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A NEW READING ON THE SUBJECT
J. H. TILDEN, M. D.
Author of "Food' " 2 Vols., "Care of Children," "Diseases of Womenand Easy Childbirth," "Appendicitis," "Venereal Diseases,""Pocket Dietitian," "Impaired Health, Its Cause and Cure," 2Vols., "Epilepsy," "Hay Fever." Published by The Tilden Health School Association COPYRIGHT 1923
Digital edition 2016 by David De Angelis
TABLE OF CONTENTS
Chapter I.-Toxemia, the Efficient (First) Cause of All Disease
Chapter II.- Causes of Constipation
Chapter IV.-Constipation as Found in Various Derangements
Chapter V.- A Few Personalities
To CURE constipation requires much knowledge, skill, patience,and persistence. It cannot be said that any case of constipation is cured until thesubject is cured of all habits that lead to general enervation and toxemia. In allpeople with the constipation diathesis--a tendency for constipation--any habit ofbody or mind which leads to enervation will surely bring on constipation. Too much stress cannot be placed on the following truism:To those inclined to constipation, or the diathesis leading to constipation, anydepressing influence becomes a cause; hence, to be free from man's worst enemy means,in the first place, to have a rational health knowledge to know that any enervatinghabit continually practiced leads to disease--and, secondly, to have enough self-controlto live the knowledgeto be guided by it. Cures for chronic constipation are not for the careless,the shiftless, and the self-indulgent. Those who do not belong to this class, andt hose of this class who will shake off their self-indulgence, may find freedom from this disease and premature aging by a careful study of this book. Some books are for reading; this one is for study and practice. The everlasting use of good common sense is the price allmust pay for full efficiency, good health and long life. Diseases, so-called, are a unit and must be recognized assuch, for in no other way can confusion be avoided. Diseases, so-called, are pronouncedsymptoms and must be studied as a part of a whole, for if individualized, chaos andfailure cannot be avoided.
CONSTIPATION is the commonest disease to which man is heir;so common that less is known of its causes perhaps than would be if it were a morerare malady. Before proceeding with the subject of this book, perhapsit would be well, inasmuch as it is destined to be read by more people than any otherof my numerous books on health subjects, to define disease and health from my standpoint.This will give those who know nothing of my ideas a better understanding, and enablethem to read Constipation more intelligently. In the study of disease it is necessary to have a fixed premisefrom which to reason. My system starts with the proposition that health is not anentity; it is the ideal state of a living body properly cared for from birth to death.When not properly cared for, the state of health may be good or bad; both extremesare unfixed and indefinite, made so by man's haphazard style of living, and frequently,in delicate subjects, as unstable as the weather-cock. We call the good state health--goodhealth; the bad state, or bad health, we call disease. The student must abandon theidea, or preconception, that disease is an entity--a -something that is an enemyof man; or a nemesis that is on his trail, and is destined to overtake him sooneror later--in fact, at any time. Not so. Health is a state that responds with goodfor good treatment of mind and body, or responds with bad for bad treatment of mindand body. This being true, it behooves man to strive for a knowledge of how to livefor health, and how to avoid a style of living that must bring bad health--disease--andpremature death; and cause, during life, a greatly reduced efficiency, which, ofcourse, is a handicap that forces a failure when success is almost won--in fact,within the grasp of a little more well-applied health knowledge. Man is not lefthelpless to be buffeted about by his environment; indeed not. Before reason was givenhim he was protected by instinct. Since instinct has given place to reason, if manis abused by his environment, it is because he refuses to use his protector, hisreasoning power, and is allowing himself to be victimized by commercial exploiters. There are about 400 individual diseases recorded in medicalnomenclature, and because of medical endeavor to maintain distinctive types--to maintaingenera and species--much confusion and unsatisfactory treatment is the result. Isay confusion advisedly, for in a consultation of a half-dozen physicians there maybe, and often are, as many separate and distinct opinions--diagnoses. The resultis that the one seeking advice will get as many diagnoses as the number of physiciansconsulted. The reasons for this seeming ignorance on the part of the wise physiciansare many. In the first place, when so-called diseases have been established or recurringfor months or years, more and more of the organism becomes involved; the treatment,which is largely palliative and changed at every call of the physician and everychange of doctors, may relieve, but never cures; and it must never be forgotten thatin all so-called diseases (slight or severe) there are respites marking the ebb andflow of toxemia. At every flow toxins are eliminated, and this marks a period ofdiscomfort; when toxin saturation is relieved, this marks an ebb in elimination whentoxins fall below the saturation point and comfort returns. This ebbing and flowingon the sea of human life is called health and disease; the flow marks discomfort(disease), the ebb marks a subsidence, with a return of comfort. Doctors declareat the ebb that they have cured the disease; as well might boys at the seashore declarethat they have chased the waves back by the rocks they have thrown