4 
 
 i 
 
 4 
 
 TREMBLING MOUNTAIN, 
 
 LAURENTIDES, (CANADA), 
 
 0,000 REET.) 
 
 A HIGH - LEVEL SANITARIUM 
 
 FOR THE TREATMENT OF 
 
 TUBERCULOSIS. 
 
 CURES OPERATED WINTER AND SUMMER 3- 
 
 BV 
 
 Doctor Camille Laviolette, 
 
 Doctor in medicine of Laval University, ex-Physician of the Notre 
 
 Dame Hospital of Montreal, Specialist at the Deaf and Dumb 
 
 Institute, Membei- of the French Society of Otology 
 
 and Laryngology of Paris, ex-pupil of the Paris, 
 
 London, Vienna and Berlin Hospitals. 
 
 Montreal : 
 THE GAZETTE PRINTING CO. 
 
 1895 
 
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TREMBLING MOUNTAIN, 
 
 LAURENTIDES, (CflNRDfl), 
 
 (3,000 F-EEX.) 
 
 .11 HO.IFUPI <J/1MIT/1PIIIM 
 
 ^Witla coi^Mpfctncvtld ol thu author. 
 
 - UOCTOR UAMILLE LAVIOLETTE, 
 
 Doctor in medicine of Lavnl University. ex-Physi,-ian of the Notre 
 
 Dame Hospital of Montreal, Specialist at the Deaf and Dttmb 
 
 Institute, Member of -the French Society of Otolo<,y 
 
 and LaryngoJony of* Paris, ex-pupil of the Paris, 
 
 London, Vienna and Berlin Hospitals. 
 
 
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 THE ( 
 
 -AZETTE PRINTING CO. 
 
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TREMBLING MOUNTAIN, 
 
 LAURENTIDES, (CANADA), 
 
 (3,000 REEX.) 
 
 A HIGH-LEVEL SANITARIUM 
 
 KOR THE TREATMKNT OK 
 
 TUBERCULOSIS. 
 
 CURES OPERATED WINTER AND SUMMER 
 
 BY 
 
 Doctor Camille Laviolette, 
 
 Doctor in medicine of Laval University, ex-Physician of the Notre 
 
 Dame Hospital of Montreal, Speeiaiist at the Deaf and Dumb ' 
 Institute, Member of -the French Society of Otoloqy 
 and Laryngolony of Paris, ex-pupil of the Paris, 
 London, Vienna and Berlin Hospitals. 
 
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TREMBLIlSd MOUNTAIN 
 
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 (3,0a) II'.KI.) 
 
 A HKiH-LEVEL SANITARrTJ.Vl 
 
 F()|{ TIIK TIa'KAT.MKNT Oh' TlBKIUri.OSIS, 
 CURES OPERATED WINTER AND SUMMER, 
 
 Some of the grandest discoveries ever made in the 
 field of medieal science, have been efl'ected in the 
 present day. One of the most important is the dis- 
 coverv demonstrating tlie contagious cliaracter of 
 certain diseases — of })ulmoiuiry })htliisis, for instance, 
 an(] the mode of treatment necessary for its cure. 
 
 It liad long heen established tliat one-seventli of 
 the deaths tlialtook [)hice throughout the world, were 
 caused hy tubercuh)sis, the ravages of whicli were 
 growing worse and worse, whilst no adequate remedy 
 was as vet known to sta\ its ])rogress. 15ut thanivs to 
 the genius of Uol)ert Koch, the true nature of this fell 
 malady lias heen laid bare, and the best means of 
 crushing it, hav*j been Kuiisfactorily explained. Now 
 
 • . * • ■■> i J i Q J ' J.- J . 
 
 ■■':.••■■.•■•.;' 1S'15S3 -r 
 
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> « 
 
 that it Ih proved to be a contaj^ious dinease, its pre- 
 vention and cure, are possible of accoinplislnuent. 
 
 The existence of tubercMdosis is universal ; it is no 
 respecter of man or brute. It preys alii\e on all the 
 or<!;ans and tissues of the Ijody, but uiost fre([uently 
 attacks the lun<i;s — hence, it is connnoidy termed pul- 
 numary })hthisis. 
 
 Tliere seems, however, to be an imjjression abroad, 
 that tuberculosis is not contagious, owinjjf to the opposi- 
 tion to such a doctrine of certain practitioners, and 
 that its germs, so far as propagation is cmicerned, only 
 exist in the diseased imagination of bacte**'ologists. 
 
 Such an impression is both erroneous and mischiev- 
 ous. 
 
 By means of carefully conducted experiments, all 
 physicians of any note, are now ccmversant with the 
 origin of consumption and its mode of propagation. 
 It is proved that the bacilli of the disease are always 
 present in the affected pjirts of men and animals 
 suffering from tuberculosis. 
 
 This germ can be readily distinguished, by its 
 morphological characteristics and its reaction to stain- 
 ing Huids, from all other micro-organisms; it is never 
 present in any disease except tuberculosis ; it has 
 been grown or cultivated in proper substances outside 
 the living body for hmg periods of time ; and when 
 the growths or cultures suspended in distilled water 
 are used for the inoculation of susceptible animals, the 
 same disease, tuberculosis, is produced, with the same 
 changes in the tissues ; and in these diseased tissues 
 the same germ is present with the same morphological 
 appearances, and ijhe sariie,stau«in^ reacrta<^ii«. Finally, 
 
 'J * i » . ' ; * J a • • • '•*'•••. • 
 
 • ' I 1 -. .1 ..'••«» • » , I ' • • 
 
 •. ,« •• ••». ••••4««-,, 
 
5 
 
 it lias been shown that no other kin<l ot livinji,(H' dead 
 thin<i' cnn or does produce this disease, wiieu used tor 
 such iuocuhitions. 
 
 Wiien the hacilli attack tlie huniaii orjians, they 
 pnxhice small ^i'rowths and these j^rowths are what are 
 known as tubercles. It is the matter contained in 
 these tumors whicii the consumptive coughs up and 
 expectorates; hence, millions of l>acilli can be expec- 
 torated in a sin«]^le day. 
 
 These <!:erms thus scattered oVer the soil are not 
 reproduced, nevertheless they preserve their \ itality 
 and virulence durinjr a considerable time. In this 
 condition thev assume a finelv pulveri/ed form which 
 constitutes the principal element of danjier. They 
 become intimately mixed with particles of dust jind 
 are consequently thrown into the atmosphere by 
 sweeping and dusting, by the beating of carpets and 
 the cleaning of clothes which were infected by them. 
 The germs tloating in the air penetrate into the res- 
 piratory tracts and are brought in contact with the 
 muc(ms coverings of the air passages; they fall on 
 articles which are u.sed as food and mav l»e thus 
 brought into the organism. We may easily conclude 
 that the health of those persons who live in an atmos- 
 phere vitiated by the bacilli of phthisis is greatly 
 endangered. 
 
 Thus the air in rooms which have been occupied by 
 consumptive persons becomes infected and capable of 
 producing the disease when inspired by healthy indi- 
 viduals. It has been shown experimentally that the 
 dust removed from the walls, mouldings, and pictures 
 in rooms of private houses, and in hospital wards 
 
6 
 
 and hotol bedrooms, wlik'li l»ii\o been otuMipied by 
 consumptive patients, is ('M))able ol' producing' the dis- 
 ease, wlien used tor tlie inoculation of susceptible 
 animals. It has also been established that this disease 
 is s])read l>y the tiesh and milk of tubercular animals. 
 
