NERAL Ct N1-17..RNCE AKOMA PA WAS i+ WHY GIRLS SHOULD NOT SMOKE
By Daniel H. Kress, M.D.
of the cleverly written, misleading, and untruthful advertisements of the various tobacco concerns. De- ploring this, one editor, in a publi- cation devoted to music and drama, said: "I wonder if some artists are not going too far in yarawalla testimonial writing." Of a tenor, The finer touches in art cannot be given by those who are addicted to tobacco. whose name was attacked to two rival cigarettes, he said: "Each 14 HERE exists a craze among should do a little thinking before testimonial signed by this man was girls and young women to reduce, reaching for either a cigarette or so eloquent and extreme that you and maintain a slim and trim fig- a sweet. If they study into the wonder how he could endure an- ure. Tobacco companies have problem, one thing is certain, they other brand." This artist, like taken advantage of this in ad- will not reach for the cigarette. many of his colleagues of high mad vertising their favourite products. They may or they may not reach low degree, sold his name and The mode of advertising has been for the sweet instead. There is prestige for the sake of advertising. a success, for thousands of no objection to an occasional The editor said further, "I know thoughtless young women and in- sweet, since a sweet is a food. It of some endorsers of cigarettes nocent girls have, as a result, be- is not the most wholesome food who have never smoked in all came slaves to a habit which is and, therefore, should be used their lives." To give some idea ruinous to the complexion, ruin- sparingly. The craving for sweets of how these endorsements are ob- ous to health, and in some in- is, however, a natural and a nor- tained, I would refer to what hap- stances ruinous to morals. The mal one. Nature provides sweets pened just recently. Sonja Henie, purpose of tobacco companies is, liberally in fruits in a form that the world's champion figure skater, as far as possible, to place a cig- is both wholesome and beneficial, was approached by publicity arette between the lips of every sweets which are superior to any agents for her endorsement of a girl. Cleverly written articles by that are served at a soda fountain certain cigarette. Hs said, "You experts have appeared in the lead- or in sweet shops. These may he don't have to put one in your ing journals and newspapers call- partaken of freely. The free use mouth, but we will publish your ing attention to the benefits sup- of fresh fruits is one of the best picture and give you $ 2,500," to posed to he derived from the use and safest means of reducing which she replied, "I don't smoke. of certain brands of cigarettes. weight. It is also one of the best I won't take your $ 2,500. I am ashamed of women who smoke." Roger Babson, the famous stat- means of developing and main- istician, evidently deplores this. taining a clear complexion. My The claim is made that the cig- Recently he said, "When the advice to the girl who has an am- arette soothes the nerves. It is country's keenest minds are using bition to be slim and trim and a true that temporarily the cigarette the newspapers, magazines, mov- desire to keep a clean skin, pure is a soother of the nerves of nerv- ies, and radios to entice youth to blood, and a healthy body is, when ous women, but eventually it ag- drink whisky, smoke more cig- tempted to reach for a cigarette, gravates the very condition it tem- arettes, and make heroes of crim- to reach for an orange instead. porarily palliates. In time it ruins inals, those youth should have the Other acid and sub-acid fruits the nervous system. other side of the argument from will serve the same purpose and, It is a serious thing for boys and someone." if used freely, will lessen the crav- young men to become addicts to ing for cigarettes. No one is better able to give this the cigarette, but it is worse for a information than the physician Smoking has become common girl or young woman to form this who has to deal with the finished among girls and young women habit. Girls of today are our fu- product. When tempted, girls the past few years, chiefly because (Continued on page 26) 2 THE ORIENTAL WATCHMAN WEAPON for WAR, PROBLEM for PEACE
By R. M. Wilder, M.D.
P. P. A.
War work gives him a keen appetite for the staff of life. DIET DEFICIENCY
THE dictators "secret weapon" deficiences, they became perfectly William's and my direction since may be the taking away of vitamin manageable and effective. This is July 1939, I am personally con- B1, or thiamine, from the diet of a story received from Canadian vinced that insufficiency of vita- the conquered countries. A little medical circles, and I have reason min B1 (thiamine) is a principal thiamine deficiency is associated to believe it is true. cause for the majority of the nerv- with irritability, but much or long- It is my personal opinion that ous and mental abnormalities that continued deficiency is more likely there is a relationship between in- are associated with, or responsible to result in depression, exhaustion, dustrial unrest and deficiency of for, the psychological state com- and feelings of inferiority. We vitamin B1 (thiamine). One of monly spoken of as loss of morale. have good information that the the symptoms of thiamine defi- Some of these experimental obser- dictators are making fullest use of ciency is irritability and lack of vations have already been reported the newest knowledge of nutrition willingness to co-operate. I sus- in the Archives of Internal Medi- in the prosecution of this war, par- pect that many industrial workers cine. ticularly in reference to the ex- are led to make unreasonable de- When women who have been cellence of the nutrition of their mands because of the inadequacy apparently normal emotionally are armed forces. Rumour has it that of this particular vitamin in the subjected to a diet adequate in all they are making deliberate use of diet. I also suspect that many other respects but very low in thiamine starvation to reduce the middle-aged industrialists, getting thiamine, within two or three populations of the occupied coun- paunchy and trying to keep down weeks they develop mental symp- tries to a state of depression and their weight, unconsciously re- toms which become progressively mental weakness and despair, strict their diets in such a way as more serious as the duration of which will make them easier to to fail to get enough of this vita- the restriction continues. These hold in subjection. min, and, consequently, become symptoms consist of inability to An example of the result of diet hyper-irritable. The result is that concentrate, uncertain memory, deficiency is found in the experi- two groups of people, both of awkwardness, self-consciousness, ence of some Canadian soldiers, them in abnormally irritable men- progressive feelings of inferiority, who enlisted from relief rolls. tal states, are trying to deal with irritability, depression, and anxiety. Some were defiant, while others each other. Cheerful, co-operative individuals were depressed to the point where As a result of experiments that become morose and unwilling to they seemed useless to the army. have been going on in the nutri- perform their ordinary tasks or to It is reported that later, after satis- tional laboratories of the Mayo work with others. factory attention to nutritional Clinic, U. S. A., under Dr. Ray When these symptoms have MAY 1942 3 been produced rapidly by severe tities of beans and peas, and do I have been emphasizing thi- restriction of thiamine, where the not know about the value of soy- amine because I know whereof I subject receives not more than one beans as a source of thiamine. speak