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    J. J. MOORMAN, M.D.,lUsiknt gbssiriim at tk Mlbitc Sulphur Springs,

    AUTHOR OF"TUB VIRGINIA SPRINGS. AND SPRINGS OF THE SOUTH AND WEST." ETC.

    May be consulted by visitors at his Office ; or by persons ata distance, by letter to his address.

    White Sulphur Springs. Va., |April, 1859. /

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    YALEMEDICAL LIBRARY

    HISTORICALLIBRARYThe Harvey Gushing Fund

    '^

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    Digitized by the Internet Archivein 2011 with funding from

    Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

    http://www.archive.org/details/virginiaspringssOOunse*

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    THE

    VIRGINIA SPRINGS,

    springs of % Smttjj raisn IStet.BY

    J. J. MOORMAN, M.D.,RESIDENT PHYSICIAN AT THE WHITE SULPHUR SPRINGS.

    WITH MAP AND PLATES,AND THE ROUTES AND DISTANCES TO THE VARIOUS SPRINGS.

    PHILADELPHIA:J. B. LIPPINCOTT & CO.

    1859.

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    Entered, according to Act of Congress, in the year 1859, byJ. B. LIPPINCOTT & CO.,

    In the Clerk's Office of the District Court of the United States for the EasternDistrict of Pennsylvania.

    "RA807V7

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    TOJOHN BELL, M.D.,

    OF PHILADELPHIA,

    WHO, MORE THAN ANY OTHER AMERICAN, HAS DEVOTEDTHE ENERGIES OF AN ACCOMPLISHED AND DISCRIMINATING MIND

    TO THE INVESTIGATION OP MINERAL WATERS,

    IS RESPECTFULLY DEDICATED,IN GRATITUDE FOR HIS VALUABLE CONTIBUTION TO MEDICAL

    LITERATURE ON THAT IMPORTANT SUBJECT.

    THE AUTHOR.

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    TO THE PUBLIC.

    For more than twenty years I have directed special atten-tion to the investigation of the nature and medicinal applica-bility of mineral waters. During this time, I have resided,throughout the watering season, at the White Sulphur Springs,where, in the character of Resident Physician, I have enjoyedample opportunities of witnessing the various and modifiedeffects of the water, in almost every variety of disease andstate of the system.Although my attention, during this time, has been espe-

    cially directed to the investigation of the character of thewater of that spring, I have not neglected the other valuablewaters of the country, nor failed to appreciate their variouspeculiarities, and their relative and positive merits.While the position of the author has enabled him to wit-

    ness the virtues of our mineral waters in diseases, it has, atthe same time, fully satisfied him not only that their goodeffects are often lost, but that consequences highly injuriousoccasionally result from their injudicious use.Impressed with the importance of arresting the abuse of

    the White Sulphur waters, and of leading to a more correctadministration of them, I published, in 1839, a pamphlet de-

    1* (v)

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    VI TO THE PUBLIC.signed as a " Directory" for the use of these waters. It waswith diffidence I undertook this pioneer effort in a field soentirely unexplored ; for, although thousands of invalids had,for more than half a century, annually resorted to thesewaters, up to the period of issuing the " Directory," not aline had ever been published, relative to their medicinalapplicability, or the proper methods of prescribing them.

    Satisfied from experience, that the little effort alluded to,was not without beneficial effects in guiding to a more pru-dent use of the waters, I published, in 1846, a small volumeentitled "Virginia Springs," and designed to embrace whatwas then known of the various mineral springs in Virginia.In 1855, a new and enlarged edition of this work was issued,which being now nearly exhaused, the author, in fulfillment ofhis promise to the public, has the pleasure to present thisvolume on the " Virginia Springs and the Springs of theSouth and West."

    In composing the present volume, he has retained essen-tially the plan of the former one, with much of the mattercontained in it ; has added new observations and experiencein reference to the old fountains, treated of such new ones ashave come into notice since his second edition issued fromthe press, and has enlarged the scope of the treatise by anaccount, which he hopes will be found useful, of the Springsof our Southern and Western States.In treating of springs as medicinal agents, (and it is in that

    point of view only, that I have proposed to treat of them,) ithas been my earnest effort to present them before the publicin an aspect as full and impartial as was possible. So far as

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    TO THE PUBLIC. Vllthe author's personal knowledge and experience, or reliableinformation obtained from other sources, have enabled himto do so, he has discharged the task with fidelity.

    It is to be regretted that no analysis has yet been made ofseveral of our mineral fountains, whose rising importancedeserve such chemical test. Nor have these fountains, as yet,furnished, from observation, such reliable record of theiradaptations as is desirable in forming a proper appreciationof their merits ; hence, in reference to the precise quality andadaptations of such springs, we are necessarily left to in-ferences based upon analogies and somewhat uncertain com-parisons.The absence of an analysis of a mineral water is less to be

    regretted, if a fair and reliable record of its virtues and ap-propriate medical uses be obtained, for it is only by multi-plied facts, that is, by experience of its use, that we canspeak positively of its effects. This being so, it is of especialimportance that there should be an intelligent Resident Phy-sician at each fountain, who would make it his duty carefullyto note the character of the various diseases submitted to itsuse, and the effects of the water upon each case. Under sucha system, each fountain would soon establish a reliable recordfor itself; the invalid would be greatly assisted in his selec-tion of the proper agent to which he should resort, and thejust character of each water be properly understood, andplaced upon a firm and stable foundation. This field of ob-servation offers large and exciting motives to a proper medi-cal ambition ; for such, as a general thing, has hitherto beenthe wild and hap-hazard empiricism in the use of mineral

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    Vlll TO THE PUBLIC.waters in America, and such is the importance of so classify-ing and systemizing their uses that they may be prescribedunderstanding^ and safely, that he, who may contribute tothis end, and thus render them the safe, certain, and effectiveremedies they were designed to be by a beneficent Provi-dence, may well feel that he has neither lived nor labored invain in his generation.

    I will only add, that I have endeavored, in getting up thiswork, to adhere to the plain, unassuming, practical method,which was, I think, a characteristic distinction of my pre-vious volumes, and perhaps their chief merit.

    It has been my earnest desire to place in the hands of thepublic, and especially of invalids, a short and easy, but acondensed and comprehensive, account of the mineral springsof Virginia, and of the Western and Southern States, and toindicate with candor, and with as much plainness as possible,their nature and medicinal applicability.Wherever I could, with advantage to the public, I have

    availed myself of the observations of others, and I claim atthe hands of my readers, this award of merit, at least : ofhaving honestly endeavored to make my humble labors con-venient and practicably valuable to them not by dazzling,but uncertain, theories, nor by creating hopes that might endin sad disappointment, but by plain, practical facts in rela-tion to the nature and proper uses of our various mineralwaters.

    I have intentionally avoided in this, as in my previousvolumes, all criticism upon the improvement of spring pro-perty, or the character of the accommodations at the several

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    TO THE PUBLIC. IXsprings. Such criticism, in a printed volume intended for re-ference long after its issue from the press, would be likely tomislead, and probably do great injustice ; inasmuch as im-provements, now faulty, may, before the next season, berendered very comfortable ; and bad hotel accommodationsare often amended in a day by a change of landlord or ma-nager. It is of the nature and medicinal applicability ofmineral waters that I have felt called upon to write ; and thisI have done without prejudice, fear or favor ; having no in-terest, directly or indirectly, in any of the springs, and in-fluenced alone in my estimation of them by personal observa-tion, or, when this has been wanting, from the most reliableinformation I could obtain.

    1 am not vain enough to suppose that none of my opinionsare erroneous ; to err is both human and common ; but uponthe honest integrity with which they have been formed, theinvalid, the profession, and the general public may rely.

    J. J. MOOEMAN.White Sulphur Springs, "I

    Virginia, April, 1859. j

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    VARIOUS ROUTES

    THE VIKGINIA SPRINGS.Taking "Washington as a starting-point, the Virginia

    Springs may be reached by way of Staunton, or Lynch-burg, by a variety of routes.

    The one most expeditious, and most traveled to ourWestern springs, is by railroad, from Washington byAlexandria, Gordonsville, Charlottesville and Staunton,to Jackson's River Depot, the present terminus of theCentral Railroad, thirty miles distant from the White Sul-phur, and about the same from the Sweet and Red SweetSprings. From this depot, passengers are conveyed incoaches, over excellent roads, to the White Sulphur andother neighboring springs. Those wishing to stop atthe Rockbridge Alum, or to go to the Bath Alum,Warm, Hot, or Healing Springs, should leave the carsat Millborough Depot, thirty-eight miles west of Staun-ton, and five miles from the Rockbridge Alum ; whence

    (xi)

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    Xll VARIOUS ROUTES TO VIRGINIA SPRINGS.they will be conveyed in coaches to their several placesof destination.

    Another route from Washington, is to proceed bysteamboat to Aquia Creek, and thence by railroad toRichmond.

