waters and all weathers, and as the lungs adjust themselves to varying air-pressures, so the intestinal wall makes ready adaptation to any common-sense demands, adjusting itself with ease to an athletic or a sedentary life, and to the normal variations of diet. What man has eaten throughout the centuries man may eat to-day. If you will but believe it, your intestines will make no more objection to white bread, blackberries, and cheese, along with all other ordinary articles of food, than the skin makes to varying kinds of water. Naturally, the suggested idea that a food will constipate tends to carry itself out to fulfilment and to prevent the call to stool from rising to the level of consciousness; but the real force lies not in the food but in the suggestion.
The Bran Fad. It is when we try to improve on the normal human diet that we really insult the body. He who leaves off eating nourishing white bread and takes to bran muffins is simply cheating his body. Bran has a small food value, but the human body is not made to extract it. Not only does bran fail to give us any nourishment itself, but it lessens the power of the intestines to care for other food. [55] The fad for bran is based on the well-known fact that we need a certain quantity of bulk in order to stimulate the intestinal wall to normal peristalsis. We do need bulk, but not more than we naturally get from a normal and varied
diet including a reasonable amount of fruit and vegetables.
[55] ] See an article entitled "Bread and Bran," Journal of American Medical Association, July 5, 1919, p. 36.
It is true that the suggestion of the efficacy of bran, dates, spinach, or any other food is frequently quite sufficient to give relief, temporarily, just as massage, manipulation of the vertebrae, the surgeon's knife, or mineral oil may be enough to carry the conviction of power to a suggestible individual. But who wants to take his suggestions in such inconvenient forms as these?
Change of Water. Another popular superstition centers around drinking-waters. There are people who cannot move from one town to another, much less take an extensive trip, without a fit of constipation—or a box of pills. If they only knew it, there is no water on earth which could make a person constipated. A new water, full of unusual minerals, might hasten the bowel movement, but on what possible principle could it retard it? Constipation has nothing to do with food or with water, but solicitous care about either can hardly fail to create the trouble which it tries to avoid.
The Cure
Taking off the Brakes. Since constipation is wholly due to the acceptance of a false suggestion, the only logical cure must be release from the power of
that suggestion. "He is able as soon as he thinks he is able"; not that thought gives the power, but that the right thought releases the inhibition of the mistaken thought. As soon as the brakes are taken off, the internal machinery is quite able to make the wheels go round. The bowel will empty itself if we let it. The function of elimination is not a new trick learned with difficulty by the aged, but a trick as old and as elemental as life itself. Like balancing on a bicycle, it may not be done by any voluntary muscular effort, but it just does itself when one learns how.
Once the sense of power comes, once the mind forgets to be doubtful or afraid, then the old automatic habit invariably reasserts itself. Meddlesome interference may throw the mechanism out of gear, but fortunately it cannot strip the gears. Constipation is an inhibition or restraint of function, but is never a loss of function. No one is too old, no one is too fixed in the bad habit to relearn the old trick. I have had a good many patients with chronic constipation, but I have never had one who failed to learn. Real conviction speedily brings success, and in many cases success seems to outrun conviction. So efficient is Nature if she has only half a chance!