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Plain Facts for Old and Young
by John Harvey Kellogg
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How the Unborn Infant Breathes.—Oxygen and nutriment are both supplied to it through the medium of an organ called the placenta, which is a spongy growth composed almost entirely of blood-vessels, and is developed upon the inner wall of the uterus, at the point at which the ovum attaches itself after fecundation. The growing fetus is connected with this vascular organ by means of a sort of cable, called the umbilical cord. The cord is almost entirely composed of blood-vessels which convey the blood of the fetus to the placenta and return it again. The fetal blood does not mix with that of the mother, but receives oxygen and nourishment from it by absorption through the thin walls which alone separate it from the mother's blood.

The umbilical cord contains no nerves, as there is no nervous connection between the mother and the child. The only way in which the child can be influenced by the mother is through the medium of the blood, to changes in which it is very susceptible, as we shall see more clearly hereafter.

The cord is attached to the body of the child at the point called the navel, being cut off at birth by the accoucheur. With the placenta, it is expelled soon after the birth of the child, and constitutes the shapeless mass familiarly known as the after-birth, by the retention of which the most serious trouble is occasionally caused.

Parturition.—At the end of the period of development, the young being is forcibly expelled from the laboratory of nature in which it has been formed. In other words, it is born; and this process is termed parturition. Though, at first thought, such an act would seem an utter impossibility, yet it is a very admirable illustration of nature's adaptation of means to ends. During the months of gestation, while the uterus has been enlarging to accommodate its daily increasing contents, the generative passages have also been increasing in size and becoming soft and distensible, so that a seeming impossibility is in due time accomplished without physical damage, though possibly not without intense suffering. However, it is a most gratifying fact that modern medical science may do much to mitigate the pains of childbirth. It is possible, by a proper course of preparation for the expected event, to greatly lessen the suffering usually undergone; and some ladies assert that they have thus avoided real pain altogether. Although the curse pronounced upon the feminine part of the race, in consequence of the sin of Eve, implies suffering in the parturient act, yet there is no doubt that the greater share of the daughters of Eve are, through the perverting and degenerating influences of wrong habits and especially of modern civilization, compelled to suffer many times more than their maternal ancestor. We have sufficient evidence of this in the fact that among barbarian women, who are generally less perverted physically than civilized women, childbirth is regarded with very little apprehension, since it occasions little pain or inconvenience. The same is true of many women among the lower laboring classes. In short, while it is true that more or less suffering must always accompany the parturient act, yet the excessive pain usually attendant upon the process is the result of causes which can in many cases be removed by proper management beforehand and at the time of confinement.

After being relieved of its contents, the uterus and other organs rapidly return to nearly their original size.

Changes in the Child at Birth.—In the system of the child a wonderful change occurs at the moment of its expulsion into the outer world. For the first time, its lungs are filled with air. For the first time they receive the full tide of blood. The whole course of the circulation is changed, and an entirely new process begins. It is surprising in how short a space of time changes so marvelous can be wrought.

Nursing.—The process of development is not fully complete at birth. The young life is not yet prepared to support itself; hence, still further provision is necessary for it. It requires prepared food suited to its condition. This is provided by the mammae, or breasts, of the female, which are glands for secreting milk. The fully developed gland is peculiar to the female; but a few instances have been known in which it has been sufficiently developed to become functionally active in men, as well as in young girls, though it is usually inactive even in women until near the close of gestation. It is a curious fact that the breasts of a new-born child occasionally contain milk.

The first product of the mammae is not the proper milk secretion, but is a yellowish fluid called colostrum . The true milk secretion begins two or three days after delivery.

The lacteal secretion is influenced in a very remarkable manner by the mental conditions of the mother. By sudden emotions of grief or anger, it has been known to undergo such changes as to produce in the child a fit of indigestion, vomiting, diarrhea, and even convulsions and death. Any medicine taken by the mother finds its way into the milk, and often affects the delicate system of the infant more than herself. This fact should be a warning to those nursing mothers who use stimulants. Cases are not uncommon in which delicate infants are kept in a state of intoxication for weeks by the use of alcoholic drinks by the mother. The popular notion that lager-beer, ale, wine, or alcohol in any other form, is in any degree necessary or beneficial to a nursing woman is a great error which cannot be too often noticed and condemned. Not only is the mother injured, instead of being benefited by such a practice, but great injury, sometimes life-long in its consequences, is inflicted upon the babe at her breast who takes the intoxicating poison at second hand, and is influenced in a fourfold degree from its feebleness and great susceptibility.

ANATOMY OF THE REPRODUCTIVE ORGANS.

Having now considered the functions and somewhat of the structures of the principal organs of reproduction, we may obtain a more definite idea of the relation of the several organs of each class by a connected review of the anatomy of the parts.

Male Organs.—As previously stated, the external organs of generation in the male are the penis and the testicles, the latter being contained in a pouch called the scrotum. The penis is the organ of urination as well as copulation. Its structure is cellular, and it contains a vast number of minute coils of blood-vessels which become turgid with blood under the influence of sexual excitement, producing distention and erection of the organ. A canal passes through its entire length, called the urethra, which conveys both the urine and the seminal fluid. The organ is protected by a loose covering of integument which folds over the end. This fold is called the foreskin or prepuce.

The fluid formed by each testicle is conveyed by the vas deferens, a curved tube about two feet in length, to the base of the bladder. Here the vas deferens joins with another duct which communicates with an elongated pouch, the vesicula seminalis, which lies close upon the under side of the bladder. The single tube thus formed, the ejaculatory duct, conveys the seminal fluid to the urethra, from which it is discharged.

As the production of seminal fluid is more or less constant in man and some animals, while its discharge is intermittent, the vesiculae seminales serve as reservoirs for the fluid, preserving it until required, or allowing it to undergo absorption. Some claim that the zoosperms are matured in these organs. They always contain seminal fluid after the age of puberty. During coition, their contents are forcibly expelled by a spasmodic contraction of the muscles which surround them and the ducts leading from them.

The Prostate Gland.—Surrounding the ejaculatory ducts and their openings into the urethra at the base of the bladder is the prostate gland, which produces a peculiar secretion which forms a considerable portion of the seminal fluid, being mingled with the secretion of the testes during its ejaculation. This gland sometimes becomes the seat of somewhat serious disease. In old age it usually becomes somewhat indurated, and often to such an extent as to seriously affect the health and comfort of the individual by interference with urination and by occasioning pain.

Anterior to this organ, in the urethra, is a curious little pouch, the utriculus, which corresponds to the vagina and uterus in the female. Just in front of the prostate gland are two small bodies known as Cowper's glands. They secrete a fluid which combines with the seminal secretion.

Female Organs.—The ovaries, uterus, or womb, Fallopian tubes, and vagina have already been described in part. The external organs of the female are included in the term vulva or pudenda. The most superficial parts are the labia, two thick folds of integument. Just within these are two thinner folds, the labia minora or nymphae. These, together with the clitoris, situated just above, are extremely sensitive organs, being the chief seat of sexual sense in the female. At the lower part is the opening to the vagina, which in the virgin is usually partially guarded by a thin membrane, the hymen. This is not always a reliable test of virginity, however, as commonly regarded, since it may be destroyed by disease or accident, and may exist even after the occurrence of pregnancy.

The vagina extends from the vulva to the lower end of the uterus, which it incloses, passing between the bladder and the rectum. The lower extremity of the uterus presents a small opening which leads into its interior. Upon either side, at its upper and larger end, is a minute opening, the mouth of the Fallopian tube. The latter organs extend from the uterus outward nearly to the ovaries, toward which they present a number of small filaments, one of which is in contact with each ovary. These filaments, together with the interior of the tubes, are covered with a peculiar kind of cells, upon which are minute cilia, or hairs, in constant motion. Very curiously, they all move in the same direction, toward the cavity of the uterus. When an ovum escapes from the ovary in connection with menstruation, it is by these delicate hairs propelled along a filament of tissue to the Fallopian tube, and thence by the same means is conveyed to the uterus. It may come in contact with the zoosperms at any point between the ovary and the lower orifice of the uterus, and thus undergo fecundation.

Puberty.—For a certain period after birth, the sexual organs remain in a partially developed condition. This period varies in duration with different animals; in some cases being very brief, in others, comprising several years. Upon the attainment of a certain age, the individual becomes sexually perfect, and is then capable of the generative act. This period is called puberty. In man, puberty commonly occurs between the ages of ten and fifteen years, varying considerably in different climates. In this country, and in other countries of about the same latitude, puberty usually occurs at the age of fourteen or fourteen and one-half years in females, and a few months later in males. In cooler climates, as in Norway and Siberia, the change is delayed to the age of eighteen or nineteen years. In tropical climates it is hastened, occurring as early as nine or ten years. In warm climates it is no uncommon thing for a girl to be a mother at twelve; and it is stated that one of the wives of Mahomet was a mother at ten.

Other causes besides climate tend to hasten the occurrence of this change, as habits, temperament, constitutional tendency, education, and idiosyncrasy.

