Lectures on inflammation and ulceration of the cervix uteri / by Henry Miller.

  • Henry Miller
Date:
[1855?]
Catalogue details

Licence: Public Domain Mark

Credit: Lectures on inflammation and ulceration of the cervix uteri / by Henry Miller. Source: Wellcome Collection.

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    is here exhibited. But admitting the truthfulness of his observa¬ tions, still, on the principle which I have endeavored to establish, in all the cases of deranged menstruation in which no other cause could be assigned, the ulceration is fairly entitled to claim the pater¬ nity, and these make its progeny as numerous as that of all other causes united. 3. Parallel between the two classes in their relation to leu- corrheal discharges. The object of the comparison is to deter¬ mine whether such discharges are more frequent, more profuse, or furnished from a different source where ulceration exists, than in cases where it is absent. These particulars are exhibited, as usual, in tabular form; nearly an equal number of cases of leu- corrhea with and without ulceration are contrasted, from which it is to be inferred that leucorrhea is nearly as often met with and may be equally profuse, where there is no ulcerative disease what¬ ever. The source of the discharge was determined in eighty of the non-ulcerative, and eighty-five of the ulcerative cases, viz:— in fiftv-four of the former, it was from the uterus, in nineteen from «y ' ' the vagina, in seven from both—80; while in fifty-three of the latter the discharge was from the uterus, in six from the vagina, in eight from both, also, in twelve, in an appreciable degree, from ulceration, in only six from ulceration alone—85. By the discharge being from the uterus, Dr. West evidently means from the body of the organ, for in remarking on opinions contrary to his own, he says: aThe discharge is supposed to be furnished either from the ulcerated surface itself, or from the in¬ flamed and irritated canal of the cervix.” This table, if it is to be received, develops the most astounding of all the disclosures of our lecturer, seeing that leucorrheal discharges have their source in the body of the uterus, whether there be ulceration of the os or not; in twelve cases, truly, the oral ulceration helped to swell the tide, but in only six was it the fons et origo! I am free to con¬ fess that, if it can be established by accurate observation that leu¬ corrhea is independent of disease of the cervix, to the extent indi¬ cated by this table, the controversy is ended and Dr. West has exploded a pernicious error. The cervix is, in my opinion, the predominant and almost exclusive seat of leucorrhea, and to this portion of the uterus are nearly all local remedies for the malady
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