PttJKFAC JU. 



WHEN I left Vienna, after thirty-three 

 years practice, in the spring of 1826, to 

 recover at Carlsbad my health totally im- 

 paired by gouty affections, and to pursue 

 there my medical career, the english 

 visitors scarcely amounted to twenty, and 

 the greater part of those came not di- 

 rectly from England, but were sent by 

 continental physicians, whom they had 

 consulted in the course of their travels. 

 A great change has since taken place. 

 Excellent roads, quicker stage-coaches, 

 steam -boats, better accommodations, use- 

 ful improvements in the town itself, suc- 

 cessful treatments, have increased the 



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