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Gastein

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General

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: 2.085

Sodium chloride: 0.428

Silicic acid: 0.496

Potassium sulphate: 0.135

Potassium carbonate: 0.195

Lithium chloride: 0.027

Magnesium carbonate: 0.017

Ferrum carbonate: 0.005

Aluminium phosphate: 0.007

Calcium fluoride: traces.

Strontium: traces.

Arsenicum: traces.

Titanic acid: traces.

Rubidium: traces.

Caesium: traces.

Carbonic acid of the Bicarbonates: 0.096

Free Carbonic acid: 0.309

Loss: 0.004

Total solid constituents: 3.399

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 .

Authorities. 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; [The provers 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° R., and brought into bath in tubes.] 2 , a girl, aged 23, suffering from slight chlorosis (never sick), ibid.; 3 , Dr.

Kiene, effects observed on patients and healthy persons, from Monog. on Gastein, 1844, ibid.; 4 , Dr. Eble, effects on various persons, inclunding a sickly hypochondriac man, Monog. on 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, Prager Monats., 8, 102; 10 , Dr. Gustav Proll, Z. f. H. Kl., 18, 100, and M.

Hom. Rev., 11, p. 217, general effects.

Mind

Lively play of fantasy, [3] . Vivid fantasies, [3] .

Agreeable excitement during and after the first bath, [6] . Lively mood, [4] .

Conversational, [4] .

Head

Confusion and Vertigo.

Confusion of the head, [3] .

Confusion of the head, frequently dizzy (after some days), [3] .

Vertigo, and rush of blood to the head, [10] .

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, [6] . [10.]

Slight vertigo, [4] . General Head.

Heat in the head in the evening, [6] .

Dizzy heaviness of the head, as after a night's debauch, reeling forward; afterwards, pressure in the forehead, with nausea, [6] . Dull headache in the morning (eighteenth day), [1] .

Rush of blood to the forehead, [6] .

Pressure in the forehead, with nausea, [6] .

Intolerable violent, pressive pains in the forehead, [8] . Drawing pains in the left temple (tenth day), [1] .

Eye.

Bright look to the eyes, [4] . 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, [10] . [20.] The lids suppurate and are agglutinated, [6] .

Lachrymation in the open air, [6] .

Ear.

A small pustule forms in the left ear, with pressure and painfulness on touch (fourteenth day), [1] .

Much heat in the ears, with roaring (fourteenth day), [1] .

The ears feel stopped (seventeenth day), [1] .

Pulsation in the ears on ascending steps (sixteenth day), [1] . Hearing.

Re-echoing, on speaking loudly into the ear (seventeenth day), [1] . Rumbling and thundering in the ears, [1] .

Singing and ringing in the ears increased (in the vapor), [1] . Sounds of bells and trumpets, so startling, that she thinks they are real, frequently recurring, even after twenty-one days, [1] .

Nose

[30.]

An indefinable, almost painful sensation high up in the nose, followed by a condition similar to vertigo, [10] . Sensation of constriction in the mucous membrane of the nose, [10] .

Face

The expression becomes lively, [3] .

The color of the face becomes fresh and clear, [2] . Feeling of swelling in the face, especially in the nose, [6] .

Teeth

On biting the teeth together, they feel as if coated with mucus (after drinking the water), [1] .

Slight drawing in the roots of some teeth (nineteenth day), [1] .

The teeth, especially the carious ones, become sensitive and painful, [3] .

Tongue.

Coating of the tongue (secondary action), [3] .

General Mouth.

Dryness of the mouth and throat (eighth day), [9] . [40.] Sensation of dryness in the mouth in the afternoon (sixth day), [9] .

Feeling of dryness, and slight contraction in the mouth, [10] .

Saliva.

Slimy saliva in the mouth (first day); better (fifth day); increased (tenth day), [1] . Great accumulation of water in the mouth after dinner (first and following days), [9] .

Discharge of clear water from the mouth, more profuse than usual, and lasting a long time, mixed with some mucus (thirteenth day), [9] .

