TREATMENT. We have dwelt upon leucorrhea because of its prevalence and

in order to exhibit the various forms it may assume. These reasons long

ago prompted us to investigate it; and, ascertaining the derangement to

consist in a relaxation of the walls of the vagina, attendant upon

depressed vitality, for many years we experimented with various

medicines to find those that would exercise specific properties in

restoring the tissues involved to a natural condition, thereby arresting

the abnormal discharge. Our efforts in that direction have been very

successful, and our expectations more than realized. The treatment which

we shall recommend is rational, based upon the pathological conditions

of the disease, and has been attended with the greatest success.

It embraces the use of those general restoratives and specific uterine

tonics, so harmoniously combined in Dr. Pierce's Favorite Prescription,

a remedy which has achieved unparalleled success in the cure of this

affection and won the highest praise from thousands of grateful women.

It many cases, it is well to accompany its use with alterative

treatment, for which the "Golden Medical Discovery" will be found

especially effective. It is an absurd practice to arrest the discharge

with astringent injections _alone_. The weak and lax walls of the

vagina, as well as the other tissues of the system, require strength,

and this can be gained only by the use of general and special tonics.

Appropriate injections as _auxiliary_ treatment will very much _assist_

in the cure. The "Favorite Prescription" is a special tonic for the

affected parts, and the "Golden Medical Discovery" is the best general

alterative of which we have any knowledge. They may be taken in

alternate doses every day. If the patient is very pale and anæmic, one

drachm of the carbonate, or two drachms of the citrate or pyrophosphate

of iron, may be advantageously added to each bottle of the "Favorite

Prescription." If the carbonate be employed, as it is insoluble, the

bottle should be well shaken every time before using. The functions of

the skin should be kept active by frequent baths, and the patient, if

able, should walk or ride in the open air, and freely expose herself to

the sunshine. If the invalid be too weak to exercise much, she should go

out in warm weather and sit in the open air. Sunshine is no less

important in maintaining animal, than in supporting vegetable growth and

health. The human being, like the plant, sickens and grows pale, weak

and tender, if secluded from the sunlight. The apartments occupied

should be thoroughly ventilated. Many women are sickly and feeble

because they live in badly ventilated rooms.

We cannot too strongly urge in this, as in all other chronic diseases

peculiar to women, that the bowels be kept regular. Frequent, but small

doses of Dr. Pierce's Pleasant Pellets will prove most beneficial. If

the vaginal passage is tender and irritable, an infusion, or tea of

slippery-elm bark is very soothing, and may be used freely with a

vaginal syringe. Whatever injection is employed, should be preceded by

the free use of Castile soap and warm water, to thoroughly cleanse the

parts. One part of glycerine to six parts of water is a soothing lotion

when there is much tenderness, heat, and pain in the vagina. If there be

no great tenderness in the vagina, or if the acute, inflammatory

symptoms have yielded to the lotions already suggested, then a tonic and

astringent injection should be employed.

For this purpose a wash made by dissolving one of DR. PIERCE'S PURIFYING

AND STRENGTHENING LOTION TABLETS, in one pint of hot water is a superior

application and will not fail to be of great benefit in controlling the

disagreeable drain. If your medicine dealer is not supplied with these,

mail 25 cents in one-cent stamps to us and we will forward a box of the

Lotion Tablets by return post.

These Lotion Tablets have for many years been used in the treatment of

obstinate cases of leucorrhea at the Invalids' Hotel and Surgical

Institute, and their efficiency has been alike gratifying to both

patient and physician.

If _pruritus_ or severe itching, be also a symptom, the itching will

readily yield if the parts be cleansed with Castile or other fine soap

and warm water, followed by the application of a compound composed of

two ounces of glycerine, one ounce of rose-water, and one drachm of

sulphite of soda; or, for the sulphite of soda, two drachms of borax may

be substituted. The following lotion is a good one to relieve pruritus:

sugar of lead, two drachms; carbolic acid, half a drachm; laudanum, four

ounces; glycerine, four ounces; water, four pints; mix. This may be

applied to the itching parts, and also injected into the vagina.

[Illustration: Fig. 6.

FOUNTAIN SYRINGE.]

HOW TO USE VAGINAL INJECTIONS. We usually recommend the Fountain Syringe

illustrated in Fig. 6, as the most convenient instrument for

administering vaginal injections. The fountains supplied by us are of

soft rubber, and have extra nozzles, with which to make rectal, nasal or

ear irrigations. There is also a large, long nozzle for vaginal

injections.

[Illustration: Fig. 7.

SOFT RUBBER-BULB SYRINGE]

It is channeled so is to permit the free clearing away of the secretions

as the Douche is employed. The Fountain Syringe can he used without

assistance, the flow of fluid is gradual, and with a force that can be

varied, by raising or lowering the reservoir, yet is never so great as

to be liable to produce injurious effects.

The syringes usually sold with small nozzles or pipes are of little or

no value for vaginal injections. In many instances so small a tube will

pass readily into the canal of the uterus, and hence there has

frequently resulted an injection of a portion of the fluid into the

uterus itself, producing severe pain. It is important, therefore, in

using the Vaginal Douche to employ only a large tube that has grooves in

its surface for the free clearing away of the fluid as it runs from the

fountain.

Where it is desired to obtain relief from a congested, inflamed or

sensitive and irritable state of the mucous surface, the employment of a

large quantity of water as hot as it can be borne, is of the greatest

remedial value. It rapidly diminishes the size of the blood vessels, and

aids in bringing about a normal circulation in the parts.

As a rule, in taking the Douche with the Fountain Syringe the rubber bag

is filled, and suspended from a nail or hook at a height of from two to

five feet above the patient, and the fluid passes through the tube by

force of gravity, thus requiring no muscular exercise. The force of the

stream depends upon the height of the fountain above the outlet nozzle.

It is only necessary that the patient should assume a comfortable

position where the fluid which comes from the vaginal canal can flow

into a water closet, or any convenient vessel.

After a thorough cleansing of the vaginal surfaces of mucus, by means of

the warm or hot water, it is sometimes advisable to inject remedial

fluids. These injections may readily be made with the fountain or bulb

syringe, introducing not less than from two to four ounces. This may be

retained sufficiently long to exert its remedial effects upon the mucous

surface, which usually takes from five to eight minutes. The hips should

be elevated, and the nozzle of the syringe surrounded by a napkin or

other similar material, upon which moderate compression can be made so

as to retain the fluid in the vagina for the necessary period.

When suffering from any uterine trouble, it is necessary to avoid severe

fatigue. The amount and character of exercise should be suited to the

condition of the patient; while, most important of all, the strictest

abstinence from sexual intercourse should be observed.

To those who are unable readily to obtain the Fountain Syringe above

recommended we can send by mail, post-paid, one of these instruments on

receipt of $2.00.

A Soft Rubber-bulb, or Pump Syringe (illustrated in Fig. 7), not so good

for making vaginal injections, can be sent by us, post-paid, for from

75cts. to $1.50, the price varying with the quality and size.

* * * * *

STERILITY.

(BARRENNESS.)

Real sentiment and interest center in fecundity, since the desires and

happiness of mankind are consummated in marriage and procreation. How

dreary would life be without love, companionship, and the family! How

precious are the ties that bind our hearts to father, mother, daughter,

and son! The love of children is innate in the heart of every true man

and woman. Each child born supplements the lives of its parents with new

interest, awakens tender concern, and unites their sympathies with its

young life.

How dreary is the thought that one may attain a ripe old age with

neither son nor daughter to smooth the decline of life, or sorrow for

his or her departure! How many women desire a _first-born_ of love, the

idol of their waiting hearts, a soul, which shall be begotten within,

clothed with their own nature, and yet immortal! It is a natural

instinct, this yearning of the heart for offspring; and yet little is

said upon this subject, in which so much is experienced. All that is

beautiful and lovely in woman, finds its climax in motherhood. What

earthly being do we love so devotedly as our mother?

[Illustration: Fig. 8.]

Men and women exhibit but little concern, mere idle curiosity, perhaps,

on this subject, unless, perchance, there is no evidence of their own

reproductive powers. If, however, these appear to be deficient, then few

topics are more deeply interesting or investigated with greater personal

solicitude. Such persons will seldom submit their condition to the

family physician, for it is a delicate subject, involving personal

considerations, and, therefor, they prefer to consult with one who

cannot connect their unfortunate situation with any of the incidents

which enter into the history of their lives. This is very natural, and

sometimes is the only way to keep private matters profoundly secret.

Being widely known as specialists, devoting our undivided attention to

chronic affections, and having unusual facilities for the investigation

and management of such cases, we have been applied to in innumerable

instances, to ascertain the causes of barrenness and effect its removal.

It is admitted that the question of a woman's sterility is practically

decided in the first three years of married life, for statistics show

that less than ten out of a hundred women who do not indicate their

fertility in the first three years of wedlock ever bear children. We

have treated many who gave no evidence of fertility for a much longer

period of married life, and who afterwards gave birth to children. We

are unable to state the proper ratio of the number of the married who

are childless; much less have we the right to assume that all who

decline the responsibilities of motherhood are necessarily barren.

CAUSES. The causes of barrenness may be obliteration of the canal of the

neck of the womb, sealing up of its mouth, or inflammation resulting in

adhesion of the walls of the vagina, thus obstructing the passage to the

uterus. In the latter case, the vagina forms a short, closed sac. In

some instances, the vaginal passage cannot be entered in consequence of

an imperforate hymen. Again, the cause of barrenness may either be a

diseased condition of the ovaries, preventing them from maturing healthy

germs, or chronic inflammation of the mucous membrane of the neck of the

uterus, which does not render conception impossible, but improbable. It

is one of the most common causes of unfruitfulness, because the female

seldom, if ever, recovers from it spontaneously. It has been known to

exist for twenty or thirty years.

Chronic inflammation of the vagina also gives rise to acrid secretions,

which destroy the vitality of the spermatozoa. Suppression of the

menses, or any disorder of the uterine functions, may disqualify the

female for reproduction. Flexions of the uterus, displacements,

congestions, and local debility, may likewise prevent fertility.

Sterility may result from impaired ovarian innervation or undue

excitement of the nerves, either of which deranges the process of

ovulation. Even too frequent indulgence in marital pleasures sometimes

defeats conception. Prostitutes who indulge in excessive and promiscuous

sexual intercourse, seldom become pregnant. Any thing that enfeebles the

functional powers of the system is liable to disqualify the female for

reproduction.

TREATMENT. An extensive observation and experience in the treatment of

sterility, convinces us that, in the majority of cases, barrenness is

due to some form of disease which can be easily remedied. If the

passages through the neck of the uterus be closed or contracted, and

this is the most frequent cause of sterility, a very delicate surgical

operation, which causes little if any pain or inconvenience to the

patient, will remove the impediment to fertility. In many of these

cases, we have succeeded in removing the contraction and stricture of

the neck of the womb by dilatation. When the vaginal walls are so firmly

united as to prevent copulation, a surgical operation may be necessary

to overcome their adhesion. When the hymen obstructs the vaginal

orifice, a similar operation may be necessary to divide it. Vaginismus,

which will be treated elsewhere, sometimes causes sterility.

It is proper that we should suggest to the barren, that if sexual

intercourse be indulged in only very abstemiously, conception will be

more likely to occur than if moderation be not exercised. We may also

very properly allude to the fact that there is greater aptitude to

fecundation immediately before and soon after the menstrual periods than

at other times. In fact, many medical men believe that it is impossible

for conception to occur from the twelfth day following menstruation up

to within two or three days of the return of the menses.

ELONGATION OF THE NECK OF THE WOMB. An elongated condition of the neck

of the womb, illustrated by Fig. 9, is frequently a cause of sterility.

If this part is elongated, slim and pointed, as shown in the

illustration, it is apt to curve or bend upon itself, thus constricting

the passage through it and preventing the transit of seminal fluid into

the womb. An eminent author says, "Even a slight degree of elongation,

in which the cervix, or neck, has a conical shape, has been observed to

be frequently followed by that condition [sterility]." Our own

observations, embracing the examination of hundreds of sterile women

annually, lead us to believe that this condition is among the common

causes of barrenness. But, fortunately, it is one of those most easily

overcome.

