COLD HIP BATH
The water temperature should be 100C to 180C. The duration of the bath is usually 10 minutes, but in specific
conditions it may vary from one minute to 30 minutes. If the patient feels cold or is very weak, a hot foot immersion should be given with the cold hip bath. The patient should rub the abdomen briskly from the navel downwards and across the body with a moderately coarse wet cloth. The legs, feet and upper part of the body should remain completely dry during and after the bath. The patient should undertake moderate exercise like yogasanas, after the cold hip bath, to warm the body. A cold hip bath is a routine treatment in most diseases. It relieves constipation, indigestion, obesity and helps the eliminative organs to function properly. It is also helpful in uterine problems like irregular menstruation, chronic uterine infections, pelvic inflammation, piles, hepatic congestion, chronic congestion of the prostate gland, seminal weakness, impotency, sterility, uterine and ovarian displacements, dilation of the stomach and colon, diarrhoea, dysentery, hemorrhage of the bladder and so on. The cold hip bath should not be employed in acute inflammations of the pelvic and abdominal organs, ovaries and in painful contractions of the bladder, rectum or vagina.
HOT HIP BATH
This bath is generally taken for eight to 10 minutes at a water temperature of 400C to 450C. The bath should start
at 400C. The temperature should be gradually increased to 450C. NO friction should be applied to the abdomen.
Before entering the tub,the patient should drink one glass of cold water. A cold compress should be placed on the head. A hot hip bath helps to relieve painful menstruation, pain in the pelvic organs, painful urination, inflamed rectum or bladder and painful piles. It also benefits enlarged prostatic gland, painful contractions or spasm of the bladder, sciatica, neuralgia of the ovaries and bladder. A cold shower bath should be taken immediately after the hot hip bath. Care should be taken to prevent the patient from catching a chill after the bath. The bath should
be terminated if the patient feels giddy or complains of excessive pain.
NEUTRAL HIP BATH
The temperature of the water should be 320C to 360C. Here too, friction to the abdomen should be avoided. This bath is generally taken for 20 minutes to an hour. The neutral hip bath helps to relieve all acute and sub-acute inflammatory conditions such as acute catarrh of the bladder and urethra and subacute inflammations in the uterus, ovaries and tubes. It also relieves neuralgia of the fallopian tubes or testicles, painful spasms of the vagina and prorates of the anus and vulva. Besides, it is a sedative treatment for erotomanis in both sexes.
ALTERNATE HIP BATH
This is also known as revulsive hip bath. The temperature in the hot tub should be 400C to 450C and in the cold tub 100C to 180C. The patient should alternately sit in the hot tub for five minutes and then in the cold tub for three minutes. The duration of the bath is generally 10 to 20 minutes. The head and neck should be kept cold with a cold compress. The treatment should end with a dash of cold water to the hips. This bath relieves chronic inflammatory conditions of the pelvic viscera such as salpingitis, ovaritis, cellulitis and various neuralgias of the genito-urinary organs, sciatica and lumbago.
The spinal bath is another important form of hydrotherapic treatment. This bath provides a soothing effect to the
spinal column and thereby influences the central nervous system. It is given in a specially designed tub with its back raised so as to provide proper support to the head. The bath can be administered at cold, neutral and hot temperatures. The water level in the tub should be an inch and a half to two inches and the patient should lie in it for three to 10 minutes. The cold spinal bath relieves irritation, fatigue, hypertension and excitement. It is in almost beneficial all nervous disorders such as hysteria, fits, mental disorders, loss of memory and tension. The neutral spinal bath is a soothing and sedative treatment, especially for the highly strung and irritable patient. It is the ideal treatment for insomnia and also relieves tension of the vertebral column. The duration of this bath is 20 to 30 minutes. The hot spinal bath, on the other hand, helps to stimulate the nervous, especially when they are in a depressed state. It also relieves vertebral pain in spondylitis and muscular backache. It relieves sciatic pain and gastrointestinal disturbances of gastric origin.
