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A survey of new cases coming for treatment shows three distinct
groups:—
(1.) Those who are suitable for treatment, e.g., rickets ;
(2.) those who may be suitable after a period of preliminary
rest, convalescence or medical treatment, e.g., subactive
rheumatism ;
(3.) those who are unsuitable, e.g., active pulmonary tuberculosis.
A large number of patients come without any definite
diagnosis having been made, but obviously suffering from debility
or malnutrition. An attempt should be made to ascertain the
causative factors, whether social, mental, or physical. In cases
of malnutrition without evidence of organic disease I do not
consider that artificial light treatment will do any good unless
an adequate diet is provided. Better and quicker results will be
obtained by sending the patient to a convalescent home or by
correcting and amplifying the diet where the patient cannot go
away.
A proportion of cases will be found to show signs of mild
toxaemia, and the source of this must be traced. If necessary a
period of rest in bed under medical supervision may be advised.
Mild cases of rheumatism, nephritis, and tuberculosis may thus
be found and treatment regulated to suit the patient.
Abrasions and wounds of the skin, and ulcers are usually
healed by treatment, but care should be taken to investigate
fully any condition suggestive of cancer or syphilis. The healing
of the syphilitic lesions may be aided, but the treatment of cancer
is contraindicated.
Skin diseases should be accurately diagnosed, and, if necessary,
reference to a specialist should be recommended. Superficial
discharges and crusts should be removed before treatment.
Moist eczemas are very suitable for treatment. Urticarias are
relieved of their itching, but specialised investigation of the cause
may be necessary before cure is effected. Psoriasis is usually
resistant, but healing does take place slowly and there does