﻿1875.] 
  its 
  relation 
  in 
  point 
  of 
  Time 
  to 
  Menstruation. 
  443 
  

  

  a 
  periodical 
  discharge 
  was 
  imminent, 
  though 
  the 
  ovaries 
  contained 
  no 
  

   matured 
  Graafian 
  follicle. 
  It 
  is 
  not 
  improbable 
  that 
  the 
  follicles 
  which 
  

   were 
  found 
  in 
  the 
  three 
  last 
  cases, 
  and 
  which 
  were 
  enlarged 
  to 
  the 
  size 
  

   of 
  a 
  small 
  pea, 
  would 
  have 
  become 
  mature 
  by 
  the 
  next 
  return 
  of 
  the 
  flow. 
  

  

  I 
  have 
  carefully 
  considered 
  the 
  cases 
  recorded 
  by 
  Cruikshank, 
  Jones, 
  

   Paterson, 
  Lee, 
  Girdwood, 
  Negrier, 
  Coste 
  and 
  others, 
  and 
  find 
  that, 
  

   though 
  they 
  do 
  not 
  contribute 
  materially 
  to 
  the 
  solution 
  of 
  the 
  question 
  

   discussed 
  in 
  this 
  paper, 
  yet, 
  in 
  so 
  far 
  as 
  they 
  go, 
  they 
  favour 
  the 
  view 
  

   put 
  forward 
  here 
  — 
  a 
  view 
  which 
  derives 
  support 
  from 
  the 
  custom 
  im- 
  

   posed 
  by 
  the 
  Levitical 
  law, 
  and 
  observed 
  to 
  this 
  day 
  by 
  the 
  stricter 
  sect 
  

   of 
  the 
  Hebrew 
  community. 
  

  

  Postscript. 
  Received 
  June 
  10_, 
  1875. 
  Communicated 
  by 
  

   Dr. 
  Shabpey, 
  E.R.S. 
  

  

  Since 
  writing 
  the 
  above, 
  I 
  have 
  had 
  opportunities 
  to 
  examine 
  two 
  sub- 
  

   jects 
  in 
  whom 
  the 
  date 
  of 
  the 
  last 
  menstruation 
  was 
  known. 
  

  

  The 
  first 
  was 
  a 
  girl 
  aged 
  17 
  years, 
  who 
  died 
  on 
  the 
  fifth 
  day 
  after 
  

   admission 
  to 
  the 
  Middlesex 
  Hospital 
  of 
  traumatic 
  tetanus. 
  She 
  was 
  said 
  

   to 
  have 
  ceased 
  to 
  menstruate 
  just 
  before 
  admission 
  ; 
  and 
  the 
  condition 
  of 
  

   the 
  inner 
  surface 
  of 
  the 
  uterus 
  confirmed 
  that 
  statement. 
  The 
  uterus 
  

   and 
  ovaries 
  were 
  small 
  and 
  imperfectly 
  developed. 
  On 
  the 
  surface 
  of 
  the 
  

   right 
  ovary 
  was 
  found 
  a 
  patch 
  | 
  inch 
  in 
  diameter, 
  slightly 
  injected, 
  and 
  

   presenting 
  a 
  punctated 
  appearance. 
  In 
  its 
  centre 
  was 
  a 
  cicatrix, 
  appear- 
  

   ing 
  as 
  a 
  white 
  spot, 
  beneath 
  which 
  was 
  situated 
  a 
  yellow 
  body, 
  elongated 
  

   and 
  irregularly 
  flattened 
  in 
  shape. 
  This 
  appeared 
  to 
  be 
  due 
  to 
  pressure 
  

   from 
  several 
  Graafian 
  follicles 
  growing 
  in 
  close 
  proximity 
  to 
  it, 
  the 
  

   largest 
  of 
  which 
  was 
  as 
  large 
  as 
  a 
  small 
  pea. 
  The 
  yellow 
  body 
  measured 
  

   nearly 
  \ 
  inch 
  in 
  length 
  ; 
  it 
  had 
  folded 
  walls, 
  and 
  in 
  its 
  centre 
  was 
  a 
  thin 
  

   elongated 
  clot, 
  the 
  middle 
  of 
  which 
  was 
  of 
  a 
  dark 
  colour. 
  

  

  The 
  second 
  subject 
  was 
  aged 
  26 
  years 
  ; 
  she 
  died 
  of 
  Bright's 
  disease. 
  

   The 
  last 
  menstruation 
  began 
  May 
  13th, 
  ceased 
  May 
  19th, 
  and 
  death 
  

   occurred 
  May 
  28th, 
  15 
  days 
  after 
  the 
  appearance 
  of 
  the 
  flow. 
  Haemor- 
  

   rhage 
  had 
  taken 
  place 
  into 
  the 
  superficial 
  tissue 
  of 
  the 
  ovaries, 
  probably 
  

   by 
  reason 
  of 
  the 
  condition 
  of 
  the 
  blood. 
  

  

  In 
  the 
  right 
  was 
  a 
  small 
  superficial 
  prominence 
  formed 
  by 
  a 
  yellow 
  

   body, 
  which 
  measured 
  about 
  § 
  inch 
  in 
  diameter 
  ; 
  it 
  was 
  throughout 
  of 
  

   a 
  yellowish 
  colour, 
  and 
  contained 
  no 
  trace 
  of 
  the 
  colouring-matter 
  of 
  

   blood. 
  On 
  comparing 
  these 
  organs 
  with 
  one 
  another 
  and 
  with 
  those 
  

   previously 
  described, 
  I 
  am 
  led 
  to 
  infer 
  that 
  in 
  the 
  first 
  12 
  to 
  14 
  days, 
  and 
  

   in 
  the 
  second 
  about 
  20 
  days 
  had 
  elapsed 
  since 
  rupture 
  of 
  the 
  follicle 
  

   occurred. 
  

  

  Eeichert 
  has 
  examined 
  23 
  organs 
  in 
  which 
  signs 
  of 
  menstruation 
  were 
  re- 
  

   cognizable. 
  In 
  four 
  cases 
  a 
  Graafian 
  follicle 
  had 
  matured 
  but 
  not 
  ruptured, 
  

   nor 
  had 
  haemorrhage 
  taken 
  place, 
  though 
  the 
  decidua 
  menstrualis 
  was 
  in 
  a 
  

   state 
  of 
  greater 
  or 
  less 
  development 
  ; 
  in 
  eighteen 
  cases 
  a 
  Graafian 
  follicle 
  

  

  