t the condition is much more
serious. The cause seems to be wholly nervous and may indicate an
important nervous derangement. It seems to have some indefinite relation
to such conditions as migraine, hysteria, epilepsy, and even insanity.
The child wakes suddenly during the night and sits up, evidently in
terror; he does not apparently regain his full consciousness. He talks
of being scared, calls for his mother, trembles and shakes, cannot
answer questions intelligently, and after a time goes to sleep. Next day
he remembers nothing of the attack and does not seem to suffer in any
way as a result of it.

I am disposed to believe that all of these attacks are not due to a
nervous condition. A number of them of exactly this type have been cured
by absolutely withdrawing milk from the diet.

It is a good plan to restrict the possibility of excessive play in these
children. They are of the type whose play is work, and too much of it is
too exhausting. Some person should sleep in the same room with these
patients or in an adjoining room with the door open.

If the condition occurs frequently the child should be subjected to a
thorough physical examination, because it may be one evidence of a
serious ailment.

Sometimes these little patients have to be taken out of school and sent
to the country, where they should remain for many months. It is far
better to regard the condition as indicating an abnormality,--even
though it may not have any deeper significance than that the digestive
apparatus of the child is not quite right,--and make every effort to
cure it, than to permit the child to go on under what really are unjust
and unfavorable conditions.

HEADACHE

Headaches are not common in little children. The most frequent ones are
caused by:

1. Chronic indigestion and constipation.

2. Anemia and malnutrition.

3. Nervous disorders.

4. Diseases of the eye, nose, throat.

5. Rheumatism and gout.

6. Disturbances of the genital tract.

Those arising from anemia and poor nutrition are most frequently present
in girls from ten to fifteen years of age. They may result from
overcrowding of school work, which results in loss of appetite and poor
sleep.

Nervous headaches may be hereditary or acquired through unhygienic
surroundings. Hysteria, epilepsy, disease of the brain, neuralgia from
carious teeth, may result in nervous headaches.

Headaches from disturbances of the genital tract may afflict