A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Science
A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Medicine -- Practice
The physician is frequently consulted in cases where menstruation has
occurred once or twice, perhaps at long intervals, and not appearing
regularly the fears of friends are excited. This is the normal course
of establishment in a large proportion of cases. Time and assurance and
regimen are alone needed, provided there is no evidence of deteriorated
health. Absence of the function alone does not demand treatment--a fact
which should be kept steadily in mind.
In a still larger class of cases the amenorrhoea depends upon, and is
the direct result of, some pronounced cachectic condition, as
chlorosis, scrofula, or a more or less active tubercular disease of the
lungs. The treatment of this class resolves itself into that of the
disease causing the derangement, and the reader is referred to the
articles on the corresponding subjects.
The cases requiring more direct consideration therapeutically are those
closely allied to the preceding, in which delay in appearance depends
upon want of development of the body or general feebleness of
constitution, or those in which absence follows and continues unduly
after some severe disease. In all these cases the treatment is to be
indirect rather than direct. The absent function is to be restored by
improving nutrition, by increasing bodily vigor, and by using every
means to establish the general health on a firm basis. Measures for
this purpose should be addressed to every particular of the habits,
occupation, and surroundings of the patient. They do not differ from
those of a general tonic course, but in some particulars a special
influence may be exerted upon the function at fault. The clothing
should be warm, especially about the pelvis and lower extremities, due
care of the feet being impressed in proportion to the universal neglect
shown by girls and women in regard to these important parts of the
person. The diet should be of plain, wholesome, substantial food, and
in many cases one of the lighter wines may be added to the principal
meal of the day with decided advantage. Gymnastics may be prescribed,
but outdoor life should be urged, with horseback riding as the very
best mode of exercise for promoting the flow. A change of air and scene
exerts a well-known and powerful influence in improving nutrition and
modifying vital actions. It should be rather from the city to the
country for these cases. Special advantages may be derived from a
residence at the seaside on account of the beneficial effects of
surf-bathing. A scientifically-conducted hydropathic establishment is
very desirable for its regular hours, well-ordered diet, and treatment
by baths and douches. Or a watering-place may be preferred where a
chalybeate water may exert a special influence in addition to those of
moderate indulgence in the gayety and amusement of such a place.
Public-domain text, read in full here on John Shaqi.
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