JO? V'-vrr* y **•»•♦•' „'r ..., % ••• ^ ..... •*<> .0*1 *. V.<:^.%/.M: ^^-0^' * ^-f :M: >-^°- ^•i°x> "°. '.• *^^V ■ ''^m'' /% ■••^- /\ --UK* ^'^ "^* '-w^'' / "** ' 0^ %-^-> -o^*^^-/ V'^\** "«='*'^'^1> I ay ^ ,/"-^. <-. 1 THE LADIES' GUIDE TO HEALTH AND BEAUTY CONTAINING FULL INFORMATION ON ALL THE MARVELOUS AND COMPLEX MATTERS PERTAINING TO WOMEN INCLUDING CREATIVE SCIENCE ; BEARING, NURSING AND REARING CHILDREN; HEREDITARY DESCENT; HINTS ON COURTSHIP AND MARRIAGE; PROMOTING HEALTH AND BEAUTY, VIGOR OF MIND AND BODY, ETC., ETC. TOGETHER WITH THE DISEASES PECUUAR TO THE FEMALE SEX THEIR CAUSES, SYMPTOMS AND TREATMENT THE WHOLE FORMING A COMPLETE MEDICAL GUIDE FOR WOMEN BY MoNFORT B. Allen, M.D. AND • . ^ . : r^r -. .. Amelia C. McGregor, M.D/ ^ • -' Embellished with Many Superb Colored Plates, Phototype and Wood Engravings Published in 190J., Allen's Guide was one of the most widely T^IdToi the genre. ^ ^ THr LIBRARY OF CONGRESS, '•r^t/o Cociea Recsived illL, 10 1902 rtCOPyHmMT ENTRY CLASS '^XXa No. 2>i- 1 I, -| COPY 8. ' ENTERED ACCOHOING TO ACT OF CONGRESS, IN THE YEAR 1902, BY D. Z. HOWELL THE OFFICE OF THE LIBRARIAN OF CONGRESS, AT WASHINGTON, D. C, U. S. A. n PREFACE. WHAT all wives, mothers and maidens should know respecting themselves, is fully and clearly stated in this new, very com- prehensive and charming volume. It contains the most important and valuable information concerning the female organism, the physical Hfe of woman, and all subjects in which she is most c^eply interested. Part I. — Love and Marriage. The love which blossoms into marriage and maternity; the wise counsels which should regulate courtship and the conjugal state ; and the necessary qualifications for married life, are all set forth in a way that both instructs and delights the reader. How to render marriage and motherhood the sources of the purest and deepest happiness known to earth ; the temperaments that should unite to form a perfect wedlock ; the harmonious development of the whole woman ; manly husbands and devoted wives ; these and kindred subjects enrich the pages of this work. Part H. — The Reproductive Organs. This part treats of crea- tive science. Reproduction is nature's grandest work, yet how little understood! Ignorance on such a subject as this is a sin. This comprehensive volume pours a flood of light on all the wonderful nnd complex matters peculiar to women. It answers questions which all mothers and daughters desire to ask and furnishes information on a great variety of subjects but little understood, which are all important to the health, the happiness and the long life of both the married and. the unmarried. This work is a self-instructor, replete with knowledge of the female anatomy. *'Know thyself" is the old adage, and every woman can fulfill the injunction by perusing this volume. It is a faithful friend and companion. All that goes before childbirth; all that married persons should Cully know and understand, is plainly stated. And iii iv PREFACE. these delicate subjects are treated in such a way that womanly mociesty is never oft'ended. The marvelous human germ; the growth of the new life; labor and confinement; lactation or nursing, are all described, together with female complaints and diseases. The kind physician and helper is always at hand. Indeed, this volume, packed from lid to lid with excellent advice, plain hints and suggestions, and information needed every day, may truly be called a life-saver. Part III. — Care and Management of Children. A well-known vvriter has said, "It is the mother after all that has the most to da with the making or marring of the man." What every mother should fully understand respecting the child, born of her love and committed to her care, is contained in this work and should be read in every home throughout the land. Our American girls are growing stronger, rounding out into r more perfect physique, and securing better health, because their mo.ners are giving them more intelligent care in childhood, and our best schools afford them a thorough physical education. This work is right in the line of that education which aims to make our American youth as strong and vigorous in body as they are bright and capable in mind. Part IV. — Female Beauty and Accomplishments. This is a subject of universal interest. To improve one's personal appearance and endow it with new charms might almost be considered a duty. More than half of the success in life among both sexes depends upon personal appearance and first impressions. Good common sense, hygienic rules and suggestions are of the utmost value. Many a lady of fashion, pale, sickly, lifeless and miserable, would give all she is worth for the rosy bloom on the cheeks of the healthy, happy peasant girl. Part V. — Politeness; or. Woman in Society. Tasteful and becoming dress; deportment and good manners; the art of con- versing well; rules of etiquette, and other important subjects are. comprised in this part of the volume, the comprehensive and valuable character of which is seen at a glance. CONTEINITS. PART I. LOVE AND MARRIAGE. CHAPTER I. The Qualifications for Married Life. tvove, the Source of Happiness or Misery — Woman's Place in Mohammed's Para- dise — Maniage an Ordinance of Heaven — Parents Stamp their Characteristics on their Children — Nature's Time for Marrying — Well Developed Mind and Body — Evil Habits — Self-Government and Discipline — Industry and Thrift — Young Ladies and the Fashions — Domestic Duties — Value of Self-Reliance—^ Lamentable Ignorance — Hereditary Influence — Marriage Means Parentage- Lawful Pride in Fine Offspring 17 CHAPTER II. Advice to the Unmarried, Marrying to Please Others— Stigma of " Old Maid," or " Old Bachelor '*— Sound Judgment Needed — "Petticoat Government" — Both Parties Should Do the Courting — Flirting as a Pastime — Fashion and Domestic Duties — How Romance Disappears — Dram-Drinking Husbands — Marrying for Money — Long Court- ships — Temperaments that are Too Much Alike — Like Parents, Like Children- Prowling Fortune-Hunters — Marrying Out of Your Natural Sphere — Evils of Coquettery — Defective Education — Exciting Unhealthy Passions — Harmonious Development of the Whole Woman 26 CHAPTER III. Like Begets Like. Bffects of Hereditary Disease — Mental or Nervous Organization — Living too Fast- Bilious Temperament — Coarse Muscles — Sluggish Brains — The Mental Dwarfed by the Physical — Well Balanced People — Perverted Passions — Violation of Physical Laws — Society in Upheaval — ^Young Ladies and Their Associates- Parental Responsibility — Transmitting Disease and Death — Sins of Parents Visited on Their Children — Perfecting the P,ace — The Characteristics of the Child Determined by the Parents 37 V CONTENTS. CHAPTER IV. Love and Parentage. Courtship the Mere Alphabet of lyove — Glory of the Wife and Mother — Sharing Common Joys and Sorrows — Idolized Children — Perfect lyove and Confidence in Marriage — Animal Love and Moral Excellence — Wedlock's Sacred Bonds-- Physical and Mental Sexuality — Development of Female Charms — Blushing Maids — No Necessity for Female Beauty to Decline — Decay of Health — House- hold Drudgery — Bad Diet and Habits— Diminution of Affection in Marriage — Uncongenial Mates— Dying Before Your Time i9 CHAPTER V. Important Truths for the Newly Married. 6elf-Improvement — Promoting Happiness — Conjugal Attentions — Cultivating Love — Remedy for Discords — Consecration, Each to the Other — Love's Little Indulgences — Wives and Money — Expressing Affection — Love no Longer Mentioned — Billing and Cooing — Manly Husbands — Devoted Wives — Animal Passion — First Great Business — Cold Indifference — Reasons of Infidelity — Highest Human Duty — Contentment Better than Dollars — Paralysis of the Affections — Starved Hearts 55 PART II. THE HUMAN PELVIS AND ORGANS OP GENERATION. CHAPTER VI. Structure of the Pelvis. Meaning of the Term Pelvis — Natural Form and Dimensions — The Brim — Tne Cavity — Position in Regard to the Trunk of the Body — How the Womb is Sup- ported — Separation of Bones During Childbirth — Loosening of Ligaments — Male and Female Pelvis Compared — Bones of the Male Harder Than in the Female — Deformities of the Pelvis — How Distortions are Produced ... 65 CHAPTER VII. Genital Organs of the Female. The Mons Veneris— The Labia, or Lips— The Vulva— The Clitoris— ^The Nymphae— . Vagina, or Caual Fxtending to the Uterus— The Sphincter—The Hymen and CONTENTS. vii Its Situation— -Uterus, or Womb— Fallopian Tubes— Mouth of the Uterus-- Internal Cavity — Mucous Membrane — Arteries, Veins and Nerves — The Liga- ments — Structure of the Ovaries— Ovasacs, or Graafian Vesicles—Vesicles iu the Foetus — Nerves of the Ovaries 71 CHAPTER VIII. Menstruation. A Subject of Great Importance — Girl and Woman— Evils of Too Early Marriage^* Feeble Parents and Feeble Children— Duration of Monthly Period— Period of Puberty — Very Young Mothers — Close of the Menstrual Function— Some Remarkable Facts— Nature of the Menstrual Discharge— Suppressed by Preg- nancy — Effects of Nursing — An Evil Practice — Poverty of Blood — Regularity Important — Effects of Dissipation — "Change of Life" — Profuse Discharges- Nervous Symptoms — Flushes of Heat — Bleeding at the Nose — Hysteria — ^The Blessing of Health . . „ 81 CHAPTER IX. Conception. The Seminal Animalcule— Body and Soul — Birth and Genius — Children of all Races Resemble their Parents — Each Parent an Agent— Testes and Ovaries— Zoosperms or Spermatozoa — How Impregnation Takes Place — Vast Numbers of Zoosperms — Egg of the Fowl — Most Favorable Period for Conception — How the Generative Act Should be Performed — When Impregnation is Not Likely to Take Place — Limiting the Number of Children — Prevention of Conception . . . . , ....,..,.♦»...», 95 CHAPTER X. Pregnancy. Cessation of Menses — Morning Sickness — Pains in the Breast — Quickening — Flut- tering Motions — Flatulence — Increase in Size — Emaciation — Heartburn — Mor- bid Longings — Excitability o£ Mind — Suitable Clothing — Ablutions — Air and Exercise — Evils of Indolence — Ventilation and Drainage — Horrid Odors — Disinfectants — Pain a Warning — Hotbeds of Disease — Pure Water — Benefits of Rest — What to Eat — Spices and Condiments — Abuse of Stimulants— Rest' lessness and Sleep , . . , 106 CHAPTER XI. The Human Ovum, or Egg. Birth of Plants — How Animalcules are Formed — Amazing Number of Eggs in .^ishes — Spontaneous G^ueratioa a Myth— Ovaries of the Human Female-* viii CONTENTS Seminal Fluid of the Male — Reception of the Ovum bj'- the Uterus — ^The Germinal Centre — Anatomy of the Testes — Evolution of Spermatozoa — Result of Impregnation — "The Turn of Life" — Remarkable Changes at Puberty — Woman's Organization Finer than that of Man — Peculiarities and Mission of Woman , . . . 12» CHAPTER XII. Embryology, or Development of the Fcetus. Order of Grovrth — Vital Point of the Egg — Ovum Protected by Membranes—* Resemblance to the Egg of the Fowl — Rapid Changes of the Germ — Sizes of the Ovum at Different Periods — Formation of Bone and Muscle — Growth of the Vital Organs — How the Embryo is Nourished — Birth of More than One Child — Second Canception — Period of Gestation — Pregnancy Table — Number of Days to be Reckoned — From What to Date the Count — Mistakes in Reckon- ing— The Sex of the Child— Proportion of Boys to Girls 140 CHAPTER XIII. Parturition, or LaboRc First Symptoms of Labov — "Grinding Pains" — Shivering Sensations — Stomach Sickness — Bearing Down and Cramps — Labor a Natural Process — Forced Assistance Dangerous- -Use of Instruments — Average Time of Labor — The After-Pains — Three Stages of Labor — Directions to Nurses — Position of the Patient — Costiveness — Use of Chloroform — What If the Doctor Is Absent ? — Stillbirths, and How to Treat Them— The Afterbirth— Clothing After Labor- Rest and Refreshment — Bandaging — The Sick-room — Attention to the Bladder — Treatment for the Bowels — Ignorant Nurses — Quietude and Em- ployment 160 CHAPTER XIV. Miscarriage. The Young Wife — Miscarriage Can Generally be Prevented — Necessity of Judicious Advice — Penalties of Ignorance — Causes of Premature Labor — Violence ol Every Kind to be Avoided — Tb'eatening Symptoms—Decided Symptoms- Two Stages — Time of Greatest Danger — Flooding Treatment for Miscarriage — Great Care Required— Sponge and Shower-baths— Separate T^eeping Apart- ments — Healthful Exercise 186 CHAPTER XV. Lactation, or Nursing. Maternal Cares and Duties — Nursing a Pleasure to the True Mother — Nursing Natural and Healthy— Best Food for the Child — Ailments of the Breasts— Milk- F^ver —Gatherings — Care of the Nipples — Outward Applications — Stated Times CONTENTS. ix for Nursing — Danger of Overfeeding — Clothing for tfie Mother — What the Nursing Mother Should Eat — How Food and Drink Affect the Mother — Variety of Diet Recommended — Fits of Depression — Evils of Alcoholic Drinks —Benefits of Exercise — An Amiable Temper — Keeping Mind and Hands Occu- pied — ^Work a Grand Panacea — The Menses During Nursing 194 CHAPTER XVI. Weaning the Child. Se^t '^me for "Weaning — Effects of Prolonged Nursing — The Mother's Health to be Considered — Knock-kneed and Rickety Children — Weaning Gradually — Appli- cations for the Nipples — Aloes and Wormwood — Drying up the Milk — Prepara" tions for Reducing Full Breasts — Symptoms Denoting the Necessity of Weaning — Delicate Mothers—Return of the Menses — Wet-Nurses — Inflammation and How to Treat It — Infectious Diseases — Stimulants to be Avoided .... 