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pressed by the large amount which continually escapes, June 13, 1896] MEDICAL RECORD. 841 and the extensive deposits of free sulphur on the walls viagra retail price of the caverns would seem to indicate that the waters of these interesting springs are heavily laden with this constituent. Woods believes that "sulphur baths act by producing an excitant effect throughout the ultimate organic structure, substituting a new and self-limiting action for that previously existing; perhaps, as in the case of mercury and iodine, changing viagra wonder pill the very struc- ture itself by stimulating the disintegrating process and causing a healthier nutritive deposition in the place of the diseased tissue removed. In other words, they are an alterative remedy." Sulphur baths also lower the morbidly increased irritability of the nerves, and a simultaneous use of the water for bathing and drinking purposes promotes the flow of the secretions, especially the bile. The vapor in the caves is used to accomplish the same objects as those obtained by the hot baths. The skin stimulation from this vapor is very marked, probably on account of the large amount of sulphurous and carbonic-acid gases contained, as well as from the heat. These gases, with the aid of the watery vapor, are in the best possible form to be absorbed by the skin, and come directly in contact with the termina- viagra wonder pill tions of the nerves, producing a powerful stimulating effect on the glands of the skin as well as the resl of the economy, and a most profuse perspiration is the result. In the case of several persons who complained that Russian baths had not been able to excite viagra retail price the sweat glands to a desirable state of viagra retail price activity, a pro- found diaphoresis was effected by means of this vapor. This effect is found to be very useful in diseases of the skin and in those diseases in which it is desirable to eliminate lactic, uric, and fatty acids, urea, and other products viagra wonder pill of metamorphosis. As a Drinking-Water. The ingredients of the water which are of value for internal use are carbonic acid, sulphur, sodium chloride, and the laxative bicar- bonates and sulphates. The carbonic acid causes a feeling of warmth in the stomach and acts as a stimulant to the mucous mem- branes, nerves, and muscular fibres of the stomach and intestines, causing an increase of the gastric juice, exciting peristalsis, and improving the appetite. There is also an increased excretion of urine, due to the fact that carbonic acid accelerates the absorption of water by viagra retail price the mucous membrane of the intestinal canal (Voit). Sodium chloride stimulates the mucous membranes viagra wonder pill of the body, especially in the gastro-intestinal tract, dissolves mucus in the stomach, increases the secre- tion of the gastric, intestinal, and pancreatic juices and bile, favors the formation and absorption of pep- tones, and excites peristalsis. It viagra wonder pill plays an important part in the diffusion of fluids through the membranes, and its presence is necessary for the solution of the globulins (Landois and Stirling) ; it also increases the excretion of urea (Voit, Bischoff, Brunton). By the last-mentioned processes the structures of patho- logical products become loosened, and their albumi- nates are carried away and converted into the ultimate product viagra retail price urea (Voit, Flechsig). Sulphurous mineral waters containing earthy and alkaline sulphates are more or less laxative and diu- retic when taken internally, while the sulphurous acid disengaged from them in the body promotes diaphore- sis. Stifft (quoted by Baruch) believes that sulphu- viagra wonder pill retted hydrogen has a specific excitant effect upon the sensory fibres of the pulmonary branches of the pneu- mogastric and upon the cardiac and vasomotor centres, its prolonged use giving rise to paralysis from over- stimulation. In this way he explains the action of sulphur water on the respiratory and circulatory sys- tems, on tissue metabolism, and on the secretory and excretory functions. A study of the effects of the climate, vapor bath, and the internal and external use of the water of Glen- wood, shows that these various agents possess qualities in common which render them of value in the treat- ment of disorders in which the general condition of the patient is torpid, the tissues changes sluggish, the functions difficult to stimulate, and in which the ab- sorption and elimination of pathological products and deposits are desired. Contraindications. In the use of such powerful agents caution is always advisable in selecting cases for treatment. Generally speaking, the patients who would be apt to do badly at Glenwood viagra retail price are those suffer- ing from organic disease of the kidneys complicated with degenerative changes in the arteries or hyper- trophy of the left ventricle, valvular lesions of the heart by poor compensation or diseased blood-vessels, epilepsy, acute inflammatory diseases, recent hemiple- gias, menorrhagia, and metrorrhagia. Patients with valvular lesions with simple hypertrophy and good viagra wonder pill compensation, unaccompanied by renal or vascular complications, suffer no inconvenience whatever. Therapy. The various resources of modern hydro- therapy and balneotherapy have received full attention at Glenwood, the different forms of douches, massage, tub and vapor baths, and a mammoth swimming- pool being resorted to as the occasion requires. Ex- cellent meals and special kinds of diet are provided at the hotel. Uric- Acid Diathesis. Ebstein and others have shown that the introduction viagra retail price of urates in viagra wonder pill solution into