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The Physical Life of Woman: Advice to the Maiden, Wife and Mother cover

The Physical Life of Woman: Advice to the Maiden, Wife and Mother

Chapter 30: WHEN THE CHANGES ARE DELAYED.
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About This Book

Practical, health-focused guidance for women at the stages of maidenhood, marriage, and motherhood, covering physiological changes at puberty, menstrual disturbances, courtship and sexual relations viewed through their health consequences, and rules to prevent harm. It examines marital health, fertility and family-size considerations, inheritance of physical and mental traits, and detailed advice on pregnancy, childbirth, and postpartum care. Sections on breastfeeding and routine child care address common childhood illnesses and parental duties. Hygiene, local causes of chronic female ill-health, and the transition of middle age are discussed with preventive measures, remedies, and references for further reading.

THE PHYSICAL LIFE OF WOMAN.

KNOWLEDGE IS SAFETY.

'Knowledge is power,' said the philosopher. The maxim is true; but here is a greater truth: 'Knowledge is safety,'—safety amid the physical ills that beset us,—safety amid the moral pitfalls that environ us.

Filled with this thought, we write this book. It is the Revelation of Science to Woman. It tells her, in language which aims at nothing but simplicity, the results which the study of her nature, as distinct from that of man, has attained. We may call it her physical biography.

It is high time that such a book were written. The most absorbing question of the day is the 'Woman Question.' The social problems of chiefest interest concern her. And nowhere are those problems more zealously studied than in America, which has thrown aside the trammels of tradition, and is training its free muscles with intent to grapple the untried possibilities of social life. Who can guide us in these experiments? What master, speaking as one having authority, can advise us? There is such a guide, such a master. The laws of woman's physical life shape her destiny and reveal her future. Within these laws all things are possible; beyond them, nothing is of avail.

Especially should woman herself understand her own nature. How many women are there, with health, beauty, merriment, ay, morality too, all gone, lost for ever, through ignorance of themselves! What spurious delicacy is this which would hide from woman that which beyond all else it behooves her to know? We repudiate it; and in plain, but decorous language,—truth is always decorous,—we purpose to divulge those secrets hidden hitherto under the technical jargon of science.

THE DISTINCTION OF THE SEXES.

The distinction of the sexes belongs neither to the highest nor to the lowest forms of existence. Animals and vegetables of the humblest character have no sex. So it is with spirits. Revelation implies that beyond this life sexual characteristics cease. On one occasion the Sadducees put this question to Christ: There was a woman who lawfully had seven husbands, one after the other; now, at the resurrection, which of these shall be her husband? or shall they all have her to wife? He replied that hereafter there shall be neither marrying nor giving in marriage, but that all shall be 'as the angels which are in heaven.' Sexuality implies reproduction, and that is something we do not associate with spiritual life.

It further implies imperfection, which is equally far from our hopes of happiness beyond the grave. The polyp, which reproduces by a division of itself, is in one sense more complete than we are. The man is in some respects inferior to the woman; the woman in others is subordinate to man. A happy marriage, a perfect union, they twain one flesh, is the type of the independent, completed being. Without the other, either is defective. 'Marriage,' said Napoléon, 'is strictly indispensable to happiness.'

There is, in fact, a less difference between the sexes than is generally believed. They are but slight variations from one original plan. Anatomists maintain, with plausible arguments, that there is no part or organ in the one sex but has an analogous part or organ in the other, similar in structure, similar in position. Just as the right side resembles the left, so does man resemble woman.

Let us see what differences there really are:

The frame of woman is shorter and slighter. In the United States the men average five feet eight inches in height, and one hundred and forty-five pounds in weight; the women, five feet two and a half inches in height, and one hundred and twenty-five pounds in weight. Man has broad shoulders and narrow hips; woman has narrow shoulders and broad hips. Her skull is formed of thinner bones, and is in shape more like that of a child. Its capacity, in proportion to her height, is very little less than in man,—about one-fiftieth, it is said,—which, so far as brain-power is concerned, may readily be made up by its finer texture. Her shoulders are set farther back than in the other sex, giving her greater breadth of chest in front. This is brought about by the increased length of her collar-bone; and this is the reason why she can never throw a ball or stone with the accuracy of a man. Graceful in other exercises, here she is awkward.

Her contour is more rounded, her neck is longer, her skin smoother, her voice softer, her hair less generally distributed over the body, but stronger in growth than in man. She breathes with the muscles of her chest—he with those of his abdomen. He has greater muscular force—she more power of endurance. Beyond all else she has the attributes of maternity,—she is provided with organs to nourish and protect the child before and after birth.

PERSONS OF BOTH SEXES AND OF NEITHER SEX.

Nature is very sedulous in maintaining these differences. It is the rarest thing in the world to find a human being of doubtful sex. Many a physician disbelieves that there ever has been a person of both sexes—a true hermaphrodite. They are very scarce, but they do exist. There is one now living in Germany. It bears a female name, Catherine Hohmann. She was baptised and brought up a female; but Catherine is as much man as woman. The learned professor of anatomy, Rokitansky, of Vienna, asserts most positively that this is a real hermaphrodite. Her history is sad. Born in humble circumstances, when of marriageable age she loved a man, who wished her to emigrate with him to America. But when she disclosed to him her deformity, he broke off the engagement and deserted her. Then her affection became fixed on a young girl; but how could she make her suit to one apparently of her own sex? With passions that prompt her to seek both sexes, she belongs to neither. 'What shall I do here on earth?' she exclaimed, in tears, to a man of science who recently visited her. 'What am I? In my life an object of scientific experiment, and after my death an anatomical curiosity.'

