BY THE SAME AUTHOR. ON DISEASES OF WOMEN And Obarian Inflammation, IN RELATION TO MORBID MENSTRUATION, STERILITY, PELVIC TUMOURS, AND AFFECTIONS OF THE WOMB. Second Edition. Octavo, cloth, 9s. London: CHURCHILL, New Burlington-street. ELEMENTS OF HEALTH, And Principles of Female Hygiene. Post Octavo, cloth, 6s. London: BoиN, York-street, Covent-garden. THE CHANGE OF LIFE IN HEALTH AND DISEASE. A PRACTICAL TREATISE ON THE NERVOUS AND OTHER AFFECTIONS INCIDENTAL TO Women at the Decline of Life. BY EDWARD JOHN TILT, M.D. SENIOR PHYSICIAN TO THE FARRINGDON GENERAL DISPENSARY AND LYING-IN CHARITY; 1286 758 1857 PREFACE. SEVERAL years have elapsed since I published a little work on Diseases of the Change of Life; since then, I have been diligently engaged in collecting the materials for a fuller elucidation of the subject; and if, in the course of this second edition, I more frequently refer to personal observation than to the writings of medical authorities, it is simply because few have written upon the affections incidental to the change of life, although their frequency and importance are generally recognised. The extinction of reproductive power gives an emphatic interest to that period of the lifetime of woman comprised within the 40th and 50th years, were it even unattended by many constitutional changes and morbid phenomena. My views on these points will be found sketched in an introductory chapter, and in the following, the results of some interesting inquiries into the physiology of this epoch; but I am anxious to draw the reader's attention to that portion of the work which relates to nervous diseases. The present century has witnessed magnificent discoveries in the pathology of the brain and of the spinal marrow; but it will be obvious to those conversant with medical literature that the pathology of the ganglionic nervous system has received comparatively little attention, neither can it be much b VITTU |