A frequent feeling as if you wanted to do something with the arms, seeking some kind of support for them.

A striking, remarkable weakness, or giving way of the knees and legs on going up stairs, or ascending a

hill.

To be in a condition in which "the least thing in the world gives you a cold."

When coldness of the feet strikes on the throat, and produces a slight burning or sore feeling.

To be very easy to have a chilly feeling run over you, on going out of doors when it is a little cold.

To feel chilly when you get up from your meals. To be restless, and "can't go to sleep," when you first retire to bed, for months together.

Spitting blood in any quantity, from a drop to a pint or more, once in a few days, or weeks, or years.

A feeling of weakness, which has crept on you so gra dually, you do not know when it began; and yet, without apparent cause, it seems to be increasing.

No special relish for food, yet no uneasiness amounting to actual pain anywhere, together with a want of interest in what is going on around you; a growing indifference to every thing.

It frequently occurring that one, two and three days. will pass without an action of the bowels, unless medicine is used.

Frequently recurring, although slight pains in the breast, side, or between the shoulders.

A general decline of flesh and strength, painless and without appreciable cause.

These are the far off friendly monitors of danger, the faint beginnings of disease. They do not constitute Consumption. In some instances they mean nothing, for

they pass off in a few days; but when weeks go by, and any two or three of them still stick to you, there is reason for alarm; and not a day should be permitted to pass, until you have commenced measures, under the advice of a careful physician, for their removal. A drop of water may check the spark which would lay the fairest city in ruins, and the unmoved avalanche be kept in its place by an infant's arm, but, a moment's delay, and how resistless!

THE PRINCIPLES OF CURE.

The mode and means of cure may be various in different hands, just as in any other disease; fever and ague, for example, is cured by different remedies, but the principles of cure must be forever the same, and which in phthisis are—

To secure the highest possible general health.

To relieve the system of the slightest febrile condition. To secure a free, regular, daily action of the bowels without medicine.

To obtain the absorption of tubercles.

To evacuate abscesses, and cause their immediate and permanent healing.

To bring about promptly, an immediate reduction and banishment of all inflammatory action, and at the same time, add to the strength of the patient, discarding absolutely the employment of any debilitating remedies, even for a single day.

To bring into the fullest requisition, the complete and healthy action of every line of lung substance, so as to secure, day and night, without intermission, the largest supply, reception, and consumption of pure, fresh, bracing air, that it is possible to obtain. These are the points

which in every instance I labor to attain, and without which, no case of tubercular Consumption ever has been cured or ever will be. These objects are to be reached by no routine practice, but by adapting the nature, and strength, and constituents of the remedies, to the particular and varying condition of each individual patient, taking into minute account, in every case, the previous history, size, age, sex, strength, constitution, temperament, occupation, habits and hereditary influences, as far as it is possible to ascertain these facts.

The grand and essential points in any case of phthisis cured are these:

To subdue entirely congestion or inflammation, and build up the strength of the constitution at the same time.

To promote absorption of tubercles.

To evacuate abscesses, bring their opposite sides in contact and cause them to heal.

In reference to the lung measurement method, by by which Consumption may be determined in its forming stages, when alone a cure can be reasonably hoped for, the London Lancet says, "In this way it is proven by actual experiment, that a man's lungs, found after death to have been tuberculated to the extent of one cubic inch, had been by that amount of tubercularization controlled in their action to the extent of more than forty inches." It is very apparent then, that this mode of examination detects the presence of tubercles in their earliest formation, which is in fact the only time to attack Consumption successfully and surely; and when attempted at the early stage, before it is at all fixed in the system, the certainty of success in warding off the danger, of curing the disease, is as great as that of warding off the cholera

or perfectly curing it, if attempted at the first appearance of the premonitory symptoms, and as when cholera is present in a community, every person who has three or more passages from the bowels within twenty-four hours ought to be considered as attacked with cholera, and should act accordingly, so when a man has tubercles in his lungs to the extent of impairing their functions for a dozen inches, that is, when his lungs do not, with other symptoms, hold enough air by a dozen inches, he should consider himself as having Consumption, and should act accordingly and with the assurance that in four cases out of five, human life would be saved by it. And as thousands have died with cholera by hoping they did not have it, or denying they had it, although warned by the usual symptoms of its commencement, until its existence was so apparent to the commonest observer as to render a hope of cure impossible, so precisely is it in Consumption, people will not take warning of the symptoms in their own persons, which have in thousands of others terminated in certain death, but go on day after day without reason, hoping that the symptoms will go away of themselves, and steadily deny that they have the disease, until remedy is hopeless.

I have already said, that when Consumption has once fixed itself in the system, recovery is not probable; but if the disease is not fixed, and is only in its commencement, it may be with great certainty distinguished in its early stage, by the new means which I have advocated; and in very many instances averted; not so much by "taking things," as by letting them alone: not by confining the natural motion of the limbs by braces and supporters, but by allowing them the freest possible action: not by the application of Blisters and Plasters, which

only interfere with the natural action of the skin, but by exciting and promoting that natural action: not by administering expectorants, which only weaken the system by hastening its drains, and producing nausea, but by regulating and controlling these drains, the expectoration being loosened by nature's means, when desirable. In consumption, I give nothing to purge, or which can have any continued weakening effect; I give no artifi cial stimulant, which requires to be increased in frequency or quantity, or loses its effect altogether, or at last requires so much as to injure the tone of the stomach by preventing it from deriving proper nourishment from the food, while the patient rapidly sinks into the grave after having given a glowing certificate, or told dozens of people what a wonderful effect the syrup was having in his case. This is the true history of all the "syrups," "cough mixtures," and "wild cherry balsams," sold in the shops for coughs, cold and consumption ; and without doubt the reader can easily recollect cases among his neighbors, such as I have detailed.

I give no medicine to increase the expectoration, because the lungs are already expectorated away too fast. I give no medicine to remove the cough or, smother it, for cough is the agent which nature sends to remove accumulations from the lungs, otherwise they would fill up and the patient would suffocate. I do not confine a patient in-doors, but keep him out as much as possible. I do not send them to a warm climate, if sent they must be, but to a colder and more bracing one-to a more condensed and purer atmosphere. I do not coun sel them to leave the facilities and comforts and attention of home, to pine away in some distant country tavern, or boarding house, or fashionable hotel-these