30 On the Mineral Waters near Landour. 



Diseases of the liver. — The climate is favourable to reco- 

 very from acute hepatic disease : two recovered out of three 

 cases in which I opened hepatic abscesses. 



Chronic enlargement without pain; and the large drunk- 

 ards liver, are not benefitted at Landour. The hepatic 

 attacks were all relapses, and yielded to less active treatment 

 than is required in the plains, where the patient remains 

 under the influence of the exciting cause. A residence 

 during the cold season is advisable, in all cases when the 

 substance of the liver has been extensively affected. 



The Harrowgate water proved very beneficial after the acute 

 inflammation had been subdued: in chronic inflammation, 

 in torpor, or congestion of the liver with dyspepsia, and in 

 cases where much mercury had been used. I anticipate 

 great advantage, from the sulphuretted baths, in many of 

 these cases. 



The chalybeate water proved injurious in hepatic cases. 



Diseases of the bowels. — The climate is favourable to 

 recovery from dysentery, when there is no other organic 

 disease. There have been many recoveries, from what, in 

 the plains, would have been a hopeless state of disease. 

 Cases complicated with induration of the liver, disease of the 

 kidneys or mesenteric glands, (except in children) ought not 

 to be sent to the hills. 



The result, in the Affghan dysenteric cases which arrived 

 in 1843, was very favourable when compared with similar 

 cases sent to the depot in 1840. They were in an extreme 

 state of emaciation on arrival. Preliminary hospital treat- 

 ment was employed, followed by the chalybeate water. The 

 indolent chronic ulcers in the colon, assumed a healthy 

 action, and cicatrized ; the general health improved, and 

 relapse rarely occurred. Relapse is a common and fatal 

 characteristic of this intractable form of dysentery. The 

 alum, in the chalybeate water, formed a valuable adjuvant 

 to the iron. 



