WBF W992r i , y^ V: #-/"?-L& / f£/^. ■£■ r-e^x. 4d-<- < « ?Lc -f J-?"'A^^-^ &s? I •~'0--^» .«^— A RE PORT l\ WYOMING WATER-CUKE INSTITUTE, .'V *k INCLUDING G-< ^ (Trtutrfc ;it (fncniiiiooir Springs 0('htcr-(f lire, 1 S) COMPRISING V.WUTltWL VIFAV OF 377 CASE; T R K A T E D B Y P. H. HAY E S, M. I v BUFFALO: JEWETT, THOMAS & C 0., PRINTERS. / 2. J~~ O /&> / > / > J~ a /. 2. u f 2. O A REPORT WYOMING WATER-CURE INSTITUTE, IWCLUDINO CASKS ftmhb at (gmntob Springs MRhx-€uxt, COMPRISEIO A SYNOPTICAL VIEW OF 377 CASE3 TRUATED BY P. H. HAYES, M.D. r -..- >. to ' .7r"^ \ r"'/ Ij BUFFALO: JEWETT, THOMAS £t as sweetly as a child. He left in two month,- his nl 7 , , WYOMING WATER-CURE INSTITUTE. 21 trying exercises of the gymnasium. Bating a slight cough, he declared he felt as well as ever. Case Fourth.—Mr.-------, a man of about forty years, a labor- ing mechanic, came to us bleeding at the lungs, and with other unequivocal signs of consumption, to an alarming extent. He in- herited a strong tendency to this disease. Wet-bandages, wet- rubbings, sits-baths, and an occasional packing-sheet, were cautiously used in the early part of the treatment. The bleeding was imme- diately arrested; and later in the treatment, the shallow, plunge, and spray-baths were used. The douche was tried, but found too exciting. He left at the end of three months, almost wholly free from any symptoms of disease; and from that time until the pres- ent, which is about four years, has been able to prosecute his business. ASTHMA. This disease consists in spasms of the air-tubes of the lungs, greatly hindering the ingress of air in respiration, sometimes almost wholly excluding it, and giving rise to painful and urgent symptoms of suffocation. It occurs in paroxysms of greater or less severity, and lasting from some hours to as many days. When the paroxysm is most severe, or at its height, the patient makes forced and labori- ous efforts in inspiration, rushes to the nearest window for air, even in the coldest weather; his countenance becomes livid, and assumes an expression of the deepest anxiety, bordering upon terror; he seizes upon whatever may be in his reach, to aid him in his efforts to breathe. Sometimes short paroxysms occur, for several nights in succession; and in other instances, only a moderate exacerbation of symptoms is observed, but difficulty of breathing is almost con- stantly present. The disease is frequently occasioned by dyspepsia, bilious derangement, emphysema of the lungs, and disease of the heart. It is sometimes temporarily induced by inhaling the emana- tions of newly-made hay, or the dust of powdered ipecacuanha. The disease has no immediate tendency to end in death; but if it be severe, and the paroxysms frequent, the patient begins to lose flesh and strength, and constitutional vigor declines. Mrs.-------, a young married lady, of sanguino-lymphatic tem- perament, and of a somewhat full habit of body, suffered from asthma through her whole life; and for several months preceding 22 REPORT OF THE her coming under treatment at our institution, paroxysms of several days' duration had recurred as often as once a fortnight. Her con- stitutional health began to suffer considerably. She had almost con- stant menorrhagia, together with some dyspepsia and an inactive liver. Rubbing-sheets, foot-baths, short sits-bath, and shallow-baths, were used in the treatment. Her menorrhagia disappeared in two weeks, and she left at the end of four entirely free from the asthma; and keeping up some treatment at home, she has not had a single recurrence of the disease, although at the date of this report it is more than three years since she was treated. DYSPEPSIA OR INDIGESTION. These terms are conveniently used to designate collectively a large class of morbid symptoms having their origin mainly in the stomach. These symptoms may arise from different pathological states of this organ, the most common of which are chronic inflammation, atony or debility, and organic disease. The most common accompanying condition of the bowels is atony, or debility, and deficient secretion, giving rise to constipation. Dyspepsia may be induced by improper food, by food in improper quantity, by food insufficiently masticated, by stimulating condi- ments and alcoholic drinks, by tobacco-chewing and opium-eating, by intense mental application and sedentary habits, by grief and melancholy, by the sympathy of the stomach with the local injuries and morbid states of other organs; and I may add, emphatically, by the common practice of drug-taking, especially that branch of it which consists in swallowing for months, or years, some favorite drug or patent nostrum. No greater offense than this could hardly be committed against the physiological integrity of this delicate organ, designed alone by nature for the reception of alimentary substances. Dyspepsia is the most common disease of civilized life. It is the parent of a very large number of local disorders and constitutional derangements. Rheumatism, gout, scrofula, tubercle, asthma, palpi- tation of the heart, neuralgia, epilepsy, chorea, anemia, chlorosis, con- gestion of the liver, diabetes, and a variety of cutaneous eruptions,either spring directly or indirectly from indigestion or wo/digestion, or take the die of their severity or fatality from the health of the primary WYOMING WATER-CURE INSTITUTE. 23 nutritive system. The powers and sensibilities of the mind are often impaired and perverted by dyspepsia. In some of the intenser forms of this disease, the subject becomes morally incapable of directing his attention to any other subject than his own sufferings; converses of little else, and is filled with groundless fears and anxi- eties. Others are morose and taciturn, or become the victims of melancholy or hypocondriasis. Nearly all forms of this disease admit of a radical and permanent cure by the regimen and appli- ances of the water-treatment. I was called from a distance to visit a woman of forty-four, who was considered to be in a low and almost hopeless condition. I found her suffering with sub-acute inflammation of the stomach, and great irritation of the sympathetic nervous system. She had been a nervous dyspeptic for twelve years or more, and had been subject to occasional exasperations of the disorder. When I saw her, she had been confined about two months, and gradually sink- ing. She was confined to her bed with the following symptoms: great anxiety and restlessness, palpitation of the heart, pain and tenderness in the region of the stomach, constipation, headache, transient blindness, irregular chills and flashes of heat, palsy of sen- sation in different parts of the surface, stomach extremely sensitive, rejecting both food and medicine, and sleeplessness. Notwithstand- ing powerful opiates, she had not slept an hour each day for ten days. I had this patient washed all over in water at 70°, a portion of the person only being washed at once and then wiped dry. This treatment was given at noon. In the afternoon she was packed in a half-wet sheet, and washed off after it. These appliances gave her much relief, reducing the feverish excitement of the system and disposing her to rest. In the evening, when the family were about retiring for the night, a warm fomentation of the stomach and bowels was administered, after which she obtained five hours of natural and refreshing sleep. After this she was packed twice daily, then once, took rubbing-sheets and short head and foot-baths, which treatment she partially centinued for five weeks, when she came to the establishment. Here more vigorous treatment was applied, which brought on vomiting of large quantities of ropy, opaque mucus. This continued some weeks, and greatly relieved the diseased state of the stomach. She left the institution at the 24 REPORT OF THE end of seven weeks, able to walk two or three miles in the day. She kept up home treatment for some months, and now speaks of herself as enjoying a " new life:' her physical health having been entirely renovated. Case Second.