of your special treatment. I had no hope of ever being restored to
health again, having tried several home physicians, and having found no
relief. I had little faith of ever being relieved of the dizzy spells
and black spots before my eyes. Some of my friends told me it was
nothing but a fake and a humbug. Thank God I did not listen to them. The
first month's special treatment gave me such relief that I continued
five months, and to-day can do heavy work without that troublesome pain
in my back, and can stoop down without dizziness in my head. I would
advise any one that is afflicted with any of these diseases to at once
consult the practical and skillful physicians at the World's Dispensary
Medical Association, at Buffalo, N.Y. I cannot think of words that will
half express my gratitude. Thanks to God that he has granted you such
skill. I am.
Yours truly,
John M. Ellinger.
GENERAL DEBILITY
OF FIFTEEN YEARS' STANDING. CURED BY SPECIAL HOME-TREATMENT.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Lt'd:
[Illustration: G.W. Whitrod, Esq.]
_Gentlemen_--After being a sufferer from debility and general weakness
for fifteen years, I found a radical cure in the treatment I received
from you at my own home. The first supply of medicine seemed to start me
on the road, and the wheel was kept turning till I reached the happy
condition of health.
I hope this will meet the eyes of some of my old comrades, who have been
to the eastern countries, and there lost their health, as I did, and as
many others do.
Gentlemen, I wish again to thank you most kindly for your good treatment
and thoughtful attention. I will enclose my photograph. I am,
Yours truly,
G.W. WHITROD,
Rockland, St. Andrews, Attleboro, Norfolk, Eng.
NERVOUS DEBILITY.
WORLDS DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: C.M. Gates, Esq.]
_Gentlemen_--About a year ago I found myself a victim of Nervous
Debility. For some time I hardly knew what course to pursue, nearly
every paper I might pick up contained some advertisement that would cure
me. But believing in the old adage, "never expect to get something for
nothing," I decided to write to an Association that _I knew_ was
reliable.
Acting accordingly, I took a course of four months' treatment, which I
am pleased to state has given me in return a perfect cure. Thanks to the
medical skill of your Faculty.
Yours truly,
C.M. GATES,
Girard, Macoupin Co., Ill.
NERVOUS AND GENERAL DEBILITY.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: A. Crowl, Esq.]
_Gentlemen_--After taking your second months' treatment I feel as though
I am entirely cured. The trouble with my back is entirely removed; have
gained in strength right along and have been working hard for the last
two months. I cannot fully express my appreciation of your kindness and
beneficial treatment.
Yours truly,
A. CROWL,
Oneida Mills, Carroll Co., Ohio.
NERVOUS DEBILITY.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: T.M. Hutchison, Esq.]
_Gentlemen_--Your letter inquiring about my health, came duly to hand a
few days ago. In answer permit me to say that the three months' course
of treatment effected a cure. Now my general health is good, body
strengthened, mind clear, memory revived, and energy to work restored;
cheerfulness and bright hopes, once lost, are now fully regained. My
case was a complicated one of Liver disease and general effects of bad
habits and usage, yet I was not too far gone to be restored by your
wonderful treatment. My prayer is that you will ever prove a blessing to
mankind.
Yours respectfully,
T.M. HUTCHISON,
Forest Hill, Summers Co., W. Va.
NERVOUS DEBILITY.
PILES, CATARRH, HEART SYMPTOMS.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: J. Talbott, Esq.]
_Gentlemen_--The effect of your remedies is little short of a miracle.
My general make-up and appearance are astonishing; my cheeks rosy, eyes
bright, circles nearly all gone from under eyes; am fleshier, stronger,
more active, and an entirely different man. No piles, catarrh, heart
trouble; no chills and fever; no despondency, no anything.
Yours truly,
JOHN TALBOTT,
Pennsylvania Agricultural Works,
York, York Co., Pens.
NERVOUS DEBILITY
RESULTING FROM INJURY TO SPINE.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: Geo. W. Benham, Esq.]
_Gentlemen_--I take pleasure in saying that the Invalids' Hotel is the
best institution in the world for the cure and treatment of all kinds of
chronic diseases. I was afflicted for a long time before I went to your
Institution for treatment, and I tried many doctors, but without avail.
After being in your Institution two months, I was restored to health,
and I am a well man to-day, and take pleasure in giving you many thanks.
My difficulty was the result of injury received early in life, and it
has been permanently and perfectly cured. With many good wishes and
highest recommendations.
Respectfully yours,
GEORGE W. BENHAM,
P.O. Box 227, Seymour, Conn.
NERVOUS DEBILITY, DYSPEPSIA, AND OTHER COMPLICATIONS.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, No. 663 Main St., Buffalo, N.Y.:
[Illustration: D.H. Poff, Esq.]
_Gentlemen_--I am now through with your last month's treatment. I have
taken in all three months' treatment. When I first wrote to you I
thought I was gone beyond the reach of recovery, but, thanks to God, I
am to-day a sound man, heartier than I have been for years, and your
Institution deserves the credit of it. I will forever remember you, and
want you to publish this testimonial for the benefit of others, as there
are thousands in the same fix that I was in.
Yours truly,
D.H. POFF,
Raleigh, Raleigh Co., W. Va.
NERVOUS PROSTRATION.
Everson, Whatcom Co., Wash.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
_Gentlemen_--As regards your medicines I can truthfully say that I
consider them good. Three years ago, I was much run-down with
indigestion and nervous prostration. I purchased about four bottles of
"Golden Medical Discovery" and "Favorite Prescription," and after taking
them along with the "Pellets", I felt much improved. Indeed, my friends
told me I looked like another woman.
Yours truly,
Mrs. Rob't Burns
NERVOUS DEBILITY.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: W. Slattery, Esq.]
_Gentlemen_--I am pleased to send you a testimonial regarding the
perfect and permanent cure which you have effected in my case.
I suffered from Nervous Debility. The symptoms were prostration,
sleeplessness, exhaustion, over-fatigue from mental trouble, overstudy
and anxiety, indigestion, dyspepsia, constipation, headache, inability
to concentrate the mind, general lassitude, melancholia, backache and
pains from the top of my head to the sole of my feet. You treated me
about twelve months and effected a _perfect cure_.
Yours respectfully,
WILLIAM SLATTERY,
Garden City, Finney Co., Kan.
HERNIA--LEFT INGUINAL--PRESENT EIGHT YEARS WITH NERVOUS PROSTRATION.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:
[Illustration: A.J. Kidder, Esq.]
_Gentlemen_--I take greatest pleasure in making public the most
wonderful cure I received at the Invalids' Hotel and Surgical Institute
of Buffalo.
I had suffered severely for eight years with a left inguinal hernia; had
tried many physicians and medicines, but found only temporary relief. I
was greatly run-down, and my nervous system considerably shattered. My
friends persuaded me to go to the Invalids' Hotel and Surgical
Institute. While there I was operated on by their specialist, and in a
few weeks began to gain strength and energy so that I could return home,
and have since felt entirely well.
Words could not do justice to my feeling in regard to this institution.
There is no place like it for medical aid, and I would urge all invalids
to go there, feeling confident that they could no where receive more
skillful treatment or more kind attention and care.
Respectfully,
A.J. KIDDER,
North Yam Hill, Yamhill Co., Oreg.
THICK NECK (GOITRE),
NERVOUS DEBILITY AND WEAKNESS CURED.
[Illustration: Mrs. Houghton.]
Miss ELLA A. HOUGHTON, of _Theresa, Jefferson Co., N.Y._, was cured of
Thick Neck, Nervous Prostration, Weakness and a complication of ailments
by Dr. Pierce's '"Discovery" and "Favorite Prescription." She says: "My
health is now as good as it was before I was sick. The swelling (goitre)
has all gone from my neck. I don't have any bad feelings. My gratitude
for the benefit I have received from your treatment has induced me to
recommend you to all whom I know to be sick." "I have known of two or
three middle aged ladies residing near here, who have been cured by your
'Favorite Prescription.'"
NERVOUS DEBILITY,
CURED BY SPECIAL HOME-TREATMENT.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Lt'd, 3, New Oxford Street,
London, W.C.:
[Illustration: G. Dancy, Esq.]
_Dear Sirs_--It is now over two years since I first began to feel
something the matter with me. I gradually got worse, with a nervous and
despondent feeling. I went to a doctor, who said I was suffering from
debility and ordered me away. I got a little better and returned to
work, but only to get worse again. I then had very restless nights with
terrible dreams, and would wake up all in a perspiration. I often wished
I was dead. At last, I had to give up work again, and thought that I
should never return to it. I was then under several doctors, but they
did me no good. I then came across a little book from your Association,
and seeing cases like mine cured, I determined to come to London and see
you. I was then under your treatment for three months at my home, taking
your medicines and adhering to your rules. I felt a change the first
week, and after three months' treatment I was restored to health. It is
now four months since I took any of your medicine, and have not had any
symptoms return. I am now at work again, and enjoying life the same as
anyone else. I thank you very much for your kind attention. I remain,
Yours truly, G. DANCY,
25, Merton Road, Stanford Road, Kensington, W. London.
"LIFE MISERABLE AT TIMES."
NERVOUS EXHAUSTION.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:
[Illustration: J.W. Durham, Esq.]
_Gentlemen_--For several years I was a sufferer from some constitutional
disease, or combination of diseases, which rendered life miserable at
times. Dyspepsia, headache, dizziness, irritability and gloomy
forebodings were among the symptoms I suffered. By chance, one of the
pamphlets you publish fell into my hands, and I was induced to write
you, describing my condition as best I could, and consequently I was
treated by your Specialists.
When I had been treated for two months I felt so well and the symptoms
were so far gone that I felt I was cured and quit taking medicine. As
this was more than two years ago time has proved that I was correct, for
I am a healthy, robust man to-day--thanks to you and to your associates
in the noble Institution which you have established for suffering
humanity.
Yours respectfully,
J.W. DURHAM,
Parkland, Jefferson County, Ky.
NERVOUS AND GENERAL PROSTRATION.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: Miss Morrison.]
_Gentlemen_--It is with pleasure that I add my testimony to your list,
hoping it may contribute to your success and induce others to avail
themselves of the benefit of your invaluable medicines. In June, 1890, I
took typhoid fever of malignant type; for two months I hovered between
life and death; at length the fever left me in a prostrated condition.
Then I was taken with a severe pain in my back and general nervous
prostration; could not move myself in bed nor bear to be moved by the
most careful nurses without experiencing excruciating pain. I had the
best medical attention in the community, but they failed to give relief.
My friends wrote to Dr. Pierce, stating my condition and requesting
treatment for me. He treated me for two months; by that time I had so
much improved that I did not think it worth while to continue the
treatment longer, and my health has been such that I have not had
occasion to lie in bed two days together since. I feel under lasting
obligations to Dr. Pierce, and thank God for blessing the world with so
able a physician.
Very respectfully,
MISS MAGNOLIA MORRISON,
Abernethy, Iredell Co., N.C.
NERVOUSNESS, CATARRH, AND INDIGESTION.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 683 Main St., Buffalo, N.Y.:
[Illustration: R.A. Baldwin, Esq.]
_Gentlemen_--For a long time I was suffering from indigestion, catarrh
and nervousness. I was so run down that I could not go to school, and,
as the various remedies I tried did me no good, I applied to you, and
was advised to try a course of special treatment. After taking only two
months' medicines from your noble institution, I feel perfectly restored
to health. I have, moreover, recovered my lost flesh, and I am pleased
to say need no further medicines.
Yours truly,
E.A. BALDWIN,
Proctorsville, Windsor Co., Vermont.
LOSS OF FLESH AND STRENGTH.
NERVOUS PROSTRATION.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: C. Holmstedt, Esq.]
_Gentlemen_--I was run down entirely, losing my flesh and getting weak
and nervous, and had hard work to draw a long breath; could hardly
breathe at all, and came nearly dying once or twice. Had tried many
kinds of patent medicines--many doctors, all in vain.
One day I saw an advertisement in a newspaper, about "If you are run
down and losing flesh, use 'Golden Medical Discovery.'" I, like a
drowning man, would grab at anything on sight. So I went to my druggist
and asked him for "Golden Medical Discovery," and he had it and I bought
one bottle and followed the directions and it did me good at first
start; so I bought two bottles every month until I had used about six
bottles, then I had my strength back and could draw my breath and felt
like a new man.
