It is important not only to limit the amount of food to be oxidised and disposed of in the body, but to increase the power of oxidation. This is best done by exercise and fresh air. Exercise stimulates the circulation, promotes tissue change and increases oxidation in the body; hence it is obvious that the maintenance of that delicate balance between the food taken and the oxidation of that food, which is so necessary for the gouty, can be greatly aided by exercise. The exercise must not, however, be too violent and fatiguing, for anything that tends to depress the nervous powers may cause an attack of gout. Undue excitement, sleeplessness, over-study, anxiety, should, therefore, all be avoided by the gouty. If, owing to stiffness of the joints, active walking or horse exercise cannot be taken, passive exercise should be resorted to, such as can be obtained by means of massage. Fresh air is of great importance, though damp and cold should be avoided. Great benefit may be obtained by a sojourn in a warm dry climate, such as that of Las Palmas in Grand Canary or Orotava in Teneriffe. Fine hotels and the best medical attendance can now be found at these health resorts; and it will, I think, not be long before the martyrs to arthritic gout will learn that the "Fortunate Islands" may be to them a discovery worth making.