—A young man had severe dyspepsia for some months, appearing to depend upon chronic inflammation of the stomach. He had used tobacco freely, and been taking largely of medicines before coming to me. He lived near, and I failed in getting control of him and cutting him off from his pernicious habits. He left after fifteen days' treatment, " not benefited." Case Third.—The following case, that of a very intelligent young lady, I am permitted to give from her own statement of the case. She says: In the fall of 1846 I was taken very ill with a bilious fever, and was brought very low, and for two or three weeks my life was despaired of. I partially recovered from this very low state, but my disease had become seated upon the lungs. I was under the care of a very able and faithful allopathic physician. I remained in a critical state through the winter. Eminent counsel was called; a number of times my case was decided to be tubercu- lar inflammation of the lungs, and they stated there could be no hope of my restoration to health. In the spring my disease again moved back to the stomach and liver, and I was again brought to the borders of the grave. I, however, gradually recovered; but continued feeble, and was obliged to continue the use of the blue pill. I found it impossible to dispense with calomel in some form. Unwilling to be under its constant influence, I tried repeatedly doing without it, and as often as I tried had a return of the disease, at- tended with extreme pain and vomiting. I remained much in the same state, feeble and under the influence of medicine most of the time, till the fall of 1849, when I was advised by physicians and friends to resort to a "Water Cure" for healing. In accordance with which advice, I placed myself under the care of Dr. P. H. Hayes, then at Greenwood Springs. I remained under treatment six months and a half, and now I am a wonder to my friends- they say my restoration seems like a miracle. Since commencing the water-treatment, I have not taken a particle of calomel, nor indeed any medicine whatever. Remarks.—This patient owed very much to her own fidelity WYOMING WATER-CURE INSTITUTE. 25 and perseverance. She came to us thin, pale, and weak; when she left my care she had gained largely in weight, her muscular system had acquired firmness, roundness, and strength; her skin had as- sumed the color and the elastic touch of life, and her features, from being pale and shrunken, had the rounded contour and the ruddy glow of health. Case Fourth.—A professional gentleman, of severe mental labor and sedentary habits, suffered greatly from indigestion of a nervous character. So strong had been the sympathies awakened in the brain as to fill the mind with groundless apprehensions and melan- choly forebodings. A mild tonic and sedative course of treatment, with care in diet and outdoor exercise, was pursued. He left us in five weeks, " essentially improved:1 RHEUMATISM. This is an inflammation of the fibrous or ligamentous tissues en- tering into the composition of the joints; the same kind of inflam- mation also sometimes extends to the lining membrane of the joints, and to the fibrous coverings of the muscles. In its acute form, it is attended with high fever and great constitutional disturbance, the pulse runs high, the joints swell, look red, are hot, tender, and very painful, and the skin often covered by acid perspiration. The in- flammation is very prone to change suddenly its locality, and this is one of the peculiarities of this kind of inflammation. It may go from the limbs to the back, the neck, or the intercostal muscles and ligaments covering the chest, giving rise to extreme difficulty in breathing. It sometimes seizes upon the membranes of the brain, the pericardium of the heart, or the sclerotic coat of the eye. Rheu- matic inflammation never terminates in suppuration or mortification, as does common inflammation; and this is a happy ordinance of nature, for were it otherwise, we should be continually meeting with those whose joints had been destroyed by the disease. The chronic form of this disease may follow the acute when badly treated, but it frequently comes on slowly, and with little or no constitutional disturbance. In this form of the disease, the patient's joints are stiffened by the thickening of the ligaments, and this, with the con- stant uneasy pain attending it, prevents any free movement of the joints affected. The subjects of this phase of the disorder are 26 REPORT OF THE exceedingly sensitive to atmospheric vicissitudes, cold, and damp; as also, certain apparent electrical changes bring their misery; and as often as once or twice in the year, when cold and damp are prev- alent, they are pretty certain to have an acute exasperation of the malady, which confines them to their beds or within doors for some weeks. The predisposing cause of this disease is mal-assimilation of certain elements of the food, giving rise to lactic and lithic acids in great excess. The exciting causes, it hardly need be said, are cold and damp, and muscular fatigue. A lad of fourteen years had a severe attack of acute rheumatism. His ankles and feet first became swollen and painful; then the wrists, knees, and hips. In this condition he remained one week, when the inflammation attacked the chest. At this time I was asked to treat him. I found him sitting in a stooping posture, as he could not lie down; his breathing was short, hurried, and very painful; the joints less affected than at first. He spoke in a whisper, and any movement, by quickening respiration or otherwise bringing the inflamed muscles into activity, gave him extreme pain. He was treated by repeated wet-sheet envelopments, at first, in the sitting posture; and these were followed by washings for a little time, then rubbing-sheets and shallow-baths. He wore, also, the wet-bandar on the chest, during the intervals. In two weeks he left the estab- lishment, walking home more than a mile over the hills. MrS-------' a middle aged la ™ -^ her" haH she took large doses of some narcotic. She was a woman of full habit and vigorous constitution. The wet-packing and rubbing- sheet, the sweating process, and the shallow-bath, with body-band- ages, were pretty vigorously applied, and her narcotics at once andT, f ° W6ekS' ^ C0UM GXercise with so much ea and freedom, and const tutional health was so far restored, that sh :: zszz&zto continue ^*- - *• --»*+ WYOMING WATER-CURE INSTITUTE. 27 CHRONIC DIARRHC3A. This disease may depend upon chronic inflammation, perverted secretions, scrofulous inflammation, or ulceration of the mucous follicles, or agminated glands, or disease of the upper organs of digestion. A child of one year had suffered with chronic diarrhoea six months, which had its origin in imperfect digestion and inflam- matory irritation of the bowels. It was pale, weak, and wasted almost to a skeleton, and was held by its mother on a pillow. It " worried," as she said, most of the time, and, to quiet it, was con- stantly fed from the nursing-bottle. Motions extremely frequent some days; in the twenty-four hours, near twenty must have taken place. It also rejected much of its food by vomiting, and appeared to suffer from abdominal pains. When I was asked to see the child, it was not expected to survive long; and so little hope did there seem of its recovery, that I at first declined any responsibility in the case. However, before leaving the house, I gave the mother some plain hints for its management; but did not promise to call again. A day or two passed, and a friend informed me the child was improving. I called, found medicine had been abandoned, and the hints I had given carefully followed. I then directed the fol- lowing treatment: cool washings of the entire body, warming- bandage upon the bowels, changed often, and with every change a washing of the parts it covered with cool water; three enemata daily; warm fomentation, to relieve pain, and occasionally a damp- packing. The quantity and quality of the food was directed, and taken only at regular intervals. The room was kept well ventilated, and the child carried into the open air two or three times daily. Its improvement was immediate and striking; in two weeks, the morbid evacuations had ceased; and in two months, eight pounds were added to its weight, and its innocent prattle told significantly of its new life within. PROLAPSUS UTERI.