The change of climate must therefore be guided by these several conditions, both of place and person, and may further have to be altered according to the changes of the seasons, and according to the special character of the season itself. Thus, it not unfrequently happens that the south coast of England is not suitable for invalids, even so late as June, if easterly winds prevail. The air is then almost as keen as that of the directly eastern coast, and a return inland becomes inevitable. Consumption. — In this disease, change of climate, to be productive of real benefit, must be tried at a much earlier period than is generally done, as it is often delayed a year or two after the period that any good can be expected, and the result is that more harm than good is done thereby. Hence the trial is often not made through the discredit that arises out of its misapplication. It should be borne in mind that consumption is not merely a disease of the lungs, but a general morbid constitutional condition, of which the disease in the lungs is but a manifestation. The early treatment must, there- fore, be directed to invigorating the system and improving the quality of the blood. With these objects, the climate most suitable for winter residence are those of our southern coast, Madeira, Nice, Pisa, and Rome, with removal during summdr months to the drier situations of our own islands. kemciNAL. 411 Chronic Bronchitis. — This is an affection that is often mistaken for consumption, and one which, through its persis- tence and its debilitating and emaciating effects, constitutes a veritable decline. The change from a cold and moist to a mild and dry air relieves the morbid conditions of the mucous surfaces. The same climates that are of service in consumption are beneficial in chronic bronchitis. When asthma is combined with chronic bronchitis, it is also relieved by the same climate as is found useful in chronic consumption. Torquay and Un- dercliff, for example, are most adapted to irritable states of the mucous membrane without much secretion; Clifton or Brighton for those in which expectoration is profuse and the system debilitated; Rome, Pisa, Madeira, are suited for the latter class •f cases; Nice to the former. Chronic Rheumatism. — This is benefitted by residence in a warm climate, such as the southwestern coast of England, Ihe south of France, Rome, and Pisa. Gout. — This also derives benefit by a warm climate. The West India Islands are especially marked in this respect. Dyspepsia and nervous affections connected therewith are aggravated by a cold and damp atmosphere, and are greatly relieved by change to a drier and warmer climate; but great care in dieting is needful in order to ensure the full benefit of the change. The use of stimulants must be very carefully watched. The nervous symptoms associated with dyspepsia are prone to take on the form of hypochondriasis; the change of climate should therefore be accompanied with change of occupation and of amusement. This class of cases rapidly improve under change of scene, and the relinquishment of the cares of business, to say nothing of " throwing physic to the dogs." DIET IN RELATION TO DISEASE.

AI-modernized reading of the original text

The change of climate must therefore be guided by these several conditions, both of place and person, and may further have to be altered according to the changes of the seasons, and according to the special character of the season itself. Thus, it not unfrequently happens that the south coast of England is not suitable for invalids, even so late as June, if easterly winds prevail. The air is then almost as keen as that of the directly eastern coast, and a return inland becomes inevitable. Consumption. — In this disease, change of climate, to be productive of real benefit, must be tried at a much earlier period than is generally done, as it is often delayed a year or two after the period that any good can be expected, and the result is that more harm than good is done thereby. Hence the trial is often not made through the discredit that arises out of its misapplication. It should be borne in mind that consumption is not merely a disease of the lungs, but a general morbid constitutional condition, of which the disease in the lungs is but a manifestation. The early treatment must, therefore, be directed to invigorating the system and improving the quality of the blood. With these objects, the climate most suitable for winter residence are those of our southern coast, Madeira, Nice, Pisa, and Rome, with removal during summer months to the drier situations of our own islands. MEDICINAL. 411 Chronic Bronchitis. — This is an affection that is often mistaken for consumption, and one which, through its persistence and its debilitating and emaciating effects, constitutes a veritable decline. The change from a cold and moist to a mild and dry air relieves the morbid conditions of the mucous surfaces. The same climates that are of service in consumption are beneficial in chronic bronchitis. When asthma is combined with chronic bronchitis, it is also relieved by the same climate as is found useful in chronic consumption. Torquay and Undercliff, for example, are most adapted to irritable states of the mucous membrane without much secretion; Clifton or Brighton for those in which expectoration is profuse and the system debilitated; Rome, Pisa, Madeira, are suited for the latter class of cases; Nice to the former. Chronic Rheumatism. — This is benefitted by residence in a warm climate, such as the southwestern coast of England, Ihe south of France, Rome, and Pisa. Gout. — This also derives benefit by a warm climate. The West India Islands are especially marked in this respect. Dyspepsia and nervous affections connected therewith are aggravated by a cold and damp atmosphere, and are greatly relieved by change to a drier and warmer climate; but great care in dieting is needful in order to ensure the full benefit of the change. The use of stimulants must be very carefully watched. The nervous symptoms associated with dyspepsia are prone to take on the form of hypochondriasis; the change of climate should therefore be accompanied with change of occupation and of amusement. This class of cases rapidly improve under change of scene, and the relinquishment of the cares of business, to say nothing of " throwing physic to the dogs." DIET IN RELATION TO DISEASE.

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