[Illustration: Fig. 9.

Conoid Neck.]

TREATMENT. If the neck is only slightly elongated, this consists in

dividing the slim projecting part, by the use of the _hysterotome_, If

it be a more aggravated case, a portion of the womb must be removed.

This operation is perfectly safe and simple, and, strange as it may seem

to those who are not familiar with operations upon the womb, is not

painful. We have never seen any bad results follow it, but have known it

to be the means of rendering numerous barren women fruitful.

[Illustration: Fig. 10.

Flexion, u, Uterus, B, Bladder.]

[Illustration: Fig. 11.

Version, u, Uterus, B, Bladder.]

FLEXIONS AND VERSIONS OF THE WOMB. Flexion of the uterus, in which it is

bent upon itself, as illustrated in Fig. 10, produces a bending of the

cervical canal, constricting or obliterating it, and thus preventing the

passage of spermatozoa through it. Version of the uterus in which its

top, or _fundus_, falls either forward against the bladder

(anteversion), as illustrated in Fig. 11, or backward against the rectum

(retroversion), may close the mouth of the uterus by firmly pressing it

against the wall of the vaginal canal, and thus prevent the passage of

spermatozoa into the womb. 'The treatment of these several displacements

will be considered hereafter. We may here remark, however, that they can

be remedied by proper treatment. Our mechanical movements,

manipulations, and kneadings are invaluable aids in correcting these

displacements.

DISEASE OF THE OVARIES. Sterility may be due to disease of the ovaries.

Chronic inflammation of the ovaries may result from uterine disorders or

peritonitis, and is commonly attended with a sense of fullness and

tenderness, and pain in the ovarian region. These symptoms are more

apparent upon slight pressure, or during menstruation. This disease is

curable, although it may require considerable time to perfectly restore

the health. When this chronic affection is the result of other

derangements, the indications are to restore health in the contiguous

organs, and to relieve excessive congestion and nervous excitement in

the ovaries. The patient should be very quiet during the menstrual

period and avoid severe exercise or fatiguing occupations, not only at

those periods, but during the intervals. All measures calculated to

improve the general health should be adopted. Use injections of warm

water, medicated with borax, soda, and glycerine, in the vagina every

night and morning. The surface of the body should be kept clean by the

daily employment of hand-baths, followed by brisk friction. The bowels,

if constipated, should be regulated as suggested for constipation. The

system should be strengthened by Dr. Pierce's Favorite Prescription,

and, if the blood be disordered, no better alterative can be found for

domestic use than Dr. Pierce's Golden Medical Discovery. If the patient

does not in a few months improve under this treatment, the case should

be placed under the immediate care of some physician well qualified by

education and experience to critically examine and successfully treat

this affection.

CHRONIC INFLAMMATION AND ULCERATION OF THE UTERUS, A CAUSE OF STERILITY.

When enumerating the causes of barrenness we mentioned that chronic

inflammation of the mucous membrane of the mouth and neck of the womb

was the most common affection that defeats conception. Of all diseases

of female organs, this is, without doubt, the most common, and, since it

does not at first produce great inconvenience or immediately endanger

life, it does not excite the attention which its importance demands. It

is overlooked, and, when the attention is directed to the existence of

this long-neglected disease it appears so trivial that it is not

regarded as being the real cause of infertility in the patient.

When this disease has existed for a long time, the very structure of the

parts involved becomes changed. The glands of the cervical membrane

secrete a glairy mucus, resembling the white, or albuminous part of an

egg. The secretion is thick and ropy, and fills the entire mouth and

neck of the uterus, thus preventing the entrance of the spermatozoa. The

mucous membrane becomes thickened, the inflammation extends to the

deeper structures, and, on examination through the speculum, we find the

mouth of the uterus inflamed, hardened, and enlarged, as represented in

Fig. 22, Colored Plate IV, or in Fig. 23 of same plate. Fig. 25, Plate

IV, shows the mucous follicles just as they are found all along the neck

of the womb, in a state of inflammation and enlargement, and filled with

a fluid resembling honey, giving rise to ulceration and a thick

discharge, as illustrated in Fig. 23, Colored Plate IV.

Feebleness of the constitution, impoverishment of the blood, a

scrofulous diathesis, want of exercise, uncleanliness, tight lacing,

disappointment, excessive excitement of the passions, the use of

pessaries for displacement of the uterus, overwork, and taking cold, all

predispose the cervical membrane to chronic ulceration.

The inflammation may be so mild, and the discharge so trifling in

quantity, as scarcely to attract attention. But after it obtains a

firmer hold, and, in most cases, it is aggravated by exposure or

neglect, the patient experiences dragging sensations about the pelvis,

and pain in back and loins, accompanied with a bearing-down sensation

and numbness or pain extending to the thighs.

The discharge is thick, starch-like, and generally irritating. The

patient becomes irascible, capricious, querulous, and sometimes moody

and hysterical. She is easily discouraged, her appetite and digestion

become impaired, and she grows thin and does not look or act as when in

health.

TREATMENT. In offering a few hints for the domestic management of these

abnormal conditions, we would at the same time remark, that, while

health may be regained by skillful treatment, recovery will be gradual.

We especially wish to guard the patient against entertaining too strong

expectations of a speedy recovery. Although she may employ the best

treatment known, yet from three to five months may elapse before a

perfect cure can be effected. In persons of scrofulous diathesis, in

whom the recuperative forces are weakened, it is very difficult to

effect a radical cure. It is equally true, however, that under domestic

management alone, thousands have been restored to perfect health and

fruitfulness.

Hygienic management consists in toning the functions of the skin by

daily bathing the surface of the body, and quickening the circulation by

brisk friction. The patient should rise early in the morning, and

exercise in the fresh and invigorating air. Those who sleep in warm

rooms, or spend much of their time in bed, will continue to have

congestion of the uterus, and habitual discharges from this enfeebled

organ. The patient should take daily walks, increasing the length of the

excursion from time to time, but not to the extent of producing fatigue.

The bowels, if constipated, should be regulated. Strengthen the system

by using Dr. Pierce's Favorite Prescription, to each bottle of which add

two drachms of citrate or pyrophosphate of iron. The mouth and neck of

the uterus should be thoroughly cleansed by the use of the syringe, as

suggested for the treatment of leucorrhea. The use of the solution of

Dr. Pierce's Purifying and Strengthening Lotion Tablets there advised

will also be beneficial, if thoroughly applied.

A most valuable course of local treatment, which may be adopted by any

intelligent lady without the aid of a physician, and one that will

result in the greatest benefit when there is morbid sensibility,

congestion, inflammation, or ulceration about the mouth or neck of the

womb, consists in applying to those parts a roll of medicated cotton or

soft sponge, allowing it to remain there for twelve hours at a time. A

piece of fine, soft, compressible sponge, as large as a hen's egg, or a

roll of cotton batting of two-thirds that size, is thoroughly saturated

with pure glycerine. Securely fasten to it a stout cord a few inches

long. The vagina and affected parts having been thoroughly cleansed with

warm water and Castile soap, as advised in the treatment of leucorrhea,

the sponge or cotton should be passed up the vagina with the finger, and

pressed rather firmly against the mouth and neck of the womb, which,

being enlarged, and, consequently falling below its natural position,

will generally be low down in the vagina, and so hardened as to be

unmistakably distinguished from the surrounding parts by the sense of

touch. The glycerine, having a very strong affinity for water, will

absorb large quantities of the _serum_, which has been effused into the

affected tissues in consequence of their congestion and inflammation,

and thus reduce the inflammation and enlargement. This is the cause of

the profuse, watery discharge which follows the application. In twelve

hours after the sponge or cotton has been applied, it should be removed

by means of the attached thread, one end of which has been purposely

left hanging out of the vagina. Then thoroughly cleanse the vagina with

warm water, use the solution of Dr. Pierce's Lotion Tablets as suggested

for the treatment of leucorrhea, and repeat the glycerine application

the following day or every other day.

If there is no irritation or tenderness of the vagina, add one drachm of

tincture of iodine to each ounce of the glycerine, alternating the use

of this with that of pure glycerine; or, the iodine and glycerine may be

used every third day, and the glycerine alone on the two intervening

days. As the iodine will color the finger somewhat, it is well to know

that this unpleasant effect may be almost or entirely avoided by coating

that member with lard, sweet oil, or vaseline. The stain may be readily

removed with a solution of iodide of potassium. The use of Dr. Pierce's

Antiseptic and Healing Suppositories as advised on an other page under

the head of Ulceration of the Uterus will aid greatly in effecting a

cure.

If your medicine dealer does not have these Suppositories in stock, mail

25 cents in stamps to Dr. R.V. Pierce, Buffalo, N.Y., and a box will be

sent you by return post.

It is well to alternate Dr. Pierce's Golden Medical Discovery with Dr.

Pierce's Favorite Prescription, taking of each three times a day. By

persevering in this course of treatment, nine-tenths of those who are

thus afflicted will improve and be fully restored to health,

fruitfulness and happiness. If barrenness continue, the case should be

unreservedly submitted, either in person or by letter, to a physician

skilled in the diagnosis and treatment of these affections.

From the foregoing remarks, the reader will perceive that there are a

variety of diseased conditions, any one of which may produce sterility.

It is equally true that nearly all these conditions may be easily cured

by proper medical or surgical treatment. A frequent cause of barrenness

is stricture of the neck of the uterus. No medicine that a woman can

take or have applied will remove this unnatural condition. Fortunately,

however, the means to be employed cause no pain, are perfectly safe, and

the time required to effect a cure is short, rarely over twenty or

thirty days.

* * * * *

DISPLACEMENTS OF THE WOMB.

The relative positions of the womb and surrounding organs, when in a

state of health, are well illustrated by Fig. 1, page 680. The womb is

supported in its place by resting upon the vaginal walls, and by a broad

ligament on either side, as well as by other connective tissues. By

general debility of the system, the supports of the womb, like the other

tissues of the body, become weakened and inadequate to perfectly perform

their duty, thus permitting various displacements of that organ.

PROLAPSUS, OR FALLING OF THE UTERUS, is a common form of displacement.

It has been erroneously regarded as a local uterine disease, requiring

only local treatment instead of being considered as a symptom of general

derangement, and, therefore, requiring constitutional treatment. Hence,

variously devised supporters have been invented to retain the womb in

position after its replacement. It is a law of physiology, that the

muscular system is strengthened by use, and that want of exercise

weakens it. The blacksmith's arm is strengthened and developed by daily

exercise. Support his arm in a sling, and the muscles will be greatly

weakened and wasted. So when artificial supports are used to retain the

womb in position, thereby relieving the supporting ligaments and tissues

of their normal function, the _natural_ supports of the uterus are still

further weakened, and the prolapsus will be worse than before when the

artificial support is removed. Besides, all these mechanical

contrivances are irritating to the tissues of the womb and vagina, and

frequently produce congestion, inflammation, and even ulceration, thus

rendering the patient's condition much worse than before their

employment. These worse than useless appliances should never be resorted

to for the temporary relief which they sometimes afford. Constitutional

treatment together with appropriate applications is the only effectual

method of remedying this morbid condition.

SYMPTOMS. When the displacement is sufficient to cause any serious

disturbance, the prominent symptoms are a sensation of dragging and

weight in the region of the womb, pain in the back and loins, inability

to lift weights, great fatigue from walking, leucorrhea, a frequent

desire to urinate, irritation of the lower bowel, and derangement of the

stomach. The womb may protrude from the vaginal orifice; in very rare

cases, wholly protrudes, and may be inverted.

CAUSES. As we have already stated, general debility favors prolapsus of

the womb, but various general and local circumstances and conditions

also favor its occurrence. Wearing heavy garments supported only by the

hips, compressing the waist and abdomen with tight clothing, thus

forcing the abdominal organs down upon the womb, are fruitful causes of

this affection. Excesses in sexual intercourse give rise to leucorrhea,

producing a relaxed condition of the vagina, upon which the womb rests,

and, in this way, one of its supports is weakened. Enlargement of the

uterus from congestion, and inflammation or tumors also favor prolapsus.

