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The case of menoxenial anarrhœa recently mentioned in the Journal calls to mind a somewhat similar instance in Pennsylvania, now of some eight years' standing, where the horæal profluvium was effected by exspuition instead of by the usual mode. If the source of the catamenial issue was bronchial, it seemed to be very low, and at, or near the pulmonary confluence; evidently the flow was not from the epigastrium. Permanent acyesis ensued, but general health of subject remained good.Respecting appliances described for better treatment of hepatic ecpyesis, it would seem that by the invagination of the drainage-tube within an auliscus already internally smeared with pus, some of the latter must adhere to the external surface of the drainage-tube, and be subject of (possible) injury by absorption.The comments of the Journal relative to proposed congressional aid for the permanent abatement of yellow fever are clearly well taken
Sphex . MENOXENIA.. JAMA. 1884;III(4):110–111. doi:10.1001/jama.1884.02390530026014