us of his weakness.

[314 MOTHERS' REMEDIES]

GENERAL PARESIS.--Wine, worry and women produce a great many cases of this
disease. The doctors claim a notorious criminal now committed to one
asylum and about whom we have read so much, is a victim of this disease.

First stage.--There is worry, anxiety, sleeplessness and melancholy.

Second stage.--Stage of mania, wealth, power, and grandeur, alternating in
some cases with attacks of temporary depressions.

Third stage.--Patient passes into a condition of subacute or chronic
mania, with a slow tendency to decadence of all the powers, idiotic.

Fourth stage.--Stage of physical and mental failure and of death. Syphilis
causes most cases. It usually develops between twenty-five and fifty
years. The outlook for such cases is very unfavorable, as the patient
usually dies from one to eight or ten years after the beginning of the
disease.

TREATMENT.--There have been great advances made in recent years in the
treatment of persons mentally unsound. They should be placed under proper
treatment at an early stage. The causes have been given so that preventive
measures may be taken.

CONSTITUTIONAL DISEASES.

RHEUMATIC GOUT. (Rheumatic Arthritis. Arthritis Deformans).--Cause.--It
occurs most often from thirty to fifty-five, usually in women, generally
at or after the change of life, and most frequently in those who have not
had children. The involvement of the joints is most common in adult males.

Exciting cause may be: Exposure to cold and wet, improper food, unhygienic
surroundings, worry, blows and acute infections.

Conditions.--Several joints are usually involved symmetrically. At the
edge of the joints there is formation of new bone covered with cartilage,
causing the enlargement of the bone and often partial loss of motion in
that joint.

Symptoms.--Several distinct types exist. 1. General progressive types
which may be acute or chronic.

Acute.--This occurs usually in women from twenty to thirty and at the
change of life. It comes on like acute joint rheumatism, many joints being
affected, permanent enlargement appearing early, redness of the joints
rarely existing, the pain being very severe, some fever, feel very tired,
with anemia, loss of flesh and strength. The first and later attacks are
often associated with pregnancy, confinement or nursing.

[CONSTITUTIONAL DISEASES 315]

Chronic Type.--There is a gradual onset of pain or stiffness in one or