TREATMENT. This must be directed to the accomplishment of two ends, without which no relief, much less a cure, is possible, and these are, _first_, to return the displaced organ to its normal position, and, _secondly_, to retain it there. The course first indicated is, as a rule, not difficult to follow out; in fact, if the patient is placed in a favorable position, the uterus replaces itself through the natural forces of traction and gravitation, unless it has become so enlarged that it is a physical impossibility. The “_knee-chest_” or “_knee-elbow posture_” is the term that has been given to this position, and it is assumed in the following manner. The woman gets down on her knees, the thighs being kept in an upright or vertical line; the object of this is to keep the pelvis as high as possible, while the chest is bent or inclined forwards until the head rests on the floor; the shoulders must be as low to the floor as it is possible for the patient to endure. This position at once reduces the intra-abdominal pressure on the pelvic floor to the least degree, and besides this, the abdominal viscera gravitating towards the diaphragm, the prolapsed uterus and surrounding tissues are drawn upwards and forwards with it. If the prolapse was complete or nearly so, so that the organ almost protruded through the vulva, then the patient should retain this posture for ten or fifteen minutes before an attempt is made to replace the organ; for the intense congestion should be first allowed to subside. No sudden or violent force should be employed, but a gentle, steady pressure. In cases where the organ has simply descended into the vagina, the knee-chest posture alone will replace the uterus. Those displacements that are due to a chronic catarrh of the vagina are particularly suitable for home treatment, because the patient can surely cure her vaginal catarrh, and combining with this the knee-chest posture, which should be practiced night and morning, for at least ten minutes, and until the catarrhal inflammation has entirely subsided, she has at her command the most useful and beneficial resource to accomplish a cure. If the reader will refer to page 179 and note carefully what was said in this connection, she will learn that the phrase _falling of the womb_ is sometimes nothing more or less than a relaxation of the vaginal walls that is due to a chronic catarrh of the vagina. It is quite natural that it should be so, for if the structures that make up the pelvic floor lose their tonicity and strength, the womb must naturally descend. If we now succeed in temporarily replacing the organ by assuming the knee-chest position, and in the meantime cure the catarrh and inflammation the patient must get well. The reader is again referred to the chapter on vaginal catarrh. The fatigue or lassitude which makes every physical effort of some patients a great hardship, can be greatly relieved, if not cured, by this formula. NO. X.