hot; finding the uterine orifice hard and firmly closed, I forcibly dilated the part by means of an iron instrument sufficiently to admit of my introducing a syringe and throwing up an injection; the effect of which was that grumous and fetid blood, to the amount of several pounds, flowed away, with present relief of the symptoms.
The wife of a doctor of divinity was brought to me; a lady of a very tolerable constitution, but who was barren, and having an extreme desire for progeny, had tried all kinds of prescriptions in vain. In her the catamenia appeared at their proper period; but at times, especially after horse exercise, a bloody and purulent discharge came from the uterus, and then, in a short time, ceased suddenly. Some considered the case as one of leucorrhœa; others, led chiefly by the fact that the discharge was not continually present, and in small quantities, but appeared by intervals and in abundance, suspected a fistulous ulcer; whereupon they examined the whole vagina by means of a speculum uteri, and applied various remedies, but in vain; when I was at length called to her. I opened the uterine orifice, and immediately two spoonfuls of pus came away of a sanious character and tinged with streaks of blood. On seeing this I said that there was a hidden ulcer in the uterine cavity, and by applying suitable remedies I restored her to her former state of health. But during the time when I was engaged in her cure, when the ordinary remedies did not appear to be doing much good, I applied stronger ones, suspecting as I did that the ulcer was of long standing, and perhaps covered by exuberant granulations. I therefore added a little Roman vitriol to the injection employed previously, the effect of which was to make the uterus contract suddenly and become as hard as a stone; at the same time various hysterical symptoms showed themselves, such, I mean, as are generally supposed by physicians to arise from constriction of the uterus, and the rising of "foul vapours" therefrom. The symptoms continued some time, until by the application of soothing and anodyne remedies the uterus relaxed its orifice; upon which the acrid injection, together with a putrid sanies, was expelled, and in a short time the patient recovered.
I have introduced this account from my "medical observations" for the purpose of showing how acutely sensible the
