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THE

CLINICAL REVIEW

A Journal of Practical Medicine and Surgery.

GEO. HENRY CLEVELAND, M. D.

EDITOR.

ISSUED MONTHLY.

VOLUME XVIII.

April, 1903-September, 1903.

CHICAGO.

Cleveland Press, Publishers.

1903.

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LECTURES ON GYNECOLOGY.-By FRANKLIN
H. MARTIN, M. D., Professor of Gynecology, Post
Graduate Medical School, Chicago.

METHODS OF HOME AND OFFICE TREATMENT.

I will limit my remarks to methods of treatment which are particularly applicable to the office and the home, and which exclude purely surgical means, the latter being discussed to better advantage in the surgical ampitheatre.

WATER AS A MEANS OF LOCAL TREATMENT.

A means of relief of incalculable importance in the local treatment of gynæcological patients is the proper use of hot water, a remedy which is not duly appreciated.

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The Douche. Hot water used as a vaginal douche cleanses and stimulates. As a stimulant it contracts the blood vessels. Contracting the blood vessels stimulates the circulation by increasing its rapidity, and by increasing the rapidity of the circulation you increase the nutrition of the pelvic organs supplied by the contracted vessels, and this, in turn, stimulates the nutrition of the whole economy of the patient.

When hot water douches are employed for their stimulating effect they should be used with the patient in a recum bent position, either on her back or in Sims position or in the knee-chest posture. To accomplish the maximum stimulating effect to the organs by the use of hot water it is necessary for

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