Front matter
Feller’s Bade- und Reisebibliothek. No. 7.
GUIDE
THROUGH
Hints for Strangers visiting Carlsbad
Hints for Strangers visiting Carlsbad.
The official season lasts from April to October; still the waters may be taken at any season of the year and as their effect is always the same, patients are in fact to be found here the whole year round. Care is taken that plenty of lodgings and a good round of entertainments are provided during the winter season.
Carlsbad may be reached from Paris in 35, London 40, Cologne 20, Berlin and Vienna in 12 hours, from Munich, Dresden and Leipzig in 8, and from Prague in 5 hours. Through-going carriages are attached to all fast trains from the above stations, during the season (May—September). Carlsbad itself is a station on the Prague–Eger railway line.
Strangers coming from foreign countries should have their luggage examined by the Custom-house officers at the frontier. To have it sent on here direct, under Customs’ seal, is very unadvisable for many reasons which need not be enumerated here.
Fares from the Railway Station to the town:
Omnibus | fl. —.40 | including gratuity to the driver.
Droschkies (cabs) A. 6 A.M. to 9 P.M. | One horse conveyance (2 seats) including the bridge toll | fl. 1.20
Two-horse conveyance (4 seats) including the bridge toll | fl. 2.—
B. 9 P.M. to 6 A.M. | One horse conveyance (2 seats) including the bridge toll | fl. 1.80
Two-horse conveyance (4 seats) including the bridge toll | fl. 3.—
Small articles of luggage which can be carried in the hand, are not charged for; heavy luggage has to be paid for at the following rates: In the one horse conveyances, 30 kr. up to 60 Kilos; in the two-horse vehicles, 50 kr. up to 100 Kilos.
It is advisable to claim one’s luggage immediately on arrival at the station. The hotels, as well as the “Post Omnibus Bureau”, will take charge of it for a trifling sum, whilst a lodging is being looked for.
Other rates of charges, for porters, cabs, draught and saddle donkeys, postal and telegraph information, also a list of medical men practising here, the railway time table, &c. &c., will be found in every number of the “Fremdenblatt”, price 10 kr. (This journal is indispensable if the stranger wishes to protect himself from much annoyance.)
Carlsbad has a population of 12,000 inhabitants, with 900 houses. The annual number of visitors is over 27,000; not including mere passers-through and tourists. The inhabitants of the town, as well as of the district, are purely German.
Lodgings: These are always comfortably furnished and well provided with attendants. The prices are the same as in other watering places, and vary of course with the season of the year and the situation.
In consequence of the extensive building operations which have taken place in the town, and are still going on, there is never a scarcity of lodgings. Should a visitor require a large number of rooms, or wish to hire in any particular street, he will do well to apply, before he arrives, to some friend, or to the doctor he may intend to consult, or to the “Wohnungs-vermittelungs-Bureau” here, to secure them for him. Single apartments are always to be obtained, and it is advisable to choose them personally after arrival. The lodging must be paid for from the day it is taken. A stranger visiting Carlsbad for the first time will do well to go, in the first place, to an hotel, as his want of knowledge will be taken advantage of by unscrupulous lodging-house touts—under the pretext that everything else is taken—to conduct him to some out of the way, distant, and, at the same time, expensive quarter of the town. The visitor has to pay the full week’s rent, even though he at once gives notice of his intention to leave. All houses in which lodgings are to be let, make this known by hanging out a bill with the word Logis, or Wohnung.
There are several very comfortably furnished hotels in the town, where the stranger may live at the same rate as in a private lodging-house, without being required to board there. Such hotels generally send their own omnibus to meet the trains.
Preface
PREFACE.
THIS short, yet exhaustive description affords the visitor all the necessary instructions, regarding the Mineral Waters, and the dietetic regimen to be observed during their use. It will be found a trustworthy guide to the town, the walks, and drives; and gives information about its economical and social affairs. Readers who desire to inform themselves thoroughly about Carlsbad from an historical and, principally, medical point of view, will find all the required information in the large Monograph, entitled: “Karlsbad in geschichtlicher, medicinischer und topographischer Beziehung”, by
THE AUTHOR.
History
A GUIDE TO CARLSBAD.
I.—HISTOR.
