THE DUCTLESS GLANDS AND CONSTITUTION 



47 



dividuals. They are those with an enviable equilibrium of their vegetative 

 functions, their metabolism, and their psyche. 



The relationship of both the disease groups is also shown, as has already 

 been mentioned, in the fact that they sometimes occur combined or alter- 

 nating in the members of one family. I here submit an example: 



Grandfather 



(Obesity and Gout) 



Son Daughter Daughter 



(Slight thyroid (Slight thyroid (Slight thyroid glan- 

 swelling, later glandular swell- dular swelling, mani- 

 light diabetes ing, climacteric festations of hyper- 

 with light Base- psychosis, light thyrosis.) 

 dow's symp- diabetes.) 

 toms.) 



Son 



(Obesity.) 



i / 



Granddaughter Granddaughter 



(Severe exuda- (Obesity.) 

 tive diathesis, 

 later bronchial 

 asthma.) 



I i 



Granddaughter Granddaughter 



(Pronounced lability of (Likewise lability 

 the ductless glandular of the ductless 

 system, great varia- glandular system, 

 tionsinthebody wieght migraine, parox- 

 during pregnancy, ysmal tachycar- 

 light Basedow's symp- dia.) 

 toms, great sensitive- 

 ness against cocaine.) 



I would consider it probable that such family trees are not at all hard to 

 find, at least they do not occur isolated, but readily could be traced in the 

 family trees of families with diatheses. 



This affords me the opportunity of saying a few words with regard to 

 the significance of the ductless glandular system for the diatheses. Accord- 

 ing to W. His we understand by diathesis an individual, congenital, and 

 often inherited condition, which consists in the fact that physiological 

 stimuli call forth an abnormal reaction, and that conditions of living, that 

 are borne without harm by the majority of the race, call forth conditions of 

 disease. The circumstance, that in the great group of arthritic diatheses, as 

 also under the diatheses of pediatrics and dermatology, there are found con- 