212 CHAPTER XVII. Ailments of the Mamm^, or Breasts. Small Nipples — Bad Effects of Pressure on the Breasts — Nipple-Shields, and How to Use Them— Best Applications — Cracked Nipples — Poor Supply of Milk — Applying Friction to the Breasts — Gatherings, and How Treated — Correct Position in Nursing — Sources of Inflammation — Sucking an Empty Breast- Permanent Injuries — Shivering Fits — Fainting Spells — Mother Not Strong Enough for the Child — Aperients During Nursing — Virtues of Brown Bread- Practice of Eating Honey and Fruit Jams — Use of Tea and Coffee — Evils of Constantly Dosing with Medicine 219 CHAPTER XVIII. Diseases Peculiar to Women. Chlorosi?, or Green Sickness — Symptoms and Treatment — Suppression of the Mense.^ — Promoting the General Health — Fresh Air and Exercise— Pleasant Recreation — Profuse Menstruation — Causes and Treatment — Proper Diet — Best Tonics — Leucorrhcea, or Whites — Indications of Inflammation — Baths and Injections — Location of the Disease — Falling of the Womb — How Caused — Remedies— Change of Life — Peculiarities of the Transition — Inflammation of the Breasts — Remedies to be Employed — Heartburn, Etc. — Constipation of Pregnancy — Toothache During Pregnancy — Varicose Veins— Urinary Difficul- ties — Secretion of Milk — Milk Fever — Puerperal Fever . , c . . . . 232 CHAPTER XIX. Pregnancy External to the Womb. A. Rare Occurrence — How the Ovum is Nourished — Causes of Such Conception- Peculiarities of the Cases — Obscure Symptoms — General Xreatmeiit — Appear^ CONTENTS. ance of Inflammation— Bursting of the Cyst— Relief tor Pain— Opiates and Cordials— Operation for Removal of Foetus— Successful Treatment of thiii Peculiar Form of Pregnancy . . . , « , 371 PART III- CARE AND MANAGEMENT OP CHILDREN. CHAPTER XX. Ablution and Clothing. Every Child Should be Its Mother's Care— The Babe a " Well-spring of Pleasure" — Directions for Bathing — Prevention of Colds — Skin Eruptions — Free Use of Water— Cleanliness and Health— Treatment for Chafings— Bad Effects of Soda in the Laundry — Proper Time for Bathing the Infant — The Flannel Apron— Clothing — Material for the Belly-band — Light Dressing — Warmth a First Requisite — Danger of Convulsions— How Clothes Should be Fastened— Keeping the Head Cool— Clothing for Winter 277 CHAPTER XXI, Diet for the Infant. Away with Gruel—When the Tongue is Tied— First Food for the Infant— Both Breasts to be Drawn Alike — Too Frequent Nursing — Artificial Food — A Simple Preparation — Foods of Various Kinds — Baked Flour — Bread Crumbs — Oatmeal — Pulp of Rice — Foods Containing Starch-^Arrow- root— New Milk — When to Give Farinaceous Food — How Digestion is Aided — Salt and Sugar — Weak Mothers — No Real Substitute for Mother's Milk — Nursing and the Mother's Health — Care of the Feeding-bottle — Flatulence — Time for Weaning — Gin and Peppermint — Diet Versus Physic 287 CHAPTER XXII. Teething. . ofants Sometimes Born with Teeth — Proper Time for Teething to Commence— Length of Time in Cutting — Lancing the Gums— Mode of Operation — Infantile Convulsions — Gums Injured by Various Substances — Rubber and Leather Rings— Sucking the Thumb — Diet of Fruit — Ailments During Teething — Pain-= ful Dentition— Mild Form— Treatment Recommended— The Tepid Bath—Re^ laxed Bowels— The "Tooth-cough " — Disastrous Effectsof Opiates— Laudanum and Paregoric— Swollen Gums— Pain and Inflammation— Skin Blotches- Second Teeth —Parental Neglect ..,,,,,,.,,,,,,.,,. 30i CONTENTS. tt CHAPTER XXIII. Diseases of Children. Inflammation of the Eyes — Hiccough and its Treatment— Snuffles, or Cold in the Head — Remedies for Cold — Colic, and What to Do for It — Rules for Diet™ In- digestion and Vomiting-— Flatulence — Milk-crust, or Scabs— Thrush, and How to Overcome It— Costiveness — Diarrhoea — Cholera Infantum — A Dangerous Ailment — Full list of Remedies for Summer Complaint — ^ Alarming Symptom^^ — Stupor and Convulsions — Standard Treatment — Asthma — Result of Cold- Importance of Prompt Relief— Vaccination— Transmission of Dis^^ase— Vacci nation Should be Repeated ....••* 312 CHAPTER XXIV. How TO Prevent Disease. Unhealthy Boys and Girls — The Overworked Brain — Tendency to Scrofula — Pre- ventive Measures — Building Up the System — Girls Who Stoop — Curvature of the Spine — Treatment for Spinal Affections — Games of Sport for Young L/adies — Consumption-^ Blood-spitting — Causes and Remedies — Poor Diet — Treatment for Sore Throat — Evil Effects of Tobacco — Bleeding from the Nose — Fainting — Costiveness — Too Much Medicine — Appeal to American Mothers — Pimples on the Face — Gum-boils — How to Cure Corns — How to Destroy Warts — Deli- cate Young Ladies— Bodily Improvement among American Girls . . . ^ 33* PART IV. FEMALE BEAUTY AND ACCOMPLISHMENTS. CHAPTER XXV. Personal Appearance a. Subject of Universal Interest — Looking Only to Immediate Effect^ — How to Assist Nature — Fashionable Ignorance— Nostrums and Quack Cosmetics- Evening Dissipation— Exposure of Health— A Simple Toilet the Best— Harmful Dress — Barbarous Decorations — Conditions on which Personal Beauty Depends —Neglect of Mind and Body— Cleanliness — ^Temperance in All Things — Turn- ing Night into Day — Abuse of Digestion — Sickly Paleness — How Female Loveliness is Lost — Delicate Women — Painted Simpletons — Derangement of the Pulse— Hygiene of the Greeks 351 iij CONTENTS. CHAPTER XXVI. Bathing for Health and Beauty. Beauty a Thiug to be Prized — Personal Cleanliness — Vast Influence of Soap anci Water — Choked Perspiration — Secretions of Skin and Teeth — Contagious Poisons — Fruitful Sources of Ill-health— Impoverished Blood— The Tepid Bath — Ablutions Among Jews and Mohammedans — Dirt and Disease — Com- mon Neglect of Bathing — Bath-houses in Europe — The Jolly Frenchman — Sea-bathing — Directions for Using the Warm Bath— Right Temperatures of the Water — Exercise and Beauty 363 j ' CHAPTER XXVII. jSEAUTiFUL Skin and Complexion. A. Garment of Surpassing Loveliness — Structure of the Skin — Pores for Perspira- tion — Absorbent Vessels — How to Beautify the Skin — Effect of Heat and Cold — Ablution — Anointing — Recipes for Skin Washes — Effect of Sunlight — • Benefits of Friction — Flesh-gloves — Diseases of the Skin — Black Spots an(' Marks — Boils — Blueness and Discoloration — Dandruff^Pimples — Itch — Scalj Eruptions — Treatment for Skin Ailments — Freckles — Moles — Paleness — Roughness — Redness— Scurf and Scurvy — Pits from Small-pox — Wrinkles — Abrasions — Bruises — Burns and Scalds — Cuts and Incised Wounds — Excoria- tions— Froet-bites— Scars 373 CHAPTER XXVIII. The Hair, and How to Arrange It. An Unrivalled Ornament — Hair of the Orientals — Premature Decay — Effect of Mental Emotions — Physical Structure — Hair-bulbs and Tubes — Chemical Con- stitution — Biography of a Hair — Necessity of General Health — Best Manage- ment — Use of Comb and Brush — Curl-papers — Crisping-tongs — Friction — Two Methods of Dressing — Objections to Artificial Styles — Cleansing the Scalp — Natural Arrangement of the Hair — Cutting and Clipping — A Dirty Habit — Luxuriant Growth — Curliness and Waviness — Fixing the Hair in Position 393 CHAPTER XXIX. Restoration of the Hair. Early Decay — Cold Water and Friction — Stimulating Applications^Restoring the Health of the Scalp— Baldness— The Hair Affected by Old Age— Other Causes — ^Thick Hats — Frequent, Close Cutting — Spanish Flies or Cantharides— -Oil* CONTENTS. xiii and Pomades— Klectricity — Diet and Regular Habits— Tonics— Gray Hairs, and How to Treat Them— Morbid Dryness of the Hair— Use of Glycerine- Matting and Felting — Excessive Scurfiness — Rosemary and Thyme — Caution Against Quack Remedies — How Superfluous Hairs are Destroyed— Cleansing the Partings- -1>^>rax and Ammonia 411 CHAPTER XXX. Beauty of Face and Features. Harmony and I-ight Proportion — The Forehead — Skin Eruptions — ^The Kyes— Most Expiessive Feature— How to Treat the Eyes— Belladonna — Dimness of Age — Remedies for Discoloration — Effects of Dust and Dirt — Eyelashes and Eyebrows — The N<»se — How to Mould and Beautify the Nose — Human Mouth and Lips — Chapped Lips — The Teeth — What Injures the Teeth — Tooth-pow- ders and Use of the Brush — Use of Charcoal — The Ears — Wearing, Ear-rii|g^^ ihin and Throat— Neck of Beauty .420 PART V. POLITENESS; OR, WOMAN IN SOCIETY. CHAPTER XXXL Tasteful and Becoming Dress. Every Lady £1— uld Pay Attention to Dress — Fitness — Subordinate to the Person — Suited to Different Seasons-— 0*"iceful Curves — Hints on Colors — Variety i^. Costume — Dressing the Hair — The Parasol — Bonnets — " Nut-brown Maids"— Use of Veils — Dress for the Neck. — Sore Throats — Sudden Changes of Covering ' -Wearing Ornaments — Vulgarity of Too Much Jewelry 434 CHAPTER XXXII. Deportment and Manners. iiiiportance of Good Behavior — Beauty Marred by Lack of Grace — Carriage of the Body Reveals Character — Absence of Affectation — Self-possession — A Graceful Walk — The Soldier' s Drill — Avoiding Offensive Habits — Disorderly Costume — Coarse Eating and Drinking — Disagreeable Noises — Love to Others — Promot- ing Universal Happiness — Selfishness — Right of Privacy — Casual Acquaint- ances — Haughtiness and Piide — Anger — Rudeness — Cheerful Demeanor — Drones and Workers — Empty Ornaments — Keeping Engagements — Diffusing Good Cheer 445 xiv CONTENTS, CHAPTER XXXIII. The Social Queen. Qualifications for Good Society — Value of Birth aud Breeding — Honor to Ladies— • Mistress of the House— Introductions — Salutations — Rudeness to Others- Polite Attentions — The Sexes Should Go Together — Variety of Ages — Perfect Equality — The Industrious Woman — Agreeable Companions — Taste and Re- finement — Woman's Mission is to Adorn — Rules of Etiquette — Simplicity iu behavior — lyittle Observances — Receptions— Making Calls— Use of Cards--= faking Leave of the Host — Punctuality — ** Doing in Rome as Romans Po" 458 CHAPTER XXXIV. The Ar7' of Conversing Well. Value of Good Talk- -Conversation of Animals — All Can Have Something to Say — The Good Listener — Guiding the Conversation — Regard t^ Rights and Opinions of Others — Making Others Talk — Topics that are of Mutual Interest — Wit and Humor — Anecdotes — Talk at Table— Sense and Knowledge — Prosy People — Hobbies — Slang — Egotism and Boasting — Pet Phrases — Long-winded Talkers — Impolite Questions — Giving Attention — Avoiding Discussions — Pay- ing Compliments — Moral Character , . . o 473 CHAPTER XXXV. Miscellaneous Rules of Etiquette. Rights of the Sidewalk — Meeting on the Street^Washington's Politeness — ^The Veil — Street Recognition — Behavior in Church — Punctuality — Reverent De- meanor — The Tardy — The Talkative and Restless — Expressing Approval- How to Treat "Company" — Gallantry — Politeness at Home — The Hoiden— The Prude — Indoor Recreations — Undue Familiarity — Courtesy to Stran- gers — Formal Calls—Social Visits and Entertainments — Simpering and Friv- oUty 492 LOVEI.IEST OF I.OVELY THINGS WORDSWORTH THE YOUNG MOTHER PART I. LOVE AND MARRIAGE. CHAPTER I. The Qualifications for Married Life. lyove, the Source of Happiness or Misery — Woman's Place in Mohammed g Paradise — Marriage an Ordinance of Heaven — Parents Stamp their Char- acteristics on their Children — Nature's Time for Marrying — Well Developed Mind and Body— Kvil Habits — Self Government and Discipline — Industry and Thrift — Young Ladies and the Fashions — Domestic Duties — Value of Self Reliance^ — Lamentable Ignorance — Hereditary Influence— Marriage Means Parentage — Lawful Pride in Fine Offspring. X yO emotion in the human breast is more powerful than that of ^y love. None is more productive of happiness when rightly controlled and directed. When allowed to run wild and override all reason and restraint, none is so fruitful of misery. Love is the law of heaven and earth. It makes xife a blessing or a curse. Milton in one of his loftiest poetic flights exclaims : Hail wedded love, mysterious law, true source Of human offspring. Mohammed acted with unusual sagacity, displayed no ordinary understanding of human nature, and adopted effectual means for the accomplishment of his cherished object, when, to secure converts to his new religion, he promised that the eternal abode of the faithful should be made joyful, and lighted up with the charms and smiles of Woman ! This was an appeal to one of the strongest passions of our nature, and proved effectual in securing the attention of the stronger sex; and, in that age, this object achieved, secured the influence and commendation of the gentler and more refined half of our race. From the earliest time, and among all nations, whether shrouded in Pagan darkness or enjoying the pure and elevating influence of Christianity ; among those who treat the female sex like slaves and 8 17 18 QUALIFICATIONS FOR MaRRIAGK. beasts of burden, and those who recognize her as entitled to an equal rank with man, companionship between the sexes has ever been found to be the strongest desire of our race. It is not peculiar to either sex, but is cherished in common by both. This is an ordinance of Heaven, none can deny. And the origin of the institution of matrimony might convince the skeptic of his error; for the only volume which gives an authentic early history of our race, declares in the outset, that in our creation, the distinction of sex was ordered as a contribution to our enjoyment, and that therefrom should follow perpetual companionship. **And the Lord God said, it is not good that man should be alone : I will make him an helpmeet for him." And after He had created woman, and given her to Adam to be his wife, Adam acknowledged the precious gift with the pro- foundest gratitude. He said of her, " This is now bone of my bones and flesh of my flesh;" and the sacred volume adds, ''Therefore shall a man leave father and mother, and shall cleave unto his wife ; and they twain shall be one JlesJi!