Index ~ Home

 

 

Impaired Health Its Cause And Cure by J. H Tilden, M.D.

Diseases Of The Respiratory Apparatus
A. DISEASES OF THE NOSE
I. ACUTE CORYZA

   Definition.--This is what everybody knows as a cold in the nose or cold in the head.

   Etiology.--Its cause is toxin poisoning from intestinal decomposition of food. Toxin poisoning is the chronic state of the patient when catching cold becomes a habit. The exciting cause of a cold may be overeating, resulting in an extra amount of indigestion or constipation. Lowered resistance from any influence that uses up nerve energy may be the cause of a cold.

   Symptoms.--The patient feels indisposed. Perhaps he has a chill, headache, backache, ache in the legs; or he may simply be inconvenienced by the discomfort in his head and nose--a headache and a running at the nose. The temperature will be very light--possibly 101 F. The mucous membrane of the nose becomes very greatly irritated and swollen, so that it is impossible for the patient to breathe through both nostrils at the same time, and sometimes both nostrils are stopped up. The secretion is a thin, clear fluid, almost like water. But it is sometimes very irritating to the mucous membrane, and also to the skin of the lips and face with which it comes in contact. Sometimes the tear-ducts are swollen, so that the water runs out of the eyes profusely, The eyes themselves become engorged. Where the disease extends down the nasal passage, there may develop pharyngitis, and even laryngitis. After twenty-four or thirty-six hours the secretion becomes thicker and heavier, perhaps yellowish. In thirty-six hours the secretion is a greenish yellow.

   Treatment.--Stop eating, drink freely of hot water, and compel the bowels to move thoroughly by using several enemas, if necessary. There is no objection to a laxative, on the order of castor oil. But if the patient wants to get well quickly and thoroughly, he should stay away from food.

II. HAY FEVER

   Definition.--This is a chronic disease of the mucous membrane lining the nose, accompanied by gastric symptoms on the order of chronic subacute gastritis. The general opinion today appears to be that the disease is caused by the pollen of certain grasses and plants, also dust, irritating the mucous membrane. The very latest cure is an infusion made from pollen, etc. But those who would like to get well should understand the etiology. It is chronic catarrh, with chronic irritation of the stomach. Hearty eating--eating heating foods, such as starch, sugar, and fats, beyond the system's need--produces such a sensitive state of the mucus membrane of the nose and stomach that, when the atmosphere is filled with dust and pollen, those who have the disease highly developed suffer a great deal. In fact, any fine particles of dust drawn into the nose with the air will make the hay fever subject very uncomfortable. These patients catch cold frequently in the winter as well as in the summer.

   Treatment.--Stop all food and drink hot water freely until the patient is entirely relieved. Then it would be proper to keep away from food until the subject can go out in the weeds and be free from suffering, even though he breathes the dust from the grasses. Then he should have fruit twice a day--morning and noon. In the evening he may have a little lamb, chicken, fish, or eggs, with a combination salad and one or two cooked, non-starchy vegetables. The meat dinners may be taken about every other day; the alternate days any of the decidedly starchy foods may be taken, with cooked, non-starchy vegetables and a salad. This style of eating should be adhered to until the frost comes. A complete fast right at the start of the symptoms will soon bring relief. Those who have eaten meat twice or three times a day will do best to go entirely without meat until health is restored. Those subject to this condition should never use much carbohydrate food, and should shun sweets of all kinds.

III. EPISTAXIS (Nose bleeding)

   Etiology.--Excessive eating to hyperemia, and a catarrhal inflammation of the mucous membrane of the nose, are often the basic causes of nosebleeding. Young people develop a catarrhal inflammation and ulceration of the mucous membrane of the nose which is so annoying that they fall into the very bad habit of picking at the nose, and, by poisoning the mucous membrane with the fingernails, a very raw and irritable state of the mucous membrane is produced. The wounding of the mucous membrane with the fingernails develops in time an ulceration. This ulceration is often deep enough to cause a necrosis of a blood vessel of sufficient size to cause profuse bleeding. Again, the nosebleeding may come from constitutional derangements--a high blood pressure, dysemia, anemia, uremia, etc. This condition, with a little catarrhal ulceration, may cause the subject to be very much inclined to bleed at the nose. This style of bleeding is more profuse than the other. Then there is a nosebleeding which is due to a deficiency of fibrin in the blood. When this element is deficient, the blood loses its power to coagulate. Such cases as this make bleeding very dangerous. Cases such as this have been known to bleed to death. Unfortunately, the more these cases bleed, the easier it is for them to bleed.

