the vagina,
violent and throbbing pains in the pelvis, and the discharge is profuse
and very offensive. There is also a frequent desire to urinate, and the
passage of the urine causes a sensation of scalding.

PRURITUS VULVAE. The discharge irritates the nerves of the external
genital parts, thus producing an almost unendurable itching. Scratching
or rubbing the parts only aggravates the affection. The patient is
tormented night and day, is deprived of sleep, and naturally becomes
despondent. Pruritus vulvae, in its severest forms, is often developed
when the discharge is scarcely noticeable. It is the most common result
or accompaniment of leucorrhea.

VULVITIS. This term indicates an inflammation of the lining membrane of
the external genital parts. Sometimes the inflammation extends to the
deeper tissues, causing great pain, and even suppuration, resulting in
the formation of an abscess. The attack is indicated by redness,
swelling, and a feverish state of the affected parts, which is quickly
followed by a profuse flow of yellow pus, and, in some instances, small
ulcers are formed on the affected parts.

SYMPTOMS. The sufferer from leucorrhea becomes pale and emaciated, the
eyes dull and heavy, the functions of the skin, stomach and bowels
become deranged, more or less pain in the head is experienced, sometimes
accompanied with dizziness, palpitation is common, and, as the disease
progresses, the blood becomes impoverished, the feet and ankles are
swollen, the mind is apprehensive and melancholy, and very frequently
the function of generation is injured, resulting in complete sterility.
Exercise produces pain in the small of the back and the lower portion of
the spine, and, owing to a relation of the vaginal walls, the womb falls
far below its natural position, or turns in various directions,
according to the manner in which the weight above rests upon it. Ulcers
are apt to appear upon the mouth of the womb, the matter from which
tinges the discharge and stains the linen. Hysteria is often an
attendant of this disease.

CAUSES. The immediate cause of leucorrhea is either congestion, or
inflammation of the mucous membrane of the vagina or womb, or both. The
exciting causes are numerous. Among others, deranged menstruation,
prolonged nursing of children, pregnancy, abortions, excessive
indulgence in sexual intercourse, uncleanliness, piles, uterine ulcers,
and displacement of the womb, are the most common. In brie