    Still another route from Washington, or Baltimore,is to go by way of the Baltimore and Ohio Railroad toHarper's Ferry, thence to Winchester by rail, and fromthence, in stage-coaches, on a fine McAdamized road, toStaunton, a distance of ninety miles. At Staunton,passengers on this route intersect the Central Railroad,on which they may proceed farther West ; or they maygo in stage-coaches up the Valley, by way of Lexington,to the Rockbridge Alum, Natural Bridge, Fincastle, toDaggar's Springs, or to the White Sulphur.By this Valley route, the traveler has the advantage,

    with a little extra jolting in stages, and one or two daysdelay, of seeing Harper's Ferry, and the romantic meet-ing of the waters of the Potomac and Shenandoah; tosee which, Mr. Jefferson said, was "worth a voyageacross the Atlantic ;" of traveling almost the entirelength of the Shenandoah Valley, in an agriculturalpoint of view, the most fertile and interesting portionof Virginia. He passes within seven miles of the famousWeyer's Cave, and may conveniently visit it from MountSidney, losing one day in his travel ; and last, though

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    VARIOUS ROUTES TO VIRGINIA SPRINGS. Xlllnot least, he may pass over the celebrated NaturalBridge, with an allowance of time, if he be in a public con-veyance, to take a glimpse of its magnificent structure.

    Persons wishing to visit Jordon's White Sulphur,Shannondale or Capon Springs, should travel thisroute, leaving the cars for the former at Stevenson'sDepot; for Shannondale, at Gharlestown; and for Ca-pon, at Winchester.From Baltimore, persons who prefer that mode of

    travel, may proceed by steamboat down the ChesapeakeBay to Old Point, one hundred and seventy-nine milesdistant, and thence up the James or York Rivers, onehundred and eighteen miles, to Richmond.At Richmond, you have choice of three routes ; either

    to take the Central Railroad, by way of Gordonsville,Charlottesville and Staunton, to the Jackson River De-pot, the most direct and most traveled route ; or youmay take the Danville and South-side Railroad toLynchburg ; or you may go by canal-boat up the JamesRiver Canal to Lynchburg, and from thence, by railroadand stages, into the spring region.At Lynchburg, the traveler going directly to Daggar's

    Springs, or the White Sulphur, may leave the cars atBuford's Depot, thirty-five miles from Lynchburg, andproceed by stages twenty-eight miles to Daggar's, andthence forty-three to the "White," or he may leave the

    2

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    xiv VARIOUS ROUTES TO VIRGINIA SPRINGS.

    cars at Bonsack's, and proceed by coach to the WhiteSulphur, by way of the Sweet and Red Sweet Springs.Travelers from the East or North, destined directly for

    any of the springs in the southwestern part of the State,should make Lynchburg a point, whence they may pro-ceed on the Virginia and Tennessee Railroad to Coiner'sBlack and White Sulphur, Alleghany Springs, Mont-gomery White Sulphur, and the Yellow Springs, all ofwhich are reached from Lynchburg in the order in whichthey are here enumerated.

    The Southwestern traveler has now very great facilityin getting into the spring region of Virginia All such,starting from any point west of Atlanta, Georgia, andsouth of the Ohio River, may properly make Knoxville,Tennessee, a point from whence theymay proceed directlyby way of the Tennessee and Virginia, and Virginia andTennessee Railroads, into our spring region.

    Those wishing to proceed to the Red or Salt Sulphurdirectly, may leave the cars at Newbern, and proceed bycoaches thirty-five miles to the Red, or to the Salt,seventeen miles farther.

    Travelers destined for the Salt Sulphur directly, mayreach these in forty miles from Christiansburg by stage.

    Those going direct to the Greenbrier White Sulphur,the Roanoke Red, the Sweet, or Red Sweet Springs,may leave the cars at Salem, reaching the former in

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    VARIOUS ROUTES TO VIRGINIA SPRINGS. XVsixty-two, the latter in about forty-five, and the RoanokeRed in ten miles from Salem.

    Those destined for the Yellow Springs, MontgomeryWhite, Alleghany, or Coiner's Springs, will reach them,or depots near them, by the railroad, in the order inwhich these springs are here enumerated.The Western traveler to the Virginia Springs, unless

    he make a circuitous route by way of the Baltimore andOhio Railroad to Washington, and thence to Staunton,has but little choice of routes. The usual way of reach-ing the springs from this quarter, is to debark fromsteamboats at Guyandotte, and travel by stage-coachesinto the spring region. The Blue Sulphur is reached inone hundred and thirty-eight miles from Guyandotte,and the White Sulphur in one hundred and sixty.Travelers sometimes take the Kanawha boats at Louis-ville, or Cincinnati, and proceed up the Kanawha Riverto Charlestown, where they take stage ; this shortens thestage travel about fifty miles.

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    SYNOPSIS OF ROUTESOF TRAVEL FROM THE NORTH, EAST, SOUTH AND

    WEST, TO THE MINERAL SPRINGS OF VIRGINIA.

    Travelers from the North, East, or South, shouldremember, that to reach any of the Mineral Springs inWestern or Southwestern Virginia, by the public con-veyances, they must necessarily make either Staunton,or Lynchburg, points in their journey. These twoplaces then, may be regarded as the great convergingand diverging points in this travel. For visitors to theAlum, White Sulphur and other Springs in that quarter,Staunton is the preferable point; for the springs in theSouthwest, Coiner's, Alleghany, and others in theirregion, Lynchburg should be preferred.

    Places in italics, and marked with an asterisk (*), arepoints of detour to neighboring springs,

    (xvi)

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    SYNOPSIS OF ROUTES. XVIITRAVEL FROM NORTH, EAST AND SOUTH.

    Where from. Conveyances. To what place. Miles.Washington Steamboat Alexandria 7Alexandria Railroad Junction 27Junction Railroad Gordonsville 63Gordonsville Railroad Charlottesville 22Charlottesville Railroad Staunton 40^Junction Railroad Fauquier Springs 23

    Washington Steamboat Aquia Creek 50Aquia Creek Railroad Fredericksburg 13Fredericksburg Railroad Central R. R. Junction 42Central R. R. Junction..Railroad Richmond 25Richmond Railroad Gordonsville 90Gordonsville Railroad Charlottesville 22Charlottesville Railroad Staunton , 40*Fredericksburg Stage Fauquier Springs 40

    Washington Railroad Harper's Ferry 112Harper's Ferry Railroad Charlestown 12Chai'lestown Railroad Winchester 20Winchester Stages Woodstock 28Woodstock Stages Harrisonbufg 38Harrisonburg Stages Staunton 25*ffarper,s Ferry Railroad Martinsburg 19Martinsburg Railroad St. John's Depot 28*St. John's Depot Stage Berkeley Springs 2J* Charlestown Stage Shannondale Springs 5* Winchester R. R. & Stage..Jordon's White Sulphur 7J* Winchester Stages Capon Springs 23*Harrisonburg Coach Rawley's Springs 12

    Baltimore Steamboat Old Point 179Old Point Steamboat Port Walthall 100Port Walthall Railroad Richmond 18

    2*

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    XV111 SYNOPSIS OP ROUTESWhere from. Conveyances. To what place. Miles.

    Richmond Central R. R....Staunton 140Richmond S. Side R. R Lynchburg 126Richmond Canal Boat Lynchburg 146^Richmond Railroad Robiou's 10Robiou's Stage Huguenot Springs 6

    Staunton Railroad Millborough Depot 38Millborough Depot Railroad Jackson River Depot 20Jackson River Depot Stages White Sulphur Springs 30*Millborough Depot Stages RockbridgeAlum Springs.... 5^Millborough Depot Stages Bath Alum 10JBath Alum Springs Stages Warm Springs 5JWarm Springs Stages Hot Springs 5Hot Springs Stages White Sulphur 37*Uot Springs Stages Healing Springs 3J

    *Staunton Stages Stribling's Springs 12Staunton Stages Lexington 36Lexington Stages Natural Bridge 14Natural Bridge Stages Buchanan 12Buchanan Stages Daggar's Springs 16Daggar's Springs Stage White Sulphur 43^Lexington Stages Rock Alum Springs 17^Lexington ... Stages Rockbridge Baths 14

    Lynchburg Railroad Bonsack's 47^Bonsack's Stages Siceet and White Sulphur.. 1 .^Bonsack's Coiner's Springs 1Bonsack's Railroad Shansville 30*Shansvitle Stages Alleghany Springs 3|*Shansville Railroad Montgomery W. Sulphur 6Shansville Railroad Christiansburg 9* Christiansburg Stage Yellow Springs 4

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    TO THE MINERAL SPRINGS. XIXWhere from. Conveyances. To what place. Miles

    Christiansburg Railroad Newbern 19*Newbern Stage Pulaski Alum Springs 10Newbern Railroad Wytheville 28* Wytheville Stage Grayson's White Sulphur.. 20*Lynchburg R. R. & Stage..N. London Alum Springs.. 11

    Lynchburg C'l Boat, etc...Natural Bridge 36Natural Bridge Stages Daggar's Springs 28Daggar's Springs Stage White Sulphur 43

    TRAVEL FROM SOUTHWEST.Knoxville, Tennessee.. Railroad Jonesborough, Tenn 100Jonesborough Railroad Bristol 36Bristol Railroad Abingdon 15Abingdon, Virginia Railroad Marion 29Marion Railroad Wytheville 27Wytheville Railroad Newbern 28*Wytheville Railroad Grayson's Sulphur 20Newbern Railroad Christ iansburg 19*Ncicbern Stage Red Sulphur 35*Newbern Stage Salt Sulphur 52*Newbern Stage White Sulphur 77* Christiansburg Stage MontgomeryW. Sulphur 5*Christiansburg Stage Salt Sulphur 40*Christiansburg Stage White Sulphur 65Christiansburg Railroad Salem 26Salem Railroad Bonsack's 13*Salem Stages Roanoke Red Sulphur 10

    Bonsack's Railroad Lynchburg 47*onsack ,s Stages White Sulphur, etc. etc 64

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    XX SYNOPSIS OF ROUTES.TRAVEL FROM THE WEST.

