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Early methods of detoxification

Humans have always interacted extensively with their physical world. The relationship of ancient peoples with their earth was a clean and nurturing one. It provided them with air to breathe, water to drink, food for nourishment, materials for shelter, substances for maintaining their well-being, and beauty for their enjoyment. Except in extreme circumstances, the earth was not toxic, and they were not damaged by their world. Unfortunately, these people sometimes damaged their world. They over hunted and stripped the land of its vegetation, cutting down trees for shelter and firewood. When the land was depleted and would no longer support them, however, they were able to move to another area.

As civilizations developed and populations increased, people began to congregate in cities. The problem of pollution began in these ancient cities. Garbage was thrown into city streets, and drainage water and sewage ran down the middle of the streets. Drinking water became contaminated. People contracted diseases from the unsanitary conditions. Indoor fires and poor ventilation in the small dwellings of the masses fouled the air in many homes. Houses were shared with domestic animals that ate the scraps thrown on the floor. Rodents were rampant, spreading infectious diseases.

Because early humans often did not understand the physical origin of their illnesses, they developed the philosophy that disease was a spiritual matter caused by supernatural forces. For many centuries, medicine was a mixture of practical treatments, magic, superstition, and religion. Medicine men and women were the first physicians.

The ancient Greeks separated medicine from religion and formulated the earliest principles of scientific medicine. By the end of the sixth century they had developed the doctrine of the humors, which formed the basis of ancient medical pathology. For centuries, it was believed that an equilibrium between the four humors - blood, phlegm, yellow bile, and black bile - must be achieved to maintain health.

As time went by, it might be expected that each culture would develop its own unique program of medical treatment. This was not the case. The recorded history of all cultures and countries shows almost identical techniques, with some local variations. Many of these treatments evolved concurrently.

