Series VI: Medical Sciences – SUPPLEMENT ... - Krongres

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R. MICL�U� et al.: George Baiulescu – an historical perspective 179 are very well described. First, Baiulescu postulated: „all applications not included in 33-36 C are excitants for a body and induce physiological changes”. The book included detailed actions of hydrotherapy on central nervous system, blood circulation, „morphology” of the blood, „organic exchanges”, breathing, muscle strength, temperature, secretion and excretion. In addition, the cardiovascular effects depend on the temperature and on the time of application. There are precisely described the effect of warm application in intensive or nonintensive application. Considering that the effects of hydrotherapy influence the central nervous system, the circulation, the “morphologic condition of blood”, the “organic exchange”, the breathing, the muscles strength, the temperature, the secretion and excretion, doctor Baiulescu is detailing these domains further. Concerning the hydrotherapic effects on central nervous system Baiulescu considered that hydrotherapy influences as well locally as at distance thus “a cold application on feet has a reflex influence of brain and meninx’s vessels. A hot bath of hands influences on respiratory organs.” Based on the assertion of reflex points and their stimulation techniques Baiulescu described the tonic or relaxing effects of massage and as well physical effects as psychic influences of hydrotherapy. Baiulescu wrote the conclusions related to the effects of intensive warm application vs. cold applications: „through local cold and warm applications and depending on the intensity of thermal excitation will be induced a primary vascular constriction followed sooner or later by a vasodilatation inducing a skin hyperemia”. Concerning the influence of hydrotherapic applications on „the morphology” of the blood there are remind the publiccations of Winternitz, Rovighi sau Thayer. Thus, the author remembered „Wintermitz found a maximal increase of 1860 thousands red blood cells/cube mm and the number of white blood cells is three times higher and haemoglobin is 14% higher than before the applications. On muscles, “cold applications increase the muscles’ capacity and labor and warm applications decrease the muscles labor and effort capability if not combined with mechanic action”. In the chapter „The Reaction” is a description of hydrotherapic effects and a classification of these effects in primary and secondary. Also, “each technique of applications has to specify tree periods: 1. action period; 2. reaction period and 3. equilibrium seting”. The book presented a very modern concept related to the medical management: 1. The patient admission is mandatory to assure the continuity and regularity of hydrotherapic applications. 2. The favorable effect of the cure mostly depends of the “hospital management meaning the doctors’ experience and the pluming and technical installations (modern machines able to mathematically control in short time the water temperature and pressure)” Convinced of the medical effect and importance of hydrotherapy, George Baiulescu sustained in 1904 that „hydrotherapy is recognized today from the majority of physicians as an excellent “medication” not only in chronically diseases but in acute pathology, too, especially in typhus fever”. „The patients won a strong confidence in watery therapy beyond doubt. The proof is the high addressability of patients in all hospitals appropriate equipped with good techniques, plumbing and a run with good management”. “Still, there are many reasons that hydrotherapy is not enough valued, known and practiced”. Baiulescu explained that the procedures are not enough known because hydrotherapy was practiced for many centuries by false “therapists” being completely compro-
180 Bulletin of the Transilvania University of Bra�ov • Vol. 2 (51) - 2009 • Series VI mised, also because “physicians considers hydrotherapic practice as a “humiliation” and not practicing is a vicious circle leading to a deep lack of skills” and because “hydrotherapic techniques are considered as “inconvenience”, not cozy and completely neglected”. Fig. no 3 Ex libris Dr. Emil I. Bologa Another author’s concerns are that hydrotherapy “is not included as compulsory into Medical Universities’ curricula and this is the reason why young doctors’ medical education is not complete”. In some universities abroad the students are able to attend courses about the hydrotherapic theory but they cannot have a solid preparation, hold the technique and observe the therapeutic effects of hydrotherapy” Further, doctor Baiulescu insisted on the mandatory of doctors’ theoretical knowledge to be complete with practical skills on the manner of applying the hydrotherapic techniques.” If the doctor has not enough skills and experience in handling the apparatus and tools used to apply hydrotherapy, he will be fallible and the benefit effects of the applications can be compromised”. Each doctor should be able to apply all the procedures but if this is not possible is compulsory at least to supervise the applications he prescribed” Finally, the importance and value of “Medical Hydrotherapy” is non contestable as a very bold publication about a new field of medical practice, more practical then others and which needed advertising and motivation to be operable. Even the book received objections from Cr�iniceanu as not being a valuable book as medical literature, the initiative to write a useful book for doctors is remarkable. This book encouraged all doctors to learn and practice hydrotherapy and finally is a proof that the doctors of that time tried to reach above their condition of practitioners, becoming theorists in the same time. Reference: [1]. Baiulescu G. - Idroterapia medical�, Minerva, Institutul de Arte grafice, Bucure�ti, 698 de pagini, 1904 [2]. Bologa V.L. – Contribu�ii la istoria medicinii în Ardeal, Tipografia Ardealul, Cluj, 1927 [3]. Bologa V.L. �i colab. – Istoria Medicinii Române�ti, Ed. Medical�, Bucure�ti, 1970, [4]. Br�tescu Gh. – Dic�ionar cronologic de medicin� �i farmacie, Ed. �tiin�ific� �i enciclopedic�, Bucure�ti, 1975 [5]. Huttmann A., Barbu G. – Medicina în ora�ul Bra�ov ieri �i ast�zi, Ed. Medical�, Bucure�ti, 1959, 162 p. [6]. Ivan N., Cr�ciun I., Lotreanu C. – Istoria Medicinei, Ed. Universit��ii Lucian Blaga din Sibiu, 1998 [7]. Izsak S. – Aspecte din trecutul medicinii române�ti, Ed. Medical�, Bucure�ti, 1970, 902p. [8]. Izsak S. – Farmacia de-a lungul secolelor, Ed. �tiin�ific� �i Enciclopedic�, Buc, 1979 [9]. Rogozea Liliana - Farmacognozia în preg�tirea studen�ilor medicini�ti din România, de-a lungul timpului, Ed. Universit��ii Transilvania, 2002 [10]. * * * – Gazeta de Transilvania, 1850- 1945.
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