ing for two or three months, and then
menstruating irregularly for two or three months. No flow for two
months. Menstruated at nineteenth day of treatment, and regular during
thirteen months ever since.

I had at one time intended to give, in the first edition of this work, a
summary of all my cases, with the results; but what is easy to do in
definite maladies like typhoid fever becomes hard in cases such as I
here relate. In fevers the statistics are simple,--patients die or get
well; but in cases of nervous exhaustion, so called, it is impossible to
state accurately the number of partial recoveries, or, at least, to
define usefully the degrees of gain. For these reasons I have not
attempted to furnish full statistics of the large number of cases I have
treated.

In the debate before the British Medical Association the question of the
permanence of cures by this method was the subject of discussion. I have
lately been at some pains to learn the fate of many of my earlier cases,
and can say with certainty that every case then treated was selected
because all else had failed, and that I find relapses into the state
they were in when brought to me to have been very uncommon. A vast
proportion have remained in useful health, and a small number have lost
a part of their gains. I now make it a rule to keep up some relation
with patients after discharge, by occasional visits or by letter, and
believe that in this way many small troubles are hindered from becoming
large enough to cause relapses.

I said in my first edition that I did not doubt that the statements I
made would give rise in some minds to that distrust which the relation
of remarkable cures so naturally excites; and this I cannot blame. Every
physician can recall in his own practice such cases as I have
described, and every medical man of large experience knows that many of
these women are to him sources of anxiety or of therapeutic despair so
deep that after a time he gets to think of them as destined irredeemably
to a life of imperfect health, and finds it hard to believe that any
method of treatment can possibly achieve a rescue.

I am fortunate now in having been able to show that in other hands than
my own, both here and abroad, this treatment has so thoroughly justified
itself as to need no further defence or apology from its author. It has
gratified me also to learn that in many instances country physicians,
remote from the resources of great cities,