As we should naturally expect, the chief sign-manual is to be found in the face. To me, that is a most valuable document upon which is written many curious, intricate, sometimes alarming confessions. The expression of the eyes, the set of the lips, the drawing of the forehead, and the more pronounced dragging of the flexible face muscles, are all marks which may be read by the expert, and, to answer the question directly, one of the earlier outward signs of improvement is to be found in a relaxation of the forced and unnatural expression which results from these contortions. It must be obvious that I cannot here set out in detail the symptomatic distortions which accompany the various internal defects, but one may be noted as an exemplar for the others however diverse. The case in question was one of dilation of the heart and as such was brought to me by a medical friend, and, as a matter of fact, though this was the most alarming symptom, it was but one of many springing from deep-seated causes. Incidentally I may note that the spine was arched inwards, the legs were unduly and most abnormally stiffened when the patient was in a standing position, and the upper part of the chest was held most harmfully high—this last symptom being the influence which produced what was really a tertiary effect, though in this case the most threatening one, viz., the dilation of the heart. Now this patient carried certain very curious marks in the face: first a general expression of strain in the eyes and cheek muscles, and secondly four very marked indents or pits in the forehead. Here, indeed, were marks which the expert might read, and it was extremely interesting to note, as my treatment progressed and the patient recovered the proper use of the body and a consequent return to perfect health, first, the disappearance of the strained expression of eyes and face muscles, and secondly, the gradual filling up of the four curious indentations in the forehead. In this case the original symptoms were so marked that the patient’s friends all commented on the change of expression during the progress of the treatment. The face, however, is by no means the only index. Many defects lead, by way of stiffened neck and throat muscles, to an alteration in the quality and power of the voice. There too the mode of movement and the failure to express purpose in muscular action, the fumbling, indirect attempt to perform a simple act, are aids to diagnosis, either of the original defect, or, by their reversion to natural, easy functioning, of the progress of the cure. Generally, also, we observe a clearing of the skin and eyes as the defects are eradicated, improvements which are due to better circulation and the improved quality of the blood, factors which bring about a continually increasing power in the organism to purge itself not only through the bowels and kidneys, but also through the skin.