It is remarked by Dr. De C. that a considerable number of people annually resort to Carlsbad without any other complaint than constipation of the bowels, obliging them to be constantly taking aperient medicine. “The waters of Carlsbad generally establish the regularity of the bowels, and during their use no aperient medicine whatever should be taken.” As the causes of constipation are chiefly sedentary avocations, there is little doubt but that a journey to Bohemia, and the waters of the Sprudel, will generally obviate this troublesome complaint or inconvenience; but I greatly doubt whether the Carlsbad waters will prevent its return, when the causes come again into operation. Here our worthy author enters his protest against the codes of minute instructions which are often issued by far distant practitioners, who have no personal knowledge of the spas, for the guidance of the patients, and by which they are often led into great errors or even dangers, by neglecting to consult some physician on the spot, respecting the proper waters to drink and the best mode of taking them. All indeed that the distant physician ought to do is, to investigate well the complaint, and recommend such spa as he deems proper, leaving the details of application to the discretion of the medical practitioner on the spot.[76] Since the publication of Dr. De Carro, many monographs on the Carlsbad waters have appeared by different authors, some of which have been noticed in the annual ALMANACK of Carlsbad, composed and published by Dr. De Carro himself. This little annual is of a miscellaneous nature, combining amusement with information, and never omitting _one particular_ item—a list of all the visitors, with their titles, avocations, rank, and _celebrity_—where there is any fame. It may be as well to glance at some of these monographs, so as to pick out as much information from them as we can.