The causes that have been enumerated must be carefully and repeatedly reviewed, so that each individual case can be traced to its source. Those causes that are improbable must be eliminated from those that are probable, so that by a gradual process of exclusion we narrow the number down to those that actually exist. This simplifies the treatment to actual conditions that can be intelligently met. Vaginal irrigations constitute in the chronic form of the disease an accepted and most useful therapeutic resource. There is nothing that will ever contraindicate a thorough cleansing of the vaginal canal, so that the organ may not be bathed in its own morbid and irritating secretion. It is a wholesome auxiliary to any course of treatment that may be adopted. It avoids _self-infection_ and places the pelvic organs in the best possible condition for the healing powers of nature to work out a cure. If the uterine catarrh is the result of a venous obstruction due to a congested liver and a general derangement of the digestive apparatus, then any local treatment will be of no avail without first removing the hepatic derangement. Costiveness or constipation is a very common complaint with women and a very painful cause of womb disease, but it is so simple and ordinary in its nature that the wise will not deign stoop to notice such trifles, but if it required for its removal a surgical operation, for which a handsome fee is the inspiring motive, then we should hear of it as often as we do of lacerations or flexions of the cervix as a cause of uterine catarrh, and its removal would then indeed become absolutely necessary for effecting a permanent cure. Why is it that the treatment of uterine disease has degenerated into “professional faking” that is alike disgraceful to the profession and a daylight robbery of the patient. A woman, for instance, is suffering from what she supposes to be _womb disease_. She consults a doctor, or what is still worse, a time-serving specialist, who examines her and sees at once signs of uterine catarrh. He at once applies a little tincture of iodine or carbolic acid diluted with glycerine or a solution of nitrate of silver to the cervical canal. The woman is now informed that this application must be repeated two or three times a week, for which she must call at the office that number of times every week, for an indefinite period. At each visit she is subjected to the same routine humbuggery for local medication, but does she get any better? In my early professional experience I innocently and ignorantly tried these methods myself, and I say no! But, as a matter of fact, this constant irritation and poking around and into the womb will inflame any healthy uterus, and much more one that is already slightly irritated, so that patients lose their hope and become convinced themselves that they are no better, but feel worse than when they first commenced treatment.