Abortion may leave the womb enlarged, its supports weakened, and result

in this displacement.

[Illustration: Fig. 12.

Retroflexion, U, Uterus (Womb),

B, Bladder.]

FLEXIONS AND VERSIONS. Instead of sliding down into the vagina, as in

prolapsus, the uterus is liable to fall or be forced into other

unnatural positions. When the uterus is bent upon itself, it is called

_flexion_. If the bending is backward, it is called _retroflexion_; if

forward, _anteflexion._ Fig. 12, represents the former condition, the

uterus being flexed backward so that the fundus, or upper part of the

womb, is pressed against the rectum, while the neck of the uterus

remains in its natural position. This is a common form of displacement,

and generally occurs between the ages of fourteen and fifty.

SYMPTOMS. The prominent symptoms of retroflexion of the uterus are a

sense of weight in the region of the rectum, difficulty in evacuating

the bowels, and, sometimes a retention of the feces. There may be

suppression of the urine and the menses may be diminished in quantity.

If retroflexion is due to a chronic enlargement of the uterus, caused by

abortion or parturition, the patient suffers from an immoderate

menstrual flow.

CAUSES. The principal causes of retroflexion are congestion, enlargement

and tumors of the uterus. Congestion is liable to occur in women

possessing an extremely active temperament, as well as in those of

sedentary and indolent habits. Retroflexion is a common displacement in

both married and unmarried women; it is a secondary affection, and, when

it is caused by congestion, the menses are painful and reduced in

quantity, and there is pain in the back and a sense of weight in the

region of the rectum. In some instances, there is a reflex irritation of

the mammary glands, and a consequent secretion of milk. There may also

be nausea and vomiting, which often lead to the erroneous opinion that

the patient is pregnant.

_Anteflexion_ of the uterus denotes a bending forward of the body and

fundus of the uterus, while the neck remains in its natural position.

In versions of the uterus, neither the body nor the neck of the womb is

bent upon itself, but the whole organ is completely turned backward or

forward.

[Illustration: Fig. 13.

Retroversion. B, Bladder.

U, Uterus (Womb).]

_Retroversion_ of the uterus, illustrated by Fig. 13, signifies a change

in the position of the womb, so that the upper, or fundal portion of the

organ drops back toward the concavity of the sacrum, while the neck

preserves a straight line in the opposite direction. The fundus presses

forcibly against the rectum, while the upper part of the vagina bends

abruptly and forms an acute angle near the mouth of the uterus.

SYMPTOMS. Retroversion is indicated by bearing-down pains in the loins

and difficulty in evacuating the bowels. The feces may accumulate in the

rectum, because they cannot pass this obstruction.

CAUSES. Jumping, falling, or undue pressure from the contents of the

abdomen, may suddenly cause retroversion of the uterus. Sometimes

retroversion results from obstinate constipation.

_Anteversion_. This term designates another unnatural position of the

uterus, in which the fundus, or upper part of the organ, falls forward,

as illustrated by Fig. 14, while the neck points towards the hollow of

the sacrum. This position of the womb is the reverse of that of

retroversion. In its natural position, the fundus of the uterus is

slightly inclined forward, and any pressure, or forward traction, is

liable to cause it to fall still further in that direction.

[Illustration: Fig. 14.

Anteversion, U, Uterus, B, Bladder.]

SYMPTOMS. One of the most common symptoms of anteversion is a frequent

desire to urinate, in consequence of the pressure of the uterus upon the

bladder. The free flow of the menses is sometimes obstructed.

CAUSES. The causes are tight lacing, prolapse of the abdominal organs,

weakness of the supporting ligaments, and enervating habits.

TREATMENT. In treating all the various displacements of the uterus, the

prominent indication is to tone up the general system, for by so doing

we also strengthen the uterine supports.

Digestion should be improved, the blood enriched, and nutrition

increased, so that the muscles and ligaments which retain the womb in

position may become firm and strong. The womb will thus be gradually

drawn into position by their normal action and firmly supported. It is a

great mistake, made by physicians as well as patients, to consider a

displacement of the uterus a _local_ disease, requiring only local

treatment. A restoration of the general health will result in the cure

of these displacements, the uterus will regain its tone and muscular

power, and the local derangement, with its attendant pain and morbid

symptoms, will disappear.

It is true that displacements of the womb may be associated with

inflammation and ulcers, which require local treatment, as elsewhere

suggested; but simple displacement of the uterus may be remedied by

pursuing the following course of sanitary and medical treatment. Sleep

on a hard bed, rise early, bathe, and take a short walk before

breakfast. Dress the body warmly and allow sufficient space for the easy

and full expansion of the lungs. Eat moderately three meals a day, of

those articles which are nutritious and readily digested. Keep the

bowels regular by the use of proper food. If they are constipated, use

Dr. Pierce's Pellets to keep them open and regular. Avoid retaining the

standing position too long at a time, especially when the symptoms are

aggravated by it. Many energetic women disregard their increasing pains,

and keep upon their feet as long as possible. Such a course is extremely

injurious and should be avoided.

As a general restorative and uterine tonic, nothing surpasses Dr.

Pierce's Favorite Prescription, which is sold by druggists and

accompanied with full directions for use. If leucorrhea is an attendant

symptom, the treatment suggested for that condition should be employed.

The use of Dr. Pierce's Antiseptic and Healing Suppositories, applying

one every third night After having first cleansed the vagina and neck of

the womb thoroughly by the use of warm water and soap as an injection,

will prove of great benefit in giving strength to the supports of the

womb and its appendages.

[Illustration:

Fig. 22.

Fig. 21.

Fig. 23.

Fig. 24.

Fig. 25.

Fig. 26.]

By persevering in the rational treatment which we have suggested for the

various displacements of the womb, nearly all who suffer from such

derangements may be fully restored to health. The patient should not

expect _speedy_ relief. Considerable time will be necessary to bring the

general system up to a perfect standard of health, and, until this is

accomplished, no great improvement in the distressing symptoms can be

expected. Mechanical movements are especially effective in this class of

cases. We have successfully treated many obstinate cases in which the

displacements were very serious.

* * * * *

ULCERATION OF THE UTERUS.

Ulceration is the process by which ulcers, or sores, are produced. It is

characterized by the secretion of pus or some fetid discharge, and is

continued as a local disease through the operation of constitutional

causes. Ulcers are generally symptoms of other morbid conditions.

Ulcers may form in the _mouth_ or _neck_ of the uterus, and, omitting

cancerous ulcers and those of a syphilitic character, which are

considered elsewhere, may be classified as _Granular_ and _Follicular_.

[Illustration: Fig. 15.

The Ferguson Speculum.]

GRANULAR ULCER. This variety of ulcerative degeneration is the most

frequent, and may exist for some time without exciting any suspicion in

the mind of the patient that she is afflicted with any such morbid

condition. There is local inflammation, and the mouth of the uterus is

uneven, rough, and granular. If an examination be made with the

speculum, the mouth of the uterus is often found in the condition

represented in Fig. 22, Colored Plate IV.

Figs 15 and 16 represent two different forms of specula. The one

represented by Fig. 15 consists of a tube of glass coated with

quicksilver and covered with India rubber, which is thoroughly

varnished. That represented by Fig. 18 is made of metal and plated. By

using one of these instruments, the condition of the mouth of the womb

can be distinctly seen.

[Illustration: Fig. 16.

An Expanding Uterine Speculum.]

FOLLICULAR ULCER. When the mucous follicles of the neck of the uterus

are inflamed they enlarge and become filled with a fluid having the

color and consistency of honey, presenting the appearance illustrated by

Fig. 25, Colored Plato IV. This secretion, because of the presence of

the Inflammation, is not discharged. The follicles, therefore, continue

to enlarge until they burst, and we then see in their place the red,

elevated, angry-looking eminence, which is called a _follicular ulcer_.

SYMPTOMS. The severity of the symptoms depends upon the character of the

ulceration. It may be simple or associated with purulent leucorrhea and

hemorrhage. If ulceration be slight and local, few symptoms will be

present; but if it be associated with uterine debility, congestion and

inflammation of the mucous membrane of the uterus, the discharge will be

profuse, and there will be fixed pain in the back and loins, a

bearing-down sensation, and great difficulty in walking. The discharge

is weakening, as it impoverishes the blood, and thus reduces the

strength.

CAUSES. Ulceration may be induced by any thing that excites inflammation

of the lining membrane of the mouth and neck of the uterus. The use of

pessaries, excessive sexual indulgence, injuries occasioned by giving

birth to children, congestions, enlargements and displacements, may all

operate as causes.

TREATMENT. We cannot too strongly condemn the practice so popular at the

present time with physicians generally, of indiscriminately burning all

uterine ulcers with strong caustics, such as nitrate of silver, chromate

of potassium, and other similar escharotics, regardless of the condition

of the general system. Ulcers of the womb must be healed in the same

manner as those upon any other part of the body. It is an irrational

practice to repeatedly cauterize them, expecting thereby to promote

healing, while the system is vitiated and the vitality far below the

standard of health. Enrich the blood, tone up the system, keep the

ulcers cleansed by the frequent use of lotions, and they will generally

heal. Caustics often aggravate the irritability and interfere with the

healing processes of nature. Ladies should not unnecessarily submit to

the exposure of their persons. If they perseveringly employ the

treatment which we shall suggest, other local treatment will _very

rarely_ be found necessary. This modern warfare which physicians are

waging upon the unoffending womb is a most irrational practice. Our

grandmothers got along very well without exposing themselves to the

humiliation and tortures of this new-born empiricism. We do not wish to

be understood as undervaluing or denying the necessity, in rare cases,

of examinations of the uterus, or as being unappreciative of the aid

afforded in such investigations by the speculum, and the beneficial

effects of local applications made directly to the womb through that

instrument. What we affirm is, that such examinations and applications

are, in the practice of most modern physicians, made unnecessarily

frequent, resulting many times in lasting injury to the patient.

GENERAL MEANS. As has already been indicated, constitutional treatment

should be principally relied upon to cure ulceration of the neck of the

womb. Put the system in perfect order and the local ulceration cannot

fail to heal. If you have a sore or ulcer upon the leg you very

naturally reason that there is a fault in the system at large or in the

blood. You do not apply caustics to the sore, but you go to work to

restore the blood and system to a normal or healthy condition and as

soon as this is accomplished the open and rebellious sore, or ulcer,

heals of its own accord. All you have to do locally, to stimulate the

ulcer to heal, is to keep it well cleansed by the use of Castile soap

and warm water. Just so with ulceration of the womb. Thoroughly cleanse

the vagina and neck of the womb once a day by the use of warm water and

a little soap, applying this _thoroughly_, as directed on page 704,

under the head of treatment for leucorrhea, and using a solution of Dr.

Pierce's Purifying and Strengthening Lotion Tablets as there directed.

After thus thoroughly cleansing and purifying the parts, a piece of soft

sponge as large as a hen's egg, to which a bit of cord or strong thread

is attached to facilitate removing it, may be thoroughly wet in pure

glycerine and introduced into the vagina, pressed against the mouth of

the womb, and allowed to remain there for twelve hours, when it should

be gently removed by pulling on the attached string. The cleansing

lotion of soap and warm water should be used daily and followed by the

glycerine application.

Every third night instead of the glycerine tampon apply one of Dr.

Pierce's Antiseptic and Healing Suppositories, pressing it well up

against the mouth of the womb, and letting it remain there to slowly

dissolve. This will give far better curative results than the

application of nitrate of silver or other caustics so generally used by

physicians. Besides it has the great advantage of being entirely

harmless in any condition of the parts to which it is applied. These

Suppositories are powerfully antiseptic, destroying all offensive odors

and have a soothing and at the same time tonic or strengthening effect

upon the neck of the womb and the vagina.

