Impotence, Agn. c., Ant. c., Bar. c., Cal. s., Calc. c., Camph., Cann., Canth., Caps., Carbur. s., China, Chloral hyd., Coloc., Con. m., Diosc. vill., Eryng. aq., Ergot pur., Ferr. met., Graph., Helon. d., Ign., Kal. br., Kobalt., Lyc., Merc. v., Mosch., Mur. ac., Nat. m., Nit. ac., Nuph. 1., Nux m., Nux v., Opium, Oxal. ac., Phos., Phos. ac., Phytol. d., Plumb., Sec. c., Sel., Sep., Sil., Stann., Stram., Sulph., Thuja. occ.; after gonorrhoea, Thuja occ.; and nocturnal emissions, without erections, Kobaltum; and spermatorrhoea, from abuse of sexual organs, Merc. v.; and spermatorrhoea, from abuse of sexual organs in weak people, Ferr. met.; and spermatorrhoea, nocturnal pollutions, discharge of prostatic fluid, caused by masturbation or abuse of alcoholic liquors, coffee, by sedentary habits, and mental exertion, Nux v.; and weakness of the parts, with lascivious and amorous fancies, sexual desire exalted, Ign.; at first, afterwards violent erections. Camph.; caused by a cold, Mosch.; complete loss of sexual desire for two months, Phytol. dec.; complete or partial, Helon, dio.; complete, with atrophied testicles, Carbur. s.; complete, with swelling or great weight in the testicles, Plumb.; entire want of sexual desire and erections, or painful spasmodic erections at night, Nit. ac.; from abstemiousness, Con. m.; from abuse of the sexual functions, aversion to coitus, Phos.; from exhaustion, or abuse of the generative functions, Eup. purp.; genitals cold, relaxed, almost insensible, no erection for many days, Dioscor. vill.; insufficient, painful erections, Con. m.; loss of sexual powers, with absence of desire and erections, Chloral. hyd.; of several years' standing, penis shrivelled, cold, and without erections, Lyc.; or excessive irritability of the sexual instinct, Nat mur.; sensation of weakness in the sexual organs, Mur. ac.; sexual desire almost disappeared, coldness of the parts, Sulph.; total incapacity for coition, lewdness, lasciviousness, Stram.; total, with retraction of the prepuce, sexual desire not extinct, Coloc.; weak memory, after exhausting coition, Sec. cor.; with cold and relaxed penis, Canth; with coldness of the scrotum, dwindling of the testes, nocturnal emissions, Caps.; with complete paralysis of the sexual organs, absence of erections, watery or deficient semen, Agn. c.; with diminished sexual instinct, Opium; with excessive excitability of the sexual organs, semen is discharged shortly after erection, or before erection is complete, Phos. ac.; with excited lascivious fancy, China; with involuntary seminal losses during sleep, at stool, and during urination, Nuph. lut.; with lascivious thoughts, Selen.; with salacious fancies, Cal. seg; with weakness in the thighs, Ign.; with sexual desire, Kali brom., Stann. Spermatorrhea. Bell., Canth., Coff Ferr. met., Ferr. brom., Gels., Hyd. c., Iris vers., Merc. v., Nuph. l., Nux. v., Oxalic ac.. Phos. ac., Plumb., Selen., Stilling., Sulph., Ustil. maid., Zinc. ox.; and impotence from abuse of sexual organs, Merc. v.; and impotence from abuse of sexual organs in weak people, Ferr. met.; and nocturnal emissions, Stillingia.; caused by masturbation or abuse of alcoholic liquors, coffee, sedentary habits, mental exertion, Nux. v.; debility after, Hydrast. can.; during stool, Phos. ac. from a relaxed penis, after drinking wine, with lassitude next morning, violent painful erections from the least excitation, Plumbum.; from relaxation and weakness, irritability of seminal vesicles, Gelsem.; from weakness of the seminal vesicles, with sweating of the sexual organs, and pressing and lancinating pains in the parts, Bell.; itching and coldness of the genitals; nocturnal emissions, with amorous dreams, Iris vers; the semen escapes with every stool, and after urinating; dribbles away unperceived during sleep; is very thin and odorless; he is hopelessly distressed, Selen.; with erotic ideas and amorous dreams, Ustil. m.; great debility, anæmia, and depression of spirits, Ferr. brom.; with impotence and