The short notes which I am going to bring before you refer more directly to the power of repair of bony structures and soft tissues in fractures and wounds, occurring in cases of insanity; and I have the less hesitation in calling your attention to the subject, because I see by the last “Commissioners' Report” that during 1874 twenty-six fractures occurred in the Scotch Royal and District Asylums. I hope, therefore, to hear some useful remarks on the subject from the members present.