small of the back, headache, more or less gastric
disturbance, dyspepsia, the food souring on the stomach. There is often,
especially when there are ulcers on the parts, a distressing sense of
heat or a smarting sensation. The menstrual function is frequently
deranged, the bowels costive, the urethra, by being pressed, becomes
irritable and burns and smarts whenever the urine is evacuated. The
sleep is disturbed and unrefreshing, and the whole nervous system is
unstrung.

The discharge from the diseased surfaces, in an ordinary case without
ulceration, is of a mucous or muco-purulent character, not unlike an
ordinary catarrhal secretion. When ulceration exists it is dark, fetid
or bloody, or sanious and purulent, sometimes it is acrid, excoriating
the parts.

TREATMENT.

Inflammation or ulceration, either acute or chronic, in these parts does
not differ essentially in its characteristics from the same affection in
other mucous surfaces.

The proper treatment for a catarrh of other mucous surfaces will be
applicable to these, though there is no doubt but that some medicines
are more specifically adapted to these than to other organs.

In the early stage of the complaint, while the inflammation is acute, or
sub-acute, the discharge thin or white, _Copaiva_ and _Macrotin_ are to
be given once in 6 hours alternately. During the same time let
injections into the vagina of warm soap and water be used twice a day,
to cleanse the parts of the secretion, followed in half an hour by a
wash of warm water, into which _tr. of Macrotys_ has been put in
proportion of 40 drops to half a pint. The application should be made
with an 8 ounce or at least 6 ounce curved pipe syringe, so as to throw
it with considerable force. If there is a burning sensation, use the
washes quite warm, until the heat of the parts is allayed. Avoid the use
of _cold_ injections as long as any inflammation exists. If the bearing
down is present with burning in the parts, _Bell._ is to be used in
rotation with the two former remedies. If the sensation is that of
smarting, _Cantharis_ is to be used in place of Bell.

Where the disease comes on soon after child-birth, _Podophyllin is the
Specific_. It is to be given at the first attenuation three times daily
in half gr. doses of the trituration. In this case let the parts be
freely washed daily with a solution of borax, quite warm. In the
_chronic_ form of the disease, especially where _barrenness_ exist