Ruptured labium-Ruptured labium and perineum-Uncured laceration of peri- neum with procidentia uteri—Labial cysts-Warts of the vulva-Dr. Brainerd's Vagina-Its structure and relations-Absence of the vagina-Operation by Dr. Randolph for absence of vagina-Congenital narrowness of the vagina-Dilata- tion of the vagina as a cure-Imperforation or atresia-Cases-Cohesion of va- ginal walls after labor-Case of the same- -Ulceration of the vagina-Vaginitis -Inversion of the vagina-Vaginal fistula-Vaginal rectocele-Vaginal entero- Clitoris-Hermaphrodism-Free Martin- Nymphomania-Inversion of the blad Displacements of the womb-Prolapsus uteri-Lamotte's account of it-Prolap- sus, with abdominal neuralgia.-Case-Levators ani in prolapsus--Diagnosis- Carus' curve-Dr. J. H. Bennet-Causes of prolapsus-Pessaries-Gynæcio- rum of Spach-Simulative prolapsus-Miss Helen Blanque's case, and dialogue Diagnostics of prolapsus - Bad training of girls - Quêvenne's metallic iron- Pessaries Mr. Joseph Warner and his instruments-Dr. Physick's pessary- Suffita-Sachet-Sponge-Cork-Caoutchouc-Whalebone-ring-Blundell's pes- Prolapsus in the unmarried-Case-Immobility of the womb-Case-Cautions 182-189 Retroversion of the womb-Wood-cut of retroversion-Dr. Amussat's pamphlet- Anteversion of the womb-Flexion of the womb, 190-218 219-226 Inversion of the womb-Mr. Crosse of Norwich, in England, - 227-240 Dr. Betton's case of inversion-Polypus of the womb-Dr. Safford Lee cited- Anne Ryder's case-Dialogue with a patient-A case of polypus-Adherent Ovarian disease-Ovariotomy-Dr. Lee's tabular results, ·Climatic influences-Nature-Causes- Extract from Burdach-Germ-production in vegetables and in animals-Migra 374-385 Periodicity of germ-production, or ovulation - Secretions-Prof. Huschke-Martin Barry and Gerber-Négrier, Gendrin, Lee, Bischoff, and Pouchet-M. Pouchet's Corpus luteum-Author's opinion-Opinion of authors, as Henlé, Carpenter, Disorders of pregnancy-Fecundation and conception-Early changes of the womb -Uterine intrusion-Ovum grows by vis insita-A ventre plat, enfant il y a-Sym- pathy with uterus in the mammary glands, the stomach, &c.-Missing the return-Quickening-Rational signs and sensible signs-Some of the signs, as diseases of pregnancy-Salivations and vomitings-Bruit de souffle uterin— Sounds of fœtal heart-Dr. J. A. H. De Paul, of Paris, and his work on Auscul- tation-Early discoveries of fatal heart-Evory Kennedy and others-Edema gravidarum-Constipation-Compression of the great vessels by womb-Dura- Disorders of pregnancy continued-Cost of pregnancy to the blood-membrane- Anæmia-A case-Palpitation-Endocarditis-Dropsy of chest-Sprain of the Abortion-Dr. Merriman's table of duration of pregnancy-Causes of abortion- Lying-in diseases-Fainting after delivery-Concealed hemorrhage-Turn out the clots-Binder and compress-Keep the head down-Ergot-Opium-After- pains-Rheumatismus uteri-Neuralgia of womb and abdomen-Lochia-Dr. Lee of London-Asdrubali on bandaging the accouchée-Retention of urine- Medicines for the accouchée-Diet-Dies nondina-Vaccination of pregnant FEMALES: THEIR DISEASES AND REMEDIES. LETTER I. MOTIVES FOR WRITING. GENTLEMEN:-When I took leave of you, at the close of the session of our Lectures on the last of February, I engaged to address to you a series of letters, in which I should endeavor to lay before you my views upon some of the disorders of females; and you may remember, I on that occasion, requested each one of you to consider these letters as addressed to himself. I felt that I had not fully discharged the obligations of my professorship as relates to disquisitions upon the sexual maladies; and explained to you that the time allowed for a course of lectures, a period of only four months, is too short to permit any one fully to describe the many diseases to which females are liable. I had taken advantage, it is true, of every open occasion to describe the phenomena and treatment of the disorders and accidents of the various structures which it was my province to demonstrate. Still there was much incumbent on me to say, which the shortness of your sojourn here would not allow me leisure to say. When I enjoyed the satisfaction of meeting you in the afternoons, I felt that my happiness was to be esteemed great, in the privilege of addressing so great a number of gentlemen, all patiently and politely receiving the instruction I was able to convey upon very important points of a business, which is related |