Part 9
be some of the Reasons, why this Distemper is so seldom totally extirpated, and is become the _Opprobrium_ both of the Patient and Physician; for else it would be impossible, that People should generally resist the Consequence of that Observation which I hinted before: For if the Labour of the Poor generally secures ’em from this Distemper, and if this Distemper, whenever it seizes, is of so nice and tender a Nature, that it will scarce allow of any of the common Methods us’d in the Cure of other Distempers, certainly it behoves the Persons so griev’d, to try whether those Means which are Preservative to others, may not prove Curative to them; which, by reason that the Subject of the Distemper, _viz._ the Spirits and Nerves are primarily affected by Exercise, proves highly probable. For why there should be such dependance on Internals universally, and even in this Case, I can’t see; to me it seems almost as Ridiculous, as if a Workman should use but one sort of Tool in working on Wood, Stone, Brass, and all other Materials. I need not here take Notice of any of the particular Symptoms of this variable Disease, they all being liable to the same Regimen; I have already in another place hinted what Relief may be procur’d by this Method in the Hysterick Colick, and in the obstinate Watchings, which will scarce submit to the use of _Laudanum_, or at least without ill Consequences. Therefore I shall conclude they all fall under the Power of a Resolute COURSE of EXERCISE. The Exercises most proper here are _Riding_, and the use of the _Cold Bath_; the first prepares for the second; which Rule if some People, who are the most weakly, wou’d observe, they might secure themselves, from some of those few Accidents that have befel the too rash entrance into the Cold Bath. Instead of Riding on horse-back, Women may take a Chaise, which will allow of swift Motion, and comes little short of the Horse for Agitation of the Body; tho’ I can’t see any breach of _Decorum_, if a Lady, attended with a Servant, should ride on Horse-back daily for Health, if she like it best; as for those, who upon the Account of their being very Fat, have some Reason to be cautious, how they go into the Cold Bath, lest some Apoplectick Symptoms should ensue, they may have recourse to another of those Exercises, which I shall treat of, _viz._ the use of the _Brush_, or _Chafing_, which if us’d in good earnest, will not prove so trivial as perhaps some People imagine it to be. These are the Chief Exercises which I would recommend in this Case, and which if us’d with Prudence and Application, I doubt not are able to effect a compleat and Eradicative Cure of this Distemper, as certainly as more violent internal Means are expected to succeed in any other Case, the Spirits and Nerves being not so much more untractable, than the Blood and Humours, if treated after a manner suitable to their Nature. What I have said of these three Cases, may serve to illustrate the necessity of this Method in some few other Cases, which I need only Name; as the _Scorbutick Rheumatism_, which being a Nervous Case, will admit of the three Exercises I have mention’d, which if strenuously put in Practice at proper Seasons, will do Wonders in the removing of those Pains. The _Nervous Atrophy_ is another Case, which may be remov’d by a Gymnastick Method, when all the Pompous Internal Medicines will not avail. _Lastly_, there is one more Case, to which Riding seems to be in a peculiar manner appropriated, and that is, that Decay of Nature which is occasion’d by Passions of the Mind, which we commonly call, Breaking the Heart; here the Spirits are broke, and ruined by the stress of Thought, the Mind drinks up the Vital Fluids, and the Ravage proceeds so fast, that nothing can avail, but what can in some Measure interrupt the Eagerness of Thought, and repair in Proportion to the wast of the Spirits, which Riding seems most likely to do, because it gives an Alacrity beyond that of Wine; because the Briskness of the Motion, must take a Man off from close thinking, and such Exercise continued long, even to some Journeys, must by Tiring incline to Rest, and break off those voluntary Wakings and anxious Thoughts, which are so pernicious; and if some intervals of Ease can be gain’d in this Case, there is hopes that Reason or Religion may take place, and the Passions may be laid: For ’tis the first Fury that is the most Dangerous and Violent; if that can be manag’d, the Point is gain’d, and there is nothing like Hurrying the Body, to divert the Hurry of the Mind. These are most of, if not all, the Cases which fall under the Power of Exercise as Curative; as for the Benefit which may be obtain’d by Exercise, in the Gravel, the Gout, and the like, it is purely Palliative, and therefore out of the Scope of my intention in this Treatise: I shall now proceed to consider briefly, those several Sorts of Exercise, which seem proper to my Design. And here I shall not insist upon the various Exercises of the Ancients, or all those in Use now in our Days, but shall make choice of but a few, that seem most Compatible with the Weakness and Infirmities of Sick People, and the particular Circumstances of those Distempers which I have already mention’d, and I shall begin with the chief of ’em, which is that of RIDING. OF THE EXERCISE OF RIDING. Upon several Accounts, this may be esteem’d the best and Noblest of all _Exercises_ for a Sick Person; whether we consider it with Respect to the Body or the Mind; if we Enquire after what manner it affects the Body, we shall find that it is a