during a part of the day.
The moral uses of enforced rest are readily estimated. From a restless
life of irregular hours, and probably endless drugging, from hurtful
sympathy and over-zealous care, the patient passes to an atmosphere of
quiet, to order and control, to the system and care of a thorough nurse,
to an absence of drugs, and to simple diet. The result is always at
first, whatever it may be afterwards, a sense of relief, and a
remarkable and often a quite abrupt disappearance of many of the nervous
symptoms with which we are all of us only too sadly familiar.
All the moral uses of rest and isolation and change of habits are not
obtained by merely insisting on the physical conditions needed to effect
these ends. If the physician has the force of character required to
secure the confidence and respect of his patients, he has also much more
in his power, and should have the tact to seize the proper occasions to
direct the thoughts of his patients to the lapse from duties to others,
and to the selfishness which a life of invalidism is apt to bring
about. Such moral medication belongs to the higher sphere of the
doctor's duties, and, if he means to cure his patient permanently, he
cannot afford to neglect them. Above all, let him be careful that the
masseuse and the nurse do not talk of the patient's ills, and let him by
degrees teach the sick person how very essential it is to speak of her
aches and pains to no one but himself.
I have often asked myself why rest is of value in the cases of which I
am now speaking, and I have already alluded briefly to some of the modes
in which it is of use.
Let us take first the simpler cases. We meet now and then with feeble
people who are dyspeptic, and who find that exercise after a meal, or
indeed much exercise on any day, is sure to cause loss of power or
lessened power to digest food. The same thing is seen in an extreme
degree in the well-known experiment of causing a dog to run violently
after eating, in which case digestion is entirely suspended. Whether
these results be due to the calling off of blood from the gastric organs
to the muscles, or whether the nervous system is, for some reason,
unable to evolve at the same time the force needed for a double
purpose, is not quite clear, but the fact is undoubted, and finds added
illustrations in many of the class of exhausted women. It is plain that
this trouble exists in some of them. It is likely that it is present
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