In cases where there is prolapsus or falling of the womb, or Anteversion

or Retroversion, or other displacements the use of the Antiseptic and

Healing Suppositories will be found to be of great benefit in giving

strength to the supports of the womb and its appendages.

If your dealer is not supplied with the Suppositories, inclose 25 cents

in one-cent stamps to us at Buffalo, N.Y., and a package will be sent

you, post-paid.

We are fully aware that this thorough and _systematic_ course of

treatment is slightly troublesome in its application, but what system of

treatment that can promise similar success is not?

This course of treatment must be _rigidly_ adhered to for several weeks

before we can expect a complete cure of the ulcers and the arrest of the

consequent leucorrheal discharge.

THE SHEET ANCHOR OF HOPE. Do not fail to bear in mind that no difference

how good the lotions and other local applications may be, your _chief_

reliance in all cases of ulceration of the womb, as well as in those of

simple leucorrhea, must be upon _thorough constitutional_ treatment. To

this end Dr. Pierce's Golden Medical Discovery should be taken three

times a day in doses of from one to one-and-a-half teaspoonfuls one hour

before each meal, and in the middle of the forenoon, in the middle of

the afternoon, and just before retiring for the night, a like amount of

Dr. Pierce's Favorite Prescription should be taken. The use of these

blood cleansing and invigorating tonic medicines should be kept up

_persistently_ for several weeks; for you must not expect a perfect cure

too soon in a malady that has become chronic and seated. The disease

does not become established hastily, but is slow in its inception and

progress, and will only gradually and slowly yield to the best of

treatment, which we believe we have already pointed out. Followed

_earnestly, faithfully_ and _persistently_, the use of the means which

we have suggested will rarely, if ever, fail.

* * * * *

URINARY FISTULA.

A fistula, or false passage, is sometimes formed between the bladder and

the vagina, between the bladder and the uterus, or between the urethra

and the vagina. This passage allows the urine to escape through it into

the vagina, and is a source of great annoyance and suffering. This

affection is most commonly due to sloughing, caused by severe and

long-continued pressure upon the parts during child-labor. It is also

sometimes produced by the unskillful use of forceps and other

instruments employed by midwives. Syphilitic and other ulcerations may

so destroy the tissues as to form a urinary fistula.

TREATMENT. The treatment is purely surgical, and consists in paring the

edges of the opening so as to make them raw, bringing them together and

holding the parts thus by means of stitches until they heal. By the aid

of a speculum, properly curved scissors, needles with long handles, fine

silver wire, and a few other instruments and appliances, the skillful

surgeon can close a urinary fistula with almost as much ease as he can

close a wound on the surface of the body.

* * * * *

DISORDERS INCIDENT TO PREGNANCY.

While some women pass through the whole period of pregnancy without

inconvenience, others suffer from various sympathetic disturbances, as

"morning sickness," impaired appetite, constipation, diarrhea, headache,

"heart-burn," fainting fits, difficult breathing, and sometimes

convulsions. A strong nervous sympathy exists between the uterus and

every part of the system and this sympathy is greatly intensified by

pregnancy, causing the distressing symptoms above mentioned.

TREATMENT. By proper treatment, most of these evils can be obviated and

the patient made comfortable. By the moderate use of such a nervine and

uterine tonic as Dr. Pierce's Favorite Prescription, this nervous

irritability may be controlled or subdued, and the disagreeable symptoms

thus avoided.

While the female is pregnant, she should avoid all compression of the

waist and abdomen. For this reason tight clothing, stays, or corsets

must be discarded. She should also carefully regulate her diet,

selecting that which is most nutritious and easily digested.

The nausea which occurs in the morning may generally be avoided by

partaking of a little light food and a cup of tea or coffee before

leaving the bed. If vomiting occurs, and the ejected matter be very

acid, carbonate of magnesia, taken in tablespoonful doses, or some

alkali with aromatics, or pulverized charcoal, which can be obtained at

any drug store, will afford relief. If constipation or diarrhea be

experienced, small doses of Dr. Pierce's Pellets should be employed--one

or two only at a time. Want of appetite, headache, or a tendency to

convulsions, can be generally overcome by a persistent use of Dr.

Pierce's Favorite Prescription, which should be taken in teaspoonful

doses three or four times each day. Indeed, this valuable medicine not

only relieves the distressing symptoms which frequently attend the

pregnant state, but also prepares the system for the ordeal of

parturition (delivery). One or two bottles of this nervine and tonic

used previous to confinement, will, in many cases, save hours of

terrible suffering, besides regulating the system, and thus insuring a

speedy recovery. We have received the heartfelt thanks of hundreds of

grateful mothers for the inestimable benefit thus conferred. The

Favorite Prescription is perfectly safe and harmless to use _at all

times_ and under all circumstances in the doses above prescribed.

* * * * *

OVARIAN AND UTERINE TUMORS.

We have space only to give a brief outline of the characteristics and

treatment of the most frequent classes of tumors which affect the

ovaries and uterus.

OVARIAN TUMORS generally consist of one or more cysts or sacs, developed

within the ovary, and filled with a fluid, or semi-fluid matter, which

is formed in their interior. The cysts vary in size, in some instances

being not larger than a pea, while in others they are capable of

containing many quarts of fluid. In one case operated upon at the

Invalids' Hotel and Surgical Institute, thirty-five pints of fluid were

taken from three cysts.

The effect of ovarian tumors on the duration of life is shown by the

statistics of Stafford Lee. Of 123 cases, nearly a third died within a

year, more than one-half within two years from the first development of

reliable symptoms, while only seventeen lived for nine years or upwards.

FIBROID TUMORS of the uterus are composed of fibrous tissue, identical

in structure with that of the uterine walls. They are met with in all

sizes, from that of a small shot to that of a mass capable of filling

the entire cavity of the abdomen. Cases are on record in which these

tumors have attained the weight of seventy pounds.

The manner in which fibroid tumors terminate life is generally by

prostration and debility produced by pressure on, and consequently,

interference with, the function of some one or more of the organs

essential to life; or by anæmia and debility, produced by the severe

hemorrhages, which the intra-uterine or sub-mucous form not infrequently

induces.

POLYPI OR POLYPOID TUMORS of the uterus are of three kinds, cystic,

mucous and fibrous. They vary greatly in size, sometimes being as large

as a tea-cup; and their point of attachment may be extensive or consist

only of a small pedicle. The cystic and mucous varieties may spring from

any portion of the mucous surface of the uterus, but they are more

frequently met with growing from the mucous membrane lining the cervical

canal, and pendent from the mouth of the womb, as represented in Fig. 21

and in Fig. 26, Colored Plate IV; while the fibrous variety generally

grows from the sub-mucous tissue at or near the fundus, or upper

portion, of the uterus.

The most prominent symptoms of polypoid growths are hemorrhage, which is

almost invariably present, leucorrhea, pain, backache, and a sense of

weight and dragging in the pelvis.

The best method of treatment, and, in fact, the only effectual one, is

removal with the _écraseur_, polypus forceps, or galvano-cautery. The

operation is usually attended with little or no pain.

FOR MORE THAN TWENTY-FIVE YEARS the physicians of the Invalids' Hotel

and Surgical Institute, have been successfully treating tumors by means

of electricity. More recently, the medical profession has quite

generally adopted electrical applications in response to the advice of

Apostoli, of Paris. The plan used however is crude. It does not compare

in results with the successful and safe procedure that our surgeons have

invented and pursued.

Electrical treatment will destroy the life of ovarian and fibroid tumors

if applied early and after the improved methods so long used at our

Institution. The destructive effect of electricity is modified by the

introduction of certain electro-chemical applications so that it attacks

and kills only the cells of the tumor.

THE VERY LARGE OVARIAN TUMORS, however, are not amenable to treatment by

this process. The walls of their cysts become so thin and weak, while

the pressure of the fluid from within is so great, that sudden and

spontaneous rupture is liable to occur at any time and produce death.

Removal by a cutting operation is necessary in such cases. Fortunately

this procedure, as skillfully modified and perfected by experience, has,

in the hands of our surgeons, proven free from the dangers and hazard

common to Ovariotomy. This is due to skillful operation and to the fact

that in our Institution the sanitary arrangements are as perfect as it

is possible to make them. Everything is at hand in the way of

instruments and appliances likely to be required, and the entire

procedure is conducted upon the principles of perfect cleanliness and

antisepsis, which obviate the risk of inflammation and blood-poisoning.

Furthermore, our nurses have had such fine training and such a vast

experience in their attendance upon such cases, that wants are

anticipated, and details, that would escape those not so well qualified,

are looked after so thoughtfully and vigilantly that the convalescence

is rapid, as well as being in every way comfortable and safe. Under such

conditions

OUR SURGEONS HAVE COMPLETED A LONG LIST OF REMOVALS OF OVARIAN TUMORS

WITHOUT A SINGLE DEATH!

We are, therefore, _warranted_ in stating that

THE DANGERS DUE TO THE PRESENCE OF THESE TUMORS ARE FAR GREATER THAN THE

SLIGHT RISKS OF REMOVAL BY THE SKILLFUL METHODS EMPLOYED BY OUR

SURGEONS.

Owing to a change made in the anæsthetic used, the painful and

persistent vomiting that often follows abdominal operations is

prevented. This does away with the greatest of all the dangers attendant

upon the operation of Ovariotomy, and favors speedy recovery. Food, as

administered in the form of artificially digested and concentrated

nourishment, is readily retained. The strength is thus rapidly restored,

and the healing process hastened.

It is generally supposed that the size of the opening made through the

abdominal walls is large, proportionate to the size of these tumors.

This is an error. Even in the largest cystic tumors where the

development is immense, a small incision only, is made--simply

sufficient to bring the walls of the tumor in view and admit, perhaps,

two or three fingers. The tumor is then rapidly emptied of its contents

by means of a powerful suction apparatus. Adhesions, if any exist, are

then carefully removed, and hemorrhage therefrom prevented; after which

the large sac of the tumor, which when collapsed is like a thin bag, is

readily drawn out through the small opening in the abdomen and removed.

The small pedicle or cord-like mass of vessels that supplies the tumor,

are then carefully treated after a plan invented by, and peculiar to,

ourselves, which effectually prevents any bleeding, and, at the same

time, does not leave any irritating substance, such as burned and

charred flesh, rubber, silk, or any other unabsorbable material, within

the abdomen. The parts are left unbruised and without any poisonous

germs in contact.

Our surgeons have met with phenomenal success in removing Ovarian

Tumors, by the operation of Ovariotomy. Thus far, in a career extending

over a long period of time and embracing the removal of a long list of

these morbid growths, they have not had a single fatal case.

The following cases illustrate our method of treatment in a few of the

many cases that have been under our care. Each case is typical of a

class:

[Illustration: Fig. 17.

The shape and position of the Tumor are shown by the dotted line.]

CASE I A married woman, aged 38. Had never given birth to a child. About

four years before coming under our observation, she discovered a small

bunch, as she expressed it, in the left ovarian region, which gradually

increased in size until, when she consulted us, it caused considerable

pain in the region of the liver from pressure, and interfered with

respiration. Her general health was becoming much impaired. She stated

that she had consulted a prominent gynecologist in this city, who had

told her that the attachments of the tumor were so extensive that

ovariotomy (removal with the knife) was out of the question, and that,

therefore, he could only give her palliative treatment. This unfavorable

prognosis only added mental anguish and despair to her physical

suffering. On examination, we found a large multilocular cystic tumor,

represented by Fig. 17, with very thick walls, extending from the left

ovarian region obliquely upwards and to the right, so that it pressed

more upon the short ribs on the right side than it did upon the left,

but which filled the entire cavity of the abdomen. The attachments, as

the doctor whom she had previously consulted had stated, were so

extensive that its removal with the knife could not be thought of. We

were not disposed, however, to give the case up as hopeless. We told her

that we would do what we could for her, but as to what the result of our

treatment would be, we could not definitely say. She placed her case in

our hands, and we resorted to the above described treatment. She was

treated two and three times per week for more than two months, at the

end of which time, the tumor had decreased in size fully two-thirds. It

has ever since remained stationary, and has given her no trouble or

inconvenience whatever. It is now seven years since we treated her.