There are also persons—very few indeed—who have no sex at all. They are without organs and without passions. Such creatures seem to have been formed merely to show us that this much-talked-of difference of sex is, after all, nothing inherent in the constitution of things, and that individuals may be born, live and thrive, of both sexes, or of neither.

THE SPHERE OF WOMAN.

Our province lies within the physical sphere of woman. But we will here allow ourselves a momentary digression. It will be seen that while these differences are not radical, yet they are peculiarly permanent. They hint to us the mental and intellectual character of woman. What opinion should we hold on this much-vexed question?

To this effect: The mental faculties of man and woman are unlike, but not unequal. Any argument to the contrary, drawn from the somewhat less weight of the brain of woman, is met by the fact that the most able men are often undersized, with small heads. The subordinate place which woman occupies in most states, arises partly from the fact that the part she plays in reproduction prevents her from devoting her whole time and energies to the acquisition of power, and partly from the fact that those faculties in which she is superior to man have been obscured and oppressed by the animal vigor and selfishness of the male. As civilisation advances, the natural rights of woman will be more and more freely conceded, until the sexes become absolutely equal before the law; and, finally, her superiority in many respects will be granted, and she will reap the benefits of all the advantages it brings, without desiring to encroach on those avocations for which masculine energy and strength are imperatively needed.

The most peculiar features of woman's life are hers for a limited period only. Man is man for a longer time than woman is woman. With him it is a lifetime matter; with her it is but for a score of years or so. Her child-bearing period is less than half her life. Within this time she passes through all the phases of that experience which is peculiarly her own.

And these phases, what are they? Nature herself defines them. They are three in number,—the Maiden, the Wife, and the Mother. In one and then another of this triad, her life passes. Each has its own duties and dangers; each demands its own precautions; each must be studied by itself.

Let us at once commence this important study, and proceed in the order of time.


THE MAIDEN.

PUBERTY.

At a certain period in the life of the female, she ceases to be a girl, and becomes a woman. Hitherto she has felt no distinction between herself and the boys, her playmates. But now a crisis takes place, which is for ever after to hedge her round with a mysterious, invisible, but most real barrier from all mankind.

This period is called the age of puberty. Its sign is a flow of blood recurring every month; its meaning, that the female has entered upon that portion of her life whose peculiar obligations are to the whole race—no longer to herself alone. The second part of her twofold nature is opened. Why is it that on her, the weaker sex, this extra burden is laid? Why this weakness, these pains, this recurring loss of vital fluid?

Perhaps, as has been observed, it is a wise provision that she is thus reminded of her lowly duty, lest man should make her the sole object of his worship, or lest the pride of beauty should obscure the sense of shame. But this question concerns rather the moralist than the physician, and we cease asking why it is, and shall only inquire what it is.

To this science returns a clear reply. In the anatomy of woman there are two small bodies, in shape and size like large almonds, called the ovaries. They lie one on each side of the womb, and are connected with it by tubes about four inches in length. These bodies are solid, but contain a great number of diminutive vesicles, which, by some mysterious law of nature, mature one at a time, every thirty days, for thirty years of woman's life. When mature, the vesicle separates from the ovary, traverses the tube into the womb, and is thence expelled and lost, or becomes, by contact with the other sex, the germ of a living being. This process is accompanied by a disturbance of the whole system. Wandering pains are felt; a sense of languor steals over the mind; the blood rushes with increased violence through the vessels, and more or less of it escapes from the veins, causing that change which we term menstruation.

The ancients had a tradition that in the beginning of things the world was made from an egg; the naturalists of past generations had this maxim: Everything living comes from an egg; and science to-day says the same. For this vesicle we have mentioned is in fact an egg, similar in structure to those which birds, fish, and turtles deposit. The only differences are, that the one is developed out of the body, the other within; the one has a shell, the other has none.

Therefore physiologists give this definition: Menstruation is ovulation,—it is the laying of an egg.

WHAT IS THE AGE OF PUBERTY?

This has been a matter of careful study by physicians. They have collected great numbers of observations, and have reached this conclusion: In the middle portion of the temperate zone, the average age when the first period appears in healthy girls is fourteen years and six months. If it occurs more than six months later or earlier than this, then it is likely something is wrong, or, at least, the case is exceptional.

Exceptional cases, where this average is widely departed from in apparently perfect health, are rare. But they do occur. We have known instances where the solicitude of parents has been excited by the long delay of this constitutional change, and others in which it has taken place at an almost tender age, without causing any perceptible injury to the general health.

There is an instance recorded, on good authority, where a French child but three years old underwent all the physical changes incident to puberty, and grew to be a healthy woman. But what children can surpass the American in precocity? This French child-woman is quite left in the shade by one described in a recent number of a western medical journal, who from her birth had regular monthly changes, and the full physical development which marks the perfect woman!

