134 EFFECTS OF THE CLIMATE 



obstinate forms of fever, and almost always with success. 

 The enlargement of the spleen, consequent on intermittent 

 fever, has generally yielded to the spleen mixture recom- 

 mended by Mr. Twining.* Rheumatism, I have generally 

 found manageable by a steady course of Sarsaparilla, infused 

 in lime -water, t Dyspepsia, requires more management, and 

 generally demands a variation of successive antacid and 

 tonic remedies ; one of the most useful of these I have found 

 to be, a light bitter infusion, such as infusion of Calumba or 

 Cascarilla, with from three to seven grains of carbonate of 

 potash in each dose. 



In female complaints, tartrite of potash and iron has prov- 

 ed a very useful assistant to the tonics in general use. 



As a general principle, my object has always been to obviate 

 symptoms as they arose, and to assist nature, by the simplest 

 means, in her endeavours to restore the tone of the constitu- 

 tional powers, leaving the rest to the climate, in the effects 

 of which I have never been disappointed. 



A few words, on each of the more important Indian di- 

 seases, will appropriately conclude this part of the subject. 



Cholera, has only once occurred as an Epidemic on the 

 Hills ; this was among the men composing the corps of 

 pioneers at Coonoor, who had been previously much weaken- 

 ed by fatigue and exposure, and lost fourteen cases : only 

 one case occurred at Ootacamund, and one at Kotergherry ; 

 and on a former occasion, when the Grovernor's camp was 

 attacked at the foot of the hills, the disease was instantly 

 checked on their ascending; no new cases occurring, and those, 

 previoiLsly attacked, rapidly recovering. 



* Transactions of the Calcutta Medical and Physical Society, vol. iii. 

 page 365. 



t Sir iJ. Brodie's preparation. 



