The curative treatment of gonorrhcea in women consists of rest, thorough cleansing by douches containing some antiseptic solution, and local applica tions. If the vagina or vulva be af fected, it should be douched every three or four hours with 1 to 5000 bichloride solution or lysol solution. Local application of 1-per-cent. nitrate of silver or 2-per-cent. protargol should be made to the urethra once every twenty-four hours. The solutions ap plied to the vulva, vagina, and cervix should be stronger. For this purpose tincture of iodine or 5-per-cent. nitrate of silver may be employed. These appli cations should be made once a day for three or four days and then every sec ond day until all evidences of inflamma tion have disappeared. If the cervix is enlarged and congested it should be de pleted by local blood-letting once a day for two or three days. Should an ab scess form in the vulvo-vaginal glands it should be opened and treated in the usual way. J. B. Killebrew (MedicaL News, Jan. 23, 1902).
URETIIRA.—In the period of incuba tion, the changes in the external meatus, and the appearance of the discharge, gonorrhoea of the urethra in women is identical with that observed in men. There is frequent urination, attended with a scalding sensation, and the dis charge may irritate the parts contiguous to the meatus, adding to the suffering.
The bladder is apt to become affected, owing to the very short urethra, in which case the frequence of urination and tenesmus may be extreme.
In severe cases much benefit will be obtained by putting the patient at abso lute rest. Frequent external bathing of the parts with water as hot as can be borne, to which a little bicarbonate of soda or borax has been added, will help to allay the inflammation and insure cleanliness. Internally, some form of potash—the citrate or bicarbonate or even the liquor potassw—is indicated to give a faint alkaline reaction to the urine, which should be tested frequently and the dose of the drug regulated ac cording to the effect. Water should be partaken of freely. The urethra should be irrigated by some form of reflux cath eter, or by Nelaton catheter of small size, which will permit the fluid to flow back around the instrument. The for /nuke given under the treatment of gonorrhea on p. 633 are to be employed, and the patient should invariably uri nate before the irrigation to cleanse the canal of discharge. The strength of the solution should be very weak in the be ginning of the treatment, but should be increased as the acuteness of the symp toms subsides.