X.—Use of Cold Water for Drinking and Injections.

Dr. Arbuthnot, in his work on aliments, says that “Water is the chief ingredient in the animal fluids and solids; for a dry bone distilled, affords a great quantity of insipid water: therefore, water seems to be the proper drink for every animal.” Berzelius, the great Swedish chemist, proved the truth of Dr. Arbuthnot’s observations, by distilling the entire corpse of a moderate sized man down to water, with the exception of eight pounds.

And Milton has expressed his concurrence with those authorities in eloquent language, when speaking of Samson:

“O madness! to think use of strongest wines,
And strongest drink, our chief support of health,
When, God, with these forbidden, made choice to rear
His mighty champion, strong above compare,
Whose drink was only from the limpid brook.”

About twelve ordinary size tumblers of water a day are generally drunk whilst under the treatment; instances occur where that number is increased to twenty, and even thirty glasses, but such are very rare.

At the beginning it is difficult to drink so much water; but by degrees we become accustomed to it. All the operations of the cure lead to the elimination of heat, which naturally causes thirst. Some persons on first drinking water feel sick, or have diarrhoea, which proves that the stomach is not in a healthy state. In this case, instead of discontinuing the drinking of water, the quantity is increased. When pain in the stomach comes from its being overcharged by food, water, in large quantities is recommended to be persevered in until relief is obtained.

We know that emetics produce this effect, but such remedies weaken the stomach—while water has the contrary tendency.

Cold water, as a beverage, fortifies the stomach and intestines, by clearing them of the bad juices they contain: favours the generation of new juices, and mixes with the blood by absorption. It spreads itself quickly through all the organs, attenuates, purifies, and dissolves the sharp or thick humours, and discharges them by means of perspiration and urine. Considered as a dietetic for slight indispositions, bad digestions, and generally in all cases of disease for which the faculty recommend aperients or mineral waters, it cannot be too highly appreciated. In the morning, after a cold ablution, whilst taking exercise, drink a few tumblers of water, and conclude every meal with a tumbler of water. It will have the same effect as a purgative or mineral water, without, like them, weakening the digestive organs. All persons may drink cold water at all times of the day with impunity, if they are not inconvenienced by it. That taken before breakfast, during exercise, produces doubtless the best effects. It is above all after sweating that drinking cold water produces an expectoration of phlegm. Water may be drunk after breakfast, but not so as to overcharge the stomach. During dinner the aliments should be moistened by some glasses of water, then the stomach must be left to repose; some hours afterwards again water may be drunk until supper-time. Drinking after supper is no less useful; but it may break the rest, by causing an invalid to rise often in the night. After drinking, exercise is indispensable, it stimulates the action of the water, and accelerates a cure. When in exercise, though in a perspiration, water may be drunk in any quantities. Water ought always to be drawn fresh from the spring, and drunk as cold as possible. The decanters which contain it ought to have stoppers, to preserve it cold and fresh. After every operation in the cure, a glass of water should be drunk; and it should be given in small quantities when in the sweating process. I know a gentleman who has all his life been a free-liver, and who, notwithstanding, is in good health, which he attributes entirely to drinking a couple of tumblers of water the last thing at night and first thing in the morning.

Under the denomination of injections, we principally understand clysters. When the patient is not in the habit of using them with cold water, they must not at first be applied for longer than two minutes; but by degrees the intestines become accustomed to the water, which is often absorbed like that introduced into the stomach. When necessary, a second injection is repeated immediately after the expulsion of the first.[4] Cold injections are used for constipation and diarrhoea, two diseases diametrically opposite, but which arise from the same cause, the weakness of the intestines. Thus the contradiction is only in appearance, the great object of injections being to establish the tone of these organs, and regulate their functions. Injections ought to be aided by the use of cold water in other ways.

There are also other injections in use at Gräfenberg, such as for the ears, nostrils, and genitals. Particular syringes are used for these purposes.