when I talk of thiamine and sixth to one tenth of a day's re- They depend on plain white flour mental disorders. We have less quirement of this vitamin daily, more than other people do be- certain information about the re- and if these symptoms have not cause it is cheap, and thus they are lation of deficiency of other vita- lasted longer than two or three very apt to get too little thiamine. mins to mental disorders. With months, they can promptly be cor- They could get enough, even using more knowledge we may come to plain white bread, if they would rected by restoring to the diet an appreciate that the lack of other optimal amount of thiamine. On eat large amounts of oatmeal, and vitamins is as important as the the other hand, where the experi- use not less than six ounces a day lack of thiamine for mental dis- ment has been continued six of either beans, peas, soybeans, or months or more and the restriction peanuts. The easier way is to put orders. In the meantime, pru- of thiamine has been less severe, thiamine back into bread, of dence dictates that we should not and the development of symptoms which the poor people eat a great only look to the adequacy of RI has been slower, the effect of treat- deal; and that is the step that has (thiamine), but also to the ade- ment from administering thiamine been taken. quacy of all other vitamins. is less prompt. This leads me to believe that many chronic states of poor morale that the physician frequently sees in his office in the SKIPPED BEATS ! PALPITATION ! guise of neurasthenia represent a slowly reversible thiamine defi- ciency. It accounts for the fact SWELLING ! DO THEY MEAN that physicians often are disap- pointed when they attempt to treat neurasthenia with vitamins. The problem, as I see it, is to pre- HEART TROUBLE? vent these conditions by securing an adequate diet continuously. Once the symptoms are fully de- By Harold E. James, M.D. veloped and firmly established, they may be resistant to treatment. 1111 EART disease, our greatest all these symptoms and signs may Thiamine is found generously occur in the absence of heart dis- in rather few foods, such as whole- killer." How many times have we seen this and similar headings in ease or in unimportant disorders. grain cereals, wheat germ, peas, and beans, especially soybeans. our current periodicals? Is it any One of the most common condi- People who fail to eat of these wonder, then, that Mr. Average tions which is frequently mistaken Man becomes worried when he foods in sufficient amounts are for heart disease is that known as believes there is something wrong likely to be deficient in thiamine. soldier's heart, or effort syndrome. with his heart? These hearts of This is also sometimes called ath- ours are often blamed for many lete's heart. Unfortunately, most people do unpleasant sensations for which not eat whole-grain wheat. They they are in no way responsible. When a healthy person is tak- eat plain white flour. For this Your heart may put on many ing strenuous exercise, he experi- reason, thiamine was one of the a queer and disturbing perform- ences certain symptoms or changes vitamins the committee thought ance if the stage is set just right, in function which are associated was necessary to put back into for it is very intimately connected with that activity. The most con- white flour. "Enriched" flour with the colon, the brain, and the stant of these is breathlessness, contains enough thiamine so that stomach. The delicate nervous which comes during exercise and if a man will consume six and a network which connects these or- continues for a variable time after- half ounces a day, enough thi- gans is far more complex than is ward in gradually lessening degree. amine will be added to what he is usually realized; and colic, cramps, He may become aware of his receiving from other foods to give or emotional disturbances any- heartbeat, may feel giddy, may him what he ought to have. Most where along the network may set actually faint. Rate and depth of foods contain some thiamine; but off a really alarming heart per- breathing are increased. The many foods, like the garden vege- formance. heartbeat is more rapid and force- tables, formerly thought to be ex- Many well-informed people ful and blood pressure is increased cellent protective foods, may be so know that shortness of breath, during exercise. If strenuous ef- from other points of view, but are pain in the region of the heart, fort is continued, the tremulous- poor in thiamine. swollen ankles, and palpitation, ness and weakness of exhaustion Poor people often cannot afford associated perhaps with fainting are noted, and later, perhaps, the foods that are rich in thiamine. spells, are signs of heart disease. lassitude and aches of fatigue. To They do not get sufficient quan- What they may not know is that this group of findings has been THE ORIENTAL WATCHMAN 4 given the name "physiological symptoms. To most persons any ble the normal, or more, may be- syndrome of effort." interruption of the wonderfully come very disturbing. In the condition known as ef- regular rhythm of the heart is a Our causes are again usually fort syndrome, these same symp- fateful thing which fills the soul irritative ones. Fatigue and ex- toms of breathlessness, palpitation, with dread and conjures up all haustion, with the resulting in- and possibly an ache in the chest, sorts of visions of serious heart crease in fatigue poisons in the figure prominently. The main disease. The explanation of blood, may be responsible. Gas difference between physiological missed beats is relatively simple. pressure resulting from faulty ac- syndrome of effort and effort Something, probably a slight irri- tion of the colon is a very common syndrome is the ease with which tation, produces a premature con- finding. Tea, coffee, tobacco, and the symptoms are brought on in traction of the heart, one out of alcohol all cause a noticeable in- those who suffer with the latter order. This may be so feeble as crease in pulse rate, and if taken condition. to pass notice, but it empties the in quantity, especially on an heart chambers and uses up the The cause of effort syndrome is empty stomach or when one is immediate store of vital energy of tired, they may induce an attack not well understood. An affliction the heart muscle. Then there is a of city dwellers, and found fre- of palpitation which may last for long, frightening pause while the several hours. quently in soldiers or athletes heart gathers energy for another contraction, and the owner decides that his heart has missed a beat. It is interesting in this connec- Irritations are, as we have sug- tion to note that the heart rate is gested, the most frequent cause always increased after the first of this missed beat. Overeat- smoke of the morning. A suscep- ing, constipation, excessive use tible individual who smokes is of tea or coffee, tobacco, focal likely to suffer from a continued infections, worry and fear—yes, increase in heart rate. This is anything which provides a source sometimes alluded to as "tobacco of irritating impulse—may cause heart." Infected tonsils, sinuses, missed beats. Unimportant? or teeth, and fright may also be Probably so; but it might be well causative factors. Certain it is that to look into the reasons why the whatever the cause, a wildly palpi- old heart is getting touchy and tating heart can give the owner restless. Perhaps it's cigarettes; and the doctor a really bad time. then stop smoking. Tapering off Pain is a bogy probably next to won't help much here. And, after missed beats in order of frequency. all, the way to stop smoking is to To the average person, pain in the stop. It is interesting to note, too, region