Yours truly,
CHARLES HOLMSTEDT,
Newtonville, Baraga County, Mich.
NERVOUS EXHAUSTION.
A PROMINENT NURSE AND STUDENT IN DISEASES OF FEMALES.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: Sarah Barnhardt.]
_Gentlemen_--One could scarcely discharge a more pleasant duty to a
suffering fellow being than to direct them to a place of relief. Hence,
I desire to state that a short time ago, life was almost a burden to mo
until I began taking treatment for nervous exhaustion from Dr. Pierce of
the Invalids' Hotel and Surgical Institute, at Buffalo, N.Y., and can
conscientiously say at the end of six weeks, I feel like another being.
I have also consulted Dr. Pierce on numerous occasions during the past
eight years, and at no time whatever have I known his remedies to fail,
more especially, his "Favorite Prescription," (which I have used in my
practice), and the "Golden Medical Discovery," when taken according to
directions.
These remedies will in no event disappoint. I am now In the enjoyment of
perfect health--a blessing which I attribute to the kind Providence
which directed me to the World's Dispensary Medical Association.
Yours gratefully,
SARAH BARNHARDT,
Grand Rapids, Mich.
NERVOUS EXHAUSTION.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:
[Illustration: W.E. Dixon, Esq.]
_Gentlemen_--It is over a year now since I applied to you for help and
it is more than six months since I reported myself as well. I have
worked very hard since then, and still have continued well all the time.
When I called upon you for treatment I was in a terrible condition. I
was subject to severe headaches; was troubled with a tired, an almost
lifeless feeling, and although I slept, _I could not get rest_. I was
nervous and fretful, and could not do as much work as I wanted to do. To
tell it all in a few words _I was all run down_. I had never wholly
recovered from the grip, which left me in a very poor condition; and
that, together with over-work and insufficient physical exercise, had
put me in such a condition that I was almost unfit to teach my school.
After five months' treatment (one month intervening in which I received
none) I considered myself well, and I think that I was right. I feel
very grateful to you for your treatment of me, and shall ever be willing
to speak a good word for you.
Yours respectfully,
WILLIAM E. DIXON,
Harwich Port, Barnstable County, Mass.
NERVOUS EXHAUSTION.
DR. R.V. PIERCE, Buffalo, N.Y.:
[Illustration: Geo. S. Wilson, Esq.]
_Dear Sir_--After being troubled with my head for two years and taking
treatment with ten different doctors and getting no help, I started for
your city, but allowed myself to be talked out of seeing you by a man on
the train; stopped off at Lancaster and saw Dr. ----, took one month's
treatment with no benefit--grew worse.
After that, started once more, did not tell where I was going. I was a
complete wreck--had to be helped on board of the cars. You looked me
over carefully--you seemed to know just what the trouble was. Gave me
medicine for a month's treatment. I came back homo and took the
medicine. Well, I was surprised the first week and have been ever
since--gained right along. Have been well ever since and all for one
month's treatment, for which I thank you very much.
Respectfully, GEO. S. WILSON,
Perry, Wyoming Co., N.Y.
NERVOUS EXHAUSTION.
Cayuga, Vermilion Co., Ind.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
_Gentlemen_--It is now about eighteen months since I discontinued the
use of your medicines. I can truly say I feel like a new man. I have
none of that wakefulness at night, or the tired feeling when I get up of
a morning. Now, I can work hard all day, go to bed at night tired, wake
up the next morning rested and refreshed, though I took but two months'
treatment; its value to me I am not able to estimate; before and during
treatment I weighed about 160 pounds, and now I weigh 185 pounds. With
many thanks and good wishes, I am,
Yours truly,
Geo. F. Howard
SEVERE NERVOUS PROSTRATION.
"OUT OF DARKNESS INTO LIGHT."
WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main Street, Buffalo, N.Y.:
[Illustration: Mrs. Austin.]
_Gentlemen_--About eighteen years ago, after the birth of one of my
children I was left in a weak, run-down condition; it seemed to me that
my nerves were unstrung very bad: I did not suffer much pain, but I
think I suffered everything any one could suffer with nervousness; my
life was a misery to me. I doctored with seven different doctors and got
no relief; then I took almost all kinds of patent medicines and got no
relief from them, but got worse all the time, when I chanced to get one
of your little pamphlets.
I thought I would write to you, and waited as I thought to hear that
there was no help for me; when my answer came and you said you could
cure me great was my joy. I had taken your medicine about a month when I
began to improve and in a few months was entirely cured.
My recovery was like coming out of the dark into the light, so great was
the change. I will advise all sufferers to go to you for relief--I don't
think they will be disappointed. When I commenced taking your medicine I
weighed 94 pounds, now I weigh 125 pounds.
I do not know how to thank you for all the good your remedies did me,
With heart-felt thanks I am.
Sincerely yours,
MRS. AMANDA C. AUSTIN,
Burden, Cowley Co., Kansas.
P.S.--I have a lady friend who is taking Dr. Pierce's Favorite
Prescription now, and last summer every one thought she was going with
consumption; four of her father's family had died with it in five years:
she has taken one bottle of "Favorite Prescription," and now she is
better in health than she has been in three years. Her address is Mrs.
Laura Paugh, Burden, Cowley Co., Kas. A.C.A.
NERVOUS EXHAUSTION.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo, N.Y.:
[Illustration: C. Gaul, Esq.]
_Gentlemen_--For the last five years I have tried many leading doctors
in this country but without avail. I gave up every hope. Your
advertisement fell into my hands; at the time I did not know what to do
because all my money had gone for medicine, but money was no object to
me. I could not rest till I was cured.
Your treatment, which I received, cured me in a short time, and I am
just as good as ever. I come before the public to advise anyone in need
of treatment to give you the first chance, and he will find relief for I
believe that nowhere can one obtain more skillful care or more kindly
attention. Hoping that success will crown your business, I am,
Very truly yours,
CHARLES GAUL,
Muskegon, Muskegon Co., Mich,
care of "Warwick House."
NERVOUS PROSTRATION, SLEEPLESSNESS, DYSPEPSIA, AND RHEUMATISM.
[Illustration: T. TOWNSEND, ESQ.]
Mr. J.T. TOWNSEND, of _Noah, Coffee County, Tenn_., consulted us by
letter. He was suffering from great nervous prostration; could not walk
without tottering: was troubled greatly with inability to sleep; poor
appetite; did not relish food; suffered much pain and stiffness in the
joints; was overcome with heat working on a thresher, followed by
persistent nausea, confusion of ideas, his memory being very defective.
After taking a single course of treatment, the medicines being sent by
express, he writes as follows: "The medicine you sent me lasted me five
weeks, and proved very beneficial indeed. I believe it, under God, was
the means of saving me from a premature grave. When I received the
medicine, I had just gotten rid of an attack of bilious fever, which
left me in a deplorable condition. I was very week and nervous, but my
improvement commenced with the first dose of your medicine, so by the
time my medicine was out felt better than I had for years, and now have
no indication of a return of my trouble." A month later he writes: "I
continue to enjoy the most perfect health. Every organ of my body, and
every faculty of my mind, is in splendid condition, which makes life
worth living. I have gained twenty-one pounds since I have been able to
attend to business. Please accept my profound thanks for your promptness
in sending me my medicines."
NERVOUS PROSTRATION.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo, N.Y.:
[Illustration: G.W. Colquitt, Esq.]
_Gentlemen_--It gives me pleasure to testify to your skill in the
treatment of my case. When I applied to you last June, I was suffering
all the horrors of nervous prostration, which was brought on by
over-work and constant anxiety. I had no energy and no interest in
business; rather an aversion to anything like work. My appetite was
poor, indeed food seemed to distress rather than nourish. I felt tired
and drowsy mornings; irritable and despondent; suspicious of every body
and everything. After two months' treatment these unpleasant symptoms
disappeared, and my health is better than it has been for twenty years.
I can never express to you my gratitude for your kindness, and would
cheerfully recommend your Institution to all sufferers.
Yours truly,
GEORGE W. COLQUITT,
Palmetto, Campbell Co., Ga.
BAD CASE OF UTERINE DISEASE AND NERVOUS PROSTRATION,
CURED BY HOME TREATMENT.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: Mrs. Glass.]
_Gentlemen_--It is with pleasure that I write to let you know the great
benefit I have received from your medicines and self-treatment at home,
which you kindly sent me, advising me to take your Dr. Pierce's Favorite
Prescription and "Pleasant Pellets" and "Golden Medical Discovery" for
my troubles. I did take your advice as near as I could; when I wrote my
first letter to you, I had been treated by different doctors for twelve
months and received but very little or no benefit, but had spent one
hundred dollars for treatment and medicines.
My husband, and little boy twelve years old, did all the family sewing
and washing and work in general, and I could not walk across the room
without help or stand on my feet one minute at a time; at night I could
not sleep, nor day time either; nothing I ate tasted well--I had no
desire to eat anything; my bowels were costive all the time, and after
following your advice and using about fourteen dollars worth of your
medicines altogether, I now feel like a new person. I am not bothered
with that nervousness, where it used to be that I could not stand a
sudden rush of horses feet, or a quick halloo from one's boys, or a
sudden sound of anything would cause me to take sudden nervous spells of
some kind, as if I were smothering or dying, or something of the kind--I
can't tell just how I did feel. Now I do all my washing, sewing and
house work in general for a family of seven--five children, my husband
and self, and help my husband in the field some besides. I can
truthfully say, ii it had not been for Dr. Pierce's medicines and the
kind advice to me, with self-treatment at home, I would have been dead
long ago, and I never can feel that I can say enough for his skill and
medicine nor thank him enough for the good he has done me.
I use no other medicines in my family but these and never will, for they
do all that is claimed for them and more too. I have one of the
"Advisers," and I would not be without it for fifty times its cost. May
God be with you throughout your life is my prayer.
Respectfully yours,
MRS. ADDIE GLASS,
Bandera, Bandera Co., Texas.
NERVOUS PROSTRATION FOLLOWING GRIP.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: W.S. Nicholson, Esq.]
_Gentlemen_--In January of '90 I took the "grippe," went to work before
I was well, was caught in a rain which gave me a very bad relapse,
resulting in lung fever and complete prostration; was on my bed two
months, and when I did get out, the strength to walk any more than just
a few rods did not come back. My family doctor and two prominent
physicians of Sioux City, did me no good. Late in the fall I got a
bottle of Dr. Pierce's Golden Medical Discovery, which quieted my
trembling nerves and gave me an appetite to eat. I then concluded to try
the Doctor, personally. Up to this time I was in a pitiable condition.
Sometimes I could not sleep until I felt almost wild, then sleep so much
I would be stupefied. I could not digest any food and my whole system
was wasting and failing fast. I doubt if any one who saw me expected me
to get well. I took the treatment sent me by the World's Dispensary
Medical Association for more than a year. The medicine never gave me any
distress as other medicines had done before. I began to improve from the
start, but the change from one extreme to the other was like the growth
of a child.
To any one suffering from nervous prostration I would say, "don't be
impatient." It takes a long time for weakened nerves to grow strong. I
have at last become strong and well, thanks to the Giver of all good and
the grand Institution at Buffalo. I have since married a noble-hearted
young woman, and when I am playing with our sweet, healthy, baby girl, I
give way to the thought that at last the long, sad chapter of my life is
ended; at such times her merry laugh sounds like a song of triumph of
life over death.
Gratefully yours,
W.S. NICHOLSON,
Willow Creek, Clay Co., Iowa.
NERVOUS PROSTRATION COMPLICATED WITH KIDNEY AND BLADDER DISEASE.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: M. Manheim, Esq.]
_Gentlemen_--Having been a patient in your Invalids' Hotel for several
weeks, I take great pleasure in telling other sufferers of my treatment
which I received under your efficient staff of physicians, surgeons and
nurses, and I will say with clear conscience that every care and comfort
was given me that I wished for. I am sure that your Institution is far
in advance of the age, and would wish that every invalid could avail
himself of the treatment that I received in your most, excellently kept
Invalids' Hotel. I cheerfully give this as my testimonial to
individuals, friends and sufferers. My health is so fully restored that
I look upon life with pleasure and comfort, whereas before I was a
suffering nervous invalid, unable to sleep and much of the time in
torment. Wishing you success I am your friend and well wisher,
M. MANHEIM,
Georgetown, S.C.