    Where from. Conveyances. To what place. Miles.Cincinnati Steamboats .Guyandotte 150Guyandotte Stages Charleston 48Charleston Stages Blue Sulphur 90Blue Sulphur Stages Lewisburg 13Lewisburg Stages White Sulphur 9

    TRAVEL BETWEEN THE DIFFERENT SPRINGS.White Sulphur Stages Blue Sulphur 22White Sulphur Stages Salt Sulphur 25White Sulphur Stages Red Sulphur 40White Sulphur Stages Red Sweet 16White Sulphur Stages Sweet Springs 17White Sulphur Stages Hot Springs 37White Sulphur Stages Healing Springs 40White Sulphur Stages Warm Springs 42White Sulphur Stages Bath Alum 47White Sulphur Stages Rockbridge Alum 62Blue Sulphur Salt Sulphur 25Blue Sulphur Red Sulphur 32Salt Sulphur Stages Red Sulphur 17Salt Sulphur Stages Sweet and Red Sweet 23White Sulphur Stages Coiner's Springs 64White Sulphur Stages & R. R..Alleghany Springs 97White Sulphur Stages & R. R..Montgomery W. Sulphur.100While Sulphur Stages & R. R..Yellow Springs 107

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    CONTENTS.

    PAGEDedication 3To the Public 5Various Routes to the Virginia Springs 11Synopsis of Routes of Travel from the North, East, South,and West, to the Mineral Springs of Virginia 16

    CHAPTER I.Virginia Spring RegionErrors in Spring Nomenclature,etc. etc 25

    CHAPTER II.MINERAL WATERS IN GENERAL.

    Definition of Mineral Waters; Estimation in which theywere held by the Ancient Greeks and RomansPainstaken to analyze Mineral Waters in FranceAdvantagesto be derived from Analysis of Mineral WatersMineralWaters abound in the United StatesWant of Informationboth among Physicians and the Public in relation to Mi-neral Waters ; Mistakes and Injuries that result fromwant of InformationThe direct and active Influence ofMineral Waters Modus Operandi of Mineral Waters;

    (xxi)

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    XX11 CONTENTS.PAGE

    Must not always look to the immediate Effects of MineralWaters for the production of the good they accomplish;the Alterative Action of Mineral Waters generally theirmost efficient ActionMineral Waters not adapted toAcute Diseases ; they are adapted to Chronic Diseasesshould be perseveringly used, regarding their Effects, notthe Time that they may have been usedMineral Watersare Stimulants ; Difference with or without their GasesSimilarity between Mercury and Sulphur WatersErrorsoften committed in the Use of Mineral WatersThe Actionof Mineral Waters may be modified or changed by differentMethods of using themChanging from Spring to SpringDressDiet and Exercise 31

    CHAPTER III.Use of Medicines and of different Mineral Waters 64

    CHAPTER IV.WHITE SULPHUR SPRINGS.

    Location and General Physical CharacteristicsIts Strengthuniformly the sameDoes not lose its Strength by partingwith its GasDoes not Deposit its Salts when QuiescentIts Gas fatal to FishIts Early HistoryKnown to theIndians as a " Medicine Water"First used by the Whitesin 1778Progress of Improvements and Present Condi-tionAnalyses of Mr. Hayes and Professor Rogers 75

    CHAPTER V.The relative Virtues of the Saline and Gaseous Contents of

    the White Sulphur Water 87

    CHAPTER VI.Uniformity in the quality of the White SulphurLiability

    to Error, by relying on some of the Assumed Tests of theValue of Sulphur Waters 102

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    CONTENTS. XX111

    CHAPTER VII. pageGENERAL DIRECTIONS FOR THE USE OF THE WHITE SULPHURWATER.

    Directions meant to be General, not SpecificMust not gene-rally look to the Sensible Operations of the Water for itsbest EffectsModerate, or Small Quantities generally pre-ferableThe best Times for taking itLength of Time forwhich it should be usedNecessary Preparations of theSystem for the Use of the WaterSensible Medicinal Ef-fects of the WaterSynopsis of Rules to be observedUse of BathsSummary of the Medicinal Influences of theWater, and Rules necessary to be observed in using it 107

    CHAPTER VIII.DISEASES IN WHICH THE WHITE SULHPUR MAT, OR MAY

    NOT, BE USEFULLY PRESCRIBED.DyspepsiaGastralgiaWater-BrashChronic Gastro-En-

    teritisDiseases of the LiverJaundiceEnlargement ofthe SpleenChronic Irritation of the BowelsCostive-nessPilesDiseases of the Urinary OrgansChronic In-flammation of the KidneysDiabetes Female Diseases:Amenorrhoea, Dysmenorrhcea; Chlorosis, LeucorrhoeaChronic Affections of the BrainNervous DiseasesParalysisSome forms of Chronic Diseases of the Chest,or Breast Complaints, (to be avoided in Pulmonary Con-sumption)BronchitisChronic Diseases of the Skin,Psoriasis, Lepra, ill-conditioned Ulcers Rheumatismand GoutDropsiesScrofulaMercurial DiseasesEry-sipelasNot to be used in Diseases of the Heart, or inSchirrus and Cancer Chalybeate Spring, etc 125

    CHAPTER IX.Salt Sulphur Springs 194

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    XXIV CONTENTS.

    CHAPTER X. pageRed Sulphur Springs 204

    CHAPTER XI.Blue Sulphur Spring 217

    CHAPTER XII.Sweet Springs 221

    CHAPTER XIII.Red Sweet, or Sweet Chalybeate Spring 230

    CHAPTER XIV.Hot Springs 240

    CHAPTER XV.Warm Springs 249

    CHAPTER XVI.Healing Springs 256

    CHAPTER XVII.Rockbridge Alum Springs 264

    CHAPTER XVIII.Bath Alum Springs 283

    CHAPTER XIX.Rockbridge Baths 289

    CHAPTER XX.Daggar's Spring 290

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    CONTENTS. XXV

    CHAPTER XXI. pageStribling's Springs 29-1

    CHAPTER XXII.Rawley's Spring . 298

    CHAPTER XXIII.Burner's Springs, otherwise called the Seven Fountains 300

    CHAPTER XXIV.Jordon's White Sulphur Springs 302

    CHAPTER XXV.Shannondale Springs 30GCHAPTER XXVI.

    Bath or Berkeley Springs 308

    CHAPTER XXVII.Capon Springs 318

    CHAPTER XXVIII.Coiner's White and Black Sulphur Springs 325

    CHAPTER XXIX.Roanoke Red Sulphur Spring 327

    CHAPTER XXX.New River White Sulphur Spring 329

    CHAPTER XXXI.Alleghany Springs 3309**

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    XXVI CONTENTS.

    CHAPTER XXXII. PA6EMontgomery White Sulphur Springs 334

    CHAPTER XXXIII.Yellow Springs 337

    CHAPTER XXXIV.Pulaski Alum Spring 342

    CHAPTER XXXV.Grayson Sulphur Springs 344

    CHAPTER XXXVI.Holston Springs 347

    CHAPTER XXXVII.Fauquier White Sulphur Springs 349

    CHAPTER XXXVIII.Buffalo Springs 353

    CHAPTER XXXIX.New London Alum Spring 358

    CHAPTER XL.Church Hill Alum Spring 362

    CHAPTER XLI.Springs of Kentucky : HarrodsburgRochesterOlympianBlue LickEstill 363

    Ohio Springs: Ohio White SulphurYellowWestport 369

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    CONTENTS. XXVll

    CHAPTER XLII. PAGBTennessee Springs: White's Creek Robertson'sWinches-

    terAllisona BeershebaMontvale Lee's AlumWarm 382

    North Carolina Springs: Warm and Hot of BuncombeShoccoJones's White Sulphur and ChalybeateKit-trell's 387

    Springs of South Carolina: Glenn's West's ChalybeateChick'sWilliamstownCharleston Artesian Well 390

    Georgia Springs: Indian MadisonWarm Gordon'sRowland'sCatoosa 392

    CHAPTER XLIII.Alabama Springs: BladenBailey'sTallahatta 3943tississippi Springs : Cooper's WellOcean 396Arkansas Springs: Washita Hot 398

    CHAPTER XLIV.Thermal Springs of America 400

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    THE VIRGINIA SPRINGS,

    SPRINGS OF THE SOUTH AND WEST.

