The object which I propose to myself in this paper is twofold. The first is to lay before you briefly the general statistical results of five years, in regard to those who have been sent for treatment from the districts of Cheshire, to which the asylum is allotted; and the second is to give the results of some further experience, as bearing on the question of “Local Differences in the Distribution of Insanity,” of which I adduced some illustrations in my Annual Report for 1873, and which were subsequently published in a separate form in the “Journal of Mental Science” for April, 1875.