Acute "Infections"

the hygienic system orthopathy chapter 7

In this chapter we shall deal with what are commonly classified as "infectious diseases." These are subdivided into "infectious diseases of known origin," and "infectious diseases of unknown origin." The first group are again divided into "diseases due to bacteria," "diseases due to non-bacterial fungus," "diseases due to protozoa" and "diseases due to metazoa." The reader should know that of those said to be due to bacteria, some of them are not "absolutely established" to be of bacterial origin. Of those "known" to be "of bacterial origin," the causative organism is "known" in but few. We shall ignore all these distinctions and deal with this group of symptom-complexes in alphabetical order.

There is no infection, or contagion, in the sense now understood. Certain of these "infectious diseases" are said to provide "immunity" against future "attacks." But when we reflect upon the fact that the great majority of mankind never develop a given so-called "disease" — diphtheria, or smallpox, for instance — it does not seem strange if the same person should not develop the same "disease" two or more times. More than one, sometimes three or more, "attacks" have been observed in all so-called "contagious diseases" and the assumption that one "attack" renders the victim immune is wholly gratuitious.
Symptoms To Expect

ANTHRAX

Definition: This "disease" is found largely among sheep and cattle, especially in those of Asia, Russia, and France. In man it is often called "wool sorter's disease" and "rag picker's disease." It is claimed to be due to the bacillus anthracis, and is said to be transferred to man in meat or milk, or may be inhaled with dust.

Symptoms: Three forms are described: (1) the enteric form ("a rapidly fatal enteritis") resulting from "infection" from meat or milk; (2) the bronchial form ("a fatal bronchitis") resulting from inhalation of dust from wool or rags; (3) the pustular form (a malignant pustule" or "very bad form of boil") resulting from "infection" of a scratch on the skin. The boil has a black center due to the death of the flesh and is often followed by "blood poisoning."

Care of the Patient: Hygienists seem to have had no experience with this condition, but we may be sure that "infection" can occur only in those whose resistance has collapsed under enervation and toxemia.

ACTINOMYCOSIS

Definition: Actinomycosis is defined as "a chronic infectious disease chiefly of cattle," caused by "the actinomyces or ray fungus, which forms translucent to opaque, grayish or yellow granules composed of radiating filaments with bulbous ends." These are "probably ingested with food."

Symptoms: Four types are described: (1) alimentary — there may be swelling of the face or tumor of the jaw, or the intestine or liver may be involved.
(2) Pulmonary — there is cough with mucopurulent and sometimes fetid sputum, irregular fever, loss of weight
(3) Cutaneous — skin tumors form and break down (suppurate), forming chronic ulcers.
(4) Cerebral — This form which presents symptoms resembling brain tumor or epilepsy, is rare.

Care of the Patient: No food should be given so long as acute symptoms persist. Rest in bed is essential. Open lesions should be cleansed thoroughly and kept clean.

CHICKEN-POX (Varicella)

Definition: A dynamic biogony characterized by a vesicular eruption of the skin. Since "several attacks may occur" it is not claimed that one "attack" confers "immunity."

Symptoms: Chicken-pox begins with a chill, vomiting, and pain in the back. The rash develops within the first twenty-four hours of fever. As a result, the biogony is mild. The rash begins as small red papules which develop into vesicles, but without, as in smallpox, the surrounding area of inflamed skin. In two days the fluid in the vesicles develops into pus. In two more days the pustules dry to. dark-brown crusts. These fall off without, as a rule, leaving a scar. Successive crops of the eruptions develop at intervals of from one to four days, so that unlike small-pox, all stages of the rash are present at the same time. The eruption seldom begins on the face, but begins, usually on the trunk, back and chest. The pustules never coalesce.

Complications: These are rare and result from feeding and drugging or other wrong care.

Etiology: Chicken-pox, like the other eruptive fevers, is a manifestation of protein poisoning: sepsis. It develops only in those who are in favorable condition.

Prognosis: All cases rapidly recover.

Care of the Patient: This condition should be handled the same as measles or smallpox. It is a mild biogony, does not last long, and is very comfortable under Hygienic Methods.
CHOLERA
Definition: A biogony characterized by vomiting, purging, spasms and griping pain. Asiatic or epidemic cholera has gone out of date in all countries where sanitation is what it should be. In China and India, cholera is still prevalent.

Symptoms: Well-marked but favorable - cases are divided into three stages, as follows:
(1) Stage of Invasion: This name is based on the theory that cholera is caused by the "comma bacillus" of Koch. It usually begins with malaise, headache, diarrhea, rumbling noises in the intestines, and colic. Frequently these symptoms last a few days and subside: such cases are named cholerine.
(2) Stage of Collapse: The diarrhea becomes more marked, the evacuations become copious, lose their feculent character, take on a rice-water appearance, and are discharged forcibly but without pain. Vomiting soon develops, the vomitus resembling the stools. There is unquenchable thirst, severe cramps in the muscles of legs, thighs, arms and abdomen. The surface is cold and covered with a clammy sweat; the breath is cool, the voice is husky and finally reduced to a whisper, breathing is quickened, the pulse becomes progressively feeble, the body is livid and shriveled, the features are ached, sometimes distorted, the eyes sunken. Temperature in the axilla falls, though there may be fever internally and the urine is scanty or suppressed. Consciousness usually persists until the end, when coma develops. This stage lasts from a few hours to two days.
(3) Stage of Reaction: In this stage the symptoms gradually grow better, the stools become less frequent, temperature returns to normal, more urine is excreted and convalescence is soon established.

Cholera Typhoid is the term given to those cases where moderate fever, a dry brown tongue, muttering, delirium, coma and usually death follow the collapse stage instead of reaction.

Cholera Sicca is the term applied to cases in which the intoxication is so overwhelming that the patient dies within a few hours after the first symptoms appear and before the saving diarrhea has developed.

Complications and Sequelae: Nephritis, pneumonia, pleurisy, parotitis, ulceration of the cornea, croupous inflammation of the throat and fauces, abscesses and local gangrene are the chief complications.

Etiology: Enervation, toxemia, and insanitary surroundings are the chief causes.

Prognosis: The Hygienic System received its baptism in cholera and proved its great effectiveness. In the aged, very young, debilitated and intemperate the death rate is very high. If the body is not forced to expend too much fluid in its efforts to flush away the source of poisoning, recovery will always occur.

Care of the Patient: Fasting, rest, heat and an abundance of pure water are the chief needs. Great thirst is due to loss of body fluids.
CORYZA
Definition: Coryza (or colds in the head) is an acute catarrhal inflammation of the nasal cavities sometimes extending to the pharynx, upper respiratory tract, Eustachian tubes and accessory nasal sinuses.

Symptoms: It begins with chilliness, muscular soreness, general malaise, fullness in the head and sneezing. Obstruction of the nasal chambers causes the patient to breathe through his mouth. At first there is no excretion, but in twenty-four or forty-eight hours a watery discharge is set up which later becomes muco-purulent. Slight fever accompanies.

Complications: The inflammation may extend to the frontal sinuses (sinusitis), Eustachian tubes, pharynx (pharyngitis), larynx (laryngitis), and bronchi (bronchitis). Frequent colds may lead to chronic rhinitis.

Etiology: Colds, or rhinitis, represent processes of vicarious elimination. They are not caused by cold feet, damp air, night air, exposure 'to cold, eating your gruel out of a damp bowl, exposure to heat, etc., nor are they caused by germs.
The two great causes of colds are repletion and exhaustion. Anything and everything that tends to tax and lower the vital or nervous powers, impairs digestion, checks elimination and tends to bring on "disease."
Repletion or plethora (overeating with surcharged blood vessels) tends to overtax the functions of life, poison the body and necessitates a process of compensatory elimination, which is "disease."
Eating when exhausted, when worried, over-excited, or under any similar circumstance, when the digestive powers are low, also poisons the body and calls for an unusual house-cleaning process. Excesses of sugar, starch and milk are the chief causes of colds and her catarrhal conditions.
We do not "catch" colds; we develop them within ourselves. The cold, per se, is a life saving measure, a process of elimination.
Many so-called "diseases" begin with a cold and others develop after recurring colds, and this has given rise to the theory that colds prepare the way for other "diseases"; that they weaken the body and prepare it for "attack" by some other and more virulent "disease." Nothing can be farther from the truth. If the prevailing theory that colds and other so-called "diseases" are due to germs is correct, there seems to be no reason why the less virulent germs (of colds) must first break down the resistance of the body before the more virulent germs (of infantile paralysis, measles, tuberculosis etc.) can cause "disease" therein.
Instead of laying us liable to "other diseases", colds tend just the other way. That condition of the body that makes the cold, or a series of colds, necessary, may and often does, due to the persistence of its causes, demand other forms of eliminating crises ("disease") to remedy.
But tuberculosis no more develops out of a cold than the hair on a man's face develops out of the hair of his head. A cold may be and usually is part of an acute "disease," like measles or scarlet fever, and it may be the first part of this marvelous process of systemic purification to develop.

Prognosis: The duration is from a few days to two weeks. Indeed, some spontaneously abort in a few hours. A cold that persists for two weeks is badly cared for.

Care of the Patient: It is only because the cold may be the prodromal symptom of a formidable "disease" that this condition could receive immediate care. A "disease" cared for properly from the start never becomes serious, nor results fatally.
DENGUE
Definition: Called also breakbone fever and dandy fever, this is a febrile condition confined almost entirely to hot climates.

