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BRONCHITIS
Acute: There are two kinds. Acute and chronic. Acute bronchitis is inflammation
of the lining mucous membrane of bronchial tubes or the bronchial tubes which
lead to the lungs. It occurs most frequently in winter amongst elderly people.
It is common in children.
Cause: Insufficient food, overwork, a run-down condition of the system, scanty
clothing, excessive confinement in warm rooms, too warm wrapping up are the
predisposing causes of acute bronchitis. Sudden exposure to cold, spreading of
nasal catarrh, certain occupation which expose people in irritating vapours and
small particles of dust are the exciting causes.
The cotton mill hands and chemical manufacturers suffer from bronchitis. It is
common amongst people who are exposed to all weathers.
Symptoms: Limbs ache. There is running in the nose. There is chilliness. The
bronchial tubes get choked. There is difficulty in breathing. At first there is
dry and hacking cough. A little phlegm comes out. There is fever. In the course
of two or three days there is plenty of sputum. There is sense of oppression or
tightness in the chest. The pain is burning in character. The pain is behind the
sternum. This is not a fatal disease. There is frequent cough. There is slight
rise of temperature. The disease lasts a week or ten days and gradually
subsides.
Treatment: Cough is nature's way of throwing out the irritants and phlegm from
the breathing tubes, just as diarrhoea is for throwing out the irritants from
the bowels. It is not wise and judicious to check it in the beginning. To check
it is to increase the trouble. Nature's help must be resorted to in order to
liquefy the phlegm and make it come out quite easily.
Sponge the back and chest up and down rapidly with hot water. Hot linseed meal
poultice will give great relief to the distressing tightness of the chest.
The bowels should be well opened by a warm water enema. Hot milk will loosen the
phlegm and make the cough easier. Add a little black pepper and dry ginger
powder to the milk.
Fomentation to the chest with a flannel dipped in hot water and turpentine or
oil of eucalyptus sprinkled on it is very useful. Add a teaspoonful of oil of
eucalyptus to a jug of hot water and inhale it as much as possible.
Diet: Diet should be fluid. Warm sago or barley water is useful. Fasting is
highly beneficial.
Gul Banabsha* gives great relief. A decoction is made out of banabsha,
liquorice, pepper and sugar candy. Keep a piece of liquorice in the mouth. It
will relieve cough which is merely a symptom of a catarrhal condition of the
bronchial tubes. Smoking should be given up. It causes irritation in the
bronchial tubes and produces cough.
does not pass off within 48 hours it is constipation. A useful and simple test
consists in giving a tablespoonful of powdered charcoal at night. It should
normally have completely disappeared from the stools before forty-eight hours.
Cause: Weakness of the muscles of the bowels, sluggish condition of liver,
neglecting the calls of nature, lack of vegetables and fruits in the diet and
the consequent lack of roughage, lack of exercise, not taking sufficient
quantity of food and water, errors in diet, faulty diet, wrong feeding and wrong
living, sedentary habits, severe enervation due to nerve strain, overwork,
excess of all kinds, loss of tone of the bowels and lack of good peristaltic
movement of the bowels, reduction of food, produce constipation.
Errors in diet such as taking too bland food, no vegetables, no food with coarse
residue, too dry food, e.g., deficient fluid ingestion, too little or poor food,
deficiency of vitamins, causes of defective peristalsis such as sedentary
habits, depressing emotions, anxiety, worry which cause sympathetic inhibition;
old age and other conditions with poor general tone such as anaemia or
bloodlessness, prolonged disregard of the calls of nature, weak abdominal
muscles, atony of or loss of tone of the colon, some feverish states, endocrine
disorder, specially deficient activity of thyroid and pituitary, reflex spasm as
in catarrh of colon or uterine disease, drugs such as opium, iron, lead,
deficiency of bile or intestinal secretions due to functional inactivity of the
liver, profuse vomiting, excessive loss of fluid by skin or kidneys, astringents
such as chalk or catechu*all these produce constipation. Hard waters also act
in the same way.
* Catechu: an extract of any of the several species of Acacia but specially
Acacia catechu produced by boiling the wood in water and extracting the brew.
Treatment
General: Inculcate regular habits. Visit the latrine at a fixed time daily in
the morning and evening even if there is any desire for passing stools or not.
In course of time regular habit of defecation at a regular hour will be formed.
When you sit in the latrine give a mild tapping with your closed fist at the
buttocks several times.
Massage the abdomen. This will help you to evacuate the bowels. The squatting
position aids. Do not strain. Avoid hurried visits to the latrine.
Avoid purgatives and laxatives of any kind. Frequent purgatives injure the
bowels. For a week use warm water enema daily, then on alternate days, and
ultimately once a week. This is very effective in clearing the bowels of
accumulated faeces. Gradually the bowel resumes its normal functioning.
The occasional use of enema is highly beneficial but do not develop an enema
habit. Take it daily, if constipation is very troublesome.
Active exercises are necessary. Strengthen the abdominal and pelvic muscles by
doing abdominal exercises. Abdominal massage is highly beneficial. Gently roll
the abdominal wall. Roll over the abdomen a seven pound shot-ball in the
too much. If the case is only in the first stage, cure may be effected within
six months.
The patient should never kiss or fondle a child. Kissing is a source of the
spread of infection.
Paper handkerchiefs may be used to receive the sputum. These should be burnt
afterwards.
A shelter may be built in the garden in the open air or on the roof. Chills must
be avoided. The patient can sleep in the open air and obtain the maximum of
sunshine. All the windows should be opened. The natural power of resistance of
persons should be increased and maintained on a high level by remaining in airy,
well-ventilated rooms, good nutritious diet, regular exercise, cleanliness and
other hygienic measures, etc.
General exposure to morning sun is beneficial in the early stages. This
increases the resisting capacity of the system. Sunlight is a potent
disinfectant also.
The patient should learn how to live a healthy, regular life with a combination
of rest and graduated exercises, so that he may be in the best position to keep
himself fit when he resumes his ordinary life.
Consumptive patients should avoid dust, wind and extreme heat. Never sleep with
the mouth covered up. Avoid all fatigue of body and mind. Be calm and patient.
Reduce the fever by rest in bed.
Keep the gums and teeth as clean as possible. Clean your teeth after each meal.
Never neglect diarrhoea. Abandon smoking.
Do not waste your money and time on patent medicines. Avoid late hours.
Consumptives should never swallow their sputum.
Tepid or cold sponging, tub baths, should form a regular feature of the
treatment.
Diet: Fasting is highly beneficial. Take cocoanut water and orange juice alone
for some days.
Milk, cream, fruits of all sorts, bananas, pineapples, oranges, grapes, fresh
vegetables, butter, wholemeal bread, nuts, cheeseall these can be taken. Soup
made of mixed vegetables does much good. The food must be nourishing and
abundant.
Do not add sugar to milk. Take fresh milk. Take about 6 1/3 cups of milk daily.
If it agrees you can take more. Milk supplies plenty of calcium to the system.
Rest for an hour after each meal. You can live on milk alone for some days.
White bread, white-flour products, refined cereals, white sugar-tinned and
preserved foods must be abandoned as they are deficient in minerals.
Hygienic: The rooms in which the consumptive patients have lived must be
thoroughly disinfected. Doctors should visit the home of the invalids and give
correct hygienic instructions to the members of the house in order to prevent
contamination of those uninfected persons who have been in contact with the
patient.
A teaspoonful of oil of Eucalyptus or oil of pine should be put in a jug which
contains boiling water. The vapour should be inhaled every night at bed time and
during the day if the cough is troublesome.