ot fail to bear in mind that no difference
how good the lotions and other local applications may be, your _chief_
reliance in all cases of ulceration of the womb, as well as in those of
simple leucorrhea, must be upon _thorough constitutional_ treatment. To
this end Dr. Pierce's Golden Medical Discovery should be taken three
times a day in doses of from one to one-and-a-half teaspoonfuls one hour
before each meal, and in the middle of the forenoon, in the middle of
the afternoon, and just before retiring for the night, a like amount of
Dr. Pierce's Favorite Prescription should be taken. The use of these
blood cleansing and invigorating tonic medicines should be kept up
_persistently_ for several weeks; for you must not expect a perfect cure
too soon in a malady that has become chronic and seated. The disease
does not become established hastily, but is slow in its inception and
progress, and will only gradually and slowly yield to the best of
treatment, which we believe we have already pointed out. Followed
_earnestly, faithfully_ and _persistently_, the use of the means which
we have suggested will rarely, if ever, fail.

* * * * *

URINARY FISTULA.

A fistula, or false passage, is sometimes formed between the bladder and
the vagina, between the bladder and the uterus, or between the urethra
and the vagina. This passage allows the urine to escape through it into
the vagina, and is a source of great annoyance and suffering. This
affection is most commonly due to sloughing, caused by severe and
long-continued pressure upon the parts during child-labor. It is also
sometimes produced by the unskillful use of forceps and other
instruments employed by midwives. Syphilitic and other ulcerations may
so destroy the tissues as to form a urinary fistula.

TREATMENT. The treatment is purely surgical, and consists in paring the
edges of the opening so as to make them raw, bringing them together and
holding the parts thus by means of stitches until they heal. By the aid
of a speculum, properly curved scissors, needles with long handles, fine
silver wire, and a few other instruments and appliances, the skillful
surgeon can close a urinary fistula with almost as much ease as he can
close a wound on the surface of the body.

* * * * *

DISORDERS INCIDENT TO PREGNANCY.

While some women pass through the whole period of pregnancy without
inconvenience, o