Diseases of women : including their pathology, causation, symptoms, diagnosis, and treatment a manual for students and practitioners / by Arthur W. Edis.

  • Edis, Arthur W. (Arthur Wellesley), 1840-1893.
Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of women : including their pathology, causation, symptoms, diagnosis, and treatment a manual for students and practitioners / by Arthur W. Edis. Source: Wellcome Collection.

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    with borax or carbolic acid lotion (Jss ad Oj). A solution of ordinary salt (§ss ad Oj), or of tincture of ii'on (|ss ad Oj), or infusion of quassia, must be injected jyer rectum, and the patient put on a mixture of iron and quinine, in combination with strychnia and quassia or cahimba, the bowels carefully regulated, and the injection repeated if considered necessary. H follicular vulvitis be present, strict cleanliness must be ob- served, fomentations or poultices being applied if requisite. Touching the inflamed points with the solid nitrate of silver often acts very beneficially. The parts may then be swathed and protected from further irritation by smearing over the surfxce chloroform (5j) and almond oil {%]), or dilute hydrocyanic acid (5j) with acetate of lead (gr. x) and vaseline or spermaceti ointment (§j). This condition is not infrequently met with during pregnancy. Where ajMica exist, a solution of borax (5iv) with morphia (gT. viij) in rose water (Jviij) will be found very efficacious, or a com- bination of the glycerate of borax (Jj) with glycerate of carbolic acid (5ij-5iv) in rose water (Jviij). An ointment of ungt. hydrarg, oxidi rubrum (5iv) with cod-liver oil (5iv) has also been found very successful. Should any ivarts be found, they must be removed by sharp curved scissors and an astringent lotion, such aszinci sulph. (gr. x-xx) aquae (Jj) applied for a few days, the parts being dusted over with calo- mel and kept very dry if any tendency to their recurrence be noticed. If any short hristhj hairs on the mucous surface of the labia be detected, they must be removed by depilation, a pair of forceps, aided by the use of a magnifying-glass, being employed. Where there is no abnormal condition of the vulva other than what can be attributed to scratching, care should be taken to examine carefully the condition of the uterus and vagina. It will frequently be found that some unhealthy secretion from the os or cervix, or from the vagina itself, more especially during the early months of preg- nancy and at the climacteric j^eriod, by passing over the skin causes considerable irritation, and produces the most intolerable itching, smarting, or burning. Should the os uteri be found to be granular, the application of the nitrate of silver, carbolic acid, or other caustic, as before mentioned, must be resorted to. If any uterine mischief exist, it must be treated on ordinary prin- ciples; frequent' vaginal ablutions, sitz baths, soothing lotions, and other remedies being used as may be indicated. It is in these cases specially that a plug of cotton-wool inserted just within the vaginal orifice serves to prevent any secretion coming down to irritate the parts, and thus removes the exciting cause of the pruritus. The ' vaginal rest' occasionally proves an effectual remedy in those cases where it is more pruritus vaginae than vulvae. Pruritus vaginae generally occurs in conjunction with pruritus vulvae, but may occasionally be found to exist as a primary affec- tion. It may be idiopathic, or symptomatic of disease in the uterus, vagina, or ovaries.