The patient was aged thirty-six, had had no illness, and had been regular from the age of fourteen till July, 1894.

During August of that year she had nausea and vomiting; on the 22d and 23d she lost a fluid, which was just pink.

The symptoms continued during September, on the 22d and 23d of which month there was a similar loss.

In October she was kept in bed for two days by abdominal pain, which reappeared in November, and was then associated with pain in micturition and defecation.

From that time till February 26, 1895, when she came under Pinard's care, she was attended by several doctors, each of whom adopted a different diagnosis and treatment.