FULL WET SHEET PACK
This is a procedure in which the whole body is wrapped in a wet sheet, which in turn is wrapped in a dry blanket for regulating evaporation. The blanket should be spread on the bed with its edges hanging over the edge of the bed. The upper end should be about eight inches from the head of the bed. Then spread a linen sheet wrung out in cold water over the blanket so that its end is slightly below the upper end of the blanket. The patient should lie on the bedsheet with his shoulders about three inches below the upper age. The wet sheet should be weekly wrapped round the body of the patient, drawn in, tightly tucked between the legs and also between the body and the arms. The sheet should be folded over the shoulders and across the neck. Now the blanket should be drawn tightly around the body and tucked in along the side in a similar manner, pulling it tightly. The ends should be doubled up at the feet. A turkish towel should be placed below the chin to protect the face and neck from coming into contact with the blanket and to exclude outside air more effectively. The head should be covered with a wet cloth so that the sculp remains cold. The feet should be kept warm during the entire treatment. If the patient’s feet are cold, place hot water bottles near them to hasten reaction. The pack is administered for half an hour to one hour till the patient begins to perspire profusely. He may be given cold or hot water to drink. This pack is useful in cases of fever especially in typhoid and continued fevers, and benefits those suffering from insomnia, epilepsy and infantile convulsions. It is useful in relieving chronic cold and bronchitis and helps in the treatment of rheumatism and obesity.
HOT FOOT BATHS
In this method, the patient should keep his or her legs in a tub or bucket filled with hot water at a temperature of 400C to 450C. Before taking this bath, a glass of water should be taken and the body should be covered with a blanket so that no heat or vapour escapes from the foot bath. The head should be protected with a cold compress. The duration of the bath is generally from 5 to 20 minutes. The patient should take a cold shower immediately after the bath. The hot foot bath stimulates the involuntary muscles of the uterus, intestines, bladder and other pelvic and abdominal organs. It also relieves sprains and ankle joint pains, headaches caused by cerebral congestion and colds. In women, it helps restore menstruation , if suspended, by increasing supply of blood especially to the uterus and ovaries.
COLD FOOT BATH
Three to four inches of cold water at a temperature of 7.20C to 12.70C should be placed in a small tub or bucket. The feet should be completely immersed in the water for one to five minutes. Friction should be continuously applied to the feet during the bath, either by an attendant or by the patient by rubbing one foot against the other. A cold foot bath, taken for one or two minutes,relieves cerebral congestion and uterine hemorrhage. It also helps in the treatment of sprains, strains and inflamed bunions when taken for longer periods. It should not be taken in cases of inflammatory conditions of the genito-urinary organs, liver and kidneys.
Steam bath is one of the most important time-tested water treatments which induces perspiration in a most natural way. The patient, clad in minimum loin cloth or underwear, is made to sit on a stool inside a specially designed cabinet. Before entering the cabinet, the patient should drink one or two glasses of cold water and protect the head with a cold towel. The duration of the steam bath is generally 10 to 20 minutes or until perspiration takes place. A cold shower should be taken immediately after the bath. Very weak patients, pregnant women, cardiac patients and those suffering from high blood pressure should avoid this bath. If the patient feels giddy or uneasy during the steam bath, he or she should be immediately taken out and given a glasss of cold water and the face washed with cold water. The steam bath helps to eliminate morbid matter from the surface of the skin. It also improves circulation of the blood and tissue activity. It relieves rheumatism, gout, uric acid problems, and obesity. The steam bath is helpful in all forms of chronic toxemias. It also relieves neuralgias, chronic nephritis, infections, tetanus and migraine.
This is also known as full bath. It is administered in a bath tub which should be properly fitted with hot and cold water connections. The bath can be taken at cold, neutral, hot, graduated and alternate temperatures.