kind of mixt Exercise, partly _Active_ and partly _Passive_; the lower parts of the Body, being in some measure employ’d, while the upper parts are almost wholly Remiss or Relax’d; nay, where a Man is easie, is sure of his Horse, and rides loose, there is very little Action on his Part, but he may give himself to be as careless almost as if he were Seated on a Moving Chair; so that he may be said to be Exercis’d rather than to Exercise himself; which makes the Case widely different from almost all other sorts of Exercise, as Walking, Running, Stooping, or the like; all which require some Labour, and consequently more Strength for their Performance; in all which, the Muscular Parts must be put to some Stress, and some of the Secretory Vessels made to throw off too much, while others throw off too little; whereas in Riding, the Parts being incomparably more relax’d, there is a better Disposition towards an equal Secretion of the Morbisick Particles, and a less Expence of the Animal Spirits, the chief Agents in all regular Secretions; so that a Sick Person may by this means be greatly reliev’d and not tir’d, whereas by other more violent ones, it is possible he may be tir’d and not reliev’d. As for the Parts which are more immediately acted upon by this Exercise; it is very plain they are the whole Contents of the Lower Belly, so that the Glands of the _Mesentery_ and the Intestines, so frequently accus’d of Obstructions, may in a special manner be clear’d, and their Tone recovered by such repeated Agitation; which is a thing so manifest and allow’d, that it would be needless to multiply Words in the explaining of it. But there is another sort of Assistance communicated to the Intestines, which is not so much heeded, and that is the great Alteration, which is made by this Agitation, in some of the Morbifick Particles, as they come to be squeez’d out of their several Glands into the Intestines, which in the time of Riding is doubtless in a much greater quantity than at other times. These Particles must not be suppos’d to be barely carryed off as Excrementitious, but to undergo a Change in their Texture, to be several times in a manner Cohobated, from Acid and Acrimonious, to be Volatiliz’d, and in some measure render’d inflammable; that there is some such Alteration made in the more liquid part of the Contents of the Intestines, before they come to grow hard in a true State of Health is easie to prove, and I believe agreed on by most Enquirers into the Oeconomy of Nature, and that there is some Defect in these Operations of the Bowels, in some sick People, is evident from the Consistence, Smell, and other Qualities of these Contents, different from what they are found in a State of Health; and that this Defect may be remov’d by this Exercise, seems not improbable, if we consider how immediately Riding affects those parts, that it acts as a Topick, by those infinite Succussions coming close upon one another, which must needs cause a greater Heat than ordinarily, and a better Mixture of some of the Similar Particles, and a Rarefaction of others, which after they are thus differently Modefi’d and alter’d, are many of ’em as it were chaf’d in again by that continual Agitation, and the Steam of their inflammable Parts is of Use, to keep Nature even under the Exercise; that there is something like this to be observ’d in the actions of the Bowels might be confirm’d, by what Glysters are known to do. I would not willingly verge towards the Fraud of an Hypothesis; I may be allow’d to have had some more than Common Occasion, to put me upon making these Observations, having some time ago been so unhappy as to labour under as severe a Flux, as perhaps ever was known, which held me about a Year and a Half, attended with Vomitings, and most unsupportable Nervous Symptoms; during all which time nothing reliev’d me, in the greatest Paroxisms of it, like gentle Riding, in so much that at last I was forc’d to be in a manner always on Horseback, to have the Pressure on my Bowels rebated, and my Spirits a little refresh’d. The Comfort which I found by that means, I think must be attributed to some such _Phænomena_ as I have above mention’d; for tho’ I will grant, that Riding was more beneficial to me under those Circumstances, than it would be to another, because of those Nervous Symptoms; yet how Particles so exquisitely Pungent and Acrimonious, should be retain’d and blunted and made useful, as appears from the Evil Consequences of too many Evacuations; how this should come about, but after such a manner as I have above hinted, I cannot understand; ’tis easie for those who think in hast and superficially, to be deceiv’d with the first appearance of things; but when once Men are calm enough, or under a Necessity to think closer, they are more likely to come to the Truth of such _Phænomena_ as these; and to those who do allow themselves to deliberate before they are Positive, I doubt not but what I have asserted, will appear reasonable; and perhaps I should not be so much out of the way, if I should add, that some of the _Stercoraceous_ parts of the Contents of the Intestines, are not in a strict Sence to be reckon’d Excrementitious or useless, since tho’ I don’t believe Digestion is perform’d by Putrefaction, yet I believe Putrefaction is a great Medium for the opening of Bodies, and the extracting inflammable Parts out of ’em; as we see a little Greenish _Hay_, when it comes to be Putrefi’d, shall become inflammable; and there being inflammable Particles in the Intestines, ’tis probable they may owe their Origine to