Hot Spr IN GS, BATH COUNTY, VIRGINIA, WITH SOMI ACCOCKT OF THIIR MEDICINAL PROPERTIES, AND AN ANALYSIS OF THE WATEliS, WITH CASES OF CURE OODT, RHEUMATISM, DISEASES OK THE LIVER, PARALYSIS, NEURALGIA, CHRONIC DIARRHCEA, ENLARGED GLANDS, OLD INJURIES, DEAFNESS, Etc., Etc., Etc. S. C. TARDY, T. R. PRICE A Co., Owners, Richmond, Va. RICHMOND: CLEMMITT & JONES, PRINTERS. 1870. Hot Springs, BATH COUNTY, VIRGINIA, WITH SOME ACCOUNT OF THEIR MEDICINAL PROPERTIES, AND AN ANALYSIS OF THE WATERS, WITH CASES OF CURE or GOUT, RHEUMATISM, DISEASES OF THE LIVER, PARALYSIS, NEURALGIA, CHRONIC DIAKRIKEA, ENLARGED GLANDS, OLD INJURIES, DEAFNESS, Etc., Etc., Etc. RICHMOND: CLEMMITT & JONES, PRINTERS, 1870. HOT SPRINGS, Bath County, Ya. Prof. J. L. CABELL, M. D. Of the University of Virginia, Resident Physician. J. A. McCLUNGr, Manager. TABLE OF CONTENTS. PAGE Location and Scenery 5- 9 Description of the Baths and Analysis of the Waters 9-13 Hygienic Effects of Natural Thermal Baths.. 14-18 Beneficial Effects of the Thermal Baths at the Hot Springs as a preparation for the internal use of other mineral waters 18-19 PART I. PART II. On the therapeutical applications of Hot and Warm Mineral Baths. Enumeratiou of leading authorities 20-22 I.—Diseases of Digestive Canal, treated by thermal baths... 22 II.—Diseases of the Liver 23-24 III. —Diseases of the Kidneys and Bladder 24-26 IV. —Diseases of the Nervous System 27-29 (1) Paralysis 27-28 (2) Spinal Irritation 29 (3) Neuralgia 29 V.—Uterine Disorders 29-32 VI.—General Diseases 32 (1) Chronic Skin Diseases 32 (2) Rheumatism and Gout 32 (3) Scrofulous Affections 33 VII.—Surgical Diseases and Old Injuries 34 VIII.—Miscellaneous Casos 35 On the "Reaction Fever" caused by hot bathing* 35 Advice to Chronic invalids 37 PART III. Certificates of Cure, and Letters on the therapeutical value of the Waters ■of the Hot Springs. General Certificates of Physicians 39-45 Certificates of Special Cases of Cure from the use of the Hot Springs Baths 46 HOT SPRINGS OF VIRGINIA. I. All.—Diseases of Digestive Canal and Liver 46-63 III. —Diseases of the Kidney and Bladder 64 IV. —Diseases of the Nervous System 67 (1) Paralysis 67-72 (2) Spinal Irritation 72-73 (3) Neuralgia 74 VI—(2). Rheumatism and Chronic Gout 75-79 VII.— Old Injuries 90-91 VIII.— Miscellaneous Cases 92 (1) Deafness 92-93 (2) Loss of Voice, 93 (3) Carbuncular Diathesis 94 (4) Indolent Swelling 95 THE IIOT SPRINGS, BATH COUNTY, VIRGINIA. Fart X. LOCATION AND SCENERY—ANALYSIS OF THE MINERAL WATERS—HYGIENIC EFFECTS OF THERMAL BATHS, Ac., Ac., Ac. This celebrated watering place (one of the great natural curiosities of the State) is situated in the “ Warm Springs Valley,” twenty miles from Millboro, and eighteen from Cov- ington, on the Chesapeake and Ohio (late Virginia Central) railroad. A new turnpike—the best in the mountains—has recently been built between Covington and the Hot Springs. Passengers over this new road, after spending the night at Covington, arrive at the Hot Springs early in the forenoon of the next day. The road passes in full view of and in close proximity to the beautiful cataract of the Falling Sjmng Circle, which was deemed worthy of special mention and de- scription by Mr. Jefferson in his “ Notes of Virginia.” This Btream rises in the Warm Springs mountain, about fifteen miles southwest of the Hot Springs, and flows into jacksoij’s river. About three-quarters of a mile from its source, it falls over a rock two hundred feet into the valley below. The sheet of water is broken in its breadth by the rock in two or three places, but not at all in its height. Between the sheet and the rock at the bottom one may walk across dry. This cataract will bear no comparison with that of Niagara as to 6 EOT SPRINGS OF VIRGINIA. the quantity of water composing it—the sheet being only twelve or fifteen feet wide above, and somewhat more below, but it is half as high again.* With the exception of this new and admirably graded turnpike, through a region abounding in grand and beautiful scenery, there is an unbroken railroad connection between the Hot Springs and all the principal cities of the Atlantic seaboard. Passengers leaving Baltimore, Washington city, Richmond or Lynchburg, in the morning, reach Covington before dark ; or, those who prefer it, may leave the railroad at Millboro depot, twenty-nine miles east of Covington, and there take the mail coach for the Hot Springs via the Bath Alum and the Warm Springs. Passengers by this route, which gives twenty miles of staging, will have an opportu- nity of seeing the singular “ Blowing Cave,” near the banks of the Cow Pasture river, and of enjoying the magnificent view of mountain scenery from the top of the Warm Springs mountain, which is crossed by the turnpike at an elevation of nearly one thousand five hundred feet above its base, and two thousand two hundred and forty-seven feet above the level of the sea. In the number of its mineral springs, the variety of theif temperatures (from 50° to 110° F.), and their extraordinary remedial powers in many of the most serious, painful, and dangerous chronic diseases that afflict the human race, this watering place offers to invalids, suffering from the maladies in which thermal waters are indicated, advantages and facili- ties for the recovery of health, which can be found nowhere elge within the United States east of the Mississippi, and which are not surpassed, or perhaps not equalled, at any of those celebrated thermal springs in France and Germany, that, for many centuries, have been places of great resort for persons in search of health. * Jefferson’s Notes of Virginia. HOT SPRINGS OF VIRGINIA. 7 The scenery of the Warm Springs Valley, and especially of that portion of it in which the Hot Springs are found, is ex- quisitely beautiful, while the views from certain elevated, but easily accessible points on the surrounding mountains, are sur- passingly grand. The climate in summer is salubrious, in- vigorating, and inexpressibly delicious. The thermometer seldom rises higher than 85° F. in the hottest days, and the nights are always cool and refreshing. Fogs which occur so frequently in other settlements among the mountains of this part of Virginia are seldom seen in this delightful valley, which in the transparent clearness of its atmosphere and the exquisite tints of its skies exhibits some of the distinctive features of Swiss and Italian scenery. On the mountain’s side is a perpendicular chasm in the rocks (about six feet square) which evidently extends into the base of the mountain to a great depth. From this “ chim- ney” on a cold morning there issues such a steam as to war- rant the belief that it communicates with a hot stream below. CENTRAL LOCATION OF THE HOT SPRINGS. AMONQ THE PRINCIPAL WATERING PLACES IN THE MOUNTAINS. The Hot Springs are twenty-seven miles from the Rock- bridge Alum, thirty-six miles to the northeast of the White Sulphur Springs, and about forty miles from the Old Sweet and the Red Sweet Springs. It is only five miles from the Warm Springs, and three miles from the Healing Springs. As there is a daily line of stage coaches running between these places during the summer months, it will be seen at once that the Hot Springs are within an easy day’s journey of the principal summer resorts in the mountains of Virginia, and occupies an almost central position among that group of mine- ral springs which must at no distant day become the great watering places of the American continent. For, if to those mentioned above be added the Salt Sulphur, the Red Sul- 8 HOT SPRINGS OF VIRGINIA. phur, the Cold Sulphur and the Bath Alum, “ no district of country of the same extent in the world, as that in which these springs are found, can furnish the same number and variety, whether we have regard to mineral impregnation or temperature, or the use of which shall be attended with more speedy, ‘entire and permanent relief from a host of the most distressing maladies.” The celebrated “ Warm Springs,” which have given name to the entire valley and to the mountain range which forms one of its boundaries, are five miles north of the Hot Springs, at the county seat of Bath county. At this place are several fine baths, about the temperature of 98° Fahrenheit. One of these is believed to be the largest warm bath in the world, and is supplied by warm water arising from the floor of the bath with such boldness that the immense bath, an octagon of 40 feet in diameter and 5 feet in depth, fills in less than an hour. The improvements here are good, and the hotel accommodations excellent. Not quite two miles from the hotel is the celebrated Flag Rock, on the top of the Warm Springs mountain, at an eleva- tion of about two thousand four hundred feet above the level of the sea. The view from this point is truly sublime, and an hour spent upon its summit in gazing upon the magnificent spectacle presented to the eye would well repay those who possess the slightest appreciation of the grand and beautiful in nature for a voyage across the Atlantic. Three miles to the south of the Hot are found the “ Heal- ing Springs,” which, within a few years, have acquired a high reputation. The improvements are new and in good style, and the accommodations for visitors very superior. HOTEL ACCOMMODATIONS, AMUSEMENTS, &o., AT THE HOT SPRINGS. The hotel accommodations here are of the first class. The IIOT SPRINGS OF VIRGINIA. 9 ladies’ parlor is furnished with a superior piano, and the house is supplied with backgammon boards, chess-men, &c. A large ball-room, a ten-pin alley and a billiard table will be found upon the premises. In the management of the establishment every reasonable effort will be made to promote the comfort of invalids, and to render the place an agreeable resort to those who visit the mountains of Virginia in search of recreation and pleasure. It is certain that a more healthy or pleasant summer climate can nowhere be found in any part of our country. DESCRIPTION OF THE BATHS AND ANALYSIS OF THE WATERS. Within the grounds of the Hot Springs hotel are found in close proximity numerous bold springs of hot and cold water, the former issuing from the ground with a temperature of 110° F. The different Hot springs make their appearance in a line extending from the base of the mountain almost straight down a lawn in front of the hotel, the soil of which has the appearance of having been washed out of the base of the mountain to its present locality, and is highly charged with carbonates of the alkaline earths. Following the course of the stream the several baths ap- pear in the following order : No. I.—TIIE LADIES’ PLEASURE BATH. This is a delicious temperate bath with a bathing pool of eighteen feet in diameter and five feet in depth. The tem- perature is about 86° Fahrenheit. No. II.—LADIES’ BOILER BATIIS. These are four in number, all supplied by water of the Rame mineral constitution, issuing from the floor of the baths at a temperature of 110° Fahrenheit, and retaining a perma- nent standard of 108° in the full bath. Two of the four 10 HOT SPRINGS OF VIRGINIA. apartments are supplied with “ dumb waiters or elevators,” for the convenience of invalids who cannot walk or stand with comfort and convenience. By means of this contri- vance, invalids may take their baths either in the sitting or recumbent posture. All of the apartments are provided with beds and blankets, to enable patients who require it to undergo the “ packing” and sweating process after issuing from the bath. Bath maids will always be in attendance. The mineral constitution of these baths, as determined by the analysis made by Col. Wm. Gilham, of the Virginia Mili- tary Institute, is as follow's : One gallon of water contains of Carbonate of lime 17.3471 grains. " of magnesia 2.6873 “ of protoxide of iron 0.1139 “ Sulphate of lime 1.7357 “ “ of magnesia 5.6589 “ of potassa 1.3431 “ • " of soda 1.0222 “ Chloride of potassium 0.1597 “ “ of sodium 0.1211 “ Silica 1.7467 “ No. III.—GENTLEMEN’S BOILER BATHS. These also are four in number, and are precisely similar to the ladies’ boiler baths in the temperature and mineral quali- ties of the water, and in the arrangements of the several apartments for the convenience of invalids. They are under a common roof with the latter, in a building erected over nu- merous hot springs in close juxtaposition. No. IV.—LADIES’ SULPHUR BATH. The water of this bath is brought in a close underground pipe from its source about forty yards distant, and is kept in a pool sixteen by twenty-two feet in area, and five feet in HOT SPRINGS OF VIRGINIA. depth, for which the supply from a copious spring is super- abundant. It makes a most delicious bath, and has an ar- rangement for ascending and descending douches in the treat- ment of uterine affections. The temperature is 102° Fahrenheit. The mineral contents in a gallon of the water are as follows: Carbonate of lime «.... 16,4434 grains. “ of magnosia 2.8037 “ “ of the protoxide of iron 0.0670 “ Sulphate of lime 2.1039 “ “ of magnesia 6.1052 “ of potassa 1.8240 “ H of soda 1.0087 “ Chloride of potassium 0.1703 “ " of sodium 0.1335 " Silica 1,3673 “ In this analysis no notice is taken of gaseous contents, but the presence of a notable amount of sulphuretted hydrogen is unmistakably revealed by the odor apparent at the source, and there is, moreover, a white sulphurous deposit very simi- lar to that seen at the celebrated Greenbrier White Sulphur Springs. No. V.—GENTLEMEN’S SULPHUR BATH. This bath is supplied from the same source as the preceding (No. IV), and, like it, is highly esteemed by those who have made trial of it. No. VI.—LADIES’ HOT SPOUT BATH. In this bath, in addition to the pool for immersion, there is an arrangement by which a continuous column of water, at a temperature of about 108° Fahrenheit, may be directed at the w’ill of the bather to any part of her body. This bath and a corresponding one for gentlemen (No. VII) are extremely popular, not only with certain classes of invalids, who derive 12 HOT SPRINGS OF VIRGINIA. conspicuous benefit from using it, but also with many others who take it for its exhilarating effects. Its mineral constitution is nearly identical with that of the boiler baths, consisting of the same ingredients, in very nearly the same relative proportions. No. VII.—GENTLEMEN’S HOT SPOUT BATH. This bath, supplied from an independent source, has a slightly higher temperature than the preceding, that of the source being 110° Fahrenheit. The head of water for form- ing the spout is also higher, and the spout consequently falls with greater energy. It would be difficult to exaggerate the therapeutical value of this bath, or its agreeably exhilarating effects. It is perhaps the most popular bath at the springs. No. VIII.—'WARM BATHS. These baths, four in number, heretofore improperly called “ the temperate baths,” are supplied with water from one of the boldest springs on the grounds. This spring covers a very large area, and furnishes a most abundant supply of water at a temperature of 104° Fahrenheit, which, however, is reduced to about 97° or 96°, after it is delivered into the baths, in a distinct building. The mineral qualities of the water are similar to those of the boiler baths. No. IX.—GENTLEMEN’S PLEASURE BATH. This, called also the Erwin bath, is supplied by pipes from the very bold Erwin spring, thus named in compliment to a distinguished gentleman of the State of Alabama, whose ac- count of his own remarkable cure of paralysis will be found in this pamphlet. The pool is of such extent as to constitute a large swimming bath for gentlemen and boys. The water is 78° Fahrenheit in temperature, and in chemical composi- tion resembles the New Schlangenbad. Col. Gilham finds one gallon of this water to contain— HOT SPRINGS OF VIRGINIA, 13 Carbonato of lime 9.4838 grains Carbonate of magnesia 2.0194 “ Carbonate of protoxide of iron 0.0838 “ Sulphate of lime 3.0225 “ Sulphate of magnesia 1.0665 “ Sulphate of potassa 0.5699 “ Sulphate of soda 0.8502 “ Chloride of potassium 0.1595 ’ " Chloride of sodium 0.1252 “ Silica 0.6894 “ The water of the Erwin spring is believed to possess valu- able properties in the treatment of some forms of dyspepsia. Used for bathing, the waters of this and the New Schlangen- bad Springs prove highly beneficial in all cases in which the cool or temperate bath is indicated. Thus it will be observed, that at this well-known watering place every variety of bath, from cold to extreme hot, may be taken, and that the mineral ingredients are so combined as to impart to the waters, whether used for bathing or taken internally, properties not possessed by ordinary water at the same temperature.* The reputation of the Virginia Hot Springs for the cure of a large class of chronic diseases, such as diseases of the liver, of the stomach and bowels, of the kidneys, rheumatism, gout, neuralgia, paralysis, old injuries, &c., &c., is now so well established thioughout the southern states that it would be unnecessary to publish certificates of cure if it were not desired to extend to other sections of our country a knowledge of the remedial powers of these waters. Moreover the hygienical effects of thermal baths seem not to be fully appreciated in this country. In the eastern world, •Thin we believe to be strictly true, notwithstanding the obvious fact that the small amount of miucral ingredients causes the water of the Hot Springs to be devoid of any marked taste, and places it, in respect to its chief therapeutical effects, among the simplo thermal baths. The water of the Sulphur Springs is, however, an exception to this remark. 14 HOT SPRINGS OF VIRGINIA. warm and hot baths are habitually taken by persons in every class and condition of life, from the northern limits of Russia to the tropics. The fact that they are resorted to in tropical climates as a refreshing cordial, is a sufficient answer to the popular but erroneous idea that they are debilitating in their effects. The Romans, indeed, carried this luxury to such a pitch of vicious extravagance as to bring on it the title of one of the three great destroyers of human life, but this only applies to its abuse, and does not militate against its salutary operation when properly and judiciously used. Should the warm bath ever become general in its use in this country, whether in the form of the simple plunge bath, or in that of the more complex apparatus of the Russian or Turkish bath, it will probably produce a more beneficial revolution as to the health and longevity of the inhabitants than any other sanitary regulation. So far from weakening or enervating the constitution, it has a decidedly contrary effect, and therefore, in debilitated subjects, it is infinitely more proper and safe than the cold bath. The natural thermal waters exhibit in addition to the or- dinary effects of artificial warm baths, other phenomena pe- culiar to themselves. The proprietors of the Hot Springs deem it proper, therefore, to cite a few well ascertained facts relating to the hygienic and therapeutical uses of the warm bath in general and of natural thermal baths in particular. HYGIENIC EFFECTS OF THE WARM BATH. The opinion of the ancients as to the restorative effects of warm bathing was expressed in the fact that warm springs and baths were dedicated to Hercules as indicative of their invigorating powers, and it was the habit of athletes to seek refreshment and restoration of their exhausted strength in the warm bath.* Marcard, an accredited authority on the nature and use of baths, is quoted with approval by Dr. Bell, ♦Treatise on Baths, by J. Bell, M. D., Philadelphia, 1859. HOT SPRINGS OF VIRGINIA. 