A FACTORY GIRL.—Phossy-jaw is a rare disease now, and we cannot recollect ever having seen a case. It used to be fairly common, but the stringent laws relating to match-workers have done much to stop the disease. It is said that the phosphorus affects the jaw through decayed teeth, and that if the teeth are perfect phossy-jaw does not occur. ALABAMA.—Decidedly girls can suffer from gout. But recently we saw a girl of seventeen who had typical acute gout in her great toe joint. It certainly is not very common for it to show itself before middle life, but it is not so uncommon as is usually supposed. Gout is far more frequent in England than in any other country, but it is less common than it used to be, possibly because port wine is drunk less than it was formerly. A curious fact in connection with the heredity of gout is, that gout and rheumatism often alternate in families; one generation suffers from gout, the next from rheumatism, the third from gout, etc. But more commonly gout is regularly hereditary. It is considerably more common in men than in women. A PERPLEXED GIRL.—Most probably your troubles are due to anæmia; the stoutness and puffiness of the face, the flushings and high colour of the cheeks, are very commonly met with in that condition. It by no means follows that because the blood is deficient the cheeks will be pale. The whites of the eyes, the inside of the lips, etc., will be pale in anæmia, but it is almost as frequent to find the face ruddy as pale. We therefore feel pretty confident that anæmia causes your trouble; but whether that condition is simply the ordinary “green-sickness” or due to some other cause we cannot say without examining you. It is unnecessary for us to describe the treatment for anæmia as we have done so, so frequently before.