The principles and practice of midwifery : with some of the diseases of women.
- Milne, Alexander
- Date:
- 1871
Licence: Public Domain Mark
Credit: The principles and practice of midwifery : with some of the diseases of women. Source: Wellcome Collection.
Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.
617/680 page 585
![(“ The Pathology and Treatment of Leucorrhcca London, Churchill, 1855), is of opinion that the glan- dular apparatus of the cervix, so ably treated of by himself and by Dr Hassal (see vol. xxxv. of the “Lend, hied. Chiinrg. Trans.”), is the principal area involved ; but othei-s include tlie mucous membrane of the body of the uterus, and also of the vagina. Doubtless, as shown by Dr Smith, the glands of the cervix are ex- ceedingly numerous, and probably, therefore, play a very important part; but we must not conclude that the amount furnished higher up is altogether insignifi- cant in quantity. There are some facts which rather lead us to an opposite conclusion. For example, a muco-purulent discharge is often copiously poured out from the cavity of the body of the uterus after the ces- sation of the coloured lochial discharge. (2.) During menstruation, mucus and epithelium are largely mixed with the sanguineous discharge, and both precede and follow it in many cases. At this period the mucus cannot come from the cervix, because its vast and intricate glandular ap])aratus is supposed to be inactive and quiescent at that time. Moreover, on examining a uterus after death, the mucus and epithelium have been detected on the membrane of the cavity. (3.) In cases of inversion, the same secretion has been wit- nessed in the same part of the uterus. The Fallopian tubes are believed by some authors, such as Hennig, to contribute some of the secretion at times. They are liable to morbid dilatation and catarrh, during which muco-piirulent discharge is j)ro- duced. As regards the vagina, its lining membi'ane is be- strewed with numerous follicles, which secrete a muciis of a somewhat different and variegated character. Its secretion, as we before noticed, Ls acid; and Donne, on examining it by the micro.scope, found animalcules (trichomonata) interspersed throughout it in considei-- able numbers. Scanzoni is of opinion that the.se exist](https://iiif.wellcomecollection.org/image/b24991235_0617.jp2/full/800%2C/0/default.jpg)