15 as citing cases which occurred under his own eye, of reco- vered strength under the use of the warm bath, and as ad- ducing Falconer’s experience at Bath in England as identical with his own in this respect. He also enumerates various in- stances of persons who resorted to the Warm Springs of Ger- many and Switzerland, and were in the habit of spending many hours at a time in the bath, without any sensation of exhaustion on the one hand or of excitement on the other. Bruce, in his travels in Abyssinia, states that when he felt an almost intolerable inward heat, and was so exhausted as to be ready to faint, a warm bath soon made him feel as much invigorated as on rising from his bed in the morning. “ Some persons may tell me,” he says, “that the heat of the bath must weaken and enervate, but I can assure them that the reverse is the case.” It is not difficult to understand how the warm bath should produce this result. Its observed physiological effect is to equalize the circulation, to cleanse the blood by promoting depuratory secretions, and to tranquillize the nervous system. By thus removing causes of local and constitutional irritation and quieting morbid excitement, which, as we see in fever and some other pathological states, enfeebles and exhausts the human frame, the warm bath must of necessity tend to econo- mize the powers of life and awaken feelings of renewed vigour. Count Rumford, narrating his personal experience of the effects of warm bathing on the occasion of a visit to Harrow- gate, for the sake 6f his health, when he bathed every day— for half an hour—in a bath of 96° to 97° Fahrenheit, during thirty-five days, uses the following language: “The salutary effects of this experiment were perfectly evident to all those who were present, and saw the progress of it; and the ad- vantages I received from it have been permanent. The good state of health which I have since enjoyed I attribute to it entirely.” 16 HOT SPRINGS OF VIRGINIA. This great practical philosopher is further cited by Dr. Bell as very properly exposing the fallacy of that reasoning which would lead us to abstain from the use of the warm bath for fear of its rendering us more liable to take cold. The foregoing remarks apply in some degree to baths arti- ficially heated, but in an especial manner to baths of natural thermal waters. For whatever be the true theory of thermal springs, or whatever opinion be entertained as to the mode in which the caloric may be combined with the water, “ it is cer- tain that in all ages and in all countries invalids have pre- ferred natural hot baths to artificial ones" of the same chemi- cal composition * It has been suggested by high authority that thermal waters may be more highly charged with elec- tricity, but whatever be the ’explanation, the superior effect of thermal springs over artificial waters of the same compo- sition, as far as can be chemically determined, is undeniable. The difference between the effects of warm baths of simple water and those of saline thermal springs has been shown by direct experiments to amount to a marked antagonism. Ac- cording to these experiments of Dr. L. Lehmann (On the Saline Baths of Oeynhausen and Ordinary Water—Gotten- gen, 1856), while simple warm water baths increase the urinary excretion, and thereby indicate, for the time, increased wasting of the body, the saline baths check the urinary, but augment cutaneous and intestinal excretions. The latter seem to aid assimilation, and thus strengthen the system. These remarks on the hygienic effect of thermal baths apply more especially to such as have a constant temperature at or very near blood-heat. Very hot baths, i. e., whose tem- perature exceeds blood-heat by several degrees, had better ♦British and Foreign Medico-Chirurgical Review, April, 1857. In a later number of the same journal, for July, 1860, this question is again considered in a notice of a recent work of A. B. Oranvillo, on the Mineral Springs of Arichy. It is affirmed that the effects of Puits Chomel (a hot spring) are far different from those of the C61estins (a cold source), even when the temperature of the latter has been previously raised by artificial means to the same standard as that of the former. nOT SPRINGS OF VIRGINIA. 17 be reserved for therapeutical applications, unless, indeed, they are immediately followed by a douche of temperate or of cold water, when it will be found that they exhibit all the characteristics and well-known hygienic effects of the famous Russian and Turkish baths, namely, refreshment and invigo- ration—removal of the lassitude and aches incident to long travel and fatiguing exercises, and efficient depuration of the blood through the medium of the cutaneous and pulmonary exhalations. The juxtaposition of baths of various tempera- tures at the Hot Springs affords ready facilities for their use in every combination ; and in this connection it is important to state that, in addition to the various warm and hot plunge baths, the proprietors propose to increase the number of the “ hot spout” baths, which for many years have been so popu- lar with the visitors at the Hot Springs, both in the treatment of various diseases, and as an article of luxury to persons in health. In the “ hot 6pout” a continuous column of the natu- ral thermal water, falling from an elevation of from three to five feet, may be directed successively to different regions of the body, and thus exercise a special and potent influence on the functional activity of particular organs. Alternate douches of hot and cold water often produce marvellous effects in various local chronic affections. THE HOT SPRINGS RESORTED TO AS A PLACE OF PREPA- RATION FOR THE USE OF COLD MINERAL WATERS. If a patient designs visiting several Mineral Springs in the course of the season, and is desirous of reaping all the bene- fits possibly to be had by the use of the waters of each, he should visit the Hot Springs first. This assertion is supported by the experience and observation of many distinguished medical men. The late Dr. Thomas Goode, who was for many years the proprietor of the Virginia Hot Springs, was a thoroughly educated, intelligent and skillful Physician, having every 18 HOT SPRINGS OF VIRGINIA. opportunity for observation on this subject afforded him by a residence of many years among the mineral springs of Vir- ginia. In the interest of medical science, he devoted much atten- tion to the subject, and along with his own opinions and ob- servations, collected and published the experience of some of the most capable, reliable and distinguished men in Europe, in confirmation of the assertion that Hot Springs should he the place of first resort—that instead of being used to confirm the good effects of cold mineral waters, they are more beneficial as a proper and rational preparation for their use. Dr. Goode says, in view of all the facts examined in this connection : “ They prove the fallacy of that popular belief by which so many have been influenced, to wit: that a course of sulphur water is an essential preparation for a course of these, and that the reverse of this is true ; that there are many cases in which the sulphur waters are ineffectual or injurious before, but decidedly beneficial after a course at the Hot Springs.” Thermal waters, so far as most American physicians are concerned, are as a new and untried remedy. In Europe, thermal springs are numerous, and many of them have been frequented and celebrated from one hundred to two thousand years. Three of the most distinguished English physicians —Johnson, Granville and Lee—visited the continental springs for several successive seasons for the purpose of professional information, observation and report. Lee treats of eighty mineral springs—twenty-six of them thermal. Granville treats of thirty-six—eight of them thermal. Johnson treats of twenty, twelve of which are thermal. In no one instance do either of these gentlemen, nor any of the continental physicians from whom they derived infor- mation, speak of, or advise patients to go to, cold saline springs to prepare them for a course of thermal waters; but on the HOT SPRINGS OF VIRGINIA. 19 contrary, patients, after having their torpid systems properly roused and prepared at hot springs, are sent to such cold, sa- line, sulphur or chalybeate springs, as may be thought indi- cated in their cases. And at most of these springs, the cor- rectness of this practice has been confirmed by the experience of several centuries. Very emphatic testimony to the value of this practice is borne by Dr. Granville in a late work, in which he admits that even Vichy, a thermal watering place in France, may be made subservient to his favorite Kissingen in Bavaria, with its cold acidulous chalybeate, where he spends every summer in his capacity of physician practising among the English visitors. Similar testimony is borne by a number of eminent physicians who have large experience in the use of the Hot Springs baths. See the letters of Dr. J. W. Wil- liamson and Dr. F. B. Watkins in another part of this pamphlet. 20 HOT SPRINGS OF VIRGINIA. Part II. ON TIIE THERAPEUTICAL EFFECTS OF HOT AND WARM MINERAL BATHS. In view of the well ascertained physiological effects of sa- line thermal baths in equalizing the circulation, in tranquil- lizing the nervous system and in purifying the blood without augmenting the waste of tissues, and therefore without weak- ening or enervating the system, we might readily anticipate many of their therapeutical applications on strictly rational principles, but it is proposed to refer only in this brief no- tice, to actual experience, and to cite facts which have been substantiated by actual observations at this or at kindred es- tablishments in Europe. We are fully aware that the pro- per interpretation of the apparent results of treatment at mineral springs requires nice powers of discrimination. On the one hand it would be manifestly unjust to discredit the springs for their failure to cure incurable cases, and many of this class are sent to the springs as a last resource. On the other hand proprietors of watering places and resident phy- sicians overlook altogether or assign too little value to various auxiliary influences, and give all the credit of real or reputed cures of diseases to the one natural remedy which constitutes their stock in trade. To some extent, possibly to a very considerable extent, an objection on the score of extravagant enthusiasm may be urged against the testimony of Dr. A. B. Granville, whose several works, “ The Spas of Germany,” “ The Spas of Ger- many Revisited,” and “ The Mineral Springs of Vichy, and their efficacy in the treatment of various Diseases," have yet commanded a most respectful notice at the hands of profes- HOT SPRINGS OF VIRGINIA. 21 sional reviewers, not only for their pleasing style and the general interest of their contents, but also for the evident conscientiousness of the author and the strength of his convic- tions. The other authorities to whom we shall refer, and whose statements may be accepted with less hesitation as pro- ceeding from men of lesH impulsive temperaments and calmer judgments, are chiefly the following: Dr. John Bell (A Treatise on Baths, Philadelphia, 1859.) Dr. Constantine James (Practical Guide for the Physician and the Patient to the Principal Mineral Waters of France, Belgium, Germany, Switzerland, Savoy and Italy. Paris, 1856. Very favorably noticed in the British and Foreign Medico-Chirurgical Review of London.) Dr. L. Lehmann, (The Saline Baths of Oeyn- hausen and Ordinary Water. Gottingen, 185G.) Dr. Wille- min, (On the Employment of the Waters of Vichy in Chronic Affections of the Uterus—by Dr. Willem in, Assistant Medical Inspector of the Waters of Vichy. Paris, 1859); and Dr. Barthez, Chief Inspector of the waters of Vichy, whose statements, based on the statistics of the Thermal Military Hospital at that place, are largely cited by Dr. Granville, who says : “ I feel particularly indebted to Dr. Barthez for his courtesy and liberality in enabling me to give to my English readers this oflieial return, which has nowhere been published, having been drawn up for, and despatched to the military authorities in Paris, at the conclusion of the season at Vichy last September. The minister of war is in possession of a number of similar reports from Inspector Barthez, forwarded from year to year, in accordance with the rules of the military service. Their great merit is their minute precision and accuracy. No erroneous conclusions can be drawn from the perusal of such documents.” In most of the cases reported by Dr. Barthez the treat- ment consisted both in the internal administration of the waters, which are solutions of bicarbonate of soda, with small amounts of other salts, together with a notable quantity of 22 HOT SPRINGS OF VIRGINIA. free carbonic acid dissolved in the water, and in the applica- tion of them in the form of tub and pool baths and the use of irrigations during the bath. In a few classes of cases the ingestion of alkaline drinks was more or less clearly indicated and may be considered as having been an essential agent in the process of cure, but in most of them the baths were un- doubtedly the effective instruments, inasmuch as dilute alka- line solutions administered internally in such cases are known to be either useless or worse than useless, and on the other hand similar curative effects have followed the use of the baths of Wildbad, which from the inconsiderable amount of its mineral ingredients may be regarded as a pure and simple thermal water. DISEASES SPECIALLY BENEFITED BY THE WATERS OF THE VIRGINIA HOT SPRINGS. i.—diseases of the digestive canal. For details of striking cases under this head the reader is requested to turn to the letters (among the “ certificates of special cases of cure,” printed in another part of this pamphlet) of Francis B. Clarke, Esq., A. A. Campbell, M. D., Charles Hamlin, A. Y. Watson, M. D., W. H. Woodley, Robert J. Brent, Esq., Williams Carter, Esq., of Hanover, George Carr, Esq., Wm. Todd and David Moody, of Steubenville, Ohio. In the report of Dr. Barthez the number of cases of Chronic Inflammatory Diseases of the Digestive Canal “ was nearly 200; the number cured and much improved very large, and the failures exceedingly few.” In affections of the alimentary canal, considered to be of a nervous character, the success was equally great. Quite a number of this class of cases, including the most severe attacks of gastralgia and enteralgia, which had resisted the use of hot baths at home (artificial), have been promptly relieved by the use of the Hot Spout or the Boiler at the Virginia Hot Springs. HOT SPRINGS OF VIRGINIA. 23 In no class of affections have the virtues of the waters of the Hot Springs been more thoroughly and effectually tested than in this. For conclusive evidence of their marvellous efficacy and of the importance of a course of preliminary bathing, even for those cases in which the alterative action of the Cold Sulphur waters is indicated, we invite the careful attention of our readers to the letters of the following named gentlemen: Dr. Landon Rives, Dr. John W. Williamson, Dr. F. B. Watkins, Dr. A. A. Campbell, M. Tounoir, Dr. Charles Carter, John L. Manning, Esq., D. R. Kirkpat- rick, C. Carlton, James L. Colton, E. L. Dargan, T. F. Campbell, John J. Taylor, R. N. Fox and J. G. Jefferson, and to a passage from Wood’s Practice of Medicine, all of which are published in Part III of this pamphlet. Wo refer also to a very recent and striking communication from Col. J. D. Hoover, formerly Marshal of the District of Columbia during the administration of Mr. Pierce. The friends of this gentleman had little expectation of even a par- tial recovery. With an enormous enlargement of both the liver and the spleen, he had also an alarming disturbance of the hearts action, manifested by shortness of breath, palpita- tions and a loud bellows murmur, coinciding with the first cardiac sound. There was also a considerable oedema of the feet and ankles, but no albumenuria or other evidence of renal mischief. The improvement derived from the use of the baths was truly surprising, as is stated in his letter. In the Report of Inspector Barthez this class of cases at Vichy “included cases of simple inflammatory hepatitis, en- gorgement, induration and obstruction of the liver, with a few cases of abscess of the organ, gall-stones and hepatalgia. Between two and three hundred cases arc recorded; the cures and marked improvements are numerous, failure is recorded in but a few instances. The same remark applies to different ii.—diseases of the liver. 24 HOT SPRINGS OF VIRGINIA. forms of splenic disease, often the result of attacks of Afri- can intermittent fever or other paludean agues.” Dr. James Johnson bears his testimony to the value of thermal baths in chronic derangements of the portal circula- tion as follows: “The state of abdominal plethora, with con- gestion of the liver, and obstruction in the circulation of the vena portae, with its consequences, as impaired digestion, defi- cient or vitiated biliary secretion, piles, &c., occurring for the most part in persons about or beyond the middle period of their life, who have been addicted to the pleasures of the table, and marked by more or less protuberance of the abdo- men, with diminished muscular or nervous energy, is one well calculated to be relieved by the use of the Wisbaden waters internally and externally employed. In hsemorrhoidal affections especially, Dr. Peez and Richter speak in very high terms of the effects of the Wisbaden Springs.” Dr. Bell, who cites this passage, adds that the same eulogy may be passed on hot baths in hypochondriasis in males and in irregular menstruation in females, especially if connected with a congested state of the abdominal or pelvic viscera. III.—DISEASES OF THE KIDNEYS AND BLADDER. “ In nephritic disorders and affections of the urinary or- gans in genera], warm bathing has long enjoyed great and deserved reputation. It allays pain and irritation, and aids the passage of calculi through the ureters. By its action on the skin it mitigates the severity and sometimes carries off a paroxysm of that most distressing malady, vesical catarrh.” (Bell on Baths, &c.) The same writer remarks that albu- minuria, originating from obstructed perspiration and pro- longed interruption of the cutaneous function, is greatly bene- fited by the regular and continued use of the warm bath. We add, that the thermal waters of the Hot Springs possess the inestimable advantage in the treatment of such cases and of most forms of Benal Dropsy, that they do not debilitate nOT SPRINGS OF VIRGINIA. 25 the system. This striking peculiarity of thermal baths was conspicuously illustrated in the case of a most distinguished citizen of Virginia, who had passed the flower of his life in the service of his country both at home and abroad. This gentleman, suffering from the effects of Chronic Bright’s disease in an advanced stage, came to the Hot Springs in a state of great debility, and received the most marked benefit from the use of the hot baths.* In this connection we may again advert to the results of the observations made by Dr. L. Lehmann as to the influence of natural saline thermal baths on the urinary excretion. It appeared that under their use, while the cutaneous and intestinal excretions were increased, the solids of the urine were diminished ; thus in cases of nephritic disease the suffering organ is relieved by these baths of a part of its natural burden, and the waste of tissue, and consequently of strength, is diminished, while yet the blood is effectually depurated. Nephritic colic, which had been only partially and tempo- rarily relieved by hypodermic injections of morphine, pain returning with undiminished violence as soon as the narco- tizing influence had passed off, has been promptly and effec- tually cured by a general bath in the “boiler” of the Hot Springs.f For the reason mentioned in the last paragraph but one, we may reasonably expect benefit from the use of these baths, in conjunction with appropriate diet, in cases of Saccharine Diabetes. Indeed, the best therapeutists insist that a lead- ing indication in the treatment of this formidable disease is to restore the functions of the skin, and to suspend or diminish waste of tissues. It is a tendency of the Hot Springs’ baths to produce both effects. Nor are we without direct experience •For a more recent instance of An apparently perfect cure of an aggravated caso of Albumennria, see the letter of Dr. 0. A. Crinshaw. fSeo the striking letter of J. A. Cowardiu. Eaq., for the cure of a very complicated case of Renal disease. 