Symptoms: These appear suddenly with malaise, chilliness, headache, intense pain in the muscles and joints and high fever. Fever rises rapidly to a maximum of 104 to 105 F. in a few hours. The skin and conjunctiva are congested, the pulse rapid, urine scanty, the superficial lymph glands are enlarged, the joints are painful, tender, and slightly swollen. Mild delirium sometimes develops. In three to four days sweating occurs, the temperature falls, pain abates, and the patient becomes comparatively comfortable, though weak. This remission lasts one or two days to be followed by a return of all the original symptoms, though in less severe form and of shorter duration. A roseolar eruption usually develops during the second period of fever. After one or two days, desquamation (peeling) follows.
Complications are rare. Hemorrhages from the mucous membranes occasionally occur.

Prognosis: Recovery is the rule. Convalescence is sometimes slow, the soreness of the joints persisting for a long time.

Care of the Patient: Fasting, rest and warmth are all these cases require. After convalescence begins, great care is needed in feeding and in conserving the patient's strength.
DIPHTHERIA
Definition: Diphtheria is a symptom-complex characterized by an exudation thrown out on the mucous membrane of the pharynx, tonsils, larynx, and sometimes in the trachea and bronchial tubes.

Symptoms: The patient seldom feels as ill as in acute tonsilitis. The fever is seldom high and soon falls to normal. Where the poisoning is intense the temperature may run to 102 and 103 F. The throat is not very sore although the tonsils may be greatly enlarged. In some cases which suffer most severely there is little membrane, some even have no fever. In others the temperature is sub-normal. These cases are especially dangerous; the lack of fever indicating a lack of reactive power. To express it differently: temperature is so low because pan-toxemia has so overwhelmed the nervous system that only a feeble reaction is possible. Diphtheria of the nose, of the eyes and around a recent wound may cause no serious feeling of discomfort.

Diphtheria begins with fever, chilly feelings, pains in the limbs back, headache and malaise. The throat is not very red and tonsils are not greatly swollen. The glands in the neck enlarge and the face becomes an ashen gray. The patch of white membrane enlarges and extends beyond the tonsil. The membrane may grow rapidly and extend over the soft palate to the posterior wall of the fine bronchi. The membrane may even extend through the Eustachian tube into the middle ear, along the nose into the nasal sinuses and sometimes it extends down the oesophagus into the stomach. Under the membrane there is death of tissue and there follows sloughing. The "disease" is self-limited and after ten days the membrane loosens and falls off in shreds.

Within recent years medical men have recognized that "membranous croup" is diphtheria and these cases are now quarantined. When the writer was younger, cases of membranous croup were not quarantined and no one ever "caught" the "disease" from these cases. An unquarantined case did not produce an epidemic. In his Mother's Hygienic Handbook, 1874, Dr. Trall asserted "the pathological identity of croup and diphtheria.

"Membranous croup" is the worst form of diphtheria. These cases seldom appear to be very ill. For two or three days there is a rough, croupy cough which becomes a little more croupy each after-noon and evening, but wearing off somewhat in the forepart of the night and in the morning. The child's breathing is not affected, he has an appetite - and there is usually little uneasiness on the part of parents. Then, suddenly, the child almost suffocates. He tosses about on the bed, sits up and struggles in various ways in an effort to breathe. He becomes blue. In severe cases the child suffocates unless relieved by intubation or tracheotomy. In the milder cases the paroxysms are soon over, but they sometimes recur later.

Complications: Under regular medical care, acute myocarditis, severe nephritis, and bronchopneumonia are common. The first two, at least, are resultants of anti-toxin. Various forms of paralysis, especially of the throat and eye muscles and of the limbs develop as sequalae in about one fifth of medically treated cases. Paralysis is often the result of anti-toxin, although we cannot always attribute this to the anti-toxin, for it sometimes occurs in cases which have had no anti-toxin.

Anti-toxin does not cure diphtheria and toxin-anti-toxin does not prevent it. Both these foreign proteins are responsible for many deaths in both the well and the sick and for much other injury short of death.

Etiology: Diphtheria develops in fat, soft, sleek, "well fed" children that are so generally admired as "pictures of health." These children are chronically ill, are predisposed to the, development of severe acute biogonies, and, if they reach maturity, supply the greater portion of the cases of tuberculosis. Children who spend most of their time out of doors, are thinly clad, sleep in cold, well-ventilated rooms, have a spare diet and are not pampered, do not develop diphtheria.

The symptom-complex of diphtheria starts with enervation which checks secretion and excretion. Inhibition of excretion produces toxemia; checked secretion produces indigestion — fermentation and putrefaction. Such a child will suffer from putrescent poisoning and may at any time, develop scarlet fever, measles, smallpox, diphtheria or other severe protein-poisoning crisis. Trall, Page, Tilden, Weger and others have shown the putrescent basis of diphtheria.

Prognosis: Dr. Weger says of his care of diphtheria cases by hygienic methods that, the "disease" has "invariably responded in the same even and consistent manner." Trall, who treated hundreds of cases, says: "There is little danger of this formidable disease, which often desolates the family circle of all the little ones, terminating fatally, if this plan of treatment is thoroughly carried out — unless it is a very frail and scrofulous child. Nor have I yet known it to fail in but one such case." Tilden says: "I never knew a case to get well where this disease is located in the pharynx, and passes down only a very short distance, into the trachea, sometimes the membrane is thrown off and the child recovers, but this is so rare that I have heard only of a few cases." 'Again he says: "I have never seen a case of bronchial diphtheria get well, and I never expect to."

Care of the Patient: No food of any kind should be given. In croupy cases, whether it is or is not membranous croup, it is well to stop all food the instant the first sign of trouble (the cough) shows. These cases may stand some chance of recovery if proper care is taken before the membrane spreads to such an extent that breathing is made impossible.
Put the child to bed in a well ventilated room. If it is winter, place a hot water bottle at his feet.
Drinking should be discouraged. Swallowing tends to break up the membrane and carry it into the stomach. Small water enemas, given after the bowels have been thoroughly cleaned out, must take the place of drink.
The throat should not be gargled. No sprays or washes of any kind are to be employed.
The child should be placed in a position so that everything will well out of the mouth. Place him on his right side so that he leans well forward and face down. If the child is permitted on the back, the secretion tends to run down the throat and the trachea and stomach. This must be avoided. If he tires of lying on one side he may be placed on the other, or he may be placed on his face.
Dr. Tilden says: "In pseudomembranous inflammation (diphtheria, membranous croup) of the throat, everything should be done to avoid breaking or loosening up the membrane; for the more it is interrupted, the greater the local poisoning, and the more toxins there will be swallowed to be neutralized by the stomachic secretions.
"Positively nothing is to be put into the child's 'mouth; not a drop of water, for swallowing must be avoided. The act of swallowing breaks the membranous protection. The old treatment of gargling and swabbing, was barbarous and, for intelligent people, criminal.
"Thirst must be controlled by frequent enemas of water. Nourishment is not life-saving, as many think, but positively disease and death-provoking. * * * From the foregoing explanation, it is obvious how dangerous is the old time practice of swabbing and gargling the throat. No wonder the mortality was great, and no wonder the anti-toxin treatment has proved such a success. Its success however, has been of a negative character — on the order of the lesser evil.
If the anti-toxin has any influence — if it is not inert — it certainly must make a change in the nervous system; and this change must be reconciled and an equilibrium or readjustment take place, before a normal healing process can be resumed." — Impaired Health, Vol. I, 271.
These children, should be left alone and not allowed to talk. No questions should be asked them which require answers.
No drugs of any kind are to be tolerated. These lessen the chance of recovery.
Although comparatively few who come in contact with this "disease" develop it, it is considered highly contagious and, due to the contagion-superstition, these cases are quarantined. The writer has never handled but one case and saw this but once. After the quarantine was slapped on the case he was forced to handle it over the telephone. The child made a rapid recovery with no complications or sequelae.
Food must not be given until the throat is healed. Then fruit juices may be given for two days and then a gradual return to the normal diet.
Death in this "disease" results from suffocation, and from mal-treatment. The exudation into the wind-pipe, with the subsequent formation of the false membrane, chokes the patient to death. In so-called membranous croup this is seen at its worst.
If this can be prevented there is no danger from the "disease." If the above methods are not sufficient to control the exudate in any given case, a certain amount of drugless suppression will form the lesser of two evils. Cold cloths around the neck and ice held in the mouth and applied directly to the inflamed parts will suppress the inflammation and exudate. Dr. Trall treated hundreds, of cases by this method.
Plenty of fresh air and sunshine should be had during convalescense. As diphtheria is most common after the Thanksgiving and Christmas feasts, It is best prevented by avoiding protein decomposition and by maintaining good health.
Major Austin records the care of twelve cases of diphtheria in soldiers in an "outbreak of the disease in the summer of 1909." Due to difficulty in getting anti-diphtheritic serum the twelve men were treated without it. He says: "All the cases were clinically typical of the disease, and in each case the Klebs Loeffler bacillus was found in throat swabs by an experienced bacteriologist."
The Major swabbed the tonsils, soft palate and pharynx of each man daily with a solution of bicarbonate of soda and had them to gargle with a hot solution of the same thing frequently throughout the day. Other than this the men fasted. He says: " Some went four days without nourishment, others longer, the longest period being seven days. In no case was any nourishment given until the temperature was normal and the tonsils, soft palate and pharynx were clear of membrane. Then three pints of milk were swallowed daily, and each man was kept on milk for three to five days, after which ordinary food was allowed.
"During the period of the fast, and whilst on milk, the bowels were moved freely each day by a large saline purge." he tells us that "every one of the twelve cases made an excellent recovery, without any complications whatever, and no sequelae followed," and adds: "I have since tried the method on various occasions with the same excellent results, and I am certain of my facts when I state that the cases of diphtheria thus treated are shortened in duration and convalescence is more rapid and in all respects more satisfactory than when treatment is carried out on customary lines."
ERYSIPELAS
Definition: This is an acute inflammation of the skin and subcutaneous tissues, accompanied with high fever.

