_(b) Manipulative._--(i) Injection of saline solution under the skin
in the perineal and pubic regions, with object of lowering the
excitability of the bladder by counter-irritation. (ii) Gradual
distension of the bladder by hydrostatic pressure, (iii) Tilting the
foot of the bed so as to throw the urine to the fundus of the
bladder, in order to protect the sensitive trigone from irritation.

_(c) Educative._--(i) Curtailing the fluid drunk. (ii) Waking the
child at intervals during the night by an alarm clock or otherwise.
(iii) Rewards and punishments.

_(d) Medicinal._--(i) Belladonna. (ii) Thyroid extract.

_(e) By Suggestion._--(i) By simple suggestion. (ii) By hypnotic
suggestion.

I do not think that any single one of these various forms of treatment
outlined under the first four heads has any effect other than to aid
the suggestion of cure which we proffer in adopting it. Removal of
tonsils and adenoid vegetations might conceivably cure an enuresis
which is nocturnal, it cannot account for an incontinence which
spreads to the day. We might believe that to distend the bladder by
hydrostatic pressure was a cure for incontinence of urine, and that it
acted by removing the local cause,--the smallness and contraction of
the bladder,--were it not that the loss of control is so apt to spread
to the rectum as well. There is no evidence that the urine is
peculiarly irritating. Indeed, such evidence as we have goes to show
that, as in some other neuroses, the urine in enuresis is unduly
copious, and of very low specific gravity. Incidentally, we have in