444 TRANSACTIONS OF THE 



followed the internal use of the waters of the Bartlett and Witter Springs. 

 Fulton Wells and Paso Robles have also obtained a wide reputation. 

 Chronic bronchial and laryngeal affections are unfavorably affected by the 

 raw sea air. For these the foothills, where the temperature is even and the 

 climate mild, is a most suitable location. 



The Highland Springs of Lake County, both by reason of their climatic 

 surroundings and the specific influence claimed for its waters, has been 

 highly recommended. 



Those of a bilious temperament should avoid the coast. For some reason, 

 to me unknown, it acts injuriously upon such cases. Avoiding the diseases 

 just mentioned, those otherwise affected may seek the coast with a certainty 

 of benefit, provided that their constitutions be sufficiently robust to react 

 in the bracing atmosphere. Malaria never originates on the coast, and 

 when contracted elsewhere and brought here, if mild, is at once cured; 

 when more deeply rooted it assumes a remittent type and will often recover 

 without aid of medicine. Those cases of malarial poisoning accompanied 

 by serious visceral lesions, which are of such frequent occurrence in the 

 southern and southwestern States, and which medicine cannot relieve, 

 should be sent to this climate. Those kidney diseases which water impreg- 

 nated with lime is supposed to aggravate, are relieved by the use of the 

 waters here, which, as a rule, are deficient in this. 



Certain waters, strongly impregnated with alkaline carbonates, such as 

 those found at Byron, Tolenas, and Skaggs Hot Springs, are also very effi- 

 cient in relieving these cases. 



Consumption is supposed to be favorably influenced by the modified 

 coast climate. It is true that the great majority of those coming to South- 

 ern California are of this class, but whether they derive any benefit out- 

 side of the hopes engendered and the exercise they undergo in their flight 

 from death, I cannot say. Provided that the etiology of this disease be 

 settled, that the bacillus which is beyond question found in the tuberculous 

 deposits be not an effect, but the cause, and that its multiplication results 

 in lung destruction, then I cannot understand how any climate can mate- 

 rially benefit. A germicide, and not a climate, is essential for a cure. On 

 the other hand, if it be an inherited disease, depending on a depraved con- 

 stitution which, at the least exposure, is liable to break down and manifest 

 itself by the formation of tubercles, then what improves and renders the 

 body vigorous must also beneficially affect the lungs. 



Consumptives should be warned not to drink the water of or to bathe 

 in the hot mud of the various mineral springs. When the disease is 

 advanced, they should be kept at home, no matter what part of the world 

 it be in. 



Many come to California in the last stages, and only reach it to die 

 among strangers. When the advice of the physician is overruled, and 

 they must choose some climate, that region south of Santa Barbara should 

 be selected; both because of its easy accessibility, and by reason of its 

 mildness and the unchangeable climate there found. In the early period 

 much can be hoped for from this climate. Numerous health resorts have 

 been established both directly on the coast and in the interior valleys. For 

 those incipient consumptives who are fond of sport, and for whom an out- 

 door life is desirable, certain portions of the mountain belt are to be recom- 

 mended. Above 3,000 feet the oppressive heat disappears; though still 

 warm, outdoor exercise can be taken without inconvenience. Camp life 

 can be indulged freely, the dry summers assuring freedom from inclement 

 weather. It combines, together with magnificent scenery, a desirable ele- 

 vation, dryness, a moderate temperature, and a pure atmosphere impreg- 



