The time of life at which the monthly discharge ceases, which usually takes place between the ages of forty-five and fifty, is always a very critical one to women, as the constitution then undergoes a very considerable change; and it not unfrequently happens that chronic complaints then arise which create much disturbance, and seriously interfere with the health and future comfort of the individual.

The discharge seldom ceases all at once, but for some time before its stoppage becomes somewhat irregular, both as to the period of its appearance, and also as to the quantity.

When the discharge ceases to appear, suddenly, in a woman of a full, plethoric habit, she should be careful to confine herself for some time to a more spare diet than usual: she should also take regular exercise, and keep her bowels open by the use of some mild purgative, such as the Lenitive Electuary, Milk of Sulphur and Magnesia, or the Compound Rhubarb Pill.

Where the patient is troubled with pains and giddiness in the head, with a sensation of fulness in the blood vessels, two or three leeches applied to the temples, and putting the feet in hot water, will be serviceable.

If ulcers break out in the legs or any other part of the body, on a total cessation of the menses, they ought to be regarded as critical discharges, and should not be healed up till, by proper and lengthened preparation by means of alteratives and proper regulation of the diet, the constitution has been brought into a fit state to allow of it. A fit of apoplexy has been known to result from the sudden drying up of an ulcer.

Should any scirrhous or cancerous affection of the uterus or breasts take place on a stoppage of the discharge, as sometimes happens, the proper treatment must be adopted as recommended under those diseases.