Part 26

Of Natural baths, some are nitrous, some saline, some aluminous, some sulphureous, some bituminous, some copperish, some ferruginous, and some compounded of these. Of all the Natural waters the power is, upon the whole, desiccant and calefacient; and they are peculiarly fitted for those of a humid and cold habit. The nitrous and saltish are beneficial to the head, to defluxions of the chest, to a watery stomach, to dropsies, to swellings after diseases, and to collections of phlegm. The aluminous are fitted for spitting of blood, vomiting from the stomach, immoderate menstrual discharges of women, and repeated miscarriages. The sulphureous are soothing and warming to the nerves, and relieve lassitude, but weaken and upset the stomach. The bituminous occasion fulness of the head, and hurt the senses, but occasion a steady degree of heat, and soothe when persevered in. The copperish are peculiarly adapted for the mouth, tonsils, uvula, and eyes. The ferruginous are useful to the stomach and spleen. The descent into the water ought to be without precipitation, in order that its impression may sink deep into the body when in a relaxed state.

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COMMENTARY. This Section is taken from Oribasius. (Synops. i, 29.) A fuller account is given in the Med. Collect. (x, 3 et seq.) See further, Aëtius (iii, 167); Haly Abbas (Theor. v, 13); Rhases (Contin. xxxvii); Avicenna (ii, 2, 15.)

Hippocrates briefly mentions thermal springs of iron, copper, silver, gold, sulphur, alum, bitumen, and nitre. He speaks unfavorably of all such waters, as being hard and heating. (De Aër, &c. 35.) The ancient nitre or natron, it is now well known, was a native carbonate of soda. The alum, mentioned by Hippocrates and the other writers on the thermal springs, cannot have been the alum of modern commerce, since it is very rarely to be detected in mineral waters, but it must have been the alumen plumosum, or hair alum, which Klaproth found to consist principally of the sulphate of magnesia and iron.

By far the most interesting account which has been transmitted to us of the thermal springs of the ancients is that given by Pliny in the 31st book of his ‘Natural History.’ He more especially commends the medicinal waters near Baiæ, consisting of all the kinds mentioned by Hippocrates and our author, namely, sulphureous, bituminous, saline, &c. Some of them, he says, prove medicinal by their vapour. He speaks of their good effects in diseases of the nerves and joints, and mentions generally of them that they open the bowels. Pliny’s account of the virtues of medicinal springs in different parts of the world is curious, but mixed up and disfigured with his usual traits of credulity and love of the marvellous.

The tepid springs of Albula, in the vicinity of Rome, are briefly mentioned by Pliny (l. c.); Vitruvius (viii, 3); and Pausanias (Messeniaco.) Among the natural springs of the Romans the Fons Aponus, or Bagni d’Abano, near Padua, is particularly celebrated. Claudian’s poem in praise of its medicinal waters is well known. He calls it

“Publica morborum requies, commune medentûm Auxilium, præsens numen.”

Joannes de Dondis has given an elaborate disquisition on the hot springs of Padua, but it is not by any means so satisfactory as could be desired.

This would be the proper place to give some account of the ancient Temples of Health, most of which, there is reason to believe, were connected with medicinal springs. But our information respecting them is so scanty, that we can scarcely venture to touch upon the subject at all. We would refer, however, to what Pausanias says of the warm saline springs in the neighbourhood of the Asclepieion at Cenchreæ in Corinthiaca (ii, 2, 4), and of the springs near the temple of Æsculapius at Corone (iv, 34); and of the wells near the temple of Æsculapius at Pergamos (viii. 25.)

SECT. LIII.—ON THE REGIMEN FITTING TO THE DIFFERENT SEASONS.

