In this form of the disease the temperature of the body is always high, 103° to 107° F., and the stupor deep and prolonged. Should you have to do with a case in the absence of medical assistance, every effort should be made to reduce the temperature of the body, the most efficient means being to place the patient in a full length bath. As a rule, under such conditions, the temperature of the water obtainable is too near that of the body to bring down the temperature sufficiently rapidly, and pieces of ice require to be added to obtain sufficient cooling power. The patient should be kept in the bath until the temperature (taken in the mouth) is restored to the normal level of 98°-99° F., after which he may be removed; but in serious cases the temperature shows an obstinate tendency to go up again, and it is generally necessary to keep it down by continuous sponging, applied especially to the extremities. If, in spite of these measures, it still continues to rise, the bath must be again resorted to. If ice be unobtainable wherewith to cool down the bath, the want of it should, as far as possible, be met by dipping out the water warmed by contact with the patient’s body, and replacing it with freshly-drawn water as cool as may be obtainable. It is well also to try to relieve the bowels by placing 5 grains of ordinary powdered calomel on the tongue, which will ensure its being gradually swallowed, even in the deepest coma, and every effort should be made to keep down the temperature of the air of the room, always provided that the freest possible ventilation be kept up. It is never prudent for anyone who has survived a warning of this sort to remain in a climate the severity of which he has proved himself unable to resist; and it should be the rule for those who have suffered to take refuge in a cooler climate as soon as they are sufficiently recovered to travel. If stationed far inland, it is best to seek refuge in a mountain sanatorium, and not to attempt to reach Europe, as the long journey in the train and subsequent passage of the Red Sea would, in all probability, finish the record of a person so situated before the desired relief could be gained. On the coast the quickest relief can be generally obtained by sending the patient to sea, but if the route necessarily involves passing through the Red Sea, such a course is too hazardous at the bad time of the year, and the change to Europe should be postponed till the dreaded stretch of water can be passed in safety, or a visit to Australia substituted. It must not be imagined that in practice cases of “stroke” can be as sharply divided into classes as it is easy to do upon paper. Naturally a large number are of mixed origin, but the extent to which heat, pure and simple, is concerned, may be generally judged by the temperature of the body, and whatever may appear to be the causation of the disease, whenever this is high, no efforts should be spared to bring it down as soon as possible.