26 HOT SPRINGS OF VIRGINIA. on this point. Inspector Barthez reports seventy-three (73) cases of diabetes treated at Vichy, of which it is affirmed that “ thirty-two lost the presence of sugar in the urine at the end of a few days of treatment, thirty obtained a more or less sensible diminution of the same, and only eleven continued in the same state. To this statement it is added, that of the thirty from which Dr. Barthez obtained information during the years subsequent to the cure, seven showed after that time no appearance of sugar in the urine, but in all the others this principle had reappeared in that secretion.” The more or less decided benefit experienced by the patients while at Vichy, and for a variable time afterwards, was ascribed mainly to the internal administration of the bicar- bonate of soda dissolved in the Vichy waters, in accordance with the theoretical views of Mialhe and other highly respect- able authorities, but the benefit so far exceeded what has been realized under the alkaline treatment practised at home, that we feel fully warranted in affirming that the thermal baths, by restoring the functions of the skin, diminishing waste of tissues, and soothing the nervous system, will prove a most efficient agent in diminishing the diuresis, and in in- creasing the bodily and mental vigor of diabetic patients. To meet another want of this class of patients, the proprie- tors will be prepared to furnish bran bread, made after the formula of Dr. Camplin, of London, and now so largely and advantageously used by diabetic subjects as the chief staple of their diet. Suitable vegetables, containing neither starch nor sugar, or only a minimum quantity of either of these principles, and the choicest animal diet will be supplied with daily regularity. During the past season, namely, in July, 1809, one aggra- vated case of Saccharine Diabetes, previously very much benefited by the internal use of Rockbridge Alum Water and by appropriate diet, was apparently cured by the daily use of the Hot Bath at these Springs. In this case there has HOT SPRINGS OF VIRGINIA. 27 been no reappearance of Sugar in the renal Secretion down to the date of this writing (March, 1870), while the general health, previously much deranged, seems now perfect. IV.—DISKASES OF THE NERVOUS SYSTEM. (1). In chronic paralysis, whether in the form of hemi- plegia (paralysis of one lateral half of the body) or para- plegia (paralysis of both lower extremities), or partial para- lysis, and even in some cases of recent origin, where there is an absence of excitement of the nervous system, thermal baths have produced the most decided benefit, both here and in Europe. Thus Dr. James Johnson, in his “ Excursions to the English Spas,” speaking of the effects of hot bathing at Bath, in England, as a treatment of paralysis, says: “ We have only to take a tour round the bath hospital, where nine-tenths of the patients are paralytics—most of them paraplegiacs—to be convinced that this is a disease for which the Bath waters are renowned per totum orhem. * * * * Dr. Summers, who wrote expressly on the benefit of bathing in paralytic disorders, makes the following observations: ‘We have a great variety of paralytic patients, and upon exactly examining the books from the first opening of the hospital to the present time, I find the account to be as fol- lows: Admitted in nine years, 310; cured or much better, 208; no better and dead, 99 ; remain in the house, 3. From hence it appears that more than two-thirds were either cured or received great benefit, and that only twelve died in the space of nine years. All these patients were bathed twice a week, and many of them three times. And what is very remarkable is, that of those who were cured or discharged much better, about thirty were more than forty years old, fifteen of whom were turned of fifty, and five were sixty and upwards. Now, let appearances have their force, conjecture hesitate and reason judge. And when I add, that the gene- rality of our patients come as incurables from other hos- 28 HOT SPRINGS OF VIRGINIA. pitals, where there are physicians of the first character, and consequently where the best means are used, how strong in favor of bathing (with such obstacles) must be the above account!” Dr. Spry remarks on this passage thus: “Looking with an impartial eye at this strong body of evi- dence, which could never have been brought forward in pri- vate practice, with what confidence and well-grounded hope will the paralytic patient resort to these springs for relief, if he has but the patience and perseverance to adhere to the mode of treatment chalked out for him.” “ Upon inquiry at the bath hospital, a very intelligent house-surgeon, with whom we visited the wards, informed us that the external use of the bath waters—bathing, pumping, shampooing, &c.—were almost the only modes of their ad- ministration. The baths, in cases of paraplegia, are used at a high temperature.”* Similar results have been attained by hot bathing at Wild- bad and other thermal springs in Germany. Dr. Bell says: “ Paralysis, both of the lower extremities and of one side of the body, has been in many cases entirely removed by a course of bathing at Wildbad. Before any amelioration takes place, the patient generally experiences some pricking pains and tinglings in the paralyzed parts, followed by a sense of heat, perspiration, and increase of feeling. To these symptoms succeed a gradual restoration of muscular power, accompanied by a sense of electrical shocks passing along the nerves. Paralytic persons, of a full or plethoric habit, or whose circulation is active, should watch the first effects of the warm bath, and make but moderate use of it at first.” For a record of few among the many cases of severe para- lysis which have been relieved at the Virginia Hot Springs, the reader is referred to the letters of Samuel Hardgrove, *Dr. James Johnson’s “ Excursions to the Euglish Spas,” cited in Dr. Bell’s Treatise on Baths. HOT SPRINGS OF VIRGINIA. 29 Wm, S. Reid, Wm. Sanderson, Joseph Wampler, John Erwin and John Tyler, all of which will be found in Part III, under the head of “ diseases of TnE nervous system.” This list might have been increased tenfold if a regular record1 had been kept of all the cases successfully treated at these springs. (2) For the details of a case of anomalous “ Spinal Irri- tation,” attended with violent convulsions, which rendered' the patient’s life a continuous torture for a period of sixteen years, and which was cured by the baths at these springs, see the remarkable certificate of J. J. Pace. (3) Very many cases of Neuralgia have been cured by the use of the hot spout bath, but we are without statistical records on this subject. A single certificate, that of J. C. Herbert, of Maryland, is in our possession, and will be foundi in its appropriate place in Part III of this pamphlet. Warm and hot baths have so long been recognized as im- portant auxiliaries in the treatment of uterine disorders, both functional and organic, that it can scarcely be necessary to say more on this topic than to enumerate the special diseases which have been more or less benefited by their employment, such as suppressed and difficult menstruation—inflammatory leucorrhnea arising from chronic endometritis of the neck or of the body of the womb—indurations of the uterine neck— chronic ulcerations of the. same—intra-mural fibroids—dis- placements caused or maintained by obstructions of the por- tal circulation—vaginitis—cancer, &c., &c. A recent writer of high repute in his special department, Dr. Henry G. Wright,* physician to the Samaritan hospital for diseases of women, in London, gives a very clear and convincing demonstration of the influence exerted by certain V.—UTERINE DISEASES. ♦Utorlno Disorders; Tlieir Constitutional Influence and Treatment. By Henry G Wright. Londont 1868. 30 HOT SPRINGS OF VIRGINIA. states of the liver and of the portal circulation in producing displacements and functional derangements of the uterus, by reason of the connection of its veins with the portal sys- tem; and we have seen that no agent is more efficacious in correcting these disorders of the portal circulation than the hot bath, used with due discrimination. Irrigations of the vaginal canal and of the uterine neck have of late been used with so much advantage that they are now resorted to as a formulary method of treatment in a large majority of the cases collected at the hospitals for ute- rine diseases. In these institutions, in our cities, recourse is had, of course, to simple water, artificially heated. Here again we have to express the confident opinion that such irrigations, practised with the natural thermal waters, are in many chronic uterine affections far more efficacious. The practice has, indeed, been borrowed from the thermal springs of Europe. Thus, as stated by Dr. Bell, in the great reservoir at Bath, in England, called the King’s Bath, there is a subaqueous douche or pump for directing a stream of water to any particular part of the body in the bath. This ascending douche may be applied to the perineum, the rec- tum or the vagina, while the descending douche or the ordi- nary spout may be directed separately, or at the same time, to the lower part of the abdomen or to the sacrum. • The beneficial effects of the thermal waters at Vichy in the treatment of uterine disorders were so marked and deci- ded as to arrest the attention of Dr. Willemin, the assistant inspector in the service of the French government, and to induce him to publish a valuable work “ On the Employment of the Waters of Vichy in Chronic Affections of the Uterus,” which is very favorably noticed in the British and Foreign Medico-Chirurgical Review for July 1860. Dr. Willemin considers that in chronic enlargement of the uterus connected with anteversion or retroversion, the treatment of Vichy pos- sesses remarkable efficacy; he also recommends it in chronic IIOT SPRINGS OF VIRGINIA. 31 metritis, although in the latter case it may be necessary, be- fore having recourse to the waters, to combat the inflamma- tion by appropriate antiphlogistic remedies. In cases of peri- uterine inflammation, the Vichy treatment was likewise found successful; and in several cases where sterility appeared to have depended on a retroversion of the uterus, impregna- tion has occurred after the use of the waters. In suppressed menstruation also the discharge was frequently reestablished, especially when the obstruction was dependent on uterine engorgement. The treatment in most cases consisted, not only in the internal administration of the waters, but the ap- plication also in the form of the general bath, as well as the bains de piscine and the use of irrigations during the bath. The observations, of cases which are very numerous, appear to have been made and recorded with great care and faith- fulness. In this class of cases, as well as in some other chronic affec- tions which have become fastened upon the system, it would be extremely unreasonable to expect prompt and radical cures. But if a chronic endometritis, which for several years had resisted the best directed efforts of competent physicians to relieve it, should undergo the most decided ameliora- tion after a course of bathing taken systematically at the Hot Springs for two months, and this be followed by an ame- nability to medical treatment which had not before been ob- served, such a result would in itself be a sufficient recom- mendation of this natural agent. It is of comparatively little importance to the relieved invalid whether the benefit be ex- clusively due to the effects of the waters used at their source or to the combined effects of the waters and of the social and hygienic influences, which may be very powerful adjuvants. In either case, the benefit arises from a visit to the Springs at a season when a continued sojourn in the city is well nigh in- tolerable to the invalid. A large experience, for the most part unrecorded, warrants us in affirming that the thermal 32 HOT SPRINGS OF VIRGINIA. waters of the Hot Springs are proved to be most valuable agents in the treatment of uterine disorders. VI.—GENERAL DISEASES. (1) The whole class of chronic skin diseases, whether simple or specific, are appropriately and successfully treated by thermal baths, especially of the sulphuretted and saline waters, which act as alteratives internally, and locally as stimulants. This is especially the case in constitutional syphilis when mercury has failed to effect a cure and re- mains in the system. (2) “Next to syphilitic diseases of old standing, come the whole class of Rheumatic and Gouty affections of a chronic type. In no disease or class of diseases have the effects of mine- ral waters been more appreciated, especially those of the ther- mal waters. Perhaps as striking a proof of the great efficacy of mineral waters, in popular estimation, is to be found in the great request in which natural thermal waters are held in the East, where ordinary hot baths are habitually used to such an extent. Thus Sultan Suliman the Great was cured of the gout, after all other means had failed, by the waters of Broussa.”* The Vichy waters have long enjoyed a considerable repu- tation in the treatment of Gout, but it is proper to add that a great part of the benefit is, doubtless, due to the internal administration of the alkaline ingredients of those waters. Still, however, the benefit is so much more decided than has been obtained by the alkaline treatment alone that a good measure of the success may reasonably be attributed to the thermal baths. Dr. Barthez reports the results of the treat- ment of 135 cases, of which 69 were cured or apparently cured, 66 were improved, and only 9 experienced no appre- * British and Foreign Medico Chirurgical Review, April 1857. The Reviewer makes the statement on the authority of Dr. T. A. Bernard, Professor of Internal Pathology and Clinical Medicine at Galata Serai. HOT SPRINGS OF VIRGINIA. 33 ciable amendment. “In no case was any untoward accident observed from the use of the waters.” As to that distressing and very common disease, chronic rheumatism, we confidently affirm that no other system of treatment offers an equal chance of benefit with that em- ployed at thermal baths. In the military Sanatoria, or hospitals for invalids, estab- lished by the French government at various thermal springs in France a remarkable degree of success has been attained in the treatment of cases previously considered incurable. Thus 74 per cent, of cases which had passed through the ordinary hospital treatment were decidedly benefited, 2G per cent, having been cured, and 48 per cent, more or less “re- lieved." It was especially remarked that the most favorable per centage was found among the rheumatic cases* Of eighty (80) cases reported by Dr. Barthez, as treated at Vichy, thirty-five were considered to be cured, thirty-one improved and in fourteen no result was obtained. Out of many hundred cases of rheumatism, gout and rheu- matic gout, which have been more or less benefited at the Virginia Hot Springs, only a portion have been recorded in the letters of D. H. London, Wm. M. Darlington, H. Cal- loway, Wm. Chatman, B. Preston, P. A. Browne, Thomas G. Coleman, D. G. Doak, Muscoe Garnett, P. G. Uhler, Dr. George C. Sugg, John F. Ballew, Dr. Louis E. Atkin- son, Wm. Gilliam, Dr. Thomas Lining, S. Fleming, W. Hutchens, and Rev. J. A. Holland, of Baltimore. (3). In scrofulous affections, the Hot Springs are only recom- mended as preparatory to the beneficial action of the Rock- bridge Alum waters, which, when the system has been duly prepared for their use, effect marvellous cures, transcending •BrilUh and Foreign Medlco-Chirurgical Review, Oct. 1856. For a further notice of these Sanatoria in tlu-ir relation to the treatment of old injuries and other chronic mula- dies of soldiers, see class vii, “ surgical diseases.” 34 HOT SPRINGS OF VIRGINIA. the effects of cod liver oil, or those of the preparations of iodine and bromine. VII.—SURGICAL DISEASES. The use of mineral waters in surgical diseases was brought to the notice of the military authorities in Great Britain, especially in reference to surgical diseases resulting from wounds, by Dr. PincofFs, who had been attached to the hos- pitals in the East. According to the British and Foreign Medico-Chirurgical Review, Dr. Pincoff ’s pamphlet contained very sound arguments in favor of the establishment of mili- tary hospitals in connexion with such waters as those of Bath, the great thermal watering place of England. In the East, the military authorities of the English hospitals had directed their attention to this subject with reference espe- cially to the waters of Broussa and Mytelene, both of easy access from Scutari. In France, as Dr. Pincoffs showed, such establishments are found to be exceedingly favorable in the cure of old wounds.* For an illustration of the efficacy of the thermal baths at *The value which the French military authorities place upon thermal baths is attested by the fact that at six different places of the kind they possess military sanatoria or hos- pitals, namely, at Amelie les-Bains, Bareges, Bourhonne-les-Bains, Bourbonne-l’Archam- bault, Vichy, and Guagno, in Corsica. Similar institutions are to be found in the well- known watering places of Carlsbad and Tooplitz, in Germany. ***** “ Inveterate rheumatism, diseases of hones, skin diseases, syphilitic affections, are peculiarly amenable to treatment by the thermal sulphurous springs and other thermal waters; whilst wounds and ulcers, with the secondary effects of the various injuries to which the soldier is liable, are often found to undergo a change and amelioration under their influence, whon ordinary medication was failing to work a cure. We gather from a work by M. Herpin, containing very elaborate calculations, that the following is the per centage of cases benefited by this mode of treatment: Cured 26 per cent. Relieved 48 “ “ “Thus seventy-four per cent, of cases which had passed through the ordinary hospital treatment were dccldodly benefited; cases which, but for the sanatoria, would probably have been allowed to linger out their lives as hopeless invalids. It is to be especially remarked, that the most favorablo per centago is found among tho rheumatic cases, which nearly regards us (the English people), as the most rheumatic nation in the world.”—[British and Foreign Medico-Chirurgical Review, October 1856. HOT SPRINGS OF VIRGINIA. 35 the Virginia Hot Springs in curing rigid contraction of the muscles of the leg, supervening upon a severe injury, and pronounced incurable by the late Dr. Physick, of Philadelphia, the reader is referred to the case of the Hon. John Y. Mason, late United States minister at the court of France, as narrated in his letter, to be found among the certificates of special cases of cure in Part III of this pamphlet. VIII.