* LfOve and Marriage arc Natural. Marriage is also sanctioned by the very laws of our being. It is just as natural to love and marry as it is to breathe. The world loves; the world marries. Misery, you say, grows out of married life ; so does the purest, deepest enjoyment. The misery is nothing against marriage itself, but against wrong, hasty, foolish marriages. These every mother, every father, should guard against, yes, and young people themselves. Wc cannot be too well acquainted with those qualifications ana organizations capable of transmitting the qualities which we most desire in our children. As perfect children are the most valued and beloved, as the laws of reproduction are unchangeable; and as per- fection is only in proportion to obedience to these laws, in order to secure our highest wishes, we see the almost imperious necessity of our not only understanding, but complying with these require- ments of nature. QUALIFICATIONS FOR MARRIAGE. 19 If we were as honest and careful in choosing companions for Hfe as we are in business transactions, we should not then run the risks we now do ; and the majority of those who marry would be compara- tively happy; because each would be better suited, much more satisfied — would know better what to expect of the object of tbeir choice ; since they would have a better understanding of each other, and would be less liable to discord. Causes of Unhappy Marriages. Married as many are, at the present day, and have been in years past, they are more liable to commit crime than they would be if single, and their children grow up to curse them for their existence ; when, if they had been properly married, they would have made the best of companions and parents. The evils consequent upon these unphilosophical and unscientifical marriages, result in much of the social and domestic disarrangements, quarrels, separations, and divorces of such frequent occurrence in society ; but, guided by judgment and science, there is but little room for disappointment or dissatisfaction. Among qualifications that might be mentioned, a few only will be noticed. A Well-Developed Mind and Body. To those who would be true companions and parents, a sound mind and body are indispensable. Nothing is done as it should be without them ; as in after life the first movements will be regretted, while they will necessarily be destined to a course of life, which to them is a source of continual annoyance, if not dissatisfaction. The above qualifications are necessary because a full, complete, and healthy action of all the functions of the body and mind, is necessary in order to discharge the duties which almost inevitably fall upon married persons. The natural duties of man are never in advance of his natural qualifications ; and those who hurry, force, or try to outdo nature, do so, much to their disadvantage. Nature's time and ways are the best ; and those who are premature in their plans in the commencement of 1 20 QUALIFICATIONS FOR MARRIAGE. life, are very apt to find a premature decay of those powers they then call into action. It is almost an every day occurrence that persons, particularly females, hurry into married life before they are fully developed, either mentally or physically, and before they have either judgment, reason, or experience. No precise rule can be given when every person ought to marry, only that none should think of so doing, until they have arrived at maturity. Both the mental and physical powers of some are developed many years before those of others ; yet, as a general rule, woman is as well qualified in development at twenty as man at twenty-five ; but that age is rather early for the majority. The Educated "Woman. Woman, after marriage, as a general thing, enter soon upon the duties of a parent ; and, as society now is, has very limited opportu- nities for mental culture ; and, as education is absolutely necessary in order to train and educate children properly, she should, before mar- riage, store her mind with useful information. A young man who marries before he has come to years of discre- tion, is Hke a mariner who pushes out to sea without a compass, or even a knowledge of it. He takes upon himself the cares and respon- sibilities of a family, without even thinking what they are, and mud less without making preparations beforehand to meet them. But persons should not only be old enough for a full development of their mental and physical powers, with an education adequate to their maturity, and a full knowledge of, and preparation for, all the duties devolving upon them in these near relations, but they should bear in mind that, in proportion as they are naturally deficient in any of the mental or physical elements, just in that proportion are they disqualified to discharge all the duties of married life. As society is, and as children are brought into the world, and educated, we cannot expect many perfect souls or bodies. Yet, if perfection be needed, or desirable anywhere, it is in these relations. And from the fact that the majority of persons are more or less THE HEART FEELS MOST WHEN THE LIPS MOVE NOT QUALIFICATIONS FOR MARRIAGE. 21 imperfect, they are not prepared to appreciate perfection, if they should find it; consequently they should endeavor to select those whose imperfections would be the least inconvenient to them. If one parent be very deficient in any one thing, it is unfortunj^te ; but if both parents are very deficient in the same quality, it is still worse, both on their own account and that of their offspring. Self-government and Discipline. Without some restraint, a family is like a horse without a driver or a bit, a ship without a rudder, a church without a priest, a nation without a ruler, or a day without a sun. Proper restraints are as necessary as a table in a kitchen, or chairs in a parlor. The evils of green wood, a smoky house, a scolding wife, and cry- ing children, are not half as bad when they are all joined together, as the absence of self-government and mental discipline; for, without them, we have all the above-mentioned evils, and in fact more ; for in domestic arrangements there would be a want of every thing that is convenient, appropriate, and desirable ; an abundance of every thing as it should not be, and nothing as it should be. S^^lf-government is absolutely necessary to government in a family ; and if as parents, our own minds are not trained and disciplined, we canno* succeed in train- ing and disciplining those of others. Without these qualifications a family is always on the extremct You never know where to find them, or what to depend upon ; ''they are full of variableness and shadow of turning." Easily carried away by every change and tide of doctrine ; not having ihe power tc regulate their own affairs or to steer their own course through life, they allow all their neighbors, who wish, to help t^em ; one day listening to the advice of one, and the next, perhaps assenting to some- thing entirely the reverse of it ; thus confusion is the order of the day ; too late for the boat, too late to church, never quite ready or in season ; easily tempted, easily influenced. Without industry there is no continued success; wheiK industry exists in a family, it is sure to thrive, and not be dependent oa <^thers 22 QUALIFICATIONS FOR MARRIAGE. for support. Idleness produces many evils : it is the road to vice and bad habits. Industry is the mother of plenty, and makes man cheer- ful, happy, and blessed. Industry and good habits combined, lead to health, wealth, honor and plenty, and secure the confidence and respect of friends and associates, while idleness and bad habits destroy them all. It matters not how many good habits a young family may h..ve ; for, there are many which greatly facilitate business, and add much happiness to the family enjoyments. But bad habits are a stain and a curse on any family. There are some habits which have a direct tendency to Jestoy con- nubial enjoyments ; and, where they exist, marriage should positively be prevented. False Ideas and Customs. Young ladies, who have formed habits connected with the perni- cious customs of the day, are not the best persons for companions or parents. Their attention to extremes in dress, in fashion, their artifi- cial airs, their studied hypocrisy, their idleness, irregular habits, false and imperfect ideas of beauty and perfection ; their tight-lacing, and their wrong standard of character, all tend, directly and indirectly, to destroy the qualities which are indispensable prerequisites for constitu- ting good companions and parents. That such habits do have the most alarming and degrading influ- ences on mind and body, and are directly calculated to poison and corrupt all the sources of connubial felicity, as well as entail upon innocent offspring the most fearful calamities, diseases, and premature deaths, in numerous ways, needs no proof more clear than is afforded by the lives, characters, and confessions of thousands of those who have had the bitter experience of their blighting effects upon their own physical, mental, and intellectual endowments, and by the indescribable wretchedness they have brought into so many families and com-^ munities. But, distressing as these revelations prove them to be, the evils do not commonly end with their own generation ; but, by a law of QUALIFICATIONS FOR MARRIAGE. 23 hereditary descent, parents generate the same evil propensities in their offspring, and thus perpetuate them, from generation to generation ; so that from one degraded and miserable slave to vice, hundreds and thousands are ruined. So far are such persons from being qualified for the high responsibilities of the marriage duties, they are a curse to any community ; for their influence upon others, be it ever so little, is all evilj and that continually. Preparation for Married Life. That an education which will fit persons for domestic duties, is as necessary as it is for any other department of life, is self-evident ; yet, such an education is by many almost entirely neglected, and by a vast majority too much so. Although the marriage state is one which is designed for wise and important purposes, and by the fulfil- ment of which man gratifies some of the strongest desires of the human mind, yet, as a general thing, we are as poorly qualified for it by mental training and information as for any other condition in which we may be accidentally placed. We use double the means to obtain the object that we do to qualify ourselves for enjoying it when obtained. When we speak of education as being adapted to the social depart- ment, we have special reference to a well disciplined mind, to an experimental acquaintance with domxcstic labor, and a familiar knowl- edge of household matters and duties ; young women should be able \o sympathize with those engaged in domestic affairs, by an indi- vidual experience in the same matters. Every Girl Should be Independent. Every young lady, whether she be rich or poor, especially if she anticipates marriage, should be as familiar with the necessary duties of the family, as she is with the keys of her piano ; and much more than with the fashionable acquirements of the day ; for none can fill the sphere of a companion and parent, until they are intimate with household labors, are capable of arranging family matters, and supply- 24 QUALIFICATIONS FOR MARRIAGE. ing their own wants, particularly in the line of making garments, preparing food, etc. It will not do in this country to depend \ipon crte slightest tenure of property ; for it is an everyday occurrenc'e that wealth takes wings and flies away. To be dependent upon the milliner, the cook, and domestic, (which in our cities are mostly of the lower, and ignorant class,) is a slavery to which a truly independent mind would jievcr be willing to submit. And yet scarcely a day passes over our heads, but many young women take this too often unhappy step, without understanding even the common rudiments of housekeeping. Young men, with their eyes blinded by beauty and wealth, or accomplishments which are generally laid aside and forgotten after marriage, frequently hurry on the wedding day, but find that they have but a painted doll, a mere automaton in the great drama of life. Young men also are frequently through ignorance as poorly qualified to discharge their duties in the domestic department ; and when thus disqualified, they are thereby incapable of adapting themselves so agreeably, or to appreciate the peculiar feelings of a wife in her various circumstances. There Must be Home Education. They will, as husbands, expect as much at one time as another, and fail to make those allowances which the nature of the case requires, being less qualified to adapt themselves to her in the various changes of circumstances. Where this is the case the wife pines away, grows pale and languid, and not unfrequently becomes discouraged and broken-hearted. What should we think of a man who, the first time he steps on board of a vessel, declares himself able to take command, pushes off, and raises sail for a foreign port? All would join in saying that he was rash and unwise, and that he ought first to make himself acquainted and familiar with the rigging of the ship, and the ii.se of all the instruments on board. No one will hesitate in predicting to him a rough if not a dangerous passage, and would be unwilling to «;mbark with him. How many are there in marned life who make a QUALIFICATIONS FOR MARRIAGE. 