It is of great importance that sufficient sleep be obtained, though sometimes this seems impossible on account of the nervousness occasioned by this disease. It is generally best to retire early, but there is no virtue in getting up in the morning at an early hour unless the body is recuperated by rest. Sleep must be obtained, and on many accounts it is better to take it in the fore part of the night; but if not secured then, it should be taken at other times. Sleeplessness induced by anxiety is often a cause of dyspepsia. It is a great obstacle in the way of successful treatment.

Some cases of dyspepsia require a large amount of rest, besides the hours allotted to sleep. We have had a number of cases in which we found absolute rest for an hour or two after each meal essential to induce good digestion. Some cases require the maintenance of the recumbent posture at least three-fourths of the time. In such cases the amount of exercise essential to good assimilation must be secured by means of passive exercise, as massage, or Swedish Movements.

Traveling in the Treatment of Dyspepsia

Many physicians are in the habit of recommending patients upon whom they have exhausted their skill, to seek health by traveling. Thousands annually leave their homes and at great expense visit various watering-places, mineral springs, etc., in this country and Europe, in consequence of this advice. Some return much benefited; the majority are no better except from rest. This is due to the fact that traveling does not remove the real cause of the difficulty, and may often increase it. In general, while traveling it is next to impossible to secure either regularity of diet or other habits, or a proper quality of food. This, of course, in great degree counteracts the benefit to be derived from gentle exercise and freedom from care.

The advantage of special climates is undoubtedly overrated in a very great degree, though a cool climate may generally be considered as best, especially for those suffering with "bilious dyspepsia." With nervous dyspeptics, a warm climate seems to agree better, as it occasions less disturbance of the circulation.