    CHAPTER I.VIRGINIA SPRING REGIONERRORS IN SPRING

    NOINIENCLATURE, ETC. ETC.Within the last few years, important changes

    have taken place in the mineral spring interest ofVirginia. These changes consist partly in the vastlyextended accommodations at some of the old foun-tains, but still more in the discovery and improve-ment of many new ones.

    Although every great division of the State fur-nishes mineral fountains of value, that portion of itdistinctly noted as the Spring Region, has, hereto-fore, been regarded as being confined to narrowlimits on both sides of the Alleghany Mountainshaving the Rockbridge Alum for its eastern, and theRed Sulphur for its southwestern boundary, whilethe White and Siveet occupied the centre.

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    26 VIRGINIA SPRING REGION.The increased visitation to the mineral waters of

    our mountains, within the last few years, occasioned,doubtless, in a great degree by the increased and ex-tended confidence in their efficacyand stimulated tosome extent by the general prosperity of the coun-try, enabling greater numbers to travelhas largelydeveloped, among the people of our mountain regions,a desire for the discovery and improvement of springproperty. To this end, the increased facilities oftravel, by railroad, through the Southern countrygenerally, and especially into our mountains, in con-nection with the increased energy and enterprise ofthe age, have doubtless much contributed. Underthese combined influences, the public effort has beenpeculiarly prolific in discovering and improving, forpublic accommodation, numerous interesting foun-tains; partly in the Old Spring area, but especiallyin the regions south and southwest of it, and onboth sides of the Alleghany, in the counties ofBotetourt, Montgomery, and Pulaski. These newlydiscovered springs are of various qualities of Sul-phur, Chalybeate, and Aluminous Sulphated Chaly-beate waters; with one of a new and interestingcharacter, at least with us, being more strictly Sa-line than any fountain heretofore known in theState.

    It will be perceived, that the discovery and im-provement of these springs essentially enlarges thecircle of our spring region, and makes it to embrace

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    VIRGINIA SPRING REGION. 27the entire eastern and western bases of the Alle-ghany, from the Alum Springs in the east, to theBlue Ridge in the southwest.

    Increased settlement and improvement of thecountry, lying north along the line of our greatApalachian chain, will, in all probability, ultimatelydevelop valuable mineral springs along the courseof its great upheavings; thus making the VirginiaSpring Region appropriately to embrace the entirelength of the Alleghany, from the Potomac to itsextreme southern terminus. The correctness of thissurmise is rendered more than problematical, fromthe general geological character of this entire range,and from the fact of the existence of the valuablemineral waters of Capon and Berkley, at the north-ern, and the recently discovered waters at thesouthern extremity of the line.

    Such is now the importance of the spring interestof Virginia, that it should no longer be reckoned inregard to the interest of spring proprietors merely,or of the individuals that resort to it for health andpleasure, but as an actual and substantial elementof political economy, pertaining to the interest ofthe whole Commonwealth. It is an interest of noinconsiderable aggregate results to the whole State,but one that has heretofore been too much over-looked in the legislation of the country. It is amatter of gratulation, no less to the political econo-mist, who desires to see- the prosperity of the Com-

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    28 ERRORS IN SPRING NOMENCLATURE, ETC.monwealth, than to the philanthropist and man ofscience, who takes pleasure in the development ofremedies for the ills of humanity, that this importantinterest is now becoming to be properly appreciatedby the country at large, and will henceforth, it is tobe hoped, receive that fostering care from our legis-lature which is so essential to its ultimate limit ofprosperity.

    ERRORS IN SPRING NOMENCLATURE, ETC.In America, more than in any other country, we

    have adopted a nomenclature for our mineral waters,which, while it seems to have been intended to con-vey an idea of their quality, is, nevertheless, frombeing vaguely and unscientifically applied, well cal-culated to mislead, and to fix misapprehensions onthe mind as to their true nature and precise medicalcharacter. I allude to the prevalent custom of callingour mineral fountains after some one, generally themost obvious material that prevails in them, asjudged by the taste, smell, or sight. Hence, we arein the habit of calling a portion of our springs Alum,because the water has a predominant taste of thatmineral; although analysis proves, and still moreexperience, that Alum, considered singly, cannotconstitute the efficiency of such waters. Even whatproportion in value it bears in making up the excel-lent compound of some of them, such as the Rock-

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    ERRORS IN SPRING NOMENCLATURE, ETC. 29bridge Alum for instance, is very uncertain. Sureit is, that the therapeutic character of that waterforbids the idea, that the article which gives it itsname can be, singly considered, the agent of itsvaluable remedial influences. Indeed, the name ofthis water, perhaps more than any other in thecountry, is calculated to mislead the uninitiated asto its chief characteristics. With every one, theidea of astringency is associated with the use ofalum ! and various persons, as I learn, to whomthat water might have been useful, have been de-terred from visiting it, judging, from its name, thatit would exert a hurtful influence upon them.

    The Rockbridge Alum, to say nothing of othervaluable qualities, will, in a majority of cases, purgegently. Alum, all know, exerts a contrary effectupon the bowels. It is the compound then, in this,as it is in most mineral waters, that gives to it itspeculiar and valuable powers. We ought not tolose sight of this fact, in estimating the applicabili-ties of this water.

    Again, we know that there are some waters bear-ing the name of Alum, and to the taste almost iden-tical with our best standard Alum waters, that, uponchemical examination, are found to contain scarcelyan appreciable quantity of that mineral ; the styptic,or alum taste, being occasioned by the iron and sul-phuric acid they hold in solution.

    So, under a sweeping generic nomenclature, all3*

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    30 ERRORS IN SPRING NOMENCLATURE, ETC.

    our waters are called Sulphur, in which sulphurettedhydrogen gas can be discovered; although sulphurperhaps, singly considered, is among the least ef-ficient of their ingredients. Hence, as with theAhim waters, it is their various salts, so compoundedby the plastic hand of nature, as the chemist or apo-thecary never can attain to, that gives them theirpeculiar efficacy.

    In reference to these particular waters, a sort ofbranch nomenclature has become as common as suchfountains themselves, and is still more unmeaningthan their generic designation, so far as it fails toconvey indications of medicinal quality.

    I allude of course to the designations of WJiite,Red, Blue, Gray, Black, etc., of our several sul-phur springs. These various names are well enoughmerely to designate a place; but, of themselves, theyconvey no idea at all of quality, or appropriatemedical applicability.The natural deposits of all sulphur waters, unin-

    fluenced by foreign bodies, are essentially of the samecolor, being white, or opaque-white ; the variousshades of red, blue, gray, black, etc., are occasionedfrom the influence of light or shade ; or, by chemicalchanges produced by contact with foreign bodies.

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    CHAPTER II.MINERAL WATERS IN GENERAL.

    Definition of Mineral Waters; Estimation in -which they wereheld by the Ancient Greeks and RomansPains taken to ana-lyze Mineral Waters in FranceAdvantages to be derivedfrom Analysis of Mineral WatersMineral Waters abound inthe United StatesWant of Information both among Physi-cians and the Public in relation to Mineral Waters; Mistakesand Injuries that result from want of InformationThe directand active Influence of Mineral Waters Modus Operandi ofMineral Waters ; Must not always look to the immediateEffects of Mineral Waters for the production of the good theyaccomplish; the Alterative action of Mineral Waters gene-rally their most efficient actionMineral Waters not adaptedto Acute Diseases ; they are adapted to Chronic Diseasesshould be perseveringly used, regarding their Effects, not thetime that they may have been usedMineral Waters areStimulants; Difference with or without their GasesSimilaritybetween Mercury and Sulphur WatersErrors often commit-ted in the Use of Mineral WatersThe action of MineralWaters may be modified or changed by different methods ofusing themChanging from Spring to SpringDressDietand Exercise.

    Early use of, etc. etc.Mineral waters rank amongthe ancient remedies used for the cure of disease.The Greeks, who in knowledge of medicine weresuperior to the nations who had preceded them, re-

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    o2 MINERAL AVATERS IN GENERAL.garded natural medicated waters as a special boonof the Deity, and piously dedicated them to Her-cules, the god of strength. They used them fordrinking, and for general and topical bathing. Hip-pocrates was acquainted with the value and uses ofvarious mineral waters, and many other Greek phy-sicians, we are told, employed them for numerousdiseases for which they are used at this day.With the Romans, mineral waters were a familiar

    remedy, not only in Italy, but in all the countriesover which that nation obtained dominion. Mineralsprings were eagerly sought out in the countries overwhich their conquests from time to time extended,and prompted by "gratitude for the benefit whichthey experienced from their use, they decoratedthem with edifices, and each fount was placed underthe protection of a tutelary deity." [Bell.) Pliny, inhis natural history, treats of various mineral watersand their uses; and it is a fact worthy of remark,that they were highly recommended by various Ro-man physicians, in the fifth century, in the samediseases for which they are at this day so much em-ployedparticularly for nervous and rheumatic dis-eases, and for derangements of the liver, stomach,and skin.With the modern nations of civilized Europe,

    mineral waters, both as internal and external reme-dies, have always been held in high estimation. Thenational regulations that have from time to time

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    DISCOVERY OF THEIR CONSTITUENT PARTS. 33been adopted to investigate their virtues and theirappropriate applicability, and to guard against theirimproper use, sufficiently manifest the importancethat has been attached to them as remedial agents.Henry IV., we are told, "during his youth had fre-quented the springs of the Pyrenees, and witnessingthe abuses in the employment of so useful a remedy,sought to correct them after his ascension to thethrone of France. He nominated by edicts andletters-patent, in 1603, superintendents and super-intendents-general, who were charged with the entirecontrol over the use of mineral waters, baths, andfountains of the kingdom. Most of the mineralsprings and bathing establishments on the continentof Europe are placed under a somewhat similarsuperintendence, and a resident physician is alsoappointed by the government." [Bell.)

