ebbing away, and his mental power impaired by the nonoxygenated blood supplied to his brain. He had made a will in favour of a former mistress, and was in a state of great remorse, and wanted to leave his money, which was considerable, to his relatives. But he could not twice over remember all the provisions -these being a little complicated. I refused on this account on two occasions to say he had testamentary capacity. But, as sometimes happens, he became more clear in mind before death, and I was hurriedly sent for late at night to see him. He clearly went twice over the provisions he wished made in his will, and told me why he wished these made. His reasons were natural and right. The lawyer was there with the document drawn up, and the testator had just power to make his mark before he died. Yet this will was held good in law in spite of an attempt to upset it. The last thing-(f) you have to ascertain is if the intending testator knows in a general way the amount of the property he has to bequeath. I lately, on getting to that point in the case of a very sensible-looking man, was astonished at being told by him that he was worth £100,000, which I knew to be quite impossible, and of course no will was made. It is most necessary not to let a good motive make us sanction a bad will, however natural its provisions may be, however much trouble or expense it may save. I am frequently asked to sanction wills being made by persons unfit to make them, on account of the convenience of having a will or the saving of expense and trouble. I have found but little realisation of the impropriety or illegality of getting dying people, or those whose minds were enfeebled from paralysis, who did not really know what they were doing, to sign wills as a matter of convenience, even among conscientious reputable people. 7. The detection of feigned insanity is a duty sometimes laid on a medical man. There are no fixed rules or tests by which feigned insanity can be detected. I need hardly say we have first to see if the type presented is that of an ordinary kind of insanity. Most imitators mix up incoherent maniacal symptoms with silliness, and will talk no sense at all, and pretend to know nothing. In fan they overd: their part. The patient skill be carefully wasthed the time, Kostina accurat washed to keep him at it for a long time, and the ga when he does not know be is observed. No site mat can imitate the dry skin and lips furred tongue, constant restless ness by day and night, high temperature, and oc mestant sleeples ness of acute delicious mania, which for a short time they oba try to simulate. A na imitating the shooting, &e, of wraz mania perspires freely, while an acutely maniacal patient sella does so. The sensibility to pain should be tested, and sometimes in prisons, a battery is found useful in the case of old crafy malingerers. I have heard of a man being put under the influence of a drug before the doctor was known to be coming in order to produce a real stupidity with confusion of mind. I have been deceived by a clever imitator of acute mania so far as my conclusions were arrived at from one visit. I have known a really insane man assume an exaggeratel insanity to make his friends think the asylum was doing hin harm; and a sort of grotesque semi-volitional imitation of manis is common in hypochondriacal melancholics to convince their friends how ill they are; while in hysterical girls imitations maniacal attacks and of unconsciousness are very common to excite sympathy and attract attention. 8. One of the most difficult and often most responsible duties that fall to a medical man's lot is to give confidential family advice about engagements to marry when one party has been insane, is threatened with insanity, or has an insane heredity, to advise as to the education and profession of children of a very neurotic heredity, and to advise as to the significance of sudden changes of conduct and sudden outbreaks of gross inmorality, or of a tendency to unnatural crime, or other motiveles and unaccountable conduct in previously reputable sane people Such advice may have the most serious consequences, blasting lives that might have been happy. My feeling is always against the marriage of women who have been insane. I always advise young men or young women to avoid marrying into very neurotic and insane stock, if their affections have not gone too far. The risk is very great. I quite agree with the French medical opinion that there is a special tendency for members of neurotic families to intermarry, and an affective affinity among such that tends towards love and marriage. That is no doubt bad for the race, and as physiologists we should try and stop it when we can. To have a neurotic young man marry a fat, phlegmatic young woman may be quite admissible, and a good safe stock may result. But what are we to say about the marriage of the neurotic, thin, hysterical young women, with insanity in their ancestry? We know they will not make good or safe mothers. Therefore, in them we ought to discourage marriage. However good its physiological effect might be on the individual, bad mental and bodily qualities, as well as tendencies to disease, are propagated to future generations. They leave the world. worse than they found it thereby, the disease and therefore the misery in it being increased. The possible compensation of a genius once in a while is not to be trusted to. I believe a healthier kind of genius would result from better stock. Science, till it discovers a way of correcting such bad stock, must say, do not propagate it. A sporadic case of insanity, or of senile break-down imitating insanity, may occur in almost any family. That would not warrant any such advice about the marriage of relations as I have been giving. The relatives of such a case may all be perfectly sound. I am speaking of families in which the neurotic temperament, and especially those in which the nervous diathesis, is present. If such persons are to marry, do not let them marry young, and let them marry into a sound, muscular, fat, non-nervous stock. Though the contrary has been the rule, my advice has over and again been taken, and engagements to marry not entered into on the ground of bad heredity. If you are asked about any young man or woman— "Is he or she likely to become insane or not?"-say that science does not yet enable us to answer that question.. As to the mode of education of the children of insane or neurotic parents, there can be no doubt whatever that it ought to be on physiological lines, and under medical advice. Such children should all be brought up in the country, and fed mostly on milk and cereals, and should have lots of fresh air, and no improper excitement, with few children's parties. They should have well ventilated class rooms, short school hours, and their lives and time should be systematised. Their weak points should be corrected by their modes and conditions of life. They should be kept fat, if possible, one and all. They should have no alcohol, and no tobacco till after twenty-four. At the coming on of the reproductive period of life special care should be taken with them. The sexual appetite is most difficult to manage in them, and by them. It is often strong, disturbed, and apt to take unnatural forins, while the power of control over it is apt to be small. The occupations they choose should not imply intense head work, or a sedentary life, or excitement. Make them colonists, sending them back to nature, or get them into fixed salaried places with systematic work, and a regular holiday. The worst of it is that such persons often tend to do exactly the reverse of all this. Some especially neurotic children need very special modes of education. I have seen cases who could not safely be sent to school. Through precocious stealing, lying, and vice, they were constantly getting into trouble. They were without much moral sense or self-control, and had erratic, motiveless ways. I have seen good results with such children sometimes by placing them in a quiet family, under motherly care, in the country, under special rules and guidance, and away from much temptation. Such children are the stock out of which the insane, the masturbators, the dipsomaniacs, and the motiveless criminals arise, with a poet or a genius to redeem the class once in a century, and to vindicate nature's law of compensation in the world. INDEX. Acute mania, 162. Affections cooled by insanity, 168. Alcoholism, acute, 437; chronic, 442. Alternation in insanity, 214. Amenorrhoeal insanity, 473. Anæmia in insanity of lactation, Anæmic insanity, 591; brain, 457. children, 211, 568, 624. Arteries, lesions of, in brain syphilis, 425, Plate VIII. fig. 1. ' Baths, hot, in mania, 176, 191; Turk- 311. Bird, G., on oxaluria, 497. Bromides in mania, 177; in circular Bright's disease, insanity in, 591. Cadell, Dr, his case of syphilitic in- Campbell, J. A., cases of melan- Camphor as a sleep producer, 178, 213. Baillarger first described circular ing insanity, 240. Insanity, 216. Baths in melancholia, 137, 279. Certificates of lunacy, 5, 611; for |