All exciting causes, so far as possible, should be removed. If the patient has been in the habit of wearing the clothing tight about the waist and suspended from the hips, and has neglected to clothe the lower extremities properly, these matters should receive immediate attention. The limbs should be thoroughly clad in flannel the greater portion of the year. The feet should be protected by thick woolen stockings and warm shoes. The clothing should be so loose as to remove all compression about the waist, and should be suspended from the shoulders by a waist or properly adjusted suspenders. The "emancipation waist," "hygienic waist," and other articles of clothing introduced by the Ladies' Dress Reform Committee of Boston, are to be highly recommended, and we are glad to see that these articles are meeting with general favor and are being introduced into all our large cities.

The diet of the patient should be nourishing but unstimulating. A large proportion of animal food is not advisable. Fruits and grains, with a moderate allowance of eggs and milk, constitute the best diet. Although excessive exercise, such as running, jumping, lifting, and horseback riding are injurious, a considerable amount of daily gentle exercise in the open air is very important. The sexual system should have entire rest during the course of treatment. In many cases, mar ried women suffering with uterine catarrh are barren. When pregnancy occurs, it is likely to be attended by a great number of complications, some of which are highly dangerous.

Careful attention should be given to the regulation of the bowels. A thorough movement should be secured daily, the enema being employed if necessary. In most cases, however, the inactivity of the bowels may be overcome by careful attention to diet, daily kneading of the bowels, and wearing the moist abdominal bandage at night. The local treatment of the disease consists in the employment of sitz baths and hot water douches. The sitz bath should be taken daily, or at least every other day, as follows: Begin the bath at 95, after five minutes, lower the temperature to 90; after ten or fifteen minutes longer, the temperature should be lowered two or three degrees more and the bath immediately concluded. A warm foot bath should be taken at the same time, at a temperature four or five degrees higher than that of the sitz bath. In taking the hot douche, the patient should lie upon a bed or properly constructed table, with the hips slightly elevated. The glass or metal tube attached to the rubber tubing of the syringe should be passed up into the vagina behind the neck of the womb. From three to eight quarts of water should be employed at a temperature at least three or four degrees above that of the body. The best effect is obtained when the temperature of the water is increased to 110; although good results may be obtained if the water is only 100 to 105. If the patient finds disagreeable sensations are produced by a temperature which is not sufficiently high to produce the desired results, water of a lower temperature as 95 to 100 may be employed first, the temperature being gradually increased until the water is as hot as necessary. In occasional instances, disagreeable sensations will follow the first use of the hot douche, but this may be avoided by employing water of a moderate heat, and gradually increasing the temperature.

The best instrument for administering the douche is the syphon syringe. The Davison, and various other forms of syringes may also be employed. The hot vaginal douche stands at the head of all remedies for uterine diseases of almost every description; but it is important that it should be administered thoroughly. It is impossible for a patient to take the treatment herself in such a way as to accomplish much good. It cannot be taken in an upright or sitting position, or in any other way than with the patient lying upon the back, with any prospect of good results. The employment of those measures should be persisted in not only until the slightest symptoms of the local disease have passed away, but for several weeks after, and for a few days after each menstrual period for several months. It is unnecessary to remark that the sitz bath or douche should be suspended during the menstrual period unless the disease has assumed such a form as to occasion painful menstruation, when the hot sitz bath may be necessary to give relief. The injection of irritating lotions of various sorts into the cavity of the uterus, a measure of treatment employed by some physicians, is in our opinion a hazardous procedure and one that is rarely ever required. We have had occasion to see the ill effects of this mode of treatment in a number of cases. In a case which came under our care a few months ago the patient had recently been treated by an injection into the cavity of the womb of a strong solution of nitrate of silver. The immediate results were so serious that the lady barely escaped with her life. We scarcely need add that the chronic congestion of the organ from which she had suffered many years was greatly aggravated in the inflammation which followed, in which not only the womb itself, but its surrounding tissues were involved. By this one act of imprudence an amount of damage was done which can hardly be repaired by many months of treatment and may occasion life-long injury.