BLOODLETTING
Bloodletting was perhaps the favorite of the ancient treatments, but it was not used on the very young or old. The purpose of bloodletting was to cleanse and balance the humors by removing "bad blood." Bleeding was used as a cleansing technique in the case of abscesses, swelling of the spleen, fever, diseases of the mouth, eye, and head, headaches, and gynecological disorders. In the case of hemorrhage, whether from a ruptured blood vessel, wound, or childbirth, bleeding was used as a "balancing" treatment.
The most common method of bleeding was to open a vein to divert the blood from the problem area or to use freshwater leeches, a milder method of bloodletting. At first, ancient physicians performed all of the bloodletting. When the university schools of medicine were organized around 1000 A.D., bloodletting became the task of the barber-surgeons. Both bloodletting and surgery were considered beneath the dignity of the university-trained physicians, and surgeons and barber-surgeons were below them in status. Below them were the apothecaries and bathhouse keepers who frequently rented the leeches to their clients.
Cupping was another favorite bloodletting method. A small piece of hemp (tow) was burned in a cup. As soon as it had burned out, the cup was placed over a cut on lightly greased skin. Suction from the cup caused it to fill with blood. If the skin had not been cut, the cup was left in place until it fell off, producing a blood blister. A cupping glass over the stomach was considered to be an infallible cure for seasickness.
Bloodletting began centuries before the birth of Christ and remained popular into the 19th century. Every civilization in the world has practiced bleeding. It is still practiced today, even in North America, but on a very reduced scale, and for more practical reasons. Leeches are valuable for removing blood from bruises and black eyes, and for removing the congestion from around a reattached amputated limb.
COUNTER-IRRITATION
Another method of balancing the humors by drainage was to cause a chronic inflammatory reaction in the form of a running sore. This sore could be maintained for long periods of time, and the humors could be continuously released from the body. For treatment of asthma and paralysis, counter-irritation was as popular as bloodletting. The blister was the simplest method of counter-irritation and was commonly produced by applying a poultice of a cantheride (blistering agent). The poultice was left in place until a blister of the appropriate size was formed.
Counter-irritation was sometimes produced by direct application of a cautery, a hot instrument manufactured in a variety of shapes. Different numbers of blisters were called for to treat different diseases, and the design in which these blisters were placed on the skin was thought to be of great importance. In addition to the use of the solid cautery, boiling liquids such as honey, oil, syrup, or wax were used for cauterization. The physician applied the cautery until a sizzling noise, noxious smell, and shriveling of the skin were obtained.
Cauterization is used on a limited basis today to treat nosebleeds. However, a chemical or electric cautery is used to cauterize the skin and vessels in the nose rather than a hot instrument.
ENEMAS
Enemas have been used without exception by all cultures. Not only were enemas employed as a cleansing procedure, but also as a standard beginning treatment for almost every illness, injury, or health problem, including diarrhea. The Egyptians and Greeks routinely gave enemas to treat wounds received in battle. At one time, only physicians administered the enemas, and many early physicians required that an enema be administered before bleeding. Medication and nutrients were sometimes administered in the enemas.
Many cultures used ritual and routine cleansing with enemas to help maintain health. Even today, some cultures still use the enema as a vital part of treatment for all conditions. Enemas can be a valuable part of a detoxification program and are still used to relieve extreme constipation.
CATHARTICS
A cathartic, sometimes called a purgative, is a substance taken orally that causes an active movement of the bowels. Because constipation was considered a disease rather than a symptom, cathartics were used even more frequently than enemas to cleanse the digestive tract.
Cathartics have been used for centuries, but because of their toxicity several of the favorites used by the ancients are now obsolete. Calomel was dangerous because it disturbed the mineral balance of the body and could result in mercury poisoning. Croton oil blistered the skin and deaths were reported from as few as 20 drops.
Cathartics were often considered an essential part of treatment, helping to remove and cleanse morbid humors. Each humor had its specific purgative, which was supposed to act on it and it alone. As with bleeding, purgatives were not used with the very young or very old. This routine use of cathartics for all medical conditions has long been abandoned. However, laxatives - a mild form of cathartic - are still sometimes prescribed by physicians and used by many people.
EMETICS
An emetic is a substance that induces vomiting. Nearly all the ancient civilizations routinely used emetics as cleansing treatments, in addition to cathartics and enemas. An active emetic, such as white hellebore, was supposed to recall the humors from the innermost recesses of the body. Until this century, it was felt that emetics and cathartics cleansed the body of harmful accumulations, increased the appetite, promoted digestion, cooled the system, and destroyed wind.
Emetics were standard treatment for gastric disturbances, and they were used as routine treatment for many medical conditions. Emetics were kept ready for the "ease, comfort, and happiness" of the patient. With our better understanding of physiology and digestion, we now realize that these measures are too harsh, and in some instances can be fatal. Proper diet and nutrition better aid digestion, and cleansing can be accomplished by milder methods. However, emetics are still used today to induce vomiting in some poisoning cases.
TREPHINATION
Trephination involves cutting a section of bone out of the skull. Evidence of trephined skulls dates to around 10,000 B.C. Over the years, many ancient trephined skulls with round or oval pieces of bone removed have been found all over the world. The holes vary in size, and some skulls found in North America contain multiple holes.
For 2,000 years, surgeons have used trephination to relieve brain compression caused by fractures. However, many ancient trephined skulls show no evidence of fracture. It is believed that trephination was also performed as a purification or cleansing treatment, and that the bones removed were worn as protective amulets. As late as the 17th century, surgeons trephined skulls as treatment for epilepsy and other nervous and convulsive diseases, to "allow evil air to breathe out." Until recent years, some tribal societies used trephination for treatment of chronic headaches.
