A gentleman, 36 years old, of weakly constitution and sallow complexion, much emaciated, had long suffered from rheumatic gout, which had produced much deformity of his person. The worst was in his knees, which are very much swollen, and excessively sensitive to the touch. The swelling is elastic, shining, and white; at first sight it might be taken for a white swelling. Both legs are contracted at the knee, so that the patient can only advance with difficulty by the help of two crutches. The pains in the knees become so much worse at night as to deprive the patient of all sleep. The digestion is very weak, with great tendency to acidity. The bowels often constipated for several days. The patient took the Stadtbad at 30° R. The pains lessened after the first bath, and were scarcely felt in the bath itself. The skin, which had previously been always dry, commenced to perspire slightly. The temperature of the bath was now increased to 36° R. By this the transpiration of the skin was increased, and about three or four times more urine than usual was passed; for several days there was a pretty considerable rose coloured sediment. From this time forward the health of the patient grew daily better, the sallow complexion gave place to a blooming colour on the cheeks; the sleep was no longer disturbed by pain; and the swelling of the knees in four weeks became so much ameliorated, that he could stretch out both legs and walk without difficulty with the aid of a stick. After six weeks he could even dispense with this, and the patient himself was astonished at the rapidity and perfection of his recovery. He took in all thirty-six baths.

Gonorrheal Rheumatism.

A gentleman, aged 46, previously always in the enjoyment of good health, had, two years previously, contracted a gonorrhoea which was suppressed in three weeks by means of copaiba. Soon afterwards, however, he experienced a tearing pain in the left knee with swelling and stiffness of the joint. The bursa mucosa was swollen to the size of a hen's egg, was rather hard and painful to the touch. The patient took the Schlangenbad*

* The name of one of the Teplitz baths-not to be confounded with the bath of the same name at Nassau.

baths at 28° R. After the tenth bath he felt a drawing pain in the urethra with scalding on passing water; the urethra was much reddened and painful on pressure. The baths were continued at an increased temperature, and two days afterwards a profuse blennorrhoea of the urethra occurred. After this had continued a fortnight the pain and stiffness of the knee went quite away; the bursa was much diminished in size and softer to the feel. The discharge went off gradually, and the patient was completely cured.

Effects of a Wound.

A forester, while in the pursuit of thieves, received a shot through the left thigh. The ball entered on the inside of the thigh, about four inches above the knee, and came out at the outside of the thigh at its upper third. The track was therefore in an oblique direction from below upwards, and from within outwards. Both wounds were completely cicatrized, but there was a violent tearing drawing pain, which extended to the heel, and often caused cramp-like contractions of the extremities; there was also an extreme sensitiveness to atmospheric changes. The patient also complained of a sensation of paralysis and numbness in the affected limb, and great weakness of it, so that he could not walk above a few steps without feeling excessively tired. He took the Stadtbad baths at 30° R. and latterly at 35° R. Although the pains became more intense after the first few baths, still a marked diminution of the paralytic sensation was observed, and the limb had evidently gained in strength. These pains soon subsided, so that the douche could be used, and its beneficial effects were not long of appearing. After four weeks of the baths, not only had the violent pains and the sensitiveness to atmospheric changes entirely disappeared, but the original strength and usefulness of the affected limb were completely restored, so that walks of several hours' duration could be taken without fatigue. The numb feeling too had quite gone off.

Effects of a Broken Bone.

A gentleman, aged 29, got an oblique fracture of the tibia,

by the kick of a horse. The fracture united in six weeks, leaving an enormous callus, and the whole leg became the seat of violent tearing pains. Eight months afterwards the patient came to Teplitz, when the callus had lost nothing of its size and the rheumatic-like pain in the fractured bone was as bad as ever. There was no trace of inflammatory action. The patient bathed in the Steinbad at 29° R. After the first bath the pains became worse, but soon went off entirely. The immense callus diminished gradually, and after thirty baths nothing but a slight unevenness was perceptible on the bone. The affected leg, which formerly was easily tired, gained so much strength that the patient could walk ten or twelve miles at a stretch without fatigue.

Eczema.

A gentleman, aged 42, full-blooded, liable to congestions and vertigo, had suffered for many years from eczema scroti, which extended from the scrotum a hand's-breadth over the inner surface of the thighs. The affected skin is red, thickened, and covered with thick yellow crusts, proceeding from the dried or scratched eczema vesicles. The linen is stiffened and coloured yellow by the discharge, which has a bad smell. I ordered the Herrenhausbad at 27° R. without effect. I then prescribed half-baths at 32° R., during which the patient had cold compresses on his head. Great amelioration followed; the scabs fell off; the redness became paler; and the skin regained its normal appearance: no new vesicles appeared, and nothing abnormal could be discovered even by the aid of a lens.

