In the amenorrhoea following sea voyages the preparations of manganese and oxalic acid hold the first place.
In amenorrhoea following a sea-voyage a valuable combination is peptonate of iron with manganese. Oxalic acid com bined with the iron and manganese in the following formula especially valu R Oxalic acid, 4 grains.
Peptonate of iron, 46 grains. Peptonat • of manganese, 160 grains. Elixir of Curacoa, 2 ounces.
Water. 6 ounces.
M. Sig.: A tablespoonful in a glass of milk three times a day.
This simple plan, with a well-regulated diet of eggs, fish, meats, oysters, milk, and vegetables that are rich in organic iron may be all that is required. II. C. Bloom (Univ. Med. Mag., Dec., '96).
When the manganese preparations fail, santonin, 10-grain doses at bed-time, is especially valuable in chlorotic subjects.
[Santonin, given in 10-grain doses at night, is a most reliable emmenagogue, particularly in ehlorotic patients. Ex perience based upon a large number of eases. RINGER. Corr. Ed., Annual, '89.] [We have seen it used with good effect. MENDE and WELLS. Assoc. Eds.. Annual, '89.] The preparations of manganese and santonin may be given simultaneously: 1 grain of santonin at night and potas sium permanganate .n 1- to 2-grain doses thrice daily. Panecki (Amer. Jour. of the Med. Sciences, July, '94).
Senecio jacobrea is useful in functional amenorrhoea, as it not only anticipates the period, but increases the quantity. In many cases it relieves the accompany ing pain and not infrequently the head aches from which some women suffer at such periods. The action of senecio jacobeea resembles that of potassium per manganate and is especially valuable in functional amenorrhoea. It causes the regularity and the copiousness of the flow. William Murrell (Brit. Med. Jour., Mar. 31, '94).
In stout chlorotics the amenorrhoea should be combated by tincture of sene eio vulgarls, in 1- to 2-drachm doses three times daily. This drug tends to reduce the local pain and the headacke. R. J. E. Young (Edinburgh Med. Jour., Sept., '94).
Six cases. Blood-count in one case showed: red cells, 3,000,000; hemoglo bin, 52 per cent. Placed on ferratin,
S grains four times daily, with aloetic purges, combined with perfect rest, and rose to: red cells, 4,600,000; hemoglo bin, 92 per cent.
The following combination is recom mended:— 3 Ferratin, 3 drachms.
Ext. of aloes, 14 grains.
Ext. rhei comp., 9 grains.
M. Sig.: Make into 30 tablets; take 1 or 2 tablets twice daily. C. E. Williams (Amer. Therapist, Aug., '07).
In amenorrhoea, following combination gives good results:— 3 Myrrh, Aloes, Reduced iron, of each, 75 grains.
Extract of valerian, a sufficiency.
M. Divide into 120 pills, to be kept in powdered cinnamon. Dose, five pills three times a day. °esterlen (Centralb. f. die gcsammte Ther., Feb., '98).
The general system should be invig orated by attention to diet, sleep, and clothing. Out-of-door, light exercise and sunlight are most important. This is especially the case when there is rap idly increasing obesity. In the latter case the diet should be regulated, saline laxatives administered, or a cure at Marienbad recommended. Stimulation of the ovaries and uterus by the faradic current is especially efficient in these cases.
Cupping or scarifying the cervix is sometimes successful. These means in crease the pelvic congestion and tend to counteract uterine or ovarian torpidity.
Rudimentary organs or atrophy of the uterus, if not too great, should be treated by dilatation of the uterus with tents and stimulated by the faradic current. Exercise and nourishing food should also he given. Sea-bathing is of assistance in such cases.
The rheumatic diathesis occasionally plays a part as an etiological factor. In such cases the ammoniated tincture of guaiac, 1 drachm in milk three times a day, or the tincture of colchicum-root, 10 drops every three hours until the bowels become free, will sometimes re store arrested menstruation. The salic ylate of sodium is also valuable in this connection. Apiol, 4 grains daily in 1-grain pills, for fifteen days, has given good results.