some such Cause, and not to the first Chylification in the Ventricle. I would not be thought to bring these Reasons, as if I believ’d Riding would Cure a Flux, I don’t believe any such thing, unless upon some very singular Circumstances, and therefore I have not plac’d it among those Distempers, which appear to be Curable by Exercise; but I only draw this Consequence from the Palliative Relief, which Riding will afford in the time of a long Flux, that some pernicious and disagreeable Particles, may receive such an Alteration while in the Intestines, as to become fit to be re-absorb’d by the several Vessels of those parts, and convey’d with great Advantage into the Blood again, which is making things to go on in a Round towards a Cure; Nature her self doing the Work, without forcible Evacuations, which tho’ never so gentle in some fine Constitutions, can scarce be born, and without much Physick, the very Morbifick Matter being so alter’d and dispos’d in one part of the Body, as to be useful in another. I have insisted the longer on this Point, that I might make it as plain as possible, because I think it is of so great Moment in some Distempers and some Constitutions. What relates to the Breast, I have had occasion to Explain before; and for the Head, tho’ I can’t say it is immediately affected by this Exercise as the Lower Belly is, yet there is one Benefit accrues to it from Riding, which by reason of the Disuse of Exercise in Cases of Sickness, is not taken Notice of, and it is this, the great inclination to Sleep, which a Sick Man finds if he lies down on his Bed as soon as he comes off his Horse; for as the Motion of a Coach does more or less dispose all People to Sleep, and the swifter it goes, the more we are inclin’d to Doze; So the Motion of a Horse being swifter, and the Posture relax’d as to the Head and upper Parts, tho’ a Man does not perceive any thing of such an inclination, while he is Riding and upon his Guard, without any thing to lean on, yet there is so much of the Impression of that Motion remains upon him, for sometime after he lights off his Horse, that if he throws himself presently upon his Bed, especially if he drinks some small Draught of wholsom Ale or Wine first, he will quickly be in a Sleep, which upon several Accounts must then be very Beneficial; this is a Truth so certain and so valuable to distressed, infirm People, whose Nights are often more troublesome than the Days, that it is a wonder what should keep Men from attending to Nature, and falling into such just Measures that Art it self cannot afford. What can be more applicable to all the Circumstances of Consumptive People, than after that by Moderate Riding, they have dispos’d the Humours for each Secretion, they should by such short and Refreshing Sleeps compleat those Secretions? When moreover by these Means, they may be enabled to deny themselves those latter or Morning Sleeps, in which they are so apt to run into Colliquations; I know some may please to be so witty as to call this Nursery, rather than a Management worthy of a Physician; but yet I will appeal to any that are Sober, Calm, and free from Prejudice, whether if they allow that this Exercise, does dispose to Sleep as I affirm, upon this Supposal, any thing can more exactly hit the miserable Circumstances of those Persons. To the Sick, these little things are of great Moment, and in such seemingly little things as these, the Accurate Management of the Ancients consisted, by which they were sometimes enabled to accomplish, that which we, for want of those Measures, do sometimes fall short of. As to the other Property of this Exercise, it may be convenient for me to make some Apology, before I enter upon the Mention of it, because it is such, as cannot be well understood, but by those who are Conversant with _Sanctorius_, upon one of whose above-mention’d Maxims it does depend, _viz._ Upon that which shews the great Increase of the insensible Perspiration by _Pandiculation_ and Gauping; now I hope the taking Notice of this, will not be thought odd in an Age, of which it is one of the Good Qualities, that Men will not take up with the old superficial Way of accounting for things by Occult Qualities, _Putredo_’s, and the like, but enquire into the _Modus_ of the more Abstruse Actions of Nature, and will be convinc’d, that whatever are the legitimate Measures that she takes, they cannot be thought little or uncouth, seeing ’tis by such _Minima_, that she comes to be able to compleat her great Things. If therefore by Gauping, this Perspiration is so very much promoted, as has been discovered, and adjusted by the Experiments of that Admirable Author, we may reflect upon how little things our Deliverance from Feavers, and other Inconveniences, does depend; nothing being more common upon taking Cold, Surfeits, or the like, than for People to Gaup often, till the offensive Matter is let out, and consequently it is very apparent, that whatsoever will promote the Pandiculation must be beneficial, when the Perspiration is obstructed; and this, tho’ it cannot be effected by any Internal, may be done by Riding, which will dispose all People, the Healthy as well the Sick, more or less to it. I know it may be alledg’d, that all People when they are tyr’d, are more or less apt to Gaup and Retch, but yet it cannot be said, that Thirty Miles Riding is a Tyring to a Healthy Man; and yet let any one observe, if that or less will not dispose all People to this Affect, unless they over-rule it by Drinking of great Quantities of good Liquor, which I believe will not always