A, blood vessels in skin normal;
B, when congested.
If the blood vessels in the skin are suddenly cooled when full of blood, they contract and send the blood elsewhere. As a result a congestion or cold may follow. Colds are, in reality, a congestion of membranes lining certain parts of the body, as the nose, throat, windpipe, or lungs.
When suffering from a cold, it is therefore important not to chill the skin, as a full blood supply should be kept in it and so kept from the seat of the congestion. For this reason hot baths (which call the blood to the skin), the avoiding of drafts (which chill the skin), and warm clothing are useful factors in the care of colds.
Hygiene of the Skin.—The skin is of importance both as an organ of excretion and as a regulator of bodily temperature. The skin of the entire body should be bathed frequently so that this function of excretion may be properly performed. Pride in one's own appearance forbids a dirty skin. For those who can stand it, a cold sponge bath is best. Soap should be used daily on parts exposed to dirt. Exercise in the open air is important to all who desire a good complexion. The body should be kept at an even temperature by the use of proper underclothing. Wool, a poor conductor of heat, should be used in winter, and cotton, which allows of a free escape of heat, in summer.
Cuts, Bruises, and Burns.—In case the skin is badly broken, it is necessary to prevent the entrance and growth of bacteria. This may be done by washing the wound with weak antiseptic solutions such as 3 per cent carbolic acid, 3 per cent lysol, or peroxide of hydrogen (full strength). These solutions should be applied immediately. A burn or scald should be covered at once with a paste of baking soda, with olive oil, or with a mixture of limewater and linseed oil. These tend to lessen the pain by keeping out the air and reducing the inflammation.
Summary of Changes in Blood within the Body.—We have already seen that red corpuscles in the lungs lose part of their load of carbon dioxide that they have taken from the tissues, replacing it with oxygen. This is accompanied by a change of color from purple (in blood which is poor in oxygen) to that of bright red (in richly oxygenated blood). Other changes take place in other parts of the body. In the walls of the food tube, especially in the small intestine, the blood receives its load of fluid food. In the muscles and other working tissues the blood gives up food and oxygen, receiving carbon dioxide and organic waste in return. In the liver, the blood gives up its sugar, and the worn-out red corpuscles which break down are removed (as they are in the spleen) from the circulation. In glands, it gives up materials used by the gland cells in their manufacture of secretions. In the kidneys, it loses water and nitrogenous wastes (urea). In the skin, it also loses some waste materials, salts, and water.
"The Effect of Alcohol on Body Heat.—It is usually believed that 'taking a drink' when cold makes one warmer. But such is not the case. In reality alcohol lowers the temperature of the body by dilating the blood vessels of the skin. It does this by means of its influence on the nervous system. It is, therefore, a mistake to drink alcoholic beverages when one is extremely cold, because by means of this more bodily heat is allowed to escape.
"Because alcohol is quickly oxidized, and because heat is produced in the process, it was long believed to be of value in maintaining the heat of the body. A different view now prevails as the result of much observation and experiment. Physiologists show by careful experiments that though the temperature of the body rises during digestion of food, it is lowered for some hours when alcohol is taken. The flush which is felt upon the skin after a drink of wine or spirits is due in part to an increase of heat in the body, but also to the paralyzing effect of the alcohol upon the capillary walls, allowing them to dilate, and so permitting more of the warm blood of the interior of the body to reach the surface. There it is cooled by radiation, and the general temperature is lowered."—Macy, Physiology.
Effect of Alcohol on Respiration.—Alcohol tends to congest the membrane of the throat and lungs. It does this by paralyzing the nerves which take care of the tiny blood vessels in the walls of the air tubes and air sacs. The capillaries become full of blood, the air spaces are lessened, and breathing is interfered with. The use of alcohol is believed by many physicians to predispose a person to tuberculosis. Certainly this disease attacks drinkers more readily than those who do not drink. Alcohol interferes with the respiration of the cells because it is oxidized very quickly within the body as it is quickly absorbed and sent to the cells. So rapid is this oxidation that it interferes with the oxidation of other substances. Using alcohol has been likened to burning kerosene in a stove; the operation is a dangerous one.