Ecptysis of clear water, almost uninterruptedly, from morning till noon (sixth day), [9] .

Much mucus in the mouth and fauces, [1] .

Much spitting, and frequent eructations (seventh day), [9] .

Taste

Somewhat bitter taste (thirteenth day), [9] .

Bitter taste, especially in the morning, [8] .

Throat

[50.]

Great dryness in the throat (thirteenth and twenty-third days), [9] .

Appetite

Appetite increased, [3] . Good appetite (later), [1] .

Diminished hunger and thirst; even with great thirst one is unable to drink much, [10] . Appetite diminished (secondary), [3] .

Little appetite, through previously hungry (first day), [1] . Loss of appetite, though he was able to eat, [6] .

Thirst.

Increased thirst, [3] .

Much drinking, especially on the first day, [1] .

Eructation. Frequent eructations (sixth day), [9] . [60.]

Constant eructations (ninth day), [9] .

Many unpleasant eructations (twenty-fourth day), [9] .

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, [6] .

Nausea.

Nausea and vomiting after a hearty supper (second day), [9] .

Frequent nausea (twenty-second day), [9] .

Inclination to vomit, but without result (sixth day), [9] .

Stomach

Great distension of the stomach, with stupefying rush of blood to the forehead, as if too full, relieved by passing flatulence, [6] .

Sensation of heaviness and pressure in the stomach, [10] .

Gastralgia and waterbrash continuing two months, [10] . A feeling of contraction in the stomach, [10] . [70.]

Cramp in the stomach, [6] . Very slight, scarcely perceptible pressure in the stomach, at times eructations (first day), [9] .

Increased pressure in the stomach, with constipation, succeeding rush of blood to the head, [6] . Slight oppression in the stomach (ninth day), [9] .

Abdomen

Objective.

Movings and incarceration of flatulence, [6] .

Flatulence (ninth day), [9] .

Feeling of uncertainty in the abdomen (tenth day), [9] .

Subjective.

Heaviness in the abdomen, and dragging from above downward (ninth day), [9] .

Most violent pain in the region of the caecum, almost causing faintness (in one case, from injection), [10] .

Habitual colic and diarrhoea, [3] .

Rectum And Anus. [80.]

Bleeding haemorrhoids, [3] , [4] .

Feeling of contraction in the rectum (local effect), [10] . Two violent stitches in the left side of the anus (ninth day), [1] .

Stool

Diarrhoea. Diarrhoea, with sleeplessness and great weakness, [3] .

Diarrhoea greenish and bloody (second and fourth days), [8] .

Mucous, bilious stools, [3] .

Stools like those of animals, [3] , [5] .

Passage of gallstones, [3] . Constipation.

Constipation (primary action), [10] .

Constipation (especially later), [3] . [90.]

Constipation, and moving of flatulence in the abdomen, with ineffectual desire in the rectum, [6] .

Obstinate constipation, [6] .

Stool harder (later), [1] .

Very hard stool, [2] .

Urinary Organs

Bladder. Evacuation of stones from the kidneys and bladder, [3] .

Sensation of loss of power in the bladder (after six days), [1] . Urethra.

Desire to urinate in the bath, [1] , [3] .

Micturition.

Increased secretion of urine, [3] .

Frequent micturition, [4] .

Much micturition (later days), [1] . [100.]

Passage of much urine the whole day (sixth day), [1] .

Excessive amount of watery, cloudy, odorless urine, [3] . Little urine with copious drinking (first day), [1] .

Urine

Light, watery, odorless urine during the first day, [3] .

Urine dark and depositing a sediment (thirty-fourth day), [9] .

Urine turbid, thick, ammoniacal (later days), [3] .

Urine frequently turbid, with purulent sediment, [4] .

Urine depositing a mealy, white, sand-like sediment, [3] .

Red brickdust sediment to the urine, [3] .

Slimy purulent sediment in the urine, [3] .

