Gastein

The springs of Wildbad-Gastein, in Salzburg, Austria.

Temperature of waters varies from 20^ to 39° R.

Analysis of 10,000 parts by Redtenbacher shows : Sodium sulphate,

“ chloride,. . Silicic acid, .... Potassium sulphate,

“ carbonate. Lithium chloride, . Magnesium carbonate,

Total solid constituents, 3.3&9

The “cure” commences with a bath of a quarter of an hour, temperature 26° or 27° R., increasing the time by ten minutes daily up to one hour, and the temperature half a degree daily up to 29° or 30°, then gradually returning to the first condition ; while in the bath one usually drinks a glass or two of the waters.

Aidhorities. 1, Dr. Rummel, A. H. Z., 43, p. 257, took the “ cure,” and, in addition, a vapor bath in the ear, mouth, nose, and Eustachian tube ;f 2, a girl, aged 23, suffering from slight chlorosis (never sick), ibid.; 3, Dr. Kiene, effects observed on patients and healthy persons, from jNIonog. on Gastein, 1844, ibid.; 4, Dr. Able, effects on various persons, including a sickly hypochondriac man, Monog. ou Gastein, 1834, ibid.; 5, Niederhuber, ibid.; 6, Dr. Stuber, A. H. Z., 14, p. 222, symptoms on self and others, ibid.; 7, from the last, effects on a special prover; 8, on a person suffering from jaundice; 9, a woman, aged 30, took 3 to 6 ounces daily for about six weeks, Prayer Monats., 8, 102; 10, Dr. Gustav Roll, Z. f. H. KL, 18, 100, and M. Horn. Rev., 11, p. 217, general effects.

Mind

Lively play of fantasy

Vivid fantasies

Agreeable excitement during and after the first bath

Lively mood

Conversational

Head

Confusion and Vert iff o. Confusion of the head

Confusion of the head, frequently dizzy (after some days)

Vertigo, and rush of blood to the head

Vertigo, as if an attack of apoplexy would come on; great rush of blood to the head (feeling of general fulness), with suppressed pulse, a feeling of deafness, numbness, and paralysis of the left arm that had formerly been paralyzed by gouty and rheumatic pains in the shoulder and wrist

[10*] Slight vertigo

G-CilCVCll Heat in the head in the evening

Dizzy heaviness of the head, as after a night’s debauch, reeling forward ; afterwards, pressure in the forehead, with nausea

Dull headache in the morning (eighteenth day) Rush of blood to the forehead

Pressure in the forehead, with nausea,®. Intolerable violent, pressive pains in the forehead

Drawing pains in the left temple (tenth day),h

Eyes p. 380

Bright look to the eyes,k

Sensation as though there were sand in the eye, followed by a burning soreness, redness of the conjunctiva of the lids, lachrymation, and agglutination in the morning

The lids suppurate and are agglutinated

Lachrymation in the open air

Ears p. 380

A small pustule forms in the left ear, with pressure and painfulness on touch (fourteenth day)

Much heat in the ears, with roaring (fourteenth day)

The ears feel stopped (seventeenth day)

Pulsation in the ears on ascending steps (sixteenth day)

JFfearhlff, Re-echoing, on speaking loudly into the ear (seventeenth day)

Rumbling and thundering in the ears

Singing and ringing in the ears increased (in the vapor)

Sounds of bells and trumpets, so startling, that she thinks they are real, frequently recurring, even after twenty-one days

Nose p. 380

An indefinable, almost painful sensation high up in the nose, followed by a condition similar to vertigo

Sensation of constriction in the mucous membrane of the nose

Face p. 380

The expression becomes lively

Tbe color of tbe face becomes fresh and clear

Feeling of swelling in the face, especially in the nose

Mouth p. 380

Teeth. On biting the teeth together, they feel as if coated with mucus (after drinking the water)

Slight drawing in the roots of some teeth (nineteenth day)

The teeth, especially the carious ones, become sensitive and painful

Tonff ue. Coating of the tongue (secondary action)

Getieval Bloilth. Dryness of the mouth and throat (eighth day)

Sensation of dryness in the mouth in the afternoon (sixth day)

Feeling of dryness, and slight contraction in the mouth

Saliva. Slimy saliva in the mouth (first day); better (fifth day); increased (tenth day)

