1890 Journal of the American Medical Association (JAMA)  
The author restricted the subject to gastric dyspepsia and said he believed that the majority of cases of this sort were due to either primary or secondary infection of the stomach. Microorgan¬ isms were normally present in the stomach, and usually did no harm, but when there was dilata¬ tion or a diseased condition of the mucous mem¬ brane, fermentation was set up, and then we were called upon to treat such cases antiseptically. This was best accomplished by washing out the stomach. For this
more » ... rpose he exhibited a simple but ingeniously devised apparatus. Dr. John H. Hollister, of Chicago, pre¬ sented a few thoughts upon HELP AND HINDRANCE TO MEDICAL PROGRESS. In this paper he briefly reviewed the progress of medicine up to the present, showing how suc¬ cessive advances had been made. He indicated what direction progress would take in the future, especially calling attention to the vast unexplored fields of nervous pathology, and the chaotic con¬ dition of our therapeutics. He closed with a brief reference to higher medical education and medical journalism and their relation to progress in medicine. Dr. Geo. Hulbert, of St. Louis, presented a paper on MECHANICAL OBSTRUCTION IN DISEASES OF THE UTERUS. He did not believe that stenosis was a domin¬ ant factor, and rejected in toto the prevalent theories of dysmenorrhcea. Out of over 10,000 cases examined intra vitam and 300 examined post-mortem in no single case was he able to de¬ monstrate an obstruction that would hinder the ready flow of blood, save in the cases of pure atresia. By means of drawings made from post-mortem specimens he demonstrated that stenosis could not come from a simple bending because of the atrophy that took place at the angle. It would not do in these cases to draw conclusions from forcibly bending a normal uterus or a rubber tube-the conditions were quite dif¬ ferent. He regarded the pain in the so-called mechanical dysmenorrhcea to changes in the nervous and vascular supply of the uterus, caused by general conditions. He was confirmed in these views by the fact that an internal os with an opening of but 1-32 inch could discharge 120 times the normal amount of menstrual fluid; also, by the fact that 50 per centum of cases presenting all the physical conditions of stenosis-impermea¬ bility to the sound, pin-hole os, etc., never had any pain.
doi:10.1001/jama.1890.02410420031011 fatcat:5xpqkempxrd7fow3qpzw3lulmm