The above is a tithe of the cases given by Dr. Perutz in his book, which we must regard as a model for writers on mineral waters. It should be borne in mind that Dr. Perutz is not the worse homœopathist for his advocacy of the waters of Teplitz in the cases for which they are suited, and that he is guided in their administration as much by his knowledge of their pathogenetic effects as by their traditional reputation. In fact, one of the most striking things in his work is the manner in which the therapeutic power of the waters is shewn to be

founded on their homœopathicity to the diseases they are famous for.

LIPPSPRINGE. We do not suppose that this source is much known beyond Germany. It seems, however, to enjoy a 'considerable repute among the Germans, and has occupied the attention of several resident physicians, by whom it has been disinterestedly praised for virtues, the possession of which by it seems rather doubtful. Its therapeutic qualities, or the confluence of patients to it, or both influences combined, induced our homœopathic colleague, Dr. Bolle, of the neighbouring town of Paderborn, to make it his head-quarters during certain of the summer months, when patients most do congregate at German Brunnens. Like a good homoeopathist as he is, he immediately commenced making physiological experiments on healthy individuals, before venturing to administer it to the sick. He has now had an opportunity of employing the waters in practice for six years, and accordingly is well qualified to pronounce an opinion on the subject of their powers. And an opinion he has pronounced, which is directly opposed (schnurstracks entgegengesetzt) to that of the allopathic doctors of the place.

As regards the nature of the Lippspringe waters, we are informed that they are thermal and what we would call saline. Their chief mineral constituents are, sulphate of soda, sulphate of lime, sulphate of alumina, carbonate of lime, carbonate of magnesia, carbonate of iron, chloride of sodium, chloride of magnesium, and bi-carbonate of soda, with a trace of iodine; but what they are most remarkable for is, a considerable quantity of free gas, mostly consisting of nitrogen.

The effects on the healthy are thus enumerated by Dr. Bolle: Head. Heaviness. Sleepiness. Vertigo. Headache with drawing in the nape. Noises in the ears.

Eyes. Redness of sclerotic. Encanthitis. Dazzling.

Circulation. Palpitation at night. Pulse sometimes quicker, sometimes slower, sometimes unaltered.

Respiratory Organs. Tightness in chest. Full feeling in

* Nachrichten über Lippspringe von Dr. Bolle. Paderborn, 1855.

chest. Pectoral anxiety. Feeling of compression of lungs. Necessity of breathing deeply. Fine transient stitches in apex of lungs and shoulders. Tickling roughness and dryness in windpipe. Hæmoptysis. Blood fluid. Cough with fetid mucous expectoration.

Digestive Organs. Great appetite. Eructations. Nausea. Fullness and rumbling in bowels.

Attacks of colic with sour Burning in stomach. Pres

vomiting, without loss of appetite. sive pain in abdomen. Much flatulence. Constipation. Bloody motions. Shooting, burning, bleeding piles. Itching in anus. Loss of evacuating power. Shooting pains in liver. Prickling in left hypochonder. Ineffectual call to stool with pain as of diarrhoea.

Urinary Organs. Very frequent call to urinate, with profuse flow and constant desire, even though the bladder contain little. Urine pale, clear, watery. Sp. gr. of urine 1003-1007, whereas after drinking a similar quantity of ordinary spring water, it was 1021; it reacts more slightly with litmus paper than normal urine, and sometimes not at all; the normal uric acid was almost always entirely absent; a very small proportion of urea; less urophæine than in normal state.

Sexual Organs.-Female. Increase of vaginal mucus with. some traces of blood in it. Male. Mucous secretion at end of urethra. Increase of smegma.

Skin. Fine pale-red, discrete, lentil-sized eruption, itching violently; sometimes changing into pemphigus-like blisters containing a muddy fluid. Chilliness and rigor with thirst.

Extremities. Weariness of legs. Drawing in calf, followed the next day by a pale red papular rash on the calf. Severe paralytic pain in the tibia, anteriorly at its upper end. Transient pain shooting from the knee to the ankle. Desquamation of the epidermis, and humid, almost ulcerated itching excoriation, on a spot of the leg where twenty years previously there had been an obstinate (varicose?) ulcer.

From the above pathogenetic effects Dr. Bolle infers the chief action of the Lippspringe waters to be the production of venous congestion. The bloody stools, the bloody leucorrhoea, the