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The Fallopian tubes, which penetrate and are attached to the peritoneal sack, together with the uterine broad ligaments, are designed to hold the womb in place, but if the womb and ovaries are crowded down into the pelvic cavity and the womb doubled upon itself, dysmenorrhea or painful menstruation, or amenorrhea, with convulsions, is the result.
In amenorrhea the menstrual flow may not appear for some years after it is normally due; or the flow may cease after some months or years of continuance; or the flow may be abnormally scanty or even absent.
Prideaux cites a case at five, and Gaugirau Casals, a doctor of Agde, has seen a girl of six years who suffered abdominal colic, hemorrhage from the nose, migraine, and neuralgia, all periodically, which, with the association of pruritus of the genitals and engorged mammae, led him to suspect amenorrhea. He ordered baths, and shortly the menstruation appeared and became regular thereafter.
Barham records a case similar to the foregoing, in which the menstruation assumed the character of periodic purpura. Duchesne mentions an instance of complete amenorrhea, in which the ordinary flow was replaced by periodic sweats.
It is described as commencing with itchings and formications in the feet, severe pain in the back, contractions in the muscles, nausea, giddiness, apathy, with abortion in pregnant women, in suckling women drying of milk, and in maidens with amenorrhea.
One of the latter cases was a sailor of sixty-three who suffered from general nigrities, and the other was in a woman of thirty, appearing after weaning and amenorrhea. Mitchell Bruce has described an anomalous discoloration of the skin and mucous membranes resembling that produced by silver or cyanosis.
AFTER PAINS: Salophen in fifteen grain doses. If necessary take another dose in two hours. Should the pains reappear the next day, repeat the dosage. AMENORRHEA: Tincture chloride of iron, three drams; tincture cantharides, one dram; tincture guaiac ammon., one-half dram; tincture aloe, one-half ounce; syrup enough to make six ounces.
They used to pooh-pooh the idea of the alchemists that gold had medicinal virtue. Their fine scorn does not now prevent them from using alternate doses of the salts and of the filings of this metal. They use concentrated arseniate of gold against anemia, muriate against syphilis, cyanide against amenorrhea and scrofula, and chloride of sodium and gold against old ulcers.
Menorrhagia and Metrorrhagia; Dysmenorrhea; Amenorrhea; Leuchorrhea; Pruritus Vulvae. "Defer not till to-morrow to be wise, To-morrow's sun on thee may never rise." Menorrhagia and Metrorrhagia. By menorrhagia is meant an excessive or too profuse menstrual flow; by metrorrhagia, a flow of blood between the menstrual periods.
Recently, in cases of dysmenorrhea, amenorrhea dysmenorrhagia, and like sexual disorders, massage or gentle flagellation of the parts contiguous with the genitalia and pelvic viscera has been recommended.
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