The Saint Paul globe. (St. Paul, Minn.) 1896-1905, 1901-12-29

when the early morning light shines full
upon the votaries of too long protracted
pleasure at the dance or banquet, or
the weary watcher beside the bed of
sickness. Sleep is the best restorative
of nerve force and the best cosmetic in
these cases, but if rest is impossible, it
is che of the few cases where stimulants
may do good, choosing hot tea or coffee
first and alcohol last of all, and these
only temporarily.
The close confinement within doors will
also produce a pallid complexion due to
oxygen starvation and lack of sunlight.
Sunlight and fresh air are natures two
best tonics which can do no harm if ra
tionally used and which will bring back
vigor to many an exhausted man and
woman whom all the drugs on the list
would not benefit if not aided and abet
ted by these tonics. Miners are most
marked example of this bleaching power
of deprivation of sunlight; they are
mere shadows of men; but clerks, and
work girls especially, show the evil eff
fects in q less marked but none the less
noticeable manner They are like plants
deprived of sunlight; they blanche and
wither away without any perceptible dis
ease to account for their early demise.
They may be well fed and well warmed,
but they cannot change the food and
warmth into vital elements for their
maintenance.
Sometimes abe opposite of this occurs,
but not from the opposite cause. Peo-
pie may have purple tingue OF complex
ion Technically this is known as cya-
nosis, which means a condition of blue
ness (in color not in feeling, and this
is due to an inefficient oxidation of the
blood caused by some heart Or lung
trouble, usually the former. The result
is a partial self poisoning of the system
through the blood by carbonic acid gas,
which is not removed by oxygenation,
and therefore accumulateS in the system.
1t is therefore oxygen starvation but not
due to a lack of oxygen in the air, but
inability to use it. 1t is therefore par
tial suffocation.
The expression is also indicative of dis
ease of certain characters. Even in per-
fectly healthy people it is rare to ind
both sides of the face symmetrical. In
heart disease and albuminuria the face
swells noticeably. L may swell in tic
doloureuX in some portion along the
track of the tri-faciaI nerve, and this
swelling is always painful, differentiat1ng
it from other sWellings. In heart disease
there is also all expression of fear and
anxiety, and this also occurs just before
an attack of epileptic fits in those dis
posed to them and in malignant disease.
In melancholia the face Is apathetic, with
the mouth down at the corners and
| mol bid Indifference to external objects.
In those about to suffer from delirium
there is an opposite condition; the face is
animated and the eyes abnormally bril-
liant, and this change in aspect is often
sufficient to warn the expert in mental
disease of all approaching attack of acute
mania. In extremely nervous people the
muscles of the face often contract or
tWitch conVulSively under unusual ex-
element, this being especially noticeable
in the mouth and eyes, while in st. vi
tus' dance there is a permanent tWitchinG
of the facial muscles.
The most marked alterations of coun-
tenance occur from contraction Of mus
cles or from paralysis, the muscles o.
one side being drawn toward the other,
toward the contracted side if there Is
contraction of one side, toward the un-
affected side if there is paralysis OF one
side, the mouth and eye in the latter case
having a more or less marked droop at
the corner which persists, after the cause,
if temporary, has been removed, as after
an attack of apopleXy.
In acute disease there are also altera-
lions of form and hue which are char
actcristic of certain diseases, but those
cannot be easily explained or recognized
bv those inexperienced in the lahd-
| marks of disease. There is one form,
however that is known and feared by
all. the last change before death and
beralding it's approach; that is, the So
called hippocratic face. The color is
leaden or livid; the eyes are sunken; the
nose peaked; the temples flattened; the
ears cold; the eyelids immovable and wide
open; the eyes dull and CLASSY; and the
I mouth open with a dropping jaw This
clearly indicates the agony of death, Lut
after death has sealed the lips the face
usually returns to its usual form owing
to a relaxation of the muscles, and thus
death becomes less horrible.
Leon Noel.