The oldest document on record about Carlsbad is dated A. D. 1325, and of this we only know that it was entitled: “King John’s Privilege, or rather, Breve Testatum and Bill of Rights, about the ‘Thiergarten’, sub anno 1325.” This shows conclusively that Carlsbad first owed its prosperity mainly to King John. Previously, it was called “Wary,” a Czechian word, meaning warm-bath. The name of Carlsbad was given to it in honour of the Emperor Charles IV., who first brought it to a prominent position as a curative agent. Consequently, it is only a myth that attributes the discovery of the Carlsbad springs to the said Emperor while out stag-hunting.
The first written document about the great curative power of the mineral waters is a fine Latin Ode: In thermas Caroli IV., by Bohuslaw of Lobkowitz, which must have been written not later than the year 1500, as the poet died in that year.
Till the year 1520, Carlsbad was only known as a bathing place, when, at the suggestion of Dr. Payer, people also began to drink the waters. It was also due to this physician that the first medical work about Carlsbad was printed in the year 1522.
The first definite examination of the physical and chemical properties of the mineral waters of Carlsbad was made by Dr. David Becher, in the year 1766, and it is but right to say, that the new medical history of Carlsbad dates its origin from the energy and zeal of this distinguished disciple of Hippocrates. Since Dr. Becher’s examination (now more than 100 years ago), the physical and chemical properties of the mineral waters of Carlsbad have not changed in the least.
It is quite unnecessary to state how Carlsbad gradually, during the six centuries since it first became known, attained its present appearance and size; suffice it to say that, considering its drinking and bathing establishments, its dwelling-houses, promenades, and places of public amusement, it is now undoubtedly one of the largest and most comfortable watering-places on the continent; the number of visitors in 1883 had risen to 20,692 parties (27,661 persons), and the reputation of the great curative powers of its waters has become known throughout the whole of the civilised world. Carlsbad is often called the Queen of Watering-places,—a name which it highly deserves, on account of its size, the number of its visitors, the beauty and variety of its environs, but chiefly on account of the restorative qualities of its waters, and the imposing spectacle of its hot Sprudel.
Yearly Number of Parties from 5 Years to 5 Years.
1756 | … | | 134 | | parties. | 1760 | … | | 162 | parties.
1765 | … | | 274 | parties. | 1770 | … | | 322 | parties.
1775 | … | | 294 | parties. | 1780 | … | | 225 | parties.
1785 | … | | 445 | parties. | 1790 | … | | 368 | parties.
1795 | … | | 638 | parties. | 1800 | … | | 744 | parties.
1805 | … | | 725 | parties. | 1810 | … | | 1255 | parties.
1815 | … | | 1302 | parties. | 1820 | … | | 1461 | parties.
1825 | … | | 1660 | parties. | 1830 | … | | 2448 | parties.
1835 | … | | 2737 | parties. | 1840 | … | | 2882 | parties.
1845 | … | | 3245 | parties. | 1850 | … | | 4227 | parties.
1855 | … | | 4712 | parties. | 1860 | … | | 6366 | parties.
1865 | … | | 7969 | parties. | 1870 | … | | 9729 | parties.
1875 | … | | 15642 | parties. | 1880 | … | | 19502 | parties.
The Warm Mineral Waters
II.—THE WARM MINERAL WATERS.
1. .
| 1. | The Sprudel has a temperature of about 58° Fahr.
| 2. | The Sprudel has a temperature of about 50° Fahr.
| 3. | The Sprudel has a temperature of about 52° Fahr.
| 4. | The Sprudel has a temperature of about 48° Fahr.
| 5. | The Sprudel has a temperature of about 47° Fahr.
| 6. | The Sprudel has a temperature of about 42° Fahr.
| 7. | The Sprudel has a temperature of about 40° Fahr.
| 8. | The Sprudel has a temperature of about 47° Fahr.
| 9. | The Sprudel has a temperature of about 35° Fahr.
| 10. | The Sprudel has a temperature of about 39° Fahr.
| 11. | The Sprudel has a temperature of about 28° Fahr.
| 12. | The Sprudel has a temperature of about 34° Fahr.
2. .
