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THE TURKISH BATH IN CARDIFF.

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THE TURKISH BATH IN CARDIFF. There is not a more hopeful sign in the present day than the increasing interest manifested in everything that relates to the promotion of health. This is much more observable now than in past times. The sanitary state of communities is a matter of public thought and anxiety, and frequently occupies the attention of Parliament. Drainage, water-supply, and other kindred objects that minister to the wel- fare of towns are freely provided. Overcrowding is prevented in common lodeing-houses, and ventila- tion encouraged. Public baths and wash-houses are established to bring the means of cleanliness within the reach of all classes, at a moderate cost. Precau- tions are adopted to prevent the injuries arising from particular trades, and the young and helpless are protected in their hours of labour. In fact hygienic medicine has become a national institution, and the health of men in the aggregate is abundantly cared for. Nevertheless the units which compose this mass are not always equally alive to the necessity of pre- serving their individual health, and often disregard matters of the highest sanitary importance. There are many points that might be referred to in illus- tration of this subjection, but on the present occasion I will only allude to the skin in its relation to the other organs of the body, and the influence of the Turkish Bath in maintaining its healthy condition. The skin, as every ong knows, is the external covering of the body which gives it its characteristic appearance, and serves as a protection to the deeper tissues. It is highly elastic, and well qualified to adapt itself to every movement and change of pos- ture, and to soften the general outline. It is the seat of the sense of touch, but this is beside my present purpose. It is also a most important organ of ex- cretion, and this is the function to which I desire to call especial attention, and to explain its scope and influence. This integument consists of two layers, the cutis vera, or true skin, and the epidermis, or cuticle. The deeper of these is the skin proper, which rests upon a stratum of cellular and adipose tissue, and contains within and beneath its substance several im- portant structures, such as sebaceous glands, hair follicles, and the glands that produce perspiration. It is richly supplied with blood, and is rendered ex- tremely sensitive by an abundance of nerve fibres. The cuticle is the superficial covering of this tissue, which protects it from injury, and enables its delicate organization to bear the rough contact of the outside world. It is composed of layers of cells which are constantly passing through a process of growth and decay, new cells b^ing reproduced from the surface of the true skin, and the old ones, now flattened into thin scales, intended to be thrown off as dead matter. From this brief sketch it will be seen that the skin, which is too frequently regarded as a mere external coating, is in reality a highly important organ of ex- cretion. The sebaceous glands and hair follicles, besides other matters, secrete a peculiar unctuous substance, which renders the skin soft and supple, and helps it to resist atmospheric changes. The sudo- riparous glands produce the proper perspiratory fluid, and the cutaneous tissue itself also exhales a large quantity of moisture. Analyses of perspiration show that it consists of water, carbonic acid, common salt, urea, lactic acid, and other ingredients and its production purifies the blood by removing a consi- derable amount of effete material, which would poison it if retained Some idea may be formed of the importance of the skin as an excreting organ from the large number of sudoriparous glands con- tained in it, which upon a rough average are 2,000 to every inch of surface. The quantity of cutaneous exhalation in 24 hours is about 2ilbs. under ordinary circumstanstances, when the temperature is moderate, and the body in comparative rest. But this occurs without any sensible perspiration, and the amount is very much increased by exercise and a high tem- perature. This point is further illustrated by scien- tific experiments, which prove that when animals are covered over with an impermeable varnish they soon die, as if suffocated, in consequence of the retention of the carbonic acid, &c., in the system. It naturally follows from these considerations that a high degree of health cannot be maintained without careful attention to the functions of the skin, and that a total suppression of its excretions is absolutely incompatible with a continuance