Issue 10, pp. 753-832, October 1861, SMSJ

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I.ji -/'.893a speedier cure. It has been stated by Nonat that this mod\
802 Uterine Inflammation. [<strong>October</strong>,hymen—an operation which is very rarely required. I havefrequently made these injections in many cases, and I donot (nice remember having traced monorrhagia to their administration.I mention this as it seems to have oftenoccurred in the practice of Dr. Fleetwood Churchill. Somany serious accidents have followed the injection of thesolution of nitrate of silver into the body of the womb,that I prefer using tincture of iodine in solution wheneverintra-uterine injections may be required. In very rare casesof chronic internal metritis it may even be necessary to a<strong>pp</strong>lythe solid nitrate of silver to the internal surface of thebody of the womb, as well as to adopt other modes oftreatment, for an account of which I refer the reader to mypapers on the Treatment of Internal Metritis.*In follicular inflammation of the labia in eczema andprurigo pudendum, or pruritus both external and vaginal,a piece of cotton wool should be soaked in the solution ofnitrate of silver, and carefully rubbed for two or three minutesover the diseased portions of the skin and mucousmembrane. I can speak with confidence of this plan, for Ihave lately cured several patients who had been sufferingin this way for four, eight, and thirty years. When caseshave lasted so long the pudendal skin looks and feels likeparchment. It was so in the case of a lady in whom thedisease had lasted tor thirty years, and I first rubbed in thesolution every day, then every other day, then every fourthand fifth day, until the skin became soft and pliable, andthe sleep was no longer disturbed in darts of pain flashingalong the nerves. This patient was cured in three months.and has had no relapse during the last year.I trust I have said enough m praise of nitrate of silver :but in many forms of uterine inflammation much more severeagents are required to restore the womb to a healthystate. This fact is admitted by so many authorities at home,in America, or in foreign countries, that I am surprised tofind the contrary asserted by Dr. Meigs and Dr. TylerSmith. After describing the evil effects of caustics in thetreatment 'of uterine disease, the latter pathologist, in hiswork on "Leucorrhea," (p. 203) gives as his opinion that'•there is no good which can be effected by the more powerfulcaustics which cannot be accomplished by the nitrateThe Lancet, 1853, vol.
Page 1 and 2: SOUTHERNfttcMcai avto Surgical Imtt
Page 3 and 4: practical754 i;i'Ji J'oXes, on the
Page 5 and 6: 756 Joseph Jones, on the Indigenous
Page 7 and 8: ;7 58 Joseph J ones, on the Indigen
Page 11 and 12: 762 3EPflJoKfis, bn the Indigenous
Page 15 and 16: 7'!
Page 17 and 18: —'.emeticssbfhJohi[Octobameliorat
Page 21 and 22: 77-? Joseph Jones, on the Indigenou
Page 23 and 24: 7 74 Joseph Jones, on the Indigenou
Page 25 and 26: 776 Joseph Jones, on 1 the Indigeno
Page 29 and 30: 780 Joseph Jokes, on (he Indigenous
Page 33 and 34: :784 Joseph Jones, on the Indigenou
Page 35 and 36: —786 Joseph Jones, on the Indigen
Page 37 and 38: 788 Dvphtlima. [October,to confound
Page 39 and 40: 700 Diphtheria. [October,*almost in
Page 41 and 42: 792 Diphtheria. [October,in water a
Page 43 and 44: 704 Diphtheria: [October,find favor
Page 45 and 46: 796 Diphtheria. [October,tongue. \)
Page 47 and 48: 798 Uterine Inflammation. October,b
Page 49: 800 Uterine Inflammation. [October,
Page 53 and 54: elhrai804 me Inflammation. [October
Page 55 and 56: ;806 Phlegmasia Dolens. [October,Th
Page 57 and 58: SOS Termination ofNerves. [October,
Page 59 and 60: cl Termination of Nerv October,] to
Page 61 and 62: —812 Development of Bloodvessels.
Page 63 and 64: —814 ( orpuscles of the Spleen. [
Page 65 and 66: —Mi; Ammomcemh. [October,tubes in
Page 67 and 68: 818 Ammoniamia. [October,v^^%/\yof
Page 69 and 70: 820 Arnmoniccraia. [October,combine
Page 71 and 72: 822 Ammonicemia, [October,all, requ
Page 73 and 74: 824 Galcano Cautery in Cataract. [O
Page 75 and 76: —826 Editorial. [October,MEDICAL
Page 77 and 78: ———828 Miscellaneous. [Octobe
Page 79 and 80: ———830 Miscellaneous. [Octobe
Page 81: —832 Miscellaneous.was employed f

Issue 10, pp. 753-832, October 1861, SMSJ

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