This is a most distressing difficulty, and one unfortunately, in which the patient receives but very little sympathy. Its severity and duration, depend very much upon temperament and the condition of the person at the time. Some are sick from the motion of a carriage, or on the water, when it is simply rippled by the wind, while others experience no unpleasant sensations even in the wildest storms of the ocean.

Cause

It may arise from a peculiar impression, produced on the brain and nervous system by the motion of the body, or by the objects we are passing; or again by the abdominal viscera, from the motion of the vessel, rising and falling against the stomach, and from a variety of causes. The intense nausea, violent vomiting and disregard for life render it unlike any other disease.

Treatment. Some advise the use of a bandage drawn around the body very tightly, just below the stomach, but all agree in the propriety of not crowding the stomach with a large amount of food just before going aboard. Brandy, lemons, ale, herring, etc, generally agree. The patient should remain in the open air, avoiding the bed, or the confined air of the cabin as much as possible. The remedies which will sometimes afford relief, are:

Gocculus

When with the nausea there is an extreme sensitiveness of smell; loathing of smoking; hunger, but no appetite. It is indicated by the nausea, and vomiting occasioned by the motion of a carriage, especially in delicate females.

Dose

One drop or six globules, in a tumbler of water, a table-spoonful every one, two or three hours, or if it be preferred, three globules may be taken dry on the tongue at the same intervals.

Nux-vom. and Arsenicum may be taken in alternation every two or three hours, particularly, when the symptoms are slight, or commence just after embarking.

Dose

A powder or three globules, dry on the tongue.

Tabacum

When the nausea is excessive, aggravated by the slightest motion of the head and body, and when the symptoms are relieved in the air.

Dose

Same as Cocculus.

Arsenicum

When the excessive nausea is accompanied by great prostration, violent retching, burning sensation in the throat and stomach. It should be given between the paroxysms. After the severity of the paroxysms have subsided, the nausea and giddiness is frequently removed by Tabacum or Cocculus.

Dose

Same as Nux.

Ipecac

Vomiting unattended by weakness.

Dose

Same as Nux.

Pulsatilla

The patient is relieved in the open air.

Petroleum

A prominent remedy particularly when there is debility.

Dose

Same as Nux.

Constipation during a voyage is controlled by Nux-vom.) Op., Cocc, Sulph. And if accompanied with bloody gums and putrid taste, Staphysagria. A dose once in twelve hours will generally be sufficient.