Thus, sometimes, a wide deviation from the average age we have stated occurs, without having any serious meaning. Yet at no time is such a deviation to be neglected. In nine out of ten instances it is owing to some fault in the constitution, the health, or formation, which should be ascertained and corrected. Otherwise years of broken health and mental misery may be the sad results. Mothers, teachers, it is with you this responsibility rests. The thousands of wretched wives, who owe their wretchedness to a neglect of proper attention at this turning-point of their lives, warn you how serious is this responsibility.

The foundation of old age, says a distinguished author, is laid in childhood; but the health of middle-life depends upon puberty. Never was there a truer maxim. The two years which change the girl to the woman often seal for ever the happiness or the hopeless misery of her whole life. They decide whether she is to become a healthy, helpful, cheerful wife and mother, or a languid, complaining invalid, to whom marriage is a curse, children an affliction, and life itself a burden.

We reiterate our warning: Mothers, teachers, you to whom children are confided at this crisis of their lives, look well to it that you appreciate, understand, and observe the duties you have assumed. Let no false modesty prevent you from learning and enforcing those precautions, so necessary at this period of life.

WHAT HASTENS AND WHAT RETARDS PUBERTY?

As a rule, we find that those who develope early, fade early. A short childhood portends a premature old age. It often foreshadows, also, a feeble middle-life.

Having ascertained, therefore, what is the average age at which puberty takes place with us, let us see what conditions anticipate or retard this age.

The most important is climate.

In hot climates, man, like the vegetation, has a surprising rapidity of growth. Marriages are usual at twelve or fourteen years of age. Puberty comes to both sexes as early as at ten and eleven years. We even read in the life of Mohammed, that one of his wives, when but ten years of age, bore him a son. Let another dozen years pass, and these blooming maidens have been metamorphosed into wrinkled, faded old women. The beauty of their precocious youth has withered almost literally like a flower which is plucked.

Very different is it in the cold and barren regions of the far north. There man, once more partaking of the nature of his surroundings, yields as slowly to the impulses of his passions as does the ice-bound earth to the slanting rays of the summer sun. Maturity, so quick to come, so swift to leave in the torrid heats, arrives, chilled by the long winters, to the girls of Lapland, Norway, and Siberia, only when they are eighteen and nineteen years of age. But, in return for this, they retain their vigor and good looks to a green old age.

Between these extremes, including as they do the whole second decade of existence, this important change takes place normally in different latitudes. We have said that in the middle temperate zone the proper age is fourteen years and six months. Let us now see what conditions lead to deviations from this age in our climate.

First on the list is that sacred fire handed down to us from our ancestors, which we call, in our material language, the constitution.

The females of certain races, certain families, it is often noticed, mature earlier than their neighbours. Jewesses, for example, are always precocious, earlier by one or two years. So are colored girls, and those of creole lineage. We can guess the reasons here. No doubt these children still retain in their blood the tropic fire which, at comparatively recent periods, their forefathers felt under the vertical rays of the torrid zone.

Nor is this all. It is well ascertained, from numerous observations, that brunettes develope sooner than their blonde sisters; that those who will grow to be large women are slower than those whose stature will be small; that the dark-haired and black-eyed are more precocious in this respect than the light-haired and blue-eyed; that the fat, sluggish girl is more tardy than the slender, active one; that, in general, what is known as the nervo-bilious temperament is ever ahead of that called the lymphatic or phlegmatic.

It is a familiar fact, that it is not a good sign to see this change before the usual average time. It betokens a weakly, excitable, diminutive frame. Hard labor, vigorous, regular muscular exertion—prime health, in other words—never tends to anticipate this epoch, but rather to retard it.

With this warning fresh in our ears, let us now rehearse what causes constantly incline unduly to hasten puberty, and thus to forestall wise Nature in her plans for health and beauty. They are of two kinds,—physical and mental.

Idleness of body, highly-seasoned food, stimulating beverages, such as beer, wine, liqueurs, and, in a less degree, coffee and tea, irregular habits of sleep,—these are the physical causes of premature development. But the mental causes are still more potent.

Whatever stimulates the emotions leads to an unnaturally early sexual life. Late hours, children's parties, sensational novels, 'flashy' papers, love stories, the drama, the ball-room, talk of beaux, love, and marriage,—that atmosphere of riper years which is so often and so injudiciously thrown around childhood,—all hasten the event which transforms the girl into the woman. A particular emphasis has been laid by some physicians on the power of music to awaken the dormant susceptibilities to passion, and on this account its too general or earnest cultivation by children has been objected to. Educators would do well to bear this caution in mind.

How powerfully these causes work is evident when we compare the average age of puberty in large cities and in country districts. The females in the former mature from six to eight months sooner than those in the latter. This is unquestionably owing to their mode of life,—physically indolent, mentally over-stimulated. The result, too, is seen with painful plainness in comparing the sturdy, well-preserved farm-wife of thirty, with the languid, pale, faded city lady of the same age.

THE CHANGES IT WORKS.

Two short years change the awkward and angular girl of fourteen into the trim and graceful maiden of sweet sixteen. Wonderful metamorphosis! The magic wand of the fairy has touched her, and she comes forth a new being, a vision of beauty to bewitch the world.

