id generally are first made drowsy, and
afterwards sleep well, the erethic or irritable are specially wakeful
on arriving, and later their sleep is broken, exactly the reverse
occurring on the sea shore. With respect to meteorological
conditions, humidity undoubtedly is the first consideration, it being
commonly observed that some sleep better in dry and some in rainy
weather; though an increase of elevation without marked change in the
humidity will add to the tendency to sleep in the torpid, and the
contrary in the erethic, thus indicating that altitude, that is
lessened atmospheric pressure, has its own especial influence.

"_Asthma_, when purely nervous, is almost invariably relieved, and
sometimes cured permanently, though more often it reappears with a
return to the atmosphere in which it was generated, the rest from
attacks and improvement in the general health caused by the climate
will, however, even then often ward off a relapse for some time. The
elevation at which the greatest relief is afforded varies with the
case. When there is much bronchitis and emphysema, or heart trouble,
the asthma is often worse at first, though it may afterwards be
relieved; where these complications exist their extent and character
must be the guide about coming. When the affection of the heart is
not very great or long existing, a relief of the asthma generally
brings improvement in its tone. Where these complications exist, if a
trial of this climate is advised, it is best for the patient to halt
two or three times for a few days, at least while ascending the
slopes, and avoid all exertion for the first few weeks after
arrival, and be prepared to depart if improvement does not show
itself at the end of the first month.

"_The throat_ when affected with chronic catarrh is usually much
benefited, probably locally, as indicated by Dr. Weber, by the
readier separation of the mucus. I have also had cases of tuberculous
ulceration of the larynx, in which the ulcers have healed under
topical and general treatment, though Dr. Weber states such cases are
not suitable.

"_Chronic Bronchitis_ is also improved, though the cough at first is
frequently increased for a time. When, as a result or complication of
the bronchitis, there is much emphysema, considerable risk is run by
coming to this elevation. However, when the emphysema is moderate in
extent, and exertion is avoided for the first few weeks, the readier
clearing of the bronchial