ever, the breath of tuberculous persons, and the moist
sputum, received in proper cups, are not elements of danger,
but only the dried and pulverized sputum. The breath and
moist sputum are free from danger, because the germs are
not dislodged from moist surfaces by currents of air. If all
discharges were destroyed at the time of exit from the body,
the greatest danger of communication from man to man
would be removed. It is a well known fact that some per-
sons, and especially the members of certain families, are
particularly liable to consumption, and this liability can be
transmitted from parents to children. So marked and so
frequent is this liability, and so frequent is the development
of the disease in particular families, that the affection has
long been considered hereditary. We now know that con-
sumption can only be caused by the entrance of the germ
into the body, and that this transmitted liability simply
rendered the individual a more easy prey to the living
germs when once they had gained entrance. The frequent
occurrence of several cases of consumption in a family,
isthen to be explained, not on the supposition that the disease
itself has been inherited, but that it has been produced after
birth by transmission directly from some affected individual.
Hygienic management is decidedly more important to
the consumptive than medicine. An eminent physician has
well laid down the following precepts: "A supply of pure
and fresh air for respiration is constantly required by the
consumptive patient. Daily exercise in the open air is
imperatively demanded by the tuberculous patient. It is
important to secure for the patient a uniform, sheltered,
temperate and mild climate, about 60^ and a range of not
more than \o° or 15^, where, also, the soil is dry and the
drinking water pure and not hard. The dress of the con-
sumptive ought to be of such a kind as to equalize and
retain the temperature of the body. The hours of rest
3o8 The Family Doctor
should extend from sunset to sunrise. Indoor or sedentary
occupation must be suspended, but outdoor employment in
the fresh air has been and may be advantageous. Cleanli-
ness of the body is a special point to be attended to in the
hygienic treatment of consumption. Marriage of consump-
tive females for the sake of arresting disease by pregnancy,
is morally wrong and physically mischievous. If the con-
sumption is not inherited, the question of prevention
resolves itself principally, into the avoidance of tubercular
meat and milk, and the destruction of the discharges,
especially the sputum of consumptive individuals. Wooden
or pasteboard cups with covers should always be at hand for
the reception of the sputum. These cups should be thrown,
at least once a day, with their contents, into the fire. Or
the spittle should be caught in earthen or glass dishes con-
taining a solution of one part of corrosive sublimate and
i,ooo parts of water. No one should sleep in a room
occupied by a person suspected of having consumption.
The living rooms of a consumptive patient should have as
little furniture as practicable. Hangings should be
especially avoided. The use of carpets, rugs, etc., ought
always to be avoided.
Page 172
Presented as published in 1894. Historical recipes may not meet modern food-safety standards. Cook from the modern interpretation, not the original instructions.
AI-modernized reading of the original text
ever, the breath of tuberculous persons, and the moist sputum, received in proper cups, are not elements of danger, but only the dried and pulverized sputum. The breath and moist sputum are free from danger, because the germs are not dislodged from moist surfaces by currents of air. If all discharges were destroyed at the time of exit from the body, the greatest danger of communication from man to man would be removed. It is a well known fact that some persons, and especially the members of certain families, are particularly liable to consumption, and this liability can be transmitted from parents to children. So marked and so frequent is this liability, and so frequent is the development of the disease in particular families, that the affection has long been considered hereditary. We now know that consumption can only be caused by the entrance of the germ into the body, and that this transmitted liability simply rendered the individual a more easy prey to the living germs when once they had gained entrance. The frequent occurrence of several cases of consumption in a family, isthen to be explained, not on the supposition that the disease itself has been inherited, but that it has been produced after birth by transmission directly from some affected individual. Hygienic management is decidedly more important to the consumptive than medicine. An eminent physician has well laid down the following precepts: "A supply of pure and fresh air for respiration is constantly required by the consumptive patient. Daily exercise in the open air is imperatively demanded by the tuberculous patient. It is important to secure for the patient a uniform, sheltered, temperate and mild climate, about 60^ and a range of not more than \o° or 15^, where, also, the soil is dry and the drinking water pure and not hard. The dress of the consumptive ought to be of such a kind as to equalize and retain the temperature of the body. The hours of rest
3o8 The Family Doctor
should extend from sunset to sunrise. Indoor or sedentary occupation must be suspended, but outdoor employment in the fresh air has been and may be advantageous. Cleanliness of the body is a special point to be attended to in the hygienic treatment of consumption. Marriage of consumptive females for the sake of arresting disease by pregnancy, is morally wrong and physically mischievous. If the consumption is not inherited, the question of prevention resolves itself principally, into the avoidance of tubercular meat and milk, and the destruction of the discharges, especially the sputum of consumptive individuals. Wooden or pasteboard cups with covers should always be at hand for the reception of the sputum. These cups should be thrown, at least once a day, with their contents, into the fire. Or the spittle should be caught in earthen or glass dishes containing a solution of one part of corrosive sublimate and i,ooo parts of water. No one should sleep in a room occupied by a person suspected of having consumption. The living rooms of a consumptive patient should have as little furniture as practicable. Hangings should be especially avoided. The use of carpets, rugs, etc., ought always to be avoided.