The effects of all the Kissengen waters, when used as baths, have a considerable resemblance to each other. The plus or minus of carbonic acid gas, and of iron, make the chief differences. As the baths have hardly ever been employed without the internal use of the waters, their effects cannot be positively ascertained as under other circumstances. The general phenomena, however, may be stated as follows:— The patient feels soothed, refreshed, and even strengthened, by the first few baths; but about the seventh day, the symptoms of re-action commence, and then the pleasing sensations of the bath disappear—and he feels enfeebled and uncomfortable after leaving the water. These phenomena increase. The skin becomes relaxed—slightly reddened, and copious perspirations break out—or if not, the kidneys act vigorously. If there be any cutaneous eruptions, they increase, become inflamed, and discharge freely. Rheumatic and gouty pains are exasperated, and sometimes carried into a state of acute inflammation, with fever, which lasts three or four days, and then disappears. In such cases, the baths must be discontinued for a short time. In general, most of the diseases which are ultimately cured by the baths and waters, are, for a certain period, rendered worse. In the course, or rather towards the end of this re-action, certain critical evacuations take place, more especially from the skin, accompanied by a peculiar odour—or boils or other eruptions break forth—or depositions take place in the urine, sometimes even of blood—or by the bowels. This crisis past, a state of amelioration takes place, and now the baths should be discontinued, not at once, but gradually. The morbid conditions which require the baths _more_ than the drinking of the waters are—chronic affections of the skin—rheumatic and gouty complaints, whether external or internal—neuralgic affections—complaints driven from the surface to the interior. We need not dwell on the slight differences which take place in the use of the baths of the Maxbrunnen, Pandur, and Ragoczy. The baths of the Soolensprudel deserve a remark or two. The baths of this source are more powerful than those of the others, often producing considerable heat and irritation of the skin, accompanied by corresponding re-action of the system generally—even to fever, which requires marked and vigilant attention, otherwise very serious consequences may result. At the same time, it may be observed that the baths of the Soolensprudel are less disposed to affect the head and the chest, than other baths of weaker powers, if used with caution. They have hitherto been chiefly employed in cases of confirmed scrofula, both external and internal—in uterine and ovarian affections—in inveterate rheumatic and gouty complaints.