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A New Pathology

It has long been vaguely understood that the condition of a man's clothes has a certain effect upon the health of both body and mind. The well-known proverb, "Clothes make the man" has its origin in a general recognition of the powerful influence of the habiliments in their reaction upon the wearer. The same truth may be observed in the facts of everyday life. On the one hand we remark the bold carriage and mental vigour of a man attired in a new suit of clothes; on the other hand we note the melancholy features of him who is conscious of a posterior patch, or the haunted face of one suffering from internal loss of buttons. But while common observation thus gives us a certain familiarity with a few leading facts regarding the ailments and influence of clothes, no attempt has as yet been made to reduce our knowledge to a systematic form. At the same time the writer feels that a valuable addition might be made to the science of medicine in this direction. The numerous diseases which are caused by this fatal influence should receive a scientific analysis, and their treatment be included among the principles of the healing art. The diseases of the clothes may roughly be divided into medical cases and surgical cases, while these again fall into classes according to the particular garment through which the sufferer is attacked.

Medical Cases

Probably no article of apparel is so liable to a diseased condition as the trousers. It may be well, therefore, to treat first those maladies to which they are subject.

I. Contractio Pantalunae, or Shortening of the Legs of the Trousers, an extremely painful malady most frequently found in the growing youth. The first symptom is the appearance of a yawning space (lacuna) above the boots, accompanied by an acute sense of humiliation and a morbid anticipation of mockery. The application of treacle to the boots, although commonly recommended, may rightly be condemned as too drastic a remedy. The use of boots reaching to the knee, to be removed only at night, will afford immediate relief. In connection with Contractio is often found--II. Inflatio Genu, or Bagging of the Knees of the Trousers, a disease whose symptoms are similar to those above. The patient shows an aversion to the standing posture, and, in acute cases, if the patient be compelled to stand, the head is bent and the eye fixed with painful rigidity upon the projecting blade formed at the knee of the trousers.

In both of the above diseases anything that can be done to free the mind of the patient from a morbid sense of his infirmity will do much to improve the general tone of the system.

III. Oases, or Patches, are liable to break out anywhere on the trousers, and range in degree of gravity from those of a trifling nature to those of a fatal character. The most distressing cases are those where the patch assumes a different colour from that of the trousers (dissimilitas coloris). In this instance the mind of the patient is found to be in a sadly aberrated condition. A speedy improvement may, however, be effected by cheerful society, books, flowers, and, above all, by a complete change.IV. The overcoat is attacked by no serious disorders, except--Phosphorescentia, or Glistening, a malady which indeed may often be observed to affect the whole system. It is caused by decay of tissue from old age and is generally aggravated by repeated brushing. A peculiar feature of the complaint is the lack of veracity on the part of the patient in reference to the cause of his uneasiness. Another invariable symptom is his aversion to outdoor exercise; under various pretexts, which it is the duty of his medical adviser firmly to combat, he will avoid even a gentle walk in the streets.V. Of the waistcoat science recognizes but one disease--Porriggia, an affliction caused by repeated spilling of porridge. It is generally harmless, chiefly owing to the mental indifference of the patient. It can be successfully treated by repeated fomentations of benzine.VI. Mortificatio Tilis, or Greenness of the Hat, is a disease often found in connection with Phosphorescentia (mentioned above), and characterized by the same aversion to outdoor life.VII. Sterilitas, or Loss of Fur, is another disease of the hat, especially prevalent in winter. It is not accurately known whether this is caused by a falling out of the fur or by a cessation of growth. In all diseases of the hat the mind of the patient is greatly depressed and his countenance stamped with the deepest gloom. He is particularly sensitive in regard to questions as to the previous history of the hat.

Want of space precludes the mention of minor diseases, such as--

VIII. Odditus Soccorum, or oddness of the socks, a thing in itself trifling, but of an alarming nature if met in combination with Contractio Pantalunæ. Cases are found where the patient, possibly on the public platform or at a social gathering, is seized with a consciousness of the malady so suddenly as to render medical assistance futile.

Surgical Cases

It is impossible to mention more than a few of the most typical cases of diseases of this sort.

I. Explosio, or Loss of Buttons, is the commonest malady demanding surgical treatment. It consists of a succession of minor fractures, possibly internal, which at first excite no alarm. A vague sense of uneasiness is presently felt, which often leads the patient to seek relief in the string habit--a habit which, if unduly indulged in, may assume the proportions of a ruling passion. The use of sealing-wax, while admirable as a temporary remedy for Explosio, should never be allowed to gain a permanent hold upon the system. There is no doubt that a persistent indulgence in the string habit, or the constant use of sealing-wax, will result in--II. Fractura Suspendorum, or Snapping of the Braces, which amounts to a general collapse of the system. The patient is usually seized with a severe attack of explosio, followed by a sudden sinking feeling and sense of loss. A sound constitution may rally from the shock, but a system undermined by the string habit invariably succumbs.III. Sectura Pantalunae, or Ripping of the Trousers, is generally caused by sitting upon warm beeswax or leaning against a hook. In the case of the very young it is not unfrequently accompanied by a distressing suppuration of the shirt. This, however, is not remarked in adults. The malady is rather mental than bodily, the mind of the patient being racked by a keen sense of indignity and a feeling of unworthiness. The only treatment is immediate isolation, with a careful stitching of the affected part.

In conclusion, it may be stated that at the first symptom of disease the patient should not hesitate to put himself in the hands of a professional tailor. In so brief a compass as the present article the discussion has of necessity been rather suggestive than exhaustive. Much yet remains to be done, and the subject opens wide to the inquiring eye. The writer will, however, feel amply satisfied if this brief outline may help to direct the attention of medical men to what is yet an unexplored field.

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