25 fatal shipwreck oi^ all they possess, simply because they do not under- stand how to steer and balance the matrimonial ship. To manage a family well, and adapt one's self successfully to a companion, is as much an art as anything else, and requires as much preparation, skill and judgment, and much more presence of mind, patience and common sense, than any other conditions of life. Parents do their children a great injustice by neglecting the instruc tion of their sons and daughters in these matters, which are so intimately connected with their future success and happiness in this life. The details of that education cannot be dwelt upon here. Children are Not as They Make Themselves. We should marry with regard to posterity, as well as to our individual happiness. The fact that society is affected by hereditary influence, is established beyond a doubt. Every farmer in the country is prepared to admit the general principle as applied to animals ; and, every one acquainted with history, is obliged to admit the fact as applied to man. Children, then, are as they are made by others. And as the laws of production are unchangeable, and the mental and physical organization the necessary result of law and those laws in the hands of parents, it lays them and all who expect to be parents, under strong moral obligations duly to appreciate the result of their labors. If society were not affected by hereditary influences, and if the next step after marriage were not parentage, then it would be less impor- tant to think of, or care for the future, in those particulars. But a? things now exist, it is not sufficient for those who intend marriage t( consult their own individual happiness, but they should also consult that of posterity. If this were the case, each generation would be an improvement on preceding ones. At present, however, the majority of society, from all appearances, live only for selfish purposes, regardless of the consequences to posterity ; and thus, the improve- men' of the race is much retarded, man is degraded, and God dis- honored. CHAPTER II. Advice to the Unmarried. Marrying to Please Others — Stigma of " Old Maid," or " Old Bachelor "-—Sound Judgment Needed — "Petticoat Government " — Both Parties Should Do the Courting — Flirting as a Pastime — Fashion and Domestic Duties — How Ro- mance Disappears — Dram-Drinking Husbands — Marrying for Money — Long Courtships — Temperaments That are Too Much Alike — Like Parents, Like Children — Prowling Fortune-Hunters — Marrying Out of Your Natural Sphere — Evils of Coquettery — Defective Education — Exciting L ^healthy Passions — Harmonious Development of the Whole Woman. riAO one and all we would say, do not marry unless you love, and X do not love unless guided by reason and judgment. Do not marry contrary to your own judgment and inclination, merely to please your friends ; for this reflection does not bring domestic peace when you find that you are confined to one not at all congenial to your feelings : your happiness, in married life, will depend on your union, and not how it was brought about. Being so very accommodating as to give your hand and virtue to a man without your love, because you cannot bear to see him weep when refused ; or because you are afraid of hurting his feelings, if you refuse him, is a spirit that should not be recognized among human beings where their own welfare and that of posterity depend on a different course of conduct. "A Crooked Stick At Last." Do not marry then in any case to avoid importunities and puer- ilities, or to save the tears and feelings of others ; as selfishness, if it can be so called, or rather self-love, is justifiable in this case. Do not marry because you think it is the last opportunity. To refuse good offers in hope of obtaining those more eligible, and then through fear of living in single blessedness, to accept because you think you will have the •* crooked stick at last," is like a man grasp- 26 ADVICE TO THE UNMARRIED. 27 ing a straw to save himself from going over the dam. Never marry to get rid of the stigma of being called an old maid, or an old bachelor. It is an honor and a credit to many, that they have had prudence and sense of duty sufficient to control their feelings, and to enable them to remain single. Many, by not consulting their organization and qualifications for married life, have brought great evils on themselves and also on pos- terity, simply to show the world that they can marry, and thus remove the reproaches (that many fling) of a single life. Desperately Anxious to Get a Husband. Said a certain lady, '* I would not live single if I had to marry the greatest * roue ' in the city." That was weakness and folly. In this all-important step, which has to do with your own individual happiness particularly, allow your friends and enemies to give you facts, and be thankful for them, but think for yourself; exercise your own judgment independently. By judgment we do not mean the calculations of mere intellect, but the whole mind, embracing the feelings, the sentiments, and propensities. When the consent of all these faculties of the mind has been obtained, then it is certain you are under a moral obligation to marry, regardless of opposition. Do not marry with the determination to rule or not to be ruled. Scarcely anything appears more foolish than this absurd feeling of " I am not to be dictated to," " I will have my own way," *' I shall not sign away my liberty, I can tell you," etc. — the lady afraid to yield, for fear complete submission will be the result ; the husband, from dread of appearing to be under " petticoat government." Domestic Enjoyment Destroyed. A civil war of this kind puts to flight, most effectually, all hope of domestic enjoyment. It is, invariably, the growth of foolish pride and morbid, little independence, as far removed from real dignity as light from darkness — oftentimes exhibited before marriage in persist- ing in certain actions or habits when their suspension is desired. 28 ADVICE TO THE UNMARRIED. It cannot be too strongly impressed on your minds, that " mutual forbearance is the touch-stone of domestic happiness." " The angel of the marriage covenant bears the inscription on each wing, which he folds in sorrow when the admonition is unheeded." Do not be so modest as to let one do all the courting, the other replying only in monosyllables ; for very frequently the tongue becomes more pliable, or loosed when damages cannot be repaired. Playing the " dumb belle " and silent lover, is a very silly mode of transacting business. No ; it is your duty to unfold your characters in their true colors to each other. In the married state, it is your duty, and should be your pleasure, to sympathize with and console each other, and thus beget a winning and soothing confidence that does much towards making home desirable and happy. Coquettes and Flatterers. Do not marry a coquette or a flatterer. A coquette has no Heart, and a flatterer but a hollow and deceptive one. Do not trifle with your affections, by keeping company as a niattei of curiosity or of opposition. Writers have dwelt with much effect upon the evils produced on the intellect by novel reading, but, the effects of literary trifling, bad as they may be, fall far short of the ravages of hydrarheaded social dissipation. Parties, routs, the strained and tender compliment, th( sigh and protestation, the coquetting and flirting practiced as mere pastime, inevitably destroy true affection. Persons who have passed but one season in amusements of this sort, have generally rendered themselves incapable of being influenced by natural and true affection — their feelings have been completely seared. Persons who have been drilled in all the tactics of fashion, should be resolutely avoided, nine cases in ten. They have become suscep- tible of but one love — the love of themselves. The plague has tainted their blood, producing certain death to all the warm and generous sympathies that should issue from the cup of gladness into th** secluded bosom oi the family. THIS LNGRAVING SHOWS AN ANIiVIAIlU SCENE OF ENJOYMENT. THE SWIM ME ,".3 REACH THE WATER BY USE OF THE SLIDING BOARD, THUS GIVING ADDITIONAL ZEST TO THE SPORT ADVICE TO THE UNMARRIED. 29 Do not be so precise and regular in the time that you make your visits — both parties, thus prepare for such occasions by embellishing and rendering their appearance foreign to nature ; each parades his or her good qualities to the front, and shows how pleasant, kind, agree- able, and polite they can be when they are prepared for it. From using these forced and artificial means to entertain each other, an acquaintance is made with one's abilities for pleasing only, and not for displeasing ; the disagreeable traits of character, not being neces- sary, are concealed ; but the occasion over, they manifest themselves in right good earnest, and when it is entirely too late— the words *' for better or for worse," having been pronounced. In your courting days you had the " better," but now you are prepared to appreciate the meaning of the latter term. It is a positive fact, that men and women are not heroes and angels, except upon the pages of a romance. When you are married, you will be obHged to come in contact while your faces are flushed by exercise, dresses disordered by labor, tempers a little ruffled by trifling circumstances and annoyances — ivhen the toilet is not prepared with extra care, and many other trifles connected with " little responsibilities," estabHshing beyond a doubt that earth is not heaven, and poor human nature somewhat else than poetry. Love Should Not be Stimulated. These things are so ; and you may as well study each other in these situations, as when *' dressed up " and seated in the parlor. In the one case, you are Hable to be *' taken in ; " and in the other, know- ing what to expect, disappointment cannot creep in. Contentment must reign — giving a fair opportunity for happiness. Do not excite your love by foreign stimulants. The influences of love and wine should never be united. Men, when under the excitem^ent of intoxicating liquors, are not in full possession of all their faculties : they have excited their animal propensities, and by so doing, have rendered the manifestations of their feelings brutal. There is no woman of sense and purity throughout the land, but must, having thf5. 30 ADVICE TO THE UNMARRIED. knowledge of the debasing influences of ardent spirits, the foul and demoniac crimes which have been committed under the auspices of drunkenness, view the attentions of persons under this animal excite- ment as an insult of the blackest kind. Errors to be Avoided. 1 If you are very poor, do not marry a person very wealthy, merely on account of his or her wealth, unless you wish to act the part of a servant, and to live with the continued reflection that you are eating another's bread and riding in another's carriage. If you have insane or consumptive tendencies of body, do not marry one who has the same, unless you wish to bring upon yourself, your family, and posterity, all the evils of hereditary disease. Do not be so long in courting as to change your mind, or so quick as to be rash, or ignorant of the character you have chosen. If you have no love in your soul, do not marry unless it is with one of a similar disposition. If your mental or physical organization is extremely susceptible to impressions, do not marry one of the same extreme or of the opposite order. There should be a tendency to the medium line ; if an organ or function is very large in one, then it should be less in the other, so as to have a restraining influence ; yet, it should not be so small as to be disgusted with the extravagant manifestation of it. If one has an organ very small, the other should have it a little larger, so that it may not be deficient in the family ; and also that it may serve as a stimulus for the one in whom it is weak. Variety is Desirable, A long article might be written on this subject, and a detailed account of the manner in which each of the developments should rank, might be mentioned ; but that is not necessary, as the subject addresses itself to the common sense of every one. Variety is at times agreeable and even desirable ; yet extremes in any of the arrangements of nature, or in two separately organized ADVICE TO THE UNMARRIED. 