of the heart is usually as- E. N. P. that many a jumpy heart has set- sociated with thoughts of angina With heart trouble one certainly can- tled down after the owner has had and sudden death. We may be not do anything like this. an infeCted tooth or a pair of reassured, however, by the knowl- smelly tonsils removed. edge that most pain in the region drawn from this group, it is prob- of the heart is of no importance ably due to an instability of the except as it may cause discomfort. nerve control of the heart. Some- Palpitation is another disturber. So-called "heartache" and sharp, times these symptoms are caused We have already mentioned it in needle-like pricking or stabbing by disease in other parts of the our discussion of effort syndrome. pains are frequently experienced body. Chronic infections are Increase in the rate of heartbeat by nervous persons who are tired. common offenders, and the con- occurs normally when one exer- There are a number of other dition is *sometimes noted in those cises. We note an increase also causes for pain in the region of recovering from tonsillitis, pneu- when in high altitudes where the the heart. The pain associated monia, or influenza. It may oxygen content of the atmosphere with arthritis of the left shoulder simulate true heart disease quite is low. This increase is due to the region with involvement of one or closely, and tax the skill of the lowered oxygen content in the more of its several joints may be physician to determine the true body cells, in the one case due to and often is mistaken for true state of affairs. increased consumption with over- heart pain. Sometimes it is not Of all the disquieting symptoms production of carbon dioxide, and easy to differentiate them, though noted in connection with the heart, in the other to the low oxygen in- the pains of arthritis usually are that old bogy known as "missed take. In either case the tissues de- relieved by appropriate local treat- beat" is probably the chief. Since mand more blood, and the rate of ment, such as heat. Injuries to it occurs not infrequently in the heartbeat increases to supply it. the left shoulder or left chest often normal heart, most of us have at There are times, however, when produce an aching pain which the one time or another experienced the heart seems to run away with sufferer feels must originate in his it, and therefore it is one of the itself ; then the increased rate, heart. Sometimes the discomfort most commonly complained-of which may be anything up to dou- does not immediately follow the MAY 1942 5 injury or the strain, but is felt quent complaints heard in our Sometimes in an examination a some time later, after the injury is clinic was that called "shinkou heart murmur is heard. Murmurs forgotten, perhaps in the wee tong"—pain in the mouth of the are usually associated with heart small hours, to torment the sufferer heart. We soon learned that this disease and are caused by the im- with morbid forebodings. Per- was almost always caused by in- proper working of the heart valves. haps that stubborn pain may be digestion. These valves are very delicate folds traced to an old, long-forgotten of tissue. When they become pleurisy, awakened by a cold or thickened by disease or when some exposure. An inflammation growths form upon them, they of the nerves which run between Real heart pain is usually due to may not close properly or they the ribs in the chest wall may overtiring of a weakened heart may not open wide enough, and provide a real problem for both muscle by too much activity and the resulting interference with the patient and physician. exercise. The pain due to heart blood flow produces a murmur. In this connection there is the fatigue generally comes on during However, there are others, the so- case of a young man whose prin- periods of activity or strenuous called "functional" murmurs, cipal concern was trouble of a dif- physical exercise, and usually re- which are caused by eddies in the ferent nature, but there was a sponds to rest. On the other blood flowing through the heart, neuralgic pain in the left chest for hand, the pains caused by neural- by movements of the heart during three or four days. This did not gia or neuritis are usually more its contractions, or by other respond to the ordinary treatment noticeable during resting periods. equally harmless causes. There for intercostal neuralgia. It was a They do not respond to rest and are degrees of actual valvular mur- stubborn pain which caused him are not brought on or made worse murs also. A valve may be to wonder if perhaps the doctor by physical exertion. Whatever slightly incompetent, and this in- was wrong and maybe his heart may be the cause of these pains, competence may produce a noisy did have something wrong with all of them require careful and murmur, but one that is not at all serious. it. It proved to be just an or- thorough investigation. Indeed, the heart ef- dinary case of shingles, but ficiency may be quite adequate for provided him with a few days of Swelling of the feet and ankles, years to come. After all, the con- troubled thought before the erup- though usually indicative of heart dition of the heart muscle is likely tion spreading on the chest wall - disease, is not surely so. If there to be much more important than confirmed the diagnosis. is any condition present that in- that of the valve. Do not allow terferes with the return circulation your "leaking valve," or sup- of the blood from the feet and posedly leaking valve, to spoil your Indigestion is a very common legs, swelling will naturally follow. life. source of "heart" pains. Espe- Varicose veins or local pressure cially is this true when gas forms may cause such swelling. There are conditions which cause a and causes pressure on the heart. So, if you have pains or other blocking of the lymphatic channels Besides producing pain, this pres- symptoms which make you feel sure may stimulate palpitation or which also produce swelling of the that you may have heart trouble, cause missed beats, which makes feet and legs. Sometimes, espe- don't get excited and worried the sufferer almost certain that he cially in hot weather, stout people is in the throes of a heart attack. may notice a puffiness of the feet about the prospect of having to do Most people now know that the and ankles which alarms them. yourself up in cotton and retire to old-fashioned complaint of "heart- This condition disappears with the shelf. You are probably not burn" is just an attack of indiges- rest, and does not mean that the a museum piece yet. Do the sen- tion with an oversupply of acid in heart is involved. Any continued sible thing—go to your family doc- the stomach. swelling, especially if it involves tor. He can tell you whether or not you have trouble with your heart, and can advise and arrange special tests or consultations if HEART -Etkvcn LeADIK CflUSES Of DElIT1-1 DISEASE such are needed. Take his ad- 277,030 vice. If there is nothing wrong, forget your heart and let it do its work without interference. If something requires attention, have it cared for. If you find that you have limitations, learn to live If the truth were known, no doubt "heart disease" would not head the row. within them without adding to your troubles by constant worry A few years ago while working both feet and can be dented by and anxiety. It is surprising how among the hill folk of Western pressure to leave marks, should be much there is in life that can be China and eastern Tibet, we carefully investigated by your extracted without too much physi- found that one of the most fre- physician. cal exertion. 6 THE ORIENTAL WATCHMAN ACRY in the NIGHT
By Waldemar Schweisheimer, M.D.
