51 



disease excited by such perturbations. The Germans 

 call it very properly a Bad -Sturm (bath -storm). 



This hot water occasions neither nausea nor 

 vomiting; it has an exciting action on the stomach, 

 the bowels, kidneys, liver and other abdominal organs, 

 of which it augments the secretions and excretions. 

 Its action upon the alimentary tube produces a pur- 

 gative effect; it acts particularly on the blood-vessels, 

 creates often orgasmus and palpitations, and drives 

 the blood to the head. It increases indirectly the 

 activity of the lymphatic system , and it only begins 

 to be tonic, after having brought on secretory and 

 excretory effects. Such are the characters distin- 

 guishing Carlsbad from the more chalybeate and 

 gaseous waters, which are more directly tonic. 



Abundant purgation is not indispensable to the 

 success of the treatment, and, in many cases, the best 

 results are obtained by copious urine and perspiration ; 

 but that all these effects should be simultaneous , is 

 still more desirable. At all events, costiveness should 

 be obviated , and , with that view , we recommand a 

 few additional drachms of Carlsbad salt, Piillna bitter 

 water, glysters and the like. 



These various modes of operation have always 

 determined and regulated the use of our waters, and 

 given them the first rank among the remedies com- 

 monly called desobstruent and alterative, in innume- 

 rable disorders, proceeding from stagnation and ob- 

 structions of the blood-vessels, or of the organs 

 copiously provided with them , from which a variety 



