. At the same time it must be remembered that
what is felt as weariness may be merely laziness. This must be
energetically combated. There is no royal road to health any more than
to learning.

In some cases this disinclination for exercise may arise from too much
or too rich food, and a more sparing diet may remove it. _See_
Appendix; Physical Culture.

When even walking is out of the question, a kind of exercise may be
given by gently massaging the limbs while the patient is in bed. The
back muscles should also be gently rubbed and kneaded, so as to cause
them to move under the skin, without effort on the patient's part. But
no fatigue must be caused. The amount may be gradually increased as the
patient can stand it. _See_ Brain Exercise; Massage.

Exhaustion.--Often very serious trouble takes the form of simple
overwhelming weariness. The patient's system has been wrought down till
it can no longer respond even to stimulus, and life itself seems ebbing
away. In such cases treat as for DEPRESSION (_see_) avoiding too
energetic treatment, and gradually infusing new life by massage and
fomenting.

Expectoration.--What is commonly called a "cough and spit" is sometimes
due to some serious trouble of the lungs, and in all cases a doctor
should be consulted at once. Often, however, it is due to the failure
of the skin or other organs duly to carry off the waste of the body,
which then accumulates in the air tubes. If we get a good revivifying
treatment of the skin, such cough and spit will speedily be cured. A
mild vapour bath, with thorough SOAPING (_see_ Soap) will usually be
sufficient in a slight case.

Sometimes there is a sweating of the skin itself which does not cure
expectoration, but which must itself be cured. That is the night or
early morning sweating, which is very reducing. It is the insensible
perspiration which is needed to remove the spit. Give one good sponging
over the body with acetic acid; follow this the evening after with
cayenne "tea," afterwards rubbing with warm olive oil. For two or three
evenings repeat this treatment. There should then be a loosening of the
phlegm, and a lessening of the flow through the lungs. The sufferer may
be very weak, and yet these things may be so gently and kindly done,
that no fatigue is experienced.

If above treatment does not cure, the SOAPY BLANKET (_see_) may be used
once a week, with daily sponging with vinegar or weak acetic acid, and
rubbing with