Note 57 — (Second Pilgrimage.)

It is a little remarkable that Dr. Granville scarcely makes any allusion to this reactive process so conspicuous in the Kissengen waters—and which is dwelt upon by the writers on all the energetic spas of Germany. It is by far the most important phenomenon which medicinal waters present, and requires the most vigilant attention. I have not the least doubt that it is owing to the want of light aperient alteratives taken over night, by which the biliary and other glandular secretions are kept in a state of activity, corresponding with the action kept up on the bowels by the waters.—See the Section on Carlsbad.