31 Dodies, scarcely ever harmonize in action or in that adaptation neces- sary to produce unitorm results. A gentleman, who thought he understood human nature very well, the motives of action, etc., had very small acquisitiveness, and, in his selecting a wife, looked for one with the organ large ; but, when they were united, this was the source of trouble and contention ; for, she took all his earnings, and was unwilling that he should expend a single, cent beyond his actual necessities. This state of feeling increased to such a degree that he separated from her, and now lives alone in the world, unhappy and desolate, convinced that extremes do not always produce happiness. This law of harmony and balance should be recognized, not only for the convenience of the parties concerned, but for the sake of posterity. What Kind of Children Will You Have? The organization of children depends on two things ; first, the organization of the parents ; and secondly, the influence of circumi- stances on the minds and activity of the various faculties and functions of those parents before conception, and particularly afterward on the part of the mother. If, then, both parents have the same function very large or very small, the child must necessarily partake of that extreme, unless a change is produced by Uie force of circumstances. If both parents are idiots, the child will be idiotic. If very nervous or consumptive, the children will be so disposed, li conscientiousness, firmness, self- esteem, or any other organ is very small in the parents, they will be so in the child, unless it is rendered large by the great activity of these faculties in the parents. If cautiousness, secretiveness, destruc- tiveness, amativeness, or any of the animal propensities are very large and active in the parents, they will be manifest in the children. If you are very rich, select your companions yourself instead of permitting another to choose for you ; so that you may not be troubled with the reflection that you were selected for your wealth. S'2 ADVICE TO THE UNMARRIED. A young lady of royal blood, from the south of Europe, who was very wealthy, accomplished and beautiful, traveled in this country in the garb of a servant or companion, for the purpose of making her own observations and selecting her friends without her name, rank, and wealth being known ; fearing that they might be the means of attracting attention, and draw a crowd of flatterers around her, regardless of her own natural qualities, which was not a very pleasant reflection. She was a true unsophisticated child of nature, traveled extensively, and enjoyed herself highly. A gentleman, appreciating her native talent, made love to her and they were married and settled at the south. She had the satisfaction to know and experience that she was beloved for herself alone. He was made thrice happy, when he found, in addition to her own per- sonal and acquired qualifications, all other things desirable. They lived in the enjoyment of almost uninterrupted felicity for many years. After his death, she returned to Europe to grace again the circles of wealth and intelligence, which she had voluntarily left for a season. Had she followed some other course, she might have been the dupe of some for'^^ne-hunter, prowling over the country. Consent of Parents. Be sure that you have the confidence and sanction of the parents Defore you proceed with your negotiations. To secure the affections of a young lady, and make arrangements to be married, and then ask the consent of the parents and be refused, is quite an unpleasant pre- .'icament in which to be placed. In this case you are left to one ot two alternatives, either of which is unfortunate. To marry contrary to the wishes of friends and parents, or sacrifice your love, both of which might have been avoided, if the necessary precautions had been taken in season. Do not marry so much above or below your sphere, as either to secure the contempt and the reproaches of friends, or fail to adapt yourself to the peculiar con- dition of your companion. Finally, do not allow any one faculty of the mind, any one condi- ADVICE TO THE UNMARRIED. S3 tion of the body, any one favorable or flattering remark, the enthu- siasm of the moment, or the excitement of passion to balance all other considerations — thus bringing about a partial union, and securing the possibility only of imperfect happiness. Acting from the Highest Motives. Those individuals who are governed by selfish motives in these .natters, wiK resort to dishonest and improper means to accomplish their object. They have not a sufficient amount of conscience or principle to regulate and control them : the consequence of which is, there can be no confidence placed in them ; they are liable at any and all times to go or be led astray, and are especially unfit to assune the weighty responsibilities which devolve on heads of families. Persons of this character should be resolutely and determinedly avoided. From the existence of such men and women in society, ca^' be traced the origin of the deception, pretension, falsehood, flattery, assumed piety, strained politeness and artificial endeavors to entertain each other while together, which may be denominated the reefs and shoals of the sea of matrimony. Trifling with Affections. Many unprincipled young men of fortune, leisure, and accomplish- ments in our cities, spend much of their time in female society, using all their faculties and powers of pleasing with apparently honest inten- tions, labor assiduously to secure the affections of young ladies, and afterward make their dignified and lofty boasts of how many beautiful iiid charming young ladies are crazy after them, even if they do not proceed farther and trifle with their affections in the basest manner. Such men, or apologies for men, deserve to be branded with the blackest marks of infamy, the most indelible sign of disgrace, merit- ing nothing but obloquy and contempt. Young women, too regardless of consequences, sometimes thought- lessly turn coquettes, present their charms and bright attractions, use their best endeavors, exhibit excessive devotion and exclusive aflec- 84 ADVICE TO THE UNMARRIED. tion, and by these means decoy and lead astray, if not absolutely ruin, many an honest, worthy young man. The hearts of such ladies exist but in name; they have long since been dissipated in thin ai*: tV"^-- are only worthy of becoming the wives of the soulless j. described in the last paragraph. The world is full of this reckless and unprincipled way of t itiing with the most ardent, influential rnd endearing feelings of our nature. Source of Untold Evils and Misery. Were the evils brought upon society, families and individuals by this extensive but very pernicious course of conduct thoroughly inves- tigated and dwelt upon, we should be presented with the real first cause why there are so many lewd men and women, so much vice, immorality, and licentiousness in our cities — would unfold the origin of the wretchedness and despair of miserable thousands, and expose the causes of many an early death. It is the duty of every one, and God holds them accountable for the performance, to use their personal influence in removing unhealthy tendencies, particularly of the kind to which we have alluded. As young people are now educated, many are not capable or quali- fied to discharge the duties which necessarily present themselves in the marriage relations. The primary powers of their mind, their inclinations and passions, however, are not changed or modified to suit their abilities. They are urged on by the blind impulses of their nature, to the altar of marriage, no more prepared to fulfil their solemn vows, or to discharge their duties, than is the mariner to navigate the broad sur- face of the mighty ocean without chart or compass. Sickly Creatures. The education of young ladies, especially, is very defective in many circles, particularly among the more fashionable, wealthy, and artifi- cially accomplished. Instead of being taught to work and help support themselves. ADVICE TO THE UNMARRIED. 35 thereby forming habits of industry and economy that are of invaluable service in after life, and securing health, hilarity, vivacity, and spright- linf-cs bvithe free and ready exercise of muscle and mind, they become ud sickly in their bodies, as well as peevish and fretful in their 'ons. rheii parents become their slaves, their very drudges, and they are allowed to grow up in a debilitating and enervating idleness, their bodily powers only equalled in puerility by their mental — unable tc take care of themselves or boldly meet difficulties which some unfore- seen event may cast in their path, fitted only for toys and playthings, not for companions and confidants — the whole extent of their useful acquirements being ability to dress fashionably, behave genteelly, walk and dance gracefully, play upon the piano very beautifully, talk very softly and sweetly, to ridicule the idea of coming in contact with any of the commonplaces of life, pore over the sickly and trashy tales of a magazine or novel, and amuse the company by a display of their personal attractions, natural and unnatural, exciting an unhealthy, if not an immoral influence over others. Artificial Accomplishments. Or if, perchance, th^y work, it is merely to show their taste upon some article of dress designed to adorn their too artificial bodies, con • suiting neither health nor convenience, or, perhaps, to put on their gloves and dust the parlor, possibly to set the table, and yet very anxious to marry without understanding the rudiments of house- keeping. Such wives and mothers should be scarce, and yet such a system of education is encouraged by the other sex, who are by far the greatest sufferers, being more fond of their wives and daughters when they appear well, even to the neglect of their families ; also by paying attentions and clustering around those young ladies whose dress is most ** baby-like." The true principles of education, founded upon athletics and physiology, would say, cultivate and improve the physical powers to 3b ADVICE TO THE UNMARRIED. the utmost, so as to secure health of body, strength of constitution, and the power of becoming parents of children, not characterized by- weakness and effeminacy. Exercise the mind, the whole mind, bearing in view the fact that the brain, the material organ of the mind, is capable of being benefited by regular tasks, and of being injured by excesses, precisely in the. same manner as the body can be weakened by any over-action. Long Life and Happiness. When the mental and physical organization of man is properly understood, and the laws by which those organizations are affected are obeyed, families will enjoy uninterrupted health, long life and uniform happiness. Man's enjoyment in this life depends more on the proper exercise of the social feelings and their gratification in the domestic relations, than on any other condition in life. For him to enter upon these duties, and assume the necessary obligations without being thoroughly qualified and prepared, would be as great a sin and violation of duty as for an ignorant man, unacquainted with the principles of Chris- tianity, and not enlightened by grace, to attempt to teach the way of salvation. We should change our situations and enter into the matrimonial relations solely with the intention of becoming more happy and useful. It should be looked at, reasoned upon, and spoken of, as an honest and most important business. To treat serious subjects in a light, trifling, nonsensical manner, is quite injurious, and should be reprobated. We should do it with an eye upon our mutual and individual hap- piness, remembering that perfect happiness can arise only from the proper adaptation and exercise of all our natural powers, socially, morally, intellectually, and physically — consequently, we should con- suit all of them, and gratify as many as possible. And above all, we should do it with the reflection that from three to six generations of our descendants will be directly affected by the choice we make. A LOOK THAT SEARCHES SECRETS HID AWAY "'TIS EXPECTATION MAKES A BLESSING DEAR, CHAPTER III. Like Begets Like. BiFects of Hereditary Disease — Mental or Nervous Organization — Living too PaJt — Bilious Temperament — Coarse Muscles — Sluggish Brains — The Mental Dwarfed by the Physical — Well Balanced People — Perverted Passions — Violation of Physical Laws — Society in Upheaval — Young Ladies and Theii Associates — Parental Responsibility — Transmitting Disease and Death — Sins of Parents Visited on their Children — Perfecting the Race — The Characteristics of the Child Determined by the Parents. AS the condition of man now is, many are not proper subjects to hand down to posterity a healthy, happy family. Persons who labor under hereditary diseases of any kind are poorly qualified for becoming parents ; for by so doing they multiply sorrow, suffering and early death. If persons affected with any hereditary disease marry with the intention of becoming parents, they should pay strict attention to the laws of physiology and marry those only who are particularly well fortified in those qualities in which they are deficient — those having a strong and well-balanced constitution, a good stock of vitality, and an active and energetic mind. The children, in this case, will be like or resemble the more active and healthy parent, and be much less affected by the one diseased than they would if both were diseased or unhealthy ; or than they would be if there were no counteracting qualities in either of the par- ties. Persons of the same physical qualities in the extreme should njt marry. Marks of the Mental Organization. The mental or nervous organization may be known by a delicate frame, sharp features, thin skin, fine hair, sparkling eyes, quick move- ments, rapid speech, joined with a great desire to read, think, and gratify the intellectual powers generally. If the nervous organization prevails, the mind is predominant in 37 38 LIKE BEGETS LIKE. power and activity, and the constitution suffers severely from the con^ stant drains made on it. Such persons mature early, suffer or enjoy in the extreme, lead a brilliant but short career, and generally find a premature grave. Two persons uniting with a predominance of this organi?:3Tion will live too fast, be too extravagant in thought, word, and deed, will enjoy and suffer in the extreme, carry everything to excess, dr .