M^filSSfy WP S7691 1894 ESCRIPTIVE STUDY OP *■ Mm W \u p in Jtej r^^KjaP. BHARY OF MEDICINE NLM 00560103 ^ SUJiGEON GENERAL'S OFFICE JBRAllY (-SKorm 113c No. W.D..S.G.O. i'.':'r r PRIKTINO OFFICE NLM005801039 f ,.« ■'."'-ffj1! »• H la 'I:'KVS"!S ifin^#(liciiic^ CoiEj^il^ntaS, (levei^nUO.U$A. ILLUSTRATED ' GYNECOLOGICAL STUDY OF THE diseases of Women, WITH FULL DIAGNOSIS OF THH MOST PREVALENT AILMENTS AFFECTING THE ORGANS OF THE FEMALE PELVIS. BY WALLACE S. SPRINGSTEEN, M. D., »** Ex-U. S. Surgeon Nevada Indian Agency; Member of the National Medical Association (Eclectic); Formerly Surgeon-in-Chief of Nevada Central R. R., and Physician in Charge of Branch Hospital, Lander County, Nevada; Ex-U. S. Pension Exam- ining Surgeon for Northern District of Michigan; Member of Ohio and California State Medical Associations ; Honorary Member of Michi- gan State Medical & Surgical Society; Ex-President of the County Medi- cal and Surgical Society of Alameda Co., California; Discoverer of the Mountain Rose Treatment for Female Diseases, MEDICAL DIRECTOR OFj^MARlC, "a The Springsteen Medicine Co., CLEVELAND, OHIO //kw ^C 676 834- ^'HjfrMj Entered, according to Act of Congress, in the year 1894, By THE SPRINGSTEEN MEDICINE CO., in the Office of the Librarian of Congress, at Washington, D. C, U. S. A. W> PREFACE. J N preparing this work great pains have been taken to make it plain and comprehensive, that those who desire to become en- lightened on this most important subject may, by the aid of the various Illustrations, get a clear, concise and comprehensive idea of the origin, progress and termination of the dreaded diseases usually attacking the organs of the Female Pelvis. We trust also, by this work to prevent much disease and suffering, and have great assurances our efforts are appreciated by the student of Gynecology as well. The Author. G MO UNII \ IN R OS II PI ATE I. SECTION OF FEMALE PELVIS, howing Position of Viscera, with different organs in natural position. B. L. is Broad Ligament; 0. is Ovary; Ura. is Urachus; U. is Urethra; L. M. is Labia Majora and Labia Minora; M. V. is Mons Veneris; T. i-s Mountain Rose Tablet, in through vagina next to mouth of womb, where it should be from use of Placer. & THE aREAT UTERINE ItEMElJY. 7 PLATE I. SECTION OF FEMALE PELVIS. {For explanation see opposite page?) 8 MO UNTAIN ROSE, PLATE II. RETROVERSION OF WOMB. (TIPPING BACKWARD.) VTThis form of displacement is not so common as Prolapsus, but is frequent, however, and consists in a displacement as shown in Plate (n), the upper body of womb being thrown against the rectum with mouth turned forward, and pressing the bladder. Causes are from a relaxed and weakened condition of the supports and posterior walls of Vagina; too frequent child-bearino-; miscarriages; chronic inflammation; enlarge- ments; congestion; hypertrophy; fibroid growths; sudden shock, as falling, coughing, running up stairs, etc., etc., all tends to push womb back in hollow cavity of sacrum. Symptoms:—Great functional and sympathetic derange- ment; distressing irritations; nervous depressions and dys- pepsia; local neuralgia; pain in chest and in the breasts at time of menstrual period; pain in back; feeling as though womb was enlarged; aching and dragging, bearing-down pains; pressure in rectum; constipation; straining and press- ing pain as if drawing in lower abdomen and bowels on moving of same; sterility, etc. Treatment:—Mountain Rose should be fully relied up- on; its tonic and astringent effects are marvelous, and the Tonic Tablets as a constitutional building agent are without a successful rival. THE GREAT UTERINE ^lEMEDY. PLATE II RETROVERSION OF WOMB. This form of Displacement is well represented in above cut, womb laying against rectum. W. Womb; R. Rectum; B. Bladder; V. Vagina. 