It will always be a subject of regret that the late Sir Andrew Clark left unfinished an article on “Gouty Melancholia,” which he contributed to the “Journal of Mental Science” (Vol. xxvi., p. 343). In this paper, consisting mainly of an imaginary dialogue between the physician and a medical practitioner who consults him about his patient, he graphically describes the symptoms in reply to the inquiry what Sir Andrew really meant by “gouty.”