NERVOUS EXHAUSTION.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo, N.Y.:
[Illustration: A.D. Christie, Esq.]
_Gentlemen_--I was troubled with nervous exhaustion; my legs and back
ached, and I could not sleep hardly any, and could not rest at night for
about three months, and, reading in one of your Memorandum Books a case
that suited mine and having taken medicines without any good results, I
concluded to try your medicines. I explained my case carefully and got
one month's medicines, of which I did not take all as I thought I did
not need it, as I felt like another man--could sleep well and work
without having that "all-gone feeling."
Yours respectfully,
A.D. CHRISTIE,
Maple Creek, Forest Co., Penn.
NERVOUS AND GENERAL PROSTRATION.
"LIFE IS NOW SWEET."
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: Miss Moyers.]
_Gentlemen_--Six years ago I had an attack of measles, which left my
health in a precarious condition. I was placed under the treatment of a
good physician who did all in his power to restore my health, but all in
vain. I had dyspepsia and could not eat meat, vegetables nor fruit of
any kind. I suffered alternately from cold and heat. At times my feet
and knees would feel like ice to the touch, and at other times I would
suffer the most excruciating torture, seeming as though every nerve in
my body was being seared with a hot iron. My left hip and knee would
become so affected that I could scarcely walk across the room. I slept
very little. On one occasion I remained awake four days and four nights,
and then was put to sleep by repeated doses of morphine. My nervous
system became so shattered that words spoken by any person in my room
fell like pebbles on my brain; and nights I would often have to be
raised in bed to prevent smothering to death. It is impossible for me to
describe my sufferings at that time but I know that if it had not been
for Dr. Pierce's Favorite Prescription I would to-day have been in my
grave.
I began the use of the "Favorite Prescription" in March--three years
ago, as well as I can remember. Continued till summer when I wrote to
you--received your advice and a few simple prescriptions which I had
filled at the drug store. I also began the use of the "Golden Medical
Discovery." My nerves became quiet: I slept well; my stomach began to
heal; my strength returned and I began to feel like a new person. And,
to-day, while I am not as strong as the strongest, I can do any kind of
work that other women do, and each season I can say I am stronger than I
was the last. I used thirty bottles of your medicines. Some may say that
was a great deal, but I will never regret the money and patience it took
to cure me. It has enabled me to once more enter school where I am
trying to make up for those lost years of my life, and as I join the
girls in their romps, I can say that "life is now sweet."
Any one desiring particulars may address me.
Respectfully,
MISS LUCY MOYERS,
Kelso, Lincoln Co., Tenn.
NERVOUS EXHAUSTION.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: W.H. Keesler, Esq.]
_Gentlemen_--I was thought to be beyond all help and had but very little
hope myself, but at the urgent entreaty of my wife I let her write to
you for me and began taking special treatment from you. I could eat but
very little and could keep nothing on my stomach, and was vomiting up
bile once or twice every day; muscles all gone and too weak to get
about. But to-day I think I am a sound healthy man. I owe it all to your
treatment, and a loving Saviour who blessed the means in your hands to
the healing of this body of mine. And I gladly recommend the sick and
suffering to try Dr. Pierce, and pray God to bless you and your work.
Yours respectfully,
W.H. KEESLER,
P.O. Box 185, Harriman, Roane Co., Tenn.
NERVOUS EXHAUSTION.
Farina, Fayette Co., Ill.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
_Gentlemen_--It gives me great pleasure to add my testimony to that of
many others in behalf of the great success of your Institution. I had
been breaking in general health for years and had got so that I could
not properly attend to my business. Was very forgetful and easily
irritated and excited, and was unable to attend to my business a good
part of my time. I doctored with country and city M.D.'s., and took
patent medicine, but without any permanent good. I was induced to write
to you, which resulted in my taking about one and one-half months'
treatment from you, when I felt so much better that I discontinued the
treatment. For the last six months I have felt like my old natural self
again, and am able to attend strictly to business all the time for which
I am very thankful.
Yours truly,
C.H. West.
KIND WORDS.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: J. Hurst, Esq.]
_Gentlemen_--Having spent four weeks in your Institution, it gives me
great pleasure to state that during that time I received the most
courteous and faithful care and treatment, and I bear willing testimony
to the skill and ability of the surgeons and the faithful care of the
nurses.
Wishing you continued success, I recommend all persons suffering from
chronic diseases to give you a trial.
Respectfully yours,
JOHN HURST,
Marquette, Bighorn Co., Wyo.
SICK HEADACHE, GENERAL DEBILITY, MALARIA.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: Mrs. J.H. Lansing.]
_Gentlemen_--I am happy to say that your valuable medicine has been a
great benefit to me. I was suffering from general debility, malaria and
nervous sick headaches, and after my third child was born (a beautiful
baby boy of ten pounds) I only recovered after a long illness; I barely
gained strength enough in two years time so that I was able to crawl
about to accomplish the little housework that I had, by lying down to
read many times each day; had sick headaches very often; and many pains
and aches, all the time complaining of getting no better. I finally
asked my husband to get a bottle of Dr. Pierce's Favorite Prescription,
which he promptly did. After I had taken one bottle I could see a great
change in my strength, and fewer sick headaches.
I continued taking the medicine until I had taken eight bottles--seven
of the "Favorite Prescription" and one of the "Golden Medical
Discovery." For some time past I have not used it, but I am now able to
do the housework for myself, husband and two children (aged nine and
five years). I also take in dressmaking, and enjoy walking a mile at a
time, and I think it Is all due to the medicine, for I know I was only
failing fast before I commenced to take it. I take great pleasure in
recommending the "Favorite Prescription" to all women who suffer from
debility and sick headache.
Respectfully yours,
MRS. J.H. LANSING,
Fort Edward, Washington Co., N.Y.
HEADACHE.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: E. Vargason, Esq.]
_Gentlemen_--I have used your medicines for a number of years, and know
that they do for me all that is claimed for them. I am employed mostly
at my desk, and not infrequently have an attack of the headache. It
usually comes on in the forenoon. At my dinner I eat my regular meal,
and take one or two of Doctor Pierce's Pleasant Pellets immediately
after, and in the course of an hour my headache is cured and no bad
effects. I feel better every way for having taken them--not worse, as is
usual after taking other kinds of pills. Your "Pleasant Pellets" are
worth more than their weight in gold, if for nothing else than to cure
headache.
Very respectfully,
E. VARGASON,
Otter Lake, Lapeer Co., Mich.
HEADACHE AND CONSTIPATION.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: Miss Wolfe.]
_Gentlemen_--I suffered from loss of appetite, constipation, neuralgia,
and great weakness, and had terrible attacks of sick headache very
frequently; also nose bleed. My health was so poor that I was not able
to go to school for two years. I took Dr. Pierce's Pleasant Pellets and
"Golden Medical Discovery," and in a short time I was strong and well.
Many friends are taking your medicines seeing what they have done for
me.
Respectfully yours,
Miss BERTHA WOLFE,
Markham, Cattaraugus Co., N.Y.
TERRIBLE PAIN IN HEAD AND FAINTING SPELLS.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: Mrs. Jacobs.]
_Gentlemen_--When I commenced taking your medicine I was very sickly. I
had frequent spells of fainting, terrible pain in my head, and life was
a burden to me. I was attended by one of the best physicians in our
town, but with no good results. At last a neighbor advised me to try Dr.
Pierce's Favorite Prescription, which I did, and after taking one bottle
I felt greatly benefited. I would advise all ladies similarly afflicted
to try "Favorite Prescription."
Yours truly,
MRS. SAMUEL A. JACOBS,
Mechanicsburgh,
Cumberland Co., Penn.
SICK HEADACHE, BOILS.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo, N.Y.:
[Illustration: Wm. Ramich, Esq.]
_Gentlemen_--I was troubled with boils for thirty years. Four years ago
I was so afflicted with them that I could not walk. I bought Dr.
Pierce's Pleasant Pellets, and took one "Pellet" after each meal. The
boils soon disappeared and have had none since. I have also been
troubled with sick headache. When I feel the headache coming on, I take
one or two "Pellets," and am relieved of it.
Respectfully yours,
WILLIAM RAMICH,
Minden, Kearney Co., Neb.
SICK HEADACHE.
WORLD'S DISPENSARY MEDICAL ASSOCIATION. Lt'd:
[Illustration: Mrs. Baker.]
_Gentlemen_--Having suffered several years with very bad bilious attacks
and all kinds of headaches, I tried different kinds of medicines but
found nothing to cure me. Having read about Dr. Pierce's Pleasant
Pellets, I commenced taking them. Before I had finished one phial I
found benefit; they have done me great good. I have recommended them to
all my friends and will continue to do so where I have the chance.
Yours truly,
MRS. JAMES BAKER,
Furneaux, Pelham, Nr. Buntingford, Herts.
OBSTINATE NEURALGIA.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, NO. 663 Main St., Buffalo, N.Y.:
[Illustration: A. Habenicht, Esq.]
_Gentlemen_--This is to certify that I had the neuralgia several years,
and was not able to perform labor nor attend to business. I was induced
to try your medicines, which I took and they effected a permanent cure.
I am now well and hearty, and able to do a good day's work, and weigh
one hundred and eighty pounds,--and thanks to you for it. I used your
medicines three months and was cured.
Yours truly,
AUGUST HABENICHT,
Fort Pierce, Brevard Co., Fla.
PARALYSIS AND UTERINE DISEASE.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, 603 Main St., Buffalo, N.Y.:
[Illustration: Mrs. Mann.]
_Gentlemen_--I will say that your Institute is all that you claim for
it, and more too. The Doctors are courteous gentlemen and the best
Physicians I have ever met with in my life. My treatment while at the
Institute did me more good in one month than all the doctors everywhere
else combined. My ailment was Paralysis and Female Weakness. Your
treatment did me good while at the Institute, and I have also been
greatly benefited by the home-treatment I have received from you since.
I am much better than I was; I am able to do considerable work now. When
I came to you I could not do anything.
I herewith send you my heartfelt thanks for all you have done for me,
and should I need more treatment I will write you as before. I would
advise all people who have chronic diseases to go to the Invalids' Hotel
and Surgical Institute for help, for it is a grand place and prices are
reasonable. We use your Family Medicines--your "Pellets" and Golden
Medical Discovery--and find they are all you claim for them.
Again I thank you and remain, your friend,
MRS. S.B. MANN,
Sutton, Clay Co., Neb.
PARTIAL PARALYSIS FROM UTERINE DISEASE.
Buffalo, La Rue County, Ky.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
_Gentlemen_--I am still having very good health. I value Dr. Pierce's
Golden Medical Discovery and his "Favorite Prescription" very highly and
often recommend them to others. I do not think I would ever have got
well if it had not been for your medicines. I was in a sad condition. My
bowels and half of my body (the left side), was nearly paralyzed,
besides nearly my whole system was out of order. I suffered all the
time; but after taking six bottles of "Golden Medical Discovery" and the
same of "Favorite Prescription," and using two bottles of Sage's Catarrh
Remedy as an injection, I felt like a new person. I have never seen
anyone suffering in the same way as I did. If anyone with female trouble
of any kind will use your medicines I am satisfied they will help them.
Yours truly,
Mary A. Sallee.
LOCOMOTOR ATAXIA. SPECIAL TREATMENT.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Ltd., No. 3 New Oxford Street,
London, W.C.:
[Illustration: C.F.G. Castleman, Esq.]
_Gentlemen_--In the latter part of 1890, I was struck down with that
terrible--and by many members of the medical profession pronounced to
be, incurable disease, locomotor ataxia. My family doctor declared that
nothing could be done for me, but for the sake of satisfaction advised
me to go to London, and see an expert, whom he named. I did so, with the
result of being told as above. This was in November, 1890. The symptoms
were first numbness in hands and feet, which soon extended as far as the
thighs, joined with the most intense feeling of cold that it can be
possible to imagine. For six months I felt as though I had stood in ice
up to my thighs. I soon became unable to walk or to stand, and crawled
up stairs on my hands and knees, I thought for the last time, as I then
thought I should die. Stomach troubles then set in, and for more than
three months, I endured the utmost agony. Night and day sweats absorbed
my little remaining strength, and I became helpless. I had taken leave
of my family, not expecting to last the day out, when I was seen by a
young doctor, who is fast becoming an eminent man, who said he thought
he could alleviate my sufferings--though he did not expect to cure me.