-)te them- selves too exclusively to the exercise of mind as suck, etna mil be resuless, uneasy, feeble, irregular, uneven and inconsistent. Precocious Children. Children of such parents are generally few in number, dwarfish, puny and " too smart to live." The ranks of the insane are too fre- quently increased from fa^^ilies of this organization ; and when young they consequently require double the care and attention, and are much more depe'ident than other children. They are endowed with feelings so keen, and susceptibilities so acute, that their existence is almost a burden for the want of the ability to look on the trials, privations and hardships of life as though they were prepared to meet them. Such families soon become extinct, and *' the places that once knew them, know them no more." The motive or bilious organization comprises the frame- work of the body, the bones and muscles, the moving part of man, the house which encases the vital functions. The indications of this organization, when greatly preponderating, are solid bones, hard muscles, firm flesh, close and large joints, large and irregular features, dark hair and complexion, heavy expression and slow movements. Such persons are difficult to excite and hard to restrain ; have strong and well-fortified constitutions ; are genera' ly well-qualified to resist foreign influences, both mental and physical. Such persons are our hewers of wood and drawers of water ; are capable of sustaining the fatigues and hardships of life : they do the coarse heavy work, arc backward in youth, tenacious of life, and struggle in death. J L-iKE BEGETS LIKE. 39 Two persons with a predominance of this organization united in marriage would be far behind the age and the spirit of the times ; would always be in the rear, and would act as machines or automa- tons for their neighbors. In them there is more ability to act than to plan ; more strength and toughness than refinement and sensibility. The children of such parents will be hardy and healthy, but awk- ward, homely, backward, and never in their element except when the harness is on ; real plodders through life, doing all the hard work, fighting all the battles, raising all the monuments, but obtaining none of the credit. They help to make others rich, but die poor them- selves, and are soon obliterated from memory. They are the real sinews of the land, but rarely exert a moral cind intellectual influence. Their standard is physical, their exertions are physical, and their attainments physical. This organization joined with the nervous or mental, gives vigor and strength of mind and produces greatness and power of intellect. Full Chest and Broad Shoulders. The vital organization is the combination of what is generally called ';he sanguine and lymphatic ; it has reference to the thoracic and abdominal regions of the body and may be known, when in the ascendency, by a large, round, plump body, full chest, broad shoul- ders, round limbs, strong pulse, large base to the brain and lower portion of the face, with fiorrid complexion, sandy hair, and a healthy, social and animated expression. All the vital organs, those on which life depends and is generated, are large and active. Persons with a predominance of this organization place a high value on life and its pleasures, enjoy all there is to be enjoyed, sleep soundly, breathe freely, eat heartily, and like to partake of the lux- Ux'ies of the table. Their motto is : *' Live while you live." They are fond of excite- ment and amusement ; always busy, yet do not trouble themselves about hard and steady work ; more disposed to oversee others and give orders than to obey those of others. They frequent social gath- 40 LIKE BEGETS LIKE. crings, have a predominance of the feelings and passions which, whev perverted, render them violent and passionate. Their feelings are tender, sympathies lively — are very sensitive and susceptible to foreign influences and change of circumstances. They act upon the high pressure principle v^^Ith force and impetus. Tv^'o NATURAL FORM OF THE HUMAN THORAX. E— True Ribs. F— False or Floating Ribs. G — Vertebrae (Spinal Column y A — Sternum (Breast-bone). B— Clavicula (Collar-bone). C — Scapula (Shoulder-blade). D — Humerus (Upper Arm-bone). ] persons united with a predominance of this organization will be too impulsive — put on too much steam in proportion to their freight — are too easily carried away by the impressions of the moment — too little under the restraint of the controlling elements, and when excited are too warm, ardent and passionate — are too much under the influence LIKE BEGETS LIKE. 41 of the feelings — may evince considerable intellect at times, but will have no uniform and steady mental action. We never see persons of this class close students ; neither do they have much patience or application of mind. The first thoughts are generally their best; they do not trouble themselves much about mental reflections or physiological investigations ; they lack balance of power ; have too much of the animal and not enough of the mental, and consequently act and live for present enjoyment, without reference to future results. Making an Idol of your Stomach. If the digestive functions (which are a part of the vital) predominate, then the person becomes dull, indolent, corpulent and gouty, especi- ally in advanced life, after having retired from active service. Children bom of such parents will be passionate, difficult to control, dull scholars, extravagant eaters, units and cipners in society, mere non- entities, very liable to yield to licentious and intemperate habits, to violate law and good order, to exert a demoralizing influence over others, to live and die degraded, and are too frequently very inferior ui intellectual and moral capacity. It is not well to have any of these conditions of the body developed in the extreme, as it will be very unfortunate, both to the parents and the children for two of the same extremes of organization to be» united, and equally so for two of the opposite extremes ; for they wilV labor under many inconveniences which education or effort on theii part cannot overcome. Their children will be imperfectly organized and subject to extremes ; they will always be regarded as creatures of circumstances and the folly of their parents. Their existence would, in fact, exhibit only the phenomena of vegetable life. The Golden M-an. A balance of all the temperaments is the most desirable ; and what one is deficient in let the other have to a sufficient degree to act as a counterpoise ; by this means uniformity and evenness of action ma) 42 LIKE BEGETS LIKE. be inherited by your children, instead of their becoming' but second editions with numerous additional illustrations of their parents' original imperfections. If persons will arouse from their lethargy, ;:.nd make themselves thoroughly acquainted with the theory and philosophy of the tempera- ments, and put in practice tne knowledge so obtained, the corner- stone of a great social refonii ivill be laid, which must produce more blessings, dissipate more evils, and advance mankind toward a state of perfection with greater rapidity than any other measure of the day. Young gentlemen, or men having formed intemperate and licentious habits before marriage, are very liable to retain them, and should, therefore, receive no encouragement from the ladies. If they value the welfare of their family, wish to secure health and happiness in their union, and pay due regard to the moral improvement of society, they will, one and all, unite in reprobating by their actions in the most positive manner all tendencies of this nature. Follies of Dress. Young ladies who devote their time to leisure amusements and the follies that invariably attend them, should b<. regarded as entirely unworthy the notice of those young men who have any regard for a healthy and happy family. They are entirely unqualified to discharge the duties of a mother and companion in a proper manner; and it is to be hoped that measures will be taken which will have the effect more thoroughly to open the eyes of all on this important subject Do not allow your- selves and your "fair loved ones" to be victimized any longer, even if it be done in obedience to the imperious mandates of fashion, when that obedience renders them incapable of transmitting to posterity that vital energy and mental power necessary for long life oi distinction. It is true that there are many persons in society of corrupt and unnatural tastes, who are gratified by existing modes ; young men, and married men too, there arc, who encourage such fashi(;n.s and LIKE BEGETS LIKE. 43 habits; they like, forsooth, to be entertained by young ladies of leisure and accomplishments, who have small waists and bare shoulders. But, we would ask, who are these men? What are their char- acters, habits, and principles? Inquire here, and turn your investi- gations from the discovery of what their connections are into this channel. And mark the words. You will find that they are men of perverted passions, and generally accustomed to intemperate or licen tious associations. You will then perceive, and what emotions of shame and mortifi- NATURAL FORM UlsLACEl^. DEFORMED BY LACING. jation ought it to produce, that it is their animal natures and propen- sities which you are laboring so assiduously to please; while very few, indeed, are the efforts which you make to please by gratifying their moral and intellectual faculties. Let young men encourage honesty and industry, and a great change will be wrought in society. What a difference in our families and i.nildren ! What great improvement may we not reasonably expect \ Let things go on as they now are, and in a few centuries the result will be seen, and felt, too, in this country by a small, dwarfish, con- sumptive and incipient race of mortals— -on whom will devolve the 44 LIKE BEGETS LIKE. honorable task of perpetuating the political existence, name and constitution of this republic. How are wc situated at the present time ? Why in some circles, and those not very limited in extent, every third woman is an invalid, and every sixth male also. They labor under dyspepsia, particular weaknesses, and many other diseases of the kind — all produced by a violation of physical laws. The only true means of saving this country from dismemberment, decreasing influence, and from being a nation of hospitals, is by commencing at once a great social reform. Society Agitated by Great Questions. Examine the condition of the times and see what can be foretold by their aspect. At what stage of the world, and at what period, as far back as our knowledge extends has there been a similar upturning, loosening and stirring up of every principle and institution, moral, social, political and intellectual ? Every one is beginning to inquire into t^e abuses, visible and invisible, with which society is pregnant. Every one feels an indistinct prompting for a change. All are look- ing from the quarter from which it must emanate. When has the religious world been so distracted by dissensions and differences of opinion ? Were there ever as many changes and inno- vations in theology as at the present time ? When did science unfold truths of greater importance and in greater profusion than at this moment? Have the poHtical world and the political institutions of the day ever been in so strange a situation as they are now ? When did our various systems of education differ as widely and hang as loosely together as they now do ? Overturning Old and False Systems. None are stamped with the character of permanency, for all seem aware that errors will and must be reformed. Does not everything appear to be hurrying into one grand reservoir, as it were, where all principles shall become united in one chaotic mass? Theologians, philosophers and politicians may, from the purest motives, do all in < -I •- o O II li- 2: UJ u < tn Q Z LU < Z I Ul h- <-' i ° < 5 z O UJ ul M FASHIONABLE CHURCH WEDDING-BRIDE AND BRIDEGROOM LEAVING THE ALTAR LIKE BEGE'i:^ X.IKE. 45 their power to reduce this chaos to order, but it will be of no avail. The commencement, to be complete and thorough, must be made farther back than their peculiar spheres of action ; for all these various systems are mere offsets from the social circle. Political government originated from patriarchal authority. Education is affected materially by social manners and customs. And so with all other institutions — they proceed directly or indirectly from the family circle. Let the reform be commenced here, on the principles of physiology and health, and a gradual process of regeneration will be entered on that will produce the most salutory effects upon the habits, characters, motives and actions of all mankind. Parents and guardians must feel the full force of the obligations which rerft on them, and, in consequence, train their children for true happiness and usefulness. Young ladies, in particular, should be care- ful with whom they associate and whom they encourage — for it must be borne in mind that it is not every talented, wealthy or fashionable young man that will make the best husband and father. Responsibility of Marriage. In these matters, rest assured we cannot be too careful. The act of marriage is the most responsible in which we can engage, as con- nected with our own happiness in this life, and through us to those who shall exist after our death. No individual is a proper subject to become an agent for the transmission of soul and body to posterity unless he or she is free from all hereditary disease, his or her organi- zation sound and complete, his or her mind and body free from all those habits and vices which tend to weaken our powers, debase our feelings, and render us morally degraded, and he or she in the full, regular and natural exercise of all those powers and faculties which God, in his infinite wisdom, has so beautifully and harmoniously adapted to the wants of our condition. One sufficient, amply sufficient reason, if none others existed, why we should be thus particular, is because we hand down to posterity the qualities which we possess in the highest activity and strength. 