The child with night terrors can leptic seizure, but more often it is best be helped if he is approached nothing serious. As a rule, one calmly. His mother should first should not startle a person who is try to quiet him. She should turn walking in his sleep, or awaken on the light, answer his terror- him suddenly. He should be stricken questions, and not ridicule awakened only when in a safe or reprove him. It is wise to take place, or when someone can hold the child up to urinate, so that his him. later sleep may be deeper. When he gets back into bed, see that his sleeping position is changed, per- A boy who habitually wandered haps letting his head be higher or about a good deal during his sleep lower than before. always awoke before returning to In some cases it may be found bed. To stop these nightly wan- that the attacks are related to a derings, he hit upon the scheme of physical condition that can be cor- tying a light cord around each rected, such as swellings and wrist, with the other ends fastened growths in the nose that impair to the bedpost. When next he breathing, . faulty digestion and tried to get up for his night walk, nutrition, toxic conditions within he felt the pull of the cords, and the body. Again, it may be that awoke. Even though the cords V. K. Vasudevan the daily demands made upon the did not cure the condition that The two middle ones look disturbed, caused him to get up at night, as if they might cry out. child by overstimulating play- mates, burdensome lessons, dif- they at least soon put a stop to his ficulties in school adjustment, or sleep-walking. TERRORS that occur dur- overstrenuous competitions in one There are certain habits that ing sleep are an unpleasant dis- field or another create tensions and children acquire in connection turbance in some children, but anxieties that contribute to the with their sleep. A certain child they are not necessarily a cause for night terrors. may always want to have her doll alarm. They may, it is true, be a Children's nocturnal frights may in her arms or under her pillow. sign of fever, of the beginning of sometimes spring from acute fears. There is no reason why such habits an illness, or of acute emotional An example of this was the case should be broken. Some habits, disorders; but often the child who of a healthy child who was going however, are less desirable. Fin- has night terrors is in good physi- through a period of rapid growth. ger sucking, for example, as a cal health, and suffers merely from For several nights he awoke in ter- habit associated with sleep, may, a nervous disposition that can be ror. He was induced to talk about in its extreme forms, become un- overcome with proper help. his fears, and it was found that wholesome. In the case of one When an attack of nocturnal they dated back to a time when girl, a habit of chewing the bed- fright occurs, the child may start he overheard his parents discuss- ding had persisted from childhood suddenly, shriek and cry, and ing a play dealing with thieves. to the age of eighteen years. The show every sign of terror. He Through a further discussion of girl chewed so violently at night gradually awakens, but is unable the subject, his mother was able to that her mattress was practically to free himself of the terror for put the child's mind somewhat at destroyed. At the age of eighteen some time. Usually, only one at- ease. years, it was necessary to under- tack occurs during a single night; take a special psychic therapy be- but occasionally there may be two fore the habit was overcome. or three. The child will usually Another form of sleep disturb- Often one finds children who fall asleep soon after an attack, ance that sometimes occurs is seem unable to tear themselves and the following day he may re- sleep-walking. The child gets out from their playthings, and who member nothing of his terror, or of bed at night, wanders about the beg to be allowed to stay up a lit- simply recall that he has had bad room or leaves it, undertakes tle longer. They will use all kinds dreams. Richard Wagner, famous some peculiar activity, then re- of strategy to postpone their bed- composer, however, suffered as a turns to bed, sometimes after he time. Children frequently are not child from such attacks, which re- has awakened, sometimes while conscious of their fatigue when mained unforgotten throughout apparently asleep. they are at play or when interest- his life; a few children are like Sleep-walking is sometimes con- ing things are happening in the that. They do not forget. sidered the equivalent of an epi- household at bedtime. Often they MAY 1942 7 will insist that they are not sleepy, and yet will fall asleep at once if they are put to bed. Resistance to After the CRASH of going to bed is likely to become stronger if there is no regular bed- time. A regular bedtime helps to make sleep a thing the body craves, and comes easily and nor- mally. As a rule, a child should not be kept up beyond his usual bedtime when there is company during the evening. Likewise, it is well not to let the child be stirred up before bedtime with exciting games or stories. Of course, wise parents will sometimes make an exception to such rules, for the child's sake as well as their own. If a child happens to get less sleep than usual for a night or two, do not expect him to make up all the loss in a single night. It is more nat- ural to make up the loss by sleep- ing a little longer each night for several nights. V. K. Vasudevan From the very first, children When the bombs fall, get into a trench and sit down. should grow accustomed to falling asleep in the dark. Sometimes S W OOPING out of the sky, to one's street and neighbourhood, fear of the dark is aroused by an enemy bomber unloads his is to get out and help relieve the stories. Sometimes it is instilled lethal cargo on your street. The physical suffering of those around by persons who use this means to bombs rain down and explosions him. intimidate the child in order to bring disaster right and left. Soon Some knowledge of simple make him obey. there is an awful scene over the treatments and the rudiments of area hit. Death and destruction first aid is a valuable asset, and all walk hand in hand. The A. R. P. should obtain this knowledge. A child who had just recovered Wardens are on hand rescuing vic- Each one can learn to apply band- from an illness