688. How are cutaneous eruptions frequently produced? 689. How are infectious vapors transmitted to the system? 690. How does bathing promote cleanliness? 691. Why is it necessary to use soap in bathing?

692. Every washing of the skin with soap removes the old face of the cuticle, and leaves a new one; and were the process repeated to excess, the latter would become so thin as to render the body sensible to impressions too slight to be felt through its ordinary thickness. On the other hand, when the cuticle and its accumulated impurities are rarely disturbed, the sensitiveness of the skin is impaired. The proper inference to be drawn from the preceding remarks, is in favor of the moderate use of soap to cleanse the skin.

Observation. If any unpleasant sensations are felt after the use of soap, they may be immediately removed by washing the surface with water slightly acidulated with lemon juice or vinegar, which neutralizes the alkali that may remain on the skin. This is effective treatment for “chapped hands.”

693. Bathing may be partial or general, and the water used may be cold, temperate, tepid, warm, or hot. A person may apply it to his system with a sponge, it may be poured upon him, or he may immerse himself in it. The simplest mode of bathing is to apply water to a small extent of surface, by means of a wet sponge, and after being wiped dry, again cover with the dress. In this way the whole body may be speedily subjected to the influence of water, and to no less useful friction. The water used may be warm or cold. This species of bathing may be practised by any invalid, and 314 always with benefit, if the bathing is succeeded by a glow of warmth over the surface; and this is the test by which the benefit of all forms of bathing is to be estimated.

692. Why should only a moderate amount of soap be used in bathing? If unpleasant sensations are felt from too free use of soap, how can they be counteracted? 693. Give the different forms of bathing. What is the simplest mode of bathing? Can this mode be adopted by invalids with safety?

694. When the heat of the system is adequate, the bather may stand or sit in a shallow tub, while he receives the water from a sponge squeezed over the shoulders or against the body. In this form of bathing, the person is more exposed to the cold air, and on this account it is less suitable for very feeble individuals than the first-mentioned method. In the early use of this form of the sponge-bath, the bather should content himself with a single affusion from the sponge; the body should be quickly wiped with a soft towel, and friction applied with a crash towel or a brush.

695. The third kind of bathing is that of the shower-bath, which provides a greater amount of affusion than the former, combined with a greater shock to the nervous system. The concussion of the skin by the fall of water, particularly distinguishes this from the previous modes of bathing. The degree of concussion is modified by the size of the openings through which the water issues, and the height of the reservoir. The shower-bath admits of modification, adapting it to the most delicate as well as the robust. The extent of fall, the size of the apertures, the quantity and temperature of the water, may be regulated at pleasure.

Observation. In using the shower-bath, it would be judicious to commence with warm or tepid water, for which, by a gradual process, cold water may be substituted. In this way the system may be inured to cold water. After bathing, the skin should be wiped dry and rubbed briskly.

696. The fourth form of bathing is that in which the body, or a portion of it, is immersed in water. The temperature 315 of water in this form of bathing may be modified according to the sensations and purposes of the bather. This form of bathing is designated according to the heat of the water. When the temperature is below 75°, it is termed a cold bath; when from 75° to 85°, a temperate bath; from 85° to 95°, a tepid bath; from 95° to 98°, a warm bath; from 98° to 105°, a hot bath. In using this form of bathing, the skin should be wiped perfectly dry, and briskly rubbed.

What is the test by which to estimate, the benefit of all modes of bathing? 694. Give another method of sponge-bathing. 695. What is said of the shower-bath? What caution is given? 696. Give the fourth form of bathing.