—(FALLING OF THE WOMB.) General relaxation of the entire muscular system, and great nervous susceptibility, are common antecedents and accompaniments of this very prevalent disorder. It is directly caused by loss of tone in the ligaments and tissues which are the immediate uterine supports, 28 REPORT OF THE and collaterally by falling of the bowels, which is an almost unfail- ing antecedent. More general predisposing causes to this, and other female weaknesses and diseases, are a great and general neglect of physical exercise, and injurious modes of dress. Little misses become young ladies too soon; they have no stage of girlhood, in which they take that free and unconstrained exercise, out of doors, to which their instinct so clearly prompts, and by which alone their bodies and limbs can expand, grow, and be strong, and the greatest possible immunity be gained against the invasion of disease. Their pale faces too often testify a want of acquaintance with the free air and sunlight of heaven; their bodies lack symmetry and develop- ment, and they easily become the prey of some lingering disease. With this general neglect of exercise, they early manifest an anxiety to improve their forms by corset and stays. These powerful instru- ments, and the great weight of clothing suspended from above the hips, are applied to that very portion of the body most susceptible of injury, and least able to resist it. The respiratory process, that source of life and health to the blood, is greatly restricted; even a forced inspiration can not fully inflate the lungs, while bound by these appliances. The weight of under-clothing, the pressure of bodices and stays, contract the base of the chest, and disturb and confine the motions of the stomach during digestion. The abdominal muscles become greatly relaxed, and the organs are crowded downward, so that the fullness or roundness of the abdomen is found some inches lower than in the child. Among some of the Chinese, the feet of girls are confined in little wooden^shoes; the savages of America flatten their heads; the South Sea Islanders tattoo their bodies, by way of ornament. But fashion is, with us, far more enlightened; she puts her gripe around our very vitals; she holds us firmly until our spines are curved, and our gait is awkward and stooping; she don't let us half- breathe, and often makes us faint in assemblies; she makes our wives taxes upon their husbands, and unfit to become the mothers of their children,—because she holds that a small waist is a model of beauty. Powers says of his famous statue of Eve—I copy quotation from Marcy's Theory and Practice of Homoeopathy: WYOMING WATER-CURE INSTITUTE. 29 " Her waist is quite too large for our modern notions of beauty, and her feet, they are so very broad and large! And did ever one see such long toes! they have never been wedged into form by the nice and pretty little shoes worn by her lovely descendants. " But Eve is very stiff and unyielding in her disposition; she will not allow her waist to be reduced by bandaging, because she is far more comfortable as she is; and besides she has some regard for her health, which might suffer from such restraints upon her lungs, heart, liver, etc., etc., etc." Displacement of the uterus is usually accompanied by a consid- erable number of sympathetic and secondary local morbid pheno- mena, which are often looked upon and treated as independent dis- orders. Not uncommonly are patients treated for spine complaint, liver complaint, neuralgia, etc., and the system drugged and en- feebled by worse than useless treatment, while the real difficulty is unsuspected and undiscovered. The common modes of treatment, by artificial supports, are fallacious means, and do not deserve a moment's reliance, when a cure is thought of. The use of artificial support, though it may afford present relief, finds no sanction in science or experience; for if, by such means, we put out of use the muscles and ligaments which are the natural supports of this organ, they inevitably become weaker and weaker, and less aad hopelessly less able to do their natural work of sustaining the womb. It is plain to all, that to acquire physical strength, physical exer- cise is indispensible; and if this be true of the entire body, it is equally so of any part of it. It would be as rational to expect a man to become a Hercules in strength, with his arms in a straight- jacket, and his feet in the stocks, as to cure uterine displacement with the subject of it laced-up in a utero-abdominal supporter, lying upon her bed, or sitting in her softly-cushioned chair. We must rely for success only upon such general treatment and exercises as shall give tone and energy to the entire muscular and nervous sys- tems, and especially must such local treatment be used as shall remove displacement and invigorate the weakened uterine supports. We may be allowed to add, that we believe the baths, exercises, diet, and regimen of the water cure thoroughly and philosophically adapted to the cure of this disease; and if properly combined with more natural and physiological means than pessaries or supporters 30 REPORT OF THE for overcoming displacements of the uterus and bowels, are almost infallibly successful. Our experience in this complaint, for four years past, will fully sustain this opinion; and we shall continue to give special and unwearied attention to this class of cases. Mrs.-------, of middle age, plethoric and corpulent, dated her decline to an attack of phlegmasia dolens, which occurred after par- turition nine years before. From that time, the peculiar symptoms of falling of the womb had been more or less constant; and for three years, she had only been able to walk as far as across her room at one time. This long period of inactivity, together with the secondary effects of the disease, had induced a state of great muscular weakness, an excitable nervous system, dropsy of the lower limbs, obstinate con- stipation, and considerable stomach disorder. The common artificial supports had been used for years, with no effect but to afford some palliation of symptoms, and render the derangement more difficult of a radical cure. Treatment was, in the first week, pack in half-sheet, two sits-bath, two minutes each, and two rubbing-sheets daily. Enemata of water were given to move the bowels, and the wet girdle worn during the night. After the first week, the pack was used very little, and the wet-girdle worn only days. Artificial sup- port was put off, the sits-bath gradually increased in length and made colder, and wet-bandages were applied to the dropsical limbs and suffered to dry. Later in the treatment, the plunge was taken in the morning, and the fountain-douche in place of one of the sits- baths; and in the ninth week, the /aZ%r-douche was used. Under this treatment, with regular exercise, she gained daily, her strength improved, her nervous system acquired firmness and vigor, constipa- tion was conquered, corpulency greatly diminished, and' the local dropsy and dragging, and neuralgic pains were entirely gone. She left us in twelve weeks, an antithesis to her former self- able to walk two to four miles daily; and if her recovery were not entirely perfect, a little time, with mild treatment, was only neces- sary to make it so. Case Second.