at them. The truthis that patients get better and worse at the ebb and flow of toxin elimination inspite of medical men, and if these priests of medical science know nothing of thecause of this ebb and flow of toxemia, how are they to control the phenomenon? Theycannot do anything, and at the failure of their endeavors the patient becomes discouragedand fear adds another complication; the original habits that brought on the diseasein the first place are continued, and so the medley of disease-building runs merrilyon and on until one or more of the vital organs gives down, driven by recurring functionalderangements, until organic change is developed beyond the possibility of a returnto the normal and the patient dies. The prevailing toxemic crises are diagnosed--givena name. The leading symptoms of common derangements take the name and are recognizedby the profession as the alpha and omega--the beginning and ending--of the disease.The science of diagnosis consists in discovering pathology, when a novice shouldknow the genesis of any pathology must go through an embryonic stage--a period ofcultivation, seeding, germination, gestation, and birth. There is a vast unexploredfield preceding the stage of pathology that medical science has left unnoticed, namely,the cause of pathology. Doctors start with a fully developed symptom--pathology.For instance, a cold, a "flu," a headache, a cough, a tonsilitis, a pneumonia,a typhoid fever, is recognized as self-existent; or there may be a vague notionthat a specific germ has in some manner initiated the disease; a treatment is given,the symptom subsides, and the incident or disease is passed as cured. There may bemany repetitions of a like development covering a period of years, until there suddenlyand unexpect edly develops an ulcer of the stomach or bowels, pyloric obstruction,stone in the gall bladder, colitis, appendicitis, apoplexy, paralysis, serious eartrouble, glaucoma, tuberculosis, valvular heart disease, or some other organic derangementthat has required years to develop. This is a brief picture of the medical and surgicaltragedy that is being enacted daily on the world stage--sacrifices to the medicalgod--a rotten, effete superstition, bombastically flouted in the face of twentieth-centuryintelligence as ultra-modern medical science. And the people fall for it ratherthan to sacrifice their sensual excesses which are the ubiquitous germs that Pasteur,Koch, Metchnikoff, et alii failed to find, and which gave them their dailydiscomforts (for they all were semi-invalids for years before they died) and prematuredeath; and which Rockefeller's ten million foundation will fail to find, notwithstandingthe wise old Croesus has discovered them for himself. Pure statistics demand a mortuary report in keeping withthis scientific diagnosis. Ulceration of the stomach is the ending of a syndromerunning over years of discomfort, requiring many causes that the diagnosis and mortuaryreport throw little light upon. Cirrhosis of the liver indicates nothing ofcause; and cause must be known or treatment will be of no avail. Infantile convulsionsmeans nothing. A diagnosis of constipation, colitis, locomotor ataxia, arteriosclerosis,apoplexy means nothing, for they are pronounced symptoms--culminating climaxes ofsymptoms--complexes--originating back in the heyday of life when appetite, passionand emotions run riot. These hey-day peccadillos did not presage the end, nor dothe mortuary reports determine or throw light on the beginning--the hey-day excesses. Constipation is not a disease; it is a symptom that is foundin all (so-called) diseases; it is never found alone and is never found without enervationto the extent of checking secretions and excretions. To say all that is to be saidon the correction of constipation, the whole subject of nomenclature would have tobe gone over. To treat constipation per se would be to ignore cause; it wouldbe similar to treating pain, fever, cough, hook-worm or corns without giving anythought to cause. The correct way to treat constipation is to correct all errorsof life, physical and mental; to bring the organism back to the normal, which meansrestoring nerve energy which would establish normal secretions and excretions; inother words, overcome the toxemic state. Forget constipation and do what is necessaryto establish normal habits of life. Those who use stimulants, overeat, eat imprudently,neglect exercise, bathing and care of the skin, who overwork the emotions and areunpoised in mind and body, indulge in venery and cultivate a lustful mind, need nothope to be cured of constipation or any other so-called disease until the habitsof mind and body that brought on these conditions are corrected. In this day and age man must fight against allowing himselfto be drawn into the whirlpool of conventionality and commercialism. Its influenceis insidious and grows its psychology unawares. Before the most intelligent are consciousof personal danger, they have grown a psychology that holds them victims of conventionand expediency. They are victims of convention's lies, and are compelled to acquiesceand say the only thing to do is the expedient thing to do, even if it be giving upto surgical vandalism or standing for the infecting of the blood with an abominablefetich. When completely victimized by convention, they do no thinking, and it isthen easy for them to believe the most absurd delusions regarding disease, its cause,its immunization and its cure. The medical convention of today is very arbitrary. Indeed, if it grows any worse it will require a revolution to crush its imperialism. Apropos of the foregoing I suggest the following axiom tobe memorized, namely: The sense perception for truth is forfeited by unquestionedloyalty to authority and conventional psychology. Disobedience is sometimes