CHAPTER II.
CONSUMPTION.

Among the causes of consumption it is usually held that inherited tendency is one of the most efficient. Considering, however, the fact that this is a matter beyond our control; that is, a cause that we can not remove, it is hardly worth while to devote further space, just here, to its consideration. We can not create a new constitution; neither the mischief of a defective inheritance, nor of years of disobedience to the laws of life, can be atoned for—the future only is ours; the balance of vital capital can be expended judiciously, good health regained, often, and life made easy and extended to the utmost limit. Leaving the question of the influence of the spiritual over the physical nature for later consideration (see Conclusion), we have, practically, to take the body as we find it, and aim to conserve its vitality and to improve its condition; and when affected by disease, whether inherited or acquired, to seek its removal by building up the constitution, so to say, by every means in our power.

Notwithstanding the prevalent belief among physicians and laymen to the contrary, a belief based upon

the result of a form of treatment as irrational as it is uniform and universal, I agree with Dr. Oswald, who, in his new work—the most entertaining, as well as the soundest health-book extant—asserts that “Pulmonary consumption, in its early stages, is perhaps the most curable of all chronic diseases. The records of the dissecting-room prove that in numerous cases lungs, wasted to one-half of their normal size, have been healed, and, after a perfect cicatrization of the tuberculous ulcers, have for years performed all the essential functions of the sound organ. Still, the actual waste of tissue is never perfectly repaired, and fragmentary lungs, supplying the undiminished wants of the whole organism, must necessarily do double work, and will be less able to respond to the demands of an abnormal exigency.

“But the lungs of a young child of consumptive parents are sound, though very sensitive, and, if the climacteric of the first teens has been passed in safety, or without too serious damage, the problem becomes reduced to the work of preservation and invigoration: the all but intact lungs of the healthy child can be more perfectly redeemed than the rudimentary organs of the far-gone consumptive; the phthisical taint can be more entirely eliminated and the respiratory apparatus strengthened to the degree of becoming the most vigorous part of the organism. The poet Goethe, afflicted in his childhood with spitting of blood and other hectic symptoms, thus completely redeemed himself by a judicious system of self-culture. Chateaubriand, a child of consumptive parents, steeled

his constitution by traveling and fasting, and reached his eightieth year.

“By a relapse into imprudent habits, however, the latent spark, which under such circumstances seems to defy the eliminative efforts of half a century, may at any time be fanned into life-consuming flames; but in ninety-nine out of a hundred cases it will be found that the first improvement followed upon a change from a sedentary to an outdoor and active mode of life.”[6]

[6] Oswald’s “Physical Education.”

Anything that constitutes a tax upon the system beyond its ability to extract an ultimate good therefrom—for we know that, within certain limits, taxing the powers, the mental, physical and emotional, tends to exalt them—or to put it squarely: anything that overtaxes the system in any direction, tends to induce that state or condition commonly recognized as consumption. No greater error can be made than that of considering this disease as primarily affecting the lungs. The lungs are readily affected by disorder of the digestive organs. While it may not at first be plain to the ordinary reader how catarrh, sore throat, bronchitis and even congestion of the lungs[7] could originate in this manner; it is nevertheless true that they not only can and do thus originate, but this is in fact the most available and constantly operative source of respiratory affections. They may be affected directly