He commenced to treat me, and in about one month I began to improve,
though very slowly. This was in February, 1891, and before the end of
the year I was able to walk down stairs again. It was in March, 1892,
that I began taking Dr. Pierce's Golden Medical Discovery, and on
sending to you for a bottle in reply to your inquiry, I began your
special treatment, with the happy result that I gradually improved in
health and strength; and on the 26th of October, 1892, I was able to
call on you in London, and you advised me to continue your treatment,
and use a battery as well, which I did until April, 1893, when I could
walk about quite nicely, and I now enjoy better health than for the past
eight years. I am thankful too, that my eldest daughter has derived the
greatest benefit from Dr. Pierce's Favorite Prescription. She took it
for painful menstruation, and is now well and healthy. I am
Yours very truly,
C.F. GOODWIN CASTLEMAN,
Bursledon, Southampton, England.
PARALYSIS, NERVOUS PROSTRATION, ETC.
From the records of the WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo,
N.Y.:
[Illustration: F.M. Brasher, Esq.]
This gentlemen had a severe attack of grip in January, 1890. His health
gradually declined until June, at which time he was taken very much
worse. Had nervous shocks three or four times a day. Slight paralysis of
lower limbs. Respiration and pulse slow and irregular. Bowels
constipated and tongue coated. Indigestion. Ringing in the ears. Legs
wasting. Dimness of vision. Lost flesh rapidly and reduced to "skin I
and bones." Chills and sweats; dizzy. Had great distress in bowels. Pain
about the heart. Had been confined to his bed 46 days, at the time the
case was submitted to us. We sent only one month's course of special
medicines. He writes us afterwards:
"I am at regular farm work, after my doctor here having told me that I
must die and that Dr. Pierce was a gigantic humbug."
Yours truly,
F.M. BRASHER,
Homer, Logan Co., Ky.
EPILEPTIC "FITS."
WORLD'S DISPENSARY MEDICAL ASSOCIATION, No. 663 Main St., Buffalo, N.Y.:
[Illustration: Miss Swinehart.]
_Gentlemen_--My daughter, Sadie, is eighteen years old; has been
afflicted with that dreaded disease, Epilepsy, for fourteen years. She
received treatment from seven different doctors without any material
benefit. She has only had one spasm after commencing with your
treatment, now almost two years. Three boxes of epilepsy medicine,
followed up with your "Favorite Prescription" cured her. She took about
six months' treatment in all.
This places us under a world of obligation to you as the instrument of
our great relief under a kind Providence. Should there be any signs of
it returning we would with unshaken faith send for more medicine. You
can use her or my signature as you wish.
Yours truly,
GEORGE SWINEHART,
Lake, Stark Co., Ohio.
EPILEPSY.
CURED BY SPECIAL TREATMENT.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Ltd., No. 3 New Oxford St.,
London.:
[Illustration: G.H. Plumbstead, Esq.]
_Gentlemen_--I have great pleasure in announcing to you my heartfelt
thanks for the benefit derived from your treatment, having suffered from
epileptic fits for six years. I have experienced as many as five and
seven fits a day, some lasting two hours at a time. I am glad to say
since trying your medicine which is now five months, I have not had one.
Thanking you for your kindness.
Gratefully yours,
GEO. HERBERT PLUMSTEAD,
67 Fishgate Street,
St. Edmunds, Norwich, England.
SPASMS OR FITS.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, 663 Main St., Buffalo, N.Y.:
[Illustration: Master Johnnie Maxwell]
_Gentlemen_--I desire to express my gratitude for the wonderful results
of your treatment with my little son John. He was very bad, as we
thought, for the physician could do nothing for him any more, and I got
discouraged and went to my daughter, Mrs. D.T. Knappenberger, of
Jeannette, Pa., (who has been a terrible invalid and was cured at your
Institute), for advice. 'Oh, father,' she said, 'don't doctor here, but
go to Dr. Pierce. So the result was I gave her money and she sent for
medicines. You sent two bottles of medicine and he never has taken a
drop since and is perfectly well and never had a spell since. I do not
know what you call the disease, but we called it spasms or fits. With my
experience I can heartily recommend the Invalids' Hotel, and think if a
case can be cured at all, you can cure it. And unless they can cure or
greatly benefit the patient, they will not undertake it; this is my
experience with the World's Dispensary. My daughter, Mrs. D.T.
Knappenberger, and my son Johnnie, feel very grateful toward the
Dispensary for their cure.
Yours truly,
D.A. MAXWELL,
Greensburgh, Westmorland Co., Pa.
EPILEPSY, "FITS."
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: Miss McCarty.]
_Gentlemen_--My little girl was delicate from birth, nervous and
irritable. When three and one-half years old we discovered she had that
terrible disease "epilepsy," inherited from her father's family; she had
spasms or fits once in two or three days, and grew worse so rapidly that
in four months she had from four to eight fits in twenty-four hours.
Home physicians did no good, and just then one of your little pamphlets
came to me as they had come often before. As my need was great I wrote a
description of her case, and though your answer did not seem very
encouraging, I did not dare to lose any chance of saving my child, so I
commenced the treatment. On November 6, 1891, she had seven fits;
November 7th gave her your medicines; she had four fits that day, and
never one since. She took your medicines less than four months. She is
nearly six years old, a strong, hearty, bright child, attending school
every day.
What more can I say than that I thank Dr. Pierce and the Faculty of the
World's Dispensary Medical Association for having saved the life of my
child, and I thank God that he gave them the knowledge and skill to do
so.
Respectfully yours,
MRS. J. MCCARTY,
Gouldsville, Washington Co., Vt.
ST. VITUS'S DANCE.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: Master Ira D. Ponsler.]
_Gentlemen_--My boy had been in bad health for a long time. We called
our home doctor, but he got no better. Finally he had the St. Vitus's
Dance, and our doctor did not know what to do. So I wrote to you and did
as you told me; I got two bottles of your "Favorite Prescription," and
one bottle and a half did the work all right. At that time, eighteen
months ago, his weight was 85 pounds, now it is 135 to 140; he is
fourteen years old.
Yours truly,
JEREMIAH PONSLER,
Zenas, Jennings County, Ind.
EPILEPSY.
WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:
[Illustration: Miss Thulin.]
_Gentlemen_--My daughter, Josephine E. Thulin, is now six and a half
years old. She had been afflicted with epilepsy for three and a half
years, and received treatment from three different doctors, and from one
especially, for the space of two years steady, without any benefit.
Before taking your treatment she had as many as six or seven spells a
day. The child could not have stood it much longer. After taking your
treatment one month the spells stopped. With four months' special
treatment from you, and two months' use of Dr. Pierce's Favorite
Prescription she was entirely cured. In one year and three months she
has not had a drop of medicine, and she is in the best of health and
vigor.
I would say to any sufferer from obstinate or chronic disease, and
especially epilepsy, that we have a living witness. You can come and see
for yourself that the doctors connected with the World's Dispensary
Medical Association _do_ understand how to prescribe.
You can use this as a testimonial from me, of what you have done for us.
I remain,
Yours truly,
JOHN THULIN, (for daughter,)
Kearney, Buffalo Co., Nebr.
A STRONG ENDORSEMENT.
[Illustration: H.E. Bankston, Esq.]
_To whom it may concern_:
This is to certify that I took treatment at the Invalids' Hotel and
Surgical Institute, Buffalo, N.Y., and I was cured of a chronic trouble
that had been maltreated by other physicians. While there I saw a man
who had been cured by the specialists, who had before been given up to
die by the best doctors in Troy, N.Y. Of course, the case must have been
a very stubborn one. I afterwards saw a man here, in Georgia, die, who,
if he had been in Pierce's Surgical Institute under the treatment and
care of his skilled doctors and nurses, I know would have most assuredly
got well. Why? Because it was only a case of _stone in the bladder_, and
they are easily cured at Dr. Pierce's Surgical Institute. I think almost
any chronic disease can be cured there, if taken in time, judging from
my observations while an inmate of that Institution.
H.E. BANKSTON,
Barnesville, Pike Co., Ga.
COMPLICATION OF DISEASES.
[Illustration: A. Holes, Esq.]
Without solicitude or hope of pecuniary reward, with heart-felt
gratitude and a desire to aid my fellow-man to health and happiness,
allow me to state, that as an inmate for more than a month of the
Invalids' Hotel and Surgical Institute at No. 663 Main Street, Buffalo,
N.Y., I feel warranted in its highest recommendation. While there I saw
and talked with a groat number of people who came there as a last
resort, to be cured of almost every chronic disease to which flesh is
heir, and they were unanimous in their praise of the Institution and the
skilled specialists who constitute its professional staff.
ANDREW HOLES,
Moorhead, Minn.
* * * * *
[Illustration:
OUTLINE OF THE FEMALE URINARY AND GENERATIVE ORGANS.
The above cut is introduced here to assist in conveying a correct idea
of the Urinary and Generative Organs of Woman, their form and relative
positions, together with the bones, muscles and other tissues forming
the cavity of the pelvis in which the organs rest, and by which they
are protected. By dividing that portion of the body directly through
the middle from before backward, we first cut through the cushion of
fat (mons veneris) covering the pubic bone, then in succession the
bone, bladder, womb, vagina, rectum, front half of spine, spinal
marrow, rear half of spine, and lastly the muscles and skin. Just
underneath the bone in front is revealed that sensitive organ, the
clitoris, a facsimile of the male organ in miniature, the head of
which protrudes, while the body is covered with tissue, but is readily
traced with the finger. Further back is the urethra, or water passage,
which is one and a half inches long. Next is the vagina. When closed,
its mucous lining is folded in upon itself, and requires dilating in
order to be cleansed and to apply remedies. On the vagina rests the
hollow, pear-shaped womb, the small end of which protrudes into the
vagina, and in which is a small opening, leading through the neck into
the cavity of the organ. On either side of the womb, near its top, are
the Fallopian tubes leading to the ovaries, situated between the womb
and hip bones. At every menstruation these organs throw off a
germ-cell, which passes through the Fallopian tubes into the uterine
cavity.]
THE DOOR OF LIFE.
[Illustration]
The fear of pain and the dangers of childbirth fill many a woman's
breast with dismay. In the olden days of leeches and witchcraft, it was
considered sacrilegious to lessen the pains of labor. Latterly,
anæsthetics have been used at the time of parturition, and now people
are beginning to find out that pain and danger can be almost wholly
avoided.
Proper preparation during gestation will make both as rare as they used
to be common. There is no reason why childbirth should be fraught with
danger and distress. It is a perfectly natural function, and should be
performed in a natural way without undue suffering. Nature never
intended that women should be tortured when doing the one thing which
makes them wholly womanly. The perversion of nature's laws has brought
this suffering about, and a return to right living will stop it.
Nine out of ten women are troubled more or less by weakness and diseases
peculiar to their sex. It is so because they do not take proper care of
themselves--because they neglect little ills and little precautions. A
woman in perfectly hearty health goes through her time of trial with
comparative ease. The thing to do then, is to make all pregnant women
healthy--to strengthen them generally and locally. The medicine and
tonic to do it with is Dr. Pierce's Favorite Prescription.
It is a powerful invigorant and nervine. It soothes and strengthens the
nerves and acts directly on the feminine organism in a way which fits it
for the proper and regular performance of all its functions at ill
times.
Taken during gestation it robs childbirth of its dangers to both mother
and child, by preparing the system for delivery, thereby shortening
labor, lessening pain and abbreviating the period of confinement. The
Favorite Prescription also promotes the secretion of an abundance of
nourishment for the child, if taken after confinement, besides building
up the mother's strength and making her recovery more perfect.
ABORTION. (MISCARRIAGE.)
The term _abortion_ is used to denote the premature expulsion of the
foetus. If the expulsion takes place within four months after
impregnation, it is termed _abortion_; if between the fourth and seventh
month, _miscarriage_; if after the seventh month, but before the
completion of the full period of gestation, _premature labor_.
Abortion may be due to those agents which act directly upon the uterus
and cause the expulsion of the foetus; to those which occasion the death
of the foetus, thereby effecting its ejection; and it may be _criminal_,
that is, produced intentionally by direct agencies intended for that
purpose.
SYMPTOMS. The premonitory symptoms are pain in the loins and lower part
of the back, a dull pain in the abdomen and thighs, nausea, chills, and
palpitation. The membranes and blood-vessels of the uterus become
lacerated, causing profuse hemorrhage. The discharge of blood from the
vagina is sometimes attended with excessive pain.