became afraid of tims, bringing succour and aid ages, and care for cuts and bruises. falling asleep in the dark. The to the wounded and homeless. There should be a simple emer- light was left on, and a small night Trained to act in any emergency, gency kit in every home. bulb burned throughout the night so their calmness and resolution to that the child could orientate him- get on with the job is outstanding. The following is a very simple list of helpful articles to have at self immediately when he awoke. What can John Citizen do to hand in a small box that can be In this way, one of the main help relieve the distress and tra- carried easily to the scene where causes of his fear was removed. gedy massed around him? Bombs help is needed: Within a few days, the light in the cause great havoc, creating craters bedroom was turned off; but a of desolation and chaos in the Boric acid lotion light was left burning in the ad- structures they hit. Living beings Bowl joining room, and the door was caught in the holocaust are not al- per cent Mercurochrome kept open. In another week the ways fortunate to escape without Methylated spirit child of his own accord asked that injury. Absorbent cotton the door be closed. His fear had It is the duty of each person to 3 bandages, /3 inch wide by disappeared. render all the aid possible during 5 yards long Every child should fall asleep an aerial blitz. To be confident Clean towels or clean cloth with pleasant thoughts. Quarrel- and self-reliant, and to be able to Several yards of adhesive tape ling and peevishness should not "take it," during these times, is During the air attack the bombs characterize the last hours before his business. The people of Ran- are descending from above. They a child retires. Rather, there goon, Singapore, Sourabaya, and either .explode on hitting some ob- should be joy and pleasant other bombed cities faced the rain ject or are delayed action bombs, thoughts; and there should be of bombs, and from all reports blowing up after some time has nothing to mar the feeling of af- bore up well under the strain. elapsed. When the lethal ma- fection of the child for his parents The best tonic one can have, if chine goes off, debris is scattered as he bids them good-night. this war with all its horrors comes forcibly in every direction. In- 8 THE ORIENTAL. WATCHNAN By D. W. Semmens, M.D. laid prone, with some elevation un- der the waist. Elevate the feet, OMBS Superintendent Giffard Hospital with the head down, so that the water can run out. Then, with pressure on the thorax, begin rhythmic pressure and relaxation on the chest wall. Keep up for at least half an hour or until patient is able to breathe. Wrap up warm if success attends resuscitation. For asphyxia from gas the same treatment is required.
3. Abrasions and cuts: Clean with boric solution. Paint with mercurochrome. Bandage. Re- member the prime thing with lacerations and deep wounds is to clean them out. Do not try to close up wounds that have been contaminated with dirt. Clean and wrap with gauze and band- age. If arteries are cut and they are seen spurting, apply pad above the area of spurting and bind tight with bandage. For cut veins ap- . K. Vasudevan ply tight bandage toward the ex- How the bomb fighters extinguish an incendiary bomb. tremity, away from the heart. 4. Injuries to bones: Frac- dividuals in the vicinity would be overcrowding, seeing ghastly sights, tures and dislocations result from subjected to injury from objects or to receiving a blow. direct and indirect violence. propelled at them from all direc- Treat by laying down, loosen There will be evidence of unnat- tions. Other objects to consider any clothing constricting the neck, ural mobility of the affected limb. also are high tension electrical dash a little cold water on the Swelling and pain are also usual. wires falling, gas mains breaking, head. Usually these people gain Sometimes the broken bones may and water mains expelling their consciousness in a few minutes. be heard grating on themselves. contents. Fire, floods, missiles, Treat these cases by striving and debris on every side, walls If there is no response, then in- gently to put the broken ends of toppling down, all are factors in jury is more serious. Keep patient bone in apposition. Improvise a the aerial bombardments. in a quiet, airy place till medical splint long enough to completely help arrives. Never get panicky immobilize the entire limb. If in To the uninitiated great con- with these victims, and keep all ex- fusion is the chief danger. the lower extremities, bind both citement away. Crowds, while diving for shelter, legs together. In arm, use a splint trample each other down, others When the pulse is weak, skin along entire length of arm and faint from fear and lack of fresh cold and clammy, and the respira- bend to the body. Keep these pa- air in cramped quarters. When tion shallow, this is evidence of tients lying down, with the af- raided, fortitude is needed, and shock, and you should try to keep fected part at rest, until the doc- brave people stand up and take him warm, and on his regaining tor can attend to them. it with courage and resolution. consciousness give a hot drink. 5. Burns, caused by fires that With so many factors to cause in- 2. Asphyxia, or smothering, have started as the result of an ex- jury, how necessary it is to be able due to electric shock. plosion, or ruptured gas mains. to render service to the unfortu- Lay victim down and institute If burned deep and clothes are nate. In fact, this is the highest artificial respiration. This can be on, do not remove the clothing. type of service one can render done by laying him prone and Cover wound with soda bicar- one's government and community. then keeping up rhythmic pressure bonate till the ambulance arrives. How you can be of help until on the thorax. Push down, then Superficial burns can be treated the doctor arrives on the scene is allow the chest to fill, and press by cleaning them off and coating suggested in the list of common again. About twenty to twenty- with oil or soda bicarbonate. injuries that are liable to occur five movements like this will often Later they may be cared for at the during an air raid. Simple, prac- save a life. emergency dressing station. tical treatments will be mentioned Due to drowning, which causes 6. Fear: Keep your chin up that most should be able to give. the lungs to fill with water. The and resolve to take it. Help look Unconsciousness, due to patient when rescued should be after the other fellow. MAY 1942 9 MR. GANDHI'S WAR- TIME ECONOMY DIET
