In these journies from north to south, or from south to north, he should be careful, for reasons before mentioned, to keep at as great a distance as possible from the sea coast. Should this inquiry fall into the hands of a British physician, I would beg leave to suggest to him, whether more advantages would not accrue to his consumptive patients from advising them to cross the Atlantic ocean, and afterwards to pursue the tour which I have recommended, than by sending them to Portugal, France, or Italy. Here they will arrive with such a mitigation of the violence of the disease, in consequence of the length of their sea voyage, as will enable them immediately to begin their journies on horseback. Here they will be exposed to fewer temptations to intemperance, or to unhealthy amusements, than in old European countries. And, lastly, in the whole course of this tour, they will travel among a people related to them by a sameness of language and manners, and by ancient or modern ties of citizenship. Long journies for the recovery of health, under circumstances so agreeable, should certainly be preferred to travelling among strangers of different nations, languages, and manners, on the continent of Europe. 6. To render travelling on horseback effectual in a consumption, it should be continued with moderate intervals from _six to twelve months_. But the cure should not be rested upon a single journey. It should be repeated every _two_ or _three years_, till our patient has passed the consumptive stages of life. Nay, he must do more; he must acquire a _habit_ of riding constantly, both at home and abroad; or, to use the words of Dr. Fuller, "he must, like a Tartar, learn to live on horseback, by which means he will acquire in time the constitution of a Tartar[34]." [34] Medicina Gymnastica, p. 116. Where benefit is expected from a change of climate, as well as from travelling, patients should reside at least two years in the place which is chosen for that purpose. I have seldom known a residence for a shorter time in a foreign climate do much service.