One of the gravest problems in the treatment of the patient with leprosy is the severe reactions which may occur while under therapy. This type of reaction resulting in permanent deformity, blindness, scars and disability is more prone to occur in the lepromatous patient. A num bel' of methods of treatment of reaction exist at the present time, none of which is completely satisfactory. Corticosteroids have often been resorted to, but though they may produce dramatic improvement in the acutely ill they increase the problems of therapy in the long term chronic reaction patient.

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The standardization of radiogra phic techniques assists in the demonstration of bony abnormalities. This paper describes si mple devices which provide easy methods of obtaining co mparable ra diographs of the feet that will aid in the early diagnosis of lesions and in the planning of effective treat ment .

In Chinese patients it is not possible to re ly on the presence or absence of My co. /ep rae in the nasal mucosa to confirm or deny a diagnosis of leprosy. Although the load of bacteria in the nose may be high in some untreated patients, during treatment it falls more rapidly there than elsewhere in the body.

roSy centres, the absence of a second trained doctor to give anaesthetics often lim its the surgeon wishing to operate. "Cocktail anaesthesia", as described here, has proved to be useful in this and ot her situations, and is often preferred to general anaesthesia by those accustomed to administering it. Many different drugs have been used for this purpose. In this paper a method that has been fo und effective in Chinese patients is described, with details of observations that indicate its safety and adaptability.