Let us analyze this change.

The earliest sign of approaching puberty is a deposit of fat in the loose cellular tissue under the skin. This gives roundness to the form, and grace to the movements. According to a distinguished naturalist (Buffon), it is first observable by a slight swelling of the groins. Thence it extends over the whole body. The breasts especially receive additions, and develope to form the perfect bust.

Parts of the body previously free from hair become covered with a soft growth, and that which covers the head acquires more vigor and gloss, usually becoming one or two shades darker. The eyes brighten, and acquire unwonted significance. These windows of the soul betray to the close observer the novel emotions which are arising in the mind within.

The voice, too, shares in the transformation. The piping, slender articulation of the child gives way to the rich, melodious, soft voice of woman—the sweetest music man ever hears. To the student of humanity, to the observant physician, nothing is more symbolical of the whole nature than the voice. Would you witness a proof of its power? Watch how a person born blind unerringly discriminates the character of those he meets by this alone.

Beyond all external modifications, we find others, which indicate how profound is the alteration now taking place. The internal organs of the body assume new functions and new powers. The taste for food changes, hinting that the system has demands hitherto unknown. Those organs we have adverted to, called the ovaries, increase in size, as also does the uterus. The very framework of the structure does not escape. The bones increase in weight, and those around the hips expand, and give the female her distinctive form, upon the perfection of which her life and that of her children depend.

MENTAL CHANGES.

Such are the changes which strike the eye. But there are others which are not less significant, and which demand far more urgently our watchful heed. New thoughts, strange desires, are invading the soul. A novel relation is assumed to the world. It is vague, misunderstood, but disturbing all the same.

The once light-hearted girl inclines to reveries; she seeks solitude; her mother surprises her in causeless tears; her teacher discovers an unwonted inattention to her studies, a less retentive memory, a disinclination to mental labor; her father misses her accustomed playfulness; he, perhaps, is annoyed by her listlessness and inertia. What does it all mean? What is the matter with the girl?

Mother, teacher, father, it is for you to know the answers to these questions. You have guarded this girl through years of helpless infancy and thoughtless childhood. At the peril of her life, and of what is of more value than life, do not now relax your vigilance. Every day the reaper Death reaps with his keen sickle the flowers of our land. The mothers weep, indeed; but little do they realize that it is because they have neglected to cherish them as was their duty, that the Lord of Paradise has taken them back unto Himself.

THE COMPLETION OF PUBERTY.

The symptoms increase until at length the system has acquired the necessary strength, and furnished itself with reserve forces enough to complete its transformation. Then the monthly flow commences.

In thoroughly healthy girls it continues to recur at regular intervals, from twenty-five to thirty days apart. This is true of about three out of four. In others, a long interval, sometimes six months, occurs between the first and second sickness. If the general health be not in the least impaired, this need cause no anxiety. Irregularities are found in the first year or two, which often right themselves afterwards. But whenever they are associated with the slightest signs of mental or bodily disorder, they demand instant and intelligent attention.

It used to be supposed that the periods of the monthly sickness were in some way connected with the phases of the moon. So general is this belief even yet in France, that a learned Academician not long since thought it worth while carefully to compare over four thousand observations, to see whether they did bear any relations to the lunar phases. It is hardly worth while to add that he found none.

We have known perfectly healthy young women who were ill every sixteen days, and others in whom a period of thirty-five or thirty-six days would elapse. The reasons of such differences are not clear. Some inherited peculiarity of constitution is doubtless at work. Climate is of primary importance. Travellers in Lapland, and other countries in the far north, say that the women there are not regulated more frequently than three or four times a year. Hard labor and a phlegmatic temperament usually prolong the interval between the periodical illnesses.

An equal diversity prevails in reference to the length of time the discharge continues. The average of a large number of cases observed in healthy women, between the ages of fifteen and thirty-five, is four days and a fraction. In a more general way, we may say from two to six days is the proper duration. Should it diverge widely from this, then it is likely some mischief is at work.

In relation to the amount of the discharge, every woman is a law unto herself. Usually, it is four or five ounces in all. Habits of life are apt to modify it materially. Here, again, those exposed to prolonged cold and inured to severe labor escape more easily than their sisters petted in the lap of luxury. Delicate, feeble, nervous women—those, in other words, who can least afford the loss of blood—are precisely those who lose the most. Nature, who is no tender mother, but a stern step-mother, thus punishes them for disregarding her laws. Soft couches, indolent ease, highly spiced food; warm rooms, weak muscles,—these are the infractions of her rules which she revenges with vigorous, ay, merciless severity.

It is well known, too, that excitement of the emotions, whether of anger, joy, grief, hatred, or love increases the discharge. Even the vulgar are aware of this, and, misinterpreting it as half-knowledge always does, suppose it a sign of stronger animal passions. It bears no such meaning. But the fact reads us a lesson how important it is to cultivate a placid mind, free from strong desire or fear, and to hold all our emotions in the firm leash of reason.

Physicians attach great importance to the character of the discharge. It should be thin, watery, dark-coloured, and never clot. If it clots, it is an indication that something is wrong.

THE DANGERS OF PUBERTY.

