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blished—that is, when the character rested by nature, but in which a of the cough and expectoration, the long period must elapse before the hectic fever and emaciation, give work of reparation is completed, a every reason to believe the ex- mild climate has often been of great istence of tuberculous cavities in avail. In nicely balanced cases, the lungs, and still more, when the life may be preserved for many presence of these is ascertained by years by constant residence in a auscultation-he thinks that no be- warm climate-nor would there nefit is to be expected from change probably be any consumption at all, of climate. Under such circum- if, with the cuckoo, we could make stances, the patient should try the
“ Our annual voyage round the globe, most favorable residences of his own
Companion of the spring.” country, or even wait the result-it is needless to say what it will be- Supposing a removal to a mild amid the comforts of home and climate to be decided on, which is watchful care of friends. It is in- the best climate ? No one climate deed natural for the relations of or situation is the best in all cases. such a patient to cling to that which In the first part of his book, Dr. seems to afford even a ray of hope. Clark gives the character of the But did they but know, says Dr. climate of all the different places Clark, the discomfort, the fatigue, resorted to by invalids, and has enthe exposure, and the irritation, deavored to draw a comparative necessarily attendant on a long view of their respective merits. It journey in the advanced period of was our declared intention to enrich consumption, they would shrink our pages with much of that most from such a measure ! Nor will valuable information ; but this artithe experienced medical adviser, cle has already grown to such a when he reflects upon all the acci- length, that we must omit it. Howdents to which the poor patient ever, it may be remarked of the must be liable, condemn him to the climates of the south of France and additional evil of expatriation. Alas! Italy, that, for consumptive invalids such unfortunate patients often sink in whom there exists much sensibia prey to their disease long before lity to frost and keen winds, and they reach the place of destination. more especially, if the immediate Almost all-nay all the rest— vicinity of the sea is known to disathrough pain and suffering, find, in gree with them, Rome and Pisa are a distant country, an untimely grave. the best situations for a winter resi
But there are chronic cases of dence. When, on the contrary, consumption, in which the disease the patient labors under a languid of the lungs, even though arrived or oppressed circulation, with a reat its last stage, may derive benefit laxed habit, and a disposition to by a removal to a mild climate, congestion or to hæmorrhage, rather those in which the disease has been than to inflammation, and more esinduced in persons little disposed pecially when the season is known to it constitutionally, and in whom by experience to agree with the init usually occurs later in life than dividual, Nice deserves the preferwhen hereditary. The tuberculous ence. But in cases complicated affection in such persons is occa- with gastric irritation, Nice is an sionally confined to a small portion improper residence. Indeed, Dr. of the lungs, and the system sym- Clark is of opinion, that where this pathises with the local disease. state of the stomach exists, no cliResidence in a mild climate, by mate which disagrees with it can strengthening the system, may save do the patient good, whatever be the patient. In those fortunate, but his other ailments, and however fa
. rare cases, where the progress of vorable to them the climate may
be. disease in the lungs has been ar- The climate which of all others that a se
he thinks the best suited to con- exercise which it produces, are sumptive patients, generally, is that principal agents in the cure, while of Madeira—for reasons assigned it seems also to act in a particular by him—and next to it, that of Te- manner on the nervous system. neriffe.
Many striking instances of the beThe profession are divided on the neficial effects of sea voyages in question, whether the preference is consumption authenticated. to be given to a seaside or an inland They are also much preferable to situation. Dr. Clark, from all he land journeys, in all consumptive has been enabled to learn and ob- cases which are complicated with serve, thinks that consumption, cete- palpitation, or increased action of ris paribus, is more frequent on the the heart, whether functional or desea-coast than in the interior ; but pending upon organic disease. But still, that the greater mildness of there may exist complications, on many maritime places, as of those the other hand, which would render on the south and south-west coasts
sea voyage unadvisable — as, of England, may more than com- when there is much nervous sensipensate for this difference, especially bility, a strong disposition to headwhen they are resorted to only for à ach, and an irritable state of the part of the year. But of two cli- stomach ; a sea voyage, it is plain, mates, the physical character of must either do much good or much which being alike favorable, the one evil to an invalid, for it works on the sea-shore and the other in- strongly, for life or for death. Dr. land, he would certainly prefer the Clark recommends a cruise—and latter as a residence for a consump- not in the Mediterranean, but in the tive patient.