Symptoms: Erysipelas may begin with slight fever, chilliness, malaise, and the tingling in the affected part or, as in many cases, it begins with a sudden chill, followed by pain in the head and limbs and a high, irregular fever — the temperature reaching 104 or 105 F., in twenty-four hours. The pulse is full and rapid, the tongue heavily coated, appetite is absent, the urine scanty and often slightly albuminous, the bowels constipated. In severe cases the "typhoid condition," manifested by delirium, subsultus tendinum, a dry brown tongue, etc., often develops.
Locally the inflammation usually begins in the vicinity of the nose, and spreads upward and laterally over the head to the neck, where it frequently stops. The first feeling the patient will have is one of stiffness, with gradually, increasing sensitiveness. The affected part is red, swollen and tense and frequently ends in a sharply defined ridge beyond which projections may be felt advancing into the subcutaneous tissue. The surface of the inflamed patch is at first smooth and glazed, but later becomes studded with minute vesicles or blebs. The blebs (blisters) break, discharging a serum-like fluid.
If the condition is severe, the swelling will be very rapid, and the part first affected will be the first to lose the redness and swelling. If it spreads only over the forehead, it advances apparently with an elevated ridge; or there is a sharp line of demarkation between the affected and unaffected regions. If the swelling spreads over much of the head there may be delirium. The glands of the neck become slightly enlarged. If the ears become involved the inflammation may spread to the bone.
Brain and meningeal symptoms are common in depleted subjects — those whose "resistance" has been broken down by the use of tea, coffee, alcohol and sensual habits.

Etiology: In most cases a slight wounding of the skin seems essential to the development of erysipelas, though, in some cases, no injury appears to be required. Toxemia and excessive animal protein lay the foundation for this condition. Sepsis from any source may start up the inflammation in susceptible individuals. A wound that does not drain becomes septic and may develop erysipelas. Dr. Tilden calls erysipelas, septic herpes.

Prognosis: Weger says erysipelas is "readily checked without pursuing its usual round-trip course. Fever absent on third or fourth day, no abscesses or secondary infections."

Care of the Patient: Externally, the strictest cleanliness is of the utmost importance. Bathing with warm water (no antiseptics) at frequent intervals will answer the purposes of cleanliness.
Positively no food but water is to be given. Keep visitors out of the sick room and allow quiet, peaceful rest. Have the room well ventilated and keep the patient warm.
GLANDULAR FEVER
Definition: A rare affection o infancy and childhood characterized by pronounced inflammatory swelling of the lymph glands, particularly of the neck.

Symptoms: The condition begins with chilliness, headache and general malaise, followed by moderate fever, slight reddening of the throat and tonsils and pronounced inflammatory swelling of the lymph glands, most frequently of the deep neck glands, behind or beneath the sternocleidomastoid. Rarely the glands suppurate.

Complications: These are few and rare. Nephritis is the most common of these.

Etiology: Putrescent poisoning from gastro-intestinal putrefaction superadded to toxemia.

Prognosis: The condition lasts ten days to four weeks. Recovery is the rule.

Care of the Patient: This condition should be handled as all other acute processes; i.e. rest, warmth, fasting during the acute stage; fruits and vegetables during convalescence.
INFLUENZA
Definition: Influenza is a blanket term which, like the terms "syphilis" and "rheumatism," is applied to many different symptom-complexes, ranging all the way from a cold to pneumonia, typhoid fever, sleeping sickness and cerebro-spinal meningitis. The term should be dropped from our language. It is defined as "a contagious epidemic catarrhal fever with great prostration and varying symptoms and sequels; grippe, or La Grippe."

Symptoms: "Influenza" usually begins with fever, sometimes with a chill. The symptoms are those of a severe cold. Indeed we are told that "the difference between influenza and the ordinary cold is the tendency of the former to continue long after 'the time for a hard cold to disappear." The patient complains of being very weak and in some cases the weakness runs on for weeks and the catarrh, which is always pronounced, hangs on continuously. In pronounced cases the mucous membrane is involved from the nose through the entire bronchial tubes; the lungs often become engorged. Pneumonia and pleurisy often develop. Delirium and prostration are often present, where the bronchial tubes and lungs are involved. The so-called nervous forms of influenza are characterized by headache, much pain in the joints and prostration. Other cases "develop in a manner similar to that of typhoid fever." "Intestinal influenza" is marked by much fever and by such "complications" as pericarditis, endocarditis, septicemia, peritonitis, etc.

Complications: Delirium, spasm, peritonitis, pneumonia, pleurisy, heart trouble, sleeping sickness, etc., develop in those cases that are fed and drugged.

Etiology: The different forms of so-called catarrhal fevers — colds, influenza etc. — are one and the same, differing only in degree. Enervation and toxemia complicated by much intestinal decomposition are the causes. The most enervated and toxic have the severest cases and in this class is the highest mortality. Sensualists have the worst cases.

Prognosis: Dr. Weger says of the care of "influenza" cases with hygienic methods: "happy results have been obtained, with rapid decline of all symptoms and abatement of temperature usually within three days. No pneumonia or sequelae have complicated any case." No deaths have occurred under hygienic care.

Care of the Patient: As soon as the first acute symptom appears the patient should stop all eating and go to bed and remain there. Warmth, rest and fasting are the needs and the only needs.
Major Austin says that "during the virulent influenza epidemic in Calcutta in the cold weather of 1918" twenty of his bad cases volunteered to try the fasting "cure." The fasts in these cases lasted four to six days. "No drugs were administered during the treatment other than a saline purge, which was taken daily during the fasting period."
He says that "within eight to ten days all these cases were fit and strong enough to return to their work, and they all had excellent appetites for even the plainest of meals."
His other cases did not; fare so well. He tells us; "I was not so fortunate, however with other cases of influenza which had textbook diet — milk, beef-tea, egg flips, etc. — from the beginning of the disease.
"Few of them escaped the textbook complications — gastritis, bronchitis, pleurisy, or pneumonia — while one got double pneumonia and died. Most of them were unfit for duty for two or three weeks, and some very much longer."
CATABOLISM - ELIMINATION
KALA-AZAR
Definition: This is known as dum-dum fever, or tropical splenomegaly and is characterized by a rapid enlargement of the liver and spleen. The condition is frequent in India and other parts of the Orient and is attributed to a parasite — Leishmania donovani.

Symptoms: High fever with rapid enlargement of the liver and spleen mark the beginning of kala-azar. The fever usually subsides in from two to four weeks, but recurrences are the rule and, finally, a low, continued fever may develop. Marked weakness, emaciation, and anemia develop, the skin acquires a grayish color and general edema frequently develops. In three-fourths of the cases the skin extends below the navel.

Prognosis: The mortality of 96 per cent under medical care is probably due to "quinine in large doses, and arsenic" which "are believed to be of service in treatment."

Care of the Patient: See Malaria.

MALARIA
Definition: A biogony characterized by enlargement of the spleen, fever, with periodic intermissions or remissions, chills and fever; known also as chills and fever, fever and ague, and paludism. It is common to divide malaria into five forms, as follow:

Intermittent Malarial Fever: This is characterized by paroxysms of fever occurring at definite periods, each paroxysm consisting of a cold, a hot, and a sweating stage.

The Cold stage is marked by lassitude, aching in the limbs, and great chilliness and pinched features, blue lips, and a cold, rough surface coexisting with a high rectal temperature (105 to 106 F.) Vomiting may occur. The chill may last from a few minutes to an hour or more.

The Hot stage begins when the surf ace temperature begins gradually to rise so that the skin becomes hot, the face flushed, the eyes injected, and the pulse full and rapid. The axillary temperature may rise to 105 or 107 F. Severe pain in the head, back, and limbs, is accompanied by intense thirst. The urine is dark and scanty. This stage usually persists for one to five hours.

The Sweating stage marks the subsidence of the hot stage. The fever gradually subsides, the pains grow less, free perspiration follows and the urine becomes abundant. Within an hour or two the paroxysm is over and the patient falls into a refreshing sleep.
In addition to the recurring paroxysms, intermittent malarial fever presents enlargement of the spleen, anemia, pigmentation of the leukocytes, but no leukocytosis.

Estivo-Autumnal Fever (remittent. fever, continued fever) is seen chiefly in late summer and autumn in temperate zones and at all seasons in the tropics, where it is often most severe.
The symptoms of this form are very irregular, the hot state of the paroxysm often lasting twenty-four to thirty-six hours or longer, and the Intermissions are very short. In many cases Instead of actual intermissions there are simply remissions. The chill and the sweat may be as severe as in. the above described form, but usually they are slight and of short duration. Often there is slight jaundice, giving bilious remittent fever. Mild delirium develops
in some cases causing the condition to resemble typhoid fever. Marked prostration is always present and the spleen is enlarged.

Pernicious Malarial Anemia: is seen in tropical and sub-tropical countries but is rare in temperate regions. The symptoms vary with the local lesions. If the capillaries of the brain and meninges are the seat of the lesion, delirium, aphasia, and rapidly developing coma (comatose type) develop. If the localization is in the digestive tract, vomiting and purging of serous material, cramps, suppression of urine, coldness of the surface, profuse sweating, and fatal collapse (algid type) are the likely symptoms. In some cases, due to sudden and intense hemolysis (disintegration of red blood cells) the paroxysms are accompanied with jaundice, bilious vomiting, and blood in the urine. Bleeding into the subcutaneous tissues and from the mucous membranes may also occur (hemorrhagic type).