Great accumulation of water in the mouth after dinner (first and following days)

Discharge of clear water from the mouth, more profuse than usual, and lasting a long time, mixed with some mucus (thirteenth day)

Ecptysis of clear water, almost uninterruptedly, from morning till noon (sixth day)

Much mucus in the mouth and fauces

Much spitting,and frequent eructations (seventh day)

Taste. Somewhat bitter taste (thirteenth day)

Bitter taste, especially in the morning

Throat p. 380

[p0.'\ Great dryness in the throat (thirteenth and twentythird days)

Stomach p. 380

Appetite. Appetite increased

Good appetite (later)

Diminished hunger and thirst; even with great thirst one is unable to drink much

Appetite diminished (secondary)

Little appetite, though previously hungry (first day)

Loss of appetite, though he was able to eat

Thirst. Increased thirst

Much drinking, especially on the first day

Eructation. Frequent eructations (sixth day)

Constant eructations (ninth day)

Many unpleasant eructations (twentyfourth day)

Rising from the stomach in the morning; was obliged to keep it down by swallowing; with loss of appetite, though usually he was obliged to eat very early

Nausea. Nausea and vomiting after a hearty supper (second day)

Frequent nausea (twenty-second day)

Inclination to vomit, but without result (sixth day)

Stomach. Great distension of the stomach, with stupefying rush of blood to the forehead, as if too full, relieved by passing flatulence

Sensation of heaviness and pressure in the stomach

Gastralgia and waterbrash continuing two months

A feeling of contraction in the stomach

Cramp in the stomach

Very slight, scarcely perceptible pressure in the stomach, at times eructations (first day)

Increased pressure in the stomach, with constipation, succeeding rush of blood to the head

Slight oppression in the stomach (ninth day)

Abdomen p. 381

Ohjective. Movings and incarceration of flatulence

Flatulence (ninth day)

Feeling of uncertainty in the abdomen (tenth

Subjective. Heaviness in the abdomen, and dragging from above downward (ninth day)

Most violent pain in the region of the coecum, almost causing faintness (in one case, from injection)

Habitual colic and diarrhoea

Rectum and Anus p. 381

Bleeding hsemorrhoids,® h

Feeling of contraction in the rectum (local effect)

Two violent stitches in the left side of the anus (ninth day)

Stool p. 381

Riavrhcea, Diarrhoea, with sleeplessness and great weakness

Diarrhoea greenish and bloody (second and fourth days)

Mucous, bilious stools

Stools like those of animals

Passage of gallstones

Constipation. Constipation (primary action)

Constipation (especially later)

Constipation, and moving of flatulence in the abdomen, with ineffectual desire in the rectum

Obstinate constipation

Stool harder (later)

Very hard stool

Urinary Organs p. 381

Rladdev. Evacuation of stones from the kidneys and bladder

Sensation of loss of power in the bladder (after six days)

Tlrethva. Desire to urinate in the bath

Micturition. Increased secretion of urine

Frequent micturition.h

Much micturition (later days)

Passage of much urine the whole day (sixth day)

Excessive amount of watery, cloudy, odorless urine

Little urine with copious drinking (first day)

TJvine. Light, watery, odorless urine during the first day

Urine dark and depositing a sediment (thirty-fourth day)

Urine turbid, thick, ammoniacal (later days)

Urine frequently turbid, with purulent sediment

Urine depositing a mealy, white, sandlike sediment

Red brickdust sediment to the urine

Slimy, purulent sediment in the urine

Sexual Organs p. 381

3Iale. [HO.] The scrotum becomes drawn up

Increased sexual desire

Sexual desire at first increased disappears, and coition is not followed by an emission

Emission (twenty-first day) ; on waking (tenth day)

Female. Passage of fibrous membranous formations from the uterus

Menstruation which had been suppressed reappears

Menstruation two days shorter, and not half so copious as usual

Suppression of menstruation

Respiratory Organs p. 381

Voice. When reading the voice is very husky, with dryness of the throat (fifteenth day)

Some hoarseness, in the evening (twenty-third day)

Hoarseness, always after drinking the warm waters

Expectoration. Expectoration of thick grayish bronchial mucus

Expectoration again profuse, lasting nearly the whole day, constant, and in part frothy, mixed with mucus, with unpleasant dryness in the throat (twenty-first day)

Chest p. 382

Pressive pain in the chest (tenth day)

Oppression of the chest

Oppression of the chest (secondary)

Pressive pains on the sternum, painful even to touch,h

The pectoral muscles are painful to the weight of the jacket

Heart and Pulse p. 382

Pressive pain in the region of the heart, in the evening (eleventh day)

Palpitation

Pulse becomes rapid but not full nor hard

Pulse more rapid, full, stronger (after a few hours)

Pulse 125 after a bath, half an hour later it was 90,®.