There was once a Atlantic. foolish idea prevalent even in the In place of sending consumptive profession, that the air of a marshy patients to pass the winter in a country was beneficial in consump- milder climate, it has been proposed tion; but scrofula and consumption to keep them in rooms artificially are more frequent in many aguish heated, and maintained at a regular countries, than in others of a diffe- temperature. What says Dr. Clark rent character, and an attack of to this proposal ? He says what ague is surely more likely to prove seems to be the most rational, that the occasion of consumption than to with the advocates of such a meaprevent it. Thus, in the province sure, the state of the lungs appears of Frise, in the Netherlands, agues to be the only consideration ; whereabound; and it appears by a statis- as, it need not be told, that without tical_table sent to our author by improving the general health, which Dr. Lombard, that consumption is cannot be done without exercise in more frequent there than in Edin- the open air, all measures, directed burgh. A humid atmosphere in a to the local disease, will be fruitcold climate is indeed one of the less. By such means, undoubtedly, most powerful causes of consump- the inflammatory action in these ortion.
gans may be kept down ; but they Is a sea voyage to be recommend- all favor the very condition of the ed or not, in cases of consumption ? system which led to the disease, Dr. Clark is decidedly of opinion and the removal of which condition voyage is beneficial in its
can alone afford the patient a hope early stages, and most of all, when of recovery. Therefore, in the inthe disease is accompanied with cipient stages of consumption, he hæmoptysis (spitting of blood). He holds justly such a measure to be agrees with Dr. Gregory, who ex- generally most improper ; but in presses this opinion in his celebrat- the advanced stages, when all hopes ed Conspectus, that the unceasing of recovery have vanished, and motion of a ship, and the constant when removal to a distant climate is
totally useless, lise may be prolong- may, and indeed will, recur, should ed, in many cases, by keeping the he expose himself to the influence invalids in apartments, the tempera- of any of its chief causes. And in ture of which is regulated in such a recovering from a very bad case, he manner as to maintain the air in the ought to remain long-perhaps for purest possible state, Females, years--in the climate which wrought from their habits, bear such a sys- the cure. Perhaps he may never tem of confinement better than again be able to live in any othermales—and both sexes, at the more never again be the man he once advanced periods of life. In cases —and infatuated will he be, if of inflammation of the lungs, also, he lives as a strong man might, and which have occurred during the ever forgets that both his feet were winter, such a measure is good; once on the edge of the grave. but the patient ought certainly, if In conclusion, Dr. Clark submits possible, to pass the following win- the following corollaries as a sumter in a climate where confinement mary of his views regarding the nawill not be necessary, that his gene- ture and causes of consumption, ral health may be improved by ex- and its treatment, more especially ercise in the open air. Comparing, as connected with the effects of then, the benefits likely to result climate. to consumptive patients from a mild 1st, That tubercles in the lungs climate, and confinement to rooms constitute the essential character regulated to an agreeable tempera- and immediate cause of consumpture, there can be no question of tion. the decided superiority of the for- 2d, That tubercles originate in mer. But when circumstances pre- a morbid condition of the general clude the possibility of changing system. the climate, then confinement to 3d, That such a state of system apartments of a proper and equable frequently has for its cause hereditemperature, is the best measure tary predisposition ; in other inthat can be adopted to avoid the in- stances being induced by various jurious effects of our cold, damp, functional disorders; while in a and variable climate during the third class of cases, perhaps the winter season.
most numerous, it arises from the Can any general rule be given conjoint effects of both these with respect to the length of time causes. which a consumptive invalid may 4th, That consumption is to be be required to pass in a mild cli- prevented only by adopting such mate, in order to overcome the dis- means as shall counteract the hereposition to the disease ? No. When ditary predisposition, where it exit is had recourse to for the removal ists, and maintain a healthy condiof the disordered health which pre- tion of the various functions from cedes tubercular cachexy, a single infancy to the full development of winter may be all that may be ne- the body. cessary-when tubercular cachexy 5th, That in the general disorder is established, and still more, when of the health which leads to tuberthere is reason to suspect the pre- cular cachexy, or in tubercular casence of tubercles in the lungs, se- chexy itself, and even when tuberveral years may be requisite. In cles are formed in the lungs, unatconsumption, properly so called, tended with much constitutional Dr. Clark, throughout the whole disturbance, a residence in a mild work, expresses his belief that cli- climate will prove beneficial ; and mate, with rarest exceptions, will be also in cases of chronic consumpof little or no service.