—A young lady was brought to us on a bed She had been a confirmed invalid for nine years; uterine and other dis placements, together with excessive and misdirected medication had exhausted her nervous system, disorganized her digestion • and for WYOMING WATER-CURE INSTITUTE. 31 years she had left her bed but little, now and then sitting up awhile, or walking across her room. _ Her treatment was similar, in most respects, to the case preced- ing. She was under treatment eight months, and during the latter half of the time, her common walks were from four to eight miles daily; and this, a part of the time, in winter, over hilly roads. She was restored to good health. Case Third.—Mrs.-------, aged thirty-eight, came to the estab- lishment on a bed; had suffered from prolapsus and fluor albus for three years; and for fourteen months previous to her coming, could not bear her weight on her feet. She was thin and pale, much emaciated, and so weak as to be carried in arms like a child. She suffered from the nervousness, sleeplessness, costiveness, and appe- titelessness, not uncommon in such cases. During her sickness, had been treated for spine complaint and consumption; had been told that she was liable to be palsied at any time. She was under our treatment three months. She began to walk, with assistance, in two weeks; and at the end of her stay, she could walk from one to two miles daily. She had gained nearly twenty-five pounds in weight, and appeared well in all respects, except that her physical strength was not yet fully restored. Case Fourth.—Miss -------, a young lady brought on a bed, came under treatment in January, 1853. She began to decline in health four years before; had previously, for some years, attended school, studied hard, and overtaxed and impaired her nervous system Had suffered from spinal irritation, headache, painful menstruation, inveterate lucorrhcea, pain in the small of the back and limbs, and dragging pains across the abdomen, almost from the very first until the time of entering the establishment. Lost the power of walking or standing three years ago, and, with one or two trifling exceptions, has since remained in this helpless condition. Found her suffering from displacement of the uterus, falling of the bowels, chronic fluor albus, constipation, torpid liver, pains in the back, head, and across the abdomen; face pale, blood poor, pulse feeble, and feet and hands cold. Has had the practice and counsel of nine regular phy- sicians, and some irregulars and defectives, of the Botanic, Homoe- opathic, Eclectic and Psychologic schools. Has taken largely of medicine; more so than is usual. I asked her for a list of articles 32 REPORT OF THE and appliances in this line which she had used; and here you have it, as she gave it to me, except that I have slightly abreviated it, substituted some common for technical terms, and have made parts of it emphatic: " Strychnine, Mercury, Arsenic, Iodine, Morphine, Quinine, Oxide, Iodide, Sulphate and Carbonate of Iron, Iodide and Carbonate of Manganese, Nitrate of Silver, Sulphate of Zinc, Sugar of Lead, Cream of Tartar, Sulphur, Elixir of Vitriol, jYtro-Muriatic Acid, Bismuth, Ammonia, Camphor, Opium, Val- erian, Belladonna, Arnica, Aconite, Hyoscyamus, Tobacco, Prickly Ash, Chamomile, Comfrey, Castor Oil, Cod Liver Oil, Bloodroot, Poplar Bark, Spikenard, Wild Ginger, Rhubarb, Wormwood, Yarrow, Fever Bush, Sassafras, Hardhack, Birch Bark, White Oak Bark, and Yellow Dock." She adds, " Have taken a great many mineral tonics of which I never knew the name; but with these little auxiliaries, the iron or manganese was taken three times a day for thirteen months. During the allopathic treatment, and a part of the rest, had a calomel sore mouth for fourteen months. Used everything in the line of liquors, liniments, and plasters, be- sides fifty blisters, dry cupping, and scarificator. Among patent medicines were Webster's Sarsaparilla, Christie's Galvanic Belts, Necklace, and Bracelets, with thirty-five bottles of the Oxide of Gold." J This patient can now—six weeks from entering the Cure—walk a quarter of an hour at a time, three times daily^n the verandah and about the grounds belonging to the establishment. AMENORRHEA.--(CHRONIC SUPPRESSION.) The chronic form of mensual suppression may succeed the acute, or be more gradually induced by constitutional ill health. Diseases which greatly impair the energies and actions of life, will cause if as, dyspepsia, consumption, etc. Young ladies at boarding-schools' sometimes have this warning that they are consuming too rapidly their hfe-force, or nervous energy, over their books. The resort to emmenagogues or -driving medicines," is useless, dangerous, and unphilosophical. The grand principle of treatment, in nearly all these cases * to strengthen, give firmness and vigor to the nervous system, and thoroughly renovate the constitutional health,-and the menses will certainly return in due time WYOMING WATER-CURE INSTITUTE. 33 Two instances of this disorder we have treated in young ladies, in whom the cause appeared plainly to be overtaxing the brain by study, and from the confinement incident thereto. In one, the dis- ease had existed fifteen years; in the other, one year. In the for- mer, there was chorea of some years stauding, with great nervous excitability; in the latter, there was a notable failure of bodily vigor, and of mental strength and activity. The former was under treatment eight months, the latter two and a half months; the for- mer had a severe crisis of boils. Both perfectly recovered. DYSMENORRHEA.--(PAINFUL MENSTRUATION.) This is a severe, and not very uncommon female affliction. It occurs generally in irritable, neuralgic, or hysteric habits of body; with neuralgia of the uterus, congestion, rheumatism, or displace- ment of this organ. It is esteemed by learned authority, " exceed- ingly difficult to cure." This is not our experience with water treatment. We do not recollect to have failed in a single instance; and we have treated all forms of this malady, except that depend- ing on a stricture of the canal of the cervix uteri. Miss -------, a young lady about twenty-five, had suffered for years from painful menstruation. She was of an irritable, neuralgic habit, and the long continuance and severity of her malady had begun seriously to impair her constitutional health, and waste her flesh and strength. She had fairly tried various medical means, but they had been of no avail. She was under treatment three months, and gained very greatly in flesh, strength, and bodily vigor. Left entirely free from the disease, and continued well at my last hearing, five months from leaving the establishment. MENORRHAGIA.--(PROFUSE MENSTRUATION.) Examples of this disease are not unfrequent. There is almost invariably uterine hemorrhage in connection with, or succeeding the excess of the catamenia. It occurs under a variety of bodily con- ditions, not unfrequently at the cessation of menstruation. The effects upon the system at large are the same as from excessive bleeding from any cause; pallor of the countenance, languor, vertigo, palpitation of the heart, ringing sounds in the ears, chilliness of the surface, and coldness of the hands and feet. There is weakness and 3 34 REPORT OF THE aching in the back and loins, coming round to the lowest part of the abdomen. The exhaustion produced by this disease not un- commonly produces head symptoms similar to those induced by the plethora of apoplexy. To mistake the one for the other, and apply the usual treatment for threatened apoplexy, is absolutely murderous. We have,.cured this disease by water treatment, in every instance. Mrs.