CHAPTER LXXIII.

HE MUST BE PHYSICKED, OR DIE.

Mr. S., a very aged neighbor of mine, fell into habits of such extreme inactivity of the alimentary canal, that instead of invoking the aid of Cloacina, as Mr. Locke would say, every day, he was accustomed to weekly invocations only. There was, however, a single exception. In the month of June, of each year, he was accustomed to visit the seaside, some twenty miles or more distant, and remain there a few days, during which and for a short time afterward, his bowels would perform their wonted daily office.

And yet, despite of all this, he got along very well during summer and autumn, for a man who was over seventy years of age. It was not till winter--sometimes almost spring--that his health appeared to suffer as the consequence of his costiveness. Nor was it certain, even then, whether his inconveniences,--for they hardly deserved the name of sufferings,--arose from his costiveness, or from the croakings of friends and his own awakened fears and anxieties. Nearly every one who knew of the facts in his case was alarmed, and many did not hesitate to cry out, even in his hearing, "He must be physicked, or die!" And their fears and croakings, by leading him to turn his attention to his internal feelings, greatly added to his difficulties.

My principal aim, as his friend and physician, was to convince him that there was no necessity of anxiety on the subject, as long as none of the various functions of the system were impaired. As long as digestion, circulation, respiration, perspiration, etc., were tolerably well performed, and his general health was not on the decline, it was not very material, as I assured him, whether his alvine movements were once a day, once in two days, or once a week.

The various emunctories or outlets of the body should, undoubtedly, be kept open and free, so that every portion of worn-out or effete matter may be effectually got rid of. In order to have this done in the very best manner, it is indispensably necessary that we should eat, drink, breathe, sleep, and exercise the muscles and all the mental and moral powers daily. And yet we are to such an extent the creatures of habit, that we can, in all these respects, bring ourselves to almost any thing we choose, and yet pass on, for a time, very comfortably. Thus we may eat once, twice, thrice, or five times a day, and if possessed of a good share of constitutional vigor, we may even accustom ourselves to considerable variation from the general rule with regard to drinking, sleeping, exercise, temperature, etc. Healthy men have been able to maintain their health, in tolerable measure, for a long time, without drink, without exercise, and even without sleep. Of the truth of this last remark, I could give you, did time and space permit, many well-attested, not to say striking facts.

I was not wholly successful in my attempts at quieting the mind and feelings of my aged patient or his friends. And yet his erratic habit was never entirely broken up. He lived to the age of fourscore without suffering much more from what are usually called the infirmities of age, than most other old men. It must not, however, be concealed that he possessed what has been sometimes denominated an iron constitution.

Mr. Locke strongly insists that children should be trained, from the very first, to diurnal habits of the kind in question; and I cannot help thinking that such habits should be secured very early--certainly at eight or ten years of age. Some of the healthiest men and women I have ever known were those who had either been trained or had trained themselves in this way. And yet I would not be so anxious to bring nature back to this rule when there have been large digressions, as to be found administering cathartics on every trifling occasion.

An old man, who eats little and exercises still less, but has a good pulse, a good appetite, and a free perspiration, with a cheerful mind, need not take "physic" merely because his bowels do not move more than once a week; nor need those who are feverish, and who eat and exercise but little. The disturbance which will ensue, if medicine be taken, may be productive of more mischief, on the whole, than the absorption into the system of small portions of the retained excretions, or the small amount of irritation they produce--and probably will be so.

It will be a solace to some to know that the alvine excretions of the system are not so much the remnants of our food, when that food is such as it should be, as a _secretion_ from the internal or lining membrane of the bowels. Consequently, if this secretion is interrupted by disease, there will be a proportionally diminished necessity for alvine evacuations.

Prof. ----, of Ohio, had been sick of fever, for a long time, and, on the departure of the disease, his bowels were left in such a condition that cathartics, or at least laxatives, began to be thought of; but his physician interdicted their use: His costiveness continued to the twenty-first day, without any known evil as the consequence. On this day nature rallied. Then followed a period of quiescence of fourteen days, and then another of seven days, after which he fell into his former diurnal habits. There was much croaking among the neighbors, on account of the treatment of his physician; but the results put all to silence.

The case of Judge ----, in the interior of the same State (Ohio), was so much like that of Prof. ----, in all its essential particulars, that I need but to state the fact, without entering at all upon the details.

J. W. G., a lawyer of Massachusetts, was sick with a lingering complaint, attended with more or less of fever, for several months. During this time there was one interval, of more than thirty days, during which his bowels did not move. And yet there was no evidence of any permanent suffering as the consequence.

The principal use I would make of these facts, so far as the mass of general readers is concerned, is the following: If, during feebleness and sickness, human nature will bear up, for a long time, under irregularities of this sort, is it needful that we should be alarmed and fly at once to medicine in cases _less_ alarming--above all, in these cases, when, except in regard to costiveness, the health and habits are excellent? May we not trust much more than we have heretofore believed, in the recuperative efforts of Nature?