Habits of vigorous physical exercise tend to delay the access of puberty. For this reason, together with others, country boys and girls generally mature later than those living in the city by several months, and even a year or two. Anything that tends to excite the emotions hastens puberty. The excitements of city life, parties, balls, theaters, even the competition of students in school, and the various causes of excitement to the nervous system which occur in city life, have a tendency to hasten the occurrence of the change which awakens the sexual activities of the system into life. Hence, these influences cannot but be considered prejudicial to the best interests of the individual, mentally, morally, and physically, since it is in every way desirable that a change which arouses the passions and gives to them greater intensity should be delayed rather than hastened.

Influence of Diet on Puberty.—The dietary has a not unimportant influence in this respect. Stimulating food, such as pepper, vinegar, mustard, spices, and condiments generally, together with tea and coffee, and an excess of animal food, have a clearly appreciable influence in inducing the premature occurrence of puberty. On this account, if on no other, should these articles be prohibited to children and youth, or used very sparingly. Those who advocate the large use of meat by children and youth have not studied this matter closely in all its bearings. While it is true that children and growing youth require an abundance of the nitrogenous elements of food which are found abundantly in beefsteak, mutton, fish, and other varieties of animal food, it is also true that in taking those articles of food they take along with the nutrient elements properties of a stimulating character, which exert a decidedly detrimental influence upon the susceptible systems of children and youth. At the same time, it is possible to obtain the same desirable nitrogenous elements in oatmeal, unbolted wheat flour, peas, beans, and other vegetable productions, which are wholly free from injurious properties. We are positive from numerous observations on this subject, that a cool, unstimulating, vegetable or farinaceous diet would deter the development of the sexual organism for several months, and perhaps for a year or two.

While it might not be in all cases desirable to do this, it would at least be wise to adopt such measures in cases in which the child is unavoidably exposed to influences which have a tendency to hasten the change.

It is important to add in this connection a word of caution against the adoption of a dietary too abstemious in character. It is necessary that an abundance of good, wholesome food, rich in the elements of nutrition, should be taken regularly. There is no doubt that many young ladies have induced conditions of serious disease by actual starvation of the system. A young woman who attempts to live on strong tea or coffee, fine-flour bread, and sweet cake, is as certainly starving herself as though she were purposely attempting to commit suicide by means of starvation, and with as much certainty of the same result.

Brunettes Naturally Precocious.—It has been observed that in girls the occurrence of puberty is earlier in brunettes than in blondes; and in general it makes its appearance earlier in persons of a nervous or nervo-bilious temperament than in persons of a lymphatic temperament or phlegmatic nature.

Certain nationalities and families are marked by the earlier occurrence of puberty than in others. In Jews, the change is commonly a year or two in advance of other nationalities in this country. It also occurs somewhat sooner in negroes and creoles than in white persons, the African race seeming to retain something of the precocity occasioned by the tropical influence of its native clime.

Remarkable Precocity.—Cases occasionally occur in which puberty makes its appearance at the age of three or four years. Indeed, a case has been reported in this country in which a female child possessed all the characteristics which are usually developed at puberty, from birth. In this case the regular periodical changes began at birth.

Premature Development Occasions Early Decay.—A fact which is of too great importance to allow to pass unnoticed, is that whatever occasions early or premature sexual development, also occasions premature decay. Females in whom puberty occurs at the age of ten or twelve, by the time their age is doubled, are shriveled and wrinkled with age. At the time when they should be in their prime of health and beauty, they are prematurely old and broken. Those women who mature late retain their beauty and their strength many years after their precocious sisters have become old, decrepit, and broken down. Thus, the matrons of thirty and forty years in colder climates are much more attractive in appearance than the maidens of sixteen; while quite the reverse is true in this and other countries where sexual development is unduly hastened.

Early Puberty a Cause for Anxiety.—The unnaturally early appearance of puberty is a just cause for apprehension, since it usually indicates an inherent weakness of the constitution. When there are reasons for fearing its occurrence, active measures should be taken to occasion delay if possible. We call especial attention to this point, since there are many who erroneously suppose the early occurrence of puberty to be a sign of superior vigor.

Changes which Occur at Puberty.—The changes which occur in the two sexes at this period have been thus described:—

"In both sexes, hair grows on the skin covering the symphysis pubis, around the sexual organs, and in the axillae (armpits). In man, the chest and shoulders broaden, the larynx enlarges, and the voice becomes lower in pitch from the elongation of the vocal cords; hair grows upon the chin, upper lip, and cheeks, and often exists upon the general surface of the body more abundantly than in woman." The sexual organs undergo enlargement, and are more frequently excited. The testicles first begin the secretion of the seminal fluid.

"In woman, the pelvis and abdomen enlarge, but the whole frame remains more slender, the muscles and joints less prominent, the limbs more rounded and tapering [than in the male]. Locally, both external and internal organs undergo a considerable and rapid enlargement. The mammae enlarge, the ovarian vesicles become dilated, and there is established a periodical discharge of one or more ova, accompanied, in most cases, by a sanguineous fluid from the cavity of the uterus."

These changes, so varied and extraordinary, often occur within a very short space of time; and as they are liable to serious derangement, especially in the female, great care should be taken to secure for the individual the most favorable conditions until they are successfully effected. It is, however, a fact deserving of mention, that many of the ills which are developed at this particular period are quite as much the result of previous indiscretions and mismanagement as of any immediate cause. A few suggestions with regard to the proper treatment of individuals at this age may be in place.

1. Do not allow the boy or girl to be overworked, either mentally or physically. Great and important changes are occurring within the body, and nature should not be overtaxed.

2. Keep the mind occupied. While excessive labor should be avoided, idleness should be as carefully shunned. Some light, useful employment or harmless amusement—better some kind of work—should keep the mind fully occupied with wholesome subjects.

3. Abundant exercise out-of-doors is essential for both sexes. Sunshine and fresh air are as necessary to the development of a human being as for the expanding of a flower bud.

4. Watch carefully the associations of the youth. This should be done at all times, but especially just at the critical period in question, when the general physical disturbances occurring in the system react upon the mind and make it peculiarly susceptible to influences, especially those of an evil character.

5. None too much care can be exercised at this important epoch of human life, provided it is properly applied; but nothing could be more disastrous in its consequences than a weak solicitude which panders to every whim and gratifies every perverted appetite. Such care is a fatal error.

Menstruation.—The functional changes which occur in the female are much more marked than those of the male. As already intimated, the periodical development and discharge of an ovum by the female, which occurs after puberty, is accompanied by the discharge of a bloody fluid, which is known as the flowers, menses, or catamenia. The accompanying symptoms together are termed the process of menstruation, or being unwell. This usually occurs, in the human female, once in about four weeks. In special cases, the interval may be a week less or a week longer; or the variation may be even greater. Dalton describes the process as follows:—

"When the expected period is about to come on, the female is affected by a certain degree of discomfort and lassitude, a sense of weight in the pelvis, and more or less disinclination to society. These symptoms are in some cases slightly pronounced, in others more troublesome. An unusual discharge of vaginal mucus then begins to take place, which soon becomes yellowish or rusty brown in color, from the admixture of a certain proportion of blood; and by the second or third day, the discharge has the appearance of nearly pure blood. The unpleasant sensations which were at first manifest, then usually subside; and the discharge, after continuing for a certain period, begins to grow more scanty. Its color changes from a pure red to a brownish or rusty tinge, until it finally disappears altogether, and the female returns to her ordinary condition."

The menstrual function continues active from puberty to about the forty-fifth year, or during the period of fertility. When it finally disappears, the woman is no longer capable of bearing children. The time of disappearance is termed the "change of life," or menopause. Exceptional cases occur in which this period is greatly hastened, arriving as early as the thirty-fifth year, or even earlier. Instances have also been observed in which menstruation continued as late as the sixtieth year, and even later; but such cases are very rare; and if procreation occurs, the progeny is feeble and senile.

With rare exceptions, the function is suspended during pregnancy, and usually, also, during the period of nursing.

Nature of Menstruation.—There has been a great amount of speculation concerning the cause and nature of the menstrual process. No entirely satisfactory conclusions have been reached, however, except that it is usually accompanied by the maturation and expulsion from the ovary of an ovum, which is termed ovulation. But menstruation may occur without ovulation, and, vice versa.

Menstruation is not peculiar to the human female, being represented in the higher animals by what is familiarly termed the "rut." This is not usually a bloody discharge, however, as in the human female, though such a discharge has been observed in the monkey.

It has been quite satisfactorily settled that the discharge of the ovum from the ovary generally takes place about the time of the cessation of the flow. Immediately after the discharge, the sexual desires of the female are more intense than at other times. This fact is particularly manifest in lower animals. The following remark by Prof. Dalton is especially significant to those who care to appreciate its bearing:—

"It is a remarkable fact, in this connection, that the female of these [domestic] animals will allow the approaches of the male only during and immediately after the oestrual period [rut]; that is, just when the egg is recently discharged, and ready for impregnation. At other times, when sexual intercourse would be necessarily fruitless, the instinct of the animal leads her to avoid it; and the concourse of the sexes is accordingly made to correspond in time with the maturity of the egg and its aptitude for fecundation."

