In febrile conditions the pores and capillary blood vessels of the skin are tense and contracted. Therefore the heat cannot escape, the skin is hot and dry, and the interior of the body remains overheated. When the skin relaxes and the patient begins to perspire freely, we say the fever is broken.
The moist warmth under the wet pack produces this relaxation of the skin in a perfectly natural manner. By means of these simple packs followed by cold ablutions, the temperature of the patient can be kept at any point desired without the use of poisonous antifever medicines, serums and antitoxins which lower the temperature by benumbing and paralyzing heart action, respiration, the red and white blood corpuscles, and thus generally lowering the vital activities of the organism.
(2) How Cold Packs Relieve Inner Congestion
In all inflammatory febrile diseases the blood is congested in the inflamed parts and organs. This produces the four cardinal symptoms of inflammation: redness, swelling, heat, and pain. [Rubor, tumor, colar and dolar.] If the congestion be too great, the pain becomes excessive, and the inflammatory processes cannot run their natural course to the best advantage. It is therefore of great importance to relieve the local blood pressure in the affected parts and this can be accomplished most effectively by means of the wet packs.
As before stated, they draw the blood onto the surface of the body and in that way relieve inner congestion wherever it may exist, whether it be in the brain, as in meningitis, in the lungs, as in pneumonia, or in the inflamed appendix.
In several cases where a child was in the most dangerous stage of diphtheria, where the membranes in throat and nasal passages were already choking the little patient, the wet packs applied to the entire body from neck to feet relieved the congestion in the throat so quickly that within half an hour after the first application the patient breathed easily and soon made a perfect recovery. The effectiveness of these simple water applications in reducing congestion, heat and pain is little short of marvelous.
(3) How Cold Packs Promote Elimination
By far the largest number of deaths in febrile diseases result from the accumulation in the system of poisonous substances, which paralyze or destroy vital centers and organs. Therefore it is necessary to eliminate the morbid products of inflammation from the organism as quickly as possible.
This also is accomplished most effectively and thoroughly by the application of wet packs. As they draw the blood into the surface and relax the minute blood vessels in the skin, the morbid materials in the blood are eliminated through the pores of the skin and absorbed by the packs. That this is actually so is verified by the yellowish or brownish discoloration of the wet wrappings and by their offensive odor.
One of the main causes of constipation in febrile diseases is the inner congestion and fever heat. Through the cooling and relaxing effect of the packs upon the intestines, this inner fever heat is reduced, and a natural movement of the bowels greatly facilitated.