The symptoms generally assigned by writers, as indicating the presence of worms, are an itching of the nose, acid eructations, a depraved or voracious appetite, a pale countenance, a hard and swelled abdomen, a swelling of the upper lip, grinding of the teeth, and frequent starting, during sleep, with frightful dreams, such as of dogs tearing the patient's bowels. It must be owned, however, that the symp toms are often fallacious, and that the only certain sign, is that of passing the worms. along with the fæces.

The round and tape-worms are frequently evacuated by the water taken as a brisk purgative; but the ascarides, which generally lie low in the rectum, may be most effectually destroyed by the water injected into the intestines. For this purpose, about half a pint of it should be made milk-warm, and thrown into the bowels by way of glyster; this should be done in bed, where the horizontal position of the body will favor the ascent of the injection. This method may be repeated every day, or every second day; by which means, these worms will be sooner and more effectually destroyed, than by drinking the water

only. As these complaints are frequently attended with weakness; and, as it is generally allowed, that a debilitated constitution is more favorable to the generation of worms, it will not be amiss to drink the chaly beate waters at proper intervals.

In cases of hemorrhois or piles, the sulphur water has frequently been exhibited with great advantage. One of the principal symptoms in this disease, and which alone is frequently the cause of it, is costiveness; and, as nothing is of more consequence in this complaint, than to have an easy gentle stool, once or twice a day, so nothing answers this purpose better than the sulphur water, which is extremely mild in it's operation, is very seldom attended with any griping, and stimulates the rectum perhaps less than any other purgative. By continuing the use of this water for a week or two, the piles are commonly very much relieved, if not entirely eradicated; but it will, in general, accelerate the cure, if the patient goes into the warm bath once or twice a week, which softens or relaxes the parts affected, and gives present relief from, as well as future security against pain. Instances are not wanting

where the piles have been cured by the sulphur water, after every medicine generally exhibited in such cases, had been used to no purpose.*

*

It is justly observed by Dr. Alexander, that there is scarcely any disease which requires more temperate living than the piles, the least immoderation, either in eating or drinking, will infallibly render them worse, and retard the cure.

Cases of obstinate and habitual costiveness, have been much relieved by the sulphur water. Such cases frequently afflict persons of a sedentary life, and often arise from too anxious application to study or business, which prevents their attending to the calls of nature; in consequence of which, the rectum becomes, in time, insensible to the stimulus of the fæces. Such persons will find the sulphur water a safe and mild purgative, well suited to their complaints: the warm bath may be used with advantage in such cases, and injections of the warm sulphur water are frequently of service; but, what will contribute most to the cure and prevention of

*See Alexander on the Harrogate waters, p. 83.

such complaints, is to endeavour to acquire a habit of going to stool at a certain hour, which will soon become easy; and, nature being accustomed to that regular discharge, will bring on an inclination at the usual time, which will return with the same regularity, and for the same reason, as the appetite for food.

In the chronic rheumatism the sulphur water is often made use of as a warm bath, and with great advantage; in the acute rheumatism it's use is doubtful, and perhaps improper, that species of the disease being attended with fever and inflammation. The chronic rheumatism is frequently the consequence of the acute, and is distinguished by the following symptoms; pain and stiffness of certain joints, which feel uneasy upon motion, or on changes of the weather; generally, however, unaccompanied with any remarkable swelling or fever: these pains very often shoot along the course of the muscles from one joint to another, and are generally much increased by the action of the muscles, belonging to the joints affected. Patients laboring under this disease, should go into the warm bath

every second night if their strength will bear it, and afterwards endeavour to encourage a gentle perspiration. Much advantage is not to be expected from drinking the water, in this disease; though it may be taken in such a manner as to prevent costiveness.

The Harrogate waters have been used in scrofulous complaints, and I have no doubt that many have received benefit from them. Plentiful dilution by some saline water, has at all times been recommended as one of the most useful remedies. Sea water has been particularly celebrated in this disease, on account of the saline matter which it contains; but, whatever encomiums it may merit, (and it certainly is one of the most useful remedies in this disease,) all the good effects to be expected from it, may be obtained from the saline waters at Harrogate. If the sulphur water be used, it should be drunk in small quantities, several times a day, but not so as to purge. For, since scrofulous complaints are generally accompanied with a debilitated state of the system, purging will on this account be improper; besides, it prevents the water