The amount of fluid lost during the menstrual flow varies greatly with different individuals. It is estimated at from three ounces to half a pint. In cases of deranged function, it may be much greater than this. It is not all blood, however, a considerable portion being mucus. It is rather difficult to understand why the discharge of so considerable a quantity of blood is required. There is no benefit derived from a very copious discharge, as some suppose. Facts seem to indicate that in general those enjoy the best health who lose but small quantities of blood in this manner.

A Critical Period.—As the first occurrence of menstruation is a very critical period in the life of a female, and as each recurrence of the function renders her especially susceptible to morbid influences, and liable to serious derangements, a few hints respecting the proper care of an individual at these periods may be acceptable.

Important Hints.—1. Avoid taking cold. To do this, it is necessary to avoid exposure; not that a person must be constantly confined in a warm room, for such a course would be the surest way in which to increase the susceptibility to cold. Nothing will disturb the menstrual process more quickly than a sudden chilling of the body when in a state of perspiration, or after confinement in a warm room, by exposure, without sufficient protection, to cold air. A daily bath and daily exercise in the open air are the best known means of preventing colds.

2. Intense mental excitement, as well as severe physical labor, is to be sedulously avoided during this period. At the time of its first occurrence, special care should be observed in this direction. Intense study, a fit of anger, sudden grief, or even great merriment, will sometimes arrest the process prematurely. The feeling of malaise which usually accompanies the discharge is by nature intended as a warning that rest and quiet are required; and the hint should be followed. Every endeavor should be made to keep the individual comfortable, calm, and cheerful. Feelings of apprehension arising from a continual watching of symptoms are very depressing, and should be avoided by occupying the mind in some agreeable manner not demanding severe effort, either mental or physical.

There is no doubt that many young women have permanently injured their constitutions while at school by excessive mental taxation during the catamenial period, to which they were prompted by ambition to excel, or were compelled by the "cramming" system too generally pursued in our schools, and particularly in young ladies' seminaries. It is not to be supposed, however, that the moderate amount of sound study required by a correct system of teaching would be injurious to a healthy young woman at any time, and we have no doubt that a very large share of the injury which has been attributed to over-study during the catamenia has been induced by other causes, such as improper dress, exposure to taking cold, keeping late hours, and improper diet.

If there is any class of persons deserving of pity it is that large class of girls and young women who are in every large city employed as clerks, seamstresses, flower makers, and in other taxing and confining occupations. In order to keep their situations they are required to be on hand daily, being allowed no opportunity for rest at the menstrual period. In many cases, too, they are compelled to remain upon their feet all day behind a counter, or at a work table, even at periods when a recumbent position is actually demanded by nature. There should be less delicacy in relation to this subject on the part of young women, and more consideration on the part of employers. Here is a field for philanthropic effort which is well worthy of the best efforts of any person of influence who will engage in it.

Custom of Indian Women.—The ease with which Indian women perform the parturient act is proverbial. They suffer scarcely at all from the pains of childbirth; and without doubt one reason of this is the preservation of their sexual health by rest during the menstrual period. At those seasons they invariably absent themselves from the lodge, and enjoy absolute rest. We may readily suppose, from the nature of some of the Mosaic laws, that a custom somewhat similar prevailed among the ancient Hebrew women. If the hardy women of the forest are benefited by rest, certainly our more delicate females may be thus benefited. All need a degree of rest; with some it should be absolute.

The reckless manner in which some young women treat themselves at the menstrual period, is quite appalling to one who is acquainted with the painful and inveterate character of the evils which arise from such abuse. It is no uncommon thing for young ladies to attend balls, visit skating rinks, and otherwise expose themselves to the influences in every way the best calculated to do them the most harm at this particular period, observing not the slightest precaution. Such recklessness is really criminal; and the sad consequences of physical transgression are sure to follow. A young lady who allows herself to get wet or chilled, or gets the feet wet, just prior to or during menstruation, runs the risk of imposing upon herself life-long injury. Mothers should look carefully after their daughters at these periods, and impress upon them the importance of special care.

3. A third hint, which is applicable to both sexes and at all times, is the necessity of attending promptly to the demands of nature for relief of the bowels and bladder. School-girls are often very negligent in this respect; and we have seen the most distressing cases of disease which were entirely attributable to this disregard of the promptings of nature. Obstinate constipation and chronic irritation of the bladder are common effects. When constipation results, purgatives in the shape of pills, salts, or "pleasant purgative pellets," are resorted to with the certain result of producing only temporary relief, and permanent damage.

To escape these evil consequences, do this: 1. Establish a regular habit of relieving the bowels daily at a certain hour; 2. Discard laxative and cathartic drugs of every kind; 3. To aid in securing a regular movement of the bowels, make a liberal use of oatmeal, wheat-meal, fruit, and vegetables, avoiding fine-flour bread, sweetmeats, and condiments; 4. Take daily exercise, as much as possible short of fatigue; if necessarily confined indoors, counteract the constipating influence of sedentary habits by kneading and percussing the bowels with the hands several minutes each day; 5. Never resist the calls of nature a single moment, if possible to avoid it. In this case, as in numerous others, "delay is dangerous." Ladies who desire a sweet breath—and what lady does not—should remember that retained feces are one of the most frequent causes of foul breath. The foul odors which ought to pass out through the bowels find their way into the blood and escape at the lungs. A medical man whose sense of smell is delicate soon learns to know a constipated person by the breath. As one says, "What is more offensive than the breath of a costive child?"

Boerhaave, a famous old Dutch physician, left to his heirs an elegantly bound volume in which, he claimed, were written all the secrets of the science of physic. After his death, the wonderful book was opened, when it was found to contain only the following sentence:—

"Keep the head cool, the feet warm, and the bowels open."

An old Scotch physician once gave the following advice to Sir Astley Cooper for the preservation of health:—

"Keep in the fear of the Lord, and your bowels open."

4. Perhaps nothing tends more directly to the production of menstrual derangements—as well as uterine diseases of every sort—than fashionable modes of dress. We have not space here to give to the subject the attention it deserves; it will be found treated of in works devoted to the subject of dress exclusively. Some of the most glaring evils are,—

(1) Unequal distribution of clothing. The trunk, especially the abdomen and pelvis, is covered with numerous layers of clothing, an extra amount being caused by the overlapping of the upper and lower garments. Very frequently, the amount of clothing upon these, the most vital parts, is excessive. At the same time, the limbs are sometimes almost in a state of nudity. A single cotton garment, or at most one of thin flannel, is the only protection afforded to the limbs beneath the skirts, which often serve no better purpose than to collect cold air and retain it in contact with the limbs. A thin stocking is the only protection for the ankles, and a thin shoe is the only additional covering afforded the feet. Under such circumstances, it is no wonder that a woman catches cold if she only steps out-of-doors on a chilly or damp day.

(2) Another glaring fault is in the manner of suspending the skirts. Instead of being fastened to a waist or suspended so as to give them support from the shoulders, they are hung upon the hips, being drawn tight at the waist to secure support. By this means, the organs of the pelvis are pressed down out of place. The uterus becomes congested, and painful menstrual derangements ensue.

(3) Tight lacing, or compressing the waist with a corset, is a barbarous practice which produces the same results as the one last mentioned. Reform in all of these particulars is an imperative necessity for every woman who desires to secure or retain sexual health.

It is of the greatest importance that careful attention should be given to the proper establishment of the menstrual function at the outset of a woman's life of sexual activity. The first two years will be quite likely to have a deciding influence respecting her health during her whole future life. If a woman can get through the first two years after puberty without acquiring any serious uterine or ovarian disease, she will stand a good chance of enjoying a good degree of sexual health during the balance of her life. The foundation of a great share of the many thousands of cases of uterine disease is laid during this period.

At this early period the daughter is usually too young to appreciate the importance of observing slight deviations from the standard of health, even if she were able to recognize them. Hence it is a duty which no mother should neglect, to inquire into the exact frequency of the periods, the amount and character of the discharge, and other points necessary to ascertain whether or not there is any deviation from the natural condition of health. If there is pain, it is a certain evidence of something seriously wrong. If there is irregularity in any particular, it is a matter well deserving of serious attention.

Menorrhagia.—This condition is that in which there is a too profuse discharge of blood. The system is weakened by the loss, and, so much so, in many cases, that the individual does not recover her accustomed strength before the occurrence of the next period, when she becomes weakened still more. By a continuance of this periodical loss, the person may be reduced to a state of almost utter helplessness. A deathly pallor of the countenance, extreme emaciation, loss of strength, and general debility mark the effects of the constant drain upon the system. Thousands of young women continue to suffer in this way year after year, until their constitutions are almost hopelessly wrecked, being deterred by false notions of modesty or delicacy from consulting a proper medical adviser and finding relief.

