_Symptoms_: May be due to constitutional causes, as is often seen in highly-bred puppies, or it may result from severe illness, particularly after distemper. The pulse is quick and weak, loss of appetite, and disinclination for exercise, poor condition, and membranes pale. _Treatment_: For puppies, Sherley’s chemical tablets answer well. When result of illness, the following tonic may be given:— _Recipe_: Ammoniated Citrate of Iron, ½ drachm. Tincture Nux Vomica, 40 minims. Tincture Gentian, 3 drachms. Water to 3 ounces. From half a teaspoonful to a tablespoonful[1] three times a day one hour before food. =Deformities, Congenital=: These are numerous in the dog. Inverted eyelids: puppies are sometimes born without eyes, squinting small eyes, eyelashes growing in. Hare lip, cleft palate, pig jaw, deformities of the feet and limbs: particularly the stifle joint, the patella being out of its place, and the leg contracted or drawn up. Deformities of the chest: this condition is common in Japs, but seems to do no harm. Puppies are sometimes born without tails; though a good feature in schipperke and bob-tail sheep dogs, one does not like to see a pug or a dachshund without a tail, and when he is good in all other points, it is disappointing. A screw tail is objectionable in all breeds except the bulldog, and some people object to it in these dogs. Absence of one or both testicles. _Treatment_: Many cases of deformity may be remedied by operation, but in others there is nothing to be done. Inverted eyelids can be cured by operation, an elliptical piece of skin and also the muscle underneath being cut out immediately under the lower eyelid, when that one is affected, or immediately over the upper eyelid, if it is that one that is turned. The cutting is best done with curved scissors, and should extend nearly the whole length of the lid. As the wound made heals, it draws the lid out. In-growing eyelashes must be plucked out with forceps from time to time. Very often as the puppy grows older and stronger, the lashes assume a normal position, and cease to be a trouble, but if they continue to turn in after the dog is twelve months old, a similar operation as for inverted eyelids is recommended, but in these latter cases it is not necessary to divide the muscle, but only the skin. Squinting may be cured by operation, but it is not recommended, as the defect does no harm, and with Japanese spaniels, who often squint, it rather adds to their quaintness.