Applications of nitrate of silver are followed immediately by an apparent im provement or cure; but further observa tion will show that the treatment has left an atrophic, and irri table endometrimn. There is no such objection to the use of the curette. L. J. Brooks (N. Y. Med. Jour., Dee. 5, '06).
Three-per-cent. solution of lactic acid injected into the vagina overcomes the odor that may be present in cases of lett corrlura, changes the color of the dis charge, and may be used without danger in ambulatory practice and in cases of salpingo-o6phoritis. In certain cases the intra-uterine employment of a stronger solution may he substituted for the use of the curette. Ilkewitsch (Centro,lb. f.
TeXfLS Med. News, Dec., '07).
Naphthalin gives excellent results in cases in which there is no general septi etcmia. After drying the endometrium with dry tampons. or curetting in re tained placenta, a long strip of iodoform gauze (3 per cent.) is dipped into ichthyol-glycerin (1 to 8), squeezed out, and powdered abundantly with finely powdered naphthalin. This strip is then used to tampon the uterus, leaving tile tampon in position for from six to twelve hours. The temperature usually- falls tG normal two or three hours after remov ing the tampon; the discharge loses its feetidity and recovery is inaugurated. If this does not occur, a second tampon should be inserted twelve hours after the removal of the first. Kirzner (Med.
News, July 28, 1900).
When there is tenderness or irritation in the tissues beside the uterus, curettage and intra-uterine medication are liable to do more harm than good. In such eases a copious hot vaginal douche (120° F.) should be taken at or near the noon hour, followed immediately by two hours of rest in the recumbent position, and another douche at bed-time followed by the introduction into the vaginal vault of a tampon saturated with a 10-per-cent. solution of ichthyol in glycerin. The tampon is removed when the noonday douche is taken.
Laxatives, tonics, massage, regulated out-of-door exercise, and restriction of coitus are useful adjuvants.
Good results from intra-uterine gal vanism. Lapthorn Smith (Amer. Jour. of Obstet., Sept., '95).
For catarrhal endometritis an hypo dermic of strychnine and atropine each morning, and at night a cold salt-water bath followed by vigorous rubbing with Turkish towels advocated. J. E. Free (Amer. Jour. of Obstet., Mar., '96).
Endometritis with stenosis and py ornetra (so-called senile endometritis) should be treated on the same principles as any pus-cavity, viz.: dilatation of the cervix for drainage, and the washing out of the uterus with antiseptic solutions once or twice daily.