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water, because it was said that she did not feel the want of it and could not retain anything upon her stomach. During this time the ordinary secretions were suspended." Fournier mentions a statesman of forty-five who, following great Cabinet labors during several years and after some worriment, found that the day after indulging in sexual indiscretions he would be in a febrile condition, with pains in the thighs, groins, legs, and penis. The veins of these parts became engorged, and subsequently blood oozed from them, the flow lasting several days. The penis was the part most affected. He was under observation for twenty months and presented the same phenomena periodically, except that during the last few months they were diminished in every respect. Fournier also mentions a curious case of diapedesis in a woman injured by a cow. The animal struck her in the epigastric region, she fell unconscious, and soon after vomited great quantities of blood, and continued with convulsive efforts of expulsion to eject blood periodically from every eight to fifteen days, losing possibly a pound at each paroxysm. There was no alteration of her menses. A physician gave her astringents, which partly suppressed the vomiting, but the hemorrhage changed to the skin, and every day she sweated blood from the chest, back of the thighs, feet, and the extremities of the fingers. When the blood ceased to flow from her skin she lost her appetite, became oppressed, and was confined to her bed for some days. Itching always preceded the appearance of a new flow. There was no dermal change that could be noticed. Fullerton mentions a girl of thirteen who had occasional oozing of blood from her brow, face, and the skin under the eyes. Sometimes a pound of clots was found about her face and pillow. The blood first appeared in a single clot, and, strange to say, lumps of fleshy substance and minute pieces of bone were discharged all day. This latter discharge became more infrequent, the bone being replaced by cartilaginous substance. There was no pain, discoloration, swelling, or soreness, and after this strange anomaly disappeared menstruation regularly commenced. Van Swieten mentions a young lady who from her twelfth year at her menstrual periods had hemorrhages from pustules in the skin, the pustules disappearing in the interval. Schmidt's Jahrbucher for 1836 gives an account of a woman who had diseased ovaries and a rectovesicovaginal fistu
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