*Care of the Heart.*—The heart, consisting largely of muscle, is subject to the laws of muscular exercise. It may be injured by over-exertion, but is strengthened by a moderate increase in its usual work.(23) It may even be subjected to great exertion without danger, if it be trained by gradually increasing its work. Such training, by giving the heart time to gain in size and strength, prepares it for tasks that could not at first be accomplished. In taking up a new exercise requiring considerable exertion, precautions should be observed to prevent an overstrain of the heart. The heart of the amateur athlete, bicyclist, or mountain climber is frequently injured by attempting more than the previous training warrants. The new work should be taken up gradually, and feats requiring a large outlay of physical energy should be attempted only after long periods of training. Since the heart is controlled by the nervous system, it frequently becomes irregular in its action through conditions that exhaust the nervous energy. Palpitations of the heart, the missing of beats, and pains in the heart region frequently arise from this cause. It is through their effect upon the nervous system that worry, overstudy, undue excitement, and dissipation cause disturbances of the heart. In all such cases the remedy lies in the removal of the cause. The nervous system should also be "toned up" through rest, plenty of sleep, and moderate exercise in the open air. *Effect of Drugs.*—A number of substances classed as drugs, mainly by their action on the nervous system, produce undesirable effects upon the organs of circulation. Unfortunately some of these are extensively used, alcohol being one of them. If taken in any but small quantities, alcohol is a disturbing factor in the circulation. It increases the rate of the heart beat and dilates the capillaries. Its effect upon the capillaries is shown by the "bloodshot" eye and the "red nose" of the hard drinker. Another bad effect from the use of much alcohol is the weakening of the heart through the accumulation of fat around this organ and within the heart muscle. The use of alcohol also leads in many cases to a hardening of the walls of the arteries, such as occurs in old age. This effect makes the use of alcohol especially dangerous for those in advanced years. Tobacco contains a drug, called nicotine, which has a bad effect upon the heart in at least two ways: 1. When the use of tobacco is begun in early life, it interferes with the growth of the heart, leading to its weakness in the adult. 2. When used in considerable quantity, by young or old, it causes a nervous condition both distressing and dangerous, known as "tobacco heart."