It is unnecessary to detail at length instances of the greater prevalence of disease among the inhabitants of low-lying, confined, damp, ill ventilated, and filthy towns, over the populace of cities more favourably situated in these respects.

It will suffice to say, that typhus fever prevails more in the Old Town, where there are many local causes of disease, than in the New Town of Edinburgh, where the streets are clean, wide, and well drained;—and that the plague prevails more in the Jews’ quarter, remarkable for the filth and closeness of the streets, than in any other part of Constantinople.

CHAPTER XIV.
PREVENTION OF DISEASE BY AN ACTIVE AND CHEERFUL STATE OF MIND, SUFFICIENT CLOTHING, AND WHOLESOME DIET.

The bad effects of despondency and apprehension have been already stated, and they were found to be very important and highly favourable to the invasion of disease. Instances have already been given of disease and general decline of health following depression of mind and long continued apprehension, and it now remains to point out the salutary action of an active and cheerful state of mind.

An active and cheerful state of mind imparts an activity to the various organs of the body, whereby their functions are more perfectly performed; it spreads a kindly glow over the entire system, and tends to dispel any sluggishness of action present in any part which perhaps would, under other circumstances, increase, and lead to the development of disease.

On some occasions a cheerful state of mind, induced by sudden improvement of prospects, or by the unexpected receipt of good intelligence, has been the efficient instrument in dispelling the first symptoms of disease which had been induced by depressing causes.

It has been often observed among soldiers and sailors, who, losing their health and beginning to suffer from disease, under no other apparent unwholesome cause than the distrust with which they regarded an insufficient and unskilful commander, that their health has suddenly improved, and disease has rapidly diminished when they have been put under an able chief in whom they reposed confidence, and with whom they were willing and ready to place the safety of their lives.

Soldiers and sailors suffering many privations, mortified with defeat, failing in their energies, and beginning to drop under the influence of disease, have, on the sudden and unexpected brightening of their prospects, regained their lost strength, cast out the seeds of disease, thrown off their despondency, and have achieved worlds of enterprise. The following interesting case, which illustrates well the powerful influence of hope, and a cheerful state of mind, is taken from Paris’s Pharmacologia.

“In the celebrated siege of Breda in 1625 by Spinola, the garrison suffered extreme distress from the ravages of scurvy, and the Prince of Orange being unable to relieve the place, sent in, by a confidential messenger, a preparation which was directed to be added to a very large quantity of water, and to be given as a specific for the epidemic; the remedy was administered, and the garrison recovered its health; when it was afterwards acknowledged that the substance in question was no other than a little colouring matter.”

That impaired state of health, and much of the disease, especially of the digestive organs, which is so much experienced by persons who are suddenly deprived of much occupation of the mind in business, and find themselves totally unemployed, and who, from their previous habits, are unable to derive enjoyment from literary and scientific pursuits, as some retired tradesmen, have been suddenly removed, and health has been fully re-established on the individuals being again immersed in business, either from choice or by a happy reverse in their circumstances rendering that step unavoidable.