re the usual locations. The skin is inflamed thickened, raw, from the
continual scratching."

Symptoms.--The itching and burning are almost unbearable at times,
beginning most often around the clitoris, coming in paroxysms and made
worse by warmth and motion.

In chronic cases the skin is a little thickened and looks dull and dry and
is covered with small cracks and scratches, the result of the patient's
efforts to stop the itching.

[496 MOTHERS' REMEDIES]

Treatment.--Systematic, general tonic treatment. Diabetes, gout,
irritating discharges from the vagina and rectum should be removed. Pin
worms and highly acid urine sometimes cause it in children. Internally the
bromides to quiet the nerves and arsenic to build up the system should be
given.

Local.--Strong solutions of corrosive sublimate (1 to 1000), nitrate of
silver, tincture of iodine, and cocaine ointment give temporary relief.

Sometimes an operation is necessary.

CYSTS OF THE VULVA.--A cyst is a cavity containing fluid and surrounded by
a covering (capsule). The duct (canal) of the gland of Bartholin, situated
in the labia majora, sometimes closes and the secretions of the gland are
not cast out, thus forming the cyst.

Cause.--The closing is nearly always the result of gonorrhea.

Condition.--The cyst is formed in the duct, the gland itself being
affected rarely. It contains a thin sticky mucus. If the cyst arises in
the gland, the swelling is more deeply situated. These cysts may be
attacked with an acute inflammation and finally pus is formed in them, and
a very painful abscess is the result,

Symptoms.--There are no symptoms except from the size of the swelling
unless an abscess occurs. Then there is an acute local pain, quite tender
on pressure, and often high fever.

Treatment.--If the cyst is large it should be removed, especially if it
causes annoyance. If it becomes inflamed, rest in bed and cold
applications are indicated. If it goes on to an abscess, a free cut should
be made, the abscess scraped and good drainage given. Sometimes it is best
to use pure carbolic acid in the walls of the cyst.

INFLAMMATION OF THE VAGINA, (Vaginitis).--Vaginitis is an inflammation of
the mucous membrane of the vagina.

Varieties.--l. Catarrhal or simple 2. granular; 3. gonorrheal; 4.
diphtheritic, and 5. senile.

1. Catarrhal or simple form.--This is the most usual form. There is a
general redness of the membrane with swelling and increase