BATHS
Numerous types of baths have been used by all civilizations to wash away illness and to purify and cleanse the body. Sickness was considered an unclean state, and purification of both the sick person and the home was required. The original baths were taken in rivers, seas, lakes, and pools. Springs were considered to be divine, with special powers for healing, and enhancing fertility.
The temperature of the medicinal bath varied with its medical purpose and the disease involved. For centuries, cold baths and cooling compresses have been used to treat fevers and help reduce pain. Tepid or warm baths were used to calm hysterical and agitated, mentally ill patients, because warm water has a sedative effect that tends to induce both relaxation and sleep.
The most popular was the hot bath, dating back as far as ancient Egypt. A hot bath is clinically analgesic, but is also stimulating to the nervous system. The Greeks and Romans frequented bathhouses in which both hot and cold baths were available. In medieval Europe, there were no baths in private homes and the general public went to bathhouses, not just for cleanliness, but for their health. Bleeding, cupping, and massage were available at bathhouses, along with various tonics and herbal remedies.
The hot bath caused sweating, which was considered therapeutic as well as cleansing. According to ancient tradition, there were three kinds of sweat: the sweat of illness, of toil, and of bathing. Steam baths and wet saunas are used today to help respiratory diseases and relieve rheumatic pain. They are also helpful for skin tone and texture.
MASSAGE
Humans have practiced some form of massage throughout their history. Some massages were no more than an oil rub. Others involved deeper bodywork to relieve muscle tension and help eliminate waste matter from the muscles. Massage also served as a mechanical cleanser, pushing out waste products, particularly in those suffering from constipation.
Massage has been described with many different terms, such as passive exercise, therapeutic manipulation, stroking and kneading, rubbing, and mechanotherapy. As medical theory and practice have expanded, bodywork has kept pace. During this century, there has been an explosion of techniques, practitioners, and discoveries of new ways in which the hands can be used to affect human physiology. Regardless of the technique used, massage helps to cleanse and balance the body.
ACUPUNCTURE
Organized medicine began in China in the first millennium B.C. Although the origin of acupuncture in China is not clear, the first written reference to it dates to 90 B.C. It is probable that the technique is older.
Acupuncture involves inserting, into the skin, fine metal needles one-half to several inches in length. Some needles are inserted gently and others are inserted with force to different depths. The needles may then be heated, twirled, or vibrated. They are left in place for varying amounts of time, depending on the condition being treated.
The points where the needles are inserted are called acupuncture points, which are located on meridians that run the length of the body. These meridians are called energy pathways and are believed to control certain physical conditions. Traditional Chinese physicians believe that all disease or pain is the result of imbalance in the energy flow along these meridians. Inserting acupuncture needles at the appropriate points restores and balances the energy by diminishing an excess and replenishing a deficiency. Order and harmonious balance are thus restored in the chi, or life force, that circulates through all the organs of the body.
FASTING
True fasting means complete abstinence from food and beverage, including water. Early humans began to fast in an attempt to placate divine powers they believed to be displeased with them. As time went by, fasting became part of religious and purification rituals. Hippocrates and other early physicians felt that fasting dried the body and balanced the humors, but it was not used with infants or the elderly. Although fasting was occasionally prescribed as a cleansing treatment, most early physicians preferred the emetic, cathartic, and bleeding approaches to cleanse and balance the body.
Today many people use periodic fasting as a cleansing procedure and in religious observances. Very few people follow true fasting, but consume some type of juice or broth in addition to water.
EARLY MEDICATIONS
Early medications in most cultures were prepared from plants. Flowers, fruits, roots, barks, leaves, juices, oils, and resins were used. Many plants were believed to have specific applications for balancing a particular humor or element. The Chinese claim to have used herbal remedies for over 10,000 years, to balance their five elements of fire, metal, earth, water, and wood. Ancient literature in India listed 760 plants as having medicinal properties. They, too, were used to balance their five elements of wind, fire, water, earth, and space. However, history points to the Egyptians as the first people to use plant remedies in an organized way.
Resinous materials were used as remedies for their antiseptic properties, while wine and other alcoholic preparations were widely used for their anesthetic properties. Mineral remedies were also used, particularly in Egyptian and Hindu pharmacies. In most cultures, mercury was considered the "king of metals" and was given both externally and internally.
Many cultures, especially in the ancient East, felt that water had cleansing and cooling properties, and purified both body and soul. Water was employed for its own medicinal properties and also as a vehicle for other remedies.
Several ancient civilizations classified medicines according to their function, such as emetic, purgative, laxative, tonic, and aphrodisiac, for a total of 35 different classifications. Medications were prescribed in several forms, including infusions, decoctions, mixtures, pills, salves, syrups, pastes, plasters, poultices, powders, ointments, suppositories, tinctures, and fumigations. Preparation of these various forms of medication was governed largely by astrology. A particular phase of the moon or positions of the planets and stars were considered an important prerequisite in preparation procedures.
Treatment with all medications was an attempt to cleanse, purify, or balance the humors or elements of the body. Although most ancient remedies are not in use today, some medicinal herbs are still given for the same conditions. Modern scientific research into the medicinal actions of these herbs continues to verify the effectiveness of many of these "folk remedies." Many modern prescription medicines have been derived from plants.



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