All the warm springs contain the same mineral constituents; they differ only in temperature, and, consequently, in the larger or smaller amount of carbonic acid gas they hold in solution. The Schlossbrunn contains most, the Sprudel the least free carbonic acid gas. Consequently, it is advisable to classify them as hot and tepid springs, instead of speaking of them, as of old, as strong and weak. We can best compare these springs to a tree: the Sprudel is the trunk, the other springs form the branches; and the longer and thinner the branch, the cooler is the spring.
One pound (16 oz.) of water from any of the springs contains about 42 grains of solid constituents, consisting of sulphate of soda, above 18 grs.; carbonate of soda, 10 1/2 grs.; muriate of soda (common salt), nearly 8 grs.; carbonate of lime, above 2 grs.; sulphate of potash, above 1 gr.; carbonate of magnesia, 1 gr.; siliceous earth, about 3/4 gr.; and oxidulate of iron, hardly 1/20 gr. The proportions of all these constituents, with the exception of the siliceous earth, were stated with approximate accuracy by Dr. Becher, in 1766. Later analysis has revealed some other constituents, but only in very small quantities, namely: carbonate of iron, oxidulate of manganese, phosphate of alumina, phosphate of lime, fluoride of potassium, iodide and bromide of sodium, lithium, boracic acid, rubidium, czesium, and arsenic.
The Schlossbrunn contains (according to Wolf) somewhat over 17 cubic inches of carbonic acid gas, the Mühlbrunn 13, and the Sprudel 8, in one pound of water.
The Sprudel has the property of covering, in a short time (about three days), objects, such as wood, earthenware, the solid parts of plants, such as grains, acorns, thistles, &c., with a strong crust of a yellow or yellowish brown colour, which consists principally of lime and siliceous earth; the yellow colour is due to iron.
Concerning the origin of the Sprudel, modern Geology explains it, as follows:—The atmospheric water, by percolating to the depth of 7000 feet through the clefts of the rocks, forming the range of mountains surrounding the valley of the Sprudel, gradually rises to a temperature of 60° R.=167° F. (as usual in such depths), decomposes and dissolves, by the aid of carbonic acid gas, a portion of the mineral constituents contained in the rocks, and being impregnated with them, and forced upward, partly by the pressure of the waters behind and partly by subterranean gases, it finally appears on the surface as a hot spring.
3. .
As the chemical constituents of all the mineral springs of Carlsbad are the same, there can be no question but that their restorative powers are precisely similar in their action on the human body. The principal difference lies in the higher or lower temperature of the spring in question, and is rather in relation to the higher or lower state of irritability of the vascular system, or to the constitution of the patient, than to the disease itself.
The mineral waters act—
A. By coming into immediate contact with the mucous membrane of the intestinal canal, and we notice this action—1. As animating, modifying, and soothing the nerves of these parts. 2. As healing with regard to the mucous membrane of the ventricle and duodenum, 3. As removing acidity. 4. As purging. B. By being absorbed into the system, where 5. they are found to have the power of dissolving a. the tenacious and thick bile contained in the biliary ducts, and are even capable of dissolving gall-stones which are in the course of formation; b. of removing congestion of the blood in general, but principally that in the mesenteric vein, thus accelerating the circulation of the blood in the venous system; c. of dispersing the accumulated lymph and fatty deposits in the lymphatic vessels and glandular organs of the abdomen (principally of the liver); d. of removing fatty tumours caused by fibrous inflammatory products. 6. They improve and purify the diseased state of the blood and lymph, principally when it shows itself by an accumulation of albuminous azotic compounds, and by a tendency to form urea, uric acid and stone in the bladder. They accomplish this action either by degrees, without showing any material secretion, or they are accompanied by profuse evacuations, by frequent and fetid perspirations, or by repeated secretions of fetid, clear, or viscid sedimentous urine. 7. By their diuretic influence they remove, by a mechanical process, stones from the bladder and kidneys, sometimes as large as a pea or a bean, and also free them from gravel.
