ble diet seems best. The patient should not go to sleep until the
digestion is completed in the stomach.

Causes.--Should be removed if possible. Circumcision should be done,
especially in the young. In case of a female child the "hood of the
clitoris" should be kept free. Undue mental and physical excitement should
be avoided. Systematic exercise should be taken. Baths in cold water in
the morning, if possible, as the skin should be in good working condition.

Medicines.--The bromides are the best, and should always be given under
proper supervision of a physician or nurse.

Caution.--I wish to add that parents should always attend to the seemingly
harmless "fits" in their young children. It will not do to say they are
due to teething or worms. If they are, the worms at least can be treated
and that cause removed. They may be due to too tight opening in the penis.
If that opening is small, or if the foreskin is tight it will make the
child irritable and cause restless sleep. Attend to that immediately. The
same advice applies to female children. The "cover" of the "clitoris" may
be tight, making the little one nervous; loosen it. If your child keeps
its fingers rubbing its private organs there is reason for you to have the
parts examined and the cause removed as masturbation often starts in that
way. The parts itch and the child tries to stop the itching. These little
things often cause "big things" and I am sure "fits" can be stopped very
often by looking after the private organs in both sexes.

[NERVOUS SYSTEM 291]

SHAKING PALSY. (Paralysis Agitans).--This is a chronic affection of the
nervous system, characterized by muscular weakness, trembling and
rigidity.

Causes.--It usually occurs after the fortieth year, and is more common in
men than in women. The exciting causes are exposure to cold and wet,
business worries, anxieties, violent emotional excitement and specific
fevers.

Symptoms.--The four prominent symptoms are trembling, weakness, rigidity,
and a peculiar attitude. It generally develops gradually, usually in one
or the other hand. There is at first a fine trembling, beginning in the
hands or feet, gradually extending to the arms, the legs and sometimes the
whole body. The head is not involved so frequently. This trembling
(tremor) consists of rapid, uniform "shakings." At first it may come in
spells, but as the disease advances it is continuous. Any excitement makes
it worse. It is very marked in