''. ""* ooN STITOEi TS cit .

articulate. There was also oppression of breathing, throbbing '4
and slight dilation of the pupils. The only medicine ..hanady a
my first attack was'a bottle of chloroform; and thinking the ay0mp
be due to spasm of the cerebral or pulmonary veins, I poured a dras
on my handkerchief and inhaled it, when the disagreeable symptonit
subsided. The next day, on my visit'to Dr. Moffat, of odr corpe, I
of my troubles, and he thought they were due to malarial poisoptg,
advised me to commence a course of quinine and arsenic, which 1 tui4
taking twelve grains of quinine and one tenth of again of arseio'e c
But, in the course of five or six days, while under the full influence of
remedies, I had another attack in all respects similar to the first, comio
after a hearty dinner, which was relieved by a prompt emetic. Bhortljy
this second attack, I was sent for to attend a case at Mora (fifteen. aiilef
west of the post, about four hundred feet higher in altitude), and while
alone, I had another attack, more severe and prolonged than the other 1
and upon this occasion I certainly thought there would be another va' t
in the medical corps to fill, for I took emetics, bromide of pota
and chloroform ad nauseam, without the least effect. The symptoms we.t
before morning; but when I got back to the post, I brought the Darwii
theory to bear on the case. Ita: It the environment of an animal be s4
denly changed, and the animal does not change his habits to suit his enuvr$
meat, it will be speedily eliminated. The only radical change in envirw
which I could detect here was decreased atmospheric pressure from incr>
altitude, and consequently deficient oxygenation of the blood. The iud
tion, therefore, was either to supply the deficiency of oxygen to the bloid,
to reduce the volume of blood to the decreased amount of oxygen. ThehI
alternative seemed the easiest and most certain. I therefore decreased
amount of my nitrogenous food, and made up the quantity by laxativve.
tables and fruits, and have been in good health ever since. I haie seen-t!
cases since, in every respect similar to mine, and they have promptly *a,
cumbed to the treatment indicated; that is, decreasing the amount of blo~t~
the decreased amount of oxygen by cathartics and decreased animal food.",' ,


Charteris,


in a clinical


lecture at


Glasgow


Infirmary,


lately remarked


"The


benefits


warm


climax


and of well-known health resorts for phthisis simply consist aiA
this, that out-door exercise can be indulged in those with greater


impunity


with less


chance


in any


way


lowering


vitality."* This is the gist of the whole matter of diiM
Though patients with pulmonary troubles can bear cold ifht 


'nti, and do improve and recover in the coldest climates; t
iiey even do better, as a general rule, in a rather large o
okeea, in a moderately cool climate, if not moist; tthoitI
 ^y -* .' r" ^^ 


rbeoover in mountain ranges from six to ten tb


se 'level;
d tha the


am confident


that, in ae


majority of. consumptive fing


,:,hoald
i, 4





J