ulating, while in this disease, clots are often
formed.

SYMPTOMS. In women of a _plethoric_ habit, it is ushered in by itching
and heat in the vagina, pain and a feeling of weight in the loins and
lower part of the abdomen, and, at times, the breasts become hot and
painful. There is considerable thirst, headache, and giddiness. At last,
the blood appears and flows profusely, and all the violent symptoms at
once subside. The rest of the period is marked by an inordinate flow,
leaving the system weak from the loss of blood. It oftener occurs,
however, in persons who are naturally weak and delicate, in which case
the periods are more frequent and continue longer, and after a time they
are renewed by any bodily exertion or mental emotion, so that a constant
drain exists. If the flow of blood is not continuous, leucorrhea
intervenes. The patient gradually loses strength and becomes languid,
her face is pale and usually bloated, livid circles appear around the
eyes, the appetite is impaired, the bowels are constipated, and the feet
and ankles swollen. Lack of blood in the brain is indicated by headache,
ringing in the ears, and dizziness. The patient is nervous and
irritable, being disturbed by the slightest noise, and the heart
palpitates after the least exertion.

CAUSES. The _first_ form is caused by eating too much rich and
highly-seasoned food, drinking wine, porter, ale, or beer, want of
exercise, in brief, whatever induces plethora; the _second_ results from
an insufficient or poor diet, leucorrhea, frequent abortions, want of
ventilation, inherent feebleness, and whatever depresses the vital
powers. Either form may be due to syphilitic taints, excessive sexual
indulgence, accidents of pregnancy, or organic diseases of the womb. The
morbid affections of the womb most likely to induce menorrhagia, are
granular ulceration of its mouth and neck, fungous degeneration of its
lining membrane, and tumors within that organ. As these subjects will be
severally considered hereafter, we shall here dismiss them with this
brief notice.

Profuse menstruation is very prone to occur in young women of a
lymphatic temperament, whose organs are sleazy in texture.

TREATMENT. To control the excessive flow, the patient should remain in
her bed, and assume the recumbent position until the period is passed.
If circumstances prevent strict compliance with this rule, it should be
observed as nearly as possible. Warmth should be applied to