inability to retain the urine, Canth.; with painless morning diarrhoea, Nuph. lut.; with hypochondria, full of fears of the consequences; nervous system is shaken; restless, sleepless, and generally miserable, Zinc. ox. Mental Symptoms. After coitus, anxious and restless all day, Sep.; after lascivious fancies, less sexual desire, Ant. cr.; cerebral excitement, with flushed face and glistening eyes, satyriasis, Phos.; delirium, sexual excitation during the night, Stram.; depression of spirits, with spermatorrhoea, great debility, and anæmia, Ferr. brom.; depression of spirits, great weakness of the knees after pollution, without erection, sensation, or dreams, Diosc. vill.; discouraged and easily frightened in the evening, vertigo, Sep.; dissatisfied and vexatious, out of humor after painful emission, Nat. carb.; during lascivious thoughts, without erection, profuse discharge of prostatic fluid, Nat. mur.; during mental derangement, sexual irritation, Stram.; erotic ideas, fancies, and amorous dreams, with seminal emissions, and spermatorrhoea, Ustil. m.; exciting imaginations even cause no erection, although there is sexual inclination, Lyc.; frequent lascivious fancies, day and night, Digit.; gloomy and depressed mood after emissions, with amorous dreams, Ham. virg; great despondency and irrita bility of mind, with great prostration and dull pain in the lumbar region the day after an emission, with sexual dreams, Ustil. m.; heaviness and ill-humor after emissions, Thuja occ.; hopelessly distressed, semen escapes with every stool, and after urinating, Selen.; hypochondriasis from denial of sexual intercourse, with single men, Con. m.; ill-humor and dissatisfaction after intense sexual desire, without erection, Calc. c.; ill-humor and irritability after coitus, Sil.; indifference, low spirits, and dullness of mind, after onaism, Staph.; indifference to voluptuons excitation, sexual desire extinguished, Bell. Lascivious and amorous fancies, with exalted sexual desire, weakness of the parts, and impotence, Ign.; and sexual fancies and dreams, Kal. brom.; excitement, with painful nocturnal erections, with tension seemingly caused by flatulence, Merc. v.; imaginations, without irritation of the sexual organs, Ambr. gr.; thoughts, excessive crowding of, Carb. veg.; thoughts, with impotence, Selen.; thoughts, with sexual desire very much excited, day and night, with frequent erections and drawn-up testicles, Silicea; thoughts, without erections, Cal. seg., Sep.; lewdness, Stram.; mind dwells on sexual subjects, Con. m., Staph.; nervous relaxation, discontent, and irasci bility, with trembling and great weakness in the legs, principally in the knees, Calc. c.; sad, anxious, low-spirited, suppression of sexual desire, Con. m.; sadness, with increased sexual desire, Bell.; salacious fancies, with excited sexual desire, day and night, China; with impotence, Cal seg., China; stupor, with extreme excitement of sexual parts, Stram.; thoughts run on sexual subjects, tormenting him so that he fears insanity, Graph. Voluptuous fancies and pollutions nightly? Opium; with relaxed penis, Aur. met thoughts do not cause erections, Nuph. lut.; thoughts and erection after walking, from lascivious dreams of disturbed coition, Sil; weak memory after exhausting coition, impotence, Sec. c. 2. The larger number of follicles do not mature, do not rupture, do not discharge their contents, but pass over into a condition of atrophy, which is analogous to the formation of the corpora lutea. 3. The development and ripening of the Graafian does not take place periodically in a regular manner, and there is no connection between it and menstruation. 4. Menstruation is a physiological phenomenon unconnected with the development and ripening of the Graafian follicle. 5. The rupture of the more or less ripe follicle is associated with congestion of the genital organs, and is as yet an unexplained matter. 