entirely fusuma and shoji, and people were peeping in the whole
time. It is not only a foreigner and his strange ways which
attract attention in these remote districts, but, in my case, my
india-rubber bath, air-pillow, and, above all, my white mosquito
net. Their nets are all of a heavy green canvas, and they admire
mine so much, that I can give no more acceptable present on leaving
than a piece of it to twist in with the hair. There were six
engineers in the next room who are surveying the passes which I had
crossed, in order to see if they could be tunnelled, in which case
kurumas might go all the way from Tokiyo to Kubota on the Sea of
Japan, and, with a small additional outlay, carts also.

In the two villages of Upper and Lower Innai there has been an
outbreak of a malady much dreaded by the Japanese, called kak'ke,
which, in the last seven months, has carried off 100 persons out of
a population of about 1500, and the local doctors have been aided
by two sent from the Medical School at Kubota. I don't know a
European name for it; the Japanese name signifies an affection of
the legs. Its first symptoms are a loss of strength in the legs,
"looseness in the knees," cramps in the calves, swelling, and
numbness. This, Dr. Anderson, who has studied kak'ke in more than
1100 cases in Tokiyo, calls the sub-acute form. The chronic is a
slow, numbing, and wasting malady, which, if unchecked, results in
death from paralysis and exhaustion in from six months to three
years. The third, or acute form, Dr. Anderson describes thus.
After remarking that the grave symptoms set in quite unexpectedly,
and go on rapidly increasing, he says:- "The patient now can lie
down no longer; he sits up in bed and tosses restlessly from one
position to another, and, with wrinkled brow, staring and anxious
eyes, dusky skin, blue, parted lips, dilated nostrils, throbbing