The sexual life of woman in its physiological, pathological and hygienic aspectsKisch, E. Heinrich (Enoch Heinrich)
Science
The sexual life of woman in its physiological, pathological and hygienic aspects
Kisch, E. Heinrich (Enoch Heinrich)
Gynecology; Menstruation; Women -- Diseases
If we make a graphic representation of the mean differences in
temperature commonly observed throughout the various stages of an entire
menstrual cycle, we see that the curve does in fact take the form of a
wave. That drawn by _Reinl_ is shown in the following figure: (FIG. 5.)
[Illustration:
FIG. 5.
]
The rising portion of the wave, the beginning of the tidal flow,
corresponds to the second half of the interval; the height of the tidal
flow, the crest of the wave, corresponds to the premenstrual epoch. As
the flow gives place to the ebb, as the wave begins to decline, we come
to the actual period of the catamenial discharge; later in the ebb is
the post-menstrual epoch, and the lowest portion of the declining wave
corresponds to the first half of the interval. Rhythmic changes
corresponding to those observed in the temperature have been recorded—at
least in isolated stages of the menstrual cycle—affecting the
blood-pressure by _Jacobi_ and by _von Ott_, affecting the excretion of
urea by _Jacobi_ and by _Rabuteau_, and affecting the pulse by _Hennig_.
It is evident that the vital activity of the organism attains its
maximum shortly before menstruation; and that with or immediately before
the appearance of the catamenial discharge, a decline of that activity
commences.
_Schrader_, through his researches on metabolism during menstruation in
relation to the condition of the bodily functions during this process,
has established that immediately before menstruation the elimination of
nitrogen in the fæces and the urine is at its lowest, a fact which
indicates that at this period of the menstrual cycle the disintegration
of albumen in the body is notably diminished.
_Von Ott_ found in thirteen cases out of fourteen that at the beginning
of the catamenial discharge or just before a considerable fall in
blood-pressure occurred, and that throughout the flow the pressure
almost always remained below the mean, no rise taking place till
menstruation was finished; this fall in blood-pressure during
menstruation was more considerable than could be accounted for by the
moderate hæmorrhage. The same author, in conjunction with _Schichareff_,
examined fifty-seven healthy women in respect of heat-radiation,
muscular power, respiratory capacity, expiratory and inspiratory power,
and tendon-reflexes. He found that the energy of the functions of the
female body increased before the beginning of menstruation, but declined
with or immediately before the appearance of the catamenial discharge.
He exhibited this rhythmical variation in the vital processes by means
of the following curve, in which the line _A B_ represents these
physiological variations, whilst on the abscissa line _c e_, the days of
observation are recorded, and the interval _m n_ represents the
menstrual period. The degree of intensity of the united functions is
indicated by the numbers 0–100 on the ordinate.
[Illustration:
FIG. 6.
]
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