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able degree, the general good health of those who go an Indian voyage.
The only direction which I find myself called upon to give is, to pay attention to the state of the bowels. It often happens that, from change of diet, want of the usual exercise, and other causes, people when they first go to sea get the bowels considerably constipated; and this it is highly necessary to attend to and obviate ; for the rest of the system can never be altogether right when these are out of order. A pill, composed of five or six grains of calomel, with three or four of the extract of colocynth or jalap, taken at night, and a tea-spoonful or two of Epsom salts, dissolved in a tumbler of water, or the salts with senna, if the person has formerly been in the habit of taking them so, or a table spoonful of castor oil, or a tea-spoonful of the compound powder of jalap, taken in the morning, will be the proper medicine where an active purgative is required. But when only something gentle is wanted, merely to keep the bowels free, the pill itself, every evening, or every second or third evening as required, or the tea-spoonful or two of salts every morning or second morning, or, occasionally, a little rhubarb and magnesia, or cream of tartar and sulphur, or whatever the person may have formerly used, and found best to suit him, will be quite sufficient. But the truth is, if regularity be observed, and all the exercise taken which may be taken, there will be but little need for medicine of any kind. All the functions will go on well enough, and when they do so there can be no necessity for interfering with them. With some people, fresh prunes, figs, and things of that sort, answer all the purposes of medicine; and when that is the case it is fortunate, for not only is the medicine then taken without disgust, but it acts as a nutriment as well as a medicine; a thing much to be wished for in those who have not much appetite, especially in the earlier part of the voyage.
But it is a fault in many who go to sea, that they do not even take that exercise which they might take. It is true that they cannot take the same laborious exercise which they may
been accustomed to on shore; they cannot ride, or walk a stretch of miles in the same direction; but they can have, I venture to say, in general, almost as much motion as health requires. They have the range of the ship; and this for him that is at all inclined to be active, is latitude enough. But the fact is, many when they get on board ship, get a little lazy, and are inclined more to lounge than to keep in motion-putting the blame upon the place which attaches to themselves. But he that has a proper regard for health of body, as well as buoyancy of mind, will not neglect this very necessary duty. In the morning and evening, and occasionally in the day when he feels inclined, let him take his stroll on the quarter-deck; and not only will he find that thus he passes lightsomely away half an hour or an hour of the long day, but at the same time he is invigorated, and when he comes to rest, he can bend both body and mind to employment with two-fold ardour.
As I am speaking on the state of health experienced in a sea voyage, and as we had a case in the Lonach a good deal in point, I cannot help throwing in an observation or two, in passing, regarding the good effects sometimes accruing from the removal of consumptive patients into a saline atmosphere, and from a colder into a warmer climate. It is now very generally, I believe, admitted by physicians, that when consumption is actually threatened, perhaps the best chance which the patient has of recovery, is by a removal to a more genial climate; and whether it be the mere change of temperature, or the peculiarities of the air, or the change of scene, or all put together, which work the good effect, it matters not much to inquire; it is enough that we know a sea voyage and a tropical temperature are often productive of good effects in the disease -this should be enough to induce those who stand in need of the remedies to give them a trial. I do not at all advise a removal to India for a consumptive European patient. The voyage is in the first place too long; the changes of temperature experienced in it are too many; and therefore it is only those that have something or
other to call them there—that have something to induce them to choose that place in particularthat I should ever advise to such a voyage. I merely speak of the matter because it is in some degree connected with my subject, and because I should wish, if indeed there be any means of arresting the march of such a melancholy and ravaging malady, to lend my feeble aid in making them public.
When I saw Mr. C-, who went out passenger with us in the Lonach, at Gravesend, the night before we sailed, I thought I had reason to fear, from his appearance, that he might not see the end of the voyage.
He had so many of the symptoms of threatened consumption—the severe cough-emaciation-quick pulse hectic countenance, soc., that some would have been mclined to say, his disease had indeed gone too far to be checked by any means whatever. But scarcely had we got fairly out to sea, when there was an evident change for the better. The cough diminished much, and the appearance altogether became healthier. As we got into the warmer