TREATMENT OF RETROVERSION AND RETROFLEXION.--The objects of treatment are replacement and retention of the uterus. The obstacles to replacement are cellulitis, peritonitis, and fixation of the uterus, and these complications often require weeks, and in severe cases months, of treatment preparatory to replacement. Some of the general therapeutic suggestions under the subject of descent are also applicable to the retro-positions. Rest, massage, careful regulation of the bowels, feeding, and general tonics are essential. For the inflammation small blisters over the inguinal regions frequently repeated, and the daily application of the cotton and glycerin plug to the cervix, and dry cupping over the sacrum, are most efficacious. The glycerin may be combined with alum, tannin, chloral hydrate, or iodoform. Thymoline in small quantities partially destroys the disagreeable iodoform odor. The most useful and essential topical application is the hot-water vaginal douche, but its use will be followed by failure and disappointment if it be applied in the ordinary way. The following is quoted from a paper by the author which was published in the _Chicago Medical Gazette_, Jan. 1, 1880: {169} "_Ordinary Method of Application_. | "_Proper Method of Application_. | "I. Ordinarily, the douche is | "I. It should invariably be applied with the patient in the | given with the patient lying on sitting posture, so that the | the back, with the shoulders injected water cannot fill the | low, the knees drawn up, and the vagina and bathe the cervix uteri, | hips elevated on a bed-pan, so but, on the contrary, returns | that the outlet of the vagina along the tube of the syringe as | may be above every other part of fast as it flows in. | it. Then the vagina will be kept | continually overflowing while | the douche is being given. | "II. The patient is seldom | "II. It should be given at least impressed with the importance of | twice every day, morning and regularity in its administration. | evening, and generally the | length of each application | should not be less than twenty | minutes. | "III. The temperature is | "III. The temperature should be ordinarily not specified or | as high as the patient can heeded. | endure without distress. It may | be increased from day to day, | from 100° or 105° to 115° or | 120° Fahr. | "IV. Ordinarily, the patient | "IV. Its use, in the majority of