   Apoplectic subjects are inclined to have nosebleed. It is a conservative measure; for the oftener and the more the nosebleeds, the less becomes the blood pressure, which is one of the causative symptoms. If relief from the excessive blood pressure in the head is not had in some way, a blood vessel is liable to rupture, and the patient will then be in a state of apoplexy, with a clot on the brain and partial paralysis, if death does not occur very soon after the hemorrhage takes place.

   Treatment.--In the first class of cases the patients must be instructed to keep their fingers out of their noses. Digging at the nose must stop. The mucous membrane should be greased frequently with camphor ice. This will prevent a drying, and also relieve the irritation that causes the patient to dig at the mucous membrane.

   The eating should be corrected. Too much starch, sugar, and fat are being eaten. If these are cut down decidedly, or suspended entirely for a while, the nose will have an opportunity to get well. In bleeding from congestive headaches, with high blood pressure, the patient should lie down, have the bowels washed out thoroughly, stop eating, and, as soon as the pulse drops down, there will be no more bleeding. In cases of high blood pressure, with a perverted state of the blood, profuse bleeding is an indication of arteriosclerosis and an apoplectic state of the blood vessels of the brain.

   Those in this peculiar state must go without food until the blood pressure is completely overcome. Plugging up the nose may give a temporary and unpleasant relief; but this is not a proper treatment--it is inexcusable, bungling, and unscientific. Reduce the blood pressure; keep food and fluid away from the patient; keep the patient quiet; and in a reasonable time the bleeding will stop. Then the patient should be instructed to be careful about eating and drinking of any fluid, because there is no assurance that apoplexy or paralysis will not ensue before relief from the bleeding can be had.

   It is dangerous for blood pressure to remain high enough to cause an occasional nosebleeding. The eating for people who have high blood pressure should be fruit, vegetable salads, and very light meals of meat; but starch, sugar, and fat should be kept away from them until they are safe--until the blood pressure is brought down to the normal.

 

B. DISEASES OF THE LARYNX
I. ACUTE CATARRHAL LARYNGITIS

   Acute inflammation of the larynx may come on with a cold, or following a cold.

   Etiology.--Catching cold, or over-use of the voice, may be the cause of the irritation and inflammation in this disease. It is a derangement which public speakers often develop. Foreign bodies may lodge in the air-passages and create trouble. It may be brought on from accidental poisoning.

   Symptoms.--A tickling sensation is felt in the larynx. Cough follows. Where the irritation and inflammation are severe the patient may lose his voice. He will talk in a whisper or in a husky voice. If he is a lawyer or a public speaker, and uses his voice under such circumstances, he may lose his voice completely. The edematous state of the mucus membrane caused by the inflammation may become so great that the voice will be lost. This, of course, is only temporary. Talking or singing increases the edema.

   Treatment.--Rest the voice. Stop food for a few days; then eat fruit for a few days following the fast. Gradually increase the amount of food; but if a few days of fasting do not restore the voice, the fasting should be continued. As soon as the voice has returned, if there is still a little soreness, the patient may use fresh, uncooked fruit morning, noon, and night until the symptoms have passed away.

II. CHRONIC LARYNGITIS

   This is the same as the preceding, except that the patient has been imprudent; he has continued eating, and has developed more or less indigestion. He has continued to use the voice until the inflammation has become chronic. Patients in this state have a hoarse, rough voice. Sometimes it is altogether lost. The feeling is such as to cause the patient to want to clear the throat; but every effort is a failure, because there is nothing to be cleared, except perhaps a little mucus. The feeling that there is something there is caused by the swelling of the mucous membrane, which partially closes the passage.

   Treatment.--If there is any trouble with the nose--chronic inflammation or ulceration, or growths in the nose--these should be treated with a spray; or, if the spray is not desirable, by a strict diet. Fasting for a few days or a week, and then living on a light diet, such as fruit and salad, will bring the disease to an end gradually. Fruit then may be taken in the morning, and fruit, with buttermilk, at noon; simply buttermilk at night. Continue this until all symptoms ,are well overcome; then a full diet: fruit for breakfast, fruit and whole-wheat bread for lunch, and the usual meat and starch dinners, in alternation.

 

III. EDEMATOUS LARYNGITIS

   Etiology.--Edema of the glottis is a very serious affection. It is not often met with. Of course, it is caused by wrong life.