Pulse accelerated, during the first twenty minutes 15 beats; falling 5 beats after the bath, as for example, previous to the bath 95; in the bath 110 to 112; twenty minutes after the bath 106, to 104, at noon 100; at 1.30, 106; at 6 p.m., 95; at midnight

After a meal or on ascending a slight height the pulse is accelerated to 100, towards evening was 80 (third day)

Pulse rises in the bath to 80; after the bath falls to 64 (second day)

Pulse rises in the bath scarcely 4 beats (fifteenth day)

Pulse 80, towards evening; 68 and intermittent (after the vapor, eighth day)

Pulse retarded from 80 to 66, weak and intermittent (third day after vapor)

Pulse was slower after the bath, four beats below the normal (seventeenth day)

Pulse becomes stronger

Febrile, full and hard pulse

Pulse weak (from the vapor, fifth day)

Intermitting pulse (on inhalation of the vapor)

Stomach p. 382

Some pain in the back (ninth day)

Severe pain in the back, extending around the waist, so that he was unable to sit erect (twentyseventh day)

Dragging pain in the sacrum in all positions

Extremities in General p. 382

General weakness and heaviness of the limbs, with a sensation in the arms as if they were compressed by an iron hoop, or as if they were forcibly stretched

Lightness in all the limbs (second day)

Heaviness in the limbs, with pain in the back (twelfth day)

Tightness in the limbs (fourth day)

Drawing pain here and there in the limbs (fourth and sixth days)

Superior Extremities p. 382

Paralyzed feeling, as if going to sleep, in the arms and hands, in the morning, in bed (eighth, ninth, tenth days)

Feeling as though the arms were compressed with an iron band, or forcibly drawn out

Shoulder, Deep piercing stitches in the region of the shoulder and other joints

Sore pain in the shoulder-joints, especially the left, becoming a hard pressure on raising the arm

Forearm. Severe cramplike pain in the extensor muscles of the left forearm and hand (tenth day)

Hand. The veins in the hands are swollen (seventh day)

A callous spot in the palm of the right hand becomes painful (fourteenth day)

Fingers, Feeling as of a splinter in the first phalanx of the ring finger (seventh day)

Inferior Extremities p. 382

Rheumatic pains in the right limb (thirty-seventh day)

Hip. Pains in the left hip, extending to the knee, most violent when rising, and making her scarcely able to walk without support (never had a trace of rheumatism), (twenty-ninth day); next day the pains became again violent and chiefly seated in the hip and thigh ; on the next day the pains were less and were confined to the left side, with a general sick feeling and some stiffness

Rheumatic pains in the hips, afterwards in the soles of the feet, with feeling of tension, even during rest, increased by walking

Lett, Very sensitive sticking and drawing in the right leg, for several minutes (seventh day)

Foot. The soles of the feet become painful when stepping on them,h

A callous spot on the sole of the foot becomes painful (fourteenth day)/.

Jerking sticking pain in the great toe (fourth day)/.

A crumpled toe-nail becomes sensitive, but afterwards assumes its normal condition/.

Generalities p. 383

Objective. Diminished secretions

Activity in all the veins, excitement of the circulation

No elasticity in the body (thirtieth day)

General lassitude

Great weariness

Weakness (third and fourth days),h

Great weakness and weariness, with dragging sensation in the abdomen, as if it were too heavy

General exhaustion ; inclination to sleep (after half an hour)

Subjective. Takes cold very easily (caused and then cured)

Very well feeling (first and fifth days)

Sensation of mental and physical comfort ; no exhaustion while bathing/.

