The first symptoms of pain are always accompanied with fever, and this may have been ushered in or alternated with a chill. The pain may be first felt rather deeply in the pelvis, and this is increased by a frequent desire to pass urine and a straining of the rectum. It may further become complicated with a looseness of the bowels, or an obstinate constipation. Nausea and vomiting is a frequent symptom during the course of the disease, and if the metritis is developed during menstruation, the flow may suddenly stop, but, on the other hand, the hemorrhage may become alarmingly profuse. Standing, walking, coughing and straining at stool excite the most excruciating pain, so that a recumbent quiet position is the only comfortable way for the patient to maintain herself, with the head as low as possible to insure the most easy recumbency. The treatment for acute metritis depends somewhat on the cause in each individual case. There are, however, two indications that require to be met, and these are common to all inflammations, namely, to relieve the pain and check the inflammatory process. The former is quickly relieved by introducing into the vagina a Femina vaginal capsule in the usual manner; repeating every six to eight hours, until the pain is sufficiently alleviated to occasion no suffering; then one capsule should be employed every night until cured or until restlessness requires that something must be done to calm the patient. If the metritis is due to suppressed or checked menstruation from cold or exposure, then, and only then, are hot fomentations over the entire abdomen the most appropriate application, and if the patient is plethoric, I advise a half-dozen leeches to the inguinal region of one or both sides to be of unequaled value for checking the disease. Until my experience and observation in German hospitals, I was in the habit of employing hot applications for all acute inflammations of the abdominal organs. These were either in the form of hot-water fomentations or flaxseed poultices. Hot applications undoubtedly give relief, but I doubt whether they ever cut short or abridge the inflammatory process in any case. I am inclined to believe that in a great many instances hot fomentations have the tendency to encourage suppuration, and that an abscess is often the result of their use. I have seen decidedly better results from _cold applications_, and the colder the better, so that I now employ them universally in all acute inflammations of the pelvic organs except in the noted exception in which the inflammation is due to a sudden check of the menses from exposure. As a preventive of inflammations, after delicate operations on the uterus, I apply the _rubber_ ice bag with invariable success.