Chapter XL: Letter XXXVIII: Concluding Remarks

Hysteria—Its Prevention and Cure—Leucorrhea, or Whites—Falling of the
Womb.

There are two or three topics connected with the diseases of the sex, respecting which volumes might be written, concerning which I will here make some practical remarks.

HYSTERIA.

This affection takes its name from _hyster_, the womb. It appears under such a variety of forms, imitates so many other diseases, and is attended with such a variety of symptoms, which denote the animal and vital functions to be considerably disordered, that it is difficult to give any thing like a rational description of it.

Hysteria attacks usually in paroxysms or fits. “These are sometimes preceded by dejection of spirits, anxiety of mind, effusion of tears, difficulty of breathing, sickness at the stomach, and palpitation at the heart; but it more usually happens that a pain is felt on the left side, about the flexure of the colon, with a sense of distention, advancing upward till it gets into the stomach, and, removing from thence into the throat, it occasions, by its pressure, a sensation as if a ball were lodged there, which is called _globus hystericus_.” At this time the patient feels as if she were actually in danger of suffocation, grows faint, is affected, perhaps, with stupor and insensibility, while at the same time the body is turned to and fro, the limbs are thrown into motion, and wild and irregular actions take place, with alternations of laughter, crying, and screaming. There is also frothing at the mouth, eructations of wind from the stomach, hiccough not unfrequently, and in some cases a transient delirium is experienced. The limbs may also become so rigid that it is not possible for the patient to bend them.

_Treatment._—If the paroxysm be only a slight one, it is as well to leave the patient quite to herself; but if the fit be a severe one, the shallow-bath, in a wash-tub, for instance, or the dashing of cold water, and rubbing the surface well with hands wet in cold water, will be highly serviceable. If the patient can drink a sufficiency of warm water to make her vomit, she will experience great relief. The clyster, freely administered, is also a valuable help.

In regard to the _prevention_ of this disease, all that I have said or can say concerning the means of fortifying and invigorating the general health, would be as appropriate in this as in any other place. May I not hope that when you consider, each and any one of you, how troublesome this disease is, and how bad a state of things it indicates, that you will use your best influence upon those around you—that by a correct, systematic course of living, its attacks may be warded off. It is far easier, as well as more desirable, to prevent hysteria than to cure it.

LEUCORRHEA, OR WHITES.

This is a very common affection among females, few arriving at full womanhood without experiencing it. It consists in a puriform discharge from the vagina, varying in color in different cases, but more commonly it is of a yellowish white. It always denotes a deteriorated state of the health, and if allowed to proceed too far, is apt to end in some worse malady.

The water-treatment is peculiarly adapted to the cure of this ailment. The great object should be to fortify the general health. For this object, a good course of hydropathic treatment will in many cases be necessary. The vaginal injections—not too cold—and sitting-baths are valuable means.

PROLAPSUS UTERI.

Falling of the womb has latterly become too much a fashionable complaint. A great many women suppose they have it, merely in consequence of some unpleasant feeling, and because it is so much talked about.

I cannot here enter into a lengthy description of this disease; but I desire, most earnestly, to impress upon your minds the great value of the water-cure as a means of remedying it. Prolapsus is a disease of _general debility_, and hence the good effects of the new method in treating it.

Do not depend too much upon local and mechanical means; these are too much in vogue at the present day. True, vaginal injections, the wet girdle, sitting-baths, and in some cases the pessary, are all good in their place; but the restoration of the WHOLE SYSTEM, remember, is the great thing.

Those who have this complaint, should be careful not to overdo in walking or other exercise.

INDEX.

