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the shoulders and not from the waist, as is usually done. Use plain
vegetable diet, and avoid tea, coffee, spirituous drinks, and all
sensual indulgences. Allow the clothes to be loose. These things must
be attended to closely. The diet should be plain and nourishing, but
Use an injection of an infusion of white oak bark, geranium, or a
solution of alum, in the proportion of one ounce to the pint of water.
If there is inflammation of the womb, this must be subdued before
using the pessary. Give tincture of aconite, compound powder of ipecac
and opium, with injections of an infusion of hops and lobelia, or an
infusion of belladonna.
If there is heat and difficulty in passing water, drink an infusion of
marsh mallow and spearmint. If the patient is weak, give the following
Sulphate quinine, twenty-five grains; citrate of iron (soluble),
thirty-five grains. Make into twenty-four powders. Take a powder three
times a day, after each meal, in sweet wine.
The word leucorrhoea is derived from two Greek words, and means
literally a "white discharge." It is also known as "flour albus,"
"whites," and "female weakness," and consists of a "light colorless
discharge from the genital organs, varying in hue from a whitish or
colorless to a yellowish, light green, or to a slightly red or
brownish; varying in consistency from a thin, watery, to a thick,
tenacious, ropy substance; and in quantity from a slight increase in
the healthy secretion to several ounces in the twenty-four hours."
This discharge generally occurs between the ages of fifteen and
forty-five, seldom during infancy or old age. When it occurs in young
female children, it will not infrequently be produced by the presence
of pinworms in the vagina, which make their way there from the rectum.
There will be intense itching of the parts, and the worms can be
removed with a small piece of cloth, after separating the lips.
This disease may be either acute or chronic. The acute form generally
results from taking cold, and is simply a catarrhal inflammation of
the mucous membrane lining the vagina. The chronic form is but a
continuation of the acute, and is generally caused by the acute stage
having been neglected or improperly treated. Ulceration of the neck of
the womb sometimes results. There are two forms of leucorrhoea:
Vaginal leucorrhoea, when the discharge comes from the walls of the
vagina; and cervical leucorrhoea, when the discharge proceeds from
the neck of the womb.
Causes: Taking cold from sitting on the ground, or exposure of the
neck and shoulders; over sexual excitement, and sexual intercourse;
tight lacing; piles, miscarriages, and abortions; displacements of the
womb; purgatives, improper articles of diet; warm injections, or
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