It is proper to regulate the diet with a view to the season. In winter to take more fatigue, and eat more than usual, if the state of the weather be northerly; but if it be southerly, to take the same fatigue, but to use less food and drink. In fine, to make the body dry in the wet season, and warmer in the cold, to eat also warm fleshes and acrid pot-herbs, and drink more wine than usual. In the beginning of spring some may evacuate by emetics, and others by laxatives, and another may get a vein opened, according as habit or inclination directs. Rest is suitable to the season of summer, and also a diminution of labour and food; the food also ought to be more cooling and the drink abundant; and, in short, everything ought to be done which can contribute to cooling and dilution. In autumn, as it is a changeable, unsettled, and unhealthy season, the diet ought to be particularly attended to, that it be not too refrigerant; moderation as to venery and cold drink ought to be observed; and the cold breezes of morning and the heat of noon attentively guarded against. Too much fruit ought likewise not to be taken, being hurtful not only by the quantity, but also by the quality of the chyle which it supplies, and by engendering flatulence. Nay, even the best kinds of autumnal fruits, figs and grapes, engender flatulence, unless taken before any other food, for otherwise they spoil the other food; but if taken then, they neither are flatulent, nor spoil the other articles of food. When the air is cold the body must be warmed accordingly, and everything done, as in the commencement of winter. It may also be expedient, after the autumnal solstice, to have recourse to one of the afore-mentioned evacuations, lest any excrementitious particles being shut up in the system should prove hurtful during the winter.

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COMMENTARY. This is copied from Oribasius. (Euporist. i, 10.)

It is one of the aphorisms of Hippocrates that those who require bloodletting or medicine, should be bled or take medicine in the spring. (Aphor. sect. vi.) Galen, Rhases, Haly Abbas, and in short all the ancient authorities agree with him respecting this rule of practice. According to Alsaharavius, the pulse is stronger and fuller in spring than at any other season. (Theor. vii, 2.)

Hippocrates and Galen lay it down as a general rule that the fullest diet is most proper in winter, and the sparest in summer. (Aphor. i, 18.)

Rhases lays down very suitable directions for the regimen that is most proper during every season of the year, but they are scarcely at all different from our author’s. As we have mentioned, he recommends depletion in spring before the heat set in. In summer, he approves of cooling acid fruits with cold water for drink. In autumn he directs abstaining from cold baths, and the use of a restricted regimen. In winter, he recommends a full proportion of calefacients, such as pepper, cumin, mustard, and rocket. (Ad Mansor. iv, 26.) Winter, he says in another work, favours the formation of flesh and blood, braces the body, and strengthens the powers. Spring fills the system with humours. Summer dissolves the humours, and weakens the internal powers. Autumn engenders bad humours, bile, and blood. (Contin. xxxiv.)

Haly Abbas recommends purging or bleeding in spring, to evacuate the superfluities formed and shut up in the system during winter. In summer, the regimen is to be cooling and diluent; little exercise is to be taken; the cold bath is to be used, swimming in cold water is to be practised: for food, chickens, fish caught among rocks, grapes, apples, and the summer fruits will be proper; but wine is either not to be drunk at all, or much diluted with water and cooled in snow; and venery is to be avoided. In autumn, the regimen is to be cooling and desiccative, the exercise moderate, the cold bath is to be avoided, but the tepid is to be taken, and much fruit is to be avoided. In winter, the regimen is to be heating and desiccative, and wine is to be taken moderately. The wine, he adds, ought to be strong and heating, to counteract the cold of winter; but much must not be taken, because it will dilute and humectate the body which stands in need of desiccation. Wine, too, he says, possesses little nourishment, whereas the system requires much support in winter. He recommends the flesh of quadrupeds and fowls for food. (Pract. i.) See, in like manner, Avicenna (i, 3, 5); Alsaharavius (Theor. ix, 2.)

The poet Hesiod recommends a full diet in winter. (Opera et Dies, l. 558.)

