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Lisfranc or any one else believe that this and metritis is produced, continued and increased, by no particular cause or causes? Did it merely arise from an increase of the healthy growth of the part by nutritious accretion? Or if according to his description of the facts of the case, which constitute chronic metritis, irritation exist, did that irritation arise spontaneously, making the first link in the chain of morbid phenomena, and therefore only needing revulsive powers? Surely this cannot be believed by any one.