Traditional Hydrotherapy

from Hydrothermic Remedies...

Chronic cases: see Pelvic Congestion

Use:

• Very Hot Sitz
• Alternate Sitz
• Neutral Sitz

Contra-indications:

• Cold Sitz Bath

from Dr JH Kellogg's Prescriptions...

In:

• Pelvic Pain
• Dysmenorrhoea - 2
• Pelvic Peritonitis
• Surgery

Treatment Method:

• Antiphlogistics
  • Ice Bag over seat of pain during both following heat treatments repeat as needed
  • Hot Hip and Leg Pack or Hot and Cold Pelvic Pack every 2-4 hrs for 20 min followed by
    • Continuous heat to legs and Cooling Compress 15°C, over lower abdomen, external genitals and inner thigh.
  • Vaginal Irrigation 40°C, (43-50°C in acute cases) 15 min every 3 hours

2.

• Hot Enema
• Fomentations
• hot Pelvic Pack
• Hot Blanket Pack

from Dr JH Kellogg's Hydriatic Techniques...

Acute: see Pelvic Congestion for chronic cases

Includes:

• Orchitis
• Kidney Inflammation
• Proctitis
• Vaginitis
• Uterine Inflammation
• Ovaritis
• tubal inflammation and Acute Metritis

Problems:

Inflammation Fever

• Analgesic
  • Hot Enema
  • very hot Pelvic Pack
  • Hot Douche
  • Neutral Sitz
  • Ice Bag
  • Fomentations
  • cold Applications to Mucous Passages to vagina
• and Vascular Antiphlogistics
  • repeated Pelvic Pack - not in suppuration
  • Hot and Cold Pelvic Pack
  • hot Vaginal Irrigation
  • Revulsive Douche
  • Neutral Sitz

Contra-indications

• cold Hip Pack
• Shallow Bath
• Cold Douche
• Cold Sitz Bath

from Dr GK Abbott's Prescriptions...

Includes:

• Acute Endometritis from Puerperal Sepsis
• Salpingitis
• Pelvic Peritonitis and
• Pelvic Cellulitis.

Problems:

• Migraine
• Pelvic Pain especially if much thickening
• For retained secundines in puerperium : operate immediately
• For simple Salpingitis do NOT operate
• If this develops in to pyosalpinx only operate when temperature is normal and acute inflammation has subsided
• For Pelvic Cellulitis do NOT operate
• For abscess formation provide drainage.

• precede with very hot Vaginal Irrigation (12 litres of weak permanganate solution) or better if possible...

Elliot method:

• soft rubber bag inserted in vagina up to the cervix with inlet and outlet - water through at 50°C at low pressure then...
  • Hot Foot Bath for 10min then...
  • Hot Hip and Leg Pack with simultaneous Ice Bag over part and another over groin for 30min or
  • hot Half Bath or
  • Sitz Bath then
  • finish with Cold Mitten Friction to area covered by hot pack (not including part covered with Ice Bag)
• Repeat 2-3x/day as needed (this produces more permanent active congestion than the passive produced by the hot pack)
• interval Wet Girdle
• Cold Foot Bath

When temperature normal, tenderness subsided...

• Scotch Compress or other Alternating Applications

Chronic: when patient can walk...

• hot Vaginal Irrigation then...
• Revulsive Sitz - followed by a brief, very-cold Cold Sitz Bath
• Alternate Sitz after patient is used to Revulsive
• Hot Half Bath is sometimes better as body is less cramped and both hips and legs are immersed. finish with...
  • cold Pail Pour to hips
• Alternate Rectal Irrigation
• Revulsive Pelvic Pack
• use other Tonics especially - Alternate Douche (percussion) to sacrum, legs and feet

In delayed resolution: Cold Rubbing Sitz to hasten absorption of residual thickening

• use hot or Alternate Vaginal Irrigation until resolution.