THE CAUSES which act directly upon the uterus to produce abortion may be
violent exercise, lifting, accidents, or injuries from blows or falls.
Nervous susceptibilities, a plethoric condition of the system, anæmia,
exhaustive discharges, use of improper food, uterine displacements,
congestion caused by excessive sexual excitement, general debility or
muscular irritability, which is sometimes so great as to produce
contractility of the uterus before the term of pregnancy is completed,
inflammation of the cervix, ulcerations of the uterus, or any previously
existing disease may produce abortion. When it has once taken place, it
is apt to recur at about the same time in subsequent pregnancies.
The death of the foetus may be occasioned by a diseased condition of the
embryo, amnion, or placenta, and also by convulsions or peritoneal
inflammation.
CRIMINAL ABORTION is secretly practiced by women who desire to rid
themselves of the evidence of immorality, and by those in wedlock who
wish to avoid the care and responsibility of rearing offspring.
Statistics show that it is very prevalent, undermining the health of
women and corrupting the morals of society. We cannot pass over this
subject in silence. Those who frustrate the processes of nature by
violating the laws of life incur just penalties. All the functions of
life and body are vitally concerned in reproduction. Any infraction of
the Divine law, "Thou shalt not kill," is inevitably followed by
punishment. The obligations to nature cannot be evaded without
inevitable penal effects. Furthermore, all such transgressors carry with
them the consciousness of guilt and the feeling of secret woe.
"O God! that horrid, horrid dream
Besets me now awake!
Again, again, with dizzy brain.
The human life I take,
And my red right hand grows raging hot,
Like Cranmer's at the stake."--HOOD.
What shall we say concerning abortionists, men and women who are willing
to engage in the murder of innocents for pay? True, there may be
circumstances in which it is not right to continue in the pregnant
condition, such as when the children of an unfortunate marriage are
idiots, or the pelvis of the woman is so deformed that she cannot bear a
living child. All such cases should be submitted to the _family_
physician, who ought to be made acquainted with all the circumstances
and facts relating to the case, when he can summon other physicians for
counsel, and their deliberations may determine the propriety or
necessity of bringing on an abortion.
Parties have written to us and others have made personal application
under circumstances when it might have been right for their _family
physician_ to have induced abortion. We wish to have it distinctly
understood that we will not under any circumstances prescribe medicines
or perform any operation to relieve women of pregnancy.
Mechanical means are resorted to by abortionists, and many women produce
abortion upon themselves. It always terminates in lasting injury and
sometimes in speedy death. Certain medicines will sometimes produce
abortion but they are very unsafe. An opinion is very prevalent that if
abortion be produced before the movements of the foetus are felt, there
is no crime committed. It should be remembered that _life begins with
conception_, and, at whatever period of pregnancy abortion is committed,
_life is destroyed_. Whoever disobeys the Divine injunction cannot
escape his own consciousness of the deed, and the anguish and bitter
remorse which ever after disturb the soul.
TREATMENT. In threatened abortion, there is pain in the back or lower
part of the abdomen, and later some flow of blood. The first object is
to obtain perfect rest and quiet, and assume the recumbent position. By
lying down, the blood will be more easily diverted to the surface of the
body. Gallic acid, in doses of five grains every two or three hours, is
often a valuable agent to arrest the hemorrhage, but opium in some form
should be relied upon principally. A Dover's powder, ten grains, may be
administered, to assist in determining the blood to the surface and
extremities of the body and to allay irritation. The room should be
cool, the patient should lie on a hard bed, and all company should be
avoided, for excitement favors abortion. If the flow of blood equals a
gill in amount, there is little hope of preventing abortion, and the
treatment of the case should be entrusted to the family physician.
* * * * *
WOMAN AND HER DISEASES.
An imaginative poet avers that woman is the link connecting Heaven and
earth. True it is, we see in her the embodiment of purity and heavenly
graces, the most perfect combination of modesty, devotion, patience,
affection, gratitude and loveliness, and the perfection of physical
beauty. We watch with deep interest the steady and gradual development
from girlhood to womanhood, when the whole person improves in grace and
elegance, the voice becomes more sonorous and melodious, and the angles
and curvatures of her contour become more rounded and amplified,
preparatory for her high and holy mission.
The uterus, or womb, and ovaries, with which her whole system is in
intimate sympathy, render her doubly susceptible to injurious influences
and a resulting series of diseases, from which the other sex is entirely
exempt. By their sympathetic connections they wield a modifying
influence over all the other functions of the system. Physically and
mentally, woman is man modified, perfected,--the last and crowning
handiwork of God. When, therefore, this structure so wonderfully
endowed, so exquisitely wrought, and performing the most delicate and
sacred functions which God has ever entrusted to a created being, is
disturbed by disease, when the nicely-adjusted balance of her complex
nature deviates from its true and intended poise, the most efficient aid
should be extended, in order that the normal equilibrium may be
regained, her health restored, and her divine mission, on which human
welfare so largely depends, be fulfilled. Its importance should elicit
the best efforts of the highest type of mind, the ripe development of
genius, and the most scientific administration of the choicest, rarest,
and purest medicinal elements in the whole range of nature.
A VAST EXPERIENCE. As the remedial management of diseases of women has,
for many years, entered very largely into our practice at the Invalids'
Hotel and Surgical Institute, located at 663 Main Street, Buffalo, N.Y.,
comprising the treatment of many thousands of cases annually, we have
been afforded great experience in perfecting and adapting remedies for
their cure, enabling us to meet their requirements with increased
_certainty_ and _exactness_.
TREATING THE WRONG DISEASE. Our improved and perfected system of
diagnosing, or determining, the _exact_ nature and extent of chronic
affections, which, in most cases, we are able to do at a distance, and
without a personal examination of the patient, as will be more
particularly explained in the appendix, or latter part of this little
book, has enabled us to avoid the blunders so often committed by the
general practitioner, who not infrequently treats those afflicted with
chronic ailments peculiar to women, for long weeks, and perhaps months,
without ever discovering their real and true disease, or condition.
Thus, invalid women are often uselessly subjected to treatment for
dyspepsia, heart disease, liver or kidney affections, sick headaches,
and various aches and pains, as if they were _primary_ diseases, when in
reality, they are only so many local manifestations, or _symptoms_, of
some overlooked derangement, or disease, of the womb. For, as we have
already intimated, every organ of the system is in _intimate_ sympathy
with the uterus, or womb. Any disease, either functional or organic, of
this organ, is at once manifest through several, if not all, the
sympathizing organs of the system. When we receive a sharp blow upon the
elbow, the pain is felt most keenly in our little finger. Just so in
diseases of the womb; often the most distress is felt in organs or parts
of the system quite distant from the real seat of disease. On this
account, thoughtless, easy-going and ignorant physicians are misled, and
very commonly mistake the invalid's disease for some affection of the
stomach, heart, liver, kidneys, or other organ, when really it is
located in the uterus. Cure the disease of the womb, and all these
disagreeable manifestations, or symptoms, vanish. Their cause being
removed, the various dependent derangements, and disagreeable nervous
sensations and sufferings rapidly give way, and vigorous health is
firmly re-established.
TIME AND PERSEVERANCE IN TREATMENT REQUIRED TO CURE. Most chronic
diseases of women are slow in their inception, or development, and their
removal or cure must necessarily be gradual. Disease that has been
progressing and becoming more firmly established for months, or perhaps
years, cannot, except in rare cases, be hastily dislodged, and the
system restored to perfect health. The process of cure, like the
development and progress of the disease, must be a gradual one,
accomplished step by step. Often, too, the use of medicines that, if
_persisted_ in, will prove beneficial and curative, will, for a
considerable time, arouse in the system very disagreeable sensations,
and many times this leads unthinking persons to become frightened or
discouraged, and to quit the treatment best adapted to their cases if
only faithfully carried out. In many forms of womb disease, their are
organic lesions or changes, that can be repaired only by a gradual
process, just as an external wound would heal,--not suddenly, but by a
constant, slow filling in and building up, or by the gradual development
or growth of one cell upon another. Just as a great breach in a wall
would be repaired by filling in brick upon brick, until the defect is
effaced, so must these lesion's be removed by gradual processes. When
fully repaired, the dependent, sympathetic derangements, disagreeable
sensations, and all the long train of consequential symptoms are, one by
one, abolished.
NOT LIMITED IN OUR REMEDIAL RESOURCES. It should be borne in mind that,
while we recommend, in this little volume, certain courses of treatment
for ordinary cases, the remedies mentioned do not by any means embrace
all our resources in the way of medicines and other curative agencies,
especially for complicated, difficult, or very obstinate cases. In many
of the latter class we can send medicines that are exactly adapted to
the case, if the invalid will fill out one of our "Applications for
Treatment," which may be found folded in the latter part of this book,
or which will be sent to any address, on application, by mail. In most
womb diseases, the chemical and microscopical examination of the urine
also furnishes valuable aid in determining the exact condition of the
patient, as well as the precise stage of the local organic disease. Full
directions for putting up and sending such samples may be found in the
"Appendix" of this little volume. Every case submitted to us, either by
letter or in person, receives the careful and deliberate consideration
of a full Council of specialists before a decision as to the nature of
the malady, or the proper course of treatment to be employed, is
determined upon. The great advantage of this system of practice must be
obvious to every intelligent, thoughtful person. No experimenting is
ever resorted to. The treatment is _specially_ and _exactly_ adapted to
each individual case, which requires such judgment, skill, and nicety of
discrimination, as has only been acquired by our specialists through
long and diligent study, and an experience embracing the treatment
annually of many thousands of cases of those chronic diseases which are
peculiar to women.
WORLD'S DISPENSARY MEDICAL ASSOCIATION,
663 Main Street, Buffalo, N.Y.
* * * * *
MENSTRUATION AND ITS DISORDERS.
The function of the ovaries is to furnish ova or germs, and the
functions of the uterus or womb are to secrete mucus; to exude the
menses; to secrete the decidua; to contain and nourish the foetus and to
effect its expulsion.
Menstruation, or the menses, monthly visitation, catamenia, menstrual
flow, courses, or periods, usually makes its appearance in the female
between the twelfth and fifteenth years, at which time the reproductive
system undergoes remarkable changes. A marked characteristic of
menstruation is its regular return about every twenty-eight days. The
menstrual flow usually continues from three to six days, and the
discharge seems to be ordinary blood, which, during its vaginal passage,
becomes mixed with mucus, and is thereby deprived of the power of
coagulation. The quantity exuded varies from two to eight ounces, but
the amount consistent with the health of one person, may be excessive
and weakening in another. This function is regarded as "being regular
when its effect upon the system is favorable, for whatever organic
process directly contributes to the health should be considered as
normal. It occurs at regular intervals for about thirty years, when
menstruation and the aptitude for conception simultaneously cease.
The departures from healthy menstruation are numerous. The most
important of these are _amenorrhea, dysmenorrhea_, and _menorrhagia_.
AMENORRHEA.
The term _amenorrhea_ signifies the absence of menstruation when it
should occur. It may be considered under two general heads: when it
fails to be established at the proper age, and when, after having made
its appearance, it ceases to return at the usual periods. The term
_retention_ has been applied to the first, and that of _suppression_ to
the latter. Menstruation may fail to be established in consequence of
organic defects, or from some abnormal condition of the blood and
nervous system.
MALFORMATION OF THE VAGINA. Retention of the menses may result from
malformation of the vaginal canal, which sometimes terminates before it
reaches the womb, being simply a short, closed sac. If the uterus and
ovaries are perfect, all the feminine characteristics are manifest, and
a vaginal exploration discloses the nature of the difficulty. If,
however, the sides of this passage adhere in consequence of previous
inflammation, they may be carefully separated by a surgical operation,
and this function restored.
ABSENCE OR MALFORMATION OF THE WOMB. The uterus may be deformed or
entirely absent, and yet there be an inclination, or symptoms indicative
of an effort, to establish this function. The individual may be delicate
in organization, graceful in bearing, refined and attractive in all
feminine ways, and yet this organ may be so defective as to preclude the
establishment of the menstrual function. Sometimes there is merely an
occlusion of the _mouth_ of the uterus, the perforation of which removes
all difficulty. In others, the _neck_ of the womb is filled with a
morbid growth, or the walls of its canal are adherent, as the result of
inflammation, and may be separated by a small silver or ivory probe, and
the menses be thus liberated.
