Page:The growth of medicine from the earliest times to about 1800.djvu/54

 Great stress was laid by the physicians as well as by the priests of ancient India upon the observance of very elaborate rules respecting the care of the person while in health and, very naturally, when a patient became ill the physician in charge paid quite as much attention to the employment of hygienic and dietetic measures in effecting the desired cure as to the administering of drugs.

The list of the commonly employed hygienic measures is too long for reproduction in its entirety in this brief sketch, but an enumeration of some of the more important items may prove interesting. In estimating the value of these rules the reader should bear in mind that they were intended for people living in a hot climate. Daily bathing heads the list. Then follow: regulation of the bowels; rubbing the teeth with fresh twigs of certain trees which possess astringent properties, and also brushing them twice a day; rinsing the mouth with appropriate washes; rubbing the eyes with salves; anointing the body with perfumed oils; cutting the nails every five days, etc. Two meals a day were prescribed—the first one between nine in the morning and noon, and the second between seven and ten in the evening. "Only a moderate amount of water should be drunk during the meal; drinking water at the beginning of a meal delays digestion, while a copious draught at the end produces obesity. After the meal the mouth should be carefully cleansed and a short walk should be taken." Among the more important articles of food the following deserve to be mentioned: rice, ripe fruit, the ordinary

Indian physicians utilized not only inspection, palpation and auscultation, but also the senses of taste and smell. They noted the losses and increases in the weight of the body, changes in the appearance of the skin, the tongue and the excretions, alterations in the configuration of the body, the form and other characteristics of swellings, etc. They also noted changes in the patient's voice, in the character of the breathing, in the noises accompanying movements of the joints and the twistings of the intestines. The crepitus caused by the rubbing together of the roughened ends of a fractured bone did not escape their notice. At a later period, doubtless through the influence of the teachings of foreign physicians, they attached great importance to the examination of the pulse.]
 * [Footnote: gods, the evil powers of demons, etc. For purposes of diagnosis the earlier