of menstruation from the eye. Jonston quotes an example of ocular
menstruation in a young Saxon girl, and Bartholinus an instance
associated with bloody discharge of the foot. Guepin has an
example in a case of a girl of eighteen, who commenced to
menstruate when three years old. The menstruation was tolerably
regular, occurring every thirty-two or thirty-three days, and
lasting from one to six days. At the cessation of the menstrual
flow, she generally had a supplementary epistaxis, and on one
occasion, when this was omitted, she suffered a sudden effusion
into the anterior chamber of the eye. The discharge had only
lasted two hours on this occasion. He also relates an example of
hemorrhage into the vitreous humor in a case of amenorrhea.
Conjunctival hemorrhage has been noticed as a manifestation of
vicarious menstruation by several American observers. Liebreich
found examples of retinal hemorrhage in suppressed menstruation,
and Sir James Paget says that he has seen a young girl at
Moorfields who had a small effusion of blood into the anterior
chamber of the eye at the menstrual period, which became absorbed
during the intervals of menstruation. Blair relates the history
of a case of vicarious menstruation attended with conjunctivitis
and opacity of the cornea. Law speaks of a plethoric woman of
thirty who bled freely from the eyes, though menstruating
regularly.

Relative to menstruation from the ear, Spindler, Paullini, and
Alibert furnish examples. In Paullini's case the discharge is
spoken of as very foul, which makes it quite possible that this
was a case of middle-ear disease associated with some menstrual
disturbance, and not one of true vicarious menstruation.
Alibert's case was consequent upon suppression of the menses. Law