  We extend an effective Lagrangian embodying broken scale and chiral symmetry
to include explicit chiral symmetry breaking and an additional chiral invariant
term which allows for an axial coupling constant greater than unity. We also
include a chiral Lagrangian for the isotriplet vector mesons which leads to a
renormalization of the pion field. The properties of nuclear matter and nuclei,
low energy $\pi N$ scattering and the behavior of quantities such as the pion
mass and axial coupling at finite density are discussed.
