uently discovered to be produced by anatomical
abnormalities which render circumcision imperative. In these cases no
method of treatment will succeed until circumcision is performed.

SLEEPLESSNESS. DISTURBED SLEEP

Causes.--In babies, disturbed sleep is most frequently due to hunger
or to indigestion. The latter is the result of overfeeding or improper
feeding. Rocking the child to sleep, or feeding it during the night will
cause sleeplessness. Teething, colic, or any pain will result in
disturbed sleep. Nervous children are frequently poor sleepers.

In older children, some digestive disturbance is, as a rule, the cause.
Chronic intestinal indigestion, worms, adenoid growths, enlarged
tonsils, lack of fresh air in the bedroom, cold feet, may, however, be
the cause. Overstudy in school, poor blood, poor nourishment are always
accompanied by inability to sleep soundly. Too strenuous play, exciting
stories read before bedtime, may cause sleeplessness.

Treatment.--The removal of the cause is absolutely necessary. In order
to discover the cause it is sometimes essential to study the child's
whole routine in order to be able to tell exactly just what is causing
the apparent insomnia. It may be necessary to change the method of
feeding, to regulate the studies and the exercises, and to suggest
changes regarding the sanitary and hygienic environment of the child's
life. Mothers must be warned against using drugs in the form of soothing
syrups or teething mixtures. They are dangerous and absolutely forbidden
under the above conditions.

The nervous disposition of the child must be taken into consideration
and treated if necessary. If bad habits exist they must be stopped. Poor
blood and poor nutrition must receive the treatment suggested under
these headings.

NIGHTMARE. NIGHT TERRORS

In a nightmare a child wakes suddenly in a state of fright and will
inform you that it has had a bad dream. His mind seems clear and he
recognizes those about him. He is not easily calmed and may cry for some
time; finally he goes to sleep again. The next day he will remember the
dream and most of the incidents of the night before. Such cases are
quite frequent. They are to be treated in the same way as cases of
disturbed sleep, as they really have the same cause. They are mostly due
to digestive disturbances and errors of diet.

Night-Terrors.--Cases under this heading form a distinct group by
themselves. They are not frequent, bu