[Illustration: Fig. 18.

U, Uterus. B, Bladder. R, Rectum. T, Tumor.]

CASE II. A young lady of 23; unmarried. About six months previous to

consulting us, she had discovered a tumor of about the size of an egg,

In the region of the left ovary, which had been gradually increasing in

size. On examination, we found the morbid growth to be about the size of

a quart bowl, and evidently composed of several cysts with thick walls.

She experienced no pain, and but slight inconvenience from its presence,

but she was in great mental distress. She was an only daughter, and her

mother had died a few years previously from the shock and hemorrhage

resulting from an operation for the removal of a large ovarian tumor,

performed by the late lamented Dr. Peaslee, of New York. The same course

was pursued in this case, and at the end of six weeks' treatment, the

tumor was reduced to the size of an egg, and has remained so ever since,

now more than three years.

CASE III. A woman,37 years of age; married six years; no children. She

had suffered for eight years from profuse menstruation and dysmenorrhea,

with a membranous discharge, and, for several months before consulting

us, she had experienced severe pain and a soreness in the pelvic organs.

Her bowels were obstinately constipated, it being next to impossible for

her to have an evacuation, and she possessed a pale and careworn

countenance. Upon examination, we discovered a hard, incompressible

tumor, represented in Fig. 18, attached to the posterior wall of the

uterus, which caused anteversion of the womb, and which pressed upon the

rectum so as to produce great obstruction. She was treated by means of

electrolysis, with injections into the substance of the growth, for one

month, at the end of which she resumed home, with the tumor reduced from

the size of a pint bowl to the size of an egg, and her health greatly

improved. After going home the tumor continued to grow less until, at

the end of a few months, her home physicians could detect no trace of

it, and she has remained well since, for more than five years.

[Illustration: Fig. 19.

U, Uterus. T, Tumor.]

CASE IV. A lady aged 36: married 13 years; no children. She complained

of severe pain in the back and a frequent desire to urinate.

Menstruation was profuse, and the bowels were constipated. On

examination, we found an inter-mural fibroid tumor, represented in Figs.

19, developed in the anterior wall of the uterus, and pressing upon the

bladder. The womb was enlarged, measuring three inches in depth, and was

slightly anteflected. A month's treatment, with electrolysis and

injections into the tumor, arrested the growth and diminished the size

more than one-half, and caused the unpleasant symptoms to disappear.

[Illustration: Fig. 20.

U, Uterus. T, Tumor.]

CASE V. A married lady, 26 years of age; had borne no children, but had

had several abortions, brought about intentionally. Six months before

consulting us, a tumor, about the size of an egg, was discovered by her

home physician. It grew steadily from the time of its discovery until,

when we made an examination, it was found to be about the size of an

ordinary tea-cup. It was developed in the posterior wall of the womb, as

represented in Fig. 20. Three weeks' treatment reduced the tumor two

thirds.

[Illustration: Fig. 21.

U, Uterus. P, Polypus.]

CASE VI. A widow lady, aged 52. She was examined ten years ago by two of

the most distinguished physicians of New Haven, Conn., who pronounced

her sufferings due to cancer of the uterus. She was then suffering from

repeated hemorrhages, and other symptoms. They gave her palliative

treatment, and told her that to interfere with the morbid growth would

only shorten her life, and that by leaving it alone she might live

several years. By and by the hemorrhages ceased and she passed the

change of life, but she continued to be troubled with a sensation of

fullness in the pelvis, pains in the back, and frequent headaches. On

examination we found not a cancer, but a large polypus, as represented

in Fig. 21, which had caused all the trouble. It was quickly removed,

without pain, and her health restored. Thus, through an error of

diagnosis, she was made to suffer physically and mentally for ten, long

years of her life, in constant dread of a horrible death.

* * * * *

TESTIMONIALS.

While we have a great cloud of witnesses testifying to the efficacy of

our treatment of the diseases described in this volume, yet for lack of

space we can here introduce only the following:

LARGE FIBRO-CYSTIC TUMOR.

[Illustration: Miss Duke.]

PRONOUNCED INCURABLE BY MANY EMINENT SURGEONS. HEALTH RESTORED AND TUMOR

REMOVED WITHOUT CUTTING.

WORLD'S DISPENSARY MEDICAL, ASSOCIATION, Buffalo, N.Y.:

_Gentlemen_--I cheerfully send you the following testimonial, and hope

it may induce some sick person to seek relief where it is sure to be

found.

We never truly appreciate health until it forsakes us.

For six years, I suffered all the tortures and fears attendant on the

growth and development of a fibro-cystic tumor. I tried to have the

tumor removed, but found it impossible. I had the very best medical

advice the South affords, but every physician rendered the same verdict,

'incurable.' How that word, for months, rang in my ears--'INCURABLE.' It

seemed stamped on my mind in letters of fire. What I suffered, both in

mind and body, cannot be imagined. But for my unbounded faith in God's

goodness and mercy, I doubt not, I would have given up and died. But I

trusted in Him to direct me in the way to find relief. One hope stood

out before me like a beacon light; and that was to find the means to go

to Buffalo, N.Y., to Dr. Pierce's famous Invalids' Hotel and Surgical

Institute. At last the opportunity came, and I bid my loved ones a sad

farewell, (not one of them ever expected to see me again, alive) and

with a sister to relieve me of every care on the journey, we started for

the Institute.

On arriving at the Invalids' Hotel, I was too sick and fatigued to treat

with civility the sweet-faced, lady-like housekeeper who received me, or

the gentle nurses who tried so patiently and kindly to minister to my

wants.

I had read a good deal about the Invalids' Hotel, and expected to see

wonderful things; but like Sheba's Queen, I could truthfully say, 'the

half had never been told.' The many ways, means, and appliances, for the

relief of poor sufferers surpassed a thousand fold anything I had ever

imagined could come within the scope of human skill. The skilled

physicians were not only able and attentive, but on meeting one, if it

were every day, they always had a ready smile, a warm hand clasp, and an

encouraging word, which alone, would make one feel better and at home.

The trained nurses were attentive and kind.

Every department was cleanliness itself, and kept at such an even

temperature, even to the halls, that during my four months' stay, I

never had the slightest cold. Not only the comforts of life, but every

luxury that the most exacting could demand, were fully supplied. I saw

many poor sufferers, from various diseases, made well and happy, and I

too, with the other happy ones, found relief, and that without the use

of the knife or an anæsthetic of any kind. I would urge all poor chronic

sufferers, it matters not what the trouble may be, to go to Dr. Pierce's

Institute and be cured. If any one similarly afflicted cares to know

more of my case, I will gladly answer any questions, if she will only

write me, and enclose addressed and stamped envelope in which to reply.

During my stay at the Invalids' Hotel I never lacked for anything that

willing hands and warm hearts could supply, and I came away feeling that

I was leaving a sweet, luxurious home and many warm friends, but with a

new lease of life and perfect confidence in the ability of the

physicians, for I know I could not possibly have lived two months

longer, had I not found relief. To-day I am well, rosy and happy, with a

heart full of lasting gratitude for the kind treatment and cure which I

received at the Invalids' Hotel and Surgical Institute.

Yours truly.

Miss DELAINE DUKE,

Clanton, Chilton Co., Ala.

POLYPOID TUMOR OF UTERUS WEIGHING OVER FIVE POUNDS.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Miss Bolin.]

_Gentlemen_--After many trials my doctors here had given up all efforts

to cure me. A tumor that had existed almost from my childhood was

gradually killing me. From frequent hemorrhages, I had become as pale

and bloodless as a ghost, and so weak as to be scarcely able to stand or

walk. Frequently the loss of blood was so great as to cause such long

fainting spells that my family thought me past mortal help. How I lived

to get to your place is yet a matter of wonder.

We appreciated the fact that in the skill of your surgeon lay my last

and only hope. The result proved his abilities. The restoration of my

health, when it was so generally and for so long despaired of, was

miraculous, and I cannot sufficiently express my gratitude and thanks.

The comfort that was given by the kindly attention of your nurses is one

of the very agreeable memories of your home-like and pleasant

Institution. With much gratitude, I am,

Respectfully yours,

Miss ANNIE BOLIN, Leon, Kan.

NOTE--The above case had been pronounced cancer of the womb by home

physicians.

FIBROID TUMOR. CURED WITHOUT CUTTING.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Drennen.]

_Gentlemen_--I cheerfully give a testimonial of my treatment at your

Institution, hoping it may induce others to avail themselves of your

skill. In December, 1890, I went to you, after suffering five years with

two fibroid tumors of the uterus. The tumors had grown rapidly for six

months prior to my going to you for treatment, and had become quite

painful. Under your treatment they entirely disappeared and my health

was entirely restored. The treatment I received from your able corps of

physicians and nurses was all that could be desired, and I would further

state that your Hotel and Surgical Institute possess all the

requirements for making invalids comfortable and happy.

Yours truly,

VANIA E. DRENNEN,

Nelson, Portage Co., O.

OVARIAN TUMOR OF 62 POUNDS WEIGHT REMOVED.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Matson. ]

_Gentlemen_--I hereby certify that I had safely removed, without

realizing any pain, a large cyst, or Multilocular Tumor (ovarian)

weighing 62 pounds, by your surgeons. Then, with kind and watchful

treatment, the care of good and faithful nurses, and by the blessing of

an all-wise Providence, I was sitting up in twelve days from that time;

had no inflammation or fever, kept gaining, and in five weeks returned

home. I am feeling better than I have for two or three years. I

cheerfully and truthfully recommend the Invalids' Hotel and Surgical

Institute to all afflicted as I was--with tumors, or any chronic

disease. The rooms are large and pleasant, the best of food is served,

and everything possible is done by the physicians, nurses, and

attendants connected with the Institution, to render the visits of the

afflicted pleasant and desirable.

Accept the grateful thanks of my husband and myself for your good care

and great kindness to me during my stay at your Hotel, and I wish you

all great success.

Very respectfully,

MRS. ELISHA MATSON,

Watte Flats, Chautauqua Co., N.Y.

UTERINE FIBROID TUMOR.

THE FOLLOWING IS FROM THE EMINENT LADY PHYSICIAN AND POPULAR LECTURER,

MRS. JENNIE V.S. WILCOX, MD

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Jennie V.S. Wilcox, M.D. ]

_Gentlemen_--The _least_ return one can render for an invaluable

service, the saving of a life, is an acknowledgment of the same. Mine

was a long-standing, stubborn, constitutional difficulty; chronic, and

defying _all_ previous treatment. Under the care of the doctors of the

elegantly appointed Invalids' Hotel and Surgical Institute the disease

yielded. Could I persuade some of my fashionable friends to spend a

summer or winter at Dr. Pierce's rather than at "resorts" more or less

unsuited to weary or sick people, there might rise up an improved

generation. The electrical appliances at the Invalids' Hotel are

probably the finest in the world. With them the administration of

electricity for the absorption and removal of all abnormal growths,

especially in my sex, is an _assured science_, and no experiment. I

cordially commend all my fellow sufferers to the tender care of the

Invalids' Hotel.

Yours very respectfully,

JENNIE V.S. WILCOX, M.D.

Saratoga Springs, N.Y.

OVARIAN ABSCESS.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Keach.]

_Gentlemen_--It is with pleasure that I can testify to the skillful

treatment received at the hands of your surgeon specialists. I had been

given up to die, with an abdominal tumor and abscess. My case was not

understood, before coming to you. Although operated upon twice

unsuccessfully by others, my life was despaired of. I am happy to state

that after a few weeks' stay in your Institution, with a skillful

operation which owing to my extreme feebleness, was performed without

any Chloroform or Ether (local anæsthesia only being employed), and

which resulted in the removal of the tumor and abscess, I was perfectly

cured, and have since enjoyed excellent health. I am now restored to my

children and family, and have much to thank you for. The kindness and

attention received from your physicians and nurses while in the hotel

could not be better, and I wish to praise them all highly.

