As usual Rs. 600 was spent in distributing rewards to
hardworking patients over and above the daily gifts of cigarettes,
tobacco and other comforts.

         (2)  Hydrotherapy.—Hydrotherapy has proved of consider-
able value in mental diseases specially in highly excited and
insomnic cases where drug and other known treatment for such
conditions have failed. For reducing extreme excitement, the
prolonged bath treatment is very effective. The bath tubs with
continuous automatic flow of water as used in the West are
very expensive and probably unsuitable for our work in India,
so I had to invent a cheap bath tub for this treatment more or
less on the same style as those used in the West with modi-
fications suiting the Eastern environment. As our bath tubs
have proved very satisfactory, easy to manipulate and cost little,
they were copied by some hospitals, jails and private practitioners
in India who were supplied free of charge with the plans of
our tubs on request.

         One hundred sixty male and 29 female patients were given
this treatment during the year under report with gratifying
results. The average hours of immersion per patient were

253.92 hours.

         (3)  Drugs.—(i) Cardiazol.-—The following table shows the
number of patients treated with this drug during the year under
report and the results thereof :—

         There can be no question that Cardiazol therapy offers
a highly successful adjunct to the Schizophrenic patients far
superior to any other treatment with the possible exception of
Insulin Therapy. It is too early as yet to make any positive
statement as to the permanence of the remissions or curative
effect of the treatment. Many cases that show early improve-
ment have relapsed after a time to their former state. However,
Cardiazol has considerably changed the bleak outlook of Schizo-
phrenia. Many patients who might have been chronic insti-
tutional cases, can now at least be so improved as to return
home and take part in their former activities. Early cases give
high remission rate and thus enable us to adopt a more
optimistic view towards this fell disease. I have introduced
Cardiazel therapy in the hospital since my return from Budapest
in1936 where I learnt the technique of this treatment from
my friend Dr. Ladislaus v. Meduna of Budapest, originator
of Cardiazol Therapy. Over 2,000 cardiazol shocks had been