Uterine diseases, with an appendix : containing an abstract of 180 cases of uterine diseases and their treatment, together with analytical tables of results, ages, symptoms, etc. : to which is added a clinical record of interesting cases, treated in the Manchester Homoeopathic Hospital / by Henry R. Madden.

  • Madden, Henry R. (Henry Ridewood)
Date:
[1852?]
Catalogue details

Licence: Public Domain Mark

Credit: Uterine diseases, with an appendix : containing an abstract of 180 cases of uterine diseases and their treatment, together with analytical tables of results, ages, symptoms, etc. : to which is added a clinical record of interesting cases, treated in the Manchester Homoeopathic Hospital / by Henry R. Madden. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    With these exceptions, I believe we may unhesitatingly af- firm, that, in every case of continued leucorrhoea, th< more or less chronic inflammation of a laj mailer portion of the uterus; and, moreover, we may also conclude, that how- ever much a patient mayimprove in general health, her uterine affection cannot be considered as cured until theleucorrhceashal] have altogether ceased; nay, more, seeing that some degree of inflammation may exist without any external appreciable leu- corrhcoa,it follows that we cannot actually pronounce upon the complete cure of any such case without the aid of the speculum. Menstrual irregularity, either as respects the time, quantity or quality of the secretion, should perhaps hold the next place in point of importance among the symptoms of this disease, whose presence will aid us in diagnosis. In a large majority of those suffering from uterine inflammation, there will be found some more or less marked abnormality in this respect. The menses will be either too early or too late in their appearance, the flow Avill be more or less unsteady during the time of its existence, and the duration will be either unusually shortened or pn •!< raged. Again: the quantity will vary from the merest trace to an amount well meriting the title of menorrhagia; and yet, again, the quality of the secretion will show every variety, from an almost colourless watery fluid to a thick viscous mate- rial, more like tar in its aspect, and vying with ink in its black- ness. As, hewever, all those, and many more varieties may be met with in company with one and the same organic lesion, it is obvious, that while the fact of any menstrual irregularity may lead us to suspect the existence of uterine inflammation, the peculiar abnormality will be of little service in enabling us to decide upon the exact morbid condition of the uterus itself.. Painful menstruation is another symptom of very frequent occurrence, but of little diagnostic value, save in some few cases where there is reason to suspect a mechanical cause for the impeded function. Pains of various kinds, from a mere sense of weariness to an almost continued agony which prevents all motion, are found occurring in the loins and across the sacrum; the variety, how- ever, and diagnostic uncertainty of these symptoms are so great that, common though they be, we cannot be guided by them in