10 MOUNTAIN It OS hi PI ATE III. ANTEVERSION OF WOMB. (TIPPING FORWARD.) rpihis malposition of the Uterus consists of the upper body of womb being carried forward toward the symphysis pubis and pressing the bladder, while the mouth or cervex is thrown backward against the rectum. It is not so frequent as many other abnormal positions in this displacement, we have two varieties or degrees, viz: anteversion and anteflection. In the latter degree the organ is bent at the junction of the cervex or neck of uterus, the body being bent wholly forward. Causes:—Long continued inflammation, which weakens the walls of the vagina, causing them to become relaxed, and the body of uterus becoming enlarged and somewhat unnat- urally heavy. Then by sudden fright, over-joy, outward pressure, sudden fall, running up or down stairs, etc., etc., may be assigned as sufficient cause. Symptoms.—Similar to those in Retroversion, though not so fully marked. Patient feels a sense of fullness and weight in pelvis, with a tendency to bearing down behind pubis, with weight and pain in peritoneum and rectum. Frequent desire to pass water, with great difficulty in doing so. If dis- placement is caused by sudden fall, or coughing, or severe straining, which bring the accident very suddenly, the symp- toms will be very marked. The pressure of the womb against urethra producing in many cases almost complete retention of urine. Treatment.—It will be seen that, as the trouble appears to exist only by some degree of relaxation of ligaments of womb and walls of vagina—what seems the most rational to repair, the only thing to do is to remove the cause. To do this, MOUNTAIN ROSE is to be wholly relied upon, it will supply strength, tone up the parts, contract the supports and walls, and nature will perform the complete cure. TIT p: grea t utertnb c& emudt. n PI ATE III ANTEVERSION OF WOMB. B. Bladder; W. Womb; R. Rectum; V. Vagina. 12 MO UNTAIN R OSE, PI ATE IV. PROLAPSUS OF WOMB. ymptoms:—Dragging down pain in lower portion of back; tenderness over abdomen, seeming to be a fullness in vagina; much irritation of bladder, and trouble and pain on bowels being evacuated; increasing pain on walking; pain- ful, sometimes profuse menstruation; sometimes a total pro- trusion of the womb—a relaxation of some of the ligaments allows this to exist. Treatment:—The use of the Tablets, which being ab- sorbed by the ligaments, removes the relaxed condition, and adds tonicity. A perfect cure follows the use of ^Joimtaiu ftose. S THE GREAT UTERINE HEMEIDY, Y\ PI ATE IV. PROLAPSUS OF WOMB. The above cut is a good representation of a severe degree of Prolapsus (falling) of Womb. W- Womb; B. Bladder; R. Rectum. 14 MO UNTAIN ROSh? PI ATE V. CERVICAL HYPERPLASIA. 11 Jhis is no more nor less than a result of inflammation of the substance of the neck of the womb; very common. Symptoms:—Backache; headache; hot flashes; pelvic pains; dragging sensation about loins; bearing down pains; leucor- rhcea; menstrual disorders; excessive flow; throbbing sen- sation about uterus; general despondency; irritable feeling of bladder and rectum; general lassitude; nausea and vom- iting; nervous disturbance; sterility or barrenness, etc. The dots below horizontal line show the seat of disease. THE GREAT UTERINE (REMEDY. 15 PI ATE V. CERVICAL HYPERPLASIA. C. W. is Cavity of Womb; V. Vagina. 3 16 MO UN TAIN ROSE, PI ATE VI. CHRONIC CORPOREAL ENDOMETRITIS. (INFLAMMATION AND CONGESTION.) "Tike the cervex of womb, as spoken of previously, we have the exact condition of disease, only in a different part of the uterus. There may be seen the little dots above the horizontal line, which represent the seat of inflammation and congestion in cavity of body of womb. This condition is known and spoken of as catarrh, leucor- rhcea or whites, endometritis or internal metritis, or inflam- mation of the womb. Symptoms:- Similar to preceding inflammation of neck of womb. This seat of inflammation is more rare than that preceding, but yet very common, and is a fruitful cause to great functional and constitutional trouble, and should never be neglected for a moment. MOUNTAIN ROSE is the most natural remedy known to-day as a certain and speedy cure. THE GREAT UTERINE REMEDY. IT PI ATE VI. CHRONIC CORPOREAL ENDOMETRITIS. C. W. is Cavity of body of Womb; the little dots above line show seat of inflammation, V. Vagina. 