 On the other hand, there is a general ludier that 
 phthisis is hereditary; l)ut tiiis l)elief is unsu[)])orte(l 
 by medical science ; there is nothinsi' to show in most 
 cases that it is transmitted by the consiunpti\e to his 
 olTsprinii'. It is <»nly alter the lapse of niontlis — of 
 \ears sometimes, that the disease declares itsidf in 
 members of fanulies where it was considered heredi- 
 tary. ' 
 
 The founders of the new school of science are willing' 
 to admit that there are many cases on record tending 
 to ])rove the inllueiu'e of heredity -. but their inter- 
 pretation of such cases diilers from that generally 
 a,ccej)ted heretofore. Consum[)tive parents do not. 
 in the majority of cases, transmit tlie disease to 
 their children ; they endow them with a constitution 
 or rather a predisjjosition to contract e(nisum]>tion. if 
 the germs should be absorbed by their children in 
 sunic.ient([uantity. Ne\ ertheless the father or mother 
 aitected with tuberculosis is a focus for the ])ropagation 
 of the disease to their children. The children then 
 are really in the most favorable condition for the 
 acquisition of this allection. They become tubercu- 
 lous, not on a(;count of an hereditary taint but we 
 nuiy say by immediate inoculation. 
 
 For if the consumptive j)arents do not convey these 
 germs or microbes in their blood, Ihey unfortunately 
 carry them around. Thus, their children are hourly 
 
exposed to the disoiise, and die— not of liereditarv 
 tuhereidosis. l)nt of eontau'ion. How inucli more ('on- 
 solinji' is this view of l\eredity than tliat previously 
 entertained — how- nineh more conducive to l)euet con- 
 lidence in the science and possihilities of medicine! 
 
 With oiii' knowled.ire tliat tlie child of a consump- 
 tive, thoujili not actually horn with the }ia»'ental ail- 
 ment may fall a prey toitlateron.it is our duty tosaAc 
 the creature from the threatened danger, hy lia\ inn' 
 I'ecourse to the law of hygiene and tin; adoption of a 
 I )roper course of medical treatment. 
 
 The chihl. therefore, shoidd he isolated from the 
 home of its ]iarents and conveyed where it may 
 hreathe a purer and more saluhrious atmosphere, in 
 this way will the disease he confined witlilu narrower 
 hounds, and its contagious tendencies crip])led. 
 
 In an interesting ]>aper read in IS'.M. at a meiMing 
 of the ( 'ougi'ess assemhk'd for the disi'ussion of tnlier- 
 culosis. \)v. Hutinel showed the ahsohite necessity of 
 isolation and pure air in the case of (,'hihh-eii predis- 
 ])osed to cousumptiim frcun heredity. 
 
 It is also shown, from a cart^ful investigation of the 
 facts, niach' i»y M. Peyi'on, director of 1/ A s.^i stance 
 PuUI'tijin ilr f^nris. that out of LS.OOO I'aiisiau chil(h'en 
 which the institution lodged and cai'ed for in the 
 country — of wl»om a wvy largi' percentage' we\"e horn 
 of ))arents who succundjed to consiun[)tion in the 
 hospital — hilt a veiw small numhcr iidierited the 
 parental disease. 
 
 If sucli gooil restdts ha\e \)(}('\\ jiossihlc in t lie case 
 ol children condemned, as in France, amongst peas- 
 ants, to much wretchedness and poverty, what desir- 
 
8 
 
 al)le amelioration in the condition of our Canadian 
 youths may not be accomplished ])y isolating those 
 amongst them liable to })ecome consumptives in a 
 high mountain sanitarium? 
 
 The tact tluit several members of the same familv 
 may be alfected by tuberculosis is attributable — not 
 to heredity, but to transmission. 
 
 Where the parents suffer from tuberculosis, the . 
 (children, from the earliest moments of life, are 
 exposed to the disease under the most favorable con- 
 ditions for its transmission : for not onlv is the dust of 
 the house likely to contain the bacilli, l)ut also the 
 relations between parents and children — especially 
 between mother aiul child — are of that close and 
 intimate nature especially favorable for transmis- 
 sion by direct contact. Thus, sometimes, the child \ 
 will take its death from the lips of his parents. 
 
 But, for the bacilli to be contagious, the conditions 
 must be favorable — the constitution nmst be feeble 
 and sickly. The more the constitution is undermined 
 by defective hygiene, insufficient nourishment, un- 
 healthy surroundings, from hereditary causes, inflam- 
 mation of a broncho-pulmonary nature, etc., the more 
 favorable will it be found for the pernicious operations 
 of the bacilli. IJut, as stated before, all the conditions 
 here mentioned merely favor the reception of tuber- 
 culosis; no one of them, nor the whole of them 
 together, could generate tuberculosis without, the 
 active presence of its germs. 
 
 It may here be remarked that consumption is more 
 prevalent amongst ptople of sedentary habits, than 
 amongst those engaged in outdoor pursuits. The 
 
9 
 
 following statistics prove tlii.s contention: Out of JOOI) 
 who died from all causes, it was toiind that, of the 
 nuniher who died of pulnionarv ])hthisis, 103 were 
 farm hihorers, 1()(S lishermen. 121 gardeners, 122 
 farmers, 11)7 grocers; whilst the mortality anion. ^st 
 tailors was 290, and amongst drai)ers ;»01. The death 
 rate for ])rinters was 411 out of a, thousand, or close 
 on ')0 per cent. This havoc of huiiuui life is even 
 worse in the mines of (A)rnwall, where the miners fall 
 victims to this grim malady at the rate of 000 per 
 thousand. Those whose occupation con»pels them to 
 vvorU in conhned, dusty (juarters. show the highest 
 mortality. The vitiated atmosphere tends to hreed 
 bronchial aud pulmonary affections, thus |)aving the 
 way for the inroads of consumption. To live in close 
 couipany with a person who has the disease, is to court 
 the infection. The stuffy atmosphere of mills and 
 manufact(n'ies of all kinds, is fatal to the lungs. 
 Arthaud found 32 out of 38 workmen, employed in an 
 electric factory in Paris, affected by tuberculosis, the 
 disease having been propagated by four of their num- 
 ber, the onlv ones in the factorv ori^rinallv infected 
 by it. 
 
 There are many instances where sick people were 
 brought to hospitals without the least symptom of 
 lung trouble, and left perfectly cured of the particular 
 malady, for which they sought treatment, but subse- 
 quently returned and died in these hospitals from 
 consumption contracted on their first visit from contact 
 with tuberculous patients. To be able to check this 
 malady a full knowledge of its destructiveness is 
 necessary ; then, no efitbrts will be spared to stamp it out. 
 
10 
 
 Ki'(uu a .siinitary as well us economic [)()int of view, 
 all other contagious diseases are relatively unimpor- 
 tant. Tf AFontreal onlv suilered one djiv from Asiutic 
 
 * * 
 
 cliolera as it habitually does from phthisis, j)eo|)le 
 would tly from it as trom a pestilence. 
 
 As previously mentioned, (me-seventb of the deaths 
 that occur throii^liout the world are caused by tuljer- 
 culosis. Take Fi'ance as an instance — the accui'acv of 
 whose statistics is admitted. Tliere we see that 
 small-pox aninially claims 1 0. 0(10 victims, measles 
 I"».000. scarhitiua (i.OOO, dii)iitheria S.OOO, typhoid 
 fever i'>.000 — a total oftU.OOO: wliereas tid)erculosis 
 alone chiims lliO.OOO victims ever\ vear. These 
 figures show that th«^ latter disease is far more deadly 
 than all the other iui'ectious diseases combintMl. 
 
 In the City of Montreal, the statistics compiled ))\' 
 Dr. \j. Laberii'e, the city physician, show that out of 
 12<SI deaths which occurred in ISU-'i. 00-') were caused 
 by pidnionary consumption. They show also that for 
 .')62 consumptives who died in LSTO, ")(>•') died in J8Ui>. 
 Thus consumption has been uaininu' steadily since 
 187-3. 
 
