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for the treatment of frequent urination in pregnant women.

=Hemorrhoids= (Piles). On account of the pressure of the womb on the
rectum, and also on account of the constipation which is so frequent
during pregnancy, hemorrhoids or piles are quite frequent among
pregnant women. The treatment of hemorrhoids consists in removing the
cause: wearing a well-fitting abdominal belt, and relieving the
constipation. Injecting into the rectum about half a pint of cold
water three times a day is very useful. For the intolerable itching
sometimes present in hemorrhoids the following ointment will be found
very grateful: menthol, 5 grains; calomel, 10 grains; bismuth
subnitrate, 30 grains; resorcin, 10 grains; oil of cade, 15 grains;
cold cream, one ounce. The piles (the hemorrhoids) are to be well
cleansed with hot water, and this ointment is to be well smeared over;
a little is pushed into the rectum, and a piece of cotton is put over
the anus. This protects the clothes from soiling and keeps the
medicine in place for a longer time. Instead of ointment a cocoa
butter suppository may be used. A suppository of the following
composition is good: powdered nutgalls, 3 grains; oil of cade, 3
drops; resorcin, 1 grain; bismuth subnitrate, 5 grains; cocoa butter,
20 grains. One such suppository to be inserted three times a day. The
ointment and the suppository given above, if used in conjunction with
the proper regulation of the bowels, will not only relieve but will
cure most cases of hemorrhoids caused by pregnancy.

=Itching of the Vulva. Pruritus Vulvae.= Itching of the external
genitals during pregnancy is not uncommon. This may be due to the
fact that the vulva is generally congested and swollen during
pregnancy or it may be caused by an increased leucorrheal discharge.
The itching is sometimes very severe, and if the patient scratches
with her nails and produces bleeding, she may cause an infection of
the parts. The patient should be cautioned against scratching; she
should try simple measures to relieve the itching. A small towel or
gauze compress wrung out of boiling water and applied to the vulva
several times a day, followed by a free application of stearate of
zinc powder is often efficient. If it is not, the following salve may
be tried: carbolic acid, 10 grains; menthol, 5 grains; resorcin, 15
grains; zinc oxide, 1 dram; and white vaseline, one ounce. In very
severe cases the vulva should be painted with a solution of sil