    Although mineral waters had been favorite reme-dial agents with the enlightened nations of the earthfor many centuries, it was comparatively but recentlythat chemistry, by minute analysis, was able to de-termine with precision their constituent parts.

    In 1670, the mineral waters of France were firstfully analyzed by a commission appointed by theAcademy of Sciences at Paris; but it was not until1766, nearly a hundred years afterwards, that Bayendiscovered the means of separating sulphur fromsulphurous watersnor until 1774 that the cele-brated Borgamann demonstrated the existence of

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    34 MINERAL WATERS IN GENERAL.sulphuretted hydrogen gas. Meanwhile, physiciansstationed at the several watering places were activein observing and noting the various operations of thedifferent waters on the human system, and in deter-mining, from experience, the various cases in whichthey were beneficial or injurious.

    Experience the only sure Guide in the Adminis-tration, etc.After all that science can effect in de-termining the component parts of mineral waters, itis experience alone in their use, that can be fullyrelied upon as to their specific effects, or applicabilityto particular diseases. Chemical analysis is import-ant mainly as a matter of general scientific knowledge,and may be so far practically useful to the physicianas to enable him to form correct general views asrelates to the nature and powers of the remedy ; butit is fallacious to suppose that an analysis, howeverperfect, can ever enable the physician, in the presentstate of our knowledge, and in the absence of prac-tical observation, to prescribe a mineral water withconfidence or safety. An accurate knowledge of thecomponent parts of mineral waters might do much, Iadmit, to prevent the incessant mistakes and mischiefwhich medical men commit in sending their patients," hap-hazard," to drink mineral waters which areoften unadapted to their cases ; but it never can, in theabsence of experimental knowledge, qualify them forgiving specific and detailed directions for their use.Dr. John Bell, in his valuable work on " Baths and

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    EXPERIENCE THE BEST GUIDE. 35

    Mineral Waters," has the following sensible andjudicious passage upon this subject: "I wish not,"he says, " to be ranked among the chemical physi-cians, who, having discovered the proportion of eachforeign ingredient in the mineral spring, and studiedits operation on the economy, pretend to determinethe general effect of the compound. We may, in-deed, by a knowledge of the constituent parts, pre-dict to a certain extent the medicinal power of thecompound ; but it is only by multiplied facts, thatis, experience of its use, that we can speak positivelyof its virtues."

    In no other country, perhaps, do mineral watersabound in greater variety than in the United States,and it is a subject of sincere regret, that their na-ture, applicability, and proper method of administra-tion should have been so little studied, both byphysicians and the public at large. It is true thatcertain opinions generally prevail in enlightened cir-cles as regards the curative powers of some of ourmore celebrated fountains; and these opinions, sofar as they go, being generally founded on experi-ence, may, in the main, be tolerably correct. Never-theless, there is a lamentable want of informationgenerally, and even among our more enlightenedphysicians, as to the specific nature and adaptationof our mineral waters to particular diseasesin-formation, the want of which must always disqualifyfor the safe and confident recommendation of thesevaluable agents.

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    36 MINERAL WATERS, IN GENERAL.

    A perfect knowledge of the various influences,and of the peculiar minute circumstances that con-trol the use of mineral waters in different systems,as well as the best methods of using them in certainpathological conditions of the system, must, as withall other medicines, be learned from observation.Now, as physicians but rarely have an opportunityof observing the use of mineral waters for a sufficientlength of time and in a sufficient variety of cases,and as but little has been written by those who haveobserved their effects,. it ought not to be supposedthat the medical public generally would be greatlyenlightened on this subject.

    I have said that the opinions generally prevailingin enlightened circles relative to the curative powersof our principal mineral fountains, being founded onexperience, may, in the main, be correct. I wouldnot be understood, however, as advising a relianceupon such "popular fame." Information of this kindis sufficient to awaken attention and incite inquiry,but certainly should not be implicitly relied upon inindividual cases. At best, it is generally "hearsay"opinion, made up, ordinarily, from partial and empi-rical sources ; or, quite as likely, from the prejudicedaccounts which are brought by visitors from the differ-ent watering places, and which are sweepingly favora-ble, or prejudicial, as they may chance to have beenbenefited or worsted, and that without reference to thespecific action of the agent, or that clear understand-

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    EXPERIENCE THE BEST GUIDE. 37ing of the pathology of the case, which would serveas a safe guide in its application to others. Everyphysician knows how prone persons are to err in theuse of medicines, from the supposed resemblance ofcases. Often am I pained to see persons perseveringin the use of a mineral water to their evident preju-dice, and for no better reason than that Mr. or Mrs.Such-a-one was cured of a disease supposed to besimilar; or, by the general recommendation of somemedical man who sent them to the "mountains"with a " carte blanche," to use "some of the mineralwaters." Occasionally it has become my painfulduty to advise patients to retrace their melancholysteps homeward, without using any of the waters,because none were adapted to their case.

    Mineral waters are not a panacea; they act, likeall other medicines, by producing certain effects uponthe animal economy, and upon principles capable ofbeing clearly defined. It follows, that there arevarious diseases and states of the system to whichthey are not only not adapted, but in which theywould be eminently injurious.Some years since, I was requested to visit a highly

    respectable gentleman, who had just arrived at theWhite Sulphur with his family, from one of our dis-tant cities. He was in wretched health, and soughtmy advice as to the applicability of the water to hiscase. On examination, I felt astonished that anymedical man of intelligence should have recom-

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    38 MINERAL WATERS IN GENERAL.

    mended such a case to mineral waters for relief. Iadvised the gentleman to retrace his steps homeward,and put himself under medical treatment, as he hadno time to lose. Accordingly, the ensuing morninghe recommenced his journey of seven hundred milesto reach his home. Medicine did for him what mine-ral waters were not calculated to do, and I havesince heard of his entire recovery. This gentlemaninformed me that he had been influenced to under-take the distant, and, to him, painful journey, by aphysician who had never before prescribed for hiscase, and who candidly stated to him that he knew butlittle of the mineral waters of Virginia ; but he hadheard of many cures from their use, and thereforeadvised that he should hasten to give them a trial.Influenced by this vague opinion, the unfortunateinvalid had dragged himself and his family sevenhundred miles, under the vain hope of finding aremedy, which the physician should, in such a case,have found in his own office. Now a little moreknowledge of the nature of our mineral waters, anda more commendable caution in advising their use,would have prevented the heavy sacrifice this gentle-man incurred. Nor is this by any means an isolatedinstance ; my case-book furnishes many others equallystrong, that have come under my observation withinthe last few years.

    Medical Efficacy, etc.Mineral waters are exceed-ingly valuable as medicinal agents, are applicable to

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    MEDICAL EFFICACY. 39a large circle of cases, and will, unquestionably, curemany which the ordinary remedies of the shops willnot. Nevertheless, it should always be borne inmind that they are not a catholieon; that they arenot to be used for every disease; and that, to beprescribed successfully, they must, like all othermedicines, be prescribed with reference to the natureand pathology of the case. Nor is this caution or-dinarily more necessary in using the various medi-cines of the shops than in using the more potentmineral waters.Some there are, I know, who profess to be unbe-

    lievers in the medicinal activity of mineral waters,and who, without denying the benefit that is oftenderived from visiting such fountains, attribute thewhole to travel, change of air, exercise, relaxationfrom business, etc. etc. Now, I freely admit thatthese are often important agents in the cure of alarge class of cases ; but, from long experience at apopular watering place, and the numerous cures I haveseen effected from the water itself, totally discon-nected with any of the adjuncts alluded to, it wouldbe quite as easy to convince me that bark is nottonic, that jalap does not purge, or that mercurywill not salivate, as that mineral waters may not bean active and potent means of curing disease, entirelyindependent of the valuable adjuvants that havebeen alluded to.

