that these special actions and re-actions do not end with temporary changes, but work permanent changes. If, in an adult animal, the waste and repair in all parts were exactly balanced--if each organ daily gained by nutrition exactly as much as it lost daily by the discharge of its function--if excess of function were followed only by such excess of nutrition as balanced the extra waste; it is clear that there would occur no change in the relative sizes of organs. But there is no such exact balance. If the excess of function, and consequent excess of waste, is moderate, it is not simply compensated by repair but more than compensated--there is a certain increase of bulk. This is true to some degree of the organism as a whole, when the organism is framed for activity. A considerable waste giving considerable power of assimilation, is more favourable to accumulation of tissue than is quiescence with its comparatively feeble assimilation: whence results a certain adaptation of the whole organism to its requirements. But it is more especially true of the parts of an organism in relation to one another. The illustrations fall into several groups. The growth of muscles exercised to an unusual degree is a matter of common observation. In the often-cited blacksmith's arm, the dancer's legs and the jockey's crural adductors, we have marked examples of a modifiability which almost every one has to some extent experienced. It is needless to multiply proofs. The occurrence of changes in the structure of the skin, where the skin is exposed to unusual stress of function, is also familiar. That thickening of the epidermis on a labourer's palm results from continual pressure and friction, is certain. Those who have not before exerted their hands, find that such an exercise as rowing soon begins to produce a like thickening. This relation of cause and effect is still better shown by the marked indurations at the ends of a violinist's fingers. Even in mucous membrane, which ordinarily is not subject to mechanical forces of any intensity, similar modifications are possible: witness the callosity of the gums which arises in those who have lost their teeth, and have to masticate without teeth. The vascular system furnishes good instances of the increased growth that follows increased function. When, because of some permanent obstruction to the circulation, the heart has to exert a greater contractile force on the mass of blood which it propels at each pulsation, and when there results the laboured action known as palpitation, there usually occurs dilatation, or hypertrophy, or a mixture of the two: the dilatation, which is a yielding of the heart's structure under the increased strain, implying a failure to meet the emergency; but the hypertrophy, which consists in a thickening of the heart's muscular walls, being an adaptation of it to the additional effort required. Again, when an aneurism in some considerable artery has been obliterated, either