Very truly yours, MRS. ANNA KEACH,

60 Bissell Ave., Buffalo.

SUFFERED FOR 20 YEARS.

OVARIAN DISEASE WITH INFLAMMATION OF ABDOMINAL ORGANS AND GREAT NERVOUS

PROSTRATION.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Gibbons.]

_Gentlemen_--I most gladly express my appreciation of the treatment I

received at the Invalids' Hotel and Surgical Institute at Buffalo. When

I first applied to you for treatment I could sit up but a few minutes

each day, and my physician had told me I never could be any better. I

began to improve very soon after receiving and commencing to use your

medicines. I continued to use them for some months, following the

special instructions faithfully as I could, and steadily improved in

health. My trouble was of such a nature that it was necessary for me to

receive personal treatment, and I spent six weeks at your Institute. The

kindness of physicians and attendants is everything that can be wished.

It is now two years since I have had any of your medicines, and I have

taken no others since, and my health is very good indeed. I can hardly

realize that I am the same person that used to suffer so much for twenty

years or more.

Very respectfully,

MRS. M. GIBBONS, Franklin, Delaware Co., N.Y.

DISEASED OVARY.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, 683 Main St., Buffalo, N.Y.:

[Illustration: Mrs. Tanner.]

_Gentlemen_--In the Autumn of '88, I had an ovary removed at the

Invalids' Hotel and Surgical Institute, Buffalo. The operation was

performed with consummate skill. The Hotel is first-class in every

respect, being at once a Christian Hospital and Home. The skill of man,

as exercised there, seems all that God designed it to be.

I cheerfully add my testimonial as I consider the Institution first

class in every respect.

Yours truly,

MRS. ELLEN F. TANNER,

Leavenworth, Kans.

FIBROID TUMOR OF UTERUS.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Sleeper.]

_Gentlemen_--There is no endorsement that the faculty of your Institute

could ask that I would not willingly give. I fully realize that I owe

not only my good health, but my life to the wonderful treatment received

at the Invalids' Hotel and Surgical Institute, and would earnestly

recommend any person needing the best medical or surgical attention to

go for relief and cure to your Institution at Buffalo, N.Y. Words are

inadequate to express the gratitude I owe you in so successfully

treating my case.

Very truly yours, Mrs. C.B. SLEEPER.

Brainerd, Minn.

OVARIAN TUMOR MADE UP OF SMALL CYSTS (MULTILOCULAR).

[Illustration: Mrs. Crissman.]

It grew to enormous size in but five months. The patient, a young

unmarried woman, left home expecting to die. She had several physicians.

None of them could give her any definite information as to the nature of

the growth or other than unfavorable expectations as to its probable

effects.

It was successfully removed. The patient being able to be up and around

in about two weeks with no unfavorable symptoms. Cure perfect. WORLD'S

DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

_My Dear Doctors_--Many months have passed since I have written you

concerning my health. I have remained perfectly well, and, in fact, my

health was never better than since the tumor was removed.

You will remember my case: The tumor had only grown about five months,

but it was of immense size, and I had despaired of life, and my family

thought that I would not return alive from your Institution. Your

skillful operation and removal of the tumor, which weighed over thirty

pounds, with the kind nursing and good attention given me afterwards,

brought me through sound and well. To you I feel that I owe all thanks.

My prayer is for the success of the World's Dispensary Medical

Association. You saved my life after I had given up all hope. The kind

care that all gave me was something that could not be paid for with

money. It was like being at home. I send you my picture, which will give

you some idea of the change for the better in my looks. I am now married

and am very happy.

Very respectfully, MRS. P.S. CRISSMAN.

Montrose, Henry Co., Mo.

OVARIAN TUMOR.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Ortez.]

_Gentlemen_--I am pleased to inform you that I have had no trouble since

the removal of the tumor five years ago--that my general health is

perfectly restored, and I grow stronger and stronger. And since that

time I have two boys, healthy, and growing as strong as can be, and I

feel very well satisfied with the care of the good and faithful nurses

and physicians.

I cheerfully and truthfully recommend the Invalids' Hotel and Surgical

Institute to all afflicted as I was with tumors, or any chronic disease.

I send you my picture which will give you some idea of the change for

the better in my looks.

Accept the grateful thanks of my husband and myself for your good care

and great kindness to me during my stay at your hotel and our wishes for

your best success. Respectfully,

MRS. J. NESTOR ORTIZ,

Ortiz, Conejos Co., Colo.

FIBROUS TUMOR.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Dean.]

_My Dear Doctors_--My husband had to carry me into your place but in

thirty days I walked out of the Invalids' Hotel sound and well. The

tumor that caused my sufferings had gradually developed during a period

of several years. The trouble induced an inflammation of the bladder and

I had to endure that torment in addition. There were times when I could

not touch my feet to the floor. Walking was an agony that I could hardly

bear. I faithfully tried good physicians and the various remedies and

treatments that were recommended to me without any satisfactory relief.

So I made up my mind to go to your institution. I am now very thankful.

Every one I met with in your place seemed to help me to get well.

You have got not only the most skillful physicians and nurses but they

are also the kindest and most agreeable that I have ever met. Your hotel

is comfortable, home-like and perfectly clean.

The treatment was wonderfully successful in my case. The removal of the

tumor was accomplished without pain. I can highly endorse local

anesthesia instead of using chloroform or ether. My recovery was rapid

and I continue in good health and think of you all with thanks and good

wishes.

Very truly yours,

MRS. ADELAIDE DEAN,

246 Garden Street, Lockport, N.Y.

FIBROID TUMOR OF THE UTERUS

INVOLVING BOTH BODY AND NECK OF THE WOMB.

[Illustration: Mrs. Johnson.]

The tumor was of many years' standing; had grown within a few months

till it was about the size of a child's head.

From anxiety and worry, the patient had grown nervous and generally

miserable. It was successfully removed by electrolysis, no knife nor

other cutting instrument being employed. In ten days the patient was

able to be about and to return home.

_Yanceyville, N.G_.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

_Gentlemen_--I have thought of you and prayed for your welfare ever

since I left your Institution. I am perfectly well and enjoying as good

health as ever I did. The treatment you so skillfully applied has

completely restored my health, and I feel that I owe you a debt of

gratitude that I can never repay. I am constantly sounding your praise

among my friends, and know that I can never speak of you in too high

terms. I once despaired of ever feeling well,--to-day, I am jolly and

like another being. May you long be spared to minster to the afflicted.

Very respectfully,

MRS. HANNAH JOHNSON.

NERVOUS PROSTRATION; DEBILITY; DYSPEPSIA; "FEMALE WEAKNESSES," CURED BY

SPECIAL HOME-TREATMENT.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Nicholson.]

_Gentlemen_--For a number of years I suffered with a complication of

female troubles; I tried various remedies from physicians but nothing

seemed to do me any permanent good.

About three years ago, I suffered an attack of nervous prostration,

being the result of repeated miscarriages; this was a severe shock to my

nervous system, resulting in a complication of other troubles among

which was nervous dyspepsia. Words fail to express what I endured at

this time. Only those who have passed through a similar experience can

imagine the distressing symptoms accompanying this disease; I could

neither eat nor sleep, was growing very thin in flesh and life seemed a

burden to me.

This was my condition when I wrote to your Institution for help. I

received a very encouraging letter and commenced treatment at once. I

had not used their remedies a week before I began to feel better, and as

I continued the treatment my health gradually improved. All the

distressing symptoms have disappeared and my general health is restored.

Accept my sincere thanks for the interest manifested in my case and the

happy results obtained. I am now the mother of a fine baby girl, and I

shall ever remember to whom I owe my present health and good fortune.

Yours truly,

MRS. J.D. NICHOLSON,

La Hoyt, Henry Co., Iowa.

BED FAST FROM WOMB DISEASE AND URINARY TROUBLES.

DR. R.V. PIERCE, Buffalo, N.Y.:

[Illustration: Mrs. McClain.]

_Dear Sir_--When I began your treatment, I was unable to be up any at

all, being troubled with womb and urinary diseases; but I can gladly say

that had it not been for your medicine I could not have lived a great

while longer.

I hereby give your medicine a high recommendation for the marvelous work

it has wrought.

Yours respectfully,

MRS. PHEBE MCCLAIN,

Earnest, Jefferson Co., Ala.

UTERINE AND RECTAL DISEASE.

HOME PHYSICIANS FAILED.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Clawson.]

_To whom it may concern_--I was greatly afflicted with Uterine and

Rectal disease. My disease was of very long standing and had baffled the

skill of our home physicians. I went to the Invalids' Hotel and Surgical

Institute, and received treatment of their specialist. Under his

skillful care and kind attention I soon regained my strength and felt

that my former life and ambition were again restored to me. I cannot

speak in too high praise of this famous Institution; the rooms are large

and cheerful, the food of the very best, the nurses kind and attentive,

and the staff of physicians and surgeons skillful and of large

experience.

Yours respectfully,

MRS. CHAS. CLAWSON,

Middlesex, Yates Co., N.Y.

FALLING OF THE WOMB, LEUCORRHEA.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Covell.]

_Gentlemen_--I was sick two years with "Falling of the Womb" and

leucorrhoea or whites, previous to taking your medicines. I took six

bottles of your "Favorite Prescription," and was entirely cured of both

in six months; it is four years this month, since I was entirely well of

both those diseases and have never had any signs of their appearance

since, and I am satisfied the "Favorite Prescription" saved my life, for

I could hardly walk around, when I commenced taking your medicine, and I

think it is a God's blessing to me, and a great credit to you that I

ever took your medicine, for had I not taken it, I think I would have

been in the grave now, and I can highly recommend it to all who suffer

from these two complaints.

I was pronounced incurable by the best doctors here in the West. I gave

up all hopes and made up my mind that I was to be taken away from my

husband and baby of two years old. I was sick all of the time--could not

eat anything at all. In one week, after beginning the use of your

medicine, my stomach was so much better that I could eat anything; I

could see that I was gaining all over, and my husband then went and got

me six bottles: I took three of them and my stomach did not bother me

any more.

We sent to you and got the People's Common Sense Medical Adviser, and

found my case described just as I was; we did what the book told us, in

every way; in one month's time I could see I was much better than I had

been; we still kept on just as the book told us, and in three months I

stopped taking medicine, only three times a day, and continued for some

time in that way, and to-day, I can proudly say I am a well woman. Yes,

am well, strong and healthy. I am so glad and thankful to you, Doctor,

for my good health, for well do I know you are the one that cured me.

When I began to take your medicine my face was poor and eyes looked

dead. I could not enjoy myself any where, I was tired and sick all the

time. I could hardly do my housework, but now I do that and tend a big

garden, help my husband and take in sewing.

Yours respectfully,

MRS. MARY F. COVELL, Scotland, Bon Homme Co., So. Dak.

SEVERE NERVOUS PROSTRATION.

"OUT OF DARKNESS INTO LIGHT."

WORLD'S DISPENSARY MEDICAL ASSOCIATION, 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.

MONTHS OF SUFFERING AND TORTURE.

"LEFT TO DIE A HOPELESS WRECK."

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Moody.]

_Gentlemen_--A grateful heart and an appreciation of your medical skill

prompts me to make a statement of my case.

At the birth of my last baby (a boy weighing 14 pounds at his birth), I

contracted womb disease. And for three years previous to treatment, I

had been a great sufferer from prolapsus. Owing to a more serious injury

than prolapsus, received at childbirth, my physicians told me that "I

could never hope for recovery."

After delivery, I kept my bed for seven weeks. At the expiration of that

time I tried to walk. I found that I could not even stand straight;

there seemed to be a "tight cord" or "drawing" from my left side

extending down into my groin, accompanied by great soreness.

After repeated attempts, with my body inclined to that side and yielding

to the drawing, I finally succeeded in walking--a violent trembling all

the while in the parts affected.

Three months after the birth of my baby, I tried to take hold of my

household duties--then my troubles increased, and with them came a

series of "Doctors' bills."