18 MO UNTAIN ROSE PLATE VII. CORPOREAL HYPERPLASIA. (INFLAMMATION.) ymptoms as in preceding diagnosis, as: Pain in back and loins; pressure on bladder and rectum; disordered men- struation; difficulty of locomotion; nervous disorders; pain in womb and all pelvic regions; pain in mamma gland before menstruation, etc., etc. Treatment: — In all cases Jvjountain ]{o$£ and T^orm X^bkts are warrantable. They will and do always cure. s THE GREAT UTERINE REMEDY. 19 PI ATE VII. CORPOREAL HYPERPLASIA. Little dots above line represent seat of disease, to be in substance of upper womb. C. W. Cavity of Womb; V. Vagina. 20 MO UN TAIN ROSE, PI ATE VIII. CHRONIC CERVICAL ENDOMETRITIS. (INFLAMMATION.) \\ 7hen inflammation attacks the uterus, it has a tendency to affect the whole organ, both internal cervex or neck, and body or fundis of womb. This is a chronic inflammation of the neck of the womb, affecting especially the lining mucous membrane of the neck from the external mouth to internal. The little dots in the center of the neck below the straight line will point out the true seat of the trouble. It often is the cause of throwing off immense quantities of thick, tenacious mucus, which is loaded with little fibrous appearing particles, and sometimes streaked with blood. The nature and seat of this inflammation is among the most common to women, and MOUNTAIN ROSE will be found a positive remedy, and but a short time is required for a cure. This treatment never fails. THE GREA T UTERINE REMED Y. 21 PI ATE VIII CHRONIC CERVICAL ENDOMETRITIS, Little dots below line show the seat of inflammation to be in neck of womb. C. W. Cavity of Womb; V. Vagina. 22 MO UNTAIN ROSE, PI ATE IX. FOLLICULAR VULVITIS. T^OLLICULAR VULVITIS is a disease commonly found to exist chiefly with women above twenty years of age, and is of that nature of disease which attacks only the external genitals; we may say, however, to explain more fully, the mucous membrane lining the vulva, more especially in that covering the labia, majora, labia minora and vestibule nu- merous follicles exist, and are no more nor less than little solitary glands, in common purulent vulvitis. These, as component parts of the diseased membrane, are implicated in the morbid action. Symptoms:—Burning, itching and heat in the vulva or vagina, with secretion soon appearing, and which increases as the disease advances. As a usual thinor tne secretion is very offensive and irritating in character, excoriating and scalding. The urethra becomes inflamed at its vulvar ex- tremity or external metis, or water passage. On the mucous membrane of labia and vagina will be found numerous intensely red spots or patches, being slight- ly elevated, however most commonly found on edges of vaginal rugae, the nymphae, etc. It extends and implicates all surrounding mucous membrane, as the labia majora and minora and the whole external lips of the genitals. These morbid conditions succumb at once to the curative qualities of Mountain Rose, and we may say, it never has been known to fail. By a glance at cut (ix) may be seen a correct representation of this common and distressing com- plaint. THE GREAT UTERINE REMEDY. 23 PI ATE IX. The above Plate represents a severe case of Follicular Vulvitis. A. shows an abscess, forming a common trouble and much to be dreaded. 4 2-t MO UNTAIN ROSE, PI ATE X. DYSMENORRHCEAL MEMBRANE. embranous Dysmenorrhcea is a variety which consists in the formation of organized material in the uterine cavity, and which affords relief when expelled, which many times is done in tack and seemingly unbroken. It is no doubt an abnormal formation of the muscular membrane lining the cavity of the womb, and is most certainly a source of a great amount of trouble. Symptoms:—At the outset of the appearance of men- strual period coming there are congestive pains, and they increase until they are violent and expulsive-like, resembling abortive pains. A patient is so distressed