We have shown that there are constantly individual deviations, quite consistent with health, from any given standard. They only become significant of disease when they depart decidedly from the average, either in the frequency of the illness, its duration, the amount of the discharge, or the character. More or less pain, more or less prostration and general disturbances at these epochs, are universal and inevitable. They are part of the sentence which at the outset He pronounced upon the woman, when He said unto her, 'I will greatly multiply thy sorrow and thy conception.' Yet with merciful kindness He has provided means by which the pain may be greatly lessened, and the sorrow avoided; and that we may learn and observe these means, their neglect often increases a hundred-fold the natural suffering.

At this critical period, the seeds of hereditary and constitutional diseases manifest themselves. They draw fresh malignancy from the new activity of the system. The first symptoms of tubercular consumption, of scrofula, of obstinate and disfiguring skin diseases, of hereditary insanity, of congenital epilepsy, of a hundred terrible maladies, which from birth have lurked in the child, biding the opportunity of attack, suddenly spring from their lairs, and hurry her to the grave or the madhouse. If we ask why so many fair girls of eighteen or twenty are followed by weeping friends to an early tomb, the answer is, chiefly from diseases which had their origin at the period of puberty.

It is impossible for us here to rehearse all the minute symptoms, each almost trifling in itself, which warn the practised physician of the approach of one of these fearful foes in time to allow him to make a defence. We can do little more than iterate the warning, that whenever, at this momentous epoch, any disquieting change appears, be it physical or mental, let not a day be lost in summoning skilled, competent medical advice.

There is, however, a train of symptoms so frequent, so insidious, so fruitful with agony of mind and body, that we shall mention them particularly. They illustrate, at once, how all-important is close observation, and how significant to the wise physician are trifles seemingly light as air.

If you notice a girl of fourteen or sixteen, who, in walking, always gives one arm in preference to the other to her companion; if, in sleeping, she mostly lies on the same side; if, in sitting, she is apt to prefer a chair with a low back, and throws one arm over its back; if you perceive that she always sits with one foot a little in advance of the other; if she, on inquiry, confesses to slight, wandering pains in one side of her chest,—do not chide her for awkwardness. These are ominous portents. They mean spinal disease, than which a more fearful malady is hardly known to medicine.

Not less stealthy is the approach of disease of the hip-joint, of white swelling of the knee, of consumption,—all curable if taken in hand at the very first, all well-nigh hopeless when they have once unmasked their real features.

Apart from these general dangers, to which those of thoroughly sound constitutions are not exposed, there are disorders called functional, to which all are subject.

GREEN SICKNESS.

When we speak of the 'green sickness,' we mention perhaps the most common of all, and one of which every mother has heard. Doctors call it chlorosis, which also means greenness; for one of its most common and peculiar symptoms is a pale complexion with a greenish tinge.

It never occurs except at or near the age of puberty, and was long supposed to be merely an impoverishment of the blood. Now, however, we have learned that it is a disease of the nervous system, and one very often confounded by physicians with other complaints.

Its attack is insidious. A distaste for exertion and society, a fitful appetite, low spirits,—these are all the symptoms noticed at first. Then, one by one, come palpitation of the heart, an unhealthy complexion, irregularity, dyspepsia, depraved tastes,—such as a desire to eat slate-pencil dust, chalk, or clay,—vague pains in body and limbs, a bad temper; until the girl, after several months, is a peevish, wretched, troublesome invalid.

Then, if a physician is called in, and gives her iron, and tells her nothing is the matter, or is himself alarmed, and imagines she has heart disease or consumption, it is a chance if she does not rapidly sink, out of mere fright and over-much dosing, into some fatal complaint. Let it be well understood that chlorosis, though often obstinate and obscure, is always curable if properly and promptly treated. The remedies must be addressed to the nervous system, and can be administered with intelligence only by a competent medical adviser. It can be prevented by a hygienic mode of life, and, as its most common causes are anxiety, home-sickness, want of exercise, or overwork at school, nothing is so salutary in its early stages as a change of air and scene, cheerful company, a tour to the mountains or some watering-place, and regular exercise.

Many young women suffer considerable pain during their monthly illness. This may arise from many different causes, such as, congestion, inflammation, malformation, or a wrong position of the parts, or over-sensitive nerves. They can only be successfully treated when the cause is known; and they may rest assured that this suffering, in nearly every case, can be removed.

Sometimes a girl grows to the age of eighteen or twenty without having her periodical changes. We have already said that this is not unusual in some climates and in some families; so, as long as the general health is good and the spirits cheerful,—always an important point,—it need cause no anxiety. But if the health grow poor, and especially if there be pains and weakness recurring monthly without discharge, then something is wrong, and the doctor should be consulted.

HYSTERICS.

There is a disease of the nerves to which girls about the age of puberty are very subject, particularly in the higher circles of society, where their emotions are over-educated and their organization delicate. It is called hysteria, and more commonly hysterics. Frequently it deceives both doctor and friends, and is supposed to be some dangerous complaint. Often it puts on the symptoms of epilepsy, or heart disease, or consumption. We have witnessed the most frightful convulsions in girls of fourteen or fifteen, which were brought on by this complaint. Sometimes it injures the mind; and it should always receive prompt and efficient attention, as it is always curable.