I consulted two of the best physicians, besides trying all the medicines

I heard tell of, that were recommended for such diseases; but failed in

obtaining a cure from any of them; my relief was only temporary. My

condition was growing worse each day; the womb was so low and the

"bearing down" weight so great that I could scarcely stand on my feet at

all. I was irritable and nervous with a dull headache and constipation;

hands and feet cold and clammy, except the palms and soles; a burning on

top of my head. At this stage of my disease my bladder was badly

affected--the "neck" becoming enlarged and the water collecting there

caused a protrusion to over half the size of a tea cup, leaving it so

dry and harsh, that it was with the greatest difficulty I could walk at

all; a sudden jar, sneeze, or even the slightest pressure, would force

the water out, leaving me in a spasm of pain. At this stage (22 months

after confinement) menstruation returned for the first time since the

birth of my baby. I had already suffered as much as I thought it

possible to bear, and live, but my sufferings were even greater after

this; my womb was ulcerated and inflamed; nervousness increased to

violent shaking, over which I had no control; circulation so feeble that

the extremities were scarcely supplied with blood, they were constantly

cold and clammy. My sleep broken and disturbed, life was fast becoming a

burden to me, For months, however, I endured this torture; I had

abandoned work altogether; I could be up but a few moments at a time and

could not walk across the floor without excruciating pain. There was no

sleep, no rest, and after a week and even more, would pass during which

I would never close my eyes in sleep, even when morphine, opium and

chloral, were administered. My body seemed a dead weight, while my mind

was alive to all my sufferings. There seemed to be a burning pressure

about my head all the while.

I would have shaking spells frequently, leaving me perfectly exhausted,

my heart the while beating so rapidly, I could not count the pulsations;

it seemed to cease altogether after that, with a sinking, fainting

feeling over me, making it difficult to breathe at all. During my

menstrual periods I suffered a "thousand deaths." My appetite was gone,

mind and sight impaired, strength and flesh all gone. I was a pitiable

object to look at, divested of all that made life endurable for me. I

had baffled the skill of two physicians, and was left, after three years

of agony, to die, a "hopeless wreck," worse than death.

Such was my condition when I applied to you for treatment. After using

medicines only six days I began to improve; my nerves were steadier;

circulation better, hands and feet warm. Nine days after taking your

medicines they restored the function again. I will confess I expected to

suffer death again--I did not think the medicines had had time to effect

a change within so short a time. Imagine my joy and surprise upon waking

next morning to find it had "stolen like a thief upon me in the night,"

I knew not when. I spent the day in grateful tears--how could I help it?

It passed off as quietly as it came, leaving my head clear of that

_dreadful, burning pressure_! My nerves were steady; indeed, my

improvement was so remarkable, that it seemed almost a delusion. My

appetite had returned, and I was hungry for the first time in over a

year. I slept well--awoke refreshed and feeling stronger. After two

weeks, I was able to walk around the house and yard without support; a

day or two after that I walked a hundred yards, visiting and spent the

day. In three weeks time I went home (I had gone to my mother's before

treatment, as I and many others thought, to die).

At the end of one month there was no symptom, nor sign, of the old

disease. I was able to be up all day, resting a short time at noon. To

be sure of permanent results I continued treatment for one month longer,

and have never had a return of the disease nor any symptom of it since.

Before the end of the second month, I was able to be about the house,

helping the children with the cooking, and milking. My weight increased

fourteen pounds in five months after treatment. I have taken no medicine

since except one bottle of Dr. Pierce's Favorite Prescription, four

years ago. At this time (nine years after treatment), I find my health

still good, having no aches nor pains, a splendid appetite, sleep well,

no headache, no backache and no womb trouble. I am able to do my house

work and everything; can do a day's work with less fatigue than I have

for years before treatment. I feel sure that I would have been in the

grave years ago if it had not been for your medicines. I advise all

other ladies who are troubled with the same disease to apply to you for

treatment.

Be assured, that whenever I have it in my power I shall recommend your

invaluable remedies. I thank you a thousand times for what you have done

for me, and for the kindness which you have extended to me throughout.

Wishing you long life and continued success, I am, with much gratitude,

Very truly yours, Mrs. JENNIE S. MOODY,

Isney, Choctaw Co., Ala.

COMPLICATED CASE OF WOMB DISEASE.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Knappenberger.]

_Gentlemen_--When I went to the Invalids' Hotel for treatment I was in a

very critical condition. I could scarcely walk for inward troubles--but

I cannot stop to speak of one disease, for I had such a complication of

diseases. Now I am doing my own housework and in the past four weeks I

have entertained forty-seven people, and I think I certainly am doing

well. It is with the greatest pleasure that I recommend all who are

afflicted to go to the Invalids' Hotel and Surgical Institute. The

Surgeons are honorable, trustworthy gentlemen, who will do all they

promise; and, being men of large experience, they know just what course

of treatment to pursue from first to last, so that an invalid can rest

assured that no experimenting will be done.

For seventeen years I was an invalid and never had better health than at

the present day, for which I am grateful to your Institute.

Yours respectfully,

Mrs. D.T. KNAPPENBERGER,

Jeannette, Westmoreland Co., Pa.

UTERINE DISEASE.

[Illustration: Mrs. Reel and Daughters.]

_Gentlemen_--For eight years I was a sufferer from female derangements.

I have been permanently cured by your specialist, and with only thirty

days' treatment. I am happy to say there is no return of the old

trouble, and all my friends were so surprised to see me so well after

being an invalid so long. I shall never regret the day I went to the

Invalids' Hotel. You ought to see me now--I am so healthy, I shall never

forget your kind treatment of me, and the nurses too were so kind and

attentive--I cannot say too much in their praise.

Respectfully,

MRS. J.W. REEL,

Idaho City, Boise Co., Idaho.

PAINFUL MENSTRUATION AND CONSTIPATION.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Miss Doran.]

_Gentlemen_--In April, 1891 I came to your Invalids' Hotel for

examination and treatment. I was at that time suffering from profuse and

painful menstruation, complicated with obstinate constipation, from

which I had suffered many years. I cannot speak too highly of your

treatment of my case, as it was both prompt and thorough and resulted in

a radical cure of the above named diseases, and I desire to recommend

all who are thus afflicted to apply to your eminent staff of physicians

for relief, as they cure when others fail. My advice to all who are

afflicted is, if you wish to get well, go where they make such diseases

a specialty. I hope that many others may be as thoroughly cured as I

have been.

Yours truly,

Miss ELLA DORAN,

Tiffin, Seneca Co., O.

COMPLICATION OF DISEASES CURED BY SPECIAL HOME-TREATMENT.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Sheen.]

_Gentlemen_--I suffered from female complaint; my kidneys, stomach and

nerves were also affected. My physician told me I had Bright's Disease

of the Kidneys. I suffered a great deal in various ways, at times. I

felt as if life were a burden to me; about that time Dr. Pierce's Common

Sense Medical Adviser came into my possession. I read it carefully, and

I thought if Dr. Pierce can not cure me perhaps he can give me some

relief. I wrote to him, describing my symptoms and feelings as well as I

could, and asked him if he could cure me. He said he thought he could,

but it would take a long time for my disease was deep seated. He sent me

a box of medicines enough to last one month, especially prepared for my

case.

I continued taking his medicines for about thirteen months, and at the

end of that time I felt like a new woman; that has been almost seven

years now and my health is still good.

The benefits derived from Dr. Pierce's Medicines are lasting, and I

advise all women suffering as I did, to give his medicines a fair trial.

Gratefully yours,

MRS. MARY SHEEN, Council Bluffs, Iowa.

PARALYSIS AND UTERINE DISEASE.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Mann.]

_Gentlemen_--I will say that your Institute is all that you claim for

it, and more to. 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.

BARRENNESS CURED.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: A.H. Bain, Wife and Child.]

_Gentlemen_--With pleasure I can recommend your medicines and treatment.

At the time of my treatment I was barren, and had no signs of ever

having any children until after the time of your treatment.

We now have two little boys, and we are happy. This picture shows my

husband, myself and our eldest child.

I pray for your continued success, and thank you for your skill.

Very truly yours,

MRS. A.H. BAIN,

Cozad, Dawson Co., Neb.

INDIGESTION, CONSTIPATION, AND UTERINE DISEASE.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Miss Joslyn.]

_Gentlemen_--Some months ago I consulted your specialist concerning my

health, which had at that time become very much impaired from the

effects of uterine disease, indigestion and chronic constipation. I was

also troubled with frequent attacks of nervous headache which rendered

me very miserable.

A line of treatment was outlined by your specialist, which I followed

closely, and I immediately began to improve under the use of the

medicine advised. The benefits were so marked that within two or three

months I was able to discontinue the use of the medicine, and have since

that time been enjoying good health. I attribute my cure to the use of

your medicines, and I heartily thank you for the benefits received, as

well as for the kind attention given me by your specialist.

Respectfully yours,

IDA M. JOSLYN, Groton, Conn.

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.

GENERAL DECLINE.

"FEMALE WEAKNESS," HEART DISEASE AND RHEUMATISM.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Ashman.]

_Gentlemen_--For years I had been a great sufferer from general

declining health--female weakness, heart disease and rheumatism--and

despaired of ever getting well. Physicians afforded me only temporary

relief. It was not until I commenced doctoring with Dr. R.V. Pierce that

I experienced any decided benefit. My health has gradually improved

until now I feel like a new being. Language fails to express my

gratitude for this cure, which is due wholly to your life-saving and

life-giving medicines.

Respectfully,

MRS. CALEB ASHMAN,

Du Bois, Clearfleld Co., Pa.

NERVOUS AND GENERAL DEBILITY.

DR. R.V. PIERCE, Buffalo, N.Y.:

[Illustration: Mrs. Linn.]

_Dear Sir_--My case was a complication of diseases--a general

break-down, lasting three years. I placed myself under the treatment of

four different physicians. At last, giving up all hope of recovery at

home, I was making arrangements to go to a Sanitarium in Michigan for

special treatment. One of your small books with blank enclosed was

handed to me; I filled out the blank, and thought I would try rather

than leave home and little ones,--"Happy decision;" two months' special

treatment and I was well and happy, and to-day, I have the very best of

health.

Yours respectfully,

MRS. LOMA LINN,

Ladoga, Montgomery Co., Ind

FEMALE WEAKNESS; LEUCORRHEA.

DR. R.V. PIERCE, Buffalo, N.Y.:

[Illustration: Mrs. McClure.]

_Dear Sir_--I was troubled with "female weakness" and leucorrhea for

three years before I applied to you. I had tried several doctors but

they did me no good, and I grew worse all the time. Finally I wrote to

you for special treatment, and thanks to Dr. Pierce for being the means

of my recovery. I am forty-five years old and do all my housework.

I remain,

MRS. MARTIN J. MCCLURE,

Thomasville, Oregon Co., Mo.

"FEMALE WEAKNESS."

Dr. R.V. PIERCE, Buffalo, N.Y.:

[Illustration: Mrs. Moses.]

_Dear Sir_--Having been treated by one of your associate physicians, at

the Invalids' Hotel and Surgical Institute, and greatly benefited, I do

not hesitate to recommend you and your Faculty to all who may need the

services of honest and skillful physicians.

Yours truly,

MRS. D.S. MOSES,

Fremont, Ohio.

"FEMALE WEAKNESS."

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Fitch.]

_Gentlemen_--I have been taking Dr. Pierce's Favorite

Prescription--three bottles of it and am getting well fast; I can do my

own work, which I have not done for almost two years; I do my own

washing and all of my house work; I have gained about six pounds taking

your remedy. You cannot know how glad I am that I tried your "Favorite

Prescription."

Yours truly,

MRS. ANNIE B. FITCH,

Johnstown, Cambria Co., Pa.

WOMB DISEASE.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Ulrich.]

