In the treatment of this class of cases, to reduce the pain, opium, conium, hyoscyamus, etc., are given, often combined with camphor. (F. 161, 163, 166, 167.) These should be given in the form of an enema, or a suppository, if the stomach is irritable. (F. 160.) The hot hip bath should be employed, the patient remaining in it from thirty-five to forty minutes; an ounce of carbonate of soda may be added to the water. The good effects of the bath may be kept up by the use, immediately afterwards, of a pessary of oxide of zinc and belladonna. (F. 163.) It will be of benefit to take vaginal injections of tepid, or warm, or hot water on the approach of the menses, and the patient should use a pediluvium, or a hip bath, for two or three nights in succession antecedent to the show of the menses. During the interval every effort should be made to strengthen the patient, and to diminish the irritability. Injections of tepid or cold water may be taken daily; the diet should be nourishing, and plenty of exercise in the open air should be taken by the patient. Some preparation of iron should be given, and I have found F. 177 particularly useful. CONGESTIVE DYSMENORRHŒA, sometimes described as _inflammatory_ dysmenorrhœa, generally comes on at a later time of life than the neuralgic form. It occurs in females of a full habit and of a sanguine temperament; in the married as well as the unmarried, and those that have not borne children. Restlessness and feverishness, rigors, flushing and headache generally precede the severer symptoms. The sufferings commence, or are generally aggravated four or five days before the period, and it may continue for a week or more. Both before and after the catamenia appear, there is great pain across the back, aching of the limbs, intolerance of light and sound, weariness, the face is flushed, the skin hot, the pulse full and bounding; when the flow gets abundant the pain is mitigated, though there are paroxysms of pain, as small clots and shreds of membrane are thrown off from the uterine cavity. Under the influence of inflammation, the epithelial coat of the uterine cavity and of the vagina is sometimes expelled. In the interim between the periods the cervix uteri is congested and tender, and pain will be excited by pressing the ovaries; usually there is a tenacious leucorrhœal discharge. Frequently the breasts swell and become tender as the period approaches.