_Secondly_, when People decline in Years, there are some extraordinary means requisite to make the Remedies exert themselves with like Success, as they do in Younger Persons. _Thirdly_, in Hysterick Women it is difficult to carry off the load of Water by common means, without some such Method as I shall hereafter mention; because their Spirits are so low, that they can bear no considerable Evacuation. _Fourthly_, when a Dropsie comes upon an _Asthmatick_ Person, there are particular Difficulties arise, and the singular Advantages of constant and gentle Exercise in this Case are universally known. These four different Circumstances of this Distemper, may suffice to shew that I have Colour enough for my calling in the Gymnastick Method into this Case, and ’tis the first of the Exceptions, I mean the ill Effects, which sometimes follow upon the Use of Purgatives, which have chiefly occasion’d me to inquire, whether we ought in this plain Case, thus circumstantiated to halt between two Opinions, between Purgatives and Diureticks, without endeavouring to establish a certain Praxis upon Just Foundations. There are none will deny, but Diureticks are the most proper and natural Remedies in this Case, if they would always succeed, because directed to the proper Emunctory, the Kidneys, and because they can go hand in hand, with the Corroborative Medicines to be given at the same time; I take it for granted therefore, that whenever Purgatives are us’d in this Case, it is because the Diureticks don’t take quick enough, or in order to carry off the load of _Serum_, that the Diureticks may the sooner display their good effects, because it will be alledg’d that the _Serum_ becomes so Ropy and Glutinous in the Passages and Capillary Parts, that the Diuretick cannot always act upon it. But tho’ this is granted, it will not suffice to warrant the Use of the stronger Purgatives, because their manner of Acting cannot agree with this Distemper, and because those difficulties objected, may be overcome by other means.