6. Certain diseases, such as fevers, poisoning, etc., cause atrophy of the follicles, where there has previously been parinchymatous inflammation of the ovary. (0. M. and S. R., 1876, p. 43.) Researches on the, of the Fœtus and New born Child. (O. M. and S. R., 1876, p. 45.) Inflammation of Right. Apis mellifica in. (Wm. A. Hawley, Trans. N. Y. S., 1876-7, p. 121.) Hysterical convulsions. Pressure on the, for the relief of. (Dr. Charcot, quoted by T. Kafka, A. H. Z. 92, p. 24.) Ovular menstruation. A paper. (J. H. McFarland, M. I., Vol. III., p. 518, 1876.) Oovaritis traumatica. Right side, pressing pain in ovarian region following a blow; pain goes to right thigh; this feels dead and as if paralyzed; pains are worse from motion, and by sitting crooked and bending over; menses scanty; pains worse at that time, also on having a stool, which is hard. Examination showed a sensitive spot in the ovarian region, and a not very plainly felt swelling. Bryonia given without result. Then came burning pains, very severe; even when quiet she had some fever and became pale, thinner, and, in place of the menstrual flow, a thin, whitish fluid, of a bad smell, came from the genitals. Arnica, 3 cured. (Dr. Theuerkauf, A. H. Z., 55, p. 4, quoted by Karl Hencke, A. H. Z., 93, p. 61.) Sub-acute pain in left ovarian region, ag had occasional labor-like pains which caused some strings and shreds to pass. Sabina 3 cured in a week; now has a pain in the left ovary, extending into the ĺumbar region, and, when she walked, in the thigh. Caulo 3 and quiet. (R. Ludlam, M. I., Vol. IV., p. 278, 1876.) Girl of 25 years of age had her menses suppressed for six months from taking cold; and having visited Nizzo, the monthly sickness returned simply from the change ef fected by the difference in climate; at the time the menses were suppressed she began to have a continual sore pain in either ovarian region, and she could not bear hard pressure there, nor could she lie on either side; these symptoms did not cease with the return of menstruation; the urine in the morning was as clear as water; this had been so for some months; and she had a yellow-brown, excoriating leucorrhoea; there was some constipation. Kreosot. 10 dil. cured in short time. (Dr. Pröll, A. H. Z. 92, p. 87.) small Serous Ovarian Cysts. Among reputed Ovarian Dropsy.. Commenced during pregnancy; contents removed twice by paracentesis; third time abdomen about the size as in pregancy at the sixth month; rapid irritable pulse; thirst; great prostration; able to sit up only a part of the day; loss of appetite; pain and tenderness in right ovarian region. Iodine 3 cured. (Ď. A. Baldwin, M. I., Vol. IV., p. 558, 1876.) ing whole life is accounted for by the condition of ovaries. The tumor of right ovary had lengthened and deformed the uterus, and thus leading to a hesitancy in diagnosis as to whether the tumor was an uterine fibroid or ovarian. (A. O., 1876, p. 606. Ovariotomy. With Drainage through the Peritoneal Cavity. Berl. Klin. Woch. (N. E. M. G., Vol. XI., p. 571.) Two cases of Donble. H. P., Vol. VII., p. 140.) (Ad. Maylander, Performed During Pregnancy Under Carbolic Spray. (O. M. and S. R., July, 1876, p. 227.) Treatment of the Pedicle in, by Cautery. Dr. Thomas Keith thinks that the method of dividing the pedicle by the actual cautery is a good one, which has had scant justice done it since the death of Mr. Baker Brown. (O. M. and S. R., July 1876, p. 229.) Successful Antiseptic Treatment. Patient Mrs. R. W., aged 23, married, has one child eleven years of age. Two months ago, de livery; she was attacked with sudden, sharp shooting pains in left ovarian region, which soon subsided, and nothing more was noticed until two weeks after confinement, when the same pains again recurred, again to subside; the pains continued to return at intervals, from a few weeks to one year, for nine years, when there was noticed in the left iliac region a tumor, which gradually increased in size up to the date of her entrance into the hospital, May 16, 1876. seized with seIn March, 1876, she was vere shooting pains throughout the