-------, a young married lady, of sangu no-lymphatic tem- perament, had been menorrhagic for nearly a year; and for two months previous to entering the institution, had constantly been troubled with this sort of illness. She was pale, languid, and spirit- less; was under treatment in the house one month. The menor- rhagia disappeared entirely in two weeks, and had never returned, at our last hearing, three years after leaving the establishment. ULCERATION OF THE UTERUS. Enlargement and hardness of the uterine neck, caused by con- gestion and chronic inflammation, are not unusual. Upon this con- dition ulceration frequently supervenes. Our experience in this disease has been limited to two or three individual instances; in these we have been quite successful, without the use of caustic; and we incline strongly to the belief that ordinary cases, at least, do not demand it. The following case I have given at some length, a3 it has features of more ll an ordinary interest. Mrs--------, a lady of about forty years, came under my care in the summer of 1851. Her temperament Was sanguino-bilious, native constitution good, height more than medium, with fair physi- cal proportions. Her countenance wore a fixed expression of suf- fering, and had a cadaverous paleness. She was very weak, much emaciated, and needed the assistance of a strong man when she attempted to walk. On the day of her arrival she rested from the fatigue of the journey, and as her former physician was in attend- ance, I did not investigate her case, or take charge of her until the next morning. Early in the same evening, she was seized with vio- lent uterine spasms, with remissions resembling labor pains, attended with extreme suffering and anguish. At intervals of from five to fifteen minutes, these spasms recurred, accompanied with groanings and contortion, of body indicating intense pain. Her physician administered medicine, and attended to her wants, but she had no WYOMING WATER-CURE INSTITUTE. 35 rest from her distress until three or four hours had elapsed. The following morning, I learned from herself the history of her case, and made out its pathology as follows: Ulceration of the uterus, which began five years before, coming on once in about four weeks, with considerable severity, and slowly subsiding, attended by one or more recurrences of the spasms above described; which spasms, after a few hours, became general, and continued until subdued by morphine, or until nature ceased to suffer from sheer exhaustion. A discharge, thin and watery at first, then purulent, then hemor- rhagic in character, attended each excerbation of the ulceration; and during the winter, when the disease was always worse, she con- tinually suffered from the one condition or the other. Twice only had any considerable intermission of these symptoms occurred, throughout this entire period. One of these continued eight weeks, and one eleven weeks, during which she menstruated naturally; but during the balance of the time, she observed no increase of the san- guineus discharge, at the mensual periods, though it was doubtless, at times,- menorrhagic as well as hemorrhagic in its character. The local disease, the morbid discharges, and the great and protracted suffering, had seriously invaded her constitutional health. Her blood was far below the natural figure, in the amount of its most vital essential elements—the fibrine and the corpuscles. Lumbar pains were constant, and she suffered frequently from neuralgic headache. She said to me, during the examination, that to die were a mercy, but to live in her then condition was too sad a pros- pect. I could not assure myself, or my patient, that there was more than a small chance for her recovery. She began treatment by towel-washings of the entire body, sits and foot-baths daily, of three to five minutes each, water about 80°. In about a week, the uterine spasms returned, with their usual severity. I placed the patient immediately in a cold sits-bath—48°, and she was vigorously rubbed by two attendants. In less than fifteen minutes, the spasms entirely ceased; and as they ceased, the extremities began to cramp, and soon were fixed in rigid spasm. She was returned to the bed, and I used rapid friction with my hands upon the rigid muscles, rubbing in only one direction, and that was from the body. The muscles were in this manner entirely relaxed, and she rested nearly a quarter of an hour, when the spasms 36 REPORT OF THE of the uterus again returned, and were promptly met by the cold sits-bath and energetic rubbing, as before, and were as promptly sub- dued, when my patient was entirely quiet and free from pain, except some nervous headache, which was perfectly relieved by the head- bath. Her constitutional health now began manifestly to improve; but in about fourteen days, she was again visited by the spasms of the uterus and cramps of the extremities, in a milder degree, how- ever, than before, and they were speedily cut short in the same manner. Her constitutional health continued to improve; her treat- ment was gradually increased, towel-washings being exchanged for rubbing-sheets, the sits-bath lowered in temperature and increased in duration; and later still, the shallow-bath was used in place of the wet-sheets, at least once daily; these, together with foot-baths, vaginal enemas, and dry hand-rubbing, constituted the substance of her treatment, and were variously combined to adapt them to her changing condition. She was under treatment nearly three months and, with a small exception, had no further recurrence of the uterine or other spasms. The ulceration was arrested, the discharges grad- ually diminished, and at length ceased entirely. Flesh and strength increased rapidly; her countenance assumed a life-like hue and cheerful expression; and the headache, spasms, and lumbar pains began to be spoken of as things that had been, and not as things of Represent and to be thought of with dread. In the last weeks of her stay, she could join in the most vigorous exercises of the gym- nasium, and could rapidly ascend a long flight of stairs without dif- ficulty. Some weeks after leaving, she wrote me that her good health continued unabated, that she had no morbid uterine discharge whatever, that she was daily becoming more fleshy, and that she almost had red cheeks at times. Some months after leaving, we heard from her, keeping house and doing the entire work of a small family. PREGNANCY AND CHILDBIRTH. The function of child-bearing, abstractly considered, is as per- fectly physiological in its character as the digestion of food or the puta of the heart. It is as truly the order of nature, and as perfectly in harmony with the highest laws of physical life, that by innumerable repetitions of this act the whole earth should be peo^ pled, and generation succeed generation, as it is that the plants 1 WYOMING WATER-CURE INSTITUTE. 