of life. Between these two extremes there are many gradations of cutaneous obstruction, which are all susceptible of removal by the adoption of proper means. No amount of neglect would produce the result of an impermeable varnish, but a very moderate degree of inattention is sufficient to clog the pores, and occa- sion discomfort if not disease. The precautions necessary to prevent this are to cleanse the skin and its gland-ducts of the dried deposits of excretion and other impurities, and to remove the old and dead cuticle. All washing and rubbing have a tendency to effect this. Also friction, applied by means of hair gloves and belts, is very beneficial to accom- plish the same end. But the most effectual method, especially when the cuticle is hard and horny from long neglect, is friction combined with a high temperature, which can only be obtained in per- fection by shampooing in a Turkish Bath. The Turkish, or Hot-Air Bath, in some form or other has been in existence from the earliest times, and its origin is lost in the dim vista of a remote antiquity. I need not refer to the varieties of the Bath at different periods, and amongst various na- tions, but will at once proceed to notice the Turkish Bath as it occurs in Cardiff at the present moment. The first room entered is pool, having a temperature but little above the external air. It is divided off into small compartments for undressing and putting on the bathing attire, and the attendant takes charge of money, watches, and other valuables, which he locks up for safe custody. The visitor next enters the first hot room, and is conducted to a couch freshly covered with a clean sheet, upon which he may sit or recline at pleasure. This apartment is light, airy, and elegant, and the floor is very prettily pa;ed with ornamental tiles. The hot air passes into the room through the grating in the centre, which maintains a uniform temperature of 130 degrees. The place is exceedingly quiet, and the warmth and tranquillity together have a most soothing effect upon the nervous system, and render the bather for a time completely oblivious of the cares of the outer world. It only requires the perfume of flowers and the buzz of insects to perfect the illusion, and to make him fancy that he is enjoying the noon-tide heat, without any of the evil consequences, of a tropical summer. After reclining fifteen or twenty minutes a copious perspir- ation breaks out all over the body, and the cuticle begins to soften, and shows a tendency to peel off with gentle friction. In another quarter of an hour the bather streams from every pore, and is then transferred to the second hot room, which is heated to a temperature of 160 degrees. In this apartment the perspiration is thoroughly established, and the outer cuticle becomes quite soft and pulpy, and in a fit state for removal. This is accomplished by sham- pooing, a process which consists in kneading the body with the hands to clear the pores and make every joint flexible, and then by gentle rubbing to remove the detached cuticle. This operation is performed by the attendant, but habitual frequenters of the Bath may learn to do it for each other. The next step is to wash the whole body with warm water and soap in a lavatory adjoining the second room. This completes the cleansing process, and it only remains to gradually cool down the body to enable it to bear the transition to the external air. This is done by a douche of water, at first warm, and then slowly changing to cold. The visitor now returns to the cooling room where he undressed, and, enveloped in a clean sheet to absorb moisture and to prevent eva- poration, he dries his head with a towel, and then the rest of his body. Bathers remain reclining in their chairs until the circulation is quite composed, and as much longer as they please, and then proceed to dress and take their departure. The effect of the Hot-Air Bath upon the whole system is very marked, and it generally produces results of a decidedly beneficial character. The blood is attracted to the skin from the internal organs. The outer layers of cuticle are softened and removed, the ducts of the glands cleared of obstruction, and profuse perspiration is obtained. The quality of the perspiratory fluid is often strongly acid, particularly m those who are unaccustomed to the Bath and in diseased states it frequently has an odour peculiar to the kind of disorder, which is recognisable by those who have had sufficient practice to perceive it. The efficacy of the process is increased by drinking pure water ad libitum, at frequent intervals, during its progress; and by adopting this course, combined with a long stay in the Bath, it is quite possible