her to London for treatment in the early part of
December. I now determined to try the effect of the method I am
discussing, of which I knew nothing when I first saw her. It was
commenced on December 11, and everything went on most favorably. A week
after it was begun, when her attention was fully occupied with the diet,
massage, etc., I introduced a stem pessary, being tempted to try this
instrument, which I rarely use, by the knowledge that she was at perfect
rest, and that no form of Hodge had previously been retained. I do not
think she ever knew she had it, and it remained _in situ_ for a month,
when I removed it and inserted a Hodge, which was thenceforth kept in
without any trouble. I may say that I do not think the retroflexion had
much to do with her symptoms, except, doubtless, at the commencement of
her illness, and she probably would have done quite as well without any
local treatment. She rapidly gained flesh and strength, and very soon I
entirely stopped both chloral and morphia, and she never seemed to miss
them. On December 11, when the treatment was commenced, she weighed 5
st. 9 lbs. On January 20 she weighed 7 st. On January 25 she walked
down-stairs, and went out for a drive, and from that time she went out
twice daily. She complained of no pain of any kind, and, although she
wore a Hodge, she did not seem to have any uterine symptoms. On February
1 she went to the sea-side, looking rosy, fat, and healthy, and has
since returned to her home in the country, where she remains perfectly
strong and well. A few days ago she came to town, a long railway
journey, on purpose to announce to me her approaching marriage."

"On September 10 a gentleman came to consult me on the case of his wife,
in consequence of his attention having been directed to my former papers
by a relative who is a well-known physician in London. He informed me
that his wife was now fifty-five years of age, and that she had passed
ten years of her married life in India. At the age of thirty she was
much weakened by several successive miscarriages, and then drifted into
confirmed ill health. He wrote, on making an appointment, as follows: 'I
will give you at once a short outline of her case. We have been married
thirty-four years, of which the last twenty have been spent by her in
bed or on the sofa. She is unable even to stand, and finds the pain in
her back too great to admit of her sitting up. She is utterly without
strength, of an inte