37 which perish in a season should ripen the germs of a succeeding year. What, however, is here clearly true in the abstract fails very generally to be found so, as individuals are observed in actual life. How few among women of our day and generation fulfill this office in a perfectly physiological manner ? How few, who are not sub- ject to sufferings, disorders, and accidents never rationally to be con- sidered as the order of nature? If it be true, as it doubtless is, that each, succeeding generation of women are becoming less exempt from these sufferings and accidents, and on the whole physically less qualified1 for the responsibilities of maternity, how earnestly should we inquire the cause ? Obviously, our luxurious and artistic modes of living, great neglect of physical training and education, our ad- herence to injurious fashions, and our habits of excessive drug-taking, must o-o very far to account for this condition of things. Were the young women of our land early and practically taught that their physical health is the first foundation of all efficiency and enjoy- ment in life; were they taught the absolute necessity of obedience to the laws which give life, health, and development to their bodies, and that for every transgression of these, the penalty is as certain to be visited upon them and their children as any effect to follow its appropriate cause in the universe; did they see in themselves the index of the health of future generations,—then should we not see so many victims of nervousness, so many frail forms, pale faces, narrow chests, stooping gaits, curved spines, and other nameless ills and deformities, which more or less perfectly disqualify woman for one great end of her being—the reproduction of the race. Let woman be made to feel that every muscle, and every nerve, and every fibre of her being feels the enervating effects of a false mode of life, and who should hasten like herself to change it ? For is she not responsible to future generations? and does she not too often suffer as woman only knows how to suffer ? Were she faithfully to obey those natural laws which give development, symmetry, vigor, and beauty to her body, the unwritten sufferings so frequently at- tendant upon maternity must be greatly alleviated, if not entirely prevented. It is an admitted fact that among the aborigines of this country, slave women at the south, and women who have led lives of hardy exposure, child-birth is commonly brief, without accident, and almost without pain. Such mothers, in a few days recover # 38 REPORT OF THE their wonted vigor. The key to this extraordinary exemption from suffering is found in the strength and firmness of the nervous sys- tem. Diseased and feeble nerves give pain; whatever will restore these to health and vigor, abates and prevents it. To this end, the water cure is happily adapted. The invaluable system of hygiene and treatment under which these cases are placed, has been attended with the most happy and successful results. A very large number of cases have come under water treatment, in which the labor was undeniably abbreviated and comparatively painless. I have^ myself attended several cases of labor, from one to three hours in duration, with remarkable exemption from ordinary suffering; and I have never attended one who was not able to be out of doors, riding or walking, in five to fourteen days. There is no longer any room for doubt, that a well-timed application of water, with a judicious regi- men put in practice at an early period of gestation, and continued till and after parturition, is a great comfort in itself, and confers positive immunity from many of the pains and perils of the lying-in chamber. We believe these facts to be settled by the most unequiv- ocal evidence. If, indeed, it be the acknowledged physiological effect of water, discriminately used, to give vigor to the nervous sys- tem, purity to the fluids, and firmness to the solids of our bodies; if it will soothe the restless, subdue inflammation, extinguish fever, and arrest the most dangerous hemorrhages, why should its use be denied us here. So contrary to these views have been former prac- tice and teaching, and so commonly is such teaching now echoed by those who think that medical science was long, long ago stereotyped for all time, that we are by no means unaware that our doctrines will, by great odds against us, be regarded as utterly heterodox. Our appeal is lodged with that class who are so often the objects of suf- fering; they are, I am sure, too deeply a.^ personally interested to know the truth, not to be impartial investigators. The following sketches of cases are from my own practice, and may serve to illustrate the treatment: Mrs--------» OT" naturally feeble constitution, was confined with her first child. Her previous treatment had been, chiefly, the wet- sheet pack and shallow-bath, or rubbing-sheet, and one or two aits- baths daily—using, also,, for a time, the wet-girdle. The birth took place in the evening; shortly after which, the patient Q WYOMING WATER-CURE INSTITUTE. 39 was placed in a tepid sitting-bath for three minutes; and, while in the bath, an ablution was given. After the bath, the wet-girdle was applied, and drawn somewhat firmly about the abdomen. The next succeeding two days, the patient took two general washings and one sits-bath daily. On the third day, and after, stood up and took the rubbing-sheet, and walked a few steps to her bath. On the sixth day, walked out some distance in the yard. On the eighth, rode three miles; at this time, dismissed her nurse, and took the care of her child. Mrs.-------, confined with her second child, took, for some weeks previous to confinement, rubbing-sheets and sits-baths daily, and packing twice or thrice per week, followed by shallow-bath. Labor was less than two hours in duration, and unusually free from suffer- ing. After treatment precisely similar to the above case—ablutions, rubbing-sheets, sits-baths, and wet-girdle—she recovered her usual streno-th very quickly. In six days, she took the entire care of her- self and child, including some washing and ironing operations begun before the sixth day. In another case, a woman, in her first pregnancy, took rubbing- sheets and sits-baths for a few weeks previous to confinement. Treatment, after the birth, similar to above cases. On the fifth day, she was walking about her room, and rode out about a half- mile, taking her child. Mrs. _______-, confined with her first child, was under treatment at the establishment, five weeks previous to confinement. Labor was remarkably regular, brief, and exempt from ordinary suffering. Treatment, antecedent and subsequent to confinement, was similar to foregoing cases. She recovered rapidly, and without accident. Third and fourth days, began to walk about her room, and, on the sixth rode out two miles. On the tenth day, and after, went to the bathina, or peculiar urinary discharges, occur internally, or that persons who have taken mercury to the extent of salivation should have salivation reproduced. If these symptoms have oc- curred under a judicious treatment, they are always attended with relief, and are infallible harbingers of recovery. These changes are known as «the crisis. The explanation of fhem is simplyfh t a WYOMING WATER-CURE INSTITUTE. 41 the system is strengthened by the treatment, a vital resistance is aroused to the presence of any morbid matters, secretions, or virus, which may exist, and nature expels them through some one of the secretory organs or surfaces of the body. Illustrations of the same thing are common in acute disease, a copious perspiration being often the turning point or " crisis" of febrile diseases, certain forms of rheumatism are attended by acid perspira- tions, which should be encouraged, as they free the blood from its excess of lactic acid. (Carpenter's Elements of Physiology, Par. 748.) Everyone knows that, while the eruption in measles, small pox, etc., stands out well upon the surface—in other words, while the skin is made an outlet for the virus of those diseases—all is right; but if, by any means, the eruption is repelled, the virus is retained in the blood, vital organs are attacked, and death or linger- ing chronic disease is the result. These facts illustrate and prove a permanent law of nature in all diseases which owe their presence to morbific matters in the blood—namely, that nature struggles to throw off disease by removing it from a more vital to a less vital part, or organ, which acts an emunctory or eliminatory purpose. In a large number of chronic cases, successfully treated, no apparent "crisis" makes its appearance; nevertheless, a change exactly an- swering to it has slowly and insensibly taken place. The error