OBSERVATIONS ON CASES OF LEUCORRHCEA. 809 
quey; the disease had arisen entirely from checked embryotic 
The other proximate causes of leucorrhoea may be summed 
up as follows, namely, as a sequel of endometritis, as a sequel 
of purpura hsemorrhagica, as a concomitant of cancer in the 
uterus, as a product (by irritation) of miliary tubercular 
deposit on the inner surface of the walls of the uterus, and, 
finally, it may arise from polypus or fungous excrescence in 
the uterus. 
The real nature of the disease is simply the production of 
a certain discharge, either mucous, muco-purulent, or puru¬ 
lent, according to the amount, character, and site of the irri¬ 
tation produced by any of the causes mentioned. The 
production of an abnormal and pathological fluid, of no 
invariably definite colour or consistence, is the chief charac¬ 
teristic of leucorrhoea, and an examination of this fluid will 
at once show the nature of the local causative disease. If 
the discharge be entirely mucous we have merely an unhealthy 
and over-secretion from the mucous follicles, glands, and 
crypts ; if muco-purulent, slight chronic inflammation, and, 
perhaps, even ulceration will be present, and if altogether 
purulent, a greater or less degree of thickening, chronic in¬ 
flammation, and ulceration, will be almost universally present 
in the uterus. 
The treatment , or rather the mode of treatment, of leuco- 
rhoeal cases will, of course, vary according to their site and 
nature. Speaking in a broad and general way, I may safely 
say that I have found sulphate of copper to be a sort of sine 
qua non in the treatment, both locally and constitutionally, 
of this disease. After thoroughly syringing out the affected 
parts with warm water, the injection of a weak solution of 
Cupri Sulphatis is very beneficial, and, in severe cases, drachm 
doses for a mare or cow of Cupri Sulph., morning and evening, 
will be found to have a very telling effect. 
In uterine leucorrhoea the process of syringing out with warm 
water must begone about with considerable tact and caution. 
It is best to do it immediately after one of the usual discharges, 
as the os and cervix uteri will then be partially dilated, other¬ 
wise the opening of these will create an untoward amount of 
irritation, and bring on rather severe pains. Having ascer¬ 
tained that the os uteri is in a relaxed or open condition, I 
introduce into the uterus a long elastic tube, which is fas¬ 
tened to the end of a common clyster-pipe or syringe, and 
thus inject as much warm water as the uterus will hold. As 
soon as I think the most of this injected warm water has 
escaped or been expelled from the uterus, I proceed in the 
