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[page 490] leading directly to insanity? A. I presume there are, yes, sir. There is always a confusion of causes I think which cause insanity Q. Is it not given in the most of the reports from hospitals that the female patients are laboring under diseases peculiar to that sex, either in ulceration, reflex inflammation, ovarian inflammation acting on the cerebellum? A. Yes, sir, occasionally spoken of I have no doubt that that is one of the causes of insanity Q. Puerperal fever is another cause of insanity A. Yes, sir. Q. Take a hundred insane females, and are not two-thirds of them with more or less repeated irritation, or something peculiar to their organization directly or indirectly leading them to the hospital, and giving cast to its melancholy tinge? A. My opinion would be the reverse of that Q. Are not such cases, if they do exist, cured more rapidly by local treatment? A. I presume they might be. They would need both perhaps. Q. Can insane patients, laboring under chronic loucorrioea (leucorrhoea) and other debilitating diseases, be cured of their insanity until that disease is first cared, the chronic loucorrioea (leucorrhoea), ulceration and reflexed