_Case the second._—“A gentleman, 50 years of age, who had lived well, became weak and cachectic after some considerable hæmorrhoidal discharges—one of them amounting to several pints of blood in one day. He had derived considerable advantage from the waters of Carlsbad the preceding year, but it increased the intestinal hæmorrhage. On his arrival at Marienbad, he presented the following symptoms:—complexion pale, and inclining to a yellow tint—lips bloodless, as was the tongue, and even the palate—swelling of the eye-lids—small appetite—sleeplessness—rose from bed more fatigued than when he lay down—great difficulty of breathing, but without any symptoms of water in the chest, on ascending stairs—abdomen distended, but soft, and without tenderness—constipation and diarrhœa alternately—the pulse feeble and 85 to 95—skin rough and dry. “The Kreuzbrunn was tried, but caused oppression at the stomach—diminution of appetite, and watery evacuations. The Ferdinandsbrunn was then employed, and agreed better, and produced more consistent motions, but very unhealthy—some blood was passed each time from the hæmorrhoidal vessels. The appetite soon increased—the digestion improved—and sleep became more refreshing. Towards the end of the course, which lasted five weeks, he was able to go up stairs without difficulty. He returned two years afterwards to Marienbad, with the same symptoms, and was again relieved.” The Kreuzbrunn is preferable to the Ferdinandsbrunn, where the invalid is of sanguine temperament, robust, inclined to apoplexy, or hæmorrhages. Also for females who are subject to miscarriages—and, in general, for all those who shew a tendency to fulness or congestion in any of the vital organs—diseases of the chest—derangements of the circulation—inflammatory complaints—and diseases of children. III. CAROLINENBRUNN AND AMBROSIUSBRUNN. These two springs are near each other, and only a few hundred yards distant from the Kreuzbrunn. They come under the head of “acidulous chalybeates,” and only differ from each other in strength—the Carolinenbrunn being rather more potent than the Ambrosiusbrunn, as the following analysis will show. The CAROLINENBRUNN contains in the pint of water, 2½ grains of sulphate of soda-½ grain muriate of soda—⅔rds of a grain of carbonate of soda—nearly a grain of carbonate of lime—3 grains of magnesia—⅓rd of a grain of carbonate of iron—in all amounting to about 9 grains—and 123 cubic inches of carbonic acid gas in 100 cubic inches of the water. The AMBROSIUSBRUNN contains only six grains of solid matters in the pint—the iron being only ¼ of a grain. The other ingredients are the same in kind as in the Carolinenbrunn, but one-third smaller in quantity. The carbonic acid gas is also rather smaller in quantity.