_Gentlemen_--I enjoy good health thanks to Dr. Pierce's Favorite

Prescription and "Golden Medical Discovery." I was under doctors' care

for two years with womb disease, and gradually wasting in strength all

the time. I was so weak that I could sit up in bed only a few moments,

for two years. I commenced taking Dr. Pierce's Favorite Prescription and

his "Golden Medical Discovery," and by the time I had taken one-half

dozen bottles I was up and going wherever I pleased, and have had good

health and been very strong ever since--that was two years and a half

ago.

Yours truly,

MRS. ANNA ULRICH,

Elm Creek, Buffalo Co., Neb.

A MOST WONDERFUL CURE.

TERRIBLE ULCERATION AND FALLING OF WOMB. DROPSY AND OTHER COMPLICATIONS.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Smith.]

_Gentlemen_--I am a farmer's wife. My husband hired hands to work on his

farm--I had them to cook for--to wait upon, and my family to care for. I

worked very hard till my health and strength gave way. Six years ago the

"turn-of-life" began in the worst form with other disease which I knew

not; I had a severe misery in my back, pain in my head; the monthly flow

became so excessive--came on too often; lasted eleven days. When the

flow would stop then there would be yellow discharge of thick mattery

appearance. I had bearing down in the lower portion of the womb--great

pain all through my body: the pain in my womb was more like "labor-pain"

than anything I can compare it to; I had palpitation of the heart, light

chills, hay fever; had pain in my stomach like colic. My womb was very

low down; the mouth was a large hard knot--was so sore I was compelled

to have a soft seat to sit on; severe pains in my thighs; pain down the

sides of the abdomen; pain in my breast, pain between my shoulders; my

bowels costive; my nervous system prostrated; my digestion impaired; I

had a desire to urinate all the time, could not pass only a few drops at

a time; on standing a few hours, it would form a crust on the

chamber--red, grainy substance; I was bloated all over my body. My feet

and legs were swelled tight, and I was in so much pain day and night I

could not sleep; I could not eat any food only a little sweet milk and a

little corn-bread; I lived in this way for four years; I could not walk

across the room. I was treated by four of the best doctors in the land;

the first three gave me no relief--the fourth built up my health to some

extent; none of them could cure me--none of the four could regulate the

menstrual flow, they could not cure those offensive discharges. I was

given up to die by all four of them; my family and friends expected

every day I would die.

I got one of your Memorandum Books; I read it carefully, and I was

hoping all this time for some relief--I hoped all the time for relief.

My husband decided to write to you--ask your advice, believing you could

give me relief; though I felt ashamed to tell a gentleman, a doctor I

never saw, those things concerning my afflictions; but I was suffering

terribly. I hoped for relief and I found it. I am happy to tell you I am

well. I was spared to be cured by your good advice and good medicine and

to spread your fame.

When I received the book you sent me and a letter telling me what to

take, and what it would do for me, I was very feeble; I had just got up

from one of those bad spells--so weak that I could not sit up for more

than an hour at a time. My husband went and got the medicine and a

syringe. I began its use, as you advised, and took the medicine as you

directed; I have taken your medicine seven months; the first month my

improvement was slow; I began to have strength; my pain began to banish;

my appetite began to come; I commenced to sleep sound and the bloating

began to go down; the pain in my head was gone; palpitation of the

heart, also the misery in my back disappeared; the pain in my womb began

to banish; the first time the monthly flow appeared, it was

controlled--it was regulated--it went so light with me that I could go

all the time without a cane. I have not had one spell to confine me to

bed in seven months; I have done all the cooking for my family all the

year; the pain in my stomach disappeared; the yellow discharge also--the

bearing down banished. I have no pain, no aches, no bad feelings. I feel

better to day, than I have in ten years. I now enjoy life, enjoy my

family, enjoy my friends. I enjoy the pleasure of telling my friends who

cured me, and what medicine it was that cured me; he should have the

honor. It is Dr. Pierce!

I was at death's door when I began to take his medicine, and followed

his advice. It was his "Favorite Prescription," "Golden Medical

Discovery" and the "Pleasant Pellets" that cured me. I also used the

lotion, or wash advised, with a syringe.

Now, I wish you to accept my best wishes, and hearty thanks for what you

have done for me.

Last winter I gave my sick friends the pamphlets which were around the

bottles of medicine; some of them are going to take it; it gives great

satisfaction here; I will take no other myself; it will come the nearest

to raising the dead of any medicine I ever saw in my life; it saved my

life, when four doctors gave me up to die. My God bless you in your

work, as He has done in my case.

Yours truly, MRS. MARY SMITH,

Oakfuskee, Cleburne Co., Ala.

SEVERE FLOWING.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs Clark.]

_Gentlemen_--I suffered terribly with leucorrhea, my monthlies would

nearly always send me to bed; I would lose from two to four quarts of

blood. I had womb trouble pretty bad and my bladder would trouble me

nearly all the time, by continually wanting to urinate, with smarting,

burning pains. My husband got me a bottle of Dr. Pierce's Favorite

Prescription. I took nineteen bottles and now feel very well indeed.

Your friend, MRS. LULU CLARK,

No. 208 West 3d Street, Sioux City, Ia.

Mr. Homer Clark, the husband, writes: "My wife was troubled with

leucorrhea and female weakness, and ulcers of the womb. She has been

doctoring with every doctor of any good reputation, and has spent lots

of money in hospitals, but to no purpose. She continued to get worse.

She was greatly prejudiced against patent medicines, but as a last

resort we tried a bottle of Dr. Pierce's Favorite Prescription. We had

seen some of your advertisements, and Mr. Cummings, a west-side

druggist, advised us to try a bottle. We tried it with the following

results: The first bottle did her so much good that we bought another,

and have continued until she has been cured."

INFLAMMATION AND "FALLING OF WOMB."

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Camfield.]

_Gentlemen_--I deem it my duty to express my deep, heart-felt gratitude

to you for having been the means, under Providence, of restoring me to

health, for I have been by spells unable to walk. My troubles were of

the womb--inflammatory and bearing down sensations and the doctors all

said they could not cure me.

Twelve bottles of Dr. Pierce's wonderful Favorite Prescription has cured

me.

Yours,

MRS. FRANK CAMFIELD,

East Dickinson, Franklin Co., N.Y.

GENERAL DECLINE.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Duncan.]

_Gentlemen_--I believe I owe my life to Doctor Pierce's remedies. Six or

seven years ago, my health began to gradually fail; some of my friends

as well as myself thought I was going into consumption. I began taking

Dr. Pierce's Favorite Prescription, "Golden Medical Discovery" and his

"Pellets," and was greatly benefited; took half a dozen bottles at that

time, did not take any more for several years, when I began to go down

again. I was married November, 1889. The next September had a

miscarriage. The summer following my health was very bad; I then got one

dozen bottles and took as directed. My health was much improved and am

now the proud mother of a healthy boy 22 months old. My health is now

much better than I thought it ever would be.

Yours truly,

MRS. ALICE V. DUNCAN,

Rees Tannery, Mineral Co., W. Va.

ERYSIPELAS AND WOMB DISEASE.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. White.]

_Gentlemen_ I am forty-eight years old, and have had four children.

Three years ago the doctor said I had womb trouble, which was

accompanied with backache and a tired and miserable feeling all over;

left side hurt me very much, and could not lie on that side, and the

doctor said it came from affection of the spleen; had a great deal of

headache; was costive, and suffered terribly from erysipelas; it nearly

set me crazy, so great was the burning and itching; sometimes

experienced severe burning in the stomach. I took twelve bottles of your

medicines, six bottles of Dr. Pierce's Golden Medical Discovery and the

same amount of his "Favorite Prescription." was using them for about six

months, and can say that they did their work well. I have ever since

felt like another person, and do not think I can say enough in their

praise. I have no more weakness, and all evidence or erysipelas has

disappeared.

Respectfully yours,

MRS. SARAH E. WHITE,

Kennon, Belmont Co., O.

FALLING OF WOMB.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Givens.]

_Gentlemen_--Having suffered for years with what my doctor called

"Falling of the Womb" I was advised to try Dr. Pierce's Favorite

Prescription. The effect has been simply marvelous; a single bottle

relieved me of all pain and enabled me to sleep at night, which I had

not been able to do for a long time. For three months I have not had any

return of the complaint above named. I feel as well as I ever did. I

shall heartily recommend "Favorite Prescription" to all afflicted as I

was. Yours truly,

MRS. SAMUEL GIVENS.

Leesburg, Harrison Co., Ky.

DYSPEPSIA, UTERINE DISEASE.

[Illustration: Mrs. Martin.]

MRS. J.A.MARTIN, of _Cleburne, Texas_, had not had good health since the

birth of her child, eight years before; had a headache with burning and

throbbing sensations; and a hurting in her stomach; there was a dead

aching and gnawing or drawing of the stomach as she described it; sharp

pain in the stomach extending to her right breast and shoulder. Weighed

in health 135 pounds, but was reduced to 95 pounds; was weak; could

scarcely walk at all, was sick at stomach a great deal; when her monthly

sickness came on had much pain and the sickness of the stomach remained

until menstruation stopped. She writes:

WORLD'S DISPENSARY MEDICAL ASSOCIATION Buffalo, N.Y.:

_Gentlemen_--"I have taken about six bottles of your 'Golden Medical

Discovery' and 'Favorite Prescription,' and am glad to say that I feel

better and stouter than I have felt in a long time. I can work all day

now and not be tired at night. My head don't trouble me now. When I

commenced the use of the medicine I weighed 89 pounds, and to-day I

weigh 98 pounds. I feel better than I have for months."

COUGH AND NIGHT SWEATS.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: H.M. Detels and Wife. ]

_Gentlemen_--In regard to your medicines I will say that they are always

in the house. I shall never forget those nights when I was down with

pneumonia. Had it not been for Dr. Pierce's Golden Medical Discovery I

would not be a well man to-day. One bottle stopped the cough and night

sweats.

My wife was troubled with leucorrhea so bad that we did not know what to

do until Dr. Pierce's Favorite Prescription was brought into the house

and gave her rest.

Yours truly,

H.M. DETELS,

Travor, Tulare Co., Cal.

"CHANGE OF LIFE."

WORLD'S DISPENSARY MEDICAL, ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. M.E.E. Prichard.]

_Gentlemen_--It was four years ago that I applied to you for treatment.

My family physician did me no good. When I began your treatment I was

nearly bed-fast; my life was a misery to me. I have taken eight bottles

of your medicine and it has cured me. If I could tell the whole world of

your medicine I would do it. If any woman undergoing the "change of

life" will take Dr. Pierce's Golden Medical Discovery and his "Favorite

Prescription," according to directions, they will cure her. When I began

taking them I could scarcely do anything and now I can do all my

housework and pick two hundred pounds of cotton a day.

Yours truly,

MRS. M.E.E. PRICHARD,

Thornton, Limestone Co., Texas.

COMPLICATION OF DISEASES.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Robertson.]

_Gentlemen_--For twenty years, I suffered with womb disease and most of

the time I was in constant pain which rendered life a great burden. I

cannot express what I suffered. I had eight doctors and all the medicine

I had from them failed--the one after the other.

I was nervous, cold hands, feet, palpitation, headache, backache,

constipation, leucorrhoea and no appetite, with bearing down pains. I

got so weak I could not walk around. I had to keep my bed, thinking I

would never get any better.

One day my husband got one of your little books and read it to me. He

said there was nothing doing me any good. I said I would try Dr.

Pierce's Favorite Prescription. I did try it. After the first few weeks

my appetite was better; I was able to sit up in bed. I wrote to the

World's Dispensary Medical Association, at Buffalo, N.Y., and described

my case; they sent me a book on woman's diseases. I read carefully and

followed the directions as near as I could, and took the medicine for

two years, With the blessing of God and your medicines I am entirely

cured. That was three years ago:

Yours most respectfully,

MRS. ALEX. ROBERTSON,

Half Rock, Mercer Co., Mo.

VAGINITIS--IRREGULAR MENSTRUATION.

WORLD'S DISPENSARY MEDICAL ASSOCIATION, Buffalo, N.Y.:

[Illustration: Mrs. Parker.]