Latent Malaria is the term given to a condition in which the supposed malarial parasites are found in the blood, but no symptoms are present.

Masked Malaria is a latent malaria plus symptoms — headache, neuralgia, diarrhea, dysentery — which are not those of malaria.

Hemoglobinuric, or blackwater, fever, seen in Africa, Italy, Central America and our own southern states, is supposed to be a form of malaria.

Malarial Cachexia presents anemia, sallow or muddy complexion, sub-normal temperature, and perhaps occasional slight fever. The spleen is greatly enlarged and there are marked weakness and emaciation. Indigestion, flatulency and constipation are common symptoms, while periodic headache, neuralgia, and blood in the urine are seen in some cases.
This condition is the sequel to medically treated malarial levers and does not develop under hygienic care. It is said to also develop insidiously as a primary condition.

Etiology: Malaria is said to be due to a parasite or to three parasites — plasmodium vivax, plasmodium malariae, and plasmodium falciparum — which are introduced into the body by the bite of certain mosquitos (the Anopheles). The mosquito derives the parasite from man. The question: which had the parasite first, man or the mosquito, has never been answered. We are certain, however, that the mosquitos and parasites are harmless to the healthy individual. Only the enervated and toxemic have malaria.

Prognosis: Weger says that "in all stages" malarial fever "yields to eliminative and dietetic treatment, leading to the conclusion that by lifting the load from the digestive organs, all the power of the body is transferred to the organs of elimination, permitting full use of latent, natural, immunizing forces to overcome the plasmodial influences. * * * No relapses have been reported on return to fever-infested surroundings."

Care of the Patient: During the acute stage the malarial patient should be cared for as in any other acute "diseases" — rest, warmth, fasting. Dr. Weger says: "Rigid dietary discipline must be enforced after fever subsides. No quinine or other medicines are given. * * * Tranquil and cheerful surroundings with little or no visiting will aid materially in maintaining a quiet nervous system."

MALTA FEVER
Definition: Malta, or Mediterranean fever, so named because it is especially prevalent in Malta, but is seen in other tropical and subtropical countries, may almost be called a chronic acute "disease." It is characterized by periods of fever alternating with periods of normal temperature and may last a year or more.

Symptoms: Fever is the most striking symptom. The temperature usually rises to a maximum of 103 or 104 F., runs an irregular remittent course for from one, to five weeks, then gradually falls to normal for several days then a relapse occurs. This sequence of events is repeated again and again, the duration of the "disease" ranging from eight weeks to a year or more. During the periods of fever there are general depression, profuse sweating, neuralgic pains, especially in the legs, and swelling of the joints. The spleen is always enlarged and, as the "disease" progresses, anemia and debility develop.

Complications: Medical works list bronchitis, peripheral neuritis, orchitis, and arthritis as the most common complications. As medical "treatment is entirely symptomatic" (suppressive), these complications and the two to three per cent mortality are due to the treatment.

Etiology: The rarest "diseases" are the ones of which medical "science" is most certain it knows the causes. They are sure malta fever is due to the micrococcus melitensis, which finds its way into the body by way of the milk of infected goats. As in all other so-called bacterial and parasitic "diseases," enervation and toxemia must come first.

Prognosis: Good. Under hygienic care all cases should recover.

Care of the Patient: Care should be the same as that given for malaria or for typhoid fever.
MEASLES
Definition: Measles is an eruptive biogony characterized by catarrh of the respiratory tract, moderate fever, and a red papular eruption, which appears on the fourth day and is followed by a bran-like desquamation.

Symptoms: Measles begins with a "cold in the head," accompanied with slight fever and malaise. These last from three to six days during which time the patient feels wretched. Soon there follow headache, nausea, sometimes vomiting, and chilly feelings. The coryza is intense with cough and redness of the eyes and eye lids. The temperature rises and the skin, especially on the face, feels hot and tingling. The tongue is furred. The mucous lining of the mouth and throat is an intense red. Little blue dots may be seen on the inside of the cheeks.
The eruption develops on about the fourth day, starting, usually, on the forehead, then the face, then over the body generally. The eruption begins as little red spots, which increase greatly in number and are gradually arranged in groups, sometimes in crescentric groups.
The fever begins to fall on the fifth or sixth day, and a fine, bran-like desquamation (scaling) of the skin begins, which lasts from a few days to several weeks.

Black Measles (malignant or hemorrhagic measles), is a failure of the rash to "get out," accompanied with hemorrhage under the skin. These cases are said to be usually fatal, perhaps largely as a result of the failure of the eliminative effort.

Complications and Sequelae: Under medical care these are chronic coryza, bronchopneumonia, severe inflammations of the mouth, Bright's "disease," nose bleed, arthritis, meningitis, paralysis, and brain abscess. These must all be the results of suppressive treatment, since they never develop under Hygienic care. One medical author, in discussing the complications of measles, says: "Hot drinks should be given freely as these help to 'bring out the rash.' A sudden chilling sends the blood to the internal organs and may cause a congestion of the kidneys". This is evidence, from an orthodox source, that complications are due to suppressing the eliminating effort through the skin — the rash.

Etiology: Medical authors consider measles to be "highly contagious" but add "the contagium has not been isolated." We consider it to be due to protein poisoning in a toxemic subject and note that epidemics of measles follow upon the heels of feast days.
Tilden says: "Measles is a crisis — nature eliminating an excess of toxin. A cold is supposed to be the lightest so-called disease. There are light crises taking place at various locations internally. A hoarseness lasting three hours; coughs lasting for a few hours or a day; a headache; many small crises causing discomforts for an hour or two. After these have passed off, the person will declare for the remainder of the twenty-four hours, that he or she never felt better. What is the explanation? Toxin saturation. An unusual draft on the reserve nerve energy may precipitate measles, scarlet fever, diphtheria, or pneumonia. In epidemics where one malignant type develops there will be nineteen light cases ranging from two or three days in bed to so slight an angitis (slight irritation or inflammation of the throat) that it will be passed unnoticed. In any epidemic of one hundred pronounced cases there will two thousand so-called infections — a 'fat' chance for serum or vaccine immunization. A strict, restricted diet or a short fast, with stomach and bowel washes, and a hot bath at bed time, will put any old epidemic hors de combat! What about the cause? The cause is dirt inside and out. The use of antiseptics is not cleanliness — anything offensive to the nose cannot be benignant. The nose will protect if allowed to do so."

German Measles (Rubella) is described as "having the rash of measles and the throat of scarlet fever."

Symptoms: It begins with slight fever, headache, pain in the back and limbs and coryza. On the first or second day the rash develops, beginning on the face and spreading, in twenty-four hours, over the whole body. The rash, consisting of little pink raised spots, fades after two or three days. The fever is slight, the rash is diffuse and of a brighter color than ordinary measles.

Prognosis: Rapid and uniform recovery without the development of complications is the rule under Hygienic care.

Care of the Patient: Due to the persistence of the contagion-superstition these cases have to be isolated.
The patient should be kept quiet and in bed. The room should be light and airy and fresh air should circulate in the room at all times. Medical authors say, "great care should be taken to keep him (the patient) from catching cold, for broncho-pneumonia is to be feared as a complication of measles, and tuberculosis as a. sequel." This fear of "catching cold" from fresh air is more superstition.
The patient should be kept warm and not allowed to chill. Chilling checks elimination and retards recovery. If it is winter time, a hot water bottle, or other means of applying warmth to the body, should be placed at the feet.
No food should be allowed until 24 hours after acute symptoms are gone. All the water desired may be given, but water drinking need not be encouraged or forced on the theory that it flushes toxins out of the body. Anyway, nature has concentrated the toxins in the skin and has adopted unusual methods of elimination. No drugs of any kind and no enemas are to be employed.
A luke warm sponge bath twice a day, for cleanliness, should be given. Antiseptics and alcohol are to be avoided. Do not use oil, on the skin when it begins to scale.
Medical authors tell us that the room should be kept darkened as the light hurts the child's eyes. This I have not found to be so. I always have the room well lighted. I believe that the darkened room is more likely to injure the eyes.
The mouth and throat should be kept clean. Plain warm water, or warm water with lemon juice, or fresh pineapple juice will do for this purpose. Use no antiseptic gargles. Do not try to reduce or control fever.

Convalescence: This is a critical period if the patient has been cared for medically. There is nothing to fear if the patient has been cared for as above directed.
Feeding should begin with orange juice, or grapefruit juice, or fresh pineapple juice, or fresh apple juice. This should be given as much as desired, for the whole of the first day. The second day, breakfast may be oranges or grapefruit or peaches in season. Lunch should be pears or grapes or apples in season. Dinner may be a raw vegetable salad and one cooked non-starchy vegetable. The third day may begin the normal diet, but in reduced amounts. By the end of the first week the patient should be eating normally.
The patient should remain in bed for at least twenty-four hours after all acute symptoms have subsided. Physical activity should be mild at first. Healthful living thereafter will maintain the improved health that has resulted from this house cleaning.
MENINGITIS, CEREBROSPINAL
Definition: This condition is also called cerebrospinal fever and spotted fever. It occurs both sporadically and epidemically. It is characterized by inflammation of the brain and spinal cord.