—MISCELLANEOUS CASES. In addition to the above specified classes of disease, the following named affections have in many cases yielded to the influence of the thermal baths at the Hot Springs of Virginia, used in combination with other appropriate treatment, after the latter alone had failed to effect a cure : Intermittent fever, chronic ovaritis, pelvi-peritonitis, renal calculi, spasmodic stricture of the urethra and the morbid habit which was ex- pressed by its frequent recurrence, organic strictures of the urethra, enlargement of the prostrate gland in persons not very advanced in age, indolent swellings of the joints, chronic inflammation of the lymphatic glands, the carbuncular dia- thesis, aphonia, deafness, &c. REACTION FEVER PRODUCED BY HOT BATHING. It is important, in order to quiet the apprehensions that might otherwise alarm patients and disappoint their medical advisers not previously acquainted with the phenomena, to state that a large proportion of persons taking a series of hot baths experience a kind of “reaction fever” in the course of the treatment. Dr. Ileim, quoted by Dr. James Johnson (Pilgrimages to the Spas, <£c.), and by Dr. Bell (Treatise on Baths), says: “ This state of visitation seldom lasts more than a few days, and generally disappears without any internal medicine. This reaction is precisely that which ought to inspire the greatest hopes in the patient, as it announces a change in his 36 HOT SPRINGS OF VIRGINIA. constitution and a victory over his malady. The disagree- able sensations, however, which he feels, often put him out of humor with the baths, especially if old pains and discomforts that had ceased now reappear, which they often do. He becomes impatient and morose, when he is revisited by rheu- matic pains, neuralgia, gout, hemorrhoids, &c., which he had thought to be extinct. Such reaction, however, is indispen- sable towards the victory of nature and the baths over the disease for which they are employed. The waters of Wild- bad are remarkable for this reproduction of old disorders, at the moment they are eradicating the more recent ones.” Similar effects have been noticed at other thermal baths in Germany. Mr. Lee (on the Principal Baths of Germany) makes the following observations on the baths of Wisbaden: “ The beneficial effects of the Wisbaden and other mineral springs, are most evident during the time of their use, after the system has been for some time subjected to their action, and are not unfrequently consecutive to discharges or erup- tion of a critical nature, induced by the water, which by per- turbatory action, and by exciting the vital energies, frequently brings disease from the chronic to a more acute state, pre- vious to their removal. Hence, a slight degree of feverish- ness, with increase of long-standing pains, &c., are frequently proofs of the beneficial action of the water, and precursors of a favorable change. In other instances, no perceptible effect or amelioration takes place during the employment of the waters, but becomes apparent after they have been sometimes discon- tinued." This has so often occurred at the Virginia Hot Springs as to have passed into a proverb. Very many patients have left the springs in despair, and have been most agreeably dis- appointed at a subsequent period to find that they have actually been cured. See the letter of Dr. Geo. C. Sugg, who states that after taking thirty-five baths he “ was very much disheartened and dissatisfiedthe baths made him nOT SPRINGS OF VIRGINIA. very Bore, lame and weak. Thinking that there was no relief for his case, he departed, and was astonished to find at Staun- ton, where he spent the night, that he could turn in bed (which he had not been able to do for three years). He con- tinued to improve gradually after this. See also the letters of H. Davrainville, \V. Hutchens and Dr. L. E. Atkin- son, for examples of aggravation of pains as preparatory to their final removal under the influence of the hot baths. In conclusion, the owners would beg leave, in addressing themselves to invalids suffering from such chronic complaints as have been herein referred to, to borrow the sprightly language of the enthusiastic author of the “ Spas of Ger- many “ Do not waste your life and purse in swallowing endless drugs and ringing the changes of remedies and doc- tors, pent up in a hot house in the city during the summer months, or in being lifted in and out of your carriage, the prey of some chronic and insidious disorder which bafiles your vigilant physician’s skill. Fly, I say, from these evils— proceed to some spring of health, and commit yourself for once to the hands of nature—of medicated nature—assisted by every auxiliary which an excursion to a German Spa” (or, we may say, to the mineral springs in the mountains of Vir- ginia) “ brings into play, and depend upon it, that either at the first or at the second or third occasion of visiting and using such Spas, you will have reason to rejoice that you exchanged art for nature ; always provided you act under proper advice in the choice and use of them.” In Europe, according to this writer, “ the affirmation and approving voice of many centuries, of many physicians of the first eminence, and what is better still, of many patients who have been cured by mineral waters, after having in vain tried all the resources of art,” attest the great value of these natural remedies. We add the expression of our conscien- tious and decided belief, that in their power to subvert disease 38 HOT SPRINGS OF VIRGINIA. and to restore health in the maladies for which they are recom- mended, the VIRGINIA HOT SPRINGS AEE NOT EXCELLED BY ANY MINERAL WATER ON THE FACE OF THE GLOBE. S. C. TARDY, THOS. R. PRICE & CO., Owners. IIOT SPRINGS OF VIRGINIA. 39 [Part III. CERTIFICATES OF CURE, AND LETTERS ON THE THERAPEUTICAL EFFECTS OF THE HOT SPRINGS BATHS. The attention of those who may feel an interest in the sub- ject is respectfully called to the annexed certificates of cure of various diseases effected by the Hot Springs. These state- ments are made by persons entirely disinterested. Most of them were given by the several writers at different times to the late Dr. Thomas Goode, the former proprietor of the Hot Springs. A few have been collected since his death. Some of the writers are eminent physicians, others are men of national reputation, and the character and intelligence of all of them forbid the idea that they could either be deceived themselves, or would assist to deceive others in regard to the effects of the waters. GENERAL CERTIFICATES. Ilis opinion of the value of the Hot Springs as a remedial agent in rheumatism, gout, diseases of the liver, paralysis, enlargement of the prostrate gland, Ac., Ac. LETTER OF DR. RIVES. Hoanolce, April 2nd, 1858. Dear Sir :—After suffering for two years excruciating pain from chronic rheumatism, I determined to try the effects of the Hot Springs Baths for this disease. In accordance with this determination, I spent about two weeks last September 40 HOT SPRINGS OF VIRGINIA. at your springs (my occupation not giving me more leisure at that season), and I was for a time somewhat disappointed at the result, as my pains were rather increased for a month after my return home; but during the whole of the past winter I have been entirely free from this painful malady, notwith- standing constant exposure to the inclemencies of weather in the practice of my profession. I attribute the cessation of these rheumatic pains entirely to the effect of the Hot Springs baths. I observed that the primary effect of the baths upon the circulation of the blood was excitant, and the secondary effect •sedative; which accounts, in part, for the curative proper- ties of your baths in chronic diseases, especially where depo- sitions or morbid alterations have occurred in the tissues. Along with this excitement of the circulation of the blood is a corresponding excitation of the absorbent vessels, which in chronic diseases, generally, are inactive. These vessels are stimulated to the performance of their natural functions, and the result is, that the deposits which have been left in the tissues by previous disease are re-absorbed, and these tissues restored to their normal structure and function. The second- ary sedative effect insures the patient against the danger of an inflammatory action. Thus stimulated from day to day, the absorbent vessels regain their wonted office, and disease gradually disappears. This is without doubt the “ rationale” of the way in which the Hot Springs baths cure the chronic form of rheumatism, gout, menstrual derangements depend- ent on ulceration of the womb, syphilis, enlargement of the prostrate gland, deformities from old injuries, &c., &c. What assistance is derived from the chemical constituents of the waters, I am unable to determine, but I should think their influence must be potent, or such results would hardly have obtained as I have witnessed in the above-named diseases ; and in paralysis, torpidity and enlargement of the liver, en- HOT SPRINGS OF VIRGINIA. 41 largement of the spleen, jaundice, and in some forms of chronic diarrhoea. The spout baths proved in my own, and in many other cases, as active a stimulant to the liver as calomel itself. From personal observation, and upon the representation of many intelligent visitors, I have no hesitation in recommend- ing persons afflicted with any of the diseases I have enume- rated to resort to the Hot Springs as the most pleasant mode of obtaining relief. I certainly expect to avail myself of the advantages of these baths for a short time every summer. With sentiments of the highest regard, I remain your friend and obedient servant, LANDON RIVES, M. D. To Mr. S. Goode, Hot Springs. LETTER OF DR. WILLIAMSON. His opinion of the beneficial effects of the Hot Springs when employed to PREPARE THE SYSTEM FOR THE USE OF OTHER MINERAL WATERS; also, in diseases of the liver, gout, rheumatism, paralysis, &c., &c. Boydion, Va., May ls£, 1858. Tiios. F. Goode, Esq.: Dear Sir :—I cheerfqlly comply with your request for my opinion as to the curative powers of the Hot Springs. From my observation of the effects of these waters, I am entirely sat- isfied that they are among, if not the most potent of the Min- eral Springs of Virginia, for the cure of most of the obstinate chronic forms of disease, for which they are resorted to, par- ticularly for the condition of the system depending on a general derangement of the secretions with torpor and inactivity of the various organs. With very few exceptions, I regard the Hot Springs as the best preparatory for bene- ficial results from the use of the waters of the other springs. They excite the torpid organs, and thereby render the syS- 42 HOT SPRINGS OF VIRGINIA. tern more susceptible of immediate effects in many cases in which other waters are ultimately more especially adapted. It is frequently the case that invalids spend some time at the White Sulphur and other springs with but little, if any benefit, when upon visiting the Hot Springs, and returning to these places, they experience immediate beneficial results. I generally advise invalids, who consult me as to the use of the various mineral waters, to resort to the hot baths, before visiting other springs; and to do this in many cases, in which I regard other waters as more particularly indicated, for the reason that I believe the relaxing effect of the hot baths ren- ders the system much more susceptible of prompt and efficient action from other waters. I am convinced that in many in- stances, in which the sulphur waters are resorted to in the first instance with but little or no beneficial result, they would prove highly efficient if aided by a previous application of the hot baths. As a remedial agent in gout, rheumatism, paralysis, and all affections of the liver, the Hot Springs are justly considered without a rival. In fact, so astonishing has been the relief afforded by these waters in the diseases here enumerated, and in others, that it would be almost incredible, but that it is attested by persons of as high character as any in the land. Yours truly, JOHN W. WILLIAMSON, M. D. His opinion of the value of the Hot Springs as a curative agent in various chronic diseases. LETTER OF DR. FRANCIS E. LUCKETT. Richmond, Va., May 18th, 1860. My Dear Sir:—In response to your inquiries on the sub- ject, I take much pleasure in furnishing you with my impres- sions as to the medicinal and remedial properties of the Hot Springs water. Having resided for four years or longer at HOT SPRINGS OF VIRGINIA. 43 the Warm Springs (but five miles distant), engaged in the practice of my profession, most favorable opportunities were afforded me, in numerous instances, for observing the curative influences of these waters, and I do not hesitate to say that I believe them to be the most reliable and efficient agents in the treatment and cure of the large class of diseased condi- tions to which they are adapted in this country. I will enume- rate as follows: Chronic rheumatism and gout, paralysis in its different forms, neuralgia, diseases of the liver, with its various complications and consequences, as jaundice, indiges- tion, obstinate constipation, dropsical effusions, &c.; visceral engorgements, as of the spleen and other organs, irritation of the spinal column, with its attendant consequences; the nume- rous class of deformities arising from injuries to muscles and joints; chronic diarrhcea, dependent upon torpidity of the liver or debility ; engorgement or enlargements of the uterus, attended with suppressed, diminished, or painful secretion ; enlargement of the prostrate gland. Such is my confidence in the curative action of the hot spout, that I shall seek its aid the coming summer in my own case, for the relief of a torpid liver, with rheumatic complication. Hoping sincerely that you may enjoy in the ensuing sea- son, as heretofore, that extended patronage which both the value of the water and the admirable accommodations of the place are so well entitled to secure, I remain, very truly, yours, F. E. LUCKETT. S. Goode, Esq., Hot Springs, Bath county, Va. OriNION OF DR. (1K0RUE B. WOOD, Of Philadelphia, in regard to the curative properties of the Virginia Hot Springs in rheumatism, gout and chronic hepatitis. In his work on the Fractice of Medicine, Dr. Wood, one of the professors in the University of Pennsylvania, and one of 44 HOT SPRINGS OF VIRGINIA. the most eminent medical men of the age, thus notices these waters as remedial agents: Under the head of chronic rheu- matism, he says (see second edition, vol. 1, page 443, Wood’s Practice of Medicine): “ The hot bath, taken daily and perse- vered in for a considerable time, often does much good ; and obstinate local affections sometimes give way to a stream of hot water directed upon them, or the hot douche. A visit to the Hot Springs in Virginia may be recommended.” Under the head of gout: “The Hot Springs of Virginia are sometimes very beneficial.” (Vol. 1, page 4G4, second edition, Wood’s Practice.) Under the head of chronic hepa- titis (Wood’s Practice, second edition, vol. 2, page 461) : “ The Hot Springs of Virginia have also been found useful, em- ployed in the form of a bath.” LETTER OF F. E. WATKINS, M. D. Richmond, May ls£, 18G8. Messrs. S. C. Tardy & Co.: Gentlemen :—I herewith give you my views and opinion in relation to the value of the Hot Springs, Bath county, Va., of which you are now proprietors. I regard them as the most valuable thermal springs on this continent, and would be glad to direct the attention of physicians, unacquainted with them, to their great value as a powerful auxiliary in the many obstinate cases of disease. You can make any use of this letter you may see fit. Some years ago my own ill health led me to pass almost the whole of the season at these springs. During my sojourn there—from circumstances not necessary to detail here—I had peculiar advantages for observing the action and effects of the waters and baths in a variety of diseases. My con- victions then formed are still unchanged, and I regard the Hot Springs as of more value for a large class of patients than any other one watering place in America, and further- more, that the curative pow'er of these waters, when directed HOT SPRINGS OF VIRGINIA. 45 by an intelligent physician, is greater, more prompt and cer- tain than almost any agent which we can select from the ma- teria medica. The Hot Springs were thronged with visitors the whole of the season I spent there, so that I had ample opportunity for observation, and I will here take the liberty of remarking as one of the results of my experience, that both physicians and invalids fall into grave error, in my opinion, by not seeking the Hot Springs as a place of first resort, instead of visiting it last; and if many patients, who now reverse this order of proceeding, would go at first to the Hot, they would often find no necessity or inducement to go else- where to seek relief from their maladies. I believe the Hot Springs is the best place of preparation for deriving benefit from other mineral waters in the State. I do not mean these remarks to apply to those cases of chronic rheumatism, gout, nervous diseases and their congeners, for the relief of which the “ Hot” has at least an American repu- tation, and no competitor, but to a still larger class of disor- ders of liver, stomach and bowels. I do not presume to address these remarks to medical men who may have enjoyed the same opportunities for experience on this subject as I have, but to those of my brethren who have no personal acquaintance with the “ Hot,” who may be glad to learn of that valuable agent for the relief of intract- able diseases. Very respectfully yours, F. B. WATKINS, M. D. 46 HOT SPRINGS OF VIRGINIA. CERTIFICATES OF SPECIAL CASES OF CURE. CLASSES I & II.* DISEASES OF THE LIVER AND OF THE DIGESTIVE CA- NAL-DYSPEPSIA, DIARRHOEA, DYSENTERY, GASTRALGIA, &c„ &c. Hot Springs, Viz., Sept. 23, 1856. From April, 1849, untill June 1854, I was a'constant suf- ferer from chronic diarrhoea, which, supervening upon an at- tack of something like cholera, was so obstinate as to evade the best medical skill, North and South. I would sometimes, from the use of medicines, obtain partial relief, and gain suf- ficient strength to engage in active pursuits—but only for a brief period—to be again prostrated under an acute attack upon the slightest exposure, from which new remedies were required to raise me—those which had previously proved efficacious failing to make any favorable impression when taken the second time. The liver was undoubtedly the seat of my disease, and was so torpid that it could only be goaded into feeble action under the use of mercurials—subsiding again into its former condition, when their use was suspended. In fact, my system did not seem to furnish the elements of the biliary secretion. At times I became so feeble and ema- ciated, from the effects of this distressing disease, that it seemed impossible for me to rally again. The various water- ing places, which were recommended by sympathizing friends, were tried, but without avail. Cooper’s well and Bladen Springs afforded temporary relief, but the disease returned ♦These numbers refer to the classes of disease enumerated in Part II. HOT SPRINGS OF VIRGINIA. 47 upon me, shortly after leaving them, with as great severity as before. The cold water cure was tried for a few days, from which I barely escaped with life. I had nearly despaired of ever obtaining relief, and came to the mountains of Vir- ginia, to visit the Rockbridge Alum in June 1854, as a der- nier resort. For two weeks I improved there slightly, but afterwards lost ground rapidly, and at the end of three weeks was confined to my bed. These waters, evidently, did not suit my case; and after a week’s confinement, being suffi- ciently strengthened by the use of medicine to bear a short journey, I came over to the Warm Springs. At that place I learned from some of my visitors, incidentally, of the value of the Hot Springs in cases of diarrhoea. I came over and gave them a trial—commencing at the temperate bath for a day or two, and afterwards alternating between the “ Hot Douche” and the “ Boiler” bath. I soon became conscious of a sensible amendment of my symptoms, and began to improve in flesh and strength. I continued bathing for a fortnight, and left for the Red Sweet Springs, wffiere I remained a week, and again returned to the Hot Springs, bathing as before for an- other fortnight. My improvement was steady and progres- sive, and when I left the mountains, in October 1854, I was restored to comparative health, and had gained in weight from 109 lbs. to 132 lbs. I could walk several miles without fatigue, and altogether felt myself to be a new man. I re- turned home (to Mobile) in November, and during the suc- ceeding winter had again a return of my complaint, but milder in form and much more manageable than before. In June 1855, I returned to the Hot Springs, and the use of the baths w’as attended with the same happy effects as in 1854. Alternating between the Hot and the Red Sweet Springs, I became entirely restored, and returned home well, and have remained well. I am again a visitor at the Hot Springs the present season, for the purpose of fortifying my system against any lingering 48 HOT SPRINGS OF VIRGINIA. predisposition that may remain, and shall, if life is spared, probably return here for several seasons to come, in order to confirm what I really consider to have been one of the most extraordinary cures ever effected by any mineral waters. If this hastily written statement shall induce any persons who may be suffering under like affliction, to obtain relief by following the course which I have pursued with such happy results, I shall be much gratified. Yours very truly, FRANCIS B. CLARK, Of Mobile, Ala. In reply to your inquiry of last evening, with, regard to the permanency of the benefit which I derived from the use of the Hot Springs baths, as described in my letter to Dr. Thomas Goode, I have to say that from that day until the present time my health has continued uniformly good; and two years’ additional experience and observation have only confirmed and strengthened my previous estimate of the re- medial powers of the hot baths in cases of obstinate and deep seated chronic disease. A feeling of gratitude for my own restoration has led me to recommend the use of these baths to many friends suffer- ing from diseases for which the Hot Springs had proved bene- ficial to others, and it has been a source of pleasure and satis- faction to me to know that I have thus been instrumental in promoting their recovery. The increasing facilities of travel will soon make the Hot Springs accessible to invalids from all parts of the Union, and it is destined, at no distant period, to occupy the front rank among the celebrated mineral wa- ters of the country. F. B. CLARK. HOT SPRINGS OF VIRGINIA. Nottoway