98 THE INTERNAL SECRETIONS 1920 



Case II. An unmarried female, 29 years of age. 

 Chief complaint, pain in the back, radiating down the 

 thighs to the inner aspect of the knee. Pain absent 

 during menstruation and markedly relieved by permit- 

 ting herself to remain constipated for three days. 

 These pains had commenced at her nineteenth year and, 

 at times, were so violent as to incapacitate her for work. 

 When she was twenty-seven years old both ovaries were 

 removed (diagnosis: chronic oophoritis, cystic ova- 

 ries) . There had been no relief of the pain except for 

 two months directly after operation. At present, she 

 also complains slightly of the usual symptoms asso- 

 ciated with the surgical menopause. 



Physical examination : Five pounds overweight, all 

 reflexes extremely active, properly corrected error in 

 ocular accommodation, pelvis negative except for ex- 

 tremely sensitive areas in both lateral fornices. 



While therapeusis will be considered later it may be 

 noted here that the pain was relieved by organothe- 

 rapy. 



Case III. Married female, aged 42 years. For the 

 past eight years she has suffered from a backache and 

 what has been diagnosed as a chronic sciatica of the left 

 leg. No treatment which had been applied relieved the 

 pain in the back. The pain in the leg is intermittent 

 and is always relieved at the establishment of men- 

 struation. Menses normal up to two years ago; since 

 then, irregular (over time) and profuse. She has four 

 children alive and well. 



Physical examination: Overweight 28 pounds, 

 marked hirsuties on lip and chin ; mitral endocarditis ; 

 blood pressure 160 mm. systolic, 110 diastolic; abdo- 

 men pendulous ; lacerated cervix and perineum, the lat- 

 ter supported by a properly-fitting pessary ; slight vari- 

 cosities of right leg; moderate degree flat feet, sup- 

 ported by properly fitted arches; mild secondary 