    The advocates of the non-efficacy of mineral waters

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    40 MINERAL WATERS IN GENERAL.

    per se, would scarcely persist in this opinion, afterseeing the large amount of active medical materialobtained by evaporation from some of our moreactive waters ; the white sulphur, for instance, whichyields more than one hundred and fifty grains to thegallon, and which, upon analysis, is found to consistof iodine, sulphur, the various combinations of soda,magnesia, and other active ingredients. Would itnot be absurd to believe that so large an amount ofthese efficient medical substances, as is usually takeninto the stomach by those who drink mineral watersin which they abound, could fail to exert a positiveinfluence upon the economy ? My own experiencefor many years, in the use of such waters, enablesme to bear the most unequivocal testimony as to thedirect and positive influence of many of them uponthe human body. In the language of the celebratedPatissier I can unhesitatingly say, that, " in thegeneral, mineral waters revive the languishing circu-lation, give a new direction to the vital energies, re-establish the perspiratory action of the skin, bringback to their physiological type the vitiated orsuppressed secretions, provoke salutary evacuationseither by urine, or stool, or by transpiration ; theybring about in the animal economy an intimate trans-mutationa profound change ; they saturate thesick body. How many sick persons, abandoned bytheir physicians, have found health at mineral springs ?How many individuals, exhausted by violent disease,

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    MODUS OPERANDI. 41Lave recovered, by a journey to mineral waters, then-tone, mobility, and energy, to restore which attemptsin other ways might have been made with less certi-tude of success." And hence, most cordially do Iadopt the sentiments of the distinguished Dr. Arm-strong, who, in speaking of the medicinal efficacy ofmineral waters, says, "I dare pledge my word, that,if they be only fully and fairly tried, they will befound among the most powerful agents which haveever been brought to the relief of human maladies."Modus Operandi, etc.Various attempts have been

    made to account for the peculiar effects of mineralwaters upon the system. They seem to act, in thefirst place, as a simple hygienic agent. Secondly,they act, in accordance with their constituent in-gredients, specifically on the animal economy. Mi-neral waters exert their more important influencesupon the human body upon a different principle frommany of the articles of the meteria medica ; they areevidently absorbed, enter into the circulation, andchange the consistence as well as the compositionof the fluids; they course through the system, andapply the medical materials which they hold in solu-tion, in the most minute form of subdivision that canbe conceived of, to the diseased surfaces and tissuesthey reach and search the most minute ramificationsof the capillaries, and remove the morbid condition ofthose vessels, which are so commonly the primary seats

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    42 MINERAL WATERS IN GENERAL.

    of disease. It is thus that they relieve chronic dis-ordered action, and impart natural energy and elas-ticity to vessels that have been distended either byinflammation or congestion; while they communi-cate an energy to the muscular fibre and to the ani-mal tissues generally which is not witnessed fromthe administration of ordinary remedies.Many of the articles of the materia medica seem

    to act by sympathy and counter-irritation, and tocure one organ of the body by irritating another;thus calomel, by irritating the stomach and duode-num, is made to act efficiently upon the liver, towhich organ it has a strong specific tendency. Notso, however, with mineral waters ; they never cureone organ by irritating another. I can with confi-dence assert, that I have never seen mineral waterssuccessfully used in any case in which they kept upa considerable irritation upon any of the organs ofthe body.

    Both physicians and patients are quite too muchin the habit of looking to the immediate and sensibleoperations of mineral waters, and of judging of theirefficacy from such effects. In most cases, it is ser-viceable for such agents to open the bowels gently;and in some, it is best for them to purge actively.Occasionally, advantage is derived from promotingan increased flow of urine or perspiration; but, as ageneral rule, the greatest good is derived from theabsorption of the water, resulting in that "profound

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    MODUS OPERANDI. 43change" spoken of by Patissier, or, in other words,the alterative action of the remedy. It should al-ways be borne in mind that this profound changethis alterative effectis incompatible with constantor active action of the water upon any of the emunc-tories. This, unquestionably, is true as relates tothe White Sulphur Water, and 1 believe it to be sowith all alterative waters.

    So well convinced am I, that the alterative actionis the real curative action effected by sulphur waters,in nine cases out of ten where any serious diseaseexists, that, ordinarily, I am not solicitous to obtainmuch daily increase of evacuation from any of theemunctories. On the contrary, I often find greatadvantage from the administration of some appro-priate means to prevent the too free action of thewater, especially on the bowels and kidneys. As ageneral rule, it is far better that such waters shouldlie quietly upon the system, without manifestingmuch excitement upon any of the organs, and pro-ducing, at most, but a small increase in the quantityof the ordinary healthy evacuations.

    The quality or kind of evacuations produced bymineral waters is a matter of far more importance,and, when strong sulphur waters are used, never failto evidence the existence and the extent to whichalterative action is going on in the system, and tothis persons using such waters should always pay acareful attention.

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    44 MINERAL WATERS IN GENERAL.

    I have said that the best effects of mineral watersare their alterative or changing effects ; and that inthe administration of the White Sulphur, I do not,ordinarily, desire to provoke much increase of thenatural evacuations. I do not wish, however, to beunderstood, by this general declaration, as layingdown an absolute rule of practice to govern all cases.The administration of this water, like the adminis-tration of every other active remedy, should be go-verned in reference to the particular character anddemands of each case; and in such discriminatingpractice, it will sometimes be found best to use it ina manner to produce active operations for a shorttime. I have, indeed, generally found, that thosewho are actively purged by mineral waters, if theyhave strength to bear it, will be best satisfied withthe remedy at the time, and, in fact, are apt to feelbetter at the time, than those upon whom the wateris exerting but little or no purgative effect. It maybe laid down as a general fact, in the use of theWhite Sulphur, subject to but few exceptions, thatthose on whose bowels it acts freely, will feel bestwhile at the Springs; while those who are but littlepurged, will feel best after they have left the Springs,and will, ordinarily, enjoy the most permanent ad-vantage. The reason of this is obvious ; in the firstcase, the active purgation throws off the gross humorsof the body, and the patient feels promptly relievedin the other case, the remedy lies upon the system,

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    HOW LONG TO BE USED. 45is absorbed, and gradually produces its changing in-fluencesbringing the various secretory functionsinto a healthy conditionunloading and cleansingthe machinery of the economysilently putting itsivories to rights, and giving them their natural andhealthy motion. All this requires time for its ac-complishment; and hence, we often hear personssay, " I was no better while at the Springs, but Ibegan to mend soon after I left, and have continuedbetter since." Declarations of this kind we hearevery day by persons who have previously visitedthe Springs; and they verify the correctness of myproposition.

    Length of Time to be used, etc.To acute dis-eases, mineral waters are not adapted ; for all suchthey are too exciting, too prone to increase the ac-tivity of the circulation, and to stimulate the generalsystem. It is in chronic diseases only that they arefound so eminently serviceable. By chronic diseasesI mean those slow diseases of the system uniformlyattended either with simple excitement, chronic in-flammation, or chronic congestion of the blood-ves-sels. To be permanently beneficial in diseases ofthis description, the use of mineral waters, like thedisease for which they are taken, should be " chronic."I mean an instantaneous cure should not be expected;but that the remedy should be persisted in, and thecure gradually brought about. Sulphur waters may

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    46 MINERAL WATERS IN GENERAL.

    be easily brought into disrepute by short and imper-fect trials of them. To prove effectual, " they shouldfor the most part be continued daily, in sufficientquantity, until the disease gives way, or until theirinefficacy has been fairly proved by an unremittedperseverance. In some cases of ophthalmia, of rheu-matism, and slight cutaneous affections, I haveknown them to effect a cure in two or three weeks,while in other cases, apparently similar in all re-spects, twice, thrice, or even four times that periodhas elapsed before the cure had been accomplished;and what is here affirmed of these external affections,is still more strongly applicable to internal diseases,which are seldom speedily overcome by these waters,how completely soever they may yield at last. Inillustration of this point, as to internal diseases, itmay be mentioned that I have seen both chronic in-flammation of the liver, and chronic inflammation ofthe rectum, where no benefit was produced for threeor four weeks, and yet a continuation of the watersfor six or eight weeks longer has effaced every vestigeof the morbid indications for which they were pre-scribed." [Armstrong on Sulphur Waters.)

    There is no greater folly in the use of mineralAvaters, than that of laying down a definite periodof time for which they should be used, without re-ference to their effects upon the system. Like allother medicines, mineral waters should be used, dis-continued, or modified in their use, with a strict re-

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    nOW LONG TO BE USED. 47gard to their operations upon the body, and to theirgood or bad effects upon the disease. Wheneverprescribed, their operations should be watched withthe same care with which we watch the effects of anyother medicine; and they should be persevered in,or temporarily or permanently discontinued, or con-trolled in their action by some appropriate adjuvant,according to the indications presented in each case.

    It will occur to every reflecting mind, that the ex-pectation of being cured, or even essentially bene-fited, in an obstinate chronic disease, from a fewdays' use of any mineral water, is altogether unrea-sonable. Nevertheless, I have often seen personsat watering places despairing of the efficacy of theremedy, simply because it had not produced anobvious and appreciable benefit in five or six days.A sort of stereotyped opinion indeed prevails withnumerous visitors to such places, that the watershould not in any case be used longer than twoweeks. I scarcely need say that this is a most er-roneous opinion, and often interposes between thepatient and his recovery; instances of which I al-most daily see at the White Sulphur. It is true,that some who hold the unwarrantable opinion alludedto perseveringly endeavor to drink as much in the" two weeks" as they should do in six, but this onlyserves in a common way to make them abandon itfour or -five days before their prescribed time, byabsolutely disqualifying the system for its receptionat all.

