advisers, with small benefit. I have desired him to consult with you, hoping that he may have the same occasion to be grateful for the providence which leads him to you, which I feel that I myself have for that which guided me to your counsels. I suffer but little, very little from my throat, and confidently anticipate entire relief at no distant day, for all which I feel myself under great obligation both to your skill and to your kindness," &c.

SICK HEADACHE

is a distressing malady, as those who are subject to it know full well, by sad experience. In this case, this troublesome affection had to be perinanently removed before the throat ailment could be properly treated; when that was done, the throat itself was comparatively of easy management.

A MERCHANT

(947) wrote to me from the South, complaining chiefly of Bad cough, sometimes giving a croupy sound;

Throat has a raw, choking, dry, rasping feeling;

Soon as he goes to sleep, there is a noise or motion, as if he were going to cough;

Startled in sleep, by mouth filling with phlegm; Expectoration tough, white, and sticky; darkish parti cles sometimes;

Flashes or flushes pass over him sometimes;

Sick stomach sometimes, acid often, wind on stomach oppresses him greatly ;

A lumpy feeling in the throat;

On entering his house, sometimes falls asleep in his chair, almost instantly;

In walking home, at sundown, half a mile from his store, is completely exhausted;

Slightest thing brings on a cough; never eats without coughing;

If he swallows honey, it stings the throat;

Got a cold a month ago, which left the palate and throat very much inflamed;

Throat and tongue both sore;

A hooping, suffocative cough; can hear the phlegm rattle just before the cough begins;

A dry, rough feeling from the little hollow at the bottom of the neck up to the top of the throat.

One night after going to bed, began to cough, choke,

suffocate; could not get breath, jumped out of bed, ran across the room, struggled, and at length got breath, but was perfectly exhausted; could not speak for half an hour, without great difficulty.

In addition to his own description of the case, his wife writes-"Ten o'clock at Night.-I am no physician, nor physician's wife, but am his wife and nurse, and an anxious observer of his symptoms, and can see his throat inflamed behind the uvula. He says there is a lump somewhere, but he cannot tell where. Sometimes he thinks it is in the little hollow at the bottom of the neck, sometimes just above, and sometimes in or about the swallow. A recent cold has aggravated his symptoms. His cough to-day has been very fre quent and loose. He has emaciated rapidly within a month, and is now a good deal despondent. As for myself, I feel as one who sees some fair prospect suddenly fading away. I had fondly hoped-oh! how ardently!—that he might be restored. If a knowledge of the fact would give any additional interest to the

case, I will only say, he is one of the loveliest charac ters on earth. None in this community has a larger share of the respect and confidence of their acquaintance."

The opinion sent, for I have not seen the case, was as follows:-"The whole breathing apparatus, from the top of the windpipe to the extremity of its branches, is diseased; the lungs themselves are not at all affected by decay. Your whole constitution is diseased; and yet there is good ground for hope of life and reasonable health."

In three months this patient writes--"I am glad to inform you that I think I am still improving in health and strength. My bowels are sometimes disordered by eating melons and fruits; but I felt so much better that I thought I might indulge. Pulse sixty-five to seventy; an almost ravenous appetite." A month later he writes "My health and strength are still improving; cough not very troublesome; increasing in flesh," &c. I believe this gentleman now enjoys good health.

A LADY,

(948) teacher of vocal music, writes-"There is a peculiar sensation in my throat for the last two months. Whenever I attempt to swallow, it feels as if something were in the way; a swelling under the jaws, a soreness on the sides of the throat, extending to the ears, and occasioning throbbing painfully. I have a dull aching at the top of my collar-bone, and an unpleasant sensation of weakness and heaviness in my chest; a bad taste in my mouth frequently. Have been regular, but have been afflicted for a few years past with sickness at the stomach and vomiting, attended occasionally with

great pain for a few hours. During these attacks, the complexion changes to a livid hue. I have been very much troubled with dyspepsia. On recovering from the attacks above mentioned, I have experienced a feeling of weakness almost insupportable. Am very costive; and my spirits are greatly depressed. Within a day or two have taken a violent cold, which has affected me with sneezing, running from the eyes and nose, together with a slight hoarseness. I was advised to apply caustic to the throat, and Croton oil to my neck, chest, and throat. I have since discontinued these, not having received any permanent benefit from them. On two occasions, from over-exertion at concerts and examinations, I was unable to speak a loud word, from hoarseness, for several days. I am extremely anxious to learn your opinion. In about two months my public concerts take place, and it is absolutely necessary that something should be done. for me."

OPINION.

Yours is general constitutional disease. There is no special cause of alarm. A weakened stomach, a torpid liver, a want of sufficient air and exercise, are the foundations of all your ailments, and by the proper regulation of these, you may expect to have good health and a stronger voice. You must have energy and patient perseverance in carrying out the prescriptions sent to you.

In one month this lady writes, and the letter is given to encourage others who may come under my care, to engage with determination and energy in carrying out the directions which may be given them. The reader may also see what great good a little medicine may do when combined with the judicious employment of rational

means, which do not involve the taking of medicine or the use of painful and scarifying agencies and patent contrivances:

"I began your prescriptions at once. Having followed them for some time, I was obliged to intermit them for a few days, in consequence of having to conduct a concert, besides having to travel by stage and railroad seventy or eighty miles. During this time I was up every night until twelve o'clock, and was much exposed to the night air. On returning home, I re-commenced your directions, have made it a point to attend to them strictly, and have very seldom failed of doing so. In consequence of two omissions in diet, I suffered from headache, which disappeared when I observed your directions. My appetite is good; my food agrees with me. I sometimes feel dull and sleepy after dinner. I drop to sleep immediately. Seldom wake in the night. Sleep about seven hours, and generally feel bright and strong in the morning, when I take a brisk walk of two miles and a half; the same after six, P.M. My walks at first fatigued me considerably; generally, however, I have felt better and better from their commencement to their end, and have perspired very freely. The exercise I take seems rather to increase than diminish my strength. I have not been prevented from taking exercise from any dampness in the atmosphere. I have sometimes. been exposed to the night air in going to church and other places, but without any perceptible injury. The means you advised produce a general glow, and invariably remove headache, which I sometimes have to a slight degree after dinner. I think my throat is better. There is no unpleasant feeling about it at present, except the