 From statistics compiled by the Federal (roveni- 
 ment (Ottawa) it is seen that out ol b7.18S deaths 
 for ISIJI. 7,41*0 were due to cjusumption, and we are 
 justfied in surmisiu<j: that as many more dicnl of 
 tuberculosis scattered through othei- parts of the 
 human system. xVll of which goes to prove that we 
 are literallv devoured !>>' this disease, and that the 
 estal)lishment of a sanitarium, not only for its pre- 
 vention but for its proper treatment and cure, is an 
 absolute necessity. 1 sav for its crn'r because all 
 
11 
 
 niodeni iiiitlioi'itit's aro iiizrt'od tli;it plithisis ciin he 
 cured. ;iu opinion t'lirtlier )»orne (»ut hv the hiets I am 
 ahoiil to cite. 
 
 Out of Ihll autopsies pert'oruied iu Xew York on 
 ])ersons whose deaths weiH' suthlen or accidental, 30 of 
 the deceased diseh)sed unuiistakeuhle proofs tliat tliey 
 had suil'ered frouj consuiH[)tion and l^vew cured. In 
 the nioruue in Paris, lid out ol' |0(l wen' siiown bv 
 post-mortem examimitions to have been cured (tf tht' 
 same mahuly. Dr. P. K. Mount dechires that (hiring 
 his lo years' proiessional e.v[)erience in anto[)sies lield 
 in our city morgue, where the deaths were siuhlen or 
 accidental, he found evidences, in more tlian one case, 
 of ])htiusis havinii" been cured. 
 
 Tliei'e is little room for doubt, therefore, that this 
 disease is cui-able. 15ut. what is the most elHcacions 
 treatment in the i^remises ? The luuienic, bexond a,ll 
 doid)t. 
 
 It is not necessary to uive all the historic details 
 connected witli hv^ienic treatment. Sullice it to sa\ 
 that there is nothini'' new undei" the sun. a remark 
 especially true of (dimatic treatment of phtiiisis — a 
 treatment as old as n)edicine itsidf. It was fivored 
 by Hip[)ocrates in pauan times. (Vdsus and Aretauis 
 believed in its ellicacy. since both stron,iily i'e<*ommend- 
 ed consumptives to ti'y the benefits of sea voyages and 
 country air, il they could p«)ssihly bea\" the fatiiiue of 
 travel. IMiny the Klder. had great confidence in sun- 
 baths and was, Ijesides. the first to find healing virtues 
 in the odor of balsam and pine trees. (Jalien sent his 
 (K)nsumptive patients amongst the mountains and 
 recommended the " milk cure."" Ilis favorite moan- 
 
12 
 
 tiiin was Mount xVn«j;ri, near Naples, owing to its great 
 height and the (lr\ ness of tlie atmosphere, (lalien's 
 example was lollowed all through tiie middle ages, 
 and was ohserved hy tiie doctors of x'Vrahia. Amongst 
 other practitioners of the latter country, Avicenna 
 used to send ids ))atients to Crete lor ulcerated lungs 
 and catarrli. l*ara('elsus and Van llelmont did the 
 same thing, the latter going the length of ])rescril)ing 
 wine lor the worst cases of fever. It is also worthy 
 of note that Tlionias Willis, writing in lI'ioO, records 
 that the Englisli migrated in hirge numbers to the 
 south of France, where they spent the winter months. 
 Towards the close of the 17th centurv, Baulivi wrote 
 a well-reasoned, descriptive article, elucidating the 
 advantages and intiuences of climatic treatment, and 
 bitterly complaining of the powerlessness of medicine 
 to reach certain maladies. Fred Iloftman and Thomas 
 have written in the same strain as Baglivi. Fallopius 
 advises the necessity of suiting the climate to the 
 constitution, while Boerhave, V^an Swieton and Gil- 
 christ insist on the value to health of high latitudes. 
 Laennec had implicit faith in the cui-ative properties 
 of sea air. Hufeland, and later, Schamlin, had every 
 trust in nwnidaln air. The freedom from sickness 
 enjoyed by mountaineers, living at fixed heights above 
 the sea level — a freedom fully proved and vaunted by 
 Fuchs, Schudi, Muhry and others — soon attracted the 
 attention of men of science. Subsequently, Brehmer 
 made the collected wisdom ol the latter the basis of a 
 new system of treatment. In fact, it is to him that 
 the world owes the rational therapeutics known and 
 prized to-day. His m«thod attaches much importance 
 
13 
 
 to the action of the heart and to tlie strengtliening of 
 tlie upper part of the hmgw — in this he is still in toueii 
 with the most modern ideas of eminent practitioners. 
 Herman Weher, Niemeyer, Rhodin. the (hnstors of 
 Davos, and the majority ol experts on ])htliisie suh- 
 jects, taiving Brehmer's method as a startiiig-|)oint, 
 I liave further developed and perfected our thera- 
 peutics. 
 
 Thera})eutics means hygiene — in other words, a 
 method of treatment hased on the strict application 
 ol hygienic laws to all the actions ol daily life. 
 
 It depends on a special conception of phthisis, 
 according to which the organism of man has a struggle 
 to maintain jind where the role ol the physician is to 
 hring help to all the wealv points that are attacked. 
 
 This method, which owed its origin to empiricism, 
 was consecrated to the service ot legitimate science on 
 the discovery ot the hacillus ; from the moment that 
 the latter was first encountered in the hutnan system 
 a lierce struggle has heen going on between them; it 
 remains to be seen which will come off victorious. 
 
 It has l)een tre<[uently stated that the discoveries 
 of modern ])acteriology have been without practical 
 value, and that we are no better pre})ared to-day for 
 the treatment and cure of infectious diseases than 
 before the days of bacteriologv. This is far from 
 being so. Those discoveries have given precision to 
 our knowledge of the causes of infectious diseases and 
 their modes of dissemination, and so have made possi})le 
 the employment of intelligent and efficient means for 
 their prevention and their treatment. This is par- 
 ticularly true of tuberculosis. The knowledge we 
 
14 
 
 now liave ol'tlie Ciuisatioii of tuherculosis, niiiUos \)on- 
 sil)l(» the ronnulation of nert'ectlv oHicient nuMins for 
 
 1 ft/' 
 
 its ])rcvtMitioi. iind treatinciit. 
 
 Altlioii^li phthisis is inroctious, its g(3rni does not 
 all'ect all persons indiseriniinately ; it is necessjiry that 
 the st)il shoidd he prei)ared hv hereditary predisposi- 
 tion ; l)y del)ilitatinu' diseases, ete. 
 
 Tuhereulosis is the result of the (Mnnhination of two 
 elements as faetors : (I) of tiie n^er()ht^ a mere pai- 
 ticle or atom present in tlie hody ,• and (2) an organ- 
 ism prepared to receive the germ and to otter a 
 favora hie ground for its fruetifieation — in a word a i)re- 
 disposed organism. 
 
 This predisposition is of two kinds; in/tdU predis- 
 position, as in children horn of consumptive parents; 
 and i((<iiiirc<l predisposition, coniuKm to old and young, 
 resulting from lowered vitality. Tlie latter undesir- 
 ahle condition of the hody, may arise from ordinary 
 sickness; chrcmic neglect of the hiws laid down \)\ 
 hygiene ; or from ahuses of any kind, jjhysical or 
 moral. 
 
 The lu^althiesl people, and those free from any 
 iiereditarv antecedents may hecome tul)erculous if 
 they allow a progressive alteration of the strengtli 
 and ({uality of their organs; thus \)\ the ahuse and 
 waste of their strength, their i-esistance to disease is 
 diminished. They h)se their means of(h'fence. If 
 thev have occasion to come in contact witii the mici'ohe 
 of consumption, and in Canada the occasions are not 
 infre([uent, they hecome consumptive. This is of 
 chuly occurrence. In short sons of phthisical pa.jnts 
 are hoi'n predisj)()sed to the disease, hut those who 
 
('oiistltiito the lar.iroi' uiiimIkm- of {MmMiiinptivc ciiHes 
 hecoiiu? plitliisicnl tliroiiuli tlioir own iiculcct. 
 
