Perhaps we cannot expect those who believe in special creation in pathology to accept the truth that the eruptive "diseases" (exanthema) are toxemic crises, complicated by putrescent poisoning, and that the whole long list of hundreds or thousands of so-called "diseases" have their origin in toxemic crises; that so-called chronic "diseases" are evolved from crises repeated until organic change takes place. Scarlet fever, chickenpox, smallpox, measles, tonsillitis, whooping-cough, gastritis, kidney "disease," menengitis, infantile paralysis, and all other so-called "diseases" are manifestations of one and the same blood and flesh condition, and rest on a basis of enervation and toxemia. The severity of the type ranges from slightly catarrhal to a malignant septic poisoning. In diphtheria epidemics, cases range from a catarrhal tonsillitis to a "malignant croup" that ends in death in from twenty-four to seventy-two hours. If antitoxin is given in heroic doses, the victim dies earlier in convulsions. The severity of the type of diphtheria shows the same range of variability from one epidemic to another.

What is true of diphtheria is true of all other epidemics. The greatly toxemic are prostrated by the so-called "infection" and "contagion" of epidemics, while the slightly toxemic are affected but slightly, or not at all. The greatly enervated and toxemic die, the other class recover.

The organism becomes more or less tolerant of toxins, and, as enervation becomes more profound, toxemia increases, until crises are of frequent occurrence. Those who carry toxins to the point of toleration will develop occasional or frequent crises--biogonies. Any added drain upon the energies of the body that puts an added check upon elimination, increases the toxemia beyond the point of toleration and occasions a crisis--a process of vicarious or compensatory elimination, a "disease." All people in the ordinary walks of life are potentially sick: all have a degree of toxemia for which they have built more or less toleration. The sudden "outbreak" of much sickness in the immediate wake of catastrophe--• flood, storm, earthquake--which dissipates the little remaining resistance they have, reveals that large numbers of people are at all times on the verge of sickness; that only a little more strain-- enervating influence--is required to bring on a crisis.

It will be asked: Why does toxemia cause pneumonia in one case and typhoid in another? Why is diphtheria more virulent than tonsillitis? Why is one case of diphtheria or of scarlet fever more virulent than another case of the same "disease"? The answer to the first of these questions will have to be discovered in the laws of heredity, nutrition and environment. The answers to the other questions are to be found in the degree of enervation and toxemia, and in the nature and source of the complicating secondary toxemias.

The body varies its reactions to various toxins. Hence, different poisons, derived from different types of foods, are determining factors in the development of different "types" or "forms" of so-called "disease."

Dr. B. S. Claunch says, "one person works in a certain environment, eats certain kinds of food, takes practically no exercise, is flat-chested and has weak lungs; another does a different kind of work, eats a different food, is thick chested, has strong lungs, but a weak heart. If these individuals live in such a manner as to produce 'disease,' the former will most likely develop tuberculosis, while the latter will suffer from circulatory disturbances."--Health First, Feb. 1924, p. 5.

Those who have short necks and a large supply of blood to the the head, develop hyperemia of the brain, and are in line for building tumor, paralysis, paresis, apoplexy, etc. Individual differences in structure and relative functional powers determine local resistance.

We have emphasized the part played by organic stress produced by habits, occupation, etc., in determining the part of the body that will bear the brunt of toxemic crises and develop the pathologic end-result of the process. A few remarks on this point will help to make it clear. Overeating, eating wrong food combinations, and eating when in discomfort, stress the stomach. Overeating stresses also the liver, ductless glands and the kidneys. Toxemia plus gluttony produces "rheumatism" in the gouty; gall stones in the lithemic; tuberculosis in the tubercular diathesis. Toxemia plus imprudent eating produces gastro-intestinal catarrh in those who gluttonize.

Tobacco in any form stresses the stomach, kidneys, nerves and heart; if smoked it also stresses the respiratory organs. Toxemia plus tobacco (or coffee) causes heart disease in those who use these stimulants. Coffee stresses the heart and nervous system, producing headaches, and other nervous symptoms.

Excessive venery places a special stress upon the nervous system. Hence, toxemia plus excessive venery produce nervous troubles, loco-motor ataxia and paralysis in the neurotic; impotence and prostatic enlargement in men and neuroses in women.

Enervation checks elimination, producing toxemia. Toxemia over-stimulates and produces more enervation, thus forming a vicious circle. When alcoholism is the base cause of this vicious circle, such "diseases" as delirium tremens, hardening of the liver, multiple sclerosis--hardening of all tissues--develop.

When sensual habits form the basis of the vicious circle, we see food drunkenness marked by the so-called "heavy diseases"--pneumonia, typhoid fever, the eruptive "diseases," tuberculosis, et alii.