of the Stomach, 299 



iei'eral otliers, till his fcitlier brought him to me. At 

 the outset he was g-ratilied not a little, by ray telling him 

 that the disease was not an imaginary but a real one ; 

 that it was not mental merely but that it had its seat in 

 the alimentary canaL He was affected with several un- 

 usual and anomalous symptoms. I explained to him as 

 far as I thought he w^ould comprehend, what I suppo- 

 sed to be its nature ; tliat it was far from being as he ap- 

 prehended \'ery peculiar, but on the contrary that it was 

 very common. I also expressed strong expectations, 

 that if he would pursue the course to be pointed out to 

 him, for a suiiicient lengdi of time to give it a fair trial, 

 he would entirely recover, and within a moderate period. 

 Having gained his confidence, I gave the necessary di- 

 rections relative to his diet, dress, &:c. ordered him a ca- 

 thartic to prepare his stomach for the reception of tonics 

 and stimulants, and at the proper time commenced the 

 use of chalybeates and bitters. With this he was di- 

 rected to drink daily several glasses of pure wdne. H6 

 was directed also to go into the fields daily, with his fath- 

 er and brothers, and work as much as he could without 

 severe fatigue, to engage in light work, to ride on horse- 

 back whenever business could be found for him, and to 

 keep constantly employed and by no means to saunter 

 about as he had done for a long time. He had originally 

 a good constitution, and in three months became robust. 



What kind of exercise is best adapted to dyspeptic 

 people? 



Generally speaking, exercise in the open air, is prefer- 

 able to any that can be taken within doors. Of the for- 

 .mer kind, riding on horseback is, doubtless, superior to 

 any other. This agitates the body universaHv, and the 

 abdominal and choracic viscera peculiarly. No other 

 reaches the spot so certainly, and so efficaciously. To 

 •gain the utmost advantage of this, the patient should in 

 every severe case, take long journeys, because the sys- 

 tem requires a great change to be wrought in it, because 

 he will then have no excuses for sitting still, and because 

 unceasing variety and novelty are thus presented to hinio 

 In all cases it is desirable to journey with a cheerful and 

 .intelligent companion, and in some instances the dircc- 



