Generally speaking all these things pass away with delivery, if not before, unless it be actual insanity, which sometimes remains. All that can be done is to attend strictly to the general health, keep the skin, bowels, and stomach, in good action, and remove all depressing or irritating circumstances. If there be a propensity to anything decidedly injurious or dangerous, the patient must be strictly watched, but without its being perceived or known by her, for fear of exciting suspicion in those who would be disposed to be cunningly secret or revengeful. Proper diet, regular bathing, and out-door exercise often correct many of these things. HÆMOPTYSIS, HÆMATEMESIS AND EPISTAXIS. These three terms mean _spitting of blood_, _vomiting of blood_, and _bleeding from the nose_, all of which frequently occur during pregnancy. Spitting of blood is most usually observed in nervous women, and in those of a full habit. It is caused partly by sympathetic irritation, and partly by the womb pressing upwards against the diaphragm and lessening the size of the chest, which deranges the circulation in the lungs, and causes rupture of their blood vessels. The premonitory symptoms are pains round the waist, cold extremities, creeping of the skin, and a sensation of anxiety or depression round the heart. The attack begins by difficulty of breathing, heat in the chest, and dry cough, followed by spitting up more or less bloody frothy mucus; all which symptoms are much increased by violent exercise, or a hot atmosphere. In ordinary cases a mere spitting of blood need occasion no great alarm, unless attended by symptoms of inflammation, or unless the patient has had cough, and other indications of pulmonary derangement before conception. In hæmatemesis the blood is vomited from the stomach, and is in black clots, frequently mixed with the food, or bile, while that which comes from the lungs in spitting on the contrary is bright red, and quite fresh. In vomiting of blood also, there is seldom any cough or exertion of any kind. The treatment of spitting of blood must be nearly the same as for many other derangements already described. When there is a full habit, the patient must live low, keep the bowels free, and the skin in good order, and avoid all agitation of mind or over exertion of body. An Opium pill occasionally will be useful, or a few drops of laudanum. The cough must be combatted in the way recommended in my previous article on _Cough_. Lemonade or tamarind tea, with some Syrup of Poppies added, may be freely drunk, or some of the black currant root tea. The treatment of Hæmatemesis is precisely the same. Occasionally however the blood will pass into the intestines and occasion colic, and then it must be removed by administering an enema of starch and castor oil, or a little manna may be taken.