Now scrofula is so insidious in its approach, and so distressing, and often fatal, in its consequences, that the form of its commencement ought to be known to all individuals who are liable to its attacks, either from an hereditary tendency, or other causes. When it commences in the glands about the neck, behind the ears, in the arm-pits, hams, &c., it appears as hard and indolent swellings, somewhat moveable under the skin, the colour of which is little changed; these tumours or swellings gradually increase in number and size till they form one large hard tumour, which often continues for a long time without breaking, and when it does break it only discharges a thin _sanies_ or watery humour from one or more small apertures. The disease even then maintains its indolent character; the ulcerated parts become languid and inactive, and the constitution begins to be affected; the patient complains of weakness--there is a want of appetite; there are frequently profuse night sweats, and feeling of languor and lassitude. When from blows, bruises, sprains, or other causes, the joints of the elbows, wrists, ankles, knees, fingers or toes, become affected, the disease proceeds in the same slow manner, frequently destroying the ligaments or tendons; the matter insinuating itself between the bones till they become carious, and ultimately destroyed. What is commonly termed _white swelling_ is of this description; it may continue for a great length of time, and yet the patient may recover, excepting a stiffness or contraction of the affected joint. I may also remark that in Scrofulous constitutions there is frequently a thickness of the upper lip, or swelling of the lower part of the nose; the eyes are also peculiarly liable to attacks of scrofula, in which case the light is remarkably offensive to those organs. The skin and muscles are loose and flabby; and the mental powers of children so affected are often prematurely displayed. Having thus described the nature and symptoms of scrofula, I shall now proceed to make some observations on the treatment of that disease.