298 PRACTICE OF PHYSIC. 



MIX. There are, indeed, some cases of suppression that 

 seem to depend upon a general debility of the system and con- 

 sequently of the vessels of the uterus. But, in such cases, the 

 suppression always appears as symptomatic of other affections, 

 and is therefore not to be considered here. " It is very analo- 

 gous to the case of Emansio, and therefore is to be treated in 

 the same manner." 



MX. The idiopathic cases of suppression (MVIII.) seldom 

 continue long without being attended with various symptoms or 

 disorders in different parts of the body ; very commonly arising 

 from the blood which should have passed by the uterus being 

 determined more copiously into other parts, and very often with 

 such force as to produce haemorrhagies in these. Hence, hae- 

 morrhagies from the nose, lungs, stomach, and other parts, have 

 appeared in consequence of suppressed menses. Besides these, 

 there are commonly hysteric and dyspeptic symptoms produced 

 by the same cause, and frequently colic pains, with a bound 

 belly. 



MXI. In the idiopathic cases of suppression (MVIII.), the 

 indication of cure is to remove the constriction affecting the ex- 

 treme vessels of the uterus ; and, for this purpose, the chief re- 

 medy is warm bathing applied to the region of the uterus. 

 This, however, is not always effectual ; and I do not know of 

 any other remedy adapted to the indication. Besides this, we have 

 perhaps no other means of removing the constriction in fault, 

 but that of increasing the action and force of the vessels of the 

 uterus, so as thereby to overcome the resistance or constriction 

 of their extremities. This, therefore, is to be attempted by the 

 same remedies in the case of suppression, as those prescribed in 

 the cases of retention (MIV. MVL). The tonics, however, 

 and cold bathing (MIV.), seem to be less properly adapted to 

 the cases of suppression, and have appeared to me of ambigu- 

 ous effect. 



MXII. It commonly happens in the cases of suppression, 

 that though the menses do not flow at their usual periods, there 

 are often at those periods some marks of an effort having a tend- 

 ency to produce the discharge. It is, therefore, at those times 

 especially when the efforts of the system are concurring, that we 

 ought to employ the remedies for curing a suppression ; and it 



