On diseases of women and ovarian inflammation : in relation to morbid menstruation, sterility, pelvic tumours, and affections of the womb / by Edward John Tilt.
- Edward John Tilt
- Date:
- 1853
Licence: Public Domain Mark
Credit: On diseases of women and ovarian inflammation : in relation to morbid menstruation, sterility, pelvic tumours, and affections of the womb / by Edward John Tilt. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
161/340 (page 137)
![worse at the menstrual epochs. We sent her to Mr. Startin, who cured the cutaneous eruption. * If cutaneous eruptions very seldom owe their origin to the men- strual function, during the period of its full performance, they are of frequent occurrence dui'ing the jDi^odroma of first menstruation, and until it is regularly established. Those who attend large girls' schools know how frequently acne and other skin diseases appear on the face, the back, and shoulders during that time, and how quickly they disappear when menstruation has become regular. Baron Alibert related to us that he had observed some cutaneous eruptions to a])pear twice only in life—once before first menstruation, and once at its cessation. In our own practice, we have twice seen these epochs preceded by an abundant eruption of boils. Case 33.—Maria B., aged fifty, first menstruated between her eighteenth and nineteenth years with little previous disturbance, and continued regular until twenty years of age, when she married. She has had nine children, the last Avhen forty-four years of age. At forty-eight, she had several floodings, but without much increase of pains in the head. The catamenia ceased at forty-nine; this was fol- lowed by no disturbance of health, except by a severe attack of nettle- rash, three months after, on the chest and body, which disappeared on the proper medicines being administered; twice, however, it has recurred at irregular periods, and on the 28th of March last, she applied for relief at the Farringdon Dispensary, for a fourth well- marked attack of the disease on the lower part of the body and thighs. As this patient had never before had the slightest rash, and as this nettle-rash has appeared four times in the year which has elapsed since cessation, we believe it to have been caused by this crisis, as in the case cited by Tissot, of erysipelas of the face occurring fifteen times during the two first years after cessation, less frequently during the two next years, and only once during the fifth year. These are, however, rare instances, and, generally speaking, cessation takes place without any cutaneous erui^tion. THERAPEUTICAL INDICATIONS. 1. To relieve the irritability of the nervous system by the sedative preparations already recommended. 2. To relieve the vascular plethora resulting from the subsidence of a periodical flow of blood, by taking from three to four ounces of blood from the arm at successive months. 3. To relieve the skin itself by tepid baths. 4. To direct to the kidneys the saline matters which are otherwise removed by perspiration. Further information and details respecting the use of mineral waters, at the change of life, will be found in our work on The Pre- servation of the Health of Women at the Critical Periods of Life. URINARY DEPOSITS DURING MENSTKUATION. We have repeatedly compared the morbid functions of the gan-](https://iiif.wellcomecollection.org/image/b21081189_0161.jp2/full/800%2C/0/default.jpg)