some salad and fruit and perhaps a gla.s.s or two of light, dry (not sweet) wine, if the patient is accustomed to its use.
Before Going to Bed.--To avoid discomfort from a sensation of hunger during the night, the patient may take a meal of panada, or he may soak graham or bran crackers or biscuits in water and flavor the mess with salt and pepper. The reduction of the diet is generally best accomplished slowly and should be accompanied by measures devoted to the utilization of the fat present for the support of the body. Thus, the patient should not be too heavily clad, either day or night, should resort to exercise, daily becoming more severe, and should not drink freely of water, unless sweating is established sufficiently to prevent the acc.u.mulation of liquid in vessels and tissues. Baths of the proper kind, cold or Turkish, should be used, if the patient stands them well. The bowels should be kept active by laxative fruit or purges. Salts are useful if drinks are thrown off rapidly. If proper exercise is impossible the rest cure with ma.s.sage, electricity, pa.s.sive exertion and absolute skimmed milk diet may be resorted to, particularly in those persons known as "fat anemics," who have not enough red corpuscles in their blood to carry sufficient oxygen to the tissues to complete oxidation.
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CANCER.--(In the following article on cancer we quote in part from material issued by the Public Health Department of the State of Michigan).
Cancer is curable if it be operated upon in its early stages.--If it be left to grow and develop, cancer is always fatal. It may be partially removed when in an advanced stage, and relief may be had for some time after operation; but beyond the early stage, cancer cannot at present be permanently removed, nor permanently cured. Permanent cure of a cancer is possible if the afflicted person obtains an early diagnosis and receives early attention from a skilled surgeon. The only permanent cure for cancer known at the present time is early surgical operation.
Have Operations Failed to Cure?--Very few persons die from operations performed by skilled surgeons for the removal of cancer. Where cancer operation is done by experienced surgeons the fatality in America for the past fourteen years is less than one case out of a hundred, or in other words ninety-nine persons out of a hundred survive operation for cancer.
Many persons have died from the return of the cancerous growth even after operation by a skilled surgeon, and this fact has led many persons to believe that operation for cancer is, therefore, unsuccessful, that it does not cure. This is not the fact. It is true that cancer often returns after operation, and that this method does not always effect a permanent cure; but it is not true that operations are, therefore, useless. The reason that operations do not remove cancers permanently in a great number of cases is that such cases do not submit to operation soon enough. The majority of persons suffering from cancer seek surgical aid too late. If a house is on fire and one refuses to turn in an alarm until the fire has spread from cellar to garret, neither blame nor disparagement must be placed upon the fire department if it failed to save the burning house. So with cancer; if the public refuses or neglects to operate for cancer at the time when it can be eradicated, the public cannot censure or belittle surgery. A cancer is like a green and ripe thistle. Pull up the green thistle and you have gotten rid of it. But if you wait until the thistle is ripe, and the winds have blown away the seeds, there is no use of pulling up that thistle. Early operations are successful. Late ones are not.
No reliable surgeon claims to save his patient or cure him of cancer if the disease be in an advanced stage. But experienced surgeons do recognize the fact that cancer in its early stage can be permanently removed and a permanent cure can be effected by surgical operation. No other means of permanent cure are known.
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Caustic pastes applied to cancerous growths or sera, are sometimes successful in obliterating the cancer for a time; but they are not reliable for effecting enduring cures, and usually are merely palliative, The fact that a cancer does not return for three years after removal is not sure proof that it will not return; the return of a cancerous growth depends upon its state of development and other conditions at the time of removal from the cancer. In Johns Hopkins" Hospital forty-seven per cent of all patients with cancers of the breast operated upon remained well for three years or more, and seventy-five per cent of this forty-seven per cent were cured, being in the most favorable condition for cure at the time of the operation. But where conditions are not favorable at the time of the operation, many patients have a return of the cancer even after the three years of apparent cure have elapsed.