The observance of a few simple precautions, and the application of proper remedies, will check the unnatural loss in most of these cases very promptly. In the first place, absolute rest, chiefly in a supine position, must be observed not only during the menstrual period, but for a few days previous to its commencement. If this does not restrain the flow, then cool and even cold compresses may be applied to the lower part of the abdomen and to the small of the back. In severe cases no harm will come from the use of an ice-compress, made by inclosing pounded ice between the folds of a towel. Great care must be taken to make the hands, arms, feet, and limbs thoroughly warm by the application of warm bottles and woolen blankets. These measures will scarcely fail to accomplish the desired end, if employed thoroughly and judiciously. It may be well to add just here that the popular fear of using cold in such cases is groundless. No harm can come so long as the extremities are kept warm, and the circulation well balanced. The patient must not be made chilly, however. It is also of importance that the patient be kept mentally quiet as well as physically so.

Much good will result from these simple measures at the time of the period; but a radical cure can only be effected by removing the cause of the difficulty. The patient's general health must be improved, and local congestion must be removed. This will be accomplished by attention to general hygiene, gentle exercise out-of-doors between the periods, abundance of good food, tonic baths and other necessary treatment if there is derangement of the digestive organs, and daily hip baths with a local douche. The hip bath should be taken in water of a temperature of 92 degrees at the beginning. After five minutes the temperature may be lowered 5 degrees. After five minutes more, it may be lowered a few degrees more. By taking a warm foot bath at 95 degrees or 100 degrees at the same time, quite a cool bath may be endured without chilling. The bath should be continued 15 minutes to 30 minutes, according to the strength of the patient. A shorter bath than this will do little good, as the sedative effect will not be obtained.

The douche may be taken at the same time with the bath, or before, as is most convenient. The fountain or syphon syringe should be employed, and the water used should range from 95 degrees to 105 degrees, as best suits the sensations of the patient, being cooled a little toward the last. In general, the hot douche, of a temperature from 100 degrees to 115 degrees, or even 120 degrees, is not only more agreeable, but much more beneficial.

By these simple remedies alone we have successfully treated scores of cases of this sort. In some cases other remedies may be required, and in nearly all, accessory remedies can be employed to advantage; but the measures described are the main features of the most successful mode of treatment.

Dysmenorrhoea.—This condition is that in which there is more or less pain and difficulty in connection with the menstrual process. The causes are various, as congestion of the uterus, malformation, and displacement or distortion of the organ. Some of these conditions require the attention of a skilled physician to remedy; but all will be palliated more or less by a course of treatment similar to that described for the previous condition. A warm sitz or hip bath just at the beginning of the period will often give almost magical relief. The application of fomentations over the lower part of the abdomen, and the corresponding portion of the spine, or of hot bags, bottles, etc., in the same localities, is a measure of great utility. The patient should be covered warm in bed, should keep quiet, and great care should be used to keep the extremities well warmed. The use of electricity is a very valuable aid in numerous cases, but this requires the services of a physician, who should always be employed in severe cases when within reach.

In many cases of this form of disease the suffering is so great that the constant dread of its periodical repetition becomes a source of great unhappiness, and casts a gloom over the life of an individual who would otherwise be as happy as could be desired.

Amenorrhoea and Chlorosis.—These are serious disorders which require prompt and vigorous attention. They depend less frequently on disorder of the sexual organs themselves than upon some disorder of the general system. They usually demand the attention of a competent physician, and require a more accurate description of their nature and of proper modes of treatment than we have space to give here.

Hysteria.—From the most remote ages of medical history this disease has been regarded as intimately connected with morbid states of the female organs of generation, especially the uterus. That it is not exclusively produced by causes of this kind is evidenced by the fact that men also sometimes suffer from this curious malady. The phases which it assumes are so numerous that we shall not attempt an accurate description of it; neither is this required, as there are few who are not familiar with its peculiar manifestations. It simulates almost every disease. Even consumption and other formidable maladies have been so completely simulated by this disorder as to deceive physicians of long experience. We have met cases in which young ladies were supposed to be in the last stages of pulmonary disease, were apparently gasping almost their last breath, panting, coughing, and experiencing the usual symptoms which accompany tuberculous disease of the lungs, when, upon making a thorough physical examination of the chest, we could find no evidence of pulmonary disease. In one case we incurred the everlasting displeasure of a young lady by disclosing the real state of affairs; but we were repaid in seeing an immediate disappearance of the symptoms, and complete recovery within six weeks, although the young woman had been considered hopelessly ill by her friends and physicians for six months, and was tenderly watched over, petted, and mourned by friends as one who must soon fall a victim to fell disease.

The foundation of this disease is almost always laid in some indiscretion by means of which disease of the uterus is induced, and the most careful attention to this part of the organism is required. It should not be treated as a trivial matter which is wholly the result of a diseased imagination, and requires only mental treatment, since it is a real malady, dependent upon morbid states of the system. It requires substantial and thorough treatment as much as rheumatism, dyspepsia, or any other of the numerous diseases to which humanity is subject.

Prevention Better than Cure.—We might mention numerous other diseased conditions which grow out of inattention to the laws of health relating to the sexual organism; but to dwell longer upon this part of the subject would be to depart from the plan of this work, and we must forbear. This whole class of maladies is noted for obstinacy in great numbers of cases when the morbid conditions have existed for a long time. In addition it should be remarked that some of the most inveterate disorders of the nervous system originate in this same manner. The thousands of ladies who are suffering with spinal irritation, organic disease of the spine and other nervous disorders, are witnesses to this fact. It is apparent, then, that prevention of these serious maladies by attention to sexual hygiene, especially to the hygiene of menstruation at the first establishment of that function, is a matter of gravest importance. In fact, attention to hygiene is about all that is required. With this, drugs will be rarely required; without, they will be utterly useless.

Extra-Uterine Pregnancy.—Sometimes the ovum becomes fecundated before reaching the uterus, and, instead of passing onward into that organ as usual, remains in its position in the Fallopian tube or even on the surface of the ovary. Occasionally an ovum falls into the cavity of the abdomen instead of passing into the tube. Even in this situation it may be fecundated. Impregnated ova thus left in abnormal positions, undergo a greater or lesser degree of development. They commonly result in the death of the mother.

Twins.—The human female usually matures but one ovum at each menstrual period, the two ovaries acting alternately. Occasionally two ova are matured at once. If fecundation occurs, the result will be a development of two embryos at the same time. In rare cases, three or even four ova are matured at once, and by fecundation produce a corresponding number of embryos. As many as five children have been born alive at one birth, but have not lived more than a few minutes.

The occurrence of multiple pregnancies may be explained by the supposition that ova matured subsequent to the first fecundation are also fecundated.

In lower animals, the uterus is often divided into two long segments which afford room for the development of a number of young at once. Some ancient writers make most absurd statements with regard to the fecundity of females. One declares that the simultaneous birth of seven or eight infants by the same mother was an ordinary occurrence with Egyptian women! Other statements still more extravagant are made by writers. For example: A traveler in the seventeenth century wrote that he saw, in the year 1630, in a church near the Hague, a tablet on which was an inscription stating that a certain noted countess gave birth at once, in the year 1276, to 365 infants, who were all baptized and christened, the males being all called John, and the females, Elizabeth. They all died on the day of their birth, with their mother, according to the account, and were buried in the church, where a tablet was erected to their memory.

Monsters.—Defects and abnormalities in the development of the embryon produce all degrees of deviation from the typical human form. Excessive development may result in an extra finger or toe, or in the production of some peculiar excrescence. Deficiency of development may produce all degrees of abnormality from the simple harelip to the most frightful deficiency, as the absence of a limb, or even of a head. It is in this manner that those unfortunate individuals known as hermaphrodites are formed. An excessive development of some parts of the female generative organs gives them a great degree of similarity to the external organs of the male. A deficient development of the male organs renders them very similar in form to those of the female. Redundant development of the sexual organism sometimes results in the development of both kinds of organs in the same individual in a state more or less complete. Cases have occurred in which it has become necessary, for legal purposes, to decide respecting the sex of an individual suffering from defective development, and it has sometimes been exceedingly difficult to decide in a given case whether the individual was male or female.

Such curious cases as the Carolina twins and Chang and Eng were formerly supposed to be the result of the union of two separate individuals. It is now believed that they are developed from a single ovum. It has been observed that the primitive trace—described in a previous section—sometimes undergoes partial division longitudinally. If it splits a little at the anterior end, the individual will have a single body with two heads. If a partial division occurs at each end, the resulting being will possess two heads and two pairs of legs joined to a single body. More complete division produces a single trunk with two heads, two pairs of arms, and two pairs of legs, as in the case of the Carolina twins. Still more complete division may result in the formation of two perfect individuals almost entirely independent of each other, physiologically, but united by a narrow band, as in the remarkable Siamese twins, Chang and Eng.

In a curious case reported not a great while ago, a partially developed infant was amputated from the cheek of a child some time after birth.

The precise cause of these strange modifications of development is as yet, in great degree, a mystery.

Hybrids.—It is a well-known law of biology that no progeny result from union of animals of different species. Different varieties of the same species may in some cases form a fertile union, the result of which is a cross between its two parents, possessing some of the qualities of each. The mule is the product of such a union between the horse and the ass. A curious fact is that the offspring of such unions are themselves sterile almost without exception. The reason of this is that they do not produce mature elements of generation. In the mule, the zoosperms are either entirely absent or else very imperfectly developed; hence the fact that a colt having a mule for its sire is one of the rarest of curiosities, though a few instances have been reported. This is a wise law of nature to preserve the purity of species.