 Let lis rei'iill tlie evolution of an\ ordinarv case of 
 coiisuinption. In it t lie I oral a lleot ion is soon lollowed 
 l>y constitutional syniptonis. The c^han^es in the 
 Innjis lead to an alteration in the ([uality of the Mood. 
 The latter is increased hy the fever and attains its 
 niaxiinnm tluriiiLi the tdinunation of the diseased 
 tissues. The fever and the alteration of the hlood 
 eause chanues in the system ; ,i diminution in the 
 secretion of the iiastric iuie(^ : hetice a disturl)anc(i in 
 the assimilation. To consumption is added iminition ; 
 the muscular system is changed, the ])atient loses all 
 inclination for exercise : the lieart suil'ers and its 
 state is reflected on the condition of the hlood and on 
 the state (A' the lungs which permits the disease to 
 advance. 
 
 The excretions and eliminations are badly discharg- 
 ed ; the nervous system and all the important organs 
 ol the body are im[)air('d liy progressive degenei'ation. 
 It is easily concei\'ed that undei" such condition of the 
 organs, scarcely any remedies are liktdy to intluence a 
 constitution so profoundly transformed. It is to 
 hvu'iene that recourse must he had. The hv<iienic 
 treatment is of service in all chronic diseases hut 
 (!speciall\ in ))htliisis : in the lattei' it gives fre(|iient- 
 Iv such strikinu' results, is so rational imhI in such 
 ol)\ious coHJi rniity with the pathogeny of the disease, 
 that it is a duty to aid in promoting its general adoj)- 
 tion. First of till, it must l»e admitted that j)lithisis 
 is a curable disease. According to llerard and Cornil 
 phthisis may bi^ cure(l in all its stages. Still it re- 
 
1() 
 
 mains to be seen what treatment yields the most 
 favorable results. 
 
 The treatnuMit of tubercMilosis has undergone radical 
 changes within tlie second half of the present century. 
 Up to hSOO, the prevailing [)ractice was to send con- 
 sumptives to sonthei-n climates; where waruith, with 
 shelter from the winds, was considered the one thing 
 necessary. Tlie atmosphere rcipiired to be dry or 
 moist, as best suited the peculiar nature of the malady. 
 
 Tul)erculosis was treated in the same manner as 
 bronchitis, inlhimmation, in either case, being most 
 dreaded. Between 18G(I and 1870, the eftorts of 
 pathologists threw a new light on the study of its 
 microbe, the latter thenceforward monopolizing the 
 attentiim of the most eminent scientists. To kill this 
 microbe, rather than the disease it engendered, was 
 tlie first wish and aim of the medical world. To for- 
 tify the human systen) against its attacks, became 
 imperative. The treatment of consumption, tot), was 
 to vary, to suit the progress of its different stages. 
 
 At the same time medical geography was progress- 
 ing and becoming a science. It shook the faith in the 
 effects of the sun in the south, by showing that 
 pulmonary consumption is almost as frequent in the 
 Lirge towns of the south as in the capitals of the 
 north. The same medical geography taught us that 
 there exist zones exem])t from tuberculosis, such as 
 the high tablelands of Mexico, those of the Andes, 
 certain parts of Switzerland, of Silesia, Iceland and 
 Canada. These privileged places, where phthisis only 
 appears in the case of a small number of individuals, 
 living under especially bad hygienic conditions, have 
 
ii tomperatiiiv of a rather low av(.»raji:o, ho that the 
 air is always toiiie and stitiiulatiiiji;, and maintains the 
 hnigs in a state of activity, snifieient to enable them to 
 resist at all times the development of the iul)erele. 
 
 And yet these priviiej^ed localities where phthisis 
 (inds fewest victims, are not very liigh. In Switzer- 
 land an altitude of from )>,")()0 to 4,^)00 feet ahove the 
 lexelofthe sea is stitHcient, in Styria 2,200, in Silesia 
 1,800, in Mexico 6,000, in Canada 1,800. It naturally 
 follows that, since th(; inhabitants of tlu^se favored 
 countries are free from phthisis, c(>nsum[)tives should 
 be sent there in preference, their chances of recovery 
 bein^' so much greater. 
 
 The first trial of a northern latitude for the treat- 
 ment of pulmonary disease, was made at (Joebersdorf, 
 in Silesia T 1.000 teet above the level of the sea). 
 Here Dr. Hrehmer, in ISOl, tbnnded an instiiution 
 where the course of treatment followed consisted ol' 
 xentilation, c(dd baths, rubl)in<i, nutritious food, etc. 
 
 In 1.S65, a well-known English doctor and a friend, 
 both sullering t'rom tuberculosis, passed the winter at 
 Davos, Switzerland, with the result that both were 
 cured. The news spread all o\er the world, causinj:' 
 much excitement and controversy in all ranks of the 
 medical fraternitv. 
 
 The foUowinjr year Dr. Spengler oi)ened a sanitai- 
 ium at Davos for consumptives. Dr. Dettweiler, a 
 jnipil of Brehmer, opened anothor at Falkenstein, 
 which is in (diarge of Dr. Dettweiler and Dr. Meissen, 
 who have made the study and treatment of phthisis 
 a specialty. 1 have had the advantage of visiting 
 this famous institution, and intend to conduct the 
 
It 
 
 one T am ^oin^ to erect in Canada on tlie same prin- 
 ciples. 
 
 The Falkenstein Sanitarium is situiit«'(l on the 
 Tannus Mountain, within un liour'n journey irora 
 Franklort-on-the-Mein, at an eh'vution ol 1,200 Jeet, 
 in tiie neighhoriiotxl ol J'oreHts where llourish majj^nifi- 
 eent trees — heceh, chestnut and oak. Tho huilding is 
 (^onstru(!ted in the shape ol a horse-shoe, and taees the 
 south ; I'roin the ^^i-oinuls in tront, the view is line and 
 expansive. An awning runs the entire lenjjjth where 
 the inniiites hahitually loun;j^e about. Most of the 
 rooms open into galleries which are tree to all. 
 
 The ground Hat is occnipied by other rooms, where 
 those recjuiriug to be I'ubbed down, when sweating 
 conies on, are attended to. There is also a water- 
 cure de))iirtnient. The dining room is capacious and 
 thoi-oughly ventilated. 
 
 Since diet plays an important part in the treat- 
 ment of Falkenstein, the rtn'-sliH' is, so to speak, the 
 materia ntetfltn of the establishment. A dairy house 
 is annexed to the sanitarium, milk being extensively 
 used in treatment. 
 
 As the terrace belonging to the Sanitarium might 
 not accommodate the numbers using it, round wooden 
 pavilions have l)een erected in the garden opened to 
 the extent of one-third of their circumference. Here 
 are h)ng, easy chairs for the patients, who frequent 
 this part ol the premises very much, free either to 
 promenade, or quietly seat themselves at will. Mere, 
 too, they spend as much as 7 or 8 hours every day, in 
 rain or shine, mist or wind, snow or frost, sometimes 
 with a temperature as low as 12*^' beh)w zero. 
 
11) 
 
 I liiivo stilted that (liotin;j: Is one ossontiul reiiturc 
 of the treatment lollowed in tlie Kalkeiisteiii Saiii- 
 tarimn ; it is intimately iis.sociatcid with open air 
 treatment. While the latter allects oidy on the (jual- 
 ity of the hlood, (he loniicr supplies the materials 
 necessary lor its regeneration. 
 
 A enrioiis lavt related to nn; hy Dr. Dctt weiler, is 
 that the lon^^er the deniitritioii of tlie tissues has 
 histed, and the more rapid it has heen, tlu' less is the 
 appetite for food. 
 
