chea, or windpipe, between the prominence known as "Adam's apple"
and the breast bone. The tumor gradually increases in front and
laterally, until it produces great deformity, and often interferes with
respiration and the act of swallowing. From its pressure on the great
blood-vessels running to and from the head, there is a constant
liability to engorgement of blood in the brain, and to apoplexy,
epilepsy, etc. When the enlargement once makes its appearance, it
continues to increase in size as long as the person lives, unless
appropriate treatment be resorted to. It never disappears spontaneously.
These tumors are much larger than those not familiar with them would
suppose from their outward appearance, as they extend under and are
bound down by the muscles on each side of the neck, so that they become
embedded in the cellular tissues underneath, while the sides of the neck
retain, to a considerable extent, their round and even appearance,
whereby the real magnitude of the tumor is not apparent. Figure 7
represents the appearance of the neck of a person afflicted with this
disease. The form of protuberance varies materially with different
persons, that shown in the engraving being the shape which it ordinarily
assumes.

[Illustration: Fig. 7.]

The causes of the affection are not well understood. The use of
snow-water, or water impregnated with some particular saline or
calcareous matter, has been assigned as a cause. It has also been
attributed to the use of water in which there is not a trace of iron,
iodine, or bromine. A writer in a Swiss journal, _Feuilles d' Hygiene_,
states that the disease is often due to an impeded circulation in the
large veins of the neck, from pressure of the clothing, or from the head
being bent forward, a position which is often seen in school children,
when the muscles of the back of the neck have become fatigued.

TREATMENT. We have obtained wonderful results by a new method of
treatment, which consists in the employment of electrolysis in
conjunction with other therapeutic means. There is scarcely a case in
which this treatment, properly carried out, will not effect a radical
cure. It is attended with no danger whatever.

Those who are afflicted with this disease and unable to avail themselves
of special treatment, cannot do better than to take Dr. Pierce's
Alterative Extract, or Golden Medical Discovery, and apply to the skin
over and around the tumor, night and morning the follow