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Physiological Action. It is often claimed that quite buy viagra utah as effective results can be obtained from baths of plain hot water as from the use of the water of hot mineral springs, and that the apparent superiority of the latter is due mainly to the change of climate and mode of living. Although change of climate and buy viagra utah mode of living are certainly valuable and sometimes necessary adjuncts in the treatment of certain diseases, I am convinced by my experience at Glenwood that there are virtues in highly mineralized thermal waters that the plain baths of hydropathic institutions do not possess. The improvement noted in patients who were residents of Colorado and accustomed to an out-of- door life and fresh air. and in others who had received treatment in hydropathic establishments of high stand- ing without relief, would seem to justify me in coming to this conclusion. 1 am unable to give a satisfactory reason for any difference there may be viagra pharmacy london in the relative merits of artifi- cial and buy viagra utah natural heat. The experience of Dr. Keycs, from personal observations made at the Hot Springs of Arkansas, may be of some interest in regard to this point. He says: " My own investigations showed me that a foot-bath at 110 1'. was impossible. The feet could not possibly be retained in the water at that tem- perature, a thing perfectly possible (but not pleasant) at home in Croton water. A thermometer held in the mouth while making the viagra pharmacy london attempt to take this foot-bath was raised to 103 Y. An ordinary bath al was unpleasantly hot, and caused perspiration to trickle from the forehead in streams. The immediate after- effect of the bath (unlike that from an ordinary bath) is one of exhilaration, followed in a couple of hours by reaction and a desire to sleep. The appetite improves under their use and the ordinary functions seem to be performed better than when they are not used by the visitors to the pi If a mammal be placed in a hot bath which is three or more degrees higher than its own temperature, the exi retion of car- bonic acid and the consumption of buy viagra utah oxygen are in- creased, owing to the stimulation of the metabolism (Pfl iile for the same reason urea is creted in larger quantities (Schleich). It will also be RECORD. [June 13, 1896 observed that this increase of urea continues for sev- eral days after taking a series of such baths. It is now well understood that the foregoing effects of prolonged hot and vapor baths are produced by the stimulation of the sensory cutaneous nerves, which ex- ercise an important influence on the most complicated processes of the organism by means of the buy viagra utah reflex ac- tions transmitted through the central nervous system. Anything which tends, then, to intensify the stimula- tion of the peripheral nerves will favor greater activity of the different vital functions. That saline ingredi- ents act as additional excitants may easily be demon- strated by noting the greater redness of the skin after a hot brine bath as compared with its appearance after a plain hot bath. Paalzovv's experiments prove that a strong stimulation to the skin produces a reflex conver- sion of tissue indicated by an increased consumption of oxvgen and excretion of carbonic acid. Brunton recommends the addition of common salt to the water to increase the stimulation of the skin and the amount of after-reaction. The gratifying results obtained at Glenwood I fully believe to be largely due to the de- cided stimulation of the skin buy viagra utah occasioned by the extra- ordinarily large amount of mineral ingredients in buy viagra utah the water. Liebermeister, Rembold, Paalzow, and Leich- tenstern have been convinced by their experiments that the stimulus of the salts and gases usually em- ployed in balneotherapy is commonly too weak to in- crease reflexly the conversion of tissue and the pro- duction of carbonic acid. "There is no perceptible influence on the beats of the heart," viagra pharmacy london says Leichten- stern, " and no effect worth mentioning on the distri- bution of the blood, from the use of thermal indiffer- ent baths (those containing a low percentage of salinesi, to which class most of those applied in bal- neotherapy belong. On the other hand, thermally indifferent baths (those with only a temperature of 93 to 95 F.) containing salts and gases in quantity- may by their stimulation of the skin act as mild epi- spastics and occasion a slight expansion of the vessels of the periphery." Rohrig and Guntz found that when they immersed a rabbit in a buy viagra utah three-per-cent. brine bath with a temperature buy viagra utah of 96.8 F., there was a greater consumption (15.3 per cent.) of oxygen and a greater formation (twenty-five percent.) of carbonic-acid gas, as compared with an equally long stay in a simple water bath of the same degree. These percentages rose higher and higher as the salt bath approached the point of saturation. Thus, the acceleration of oxida- tion kept pace with the increasing skin stimulation, due to the larger amount of saline constituents of the bath. In the light of such investigations by men of known ability, we may not unreasonably look for the best results, other conditions being equal, from treat- ment at those springs the water buy viagra utah of which has a tem- perature considerably over 100 F. and a very high percentage of mineral ingredients. The regular im- mersion in such water in conjunction with vapor baths, by viagra pharmacy london stimulation of the cutaneous nerves, influ- ences the finer processes of metabolism, as well as the secretions, distribution of the blood, movement of the lymph, etc. It is during these changes that patholog- ical products, exudations, hyperplasias, new forma- tions, and toxic agents are drawn into solution and eliminated from the system; Before leaving this part of the subject, buy viagra utah a few words are in place in regard to the action of the sul- phur. In the majority of books it is claimed viagra pharmacy london that, in spite of the strong impression made upon the sense of smell by the sulphuretted hydrogen evolved, the amount of sulphur in sulphur springs is really very viagra pharmacy london small. Unfortunately, the volume of sulphurous and carbonic- acid gases