Imágenes de página
PDF
ePub

into a colder atmosphere; remain after the assembly has dispersed for five, ten, twenty minutes, or more, according to the difference between the internal and external temperature of the air. And even after having waited some time to allow the system to become cooled, close your mouth resolutely, then hold over it and the nose a handkerchief, and then leave the house, walking briskly for five or ten minutes, or until the blood has begun to circulate freely, then remove the handkerchief, but still keep the mouth closed until you have entered your dwelling. If practicable never ride, but always walk from the place of your public exercise, as walking tends more to prevent chilliness. These suggestions are applicable to night air all the year round, but only to cool weather in the day time. Their observance should be rigid in proportion as the weather is cold. Never retire to bed or undress within an hour of speaking or singing.

The reader will perceive that all the above suggestions under the sixth head are in reference to one principle, the avoidance of cooling off quickly after exercises.

There are many other points in reference to the general subject of equal importance to clergymen, but it is not practicable to present them here.

FOR CLERGYMEN.

All that I have said is to induce clergymen and others to take warning from the first slight symptoms of disease. To accomplish this, I will, in addition to those already given, present two cases; one showing how insidiously the symptoms grow, and how easily they

may be removed when promptly attended to; the other being an example of their certainly fatal tendency when long neglected.

FIRST THROAT-AIL SYMPTOMS,

As described by a clergyman, in February, 1852, (1105.) "Eighteen months ago I noticed the first very slight symptoms of interference with my voice, in the collection of phlegm, obliging me occasionally to clear my throat. But I felt no uneasiness about the matter at that time, and never examined to see if there were any inflammation. Six months later, which was about a year ago, I began to feel, during my afternoon sermon, some irritation in the throat, extending down to about the top of the breast bone, with something like a raw sensation, which, however, would pass away during the evening.

"In the course of the summer and fall my voice became more affected, although still not very decidedly, but as if I had a slight cold, and there was a deficiency in clearness when I attempted to sing.

"I now scarcely ever have any sensation of soreness so low down as the top of the breast bone, but there is usually some feeling of that kind in the region of the apple.' There is a decided redness of the parts about the palate and of the back wall of the throat, with a decided roughness, especially of the latter, and an elongation of the uvula. There is a constant collection of phlegm, generally of a light color; of no great consistency, but sometimes having a nucleus of more substance. The tendency to clear the throat by hemming or swallowing is quite decided and frequent, but not painful nor very troublesome.. There is no soreness in swallowing, nor any difficulty in ordinary speaking. I

can go through one preaching service without inconvenience, excepting a slight hoarseness towards the close, which remains through the rest of the day, but is not felt the following morning. So long as I practiced the indulgence of a second service on the Sabbath, which was until about six weeks ago, I found that the effects of that second service were a decided increase of the hoarseness, and some soreness felt in speaking towards the last.

"I have only occasionally been troubled with a dry tickling in the region of the voice organs, and it has then been only of a few moments' continuance. There is a redness in the tonsils and in the parts a little anterior as well as behind them. The uvula does not occasion cough or tickling, or other uneasiness, except a very slight sensation when the parts are at rest, as if something were resting there.

I have a decided tendency to costiveness, and usually there is something of a bad taste in the mouth on rising, and sometimes to a considerable degree. Seldom any unpleasant feeling at the pit of the stomach."

Within two months this gentleman was able to conduct a service of an hour and a half without any felt inconvenience, and I considered him able to preach daily to advantage.

THROAT-AIL NEGLECTED.

"C. C. C., aged 40 years, married at eighteen, five children, delicate constitution naturally, but never had any seated disease until two and a half years ago, when I was first slightly troubled with a sore throat, this continued month after month; a slight cough came on; after several months I found that when I had been silent for sometime, I could not speak without moistening my

throat with a little water. Shortly after I raised a small quantity of blood, and generally had a severe coughing spell night and morning, but never at all through the night, and very little through the day. These symptoms continued the same until ten months ago, when I had in May another attack of spitting blood, which has since become more frequent, until at present I expectorate blood mixed with heavy yellow matter. Now my

cough troubles me through the night. The phlegm raises very easily, almost without an effort, it is dark and greenish, gummy and heavy. My bowels for several months are much relaxed, and there is a feeling of weakness about them. Have had night sweats at times for six months, and have them now towards morning. I have pain and weakness in my limbs; a little fever sometimes. Have been quite irregular for a year, with a great deal of pain in both breasts and sides, changing often, except that in the centre of my breast from the throat down, where appears to be the seat of my disease, and often when I cough, the soreness flies from that point to both breasts. My stomach is weak; the food sometimes sours, and is thrown up."

Such is the description of the commencement, progress, and termination of a slight affection of the throat. Slight indeed at first, but terminating in two years in the decaying stages of consumptive disease.

ASTHMA.

Its great distinguishing symptom is a difficulty of breathing, coming on at various intervals of days, weeks, months, years. The air is in the lungs but can't get out, swelling, distending, and causing an intolerable feeling of oppression of suffocation. The sensation arising

from not getting fresh air into the lungs and that which is caused by not getting it out is the same. It is a smothering. A sense of suffocation; of impending death. Of this, Whitfield died.

A fit of asthma usually comes on about midnight, from eleven to two o'clock. The patient is aroused from sleep with difficult breathing, and a most distressing feeling of tightness across the breast which impels him to sit upright in bed, the head leaned forward, the arms stretched out, the shoulders raised, the mouth open, the eyes protruding, the breathing heavy, loud labored and wheezing, the feet and hands cold, and of a deadly dampness. The patient speaks by signs or in monosyllables. He feels as if he could not spare the time to utter the shortest word. He has not breath to do it. The at

tempt to do so in a severe attack, would in reality almost kill him. A very strong lunged man may count a hundred above his breath, but it wearies an asthmatic more to speak a single word. Showing that at the time he is living upon a hundredth part of air less than a person in health, of course relief or death must take place in a very few hours.

While an attack is present, a most distressing cough comes on, dry and harassing at first beyond description; but it cannot be controlled, although it is worse than having to talk, and with a desperate energy all the strength of the system is summoned to the effort, but when once begun, there is no stopping it, and at last with the most inconceivable and utter prostration the patient falls down in hopeless helplessness, scarcely knowing whether death or life is to be the issue of the next moment. When death does not take place, the symptoms begin to abate about two o'clock in the morn

« AnteriorContinuar »