For delayed monthly courses it is desirable to produce a determination of blood towards the lower part of the abdomen. Hot foot-baths, and warm hip- or sitting-baths, are the most effective means for this end. Opening the bowels rather briskly with a Lady Webster's or a compound rhubarb pill, or Warner's cordial, or tincture of aloes and myrrh, will also be helpful towards it. Especial care must be taken that the body, and most of all the feet, shall not be chilled at such a time.
Permanganate of potassium is a good promoter of regularity in menstruation. Two grains may be the dose, twice daily. If it seems to agree with the patient, it may be continued through a month or two, dis-498 continuing at the time of the monthly re-turn, when that takes place.
For painful menstruation(dysmenorrhaea), lying still is very important from the beginning of the attack. Warm flannels may be applied to the abdomen. A hot drink is likely to be comfortable, such as this: Put into half a teacupful of hot water, a tea-spoonful of Warner's cordial, a teaspoonful of compound spirit of lavender, and twenty drops of spirits of camphor ; stir them well together just before taking it. Should relief not come in an hour or so, paregoric - a tea-spoonful at once - may be given. Few cases will need any stronger anodyne; and they should be under the care of a physician.
Menorrhagia is excessive menstrual flow; a variety of hemorrhage. The most important part of its management is usually during the intervals, to prevent it. Near the expected time the sufferer, who has reason to fear it, should lie still in bed. When the excessive flow comes, cold wet cloths may be laid upon the abdomen, the rest of the body being kept comfortably warm. Only a decidedly bad case will fail to be thus moderated.