Male

[110.] The scrotum becomes drawn up, [4] .

Increased sexual desire, [4] . Sexual desire at first increased disappears, and coition is not followed by an emission, [6] .

Emission (twenty-first day); on waking (tenth day), [1] .

Female

Passage of fibrous membranous formations from the uterus, [3] .

Menstruation which had been suppressed reappears, [3] .

Menstruation two days shorter, and not half so copious as usual, [15] .

Suppression of menstruation, [10] .

Respiratory Organs.

Voice.

When reading the voice is very husky, with dryness of the throat (fifteenth day), [9] .

Some hoarseness, in the evening (twenty-third day), [9] . [120.]

Hoarseness, always after drinking the warm waters, [10] .

Expectoration.

Expectoration of thick grayish bronchial mucus, [3] .

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), [9] .

Chest

Pressive pain in the chest (tenth day), [1] .

Oppression of the chest, [3] .

Oppression of the chest (secondary), [3] .

Pressive pains on the sternum, painful even to touch, [1] . The pectoral muscles are painful to the weight of the jacket, [1] .

Heart And Pulse.

Pressive pain in the region of the heart, in the evening (eleventh day), [1] .

Palpitation, [3] . [130.]

Pulse becomes rapid but not full nor hard, [3] .

Pulse more rapid, full, stronger (after a few hours), [3] .

Pulse 125 after a bath, half an hour later it was 90, [2] .

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, 90, [4] .

After a meal or on ascending a slight height the pulse is accelerated to 100, towards evening was 80 (third day), [1] . Pulse rises in the bath to 80; after the bath falls to 64 (second day), [1] .

Pulse rises in the bath scarcely 4 beats (fifteenth day), [1] .

Pulse 80, towards evening; 68 and intermittent (after the vapor, eighth day), [1] .

Pulse retarded from 80 to 66, weak and intermittent (third and after vapor), [1] .

Pulse was slower after the bath, four beats below the normal (seventeenth day), [1] . [140.]

Pulse becomes stronger, [3] . Febrile, full and hard pulse, [3] .

Pulse weak (from the vapor, fifth day), [1] .

Intermitting pulse (on inhalation of the vapor), [1] .

Back

Some pain in the back (ninth day), [9] .

Severe pain in the back, extending around the waist, so that he was unable to sit erect (twenty-seventh day), [9] .

Dragging pain in the sacrum in all position, [6] .

Extremities In General. 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, [6] .

Lightness in all the limbs (second day), [1] .

Heaviness in the limbs, with pain in the back (twelfth day), [9] . [150.]

Tightness in the limbs (fourth day), [1] .

Drawing pain here and there in the limbs (fourth and sixth days), [1] .

Superior Extremities. Paralyzed feeling, as if going to sleep, in the arms and hands, in the morning, in bed (eighth, ninth, tenth days), [1] .

Feeling as though the arms were compressed with an iron band, or forcibly drawn out, [6] . Shoulder.

Deep piercing stitches in the region of the shoulder and other joints, [6] .

Sore pain in the shoulder-joints, especially the left, becoming a hard pressure on raising the arm, [8] . Forearm.

Severe cramplike pain in the extensor muscles of the left forearm and hand (tenth day), [1] . Hand.

The veins in the hands are swollen (seventh day), [1] .

A callous spot in the palm of the right hand becomes painful (fourteenth day), [1] .

Fingers.

Feeling as of a splinter in the first phalanx of the ring finger (seventh day), [1] .

Inferior Extremities. [160.] Rheumatic pains in the right limb (thirty-seventh day), [9] . 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, [9] .

Rheumatic pains in the hips, afterwards in the soles of the feet, with feeling of tension, even during rest, increased by walking, [6] .

Leg.

Very sensitive sticking and drawing in the right leg, for several minutes (seventh day), [1] .

Foot.

The soles of the feet becomes painful when stepping on them, [1] .

A callous spot on the sole of the foot becomes painful (fourteenth day), [1] .

