The osteopathic corrective treatment consists largely of careful attention to lesions of the splanchnic area because of the importance of normal digestion, metabolism and elimination. This is certainly a most important part of the treatment and should never be neglected. Upper cervical and mandibular lesions have much to do with the local nutrition to the ear structures and these must not be neglected. The fact that we almost constantly find evidence of deficient nutrition to the meati and drums in this disease together with lesions of the mandible, suggests a local osteopathic cause. =Auditory Nerve Degeneration.=—In those cases in which there is a measurable deficiency of nerve function of less than half the normal we have found that very few respond to treatment. (See table above.) The cause has therefore been attributed to a structural pathology and the condition called auditory degeneration. Example Table: Fork 32 64 128 512 2048 4096 B. C. 10 12 8 5 2 A. C. S 20 25 15 7 5 There is usually very marked impairment of hearing for voice and all other sounds. The Ingersoll watch may be heard five or ten inches, but usually not at all, and the whispered voice heard only a few inches or not at all. There are nearly always signs and symptoms of labyrinthine deafness and evidence of tone islands. The deafness in these cases is usually progressive regardless of any treatment. In this disease there is nearly always an associated affection of the labyrinth as shown by the high forks. The fractions represented by the high forks will agree in proportion provided there is no labyrinthine involvement. Our results in auditory nerve degeneration have been measurable improvement in only 2% of the cases treated. The prognosis is therefore very poor and I believe we should always tell our patients frankly that there is almost no chance for improving their hearing in such cases. The treatment is the same as that given for nerve deficiency and because of the general good that may be had from treatment, that is, the improvement of the general resistance, it is often well for the patient to have such treatment to stop the progress of further special sensory degeneration. It should always be our purpose to treat the patient rather than to treat some particular organ only and if this method is followed, our general results will surely be much higher. Diseases of the Nose