Symptoms: Several forms are recognized as follow:
(1) Common Form — usually begins abruptly with a chill, followed by vomiting, excruciating pain in the head, back and limbs, and fever. Muscular spasms, especially of the neck and back, cause the head to be bent backward and the back to straighten, or, in severe cases the back may be arched and there is inability to completely straighten the leg. The temperature ranges between 101 and 103, though in some cases it remains nearly normal. The pulse is usually fast, but may be slow, breathing may be affected, the abdomen is often retracted and the bowels constipated. There is usually some delirium and in severe cases stupor and coma are seen. Convulsions often occur. Eruptions sometimes, but not always, occur.
(2) Fulminant Form — this form, often called the malignant form, begins suddenly with a chill, followed by vomiting, headache, moderate fever, convulsions a. petechial or purpuric (hemorrhagic) rash, and death within twenty-four to thirty-six hours from collapse.
(3) Abortive Form: This term is applied to those cases that begin abruptly with grave symptoms, but end in recovery in a few days.
(4) Intermittent Form: In these cases there are intermissions or marked remissions in the fever and other symptoms daily or every other day.
(5) Chronic Form: this term is applied to those cases in which the patient is in a stuporous state for months, after the acute symptoms have subsided. They ultimately become extremely emaciated despite the "plenty of good nourishing food" and "tonics' so freely given.

Complications and Sequelae: These are largely confined to the nervous system though pneumonia, arthritis and suppurative inflammation of the internal or middle ear develop under medical suppression. The nervous complications and aftermaths are defective vision, defective hearing, aphasia, palsies in various parts of the body, imbecility, chronic hydrocephalus and persistent headache from chronic meningitis.

Etiology: The inflammation is of putrescent origin. Protein putrefaction in the digestive tract superadded to toxemia is the cause.

Prognosis: This is a dangerous acute inflammation, not because of any peculiar nature of the inflammation, but because of its location in or near vital centers. The high death rate and frequent complications and sequelae seen in meningitis seem to be due largely to the free use of opium in treatment. Under hygienic care-the prognosis is usually good.

Care of the Patient: Fasting, quiet and warmth are the great needs. Indeed the patient needs to be kept hot. It is Dr. Tilden's practice to give a hot bath (100 to 105) every three hours, of a half hour's duration. Heat to the body should serve even better.
Any paralysis or other troubles that may follow should be cared for by active and passive exercise (See Vol. IV), sunshine, proper food and rest.
MENINGITIS, SPINAL (Leptomeningitis)
Definition: This is inflammation of the spinal piamater, a membranous covering of the cord. It may be either acute or chronic.

Symptoms: Acute Form: Acute spinal leptomeningitis alone, without involvement of the cerebral membranes, is rare. It usually occurs as a part of cerebrospinal meningitis. Existing alone it occasionally follows "infectious fevers," injuries, or exposure. In some instances it is tuberculous. The symptoms are the same as those of cerebrospinal meningitis.

Chronic Form: In this condition there is pain in the back, stiffness of the muscles; excessive sensitiveness, morbid sensations, and, rarely, loss of sensation of the limbs; some loss of power and exaggerated reflexes.

Etiology: Same as that of cerebrospinal meningitis.

Prognosis: Medical authors say, "The outlook is grave. Recovery sometimes follows, but rarely without partial paralysis." Dr. Weger says acute or chronic inflammation of the coverings of the brain and cord "are always grave" and are "particularly dangerous."

Care of the Patient: These cases should be cared for in the same manner as described for cerebrospinal meningitis.
RABIES
"Rabies," says Tilden, "is an acute frenzy — a pathological psychology — evolved by a neurotic who suffered most of his life from neurasthenia." The symptoms are due to hysteria. Victims die, when they do, from fear and malpractice. Psychologically, it is not unlike 'wolf madness," a "disease" that long ago went out of fashion. Mob psychology, worked up by an enterprising health commissioner, may easily produce a panic — an epidemic.
The symptomatology and treatment of hydrophobia have changed as the delusion has passed down the centuries. The ancients "cured" their cases by ducking them in the sea. The madstone of grandfather's day "cured" those who had faith in it. Any frenzy-building suggestion, whether auto- or extra- generated, may be counteracted by any "healer" or "healing agent" — fetich, talisman, the moss on a dead Irishman's skull, or a baked toad, etc. — in which the deluded have faith that is sufficiently potent.
Pasteur's hydrophobia delusion is in line with his germ delusion. His anti-rabies serum is damaging, often fatal.
Dog bites, cat bites, rat bites, wolf bites, etc., are to be cared for as any other wound is cared for. Cleanliness and drainage are the essentials.
RHEUMATIC FEVER
Definition: This condition is also known as articular rheumatism and may be either acute or sub-acute. It is characterized by inflammation of several joints.

Symptoms: The condition may develop gradually, with malaise and often tonsilitis, though it usually begins suddenly, with pain in one or more joints and fever. The knees, ankles, elbows and wrists are the joints most often inflamed. The affected joints become red, hot, swollen, painful and tender. The temperature' ranges from 102 to 104 F., with dry mouth, hot, flushed skin, coated tongue, which may be moist or dry, increased force and frequency of the pulse, headache, restlessness, sleeplessness, diminished, often high-colored urine, and profuse acid sweats. The symptoms frequently disappear partially, from one joint as they begin in another, developing in several in rapid succession. The temperature varies with equal rapidity and corresponds with the degree of joint involvement. Anemia is marked and progresses rapidly. Defervescense is gradual and the condition may become sub-acute or chronic. Pain and stiffness of the joints last long after defervescence.

Complications: Pleurisy, endocarditis, pericarditis, and myocarditis are common under medical care, perhaps due to salycilates. In children, chorea may precede, accompany or follow the fever. Delirium, convulsions and coma are seen in rare cases, giving rise to the term cerebral rheumatism. Skin affections, especially purpura and various forms of erythema sometimes seen are in all likelihood due to the drugs used in treatment.

Etiology: Some medical authorities blame damp weather for "attacks" of rheumatism. Others blame them upon dry years or a succession of dry years. The fact is that any long continued weather condition that depresses and enervates may help to produce rheumatism. The real cause is toxemia plus overeating and neglect of hygiene. Overweight children are especially prone to rheumatic fever.
Prognosis: Weger says: "swelling, pain and temperature al-ways subside rapidly and heart complications occur in less than ten per cent of those treated. (Medical treatment presents endocarditis complications in 50 to 60 per cent of cases). In fact, endocarditis was present only in those cases that did not come under care until after the disease had been already well established -for from one to three weeks."

Care of the Patient: Speaking of the care of a case of rheumatic fever Weger says, "in no case in which food was withheld, from the onset did the temperature remain above normal longer than ten days, and recovery was prompt without merging into the sub-acute or chronic stage. Endocardial or myocardial irritations likewise subsided before any marked organic lesion had time to develop and become the major pathology as is so frequently the case in inflammatory rheumatism."
This should supply the key to the proper care of cases. Tilden says, "patients should not take anything internally except water." Other than this rest and warmth are the essentials. Chilling is especially prone to increase the patient's suffering.
The excessive amount of acid sweating necessitates frequent bathing and change of bedclothes. The patient should never be allowed to lie in clothing wet with perspiration.
The bed clothing should be raised so that it will not rest upon the inflamed joints.
After the acute symptoms have subsided the patient may be fed fruit for the first two days and fruits and vegetables thereafter for the first week. No proteins or carbohydrates should be fed during the first week.

ROCKY MOUNTAIN FEVER (Tick Fever)

Definition: This is the name given to a biogony seen in certain valleys of the Rocky Mountains, which closely resembles typhus fever. It is supposed to be "transmitted 'by the bite of a tick," but "the nature of the infectious agent is not known."

Symptoms: The condition develops with a chill, pains in the head, back and limbs, and fever. The fever rises rapidly and may reach 104 F., at the end of a week. In the milder cases it gradually subsides, reaching normal at the beginning of the third week. The pulse is very rapid (120-140), the bowels are constipated, the conjunctiva are injected and in many cases there is marked jaundice. About the third or fourth day a red macular rash develops on the wrists and ankles, and then spreads over the body. In a few days the macules become purpuric — hemorrhagic. In severe cases, general edema and gangrene of the skin in certain parts are seen.

Etiology: Tilden says: "there is no question but that there must be a septic state." Sepsis, probably of gastro-intestinal origin, superadded to enervation and toxemia is indicated by all the symptoms.

Prognosis: Under medical care the mortality runs from about 5% in Idaho to 70% in Montana and even 90% in Bitter Root Valley. Death occurs most frequently during, the first ten days.

Care of the Patient: Medical "treatment is altogether symptomatic" which accounts for the high death rate. Tilden says: "The disease should yield to the ordinary treatment of fasting, bathing, washing the bowels every day, and absolute quiet."
SCARLET FEVER (Scarlatina)
Definition: Scarlet fever is a biogony characterized by sore throat and a diffuse scarlet eruption. This "disease" was not considered dangerous until after the invention of a. prophylactic serum, whereupon it immediately became one of the worst scourges of childhood.

Symptoms: The child becomes "suddenly" sick. In most cases there is vomiting and, in children, often a convulsion. The temperature runs up on the first day to 104 or 105. The face is flushed, the skin hot and dry, the tongue heavily coated and the throat is sore. On the second day, often on the first, the rash develops. This appears as tiny red dots on a flushed surface, giving the skin a vivid scarlet color. Beginning on the neck and chest, it spreads rapidly, covering the whole trunk in twenty-four hours. It is not really a "breaking out," but is an intense congestion (erythema, or blushing) of the skin. The skin is swollen and tense and often there is intense itching. The redness disappears upon pressure and disappears after death, as the blood leaves the skin.
One standard medical 'author tells us that "after the use of belladonna, quinine, potassium iodide, or diphtheria antitoxin, there is sometimes a rash closely resembling that of scarlet fever. In septicaemia (blood poisoning) there may be a similar rash." The rash is a means of eliminating the drugs, serums (proteins), and septic matter. A condition so like scarlet fever that authorities can't agree whether it is or not, frequently follows surgical operations.
The tongue, though coated, is very red on its edges. The taste-buds are swollen, producing the "strawberry" or "raspberry" tongue. In severe cases the throat, always sore, is covered with a membrane which greatly resembles that of severe diphtheria. Other symptoms are those common to all fevers.
The rash begins to fade in two or three days and is completely gone in four days to a week. I have never had a case to last over four days. The skin peels off.