IMPERFORATE HYMEN. The hymen is a circular, or semilunar membrane, which
imperfectly closes the outer orifice of the vagina in the virgin. When
of a semilunar shape, it usually occupies the lower or posterior portion
of the canal, leaving an opening in the upper or anterior portion,
varying from the size of a quill to that of a thimble, through which the
menstrual fluid exudes. This membrane is usually ruptured and destroyed
by the first sexual intercourse, and, hence, its presence has been
considered evidence of virginity. Its absence, however, must not be
considered a conclusive evidence of sexual intercourse, for, as Dr.
Dunglison says, "many circumstances of an innocent character may
occasion a rupture or destruction of this membrane. It is often absent
in children soon after birth; while it may remain entire after
copulation. Hence, the presence of the hymen does not _absolutely_ prove
virginity; nor does its absence prove incontinence, although its
presence would be _prima facie_ evidence of continence."
Sometimes this membrane, when not imperforate, is so thick and strong as
to render sexual intercourse impossible, and requires a cutting
operation to open the vagina. Several such cases have been operated upon
at the Invalids' Hotel and Surgical Institute.
It occasionally happens that the hymen is entire, or imperforate, at
birth. This may not be discovered before puberty. But when this period
arrives and the menstrual discharge takes place into the vagina, the
female will suffer from the retention and accumulation of this
secretion, and ultimately a tumor or a protrusion of the membrane which
closes the vagina will occur, giving rise to severe pain and other
serious symptoms. The retained menstrual fluid, increasing in quantity
at every monthly period, dilates the womb as well as the vagina, and
even the Fallopian tubes become distended, presenting at length an
urgent necessity for relief.
TREATMENT. This condition admits of relief only by operative surgery.
The operation consists in dividing the hymen by a crucial incision, thus
allowing the accumulated fluid to be discharged, after which the vagina
is cleansed by syringing it with warm water.
ABSENCE OF THE OVARIES. Let us suppose the case of a young woman who has
fully reached the period of puberty without having menstruated. All the
organs which we have described, are manifestly developed, she is
healthy, vigorous, robust, and able to exercise freely or to engage in
laborious occupations. But we notice that her voice is not sweetly
feminine, nor is her presence timid, tender, and winning; there is
wanting that diffident sexual consciousness, which gently woos, and, at
the same time, modestly repels, and tends to awaken interest, curiosity,
and desire. Considering also that she has never manifested any
inclination to menstruate, we are irresistibly led to the conclusion
that the ovaries are wanting; the delicate mustache upon the upper lip,
the undeveloped breasts, the coarse features, and her taste for
masculine pursuits, all concur in this diagnosis. Thus we account for
the harshness of the voice, fitted for command rather than to express
the mellow, persuasive cadences of love. Such a malformation cannot be
remedied.
RETENTION AND SUPPRESSION FROM MORBID CONDITIONS OF THE BLOOD.
Non-appearance, as well as suppression of the menses, may result from an
abnormal state of the blood. The first condition which demands our
attention under this head is _plethora_. In robust, plethoric females
the menses are sometimes very tardy in their appearance, and every month
the attempt to establish this function is attended with pain in the
head, loins, and back, chilliness, nausea, and bloating of the abdomen.
Sometimes there is intolerance of light or sound, and cerebral
congestion, amounting almost to apoplectic symptoms. The pulse is full
and strong, the blood abundant and surcharged with red corpuscles. Such
persons may be accustomed to luxurious living, and there is evidently a
predisposition to abnormal activity of the alimentary functions.
TREATMENT. We may briefly suggest that such subjects should engage in
laborious physical exercise in order to expend the surplus of vitality,
and should lessen the daily amount of food taken, and use that which is
light and unstimulating. We should also prevent the determination of
blood to the head, by keeping it cool and the feet warm, and by
increasing the flow of blood to the extremities. The volume of the
circulation may be diminished by acting upon the natural outlets, such
as the skin, kidneys, and bowels. The proper means and appliances for
quickening the circulation of the blood are indicated, and friction upon
the surface, bathing, the daily use of such cathartics as Dr. Pierce's
Pleasant Pellets, and, finally, the use of some general uterine
stimulant, such as Dr. Pierce's Favorite Prescription, will generally
prove successful in cases of amenorrhea resulting from plethora.
RETENTION AND SUPPRESSION FROM ANÆMIA. To describe the condition of the
patient whose blood is low and deprived of the richness, warmth, and
bloom, it once possessed when it kindled admiration and enthusiasm in
others, is but to give a picture of a numerous class of female invalids.
It is sad to see beauty fading, vigor waning, and Bright's disease or
consumption slowly wasting the blood and consuming the vital cells,
until the spirit can no longer dwell in its earthly abode and death
claims the skeleton for dust.
CHRONIC DECLINE, with its attendant anæmia, may be induced by bad
habits, destitution, or constitutional depravity. Sickly forms, wrecks
of health, address our senses on every side. All these subjects
evidently once had a capital in life, sufficient, if properly and
carefully husbanded, to comfortably afford them vital stamina and length
of days. Alas! they have squandered their estate, perchance in idleness
and luxurious living, or have wasted it in vanities or misdirected
ambition. Having become bankrupts in health, there is necessarily a
failure of the menstrual function, and then follows a _panic_. All the
blame of the insolvency and general derangement, is unjustly attributed
to the non-performance of the duties of the uterus. Thus, this organ is
altogether _dependent_ Upon the general health for its functional
ability, yet frequently treatment is instituted to compel menstruation,
regardless of the condition of the system. Thus the enfeebled uterus is
wrongfully held responsible for general disorder, because it ceases to
act, when _by acting_ it would further deplete the blood and thus
materially contribute to the already existing chronic decline.
No matter what are the causes of this decline, whether they are the
follies of fashion, the effect of indolence, debility in consequence of
insufficient food, perversion of nutrition by irregular habits, lack of
exercise, or the taking of drastic medicines, the result is anæmia and
amenorrhea.
TREATMENT. We would suggest in such cases a nutritious diet, increased
exercise, cleanliness, regular habits, hard beds, and useful employment.
The diet may be improved by animal broths, roasted meats, fresh beef,
mutton, chicken, or eggs, and the dress should be comfortable, warm, and
permit freedom of motion. The patient should indulge in amusing
exercises, walking, swinging, riding, games of croquet, traveling,
singing, percussing the expanded chest, or engage in healthful
calisthenic exercises. The hygienic treatment of this form of
amenorrhea, then, consists in physical culture, regular bathing, and the
regulation of the bowels, if constipated, as suggested in this volume
under the head of constipation.
The _medical treatment_ should be directed to enriching the blood,
improving nutrition, toning up the generative organs, and the health of
the whole system. This requires the employment of uterine and general
tonics, and Dr. Pierce's Favorite Prescription, which is sold by
druggists, happily combines the properties required. It improves
digestion, enriches the blood, exercises a tonic and gently stimulating
effect upon the uterus and ovaries, and thus promotes the function of
menstruation. It is not a strong emmenagogue, but operates slowly, yet
surely, and in accordance with physiological laws, being eminently
congenial in its effects upon the female system, and, hence, not liable
to do harm. There is danger in employing active driving medicines,
besides, no emmenagogue, however powerful, can establish the menstrual
function so long as the system is in a debilitated condition and the
blood reduced. The restorative effects of the "Favorite Prescription"
should be secured by administering it regularly, in from one to two
teaspoonful doses, three or four times a day, for several weeks, and as
the system is built up and those symptoms appear which indicate a return
of the menses, their visitation may be encouraged by the use of hot foot
and sitz-baths, and free doses of Dr. Pierce's Compound Extract of
Smart-weed. But the latter should only be used when symptoms of
approaching menstruation are manifested. By following out this course of
treatment, a soft flush will gradually take the place of the pallor of
the cheeks, the appetite will return and the health will be restored.
ACUTE SUPPRESSION OF THE MENSES may be caused by _strong emotions,_ as
excessive joy, or by violent _excitement_ of the _propensities_, as
intense anger, sudden fright, fear, or anxiety. Suppression may result
from sudden exposure to cold, immersion of the hands or feet in cold
water, drinking cold water when the body is heated, sitting on the cold
ground or damp grass, or from a burn or wound. It is not uncommon for
women to labor in the heated wash-room, pounding, rubbing, and wringing
soiled linen, thereby overtaxing the delicate physical system. While
feeling tired and jaded, all reeking in perspiration, they rinse and
wring the clothes out of cold water and hang them upon the line with
arms bare, when the atmosphere is so freezing that the garments stiffen
before they finish this part of the task. Is it any wonder that acute
suppressions occur or that inflammations set in?
The symptoms which naturally follow are a quick pulse, hot skin, thirst,
fever, headache, and dizziness, and the inflammation may locate in the
ovaries, uterus, lungs, bowels, brain, or other parts. No matter what
organs are attacked the menses are suppressed. The suppression can
generally be attributed to an adequate cause, resulting in
constitutional disturbance. The severity and duration of the attack and
the power of the constitution to resist it, must determine the gravity
of the consequences.
TREATMENT. As acute suppression of the menses is due to derangement of
the circulation of the blood, caused by taking cold, by violent
excitement of the propensities or excessively strong emotional
experience, the prominent indication is to secure its speedy
equalization. Give a hot foot, a warm sitz, or the spirit vapor-bath and
administer full doses of Dr. Pierce's Compound Extract of Smart-weed, to
produce free perspiration. Dr. Eberle, a very celebrated medical author,
says that he used the Extract of Smart-weed in twenty cases of
amenorrhea, and affirms, "with no other remedy or mode of treatment have
I been so successful as with this." Our experience in the use of the
Extract has been equally satisfactory. Should this treatment not
establish the function, Dr. Pierce's Favorite Prescription should be
given three times a day until the system is invigorated, say for
twenty-eight days, when the above course may be repeated, and generally
with success. Should the case be complicated with inflammation of the
lungs, brain, or other vital organs, manifesting alarming symptoms, the
family physician should be called. The treatment should be active and
suited to the indications of each particular case. When the disease
becomes chronic, the active stage of symptoms having passed, and it
continues to linger without making the desired improvement, all the
means suggested for the treatment of suppression from anæmia should be
employed. Their use will be followed by the most gratifying results. It
should be borne in mind, however, that when we have suggested any
treatment in this volume, it is generally such as the family may
institute and apply, and does not, by any means, represent the variety
or extent of the remedial resources which we employ when consulted in
person or by letter. We refer our readers to only a few of the safe and
reliable remedies which we have prepared and placed within their reach,
and give them just such hygienic advice as we think will best serve
their interests.
* * * * *
DYSMENORRHEA.
(PAINFUL MENSTRUATION.)
_Dysmenorrhea_, from its Greek derivation, signifies a _difficult
monthly flow,_ and is applied to menstruation when that function becomes
painful and difficult. Menstruation, like other healthy operations of
the body, should be painless, but too frequently it is the case, that
discomfort and distress commence twenty-four hours before the flow
appears, and continue with increasing pain, sickness at the stomach, and
vomiting, until the patient has to take to the bed. When the discharge
does occur, speedy relief is sometimes obtained, and the patient suffers
no more during that menstrual period. With others, the commencement of
the function is painless, but from six to twenty-four hours after, the
flow is arrested and the patient then experiences acute suffering. Pain
may be felt in the back, loins, and down the thighs. Sometimes it is of
a lancinating, neuralgic kind, at others, it is more like colic.
Frequently the distress causes lassitude, fever, general uneasiness, and
a sense of lethargy. There are those who suffer more or less during the
entire period of the flow, while the distress of others terminates at
the time when a membranous cast is expelled. For convenience of
description, dysmenorrhea has been divided into the following varieties:
_neuralgic, congestive, inflammatory, membranous_, and _obstructive_.
