220 PHYSIC 



in situ or dislodged, and eliminated from the sarcous 

 elements of the muscles involved through the lymphatics 

 leading from the muscular system into the circulation of 

 the blood proper. 



If this procedure, the use of our artificial aids along 

 the lines on which nature is working, prove successful, the 

 result will be the restoration of the mechanism and con- 

 tents of the cerebro-spinal and muscular circulations to 

 their normal and aseptic condition. 



Thus will the disease be cut short and cured, and thus 

 will be prevented the occurrence of more prolonged, 

 though less acute, rheumatic processes or diseases, with 

 their accompanying loads of suffering and their greater or 

 lesser degrees of attendant or permanent crippling. 



Thus, also, will be averted such fatal " turns and twists" 

 as sometimes mark the progress of cases of this disease, 

 and which those in charge often regard as absolutely 

 beyond their control, such as metastasis to the cord and 

 brain, including the entire cerebro-spinal cavity, with its 

 other contents, liquid and solid, or to the muscular sub- 

 stance of the heart, with its covering and lining membranes 

 and valvular structures. 



We, perhaps, ought here to remark that it seems to us 

 that the phenomena of metastasis can find an explanation 

 in the occurrence of a more or less sudden regurgitation 

 of the toxic matter occupying the motor nerve trunk 

 sheaths, the nerve terminal structures and muscles from 

 and along them into and amongst the contents of the 

 cerebro-spinal cavity, and terminating there, in the case 

 of metastasis to the brain, but passing out again along 

 the intra-spaces of the pneumogastric trunk, in the case 

 of metastasis to the heart. 



If, therefore, this metastatic movement can haply and 

 happily be diverted along the peripheral sensory nerve 

 trunks and fibrils with their attached terminals and the 

 sudoriferous glands, a fatal issue may be prevented. 



Thus, it will be seen that muscular rheumatism, or 

 rheumatism involving the motor nerves and the muscles, 

 can be prevented, in the first place, by being promptly 

 seen to and relieved or cured ; and, in the second place, 

 by securing an excretory or forward, or a retrograde or 