By Dr. H. C. Menkel
meat need not use pulses at all. haustion, with such developments The poor people get only vege- as diabetes, nephritis, and auto- table protein. If the well-to-do intoxication. give up pulses and oils, they set Another economy recommenda- free these two essentials for the tion is that half the quantity of poor who get neither animal pro- grain as wheat or rice will meet Mr. Gandhi's comparative good health tein nor animal fat. Then the the food purposes when not taken at his age shows that he is some au- grain eaten should not be sloppy. in sloppy form. Cooked or baked thority on what to eat. Half the quantity suffices when it grains when taken as near dry as is eaten dry and not dipped in any possible must then be masticated gravy. It is well to eat it with THE Harijan of Janu- and moistened with saliva to be IN raw salads such as onion, carrot, ary 25th, Mr. Gandhi offers cer- swallowed. This results in bet- radish, salad leaves, tomatoes. ter digestion, and therefore less tain considered suggestions for An ounce or two of salads serves food economy in view of the food provides the needed en- the purpose of eight ounces of ergy. threatened shortage, and as a cooked vegetables. Chapatis or training for emergencies which bread should not be eaten with Mr. Gandhi suggests that an ounce or two of raw salad vege- may arise out of war develop- milk. To begin with, one meal ments. We quote the relative may be raw vegetables and tables is worth eight ounces of paragraphs, and offer a few com- chapati or bread, and the other cooked vegetables. This applies ments with one criticism: cooked vegetables with milk or particularly to their vitamin and mineral values. There is also "The greatest need of the im- curds. something vital in raw fruit and mediate present is to feed the hun- "Sweet dishes should be elimi- vegetables which is destroyed by gry and clothe the naked. There nated altogether. Instead, gud cooking. For this reason it is de- is already scarcity in the land both or sugar in small quantities may sirable that some uncooked raw of food and clothing. As the war be taken with milk or bread or fruit and vegetables be taken progresses, both the scarcities must by itself. daily. India needs to make more increase. There are no imports "Fresh fruit is good to eat, but extensive use of such raw, un- from outside, either of foodstuff or only a little is necessary to give cooked foods. of cloth. The well-to-do may not tone to the system. It is an ex- The elimination of sweet dishes feel the pinch as yet or at all, but pensive article, and an over-in- the poor are feeling it now. The as advocated would greatly re- dulgence by the well-to-do has lieve the stress upon the pancreas well-to-do live on the poor. deprived the poor and the ailing There is no other way. What is and liver imposed by the average of an article which they need Indian diet, and thus reduce the then their duty? He who saves, much more than the well-to-do. gains as much; that is to say, he incidence of diabetes. produces as much. Hence those "Any medical man who has It is in regard to Mr. Gandhi's who feel for the poor, those who studied the science of dietetics statement about fruit that we do would be one with them, must will certify that what I have sug- not find ourselves quite in agree- curtail their wants. There are gested can do no harm to the ment. He writes: "Fresh fruit is many ways. I shall only mention body; on the contrary, it must good to eat, but only a little is some here. There is much, too conduce to better health." necessary to give tone to the sys- much food eaten and wasted by Several statements in this quota- tem." While we can hobble along the well-to-do. tion deserve emphasis. First is the on low power with little fruit in "Use one grain at a time. statement that food taken in excess the diet, it is the contrary that is Chapati, rice, and pulses, milk, of actual requirement for repair required. Because so little fruit ghee, gud, and oil are used in or- and energy is as much food ac- is available and consumed by the dinary households besides vege- tually wasted. Excess food is not population, is one reason there is tables and fruit I regard this as only wasted food, but this excess so much vitamin and mineral defi- an unhealthy combination. Those also places a tax on the organs of ciency in India. who get animal protein in the digestion, detoxication, and elimi- Writing about fruits and ber- shape of milk, cheese, eggs, or nation, producing premature ex- ries in his book "Food," Sir I 0 THE ORIENTAL WATCHMAN Robert McCarrison states: "They Cereals would be better intro- line side. This necessitates more are among the best of all food- duced as additional rather than as fruit and vegetables, with propor- stuffs and should form a con- basic to the diet because of tionately less of the acid-tending siderable part of our daily diet. their strongly acid-ash-forming ten- cereals. The normal proportion is They contain much mineral salts dency. On the other hand, as four parts of the alkaline—fruit of the alkaline kind which keep stated by Sir Robert McCarrison, and vegetables—to one of acid, the blood pure and prevent it be- the fruits and vegetables are rich which includes all other foods. coming acid and sour. Fruits are in the alkali minerals. The im- This would be the diet of health most useful in keeping the bowels portance of this difference will be economy, and should be made healthy and active."—Page 88. recognized when it is re-called that economically within the reach of Man's physical structure indi- most of our ailments and all all, in a well-organized world. cates that he is intended to be a our pains, except those due to ac- Under existing emergency Mr. frugivorous creature. His natural cident, are of acid origin. Ob- Gandhi has advocated a very ra- food, the food on which he can be viously there would be less pain, tional and possible food economy. at his best, is fruit, nuts, milk, and and more enjoyment of life, if we His suggestions merit careful study the more succulent vegetables. kept more definitely on the alka- and application.
WHAT TO DO FOR BURNS
By C. H. Talmage, M.D.
