If suppuration comes on, we are told to direct it to the perinaeum. We may do so, but our success will be inconsiderable. Abscesses in the uterus are rare, but they are very generally fatal. See Fernelius; For-dyce's Elements of the Practice of Physic, part the second; and Hamilton's Outlines.

22. Inflammatio vaginae may occur from any cause which produces inflammation in other parts, and must be cured by the same means; but emollient, saturnine, and anodyne injections are particularly useful. When it happens after delivery, it is occasioned by the head of the child being long retained in the pelvis.

If the swelling and inflammation be not very great, they are generally removed by the discharge of the lochia; but if the internal membrane of the vagina is inflamed, emollient injections must be thrown up from time to time, and a piece of prepared sponge should be introduced, to prevent the effects of the adhesive inflammation. Soak a piece of sponge, of a proper size, to keep the vagina open, when expanded, in warm water; then bind it tight with a string, cutting off any irregularities or lumps. When dry, take off the string, and the sponge will remain in the same form; anoint it with lard, and introduce it into the vagina, the moisture of which will expand it.

If the pressure was so long continued as to obstruct the circulation, a mortification will ensue, which if partial only, the mortified parts will slough off. This is probably the case, if the woman complains of great pain after delivery, a fetid smell, and a discharge of sharp ichor, or of pus and matter from the vagina. Emollient fomentations may be thrown up in such circumstances; dossils of lint,. dipped in any warm balsam, may be applied; and when the sloughs are separated, great care should be taken to prevent the vagina from coalescing, either by introducing dossils of lint or pieces of sponge. Inflammation and sloughing of the vagina occasionally happens from violence of any kind.

23. Inflammatio ventriculij gastritis, cardialgia infiammatoria. Dr. Cullen places this, as usual, in the order phlegmasite, defining it a typhoidal pyrexia, attended with anxiety; heat and pain in the epigastric region, increased on taking any thing into the stomach; a propensity to vomit, and immediately throwing up what is taken, with a hiccough. He distinguishes two species:- 1st, Phlegmonodea, when from internal causes, in which the pain is acute, and the febrile affection violent. 2d, Erythematica, when from external causes, and the pain with the febrile affection is of a milder nature, with an erysipelatous inflammation appearing in the fauces. He is certain, he adds, from many observations, that of the gastritis, as well as the enteritis, there are two species, of which one is phlegmonous, and the other erysipelatous; and, therefore, he has distinguished them: though he confesses that the symptoms of the erysipelatous inflammation of the stomach, and more so those of a similar affection of the intestines, are often obscure and uncertain; but of these he has spoken, that posterity may investigate the subject more diligently.

It is produced from nearly the same causes as the inflammation 'of the intestines, except introsusception and hardened faeces, and it is more liable to be excited by acrid substances. It rarely occurs from external causes, though we have seen three instances in which it has arisen from external cold.

When the stomach is inflamed, there is soreness externally; apungent, fixed,burningpain, with adistention and tumour, sometimes a pulsation in it: the mildest drinks increase the pain, bring on sickness, vomiting, purging, or hiccough. A continual uneasiness is felt about the praecordia, a difficulty of breathing and swallowing, with a pain in sneezing: the pulse is small, quick, hard, and intermitting; the extremities cold, with clam-mv sweats and faintings: sometimes a temporary mania, and, in one case, a hydrophobia. When from a wound in the stomach there is frequently little or no pain; but the patient sinks with all the symptoms of irritation.

Inflammation in the stomach must be distinguished from a cardialgia, a circumstance by no means difficult, as neither vomiting nor fever attend; and from an inflammation in the convex part of the liver; which, however seldom occurs without some inflammation of the stomach.

This disorder is seldom so dangerous as is represented. Indeed it seldom occurs in its acutest form; but mild nutritious drinks, in very small quantities, nourishing clysters, with a blister externally, has generally relieved. Bleeding, we are told, must be freely used: it may be so, but we have never found it necessary. All stimulants are undoubtedly injurious. When highly acute, a metastasis takes place to the head, and violent phrenitis supervenes: in other circumstances it quickly terminates in gangrene, a change known by a cessation of pain, a coldness about the praecordia, a languid or an intermitting pulse, with a calm serenity, without hiccough.

The drink should neither be cold nor hot, but gently warmed. Demulcents and emollients are best adapted for the common drink, with small portions of nitre, or of the rob of currants.

A solution of gum arabic, or spermaceti made into draughts, in each of which may be gr. v. of nitre, and about a drachm of the syrupuse meconia, may be repeated as often as seems necessary for moderating the pain; and checking the vomiting.

If acrid poison, or an excess of eating, is the cause, an active emetic may be given; but on all other occasions avoided. The emetic preferred is sweet oil; but one that acts with effect and quickly is more effectual: of this kind is the vitriolated zinc.

If an abscess bursts, a milk diet, with the mildest food, in small quantities at once, is only necessary.

The erythematic inflammation of the stomach comes on insidiously; but sometimes it is evident by the inflammation appearing in the pharynx, as well as on the whole internal surface of the mouth. When, therefore, an inflammation of this kind affects the mouth and fauces, with a frequent vomiting, and an unusual sensibility in the stomach, we may suspect that the same affection extends downward. Even when no inflammation appears in the fauces, yet if a pain be felt in the stomach, with a want of appetite, anxiety, frequent vomiting, an unusual sensibility to acrids, some thirst, and frequency of pulse, we may suspect the existence of this disease in the stomach. - The inflammation often extends farther, occasioning diarrhoea and mucous discharges from the rectum.