Law of Sex.—If there is a law by which the sex of the developing embryon is determined, it probably has not yet been discovered. The influence of the will, the predominant vitality of one or the other of the parents, and the period at which conception occurs, have all been supposed to be the determining cause. A German physician some time since advanced the theory that the two testicles and ovaries produce elements of different sexual character, the right testicle forming zoosperms capable of producing only males, and the right ovary producing ova with the same peculiarity. The left testis and the left ovary he supposed to form the female elements. He claimed to have proved his theory by experiments upon animals. Even if true, this theory will not be made of practical importance. It is, in fact, nothing more than a revival of an old theory held by physicians who flourished more than two thousand years ago.

More recently another German physician has advanced the theory that the sex may be controlled at will by observing the time of fecundation. He asserts that when fecundation occurs shortly after menstruation, the result will be a female; but if impregnation occurs later in the month, and prior to the three or four days preceding the next menstrual period, a male will almost certainly be produced. This theory was proposed by Prof. Thury of the academy of Geneva, who claims to have thoroughly tested it in a great variety of ways, and always with an affirmative result. Dr. Heitzman, of New York, an instructor in pathological histology, and an eminent physiologist, informs us that he has thoroughly tested this theory, and finds it to be entirely reliable. There are numerous facts which seem to corroborate the truth of this theory, and future investigations may give to it the dignity of an established physiological fact.

Heredity.—The phenomena of heredity are among the most interesting of biological studies. It is a matter of common observation that a child looks like its parents. It even happens that a child resembles an uncle or a grandparent more nearly than either parent. The same peculiarities are often seen in animals.

The cause of this resemblance of offspring to parents and ancestors has been made a subject of careful study by scientific men. We shall present the most recent theory adopted, which, although it be but a theory, presents such an array of facts in its support, and explains the phenomena in question so admirably, that it must be regarded as something more than a plausible hypothesis. It is the conception of one of the most distinguished scientists of the age. The theory is known as the doctrine of pangenesis, and is essentially as follows:—

It is a fact well known to physiologists that every part of the living body is made up of cellular elements which have the power to reproduce themselves in the individual, thus repairing the damage resulting from waste and injury. Each cell produces cells like itself. It is further known that there are found in the body numerous central points of growth. In every group of cells is found a central cell from which the others originated, and which determines the form of their growth. Every minute structure possesses such a center. A simple proof of this fact is found in the experiment in which the spur of a cock was grafted upon the ear of an ox. It lived in this novel situation eight years, attaining the length of nine inches, and nearly a pound in weight. A tooth has been made to grow upon the comb of a cock in a similar manner. The tail of a pig survived the operation of transplanting from its proper position to the back of the animal, and retained its sensibility. Numerous other similar illustrations might be given.

The doctrine of pangenesis supposes that these centers of nutrition form and throw off not only cells like themselves, but very minute granules, called gemmules, each of which is capable, under suitable circumstances, of developing into a cell like its parent.

These minute granules are scattered through the system in great numbers. The essential organs of generation, the testicles in the male and the ovaries in the female, perform the task of collecting these gemmules and forming them into sets, each of which constitutes a reproductive element, and contains, in rudimentary form, a representative of every part of the individual, including the most minute peculiarities. Even more than this: It is supposed that each ovum and each zoosperm contains not only the gemmules necessary to reproduce the individuals who produced them, but also a number of gemmules which have been transmitted from the individuals' ancestors.

If this theory be true,—and we can see no sound objection to it,—it is easy to understand all the problems of heredity. The gemmules must be very small indeed, but it may be suggested that the molecules of matter are smaller still, so this fact is no objection to the theory.

It will be seen, then, that each spermatozoon, or zoosperm, actually contains, in an embryonic condition, every organ and tissue of the individual producing it. The same is true of the ovum. In other words, the reproductive elements are complete representatives, in miniature, of the parents, and contain all the elements for producing an offspring possessing the same peculiarities as the parents. Various modifying circumstances sufficiently explain the dissimilarities between parents and children.

This theory is strikingly confirmed by the fact, previously mentioned, that in certain cases the ovum alone, a single reproductive element, may undergo a degree of development approaching very near to completion. It is supposed that fecundation is chiefly necessary to give to the gemmules the requisite amount of nourishment to insure development.

As we shall see hereafter, this matter has a very important bearing upon several practical questions.

Ante-Natal Influences.—There can be no manner of doubt that many circumstances which it is entirely within the power of the parents to supply, exert a powerful influence in molding both the mental and the physical characteristics of offspring. By carefully availing himself of the controlling power given him by a knowledge of this fact, the stock-raiser is enabled to produce almost any required quality in his young animals. Pigeon fanciers show wonderful skill in thus producing most curious modifications in birds. The laws of heredity and development are carefully studied and applied in the production of superior horses, cows, dogs, and pigeons; but an application of the same principles to the improvement of the human race is rarely thought of. Human beings are generated in as haphazard and reckless a manner as weeds are sown by the wind. No account is taken of the possible influence which may be exerted upon the future destiny of the new being by the physical or mental condition of parents at the moment when the germ of life is planted, or by the mental and physical conditions and surroundings of the mother while the young life is developing. Indeed, the assertion of a modern writer that the poor of our great cities virtually "spawn children," with as little thought of influences and consequences as the fish that sow their eggs broadcast upon the waters, is not so great an exaggeration as it might at first sight appear to be.

Law Universal.—Men and women are constantly prone to forget that the domain of law is universal. Nothing comes by chance. The revolutions of the planets, studied by the aid of the telescope, and the gyrations of the atoms, seen only by the eye of science, are alike examples of the controlling influence of law. Notwithstanding this sad ignorance and disregard of this vitally important subject, the effects of law are only too clearly manifested in the crowds of wretched human beings with which the world is thronged. An old writer sagely remarks, "It is the greatest part of our felicity to be well born;" nevertheless, it is the sad misfortune of by far the greater portion of humanity to be deprived of this inestimable "felicity."

A Source of Crime.—Who can tell how many of the liars, thieves, drunkards, murderers, and prostitutes of our day are less responsible for their crimes against themselves, against society, and against Heaven, than those who were instrumental in bringing them into the world? Almost every village has its boy "who was born drunk," a staggering, simpering, idiotic representative of a drunken father, beastly intoxicated at the very moment when he should have been most sober.

An interesting study of this question has recently been made by Mr. Dugdale, a member of the Prison Association of the State of New York. When visiting the various jails of the State, he found in one six persons detained for crimes of various character, between all of whom there was a family relation. Upon further inquiry, he found that of the same family there were twenty-nine relatives in the vicinity, seventeen of whom were criminals. Still further investigation developed the following facts:—

Within seventy-five years, a family of 1200 persons have sprung from five sisters, several of whom were illegitimate, and three of whom were known to be unchaste, and who married men whose father was an idle, thriftless hunter, a hard drinker, and licentious.

Of this family, the history of but 709 was traced. Of these, the facts set forth in the following incomplete summary were found to be true:—

Paupers, . . . . . . . . . . . . . . . . . . . . . . 280 Years of pauperism, . . . . . . . . . . . . . . . . 798 Criminals, . . . . . . . . . . . . . . . . . . . . . 140 Years of infamy, . . . . . . . . . . . . . . . . . . 750 Thieves, . . . . . . . . . . . . . . . . . . . . . . 60 Murderers, . . . . . . . . . . . . . . . . . . . . . 7 Prostitutes and adulteresses, . . . . . . . . . . . 165 Illegitimate children, . . . . . . . . . . . . . . . 91 No. of persons contaminated by syphilitic disease, . 480 Cost to the State in various ways, . . . . . $1,308,000

Without doubt a complete summary would make this showing still more appalling, since of the 709 whose histories were traced, it was in many instances impossible to determine whether the individuals were guilty of crime or unchastity or not, even where there were grounds for suspicion. Such cases were not included in the summary.

No amount of argument on this question could be so conclusive as are these simple facts concerning the "Juke" family. It is certainly high time that our legislators began to awaken to this subject, and consider whether it would be an unprofitable experiment to make some attempt to prevent the multiplication of criminals in this manner. We are not prepared to offer a plan for securing such an end; but it is very clearly important that something should be done in this direction.

It is an established physiological fact that the character of offspring is influenced by the mental as well as the physical conditions of the parents at the moment of the performance of the generative act. In view of this fact, how many parents can regard the precocious—or even mature—manifestations of sexual depravity in their children without painful smitings of conscience at seeing the legitimate results of their own sensuality? By debasing the reproductive function to an act of selfish animal indulgence, they imprinted upon their children an almost irresistible tendency to vice. Viewing the matter from this stand-point, what wonder that licentiousness is rife! that true chastity is among the rarest of virtues!