that she cannot find words to express her pain and feelings of suffering. She has an anxious look, a glacy eye, extremities become cold and countenance anxious and pallid, and cramps fairly doubles her up; she has an inclination to draw her knees toward the chin, and actually at times lies in a state of stupor. It is certainly a frightful, troublesome affliction. MOUNTAIN ROSE has never been known to fail in this disease, and at all times and under all conditions its appli- cation is warrantable. During the month between Periods, if Mountain Rose treatment is used, the cure will be forth- coming. The Tonic Tablets serve a grand purpose in the above disease. M THE GREAT UTERINE REMEDY. PI ATE X. The above illustration is a true representation of a Dys- menorrhceal Membrane as expelled by use of Mountain Rose. MOUNTAIN ROSE. PI ATE XI T^>epresents a Corroding Ulcer attacking the Anterior • Lip, having almost totally destroyed it and involving the Posterior Lip, and spreading upwards, involving Cervex, and making its inroads toward the body of that organ. This ulcer is of an irregular, sinuous, jagged nature, the tissues at the margin and base of which are thickened or hardened in consequence of a sluggish inflammatory process, and discharges a brownish-green, glutinous and poisonous or watery secretion. Symptoms:—Pains in pelvis; a profuse watery discharge takes place from the vagina, usually offensive, varies from a light straw to a dark brown color, with weakness and pain in back and a feeling of weight extending to the loins and around abdomen; pains described as lancinating, like a knife running into back, and burning pain like hot iron. The con- stitution soon becomes affected, patient emaciated, appetite deranged, bowels irregular, skin dry and sallow and becomes flabby, quick pulse, frequent flushes o*f fever, gradual declin- ing, and green evacuation of bowels with much pain. Un- like cancer this disease is local. Mountain Rose is richly worthy of a trial in this awful affliction, and women should embrace the opportunity to use it as soon as possible. Past experience with this treatment warrants the greatest hope. THE GREAT UTERINE REMEDY. 27 PI ATE XI Section of Womb, showing CORRODING ULCER. W. (Womb), showing plainly the deep-seated Ulcer eating away the Anterior Lip of Uterus. 28 MO UNI\ 1 IN ROSE, PI ATE XII.—Figures /, 2, and 3. ELEVATIONS, THE RESULT OF PROLONGED INFLAMMATION. Tnsome cases of long continued uterine inflammation a J^ condition appears, which in many ways is extremely an- noying. It is the appearance of numerous little elevations of the size and somewhat of the appearance of little red currants. [ Fig. 1 shows the result of sub-acute inflammation of cer- vex; uterus drops low in pelvis and is soft and flabby and somewhat enlarged. The elevations are of a deep red color and no pedicle attachment. Fig. 2 shows inflammation of cervex uteri. Monthly flow excessive, considerable tumefaction of uterus, cervex of a livid appearance and bleeds at the slightest pressure. Fig. 3 illustrates a bad condition and interrupts very materially the monthly flow; it being abundant and very frequent. In this condition we find the uterus extremely low down on floor of pelvis, and very painful. THE GREAT UTERINE REMEDY. 29 PLATE XII. Fie. i. Fig. 2. Fig- 3- 30 MO UNTAIN ROSE. PI ATE XIII. CThows the mouth of womb very much enlarged and trans- verse, dividing the cervex on neck of womb in two lips. The granular elevations plainly seen to be extensive, keep- ing the mouth of womb open, making it very sensitive and tender. By cut (xiii) may be seen several of the elevations to have run in together and extended to such a degree as to develop in a long ulcer. The application of JVTohzrvtcLvrL Rose, when used persistently and according to instructions, is a boon to be appreciated by any sufferer. THE GREAT UTERINE REMEDY. 31 PI ATE XIII. Above cut represents a severe case where the elevated tumors had extended and spread in one fearful ulcer. 