Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton Jones.

  • Macnaughton-Jones, H. (Henry), 1844-1918.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton Jones. Source: Wellcome Collection.

    190/712 (page 144)
    forcible dilatation. Still, there are cases m which the prac- titioner may not feel himself justified m resorting to the force necessary to dilate a small cervical canaL Here tupelo, or laminaria and subsequently tupelo, should be employed. * General Treatment of Dymenorrhcea —In determining the treatment of any case of dysmenorrhcea, we must be guided by the cause of the pain, and our remedies, general and local, should be such as are indicated by the constitutional aspects of the case, and any local fault that we may detect. Our first aim should be to correct any constitutional vice, such as general plethora, anaemia, chlorosis, dyspepsia, gout, hysteria, constipated bowels, and those habits which lead up to depraved blood conditions and interference with the general health. Attention to all those matters already referred to in the instance of amenorrhcea will be necessary—climate, food, clothing, and exercise, and abandonment of injurious amusements and occupations, os morbid excitements. Change of air, proper exercise, health- ful and regular diet, with attention to the bowels, will cure many a case of dysmenorrhcea without further interference. With anamiic and chlorotic complications, the different chalybeates before referred to, and especially the combina- tion of arsenic, iron, and quinine, must be tried. If we are suspicious of a gouty diathesis, the salts of potassium, lithia, soda, magnesia, are indicated, and these can be given with the bromides of potassium and ammonia, or with col- chicum or guaiacum. The salicylates of quinine, lithia or soda (effervescing or granular) will be found agreeable and * Dilatation Treatment of Dysmenorrhcea.—The dilators of Duke, and the tbree-bladed dilator of Wathan, are shown at page 62. It is Efficient here to say that the treatment of dysmenorrhea by dotation ^maintained the reputation it has ben steadily gaining m recent year? I believe that dilatation is the sine qua non of treatment in obstruction and congestive dysmenorrhea.