Prof. O. W. Holmes remarks on this subject: "There are people who think that everything may be done if the doctor, be he educator or physician, be only called in season. No doubt; but in season would often be a hundred or two years before the child was born, and people never send so early as that." "Each of us is only the footing up of a double column of figures that goes back to the first pair. Every unit tells, and some of them are plus and some minus. If the columns don't add up right, it is commonly because we can't make out all of the figures."

It cannot be doubted that the throngs of deaf, blind, crippled, idiotic unfortunates who were "born so," together with a still larger class of dwarfed, diseased, and constitutionally weak individuals, are the lamentable results of the violation of some sexual law on the part of their progenitors.

If parents would stop a moment to consider the momentous responsibilities involved in the act of bringing into existence a human being; if they would reflect that the qualities imparted to the new being will affect its character to all eternity; if they would recall the fact that they are about to produce a mirror in which will be reflected their own characters divested of all the flimsy fabrics which deceive their fellow-men, revealing even the secret imaginings of their hearts,—there would surely be far less of sin, disease, and misery born into the world than at the preset day; but we dare not hope for such a reform. To effect it, would require such a revolution in the customs of society, such a radical reform in the habits and characters of individuals, as nothing short of a temporal millennium would be able to effect.

It is quite probable that some writers have greatly exaggerated the possible results which may be attained by proper attention to the laws under consideration. All cannot be equally beautiful; every child cannot be a genius; the influence of six thousand years of transgression cannot be effaced in a single generation; but persevering, conscientious efforts to comply with every requirement of health, purity, morality, and the laws of nature, will accomplish wonders in securing healthy children with good dispositions, brilliant intellects, and beautiful bodies.

This is not the proper place to describe in detail a plan to be pursued; but the few hints given, if rightly appreciated, may enable those interested in the subject to plan for themselves a proper course. In concluding the subject, we may summarize its chief points as follows, for the purpose of impressing them more fully upon the mind:—

1. If a child is begotten in lust, its lower passions will as certainly be abnormally developed as peas will produce peas, or potatoes produce potatoes. If the child does not become a rake or a prostitute, it will be because of uncommonly fortunate surroundings, or a miracle of divine grace. But even then, what terrible struggles with sin and vice, with foul thoughts and lewd imaginations—the product of a naturally abnormal mind—must such an individual suffer! If he is unsuccessful in the conflict, is he alone to blame? Society, his fellow-men, will censure him alone; but He who knoweth all the secrets of human life will pass a more lenient judgment on the erring one, and mete out punishment where it most belongs.

2. The same remarks apply with equal force to the transmission of other qualities. If the interest of the parents is only for self, with no thought for the well-being of the one whose destiny is in their hands, they can expect naught but a selfish character, a sordid, greedy disposition, in the child.

3. The influence of the father is, at the outset, as great as that of the mother. The unhappy or immoral thoughts of one alone at the critical moment when life is imparted, may fix for eternity a foul blot upon a character yet unformed.

4. If during gestation the mother is fretful, complaining, and exacting; if she requires to be petted and waited upon; if she gratifies every idle whim and indulges every depraved desire and perverted appetite—as thousands of mothers do—the result will surely be a peevish, fretful child, that will develop into a morose and irritable man or woman, imperious, unthankful, disobedient, willful, gluttonous, and vicious.

If such undesirable results would be avoided, the following suggestions should be regarded:—

1. For the beginning of a new life, select the most favorable time, which will be when the bodily health is at its height; when the mind is free from care and anxiety; when the heart is joyous, cheerful, and filled with hope, love, high aspirations, pure and beautiful thoughts. If, as one writer says, it is the duty of every human pair engaging in the reproductive act to bring into existence the most perfect specimen of the race of which they are capable, then it becomes a monstrous crime to enter into relations which may produce a contrary result. This may be a truth hard to accept, but who is prepared to dispute it on logical or moral grounds?

2. If a child has been properly conceived, the duty then devolves upon the mother to secure its proper development. Is beauty desired, let the mother be surrounded with beautiful objects; and let her mind dwell upon such objects. If an active mind and brilliant intellect are required, the mother should devote considerable time to study and mental labor of a pleasant nature. The moral nature should be carefully cultivated, to insure a lovely disposition. No angry words or unhappy feelings should be tolerated. Purity of heart and life should be maintained. The husband should do his part by supplying favorable surroundings, suggesting cheerful thoughts, and aiding mental culture.

3. After birth, the mother still possesses a molding influence upon the development of her child through the lacteal secretion. Every mother knows how speedily the child will suffer if nursed when she is exhausted by physical labor or when suffering from nervous excitement, as anger or grief. These facts show the influence which the mental states of the mother exert upon the child even when the act of nursing is the only physical bond between them.

It would be a happy day for the race which should witness the recognition of the fact that infants, even human beings in embryo, possess rights which are as sacred as those of adult human beings.

Circumcision.—The fold of integument called the prepuce, which has been previously described, has upon its inner surface a large number of glands which produce a peculiar secretion. Under certain circumstances, and from inattention to personal cleanliness, this secretion may accumulate, and then often becomes the cause of irritation and serious disease. To prevent such disorders, and to insure cleanliness, the Jewish law required the removal of the prepuce, which constituted the rite of circumcision. The same practice is followed by several modern nations dwelling in tropical climates; and it can scarcely be doubted that it is a very salutary one, and has contributed very materially to the maintenance of that proverbial national health for which the Jews are celebrated. Eminent physicians have expressed the opinion that the practice would be a salutary one for all men. The maintenance of scrupulous cleanliness, by daily cleansing, is at least an imperative duty.

In some countries, females are also circumcised by removal of the nymphae. The object is the same as that of circumcision in the male. The same evils result from inattention to local cleanliness, and the same measure of prevention, daily cleansing, is necessitated by a similar secretion. Local cleanliness is greatly neglected by both sexes. Daily washing should begin with infancy and continue through life, and will prevent much disease.

Castration.—This operation consists in the removal of the testes of the male. It does not at once obliterate the sexual sense, especially if performed after puberty, but of course renders the individual impotent, or incapable of reproduction. Persons upon whom it has been performed are called eunuchs. It was a very common custom in ancient times, being usually prompted by the jealousy of rulers, who allowed no males but eunuchs to associate with their wives and concubines. The effect upon the male is to render him effeminate in appearance and weak in mind. If performed before puberty, the growth of the beard is scanty, and the voice never acquires that deepness of tone natural to the masculine voice.

An analogous operation, termed spaying, is performed upon females, consisting in the removal of the ovaries; effects similar to those in the male, sterility without entire immediate loss of sexual sense, being the usual result. Spaying is much more rarely performed than castration. Both operations are now quite rare, seldom being resorted to except in surgical cases. Castration is still practiced in some Eastern countries.



THE SEXUAL RELATIONS.

Just in proportion as the perpetuation of the race is more important than the existence of any single individual, the organs of reproduction may in a certain sense be said to rank higher than any other organs of the human frame, since to them is intrusted the important duty of performing that most marvelous of all vital processes, the production of human beings. That this high rank in the vital economy is recognized by nature, is shown by the fact that she has attached to the abuse of the generative function the most terrible penalties which can be inflicted upon a living being. The power of abuse seems to be almost exclusively confined to man; hence, we find him the only one of all living creatures subject to the awful penalties of sexual transgression.

The use of the reproductive function is perhaps the highest physical act of which man is capable; its abuse is certainly one of the most grievous outrages against nature which it is possible for him to perpetrate. No observing person can doubt that the sexual relations of men and women determine in a great degree their happiness or misery in life. This subject, then, deserves due attention and careful consideration. It is of no use to scout it; for it will inevitably obtrude itself upon us, no matter now sedulously we attempt to avoid it. It can be rightly considered only with the most perfect candor, with the mind unbiased by passion, and prayerfully anxious to know and do what is right.

In the following paragraphs of this section are considered some of the evils out of which grows much of the sexual suffering of men and women:—

Sexual Precocity.—There are two periods in human life when the sexual instincts should be totally dormant; and they are so when nature is not perverted. The first is the period reaching from infancy to puberty. The second is the period reached in advanced age.

If raised strictly in accordance with natural law, children would have no sexual notions or feelings before the occurrence of puberty. No prurient speculation about sexual matters would enter their heads. Until that period, the reproductive system should lie dormant in its undeveloped state. No other feeling should be exhibited between the sexes than that brotherly and sisterly affection which is so admirable and becoming.

Fortunate, indeed, would it be for humanity if this natural state always existed; but it is a lamentable fact that it is rarely seen in modern homes. Not infrequently, evidences of sexual passion are manifested before the child has hardly learned to walk. It has been suggested that this precocity is nothing remarkable or unnatural, since it is often seen in little lambs and other young animals. To this it is only necessary to reply that the development of the sexual instincts perfectly corresponds with the longevity of the animal; if short-lived, like the sheep, only a short period intervenes between birth and the attainment of the sexual appetite and virility. If the animal is intended for long life, as is the case with man, these manifestations are delayed until a much later period, or should be. Certain insects perform the sexual act as soon as they acquire their perfect form; but they perish as soon as the act is completed.