5 32 MO TINT A IN ROSE, PI ATE XIV True representation of a condition sometimes called RED CHERRY DISEASE\ little elevated tumors resembling little red cherries. Causes much trouble at times. THE GREAT UTERINE REMEDY. 33 PI ATE XV Above cut represents the Womb in a high state of inflam- mation, the little red cherry disease abating tumors, as seen in Plate xiv, all disappeared, and mouth gradually closing to normal condition from use of Mountain Hose. 34 MO UNTu 1 IN ROSE, PI ATE XVI HEALTHY UTERUS, As it appears after recovery from elevated excrescences or little tumors, as represented in previous Plates, xn, xiv, xv. THE GREAT UTERINE REMEDY. 35 PI ATE XVII. This cut o-ives a good idea of the result of long undis- turbed inflammation. It has reached such an aggravated point as to produce extensive ulceration, involving both An- terior and Posterior Lips. The mouth of womb is greatly swollen and enlarged. 36 MOUNTAIN ROSE. PI ATE XI III TTMbrous Tumor in the cavity of the womb, (i) is Rectum; (2) Cavity of the Womb; (3) Cavity of the Bladder; (4) Cavity of Vagina; (5) FYbrous Tumor attached to inside walls of womb. PLATE XIX. £\ Section of the Cavity of the Abdomen and Pelvis, illustrating a large Monilecular Tumor (5) attached to the Womb (2). The Bladder (3) much reduced from size of Tumor pressing against it. This species of Tumor must be removed by surgical means. The difference in the two cases will readily be seen—the former is inside of womb, while the latter, as shown in cut, is situated outside of womb, but attached to it. THE GREAT UTERINE REMEDY^. 37 PI ATE XVIII. PI ATE XIX. 38 MO UN TAIN ROSE, PI ATE XX. INTRO-UTERINE PEDICULATED FIBROID TUMOR. Q Species of Polypus, situated on inside of cavity of womb, has its attachments to the parieties of that organ. It adheres by a thin layer of whitish or reddish somewhat vas- cular cellular tissue. It then will be seen it may be detached quite easily, and its removal by the use of Mountain Rose treatment is no doubt made possible by contraction of upper fundus or large body of womb after continued treatment of Mountain Rose, the action of which has had a direct tend- ency to shrink and render the sensitive vascular attachment to become weakened and atrophied, as it were, dispelling the blood from the substance of tumor, while toning and stimulating the womb, causing it to contract and hence expel its unwelcome visitor. In all cases where the above condition exists, resulting in the presence of this kind of Polypoid formation, the Mountain Rose treatment may be fully relied upon. By the cut you will see a surgeon's hook drawing it up, to show its attach- ment. THE GREAT UTERINE REMEDY, 39 PI ATE XX. INTRO-UTERINE PEDICULATED FIBROID TUMOR. C. C. Cavity of Womb. V. Vagina. 6 40 MO UNT^ 1 IN It OSE, PI ATE XXI. CAULIFLOWER EXCRESCENCE OF MOUTH OF WOMB. auliflower Excrescence is doubtless a morbid growth and is situated at the mouth of womb, and consists of minute ramifications of arteries connected by flocculent tissue and covered with a secreting membrane. Its surface has a some- what granulated feel, it bleeds with the slightest handling and pours forth a watery discharge. It varies in size, is painless or nearly so. When removed by surgical means with knife it shows its malignancy by returning. By some authorities it is claimed to be a species of cancer. For ourselves, we believe it to be non-cancerous and simply a sort of morbid warty or papillary growth. The illustrations (Fig. I and 2 on opposite page) are good representations of this growth. Symptoms:—Patient first notices a clear, watery discharge, inodorous, but quite constant. It keeps up discharging for weeks and months, increasing to such an extent as to com- pel the patient to wear napkins for protection to surface of limbs, over which the exudation may pass. After a long time little streaks of blood and something- resembling- fibre may be noticed. It is in its advanced stage so tender and sensitive that even by a movement of bowels it bleeds quite profusely. Its attachment is from the os externum or lip of womb. As the disease advances the constitutional symp- toms appear: Derangements of stomach, loss of flesh, creep- ing chills, pallid skin, anxious look, dropsy, etc. In cancer the discharge is fetid, in this disease it is not. Hence the distinction. MOUNTAIN ROSE cures this disease, its astringent, es- charotic and discutient properties act with great certainty on the granulations and morbid flocculent tissue, sapping, as it were, its very life. Many specimens, preserved in alcohol, have been sent by grateful patients to the home office. a THE GREAT UTERINE REMEDY^. 