An epitome of hydrotherapy for physicians, architects and nurses . e(see page 132). This has been for many years used inthe Montefiore Hospital and Sea View Hospital for Tuber-culosis. The pressure should not be over 20 pounds be-cause it would then be too stimulating. The patient isordered a warming in the hot-air cabinet short of per-spiration before he is subjected to the douche, with a viewto producing hyperemia of the skin, which enhances re-action besides precluding the need of very cold 35 represents a simple apparatus especially de-signed for neurovascular training. The al


An epitome of hydrotherapy for physicians, architects and nurses . e(see page 132). This has been for many years used inthe Montefiore Hospital and Sea View Hospital for Tuber-culosis. The pressure should not be over 20 pounds be-cause it would then be too stimulating. The patient isordered a warming in the hot-air cabinet short of per-spiration before he is subjected to the douche, with a viewto producing hyperemia of the skin, which enhances re-action besides precluding the need of very cold 35 represents a simple apparatus especially de-signed for neurovascular training. The almost invariable effect of these procedures in thehome or in the institution is the same as that of gen-tle exercise. There is freer oxygenation of the blood;there is an improvement in the quality of the pulse;an enhancement of general vigor, promoting a desire forexercise, as far as it is allowed by the physician, but thechief effect of this treatment has been, if I may judge froma very large observation, the improvement of the ap- 180 AN EPITOME OF HYDROTHERAPY. Fig 35.—The authors simplified apparatus for neurovascular train-ing. (Courtesy of Hydrotherapeutic Apparatus Co.) PULMONARY TUBERCULOSIS 181 petite, digestion, and assimilation, all of which conduce,of course, to the enhancement of nutrition which is aimedat by those who have the largest experience in this disease,as the sine qua non. The reader is referred to numerous histories from therecords of the Montefiore Hospital for Consumptives, someof which are detailed in my work on Hydrotherapy (3dedition, pages 416 to 421). My latest records are fromthe Sea View Hospital for Tuberculosis published in theReport of the Department of Charities of New YorkCity for April, 1917, from which I quote: I am indebted to our Superintendent, Dr. McSweeney, for adetailed statistical statement of 69 cases which have received neuro-vascular training (douche treatment): 13 being the first stage; 53,second stage, and 3 the third stage.


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