a cretin, and even one of low grade, yet with a higher degree of
intellectual capacity than most cretins possess. On the other hand, the
bodily weakness and deformity may be slight, while the mental condition
is very low. In the former case, we might reasonably expect, on the
successful treatment of the rachitic symptoms, a rapid intellectual
development; the child would soon be able to pursue its studies in an
ordinary school, and a "perfect cure" would be effected. In the latter
case, though far more promising, apparently, at first, a longer course
of training would be requisite, and the most strenuous efforts on the
part of the teacher would not, in all probability, bring the pupil up to
the level of a respectable mediocrity.

From a great number of cases, narrated in the different Reports of Dr.
Guggenbühl before us, we select one as the type of a large class, in
which the development of the intellect seems to have been retarded by
the physical disorder, but proceeded regularly on the return of health.

"C. was four years old when she entered, with every symptom of confirmed
rachitic cretinism. Her nervous system was completely out of order, so
that the strongest electric shocks produced scarcely any effect on her
for some months. Aromatic baths, frictions, moderate exercise, a regimen
of meat and milk, were the means of restoring her. Her bones and muscles
grew so strong, that, in the course of a year, she could run and jump.
Her mind appeared to advance in proportion to her body, for she learned
to talk in French as well as in German. The life and spirits of her age
at length burst forth, and she was as gay and happy as she had before
been cross and disagreeable. She was particularly open-hearted, active,
kind, and cleanly. She learned to read, write, and cipher, to sew and
knit, and above all she loved to sing. It is now two years since she
left, and she continues quite well, and goes to school."