Cases of acute suppression are to be treated by rest in bed, warmth locally by baths and applications, and hot drinks, as already detailed. Steaming the lower part of the body by placing the patient over the vapor arising from aromatic herbs upon which boiling water has been poured is a remedy which dates back to Hippocrates. Early in the case a drink of spirituous liquor, taken hot, is often efficacious. If, however, there is febrile action, diaphoretics should be administered, such as the liquor ammonii acetatis with spirits of nitrous ether, and aconite if required. Dry or wet cupping may be used if there is evidence of intense uterine congestion. Should internal metritis or inflammation of some pelvic organ result from acute suppression, the treatment will be that for the disease thus caused. If efforts to restore the suppressed flow do not prove speedily successful, special measures should be postponed until the next period, the general health meantime receiving due attention. At the return of the next period such of the remedies for amenorrhoea should be administered as may seem best adapted to the case, considered as to cause, condition of the organs, or constitution of the patient. Vicarious menstruation is so closely allied to amenorrhoea as to demand some consideration here. The term is applied to a sanguineous flow, recurring at regular intervals, from some organ or part of the body other than the uterus. This flow has taken place from almost every organ or part of the body; most frequently, however, it has been from some mucous membrane, a wound, scar, or some part which by structure is favorable to the exit of blood. Amenorrhoea is frequently present, and is sometimes followed by acute suppression. Puech found 11 cases attended by vaginal atresia congenital, and in 42 others the uterus was absent or but partially developed. The treatment does not differ from that of amenorrhoea. While measures are used to restore normal menstruation, active repression of the abnormal flow should not be attempted, unless the organ from which it proceeds is one likely to be injured by its continuance. Dysmenorrhoea. Dysmenorrhoea, according to derivation, signifies a monthly flow with labor or difficulty; its modern synonym is painful menstruation.