CHIEFLY CLINICAL.

87

described as a rush of blood to her head ; and, by and by, vagaries and forebodings and despondent feelings began to crop out. Co­incident with this mental state, her skin became rough and coarse, and an inveterate acne covered her face. She retained her appetite, ability to exercise and sleep. A careful local examination of the pelvic or­gans, by an expert, disclosed no lesion or displacement there, no ovaritis or other inflammation. Appropriate treatment faith­fully persevered in was unsuccessful in re­covering the lost function. I was finally obliged to consign her to an asylum.

The arrest of development of the repio- ductive system is most obvious to the super­ficial observer in that part of it which the milliner is called upon to cover up with pads, and which was alluded to in the case of Miss D-. This, however, is too im­

portant a matter to be dismissed with a bare allusion. A recent writer has pointed out the fact and its significance wi th great clear­ness. There is another marked change,