of many water-cure physicians has been, in the judgment of the writer, to aim to produce a " crisis," and to allow patients to believe this essential to their cure; hence, both physician and patient have been tempted to injurious excess in the number and coldness of the baths taken, water-drinking, etc. This eagerness to produce a " crisis" has, in many instances, instead of causing a healthy excitement of the excretory system, robbed the body of animal heat faster than it could be generated, and patients have begun instinctively to shrink from and dread treatment, their powers of reaction diminish, the baths no more give a healthful and agreeable exhiliration, the nerv- ous system becomes morbidly sensitive, and the patient is compelled to suspend treatment almost wholly, for a time, or abandon it entirely. An inconsiderable number of water-cure physicians, or those who pass for such, are in the habit of using medicine freely in their establishments. We think this highly censurable, and our reasons 6 4- REPORT OF THE are: First, that a very large proportion of patients who come to establishments are, in addition to their original malady, sufferers from the morbid effects of medicine, or veritable drug diseases. Such diseases can not be radically cured while drugs continue to be administered. Second, the taking of medicine, and living upon its effects, is, with many, as much a habit as the use of tobacco or brandy is with others; and, as the habit is unnatural and ruinous, it is a great gain to the patient to have it totally broken up. Third, the water treatment, judiciously administered, is itself a wonderful tonic and excitant, and it is not difficult, as we know from scores of cases, to abandon the use of medicine entirely. We do not mean to be understood that all medicines should be forever disused, and that their effects are bad, and only bad; but we utterly disown the practice of those would-be water-cure physi- cians who deal liberally in pills and potions. We believe they can not understand the nature and scope of the water-cure treat- ment, and that such practice is subversive of the great reform this treatment is capable of effecting in the art of curing disease. Some people do not, or profess not to, believe that drugs and medicines cause actual disease; but evidence to the point is found in the very best medical authorities. See in Dunglisorfs Medical Dictionary, terms expressive of such diseases as Hydrargyrosis, Iodism, Narcotism, Ptyalism, etc. See "Pereirds Materia Med- ica," second American edition, vol. I, pages 234-5, 595-7, and 662, for plain assertions to the point. If the objector says that the effects of medicine are not, strictly speaking, unnatural and morbid, then I suppose we must admit that medicine is an aliment, that it is digested and assimilated, and every whit as physiological in its effects as bread and butter ? But again, the objector says the bad effects of medicines—« your drug diseases "-only follow their ignorant or unskillful administra- tion; but the highest authority is against him here. Dr. C J B Williams, in his « Principles of Pathology," first American edition; page 47, speaking of the exciting causes of disease, says: -I fear ourlf r^ tW8 ^^ ^ "^ C°nfeSS that medicines ■» -tile Lred th '"T' ^ ^ ^ whm W«**m* adminis- not un oir 1 """^ * ^ " ^ ^ diseases «" no^mcommonly necessary evils; they remove one disorder by 9 WYOMING WATER-CURE INSTITUTE. 43 inducing another, and are entitled to rank among the causes of disease." It is conclusive, therefore, that drugs and medicines necessarily disturb and pervert the living and healthy actions of our bodies, and it seems they can not be claimed as " remedies," only so far as their effects might be less mischievous than the disease which they are given to antagonize. Finally, we may add that we know, from actual and repeated trial, that fevers and other acute diseases, are quickly cured by water treatment alone, and that it offers to thousands of chronic invalids throughout the country the only fair chance of a recovery. WATER-CURE PROCESSES. The physiological changes aimed at in the treatment of disease by water, are accomplished mainly by the use of a small number of baths and appliances. The number of these baths and appliances is, however, by no means the measure of the complexity of the treatment. The judicious water-cure physician must be able skill- fully to adapt the number and kind of baths, their temperature and duration, their combination and their frequency of repetition, to the disease under treatment, to the age and temperament, and especially to the existing vitality or reactive power of his patient. Some phy- sicians, and most private individuals, use too much and too cold bathing; they thus unduly shock the nervous system, the body is robbed of animal heat, and disease inveterated rather than cured. The Rubbing-sheet.—Wring a common linen sheet loosely from the water for the bath, throw it over the patient while standing; rub briskly with the wet-sheet for one to two minutes, and then imme- diately substitute a dry-sheet rubbing. This is a mild, safe, and in- vigorating bath. Once for all, it may be said that the patient should wet his face and neck with cold water, before going into or taking any bath of low temperature. Shallow or HALF-BATH.-This, in a mild form, is the best bath in the world for a popular every-day bath, and is as much to be pre- ferred to the shower-bath-on account of being more safe, efficient and agreeable-as that is to no bath at all. It is taken m a long, 44 report of the shallow tub. The patient sits with the lower extremities extended, which receive the principal part of the rubbing. It is a powerful tonic, sedative, or derivative, according to temperature, depth, and duration. Plunge-bath.—In this the whole body is immersed suddenly. Patients sometimes prefer to go in head first. It is a powerful tonic, and can not be borne by feeble invalids, and should be prescribed to the stronger with caution, as it is liable to disturb the head circulation. Douche.—This bath is a column of water, one to two inches in di- ameter, falling from eight to twenty feet. The patient stands under the stream, and changes his position so as to receive the bath on differ- ent parts of the body. This is the most powerfully exciting and tonic of all water-cure appliances. It is rarely necessary, and needs the most judicious management to obtain good results from its use. Sits-bath.—This bath meets a great variety of indications for treatment. It may be made strongly tonic, derivative, sedative, ano- dyne, or anti-spasmodic in its effects. We use it from 45° to 108° and from two to thirty minutes. Foot-bath.—This is used mainly to promote warmth and a healthful circulation in the feet, but sometimes as a derivative in congestions of the head, chest, and uterus. Wet-sheet PACKiNG.-This is one of the most agreeable and most generally useful of water-cure appliances. A sheet, large or small, according to the case, is wrung tightly from water, tepid or cold, and spread upon a bed, over which two or three comfortables and a woolen sheet had previously been spread. The patient is then wrapped in the linen sheet, and successively in each of the other cov- erings, and so closely as to exclude the external air. The pack is a favorite application with most patients; it is anodyne, derivative, and sudorific in its effects. We allow patients to lie in it from twenty to torty-five minutes, seldom longer. Hot or Warm FoMENTATioNs.-These are used as anodynes and anti-spasmodic, They are useful in dyspepsia and torpid live" ^:^ee^> ~" * «" *"* ^norrhe, derivative, according to their management ' "^ "* WYOMING WATER-CURE INSTITUTE. 45 Exercise and Amusements.