The stormy symptoms that usher in the acute form are absent in the development of the subacute or chronic variety. This disease begins sometimes so insidiously that the patient may not be aware of its existence for quite a while. The secretion may not be at first changed in its character, save that it is noticed in greater abundance. In the course of time, the nature of the secretion will be greatly changed, from a white glairy discharge into a grayish opaque secretion; this will be tinged greenish some days and be of a muco-purulent aspect. In the great majority of cases it is a whitish cheesy discharge from which the names _leucorrhœa_ or _whites_ have been derived. The color of the vaginal mucous membrane in chronic catarrh is of a bluish red tint, and its surface presents in places granulated patches, that bleed easily when they are touched. The vaginal walls are relaxed, so that women often complain that they have a sensation of “feeling open;” this is indeed the real state of affairs; the walls of the vagina may become so relaxed as to constitute a prolapse of the anterior portion or wall of the vagina, dragging the bladder and womb down with it. A great many of the so-called “_falling of the womb cases_” are no falling of the womb at all but simply a relaxed vagina, in which the wearing of pessaries or any other mechanical uterine supporter will actually do a great deal of harm. The treatment of vaginal catarrh is principally local, when there are no constitutional complications. Of course there are rules of conduct that apply to all catarrhal patients, whether the catarrh is of the genitalia, of the nose or throat or of the bronchial tubes; these rules constitute the hygiene of catarrh, a subject which is discussed in a separate chapter in this work to which the intelligent reader is referred. The main feature of the treatment consists in thorough cleanliness of the vaginal canal and in the use of a soothing lotion. This object is best accomplished by the use of the Femina antiseptic lotion and in the following manner: Dissolve one tablet or half a teaspoonful in a cupful of hot water and then add this to a half gallon of warm water of a temperature of 103° F., and by means of an elastic bulb syringe, use the entire quantity at one time. If the discharge is profuse, or if any offensive odor is perceptible, then the vaginal injection should be made several times a day. In case there is soreness and pain in the pelvis, and there generally is, a Femina vaginal capsule should be introduced into the vagina, just before retiring.