H7EMORRIIAGIES. 281 



there is, in these particulars, so much uniformity observable in 

 the whole of the sex, that in any individual in whom there 

 occurs a considerable deviation from the common measure, such 

 a deviation, if constantly recurring, may be considered as at 

 least approaching to a morbid state, and as requiring most of 

 the precautions which I shall hereafter mention as necessary to 

 be attended to by those who are actually in such a state. 



DCCCCLXXI. However we may determine with respect 

 to the circumstances, DCCCCLXVIII DCCCCLXIX., it 

 must still be allowed, that the immoderate flow of the menses 

 is especially to be determined by those symptoms affecting 

 other functions of the body, which accompany and follow the 

 discharge. 



When a larger flow than usual of the menses has been pre- 

 ceded by headach, giddiness, or dyspnoea, and has been ushered 

 in by a cold stage, and is attended with much pain of the back 

 and loins, with a frequent pulse, heat, and thirst, it may then 

 be considered as preternaturally large. 



DCCCCLXXII. When, in consequence of the circum- 

 stances DCCCCLXVIII DCCCCLXXI., and the re- 

 petition of these, the face becomes pale ; the pulse grows weak ; 

 an unusual debility is felt in exercise ; the breathing is hurried 

 by moderate exercise ; when, also, the back becomes pained 

 from any continuance in an erect posture ; when the extremities 

 become frequently cold ; and when in the evening the feet 

 appear affected with oadematous swelling ; we may from these 

 symptoms certainly conclude, that the flow of the menses has 

 been immoderate, and has already induced a dangerous state of 

 debility. 



DCCCCLXXIII. The debility, thus induced, does often 

 discover itself also by affections of the stomach, as anorexia 

 and other symptoms of dyspepsia; by a palpitation of the 

 heart, and frequent faintings ; by a weakness of mind liable to 

 strong emotions from slight causes, especially when suddenly 

 presented. 



DCCCCLXXIV. That flow of the menses, which is attend- 

 ed with barrenness in married women, may be generally con- 

 sidered as immoderate and morbid. 



DCCCCLXXV. Generally, also, that flow of the menses 