Malignant Scarlet Fever is a more severe form. It begins with more severe symptoms with fever that may reach 1080 F., and all symptoms of severe septic poisoning, including delirium, passing into coma.

Hemorrhagic form: is characterized by small hemorrhages into the skin gradually increasing in size, epistaxis (nosebleed) and blood in the urine.

Angionose form: is characterized by early appearance of severe throat symptoms, with membranous exudate which may extend to the trachea, bronchi, Eustachian tubes and middle ear, and presents the appearance of a severe case of diphtheria.

Complications: Nothing condemns the prevailing medical methods like the frequency with which complications occur in this "disease." Acute nephritis develops in 10% to 20% of their cases and is regarded as the starting point for many cases of Bright's "disease" in later life. Arthritis, acute inflammation of the lining and investing membranes, of the heart (endocarditis and pericarditis), otitis media, often resulting in deafness, and other troubles develop so often as a direct result of the suppressive methods employed that it is a crime to permit them to continue. I have never had a complication to develop in a single case I have treated.

Etiology: Scarlet fever is an expression of protein poisoning superadded to systemic toxemia. Medical works say it is due to an "unknown germ."

Prognosis: Dr. Weger says scarlet fever has "invariably responded in the same even and consistent manner." Again: "In the exanthemata or eruptive fevers, most of which are common in childhood, our routine procedure has given better results than any other treatment we have ever tried. The complications following such a disease as scarlet fever, so frequently observed under ordinary treatment, are sufficiently guarded against by a no-food plan of treatment during the entire active stage."
Properly handled, these cases will be free of all rash in four days to a week. There will be no fever after the third day and the illness will be so light that parents and friends will say the child was not very sick. It requires feeding and drugging to produce serious illness.

Care of the Patient: These cases should be cared for just as advised for measles and smallpox. Flannel gowns employed by medical men, in scarlet fever, are not to be employed. These things belong to the doctoring habit and are of no earthly value.
SLEEPING SICKNESS (Trypanosomiasis)
Definition: This affection, prevalent on the west coast of Africa, is characterized by swelling of the lymph glands, moderate fever, progressive emaciation, increasing lethargy and, finally, death in coma.

Symptoms: The affection is divided into two stages, the first of which lasts from a few months to three or four years. The only symptom of this stage is enlargement of the lymph glands. The second stage usually lasts several months and is characterized by increasing weakness and lethargy, a peculiar apathetic expression, a feeble monotonous voice, tremor of the hands, a rise of temperature (101 to 102 F.), a rapid feeble pulse, lymphocytosis (excess of lymph corpuscles in the blood) and, finally, coma. The temperature is usually subnormal during the last two or three weeks.

Complications: Pneumonia and septic meningitis are frequent complications.

Etiology: The protozoon, gambiense, which is said to gain entrance into the body through the bite of the tse-tse fly, is claimed to cause this "disease." The evidence points to chronic sepsis of animal food origin in a greatly enervated individual as the basic or primary cause. Hundreds of cases of a somewhat similar character have been reported in Europe and America caused by smallpox vaccination.

Prognosis: It is said that "recovery probably never occurs" and that "treatment is of little avail." This is no doubt due to the fact that arsenic and an aniline dye, trypanroth, form the chief reliance in treatment.

Care of the Patient: The digestive tract is doubtless the source of the septic material. A fast, followed by proper feeding should clear this up and remove the soil upon which the trypausomes feed. Certainly there is sufficient time in the three or four years these cases often live to make effective changes in their mode of living. The fast should be accompanied by rest and warmth. Thereafter a fruit and vegetable diet (see Vol. 2), sun baths and exercise will complete the work of recovery.
SYPHILIS
"Syphilis, as' described by our present day pathologists," says Tilden, "is an impossible pathological conglomeration that frenzies both doctor and patient, making of the former a syphilomaniac and of the latter a syphilophobe." It is "the deity proteus that can assume the appearance of every disease." It is a nightmare, a myth, a lie. It has been created by years of painstaking effort.

Older medical works describe three stages — primary, secondary and tertiary. More recent works describe early and late syphilis. It is now claimed that the first two stages of the earlier syphilographers may not manifest before the appearance of the tertiary stage.
Though it is claimed to be a "specific disease" due to a specific germ, the "remedies" in use are not serums or autogenous vaccines, but drugs that are pronouncedly toxic and known to affect the system detrimentally. These drugs produce more formidable pathologies than the "disease" for the cure of which they are administered.

Tilden says: "The whole theory of syphilis, its propagation and cure, as described in text-books and medical lecture rooms, is a delusion. I do not doubt that the symptoms shouted to the people by medical fanatics are real, but they are built by the treatment — the loathsome symptoms are mercury and arsenic symptoms plus toxemia."
The eighty or more serologic tests that have been developed to detect "syphilis" are admitted to be unreliable. How can they be otherwise? They are tests to reveal the presence of the non-existent. "Syphilis" exists only in imagination.
Of the chancre, or primary lesion of "syphilis," Tilden says: "The real disease is an ulcer, inguinal gland enlargement, a rash over the abdomen, extreme nervousness and anxiousness — not from physical pain but from fear, resulting for the popular opinion of the dreadful character of the disease. The distressing symptoms come later. Time is needed to develop toxic drug symptoms. Legitimate symptoms will pass away in two to six weeks. If the victim is greatly enervated from tobacco, alcohol, venery, and gluttony, it will take two months to get back to the normal. The physical state of the patient is not considered at all by the syphilomanic doctors."

Care of the Patient: Fasting and a correct mode of living are the only requirements.
TETANUS (Lockjaw)
Definition: A biogony characterized by toxic convulsions—tetany.

Symptoms: The beginning may be marked by a chill or chilly feelings, but usually it is by rigidity of the neck, jaw and face. This gradually increases to a tonic spasm and extends to the muscles of the trunk and extremities. The body becomes rigid in a straight line or bent forward, backward or laterally. Spasm of the glottis may result in asphyxia. The tonic spasm has frequent exacerbations following any slight irritation and is extremely painful. Temperature, though usually low, may rise very high, especially late in the course of the biogony.

Etiology: Septic poisoning from a pent-up wound.

Prognosis: Only a small percentage of these cases recover.

Care of the Patient: The first essential in these cases is to open and thoroughly cleanse the wound. No food but water should be given. The patient should be kept hot — not warm, but hot.
TULAREMIA
Definition: This "disease" is said to be primarily a "disease" of wild rodents, especially rabbits, but is "transmissible" to man by dressing infected animals or by the bite of ticks and flies. It is a very rare condition, therefore the germ causing it is well known. Were it a common affection; such as a cold or measles, the germ would still be unknown.

Symptoms: Weakness and loss of weight are prominent symptoms. In about one per cent of cases in man subcutaneous nodules or a skin eruption develop.

Complications: Pneumonia is a frequent complication in the second week of illness.

Etiology: It is probably due to absorption of putrescense from decayed meat. The bacterium tularence is merely adventitious.

Prognosis: Under medical abuse the death rate is only about 5.3%. This should indicate that, properly cared for, all cases will recover. Convalescence is slow, due to the same abuse.

Care of the Patient: Fasting so long as acute symptoms persist, and thereafter a fruit and vegetable diet and general health measures are the requirements.
TYPHOID FEVER
Definition: This is an acute biogony involving largely the small intestine. The bacillus typhosus is accused by the medical profession of responsibility for this condition. It is our contention that the germ responsible for typhoid fever is named Medical doctors. It requires typical textbook treatment to produce a typical case of typhoid fever. The typhoid state" is a state of profound exhaustion, depression, prostration, a term applied to prostration in any "fever."
Trall says: "Medical books also make a useless and groundless distinction between typhus and typhoid fever, on the vague supposition that the latter has its seat more especially in a disease of the mesenteric and Peyer's glands. I reject this distinction as fanciful, if not puerile, and, as the reader will perceive, employ the terms typhus and typhoid indiscriminately."

Symptoms: The "disease" is preceded by a few days or weeks of headache, backache, nosebleed, perhaps, and a period of not feeling very well. There is usually constipation and a coated tongue. The breath is foul and there is often a bad taste in the mouth. For days or weeks the patient is sick and gives no attention to his condition, except, perhaps to drug it. Had he cared for himself properly from the beginning of these symptoms he would be well before any typhoid developed. Dr. Tilden rightly observes: "Typhoid fever (more a disease of adult life) is evolved by feeding and medicating acute indigestion."
After a period as described above, the temperature begins to rise and the patient becomes so weak and miserable that he goes to bed. The fever rises slowly and in from three to seven days reaches 104 to 106. Here it usually remains, under the stuffing and drugging plan, for a week or more, before it begins to fall. It falls and rises for another week or more and finally reaches normal. Under medical care these cases last from two weeks to a few months. The strong man presents a slow, "soft" pulse and the pulse rate is of ten very slow during convalescence. During the first few days of the fever, the headache is very severe, even, at times, terrible. On the seventh or eight day, red spots develop on the abdomen. The abdomen is tender and distended with gas. Gas pressure on the heart often overstimulates this organ.