What is Cancer?--A cancer is a growth of cancerous cells in a network of connective tissue. The cause of cancer is not known. It has not been proved to be communicable and the majority of investigators of this subject believe that it is not caused by a germ. Nor is it thought to be inherited. Out of 8,000 cases of cancer at Middles.e.x Hospital, London, no evidence of heredity was found. Until the cause of cancer is known, it cannot be prevented. The only safeguard lies in an early diagnosis of the condition and an immediate operation. Eminent investigators are carrying on extensive research and thousands of dollars are being spent annually to ascertain, if possible, what is the cause of this dread disease, and it is confidently believed that final success will crown this labor.
When to Suspect Cancer and What to Do.--External or Exposed Cancer.--Cancer of the exposed or surface parts of the body, such as the skin of the lip, nose, cheek, forehead, temples, etc., is more readily recognized than internal cancer, and is therefore more liable to early operation and prompt cure. One rarely sees these forms of cancer in an advanced stage, because such cases are readily seen and recognized by physicians in the early stage of development, when operation can be sufficiently early to effect a lasting cure.
The least malignant of all cancers is that kind which first exhibits itself by a hardening of the skin, forming a nodule looking pimple or a mole and having a dark red color, due to tortuous blood vessels, upon the sides of the nose near the eyes, upon the cheek bones, forehead or temples. This form of epithelioma is called rodent ulcer, flat epithelioma or cancroid and sometimes does little harm for many years, but should receive the attention of a physician familiar with cancer and its eradication.
Deep or squamous cancer occurs on the lip, the tongue or the forehead or wherever the mucous membrane joins the skin, and is characterized by a hard, deep-seated sore formed upon any such part, growing down into the flesh and having a dark red or purplish-red color.
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If such a cancer is suspected of being present, the patient should at once seek diagnosis from a competent physician. Cancer of the lip is more frequent in men than in women, occurring usually in the under lip and called "Smoker"s Cancer." Any hard persistent nodule in the under lip should cause suspicion and should be taken to a skilled surgeon, as cancer of the under lip is easily removed when in its early stage of development.
CANCER OF THE STOMACH.--The beginning of cancer of the stomach is very difficult to recognize and it is far safer and wiser, upon the appearance of the first suspicious symptom, to seek the aid of some physician skilled in cancer diagnosis than to ignore and neglect these early warnings of the disease. Although cancer of the stomach may occur in younger persons, it is usually met with in persons after forty years of age. Therefore, any person at this age who suffers from continuous indigestion or characterized by retention and prolonged fermentation of food in the stomach, should at once consult a competent physician. In the early stages of the cancer of the stomach the patient loses weight, but in the later stages there is more or less pain.
Whenever a physician finds that a patient has a pappy, insipid taste with a furred, pale, rarely dry and red tongue, and is suffering from continuous, dull sensations or pain in the region of the stomach, periodically increasing to paroxysms, often induced by pressure or increased by it, together with a sensation of weight, drawing pains of varying character, and frequent pain in the shoulder, loss of appet.i.te, frequent belching of fetid gas from the stomach, severe and frequent vomiting, often periodical, often occurring before partaking of a meal but more often afterwards with slight indigestion, but vomitus being more or less watery and containing mucus and blood, usually decomposed and recurring frequently, together with constipation of the bowels, the skin being sallow, yellowish, dry and flaccid, and losing weight and strength, he should suspect cancer of the stomach and where possible advise an immediate surgical operation for the removal of the cancer.
CANCER OF THE UTERUS.--What women should know regarding it. The menopause or change of life comes on gradually, rarely suddenly. It is not preceded by excessive flowing or discharge or pain in a healthy woman.
By cancer period is understood those years after forty, although rarely it may occur earlier. The first symptoms of uterine cancer are:
1. Profuse flowing, even if only a day more than usual. Flowing or spotting during the interval or after the use of a syringe or the movement of the bowels.
2. Whites or Leucorrhea, if not existing previously. If existing but getting more profuse, watery, irritating, or producing itching is a very suspicious symptom.
