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e is stayed, and all symptoms of it are lessened. All swelling but the actual separate growth is removed. For instance, when the swelling has passed from the breast into the armpit it has been dispelled, and entirely confined to the actual substance of the tumour. This is managed simply by the persistent and vigorous use of cold towels. They must be large enough to allow of fourfold covering of the whole breast. They are wrung out of cold water at first, and, if possible, cooled with ice instead of being wrung out after. One at a time is kindly pressed all round and over the swollen breast. It is heated in one or two minutes, and must be changed. The second is pressed round and all over the breast in the same way. It is soon heated too, but you may have three of them in a circle, and if you have a bit of ice for those that are cooling, you have cold enough. Some would put on an ice-bag, and let it lie, but we have never been able to advise this, as it is very apt to destroy the outer skin by too severe cold. This treatment requires work--no doubt of that--but the effects are well worth it. When the cooling treatment, given twice a day, or oftener if it can be without discomfort, has reduced the swelling and put back the tumour, till it may fairly be regarded as capable of absorption, it will be well to try the effect of hot fomentation by bathing (_see_ Breast, Swelling in). This will not do harm, but good, if it is only used so far as to try whether the stage for hot treatment has been reached. If the hot bathing is agreeable, and instead of causing pain, rather soothes and comforts, it may be strongly tried. But this will be only if the effectual cooling has put back the disease, or if it has been really mastered. So long as it shows a tendency to increase, it will be well to continue the cooling. Even if it be not possible to remove the disease, its progress may be arrested, and it may be rendered dormant for the rest of life. We know persons sent off to die with growths who are now quite well and have been so for many years, with these growths only rendered dormant. Even if this is not possible, it may be that we render the growth so slow that it shall come to nothing important in the remainder of even a long life. We should never hesitate to do our utmost in any case. Besides the local treatment given above, vital action in the whole bodily system has to be increased on a definite line. This is the ripening a
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