In considering the treatment of menorrhagia the management of the patient during the intermenstrual periods must first engage attention. The general health is to be promoted in every possible way and sound hygienic regimen enforced. Two points demand especial attention--the clothing and the bowels. All tight bandages around the abdomen should be loosened, and all skirts and underclothing which hang upon the hips be supported from the shoulders. The beneficial influence of free action of the bowels cannot be overrated. Regular daily movement is required in all cases, but much more is often of decided benefit. In menorrhagia of the menopause in patients who have accumulated considerable adipose tissue, especially about the abdomen, in those where there is evident hepatic derangement, and in some others free purgation with salines is one of the most efficient measures of treatment. During the menstrual intervals cachexiæ are to be treated according to their nature. Chlorosis and anæmia will require iron, quinine, nux vomica, and other tonics--the malarial cachexia the same, with the addition of arsenic, which often renders especial service under these circumstances. Then, too, the various uterine lesions giving rise to menorrhagia must be corrected. Subinvolution is to be remedied, polypi removed, the evil effect of fibroids combated by hypodermic injections of ergot, displacements corrected by suitable pessaries, the tone of the vessels and tissues of the pelvis increased by cold bathing, and all indications fulfilled according to the nature of the case. For details of treatment the reader {204} is referred to the articles upon the various general, local, and uterine diseases which have been shown to cause menorrhagia. Especial attention should be given to girls whose menstrual life begins with menorrhagia, lest a vicious habit become fixed. The evils of school-life or those of sedentary indoor occupations should be corrected, and rest in the recumbent position during menstruation enforced. For the menorrhagia of puberty tonics, especially nux vomica and brief applications of cold to the pelvic region, are particularly indicated.