When there is obesity, the bulk of the food should be greatly diminished, and anything that tends to stimulate the patient's appetite should be withheld. This means all condiments, and at times even salt. Sugar should be greatly reduced, and starches greatly reduced, but he must have some. In other words, he should not be cut down to a diabetic diet. No more liquid should be taken with the meals than is essential to swallow the food. Water should be taken between meals. There is no question that almost every one today should have a very light breakfast, except perhaps those who labor hard physically and are exposed for hours, daily, to the inclemencies of the weather. Such patients probably need more food. It is also well, in hypertension cases, to have one day a week in which a very minimum amount of food is taken, whether that be milk, or skimmed milk, or a small amount of carbohydrate, without protein food. If the foregoing management does not reduce hypertension, the kidneys are generally beginning to become involved in the sclerotic degeneration, whether the urine shows such a condition or not. On the other hand, there are exceptions to this rule. As indican in the urine gives evidence of putrefactive changes in the intestines and the probability of the absorption of toxins from the intestines, although we have no real proof that these toxins are the direct cause of hypertension, our patient is undoubtedly physically better, and will have less arterial tension when this intestinal condition is removed. Therefore, our treatment of the individual is not a success as long as such fermentation and putrefaction persist. If such putrefaction cannot be removed by diet and laxatives and mental rest and the prevention of physical strenuosity, radical changes in diet are advisable, although it may not be necessary to continue such a diet more than a few days at a time. A rigid milk diet for a few days may change the flora of the intestine completely; then a vegetable diet may be given, with return to a mixed diet; or the various lactic acid bacilli may be given, or one of the various fermented milks may be the diet, the object being to change the flora in the intestine and thus modify the ferments. So-called bowel antiseptics, such as salol, for a short time may be of advantage. Colon washings may be of great advantage. Liquid petroleum may be advantageous. Besides preventing the absorption of toxins from the intestine, we must prevent such absorption from any latent infection. The most frequent kind of such infection is pyorrhea alveolaris. A simple method that sometimes is an efficient aid in lowering the blood pressure is complete muscular and mental relaxation. The patient lies down for a while in the middle of the day and relaxes every muscle of his body. With this he may take slow breathing exercises. He should be in a dark room, quiet if possible, and alone, and should teach his brain to be for a short time mentally inert.