These remedial actions render the mineral waters of Carlsbad of the highest importance in such affections as: chronic inflammation of the stomach; loss of appetite; cardialgia; chronic vomiting; flatulence accompanied by frequent eructations; heartburn caused by acidity; chronic ulcer of the stomach; rodent ulcer with hæmatemesis and black evacuations, containing blood; tardy motion and chronic obstinate constipation; some forms of chronic diarrhoea; enlargement of the liver, occasioned principally by the accumulation of fat or fatty granulations; and congestion through the accumulation of bile. They are, however, of little or no use if the enlargement of the liver is caused by some kinds of tumours, such as cancer, encysted abscess, ascarides, tubercles, &c., or if there is an atrophy of this organ, called cirrhosis. They often cure jaundice in its many forms; also biliousness; gall-stones; some tumours of the spleen and of the mesenteric glands; some forms of dropsy; obesity; stones in the bladder and kidneys, principally when caused by uric acid; diabetes; slight cases of albuminaria (they are of little or no use in fully developed Bright’s disease of the kidneys); chronic inflammation of the bladder; swelling of the testicles and the prostatic gland; of the ovaries and the womb; chronic bronchitis; certain forms of asthma; nightmare; affections of the bronchial tubes; morbid hiccough; tendency to erysipelas; different chronic eruptions and ulcers, as well as cellular indurations of the skin; gout in all its different forms; piles; some forms of scrofulosis and chlorosis; chronic poisoning with arsenic, lead or mercury; tendency to hypertrophy of the heart (although unable to cure heart disease, its presence is no impediment to the use of these waters); hypochondria and some hysteric affections; different forms of pain, as headache, neuralgia of the face, cardialgia, colic, lumbago, pains in the back, &c.; spasms; certain paralytic affections of the limbs; tendency to apoplexy; giddiness; want of sleep as well as somnolency; certain mental diseases; affections of the ear, such as certain kinds of bad hearing, tingling of the ears, and discharge from them; some diseases of the eye, as tendency to inflammation, &c., especially if these ailments are of a more secondary nature.
As the mineral waters of Carlsbad act in a preventive, prophylactic way, they can be recommended for their quick, safe, and pleasant influence in all those affections, arising, sooner or later, from sedentary habits, and often connected with free living and irregular action of the bowels. The patient feels unwell without being really ill; going up stairs, and even stooping, are accomplished with difficulty through the accumulation of fat; perspiration easily sets in; short breath, palpitation of the heart, giddiness and dull headache supervene; the bowels are confined; there is pruritus ani, and piles soon form; eructations, heartburn and flatulence after meals are of common occurrence, and often accompanied by a peevish, irritable temper, desponding habits, &c. This state is called by medical men, “Plethora Abdominis”, or congestion of the bowels.
The mineral waters of Carlsbad are not considered advisable where there is a tendency to active congestion of the blood, in hæmorrhage, in the different wasting diseases in consequence of suppuration of important organs, principally in fully developed phthisis; in all affections arising from great poverty of the blood and general debility; in cases of aneurism and ossification of the large blood vessels; and, eventually, they are dangerous to pregnant women, if they are at the same time weak, anæemic, and emaciated; otherwise pregnancy is no impediment to their use.
4. .
Any season of the year is suitable for drinking the mineral waters of Carlsbad (even during the winter); but they certainly are more efficacious if the cure is confined to a time of the year when the weather allows of walking or riding in the beautiful and rich scenery surrounding Carlsbad.
Any one of the springs is adapted to a perfect cure, but it is generally advisable to commence with the cooler waters, principally that of the Marktbrunn, then, after a time, to use the hotter springs, and finish with the Sprudel. At first, from one to four tumblersful are to be taken daily, according to the nature of the case; and it is an unusual thing at present for the patient to drink more than six tumblersful daily. The waters are to be taken in the morning before breakfast, commencing at about six o’clock, a tumblerful being taken (slowly and in small quantities at a time) every fifteen, twenty, or thirty minutes, a walk being taken in the intervals; after taking the last tumblerful, it is advisable to take a longer walk on level ground, and not to begin breakfast before the lapse ofan hour. Recently, many patients have, been in the habit of drinking one or two tumblersful of cold or hot mineral water at home, immediately after rising; those suffering from habitual constipation may also take one tumblerful before going to bed. In cases of acute and chronic diarrhœa, the Sprudel can be resorted to, at first, in doses of from two to four half-tumblersful daily, or one tablespoonful every half-hour or hour. Generally, it is best to drink as much as will be sufficient to induce the bowels to act once, twice, or even three times a day. If the motions are watery and clear, the quantity of water taken daily must be diminished: It must be distinctly understood that the action of the Carlsbad water is not purgative only, as many patients are completely cured of their ailments, their bowels acting but once a day. It is unnecessary for females to entirely discontinue the use of the waters during the time of the menses, as one or two tumblersful of a cooler spring taken at home will do no harm, and in cases of weak menstruation the Marktbrunn and others may even be taken at the spring.
