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which gives an additional insult to the intestinal wall, spurs it on to a desperate effort, and hastens the cleansing process. In severe cases the more promptly the castor-oil is administered the better. Such emergency measures are very different from the habitual use of insulting drugs.] Sometimes the wrong kind of bacteria do persist, causing anemia, rheumatism, sciatica, or neuritis. When these disorders are not the result of infection from teeth, tonsils, or other sources of poison, but are really caused by intestinal bacteria, I have found that a diet of buttermilk (lactic acid bacteria), with turnip-tops or spinach to supply the necessary mineral salts, often succeeds in planting the right bacteria and driving out the disturbing ones. These disorders are invasions from without, like tuberculosis or malaria, and are as likely to attack the person with easy bowel movements as the one with the most chronic constipation. =Autointoxication.= A good deal of the talk about autointoxication is just talk. It sounds well and affords an easy explanation for all sorts of ills, but in a large majority of cases the diagnosis can hardly be substantiated. Uninformed writers of newspaper articles on the care of the body, or purveyors of purgatives or apparatus for internal baths are fond of dilating on the "foulness of the colon" as a leading cause of disease. As a rule, they advise either a strict diet, some kind of cathartic, or an elaborate process of washing out the colon to clear the body of its terrible accumulation of poisons. =Cathartics and Enemas.= He who makes a practice of flushing out his intestinal tract with high enemas and internal baths is like a person who eats a good dinner and then proceeds to wash out his stomach. In the mistaken idea that he is making himself clean, he is washing what was never intended to be washed and robbing the body of the nutrition which it needs. And the man who persists in the pill habit is making a worse mistake, adding insult to injury and forcing the mucous membrane to toughen itself against such malicious attacks. =Cathartics and Operations.= Even in emergencies, the use of purgatives as a routine measure is happily decreasing year by year. For many years I have deplored the use of purgatives before and after operations. That other practitioners are coming to the same conclusion is witnessed by a number of papers recently read in medical societies condemning purgation at th
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