Astonishing Ignorance.—It is astonishing how ignorant and indifferent the majority of people are upon this subject. A friend related to us an incident which fairly illustrates the terrible apathy which prevails among parents. While teaching a country school, he learned that a large number of children, boys and girls, of ages varying from eight to twelve and fourteen years, were in the habit of collecting together in barns and other secluded places, and in a state of nudity imitating the "Black Crook" with all possible additional nastiness. Horrified at such a monstrous evil, he hastened to inform the parents of the corruption in their midst. Imagine his astonishment when he was met with an indifferent laugh and the response, "Pooh! it's only natural; perfectly harmless; just like little pigs!" As though pigs were models for human beings!

It is not pleasant to consider what must have been the moral status of parents who could hold such views; and it is no wonder that they should produce such children. Doubtless they learned, too late, that those "natural" manifestations were the outgrowth of incipient vices, planted and fostered by themselves, which in later years destroyed shame and gave loose rein to lust.

Often the manifestation of sexual precocity is less gross, but almost equally fraught with danger, nevertheless. Dr. Acton, a distinguished English surgeon whom we shall frequently quote, makes the following excellent remarks upon this subject:—

"Slight signs are sufficient to indicate when a boy has this unfortunate tendency. He shows marked preferences. You will see him single out one girl, and evidently derive an unusual pleasure (for a boy) in her society. His penchant does not take the ordinary form of a boy's good nature, but little attentions that are generally reserved for a later period prove that his feeling is different, and sadly premature. He may be apparently healthy, and fond of playing with other boys; still there are slight, but ominous, indications of propensities fraught with danger to himself. His play with the girl is different from his play with his brothers. His kindness to her is a little too ardent. He follows her, he does not know why. He fondles her with a tenderness painfully suggestive of a vague dawning of passion. No one can find fault with him. He does nothing wrong. Parents and friends are delighted at his gentleness and politeness, and not a little amused at the early flirtation. If they were wise, they would rather feel profound anxiety; and he would be an unfaithful or unwise medical friend who did not, if an opportunity occurred, warn them that such a boy, unsuspicious and innocent as he is, ought to be carefully watched and removed from every influence calculated to foster his abnormal propensities.

"The premature development of the sexual inclination is not alone repugnant to all we associate with the term childhood, but is also fraught with danger to dawning manhood. On the judicious treatment of a case such as has been sketched, it probably depends whether the dangerous propensity shall be so kept in check as to preserve the boy's health and innocence, or whether one more shattered constitution and wounded conscience shall be added to the victims of sexual precocity and careless training. It ought not to be forgotten that in such cases a quasi-sexual power often accompanies these premature sexual inclinations. Few, perhaps, except medical men, know how early in life a mere infant may experience erections. Frequently it may be noticed that a little child, on being taken out of bed in the morning, cannot make water at once. It would be well if it were recognized by parents and nurses that this often depends upon a more or less complete erection."

We have been not more disgusted than shocked to see parents, whose intelligence ought to teach them better, not only winking at, but actually encouraging, these premature manifestations of passion in their children. They may yet learn, by bitter experience, the folly of their course, unless they make the discovery in time to avert the calamitous results which threaten the future of their children, by careful reformatory training.

Inherited Passion.—It is important to inquire the cause of this precocity. Said a father of our acquaintance, when remonstrated with for encouraging his infant son in a ridiculous flirtation, "I did just so when I was of his age." In this case the cause was evident. The child was only acting out the disposition bequeathed him by his parent. How often do the secret follies of parents stand out in bold relief in their children. Such a legacy is nothing to be proud of.

We again quote from Dr. Acton some observations on the causes of this disorder,—for a grave disorder it is,—as follows:—

"I should specify hereditary predisposition as by no means the least common.... I believe that, as in body and mind, so also in the passions, the sins of the father are frequently visited on the children. No man or woman, I am sure, can have habitually indulged the sexual passions ... without, at least, running the risk of finding that a disposition to follow a similar career has been inherited by the offspring. It is in this way only that we can explain the early and apparently almost irresistible propensity in generation after generation indulging similar habits and feelings."

Various Causes of Sexual Precocity.—Another very powerful predisposing cause of sexual precocity will be alluded to under the head of "Marital Excesses." The irritation caused by worms in the rectum, by local irritation or uncleanliness, or by irritation of the bladder, are exciting causes which are not infrequent. The latter cause is indicated by another symptom, the frequent wetting of the bed at night. Such a symptom doubly demands immediate attention.

The juvenile parties so common now-a-days, at which little ones of both sexes, of ages varying from four or five years to ten or twelve, with wonderful precocity and truthfulness imitate the conduct of their elders at fashionable dinners, cannot be too much deprecated. Such associations of the sexes have a strong tendency to develop prematurely the distinctive peculiarities of the sexes. This is well evidenced by the fact that on such occasions one of the most common and popular entertainments is sham marriages. Parents greatly err in encouraging or allowing their children to engage in amusements of so dangerous a character. They are productive of no good, and are almost without exception productive of positive and serious injury.

Modern modes of life, improper clothing, the forcing system of cramming in schools, the immodest example of older persons, and especially the irritating, stimulating articles of diet which are daily set before children, as well as older people, undoubtedly have a powerful influence in stimulating the development of the sexual passions. This subject is again referred to under the heading, "Chastity."

Obscene books and papers, lewd pictures, and evil communications are telling causes which will be further noticed elsewhere.

Senile Sexuality.—As with childhood, old age is a period in which the reproductive functions are quiescent unless unnaturally stimulated. Sexual life begins with puberty, and, in the female, ends at about the age of forty-five years, the period known as the menopause, or turn of life. At this period, according to the plainest indications of nature, all functional activity should cease. If this law is disregarded, disease, premature decay, possibly local degenerations, will be sure to result. Nature cannot be abused with impunity.

The generative power of the male is retained somewhat longer than that of the female, and by stimulation may be indulged at quite an advanced age, but only at the expense of shortening life, and running the risk of sudden death. Says Parise, "One of the most important pieces of information which a man in years can attain is 'to learn to become old betimes,' if he wishes to attain old age. Cicero, we are told, was asked if he still indulged in the pleasures of love. 'Heaven forbid,' replied he, 'I have forsworn it as I would a savage and a furious master.'"

Some learned physicians place the proper limit of man's functional activity at fifty years, if he would not render himself guilty of shortening his days by sensuality. Other reasons for this course will appear hereafter.

When the passions have been indulged, and their diminishing vigor stimulated, a horrid disease, satyriasis, not infrequently seizes upon the imprudent individual, and drives him to the perpetration of the most loathsome crimes and excesses. Passions cultivated and encouraged by gratification through life will thus sometimes assert a total supremacy in old age.

Marriage.—The scope and plan of this work will allow of but the briefest possible consideration of this subject upon which volumes have been written, much to no purpose other than the multiplication of books. We shall devote no space to consideration of the origin of the institution, its expediency, or varied relations, as these topics are foreign to the character of this work.

The primary object of marriage was, undoubtedly, the preservation of the race, though there are other objects which, under special circumstances, may become paramount even to this. These latter we cannot consider, as only the relations of the reproductive functions in marriage come properly within our province.

The first physiological question to be considered is concerning the proper age for marriage.

Time to Marry.—Physiology fixes with accuracy the earliest period at which marriage is admissible. This period is that at which the body attains complete development, which is not before twenty in the female, and twenty-four in the male. Even though the growth may be completed before these ages, ossification of the bones is not fully effected, so that development is incomplete.

Among most modern nations, the civil laws fixing the earliest date of marriage seem to have been made without any reference to physiology, or with the mistaken notion that puberty and nubility are identical. It is interesting to note the different ages established by different nations for the entrance of the married state. The degenerating Romans fixed the ages of legal marriage at thirteen for females, and fifteen for males. The Grecian legislator, Lycurgus, placed the ages at seventeen for the female, and thirty-seven for the male. Plato fixed the ages at twenty and thirty years. In Prussia, the respective ages are fifteen and nineteen; in Austria, sixteen and twenty; in France, sixteen and eighteen, respectively.

Says Mayer, "In general, it may be established that the normal epoch for marriage is the twentieth year for women, and the twenty-fourth for men."

Application of the Law of Heredity.—A moment's consideration of the physiology of heredity will disclose a sufficient reason why marriage should be deferred until the development of the body is wholly complete. The matrimonial relation implies reproduction. Reproduction is effected through the union of the ovum with the zoosperm. These elements, as we have already seen, are complete representatives of the individuals producing them, being composed—as supposed—of minute gemmules which are destined to be developed into cells and organs in the new being, each preserving its resemblance to the cell within the parent which produced it. The perfection of the new being, then, must be largely dependent on the integrity and perfection of the sexual elements. If the body is still incomplete, the reproductive elements must also be incomplete; and, in consequence, the progeny must be equally immature.

Early Marriage.—The preceding paragraph contains a sufficient reason for condemning early marriage; that is, marriage before the ages mentioned. It is probable that even the ages of twenty and twenty-four are too early for those persons whose development is uncommonly slow. But there are other cogent reasons for discountenancing early marriages, also drawn from the physiology of reproduction, to say nothing of the many reasons which might be urged on other grounds.