 It is tlien necessary that the physician should 
 employ all the resources of his imajiination. an(' the 
 |tatient should use the hest of ^ood will. There is no 
 absolute rule, theory lends little assisrance, the caprices 
 of taste must he permitted; the physician uuist pro- 
 ceed carefully in his treatment. 
 
 Dettweiler rcu'ommends lre([uent meals hut small 
 jxirtions, lo;)d rich in hits and hydrocarhons, vegetahles, 
 well prepared and varied, the yolk ol* (^jj,gs and heel- 
 steaks heiuii" judiciously coiuhined. 
 
 [ Use is also made of alcohol, hut prudently and with a 
 sparin*i' hand. Fever, the dreaded enemy ol* consumf)- 
 tives, aii'ainst which we are hut imliilerentlv armed, 
 is kept at hay hy (piiet and repose and [)lenty of [)ure 
 fresh air, aided hy such antipyretic medicines as 
 antipyrine, antilihrine, and thalline. Dr. Dett- 
 weiler stronji'ly recommends these medicines, for the 
 reason that he has already prescribed as unich as 
 17,'")00 grams with marked success. Up-hill walks 
 })ractised by the patients, for tht- henelit of the respira- 
 tory organs is another feature of the treatment at 
 Falkenstein. " It is to this treatment," says Dr. 
 
20 
 
 Dettweiler, " the basis of which is pure mountain air, 
 " that we rightly attribute the remarkable results 
 " which Dr. Meissen and myself have found by the sta- 
 " tistics we compiled. He finds that the number of 
 " a])solute cures is 25 per cent. I figure them at 27 
 " per cent. ; and these cures are effected in winter 
 " and in summer, in about ecpial proportions! 
 
 Herman Weber states that 40 per cent, of the C(m- 
 sumptive patients, who underwent pure, mountain air 
 treatment, were cured, and an equal number bene- 
 fited. Theodore Williams calculates that of 141 
 patients sul)jected to the same method, 41 were radi- 
 cally cured, and 23 noticeably improved in health. 
 
 Tliese eminent men of science, have made it clear 
 that pure mountain air restores the body's vitality. ^ 
 Under its influence activity comes back as well as a \ 
 greater a])titude for work ; the appetite improves ; 
 There is no more (question of dyspepsia, of gastric dis- i 
 turbances, no more need of tonics or of stimulants, to j 
 make the food more tolerated ; patients increase in 
 weight; they can live out of doors and — thanks to the 
 dryness and stillness of the atmosphere — can remain 
 sitting out of doors in ji temperature that they could ] 
 not support in the lowlands, even when taking 
 exercise. i 
 
 Dr. Mermod says : "' The atmosphere is so pure in I 
 the mountains that the colds ol' tlie lowlands are 
 unknown. Tliere are indeed some colds in the 
 autumn or spring when the snow melts, l)ut these 
 colds are different from ordinary colds; they do not 
 go through their full development but seem to miscarry. 
 One might think that the air is too dry to allow the 
 
21 
 
 production of mucus, or that the microbe, es.seiitial to 
 certain catarrhal colds, is wanting." 
 
 These authors also admit that consumptiv^es living 
 in these high latitudes rarely suffer from pulmonary 
 luvmorrhage ; those who had suflered from it in the 
 lowlands ceased having it as soon as they are on the 
 heights. It is a well estal)lished fact, which is 
 explained by the rarity and dryness of the atmos- 
 ])here which sends the blood to the extremities of 
 the body, thus bringing about a congestion of the 
 blood vessels of the skin and lessening, on the con- 
 trary, that of the lungs and of the other viscera. 
 This suppression of hannoptysis is of great importance, 
 but they say the mountain air does still more — it 
 hastens the cicatrisation of the indurated or infiltrated 
 parts of the lungs, which is explained by the fact 
 that in higher regions the activity of the lungs is 
 carried to its highest pitch ; the vesicles are more dis- 
 tended and those that are slow in working resume 
 their functions. 
 
 Mountain air being less rich in oxygen than that of 
 the lowlands, and the system l)eing nevertheless 
 obliged to furnish more heat, the thoracic muscles are 
 o*bliged to make a greater eflort, and this o])ligatory 
 and unconscious exertioji of the lungs makes U|) 
 advantageously for the effects of aerotberapy by means 
 of the air-tight chambers or portative apparatus, and 
 cures in the same way puhiKmary afiections. The 
 conscientious observations taken during late years by 
 physiologists, prove that on mountain lieights the 
 number of inspirations is increased, and respiration 
 becomes fuller and deeper. 
 
22 
 
 The recent works of Paul Bert, of Viault, and of 
 Rejrnard have shown that mountain life not only 
 increases the capacity of the thorax, but acts directly 
 on the composition of the blood, in two ways, either 
 by increasing the niiinhcr of red v(trpH8(le.s — as Dr. 
 Viault lijis ol)serv^ed in the case of three persons in 
 whose blood he found five millions red corpuscles 
 whilst they lived at the seaside, and eight millions, 
 seven millions and nine millions after fifteen days 
 spent at 12,090 feet above the sea level — or hy 
 f'ua/tll/Hj the hd'nwglolnne to ahsorl) a (jreatcr quantity of 
 oxygen, as Paul Bert has shown by experiment. 
 
 The l)lood of the lamas of Paz (12,000 feet high; 
 
 absorbs 18 per cent, to 20 per cent, of its weight of 
 oxygen, whilst that of the animals of Paris can only 
 
 retain 10 per cent, to 12 per cent. One can thus 
 understand how life at a certain altitude can rapidly 
 cure ancemia. 
 
 " Mountain climates," says Dr. Jaccoud, " have a 
 twofold action — the one general, by which the restor- 
 ation of the constitution is assured ; the other local, 
 by wiiich the respiratory function is increased to its 
 maximum, the lungs at the same time being pre- 
 served from inflammation. On the contrary, climate's 
 at a lower pressure (that is, in less elevated regions) 
 have no curative action on tubercle ; no preventive 
 action on new tubercular growths. Their action is as 
 follows : These climates during winter are fresh, tem- 
 perate or warm, giving more or less even heat ; conse- 
 quently they exercise a favorable influence on any 
 pre-existing pulmonary catarrh ; they preserve, at 
 least in a certain measure, from attacks of bronchitis ; 
 
23 
 
 and tliey allow the invalids to avoid in-door confine- 
 ment, and to remain every day a few hours out of 
 doors, without running the risk of catching cold, of bron- 
 chitis or pneumonia. That is the whole action of 
 climates of average altitude. In fact, this is the 
 situation : Climates where the pressure is low (high 
 mountains) have a regenerative action directly acting 
 on the constitution, and a sahitary inHuence no less 
 direct on the functional and circulatory action of the 
 diseased organs. Thus these climates have a positive 
 function in the operation of the treatment. They are 
 active or modifying climates — in a word, they are 
 therapeutic agents. Warm climates at an average 
 pressure do not act directly on the functions of the 
 respiratory organs; they possess little or no regen- 
 erative inHuence on nutrition and strength ; thev act 
 indirectly, by protecting against intercurrent accident, 
 by the maintenance of the statufi (/no, jind enable this 
 benefit to combine with life out of doors. Conse- 
 quently, these climates have no active part in the 
 working of the treatment — they are passive or pre- 
 serving climates; they are no agents; they are only 
 tcltnesses of therapeutic processes y 
 
 The observations of those eminent scientists 
 which have been confirmed in every country in the 
 civilized world, have contributed not a little in 
 opening the eyes of the medical world to the efficacy 
 of mountain air in the treatment of pulmonary 
 diseases. In the winter of 1866-67, there were onlv 
 22 patients in Davos sanitarium, and 70 in I8f)9. In 
 188G, the number had increased to 6,830; in 1890, 
 there were 10,167 inmates, while last year 10,239 
 registered on the books of the establishment. 
 
24 
 
 Qualifications that a Mountain SANiTARiu>f 
 
 Should Possess. 
 
