Dr. Paris confirms by his testimony the value of rest in bed in the treatment of the insane. He also points out that it does not really raise the expense of maintenance appreciably, for if, on the one hand, it necessitates an increase in the staff of attendants, it obviates the cost of the destructiveness of the maniacal patient, and the greater and more prolonged consumption of sedative medicines, etc. Another aspect of this question is the lessened call for surgical treatment which rest in bed brings with it; thus the metrorrhagias, wounds, and fractures are much less in evidence, and one accident in particular is of much less frequent occurrence, viz. hernia.