Jerking-sticking pain in the great toe (fourth day), [1] . A crumpled toe-nail becomes sensitive, but afterwards assumes its normal condition, [1] .

General Symptoms.

Objective.

Diminished secretions, [3] .

Activity in all the veins, excitement of the circulation, [3] . [170.]

No elasticity in the body (thirtieth day), [9] .

General lassitude, [3] .

Great weariness, [3] .

Weakness (third and fourth days), [1] .

Great weakness and weariness, with dragging sensation in the abdomen, as if it were too heavy, [15] .

General exhaustion; inclination to sleep (after half an hour), [3] .

Subjective. Takes cold very easily (caused and then cured), [6] .

Very well feeling (first and fifth days), [1] .

Sensation of mental and physical comfort; no exhaustion while bathing, [3] .

An indescribable feeling of comfort ran through all the fibres during the bath, [3] . [180.]

Pulsation in the body, especially in the arms, with jumping in them (fourth day), [1] .

Aggravation before a storm or on the occurrence of the sirocco, [3] .

Aggravation during the sirocco, [1] .

(Gradual cessation of all the pains in the bath), [3] .

Skin

Objective.

Skin becomes dry and red, [3] .

Skin becomes soft and velvety, [6] .

Old scars break out anew and foreign bodies are thrown out, [3] .

Eruptions, Dry.

Erythema, erysipelatous inflammation of the skin, [3] .

Purpura, [3] . Urticaria, [3] .

Eruptions, Moist. [190.]

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, [3] . Hydroa , [3] .

Erysipelas, [3] .

Eruptions, Pustular.

Small pustules and pimples under the skin, without itching, rather painful, [8] .

Furuncles, [3] . 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, [8] .

Pustules rapidly healing on the scalp, painful to touch, [6] .

Some acne on the face, disappearing after some days, [1] .

A persistent eruption similar to the itch on the exposed parts of those working in the hot baths, [6] .

Subjective.

The eruption burns and itches, especially after scratching, [3] . [200.] A contractive pain begins in the night in the scar of a scrofulous ulcer which healed several years ago, [6] .

Pinching and griping in the skin, as if pinched with fine pincers (caused and cured), [6] .

Old scars become sensitive, [15] .

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), [1] .

Itching over the left eyebrow, which becomes a violent pain on slight rubbing or stroking, [6] .

Sleep And Dreams.

Sleepiness.

Much yawning (eighth and tenth days), [1] .

Frequent inclination to sleep, [3] .

Inclination to sleep (half an hour after a bath), [3] . Heavy, unrefreshing sleep (fourth day), [1] .

Sleeplessness. Sleeplessness, [3] . [210.] Sleep disturbed by uneasiness and vivid dreams, [3] .

Sleep after midnight is uneasy; awoke early (first day), [1] .

Excessively uneasy sleep, so that he falls out of bed (twenty-first day), [1] .

Early waking, [1] . Dreams.

Sleep towards morning full of dreams (fourth day), [1] .

Confused dreams towards morning (fourth day), [1] . Dreams of sexual excitement, [3] .

Fever

Chilliness. Slight shivering followed by flushes of heat, [3] .

Slight creeping chills over the back (after half an hour), [3] . Heat.

Warmth and turgescence are increased, [1] . [220.]

A pleasant prickling sensation of warmth (after the bath), [3] .

Heat in the bed instead of the usual coldness, towards morning, so that he was obliged to have more coverings, [6] .

The fever usually lasted one or two days, seldom during the whole course, [1] .

The fever is usually repeated in two or three periods, even after the cessation of the baths, [3] .

Feverish sensations (third and fourth days), [1] .

More or less febrile excitement, [3] .

Febrile excitement during the sirocco, [1] .

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., [4] .

Increased, anxious orgasm of blood, [6] .

Sweat.

Copious perspiration, [3] . [230.]

Perspiration of a pungent odor, clammy, acid, staining the linen red (staining it yellow in patients), [3] .

Perspiration is seldom general, [3] .

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.