DYSPEPSIA THROAT DISEASES, ETC. 43 



body emaciated, the extremities cold, the skin harsh and dry, 

 the intellectual faculties impaired, and the muscular force 

 diminished, so that mental and bodily exertion are equally 

 difficult. These symptoms, which are continually presenting 

 themselves, seldom fail of relief, if the sufferer will pay a 

 moderate attention to diet, exercise, clothing, and to those 

 general sanitary rules which have been a thousand times 

 repeated, and need no further reiteration. 



A few words of caution are necessary, with particular 

 reference to those who suffer from affections of the throat and 

 chest. Although, as already shown, there are few days in 

 which an invalid cannot contrive to get walking exercise at 

 Southport, it must be mentioned that the changes of tempera- 

 ture during the same day are frequently considerable. It is 

 needful, therefore, carefully to avoid going out either too early 

 or too late in the day. During certain portions of the winter, 

 not more than two or three hours intervene between the 

 chills of morning and of evening, and this interval should 

 be chosen for taking out-door exercise. It is also desirable, 

 indeed absolutely necessary, in more serious cases, that the 

 patient should keep his rooms at an equable temperature, 

 say of about 60, and this should be done both by day and 

 by night. The great and sudden change from a warm sitting- 

 room to a cold bed-room, is continually frustrating the best 

 contrived attempts to bring about a cure. 



Few things are of more importance in the management of 

 chronic disease than that a rational and well-considered plan 

 of treatment should be pursued with perseverance, and for a 

 sufficiently lengthened period. And yet the anxieties of the 

 invalid frequently lead him to err on this point. Not reflect- 