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3. Loss of weight, if no other cause is apparent. Pain in the region of the womb, back or side.
If any of the above symptoms occur after the age of thirty-five or forty, a woman should seek relief and insist on thorough investigation of the cause and prompt treatment.
Cancer is always at first a local disease and can be removed if early recognized and an absolute, permanent cure brought about.
CANCER OF THE BREAST.--Eighty-one per cent of an tumors of the breast are cancer or become so. Whenever a woman feels a lump in her breast, particularly if she be at the cancerous age, she should consult a skilled physician at once and keep that breast under medical observation. If so advised by her physician or by a skilled surgeon, she should have an operation for the removal of the cancer, as it can be completely eradicated when operated upon in its early stages. If left to grow and develop it will get beyond the aid of even the most skillful surgeon.
Early diagnosis plus surgery is the only hope for a cancerous person.
Operation offers a most hopeful outlook for those afflicted with cancer.
It is more important to make an early diagnosis in cancer of the breast than it is in appendicitis.
CANCER (CARCINOMA).--This is very malignant. This kind is divided into two cla.s.ses, Scirrhus and Epithelial.
1. Scirrhus cancer. This is a hard, irregular growth of moderate size. Its special seat is the breast, the pyloric (smaller) end of the stomach and in few instances the glands of the skin.
Soft Medullary or Encephaloid cancer. This type resembles brain tissue both in appearance and consistence. It appears quite soft and may be mistaken for an abscess. In form, it differs according to the organ attacked. Special seats: The t.e.s.t.i.c.l.e, liver, bladder, kidney, ovary, the eye and more rarely the breast.
Colloid cancer; jelly-like substance.--The cancer cells have undergone a degeneration in one of the preceding varieties. The material it contains is a semi-translucent, glistening, jelly-like substance. Its special seats are the stomach, bowel, omentum, ovary and, occasionally, the breast.
Diagnosis.--This kind is very rare before thirty years of age and common after forty. They involve the gland early, contrary to what the sarcoma variety does. Innocent growths occur, as a rule, in younger patients, do not grow so rapidly, do not become adherent to neighboring parts and do not ulcerate.
2. The Epithelial Cancer (Carcinoma).--These always spring from free epithelium-clad surfaces, as the skin, and mucous membranes or from the glands of the same. These growths appear with great frequency at the points of junction of mucous membranes and skin surfaces, probably because these parts are subjected to more frequent and varied forms of mechanical and chemical irritation, Special seats: Skin surfaces, the nose, the lower lip, the p.e.n.i.s and s.c.r.o.t.u.m, the v.u.l.v.a, the a.n.u.s (mucous surfaces), tongue, palate, gums, tonsils, larynx, pharynx, gullet, bladder, womb.
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MOTHERS" REMEDIES.--l. Cancer, Simple Remedy for.--"Give a teaspoonful of sarsaparilla tea four times daily, made with two ounces of sarsaparilla root and quart of water boiled to one pint and apply to cancer growth a poultice made of carrots sc.r.a.ped or mashed cranberries." These simple remedies will relieve and often cure growths taken for cancers, but if it is really a cancerous growth no medicine will help and a physician should be consulted at once.
2. Cancer, Nettles and Laudanum Will Help.--"Take the juice of common nettles inwardly and mix a little laudanum with the juice and rub the parts outwardly. Cancer has often yielded to this treatment." This remedy will no doubt help an ugly looking ulcer, repeatedly taken for cancer, by the patients themselves and frequently the doctor. It is always well to give this simple home remedy a trial, at least, for it is frequently admitted by the medical fraternity to-day that ugly ulcers are often treated in this way as cancers, sometimes to the lasting detriment of the sufferer. Then why not try some efficient home remedy like the above until you are certain that it is a cancer?
TUMORS.--A tumor is a new growth which produces a localized enlargement of a part, or an organ, has no tendency to a spontaneous cure, has no useful function, in most cases tends to grow during the whole of the individual"s life. Clinically, tumors are divided into the benign and the malignant.