the greatestloyalty to truth. At the proper place the cause of toxemia and the influenceof bacteria in health and disease will be explained; and in defense of my teaching,as against the prevailing or popular theories, I will say, as a matter of fact, toxemiaproperly applied makes good under the most severe tests, namely, in eradicating alldiseases, even syphilis, without drugs; a claim that elicits bitter denial, if givenany notice at all, by the ultra-scientific. After practicing haphazard medicine and conventional surgeryfor twenty-five years, and toxemia for twenty-five years, I unhesitatingly affirmthat there is no excuse for drugs; and perhaps ten per cent of the surgery practicedin time of peace is legitimate. In war, where the injured are taken care of wholesaleand without all the conveniences, anesthetics and opiates should be used in moderation,but never to the extent of educating the boys into "drug fiends." Therecan be but one reason given for this universal bowing down to prevailing medicalfallacy, and that I have given above. Before branding the writer a fanatic or an egomaniac, referto history, and there it will be found on all great and important questions the majoritiesare usually wrong. Remember at one time everybody except one man believed the worldflat. When a voice is raised against convention, and its fallaciesare pointed out, the natural thing for convention to do is to ignore it, but if thevoice is sufficiently loud to be heard it may be branded the voice of a fanatic,a fool or a knave; but if it is the voice of truth and if persistent, it will beheard. In apology for any apparent lack of completeness, I willsay that what I know and what I write are in a state of evolution, and the beliefsI have recorded in this and other books are the best that I know up to date, butI shall not promise to be consistent and never change; indeed, the most vital informationcontained in this offering is not five years old, yet it annuls some beliefs thathave been advocated for years before. It has required years to evolve toxemia, and it requiresyears more to prove all things according to the toxemic hypothesis, but that it isas broad as science and philosophy there is no question nor doubt that can be substantiated. The majority of physicians are agreed that germs cause disease,but the time will come when all must agree that germs are one of many factors. Manywho read my writings get the idea that I do not believe in germs; this, too, in spiteof my constant protestation that toxemia, the toxins of which are partly, but secondarily,derived from the toxin of bacteria, is the cause of all diseases. Of course I believein germs. I believe in yeast, but yeast is not the cause of bread, but is one factorin good bread-making. I believe in enzymes, but enzyme is not the cause of tissue-building.I believe in the germ that is the nucleus of being. I believe in the germinal nucleusas an individualizing factor, but impotent without auxiliary aid. Germs must haveenvironing factors and physical auxiliaries to a successful generation of specificity. The warmth imparted by the hen or the incubator is an importantand indispensable adjunct, not even factor, in causing the egg elements to metamorphoseinto a being. Twenty-one consecutive days of warmth are necessary to cause the eggto hatch; twenty are not enough. In the germination of disease enervation, inhibitedelimination and secretion, germs, time, temperature, and moisture are necessary factors,but no one is suff icient as a disease-builder. Germs per se are impotentever to be anything but an auxiliary cause. In ridding the Panama Canal district of malarial germs, quinine,a supposed specific, was impotent. The extermination was not accomplished by a germicidenor an anti-microbe, but by modifying the moisture which changed the climate. Thetwo factors, heat and moisture, were changed by drainage--and the malarial germ wasplaced hors de combat. The same experience anticipated the Panama Canal phenomenonin many sections of the middle states and other malarial countries. Drainage of landis death to malaria as well as to the mosquito. Stress is laid on the alleged fact that man can not developyellow fever unless bitten by a mosquito that has feasted on a yellow fever patient;but we are not told how the first patient became infected. I insist that toxemia is a fundamental necessity for thedeveloping of disease, and certainly we can have no germ toxin without bacterialfermentation, and no bacterial fermentation without an over supply of food and bacteria.When the bowels are empty, as in the hibernating animal, there are no bacteria. Onthe other hand, we have no digestion without enzymic fermentation, and no enzymicfermentation without enzymes and food. When the stomach and bowels are empty, asin the fasting or hibernating animal, there are no enzymes secreted. The bacteria do not inf ect the empty stomach and bowels;neither do the enzymes digest the empty stomach and bowels. Why should I declare that germs cause disease by toxin infection,when the real fault is a deficiency of enzymes, or, as is most common, there is anormal amount of digestive ferments, but the food consumption is far beyond theirdigestive power? This being true, why shall I not say that toxemia is caused by adeficiency of enzymic ferments, or from overeating? For when the eating is withinenzymic control there can be no bacterial fermentation. Enzymic efficiency alwaysmeans bacterial control. When man's eating activities are well within his nutritiveefficiency, the bacteria that are ever present are well subordinated; when germsbecome the "master of the show" it is when enervation is so pronouncedthat metabolism is no longer equal to the system's requirements in repair and waste;then it is that bacterial toxin finds an ally in retained excretions.