He has five witnesses to examine in all cases he has under his care. He must give close attention to the source and supply of healthy blood. If blood is too scant he must look to the motor systems of blood making, that would surely invite his most careful attention and study of the abdomen. He cannot expect blood to quietly pass through the diaphragm if impeded by muscular constriction around aorta, vena cava or thoracic duct. The diaphragm can and is often pulled down on both vena cava and thoracic duct, obstructing blood and chyle from returning to heart so much as to limit the chyle below the requirement of healthy blood, or even suppress the nerve action of lymphatics to such degree as to cause dropsy of the abdomen, or a stoppage of venous blood by pressure on vena cava so long that venous blood would be in stages of ferment when it enters the heart for renovation, and when purified and returned the supply is too small to sustain life to a normal standard. ABNORMAL GROWTHS. Thus the importance of a careful attention to the normal certainty of all the ribs to which the diaphragm is attached is essential. The eleventh and twelfth ribs may, and do often get pushed so far from their normal bearings, that they are often found turned in a line with the spine, with cartilaginous ends down near ilio-lumbar articulation. When in such position they draw the diaphragm down heavily on vena cava at about the fourth lumbar. Then you have cause for intermittent pulse, as the heart finds no passage of blood through the prolapsed diaphragm which is also stopping the vena cava and producing universal stagnation of blood and other fluids in all organs and glands below the diaphragm. Thus you have a beginning for abnormal growths of womb, kidneys and all lymphatics of liver, kidneys, spleen, pancreas, and all tumors of abdomen. CEREBRO SPINAL FLUID.