An indescribable feeling of comfort ran through all the fibres during the bath

Pulsation in the body, especially in the arms, with jumping in them (fourth day)

Aggravation before a storm or on the occurrence of the sirocco

Aggravation during the sirocco

(Gradual cessation of all the pains in the bath)

Skin p. 383

Objective. Skin becomes dry and red

Skin becomes soft and velvety

Old scai’s break out anew and foreign bodies are thrown out

JFjVuptions Dry. Erythema, erysipelatous inflammation of the skin

Purpura

Urticaria

Drug^tions 31oist. Small, red or whitish-yellow pimples on the skin, with prickling and itching; under the magnifier each spot showed a vesicle at the tip filled with lymph, which frequently became a pustule

Hydroa

Erysipelas

Eruptions, Dustlllar. Small pustules and pimples under the skin, without itching, rather painful

Furuncles

Violent itching of the skin, large furunculus, pustules leaving pock, especially on the legs, in the hollows of the knees; they ruptured and discharged a liquid partly yellowish, partly bloody

Pustules rapidly healing on the scalp, painful to touch

Some acne on the face, disappearing after some days/.

A persistent eruption similar to the itch on the exposed parts of those working in the hot baths

■ Subjective. The eruption burns and itches, especially after scratching

A contractive pain begins in the night in the scar of a scrofulous ulcer which healed several years ago

Pinching and griping in the skin, as if pinched with fine pincers (caused and cured)

Old scars become sensitive

Sensation as if a blister were on the outer side of the right leg, which is painful, especially when touched, in the evening; on the next day pain as from a blow (twelfth day)

Itching over the left eyebrow, which becomes a violent pain on slight rubbing or stroking

Sleep and Dreams p. 383

Sleepiness. Much yawning (eighth and tenth days)

Frequent inclination to sleep

Inclination to sleep (half an hour after a bath)

Heavy, unrefreshing sleep (fourth day)

Sleep>lessness. Sleeplessness

Sleep disturbed by uneasiness and vivid dreams

Sleep after midnight is uneasy; awoke early (first day)

Excessively uneasy sleep, so that he falls out of bed (twenty-first day-

Early waking/.

Dreams. Sleep towards morning full of dreams (fourth day)/.

Confused dreams towards morning (fourth day)/.

Dreams of sexual excitement

Fever p. 383

Ch illness. Slight shivering followed by flushes of heat

Slight creeping chills over the back (after half an hour)

Heat. Warmth and turgescence are increased

A pleasant prickling sensation of warmth (after the bath)

Heat in the bed instead of the usual coldness, towards morning, so that he was obliged to have more coverings

The fever usually lasted one or two days, seldom during the whole course,h

The fever is usually repeated in two or three periods, even after the cessation of the baths

Feverish sensations (third and fourth days),h

More or less febrile excitement

Febrile excitement during the sirocco,h

Three periods of excitement of the vascular system were noticed; the first, in the first twenty minutes of the bath, lasting two or three hours; the second at the commencement of digestion, lasting three or four hours after eating; and the third, only sometimes from 2 to 3 A.M.

Increased, anxious orgasm of blood

Sivecit, Copious perspiration

Perspiration of a pungent odor, clammy, acid, staining the linen red (staining it yellow in patients)

Perspiration is seldom general

Conditions p. 384

Aggravation.

(Morning), Headache ; bitter taste ; rising from stomach; in bed, feeling in arms, etc.

(Forenoon), Ecptysis of water.

(Afternoon), Dryness in mouth.

(Evening), Heat in head ; hoarseness.

( On ascending steps). Pulsation in ears.

(After dinner). Accumulation of water in mouth.

(Stormy weather). The symptoms.

( Walking), Pains in hips.

Footnotes

† The prover’s hearing was defective, and subsequently lost entirely ; the ear symptoms given were in part caused by the vapor bath, and all are very unreliable; the vapor was 33° to 34° K., and brought into bath in tubes. . 2.085 Ferrum carbonate, . . . 0.005 Carbonic acid of the Bi- . 0.428 Aluminium phosphate,. . 0.007 carbonates.0.096 . 0.496 Calcium fluoride, 1 Free Carbonic acid, . . 0.309 . 0.135 Strontium, ' . 0.195 Arsenicum, . 0.027 Titanic acid . 0.017 Rubidium, Caesium, I traces.