An attendant waiting in the anti-chamber, throws a dry sheet on the patient on his coming out from the douche, rubs him dry, and puts on the waist bandage.
The time allotted for douching is two hours after breakfast, or dinner, but this rule is not without an exception; some patients, after their morning treatment, walk an hour, and then proceed to the Douche before breaking their fast.
Patients ought to be most particular in observing their doctor’s orders in the use of the douche.
XVII.—The Shower Baths.
These baths so much recommended by the faculty are not used at Gräfenberg. Many persons in the habit of using them complain of giddiness and head-ache. This arises from the re-action upwards, which naturally results from their application. As an ablution, a bath, or washing with wet towels is preferable.
Mr. Priessnitz objects to the use of them, as parties take them without previous preparation, or other adjuncts. Falling on the head, they frequently cause congestion in that region.
XVIII.—The Sitz or Sitting Bath.
By this is to be understood a hip bath: that used at Gräfenberg is a small flat tub about seventeen inches in diameter and twelve or thirteen inches deep; a common washing tub placed against the wall will answer the purpose. The water in this bath is seldom more than four to six inches deep, in which the patient sits with his feet resting on the ground. No rule can be laid down for the duration of this bath, as it is ordered from ten minutes to an hour, and longer, depending upon the effect it is intended to produce. It is sometimes prescribed three or four times a day.
The sitting bath is of so much importance that where not prescribed the case is considered an exception to the ordinary rule of treatment. The sitting-bath cools and strengthens the viscera of the body, and by revulsion or derivation, draws the humours from the head, chest, and abdomen; relieves pain in the gums or face, and dissipates flatulency and cholic; and is of the utmost value to those who lead sedentary lives.
The object of using so little water in this bath, the foot and a half bath, is, that reaction may be the sooner effected. The water is only changed in peculiar cases. The abdomen should be well rubbed whilst taking the bath, and exercise taken immediately after it, to bring on a reaction. Where there is any tendency of heat or blood to the head, a wet bandage in the shape of a turban should be put on the head immediately before sitting in the bath, and continued the whole time. In commencing the hydropathic treatment, or where the patient is low spirited or unwell, or in cases where reaction is slow, a tepid sitting bath of 62 deg. to 64 deg. is usually prescribed. If a patient takes this bath immediately after the rubbing-sheet, or the room in which he takes it is cold, he should be covered with a cloak or dry blanket. Sitting baths must not be taken just before going to bed, excepting under peculiar circumstances.