Complications: Perforation is the most dreaded complication of typhoid fever, and the cause of death in almost a third of the fatal cases. When the slough peels off, the ulcers usually have a very thin base, sometimes as thin as tissue paper, but in about 5 per cent of the cases even this gives way and the intestinal contents pour into the abdominal cavity, at once producing peritonitis. In the very few cases that do recover there is in the abdomen an abscess. A perforation occurs especially during the third week, although it may occur at any time (as we reckon the days), and, since due to almost the same cause as hemorrhage, occurs very often with this.
In mismanaged cases there is swelling and enlargement of the clumps of lymphoid tissue (tonsils) in the intestine, called Peyer's patches, followed by ulceration and sloughing of these. Hemorrhage from the intestine sometimes follows this sloughing, although the body usually succeeds in sealing the blood vessels before sloughing occurs.
If no feeding has been done there will be no septic material in the intestine to pour into the abdominal cavity and cause peritonitis.
In severe cases "secondary disease" develops in the kidneys or lungs, or spleen, or cerebro-spinal centers. Complications and relapses are quite frequent under medical malpractice. The regular treatment of this disease is an unpunished crime.

After a week or two of heroic treatment plus plenty of milk, eggs, broth and starchy foods, malaria takes on typhoid complications, typho-malaria; pneumonia becomes typhoid-pneumonia; "bilious" cases become typhoid. Some of them will die of hemorrhage of the bowels. The food put into such patients can only rot and develop sepsis. Sepsis, plus the chronic irritation produced by drastic cathartics and other drugs, is enough to produce ulceration and sloughing. The feeding and treatment are quite enough to account for all unfavorable symptoms. Such treatment simply does not allow them to get well. It is scientific murder.
Tilden says "complications never occur except where there is septicemia; and septicemia cannot develop unless there is decomposition taking place in the alimentary canal; and decomposition and sepsis cannot develop in the canal unless the patient is fed. * * * The food taken into the stomach at such a time decomposes, the rotting processes that take place in the bowels cause septic poisoning, and every complication named in the best works on the practice of medicine is produced by this septic condition. If patients are allowed no food at all, no sepsis will occur; hence there can be no complications; in fact, the prospective fever is jugulated and in reality never develops. All diseases threatening to take on a typhoid condition, even typhoid fever itself, will be thus expunged from the nomenclature: for they will never have an existence, if treated properly."

Paratyphoid Fever is the name given to a group of cases that clinically and pathologically resemble typhoid fever. Paratyphoid A and paratyphoid B are terms used. The terms came into use to save the face of the anti-typhoid serum.

Etiology: "It takes a toxemic subject, plus gastro-intestinal fermentation, plus a doctor with a germophobic complex, to evolve a typical typhoid fever," says Tilden. Imprudent eating by enervated and toxemic subjects starts the chain of symptoms, which, when wrongly managed, culminate in typhoid fever. There will be germs, of course, and the more food is taken the more germs there will be.

Prognosis: Weger says: "The fever can be controlled to run its course in from eleven to thirteen days instead of the usual three weeks. No complications, temperature never rising above 101 F. after the second day following the withdrawal of food. Headache, tympanitis, and other symptoms usually so distressing, become negligible, and recuperation is steady and uneventful." Tilden says, "There should be no typhoid mortality." Fatal typhoid fever requires a foul condition of the intestinal tract plus the worst form of medical treatment. Tilden declares: "In the matter of typhoid fever, the regular treatment is so barbarous that a disease that would never amount to more than a comfortable sickness of two weeks duration is made to last from four weeks to four months, and the patients are often left with such complications as hip-joint disease or disease of the knee, causing lameness for life; and tuberculosis is not an infrequent sequel; besides, there are other diseases I shall not mention."
Dr. Chas. E. Page says: "Many a man, woman and child has died of typhoid fever, after weeks of torturous suffering, when, if the right doctor had been called in at the very onset of the illness, a single visit, or at most two, with strict carrying out of his directions, would have been all-sufficient to take the patient out of his trouble and set him about his affairs. The present writer can truthfully say that in twenty-eight years of very busy practice, no severe or prolonged illness has ever developed in a single case of feverishness in which he has been called at an early stage of the attack. Arid this relates to many scores of cases such as under the prevailing treatment go on and on through the long sieges of typhoid fever."

Care of the Patient: The care of the typhoid patient should now be apparent to the student.
Rest in bed in a well lighted, well ventilated room, with all unnecessary noise and distraction kept away from the patient, and a daily warm sponge bath for cleanliness are essential. If it is winter a hot water bottle should be kept at the patient's feet.
Absolutely no food except water should pass the patient's lips until several days after all acute symptoms are gone.
No drugs of any kind should be employed. No purging; no "sustaining" the heart, no controlling the fever, and no checking of the bowels should be allowed. Hydrotherapy also should be avoided.
Let the patient alone and he will get well. Feed him and drug him and he may and may not pull through. In the first instance he will be comfortable in three days and out of bed in from seven days to fourteen days. In the second instance he will not be comfortable at any time and will do well to get out of bed in several weeks.
When such patients are fasted the stools and urine are germ-free by the time convalescence begins. The more they are fed the more decomposition and sepsis will develop, the higher the fever will run, the more tympanitis, greater suffering and more danger. "A properly treated typhoid fever case can never be a carrier." A return to good digestion and normal resistance means the body refuses hostage to germs and parasites.
As previously pointed out, hemorrhage will not develop, in properly managed cases; that is, unless fed and medicated. Should the case be mismanaged until hemorrhage occurs, the foot of the bed should be elevated and absolute rest and quiet secured. No one should be allowed to speak to the patient and no mad-cap endeavors to restore or "sustain" the patient should be resorted to.
TYPHUS FEVER
Definition: Dr. Tilden says, "never having seen a case, I have been doubtful about its existence. In the middle west there are continued, malarial, typho-malarial, and typhoid fever. In all probability these are different forms of typhoid fever." The Germans call it exanthematic typhus in contrast to typhoid, which they call abdominal typhus.
Dr. Shew says of typhus and typhoid (called also nervous fever, putrid fever, ship fever, jail fever, hospital fever, camp fever, spotted fever, and malignant fever): "Some endeavor to make a distinction between typhus and typhoid fevers; but it is doubtful if there is any real difference. Typhoid means at least like typhus. The treatment is the same in either case. A patient may pass into what is called a typhoid or sinking state, from almost any other disease that is of much consequence."

Symptoms: The symptoms and pathology are those of severe typhoid fever plus the eruption which appears first on the abdomen and upper part of the chest on the third to fifth day, then on the extremities and face. It is complete in two or three days.

Complications: Bronchopneumonia, gangrene of the lungs, extremities, nose or mouth, or pleurisy, meningitis, parotitis, nephritis and septic processes in the subcutaneous tissues and joints, are due to sepsis generated in the intestine.

Etiology: Completely broken resistance in one who has abused his constitution; then he becomes feverish from intestinal sepsis; feeding and drugging do the rest. Typhus is not basically different from any other badly treated continued fever. Typical cases can develop only under medical care.

Prognosis: Children fare better than adults. Under medical abuse the mortality ranges from 12 to 20 per cent.

Care of the Patient: Same as for typhoid fever.
VACCINIA
Definition: Stevens Manual of the Practice of Medicine defines vaccinia as "a general disease with a local manifestation resembling the pock of variola, and acquired by inoculation with the virus of cow-pox." In medical works it is listed under "acute infectious diseases."

Symptoms: Vaccinia begins after vaccination with slight irritation at the sight of inoculation. On the third or fourth day the eruption, appears in the form of a red papule, surrounded by a red areola. On the fifth or sixth day the papule becomes a vesicle, being filled with a watery or clear substance, with a distinct central depression (umbilication). By the eighth day the vesicle is perfected and is then surrounded by a wide reddened zone of inflammatory edema, which is the seat of intense itching. By the tenth day the contents are purulent (pus) and the vesicle has become a pustule. The surrounding skin is now much inflamed and painful. About this time the reddened areola begins to fade and dessication sets in with the gradual formation of a thick brown crust or scab which becomes detached and falls off about the twenty-first to twenty-fifth day, leaving an ugly scar. The scar is at first red but gradually becomes paler than the surrounding skin; having a punched-out appearance and is pitted. The evolution of this pathology is accompanied with fever and constitutional symptoms, malaise, and enlargement of the adjacent lymph nodes.

Complications and Sequelae: Irregular and atypical pocks may form; several vesicles may coalesce, a general pustular rash covering the whole arm or a large part, of the body, and called generalized vaccinia, may develop about the eighth to tenth day, abscess, sloughing, cellulitis, erysipelas, general septic infection, urticarial eruptions, "syphilis," leprosy, tuberculosis, actinomycosis (big jaw), mental "disease," tetanus (lockjaw), paralysis, meningitis, sleeping sickness, etc., may follow. In rare cases the pock may reappear in the same place after it is apparently healed. In some instances the abscess may refuse to heal. I saw one case of this kind where the abscess continued to discharge pus for fourteen years. Sir William Osler says: "In children the disease may prove fatal."
In his Principles and Practice of Medicine, Osler quotes the following arrangement by Ackland of the days on which possible eruptions and complications may be looked for:
"1. During the first three days: Erythema; urticaria; vesicular and bullous eruptions; invaccinated erysipelas.
"2. After the third day and until the pock reaches maturity: Urticaria; linchen urticatus; erythema multiformae, accidental erysipelas.
"3. About the end of the first week: Generalized vaccinia; impetigo; vaccinal ulceration; glandular abscess; septic infections; gangrene.
"4. After involution of the pock: Invaccinated diseases, for example syphilis."
Under the heading "Transmission of Disease by Vaccination, Osler says, "syphilis has undoubtedly been transmitted 'by vaccination." Under the heading, "Influence of Vaccination upon other Disease," he says: "A quiescent malady may be lighted into activity by vaccination. This happens with congenital syphilis, occasionally with tuberculosis. * * * At the height of the vaccination convulsions may occur and be followed by hemiplegia" (paralysis of one side of the body.) Within recent years it has been definitely proven by the friends of this superstitious practice that vaccination causes sleeping sickness (encephalitis lethargica or encephalomyelitis) and poliomyelitis (infantile paralysis).

