In addition to chronic rheumatism and gout a number of other diseases that interfere with locomotion call for reduction cures whenever even slight degrees of obesity seem to render the movements of the body difficult. To this class of diseases belong, for instance, hemiplegia, chronic diseases of the spinal cord, many cases of peripheral paralysis, numerous surgical diseases of the joints and bones, grave cases of varicose veins, and chronic ulcerations of the legs, etc. It is clear, of course, that a reduction of excessive fat must give much relief to sufferers from all these lesions; nevertheless this point is not sufficiently appreciated in practice. The average practitioner is usually content with half-way measures that do not prevent a gradual increase of the body weight and in this way lead to interference with locomotion of these patients and consequently with metabolism; in this way, too, the condition of such patients is apt to become aggravated, for the reason chiefly that they do not get enough exercise. I consider it an important and an urgent part of the treatment of these cases to decrease the body weight wherever this is possible. The best method consists in beginning a regular reduction cure combined with exercise and strengthening of all the muscles that are still capable of performing their function, together with massage and physical exercises; the latter two methods of treatment frequently producing brilliant results in the desired direction. The effect of this treatment is so apparent, and the patients are so grateful for the relief bestowed upon them, that all this should encourage us to attempt this method of therapy in every case of this character that comes under our care.