INTERRELATIONS OF SECRETIONS 55 



need them and discontinued. All this time the nervous 

 symptoms were present and she was told that all 

 women went through it, but that violet ray exposures 

 would help. At this time she wrote to the author and 

 was put on a combined extract as above described. In 

 two months the nervous symptoms had disappeared and 

 have not returned for one year. Treatment was per- 

 sisted in for four months. 



Case 2. Mrs. E. L., age 42, has had nine normal 

 children and no miscarriages, and always felt well until 

 a short time before presenting herself for examination 

 (November, 1918) . Past history negative. 



Present History: Had missed menstruation several 

 times in the past year and the last few times "flooded 

 terribly" when menstruation came; has not felt well 

 and been nervous and weak, especially of late ; has lost 

 the interest in home she used to have; blood-pressure 

 S. 130, D. 92. Adnexa were normal and there were no 

 signs of fibroids or malignancy. 



"This patient was given corpus luteum for two 

 months and as a result she felt a good deal better, and 

 she had begun to think her troubles were over when 

 she had another attack of menorrhagia. This was se- 

 vere. As they lived 25 miles away the husband came 

 alone as he did not wish to aggravate the hemorrhage. 

 This time the combined extracts were given but were 

 continued only 33 days, as she felt so much better. 

 There was no report until June, 1920, when the hus- 

 band again reported a 'slight show' and for the last 

 month some nervous symptoms. Again the same com- 

 bination was given with prompt clearing up of all 

 the symptoms until the last report, a week ago, at 

 which time the same treatment was advised for an- 

 other month/' 



These few case histories are but a meagre offering 

 to the clinical side of the results of study of the close 

 relationship of the internal secretions. The cases are 

 picked at random and offer additional evidence of the 

 importance of the endocrine balance in clinical prac- 

 tice. 



Man is not a well or normal being when his endocrine 

 organs are not properly balanced, and his feeling of 