Maximus Planudes, in a Declamation on winter, affirms that at this season the heat, being confined within the body, operates more strongly in performing the vital functions than at any other season. This season, he says, is favorable to all classes of men except doctors; but they are sick at heart to see that no other persons are sick, and, bewailing their own misery, undergo the thirst of Tantalus amidst the rains of winter! See Boissonade (Anecd. Græca, vol. ii.)

Among the works of the ‘Physici et Medici Græci Minores,’ published a few years ago by Ideler, there are several small treatises, one by Hierophilus Sophistes, in prose, one by Theodorus Prodromus in iambic verse, and two others, anonymous, in which the regimen adapted to every month of the year is carefully laid down, but the rules are too minute to admit of being given here. We may mention, however, that they generally recommend pork, with peppers, and pure wine, as the best course of diet in winter.

SECT. LIV.—OF THE REGIMEN OF PERSONS ACTIVELY EMPLOYED.

He who spends his time in business ought to consider whether, in the former period of life, he had been in the habit of taking exercise, or whether, though not taking exercise, he bears that habit well, and escapes from diseases by having free perspiration. Such a state of body is not to be suddenly changed to another habit, neither the mode of those who have long been in ill health. But if constantly ill and plethoric, the indication of cure ought to be by a healthful regimen, to supply moderate nourishment; or, if cacochymy was the cause, the indication will be to supply proper juices. Those who suffer from fulness are to be directed when they go into the bath to use friction, and to take some exercise, or, if they have already done so, to increase it a little, but to detract from their food, and use less nutritious kinds than formerly; but if from collections of bad humours, one indication of cure is not sufficient, because there is more than one kind of bad humours; for some have a collection of cold and pituitous, some of hot and bilious, and others of the melancholic. Every one, therefore, ought to avoid those articles of food and drink which are apt to engender that sort of humour which is collected. And in all these cases the common remedy is purging of the belly.

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COMMENTARY. This is taken from Oribasius (Synops. v, 29), who extracts it from the ‘Commentaries’ of Galen. See also Rhases (Cont. xxxiii.) Galen and Rhases remark that persons who lead an active life, such as ploughmen and labourers, digest gross food more readily than any others; but that, their bodies being wasted by excessive fatigue, the vessels take up the chyle before it is properly concocted, and carry it over the system. Hence, such persons seldom attain to an old age, as their bodies get loaded with improper juices.

SECT. LV.—ON THE REGIMEN OF TRAVELLERS.

In performing a journey, one will bear the fatigue best if anointed with oil, and by not making too violent efforts; and by having the body about the loins and to the hollow of the ribs, bound round, in summer, with a swath of a soft consistence, six or seven fingers broad, and in length not less than five cubits. A staff also is useful in a journey; for in going down a declivity it serves as a pole to support the body from falling forwards, and by leaning upon it in ascending acclivities it will greatly assist in raising the body. When a traveller stops on a journey he should get his body anointed, take some food adapted for the summer, and a moderate quantity of drink. After dinner he ought to rest awhile before proceeding. But if compelled to go on, and oppressed with thirst, water, having some polenta sprinkled upon it, with a moderate quantity of salt, will be of service to him. He should be careful of heat and of the sun, and have his body covered so as not to be exposed to the sun, lest, during the journey, his limbs become dry and stiff. With these precautions, he will be less liable to lassitude, and all its accompanying evils. In winter, when it is cold, before setting out he ought to evacuate, get his body rubbed with oil, and take plenty of the winter articles of food, and a little drink. He should also get not only his loins, but likewise his spine and chest, properly bound with a longer swath. When he stops, as sufficient coolness will be produced by the relaxation, it will be better that he neither anoint, nor take food or drink, nor any other refreshment, if he mean to remain there. But after long journeys, or excessive fatigue of any kind, even if a person do not complain of lassitude, it will be proper to treat him like those who do, for thereby there will be less danger of any bad consequences.

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COMMENTARY. This Section is taken from Oribasius (Synops. v, 31), who admits that he borrows, in his turn, from Diocles. The directions are, upon the whole, very judicious and proper.