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September 3, 1898


Author Affiliations

Professor of Gynecology Chicago Post-Graduate Medical School; Senior Gynecologist to the German Hospital; Attending Gynecologist to the Post-Graduate and Charity Hospitals. CHICAGO.

JAMA. 1898;XXXI(10):514-518. doi:10.1001/jama.1898.92450100012002b

The medical profession has during the last two decades been more especially interested in the exciting causes of disease, the infections, and the ravages of these microbic invasions. The transcending value of the conquests in this direction amply explained and justified this tendency. But we are finding out that the infections, after all, are generally playing only a part, and, in some cases, a small part, in the aggregate causation of many diseases. We recall the tenets of our fathers who spoke of predisposing causes and find that these are just as prevalent in our day. Within the female pelvis and abdomen these causes are created mostly by displacements of the internal generative organs, with the consequent embarrassment of their circulation and impaired trophic conditions. As pertaining to the uterus, this fact has been recognized for a long time by the majority of gynecologists and general practitioners, and it explains