in a large, otherwise healthy, Englishwoman of thirty-one, who
one and a half years after the birth of the youngest child (now
ten years old) commenced to have a discharge of fluid from the
left breast three days before the time of the regular period. As
the fluid escaped from the nipple it became changed in character,
passing from a whitish to a bloody and to a yellowish color
respectively, and suddenly terminating at the beginning of the
real flow from the uterus, to reappear again at the breast at the
close of the flow, and then lasting two or three days longer.
Some pain of a lancinating type occurred in the breast at this
time. The patient first discovered her peculiar condition by a
stain of blood upon the night-gown on awakening in the morning,
and this she traced to the breast. From an examination it
appeared that a neglected lacerated cervix during the birth of
the last child had given rise to endometritis, and for a year the
patient had suffered from severe menorrhagia, for which she was
subsequently treated. At this time the menses became scanty, and
then supervened the discharge of bloody fluid from the left
breast, as heretofore mentioned. The right breast remained always
entirely passive. A remarkable feature of the case was that some
escape of fluid occurred from the left breast during coitus. As a
possible means of throwing light on this subject it may be added
that the patient was unusually vigorous, and during the nursing
of her two children she had more than the ordinary amount of milk
(galactorrhea), which poured from the breast constantly. Since
this time the breasts had been quite normal, except for the
tendency manifested in the left one under the conditions given.

Cases of menstruation through the eyes are frequently mentioned
by the older writers. Bellini, Hellwig, and Dodonaeus all speak