 Having witnessed such good results al^road, it 
 occurred to me that some h)cality in our own country 
 could be found, where the pure air treatment might 
 be operated, without going away from home to seek 
 for it amongst peo])les alien to us in language and 
 customs. I at first looked about me for a convenient 
 spot in the vicinity of Montreal. St. Tlilaire, with 
 its line mountain and lake, seemed to combine all 
 that was wanted for the purpose. The Iroquois House, 
 too, with all its appointments and appurtenances, 
 struck me as a sanitarium ready to hand. Then I 
 bethought me of Memphramagog, its picturesque sur- 
 roundings, and the l)eautiful Mountain of Orford 
 heightening the charms of its scenery. I3ut upon 
 in(piirv, T was reluctantly forced to turn away from 
 these delightful resorts of the rich and healthful. 
 The humidity of the atmosphere in both places w'as 
 such as to destroy their usefulness for the ol)jects of 
 an all-the-year-round sanitarium. Finally, on the 
 advice of my distinguished confrere, Dr. Roddick, and 
 other eminent specialists, I took my way to the north- 
 ern section of Terrebonne Countv, the Switzerland of 
 America, in the heart of the Laurentides, where any 
 needed elevation is attainal)le. I looked up a spot 
 where the climate in summer would l)e fresh and 
 breezv, and in winter, sheltered from the war of the 
 elements. I recalled that the late lamented cure of 
 St, Jerome, Father Labelle, had fixed ujjon Trem- 
 bling Mountain as the place where he intended to end 
 
2o 
 
 his days when he retired (roin tlie tiirnioils of public 
 life. The reverend ,t2;eutleniiui, who was thoroughly 
 acquainted with the toi)()gra|)hy of this region, used to 
 say that at Trembling Mountain, the sky was seldom 
 clouded and that the sun in winter, though strong, 
 failed to melt the snow or affect the tem[)erature ot 
 this Laurentian table-land. From the beginning of 
 winter until spring sets in, this spot, protected 
 as it is froui the general violence of tempestuous 
 weather, breathes an atmosphere o!' security and peace. 
 I am convinced that there would be little risk in 
 exposing one's self, on the sunny, southern slopes of 
 Trembling Mountain, Ironi earlv dawn till dark, with 
 very little covering. This favorable condition of the 
 atmosphere hereabouts, in the winter season, is due : 
 firstly, to its height a])ove the level of the sea; 
 secondly, to the depth and impacted condition of the 
 snow, which absorbs the heat of the sun and keeps 
 the air uniformly cold ; and thirdly, to the sheltered 
 position of the mountiiin, so inviting to the sun's rays 
 direct and indirect. 
 
 My experience of sanitaria in the old world taught 
 me that the judicious selection of the site, was of 
 paramount importance. 
 
 The first thing to be sought for was altitude. This 
 seems to be the most important factor in assuring 
 immunity from phthisis, as much by the special effort 
 it imposes on the lungs, as I have already shown, 
 as by the purity and dryness of the atmos])here at 
 certain heiiihts. "'■ The puritv of the air," savs Duiar- 
 din Beaumetz, " plays a consideraltle j)art in the pro- 
 duction and propagation of uuiladies." Since Pasteur 
 
26 
 
 has shown by his celebrated experiments that spon- 
 taneous generation does not exist, and that where- 
 ever an organism is developed, the organic germs of 
 the air are the factors of that generation, this impor- 
 tance, attached to the purity of the air, has become 
 greater still. 
 
 "Mountain air," writes Dr. Morin, "especially 
 " when the ground is enveloped in snow, is remark- 
 " ably pure, and microbes are extremely rare." 
 
 On the top of Mont Blanc, there is scarcely one 
 microbe in a cubic vard of air ; on the summit of the 
 Eiger, at the height of 12,000 feet, there is not a 
 single one ; while in the valleys below, they swarm 
 in millions. 
 
 Another essential factor that makes for healthful- 
 ness, is the dryness of the atmosphere in mountain 
 ranges ; this dryness is more sensibly felt when the 
 sun strikes on a snow-bound surface. On the other 
 hand, humidity vitiates the air for breathing, and 
 assists in developing the microbe. The drier the air 
 we breathe, the wholesomer it is for the lungs, says 
 Dr. Morin. 
 
 Besides these two primary atmospheric conditions so 
 destructive of bacilli, plenty of bright sun is needed. 
 " Sunlight is (me of the most active agencies in des- 
 " troying disease germs. Wherever the sun's rays 
 " rest steadily, there, will the dead carcasses of germs 
 " be found, and the air, in consequence, sweeter and 
 " purer.'' Thus writes Germain Say. But as far a^; 
 huuian beings are concerned, this same sunlight is an 
 undeniable tonic, and nowhere is it so pure as on the 
 mountain top in the winter solstice. 
 
97 
 
 Hence it follows that the site chosen for a sani- 
 tarium should he such as would command all the sun- 
 sliine possihle, and he sheltered from the wind. In 
 selecting a location to huild an al)()de for invalids, 
 suitable for winter and summer, I never lost sight of 
 these essential requisites. Although many mountains 
 of the Laurentian chain seemed propitious for the 
 object I had in view, few of them possessed all the 
 required conditions. Finally, as stated l)efore, my 
 choice fell upon Trembling Mountain. It is the high- 
 est of the Laurentian range, having an elevation of 
 4000 feet above the level of the 8t. Lawrence River, 
 and is well snj)plied with running water. Nestling 
 at its base, lies Treml)lini:' Lake. 
 
 Trembling Mountain is a formation of colossal rocks 
 covered over with earth, which nourishes an abun- 
 dant growth of vigorous trees, hr, cedar, pine, tamarac, 
 and other balsamic species. It is distant about four 
 miles from the railway station of St. Jovite. 
 
 The climate of this village is well-known to be dry 
 and salubrious. The hotels are ever crowded during 
 summer. From a physician I obtained full inform- 
 ation cm the sanitary conditions of this village. He 
 said that the health of the natives was excellent ; that 
 there were few constitutional diseases; that pulmon- 
 ary phthisis is unknown amongst the inhabitants. 
 Immunity from phthisis is indeed the special character- 
 istic of the place. Nor is St. Jovite void of resour- 
 ces. It is a prosperous village, containing about a 
 hundred families; the houses are large, some of them 
 elegant, arranged in one main street crossed by a few 
 others at right angles. If St. Jovite possesses im- 
 
28 
 
 miinity from plitliisis, that iiunninity will be all tlie 
 more certainly found lii<i:lier up ; so that a beautiful 
 plateau, situated on the side of the Trembling Moun- 
 tain has been chosen for the site of the Sanitarium. 
 
 It is a well known fact in climatology that elevated 
 plains hjive a great advantage over valleys of equal 
 altitude ; when they face the east and south the sun 
 appears earlier ; the feeling of air and space is more 
 bracing, and yet the evening and nights are less cool, 
 for the cold air that comes down from the moun- 
 tain at sunset descending to the valleys and chill- 
 ing them, does not remain on these high table-lands, 
 especially if they have a suitable incline. This is the 
 case with the tal)le-land I have chosen, which slopes 
 from N. W. toS. E. 
 
 The side of the mountain, where the Sanitarium is 
 to be built is covered with century -old firs. Now fir 
 trees with their evergreen foliage, extending almost 
 to the ground, constitute one of the best shelters from 
 the wind at all seasons. i 
 
 From this high table-land, scenes rivalling those of 
 Switzerland for grandeui' and picturesqueness, charm 
 the eye — the same wealthy lakes, towering mountains, 
 running streams, shooting waterfalls and woodland 
 witcherv, challenges the admiration of all. » 
 
 Here, are seen stretches of emerald green, relieved 
 ))y shady grooves ; there, climlnng rocks, wild and 
 jagged ; elsewhere, beetling cliffs, bold and prominent, 
 their every line, curve and angle sharply cut and 
 well-defined. Near by, the expansive waters of 
 Trembling Lake, clear and limpid, lave the feet of 
 its cloud-capped namesake. Trembling Mountain, This 
 
29 
 
 lake, wliich is nine miles lon*^, hv one and a half wide, 
 is the |)aradise of anglers, the eateh of fish })eing inex- 
 haustihle. 
 
