difficulty through the accumulation of fat; perspiration easily sets in; short breath, palpitation of the heart, giddiness and dull headache supervene; the bowels are confined; there is pruritus ani, and piles soon form; eructations, heartburn and flatulence after meals are of common occurrence, and often accompanied by a peevish, irritable temper, desponding habits, &c. This state is called by medical men, “Plethora Abdominis”, or congestion of the bowels.
The mineral waters of Carlsbad are not considered advisable where there is a tendency to active congestion of the blood, in hæmorrhage, in the different wasting diseases in consequence of suppuration of important organs, principally in fully developed phthisis; in all affections arising from great poverty of the blood and general debility; in cases of aneurism and ossification of the large blood vessels; and, eventually, they are dangerous to pregnant women, if they are at the same time weak, anæemic, and emaciated; otherwise pregnancy is no impediment to their use.
4. Use of the Mineral Waters of Carlsbad.
Any season of the year is suitable for drinking the mineral waters of Carlsbad (even during the winter); but they certainly are more efficacious if the cure is confined to a time of the year when
