or in its last analysis what is hygiene but the
science of prevention? Preservation of health means the prevention
of disease. This answers the cry of every artist's heart, especially
that of the vocal artist, teacher and student: How can I prevent
disease and weakness of the vocal machinery? Briefly and plainly: How
can I keep well?
In this important matter of vocal hygiene a prominent part is played
by the mucous membrane. What is the mucous membrane? It is the membrane
which in this special sense covers or lines the respiratory tract from
the very outlet of the nose to the terminal bronchi; in fact, to the
very air-cells of the lungs themselves. Its function is that of
supplying the involved passages with moisture, and it secretes a glairy
or watery substance called mucus. Now, mark this well. The entire area
of the respiratory tract, from the nose to the bifurcation of the
bronchi, it is said on good authority equals one square foot of exposed
surface, and the amount of secretion per day equals about sixteen fluid
ounces, or a pint, which must be secreted by a person in the normal
condition of health. It also has the power of absorption of certain
diverse substances, such as alkaloids, fluids of all kinds, hence the
danger of alcoholic indulgence to the singer. Alcohol coagulates. It
causes the epithelium to contract and to become so disintegrated as to
be utterly incapable of performing its functions until such time as the
underlying tissue shall have created new cells to take the place of
those which have been destroyed. To illustrate briefly the varied
functions of this membrane: Whereas alcoholic stimulant destroys it,
another powerful drug, cocaine, is absorbed, often to such an extent
that the patient is prostrated by the poison introduced into the system
by this means, and yet without impairing the membrane to any extent
except through persistent indulgence.
The mucous membrane is the telltale of conditions. If a man's tongue
is coated with detritus--which, anglicized, is nothing more than the
products of decomposition, a coating formed by over-stimulation of the
glands lying at the base of the tongue--and this has been previously
superinduced by a disordered stomach, we know that the cause is
indigestion. If the follicles in the back part of the pharynx or throat
appear distended, and even the tonsils themselves are affected--and
these again are part and parcel of this same mucous membrane--we can say
th
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