to renew to a great extent the more watery constituents of the circulating fluid, and, it is scarcely an exagge- ration to say, to wash the blood. The loss of this vitiated secretion is a clear gain to the patient, and he feels like a man who has shaken off a heavy load. The phrase often used to describe this feeling is that he feels as if he could jump over the moon," and no doubt this is only a figurative way of expressing a high degree of elasticity. This happy condition is not merely temporary, for the cleansed and renovated integument is able to perform its proper duties satis- factorily for some little time to come. The improved tone and greater suppleness of the skin impart a very pleasant sensation, and all traces of fatigue and irri- tability disappear. Some persons appear to labour under the impression that there is a great risk of catching cold after having been subjected to so high a temperature, but this is an unfounded fear; and, in fact, there is not so much danger in this respect as after an ordinary Warm Batn, which will be evident upon consideration. In the latter case the immersion of the body is an obstacle to perspiration, but after leaving the water the skin is hot, relaxed, and be- dewed with moisture, and consequently readily chilled. In the Hot-Air Bath, on the contrary, perspiration is induced and completed in the room, and the skin thoroughly seasoned before leaving it, to obviate the risk of cold. In every point of view the Turkish Bath seems to be a most useful addition to our means of health in a climate which is very unfavourable to efficient cutaneous action. The Turkish and other Baths have been established in our town for several years, and are making their way slowly, but surely, in public estimation. Their progress has been impeded by the erection of Baths in neighbouring towns, and in consequence of an im- perfect knowledge on the part of the public of the vast importance of such institutions in a sanitary point of view. In 1866 the Cardiff Baths Company leased their undertaking for five years, at 4 per cent. on the capital, to their secretary, Mr. Thomas Waring, C.E. Since the change in the proprietor- ship a new cooling room has been constructed, in addition to various other improvements, and the whole establishment renovated. A reduction has been made in the Turkish Bath charges on Saturday to one shilling throughout the day. Free passes are given to all gentlemen of the medical profes- sion, to enable them to test by personal experience the value of hot air as a preserver and restorer of health. Reduced tickets, at nominal prices, are issued in deserving cases by the Ladies' Sanitary Association. The admissions and receipts since the opening of the Baths will be seen from the following tables ADMISSIONS. Year ended May 2, May 1, May 1, May 1, May 1, 1863. 1864. 1865. 1866. 1867. Turkish Bath 2,194 3,618 3,074 2,715 3,267 Hot Water Baths. 3,533 4,188 4,696 4,765 4,965 Swimming Baths. 3,124 4,507 4.978 5,859 3,796 Tepid Plunge 54 37 42 47 Totals 8,851 12,267 12,785 13,381 12,075 Totals 8,851 12,267 I 12,785 1 13,381 1 12,075 RECEIPTS. I & s. d.l & 8. d. £ 8. d. £ s. d.; A 8. d. Turkish Bath 196 2 81268 12 10 216 17 8 180 11 I0J212 15 6 Hot Water Baths 119 5 2143 1 11 155 14 10157 14 0157 15 4 Tepid Plunge 5 7 6 3 10 0 4 1 0 4 3 6 Swimming Baths 43 10 1 54 5 7 61 2 7 72 1 H{ 54 6 8 Ditto, Season Tickets. 82 5 0 50 9 0 26 19 03011 Oj 29 00 1-1 ¡- Total 441 2 11521 16 10464 4 L444 19 9458 1 0 These figures show steady progress from year to year, until the competition of similar institu- tions previously referred to diverted a portion of the stream of visitors to other channels. This is more particularly the case in the Turkish depart- ment, but an improvement is observable in 1867, which seems to indicate that the natural increase of demand has already counterbalanced the influence of rival schemes. The general depression of trade also has probably operated unfavourably—the require. ments of the skin being overpowered by the anxieties of the pocket-and rendered the additions and altera- tions in the Baths less beneficial than might have been anticipated. With reviving commerce, and a growing belief in the necessity of cleanliness, this establishment cannot fail to advance in public favour, and be warmly appreciated. FRANKLEN G. EVANS, Tynant, Radyr, 1868. M.R.C.S, F.M.S., &c. (To be concluded.)

YALE OF NEATH SHAREHOLDERS.

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SOUTH WALES INSTITUTE OF ENGINEERS.

BATHING AT PENARTH.

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CARDIFF BOARD OF GUARDIANS.

ADJOURNED MEETING.

THE IRISH CHURCBL

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