twhen phpical examination reveals bt
S*hwre there is exoeeaive emaciation, a eerio Sa
 competitionn of the blood, as indicated by a peculiari


ie of digestion


*:fflx^,


nutrition, diarrhea, hectic feVe


plee,


profuse


expectoration,


exhausting


sweat,


breathing, inability to exercise


to any extent.


It is


sary that all this formidable array of symptoms should


warrant


physician as regards


an unfavorable


change of


opinion
climate.


on the


part


The moet anu


examination is sufficient to enable one to judge of the


.T. -


these


cases .


Numbers


these


invalids


. allowed to go, let us


say are


sent, hundreds of


home.


This is one reason why climatic treatment so oftt-


Another


prominent cause


of failure


is the advice obi


almost universally, given by physicians to trust to toe cn


to "avoid drugs and doctors."


immense number of


have, doubtless, already been found useless, perhaps worimw
 I~~~ ~ ~ ~ ~ ~ ~~~r qJei 4 


neelse, and it is natural that the patient should be told 6


them.


But a remedy which, in


one climate, has proveic


*1


less, might be of
circumstances.


decided value


A mere change of


in another and


under


air and scene may, ansd&


does, prove all that is necessary in a few cases of inoipient


ease;


but, as a very general rule, invalids require


QV


moreoor


medication at one time or another during the winter.


cations, some of which may be incident to the change of cli
food, water, etc., and especially to the fatigue and excitemw


Sthe


journey, require attention.


lees and reckless, and require


Invalids are notoriously


have some mne at


S authority to check them.


All writers on


climate have


'gainat this proclivity to trust too much to climate.


lark says


"In


the first place, I would strongly ad


who goes abroad for the recovery of his


his dieae, or


to what


S'.4K-ld


Si2)W -


L J^d


i I


r


m.,