Clinical Lectures On Diseases Peculiar to Women

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Leeching is a very troublesome and tedious process, as well as most un- certain in its results : at one time perhaps you cannot get the leeches to take at all, or at most not more than one or LOCAL BLOOD-LETTING. 149 two, at another they will bite freely, and perhaps, in spite of all the care yon can take, will fasten on the vagina, and profuse bleeding may follow. I have seen the bleeding from this cause so profuse as to compel me to plug the vagina, I therefore now rely altogether on the othe...r method.
I practise it very much in the way recommended by Dr.
Hall, of Brighton, in the Lancet for the 3rd September, 1870. Merely scarifying the surface of the cervix is not sufficient, especially in a case of a very chronic nature and accompanied by induration, I therefore now always punc- ture the vaginal portion of the cervix tolerably deeply in two or three places. The depth to which I make the point of the knife penetrate varies from -y- to \ of an inch, or even more, according as the cervix be soft and vascular or firm and indurated, for in the former case it bleeds very freely, in the latter it is sometimes difficult to obtain a sufficient quantity of blood.


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