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employment must be made. A bath of tepid water in the morning,
followed by a brisk rubbing, will be beneficial; also the frequent use
of the sitting-bath, and the sponge bath in the evening. Active
exercise should precede and follow all baths. During menstruation all
applications of water should be omitted. The following remedies are
recommended by a famous Philadelphian doctor. They are to be taken on
alternate days; that is, take No. 1 one day, No. 2 the next day, etc.:
No. 1.--Precip. carbonate of iron, five drams; extract of conium, two
drams; balsam Peru, one dram; oil cinnamon, twenty drops; simple
syrup, eight ounces; pulverized gum arabic, two drams. Mix. Dose: Two
teaspoonfuls three times a day, every other day, after meals. Shake
No. 2.--Tincture of nux vomica, one dram; syrup iodide of iron, one
ounce; simple syrup, four ounces. Mix. Dose: One teaspoonful three
times a day, every other day, after meals.
Another treatment is as follows:
Clear the bowels with the following mixture: Sulphate of magnesia, one
ounce; nitrate of potash, ten grains; extract of liquorice, one
scruple; compound infusion of senna, five and one-half ounces;
tincture of jalap, three drams; spirit of sal volatile, one dram. Mix.
Dose: Two or three tablespoonfuls at a time, at intervals of two hours
until an effect is produced. This is to be followed by sulphate of
iron, five grains; extract of gentian, ten grains. Make into three
pills and take a pill twice a day, with the compound aloes or rhubarb
pill every night.
By menorrhagia we understand an immoderate flow of the menses. There
is no fixed amount of blood which is lost at the menstrual period, but
it varies in different women. It will average, however, from four to
eight ounces. The quantity discharged may be estimated by the number
of napkins used. Each napkin will contain about half an ounce, or one
tablespoonful, so that eight napkins would contain four ounces;
twenty, ten ounces; etc. In some females the discharge may be
excessive without impairment of the general health.
Some females are predisposed to uterine hemorrhages, from a relaxed or
flabby state of the texture of the uterus. Frequent childbearing,
abortion, high living, too prolonged and frequent suckling, may induce
flooding. Among the exciting causes we may mention overexertion,
dancing, falls, lifting heavy weights, cold, and mental excitement.
The patient must lie down on a hard bed, and abstain from all
stimulating food and drinks. The room should be cool and she should be
lightly covered with bedclothes. Soak the feet in warm water, and if
the flowing is excessive apply cloths wrung out in vinegar and water
to the lower bowels. The hips must be elevated higher than the head.
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