County. I was violently attacked with what is commonly called the Bilious Colic (whether from the passing of calculi, or a de- ranged state of the secretions of the liver, I am unable to say), followed by an ardent fever, terminating on the ninth day in a well marked case of jaundice, with dyspeptic symptoms and great debility. As soon as I was able to travel I set off for the White Sulphur Springs in a carriage, and was again attacked on the day of my arrival with violent pains and spasms in the region of the stomach and liver, followed by fever and an increase of all the above mentioned symptoms. And as soon as it was thought prudent, I commenced the use of the White Sulphur water in combination with the blue mass or calomel, and the most approved vegetable extracts. The water, so far from relieving, evidently aggravated my disease, proving highly exciting, and not in the slightest de- gree affecting the biliary secretions. I used the White Sul- phur water eighteen days, and not receiving any benefit I determined to try the Hot Springs. On my arrival there 1 was greatly debilitated and in much pain, commenced the use of the bath that evening, and so great was the sensibility of the liver and whole abdominal region, that I could not for a moment suffer the spout bath to fall on it. I used the spout bath with evident benefit for five days, and on the sixth went into the boiler or sweat bath. The first sweat seemed to un- lock the liver as by magic, causing free discharges of bile, and from that day all the functions of that organ appeared to be perfectly healthy and regular. I daily gained flesh and strength, and returned in the latter part of September nearly restored to health. In December following I was again at- tacked with all my old symptoms, if possible in a more vio- lent degree (produced by exposure to a snow storm), which nearly proved fatal. I was confined to my bed all the winter, and did not leave my house till late in March. My recovery 5 50 HOT SPRINGS OF VIRGINIA. was slow and imperfect, and in August 1839, I determined to try the Hot Springs again. On my arrival my-health was very bad—symptoms^nearly as in 1838, my bowels nearly in- sensible to the most drastic cathartics. I was not disap- pointed in my hopes from the use of the baths, but realized my most sanguine expectations. After using the spout and sweat bath alternately for eighteen or twenty days, finding my health greatly improved, I went on to the White Sulphur, and found the water to agree admirably well with me, expe- riencing none of the injurious effects this season which it evi- dently produced in 1838. Since my return home I have con- tinued to enjoy good health, and have no hesitation in saying I owe it all, under a kind Providence, to the Hot Springs. I have purposely delayed sending this communication at an earlier day, that there should be no mistake from any tempo- rary benefit derived from the use of the baths. My experi- ence warrants me in saying that the use of the Hot Spring bath is the very best preparation of the system for the safe and beneficial use of the Sulphur Waters of Virginia. A. A. CAMPBELL, M. D. About four years ago my liver became diseased, dyspeptic symptoms came on with a diarrhoea, which continued for eight months, and in spite of the best medical aid, prostrated my whole system, and destroyed my health completely, ter- minating in a fixed enlargement of my liver and spleen ; my colon also was greatly distended, and felt hard. My physi- cians thought it indurated and incurably diseased. My suf- ferings were constant, and oftentimes severe. Deriving no benefit from medicine, I was induced to visit the Virginia Springs. I used the White Sulphur water twenty-five days, with some benefit. It caused moderate dis- charges of bile from my bowels, but did not reduce the size of the liver, spleen nor intestines. I then came to the Hot IIOT SPRINGS OF VIRGINIA. 51 Springs, and by your direction commenced the use of the spout bath, temp. 100. About five hours after taking the first bath I felt a contraction in the region of my liver, with pain like the twisting of a corkscrew in the direction of my intestines, which soon extended to the lower bowels, followed by several copious evacuations, not less than two quarts, re- sembling tar in color and consistence, and producing great heat and pain as it passed off. In a short time I felt much relieved. The next day I took the same bath, which was followed by some pain and several moderate, dark discharges. For the next three days no sensible effect was produced by the bath. You then directed me to the spout, temp. 102, which was followed by pain and copious discharges, of a color not so dark as the former. From this time, the sixth day, I have experienced daily amendment. My liver, spleen and colon, so far as I can ascertain, are all reduced to their natu- ral size. I suffer no uneasiness whatever, but feel perfectly restored in all respects. I have used the baths for three weeks only. My residence is at Point Coupee, State of Louisiana. M. TOUNOIR. Beach Hill. I have been a confirmed dyspeptic for near five years, with symptoms of the most distressing character; my bowels in a state of obstinate costiveness—medicine making but little impression on them. I applied for aid to many of the most celebrated physicians, but got no relief. I then determined, as a last resort, to try the Virginia Springs. I attended the Sweet Springe, the White and Salt Sulphur, and the Hot Springs. From the three former I derived no benefit what- ever. But the benefit which I did receive was from the spout bath at the Hot Springs, which I believe saved my life. On the third night I was waked up by a severe griping, which 52 HOT SPRINGS OF VIRGINIA. was followed during the remainder of the night by repeated and copious discharges of vitiated and acrid bile. The next morning I was greatly better, and afterwards improved rap- idly. I remained only eight days, and gained eleven pounds in weight. I went by your direction and took no medicine. I am, very respectfully, yours, CHARLES HAMLIN. Charlottesville, November 10, 1842. At the request of Mrs. Kelly, I furnish you with a brief statement of her case. Mrs. Kelly was attacked with unequivocal and decided hepatitis: 1st, in its usual form with all its peculiar and characteristic symptoms, resisting the most active and vigo- rous remedial agents that could be adopted. The disease gradually progressing into the chronic forms, with enlarged liver, jaundice, diarrhoea, &c. In this stage the appropriate remedies were perseveringly used, still without relief, until the season approached for a trial of the mineral wraters. At this period such was her debility, emaciation and prostra- tion, that her friends despaired of her reaching the Springs. The effort, however, was made, and she arrived at the White Sulphur, where she remained six weeks, using the water without improvement in her complexion, or any favorable impression on the disease; she is now transferred to the Hot Springs, where she remains one month, assiduously employ- ing the boiler and the spout baths, and under their use she became completely relieved, the jaundiced state of the skin disappearing, also the enlarged condition of the liver, with an almost entire exemption of any serious recurrence of the disease from that period to the present time. CHAS. CARTER, M. D. 53 nOT SPRINGS OF VIRGINIA. A long indisposition from the effects of a deranged state of my liver led me to try the hot spout bath at your springs. I had previously remained four or five weeks at the White Sulphur, from which I had derived much advantage, but not so much as to make me believe that I could not be further benefited by the use of the hot baths. Its effect upon me was immediate, and as powerful as I had been led to suppose, producing a free action of the liver. I continued to use them eight or nine days with equally happy effects. Entertaining, as I do, the highest opinion of the efficacy of the Hot Springs in all cases of a diseased liver, I am led to give you this simple statement for the benefit of others who may stand as much in need of them as myself. Very respectfully, your obedient servant, JOHN L. MANNING, Of South Carolina. For nearly three years I have been subject to very frequent attacks of jaundice. My liver became torpid and refused to perform its functions—the biliary duct seemed to be closed— my bowels became much disordered, and I bad a confirmed chronic diarrhoea. I became very weak from the effects of medicine, and was unfit for business or society. By the ad- vice of my physicians I left Philadelphia for the Virginia Springs, and reached the Hot Springs early in July much ex- hausted. I used the spout bath for three days, and on the fourth I took the sweat bath, which reduced the number of discharges from my bowels to one a day, and I felt better. I continued the sweat bath for near three weeks, and my health appeared to improve from every bath. My appetite and strength increased rapidly, and my complexion, which was very sallow, became clear and healthy. I then went to the White Sulphur for two weeks, taking from eight to ten glasses of water daily, .with evident benefit. I returned then to the Hot Springs, and took the sweat bath nearly every day for 54 HOT SPRINGS OF VIRGINIA. two weeks, with half a wineglass of a mixture of the extract of taraxicum, when I found my health restored. I had gained twenty-four pounds in flesh. Yours respectfully, D. K. KIRKPATRICK, Of Philadelphia. Dear Sir,—I have been laboring under a disease of my liver for more than four years, attended with dyspeptic symptoms of the most distressing kind. I have had almost constant pain in my head, back, right side and shoulder blade, at the pit of my stomach, and in my bowels, which have been so constipated as to compel, me to take some opening medicine nearly every day. I was confined the most of last winter to my room, and was reduced almost to a skeleton. I derived no benefit whatever from medicine. I finally determined to try the Sulphur Waters of Virginia. After using the Sul- phur Waters for more than six weeks, I found myself rather worse, and started for home, but was induced by the advice of Dr. Smith, of South Carolina, to make trial of these waters. I had no faith in them, and, to my great surprise, the very first bath helped me. On the third day, my bowels were moved by the effects of the water alone, and they have been moved sufficiently every day since withont the aid of medi- cine, with discharges of bile, which has not been the case for the last four years. I have been here thirteen days, have taken twenty-five spout baths, and have mended every day; my digestion is good, and I am entirely free from pain, and hope my diease is removed. I would stay longer, but my business calls me away. Should my disease return, I shall know where to seek relief. C. CAELTON, 231 Pearl street, New York. HOT SPRINGS OF VIRGINIA. 55 I visited the Virginia Springs with liver disease, as stated by many physicians. I used the Sulphur Waters for some time, but without any decided effect. I then came to the Hot Springs, and after using the spout bath a few days, the pain in my right side increased from a dull to an acute, which induced me to apply to Dr. Goode for advice. He gave me ten grains of calomel, which brought about a most happy change in my feelings and health, producing copious dis- charges of dark bilious matter, when forty grains often before taken produced but a limited effect. From the Hot Springs I returned to the White Sulphur, and the water then acted freely on my bowels. JAMES L. COLEMAN, Of Georgia. I was seized with Cholera, in a Southern climate, from which I had scarcely recovered, when intermittent fever at- tacked me. This continued at intervals until September, when congestive fever supervened, and continued with much violence for the space of nine days, and only subsided to give place to the intermittent again. From this time a morbid appetite began to prey upon me. The ague alternated with a severe dysentery, until March 1834, codematous swellings of the lower extremities made their appearance, but gave way to the use of alteratives and muriated tincture of iron. I became much emaciated and debilitated ; my spleen became much enlarged ; an excessively morbid condition of the sto- mach continued, and an ungovernable craving for food of the grossest description, and other indigestible substances. In the meantime an uncontrollable diarrhoea, which has given me more uneasiness than every other symptom, came on. Du- ring nearly three years, every article of diet swallowed would ferment, produce the most distressing cardialgia, and run off from the bowels by profuse watery evacuations. The spleen in the left side, and swelling of the stomach and intestines, 56 HOT SPRINGS OF VIRGINIA. was great and painful. The irritability of the alimentary canal was so great that the smallest portions of calomel or blue pill combined with opiates, would produce an hyperca- tharsis, sometimes almost fatal; neither food nor medicine agreed with me. In this state of almost despair, I visited the White Sulphur Springs, and finding that the water disa- greed with me, inasmuch as it proved too drastic, I deter- mined to visit the Hot Springs. In a few hours after using the bath I had a bilious discharge, which had not occurred for eight months. In four days’ time my diarrhoea ceased, and my evacuations became almost healthy in complexion. I had been very much annoyed with haemorrhoids for fifteen months, which was relieved by the spout bath in three days. The improvement in my complexion was so great that the visitors would remark, “Why, Doctor, you will soon be well;’’ my spleen was reduced about one half, the abdominal muscles became relaxed and soft, my strength,and activity were much improved, and every symptom seemed to give way to the use of the bath. A. Y. WATSON, M. D. For more than three years I have been afflicted with a diseased liver. I have used the Sulphur water for some time, but without any permanent effect. I have been here only ten days, and when I arrived this was my condition: pain in my right side and left shoulder incessantly, my stomach greatly distended, my spleen very much enlarged, and digestive powers almost destroyed. I have used the spout bath freely during my short stay, and this is the effect: the pain in my side and shoulder has nearly subsided, my stomach is reduced to its natural spleen is considerably reduced, and my digestion much improved. The benefit I have received is great, and I trust is substantial. Regretting that business calls me away thus early, and grateful for your kind atten- tions. E. L. DARGON, of Alabama. HOT SPRINGS OF VIRGINIA. 57 Mr. Goode: Dear Sir—I furnish you with a statement of a violent attack of dysentery under which I suffered in the months of July and August of the last year, and of the rapid improvements which I have received from the use of your baths. My attack was sudden and violent, with frequent and painful discharges of blood and mucus, attended with con- siderable inflammation. This condition continued upon me without any material diminution for twenty-one days, not- withstanding I had been copiously bled in the earlier stages of my disease, and kept under a constant mercurial influence. I reached the Hot Springs about the middle of August, after a painful journey from the University of Virginia, a perfect skeleton, and so helpless as to be lifted in and out of my carriage, and to be carried to and from the baths. In a few days, an evident improvement was made in my condi- tion ; and so rapid and steady was my recovery, that, in the space of a single fortnight, I was able to walk a mile for ex- ercise, and to return home by the mail-coach, over the route which I had with difficulty performed, with the facilities of a carriage and bed. My health is at this time completely re- established. Very respectfully, your obedient servant, W. II. WOODLEY, Froctor University of Virginia. In the fall of 1841 I was confined with a severe bilious fever, and from the effects of which my constitution has not since recovered. Early in 1842 I went to the White Sulphur Springs, but finding no appreciable effect produced upon my liver by the use of the water, I went to the Red Sulphur for two weeks with some advantage. I then returned to the White, and used the water a second time, but with no better success. 58 HOT SPRINGS OF VIRGINIA. I arrived at the Hot Springs on the 5th September, with symptoms of a gorged liver, a sallow complexion, and pain in my side and chest. I used the bath until the 14th, with great advantage. After taking the third bath my liver be- gan to disgorge itself, and throw off great quantities of vi- tiated bile; my skin cleared up, and the pain in my chest and side, which had before been frequent and severe, was greatly relieved. The benefit derived is greatly beyond what I anticipated, and I have no doubt of the efficiency of the Hot Springs in many cases of diseased liver, wherein the Sulphur Waters have totally failed. I am, respectfully, your obedient servant, T. F. CAMPBELL, Of Nottoway county. For the last eighteen months I have been dyspeptic, with costive bowels and a constant uneasiness between my shoul- ders and at the pit of my stomach, and a dry skin. About the first of the month I went to the White Sulphur Springs, and used the water freely, with the blue mass, for eleven days, but without the least effect on my liver. I have been here only one week, using the spout bath, temperature 100°. The night after taking my first bath, I had three copious bilious discharges from my bowels. My skin is now moist, my bowels open, and I am greatly relieved in every respect. J. E. MICHIE, Of Albemarle. More than three years since I was taken with a severe dysentery, which was succeeded by what I should term a mu- cous diarrhoea. Since that time I have suffered an annual return of the dysentery each summer until the present; this year I have escaped this periodical attack by passing my time in the mountains. HOT SPRINGS OF VIRGINIA. 59 I remained a week at tlie White Sulphur without the slight- est benefit, when I directed my course to the Red Sulphur, where I remained five weeks. My general health was greatly improved at this place, and at first I was cheered with hopes of a recovery, but I left the Red Sulphur with the diarrhoea in full force upon me, and without any diminution of the mucous discharge, although the bilious secretions were slightly improved. In that state—a state of unabated diarrhoea—I reached the Hot Springs seven days ago, and was persuaded to use the spout bath. I applied the spout principally to the region of my liver and to my back—wonderful to relate, I felt instantaneous and perfect relief—the mucous discharge entirely ceased, which had not occurred previously in the whole course of my disease. Since the first day I have felt no pain or uneasiness in the bowels, whereas, before I was tortured night and day. So well do I feel that I shall start for home to-morrow in fine spirits, and only regret that I had not sooner tried your Hot Springs. This is a short and rapid sketch of my case, but I do assure you it is a faithful one. I shall make no commentary, but will simply say that I con- sider my cure entirely and solely owing to the Hot Springs. ROBERT J. BRENT, Of Washington, D. C. About ten years ago I became dyspeptic, and was unwell in the usual way, when at length I became much worse; almost everything taken in the stomach produced pain, and frequently violent spasms, which threatened death. I experienced no relief except when under the influence of calomel; tiring of which, after suffering for about two years, I determined to try the sulphur water. I commenced at the White Sulphur, but the water disagreed with me, and then I went to the Salt Sulphur, understanding that the water there was more purga- tive; for you must know that my bowels were invariably con- stipated. After using the water for two days I had a violent 60 HOT SPRINGS OF VIRGINIA. attack of spasm, "which was relieved by a hot bath. I then came immediately to the Hot Springs; my stomach was so much debilitated that I was compelled to live exclusively on milk and mush and the like bland food. The first meal I took at the Hot Springs was milk and mush, which brought on pain, threatening spasm. 