whole. abdomen, but more upon the left side; the left chest was also somewhat involved; she did not lie down for three weeks; she has, at no time, had any derangement of the menstrual function, nor have the pains been associated with the menstrual period. The patient is tall, spare in flesh, semiblonde, sanguine, and cheerful. She is now free from pain, but has the long lines about the mouth and chin peculiar to those who have suffered much abdominal pain. Her general health is fair, with the exception of a troublesome cough, for which Ipecac. was prescribed. Phos. 3d given the next day cured this unpleasant symptom. Upon percussion, there is the usual clear sound beneath the cyst, and around the loins, but dullness in the upper smooth and symmetrical portions of the tumor. Fluctuation is perfectly distinct, and the uterus is pushed backward behind the cyst. There is no swelling of the feet; no enlargement of the abdominal veius, nor has the chest become very conoidal, although the sternum is beginning to slightly protrude. On May 24th I proceeded to remove the tumor, which was unilocular. Having had the apartment thoroughly aired, the atmosphere of the room was charged with carbolic acid spray, from a solution in the proportion of about one part of the acid to fifty of water. The table was also sprayed, and my hands washed in a carbolic acid solution. She was brought under the anæsthetic without trouble. An incision not more than two and a half inches in length was made in the linea alba, and the tumor exposed. The fluid drawn off was dark brown in color, with flocculi here and there deposited through it. The adhesions were quite numerous, but not dense, and the ves els were secured by torsion and Lister's antiseptic animal ligatures, the ends being cut close off and returned to the abdominal cavity. pedicle, which was broad, was tied with a strong animal ligature, passed double through its center, and secured on both sides. The ecrasuer was then applied, and the pedicle severed. The ends of the ligature were cut close, and the stump dropped back into the abdomen. The parts were sprayed constantly with carbolic acid, and the sponges used were soaked in a solution of 1-20 proportion of acid. Silver wire sutures were employed to close the wound, and the patient put to bed after a compress saturated with carbolic acid solution had been applied, and a bandage placed around the abdomen. I give here the following record, taken from the hospital books, to show how the case progressed, and the condition of the patient from day to day: The May 24th, 8 P. M. Pulse, 104; respira tion, 22; temperature, 101°; chin, sharp; face, anxious. B Acon. 1st and Ignatia 3d, every half hour in alternation. Midnight, P., 93; R., 19; T., 982°. May 25th, 6 a. M. P., 95; R, 21; T., 981; occasional slumbers through the night; in the afternoon, sharp, shooting pains were present in the abdomen, with much flatus passing both up and down. R Colycynth 2d, a teaspoonful as the paroxysms came on, gave her immediate relief; Aconite alone was then given every three hours. 8 P. M., P., 104; R., 20; T., 100°. 12 Midnight, P., 91; R., 18; T., 990. May 26th, 6 o'clock A.M. P., 81; R., 18; T., 99. Slept moderately well; somewhat stronger, and face more natural; in the morning was attacked with severe paroxysms of cough giving excruciating pain in the abdomen, B Pulsatilla 3, in water every hour, and half teaspoonful of Glycerine after each coughing paroxysm. Kept gaining steadily, different remedies being prescribed as the occasion warranted, until July 7th, when she was discharged and went to Utica. Up to June 8th, the urine was drawn with a catheter several times a day. Vesical irritation manifested by constantdesire and burning micturition, then subsided within twelve hours after the discon tinuance of the catheter. Nourishment first twelve days entirely fluid-milk, and Valentine's extract of beef. (Hom. Times, 1876.) UTERUS. Diseases of women, the all-sufficiency of constitutional treatment, a