   Symptoms.--There is difficult breathing, gradually increasing in intensity. It strikes terror to the patient, and fear increases the trouble. It may be brought on by various influences--scarlet fever, diphtheria, typhoid fever. In all these cases there is a kidney derangement, and perhaps albumin in the urine.

   Treatment.--The patient must be examined to find out what is the matter. If there is anything wrong with the kidneys, it must be corrected. Just what the application should be to the throat, should be left to the patient. If ice feels most comfortable, it should be applied. If heat feels more comfortable, then very hot cloths should be applied. If the symptoms are urgent, and death is threatening, a spray of cocaine may give relief. Before resorting to this kind of relief, however, the physician should make up his mind as to whether the case is desperate enough to justify tracheotomy. It should not be postponed too long. Possibly using the spray of cocaine or other drugs might cause the disease to travel down the trachea. This would complicate affairs by causing edema to spring up in the trachea at perhaps the point where the tracheotomy tube would be inserted; and should the edema establish itself below the point of the tracheotomy tube, the patient would be tortured with the operation for no purpose, as death will soon take him from his torment.

 

IV. SPASMODIC LARYNGITIS
(Laryngismus Stridulus)

   This disease is started up by a slight catarrhal cold. Then, if the child is of a nervous character, the difficult breathing may cause it to be irritable; it will struggle, and the struggling causes the suffocation to be greater, or it may cause a spasm to take place in the larynx. Some authorities claim it is purely a nervous affection.

   Treatment.--Place the child in a hot bath. At the same time wash out the bowels with a fountain syringe. Whatever is wrong with the child should be corrected. If it is teething, and the gums are very much swollen, lancing them will relieve the irritation, and possibly through this relief the laryngitis will be relieved. Inasmuch as this disease is of a nervous character, anything that will produce nervous irritation will have a tendency to make the disease worse.

 

V. TUBERCULAR LARYNGITIS

   Etiology.--The same causes that produce pulmonary tuberculosis will cause this trouble. There must be the history of wrong life coming on for several years before. Children, however, who are born with the tubercular diathesis, and in whom this predisposition is marked, win not have to live many years in contempt of proper living before they develop tuberculosis in some part of the body. If there is a predisposition for the trouble to locate in the throat, it may start up in the larynx. Sometimes this disease of the throat starts up a few months before pulmonary tuberculosis develops. 'Then again the disease may be wholly confined to the throat, and carry a patient off in what is known as "galloping consumption."

   Symptoms.--The first indication is a huskiness. Following this is a hoarseness, which in turn is followed by a whisper. Patients get to the point where it is impossible for them to get the voice above a whisper. Where there are pulmonary symptoms it is a very easy matter to diagnose the disease. The history, and the build of the patient, together with marks of a predisposition to develop such diseases, are usually sufficient for a diagnosis.

   Treatment.--Rest the voice; build up the organism as much as possible. Patients should stay out in the fresh air and sunshine. The disease is not easily controlled; in fact, as in pulmonary tuberculosis, if there is inherited a decided predisposition for the disease, and the disease is well developed, palliation is all that can be given.

 

VI. SYPHILITIC LARYNGITIS

   Symptoms.--There will be a hoarseness, as well as a history of an infection. Possibly there will be an ulcer that can be observed through the laryngoscope. There will be mucous patches on the mouth, the hair will fall out, and there will be more or less skin eruption. It is possible that such cases have been treated for syphilis. If so, they have taken arsenic; the mouth trouble or any trouble with the skin or mucous membrane will probably be due to the treatment.

   Treatment.--The life must be corrected. The diet must be made perfect. For the first month of treatment the patient is to be kept on a fast, and fresh, uncooked fruit and vegetables. The first week may be a fast. If the case is very severe, the fast should be of two weeks' duration. The second week a diet of fruit may be given; and the third and fourth weeks there may be had a dinner of vegetables and meat every other day, with a combination salad, and for the alternate dinners a starch in the place of meat. In all cases of laryngeal disease there should be given a hot bath every night before going to bed. If, however, bathing in the evening causes nervousness, it may be taken in the morning, followed with cold sponge-bathing; and the baths are to be followed with dry towel-rubbing. The same treatment should be given laryngeal syphilis that is recommended for constitutional syphilis; and constitutional syphilis is to be treated the same as all other diseases; namely, by correcting the life of the patient.

   From my standpoint, most of these cases are drug diseases, brought on from treating so-called syphilis--a disease the patient never has had.

Next Diseases of the Bronchi