CHIEFLY CLINICAL.
81
function began to be performed with pain, moderate at first, but more and more severe with each returning month. When between seventeen and eighteen years old, dysmenor- rhcea was established as the order of that function. Coincident with the appearance of pain, there was a diminution of excretion ; and, as the former increased, the latter became more marked. In other respects she was well; and, in all respects, she appeared to be well to her companions and to the faculty of the college. She graduated before nineteen, with fair honors and a poor physique. The year succeeding her graduation was one of steadily-advancing invalidism. She was tortured for two or three days out of every month; and, for two or three days after each season of torture, was weak and miserable, so that about one sixth or fifth of her time was consumed in this way. The excretion from the blood, which had been gradually lessening, after a time substantially stopped, though a periodical effort to keep it up was made. She now suffered 6