 It has several tributaries, one of them on the \i'\}*\\- 
 est elevation of the mountain, linds an outlet for its 
 overflowing waters in a series of tumhling cascades, 
 most delightful and relreshing to behold. Tremhlinti: 
 Lake, in turn, emi)ties its supertluous waters, by means 
 of a ground waterfall, 2-') feet in height, into the 
 "Hidden Jliver" — a pietty stream that a))pears and 
 disappears from sight in the thick foliage ot the trees, 
 — hence its name. Here also the linny tribe disport 
 themselves in large numbers. Truly, he must be fas- 
 tidious who fimls fault with this Vallambrossa of 
 Canada's fairest regi(m. The scenery is gorgeous in 
 the ever-changing tints, now glowing, now subdued, 
 of the mountains around, that seem like xVlps on Al[»s 
 to rise — now towering in the foreground, now fading 
 into distance : anon bathed in li'j;ht, then in shadow, 
 
 CD / ' 
 
 accordiiiir as the da\' is old oi' \oun'i:, as the cloudlets 
 come or go. Game of all sorts abounds in the sur- 
 rounding forests. 
 
 The Quebec (jrovernment, fnlly a])preciating the 
 magnidcence of the panoranni tliat the Laurentides 
 here unfold to the admiring gaze of the tourist, has 
 decided to help the good work of fomiding a Sanita- 
 rium in this charming spot, and to provide an endless 
 feast for the lovers of beautiful landscape. With this 
 object in view, the Government has set apart suth- 
 cient of the Crown Lands to make a national park in 
 this part of the province. The park, which is called 
 " The Trend)ling Mountain Park,'' covers 14,750 acres 
 
80 
 
 of liind witli lakes enclosed; within these bonndariesi 
 is found the mountain upon which the Sanitarium is t( 
 l)e constructed. The (lovernment has also been irooi 
 enou<2;h to re«j;ard my undertaking as a gre >t puhli 
 boon, and has graciously granted, in consequence, to 
 the corporate body of the Sanitarium and its inmates, 
 the freedom of this |)rincely domain. 
 
 The style ol the Sanitarium will be no discredit to 
 the natural l)eauties of the surroundings. It will be 
 ornamental. The main building will be Hanked bv 
 Swiss cottages, thoroughly ventilated, each patient to 
 have his own bedroom. In the interior only hard 
 wood will be used, as beiui"" more readilv and effect- 
 ively disinfected. The princii)al structure will con 
 tain the dining room, lofty and airy, sitting rocmi, 
 reading room, biUiard room, bath rooms, shower Ijaths. 
 etc. 
 
 A pavilion, partially o]ien, will be erected for pa- 
 tients undeigoing air cure. There will also be pro- 
 vided for this cure kiosks of wood, placed at certain 
 distances along the promenades, wlierein those who 
 niav desire, can find rest and shelter. Thev will be 
 as briglit and simiw as possible, witii openings to the i 
 south, and floors raised high enough to secure exemp- 
 tion from tlie moisture of the ground 
 
 F]xcellent drinking water will l)e suj)plied in abun- 
 dance from a spring on the mountain top. In a word 
 everything shall he done to perfect arrangements for 
 the treatment of phthisis on the best principle oi' 
 hygiene — a treatment that commands, more than any 
 other, the conlidence of the most eminent men of 
 science ; a treatment that Sir H. Bennett has upheld 
 
31 
 
 for yearn, luiving siuu^t'Rsrully untlor^one it liimself; 
 tliJit liMs ))een a puccohs in the Hunitariu of (IcMMiiaiiy, 
 in tlu> saiiitariiini of Canigon in France, ol* Davos in 
 Switzerland, of Sarenae in tlie United States of Amer- 
 ica and elsewhere, and tliat I'rolVssor Bouchard, of the 
 FiHMdty ol hiris, strongly recommends to his [)ii[)ils. 
 
 Facilities for REArniN(i the Sanitarium. 
 
 From the loreguinii it will at once Ite seen that this 
 estahlishment will he; liirnished with the hest means, 
 known to modern science, (or the j)roniotion of air cure 
 at all seas»)ns of the year. It will he easily acce.ssihle, 
 the distance hetween it and Montreal (84 miles) heing 
 accom])lished in three hours hy the (1 I*. II. This 
 powerful corporation is ever read}' to pra(rtically aid 
 any enterprise aiming at the development ol the 
 country. Hence, recognizing the great henelit to the 
 puhlic of the sanitarium as projected, the (Jouipany 
 was not slow in •'ivinu' me everv encoura^i'ement to 
 proceed with the good work. Its distinguished \"ice- 
 President, Mr. Siiaughnessy, assured me himself that 
 his road would ludp the sanitarium in every way, and 
 would [)rovide every ticcommodation, in all seasons 
 of the year, to vwh and poor alike, who wished to 
 reach it hy their line. St. Jovite is four miles from 
 the sanitarium, and the road connecting tiietn shall he 
 spacious and well made. Later t)n, the water power, 
 caused by the overflow of the lake, may l)e utilized 
 for electric cai-s. Amusements to distract the miml 
 and pass the time will not he wanting. In siimmer, 
 nature's cliarms will suffice to niauv, the woods ;ind 
 forests will oiler their attractions, while picnics, ex- 
 
82 ' 
 
 eiirsions anci other kiiulred eMJoviiioiitH will amply 
 serve to fill out the roimd of e very-day lite in a man- 
 ner to satisfy the tastes ot all. Tii addition to these 
 junusements, therii will l>e lishinji', lowliuj^, bathing 
 and canoeing. 
 
 Winter will also have its pleasant ])iistimes. The 
 long evenings will he enlivened and hegniled hy 
 parlor gamc's alternating with song and music. The 
 more vigorous will enjoy snowshoe tramps, toboggan 
 slides, and the agreeal)le excitement and movement of 
 skating. Fowling and lishing, a rare novelty at such 
 a season, will to nniny be more attractive than they 
 woidd be even in summer. 
 
 I5ut at all seasons of the year, should any or all of 
 these diverse amusements cease to entertain, there 
 will remain still for old and young, the strong as well 
 as the infirm, the beauty of nature, which in this — 
 her fondest haunt — will henceforth be found " a joy 
 forever." 
 
 If in this pai)er I have laid ])articular stress upon 
 the benefits accruing from air cure, in cases of tuber- 
 culosis, it is becau.se such treatment is the most 
 modern and has been the most strikingly eilective 
 in checkinu' the march of this deadlv disease. But 
 the usefulness of the Trembling Mountain Sanitar- 
 ium will not end here. The pnritv and dryness 
 of its atmosphere will be found the best medicine for 
 other nniladies — for the dregs of pleurisy, asthma, 
 chronic ))ronchitis, and kindred aft'ections, in which 
 cases they will bring a))ont a complete cure or 
 
S8 
 
 <jjrent iiUoviatioii. Tlioii tljoro is iuimnin •, notliinjj; 
 succeeds better in tiiis rcludlidiis disense tluiu 
 stnvinji; in the mountains, ospeciiiliy in winter; tlii" 
 results of clinical surt-ery conlii'ni tlie t;\i)erinients of 
 Vianlt and lte;j;nar(l, wliicli liaNc shown that in the 
 mountains the number ol' ulobides in the blood aug- 
 ments every (hiy. and (bat the Inemo^lobin pi'oduces 
 more oxygen. Auain. there are constlfuflomt/ </(hih'ft/ 
 iokI iinf/utsf/tf tH<t. lor wiiich lite in lln'sc beiiibts and 
 walks on loot will act as tonics to the nervous system, 
 without excitiuii' llie brain, ami will sutreed when 
 |)ha>'maceutic nuHlicaments have t'allen throujj,h and 
 hydrotiierapy or thernuil cures cannot be prescribed. 
 There is, moreover, the ixophthalmic nidtrr ti^asedovv's 
 disease) lor wITu'li the cold and altitude are a, ^reat 
 resource; the rrhell'ions (h/sprpsin in which mountain 
 air brin,iis back the a[)[)etite without re((uirin,ii- aperi- 
 ents or excitants. Lasth, there is the series of 
 courd/rscrufs, of delicate [)e()ple incapable of support- 
 ing a damp atmos])here. or lonu" months s[)ent mostly 
 indoors in lariie towns. In all these cases, even a 
 short stay on Trcmblinji; Mountain will stren<>then 
 the system by giving' it increased vitality, its reme- 
 dial operation being far more speedy than ])harnuicen- 
 tic medicaments or ex[)ciisive trips undertaken to 
 distant Southern climes. 
 
