File:The Hahnemannian monthly (1894) (14597036029).jpg

Identifier: hahnemannian29homo (find matches)
Title: The Hahnemannian monthly
Year: 1865 (1860s)
Authors: Homœopathic Medical Society of the State of Pennsylvania
Subjects: Homeopathy
Publisher: West Pittston, Pa. (etc.) : LaBarre Printing Co.
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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Text Appearing Before Image:
ve (Savage). B, neck of bladder; P,symphysis pubis ; V, vagina ; R, rectum; C, coccyx ; S, sacrum ; A, acetabulum ;1, anterior vesical ligament; 2, 3, levator ani ; 4, ilio-pnbic line of the latter : 5,coccygeal muscle; 7, pyriformis muscle ; 8, obturator muscle. exist, is, I believe, denied by none. Unfortunately the concealed in-juries, because of the physiological relaxation attending labor, often * All but two of the illustrations contained in this article are loaned by Messrs.Boericke & Tafel, and are taken from Dr. Woods recently published text-book. 340 The Hahnemannian Monthly. (June, escape immediate detection, and it is not until the patient is up andabout that she suffers sufficient inconvenience from the unnaturalcondition to bring her to the specialist. I shall briefly describe theusual symptoms attending these injuries and refer to some of themethods which have been devised for their correction. Anatomy.—In studying the anatomy of the pelvic floor it is im- Fig. 2.
Text Appearing After Image:
Perineal septum, posterior view, together with the pelvic attachments of thelevator ani muscle (Savage). U, urethra; V, vagina; 6, posterior surface of theseptum. portant to bear in mind that its chief support is derived from thecoccygeal and the levator ani muscles, together with their investingfascia?. The levator ani (Fig. 1) arises from the posterior aspect ofthe pubes near the symphysis in front, from the posterior surface ofthe ischial spine behind, and between these points from the whiteline of the pelvic floor. From these attachments it sweeps down-ward and inward to become firmly attached to the walls of thevagina and rectum and to the tip of the coccyx. Between the tipof the coccyx and the rectum it blends with its fellow of the oppo-site side at the raphe. The series of fibers turning beneath the 1894 J Relaxation of tin Pelvic Floor 341 rectum and vagina, intermixing with the lower circular fibres formthe internal sphincter and the retractor vaginas (Luschka). The coccygea

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