Guest, staff, and buildings Along with high numbers of patrons, there was a large number of staff at Battle Creek. Kellogg stated that "at the Battle Creek Sanitarium, the number of persons employed is never less than eight hundred, and often rises in the busiest season to more than one thousand." They comprised "physicians, nurses, helpers etc." There were 30 physicians on staff. The main buildings comprised four large buildings, chief of which was the central structure, "which affords rooming accommodations for about 400 guests ... [and] ... treatment rooms capable of handling more than 1,000 patients." The sanitarium became a destination for both prominent and middle-class American citizens. Celebrated American figures who visited the sanitarium (including
Mary Todd Lincoln and
Sojourner Truth) would influence and encourage enthusiasm for health and wellness among the general population. "Battle Creek Sanitarium was world renowned and became the 'in' place for the rich and famous to seek their lost health, to listen to health lectures and to learn and practice the principles of a healthy lifestyle."
Therapeutic system At the sanitarium, Kellogg explored various treatments for his patients, including diet reform and frequent
enemas. He encouraged a low-fat, low-protein
vegetarian diet with an emphasis on whole grains, fiber-rich foods, and most importantly, nuts. Kellogg also recommended a daily intake of fresh air, exercise, and the importance of hygiene. Many of the theories of John Harvey Kellogg were later published in his book
The Road to Wellness.
C. W. Post also worked with Dr. John Harvey Kellogg. Kellogg described the Sanitarium system as "a composite physiologic method comprising
hydrotherapy,
phototherapy,
thermotherapy,
electrotherapy,
mechanotherapy,
dietetics,
physical culture, cold-air cure, and
health training." To assist with diagnostics and evaluation of therapeutic efficacy, various measures of physiological integrity were utilised to obtain numerous vital coefficients, "especially in relation to the integrity and efficiency of the blood, the heart, the lungs, the liver, the kidneys, stomach, intestines, brain, nerves and muscles."
Hydrotherapy Hydrotherapy was widely utilized. Two three-story buildings, for men and women respectively, were devoted to hydrotherapy. Each building had a basement "devoted to rectal and bowel applications and classrooms." Both buildings were connected to the main building and the 'great gymnasium.' Kellogg, the facility's founder and owner, stated "that hydrotherapy has won a definite and permanent place in modern rational therapeutics can no longer be questioned, and the Battle Creek Sanitarium claims recognition as the pioneer in scientific hydrotherapy" in America. Kellogg's use of hydrotherapy was a more sophisticated development of the system that was utilized in the early 19th century by
Vincent Priessnitz, which, when introduced to America, was essentially a "cold water cure," although "as a tonic, cold water has no superior." The Battle Creek system utilized both hot and cold water, and correlated the use of hydrotherapy with other therapeutic modalities. Among the methods used were douches, sitz baths, cold mitten frictions, salt glows, towel rubs, wet sheet rubs, wet and dry packings, compresses, "full baths of various sorts, including
Nauheim baths, electro-hydric baths, shallow and neutral baths." Kellogg stated his belief that use of hot and cold applications would "profound reflex effects," including vasodilation and vasoconstriction. Regarding the application of electricity, Kellogg stated that "electricity is not capable of accomplishing half the marvels that are claimed for it by many enthusiastic electrotherapists." Nevertheless, he stated that it was valuable when used in conjunction with hydrotherapy, thermotherapy, and other methods.
Physical training Physical exercise was an important part of the Battle Creek system, facilitating not just the improvement of muscle tone, but also of posture, respiration, and of circulation and the facilitation of anabolic and catabolic functions enabled by circulatory processes. Exercise included such components as postural, calisthetics, gymnastics, swimming, and passive methods such as mechanotherapy, vibrotherapy, mechanical massage.
Open-air and cold-air methods Kellogg stated that exposure to the sun and open air was fundamentally important for health, including stimulation of the skin. Battle Creek had a large outdoor gymnasium. Again, the use of temperature differentials facilitated by water was a component, with exercise followed by a plunge into a fresh water swimming pool "just cool enough to be refreshing and invigorating," according to Kellogg's description of his own facility. Patients were encouraged to sleep in the open air, and a range of outdoor activities were facilitated, from wood-chopping to basketball and other games, walking, trotting, and swimming lessons. Also available were skating, tobogganing, skiing, and other outdoor sports (p. 111). "Thus all the best advantages of the seashore, camping out, 'going fishing,' and other forms of recreation are secured, while the patient is protected from excess by the careful guidance of his physician, and has the advantages of medical care, dietetic regulation, etc," stated Kellogg in reference to the resort he owned and operated.
Dietetics Battle Creek utilized information as known at that time to provide nutritional requirements for health and well-being relative to each person's requirements. Food required careful prescriptive preparation, with care also taken to ensure appetiveness and palatability were recognized. The diet lists included "scores of special dishes and hundreds of special food preparations, each of which has been carefully studied in relation to its nutritive and therapeutic properties," with the diet lists used "by the physicians in arranging the diet prescriptions of individual patients." Also, "all the so-called Sanitarium health foods" were "regularly found on the Sanitarium bill of fare, having been originally devised solely for this use." ==Decline of the Battle Creek Sanitarium==