ON A SIMPLE METHOD OF PREVENTING SORE THROAT
Therapeutic nihilism was at its peak in the late nineteenth century. An excellent example of a drugless therapeutic procedure is that described almost 80 years ago by Dr. H. V. Knaggs. The interest that often attaches itself to simple methods of treatment must be my excuse for resuscitating an old but, at the same time, very little known remedy for preventing the recurrence of ordinary sore throats. Most people, when they hear of it for the first time, are very apt to smile incredulously, and to at once put it down among the category of superstitions, "old women's remedies," etc. In fact, nearly every patient to whom I have suggested it has appeared sceptical of its utility at first, although subsequently a careful trial has frequently convinced them to the contrary. Its prophylactic powers are undoubted. The treatment alluded to consists merely in placing round the neck from ten to twenty threads of Berlin wool. This must be worn continuously night and day, and not taken off except for the purpose of making ablutions. With some cases it is necessary that the wool should be worn all the year round; with others, during the months when the complaint is likely to return. When it is thought desirable to discontinue its use, it should be done gradually by discarding a single thread each day until none are left. If objected to on the score of unsightliness, a small coin or locket may be attached, which will effectually keep the wool out of sight, and, after a time, out of mind. Laryngitic and tonsillitic forms for disease, which are especially prevalent among children, are due in very many instances to exposure and cold, and are particularly apt to recur periodically, especially in the colder and more changeable periods of the year. It is in such cases that the treatment is productive of marked benefit. A considerable number of cases, both among children and adults, have been thus treated in our practice. Observations as to its efficacy have extended over a number of years. Strange as it may seem, scarcely in any single instance has it failed in our hands to avert future attacks. The question naturally arises, How can a simple remedy like a few threads of wool possibly effect this object? or in what manner does it act? In the first place, we know that wool is a bad conductor of heat. Secondly, according to the principles laid down by Dr. Jaeger in his system of sanitary clothing, ventilation is one of the best means at our disposal for promoting skin action, and for retaining the body at an equable temperature both in summer and winter. It is probable, therefore, that the skein of wool, when attached round the neck, keeps up a belt of skin-action, and so acts continuously, and in a slight degree, as a mild counter-irritant.