This disease is apt to produce a similar affection in other girls of the same age who see the attacks. For this reason, hysterical girls should not be sent to large schools, but cured at home. Often a strong mental impression restores them. The anecdote is told of a celebrated surgeon (Boerhaave) who was called to a female seminary where there was a number of hysterical girls. He summoned them together, heated a number of iron instruments before their eyes, and told them that the first one who had a fit should be cauterized down the spine. They all recovered immediately.

SECRET BAD HABITS.

We now approach a part of our subject which we would gladly omit, did not constant experience admonish us of our duty to speak of it in no uncertain tone. We refer to the disastrous consequences on soul and body to which young girls expose themselves by exciting and indulging morbid passions. Years ago, Miss Catherine E. Beecher sounded a note of warning to the mothers of America on this secret vice, which leads their daughters to the grave, the madhouse, or, worse yet, the brothel.

Gladly would we believe that her timely admonition had done away with the necessity for its repetition. But though we believe such a habit is more rare than many physicians suppose, it certainly exists to a degree that demands attention. Surgeons have recently been forced to devise painful operations to hinder young girls from thus ruining themselves; and we must confess that, in its worst form, it is absolutely incurable.

The results of the constant nervous excitement which this habit produces are bodily weakness, loss of memory, low spirits, distressing nervousness, a capricious appetite, dislike of company and of study, and finally, paralysis, imbecility, or insanity. Let it not be supposed that there are many who suffer thus severely; but, on the other hand, let it be clearly understood that any indulgence whatever in these evil courses is attended with bad effects, especially because they create impure desires and thoughts, which will prepare the girl to be a willing victim to the arts of profligacy. There is no more solemn duty resting on those who have the charge of young females than to protect them against this vice.

But, it is exclaimed, is it not dangerous to tell them anything about it? Such a course is unnecessary. Teach them that any handling of the parts, any indecent language, any impure thought, is degrading and hurtful. See that the servants, nurses, and companions with whom they associate are not debased; and recommend scrupulous cleanliness.

If the habit is discovered, do not scold nor whip the child. It is often a result of disease, and induced by a disagreeable local itching. Sometimes this is connected with a disorder of the womb, and very frequently with worms in the bowels. Let the case be submitted to a judicious, skilful medical adviser, and the girl will yet be saved. But do not shut your eyes, and refuse to see this fact when it exists. Mothers are too often unwilling to entertain for a moment the thought that their daughters are addicted to such a vice, when it is only too plain to the physician.

THE HYGIENE OF PUBERTY.

Concerning the maladies of puberty, we may broadly say, that if we are obliged to have recourse to medicine, it is because we have neglected hygiene. That the period requires assiduous care, we grant; but given that care, drugs will be needless.

In a general way, we have already emphasized the danger of indolence and the benefits of exercise or labor; the perils of exciting the emotions, and the advantages of a placid disposition; the impropriety of premature development, and the wisdom of simplicity and moderation. This is an old story—a thrice-told tale. Let us go more into minutiæ.

One of the most frequent causes of disease, about the age of puberty, is starvation. Many a girl is starved to death. Food is given her, but not of the right quality, or in insufficient quantity, or at improper hours. The system is not nourished, and, becoming feeble, it is laid open to the attacks of disease, and to no form of disease more readily than to consumption.

To correct this, let the food be varied, simply prepared, and abundant. Good fresh milk should be used daily, while tea and coffee should be withheld. Fat meats and vegetable oils, generally disliked by girls at this age, are exactly what they need; and were they partaken of more freely, there would be less inquiry at the druggists for cod-liver oil.

A modern writer of eminence lays it down as one of the most common causes of consumption in young people, that just at the age when their physical system is undergoing such important changes, that invaluable article of diet, milk, is generally dropped, and nothing equally rich in nitrogen substituted in its place.

Exercise, whether as games, the skipping rope, croquet, walking, dancing, riding, and calisthenics, or as regular labor, is highly beneficial, especially when it leads one into the fresh air, the sunshine, and the country. A particular kind of exercise is to be recommended for those whose chests are narrow, whose shoulders stoop, and who have a hereditary predisposition to consumption. If it is systematically practised along with other means of health, we would guarantee any child, no matter how many relatives have died of this disease, against its invasion. It is voluntary inspiration. Nothing is more simple. Let her stand erect, throw the shoulders well back, and the hands behind; then let her slowly inhale pure air to the full capacity of the lungs, and retain it a few seconds by an increased effort; then it may be slowly exhaled. After one or two natural inspirations, let her repeat the act, and so on for ten or fifteen minutes, twice daily. Not only is this simple procedure a safeguard against consumption, but, in the opinion of some learned physicians, it can even cure it when it has already commenced.

At first the monthly loss of blood exhausts the system. Therefore, plenty of food, plenty of rest, plenty of sleep, are required. That ancient prejudice in favour of early rising should be discarded now, and the girl should retire early, and if she will, should sleep late. Hard study, care, or anxiety should be spared her. This is not the time for rigid discipline.

