ADYNAMIA. 393 



method of cure might be supposed to be also the same ; 

 and accordingly the practice has been carried on with little dis- 

 tinction : but I am persuaded that a distinction is often ne- 

 cessary. 



MCCXXXIII. There may be a foundation here for the 

 same preservative indication as first laid down in the cure of 

 dyspepsia (MCCII.) ; but I cannot treat this subject so clearly 

 or fully as I could wish, because I have not yet had so much 

 opportunity of observation as I think necessary to ascertain the 

 remote causes ; and I can hardly make use of the observations 

 of others, who have seldom or never distinguished between the 

 two diseases. What, indeed, has been said with respect to the 

 remote causes of melancholia, will often apply to the hypochon- 

 driasis , which I now treat of; but the subject of the former 

 has been so much involved in a doubtful theory, that I find it 

 difficult to select the facts that might properly and strictly apply 

 to the latter. I delay this subject, therefore, till another occa- 

 sion ; but in the mean time trust, that what I have said regard- 

 ing the nature of the disease, and some remarks I shall have 

 occasion to offer in considering the method of cure, may in 

 some measure supply my deficiency on this subject of the re- 

 mote causes. 



MCCXXXIV. The second indication laid down in the cure 

 of dyspepsia (MCCI.), has properly a place here ; but it is still 

 to be executed with some distinction. 



MCCXXXV. An anorexia, and accumulation of crudities 

 in the stomach, does not so commonly occur in hypochondriasis 

 as in dyspepsia ; and therefore vomiting (MCCIV.) is not so 

 often necessary in the former as in the latter. 



MCCXXXVI. The symptom of excess of acidity, from the 

 slow evacuation of the stomach in melancholic temperaments, 

 often arises to a very high degree in hypochondriasis ; and there- 

 fore, for the same reason as in MCCV., it is to be obviated and 

 corrected with the utmost care. It is upon this account that 

 the several antacids, and the other means of obviating acidity, 

 are to be employed in hypochondriasis, and with the same at- 

 tentions and considerations as in MCCVI. and following; with 

 this reflection, however, that the exciting the action of the 