Abortion, 143

Abortion unknown among Indians, 27

Abortion, consequences of, 146

Abortion, causes of, 145

Abortion, prevention of, 147

Abortion, recurrence of, 149

Abortion, evils of, 152

Abortion, cases of, 153

Abortion, dangers of causing, 158

Acute disease in pregnancy, 165

After-pains, 328

Age, marriageable, 34

Air and exercise, 122

Amenorrhea, 61

Austrians, habits of the, 32

Barrenness, 224

Bathing after delivery, 287

Bible account of midwifery, 19

Binder, the, 288

Bladder, the, 232

Blisters, 218

Bloodletting, 220

Breast, inflammation of, 370

Breasts, pain of, 195

Breathing, difficult, 190

Cases of childbirth, 383

Cases of abortion, 153

Catamenia, the, 40

Catamenial discharge, the, 40

Change of life, 55

Change of life, remarks on, 60

Childbirth, cases of, 383

Child, management of the, 292

Child, washing the, 307

Childbed fever, 342

Childbirth among the Indians, 27

Chlorosis, 65

Chlorosis, causes of, 66

Chloroform, 258

Clothing, remarks on, 110

Coffee, 150

Compresses, uses of, 288

Constipation, 173

Courses, the monthly, 40

Costiveness, or constipation, 173

Costiveness, treatment of, 174

Cramp of stomach, 186

Cramp of lower limbs, 195

Delivery, management after, 285

Delivery, bathing after, 287

Diarrhea, 175

Diet in pregnancy, 123

Diet, vegetarian, 127

Difficult breathing, 190

Disease, exposure to, 197

Drink in pregnancy, 129

Dysmenorrhea, 84

Dysmenorrhea, treatment of, 86

Emetics, 219

Ether, 258

Exercise in pregnancy, 122

Exercise in pregnancy, remarks on, 150

Fainting in pregnancy, 139

Fainting, symptoms of, 140

Fainting, results of, 141

Fainting, treatment of, 142

Fallopian tubes, 238

Falling of the womb, 430

Feather beds, 149

Fetus, anatomy of, 243

Fetus, effects of food on the, 124

Fright, effects of, 215

Genital organs, itching of the, 193

Headache, 179

Headache, treatment of, 180

Heart-burn, 169

Heart-burn, treatment of, 170

Hemorrhage, uterine, 162

Hemorrhage, uterine, cases of, 162

Hemorrhage from the stomach, 184

Hemorrhoids, 176

Hemorrhoids, treatment of, 177

History of midwifery, 19

Hysteria, 195

Hysterics, 195

Imagination, the, 207

Indians, childbirth among, 27

Inflammation of the breast, 370

Itching of the genital organs, 193

Jaundice, 189

Labor, 253

Labor, divisions of, 254

Labor, signs of, 260

Labor, stages of, 261

Labor, advice concerning, 280

Lacing, 111

Leucorrhea, 429

Leucorrhea, treatment of, 429

Light, solar, effects of, 118

Limbs, swelling of, 194

Liquor amnii, 264

Lochia, the, 337

Lochial discharge, the, 336

Longing, 204

Marks and blemishes, 208

Marriageable age, 34

Menorrhagia, 81

Menorrhagia, treatment of, 83

Menses, age at which they appear, 37

Menses, names of, 40

Menses, source of, 42

Menses, nature of, 43

Menses, quantity of, 46

Menses, cessation of, 49

Menses, check of, 61

Menses, water-treatment in, 64

Menses, danger of checking the, 79

Menstruation, history of, 34

Menstruation, age at which it commences, 37

Menstruation, symptoms of, 40

Membranes, the, 273

Mental despondency, 201

Midwifery, cases in, 383

Midwifery, history of, 19

Midwifery, Bible account of, 19

Midwifery, American history of, 24

Midwives in France, 23

Midwives in Bible times, 20

Monthly discharge, the, 40

Monthlies, the, 40

Milk-tubes, the, 371

Miscarriage, or abortion, 143

Miscarriage, prevention of, 147

Miscarriage, recurrence of, 149

Morning-sickness, 133, 136

Nausea and vomiting in pregnancy, 132

Navel, healing of, 300

Nervousness, 200

New Zealanders, habits of, 30

Nipple, the, 371

Nipples, sore, 362

Nursing, 308

Nursing, rules for, 310

Otaheitans, habits of, 29

Ovaries, 240

Pain, natural, 256

Pain, after, 328

Pelvis, female, 230

Physical hindrances in pregnancy, 196

Piles, or hemorrhoids, 176

Piles, treatment of, 177

Placenta, the, 272

Pregnancy, signs of, 92

Pregnancy, duration of, 99

Pregnancy, management in, 108, 118, 123

Pregnancy, disorders of, 132

Pressure, evils of, 112

Prolapsus uteri, 430

Pruritus pudendi, 193

Puberty, 34

Puberty, changes at, 35

Puerperal fever, 342

Puerperal fever, case of, 348

Purgatives, 220

Quadrigemini, 317

Quickening, 96, 100

Raynold, Dr., 21

Right side, pain of, 191

Salivation, 182

Sea-sickness, 136

Sexual indulgence, 149

Shippen, Dr., 24

Signs of pregnancy, 92

Skin, office of the, 113

Sleeplessness, 166

Sleeplessness, treatment of, 167

Solar light, effects of, 118

Sore nipples, 362

Spices, 150

Spinal diseases, xii

Sterility, 224

Still-birth, 301

Stomach, cramp of, 186

Stye in the eye, 181

Tea, coffee, and spices, 150

Tennant, Dr. J. B. V., 25

Toothache, 187

Toothache, treatment of, 188

Triplets, 316

Turn of life, 49

Turn of life, management in, 55

Twins. 316

Twin cases, 322

Umbilical cord, the, 292

Urethra, 232

Urinary difficulties, 185

Uterine hemorrhage, 162

Uterus, 234

Uterus, appendages of, 238

Vaccination, 197

Vagina, 233

Vegetarian diet, 127, 150

Veins, varicose, 194

Viability of the fetus, 103

Villiers, Duchess of, 23

Vomiting in pregnancy, 132

Vomiting in sea-sickness, 136

Water-drinking, 129

Water-drinking in sea-sickness, 136

Waters, the, 264

Whites, the, 429

Womb, falling of the, 430

Womanhood, period of, 36

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Symptoms, and Treatment of all known Diseases; Application of
Hydropathy to Midwifery and the Nursery. Designed as a Guide to
Families and Students, and a Text-Book for Physicians. By R. T.
Trall, M. D. Illustrated with upwards of Three Hundred Engravings
and Colored Plates. Substantially bound, in one large volume, also
in two 12mo. vols. Price for either edition, prepaid by mail, in
Muslin, $3 00; in Leather, $3 50.

This is the most comprehensive and popular work yet published on the subject of Hydropathy, with nearly one thousand pages. Of all the numerous publications which have attained such a wide popularity, as issued by Fowlers and Wells, perhaps none are more adapted to general utility than this rich, comprehensive, and well-arranged Encyclopædia.—_N. Y. Tribune._

HYDROPATHIC QUARTERLY REVIEW. A PROFESSIONAL MAGAZINE, devoted to
Medical Reform; embracing Articles by the best Writers on Anatomy,
Physiology, Pathology, Surgery, Therapeutics, Midwifery, etc.;
Reports of Remarkable Cases in General Practice, Criticisms on the
Theory and Practice of the various Opposing Systems of Medical
Science, Reviews of New Publications of all Schools of Medicine,
Reports of the Progress of Health Reform in all its aspects, etc.,
with appropriate Engraved Illustrations. Terms, a Year, in advance,
Two Dollars.

Filled with articles of permanent value which ought to be read by every American.—_N. Y. Trib._

HYGIENE AND HYDROPATHY. THREE LECTURES. FULL OF Interest and
Instruction. By R. S. Houghton, M. D. Price, 80 cents.