Although drinking the waters at Carlsbad constitutes the principal, and, with many people, the only cure, it must be mentioned that by bathing also its effects are considerably hastened.
For the waters principally used are those of the Sprudel, simply because this spring supplies the greatest quantity of water. The usual temperature for a bath is 26° R. (90 1/2° F.) to 28° R. (95° F.), seldom 29° R. (97 1/4° F.) to 30° R. (99 1/2° F.), and the time is limited to from 15 to 30 minutes, seldom longer. The proper time for bathing is an hour and a half after breakfast (between 10 A.M. and 1 P.M.); some people take their bath before breakfast, or between 6 and 8 o’clock in the evening; but bathing after dinner is most in- judicious. It is not usual to bathe daily; many bathe two days following, then skip one day; generally it is best to take a bath every other day; for weak persons bathing twice or even once a week will be found sufficient. Either mineral water alone, or two parts of mineral and one part of common water, are taken for a bath, and this latter proportion is in no way calculated to diminish its action. There is no difference in the action of the waters in the different bathing establishments, and people bathe with the same effect in the Curhaus, in the Sprudelgebäude (Sprudel building), in the bath rooms opposite the Mühlbrunn (the so-called Mühlbrunn baths), or in the Neubad. The price for a bath in the City bathing establishments is, for a first-class saloon bath, 1 fl. 50 kr. in the morning or afternoon; for a second-class bath, morning 1 fl., afternoon 70 kr.; for the use of a bathing-mantle, 20 kr.; of a sheet, 10 kr.; of a towel, 4 kr.; for warming the linen, 10 kr. In the common bath of the Curhaus the price is 5 kr. for each person. The Curhaus contains, besides the mineral water bath, all the necessary contrivances for the Russian vapour bath, with cold douche, price for the vapour bath, till 1 P.M., 1 fl. 30 kr.; for the cold douche, 60 kr.; for the mud bath, with 6 cubic feet of mud, 2 fl.; with 5 cubic feet of mud, 2 fl. 30 kr.; with 6 cubic feet of mud, 2 fl. 60 kr.; with 7 feet, 2 fl. 80 kr.; with 8 feet, 3 fl.; for the warm mineral douche, 1 fl.; and for the rising douche for ladies, 1 fl. 50 kr.
.
Before entering the bath the patient should ascertain, by the aid of the thermometer, that it is of the proper temperature; the bath should only be taken after a good rest. During the time of bathing it is advisable to use gentle friction of the limbs and abdomen, but it is unnecessary to submerge the head or moisten the hair with mineral water. After the bath the patient should be well wrapped up and repair at once to his apartments, where he should rest for at least half an hour in bed or on a couch. Regarding the time necessary for an ordinary cure, it is not worth while to visit Carlsbad for less than three weeks, while it is not advisable to extend the stay longer than eight weeks. The general average is four weeks.
5. .
An old deeply-rooted prejudice attributes to the mineral waters of Carlsbad an incompatibility with certain articles of food, and causes many to think, that their contact with the ingredients of the waters renders them poisonous to the patient. Butter, salad, and raw fruit are generally classified as objectionable; it is, however, decidedly a mistake to think them so. It is not the waters, but the constitution of the patient, that causes some kinds of food to be objectionable. The mineral waters of Carlsbad, if not used in excess, are of the most innocuous kind ever known, and allow persons, possessing a good digestion to eat or drink what they like, provided everything is used in moderation. Considering these, facts, the principal rule (as already remarked by such an authority as Dr. Becher) with regard to the diet whilst taking the waters is moderation, rather than anxious selection of food. People who want to lose 20 or 30 pounds of accumulated fat, should avoid, or at least consume very small quantities of, such articles of food as are calculated to produce fat. All kinds of puddings, German rolls, called Semmel, potatoes, &c., sugar, milk, beer are forbidden in these cases. Weak and thin persons who want to gain and not lose weight, should live quite differently; they should not be abstemious, but live well, and not, as is commonly believed and maintained, discontinue eating and drinking when only half satisfied. Here we can best quote Goethe’s words, “The same thing is not fit for everybody.”
