In cases of menorrhagia arising from plethora, the diet should be simple and plain. The patient should take but two meals a day, and little or no meat. Abundant out-of-door exercise is also essential; great advantage may be derived from the use of packs, vapor baths, hot-air baths, and other eliminative treatment, until the symptoms of plethora disappear. Daily cold sitz baths between the periods are also advantageous. At the time of the period, and about twenty-four hours before it is expected, the patient should have complete mental and physical rest in bed. Cold cloths should be applied over the lower part of the abdomen and between the thighs. A cold or cool enema should be given two or three times a day. Cold should should not be applied for more than an hour or two at a time without allowing an interval of half an hour.

In patients who are pale, debilitated, and have but little blood, energetic measures are often needed. The patient should observe the directions just given respecting quiet. Cold applications should be made to the lower part of the bowels, being replaced once in twenty or thirty minutes by a hot fomentation for three or four minutes, cold being then applied again. The cold enema and often the cold vaginal douche are indicated when the flow is extremely profuse. The hot vaginal douche is also useful.

In one case in which the hemorrhage could not be controlled otherwise, we had a patient placed in a sitz bath at eighty degrees, having the temperature rapidly lowered by the addition of small quantities of snow and ice. The desired result was almost immediately obtained.

In cases in which the hemorrhage is almost continuous from one period to another, the patient should remain in bed or lie upon the sofa several days after the flow has been checked by the treatment before described. This disease can only be permanently cured by improvement of the general health. The same directions for treatment should bo followed in cases in which the menorrhagia arises from congestion, tumors, displacements, or any other of the causes mentioned. When tho hemorrhage cannot be controlled in any other way, it sometimes becomes necessary to plug the vagina with cotton in the manner described for checking uterine hemorrhage.