Forty Years in the Wilderness of Pills and Powders Cogitations and Confessions of an Aged Physician

CHAPTER LXXVIII.

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MEDICAL VIRTUES OF SLEEP.

My own child, a boy nine or ten years of age, and somewhat inclined to croup, was one evening wheezing considerably, and, as his mother thought, was threatened with an immediate attack, either from this or some other disease. Of course, there was not a little anxiety manifested in the family on his account, and we were deliberating what to do with him, when the late Dr. Shew, the hydropathist, chanced to come in.

After a little general conversation, we turned our thoughts again to our little patient, and asked Dr. Shew what he would do with him if he were his patient. "If it were my case," said he, "I would give him a tepid bath--say at about the temperature of 80 deg. or 85 deg." "Would you do nothing more?" "Nothing at all, except to put him early to bed."

I was not committed to hydropathy, as I have before told you. I never have been, though I had a sort of general respect for Dr. Shew; and hence it was that, incidentally, I asked him the question which I did; and I was pleased with his reply. There was nothing suggested which was at all akin to violence. He did not propose a shower bath of any kind. He did not speak of hot bathing, which for that hour of the day might have induced too violent a perspiration. He did not propose vapor bathing or steaming. A tepid bath could, abstractly considered, do no harm. It would, at least, while away the time till nature could have opportunity to rally. And then, if the return to health should be attributed to the application of the tepid water, we had no special objection to it. We had no medical pride--most certainly I had none--that would lead me to fear lest I should add to the popularity of the cold-water system.

But it was rather late in the evening,--between seven and eight o'clock,--almost time for such a child to be in bed. In order to get up a tepid bath and make the application, so much time would be required that it would keep him from sleep till nine o'clock, and perhaps later; whereas, I had a very high opinion of the healing and renovating power of natural and healthy sleep. It struck me that to put the child to bed immediately, and let him have a good night's rest, would be a much wiser measure than to bathe him even in _tepid_ water. So, after thanking Dr. Shew for his advice, I told him that, for the reasons above stated, we had concluded to omit the bath and put the child immediately to bed.

On being put in bed and suitably covered, he went to sleep immediately, and fell into a gentle perspiration, and in about two hours his breathing was much better. It continued to improve till the next morning, when he arose, at the usual time, and was nearly well. Dr. Shew himself jocosely observed that the _sleep_ cure had proved quite as successful as the _water_ cure.

Much, therefore, as I prize bathing of all sorts, in its proper place, it must never take the place of other and more important influences, whenever these influences can be brought to bear on the case. Indeed, no bathing of any kind can be desirable, any farther than as it serves to aid these natural processes. It has no magic or miraculous power. If we do not eat, drink, sleep, and wake, all the better for it; if the various offices of digestion, respiration, circulation, perspiration, and cerebral action are not thereby, as a whole thing, better performed, it might as well--nay, better--be omitted. Otherwise we waste time and trifle away vital energy.

If all the functions of the body and all the faculties of the mind could be kept steadily employed, and in healthful proportion, it is obvious that a person could not be sick. Or, if one of these only should be deranged, and we should fall sick, as the consequence, what else, pray tell me, is needed, but to effect a speedy return of the faltering function or part to its proper post and duty?

But sleep, more than all things else, whenever the usual hour has actually arrived, has the effect to facilitate a cure. We all know how wakeful some maniacs are, and how hurried and deranged all the movements of the muscular and nervous systems are apt to become, no less than those of the brain itself. And we all know, too, how much good it does such persons to be able to obtain good, sound, substantial, quiet sleep. It acts like a charm, and does more than charms can do, or mere medicine.

Half the formality of having watchers by night in the sick room, does more harm than good. It were better, in many instances, to extinguish all the lights, except at certain set times and on particular occasions, and let the patient sleep. And yet I have as exalted an estimate of the importance of careful nursing as any other individual.

For example of my meaning, in a case of seeming contradiction, I may say that I have taken all the needful care of a young man who was very sick, for more than thirty successive nights with the exception of two, and yet maintained my health, which, as you already know, was never very firm. And I have known those who could do this for three months. But they extinguish or hide their light, and acquire a habit of waking at certain times, so as never to neglect the wants of the patient.

So true is it that sleep is the grand restorer as well as the great curer of disease, that its salutary influence in the case of various infantile complaints, has long been known and regarded. And one reason why infants should neither be nursed nor fed in the night, as many physiologists maintain, is, that it breaks in upon the soundness of the sleep, as experience has most abundantly proved. Sleep, in short, if not a "matchless" sanative, is at least a universal one.