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t of the common rules of hygiene.' It is Dr Burgess's theory, therefore, that when change is necessary, a modification of the patient's own climate--that is to say, change of air in the same climate--is more in accordance with the laws of nature, and more likely to effect good, than a violent transition to warmer countries. With regard to the curability of this disease, there is now, we believe, no doubt of the fact, although, unfortunately the process has not yet come completely into the hands of the physician. That a cure has frequently taken place, somehow or other, even in advanced stages of pulmonary consumption, has been demonstrated by _post-mortem_ examinations; but nature herself seems, in these cases, to have been her own doctor, for no mode of treatment of general applicability has been discovered. Some think that the progress of tubercles may be arrested in the first stage--others, that nothing can be effected till the second. Some resort to the water-cure--others, to the still more marvellous Spanish baths of Panticosa; and others, again, swear by cod-liver oil. As to the last remedy, our author quotes the statements of Dr Williams, 'that the pure fresh oil from the liver of the cod is more beneficial in the treatment of pulmonary consumption than any agent, medicinal, dietetic, or regimenal, that has yet been employed. Out of 234 cases carefully recorded, the oil disagreed, and was discontinued, in only 9 instances. In 19, although taken, it appeared to do no good; whilst in the larger proportion of 206 out of 234, its use was followed by marked and unequivocal improvement--this improvement varying in degree in different cases, from a temporary retardation of the progress of the disease, and a mitigation of distressing symptoms, up to a more or less complete restoration to apparent health. The most numerous examples of decided and lasting improvement, amounting to nearly 100, have occurred in patients in the second stage of the disease, in which the tuberculous deposits begin to undergo the process of softening. The most striking instance of the beneficial operation of cod-liver oil in phthisis, is to be found in cases in the _third_ stage--even those far advanced, where consumption has not only excavated the lungs, but is rapidly wasting the whole body with copious purulent expectoration, hectic, night-sweats, colliquative diarrhoea, and other elements of that destructive process by which, in a few week
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