DISORDERS OF THE VAGINA



Thuya The patient often feels as though she could not exist any longer. “Sensation as if the whole body were very thin and delicate and could not resist the least attack; as if the continuity of the body would be dissolved.

SEROUS CYSTS OF THE VAGINA These are comparatively rare formations in the vagina; or rather they are developed in the cellular tissue external to the vagina. They contain usually a thin or honey-like liquid, of a yellow, brown, green or other tint. And they are most frequently seated in or near the secreting glands, or the vulvo-vaginal glands. But whatever may be the exact appearance of the different fluids, they are all secreted by the membranes which contain them. These membranes may be only enlarged, hypertrophic glands; as in the mammary gland, where the cyst appears to be a portion of a lactiferous duct enlarged and degenerated as to its secreted contents. And where these cysts appear in connection with cancerous disease they seem to be the result of the disturbance of the natural growth and function of the minute glands in which they originate. Like other abnormal growths, serous cysts may attain a very great size.

The following remedies may be studied in these cases; and others, which may appear to be indicated by the peculiar characteristics of the case. These cysts are always the result of some internal dyscrasia, which being removed, the cysts themselves will presently disappear. Graphites, Lycopodium, Pulsatilla, Rhododendron, Silicea, Sulphur.

GRANULAR VEGETATIONS, CONDYLOMATA These are new growths of cellular tissue, which may occur upon the mucous membranes, especially upon the female organs of generation. Some of them, the true condylomatous excrescences particularly, are the results of some special taint of a syphilitic nature. Where there is reason to suspect this to be the case, Thuya will be most strongly indicated. Nitric acid, Staphysagria, Calcarea, Lycopodium, Mercurius, and Tartar emetic, may also be studied.

Page No.102 Diagram Natural position of the pelvic viscera.

The above represents the normal relative position of the contents of the pelvis. The plane of the superior strait is represented by a line running from the superior border of the pubis to the promontory of the sacrum. The plane of the inferior strait, by a line from the superior arch of the pubis to the point of the coccyx. The other lines are all defined in the cut. The fundus of the uterus is on a level with the plane of the superior strait, and its axis, the same as that of said plane. The peritoneum is seen sustaining the uterus by its anterior superior three-fourths, by its fundus and by the whole of its posterior surface. The succeeding nine engravings exhibit the uterus in its various displacements, making a striking contrast with its normal position.

Page No. 103 Diagram Procidentia.

The above is an illustration of complete falling of the womb, the projection of the organ out of the orifice of the vagina. In these cases the vagina is completely inverted, thus forming a conoid pouch, containing the supra-vaginal portion of the neck of the womb, its entire body, the ovaries, the fallopian tube, a large portion of the broad and round ligaments, of the small intestines, of the bladder and perhaps sometimes of the rectum. The mouth, and the infra-vaginal portion of the neck alone is seen, all the rest being covered by the inverted vagina, although protruding beyond the vulva.

H.N. Guernsey
Henry Newell Guernsey (1817-1885) was born in Rochester, Vermont in 1817. He earned his medical degree from New York University in 1842, and in 1856 moved to Philadelphia and subsequently became professor of Obstetrics at the Homeopathic Medical College of Pennsylvania (which merged with the Hahnemann Medical College in 1869). His writings include The Application of the Principles and Practice of Homoeopathy to Obstetrics, and Keynotes to the Materia Medica.