There are few spots, even among the Alps, which can compare with the Abendberg in beauty and grandeur of scenery. Doctor Guggenbühl was led to select it as much for this reason as for its salubrity, in the belief, which his subsequent experience has fully justified, that the striking nobleness of the landscape would awaken, even in the torpid mind of the cretin, that sense of the beautiful in Nature which would materially aid in his intellectual culture.
On the southern slope of the Abendberg he erected his Hospital buildings, plain, wooden structures, without ornament, but comfortable, and well adapted to his purpose. Here he gathered about thirty cretin children, mostly under ten years of age, and began his work.
To understand fully what was to be accomplished, in order to transform the young cretin into an active, healthy child, it is necessary that we should glance at his physical and mental condition, when placed under treatment.
Cretinism seems to be a combination of two diseases, the one physical, the other mental. The physical disorder is akin to _Rachitis_, or rickets, while the mental is substantially idiocy. The osseous structure, deficient in the phosphate of lime, is unable to sustain the weight of the body, and the cretin is thus incapacitated for active motion; the muscles are soft and wasted; the skin dingy, cold, and unhealthy; the appetite voracious; spasmodic and convulsed action frequent; and the digestion imperfect and greatly disordered. The mind seems to exist only in a germinal state; observation, memory, thought, the power of combination, are all wanting. The external senses are so torpid, that, for months perhaps, it is in vain to address either eye or ear; nor is the sense of touch much more active. The cretin is insensible to pain or annoyance, and seems to have as little sensation as an oyster.
It was to the work of restoring these diseased and enfeebled bodies to health, and of developing these germs of intellect, that Doctor Guggenbühl addressed himself. For this purpose, pure air, enforced exercise, the use of cold, warm, and vapor baths, of spirituous lotions and frictions, a simple yet eminently nutritive diet, regular habits, and the administration of those medicinal alternatives which would give tone to the system, activity to the absorbents, and vigor to the muscles, were the remedial measures adopted. As their strength increased, they were led to practise the simpler gymnastic exercises,--running, jumping, climbing, marching, the use of the dumb-bells, etc.