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This
is also known as full bath. It is administered in a bath tub which
should be properly fitted with hot and cold water connections. The
bath can be taken at cold, neutral, hot, graduated and alternate
temperatures.
Cold Immersion
Bath
This may be
taken for four seconds to 20 minutes at a temperature ranging from
100C to 23.80C. Before entering the bath, cold water should be poured
on the patients head, chest and neck and the head should be
protected with a cold moist towel. During the bath, the patient
should vigorously rub his or her body. After the bath the body should
be quickly dried and wrapped up in a blanket. If the climate is
favourable, moderate exercise should be undertaken. This bath helps
to bring down fever. It also improves the skin when taken for five
to 15 seconds after a prolonged hot bath, by exhilarating circulation
and stimulating the nervous system.
This bath should
not be given to young children or very elderly persons, nor be taken
in cases of acute inflammation of some internal organs such as acute
peritonitis, gastritis, enteritis and inflammatory conditions of
uterus and ovaries.
Neutral Immersion
Bath
This bath can
be given from 15 to 60 minutes at a temperature ranging from 260C
to 280C. It can be given for long duration, without any ill-effects,
as the water temperature is akin to the body temperature. The neutral
bath diminishes the pulse rate without modifying respiration.
This treatment
is the best sedative. Since the neutral bath excites activity of
both the skin and the kidneys, it is recommended in cases relating
to these organs. It is also beneficial for cases of organic diseases
of the brain and spinal cord, including chronic inflammatory conditions
such as meningitis, rheumatism and arthritis.
A neutral immersion
bath taken for 30 to 60 minutes is highly beneficial in general
dropsy, due to cardiac or renal diseases. It also helps those suffering
from multiple neuritis, alcoholism and other narcotic habits, chronic
diarrhoea, peritonitis and chronic affections of the abdomen. In
such cases the bath may be given daily for 15 to 30 minutes. This
bath is also useful in the toxemic conditions caused by dyspepsia
and pruritus. The neutral bath should not be prescribed in certain
cases of eczema and other forms of skin diseases where water aggravates
the symptoms, nor in cases of extreme cardiac weakness.
Hot Immersion
Bath
This bath can
be taken from two to 15 minutes at a temperature from 36.60C to
400C. Generally this bath is started at 370C and the temperature
is then gradually raised to the required level by adding hot water.
Before entering the bath, the patient should drink cold water and
also wet the head, neck and shoulders with cold water. A cold compress
should be applied throughout the treatment. This bath can be advantageously
employed in dropsy when there is excessive loss of tone of the heart
and blood. This bath also relieves capillary bronchitis and bronchial
pneumonia in children. It relieves congestation of the lungs and
activates the blood vessels of the skin muscles. The bath should
be terminated as soon as the skin becomes red.
In pneumonia
and suppressed menstruation, the bath should be administered at
37.70C to 400C for about 30 to 45 minutes. This bath should be given
when the menstruation is due and may be repeated for two to three
days in succession. In dysmenorrhoea, this bath should be given
at 380C to 44.40C for 15 minutes.
In chronic bronchitis
a very hot bath taken for 5 to 7 minutes should be accompanied with
rubbing and friction. This relieves congestion of the mucous membrane
and provides immediate relief After the bath, oil should be applied
to the skin if necessary.
The hot bath
is a valuable treatment in chronic rheumatism and obesity. It gives
immediate relief when there is pain due to stones in the gall bladder
and the kidneys. The hot bath should not be taken in cases of organic
diseases of the brain or spinal cord, nor in cases of cardiac weakness
and cardiac hypertrophy.
Precaution
Certain
precautions are necessary while taking these therapeutic baths.
Full baths should be avoided within three hours after a meal and
one hour before it. Local baths like the hip bath and foot bath
may, however, be taken two hours after a meal. Clean and pure water
must be used for baths and water once used should not be used again.
While taking baths, temperature and duration should be strictly
observed to obtain the desired effects. A thermometer should always
be used to measure the temperature of the body. Women should not
take any of the baths during menstruation. They can take only hip
baths during pregnancy till the completion of the third month.
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