_The neuralgic variety_ of dysmenorrhea, sometimes called _spasmodic_ or
_idiopathic_, occurs when there is excessive sensibility of the ovaries
and uterine nerves, which sympathetically _respond_, especially to
cutaneous, biliary, and sexual irritation, and when ovarian or uterine
irritation is communicated to distant nerve-centres. In the first class,
usually comprising lean persons of an encephalic temperament, whatever
disorders the functions of the general system, instantaneously reflects
upon the ovaries and uterine nerves, and the menstrual function Is
correspondingly disturbed, and, instead of being painless, the flow
becomes spasmodic, with paroxysms of distress. In the second class,
which includes those persons who are plethoric, the ovarian and uterine
nerves seem to be the origin and centre of irritation, which is
sometimes so severe as to cause indescribable pain. We have known women
who affirmed that the severity of labor pains was not so great as that
from this cause. In one instance, the subject suffered thus for eleven
years, and then became a mother, and has ever asserted that her periodic
suffering was far more intense than the pain experienced during her
confinement. These neuralgic pains fly along the tracks of nerves to
different organs, and capriciously dart from point to point with
marvelous celerity, producing nausea, headache, and sometimes delirium.
IN THE CONGESTIVE VARIETY of dysmenorrhea, the menstrual period may be
ushered in without pain; after a few hours, the pulse becomes stronger
and more rapid, the skin grows hot and dry, the menses stop, there is
uneasiness, restlessness, and severe pelvic pains. Evidently, the mucous
membranes of the Fallopian tubes and uterus have become congested, and
the pain results from the arrest of the functional process, the
exudation of blood.
THE CAUSES are plethora, exposure to cold, excitement of the emotions or
passions, and a morbid condition of the blood. Sometimes congestion
arises in consequence of a displacement of the uterus.
IN THE INFLAMMATORY VARIETY, the mucous membrane of the uterus is the
seat of irritation. The blood flows into the capillary vessels in
greater abundance than is natural, and those vessels become over-dilated
and enfeebled and so altered in their sensibility as to produce local
excitement and pain. It may be associated with inflammation of the
ovaries, peritoneum, or bladder. Upon the return of the menses, there is
a dull, heavy, fixed pain in the pelvis, which continues until the
period is completed. There is generally tenderness of the uterus, and
also leucorrhea during the intervals between each monthly flow.
IN THE MEMBRANOUS VARIETY of dysmenorrhea, the entire mucous membrane
which lines the cavity of the uterus, in consequence of some morbid
process, is gradually detached and expelled at the menstrual period.
SYMPTOMS. There are steady pains at the commencement of the menstrual
flow, and they increase in violence and become decidedly expulsive. The
mouth of the uterus gradually dilates, and finally, the membrane is
forced out of the uterus, attended with a slight flow of blood and an
entire subsidence of the pain.
THE TREATMENT, in all the preceding varieties of dysmenorrhea, should
consist of measures to determine the circulation of the blood to the
surface, and increase the perspiratory functions. Congestion and
inflammation of the internal organs are generally induced by exposure to
cold or from insufficient clothing. Sometimes they follow from neglect
of the skin, which is not kept clean and its excretory function
encouraged by warm clothing. The domestic treatment at the monthly
crisis should be commenced by the administration of hot foot, and
sitz-baths, after which the patient should be warmly covered in bed, and
bottles of hot water applied to the extremities, back, and thighs. Dr.
Pierce's Compound Extract of Smart-weed should be given in full doses,
frequently repeated, to secure its diaphoretic, emmenagogue, and anodyne
effects, which, for this painful affection, is unsurpassed. For the
radical cure of this disease, whether of a congestive, inflammatory, or
neuralgic character, Dr. Pierce's Favorite Prescription, which is sold
by druggists, is a pleasant and specific remedy, which will most
speedily correct the abnormal condition that produces the trouble, and
thereby obviate the necessity of passing this terrible ordeal at every
monthly period. The patient should take two teaspoonfuls of the medicine
three times a day, and keep up its use in these doses for weeks.
Frequently, one month will suffice to cure, but in most cases, a longer
season is required. In the end, the suffering patient will not be
disappointed, but will become a new being, ready for the enjoyment and
duties of life. The bowels should be kept regular throughout the
treatment by the use of Dr. Pierce's Pleasant Pellets, if necessary. A
hand or sponge-bath should be used daily to keep the skin active, and be
followed by a brisk rubbing of the surface with a rough towel or
flesh-brush. A wet sheet pack will cleanse the pores of the skin and
invite the blood into the minute capillaries of the surface, and thus
prove of great benefit. It should be repeated after an interval of seven
days, but ought to be omitted if near the approach of a menstrual
period. The clothing should be warm, to protect the system against
changes of temperature; especially should every precaution be taken to
keep the feet dry and warm. The patient should walk in the open air, and
the distance should be regularly lengthened at each succeeding walk. If
the course of treatment which we have suggested be faithfully pursued, a
permanent cure will be effected.
IN THE OBSTRUCTIVE VARIETY of dysmenorrhea, some organic impediment
hinders the exit of the menstrual blood from the uterus, which,
consequently, becomes distended and painful. The pain may be constant,
but is most acute when the uterus makes spasmodic efforts to discharge
the menstrual blood. If these efforts prove successful, there is an
interval of relief. Flexion or version of the womb may produce partial
occlusion of the canal of the neck of the uterus, thus preventing the
free flow of the menstrual fluid through it. Tumors located in the body
or neck of the uterus often cause obstruction to the free discharge of
the menses. Imperforate hymen and vaginal stricture also sometimes cause
obstruction and give rise to painful menstruation. As these several
abnormal conditions and diseases will be treated of elsewhere in this
volume, we omit their further consideration here.
Partial adhesion of the walls of the neck of the womb may result from
inflammation of the mucous lining, and prevent a free and easy exit of
the menstrual fluid. In many cases, the contracted and narrowed
condition of the canal of the cervix seems to be a congenital deformity,
for we can trace it to no perceptible cause. It is also true that
contraction and partial, or even complete, stricture of the cervix, or
neck of the womb, often results from the improper application of strong
caustics to this passage by incompetent and ignorant surgeons. Every
person has observed the contraction of tissue caused by a severe burn,
which often produces such a distortion of the injured part as to
disfigure the body for life. A similar result is produced when the neck
of the womb is burned with strong caustics. The tissues are destroyed,
and, as the parts heal, the deeper-seated tissues firmly contract,
forming a hard, unyielding cicatrix, thus constricting the neck of the
womb, through which the menses pass into the vagina.
[Illustration: Fig. 3.
THE UTERINE DILATOR.
This instrument is
introduced into the
canal of the uterine
neck with its blades
closed. By means
of the thumb-screw
the blades are then
separated as shown
in this illustration,
the cervical canal
being thereby dilated
to the required
extent.]
TREATMENT. From the nature of this malady, it will readily be seen that
no medical treatment can effect a radical cure. We must therefore resort
to surgery. In a small proportion of cases, the stricture may be cured
by repeated dilations of the constricted part of the cervical canal.
This may be accomplished by using a very smooth probe which is fine at
the point, but increases in size, so that its introduction will widen
and expand the orifice and canal. The stricture may be overcome in many
cases by using different sized probes. In some instances, we have
employed the uterine dilator, represented by Fig. 3. We have also
introduced sea-tangle and sponge tents into the neck of the womb, and
allowed them to remain until they expanded by absorbing moisture from
the surrounding tissues. The latter process is simple, and in many cases
preferable. By means of a speculum (see Figs. 15 and 16), the mouth of
the womb is brought into view, and the surgeon seizes a small tent with
a pair of forceps and gently presses it into the neck of the womb, where
it is left to expand and thus dilate the passage. If there seems to be a
persistent disposition of the circular fibers of the cervix to contract,
and thus close the canal, a surgical operation will be necessary to
insure permanent relief. In performing this operation, we use a cutting
instrument called the hysterotome (see Figs. 4 and 5). By the use of
this instrument, the cervical canal is enlarged by an incision on either
side. The operation is but slightly painful, and, in the hands of a
competent surgeon, is perfectly safe. We have operated in a very large
number of cases and have never known any alarming or dangerous symptoms
to result. After the incision, a small roll of cotton, thoroughly
saturated with glycerine, is applied to the incised parts, and a larger
roll is introduced into the vagina. The second day after the operation,
the cotton is removed, the edges of the wound separated by a uterine
sound or probe, and a cotton tent introduced into the cervix, and
allowed to remain, so that it will expand and thus open the wound to its
full extent. This treatment must be thoroughly applied, and repeated
every alternate day, until the incised parts are perfectly healed.
[Illustration: Fig. 4.
WHITE'S HYSTEROTOME.
In operating, this instrument is introduced into the canal of the neck of the
womb, when a thumb screw in the end of the handle is turned, by which a small
blade is thrown out from each side, and as the instrument is withdrawn from the
canal an incision is made on each side, thus enlarging the passage. The upper
figure illustrates the instrument closed, ready for introduction; the lower one,
with the blades projected for cutting.]
Many times patients cannot understand why it is that the operation of
cutting the constricted cervix causes no pain; they often being entirely
unconscious of the making of the incision. The explanation is easy. The
cervix uteri, or neck of the womb, is supplied with but few nerves of
sensation, and is almost as destitute of sensation as the finger or toe
nails, the paring of which causes not the slightest pain. On this
account we never find it necessary to administer chloroform or any other
anæsthetic when undertaking this operation. If the patient be extremely
sensitive the application to the cervix of a weak solution of cocaine is
quite sufficient to completely benumb or anesthetize the parts so as to
entirely avoid all pain from the operation.
[Illustration: Fig. 5.
STOHLMAN'S HYSTEROTOME.
This instrument has two cutting blades which shut past each other, as
seen in the lower figure, so as not to cut when introduced into the
canal of the uterine neck. After introduction, the cutting blades are
separated, as shown in the upper figure, the extent of the incision
being regulated by the thumb-screw attached to the handles, as
represented in the lower figure.]
* * * * *
MENORRHAGIA.
(PROFUSE MENSTRUATION.)
The word _Menorrhagia_, which is of Greek derivation, literally means
_monthly breaking away_, and is employed to designate profuse
menstruation. This disorder must not be confounded with those
hemorrhages which are not periodical, and which are due to other causes.
The term _menhorrhagia_ is restricted to an immoderate monthly flow. The
menstrual flow may occur too often, continue too long, or be too
profuse. It induces a feeble pulse, cold extremities, weak respiration,
general debility, and may occur in opposite states of the system,
_i.e._, in women who have a plethoric and robust habit, or in those of
flaccid muscles and bloodless features. When the menstrual discharge is
natural, it is so gradual that by mixing with the vaginal secretions it
is prevented from coagulating, while in this disease, clots are often
formed.
SYMPTOMS. In women of a _plethoric_ habit, it is ushered in by itching
and heat in the vagina, pain and a feeling of weight in the loins and
lower part of the abdomen, and, at times, the breasts become hot and
painful. There is considerable thirst, headache, and giddiness. At last,
the blood appears and flows profusely, and all the violent symptoms at
once subside. The rest of the period is marked by an inordinate flow,
leaving the system weak from the loss of blood. It oftener occurs,
however, in persons who are naturally weak and delicate, in which case
the periods are more frequent and continue longer, and after a time they
are renewed by any bodily exertion or mental emotion, so that a constant
drain exists. If the flow of blood is not continuous, leucorrhea
intervenes. The patient gradually loses strength and becomes languid,
her face is pale and usually bloated, livid circles appear around the
eyes, the appetite is impaired, the bowels are constipated, and the feet
and ankles swollen. Lack of blood in the brain is indicated by headache,
ringing in the ears, and dizziness. The patient is nervous and
irritable, being disturbed by the slightest noise, and the heart
palpitates after the least exertion.
CAUSES. The _first_ form is caused by eating too much rich and
highly-seasoned food, drinking wine, porter, ale, or beer, want of
exercise, in brief, whatever induces plethora; the _second_ results from
an insufficient or poor diet, leucorrhea, frequent abortions, want of
ventilation, inherent feebleness, and whatever depresses the vital
powers. Either form may be due to syphilitic taints, excessive sexual
indulgence, accidents of pregnancy, or organic diseases of the womb. The
morbid affections of the womb most likely to induce menorrhagia, are
granular ulceration of its mouth and neck, fungous degeneration of its
lining membrane, and tumors within that organ. As these subjects will be
severally considered hereafter, we shall here dismiss them with this
brief notice.
Profuse menstruation is very prone to occur in young women of a
lymphatic temperament, whose organs are sleazy in texture.
TREATMENT. To control the excessive flow, the patient should remain in
her bed, and assume the recumbent position until the period is passed.
