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frequent pains about the pit of the stomach, were so 

 violent, and the variations of her yellow complexion 

 so sudden, that neither of the two physicians who had 

 attended her for two years, nor myself, could doubt 

 of the existence of gall-stones. The above-mentioned 

 investigation took place, but perhaps not often enough, 

 and without result. Her excruciating pains brought 

 on frequent cataleptic fits, during which she stretched 

 her arms , and joined her hands in the attitude of 

 prayer; she remained then, with staring eyes and 

 absence of mind, above a quarter of an hour, in 

 that state, till the fit subsided and was followed by 

 the three stages of an ague : shivering, heat and per- 

 spiration, which lasted a few hours. The storm over, 

 she only felt fatigued, but was soon well enough to 

 go out, to walk and to attend to all her social duties. 

 The waters operated copiously, her urin was turbid 

 and yellow, and she had at Carlsbad only one cata- 

 leptic fit, of which I was eye-witness. Having ex- 

 perienced moral affections of a grievous nature, she 

 had two or three slight ague -fits, but no cataleptic 

 symptoms. 



In cases of sand and gravel, our waters are par- 

 ticularly efficacious. George Handsh tells us, in the 

 Journal he kept in 1574 , that archduke Ferdinand 

 was freed at Carlsbad from three urinary calculi, 

 one of which was as big as an almond; and P. G. 

 Schachcr wrote, in 1711, an interesting paper: De 

 thermarum Carolinarum usu in renum et vesicae 

 calculo. I have attended a great number of patients, 