CAUSES of burns have been studied in many series of cases. The findings show burns by hot liquids to be the most numerous, especially with children. Other causes are fires, petrol, gas explo- sions, chemicals, stoves, explosives. The distribution of burns ac- cording to age groups is also inter- esting. In a series of 127 cases, it was found that fifty-two were un- I'. P. A. der the age of ten years, sixty be- Those who work around fires should know what to do for severe burns. tween ten and fifty years of age, and only fifteen were over fifty reach a good understanding of the loss of serum are drawn from other years of age. These statistics show severity of the case in question. parts of the body for a time, and that most burns occur in the ear- In severe burns more or less the blood volume is kept con- lier decade of life. shock develops within a few min- stant; but, without outside aid, the supply is soon exhausted, and Burns are ordinarily classified utes, due to pain, fear, nerve re- according to the depth and sever- flexes, and loss of body heat. the blood volume is reduced. It is ity of the injury. First-degree With good care, most cases re- necessary to maintain the blood volume, and the changes from the burns are those in which the in- cover from this in a short time, normal during the first few days jury is limited to reddening and and other processes set in as a re- indicate the success or the failure swelling of the skin, as may often sult of the effort of the body to of the treatment. This gives the be seen in sun burns. Second-de- protect itself against the injury. gree burns are those which cause When an area is burned, serum physician a valuable guide in di- recting the treatment. coagulation of the skin, resulting is poured out into the area. The in destroyed tissue and blister for- amount of serum lost in this way Bacteria are always present on mation. The third-degree burns is in proportion to the size of the the skin, and burned skin has lost are those which result in destruc- area burned, and it has been esti- its resistance against these germs. tion of the skin and the charring mated that 7o per cent of the The non-vital tissues are excellent of tissues below the skin. If in blood volume is poured out in soil for the growth of germs. The addition to the degree of the burn twenty-four hours when one sixth question of absorption of toxic we consider the amount of body of the body surface is burned. material from burned tissue during surface involved, we are able to Fluid and salts to make up for this the ►first three days following a MAY 1942 II burn is a subject of debate among ping him in warm blankets, with eight level teaspoonfuls of the physicians. If absorption from hot water bottles about him out- powder in a glass of water. This the burned area occurs, it is be- side the blankets. Another very may be applied to the burned lieved that it causes some of the good method is to place the pa- area or be kept for the physician toxic symptoms. tient in a tub of warm water. to use when he arrives. Either of these methods conserve The minor burns of hands, Some of the complications that the body heat, promote the com- may make success in the treatment arms, and other areas, which arc fort of the patient, aid in al- not of great extent, may be of burns hard to achieve are listed leviating shock, and do not inter- below. A state of chronic infec- treated by one of the above meth- fere with the treatment the ods at home; or, in some in- tion and poor nutrition may de- physician may later decide upon. velop, which slows or prevents stances, petrolatum (Vaseline) or healing. This prolongs the con- It has been suggested that it even fats intended for cooking may valescence, and may result in ex- would be wise to keep a carton of be used as a first-aid dressing. cessive scar formation. The scars tannic acid in the medicine cup- The subsequent treatment should formed may prove crippling as board. Many physicians believe then he by one of the ointments well as unsightly. Examples of that the tannic-acid treatment of prepared especially for the pur- this arc cases in which the chin is burns reduces the time of convales- pose. Even in minor burns com- drawn down on the chest or the cence, improves the end result, and plications may develop, so the arm adheres to the chest. Failure contributes to the patient's com- services of a physician are desir- to have treatment, or improper fort. Tannic acid in 5 per cent able to insure the best possible re- treatment, may cause poor results solution may he made by placing sult. or prolonged illness. The first step in reducing the hazard of burns is education in ways of preventing them. Cau- Mrs. CONSUMER BUYS tion should always be exercised in handling hot liquids to see that they are not spilled and that chil- dren do not get into them. They LINENS should never be left at the edge of the stove or table where a child may pull them off, or on the floor T HERE are a few sugges- general to have any valuable where someone may fall into them. tions that might help in choosing meaning. The consumer has a If lye is kept in the home, it must our linens. When you buy sheets responsibility in demanding defi- be kept where children cannot get and pillowcases, what are your nite information. The manufac- it. Matches, too, should be out of guides? Do you consider price turer will give what the public reach of children. Special precau- alone? And how do you judge wants if the public demands it. tions are necessary to protect those durability? Sheets and pillowcases A good, muslin sheet satisfac- who may come in contact with hot are standard household cottons; tory for everyday use should have objects in industry. you have a right to expect service a finished thread count of about from them. As an aid to con- 8o in the warp and 7o in the fill- When a burn does occur, it sumers, some manufacturers are should receive immediate atten- ing. By thread count we mean the putting informative labels on their tion. First, extinguish the fire, if number of yarns per inch both goods. To be ideal, such a label there is one, and limit the amount lengthwise (warp) and crosswise should give thread count, breaking of area burned. A physician (filling). strength (sometimes called ten- should be called as early as pos- sion), weight, and amount of If correctly stated the number sible, or the patient be transported sizing. It should also give the of warp yarns is given first. When to a well-equipped hospital for length and width and tell whether the two numbers are the same, the care and treatment. Some time the sheet is a first or a second. fabric is described as "square." will be required for the doctor to Not many sheets arc labelled as If the fabric is "unbalanced," i.e., come or to move the patient, and completely as this, but one can it has a much larger thread count friends may feel called upon to find a few sheets that have at least one way of the cloth than the aid in one way or another. Many part of this information. other, it probably will not wear of the things which are done at well. A good wearing sheet has such a time do positive harm or There was a time when brand about the same number of yarns prevent the carrying out of the names were a guide in buying, but in one direction as the other. Low treatment of choice for the patient. manufacturers have been forced to thread count is often the reason No butter, lard, carron oil, or lower their standards in order to behind low price and short wear. other prepared ointment should compete with cheap product,. These are usually heavily sized to be applied. It is important to Of course such superlatives as "ex- deceive the public. After one or keep the patient warm; and this tra special," "very fine quality," two washings an excessively sized may be done with safety by wrap- and "the best sheet made" are too sheet will turn out to be thin and I2 THE ORIENTAL WATCHMAN sleazy, quite different from the in colour, and should wear a long foundation. Large jagged holes kind you thought you were buy- time. indicate loosely woven under- ing. The consumer should insist Before buying your towels ex- weave, which is not desirable, as on knowing the thread count, espe- amine the pile or loops. See that the towel will not wear well, nor cially when comparing sheets of they are close together and of even will the loops be held firmly in different prices. length. The more loops, the more place. The loops should be about Know the size of the sheet be- absorbent the towel will be. The one-eighth inch long. Longer ones fore you buy. Remember that the