One of the gravest objections to all the hitherto existing appliances is the construction of the nozzle, or tube, that is inserted in the body, and through which the water is conveyed. These are all (without exception) made with an aperature in the end, or extreme tip, the consequence being that a small jet of water is continuously directed upon one spot in the delicate and sensitive mucous membrane. With water at the necessary temperature this is a source of grave danger, and likely to result in serious injury, by causing a separation of the various layers of which the membrane is composed. When this separation occurs little slits occur in the rectal lining, in which fæcal matter lodges, ultimately forming what are known as pockets, causing, first, irritation, then inflammation, and, finally, results in “proctitis”—chronic inflammation of the intestinal canal. The best authorities agree in condemning the direct jet, while rectal specialists regard it as one of their chief aids to income.
With these facts in view, the construction of my “injection point,” or entering tube, engaged the special attention, finally, with the result that a most successful means of overcoming this dangerous objection has been provided. Instead of the opening in the end, the tip is made absolutely solid, so that the impact of the entering water is not felt at all, while it is provided with six rows of perforations on the sides, through which the water is evenly diffused over the walls of the rectum, which is a most desirable thing in cases of hemorrhoids or rectal inflammations. It is also so constructed that the natural constriction of the sphincter muscles holds it firmly in position in the rectum, and while affording the water free passage into the colon, it prevents the escape of the fluid externally, thus rendering soiled garments impossible.
But the simplicity of the operation is one of its chief advantages, for the patient sits upon the appliance in ease and comfort while receiving the cleansing stream, and by following the directions the time occupied in the operation need not exceed fifteen minutes, or about one-fourth of the time required by other methods—an unmistakably valuable saving of time and strain to busy or weakly people. The faucet is considered by experts as a most valuable feature, on account of the “dome” portion, which accurately fits the natural arch formed by the limbs when the body is in the seated position.
Many people are accustomed to use the bulb and fountain syringes in a reclining position and some physicians recommend the patient to kneel in the bath tub, with the body bent well forward: an irksome, disagreeable position and quite unnecessary. The theory is, that the water will flow into the body by gravitation, but they overlook the fact that the ascending and descending portions of the colon, being parallel in the body, the water, while flowing readily into the descending portions, would have to flow uphill in the ascending portions and by the time it reached there, the force would be exhausted. The weight of the body furnishes greater force, which is proportioned to the size and bulk of the patient, but is not perceptible to him, on account of the solid construction of the tip of the “injection point,” while the steady, uniform pressure exerted serves to distend the walls of the colon and thus liberate adherent matter. By far the great majority of people, however, use these crude appliances while seated over a vessel, which is decidedly injurious. By reference to the diagram of the digestive organs it will be seen that the “descending colon,” that portion which terminates in the rectum, is larger than either of the other divisions of that organ. In fact, its capacity (in the average adult) is about three pints, equivalent to three pounds. Now this weight, in a flexible organ like the colon, must cause a sagging down, exerting a serious strain upon its attachments to the abdominal wall, and by its pressure upon the sphincters will induce prolapse of the rectum. That is one reason why so many people find it almost impossible to receive enough water to make the treatment successful. When a physician, or trained nurse, is administering a high enema, it is a common practice to hold a folded towel against the rectum, to guard against this pressure and its possible results. The “dome” portion of the faucet (previously referred to) affords the desired support, automatically and effectually prevents any prolapse; while the handle of the faucet, projecting forward, between the limbs, may be manipulated with the greatest ease in controlling the flow of water; and, being seated on a warm cushion, the patient experiences a pleasant, soothing sensation, which completely allays any nervousness.
Moreover, realizing the immense advantage to be obtained by attacking the germs of disease in their chief breeding place, an antiseptic preparation is introduced into the water used in this remedial process, which completely and speedily destroys the germs of disease; but although so potent in its action upon micro-organic life, it is perfectly harmless, even though a hundred times the necessary quantity should be forced into the intestinal canal. But it is not alone a germ destroyer, for it possesses admirable tonic properties, which act upon the muscular coat of the colon and speedily restores it to its normal condition.
Defecation, or the expulsion of waste substance from the bowel is accompanied by the contraction of the circular fibres of the said muscular coat, but when constipation has existed for any length of time, the accumulated matter adhering to the walls of the colon renders that organ partially, if not wholly rigid, hence the difficulty of evacuation; consequently, through disuse, the muscles become to a certain extent atrophied, and require stimulation to resume their natural function even after the colon has been cleansed. It is largely owing to the use of this antiseptic “tonic” that the “Cascade Treatment” has been so successful in cases of obstinate constipation, as by its use the intestine speedily regains tone and power.
I unhesitatingly assert that if the colon be regularly cleansed and disinfected by this means, any bacilli or bacteria that may have obtained a lodgment in the system will be quickly destroyed and expelled—it cannot be otherwise.