Clothing is a matter of importance, and, if we were at all sure of attention, there is much we would say of it. The thought seriously troubles us, that so long as women consent to deform themselves and sacrifice their health to false ideas of beauty, it is almost hopeless to urge their fitness for, and their right to a higher life than they now enjoy. No educated painter or sculptor is ignorant of what the model of female beauty is; no fashionable woman is content unless she departs from it as far as possible.

Now beauty implies health, and ugliness of form is attained not only at the expense of æsthetics, but of comfort. The custom of fastening growing girls in tight corsets, of flattening their breasts with pads, of distorting their feet in small high-heeled shoes, and of teaching them to stoop and mince in gait, is calculated to disgust every observer of good sense and taste, and, what is of more consequence, to render these girls, when they become women, more liable to every species of suffering connected with child-bearing.

The monthly change is the prelude to maternity. On its healthful recurrence depends present comfort and future health; and not these alone, but also happiness in marriage, easy child-beds, and the constitution of children to a degree the thoughtless girl and even the mature woman rarely understand. She, therefore, who neglects the due care of her own condition, violates a duty owed to others as well as herself. We would have mothers impress this on their daughters. Let no mistaken modesty prevent them.

Especially at their commencement should the monthly changes be carefully watched. The mother should prepare her daughter's mind betimes for such an expected incident in her life, thus preventing a useless fright, or the employment of injurious means to stop what the child may look upon as an accident.

Nor should the maternal care cease here. Such tender sympathy should exist on the one side, such trusting confidence on the other, that the mother should acquaint herself with every detail of each recurring period until the function is thoroughly established. She should inquire into the duration of each epoch, the abundance of the discharge, the presence of pain, and its effects on the general health. She should convince herself that all these do not vary from the standards of health we have previously laid down. Or should they do so, she should not delay to use the proper means to bring them to that standard.

Long observation proves that if, during the first two or three years which follow the attainment of puberty, the health of the girl is successfully guarded, and this, her most important physical distinction, meets with no derangement, her life-long health is well-nigh secured; but, on the contrary, if she commences her sexual life with pain and disorder, she is likely to be a life-long sufferer.

We are about to approach a topic of vital importance, therefore, in summing up as briefly as may be, the precautions necessary to attain this end. They can most conveniently be divided into those to be observed during the monthly changes, and those more general rules of health to be obeyed in the intervals of the periods.

PRECAUTIONS DURING THE MONTHLY CHANGES.

At the head of all cautions and warnings which we could give about the care of the health at these monthly periods, we put rest, rest, bodily and mental. Do less than usual, we say to all, whether the necessity for it is manifest or not. Over-exertion is a most fruitful cause of disease. Long walks, shopping, dancing, riding, hard work whether for pleasure or profit, should be avoided to the utmost.

The advantages of rest cannot be over-estimated. A striking example of it occurs to our mind. Most readers are aware how toilsome are the lives of the Indian women among our Western tribes, and also how singularly easy and almost painless is their child-bearing. The pangs of travail are almost unknown to them. The cause of this has puzzled even physicians. We can tell them. It is because it is an inviolable, a sacred rule among all those tribes, for the woman, when having her monthly sickness, to drop all work, absent herself from the lodge, and remain in perfect rest as long as the discharge continues.

Traces of this wide-spread custom among primitive people, extended themselves, are discoverable among civilized lands. The famous general council of the Christian Church held at Nice in the fourth century, passed a rule disapproving of women coming to church at the times of their menstrual sickness. The cold and dampness of large edifices, the mental excitement and its unfavourable effects and the exertion requisite for long walks to and fro, would justify this rule on purely hygienic grounds, and such may have caused its adoption.

A moderate and uniform temperature favors health at such epochs; while exposure to heat or cold, and the drinking freely of iced water or stimulants should be shunned.

The popular belief that bathing is hurtful, is correct so far as either cold or hot baths are concerned; but it is well to know, in the interests of comfort and cleanliness, that a moderately warm-bath, about 80° Fahr., will do no injury. Such a bath can be taken without any hesitation.

We sanction, also, another well-known rule, and that is, that no purgative medicine should be taken immediately before or during the change. If called for by some other disorder, a mild laxative is all that should be administered, unless by the direction of a physician.

PRECAUTIONS IN THE INTERVALS OF THE MONTHLY CHANGES.

If girls suffer from irregularities in this respect, the causes can generally be found either in some affection threatening the general health, such as scrofula, consumption, green sickness, etc., or else in their mode of life. For the former, the family physician must be consulted; but if it is the latter which is at fault, the remedy is in the hands of the parents.

Boarding-school life, city life, mental troubles—these are the three fertile sources of disturbances in the sexual functions of girlhood.

No one rates at higher value than ourselves the training of the mind; but we do not hesitate a moment to urge that if perturbations of the functions become at all marked in a girl at school, she should be taken away. Better live at home in seeming idleness a year at that time of life, than become a dead-weight, through constant ill health, on her husband in after life.

So of the unwholesome excitement of a city life. There is a poison in crowds, and it acts in a thousand unseen ways. With the ceaseless noise, the broken sleep, the late hours, the impure air, and the nervous tension which all these produce, it requires no strength of imagination to perceive that the city is not the best place for the delicate girl.

