TWO CASES OF OVARIAN TUMOR. BY CHARLES MOIIR, M.D., PIHLA. I no not wish to assert that ovarian tumors are cored with medicines, but simply to report two cases occurring in my own practice, in which the diagnosis was undoubted, the tumors disap- pearing after the administration of medicines, with a view of hav- ing the subject discussed to determine whether the medicines did have a curative effect. Case I.—A woman, net. 48, unmarried, had an ovarian cyst so large that it filled almost completely the abdominal cavity. The cyst had l>een emptied, as far as was possible, on three occasions, by tapping, at the hands of I)r. Atlee of Philadelphia. Desiring to try the efficacy of Homoeopathy, inasmuch as the cyst rapidly refilled after the third operation, the patient applied to me, and I prcscrilH*d Apis 30, twelve powders, one to be taken night and morning. Several months afterwards this patient returned with- out any tumor, and she is living to-day, now jet. (51 years, without any signs of alxlominal enlargement. This patient, however, did not credit the Apis with the cure. She took only four of the pow- ders, and then ceased to take more because she was being sali- vated. That was her interpretation of a decided increase of the saliva, which, I ascertained, lasted some days. At this time there was also an increase of the urinary secretion. A few7 weeks after these salivary and urinary phenomena, she had a severe fall, and thereupon there was a rapid decrease of the abdominal enlarge- ment, and some weeks later a complete disappearance of the tumor. 2 Case II.—-A woman, jet. 53, married, consulted me on July 17, 1888, complaining of constipation and an abdominal enlarge- ment, attended with pain of a sore, tearing and burning character, in the right side of the abdomen, worse from quiet, especially at night, relieved by walking or exercise. On inquiring into the history of this woman, I found that she married in 1861, gave birth to a child in 1862, to a second girl in 1865, and to a boy in 1866. At 40 years she ceased to menstruate, suffered none during nor after the climaxis, until in her 51st year, when she noticed a slowly-increasing enlargement towards the right of the median line of the abdomen. The tumor became larger and larger; con- stipation, dysuria and abdominal discomfort ensued, and at the time of her consultation with me suffered as already noted. I found, on examination, a somewhat emaciated patient; the face wearing a worried and anxious look; the mamnne small and flabby ; the umbilicus sunken, the abdomen large; through which could be plainly felt a movable tumor, and by vaginal examina- tion a uterus displaced back of the tumor. I made the following measurements: Inches. 1. Waist measure, 28 2. Around abdomen over crests of the ilii, . . . .37 3. Around abdomen two inches below the crests of the ilii, . 39 4. Across abdomen on a line with umbilicus, . . . .18 5. From end of ensiform to upper edge of pubis, . . .14 6. Tumor from side to side 13 7. Tumor from upper border to pubis, 11 I prescribed Rhus tox. 3, which was followed by a relief of the pain and constipation, the sleep was better, and one week later the patient was so much improved that she went to Atlantic City, N. J. Here she acted injudiciously, and by bathing in rough surf and exposure to damp air at night contracted cold, which was followed by a violent peritoneal inflammation, for which she re- ceived treatment by Dr. Boardman Reed, an old-school physician. Dr. Reed also diagnosed an ovarian tumor and advised its re- moval after the subsidence of the peritonitis. After some im- provement of the more acute inflammatory symptoms, I saw her on August 1, 1888, and again prescribed Rhus tox. 3, which was 3 followed by a complete subsidence of the peritonitis, and on August 14th she was well enough to be brought back to Phila- delphia, but with the beginning of a rapidly developing parotitis of the left side. This glandular inflammation resulted in an ex- tensive suppuration, which was only partially benefited by Hepar 3x trituration. I continued the remedy intermittently until Sep- temlier 1st, in the meantime having made a free opening for the discharge of the pus, notwithstanding which, however, sinuses formed and the discharge found its way into the mouth and through the external ear. I then enlarged the opening I had made, and frequently washed out the pus cavity and sinuses with sterili/.ed water. At this time the following symptoms were pres- ent: Flatulency; variable appetite for food, but little satiates; bloating after eating, with boring pain in the right hypochondrium extending down into the hypogastrium, and pressure on the rectum and bladder; frequent desire for stool, but often ineffectual, the evacuations, when they did occur, l>eing scanty; urine scanty, and depositing reddish sediment; abdomen sensitive to deep pressure, especially on right side of tumor, and at times, when bloating was great, the whole abdomen sensitive to pressure of the cloth- ing ; very irritable and cross, especially after sleeping; emacia- tion, and imperfect circulation of lower extremities, the feet being constantly cold. At this time there was no active peritoneal inflam- mation, and the measurements and condition of the tumor were essentially as they were on July 17th. I prescribed Lycopodium 4x trit., which was soon followed by improvement of the above enumerated symptoms and the suppurative process of the parotid, and she was placed on placebo. On October 11, 1888, the parotitis had entirely disappeared, and she felt so much better that she could go al>out with more freedom than for months, and she believed the tumor was smaller. I thereupon made measure- ments again, and found that— Inches. 1. Waist measure, ......... '26\ 2. Aronmi alxlomen over crests of the ilii, . . . .33 T. Around abdomen, two inches below crests of the ilii, . 3oJ 4. Across abdomen on a line with umbilicus, . . .16 5. From end of ensiform to upper edge of pubis, . . .14 6. Tumor from side to side, ....... 11 7. Tumor from upper border to pubis, 9 4 At this time appetite was normal, bowels regular, nutrition good. Without any further medication the improvement was continuous, and on December 8, 1888, she had gained nine pounds, since October 11th, and the measurements showed— Inches. 1. Waist measure, . . 1 ! 27 2. Around abdomen over crests of the ilii, .... 34} 3. Around abdomen, two inches below crests of the ilii, . 36 4. Across abdomen on a line with umbilicus, . . .15 5. From end of ensiform to upper edge of pubis, . . . 13} 6. Tumor from side to side, 9 7. Tumor from upper border to pubis, ..... 7 On May 21,1889, she was entirely well. The gain in weight was twenty-four pounds since December 8th, and the measurements were: Inches. 1. Waist measure, 29 2. Around abdomen over crests of the ilii, .... 36} 3. Around abdomen, two inches below crests of the ilii, . 37 4. Across abdomen on a line with umbilicus, . . .14 5. From ensiform to upper edge of pubis, .... 13} The measurements heretofore numbered 6 and 7 are omitted in this last table, as there was no tumor to measure—verified further by a thorough vaginal and abdominal examination, showing a normal uterus and appendages.