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Vol. CVII, No. 12. NEW YORK, SATURDAY, MARCH 23. 1918. Whole No. 2051. Original Communications A NAUHEIM METHOD. Us Chemistry; Physiological Action; Dynamic Ap- plication, Including Tcchuic, Rationale, Indica- tions, Contraindications, and Accessory Measures in Treating the Com- moner Cardiovascular Disorders. By N. Philip Norman, M. D., Watkins, N. Y., Formerly Resident Physician, 3rd Division, Institute; Physician to the Gle >Iew York Neurological Springs. When I first began using the Nauheim therapy for conditions which will hereinafter be described, I was struck with the meagreness of definite informa- tion contained in the majority of articles published. Some authors gave an elaborate historical sketch of the evolution of this therapeutic measure, crediting to each of the eminent physicians connected with the embellishments of this method their contribu- tions. Others cited case reports with discussions confined to these cases and some others merely gave generalizations on the subject. A few were inclined to discuss the relative merits of the arti- ficial bath as compared with the natural bath. Prac- tically all the technical information came from European investigators and one American investiga- tor. A notable fact is that all the men who have had practical experience with this method were very enthusiastic over their results. A few who had apparently had Cialis Cost 5mg but little experience, were in- clined Cialis Cost 5mg to be neutral or to disparage it. My con- clusion was that the way to gain a clear insight into the value of this treatment was by carefully examining patients, individualizing their treatments, noting immediate effects and as far as Cialis Cost 5mg possible keeping in touch with patients after leaving, pref- erably Cialis Cost 5mg through their home physician. The con- clusions that I shall elaborate in this paper have, in a gi-eat measure, been drawn from practical experience and study of the indications, contraindi- cations, rationale and technic of this method of therai:)y that 1 have used for the past four years. I shall attempt to define comprehensively and con- cisely all that has been incorporated within the title of this article. Some of these conceptions may be at variance with those Cialis Cost 5mg of other physicians, but this is not to be wondered at, for each physician strives to develop a rationale and technic which success and failure have demonstrated as serving him best. This is as true of this form of therapy as it is of other forms of therapy. The individual equation of the physician plays as important a part in making this therapy formidable as it does in other conditions that require drug therapy, and the psychical side of our patients must always be studied if we make a thorough investigation. Some of the reasons that may be considered as fundamental for the divergence of opinions among medical men as to the efficacy and inefficacy of Nauheim therapy are prejudice, since this Cialis Cost 5mg method has been exploited for commercial reasons alone by physicians and laymen ; the dissension among hydro- therapists as to the indications, contraindications, rationale, and technic of the method which produced misconception and skepticism among Cialis Cost 5mg the profes- sion ; and disagreement as to the chemical constit- uents and the relative merits of the artificial bath as compared witli Cialis Cost 5mg the natural bath, which in this country served to inliibit our interest appreciably in the merits of our own spas. As to commercial exploitation of the method, it is only necessary to say that such institutions and physicians are soon found out and receive the just Cialis Cost 5mg condemnation of the profession with Cialis Cost 5mg inevitable financial embarrassment. Reputable methods and honest physicians should not Cialis Cost 5mg be made to suffer and patients deprived of the bene- fits of treatment because of a Cialis Cost 5mg prejudice engendered by a few unwortliies. As to the difference of opin- ion concerning the modus operandi and rationale in each reputable spa a method is developed which is best suited to its natural resources, geographical location, environment, and the social class to which it caters. The correct determination of indications, contraindications, rationale, and technic as practised at these spas is obviously directly proportional to the amount of experience and training of the med- ical men connected with the institution. In com- paring the advantages and disadvantages of the artificial bath with the natural bath, Schott himself believed that, all things being equal, there was little advantage in the natural bath. The advantage of the natural bath is that it contains other mineral constituents than chloride of calcium and chloride of sodium, and, if radioactive, it obviously would seriously handicap the artificial brine. Carbonation by artificial means standardizes in a uniform man- ner the volume of CO; for each Cialis Cost 5mg series, whereas nat- urally charged waters vary as to volumetric content and cannot be corrected or uniformly standardized Copyright, 1918, by A. R. Elliott Publishing Company. CTO NORM.IX: A NAUHEIM METHOD. [New York •'>' Medical Joubmal.