Easy is it now to understand the similarity between the "cold abscess" of the cervical region and the "cold abscess" of the lung in a phthisical patient. Both of them are, in fact, simply the result of invasion of the tissues with the ubiquitous tubercle bacillus; and are not due to pus-forming bacteria. Formerly it was common to speak of the scrofulous diathesis, and attempts were made to describe the characteristic appearance of the skin and hair pertaining to persons supposed to be of scrofulous tendencies. The attempt was unsuccessful and unsatisfactory. The reason is now clear, because it is known that the brunette or the blond, the old or the young, may become infected with the tubercle bacillus. Since the condition depends upon whether one or the other become infected with the generally present bacillus of tubercle, it is evident that there can be no distinctive diathesis. It is more than probable, moreover, that the cutaneous disease so long described as lupus vulgaris is simply a tubercular ulcer of the skin, and not a special disease of unknown causation. The metastatic abscesses of pyaemia are clearly explained when the surgeon remembers that they are simply due to a softened blood clot containing pus-causing germs being carried through the circulation and lodged in some of the small capillaries. A patient suffering with numerous boils upon his skin has often been a puzzle to his physician, who has in vain attempted to find some cause for the trouble in the general health alone. Had he known that every boil owed its origin to pus bacteria, which had infected a sweat gland or hair follicle, the treatment would probably have been more efficacious. The suppuration is due to pus germs either lodged upon the surface of the skin from the exterior or deposited from the current of blood in which they have been carried to the spot.