41 PI ATE XXL Fisr. i. Fig. 2. CAULIFLOWER EXCRESCENCES OF MOUTH OF WOMB. A. L. Anterior L,ip. P. L. Posterior L4p. 42 MOUNTAIN ROSE, PI ATE XXII PEDICULATED POLYPUS. n opposite page (Plate xxn) will be seen a splendid rep- resentation of a large Pediculated Polypus of the Uterus, as it has crowded through the cervex and suspends from the mouth, coming through vaginal canal. Symptoms:—This species of tumor causes great loss of blood, necessarily by keeping the womb open and causing so much irritation. The flow keeps up for a long time, pro- ducing a pallid appearance, a blanched countenance, appetite deranged, bowels relaxed, limbs swell, nausea and vomiting, a terrible dragging down pain, dropsical conditions, leucor- rhcea, and wasting of physical strength, sometimes mental derangements, and many other prominent symptoms, until at last a general breaking down of the whole system. Treatment:—Surgical means are usually resorted to, but not always successful. Mountain Rose has proven an invaluable remedy in the above disease. It being absorbed seems to stimulate the blood. It is then distributed more equal, soon the Pedicle of Tumor begins to present an atro- phied condition and soon the whole tumor succumbs and drops away, after which small pieces come, until a cure is effected. © THE GREAT TITERINE REMEDY. 43 PLATE XXII. PEDICULATED POLYPUS OF THE UTERUS. P. Polypus. MOUNTAIN ROSE, PLATE XXIII. THE WOMB AND ITS APPENDAGES. i. Fimbriated Extremity of Fallopian Tube. 2. A Bristle passing through. 3. 3. Fallopian Tubes. 4. Ovary. 5. 5. Round Ligaments. 6. Fundus, or Upper Body of the Womb. 7. Body of the Womb. 8. Cervex, or Neck of Womb.1 9. Part of Neck, enclosed by Vagina. 10. External Os, or Mouth of Womb. 11. A section of Vagina, lined with a pale, pink-colored mu- cous membrane, showing Follicles, or gathered into numerous folds like a ruffle, termed Follicles of Vagina. 12. Broad Ligament.- 13. Entrance of Fallopian Tube into Womb. TITE GREAT UTERINE REMEDY. 45 PI ATE XXIV. Fig. i. The above cut represents plainly a Polypus with its at- tachment on the anterior lip of womb. W. W. Womb; M. Mouth of Womb; C. Cavity; P. Polypus as it falls and suspends in vaginal canal. Fig. 2. Fig. 2 shows a Polypus with its attachment from inside the Cervex or neck of womb. 46 MO UNTAIN ROSE, PI ATE XXV BLOOD SUPPLY OF UTERUS. T3y observing the Plate (xxv) one may see plainly the cir- culation of blooi. as it is supplied to the Uterus. Nature certainly has been generous in its mysterious supply of blood vessels. Its arteries are derived from two sources. The principal, called Uterine Arteries, arise from the hypogastric; the other set, called the Spermatic, arise from the aorta, descending with tortuous inflexions. They supply the ovaries, then passing along the broad ligaments they distribute their terminal branches to the Uterus. The veins follow the course of the arteries. The spermatic veins ascending with the spermatic arteries terminate the same as in the male, the right in the ascending "vena cava", the left in the renal veins. The uterine veins empty themselves into the internal Iliacs. It must be apparent then to the observer, and pa- tient as well, that when from cold or other causes, viz., intem- perance or excesses in any manner, the clangers of abnormal conditions arise, such as congestion, causing inflammation, etc., etc. Do not, therefore, tempt nature too much during the menstrual period, for if you do, you may plainly see the danger signal of being liable to pay the penalty. FALLOPIAN TUBES. In Plate XXV are also represented the Fallopian Tubes, which are two ducts, situated on each side of the uterus and extending from it to the ovaries. They arise from the upper angles of the uterus and pass transversely outward in the folds of the broad ligament for some distance, then bend backward and inward, in order to approach the outer end of the ovarian ligament. The Fallopian Tubes are four or five THE GREAT UTERINE REMEDY^. 