panied with a tendency to hysterics. 5th. Pain under the edge of the ribs, about the right breast: it is sometimes confined almost to a point; at others, it extends to the loins; it is occasionally increased by a full inspiration, and always by pressure; there is likewise frequently sallowness of the countenance. 6th. Pain apparently over the whole of the internal cavity of the belly is a common and very distressing feeling amongst females whose menstruation is deranged. 7th. Pain in the stomach, hard and forcing, frequently aggravated by pressure. 8th. Pain in the middle part of the back, about the region of the kidneys, which runs round the side, and extends to the lower part of the abdomen, occasioning a frequent desire to pass water. 9th. Diarrhoea, which is of very usual occurrence in women who menstruate irregularly, and is attended with painful griping and flatulence.

Such are the chief symptoms of this painful disease; one or several of which may be in attendance along with a general, irritable, and disordered system. Great care is often required, particularly by the patient, in stating her symptoms, to enable the physician to detect the real state of the case. Added to the above, the individual is invariably depressed in spirits, de

sponding, or feeling a perfect apathy as to her condition; the appetite is fastidious, or altogether deficient; the bowels irregular, at one time confined, at another relaxed; the complexion is either yellow or deadly pale; the flesh feels soft and flabby; the lips are rough and cracked; the finger-nails brittle, and, in many instances, there will be observed a dark, purple halo round or below the eye.

I must request my fair readers to bear in mind, that the picture I have drawn exhibits the most unfavourable aspect the complaint assumes, such a state being not often met with; and whenever all the symptoms I have described are present, it is actually chlorosis (or green sickness). There are cases of this nature that occasionally recover merely by the natural powers of the constitution; it often, however, remains stationary for a long time, and then suddenly assumes some other more severe and obstinate form of disease. A similar train of symptoms will be the result of suckling too long, or from a protracted course of the whites. The treatment, as far as can be intrusted to domestic management, has been already noticed, and remedies will be found in the Appendix.

The next subject for consideration is the severe

form of the malady-green sickness, technically termed, as before stated, chlorosis; and here more or less of the symptoms just enumerated are to be met with, but all in a severe form, the headache particularly distressing and acute. Added to these, there is loss of memory, emaciation, the strength gradually diminishes, or else rapidly falls off; there are continual palpitations, blood is discharged from the nose, stomach, and lungs; there are also sudden and alarming attacks of diarrhoea; the breathing is affected, and there is often, on the slightest movement, a feeling of suffocation; the skin is not only soft, but it has a doughy feel, is clammy and cold alternately. A medical writer of some eminence proposes, in order to prevent green-sickness being mistaken for consumption or disease of the heart, to abstract a few ounces of blood. Truly a pretty little experiment! One great cause of green-sickness is sedentary habits and confinement to damp, unwholesome air; hence the unfortunate dressmakers' apprentices, factory-girls, and shopwomen, are often victims. Anxiety, scanty diet, or, in fact, anything which has a tendency to lower the vital powers, will have a decided tendency to induce this malady. In the Appendix will be found a form for

an injection, which is to be thrown up the vagina by 'means of a female syringe. This preparation has been found of singular efficacy after every other remedy has failed. The patient should be warmly clothed, and the diet light and nutritive, with a moderate al

lowance of generous wine.

WHITES

ARE a discharge from the vagina, varying in colour and consistence in different cases; and females are ready to imagine that it is the cause of every malady they may happen to labour under at the time. There are several species of whites, and a failure in distinguishing their cause and nature may tend to very serious errors in management, I shall therefore enumerate four varieties :

1st. Transparent Mucous Discharge.

2d. White Mucous Discharge.

3d. Purulent Discharge.

4th. Watery Discharge.

Females, in almost every instance, permit whites to run on for a length of time before they seek advice, and this mistaken delicacy frequently leads to very melancholy results. The predisposing causes are, a

scrofulous habit, nervous debility, rapid child-bearing, miscarriages, long-continued suckling, disorders of the digestive organs, mental affections, profuse menstruation, poor diet, abuse of tea, and a relaxation of the parts immediately concerned in secreting the discharge. In some cases, it indicates disease of the womb or parts connected with it, especially when the discharge is copious, and acrimonious in quality. Delicate females of a lax fibre removing from a cold climate to a warm one, are liable to be attacked with it, without the parts having sustained any previous injury. It usually prevails during the latter parts of summer and autumn. Moisture, impure air, living in large towns and crowded apartments, are exciting causes; the malady is more frequent in the married than in the single. In London, scarcely one in ten are exempt; in girls it, however, is of rare occurrence, comparatively speaking. Dr. William Hunter states, that in Italy it is wholly attributed to insufficient clothing, hence he was in the habit of directing flannel dresses to be worn in winter. I shall notice the different discharges in their regular order.