paper on (Thomas Skinner, M. I., vol. IV, p. 320 1876.) The mucous membrane of the body of the uterus. I regard the uterus as an organ possessing a mucous membrane, whose muscular fibre cells have undergone great developments. (John Williams, O. M. and S. R., March, 1876, p. 85.) Uterine Mucous Membrane. Anatomy of. H. Kundradt, Transl. (H. P. Cole, M. I., vol. III, p. 359, 1876.) Notes on uterine pathology. My system of uterine pathology is embodied in the following propositions. (a.) Patients suffering from symptoms of uterine inflammation, or more properly from symptoms referable to the uterus, are almost universally found to be affected with flexion or alterations in the shape of the uterus of easily recognized character, but varying in degree. (b) The change in the form and shape of the uterus is frequently brought about in consequence of the tissues of the uterus being previously in a state of unusual softness, or what may be often correctly desig nated as chronic inflammation. (c.) The flexion ouce produced is not only liable to perpetuate itself, so to speak, but continues to act incessantly as the cause of the chronic inflammation present. (Graily Hewitt, M. D. F. R. C. P. Quoted in O. M. and S. R., 1876, p.210, from Obstetrical Journal, No. 39.) Reflex Symptoms of Uterine Affections. "We must look at all the symptoms of the case as we do at the hands of our watches, which indicate to us the movements of the complicated mechanism within, and without which none of us can tell whether all is not in harmonious work ing order." (B. F. Betts, H. M., Dec., 1876.) Report of three cases of uterine disease, On Chronic Affections of the Uterine Sys- The Normal Position of the Uterus and Sepia and Macrotin, in a case of conges- Uterine Disorders. Tarentula is use- Hypertrophy of Uterus, with anasarca, On the influence of the sewing machine on Phlebitis. A segulas of an abortion at the Uterine Paralysis. This was the most protracted and painful labor I have ever witnessed. Forceps failed. Craniotomy was then resorted to. We had to conquer every inch of our progress, and not until the child was brought as far as the umbilicus could we remit our severe work. The placenta was expelled almost immediately. A worse difficulty now presented itself. The entrance of the womb remained open like a cave. The patient was very low, not bleeding profusely, but no uterine contraction. Stimulants, the galvanic battery, Secale in vigorous doses were administered but nothing revived the fast sinking pulse or had the least effect to restore the paralyzed womb. At the time of death there was no change in the size of the abdomen. (J. Ralsey White. Trans. N. Y. S., 1876-7, p. 273.) Climacteric. Mental derangement of, vertigo, nausea, and vomiting. Iris ver. relieved the nausea and vomiting, but vertigo increased, and she could not give distinct answers to questions. Fæces and urine passed involuntarily and unconsciously. Cyclamen cured. (T. J. Merryman, M. I., vol. IV., p. 576, 1876.) Post-Climacteric Neurosis. A case of. Atropine 3 improved. (R. Ludlam, M. I., vol. IV., p. 525, 1876.) Metritis, chronic; severe pain in lumbar region shooting out to thighs, bearing-down pain in abdomen; frequent and painful scanty micturition, sometimes bloody; loss of appetite; constipated; low spirited. Canth. and Nux vom. 30 cured. (E. O. Pratt, M. I., vol. IV., p. 132, 1876.) Dr. Butman rapidly cured a case of chronic metritis by Nitric acid 200; in connection with other symptoms, the debility was especially marked in the morning, and all the symptoms were greatly ameliorated while riding in a carriage. (Mass. Trans., v. IV., p. 32.) The forms of, and vaginitis, resulting in gonorrhoea. (Dr. Maylander, A. H. Z., 93, p. 164.) Endo-metritis. Arsenicum is the only drug that has caused this trouble, says Dr. Hughes, and has cured a case. (T. F. Allen, M. I., vol. IV., p. 102, 1876.) Cervix Uteri. Cleansing the. (0. M. Stenosis of the. (F. Haustein, A. H. Elongated conical, causing dysmenorrhoea |