With regard to the treatment of the muscular spasms, and the disturbance of the nervous system, we have before described, there is no invariable plan of cure to be followed. Until we are better acquainted with the nature of the affection, it is impossible to apply a remedy to the root of the complaint. All I can do here, therefore, is to point out the means by which I have best succeeded in averting and palliating its painful symptoms. I have seen ten cases of this kind, and all of them have seemed to be much more benefited by attention to diet, air, and exercise, than by any medicines they have taken. Patients thus affected ought to live much in the open air; their food should be sparing, mild, and nutritious; and they ought to avoid carefully the use of wine and ardent spirits. By these means alone, and the use of mild aperient medicines, two of the cases alluded to were quickly recovered, although they began in a very threatening manner. All the others but one were much relieved by the same means. I therefore consider these simple remedies to be of the greatest importance, and am convinced that without them no other remedies will have any effect. Next in importance to gentle exercise in the open air, and attention to diet, I should place the use of the warm bath. By means of it the severity of the spasms is very frequently relieved. The young lady, whose case is related at page 7, used it daily, sometimes several times in a day, and never without benefit. She could never enjoy any sleep at night unless she had previously spent a quarter of an hour in the bath; and to this day she continues the use of it. Joined to the above remedies, habitual attention must be paid to the bowels. They should be moved by the gentlest medicines, and they may often be advantageously acted on by glisters only. This manner of exhibiting medicine is frequently objected to in England, because it only empties the lower parts of the larger intestines; but repeated experience has convinced me, that the mere circumstance of evacuating the large intestines gives occasion to, and stimulates the action of, the higher passages. I do not intend to defend the habitual abuse of enemata which is daily witnessed on the Continent; but, in this country, I think that their use may be extended with advantage. In whatever way, however, the bowels are evacuated, it is of the greatest consequence that they should be acted on by the gentlest medicines possible. Such, however, is their slowness in this disease, that it sometimes becomes necessary to use the strongest medicine in order to effect a mere evacuation; but I have never seen the bowels violently moved without the highest injury to the patient. My common practice has been to prescribe small repeated doses of one of the neutral salts, to each of which I desire five or six drops of laudanum to be added. By this means it has seemed to me that my purpose was effected with least violence.