394 PKACTlCi: OF PHYSIC. 



stomach there mentioned, is to be a little differently understood, 

 as shall be hereafter explained. 



MCCXXXVII. As costiveness, and that commonly to a 

 considerable degree, is a very constant attendant of hypochon- 

 driasis, so it is equally hurtful as in dyspepsia. It may be re- 

 medied by the same means in the former as in the latter, 

 and they are to be employed with the same restrictions as in 

 MCCX. 



MCCXXXVIII. It is especially with respect to the third 

 indication laid down in the cure of dyspepsia (MCCL), that 

 there is a difference of practice to be observed in the cure of 

 hypochondriasis ; and that often one directly opposite to that in 

 the case of dyspepsia, is to be followed. 



MCC XXXIX. In dyspepsia, the chief remedies are, the 

 tonic medicines, which, to me, seem neither necessary nor safe 

 in hypochondriasis ; for, in this there is not a loss of tone, but 

 a want of activity that is to be remedied. 



Chalybeate mineral waters have commonly been employed in 

 hypochondriasis, and seemingly with success. But this is prob- 

 ably to be imputed to the amusement and exercise usually accom- 

 panying the use of these waters, rather than to the tonic power 

 of the small quantity of iron which they contain. Perhaps the 

 elementary water, by favouring the excretions, may have a share 

 in relieving the disease. 



MCCXL. Cold bathing is often highly useful to the dys- 

 peptic, and, as a general stimulant, may sometimes seem useful 

 to the hypochondriac ; but it is not commonly so to the latter : 

 while, on the other hand, warm bathing, hurtful to the dyspep- 

 tic, is often extremely useful to the hypochondriac. 



MCCXL I. Another instance of a contrary practice neces- 

 sary in the two diseases, and illustrating their respective na- 

 tures, is, that the drinking tea and coffee is always hurtful to 

 the dyspeptic, but is commonly useful to the hypochondriac. 



MCCXLII. Exercise, as it strengthens the system, and 

 thereby the stomach, and more especially as, by increasing the 

 perspiration, it excites the action of the stomach, proves one of 

 the most useful remedies in dyspepsia ; and, further, as by in- 

 creasing the perspiration, it excites the activity of the stomach, 