We have mentioned mental troubles. Perhaps there are, among those who read this, some superficial enough to smile at the possibility of serious mental troubles in girlhood. There are, we know, many unfeeling enough to give them no attention when they do see them. But we have an unfailing witness in the sympathetic heart of the mother. She has not forgotten how bitter were the crosses of her own younger years; she knows that the sensitive soul of woman wakes early to the keenest appreciation of grief as well as joy. If anything, years blunt us, and the sorrows of youth are often the bitterest of our lives.

Let the mother, therefore, read with her wondrous maternal instinct the trials of her daughter; let her become her most intimate confidant, and pour upon the wounded spirit that balm which none but a woman, and that woman a mother, knows how to apply. Such a relationship of mother and daughter is no less natural and wholesome than it is beautiful.

WHEN THE CHANGES ARE DELAYED.

In health an equal interval, or one nearly equal, elapses between the monthly illnesses. Often in the spring, however, their appearance anticipates the expected date of their occurrence, and in the autumn they are frequently a day or two late. These variations are owing to the temperature, heat accelerating and cold retarding the process of ovulation.

Such slight irregularities need not give rise to anxiety; but if there is an unwonted delay, combined with other symptoms of ill-health, as headache, pain in the side and back, a sense of languor and exhaustion, loss of appetite, and nausea, and fitful sleep, then it is important that some steps be taken to bring on the courses. For this purpose, soaking the feet in hot-mustard water, a tumbler of hot ginger or camomile-tea, a brisk walk, or a gentle laxative will generally be found sufficient. Gently kneading the lower abdomen and loins is a familiar, and if intelligently done, a safe means for the same purpose.

More violent means than these should be eschewed. Whichever are used subsequent to their employment, rest, in a recumbent position, in a warm room should be secured.

WHEN THE CHANGES ARE PAINFUL.

There are wide individual differences in this respect. Some young women suffer much from local pains, headache and languor at such epochs, without apparently losing anything in general health; others experience no distress whatever.

The causes of painful periods are various. Sometimes they depend on a tendency to rheumatism or to ague. Over-work, or excessive devotion to social duties and pleasures, is often their source. Cold and damp are common incidental causes. Green sickness and general debility are sometimes to blame.

Of course the treatment must depend on which one of these is present. It is a good rule, however, always to wear flannel next the skin; also, to avoid exposure to the weather for several days before the change is expected. A large, hot, linseed-meal poultice, over which a dessert-spoonful of laudanum has been sprinkled, or a large mustard-plaster, spread on the lower abdomen, will afford much relief. A hot brick or bottle of hot water wrapped in flannel, and applied to the small of the back, is often of great service. Rest in bed is always to be recommended. A tea-spoonful of sweet spirits of nitre will sometimes bring early relief.

But if these simple means are not sufficient, it would be better to consult a physician.

A common belief is that such troubles are cured by marriage. Sometimes they are, but we do not approve the remedy. The state of marriage should be entered upon in perfect health and full vigor. Upon it depends the health of future generations, and it were better for them did only those assume its bonds who are able to endow their children with sound physical frames.

THE AGE OF NUBILITY.

It does not follow, because a girl is capable of marriage, that she is fit for it. Science teaches us many valid objections to too early unions. It goes farther, and fixes a certain age at which it is wisest for woman to marry. This age is between twenty and twenty-five years.

Anatomists have learned that after puberty the bones of a woman's body undergo important modifications to fit her for child-bearing. This requires time, and before twenty the process is not completed. Until the woman is perfect herself, until her full stature and completed form are attained, she is not properly qualified to assist in perpetuating the species.

We might urge that up to this moment neither does her self-knowledge qualify her to choose a life-companion, nor can her education be finished, nor is her experience sufficient for her to enter on the duties of a matron. But we do not appeal to these arguments. There are others still more forcible. If her own health, life, and good looks are of value to her, if she has any wish for healthy, sound minded children, she will refrain from premature nuptials.

A too youthful wife finds marriage not a pleasure but a pain. Her nervous system is prostrated by it; she is more liable to weakness and diseases of the womb; and if of a consumptive family, she runs great risk of finding that fatal malady manifest itself after a year or two of wedded life. It is very common for those who marry young to die young.

From statistics which have been carefully compiled, it is proven that the first labors of very young mothers are much more painful, tedious, and dangerous to life, than others. As wives, they are frequently visited either with absolute sterility, and all their lives must bear the reproach of barren women, or, what to many is hardly less distasteful, they have an excessively numerous family.

What adds to their sufferings in the latter event, is that the children of such marriages are rarely healthy. They are feeble, sickly, undersized, often with some fault of mind or body, which is a cross to them and their parents all their lives. They inherit more readily the defects of their ancestors, and, as a rule, die at earlier years than the progeny of better-timed unions.

These considerations are formidable enough, it would seem, to prevent young girls from marrying, without the need of a law, as exists in some countries. Moreover, they are not imaginary, but real, as many a woman finds out to her cost.

The objections to marriage after the age of twenty-five are less cogent. They extend only to the woman herself. She should know that the first labors of wives over thirty are nearly twice as fatal as those between twenty and twenty-five. Undoubtedly nature points to the period between the twentieth and twenty-fifth year as the fittest one for marriage in the woman.


LOVE.