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: 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.

Cæsium: 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.

MOUTH

• 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.

STOMACH

• 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 cæcum, almost causing faintness (in one case, from injection), 10.
• Habitual colic and diarrhœa, 3.

RECTUM AND ANUS. [80.]

• Bleeding hæmorrhoids, 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

• Diarrhœa.
• Diarrhœa, with sleeplessness and great weakness, 3.
• Diarrhœa 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.

SEXUAL ORGANS

• 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, .

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.

CONDITIONS

• 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.