When more or less active treatment does not soon lower the hypertension, and especially a high diastolic pressure, the prognosis is bad. In a patient who is in more or less immediate danger from his hypertension, the food and liquid taken, the care of the bowels, and the measures used to cause secretions from the skin must all be governed by the condition of his other organs. There is no excuse for excessive, strenuous measures when the heart is failing or when the kidneys are becoming progressively insufficient. Strenuosity in treatment is as objectionable in these cases as is neglect of treatment in earlier stages of the trouble. Bie [Footnote: Bie: Ugesk. f. Laeger, March 4, 1915.] believes there is no direct connection between the blood pressure and the anatomic condition in the kidneys, although abnormal conditions in the two are almost invariably found parallel. A patient with simple hypertension and otherwise well, which means that his diastolic pressure is at least no higher than 110, should have his diet, tobacco, coffee and tea regulated; should have recreation periods one or more times a week, and vacations not too infrequently; should take some brisk purgative once or twice a week, and may receive one or other of the physical treatments for the reduction of blood pressure, whether Turkish baths or electric light baths. If he does not sleep well, there is no hypnotic drug so valuable in his case as chloral. This should not be long given, but it will produce the purest kind of sleep and lowers the blood pressure. If any other drug is needed, nitroglycerin is the best. If arteriosclerosis is present, sodium iodid in small doses, 3 grains two or three times a day, is valuable. Larger doses of sodium iodid are not needed, unless it is advisable to give such doses for a short period. The value of iodid in these cases is best obtained by small doses long continued. If the patient is obese, shall doses of thyroid extract long continued are of value, such as 2 or 3 grains once a day. If the thyroid extract causes the heart to become more rapid, it should be discontinued. Whether the diet should be meat protein free, or whether meat may be allowed once a day, depends entirely on the individual and on his physical activities. It is frequently a mistake to take all meat out of his diet.