On the Mineral Waters near Landour. 29 



Two men, who had long suffered from pain in the head, 

 following injuries, derived benefit from the Harrowgate water. 

 The chalybeate proved injurious in cases subject to determi- 

 nation of blood to the head. 



Diseases of the lungs. — Landour is unfavourable to all 

 cases in which there is extensive obstruction to the passage 

 of the air through the lungs, as hepatization, advanced phthisis 

 and emphysema. Colds are common in April and September. 

 The climate is favourable to chronic bronchitis ; and there have 

 been several cases of incipient phthisis, in whom the subsi- 

 dence of the symptoms was most satisfactory. 



The progress of the following case was minutely traced by 

 the stethoscope. A vomica formed in the left lung, burst, 

 was evacuated and the cavity cicatrized. 



Case 2nd. — A. B., aged nineteen years, of a delicate appearance, 

 thin and weak, with a contracted chest ; subject for two years, to 

 a frequent dry cough ; a sister died from phthisis. The sound on 

 percussion was dull, the respiration bronchial, and the voice reso- 

 nant at the superior part of both lungs, during the hot and rainy 

 seasons 1843. Counter-irritation was employed with milk diet and 

 the daily use of the chalybeate water. The cough had diminished 

 much, and he had improved in appearance at the commencement of 

 the cold season, when he went to the plains. He returned in 

 March 1844. The cough was occasionally troublesome, and the 

 bowels irregular. Three days after his arrival, during a severe fit 

 of coughing, he suddenly expectorated a large quantity of dark pus. 

 There was pectoriloquy at the superior part of left lung. Blisters 

 were kept open at the superior part of the chest during the season ; 

 and he used milk and farinaceous diet : he got a bitter tonic, till his 

 bowels became regular ; he then used the chalybeate water daily 

 during the season. The expectoration gradually diminished, and 

 the cavity contracted ; and when I last examined him in October it 

 was imperceptible. The resonance in the right lung had very much 

 diminished : he had not coughed for three months : he had gained 

 colour and flesh ; and his chest was expanding. 