47 inches in length, straight in the inner half of their course, but describe several curves toward their outer extremity. They consist of three coats—an external or peritoneal coat, a middle or muscular coat, and an internal lining or mucous membrane. PI ATE XXV An excellent representation, showing distribution of Blood through Uterus, with view of Fallopian Tubes. F. F. Fallopian Tubes. 7 48 MO TNT A IN It OSE, PI ATE XXVI. SHOWING THE NERVES OF THE WOMB. escription :—The uterine nerves, derived from the hypo- gastric plexuses, are divided into the Ascending and Descending branches. The Ascending branches run upward along the lateral borders of the uterus and terminate in its substance. The Descending branches furnish numerous branches which pass to the lower portion of the uterus; they then run along the sides of the vagina and terminate in it. It will be noticed then, that as the hypogastric plexuses, from which the uterus derives it's principal nerves, are formed not only from the filaments of the lymphatic nerves, but also from numerous small filaments of the spinal nerves, derived from the sacral plexuses, it follows that the uterus is con- nected both with the ganglionic and cerebro-spinal system, which accounts for the fact of the great sympathy and influence existing between the uterus and other parts of the body, a cause direct then, which accounts for headache, back- ache, stomach and heart troubles, when womb is affected, 9) THE GREAT TTERINE REMEDY^. 49 PI ATE XXVI The above cut shows a good representation of Nerve Structure supplying the Womb. • 5o MOTINTA IN ROSE, PI ATE XXVII. STRUCTURE OF WOMB. ITThe constituent parts of the Womb are: An External Peritoneal Coat; an Internal Lining of Mucous Mem- brane, and the proper Tissue of the Uterus situated between these two, together with the Uterine Arteries, Veins, Lym- phatics and Nerves. THE GREA T TIERINE REMED Y -">! PI ATE XXVII. This cut is a fine representation of Tissues bf Uterus. P. P. The Muscular Tissues; Mq K5flD The Internal Lining or Mucous Membrane; M. Mouth showing Internal Lining as it enters cervex. 52 RAILAGE S. SIRING ST PIE N'S PI ATE XXVIII HEMORRHOIDS OR PILES. TTigure i of the illustrations on opposite page represents a bad case of Internal Piles in an advanced stage of ulceration. Causes:—Usually from a fullness of the abdominal ves- sels from some cause, which may impede the return of blood from the rectum, as luxuriant living, sedentary habits of life, excessive use of tobacco with some constitutions is a cause, and with others constipation and straining, intemperance, etc. Symptoms:—Great sense of weight and bearing down in o o rectum; bleeding from small tumors which appear about the verge of the anus, sometimes extending upwards near a fing- er's length; extreme pain on going to stool, followed by pain and pressing- down weight, with annovincr itching- and bleed- ing at times, as to produce temporary weakness. Treatment:—The Pastile being placed above the sphinc- ter muscle beyond the seat of disease by means of our Placer, you can readily see the advantage of our celebrated Pile Cure above all other remedies. It is a universal Cure. Fig. 2 illustrates External Pile Tumors grasped by sphinc- ter muscle, and is a source of much anoyance. ( ' EI EBRA TE D 'TILE CI rRE. 53 PI ATE XXVIII Fig. i. INTERNAL HEMORRHOIDS OR PILES IN HIGH STAGE OF ULCERATION. U is Ulcers. Fig. 2. 1 Hf EXTERNAL PILE TUMORS, PMBhRI wWJN m am HIS NLM 0DSflDlD3 1 Hi BwSla 49m nnR ■ HiUHl SfcSS 38 tttiB& £9 Wm m m NLM005801039