climate, the improvement gradually went on; and by the time we had been a month at sea, there was not a symptom of his complaint remaining. I dreaded that a change of temperature again might be apt to throw him back-that the cold we might experience in the high southern latitudes of the Cape of Good Hope, would be in some degree injurious to him;-but I cannot say that even there, there was the least return of the disease. We landed him in India without a complaint; and when I reflected on, and contrasted his general appearance then, with the state he was in when I first saw him, I could not help being much impressed with the excellent effects which seemed to have accrued from the voyage. It is but right to add, that Mr. C— was an exceedingly regular young man; and nothing that could at all tend to promote recovery, was neglected on his part.

I know that a great bar and objection exists to the adoption of the remedy now spoken of, even in those who can most easily have recourse to it-I mean the reluctance to journey so far

from home-to sacrifice, and while in a sickly condition too, when their aid is most needed, the society of perhaps every single friend we possess, -and the fear, that even after all the sacrifice no benefit may follow: and I acknowledge the objections are not undeserving of attention. It is indeed hard to part, at such a time, with almost all that gives us comfort; and it is true, that not a few have gone never to return-to die strangers in a foreign land; for it is but too well known, that when the disease has proceeded a certain length, no remedy which we yet know of, no plan of treatment which we have yet tried, will have any effect in stopping its fatal course. To urge patients, with the complaint thus far advanced, away from home to a distant country, is not only foolish, but cruel. We must, to have any good chance of overcoming it, catch the complaint in its very beginning; we must, it is true, see it ere it has made any progress, and take the proper steps then. If we are to advise a removal at all, the sooner, undoubtedly, we advise it, the better. But surely, so long as the hope is considerable,

that the disease is still curable, the patient should bring himself to the terms even as they are. When he is told, that there is nothing else at all likely to be of use; that though the hope of recovery from a removal is not altogether sure, there is much less hope if he stays where he is; surely if he has it in his power to have recourse to the remedy, considerable though the sacrifices may be which he has to make, he ought to make them, and give it a trial. The physician, of course, is to be the judge, and to pronounce on the case. He can, in general, tell pretty correctly what the probabilities are-what the chance of the case is -and, of course, just by the advice which he gives, is the patient to be guided.

The different West-India islands, the island of Madeira, the Canaries, &c., have all occasionally been chosen for the residence of the invalid. Circumstances generally direct to some particular one of these, and as generally may the patient be allowed to do in this as suits him best; and when it happens that circumstances will not admit of a permanent residence in any part, still

there may be much benefit derived from merely the voyage. The cure is often, indeed, nearly complete sometimes before the destined port is reached; and therefore, though merely the voyage can be taken, let it certainly be tried. A voyage to any of the above-mentioned places, or a cruise for a little while on the southern coasts of Spain and Italy, if that is convenient, or a still shorter journey, even a trip from one British port to another, may be attended with much advantage; for, as I have said before, it is not perhaps the removal from the cold into the warm region altogether which does the good. We often see the evident change some time before we get into the warm climate, and therefore, if something depends on any motion of the vessel, as indeed it seems, or on the peculiarities of the air, or on the new scene the patient is introduced to, even the shortest of voyages may not be without its good effects.

I would just add, that it is not only in consumption that the remedy now spoken of, and in particular the shorter voyages, may be useful.

I

Some of those ailments peculiar to the female, which, indeed, end not unfrequently in consumption. The complaints denominated nervous or hypochrondriacal; the ailments so commonly attributed to the stomach, which afflict such a multitude in society, might all, I think, be benefited by the plan. Not a few have found out, and just by accident, perhaps, that a proper attack of sea-sickness has done away with all the ailments they were formerly liable to. There seemed to be a total change wrought in the system by it; and, therefore, do I recommend all who stand in need of the remedy to give it if they can a trial.

But to return to the main subject. It is when we have landed on the Indian shore, that we become especially liable to disease, and it becomes especially our duty to guard against it. Then, however healthy we may have been in our native land, and however vigorous during the voyage, it is necessary to remember that we stand on ticklish ground; there is now, undoubtedly, an unusual liability to attacks of