1. During the development of the body, all its energies are required in perfecting the various tissues and organs. There is no material to be spared for any foreign purpose.

2. The reproductive act is the most exhaustive of all vital acts. Its effect upon an undeveloped person is to retard growth, weaken the constitution, and dwarf the intellect.

3. The effects upon the female are even worse than those upon the male; for, in addition to the exhaustion of nervous energy, she is compelled to endure the burdens and pains of child-bearing when utterly unprepared for such a task, to say nothing of her unfitness for the other duties of a mother. With so many girl-mothers in the land, is it any wonder that there are so many thousands of unfortunate individuals who never seem to get beyond childhood in their development? Many a man at forty years is as childish in mind, and as immature in judgment, as a well-developed lad of eighteen would be. They are like withered fruit plucked before it was ripe; they can never become like the mellow and luscious fruit allowed to mature properly. They are unalterably molded; and the saddest fact of all is that they will give to their children the same imperfections; and the children will transmit them to another generation, and so the evil will go on increasing, unless checked by extinction.

Mutual Adaptation.—Another question of very great importance is that of the mutual adaptation of the individuals. To this question we can devote but a very brief consideration, and that will be more of the nature of criticism than of a set of formal rules for governing matrimonial alliances.

A writer of some note, whose work on this and kindred subjects has had quite an extensive circulation, advocates with great emphasis the theory that parties contemplating marriage should in all cases select for partners individuals as nearly like themselves as possible. Exact duplicates would, in his opinion, make the most perfect union attainable. To make his theory practicable, he is obliged to fall back upon phrenology; and directs that a man seeking a wife, or a woman seeking a husband, should obtain a phrenological chart of his head and then send it around until a counterpart is found. If the circle of one's acquaintance is so fortunate as to contain no one cursed with the same propensities or idiosyncrasies as himself, the newspapers are to be brought into requisition as a medium of advertising.

If so strange a doctrine as this were advocated by an obscure individual in some secluded hamlet, or found only in the musty volumes of some forgotten author, it surely would be unworthy of notice; but coming as it does from a quite popular writer, and being coupled with a great amount of really valuable truth, it is sufficiently important to deserve refutation. A brief glance at the practical working of the theory will be a sufficient exposure of its falsity.

According to this rule, a man or woman of large combativeness should select a partner equally inclined to antagonism; then we should have—what? the elements of a happy, contented, harmonious life? No; instead, either a speedy lawsuit for divorce, or a continual domestic broil, the nearest approach to a mundane purgatory possible. The selfish, close-fisted, miserly money-catcher must marry a woman equally sordid and stingy. Then together they could hoard up, for moths and rust to destroy, or for interested relatives to quarrel over, the pictorial greenback and the glittering dollar, each scrimping the other down to the finest point above starvation and freezing, and finally dying, to be forgotten as soon as dead by their fellow-men, and sent among the goats at the great assizes. A shiftless spendthrift must choose for a helpmeet (?) an equally slovenly, thriftless wife. A man with a crotchet should select a partner with the same morbid fancy. A man whose whole mental composition gravitates behind his ears, must find a mate with the same animal disposition. An individual whose mental organization is sadly unbalanced, is advised to seek for a wife a woman with the same deficiencies and abnormalities.

Any one can see at a glance the domestic disasters which such a plan of proceeding would entail. Men and women of unbalanced temperaments would become more unbalanced. An individual of erroneous tendencies, instead of having the constant check of the example and admonitions of a mate of opposite tendencies, would be, by constant example, hastened onward in his sinful ways. Thus, to all but a very small proportion of humanity, the married state would be one of infelicity and degeneration.

And what would be the progeny of such unions? The peculiarities and propensities of the parents, instead of being modified and perhaps obliterated in the children by corresponding differences in character, would be doubly exaggerated. The children of selfish parents would be thieves; those of spendthrifts, beggars; those of crotchety parents, monomaniacs; those born of sensual parents, beastly debauchees. A few generations of such a degenerating process would either exterminate the race or drive it back to Darwin's ancestral ape.

It must not be inferred, from our strictures upon the theory mentioned, that we would advocate the opposite course, that is, the contraction of marriage by individuals of wholly dissimilar tastes, aims, and temperaments. Such alliances would doubtless be quite as wretched in their results as those of an opposite character. It is with this as with nearly all other subjects; the true course lies between the two extremes. Parties who are negotiating a life partnership should be careful to assure themselves that there exists a sufficient degree of congeniality of temperament to make such close and continued association agreeable.

Disparity of Age.—Both nature and custom seem to indicate that the husband should be a little older than the wife. Several reasons might be given for this; but we need not mention them. When, however, the difference of ages reaches such an extreme as thirty, forty, even fifty or more years, nature is abused, good taste is offended, and even morality is shocked. Such ill-sorted alliances are disastrous to both parties, and scarcely more to one than the other. An old man who forms a union with a young girl scarce out of her teens—or even younger—can scarcely have any very elevated motive for his action, and he certainly exposes himself to the greatest risk of sudden death, while insuring his premature decay. A king once characterized such a course as "the pleasantest form of suicide." It is doubtless suicidal, but we suspect there are some phases of such an unnatural union which are not very enjoyable.

One reason of the great danger of such marriages to the old is the exhaustive effects of the sexual act. As previously noted, in some animals it causes immediate death. Dr. Acton makes the following pertinent remarks:—

"So serious, indeed, is the paroxysm of the nervous system produced by the sexual spasm, that its immediate effect is not always unattended with danger, and men with weak hearts have died in the act. Every now and then we learn that men are found dead on the night of their wedding."

"However exceptional these cases are, they are warnings, and should serve to show that an act which may destroy the weak should not be tampered with, even by the strong."

"There are old men who marry young wives, and who pay the penalty by becoming martyrs to paralysis, softening of the brain, and driveling idiocy."

Dr. Gardner quotes the Abbe Maury, as follows: "I hold as certain that after fifty years of age a man of sense ought to renounce the pleasures of love. Each time that he allows himself this gratification is a pellet of earth thrown upon his coffin."

Dr. Gardner further says: "Alliances of this sort have taken place in every epoch of humanity, from the time of the patriarchs to the present day,—alliances repugnant to nature,—between men bordering on decrepitude and poor young girls, who are sacrificed by their parents for position, or who sell themselves for gold. There is in these monstrous alliances something which we know not how to brand sufficiently energetically, in considering the reciprocal relations of the pair thus wrongfully united, and the lot of the children which may result from them. Let us admit, for an instant, that the marriage has been concluded with the full consent of the young girl, and that no external pressure has been exerted upon her will—as is generally the rule—it will none the less happen that reflection and experience will tardily bring regrets, and the sharper as the evil will be without remedy; but if compulsion, or what is often the same thing, persuasion, had been employed to obtain the consent which the law demands, the result would have been more prompt and vehement. From this moment the common life becomes odious to the unhappy victim, and culpable hopes will arise in her desolate heart, so heavy is the chain she carries. In fact, the love of the old man becomes ridiculous and horrid to her, and we cannot sufficiently sympathize with the unfortunate person whose duty [?] it is to submit to it. If we think of it an instant, we shall perceive a repulsion, such as is only inspired by the idea of incest.... So what do we oftenest observe? Either the woman violently breaks the cursed bands, or she resigns herself to them; and then she seeks to fill up the void in her soul by adulterous amours. Such is the somber perspective of the sacrilegious unions which set at defiance the most respectable instincts, the most noble desires, and the most legitimate hopes. Such, too, are the terrible chastisements reserved for the thoughtlessness or foolish pride of these dissolute gray-beards, who prodigalize the last breath of their life in search of depraved voluptuousness."

The parents, the perpetrators of such an outrage against nature, are not the only sufferers. Look at the children which they bring into the world! Let Dr. Gardner speak again:—

"Children, the issue of old men, are habitually marked by a serious and sad air spread over their countenances, which is manifestly very opposite to the infantile expression which so delights one in the little children of the same age engendered under other conditions. As they grow up, their features take on more and more the senile character; so much so that every one remarks it, and the world regards it as a natural thing. The old mothers pretend that it is an old head on young shoulders. They predict an early death to these children, and the event frequently justifies the horoscope. Our attention has for many years been fixed upon this point, and we can affirm that the greater part of the offspring of these connections are weak, torpid, lymphatic, if not scrofulous, and do not promise a long career."

In old age the seminal fluid becomes greatly deteriorated. Even at the best, its component elements could only represent decrepitude and infirmity, degeneration and senility. In view of such facts, says Dr. Acton,—

"We are, therefore, forced to the conclusion that the children of old men have an inferior chance of life; and facts daily observed confirm our deductions. Look but at the progeny of such marriages; what is its value? As far as I have seen, it is the worst kind—spoilt childhood, feeble and precocious youth, extravagant manhood, early and premature death."

Unions of an opposite character to those just considered, wherein a young man marries a woman much older than himself, are more rare than those of the other class. They are, perhaps, less deplorable in their physical effects, but still highly reprehensible. They are seldom prompted by pure motives, and can be productive of no good. Children resulting from such unions are notably weak, unbalanced, and sorry specimens of humanity.

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