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regulated by the medical adviser, to whom they apply 

 at Carlsbad; such instructions, written or printed, 

 which many physicians think proper to give to their 

 patients, are absolutely useless, and often attended 

 with disagreable consequences, if there happens to be 

 diversity of opinions between those instructions and 

 the precepts of the local physician. The worst part 

 of our functions is to be consulted for diseases which 

 Carlsbad can only aggravate , and to find ourselves 

 in the painful necessity of declaring to such patients, 

 that they would have done better to stay at home. 

 Such mistakes, caused by an imperfect knowledge of 

 the effects of our waters, are but too frequent. Sup- 

 ported by hope, the journey to the wells was at least 

 tolerable ; but, deprived of all further illusions, the 

 way home is dreadful. More than one arrives here 

 every year to be buried, without having been able to 

 drink a single drop of the water from which he 

 expected recovery, or at least great relief. 



They never agree with an inflammatory state, 

 general or partial, nor with symptoms of orgasmus, 

 congestions and vertigo , which must be removed by 

 appropriated means, before the water is administered. 

 Should such accidents take place during the cure, it 

 must be interrupted. 



They are decidedly hurtful in every degree of 

 pulmonary phthisis 5 to individuals disposed to hemor- 

 rhagies , and still more during hemorrhagies; they 

 accelerate and increase the pulsations and dilatations, 

 and consequently the rupture, of anevrisms; they 