—No system of water appliances could be complete, and efficient in curing chronic disease, without being combined with exercises and amusements; and these should, as far as possible, be closely united. Very feeble patients must take some previous treatment, and be assisted in their first efforts, so as gradually to take the most vigorous exercises. In the grounds and gardens belonging to the establishment, there is a large extent of graveled walks, which afford fine places for walking and recreation in pleasant weather. In stormy weather, patients take their walks and exercises in the gymnasium. This building is one hundred feet in length by twenty-five in breadth. It is completely embowered in a grove of White Mulberry trees, and is the most spacious and pleas- ant hall for exercises and amusements within our knowledge. It is furnished with a ten-pin bowling bed, a ladder, hand-swings, flying course, inclined parallel ropes, perpendicular parallel poles, two sets of weights over pulleys, wicket ball and bats, legrace hoops and sticks, sparring ball, etc. In addition to the use of apparatus, a set of calisthenic exercises is practiced daily, under a leader. Patients will be directed in the use of all exercises and apparatus by the physician, who will see that they are adapted to the disorder and strength of his patient; and they will be expected faithfully to practice prescribed exercises to the extent of their ability. Parlor exercises and amusements, evenings. Diet.—Bathing, exercise, and a well-chosen diet, are the trio of curative agencies embraced as the leading elements in the water-cure system. Diet can not strictly be called curative, it is true, except in a negative sense; but in this sense it is of no mean importance. Below we insert the diet table of the institution. Patients will be directed as to the disuse of any article of food likely to be injurious: DIET TABLE. Breakfast.—Baked potatoes, bread and butter, milk, rusk, cracked wheat and corn mush, Graham pudding, toast, and corn bread. Dinner.—First Course—Beef, mutton, fowls, eggs, fish, or soup^ with potatoes, peas, beans, carrots, parsnips, beets, vegetable oysters, turnips, squash, cauliflowers, and broccoli. 46 report of the Dessert.—Rice, Indian, apple, bread, tapioca, and corn-starch puddings; or plain apple, pumpkin, custard, berry or pie-plant pies; or Brother Jonathan, baked dumplings, French custard, blanc mange, etc. Supper.—Bread and butter, and plain cake or crackers, with stewed fruits—as, apples, pears, plums, cherries, currants, berries, etc. REGULATIONS OF WYOMING WATER-CURE. 1. Persons presenting cases for examination, who do not become patients in the establishment, pay $1. If they have a prescription, |2 will be charged. 2. Every Monday the office will be open for gentlemen to call and report symptoms and progress, between 7£ and 11 o'clock. On Tuesdays, the same hours, for ladies. 3. If patients find any baths to disagree; if they are not as well at any time; or if, in any respect, their wants are not carefully cared for, they will confer a favor by reporting at once to the physician. 4. No patient can be accommodated with facilities for doing wash- ing or ironing; they must have the clothes designed for our wash- ing in readiness early Monday morning, tied in a bundle, and a paper, with name of the owner, names of articles, and number of pieces, affixed to the outside. terms. Ladies' Dresses, ... , n n. ,, r, , ..........10 ceQts. Gent's Pants,............1Q u Gent's Shirts, with collars and bosoms, . . . . q « Plain Shirts, Skirts, Night Dresses, etc., . 4 « Collars, Handkerchiefs, Socks, and Towels, . 2 « 5. All articles for the wash must be distinctly marked with the name o the owner or the proprietor will not be respond loss 6. Those patients who take a room with another nar ^ ™ week; those who take a single room pay ZT^Z^eZ charge is made for extra attendance. P ™ % WYOMING WATER-CURE INSTITUTE. 47 7. Patients who take their meals or their baths at their rooms, whether from necessity or choice, will be charged fifty cents per week, extra, for each. 8. Patients are expected to call at the office every Saturday morn- ing, between the hours of 7 and 9 o'clock, and pay their bills for the week. 9. Indigent persons, while charged at all, will be charged at the regular rates of the institution; but when their means fail, the phy- sician will give them one, two, or more weeks of treatment, accord- ing to the length of time that they have paid at regular rates, the necessity of their case, and the opportunity to benefit them. 10. Boarders who come by the request or consent of the phy- sician, as attendants upon very feeble patients, will be charged $2.00 per week. The price for all others, when they can be accommo- dated, $3.00 per week. Children will not be received, except as patients under the immediate care of a parent or nurse. WYOMING WATER-CURE INSTITUTE, *At Wyoming, Wyoming Co., JV. Y. The establishment is pleasantly situated on the western range of hills which rise abruptly from the valley of Wyoming. A wide gorge, in front of the house, reveals the village and valley below to view; while, in the distance, the hills, covered with field and forest, stand in bold relief against the eastern sky. The house is surrounded by more than two hundred shade and ornamental trees, including a large grove of the White Mulberry, in which stands the gymnasium building. This building is one hun- dred feet in length by twenty-five in width; it is furnished with a great variety of apparatus, and was erected expressly for the exer- cise and amusement of patients. The grounds comprise a large extent of graveled walks and roads, and a garden of more than an acre, laid out last season, and stocked with a variety of fruits, flowers, berries, etc. 48 WYOMING WATER-CURE INSTITUTE. A new garden, and new walks and roads, are to be added early this season. The springs afford a bountiful supply of the finest water; they are situated in the border of a grove, about sixty rods from the house, and at the head of the long, graveled walk leading from the house through the garden and orchard. We have been very successful in treating the following classes of chronic disease: inflammation of the eyes, nervous diseases, fever and ague, palpitation of the heart, dyspepsia, consumption, asthma, hemorrhage of the lungs, skin diseases, and scrofulous disorders. In the chronic diseases of females, we have been eminently suc- cessful ; and we invite all sufferers of this class, even if they can neither stand nor walk, or if they have been bedridden for years, to give our mode of treatment a trial. Cases for confinement will be received, and carefully provided for, when desired. Dr. Hayes, the physician, is a graduate of the Jefferson Medical College, Philadelphia, and adds to a thorough knowledge of the science of medicine, an experience of four years as the physician of a first class Water Cure. Patients must bring for use in treatment, two linen sheets, one woolen sheet, two comfortables, and four towels. Terms.—$5.50 to $8.00 per week, according to room and attend- ance. Bills must be settled every Saturday morning. We shall, as heretofore, waive full charge in favor of indigent and worthy per- sons. Such will please make application before coming. Patients from the West stop at Linden, on the Buffalo and New York City Railroad, where they can easily obtain conveyance at the station to the establishment; or by giving previous notice, the pro- prietor will send his own carriage for them; distance five miles. Persons coming from the East stop at Warsaw. A stage runs daily from Warsaw to Wyoming, leaving after 10 o'clock" A. M. Those who give previous notice, will be met at Warsaw by the pro- prietor's carriage. Distance six and a half miles. A horse and carriage is kept at the establishment for the use of patients, at moderate rates. m P. H. HAYES, M. D. Wyoming, April, 1853. NLM010501668