The disease is rarely, if ever, fatal, though it may continue a long time if proper treatment is not administered. The most important of all are such hygienic measures as will improve the patient's general health. The food should be of the most nutritious character. The patient should take little or no meat, but abundance of oatmeal, cracked wheat, graham bread, and other whole-grain preparations. Exercise in the open air should be taken daily. The bowels should be moved daily by enemas, if they do not move spontaneously; but the application of measures recommended for constipation will generally relieve this difficulty without the constant use of enemas, which is to be avoided when possible. Daily massage and sponging of the whole body in tepid water is also important as a measure of treatment. In addition, we usually employ the ice pack, or hot and cold applications to the spine. These applications should be made daily, from ten to twenty minutes at a time. They are frequently followed by almost immediate relief, which is at first temporary, gradually becoming more permanent. Galvanism of the spine, and central galvanization are means which should be employed in obstinate cases. We have often used them with excellent effect. Daily gymnastic exercises are very useful. This plan is used in the hospital for children at Paris. Drs. Gray and Tuck-well report in the London Lancet the successful treatment of a large number, of cases, and assert that " the hygienic plan is alone sufficient to cure chorea and quite as promptly as any drug."