1* went immediately into the spout bath, and from that day to this I have been entirely exempt from the disease. I bathed every day, sometimes twice, and in a few days I was enabled to eat of everything at the table, including desserts of all kinds. WILLIAMS CARTER, Of Hanover. When I left home I had been afflicted for fifteen months with diseased liver and disordered bowels. I reached here on the 8th instant; my bowels disordered ; mouth and tongue sore and blistered; my evacuations of a watery consistency, and frequently of the color of clay or putty, and I had no appetite. From the taste I could scarcely distinguish one kind of food from another. On my arrival I commenced to use the baths, and continued their use daily to the present time. My bowels soon became quiescent, evacuations regular and of a healthy color; my mouth and tongue entirely well, and they have remained so. Of the beneficial effects of tbe waters to me I have no doubt, and I am in hopes a cure has been effected, which may be made permanent by proper care and attention to diet and exercise. GEORGE CARR, Of Charlottesville. I was attacked with a bilious pleurisy, which yielded to medical treatment, but my stomach and bowels were left in a bad state. In a short time my digestion was greatly im- paired, and I had a confirmed constant diarrhoea, the dis- charges a clay color. My food frequently passed off undi- HOT SPRINGS OF VIRGINIA. 61 gested, producing violent pain in the bowels, and much fe- verish excitement. I determined to visit the springs for the benefit of my health. I left home in August, and tried first the Sweet Springs, but they disagreed with me. I then went to the White Sulphur, and then to the Salt Sulphur, but they also disagreed, producing violent irritation and pain in my bow- els, which put me to bed. So soon as I wa3 able to travel I went to the Hot Springs, and, after bathing eighteen days, I was entirely relieved, my appetite became good, my food di- gested well, and I fattened and strengthened rapidly, and from that time to the present I have never had a diarrhoea. WILLIAM TODD, Of King & Queen. I had been the subject of severe dyspeptic complaint for more than twelve years; was followed by a most distressing diarrhoea, which reduced me to the verge of the grave. I spent a part of the summer at the Hot Springs, and, by bath- ing in and drinking the water, was completely and entirely restored to health, and have not had the slightest symptoms of a return of my complaint since a period of five years. Hoping that my friend may bring back an equally favor- able report, DAVID MOODY, Of Steubenville, Ohio. I went to the White Sulphur Springe in very feeble health, laboring under a disease of my liver, attended with constant pain and soreness in my right side. I used the water freely for three weeks, but the pain and soreness still continued. I then went to the Hot Springs, and took two baths in the lower spouts ; the first bath produced a perspiration, which I had not had for twelve months, my skin having been constantly dry. On the third day I took the hot spout, and, while the 62 HOT SPRINGS OF VIRGINIA. water was falling on the affected side, I felt as if something had given away within that side. After leaving the bath I went to my room, where I had a profuse sweat, and after cooling off, there was a copious acrid, and ill-looking bilious discharge from my bowels such as I had never seen before. From that day to the present, I have had neither pain nor soreness in my side, and shall ever think the hot spout saved mv life. JOHN J. TAYLOR, Of Hanover county, Ya. I had a very severe attack of bilious fever which confined me to bed near eight weeks. From this time till I visited the Hot Springs my health was-very feeble, induced by a functional derangement of my liver and other viscera. I had constantly a dull, heavy feeling in the right side, and found but partial and temporary relief from medicine.— While under the spout bath the third or fourth time I felt about my liver (without having previously taken any medi- cine or used any other mineral water) a peculiar sensation, which continued during the succeeding night and day—at- tended with considerable nausea. During these twenty-four hours a very large quantity of unhealthy bile was discharged, and the following day I felt entirely freed from every symp- tom of disease. From this time, and for more than two years, my health continued excellent, when it became impaired by a residence and exposure in the south. R. N. FOX. I was laboring under great debility, and my physician ad- vssed me to take a trip to the mountains and use the Sulphur Waters, which I did freely, and found considerable relief— which proved, however, only temporary. As the warm weather came on next spring, I suffered more from debility even than the season before, and my physician pronounced my disease a functional derangement of the liver, and again IIOT SPRINGS OF VIRGINIA. 63 advised me to go to the Sulphur Springs; but on my way to the springs I met an acquaintance who advised me to go by the Hot Springs and use your baths, which I did for eight or ten days, and they acted like a charm on my system ; and the benefit was much more permanent than anything I had ever tried before ; and I have since then, when I have visited the mountains, tried the baths with evident benefit, and con- sider their use more advantageous to me than all the mineral waters in the mountains. J. G. JEFFERSON, Of Amelia county, Va. Washington, March 23, 1870. My Dear Sir,—It gives me pleasure to make the following statement: I left Washington last summer, at the advice of my physi- cian, Dr. W. W. Bliss, for the Hot Springs, and passed two months there. When I left home I was troubled with en- largement of the liver and spleen, and with considerable dis- turbance of the action of the heart. Under your direction, I commenced using the “Spout,” with the water of the tem- perature of 108° F. In a short time I began to realize that I gained in strength; that the heart’s action became more regular, and that there was considerable recession of the liver and spleen. On my return home I felt a reaction for a few days, and for a brief time feared that, after all, my stay had not been beneficial; but after slight treatment by my physician, I began very soon to mend, and now I am glad to say that my condition is almost a surprise to myself, as it is also to Dr. Bliss, the liver and the spleen being in about their normal condition, while the heart’s action evidences but little irregularity. That the Hot Springs—the use of the Hot Spout particularly—w\as the chief 'cause of this marked change in my case, I have no hesitation in saying, and I take pleasure in so stating to those similarly afllicted. I am, very truly, &c., J. D. HOOVER. 64 HOT SPRINGS OF VIRGINIA. CLASS III. DISEASES OF THE KIDNEY AND BLADDER. Richmond, Vet. Mrs. came to Richmond June 17th, 1868, very much enfeebled by a protracted illness, from which she had but partially recovered, and which she attributed to dyspepsia and nervous debility. When I first saw her she was very feeble and pallid, with slight appearance of jaundice about the eyes. In a few days she had a severe attack of dyspepsia, with vomiting and tor- pid liver. In a week the liver resumed its functions, but the prostration, nausea and anorexia continued. An examination of the urine at this time revealed the fact that she was suf- fering with albuminuria. She was treated by Dr. Fairfax and myself for this disease, but her stomach continued so irritable as to rebel against almost everything, especially iron, which we attempted in vain to administer in many forms. We had to abandon all active treatment. The patient grew worse from day to day, and in the course of ten days the urine became very scant, and drowsiness supervened. These alarming symptoms continued to increase until the suppres- sion of urine was complete, and the patient remained in a state of stupor for several days. Gradually, however, the kidneys resumed their functions, and the stupor wore off, leaving the patient in a state of the greatest prostration. As the weather was extremely warm, and we saw no pros- pect of recovery here, it was determined to send the patient to the Hot Springs, although we were doubtful whether she would survive the journey. She was put on a bed in the cars, and bore the trip better than we expected. She com- HOT SPRINGS OF VIRGINIA. 65 menced the baths within a day or two of her arrival, and the amelioration of all unfavorable symptoms was marked and immediate. Ten days from the time of commencing the baths a portion of the urine was sent me for examination, and, to my great surprise, not a trace of albumen could be de- tected. Several other specimens were afterwards sent, and with the same result. I must here state that during her stay in Richmond the urine was examined every two or three days by Dr. Fairfax and myself, and we always found a very con- siderable quantity of albumen. In three weeks this lady left the Hot Springs very much strengthened and entirely relieved of all symptoms of kidney disease, but suffering slightly with muscular rheumatism. I saw her again in September 1869, when she informed me that she had remained entirely free of all kidney disease, was fleshy and strong, and only complained of slight muscular rheumatism. 0. A. CRENSHAW, *M. D. This report is necessarily imperfect, because it is made from memory entirely. 0. A. C. Richmond, February 2\th, 1870. Messrs. Tardy & Co.: Gentlemen :—I take pleasure in stating the case of my wife, who readily acquiesces in the use of her name, as she says: “ I am firmly convinced I owe my recovery to the baths at the Hot Springs.” M rs. Cowardin had been long a sufferer from an irregular, gouty diathesis, which manifested itself in various forms, as indigestion, nephritic colic, congestion of the kidneys, inflam- mation and enlargement of the spleen, and the formation of urinary gravel. For twenty years she had passed few days without more or less suffering from some of these effects, which produced and maintained a high degree of nervous irritability. Finally, in the summer of 1868 she was brought to a condition of great prostration. Her debility was ex- 66 HOT SPRINGS OF VIRGINIA. treme; she was greatly reduced in flesh; skin inactive; digestion deranged ; pulse highly excited, and her strength progressively impaired by excessive action of the urinary organs, with copious secretion of albumen. Add to this con- tinual severe suffering from pain in the kidneys and inflam- mation and enlargement of the spleen, combined with shift- ing rheumatic attacks, so that she was rendered almost help- less. Her family and friends almost despaired of her re- covery. At this time (summer of 1868) she was conveyed to the Hot Springs, where she remained two months, taking the hot bath daily, save when too much exhausted to undergo the fatigue. The effects of the bath were soon apparent in the change of complexion, the brightening of the countenance, and the gradual disappearance of the expression of anguish and despair, which are, I believe, distinctive features of cases such as hers. She was, in a couple of weeks, enabled to go to the dining hall to her meals, and became quite cheerful. Her improvement continued while she staid, and she left the Springs with the clearest evidences of a revolution in her general condition. Of course, such a prolonged and compli- cated case as hers could not, save by a miracle, be entirely relieved in a few weeks. She continued to suffer, in a greatly moderated degree, from local irritation, especially of the spleen ; but these symptoms gradually diminished under the new constitutional tone established by the Hot Bath, and now she feels better than she has felt for twenty years, and we feel that her health is reestablished, through the wonderful virtues of your Springs. When we consider the obstinate and complicated nature of her disease, and her time of life (nearly fifty years of age), her cure is most remarkable. I trust this statement may induce other sufferers, of the gentler sex, to seek and find similar relief, a blessing which my family knows how to appreciate. Very respectfully and truly yours, J. A. COWARDIN. IIOT SPRINGS OF VIRGINIA, 67 CLASS IV.* DISEASES OF THE NERVOUS SYSTEM (1)—PARALYSIS. Having used your baths with such decided benefit, I deem it proper that I should give you a statement of my case, which I will do as briefly as possible. I had a most violent attack of paralysis, which destroyed the use of the whole of my left side, and with it brought on a state of general de- bility, which entirely disabled me from attending to business. In this situation I left home for the mountains, hoping to re- gain my health by travelling and the use of the different mi- neral waters; but after spending about four months in going from Spring to Spring, I had to return home but very little benefited in my lame side, although my general health had improved a greal deal, which was some little encouragement to me to make another trial, and when the next summer opened, I again started for the White Sulphur, and remained there one month, and then went on to the Sweet Springs and remained two weeks or more, and again returned to the White Sulphur, where I remained some time, but finding little or no improvement in my lameness, I determined that I would try the Hot Springs baths, although it was against the advice of physician and friends, and left for that place, not knowing what would be the consequence of my seeming rash determi- nation ; but when I saw you and received your assurance that there was no danger in my using the baths, I was encouraged, and commenced bathing without delay, and found that it *Tht*e number* refer to the clasees and sub-divisions of classes of diseases as enume- rated in Part II. 68 HOT SPRINGS OF VIRGINIA. suited my disease exactly; for the effect was at once visible in the rapid improvement of my lameness and the better con- dition of my general health, and I returned home cheered with my much improved health, and commenced a business of much labor and activity, which I have followed down to the present time (eight years), with little or no interruption from my old disease. Very respectfully, your obedient servant, SAMUEL HARDGROVE, Of Richmond, Va. My daughter had a severe, protracted and complicated ill- ness. The whole of one side became greatly paralyzed, and so continued for about fifteen months. We took her to the Hot Springs. She used the bath be- tween three and four weeks. During the latter part of the visit she was enabled to move the toes in a small degree. Under the direction of her physician, Dr. G. A. Rose, she gradually improved, but remained unable to walk alone. The next season we took her again to the Hot Springs. By the use of the bath she soon became able to walk, and her general health gradually improved. She is now healthy and Q Prl VP WILLIAM S. REID, Of Lynchburg, Va. In November I had a violent paralytic attack, which de- prived me nearly of the use of the whole of my left side. I was confined to my room, and perfectly helpless for more than five years, and my left hand was insensible even to fire. I was then electrified, and afterwards improved a little. In June I came to the Hot Springs, barely able to hobble about, with but little feeling in and no use of my left hand and arm. After bathing for about twenty days I could walk HOT SPRINGS OF VIRGINIA 69 tolerably well, and my hand and arm were so much improved that I could chop with an axe or work with a hoe. I bathed here about forty days, and then walked home, a distance of eighty miles in four days. I continued to strengthen until June last, when I had a violent bilious fever, which again disabled my left leg and arm. I returned to the Hot Springs on the first of the month, and have bathed freely for twenty days. I feel as well now as when I left last year, and shall set out to-morrow on foot for home. WILLIAM SANDERSON, Of Amherst, Va. More than two years ago I was attacked with rheumatism from which I suffered much. I took cold in February last, and became completely prostrated, but got a little better as the weather became warmer. I had but little use of my right side : I walked with great difficulty, and could only bring the toes of the right foot to the heel of the left. My right arm was no better; my tongue was partly paralyzed and I frequently could not speak distinctly. I had constant pain in my right leg and arm, and right side of my head, and was almost entirely deaf in one ear, and did not hear distinctly with the other. I got here on the 14th of June; I have used baths for fourteen days. My hearing is perfectly restored ; I speak without difficulty ; I have good use of my right leg and arm, and am entirely free from pain. I shall set out for home to-morrow in good health and spirits. JOSEPH WAMPLER, Of Illinois. Having spent portions of four summers at this place, and used the waters freely, it affords me great satisfaction to give you the result of my experience of their beneficial effects on myself, as also what I know of them on others. 70 nOT SPRINGS OF VIRGINIA. I had an attack of paralysis of my right side—hemiple- gia—which prostrated me to such a degree that I was for sometime unable to walk, nor could I hold a pen in my fingers so as to write my name or make a letter of the alphabet. By the use of ordinary remedies and very strict regimen in my diet, I recovered so far as to be able to go about, though with difficulty. Having, from what information I could ob- tain, become impressed with the great value of thermal wa- ters in the treatment of this most shocking disease, and hav- ing previously visited this place and acquired some know- ledge of the medicinal character of its waters, I determined to come here to see what they would do for me in my afflicted condition. So soon as my situation and the season permit- ted I accordingly did so. I remained three weeks, bathing regularly every day, first in the temperate bath and then in the hot spout. On leaving here I made a short visit to the Salt Sulphur Springs in Monroe county, whence I returned here and remained a week more, and bathed every day in the hot spout bath. The result was, I felt signally benefited, and returned home greatly improved ; so much so that, to a casual observer, nothing appeared to be the matter with me. I have now this summer been here altogether three weeks and a half, and have, during that time, bathed regularly once a day in the temperate bath, and am now prepared to return home with the gratifying conviction that I am entirely and permanently relieved, and feel that this happy result has mainly been owing to the use of the thermal waters at this place. So much for my own personal experience. I know of several other cases in which the subjects of them received great benefit from the use of the waters here, and such is my confidence in their virtue, that I am thoroughly persuaded they will, if their use be persisted in, and pru- dence in diet be observed, with moderate but regular exercise, either on foot or otherwise, cure any ordinary case of paraly- sis either general or local. The boy John, who attends the IIOT SPRINQS OF VIRGINIA. 