these baths will also most probably be productive of great benefit, and not unfrequently cause the morbid action to restrict itself to one spot; a more regular attack being sometimes induced, previous to an amelioration taking place. Persons who have only experienced two or three attacks, but in whom the predisposition is strong, may generally expect to derive permanent benefit from the baths; provided they are subsequently cautious in their mode of living, and do not indulge too freely in the pleasures of the table; on the other hand, where there is much tendency to acute inflammation, in persons of a plethoric or highly irritable habit, I should consider Wisbaden less likely to suit than a warm alkaline spring, as Vichy or Teplitz. I should be inclined also to counsel many young persons, in whom the gout developed itself at an early age, in consequence of a strong hereditary tendence, to give the preference to a spring of this kind; though it is probable that they would equally derive advantage from Wisbaden. It cannot be expected however, that a single course of the waters would suffice to eradicate the disease; and, in order to have the chance of a permanent cure, persons afflicted with gout would do well to return, for two or three consecutive seasons, to the springs from which they derived benefit; passing the intervening months in a suitable climate, and paying attention to the regulation of their diet and mode of living. “As the mornings are frequently chilly, and it is of importance to prevent the action of a cold atmosphere on the surface of the body, while under a course of bathing, I do not in general recommend, to English patients, the very early hours of rising and drinking the water, adopted by the Germans; six, or half-past, will be sufficiently early, even for those who take their bath before breakfast, and for those who do not, any time between that hour and half-past seven; breakfast being taken an hour after drinking, and consisting of tea or coffee, according as the one or other is found best to agree. Those who dine at one o’clock, should again drink about seven in the evening; while for those persons who prefer dining at four, or later, from two to three will be the best time for taking their second dose. The effects of the water are thus better sustained than when the whole quantity prescribed is taken in the morning, and an interval of four-and-twenty hours allowed to elapse between the periods of drinking; the water is often thus better digested, and is well borne, when the distention of the stomach by the same quantity if taken before breakfast, would disagree and give rise to unpleasant symptoms, or occasion a too active operation upon the bowels or kidneys.—It is also advisable, when a full course of these and other mineral waters is required, to recommend a temporary suspension of the course, and change of air for three or four days, after a certain period