46 LIKE BEGETS LIKE. Parents are to be blamed for the natural, primitive defects of their children, for it is an inevitable law of nature that constitutional quali- ties and deficiencies are hereditary. Children are impaired, and their physical structures ill-balanced, from various causes in harmony with the varieties of organizations that become united. The marriage ot those who are enfeebled by age, or debilitated by disease, must be productive of little stamina in the offspring. Sin of Transmitting Disease. Those persons who are aware of being under the influence of a constitutional tendency to any disease have a moral law within theni- s«*lves why they should not enter into a matrimonial alliance. Look at some of our families ; the diseases of insanity, idiocy, consumption, scrofula, and a host of others, have become incorporated with them — regular heir-looms, transmitted from father to son, and mother to daughter, with far greater regularity and certainty than relics or property of any kind- — for they may be dissipated, lost, and destroyed, but the other runs throbbing through our veins, is united with our very system, and we become disenthralled from them only by the assistance of death, the great tyrant by whom all are freed. We could deduce illustration upon illustration which would enforce what is now stated, so that you could not violate the principle without doing your sense of right and wrong a grievous injury, from facta which have come under our own observation — when families have mourned the suicide of a grandfather, father and son, the lunacy of a grandmother, mother and daughter, and from families whose family registers of deceased members are filled with records of " died of con sumption." Evils of Marrying Near Relatives. Another principle that can be relied on as a cause of deterioration is a continuation of marriage in near relations. This course, whei) pursued by a few generations, produces imbecility, degeneracy, and , inferiority in the descendants of those who were once renowned for strength and vigor. LIKE BEGETS LIKE. 47 Early marriages is another fruitful source of imperfection. The bodily powers should be developed and in full vigor. As agents in this great and important work, it is your duty to become well acquainted with these principles. If you do not, you prove yourselves unfaithful sei*vants ; and it is through ignorance ii: going contrary to the laws of nature that the world has been peopled with those who live a miserable existence and fill a premature grave. Ignorance of Hereditary Influences. Lay ft up in your memories, that we give to our children their bad heads and bodies. The Bible says, speaking of the sins of the chil- dren, "And your sins will I visit upon your children, and your children's children unto the third and fourth generations;" and you may rely on it, this is the w^ay the child receives the curse on his head and body. It is high time that parents should recognize their obligations to understand these sources of hereditary influences better than they do ; and mothers in particular — for if they properly understood them and were governed by their principles, which have for their distinct and only object the elevation of man towards perfection, they would do far more towards perfecting the human race and ridding the world of vice and immorality than all the benevolent and moral reform societies in existence. A Lesson from the Animal Kingdom. Take the admitted fact that the stronger and weaker faculties of the parents are transmitted to the child in similar proportions, and what an easy matter it would be. for us to bear in mind those particular qualities which would be most desired in order to give balance when we select our partners for life. Either there are laws, and cause and effect in this matter, or there are not. It is a certainty — a matter which can be wholly understood and advantage taken of it — or it is me»-e chance. If it can be shown to be capable of demonstration, and that fortune or chance does not direct it, every one must immediately admit the 48 LIKF BEGETS LIKE. paramount value of these principles, and feel the necessity of acting in accordance with them. The principle is admitted in full and practiced on with eni.ienl success in relation to the animal kingdom, as every farmer and indi vidual of any practical information whatever is aware. The natures of animals, so far as they can be operated on by these general truths, are precisely similar to that of man, whence it follows they must be equally applicable with regard to him. If there be a law in these things then it is a fair inference that, in exact proportion as the parents are perfectly organized, physically and mentally, and in the full exercise of all the faculties of their mind and body, so will be their offspring ; and that imperfection will be the result in precise proportion as the parents are imperfect, defective in proper exercise, or fail to comply with these rules which govern all organic matter. The truth of the matter is, you might as well expect sixty or a hundredfold of wheat from off a barren, sterile, sandy soil, as tc expect perfect children from imperfect parents. Passions, desires, impulses and tendencies of mind, as well as special talents are given to the child by a special and particular exer- cise of these faculties in the parent. Both physical and mental quali- ties cease to grow or are not formed at all ; and, in other cases, they are doubled in size and activity in consequence of the influence or impressions which circumstances have had upon the mind of the m' woman whose husband is indifferent, is entitled by nature's laws to a divorce, is divorced practically; for this indifference ''puts her away," while her indifference towards him is virtual abandonment Blighting Effects of Neglect. VThat ergot is to grain and poison to food, conjugal neglect or coldness is to true conjugality ; but what r'ch, luscious fruit is to eye and taste, are these turtle-dove billings and cooings to love — its very nature, embodiment, and great promoter. To reciprocate it, woman was made feminine and charming^ Indifference causes alienations and infidelities. After love has beer. once awakened, it must continue or starv^e. It should be directed tc its first object, but becoming estr-^nged from it, must seek another oi perish. This law explains Mrs. Gurney's sad fall. Her parliamen tary husband, though kind to tier and regaling her with country and city pleasures ad libitum^ was too busy to lavish on her those little attentions so agreeable to woman ?ind promot'.'vre of love, which, bestowed by her groom, f.,-jmpletely fascinated her and mduced her to abandon husband, family^ position, everything dear to her, that she might revel in those little gillantries which, ii they had been supplied from their legitimate source, would doubtless have had no charms for her from a lower quarter. Strongest of Human Ties. Conjugal duties are more obHgatory than pecuniary, benevolent, ^neighborly, or filial. As those who solemnly promise to pay promptly for goods delivered are bound faithfully to fulfil, so when a woman has delivered her whole being to a man, under his solemn promises, implied and expressed in secret and public, that he will repay her in and by bestowing his own on her, does not every human obligation demand his fulfilment of his vow to '' love and cherish her till parted by death? '* 64 TRUTHS FOR THE NEWLY MARRIED. VVnat human duties are as strong or lasting ? Does a monetary pro* test disgrace you a tithe as much as a woman's love-protest. True, your creditoi requires his pay much ; but your wife needs hei heart-pay most. He would be injured, perhaps made a bankrupt, by your non-payment ; but will not your non-payment to her render her a lOve-bankrupt for life ? He might recover, she neVer can. Your love renders her a thousand-fold happier, and is more necessary to her whole future life, than ycur dollars to him. It is her all. When it perishes, all perishes. Or, if she survives, her life is only automatic. What infinite damage your non-payment of this heart-debt does her ! Besides, law, ** society," and the very nature of love, prevent her gel-ting its adequate supply except from you. It is as much a part of her soul-being as her heart is of her body, and this want is as imperious. Returning Good for Evil. Man is oftenest absorbed in business, woman in dress and display, or, perhaps, gives as much of her time and soul to children as he of his to business, and as little of hers to him as he of his to her ; yet two wrongs never make a right, but together, aggravate each other. The more remiss either is, the more assiduous the other should be. To return neglect for neglect is to return '' evil for evil." The golden rule, " return good for evil," or love for indifference, is better. Nearly all can thereby be melted down in this affectional crucible. At least, woman should do her best to retain those loving ways and manners by which she first drew forth a husband's love, and those who are loved least should try hardest. The paralytic state of the affections in one or both often leaves them oblivious to many conjugal excellences which ought to awaken both gratitude and love, just as a paralyzed stomach fails to appreciate dainties. Is it not the duty of each to appreciate and love what is lovable in the other ? And the one who fails soon ceases to manifest lovely qualities. Probably no human faculty is as dormant, suffers as much from paralysis, is as imperfectly developed, or as often and effectually retro verted, as love. PART II. The Human Pelvis and Organs OF Generation CHAPTER VI. Structure of the Pelvis. Meaning of the Term Pelvis — Natural Form and Dimensiors — The Brim— The Cavity — Position in Regard to the Trunk of the Body- —How the Womb is Supported — Separation of Boner, During Childuirth — I^cosening of Ligaments — Male andFemale Pelvis Compared — Bones of the Ma\e Harder Thau in the Female — Deformities of the Pelvis — How Distortions are Produced. THE term pelvis is applied to that mass of bones which, placed at the bottom of the spinal column, and restk^g on the inferior extremities, connect the thighs with the upper part v^f the trunk. V-^hen divested of its soft structures this organ somewhat resembles a basin, and hence its name ; for the Greeks ca'led it by a name signifying a wooden utensil of bowl-form, used for domestic purposes ; the Latins from them derived the word pelvis, w^hich we have adopted. In many of the older anatomical works it is described as "the basin," but all the recent authors have preferred the more classical appellation of pelvis. Form and Dimensions of the Pelvis. When we examine the pelvis with reference to childbirth we must attend not only to its figure but also to its dimensions, and the bear- ings which its axes hold in regard to each other and to the trunk of the body. We observe that it is formed on the principle of the double arch, which structure in architecture possesses the greatest possible degree of firmness that can be devised for the quantity of material 6 65 66 THE PELVIS AND ORGANS OF GENERATION. employed. So that the pelvis combines, to an eminent extent, the qualities of strength and lightness. In demonstrating the shape and size of the female pelvis, it is the custom not to describe any particular specimen which we may happen to possess, but to assume a model of perfection, which we consider .standard ; so symmetrically formed, as w ould most completely answer all the intentions that nature has assigned to it. The brim, somewhat oval in shape, has necessarily two diameters — = the longest from side to side — ^the shortest in the centre from before THE MALE PELVIS. backwards. The regularity of the oval is broken so that the outline represents, in some measure, the heart as painted upon playing cards. But this resemblance is stronger in the male than in the pelvis of the opposite sex, because the longest diameter in the male pelvis is from top to bottom, while in the female it is laterally, or from side to side. The cavity is observed to be deep behind, shallow in front ; and it becomes gradually shallower as we traverse from the back to the fore part. The greatest depth should be from five inches and a half t<7 gix inches, and at the side three inches and a half. THE PELVIS AND ORGANS OF GENERATION. 