71 hot spout bath, furnishes a striking case to show the correct- ness of this opinion. After being very badly afflicted, he assures me that he does not feel the slightest vestige of the disease remaining—the truth of which is apparent to every one who sees him; and he was cured here by the use of the temperate bath only. While here I made the acquaintance of a gentleman who resided near Winchester, who informed me that he had been paralyzed so badly as to be unable to walk or speak. When I met with him he had the appearance of enjoying robust health, and he told me that his restoration to health was owing to the use of the Hot Springs baths. I could mention other cases, where persons had been signally benefited by the use of the baths here, but as they must be well known to you, and the subjects of them are accessible, I prefer to let them speak for themselves. I know of a few cases where the use of these waters have had very happy effects in neuralgia and rheumatism; of the former, a lady of my acquaintance in Alabama furnishes an instance, and Richard Norris, jr., of Baltimore, one of the latter. I am satisfied, from actual experience, that the use of the hot water at this place often has an excellent effect on the liver, and in chronic diarrhoea I have greater confidence in its efficacy than anything with which I am conversant. Mr. F. B. Clarke, of Mobile, Ala., is mainly indebted to it for his restoration to health, from the worst condition, and after all other-remedies had failed. Hoping my experience and observation may be the means of extending a knowledge of the waters of the Hot Springs to others who may be af- flicted, and of giving a wider scope to their already high fame, I remain, Sir, with high respect, your ob’t serv’t, JOHN ERWIN, Of Greensboro’, Ala. 72 HOT SPRINGS OF VIRGINIA. Richmond, Feb'y 13th, 1869. I was taken while in the army with a low attack of typhoid camp fever, in 1862, caused by exposure. This was followed in the spring of ’63 by a relapse complicated with chronic dysentery. I was under treatment in this city for eight or ten months, and in my bed more than half the time. The severest symptoms of my disease were finally checked, but it left me with a partial paralysis of the lower extremities, being the result of effusion upon the spinal cord. I was in this con- dition for twelve months, and under treatment all the time by the best medical talent in this city, being unable to walk without crutches or canes. I went to the Hot Springs by advice of my physician in the summer of 1865, and, after taking the baths about two months, was completely restored. I have ever since been in perfect health. JOHN TYLER. (2)—SPINAL DISEASE. Case of a lady suffering with spinal irritation, who had not walked for 16 years before using the baths at the Hot Springs. “She now walks any reasonable distance without inconvenience.” Piedmont, Albemarle Co., Va. Dear Sir,—Prompted by the desire to relieve human suf- fering, I am induced to give you a history of my sister’s case, and the great benefit she derived from a visit to the Hot Springs. She enjoyed fine health until she was about 17 years old, when she had a severe attack of fever. For eight weeks her life was despaired of by her attending physicians. It was now observed that she had a disease of the spine, com- plicated with a variety of uterine affections. These diseases were attended with violent spasms or convulsions, which pre- vented her from walking for sixteen years. During thirteen years of this time she was confined constantly to the horizon- IIOT SPRINGS OF VIRGINIA. 73 tal position, not being able to sit up at all, and suffered more than language can describe, or the most imaginative mind conceive of—more than half of those long wearisome years having been spent in continuous convulsions, which rendered life almost insupportable, and which would have caused death to have been welcomed, by herself and her friends, as the sweet messenger of peace and rest. I have known her to re- main for many consecutive days in a state of entire insensi- bility—with her face livid—her eyes resembling orbs of fire— her whole body convulsed with spasms, and to return to con- sciousness but to suffer the untold tortures of a thousand deaths. She was favored with the advice of ten or twelve of the most eminent and skillful physicians of this part of the state who used all the remedies which mature judgment and long experience dictated, but without producing any perma- nent amelioration of her disease, and it was not until after she had spent several weeks at the Hot Springs that she was enabled to w'alk again—“a thing of life.” It is the opinion of all that another season would restore her to perfect health. During her visit to the Hot Springs she used the hot spout bath twice regularly every day, which speedily so benefited her spinal disease as to enable her to move her feet when assisted to a standing position, which she had not been able to do for thirteen years. Shortly after leaving the Hot Springs she commenced to walk a little with the assistance of two crutches, which she had to continue to use for six months or more. Then one of them were dis- pensed with, and in six months more the other crutch disap- peared, and a neat walking cane was substituted in its place, which has been her constant companion in walking up to this time. She now walks any reasonable distance without incon- venience. Very respectfully, J. J. PACE. 74 HOT SPRINGS OF VIRGINIA. For several years, I had been most severely afflicted by Acute Neuralgia, particularly in my right side, from the arm- pit to the hip bone. The paroxysms were so severe, that my system, in spite of all the remedies I could obtain, was re- duced to great debility and emaciation, and consequent men- tal depression. I had visited Saratoga Springs twice, and some other watering places, without any permanent benefit. I determined to try the Virginia Springs. After a month, spent in using the White and other Sulphur waters, I re- paired to the Hot Springs, and after using the spout bath and boiler for two weeks every day—and sometimes twice a day— I was to my great surprise and gratification, wholly re- lieved. For twelve months past I have had but one slight paroxysm. Under Providence, I may therefore confidently ascribe my restoration to the Hot Springs. As the disease abated, my appetite, flesh and strength increased, and de- spondency has flown, I trust forever. J. C. HERBERT, Of Maryland. (3)—NEURALGIA. HOT RPRING8 OF VIRGINIA. 75 CLASS VI. (2.)* RHEUMATISM AND CHRONIC GOUT. My Dear Sir,—In tlie month of June 1859 I reached the Hot Springs. After having suffered many months from rheu- matism without relief from the various remedies that I had used, and, indeed, so excruciating were my sufferings that I was almost without hope—my right shoulder and arm for some time had been almost useless—I took the baths, begin- ning with the hot spout and then the boiler, as they are gene- rally termed, for twenty-five days, and my relief was so com- plete that I have never had any serious return of the pain since. I estimate the Hot Springs of Virginia so highly that I have again and again expressed the opinion that they were the most valuable of all the mineral waters in the world. I owe the cure in my case, I think I can truly say, under Pro- vidence, to your baths. Your obedient servant, D. H. LONDON, Of Richmond, Va. In 182G or ’27, I experienced a severe attack of bilious fever, which reduced me very low. I was scarce able to leave ray bed, when the fever was succeeded by a violent at- tack of inflammatory rheumatism, from which I recovered in about two months. In February, 1835, after a slight bilious attack, the rheumatism returned in a chronic form, and re- duced me to a state of helplessness. All hope of recovery * These Dumber* refer to class on, and subdivisions of classes, of diseases enumerated in Part U. 76 HOT SPRINGS OF VIRGINIA. was deemed idle, my constitution being very weak. I left home for the White Sulphur in June following, remained there two weeks, and left with a severe cold, that augmented my disease. I remained here near or quite a month, taking the spout and boiler baths alternately, and entirely recovered. I have not had the slightest return of the disease since. WM. M. DARLINGTON, Of Pittsburg. In the month of January 1806, during my attendance on the Virginia legislature, of which I was then a member, I was very sorely afflicted with an attack of inflammatory rheu- matism, and about the first of July, in the same year, after the disease had assumed a chronic state, I arrived at the Hot Springs of Virginia, much debilitated, requiring two persons to put me in and take me out of a carriage. I remained at the springs sixty-three days, using the bath once every day except three. I was weighed the day I got to the Springs, and also on the day I left them, and if I was correctly weighed, I gained sixty pounds in weight in sixty-three days, and remained free from that complaint for upwards of twenty years. H. CALLOWAY, Of Franklin county. In the month of December 1827, I was attacked, as I sup- posed, with a severe toothache, and in a few days had the tooth extracted, but it afforded me no relief. In a day or two afterwards it was discovered that I had a bilious fever, my jaws swelled so as to threaten suffocation. One entire side of my jaw bone burst as low down as the teeth went in, and the bone was extracted. The outer side of my jaw formed an ab- scess on the outside, from which several pieces of bone were extracted. This abscess connected itself with the other dis- iiot springs of Virginia. 77 eased side, so that when any liquid was injected in on the outside abscess it came out on the opposite side in my mouth_ I was then taken with severe pains in my back, which con- tinued several weeks; they then fell into my extremities, and deprived me of the use of them. The pain was so severe that at one time it seemed like my feet were on red hot iron, and at another they felt as if they were pierced through with icicles. My shoulders, arms and hands were but little bet- ter ; they swelled largely, with but little mitigation of the pain ; my legs, ankles and feet had strong indications of dropsy ; when pressed, would pit and remain so for a length of time. In this situation I was carried, in July 1828, to the Hot Springs, in Bath county, in Virginia, as helpless as an infant, and commenced using the waters by being held under what is called the spout bath, which produced no change for the better. I was then put in what is called the boiler, and after using it about one week, my hands, though much con- tracted, began to have their natural feeling, and in five weeks my arms and shoulders were entirely well; my back, legs and feet did not mend so fast, but were much relieved. When I left the Springs, about September, I could sit up and move my feet and legs about, but could neither stand or walk; nor could I do so until the first’of November, when I could move about on crutches. I continued to mend slowly until the next August, when I again visited the same Springs and used the boiler for about a month, which restored me to almost perfect health. In the spring of 1831 I visited the States of Ohio, Ken- tucky and Tennessee, and was on horseback for near ten weeks, and frequently wet, without injury. In July 1832, I was, when very hot, overtaken by a very heavy fall of rain and got very wet, which caused my former disease, with all its symptoms, to return partially upon me. I have now been at the Hot Springs, using the boiler, for about a month, and which has again almost entirely relieved me. I am a native 78 DOT SPRINGS OF VIRGINIA. of Bedford county, Va., where I now reside, and am forty- seven years of age. B. PRESTON. I contracted a very bad cold by sitting for several months in a room which had been recently plastered upon very thin walls. The cold at first fell upon my breast, and was at- tended with a cough. After some time the cough subsided, and I was seized suddenly with a pain in the right arm. In a few days the pain became very violent; it was seated prin- cipally in the shoulder blade, but extended likewise frQm the shoulder down to the points of the fingers. The best medical aid was resorted to, but there was no alleviation of the pain, not even for a minute. In this situation I got little or no sleep ; the agony was so much increased by lying in bed that the only rest obtained was by lying with my clothes on across the foot of the bed with the affected arm hanging down. In this situation exhausted nature would sink into a doze, out of ■which I was soon awakened by the pain. The arm dwindled away, my appetite failed, and my general health was fast de- clining. Reduced to this state, I determined to try the Hot Springs in Virginia. With difficulty I was taken there, and had no reason to repent of my determination. I took forty hot baths, using the blankets each time. At the end of two months I returned home so much altered in appearance that I was the object of astonishment to those who had seen me previous to my departure, and in another month I was per- fectly restored to health. P. A. BROWN, Of Philadelphia, Pa. Owing to imprudent exposure, I became, some time in Feb- ruary, completely prostrated by a violent attack of rheuma- tism, each limb and every joint being more or less affected. IIOT SPRINGS OF VIRGINIA. 79 Though the spine and muscles of the right leg seemed to be the principal seat of the disease, this limb was very much drawn up, and evidently shrinking away, and for several months I could only hobble about the house on crutches, and even this was painful. After applying many remedies, with- out benefit, I was fast reconciling myself to the idea of being lame for life, when, by the advice of physicians, I started for the Hot Springs. On reaching the Springs I walked with difficulty and pain, but after the second trial of the boiler there was evident improvement; after this it was rapid, and in five weeks after reaching the Hot Springs (as I thought, a cripple for life), I found myself restored to a sound and healthy condition, this happy result being brought about by the free use of the Hot Spring baths, which, when used pru- dently, will soon prove that they are fully entitled to the high reputation which they have acquired. THOMAS G. COLEMAN. To Dr. Goode :—In 1828 I had an obstinate bilious fever, from which I was near twelve months recovering, and for thirteen years afterwards, whenever I exposed myself, or the weather changed suddenly, I had attacks of rheumatism, more or less severe, and frequently confined for several days to my room. In 1841 I had another bilious fever, which con- fined me for eight weeks. The rheumatism then returned, and in six weeks completely prostrated me. At no time in the last two years and a half could I say that I was free from suf- fering, and often the very thought of motion was a matter of dread to me. I suffered most in my wrists, hands, knees, ankles and feet. I arrived here on the 17th of August, and after using the spout and bath alternately for one week—the boiler every day for one week, and then the spout alone for twelve days—I find myself entirely relieved. Of your kind 80 HOT SPRINGS OF VIRGINIA. and friendly attentions to me, I shall feel it my duty to speak wherever God in his providence may cast my lot. D. G. DOAK, Of Clarksville, Ya. Dr. Goode: Dear Sir—In the month of June 1833, from great exposure in the past winter, and the too sudden check- ing of a diarrhoea, I was attacked with acute rheumatism, which ultimately spread itself from the crown of my head to the soles of my feet. My sufferings were sometimes so great that my screams might be heard at a distance; and the hot- test steam that could be brought to bear upon my feet and knees was a relief from the agony of the pain with which I suffered. To such an extent was the steam used that the soles of my feet were literally crisped, and yet the pain of the burning was nothing when compared with the pain of rheumatism. This continued until the muscles of my legs and knees became so contracted that they might be truly said to be doubled up, and my arms and jaws almost useless. I could use but one arm, and that only enough by resting on my heart to bring such food as I could take to my mouth. I could only open my mouth wide enough to get in a little soaked cracker or something equally soft. In this condition, being as helpless as a new-born babe, I was placed in my carriage on pillows, in the month of August, and started for the Warm and Hot Springs. I stayed and bathed a few days at the Warm, and came on to the Hot, at which latter place I remained some three or four weeks, taking the boiler and the hot spout each day alternately. I had to be carried to and from the bath on a litter, and had to be put in and taken out. I went to no other springs, took no medicine, except to drink the hot water freely. Before leaving I walked about with my cane, rode on horseback, and went home rejoicing in renewed health and strength; and from that day to this I have never met with one afflicted with rheumatism that I have not ad- HOT 6PRINQS OF VIRGINIA. 81 vised them at once to go to the Hot Springs. It is nature’s own remedy. I might add to this case of my own some cases which I wit- nessed while at the Springs, if anything more remarkable than my own. One I will mention, that of an old sea captain, who being wholly unable to walk, brought with him a most ath- letic Irishman, who carried him about on his brawny shoulders. This old man, from great exposure or some other cause, had lost the use of one leg, and so insensible was his foot, that by some accident on his journey one of his toes was nearly cut off, and he was unaware of the injury until sometime after. Before I left the Springs this old man was walking about, merely resting his hand upon the shoulder of his attendant. MUSCOE GARNETT, Of Essex, Va. Having been induced by my family and friends to visit the Hot Springs in the year 1852, for the cure of rheumatism, which I had contracted by having taken a severe cold as early as the year 1819, and when first taken I was confined- to my bed for the space of one year. I arrived at the Springs on the 22d July 1852. At that time I was completely pros- trated, having lost my appetite and spirits, and my general health very much impaired. The morning I arrived I was unable to ascend the steps of the hotel without assistance. After having taken the third temperate bath I was able to walk, and even run, without pain. My stay at the Springs was two weeks, during which time I took nine temperate and hot spouts, and one boiler hath, and felt myself entirely cured of rheumatism, and had not, for a year after leaving the Springs, as much pain in my limbs as I had previously in any one day for 32 years—being the space of time I had been af- flicted with the disease. My general health was thoroughly restored by the free U6e of the waters—having drank much of them whilst in the bath and during the day in my room. 82 HOT SPRINGS OF VIRGINIA. I consider my case as the great triumph of the medicinal and curative properties of the water of the Hot Springs, and feel grateful that my steps were turned in that direction. I have been a visitor at the Hot Springs every year since 1852. Not having used the water of any other of the springs of •Virginia, I attribute my cure to the Hot Springs, and none other. In this connection permit me to state, that by the advice of one of my friends, a patient of Dr. D. M. French, of Pea- risburg, Giles county, Va., by thename of Farley, I think, was recommended to visit the Hot Springs in August 1854.* He was severely afflicted with chronic rheumatism, and was scarcely able to move about, his limbs very much swollen and joints enlarged. He remained during the time I stayed> being about two weeks, then left for his home a well man. I heard from him but a few days ago ; he was in good health and entirely free from rheumatism. I give you the above statement that others who are afflicted with disease may come to the healing well of water, and, like me, return to their families and friends in high health and renewed strength. The foregoing you are at liberty to use as you may deem best for afflicted humanity. P. G. UHLER, Residence: No. 15, North Washington st., Alexandria, Va. Ten years ago I was taken with a violent inflammatory rheumatic gout, and I suffered the tortures of an inquisition for four years. In 1850 I went to the Hot Springs, and after taking three or four baths, I was enabled to walk without the aid of stick or crutch. I remained at the Hot Springs fourteen days, and went home apparently well; so much so I thought it useless for me to return the following summer, and therefore did not go. But, unfortunately, the next HOT SPRINGS OF VIRGINIA. 