Etiology: Vaccination is the criminal inoculation of an individual with septic matter (pus) derived from suppurating (festering) sores on the abdomen of a previously infected cow. Dr. Richard C. Cabot says, "the other thing that bothers people is the fact that vaccination sores get septic, sometimes when the vaccination is clumsily done and sometimes when it is correctly done. We need not necessarily blame the doctor because the patient has a bad arm. In spite of all precautions, if the patient is in a bad condition, the break in the skin may become septic." In truth the vaccine sore is septic from the start. Vaccine is septic. Vaccination is deliberate septic infection and we do blame the physician.

Prognosis: Most cases recover. Death occurs in a few cases.

Care of the Patient: Vaccinia is best avoided. It is a useless, superstitious rite. The claim that it prevents smallpox is wholly false. Where vaccination is compulsory the vaccine should be thoroughly washed off as soon as it is applied to the arm. If done immediately this will prevent infection. If not done and infection has already taken place, cleanliness and general hygienic care of the body are all that are required. Complications should be cared for as advised under their headings elsewhere in this volume.
WHOOPING COUGH (Pertussis)
Definition: A. symptom complex characterized by a paroxysmal cough followed by a long inspiration, or "whoop."
This trouble is described in medical works as an acute bronchitis. We do not recognize it as a catarrhal affection at all. We regard it as a nervous affection having its origin in "disease" of the cerebrum or the spine.

Symptoms: The symptom-complex derives its name from the long drawn inspiration with a "whoop" which follows a paroxysm of coughing. In ordinary coughing one inhales after each cough. In this condition the patient attempts the impossible task of coughing from fifteen to twenty times during one expiration. Then he draws in the air with a long-drawn inspiration, accompanied with a whoop. But little mucus is expelled and the whole action is evidently nervous.
The trouble begins with a dry, harassing cough with no apparent excuse for existing. For there is no irritation of the throat or lungs. For about two weeks this spasmodic coughing continues when the characteristic whoop develops. The cough comes in paroxysms and is sometimes so hard that vomiting results. The whooping usually lasts about two weeks, then another two weeks are required for the trouble to decline and end.
During the paroxysms the veins swell, the face becomes blue, the eyes bulge out, their whites are "blood-shot," and the child looks as though it must suffocate.
Swallowing, emotions, or even throat irritations may induce a paroxysm. Hearty eating is almost certain to result in a series of paroxysms. The child (it is usually a child) may have but a few or a hundred paroxysms a day. Children who are otherwise in good physical condition appear to be as well as ever when the paroxysm ends.

Complications: The lungs are injured in rare cases by the severe paroxysms of coughing. Sometimes they become emphysematous (distention of the lung tissue with air), sometimes they literally burst. Bronchopneumonia is a frequently fatal complication known only to medical practice.
Hemorrhages into the skin, conjunctivae, or into the brain, epistaxis, hemoptysis (spitting of blood) and tuberculosis are seen in badly treated cases.

Etiology: Putrescent poisoning superadded to enervation and metabolic toxemia.

Prognosis: Weger says: "Whooping cough seldom runs longer than three weeks (under hygienic management) and presents none of the usual alarming symptoms."
The only danger in this condition is the rupture of a blood vessel. The violent paroxysms place a severe strain on the heart and blood vessels. Rupture into the eyes, ears, nose, lungs, brain or skin may occur. The hemorrhage into the brain may result in paralysis or even sudden death. Bleeding from the nose and ears, and occasionally from the lungs, occurs in a few cases.
A child that sinks exhausted, becomes fretful and nervous and seemingly fearful of the paroxysm, and presents red spots on the forehead and in the white portion of the eyes is suffering with congestion of the brain and is in danger.

Care of the Patient: As harassing as this condition usually is and as notoriously unsatisfactory as the paregoric, freely given, protective vaccines, "large quantities of good nourishing food" and "change of climate" of medical methods, the condition can be made tolerable by giving the children proper care.
Tilden says: "If it starts in children who already have deranged digestion, and they are then fed, not allowing them to miss a meal, complications are liable to occur, such as tremendous engorgement of the brain during the paroxysms. The blood-vessels will stand out like whip-cords on the forehead, and when the child is over the paroxysm it is completely exhausted. Unless such a case is fasted, the cough grows more severe, the stomach derangement increases, causing more and heavier coughing, until there is danger of bringing on a brain complication.
How different this is to the wail of the medical man that: "Some children vomit at the end of a paroxysm, and so often during the day that they almost starve."
Weger says: "children do not need to fast in this disease except during the inflammatory or congestive crises with rise in temperature. Such crises are not likely to occur unless the patient is fed in a manner to produce gastric hyperacidity and colonic stasis."
The "disease" is of the nerve centers, the cough being a "reflex cough," and the nervous system of the child must be looked after. He should be put to bed at once and the feet kept warm. He should be given all the fresh air possible and as much water as thirst calls for, but no food of any kind until complete relaxation is secured. Children that are outdoors all day suffer less than those in the house. Whenever possible the bed should be outdoors. Otherwise, put the child by the open window. The rest and warmth will quiet the nervous system. It is questionable whether the whooping stage will ever develop if this "treatment" is instituted at the beginning of the trouble. Complete relaxation should occur in three or four days.
The commonly unrecognized evils of mental over-stimulation of children is usually very evident in troubles of this nature. This should be particularly avoided. Complete relaxation and rest of the nervous system is very important in this condition.
After full relaxation is had, fruit juices may be given morning, noon, and night for two or three days, after which fresh fruit may be used. If the cough tends to increase after feeding, stop the feeding at once. "It is usually observed," says Page, "that the cough grows worse toward evening, and is worst at night. By morning there has bean something of a rest of the stomach, and the cough is easier — perhaps disappears entirely. A full meal is often the exciting cause of a fresh and violent paroxysm. Other things equal, the child who is oftenest and most excessively fed will suffer most and have the longest 'run'." After the paroxysms have ceased gradually return to a normal diet.

Convalescence: Medical men tell us this is tedious. This is their experience. We don't weaken and kill our patients. They tell us that the child must not be allowed to "catch cold," or overdo. A change of climate and "large quantities of good nourishing food" (meaning by this, meat, eggs, pasteurized milk, puddings, white bread, etc.) are recommended for the chronic cough that so frequently follows in medically treated cases.
We recommend an abundance of fresh fruits and green vegetables, sunshine, fresh air, exercise and rest and sleep. These are the elements out of which health is compounded.
YAWS
Definition: A condition seen in the tropics and almost wholly confined to members of the African races.

Symptoms: It is characterized by numerous and successive yellowish tumors on the skin. These gradually increase from mere specks to the size of a raspberry, one becoming larger than the rest. The slight fever which is less noticeable in adults than in children is thought to be merely irritative. Some medical authorities consider yaws to be a form of "syphilis."

Care of the Patient: Same as for Leprosy.
YELLOW FEVER
Definition: A severe biogony characterized by jaundice, hemorrhages and albuminuria. Dr. Shew said "yellow fever is only typhus of a severe form complicated with jaundice."

Symptoms: There may be slight prodromal malaise, but the beginning of symptoms is usually abrupt, with chilly feelings, headache, backache, rise of temperature and general febrile symptoms, vomiting and constipation. Early in this development the face becomes flushed with congestion and slight jaundice of the conjunctiva of the eyes. The temperature usually is 102 to 103 F. and falls gradually after one to three days. The pulse is slow and falls while the temperature rises. Simple albuminuria or severe nephritis may be present. When the temperature falls there follows a stage of calm, followed by a rise of temperature, with increased jaundice and vomiting of dark altered blood — "black vomit." Hemorrhages into the skin or mucous membranes may occur. Mental symptoms are sometimes severe. The severity of yellow fever varies from "great mildness" to "extreme malignancy." Convalescence is usually gradual.

Complications: Abscesses and parotitis are the chief complications.

Etiology: Medical works say, "The specific organism of yellow fever has not yet been isolated." They also say "man is inoculated through bites of certain species of mosquitos * * * The mosquito is infected only by biting a yellow-fever patient during the first three days of the disease." This leaves unexplained which was first infected — man or mosquito.
We consider yellow fever to be another result of septic infection. Sepsis is the only infecting agent in all infections.

Prognosis: Under medical care the mortality varies from 15 to 85 per cent. I can find no records of cases cared for by hygienists.

Care of the Patient: This is one condition where many medical authorities recommend fasting, at least during the first day or two. This is not long enough. No food should be given until all acute symptoms have subsided. The care should be the same as that given for typhoid fever. Medical works say, "remedies have little effect upon the black vomit." Under proper care from the beginning, there should be little or none of this. Trall says: "The black vomit, so alarming to friends and physicians, does not always take place, and when it does happen, I believe it is owing more to mal-medication than to all other causes combined."