On rising.—Tumblerful of hot water.
Breakfast (eight
o’clock).—One egg, toasted bread (wholemeal)
and butter, with either
a little lettuce or marmalade and either
weak tea or cocoa.
Lunch (one o’clock).—Steamed green or root vegetable, with cheese sauce or macaroni cheese or similar savoury, or nuts. Boiled or baked pudding or stewed fruit with custard or blanc mange.
Tea (four o’clock).—Tea
or cocoa, with or without a little
bread and butter and
cake.
Supper (7 o’clock).—Vegetable
soup, milk pudding and a little
cheese, butter and salad
and wholemeal bread.
I am forty-nine years of age, lead a fairly active life, frequently taking walking exercise. I am very tall and weigh twelve stone. Have had no serious illness, but been more or less anaemic all my life.
If you can tell me whether
there is anything wrong in connection
with my diet and suggest
the cause of, and treatment for, the
boils I shall be exceedingly
obliged.
In order to help this correspondent to permanently
get rid of these
boils, we must first ascertain what those troublesome
manifestations
are and look to the causes which produce them.
A boil is a small, tense, painful, inflammatory swelling appearing in or upon the skin, and is due to the local death or gangrene of a small portion of the skin’s surface. This eventually comes away in the form of a core, and, until this has cleared away, the boil will not heal or cease to be painful.
Boils occur chiefly on the neck, arms or buttocks. If very large they are known as carbuncles, and if they occur on the fingers or toes they are described as whitlows. It is often the friction of a frayed-out collar or cuff, of tight waist clothing, or, in the case of whitlows, the introduction of some irritant or poison between the nail and the skin that determines the precise site at which they will come.
Boils, although rarely dangerous to life, are usually accompanied by pain severe out of all proportion to the extent of surface involved. This gives rise to much broken rest and loss of vitality, which at once ceases when the boil has finished its course. Boils usually occur in series or crops.
Now large numbers of people wear collars and cuffs with frayed edges, or handle irritants with their fingers, but they do not necessarily contract boils or whitlows. Therefore, we see that there must be other factors to be taken into consideration to account for their presence. The orthodox germ-loving practitioner may tell you that a boil is a purely local disorder and that a certain form of microbe, known as the Staphylococcus pyogenes, is the cause of it. This germ, he asserts, lives normally on the surface of the skin and, when this surface becomes broken, it enters the part and infects it, thereby starting the boil.
If this is true every person who wears old collars
or dabbles his
hands in dirt should without exception contract
boils. This is
obviously untrue.