General tonic treatment is required in most cases of protracted cervical catarrh. The preparations of iron are the most valuable in this condition.

The contraindication to the use of iron in uterine disease is menorrhagia or metrorrhagia—profuse bleeding from the uterus. If in any case this symptom is present, and it is found that the bleeding is increased after the administration of iron, then this drug should be discontinued.

The following are useful prescriptions in those cases in which iron is indicated:

Bland’s pill, the prescription for which may be written:

℞.Pulv. ferri sulph. exsic.,
Potass, carb. puræ,āā.ʒij.
Ut fiat, massa dividenda in pilulas No. xlviii.
Sig. One pill three or four times a day.

Basham’s mixture, the formula for which is—

℞.Tinct. ferri chloridi,fʒiss;
Acidi acetici diluti,fʒij;
Liquor, ammoniæ acetat.,fʒxiv;
Elix. aurantii,fʒvj;
Glycerin.,f℥j;
Aquæ,f℥iv.
M.Sig. Tablespoonful after each meal.

The prescription which Professor Goodell called the “mixture of the four chlorides” is—

℞.Hydrarg. chloridi corrosivi,gr. j-ij;
Liq. arsenici chloridi,gtt. xlviij;
Tinct. ferri chloridi,
Acidi hydrochlorici dil.āā.fʒiv;
Syrupi,f℥iij;
Aquæ,adf℥vj.
M.Sig. One dessertspoonful in a wineglassful of water after meals.

This prescription should not be given for more than two weeks at a time.