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    48 MINERAL WATERS IN GENERAL.I can say, as the result of many years' observa-

    tion, that the White Sulphur, which is one of thestrongest sulphur waters in the world, rarely pro-duces its full alterative effects within two weeks,under its most judicious administration, and underfavorable circumstances for its use; and that three,four, five, and even eight weeks often elapse beforeit has displayed its full remedial powers in obstinatecases.

    General Remarks on the Administration, etc. etc.Mineral waters are all stimula?its in a greater or lessdegree, and some have attributed much of their vir-tue to this property. Such an opinion, however, isclearly erroneous. I have already remarked thatsuch waters are rarely serviceable when they keepup any considerable irritation of an organ. I nowremark, that any considerable excitement of the ge-neral organism is equally prejudicial : indeed I haveoften been embarrassed, and sometimes thwarted inthe successful use of mineral waters, from the pre-valence of this quality. The amount of excitementresulting from the use of such waters depends uponthe nature of their constituent principles ; upon thequantity taken, the manner of taking it, and theexcitability of each individual's constitution. If itbe a water abounding in sulphuretted hydrogen gas,the most essential difference exists in taking it withor without its gas ; that is, in taking it fresh at the

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    THEIR ADMINISTRATION. 49spring, or after its gas has flown off. In the use ofthe White Sulphur Water, with or without its gas,the most marked difference exists in its stimulatingquality. In relation to this particular water, it isgreatly advantageous in many cases, particularly invery excitable persons, to have the gas expelled inpart, or in whole, before using it.Some mineral waters, by varying the method of

    their administration, or by the interposition of ap-propriate adjuvants, are capable of extensive andvaluable modified actions and effects upon the humanbody. The White Sulphur is susceptible of as manyvaried, different, and modified actions upon the sys-tem generally, and upon its particular organs, byvarying the methods of using it, as is mercury, orantimony, or any of our leading therapeutical agents.For instance, it can be so used as to stimulate dis-tressingly ; or, without any appreciable stimulatingeffect. It can be so given as almost invariably topurge actively ; or, without lessening the quantityproducing such effect, but merely by changing thetime and manner of taking it, it can be so given asto exert little or no cathartic operation. It may bedirected to, or restrained from, the kidneys, or skin;and what, in a general way, is far more important,it can be so used as to lie quietly on the system,producing no excessive action upon any of the organs,and, with a quiet but sure progress, go on breakingup the obstructions in the glandular organs and re-

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    50 MINERAL WATERS IN GENERAL.

    moving the impediments to the proper discharge oftheir functions : equalizing the circulation, removingchronic inflammations, and generally restoring theenergies of the system.

    Resemblance to Mercury, etc.Between the actionof mercury, and the more powerful of the sulphurwaters, on the organic system, the most striking simi-larity exists. Dr. Armstrong long since remarkedthe resemblance between mercury and the sulphurwaters of Europe, and confidently expressed theopinion that the latter are equally powerful as theformer, in their action upon the secretory organs;and with this very important difference, that whilethe long-continued use of mercury, in chronic disease,generally breaks up the strength, that of the sulphurwaters generally renovates the whole system. Mer-cury has heretofore, by common consent, been re-garded as the most powerful alterative we possess.I am not prepared to dispute this high claim of themedicine, but this much I will assert, as a matter ofprofessional experience, that sulphur water, in myhands, has proved an alterative quite as certain inits effects as mercury, though somewhat slower inits operations. Not only so, I believe it to be farbetter adapted than mercury to a large circle ofcases, in which glandular obstructions and chronicinflammations are to be subdued. If the claims ofthe two remedies for preference were otherwise nearly

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    RESEMBLANCE TO MERCURY, ETC. 51equal, the great advantage on the score of safety fromthe sulphur water would give it an immense preferenceover its rival. Numerous cases present themselves,however, in which they are used in conjunction togreat advantage. Where this becomes necessary,however, I have, as a general rule of practice, foundit best not to continue the mercury longer than sixor eight days ; nor is it often necessary to use itcontinually during that period.The effects of the Wliite Sulphur Water upon the

    human body resemble mercury in several respects.Not to mention others, its resemblance is strikinglymanifest from the fact of its producing salivationunder certain peculiar circumstances. Anothermarked similarity may be mentioned, especially asit has a direct bearing upon the proper method ofits administration : I allude to the existence of aphlogistic diathesis in individuals with whom eitherremedy is used. " When the system resists thespecific action of mercury, it is a certain test thatthe inflammatory diathesis prevails to a considerableextent, and this is the cause of the resistance ; forlessen the inflammatory diathesis by proper evacua-tions, and the specific action of the mercury will bereadily induced." The system often offers the sameresistance to the successful use of this water, whichis evidently occasioned by the excess of the inflam-matory diathesis, inasmuch as when the inflammatorydisposition is abated by the lancet, purgatives, etc.,

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    52 MINERAL WATERS IN GENERAL.

    the water promptly produces its wonted good effects.In the administration of the White Sulphur, it is ofthe utmost consequence to keep this practical factconstantly in view, and, by proper treatment, to keepdown both general and local excitement.

    Notwithstanding mineral waters are so well adaptedto the cure of chronic diseases, it should not be ex-pected that they will be uniformly successful ; for itmust be remembered that such diseases are only re-mediable when unconnected with alterations of or-ganic tissue, which is their ultimate and mortal pro-duct. Nor is it reasonable to expect that any planof treatment will succeed in all cases of chronic dis-ease, unconnected with alteration of tissue ; and I haveaccordingly found the methods recommended at timesineffectual, even when they were tried under cir-cumstances which simply indicated disorder of thefunction, without any concomitant sign of disorgan-ization.

    Errors, and Abuse of Mineral Waters, etc. etc.have before alluded to. some of the abuses of mineralwaters by those who resort to them for relief; thissubject, I conceive, may be still further pursued withprofit to my readers. To one familiar with the manyerrors and mistakes committed in the use of mineralwaters in this country, it is not wonderful that num-bers return from visiting our most celebrated water-ing places, without having received any essential

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    ERRORS AND ABUSE. 53benefit ; it is rather a matter of surprise that sohuge an amount of good is achieved. The precau-tions in the use of such waters, deemed indispensablein France, Germany, and England, are greatly ne-glected here. There, the advice of a competentphysician, who is well acquainted with the natureand peculiarities of the water, is thought so import-ant, that persons rarely enter upon their use withoutsuch advice, and, at some places, are actually notpermitted to do so. If similar precautions weremore commonly adopted by visitors at our variouswatering places, a far larger amount of good wouldbe achieved to the afflicted, much injury prevented,and the character of the several waters better esta-blished and preserved. It is a subject of daily andpainful observation at all our principal wateringplaces, to witness numerous individuals using mi-neral waters that are not adapted to their casesand still more common is it to see those, to whosecases they are adapted, using them so improperly asentirely to prevent the good they would accomplishunder a proper administration. Professor Mutter,of Philadelphia, makes the following judicious re-marks when speaking of the use and abuse of mineralwaters in this country: "Like every other remedyof any efficacy, mineral waters are liable to abuse,and it is really astonishing that such glaring errorsshould be daily committed, not only by the patients,but often by the physicians who recommend their

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    54 MINERAL WATERS IN GENERAL.

    employment. It is by no means an uncommon oc-currence (and those who have visited the springs ofour country will bear me out in the statement I amabout to make,) for an individual to arrive, fur-nished with a 'carte bla?iche,' from a physician whohas probably little or no knowledge of the activeproperties of the agent he recommends, to use thewater as he may see fit, or with merely a charge to'use it with caution.' Others are sent without anydirection whatever, in the hope that the water maysuit their condition, and come trusting in Providencealone. Others, again, arrive with written instruc-tions, to drink so many glasses of the water perdiem, whether it agrees with them or not. Manypatients do not take the advice of a physician at all,but, relying on the representations of those who havederived benefit, imagine that they, too, will be cured,although, in all probability, from the nature of theirdisease, the water may be the most prejudicial towhich they could resort. Used in this careless anddangerous manner, is it to be wondered at, that somany individuals leave the springs, either not at allbenefited, or in a worse condition than when theyarrived ?

    The regulations which are thought necessary, andwhich are adopted in most European countries,especially France and Germany, during the use ofa mineral water, are either unknown or neglectedin this. There, nearly every spring is supplied withan experienced physician ; one familiar with the cha-

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    ERRORS AND ABUSE. 55racter of the water, whose duty it is to take chargeof the sick as they arrive ; here, with but one or twoexceptions, those who frequent our watering placeshave to rely on chance for medical aid. Is this asit should be?"A vague impression seems to pervade the publicmind, that mineral waters, as medicinal agents, aretotally unlike all other medicines, and that, in theiradministration, there is no necessity for observingany cautions, or for adopting extraneous expedientsto procure the best effects of the agent employed.This is an error as injurious as it is common, andought to be corrected in the public mind. Our morepotent mineral waters ought indeed to be regularlyincorporated into our materia medica, their severalqualities properly defined, and the medical mind thusinstructed to regard them, not only as valuable thera-peutical agents, per se, but as agents capable of ex-tensive and valuable modifications in their applica-tion to disease. A pathological practice should beestablished in relation to them, not less strict thanin relation to the ordinary remedies of the shops,and the best means of influencing their sanativeoperations on the system understood.

