=Diagnosis.=—The diagnosis is usually easy. Nasal congestion with the usual “stuffy” feeling of the head, sneezing, headache, etc. are well known symptoms. On direct examination the nares are congested, there is a watery discharge and all of the membranes of the nasopharyngeal tract are congested. =Treatment.=—If there is ever a demand for good, thorough and specific osteopathic work, certainly it is demanded in such cases. I am an advocate of thorough, deep relaxing treatment followed by specific adjustment in such cases. Complete rest in bed with light diet and careful attention to the elimination are very essential. Perhaps the most difficult problem is to convince the patient that a head cold is really a serious disease and demands thorough and prompt treatment. Every ear, nose and throat specialist has had ample opportunity to know that most of the really serious complications of the head and neck result from the lack of prompt and proper attention to head colds. The local treatment consists of irrigation of the nasopharynx followed by oil spray to protect from further irritation and the maintenance of proper drainage from the sinuses and middle ears. I am not an advocate of the so-called “antiseptic sprays” because they neither destroy bacteria sufficiently to be effective nor do they maintain drainage. In all cases, the physician should be ever watchful for the complications and should not hesitate to call consultation of a specialist when such symptoms develop. Purulent Rhinitis Persistent inflammations of the nasal membranes are usually of a purulent nature or at least have had such a cause in the beginning. =Etiology.=—Purulent rhinitis may be a result of an unsuccessfully treated infection of the nose or throat following some disease of childhood or early life. It may be due to infection at birth. Commonly there is a subacute or chronic sinus infection that maintains the infection of the nasal mucosa. Polyps, enlarged or cellular turbinates, adenoids or adhesions in the epipharynx, often retain the secretions and cause chronic rhinitis. In many cases I have found that osteopathic lesions of the cervical or upper thoracic region are effective causes of chronic rhinitis. =The Pathology= consists of hyperemia, hypertrophy and exfoliation of the cellular membrane. The turbinates and all membranes become enlarged and thickened and the breathing space is usually greatly decreased. =The Symptoms= are nasal obstruction, and mucous or mucopurulent discharge with usually hypersensitiveness, which causes sneezing and other symptoms common to “head colds.” =Treatment.=—The same treatment as given above for acute rhinitis applies here. A thorough examination should be made for all of the various causes given above and the proper corrective treatment given for any or all such causes. Chronic Hypertrophic Rhinitis