 Tn a word, all suil'erers from ailments re(]uiriug 
 hvuieni(! treatment and ])ure braciim- air, should make 
 the Sanitarium their abidinu- place as long o.nd unin- 
 terru])tedl V as possible. '' A permanent residence," 
 says l^rofessor .laccoud, in speaking of such establish- 
 ments, " is absolutely necessary where air cure at 
 
 8 
 
34 
 
 liigli elevations is sought. It is not a question of a 
 mere winter or summer resort, but of the influence 
 exercised by an ehistic, rarefied medium, and of the 
 general climatic i^roperties and conditions inherent in 
 such medium — it is a question only of a cure which 
 may be slow, but which is certain." 
 
APPENDIX A. 
 
 Copy of a report of a Committee of the Honourable the Kxeoutive Coun- 
 cil dated the twelfth of .Inly, one tliousand eight lunulred and 
 ninety-four ; approved by the Lieutenant-Governor on the nineteenth 
 of July, one thousand eight hundred and ninety-four. 
 
 No. 378. 
 
 Upon the granting of certain lots in the township of Grandison, for tlie 
 establishment of a sanitarium. 
 
 The Honourable the Commissioner of Crown Lands, in a report dated 
 the twelfth of July instant (181M), sets fortli : 
 
 That, by his })etition dated the twentieth of November last, Dr. Camille 
 Laviolette, in view of creating and establishing a sanitarium, for speci- 
 ally treating pulmonary diseases, retjuested the Government to grant to 
 him gratuitously certain lands covered by Trembling Mountain, and to 
 concede to him, on tlie ordinary terms of payment and settlement, three 
 hundred acres of land at the foot of the said mountain ; 
 
 That the founding and maintenance of an establishment of that nature, 
 in the place in question, at a distance which is relatively near (about 
 eighty-four miles by rail) to the city of Montreal, would be of service to 
 the population of that great centre and to that of the neighbouring region 
 and also to the Province ; 
 
 That the reservation of a large extent of forest lands close to and sur- 
 rounding on all sides the site of a hospital of the kind is one of the con- 
 ditions necessary to the success of such an undertal ing, while it would 
 at the same time, jjermit of the realization of what has already been 
 done in many of the neighbouring states and provinces, that is, tiie pre- 
 servation of tlie forest, and the protection of the game which is in it and 
 the fish which abound in the lakes and rivers with which it is watered ■ 
 
 That it is clearly established by the rei)ort of A. R. Filion, Cr^wn 
 Lands' agent of the Petite Nation division, that tlie lands in (luestion are 
 almost all unfit for cultivation, very high and rocky, and contain seance ly 
 any merchantable timber, and that itwouUl l)e very advantageous for the 
 purposes intended and be for public general utility, if the whole of the 
 territory covered by the Trembling Mountain and its foot-hills were made 
 a forest reserve ; 
 
il. 
 
 The Honourable tlie Commissioner renoinmemls that the whole un- 
 divided pan of the township of Crrandison, coniprisinj^ fourteen thousand 
 seven hundred and fifty acres in extent, should be declared a special 
 provincial forest reserve, under the name of the " Trembling Mountain 
 Park," the whole to be subject to the sanction and confirmation of the 
 Legislature, as there is no statutory provision authorizing such a reserve 
 and providing for the ex|)en^es which will be incurred for its mainten- 
 ance and preservation. 
 
 The Honourable tlie (Commissioner further recommends that he be 
 authorized : 
 
 1. To set aside four hundred acres of the lands forming the highest 
 peak of the said Trembling Mountain, being the prolongation of lots 
 fourteen, fifteen, sixteen and seventeen of the fourth range of the town- 
 ship of Grandison, which could be gratuitously ceded, wholly or in part, 
 for the purposes of such sanitarium, if the Legislature should so au- 
 thorize; 
 
 2. To sell, upon the usual conditions of settlement, lots twenty-three, 
 twenty -four and twenty-five of the said fourth range of the same town- 
 ship, to the syndicate represented by Dr. Laviolette, so soon as it is regu- 
 larly incorporated and furnishes suflicient sureties that a sanitarium as 
 aforesaid would be founded and maintained. 
 
 Certified, 
 
 (Signed), Gustavb Gkbnier, 
 
 Clerk of the Executive Council. 
 
 An Act to establish the Trembling Mountain" Park. 
 
 Sanctioned, January 12th, 1895. 
 
 WHEREAS the lands of Trembling Mountain, in the township of 
 (irandison, are unfit for cultivation and rocky, with scarcely any mer- 
 chantable timber thereon, and it would be advantageous to set them 
 aside as a forest reserve ; 
 
 Whereas the establishment of a sanitarium, in the vicinity of such 
 forest reserve, for the treatment of pulmonary diseases would tte in the 
 interest of the i^ople of the I'rovince ; and whereas an order in council 
 was approved on the 19th July, 1S94, whereby 14,75(1 acres of the uncon- 
 ('odtnl and unsubdivided lands of the toAvnship of Grandison were set 
 aside for the said purposes, and the Commissioner of Crown Lands 
 was authorized, upon certain conditions, to grant, for the purposes of the 
 sanitarium, certain other portions of the said township of Grandison to 
 certain persons so soon as they are incorporated for such pur{)08e; arid 
 whereas it is expedient that the said order in council be confirmed ; 
 
 Therefore, Her Majesty, by and with tlie advice and consent of the 
 Legislature of Quebec, enacts as follows : 
 
iii. 
 
 1. The order in council (appendix A of this act) of ihe 12th July, 1894, 
 approved on tlie 19th .luly, 1S94, is hereby confirmed, and 14,7r)(» acres, 
 being the whole of the unolivided portion of the township of Grand ison, 
 is hereby set aside as a special forest reserve under the name of tlie : 
 " Trembling Mountain Park." 
 
 The Comniisaioner of Crown Lands, shall have control over the said 
 reserve, and may appoint the officers necessary for the maintenance of 
 the said reserve and for its preservation. 
 
 2. The Lieutenant-Governor in Council may make such rules and 
 regulations as he may deem necessary for carrying out tiie provisions 
 of this act. 
 
 3. Tlie Commissioner of Crown Lands may make a free grant, for the 
 purposes of a sanitarium, of four hundred acres of land on the summit of 
 the said mountain to any persons or corporations who furnish sufficient 
 sureties that they will erect and maintain such sanitarium, under such 
 conditions as the Lieutenant-Governor in Council may be pleased to fix ; 
 and may also sell, upon the ordinary conditions of. settlement, lut 23, 24 
 and 25 of the fourth range of the said township, to the said persons or 
 corporations. 
 
 4. Tliis act shall not affect any rights acquired under any license to 
 cat timber or any lease to any person or to any fisli and game club- 
 s' This act shall come into force on the dav of its sanction. 
 
 « > 1 " 
 
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