    The physician who desires to throw his patientunder the alterative influence of mercury, is not sodiscouraged as to abandon the remedy, if it chanceat first to run off by the bowels, and thus thwart hisobject; but either by changing the method of using

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    56 MINERAL WATERS IN GENERAL.his medicine, or by uniting with it some soothingastringent, he ultimately effects the important objectin view. Neither should the patient be discouragedin the use of a mineral water because it occasionallymanifests a vagrant and improper effect; for facili-ties can be commanded to control its operations, asreadily as we can control the improper operations ofmercury. Such facilities may generally be found,either in an increase or diminution of the quantitytakenan alteration of the periods at which it hasbeen takenor, in the manner of using it, (wheregases prevail,) in relation to its gaseous or ungaseousform. Occasionally, medical adjuvants are foundnecessary, and then I have been in the habit of usingthose most simple, and which least derange the animaleconomy.As a general rule, I have found mineral waters

    most serviceable in those cases in which the stomachand general system tolerated them readily ; yet suchtoleration depends so much upon the proper prepara-tion of the system, and the manner of using thewater, that the patient should by no means inferthat it is unsuited to his case simply because it hasmanifested some improper operation in the commence-ment. For, as before intimated, it will often hap-pen, that by changing the method of using the water,or by the administration of some appropriate ad-juvant, the difficulty will be removed, and the agentafterwards act most pleasantly and profitably uponthe system.

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    CHANGING FROM SPRING TO SPRING. 57

    CHANGING FROM SPRING TO SPRING.A very common error, in the use of Mineral

    Waters, is the belief that the patient should oftenchange from one water to another, and that no oneshould be used longer than some given number ofdays, and this without any reference to its eifectsupon the system. This absurd notion leads manypersons to fly from spring to spring, performing in afew weeks or days the circuit of the whole " springregion" and without remaining long enough at anyone to receive permanent benefit. Now, if the posi-tion heretofore laid down be correct, that " mineralwaters, like all other medicines, cure disease by ex-erting effects upon the animal economy," the impro-priety will be obvious to all, of rapidly hasteningfrom one fountain to another, without tarrying longenough at any to receive those effects upon the bodywhich are necessary to a cure. Such a water-drinkeracts like the "maid of all works," always busy, butaccomplishing nothing.What would be thought of the physician, who,

    having decided that his patient must undergo theinfluence of alterative action upon his system, andhaving put him upon a course of mercury to accom-plish the object, should, just before this drug wouldhave accomplished the end, discontinue its use, andput him upon iodine ; and, just as this was about to

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    58 MINERAL WATERS IN GENERAL.alterate the system, abandon it and substitute sarsa-parilla; and thus, from one drug to another, runningthrough the whole routine of alterative remedies,without giving any sufficient time to effect the ob-ject? This would surely be an absurd method ofpractice ; and yet it would not be more absurd thanthe course we often see pursued by visitors at oursprings,who literally waste their whole time "inthe mountains," and debar themselves of all per-manent good, by spending their time rather amongthe springs, than at any one of them. The state ofmind which leads invalids thus improperly to act, isoften induced from the random opinions or injudi-cious advice of their fellow sufferers, whom they meetwith at the various watering places. One will tellanother that they have seen or heard of some personthat was cured at once, at this, that, or the otherspring. You will be assured by one, that the "White"is the place ; by another, that the " Salt" is bettersuited to your case; a third informs you that youwould do better at the "Blue;" while others will tellyou there is nothing like the "Red," the "Sweet,"the "Warm," the "Hot." Thus are the minds ofpersons frequently perplexed, until they come to theconclusion to "make the rounds" and try them allfor a day or two. In this way the hapless invalid isoften led to fritter away the whole time he remainsin the mountains, without deriving permanent ad-vantage from " all the sjirings," when, very pro-

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    CHANGING FROM SPRING TO SPRING. 59bably, the time he had fruitlessly spent at them allwould have been sufficient to have cured him at anyone of them.

    Let it be distinctly understood that these remarksare meant for the serious invalid only. Persons whovisit the springs for amusement or pleasure, or thosewho come merely as a relaxation from business, andrequire only the tone which travel and mountain aircan give, may, with great propriety, go from springto spring, and spend their time just where they arethe happiest. But for the invalid ivho has somethingfor the waters to do, it is not so ; he should firstwisely determine which of the springs is best calcu-lated to cure his disease, and having settled thisimportant question, should persevere in the use ofthat particular water ; carefully watching its effects,and "not be carried about by every wind of doctrine."If the appropriate agent for his case be the "Blue,"the "Red," the "Salt," the "White," let him useit to the exclusion of all others, either until its inap-plicability has been proven, or until it produces thespecific effects which he desires. This being accom-plished, there may be, and often is, a necessity forvisiting other springs.*

    * See chap, iii., on " Prescribing Mineral Waters."

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    60 MINERAL WATERS IN GENERAL.

    DRESS.Delicate persons, visiting the mountains for health,

    should be particularly cautious on the subject ofdress. It is rather more easy to dress with the ever-varying fashions, than to dress appropriately for allthe weather that happens in our mountains duringthe "watering seasons." The weather is often sovariable and uncertain as to make it a good generalrule for the invalid to dress without reference to anyparticular state of it, but always warm and comfort-able, with (in most cases) but little change from hisdress in the spring season before he reached themountains.

    Some invalids will be benefited by constantlywearing soft flannel next the skin, not only becauseit keeps up a more uniform temperature than linen,but also because of the gentle excitement it occasionson the surface of the body. The best summer dress,however, which we have ever seen worn next thebody,and always a valuable accompaniment offlan-nel, winter and summer,is woven silk. We are ledto believe from experience, that silk, worn next theskin, is the very best protection we can commandagainst the influence of cold. In rheumatism andneuralgia, a covering of woven silk is a valuableremedy ; and for all delicate persons, and for thosepeculiarly susceptible to colds, it is a most invaluable

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    DRESS, DIET, EXERCISE, ECT. 61

    shield to the body. The superiority of silk overevery other covering is probably owing to its pecu-liarity as a non-conductor of electricity ; but whetherthis be so or not, is left to the astute medical phi-losopher to determine ; it is sufficient for us to knowthe fact of its superior efficacy, without stopping toaccount for it.

    Since the above paragraph was written, we havehad ten years additional observation of the use ofsilk as a covering for delicate and susceptible per-sons ; and the result is, that we are more than everconvinced of its great superiority. Indeed, suchpersons, while in our variable climate, and under theinfluence of sulphur waters, that increase the suscep-tibility of the system, cannot, by any other dress, soeffectually secure themselves against the encroach-ment of colds, as by the use of silk sacks worn nextthe skin. Nor ought this precaution to be neglectedby such, especially as the existence of a cold alwaysrenders the use of the waters less efficacious, andsometimes positively injurious, for the time it maycontinue.

    DIET, EXERCISE, ETC.Diet and exercise, during the use of mineral water,

    are of too much importance to be passed over withoutnotice. It is to be regretted that so little as relatesto diet is placed within the power of the invalid at

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    our watering places generally. Usually there is butone general system of living at all such places, andthis invariably a system very illy adapted to theinvalid.

    Persons using mineral water may ordinarily in-dulge, in moderation, in that diet which they foundto agree best with them at home. Imprudences asto the kind of food, or of excess in its quantity,should be as carefully avoided by the invalid whileusing such water, as when under treatment by othermedical means. This, however, is by no means com-monly the case.

    Mineral waters generally remove acidity from thestomach and sharpen both the appetite and the di-gestion; hence it is often really difficult for theinvalid to restrain himself at table, and we might beastonished to see the quantity and quality of food hesometimes consumes. Dyspeptics, as might be ex-pected, suffer most from impropriety in diet: indeed,we are persuaded that more than half the good thesewaters would otherwise achieve in such cases, is pre-vented by impropriety in diet. But the evil of overand improper . feeding, although most manifest indyspeptics, is by no means confined to such. Uponthe subject of diet Dr. Bell has well observed, that" slow and laborious digestion, heartburn, disorderedkidneys, discoloration of the skin, and some affec-tions of the liver, often the effects of excessive eatingand drinking alone, are not to be readily cured byvisiting mineral springs, and keeping up the same

    .

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    DIET, EXERCISE, ETC. 63kind of living." If they (and the remark applies toall invalids) be sincerely desirous of gaining health,they will most successfully do so by simplifying theirregimen, and abstaining from all those appliances toforce appetite and tickle the taste, which they hadformerly used in the shape of ardent spirits, wine,and malt liquors, fried meats, pastry, and unripefruits. In fine, we may sum up in a few words, byrepeating, after the great father of medicine, that allexcesses are dangerous ; a maxim every one musthave fully tested.

    Eating much in the evening, sitting up late, pro-longed and immoderate dancing, remaining too longin the cool air of the evening, are often the cause ofmany unpleasant complaints, which might have beeneasily prevented.

    The passions are to be kept in check by avoidingevery exciting cause, either of the boisterous ormelancholy kind. A giddy chase after pleasure andluxurious indulgence, are scarcely more reprehensi-ble than an indolent and secluded life. The kindand amount of exercise to be indulged