83 spring I was taken with the most violent attack I ever had, which lasted me for four months ; the greater part of my time confined to my bed and on crutches. I then determined I would visit the Hot Springs every year, which I have done regularly, and am happy to say have never had an attack since. T. FLEMING, Mannsville, Goochland county, Va. Tarboro, N. C., March 20Ih, 1867. Tardy, Williams & Co.: Gentlemen—I received your letter asking me to give you a history of my case of nervous rheumatism. When I was at the age of twelve years I was stricken down with acute rheumatism in my back. I am now thirty-eight years of age, and have never found any immediate relief from any of the most popular remedies in the medical dispensatory of the United States. I have tried colchicum, guaiacum, iodide of potassium, phosphate of ammonia, iodine, &c., &c., which are the most efficient remedies generally resorted to in every day practice; and I now can say for the last five years I have been spending my winters in bed until the last one, and have been compelled to walk upon crutches. During the winter of 1865 I was confined to my bed from the first of October to the first of May. I was so badly afflicted that I could not move any portion of my body except my hands and eyes, and my bed was not made up for two months. I could not bear a person to touch my bed. I was affected mostly in both legs and feet, and finally settled in my right hip joint, which is stiff at this time, but improving. Last summer I ventured to take a journey to the Hot Springs in the mountains of Virginia, to try the effects of the hot baths. I applied the baths regularly until I had consumed thirty- five tickets. I was very much disheartened and dissatisfied; 84 HOT SPRINGS OF VIRGINIA. the baths made me very sore, lame and weak. I remained at the springs about six weeks, and departed thinking there was no relief for my case, and on arriving at Staunton, and remaining over for the night, to my surprise and astonish- ment I was turning about in bed (a thing I had not done for the last three years), and ever since then I have been im- proving gradually, and escaped my usual winter attack; have lost the soreness and tenderness of my limbs, and can walk a mile on my crutches without any inconvenience, and could go without them entirely if my right hip was not stiff from lying so long confined in bed. I think now if I had re- mained longer, say three months, I should have entirely re- covered. The water acted like a charm upon my secretions, and kept my bowels open, and now I am very regular. The rheumatism, I always believed, originated from a disordered state of the liver, and I can safely assert that the waters of the Hot Spring are all that can be asked for in all liver com- plaints. I shall, if Providence permits, visit you again this season, about the first of July. I remain, respectfully yours, &c., GEORGE C. SUGG, M. D. Richmond, April 15th, 1867. Messrs. Tardy, Williams & Co.: Gentlemen,—I give you with great pleasure a certificate of my cure effected at the Hot Springs last season. I was taken prisoner at Fort Donaldson in 1862, and from the exposure and hardships I had then to undergo, rheumatism was brought on. For nine months I suffered intensely with this disease. After this lapse of time I was occasionally better; but it re- sulted finally in a rigid contraction of all the muscles of the left side, binding my body in a half circle laterally. I fre- quently had paroxysms of the most intense pain, and found much difficulty in procuring any alleviation from the use of HOT SPRINGS OF VIRGINIA. 85 strong anodynes. My liver was also very torpid and my skin yellow in consequence—the bowels very torpid. After the use of the baths for several weeks at the spout and boiler, and taking such medicines as were deemed advi- sable for me at certain times, I began to improve with astonish- ing rapidity. The contractions of muscles all subsided, and the liver acquired a healthy condition. I am at this time as straight in figure as anybody, am perfectly well, and have never had any trouble whatever with my old complaint since I left the springs. I believe I owe my life to the visit I paid to the Virginia Hot Springs last summer. Yours, very respectfully, JOHN F. BALLEW. October 25th, 1867. My Dear Doctor,—In accordance with the promise I made you upon leaving the Hot Springs, I now write to give you an account of my case since my departure. You will recollect that when I visited the Springs I was Buffering with chronic synovitis of both knee joints, which had appeared as a Bequel of typho-malarial fever, sixteen months before. My knee joints were much swelled, and very tender and painful. The soft tissues were thickened, and there was considerable liquid effusion in the interior of the synovial sacs. The flexor muscles of the thigh were rigid and contracted, and I walked with difficulty upon crutches, and even with their use, for a short distance. My general health was very much reduced by the suffering which I had undergone, and the antecedent disease. My system had com- pletely failed to respond to the action of medicine, however judiciously administered, and hot bathing was looked upon as a dernier resort in my case. In this condition I visited the Hot Springs, and began bathing under your direction. At 86 HOT SPRINGS OF VIRGINIA. first the pain and swelling of my joints was considerably ag- gravated, but upon continuing the baths the former gradually disappeared, and before two weeks I was enabled to sleep more comfortably than I had done for more than a year before. My general health now began to improve, and I gained in weight quite rapidly. I continued bathing for a month, when I returned home, visiting Cape May and Atlantic City en route. After leaving the Hot Springs I still continued to improve. The swelling in my joints diminished; the liquid effusion in their interior has almost entirely disappeared. They are much stronger than formerly, and my general health has gone on improving steadily. I now walk quite a long distance without much effort, and in all respects much better than be- fore my visit to the Springs. With my best wishes for your future prosperity, and my grateful acknowledgments for the kindness shown me while under your professional care, I am, my dear doctor, Very truly yours, LOUIS E. ATKINSON, M. D. Of Thompsontown, Juniata county, Penn. J. E. Williams, M. D. I was very early in life attacked with gout, probably owing to beredita'ry taint. The first symptom of the disease ap- peared in my feet, at the age of 28, and increased in violence every year up to the time of my visiting the Hot Springs— nine years. After leaving home, I had a severe attack on the road, and did not reach the Springs until the 23d Sep- tember, and then the disease had pervaded my whole system, and I was in such agonized pain, with fever, that you ad- vised me to take some aperient medicine before going into the bath, as my bowels were very costive. On the third day, I was still unable to walk or even sit up from extreme debil- nOT SPRINGS OF VIRGINIA. 87 ity and pain, and was taken on a cot to the hot spout, and after remaining in the bath about ten minutes, became very faint—was taken immediately back to my cabin and wrapped up in blankets. After getting into a profuse perspiration, I soon felt greatly relieved from pain and much refreshed. I took the bath every day, and after the third bath, I was re- lieved of all gouty pains, and strengthened astonishingly, so much so that I was able to walk about alone. It being late in the season, and the weather becoming cold, I used the bath only ten days. Before I visited this Spring, I had an attack of gout every month or oftener, but after using the waters, I had no return of the disease for more than seven months. But after that time it returned gradually upon me until it became as bad as ever. I arrived here on the first instant, and was attacked with the gout in one hour after I got here, and confined to my bed for three days. I have since then used the spout bath every day, and with the most decided relief. I feel bet- ter in health now than I have for several years past, and shall set out for home to-morrow. WILLIAM GILLIAM. On the 9th of March last, I was seized with a violent at- tack of gout, which continued to harass me until towards the latter end of June, at which time my friends urged on me the necessity of visiting the Springs of Virginia. Having been confined to my bed the greater part of three months, I left Charleston on the 22d, and reached the Warm Springs on the 28th July, very lame and much reduced in flesh. I remained at the Warm Springs for twelve days, using the bath daily; at the expiration of this time, finding I had de- rived but little benefit, I determined to try the effects of the spout baths at this place. After using them for a few days, I became sensible of an evident improvement; the tendons of my feet became relaxed, the swelling of the joints dimin- 88 HOT SPRINGS OF VIRGINIA. ished, and I found my health improving daily; before the expiration of a fortnight, I had so far recovered as to enable me to visit the White and Salt Sulphur and Sweet Springs, without experiencing much inconvenience from travelling. The benefit that I have experienced from the spout baths is far greater than I had anticipated. My health is much im- proved, and I can now walk without the aid of a stick, and with little pain or limping. To persons affected with chronic gout or rheumatism, I feel warranted in recommending the baths of the Hot Springs as far superior to any of the water- ing places in Virginia. THOMAS LINING, M. D., Of South Carolina. Messrs. Tardy & Co.: Gentlemen:—I take pleasure in certifying that I have de- rived the greatest benefit from the use of your baths during the past summer (1869). For eight years before my visit to the Hot Springs I had been subject to very severe attacks of Rheumatism, being often confined to my bed for weeks at a time, and I never before found anything that seemed to reach the root of the disease. I went to the Springs very much of a cripple, and after a course of bathing my pains were very much aggravated by a sharp attack of Acute Rheumatic Fever. I was informed by Dr. Cabell that a course of hot bathing not unfrequently caused a Reaction Fever, and that it was rather favorable than otherwise to a perfect cure. In my case it has proved to be so. I left the Springs before I had fully recovered my strength, and for a time I feared that I had derived no permanent benefit, but all at once a remark- able change took place. My lameness left me altogether; I gained in flesh until now I weigh 180 lbs., and I no longer feel the slightest symptom of my old and inveterate com- plaint. Being convinced that I owe this gratifying change to the nOT SPRINGS OF VIRGINIA. 89 UBe of your baths, I shall, in order to make assurance doubly sure, spend some time at the Springs again this summer. W. HUTCHENS, 238 W. German street, Baltimore. Baltimore, February 19th, 1870. Dear Sir:—I take pleasure in testifying to the virtues of the Hot Springs baths. For several months Mrs. Holland was confined to her room by an attack of Inflammatory Rheumatism, which rendered her quite helpless. In the summer of 1869 I took her to the Hot Springs. She could then scarcely walk, with the assistance of a cane, and suffered severe pain in her limbs. She had been in this condition, without any sensible improvement, for six or seven weeks. Under the use of the Hot Spout bath, she slowly gained strength and freedom from stiffness, and before leaving the Springs could walk with ease and pleasure. Since returning to Baltimore she has felt no symptom of the Rheumatism, and is enjoying excellent health. We are greatly indebted to the Hot Baths for this cure, and feel that we are doing a service to our kind in commending them for their effectiveness in healing similar diseases. Yours respectfully, R. A. HOLLAND. 90 HOT SPRINGS OF VIRGINIA. CLASS VII.* OLD INJURIES. In 1837, after spending three weeks at the White and other Sulphur Springs, where I drank the waters, I visited the Hot Springs, and there took regularly two spout baths a day from the 8th to 18th of September, inclusive. My object was to get rid of a rheumatic pain above the right hip, occasioned by a fall the year previous. The second spout removed the pain from the hip to the shoulder,' and the succeeding ones made it travel still more over my back ; thus I suffered more that week than I ever had done before, but at the end of ten days I left the springs entirely free from pain. The second and third spouts produced likewise a most extraordinary effect on the liver—a copious yellow evacuation, such as I never witnessed in my life. In 1838 I spent a week at the spout, in order to see whether it woutd produce the same discharge, but it had no longer the same effect. H. DAVRAINVILLE, Of Philadelphia. Hot Springs, Sept. ls£, 1838. Having derived the most important benefit from the use of the spout bath at the Hot Springs, it gives me pleasure to comply with your request and bear testimony to its virtues. In the month of August 1829, a horse ran away with me in a gig; I leaped out, fractured the small bone in my leg, •These numbers refer to tho classes and subdivisions of classes of disease enumerated in Part II. IIOT SPRINGS OF VIRGINIA. 91 and injured the patella or knee pan most severely. A tedious confinement was the consequence. When I was suf- ficiently recovered to leave my bed I found the leg so con- tracted that I could not walk without the aid of crutches. Indeed, when standing erect, my foot did not reach the ground by four inches. The limb shrunk from inaction, and fearing I should be a cripple for life, I visited Philadelphia and consulted Dr. Physic. He told me my case was hopeless, and surgical aid would be of no avail. I returned home and went to the Hot Springs. I had then been on crutches more than twelve months; my left leg was not half the size of the right, and so contracted that I could not get the foot to the ground. The very first bath relaxed the contraction ; my leg became straight, and I walked back to my cabin without crutches. I used the bath once a day for about three weeks. The limb was gradually restored, and I have never used crutches since. I regard myself as indebted to the Hot Springs for my leg. I am, most respectfully, Your obedient servant and friend, J. Y. MASON, Of Southampton, Va. 92 HOT SPRINGS OF VIRGINIA. CLASS VIII* MISCELLANEOUS CASES. (1).—DEAFNESS. Annexed is a concise statement of my case. For several years my health had been bad. I had suffered much from a rheumatic affection of the muscles of my back, which was always severe in cold weather, and which induced me to spend some winters past in New Orleans. About three years ago, after an unusual exposure, I felt that my disease was transferred to my head. A dizziness, approaching to blind- ness, came on, and at times I suffered an indescribable sense of weight or heaviness on the brain, and almost wholly lost my hearing in one ear. These unpleasant complaints continually increased. In the meantime I followed rigidly the advice of physicians. I lived abstemiously, was frequently bled and cupped, and had cold water and ice applied to my head, which produced only temporary relief. At one time I used the Blue Pill until my gums became a little tender, and felt de- cidedly better under its influence. But the disease still re- mained, depressing my spirits, and impairing all the enjoy- ments of life. At two different times, the distress in my head was so great as almost to deprive me of consciousness un- til I was bled. Early last summer all these symptoms had as- sumed a more fixed and threatening character than at any former period, when I determined to visit the Virginia Hot Springs, where I arrived in August. I used the waters in the customary way, permitting the spout to fall directly on * These numbers refer to the classes, and sub-divisions of classes, of diseases enume- rated in Part II. HOT SPRINGS OP VIRGINIA. 93 the ear of which I had lost the hearing, and over the head generally. I experienced immediate good effect, and before I left the Hot Springs, where I remained about three weeks, recovered my hearing entirely, and also felt perfect relief in my head. ri his relief has continued up to this time. I find no inconvenience whatever to follow the use of my ordinary diet, and can truly say, that I have not felt so entirely in good health for many years. MARTIN ANDREWS, Steubenville, Ohio. I give you a statement of my case. In February last I was taken with a violent cold in my head, which left me almost entirely deaf in my left ear. I came to the Hot Springs on the 18th of July, and after using the baths freely for about two weeks, my hearing was restored, and has continued per- fect, without interruption, up to this date. JOHN B. CUTTING, Lieutenant U. S. Navy. To Dr. Goode: I was taken with a violent cold, which deprived me of the power of uttering a word above a whisper. The tonsils, epiglottis, and end of the windpipe were considerably in- flamed and swollen, especially in cold, damp weather. I visited the Red, Salt, and White Sulphur Springs, which im- proved my general health. I came to the Hot Springs and took forty-two sweat baths in succession, and occasionally the spout. My general health was greatly improved, and my voice so much strengthened as to enable me to converse in the ordinary tone of common conversation. I remained at the Hot Springs fifty-seven days, and gained twenty-two pounds in weight. I used no animal food whilst bathing. W. FOUNTAIN, Of Fluvanna county, Va. (2).-WSS OK VOICE. 94 HOT SPRINGS OF VIRGINIA. (3).—CARBUNCULAR DIATHESIS. Richmond, Va., April 20Ih, 1867. Messrs. Tardy, Williams & Co.: Gentlemen—Having received very great benefit from a trip to the Hot Springs last summer, I consider it a duty I owe to suffering humanity to make a statement of the dis- eases I was suffering with, and the effect produced upon them by the invaluable waters of the Hot Springs. You can make such use of the statement as you think best. In 1864 I had several carbuncles, involving the back and right half of my buttock, considerable torpor of liver, with chills and fever. In the fall of 1865 I had a very large rising in the palm of my hand, of carbuncle or felon charac- ter, which extended up to my elbow, and unfitted me for business for four or five months, and gave my attending physi- cian great uneasiness, for fear it might terminate fatally. The torpid liver continuing through the winter and spring, accompanied with chills and fevers, rendered me so weak that I could not walk a quarter of a mile without great fatigue and exhaustion; and in addition to these ills, there was a hardening or thickening of the cellular tissues of the right thigh. After using various remedies under medical treat- ment, with but little or no permanent relief, my physician insisted on my going to the Hot Springs, and using the hot bath, to see if the evident obstruction of. the circulation of my right side and liver would not be overcome by the ex- pansion produced by the bath upon my system. In June last year I visited the Hot Springs and commenced using the hot bath, and when I had taken three baths my health began to improve, and after the short stay of three weeks I was completely relieved, and returned home well and able to attend to my business, and have had no return of any 95 nOT SPRINGS OF VIRGINIA. of the symptoms since. So marked was the improvement in my health, that it was frequently noticed and commented on by my family and friends. Yours, very respectfully, HUGH A. WATT. (4).—INDOLENT SWELLINGS. After a severe spell of fever, I was attacked with acute pains in one arm, leg and foot, succeeded by hard, indolent swellings, which took away the use of the affected limbs, and confined me to my room for several months. I was under medical treatment during the whole time, but all the reme- dies used failed. I went to the Hot Springs and used the bath for two or three weeks ; when the swellings suppurated, they discharged freely, and I gradually recovered the use of my limbs. Since that period my health has been better than usual, and I attribute all to the hot bath. Yours, &c., WM. CHAPMAN, Of Waynesboro’, Ya. ROUTE FOR TRAVELLERS. FROM THE NORTH. Via Orange and Alexandria Railroad to Gordonsville. Here, change cars and go by the Chesapeake and Ohio Railroad to Mill- boro’ Depot or Covington. Thence by Stage to Hot Springs. FROM THE SOUTH. Via Richmond, on the Chesapeake and Ohio Railroad to Mill- boro’ Depot or Covington. Number of Passengers limited to ten on each Stage. Ample accommodations made for transporting baggage. The Trains on the Chesapeake and Ohio Railroad pass by Charlottesville, University of Virginia, Staunton, through the Tunnel of the Blue Ridge Mountains, and Waynesborough (the scene of the battle between Generals Early and Sheridan.) After leaving the Railroad at Millboro’, Travellers pass by the “Blowing Cave’’ on the Cow Pasture River (near “Bath Alum Springs,”) and cross the “Warm Springs Mountain,” celebrated for its magnificent view of mountain scenery—alti- tude said by Mj. Jefferson to be 2247 feet above the level of the sea. THROUGH TICKETS CAN BE PROCURED AT TIIE DEPOT OF THE CHESA- PEAKE AND OHIO RAILROAD IN RICHMOND. NATURAL CURIOSITIES IN TIIE VICINITY OF THE HOT SPRINGS. BLOWING CAVE, near the Bath Alum Springs. WARM SPRINGS AND MOUNTAIN VIEW. Flagstaff. CAVE AND CHIMNEY at Hot Springs. CASCADE, near Healing Springs. FALLING SPRINGS (one of the most beautiful and romantic spots in Virginia.) Horses and Vehieles can be procured at the Hot Springs to visit these places.