If circumstances prevent strict compliance with this rule, it should be
observed as nearly as possible. Warmth should be applied to the feet,
and cold cloths, which ought to be removed as soon as they become warm
by the heat of the body, should be repeatedly placed upon the back and
abdomen. A strong tea made from cinnamon bark, or witch-hazel leaves or
bark, taken freely, will prove very efficacious in checking the flow.
The fluid extract of ergot, in doses of from half a teaspoonful to a
teaspoonful, in a little water or cinnamon tea, is one of the most
effectual remedies in this affection. Another valuable remedy for
arresting menorrhagia is an infusion of Canada fleabane; or the oil of
this plant may be administered in doses of from five to ten drops on
sugar. Gallic acid is also a good styptic to employ in these cases. If
there is febrile excitement, a hard pulse, frequent and throbbing, and
if there is headache, thirst, parched lips, hot and dry skin, as is
sometimes the case, then menorrhagia is due to an augmented action of
the heart and arteries, and the indication of treatment is to diminish
vascular action. This may be temporarily accomplished by the use of
veratrum viride, which should be continued until the flow is
sufficiently diminished.
The means already suggested will generally prove effective in
controlling the inordinate flow at the time. Treatment that will produce
permanent relief should then be adopted. The condition of the skin,
kidneys, and bowels, requires attention for noxious elements should not
be retained in the system. To give tone to weakened pelvic organs we
know of nothing more specific in its effects than Dr. Pierce's Favorite
Prescription, which is sold by druggists. It should be taken
continuously for weeks, in order to fully correct the extremely weakened
condition of that organ. It also aids nutrition, and thus tones up the
general system, so that in the form of profuse menstruation, resulting
from debility, the patient is strengthened, her blood enriched, and her
nervousness quieted, which constitutes the necessary treatment to make
the cure permanent.
As women approach the critical age, and menstruation ceases, if they are
anæmic, their condition is pitiable. This period is popularly
denominated the _turn of life_. Under favorable circumstances, the
vitality is decidedly enhanced, and the decline of this function is
attended with a revival of the bodily powers. But when this crisis has
been preceded by excessive labor, when intemperance or excesses of any
kind have deranged the bodily functions and perverted nutrition, when
the mind has been long and deeply depressed, or when the insidious
progress of disease of the heart, liver, or other Important organs,
occurs in consequence of irregularities of living, then there is danger
of congestion of the uterus and a protracted and profuse menstrual flow,
which favors a decline.
The treatment of this form of menorrhagia does not differ from that
already suggested. The diet should be light and nourishing, and daily
exercise, such as walking, riding, change of air and scenery, all will
contribute to restoration. Especial attention should be directed to the
condition of the bowels and liver. If the latter be deranged, Dr.
Pierce's Golden Medical Discovery will be a most efficacious remedy.
When there is a diminution of vital force, resulting in impaired
nutrition and disorders of blood, an alterative is required which will
insensibly and gradually restore activity by removing the causes of
derangement. Impairment of nutrition is very frequently associated with
functional or organic disease of the liver, and curative measures
consist of the use of alteratives, friction baths, exercise, nutritive
diet, and diversion of the mind. Whenever innutrition depends upon
deprivation of the blood or torpor of any of the secretory organs, the
"Golden Medical Discovery" will prove to be an invaluable remedial
agent, for it is an alterative and at the same time a blood restorative.
If the bowels be costive small laxative doses of Dr. Pierce's Pleasant
Pellets should be employed. The "Favorite Prescription" regulates the
menstrual function by toning up the tissues of the uterus and
restraining the escape of the menses from the orifices of the
blood-vessels. While the diet should be nourishing, consisting of wild
game, mutton, chicken, and wine, the patient ought not to debilitate the
stomach by the use of strong tea or coffee. The circulation of the blood
should be quickened by riding, walking, exposure to sunlight, and fresh
air. The patient ought to engage in some light occupation, in which the
mind will be constantly as well as agreeably employed, but not
overtaxed. By pursuing the course of treatment, invalids suffering from
menorrhagia may be permanently restored to health.
* * * * *
THE TURN OF LIFE.
(CESSATION OF THE MENSES.)
Menstruation commonly occurs at regular monthly intervals, during a
period of about thirty years. The time for its cessation depends
somewhat upon the date of its first appearance. In the temperate zones
it commences at about the fifteenth year, and, consequently should
terminate at the forty-fifth year. Instances are common, however, in
which it has been prolonged until the fiftieth and even to the
fifty-fifth year. In warm climates it commences and terminates at an
earlier age.
As women approach the critical period of life, if the general health and
habits be good, the discharge may gradually diminish, and, at length,
totally disappear, without producing any particular inconvenience, but
this seldom happens. More frequently, the discharge is entirely absent
for six or seven weeks, and when it does return, it is more copious than
usual. In some cases, the flow is not only too profuse, but too
frequent. Many months may elapse before the menses return, and, even
then, they are apt to be very pale and deficient in quantity.
The fluctuations of this function occasion irregularities and
disturbances of the general health. When the flow of blood is diverted
from the uterus, it is liable to be directed to the head or some other
part of the body. In fact, there appears to be constitutional agitation,
and disorders of all the organs. Perhaps one reason for calling this a
critical period is, that if there is a morbid tendency in the system, a
disposition to develop tumors of the breast or uterus, these are very
liable to make rapid progress at this time, since they are not relieved
by the customary, local exudation of blood. It is a time favorable to
the awakening of latent disorder and morbid growths, for, at the decline
of the menstrual function, the uterus is not so capable of resisting
vitiating influences.
There is greater liability to irritation of the bladder and rectum, and
the menstrual flow may be superseded by a white, acrid discharge, caused
by an inflammation of the mucous membrane of the vagina. Even if the
system be not enfeebled by excessive losses of blood, debility may
result from a continued irritation of the uterine organs, and cause the
morbid discharge. The nervous system sympathetically responds, becoming
exceedingly irritable, and thus implicating in this derangement every
bodily organ. In some constitutions, the change of any habit is almost
impossible, particularly if it is improperly acquired, or detrimental to
health; and so we have sometimes thought respecting this function, that
the more it has been abused and perverted during the time of Its natural
activity, the greater is the disturbance occasioned when it ceases.
TREATMENT. There should be regularity in all the habits of life. Women
are too apt to approach this important period without due care and
consideration. When the physical system is about to suspend a function,
it is folly to endeavor to perform the labor or assume the
responsibilities which were permissible when the constitution was more
robust.
How the duties of each day and hour weigh upon the energies of the
mother! What intense solicitude and yearning she experiences! How
unselfish is that mother who each day works steadily and faithfully for
others, and who is conscious of the hidden dangers that lurk around her
pathway! With confiding faith and love, she commends the interests of
her children to Him who doeth all things well. She anticipates the wants
of her family and strives to supply the desired comforts, thus wasting
her strength in the labors prompted by her loving nature. Would it not
be a greater comfort to those children to have the counsel of their dear
mother in later years, than to have the bitter reflection that she
sacrificed her health and life for their gratification?
Unconsciously, perhaps, but none the less certainly, do women enter upon
this period regardless of the care they ought to bestow upon themselves.
Without sufficient forethought or an understanding of the functional
changes taking place, they over-tax their strength, until, by continuous
exertion, they break down under those labors which, to persons of their
age, are excessive and injurious. Is it strange, when woman has thus
exhausted her energies, when her body trembles with fatigue and her mind
is agitated with responsibilities, that the menses capriciously return,
or the uterus is unable to withstand congestion, and capillary
hemorrhage becomes excessive? If the physical system had not been thus
exhausted, it would have exercised its powers for the conservation of
health and strength. It is better to be forewarned of the ills to which
we are liable, and fortify ourselves against them, rather than squander
the strength intended for personal preservation. Let every woman, and
especially every _mother_, consider her situation and properly prepare
for that grand climacteric, which so materially influences her future
health and life.
The general health should be carefully preserved by those exercises
which will equalize the circulation of the blood, and the regular action
of the bowels should be promoted by the use of those articles of diet
which contribute to this end. Relieve the mind of responsibility, keep
the skin clean, and enrich the blood with tonics and alteratives. For
the latter purpose, use Dr. Pierce's Favorite Prescription and "Golden
Medical Discovery." If these remedies fail, seek professional advice. A
careful regulation of the habits, strict attention to the requirements
of the system, and the use of tonic medicines, will very frequently
render the employment of a physician unnecessary
* * * * *
LEUCORRHEA.
("WHITES.")
Leucorrhea is the symptomatic manifestation of some uterine or vaginal
affection, vulgarly called "whites." We say _symptomatic_, for the white
or yellowish discharge, which we term leucorrhea, is not a disease, but
a symptom of some uterine or vaginal disorder. We call it a _white_
discharge to distinguish it from the menses and uterine hemorrhages. It
varies, however, in color and consistency from a white, glairy mucus to
a yellow or greenish, purulent, fetid matter. Sometimes it has a curdled
appearance, at others, it is of the consistency of cream. Leucorrhea is
the most common symptom of uterine derangement, and there are few
females who are not affected by it at some period of life. It may
originate either in the vagina or uterus, and it is accordingly termed
either vaginal or uterine leucorrhea. The nature of leucorrhea is
analogous to that of nasal catarrh. In a healthy state, the lining
membrane of the genital organs secretes sufficient mucus to moisten
them; but, if the mucous membrane is temporarily congested or inflamed,
the secretion becomes profuse, irritating, and offensive. Vaginal and
uterine leucorrhea are essentially different in character, the former
being an acid, and the latter an alkaline secretion, and, while the
first is a creamy, purulent fluid, the latter is thick and ropy, like
the white of an egg. In fact, the latter discharge is rich in albuminous
matter and blood-corpuscles, hence, its great debilitating effect upon
the system, and, if not promptly arrested it is likely to produce
_vaginitis, pruritus vulvce_, or _vulvitis_.
VAGINITIS is indicated by intense inflammation of the mucous membrane of
the vagina. When this affection is present the patient experiences a
sense of burning heat, aching and weight in the region of the vagina,
violent and throbbing pains in the pelvis, and the discharge is profuse
and very offensive. There is also a frequent desire to urinate, and the
passage of the urine causes a sensation of scalding.
PRURITUS VULVAE. The discharge irritates the nerves of the external
genital parts, thus producing an almost unendurable itching. Scratching
or rubbing the parts only aggravates the affection. The patient is
tormented night and day, is deprived of sleep, and naturally becomes
despondent. Pruritus vulvae, in its severest forms, is often developed
when the discharge is scarcely noticeable. It is the most common result
or accompaniment of leucorrhea.
VULVITIS. This term indicates an inflammation of the lining membrane of
the external genital parts. Sometimes the inflammation extends to the
deeper tissues, causing great pain, and even suppuration, resulting in
the formation of an abscess. The attack is indicated by redness,
swelling, and a feverish state of the affected parts, which is quickly
followed by a profuse flow of yellow pus, and, in some instances, small
ulcers are formed on the affected parts.
SYMPTOMS. The sufferer from leucorrhea becomes pale and emaciated, the
eyes dull and heavy, the functions of the skin, stomach and bowels
become deranged, more or less pain in the head is experienced, sometimes
accompanied with dizziness, palpitation is common, and, as the disease
progresses, the blood becomes impoverished, the feet and ankles are
swollen, the mind is apprehensive and melancholy, and very frequently
the function of generation is injured, resulting in complete sterility.
Exercise produces pain in the small of the back and the lower portion of
the spine, and, owing to a relation of the vaginal walls, the womb falls
far below its natural position, or turns in various directions,
according to the manner in which the weight above rests upon it. Ulcers
are apt to appear upon the mouth of the womb, the matter from which
tinges the discharge and stains the linen. Hysteria is often an
attendant of this disease.
CAUSES. The immediate cause of leucorrhea is either congestion, or
inflammation of the mucous membrane of the vagina or womb, or both. The
exciting causes are numerous. Among others, deranged menstruation,
prolonged nursing of children, pregnancy, abortions, excessive
indulgence in sexual intercourse, uncleanliness, piles, uterine ulcers,
and displacement of the womb, are the most common. In brief, it usually
accompanies every uterine disorder which vitiates and reduces the
system. During childhood, particularly in scrofulous children,
discharges from the vagina are not unfrequent, owing to worms or other
intestinal irritation.
Among the organic causes of leucorrhea, are ulceration of the mouth or
neck of the womb and tumors. These will be considered hereafter.