Generally breakfast should consist of one or two cups of coffee, with but little either milk or sugar, or of weak tea. It is better to dilute the coffee, when too strong, with hot water, rather than with milk or cream; with the beverage may be taken two or three German rolls (Semmel), which cost 2 kr. each; I repeat two or three rolls and not more, because many people visiting Carlsbad, substitute the rolls for the waters, and frequently consume a dozen of them in the course of the day; occasionally a cup of chocolate may be taken instead of tea or coffee, and if there is a tendency to congestion of the blood, only cocoa prepared from the nibs, or gruel made from roasted barley, with the addition of milk, may be taken. Patients of weak constitution are allowed to take one or two eggs in addition. Dinner should consist of soup, and of not more than two dishes, i. e., beef with sauce and a joint of any kind, provided the fatty and skinny parts are properly removed; some stewed fruit (compot), or even French lettuce, or endive salad, may be taken with the joint without fear; fish, such as trout, pike, and carp (the skin being properly removed), and such vegetables as spinach, French beans, peas, carrots, cauliflowers, and asparagus; veal cutlet, half a fowl, &c., or a light pudding, may be substituted for the meat. This diet scale applies to persons with a pretty good digestion. Patients suffering from in- digestion should be very careful in the choice of their food, and experience,will teach them best what kind of food to take and what to avoid.
It is impossible to give precise directions for all cases, because they vary so much; and the diet most likely to be suitable to each individual must be left to the discretion of the patient or his physician; but it is always advisable to have the diet fixed by the medical attendant.
In addition to the diet above-mentioned (for dinner), one roll may be eaten, and most patients are allowed to drink either half a pint of red or white wine, or one pint of beer.
As I have mentioned that the patient may even eat salad, many people will ask: What kind of food is it that is strictly forbidden? The answer will be, that there are circumstances which forbid everything, and others which forbid nothing; as a general rule, however, not too many dishes should be consumed, and all articles containing much fat and being heavy of digestion, are carefully to be avoided, such as goose liver, patties, lobster salad with oil dressing, eels, smoked salmon, &c., or dried peas, haricot beans, sour cucumbers, cucumber salad, raw fruits, excepting strawberries. Dishes made palatable by adding a little lemon juice or vinegar, may be enjoyed by most of the patients. Many people are accustomed to take a cup of coffee with milk several hours after dinner, and to eat two or more rolls at the same time. This course is not to be recommended, and only a very small cup of unsweetened black coffee (or with very little milk) and one roll is advisable, but it is much better to drink nothing but Carlsbad or some other Sauerbrunn, or soda-water, during the afternoon. For supper stout people should eat as little as possible; those who have taken coffee with a roll in the afternoon, should totally abstain from supper the others should be satisfied with some stewed fruit or a plate of light soup, or a glass of beer with a roll. Weak persons may eat for their supper a few slices of cold meat or a couple of eggs, or soup with an egg and a glass of beer.
.—Plenty of exercise, carefully regulated and not over-extended, is necessary for the greater part of the patients, inasmuch as they have generally led a sedentary life before visiting Carlsbad for the purpose of getting cured. It is, however, a deeply-rooted idea that all patients must walk a great deal, as otherwise the waters would not be properly digested, and, consequently, it often becomes necessary to caution the patients against taking too much exercise. It seems to be forgotten that people used previously to drink the waters of Carlsbad while enjoying perfect rest at their rooms, either on an easy chair or in bed. The question may be asked: What are those persons to do who cannot walk at all? Experience leads to the belief that the mineral waters of Carlsbad agree best with the constitutions of those patients who only take moderate exercise (during and after the use of the waters), instead of walking fast and mounting the neighbouring hills. Strong and robust people, whose illness has been brought about by sedentary habits, may move about as much as they like; weak and thin persons, on the contrary, should walk little and rest occasionally; some of them, indeed, will derive great benefit from drinking the waters, or, at least, some tumblersful at home, and even while in bed.
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