He instances what he calls the “rare accident” of the slipping of a tendon which a wrench may cure, and he is polite enough to say “I can hardly doubt that a Bone-setter has occasionally done unwittingly, a lucky trick, when, with wrenchings and twistings of a joint, he has made some dislodged tendon slip back into its place.” Sir James further enumerates a series of cases of injuries to joints, which may, and indeed are, daily cured by Bone-setters, and he shows how sometimes patients themselves may unlock a stiff knee whether caused by loose cartilages, a stiffness of the muscles, or from other causes. “It may be admitted generally,” he tells his audience, “that from paying particular attention to this class of cases, which are constantly occuring, that the Bone-setters have achieved their great reputation where eminent surgeons have failed.” Sir James too dwells on suppositious cases, which if treated by the Bone-setter’s wrench would certainly end in mischief, and alludes to bad boys who simulate stiff joints who often “escape disgrace by lying and letting the Bone-setter be believed when he professes that he has ‘put in’ their dislocations.” “Amongst all these cases of muscular difficulty,” Sir James says, “there is a good harvest for Bone-setters and without doubt their remedy is rough as it is real.” “But,” he continues, “there is yet a larger class of cases which Bone-setters sometimes succeed in curing very quickly, namely, ordinary sprains.” “I cannot doubt,” he says, “that some recently sprained joints may be quickly cured, freed from pain, and restored to useful power, by gradually increased violence of rubbing and moving.” He admits that this has sometimes been introduced into regular surgery, but, he goes on to state, that it is in cases where old sprains have remained long uncured that Bone-setters, and especially those who combine rubbing and shampooing with their setting, gain their chief repute. He, therefore, cautions the surgeons against giving too much rest, to avoid cold joints, excessive exercise, and try more gentle methods than are popularly attributed to the Bone-setter, as if the latter gloated over causing pain, which is not the case, though he often thinks that one sharp pang is better than days of agony, and, when over, his patient always coincides with him. The great Master-Surgeon also points out that what are called “hysterical joints” afford a rare opportunity for a victory for a Bone-setter, which may be cured by sheer audacity of being pulled about. “From this you may see,” says Sir James, “that the cases that the Bone-setters may cure are not a few, but,” he continues, “the _lessons which you may learn from their practice are plain and useful_. Many more cases of injured joints than one commonly supposed to be thus curable may be successfully treated with rough movements.”