tion, at any stage, where the lungs When the disease is cured, the are not extensively implicated in patient should never forget that it tubercular disease, and where the
11 ATHENEUM, vol. 5, 3d series.
system does not sympathize much justified in his anticipations that his with the local disorder.
book will be perused by many per6th, That in cases of confirmed sons not of the profession, but who consumption, in which the lungs are are yet deeply interested in the subextensively diseased, and where ject of climate, in relation to its hectic fever, emaciation, and the effects on disease. Ilis wish was other symptoms which characterize to express himself in as plain lanits advanced stages, are present, guage as possible, that he might change of climate can be of no ser- make himself intelligible to the gevice, and may even accelerate the nerality of readers, without at all progress of the disease.
diminishing the utility of the work 7th, That climate, to be effectual to the members of his own profesin any case, requires to be continu- sion. He has completely succeeded for a considerable time-in most ed; and we hope that other physicases for years.
cians will lay aside the stilts and We have now given, as we said the veil,--and when speaking about we should do, the sum and substance diseases which in one sense may be of Dr. Clark's opinions on consump- said to be “their bread and other tion. They are, like all true views, men's poison,” will walk on the simple ; there is nothing startling same sort of feet, and wear the about them, for sagacity never hunts same sort of face, and use the same after novelty, and wisdom seeks not sort of tongue-as far as may bem for what is strange. He is perfectly with ordinary mortals.
ALL IS NOT DARK BELOW.
Cold and ungrateful must the bosoms be
Of those who look upon the sunlit earth,
Yet own no cheerfulness and feel no mirth;
That sheds its beauty o'er this world of ours;
The ever-waving wood, the scented flowers ?
But who can look upon the azure sky,
And mark the glorious orbs revolving there,
And deem, where all is form'd so bright and fair,
"Tis true carth's joys are ever mix'd with care,
And men are fited to one common curse;
And make our too imperfect being worse?
ON A CHILD.
A YEAR—an age shall fade away
In my heart and in my brain !
Not all the sights that feed my eyes
Back unto my April days,
LETTER TO THE EDITOR. Sır, My aunt Adelgitha Penelope Smith was a most worthy old lady; and her memory will long be held in respect, in consequence of her various good properties ; but more especially for the inflexible resolution with which she defended herself against the attacks of a legion of lovers, and, at length, departed this life, leaving many grounds of consolation to her relatives. Yet, during her valuable life, she lived not for herself alone. She was kind to the poor, and supported a school for their children, which was holden daily in a small building, in the roof of which dwelt an aged favorite, whose habits and temper, in his latter days, rendered him an unfit companion for her boudoir, wherein he had whilom spent much of his time. The animal, thus banished from society, became morose and ascetic, which we should not have wondered at, had we been aware that he had taken to scribbling, a propensity which commonly leads the victim thereunto to believe himself a very important animal, whatever other people may think or say to the contrary. So—there he seems to have sat, “ alone in his glory," profiting by the instruction of the schoolmaster, and hugging himself, according to the manner of his kind, in the belief that he was inditing what would astonish the world.
It was my lot to discover his papers, which have been sadly nibbled by the mice ; and I forward you two or three of the most perfect sheets, thinking that they may be found to contain matter quite as important as the “ Reminiscences of certain bipeds which have lately been given to the public.
I am, Sir,
THE REMINISCENCES OF AN OLD MONKEY.
For the last few days I have felt hairs which cover my emaciated myself extremely uncomfortable. and shriveled frame, I find it diffiMy appetite has failed me, and I cult to imagine that I am the same have been troubled with unpleasant monkey that was once the life and dreams and strange fancies, both by soul of every party. And as for day and night. “Why is this?", love—even if my years did not exI ask myself; “what can the matter empt me from the torments of the be? I cannot surely be in love in tender passion, who could I be in my old age ?” Oh, no! The love with ? I have often felt a conyears of such pleasing folly have viction that I am the only survivor long since past, and all the gaieties of my race; and love cannot exist and frolicsome pranks of my youth without hope ! are but as a dream. I recall them My occasional lowness of spirits to memory alternately with a smile at the present period, proceeds, I and a sigh ; and, as I sit and mum- am convinced, from very different ble my nuts in solitude with my few
in a counremaining teeth, and view the grey try far distant from the place of my