. A system of medicine, based upon the law of homoeopathy. soft rubber arc very objectionable on account of the dis-gusting odor which they occasion, and are injurious to the vaginalmucous membrane. The pessary should be as light in weight as pos-sible, and should permit the vulva to close completely, for if the vaginalmucous membrane is exposed to the air, it drys and hardens. Thepatient must be examined repeatedly to see if the instrument is an-swering its purpose. It does not at all follow that a pessary whichacts beneficially for a time, will do so indefinitely. Indeed, in manyinstances, a
. A system of medicine, based upon the law of homoeopathy. soft rubber arc very objectionable on account of the dis-gusting odor which they occasion, and are injurious to the vaginalmucous membrane. The pessary should be as light in weight as pos-sible, and should permit the vulva to close completely, for if the vaginalmucous membrane is exposed to the air, it drys and hardens. Thepatient must be examined repeatedly to see if the instrument is an-swering its purpose. It does not at all follow that a pessary whichacts beneficially for a time, will do so indefinitely. Indeed, in manyinstances, after a time, the uterus is actually pushed over into ante-version, and the abnormal symptoms which had been occasioned bythe tilting of the uterus backward, recur. It is desirable, therefore, todo away with the use of the pessary as soon as possible, and ordinarilyI advise getting along without it altogether. Other forms of pessaries are used, but none are equal to the AlbertSmith, Fig. 11. The ordinary ring pessary, owing to its elasticity, is Fig. The Albert Smith variety of the well-known Hodge pessary. easily borne, but to be of any real use must be of large diameter, and sounduly stretches the vagina transversely. Stem pessaries of all sortsare an abomination, and should be discarded. There are a multitudeof instruments differing in shape, material, and mode of application,advertised, but for all their vaunted excellencies they seldom realize ex-pectation. Professor Simpsons operation for the elevation of the retroverteduterus by means of the uterine sound has been widely canvassed. I 430 A SYSTEM OF MEDICINE. speak of it here merely to condemn it, at least in the hands of the ordi-nary practitioner. Even in the hands of skilled gynaecologists it is aninstrument of torture, frequently causing severe haemorrhage, and per-foration of the fundus is not unknown. Various surgical operationsare performed for the cure of retroversion, including incision of thecervix, gastrot
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