best towels will have twice as many are more absorbent, but they are length labelled on a sheet is the loops as two-ply warp yarns. By easily caught and pulled out. length before hemming. The fin- two-ply yarns we mean two sin- Always look at the selvages to ished sheet is about five inches gle yarns twisted together tightly see that every filling wraps around shorter, depending on the width to make one. This, of course, the last warp. Many times the of hems. It may shrink about six makes the ground work strong and outside warp is caught with only or eight inches in length when durable. They should be closely every second or third filling. This laundered. An under sheet should woven to make a firm foundation leaves loose warp yarns which tuck in well under the mattress all fabric. Hold the towel up to the catch and pull out or break, and the way around. The top one light to look at the underweave or the edges soon fray. should tuck in securely at the foot and sides and turn back far enough over the other bed cover- ings to protect them. ON STAYING YOUNG A good sheet is torn rather than cut from the bolt. This will be specified on the label as "torn" By Maurice Maeterlinck length. A sheet that is cut from the bolt, not torn, will take on its true shape in laundering and may A T THE age of sixty, looked at the boy, and he smiled then have puckered hems. Watch I thought myself approaching broadly: "That's Mother," said this point especially in buying death. My mind seemed to have he. "She's arguing with Grand- sheets with coloured hems. lost its alertness, its interest in new dad." For general household use, ideas, its capacity for work; I felt "Why?" I asked. sheets gg or to8 inches long (torn —or imagined I felt—physical in- "Oh, because he wants to go to length) are the most satisfactory. dications of the body's last weari- town to see the new fire engine, The common widths are 63 inches ness. It was as if a veil had but she says he'll lose his way or (single or twin bed), 72 inches dropped between my eyes and all be run over or something, and she (twin or three-quarter bed), 81 the colour and beauty of the says it's silly anyhow." He gave and go inches (double bed). world. an excited little hop. "But I Cheap sheets are often smaller Today I am seventy-eight. The want to go, too, and Granddad'll than standard. harmony I now feel between body take me, you watch!" No definite regulations for grad- and mind would have seemed a At that moment, scorning fur- ing sheets exist in the industry. miracle to me when I was sixty. ther argument, Granddad stepped When a sheet is labelled a "first" I know it is nothing of the sort. through the cottage doorway. He it is usually practically free from It is simply this: If the mind is was a very old man, but with weaving imperfections, such as un- young, the body is young. lively blue eyes and a frisky man- even yarns, or thick and thin I did not learn that myself; ner. He nodded to me pleasantly, places. "Seconds" may contain someone taught it to me. It is to and I told him I had stopped to some weaving defects and imper- him, perhaps, that I owe my life rest awhile, if he did not mind. fect yarns. Just how many flaws today. a "second" may have depends "As long as you want!" he said. upon the standards set up by the One morning I went for a walk "It is a nice place to sit. A good mill that manufactured it. These along a country path. Across the view, don't you think? I'd like "seconds" are often found on the fields I saw a farmhouse, a pleas- to stay and point out some of the bargain counter. If they have ant-looking place that held out an interesting things around here, but flaws which affect only their ap- irresistible invitation for the the boy and I are off for town, and pearance and not their durability, passer-by. A boy of ten ran out we'll miss the bus if we don't their purchase may be considered as I approached, and presently we hurry." a saving. were talking together on a bench I asked if I might walk to the A good bath towel—you will beneath an old apple tree. corner with them. "Come along!" find plenty in the sales that are Soon, above the boy's sprightly he said; and off we started. not good—should dry the body chatter, I became aware of a I glanced back and saw the quickly and thoroughly, should be voice from the cottage—a wom- boy's mother standing in the cot- easy to launder, right in size, fast an's voice, querulous in tone. I tage door. There was an expres- MAY 1942 13 Interest in life, in making a home, is one of the secrets of staying young. sion of melancholy foreboding on business, or help a housewife in swept the shelves. I realized that her face and she shook her head her labours or make her garden I must unburden myself of the disapprovingly. It occurred to prettier, he gave it for what it was precautions of old habit, the me that I had recently seen that worth. Of friendship he was poisons of resignation and fear. same expression somewhere else, spendthrift. Previously I had cringed before and then the sudden realization And so it was impossible to the prospect of a journey, think- startled me—yes, in the mirror think of him as an old man. He ing myself too old to venture from that very morning, and the face had never permitted the years to my safe warm corner in the sun. was my own. wither his mind, and therefore in I had resisted the friendly ad- vances of younger people. I had "Poor woman!" the old man great part they had spared his body. shuddered at facing unfamiliar said. "She thinks I should tuck things—people, scenes, ideas. my scarf around me, sit in the His one secret was his uncon- sun like an old donkey, and never querable interest in life. His sec- Now, with that old man before stir. If I heeded her, I'd be dead ond was as simple. On excur- me as a model, I welcomed all in a year!" sions to town or merely on walks these, knowing that only by wel- along neighbouring roads, his coming them could I live. I tried When we parted he asked me usual companion was the little to touch life with all my senses, to come soon for another visit. I boy. He never lost touch with as the blind man illuminates his did, many times, for I felt that I childhood. had found not only a friend but mind by the blessed touch of his a counsellor—and physician. He It was to this, I think, that the fingers on the raised letters. Biblical patriarchs owed their had always lived in this small Today as we listen to the roar farming section and the "town" he long, sound years. In that pas- of history, it may seem impossible visited occasionally was not much toral life the fa.aily remained more than a village. But to him closely knit, no matter to what at times to hold to one's belief in this small sphere was as wide as size it grew. There were always life. But joy in living can be re- the world, because he knew it so children around the elders,—chil- affirmed and renewed by things so well. He paused to talk with its dren through whose eyes they close at hand that we scarcely see people and inquire about their might see again the wonder and them at all; the changing fields affairs; he crossed their lives with beauty of the world, through and trees, the colours of first dawn his. If he noticed that a shop- whose questions they might find and last evening light, the child keeper had decked his store with a once more their own far child- that plays next door, friendly con- new fitting, he paused to compli- hood. tacts with those around us. And ment him; if he had an idea he After my meeting with my old belief in life is the essence of thought might benefit that man's young friend, I took stock and youth.—Reader's Digest. 14 THE ORIENTAL WATCHMAN • .;*,;•,•
except perhaps a heatwave ! But that sparkling eye, those rosy, chubby cheeks speak of abounding health and vitality, and a resistance to chills and changes not dependent on his clothing.
Yes, he is a Cow & Gate Baby—he looks it, doesn't he ?
PAIN!—Then We Prescribe Infra-Red Therapy
TILE "TROUP TYPE" No. 1 INFRA-RED GENERATOR , \
This apparatus is mobile and is of great benefit in its capacity as a therapeutic medium. One of the principle values of infra- red radiation is the treatment of acute painful conditions, the im - 0. mediate relief often experienced after the first treatment being of great assistance to the patient and physician. 0 Some of the indications for Infra-Red therapy:—Earache, Neuralgia and Allied Pains. Abscesses, Boils and Whitlows. Fibrositis, Neuritis and Sciatica. Acute Lumbago, Rheumatism and other Allied Conditions, etc., etc.
LAWRENCE & MAYO (INDIA) LTD.,
SCIENTIFIC INSTRUMENT MANUFACTURERS &