67 The position of the pelvis in regard to the trunk of the body is neither perpendicular to the horizon, nor horizontal, but oblique. It is thus that the uterus or womb is supported during the latter months of pregnancy. Were the axes of the trunk and pelvic entrance in the same line, owing to the upright position of the human female, the womb, towards the close of gestation, would gravitate low into the pelvis, and produce most injurious pressure on the contained viscera ; while, in the early months, not only would the same distressful incon- venience be occasioned, but there would be great danger of its pro- THE FEMALE PELVIS. truding externally, and appearing as a tumor between the thighs, covered by the inverted vagina (passage to the womb). It was for many centuries the prevalent opinion that the bones oi the pelvis always separated — or were disposed to separate, if occasion required it — during parturition (childbirth), and that they thus allowed the pelvic dimensions to be increased in every direction. This idea was rendered more probable by analogy ; for it is said that in some animals, as the cow, the bones are absolutely disunited to some extent, and that the sinking of the sacrum, occasioned by its own 68 THE PELVIS AND ORGANS OF GENERATION. weight and by the softened condition of the ligaments, together with a difficulty in progressive motion, is an indication of the near approach of parturition. Such a separation may possibly take place in the lower animals, but it is certainly not usual in the human subject. Derangement of the Bones and Ligaments. The joints are liable, indeed, to inflammation ; and pus being secreted between the bones may occasion disunion — a disease attended with high constitutional excitement, and no small danger. Some- times, also, an actual separation of the bones occurs, both during pregnancy and after labor, from simple relaxation of the ligaments ; which state gives rise to pain in the part deranged, and an inability to walk or stand without artificial support. This affection, though not attended with so much suffering or hazard as acute inflammation, is nevertheless of a very distressing character, and very difficult of cure, commonly confining the patient to bed or the sofa for many months. But it would be travelling too far out of the limits of this publica- tion to enter minutely into the history of these diseases ; and it is suf- ficient for our present purpose to know that, in the great majority of cases, there is no sensible relaxation of the pubic or sacro-iliac liga- ments ; that in others a softening does occur in various degrees, and that, when that change reaches such a point as to be attended with pain or inconvenience, it must be considered as morbid. Differences Between the Male and Female Pelvis. On comparing the male and female pelvis together, we cannot but remark a striking difference in the general appearance and particular proportions of this organ in the two sexes. We observe that the pelvis of the female is altogether larger and more delicately shaped than that of the male. The brim is differently shaped; the long diameter in the female being from side to side; in the male from before backwards. The cavity is considerably smaller in the male, deeper, more of a funnel shape. The outlet is also far less capacious. The arch of the THE UTERUS (wOMB) WITH VAGINA LAID OPEN. a, b. Section of peritoneum, d. Os uteri (mouth of the womb). f, e^ e. Fold of peritoneum, f^f. Round ligament of womb, g^ g. Fal- lopian tubes, h. Fringed extremity of Fallopian tube, i i. Ovaries. k. Vagina. THE PELVIS AND ORGANS OF GENERATION. 6& pubes is formed more angularly than in the female, in whom this part approaches nearer to the perfection of an arch. All the bones of the male skeletons are firmer and heavier than they are in the female, and more powerfully marked by those irregularities which indicate mus- cular attachments. Deformity of the Pelvis. Fortunate would it be for child-bearing women if they each pos- sessed a pelvis of the standard figure and dimensions. Such, however^ is by no means the case ; and this organ is subject to great varieties, A DEFORMED PELVIS. as well in form as size. It w^ould, indeed, be difficult to select from all the preserved specimens in existence, any two which exactly resemble each other — agreeing minutely in shape, dimensions and weight. Many are found to be much above the ordinary volume and numbers, on the other hand, greatly below it. The want of due capacity sometimes originates in natural formation; thus, a woman of short stature, although of tolerable symmetry, might be expected to possess a diminutive pelvis ; but this is far from being universal, or even a general remark. Again, the re-union of the bones after fractures will commonly occasion both distortion and con- 70 THE PELVIS AND ORGANS OF GENERATION. traction of space ; but when there exists a deficiency of room to any great extent, the irregularity is mostly dependent on disease of the bones themselves. If we look at the head of the child, and the cavity through which it has to traverse, in a mechanical point of view (which we must do before we can arrive at a correct knowledge of the process of partur- ition, even in the simplest and most easy state), we shall immediately perceive that size, as regards the head and the pelvis, is entirely a relative term, and that a pelvis preternaturally small, or a head unusually large, will each in practice occasion difficulty in the same degree as they deviate from the standard dimensions ; so that it matters little whether the disproportion be the consequence of diseased action or any other cause ; provided it exists, to a certain extent, it must necessarily be productive of a protracted struggle. There are two diseases particularly, through which the pelvis suffers considerable deterioration in size — rachitis, or rickets, a disorder of childhood, and mollities ossium or malacosteon (softening of the bones), one of adult age. In both these affections there is a want of due solidity in the osseous system throughout the whole body. The animal matter entering into the composition of the skeleton being in great excess, and the earthy matter in proportionate deficiency, the bones yield like softened wax; the regularity and beauty of the pelvic form, as well as of other bony cavities, is destroyed, and miserable specimens of distortion are the result. CHAPTER VII. Genital Organs of the Female. The Mons Veneris — The Labia, or Lips— The Vulva — The Clitoris — The Nymphae— Vagina, or Canal Extending to the Uterus — The Sphincter — The Hymen and its Situation — Uterus, or Womb — Fallopian Tubes — Mouth of the Uterus — In- ternal Cavity — Mucous Membrane — Arteries, Veins and Nerves — The Liga- ments — Structure of the Ovaries — OvasacD, or Graafian Vesicles — Vesicles in the Foetus — Nerves of the Ovaries. THE genital organs of the male effect fewer functions than those of the female. They serve for copulation and fecundation only. Those of the female — in addition to parts which fulfil these offices — comprise others for gestation and lactation (suckling). The soft and prominent covering to the symphysis pubis — which is formed by the common integument, elevated by fat, and, at the age of puberty, covered by hair, formerly termed tressoria — is called tnons veneris. The absence of this hair has, by the vulgar, been esteemed a matter of reproach ; and it was formerly the custom, when a female had been detected a third time in incontinent practices, in the vicinity of the Superior Courts of Westminster, to punish the offence by cutting off the tressoria in open court. Below this are the labia pitdendi or labia majora, which are two large, soft lips, formed by a duplicature of the common integument, with adipose matter interposed. The inner surface is smooth and studded with sebaceous follicles. The labia commence at the sym- physis pubis, descend to the perineum, which is the portion of the integument, about an inch and a half in length, between the posterior commissure of the labia and the anus. The opening between the labia is the vulva or fossa magna. At the upper junction of the labia and within them, a small organ exists, called clitoris. It is formed of corpora cavernosa, and is terminated anteriorly by the glans, which is covered by a prepuce consisting of a prolongation of the mucous membrane of the vagina. n 72 GENITAL ORGANS OF THE FEMALE. Extending from the prepuce of the clitoris, and within the labia majora, are the labia minora or nymphcB, the organization of which is similar to that of the labia rftajora. They enlarge as they pass down- wards, and disappear when they reach the orifice of the vagina. In warm climates, the nymphae are greatly and inconveniently elongated, and amongst the Egyptians and other African tribes, it has been the custom to extirpate them, or diminish their size. This is what is meant by circumcision in the female. The Vagina. The vagina is a canal, which extends between the vulva and uterus, the neck of which it embraces. It is from four to six inches long, and an inch and a half, or two inches, in diameter. It is situate in the pelvis, between the bladder before, and the rectum behind ; is slightly curved, with the concavity forwards, and narrower at the middle than at the extremities. Its inner surface has numerous — chiefly transverse — rugae, which become less in the progress of age, after repeated acts of copulation, and especially after childbirth. It is composed of an internal mucous membrane, supplied with numerous follicles, of a dense areolar membrane, and, between these, a layer of erectile tissue, which is thicker near the vulva, but is by some, said to extend even as far as the uterus. The upper portion of the vagina, to a small extent, is covered by peritoneum. The sphincter or constrictor vagincc muscle surrounds the orifice of the vagina. It is about an inch and a quarter wide, and ordinarily about six inches in length ; arises from the body of the clitoris, and passes backwards and downwards, to be inserted into the deiise white sub- stance in the centre of the perineum. The Hymen. Near the external aperture of the vagina is the hymen^ which is a more or less extensive membrane of variable shape, formed by the mucous membrane of the vulva, where it enters the vagina, so that it closes the canal more or less completely. GENUAL ORGANS OF THE FEMALE. 73 It is generally very thin, and easily lacerated, but is sometimes extremely firm, so as to prevent penetration. It is usually of a semi- lunar shape ; sometimes oval from right to left, or almost circular, with an aperture in the middle ; whilst, occasionally, it is entirely imperforate, and, of course, prevents the issue of the menstrual flux. It is easily destroyed by mechanical violence of any kind, as by strongly rubbing the sexual organs of infants with coarse cloths, ano by ulcerations of the part ; hence its absence is not an absolute proo^ FRONT VIEW OF THE ERECTILE STRUCTURES OF THE EXTERNAL ORGANS OF GENERATION IN THE FEMALE. a. Bulbus vestibuli. b. Sphincter vaginae muscle. /?, e. Venous plexus, or pars intermedia, g. Connecting veins, h. Dorsal vein of tlie clitoris. /. The obturator vein. of the loss of virginity, as it was of old regarded by the Hebrews, nor is its presence a positive evidence of continence. Individuals have conceived in whom the aperture of the hymen has been so small as to prevent penetration. Its general semilunar or crescentic shape has J been considered to explain the origin of the symbol of the crescent assigned to Diana, the goddess of chastity. Around the part of the vagina where the hymen was situate, small, reddish, flattened, or rounded tubercles — caruJtculce inyrtiformes seu hymeitales — afterwards 74 GENITAL ORGANS OF THE FEMALE. exist, which are of various sizes, and are formed, according to the general opinion, by the remains of the hymen. MM. Beclard and J. Cloquet consider them to be folds of mucous membrane. Their number varies from two to five, or six. The Uterus (Womb). The uterus is a hollow organ for the reception of the foetus, and its ^retention during gestation. It is situate in the pelvis, between the ANTERIOR VIEW OF THE UTERUS AND APPENDAGES. a. Fundus, b^ body, and c^ cervix or neck of the uterus, e. Front of the upper part of the vagina. n,n. Round ligaments of the uterus, r, r. Broad ligaments. s, s. Fallopian tubes, t. Fimbriated extremity, u. Ostium abdominale. The position of the ovaries is shown through the broad ligaments, and also the cut edge of the peritoneum, along the lower border of the broad ligaments and across the uterus. bladder — which is before, and the rectum behind, and below the con- volutions of the small intestines. It is of a conoidal shape, flattened on the anterior and posterior surfaces ; rounded at the base, which is above, and truncated at its apex, which is beneath. It is of small size, its length being only about two and a half inches ; breadth, one and a half inch at the base, and nearly an inch at the neck ; thickness, about an inch. It is divided into t\\G fundus, body, and cervix or neck. The fundus is the upper part of the organ above the insertion of the F'allopian tubes. The body is the part between the insertion of the GENITAL ORGANS OF THE FEMALE. 75 ftjbes and the neck, and the neck is the lowest and narrowest portion, which projects and opens into the vagina. At each of the two superior angles are the opening of the Fallopian tube, the attachment of the ligament of the ovary, and that of the round ligament. The inferior angle is formed by the neck, which projects into the vagkia to the distance of four or five lines, and terminates by a cleft, situate crosswise, called os tincce, os uteri or vaginal orifice of the\ uterus. The aperture is bounded by two lips, which are smooth and rounded in those that have not had children ; jagged and ru- gous in those who are mothers — the anterior lip being somewhat thicker than the posterior. It is from three to five lines long, and is generally more or less open, especially in those who have had chil- dren. The internal cavity of the uterus is very small in pro- portion to the bulk of the organ, owing to the thick- ness of the parietes, which almost touch internally. It is divided into the cavity of the body, and that of the neck WOMB LAID OPEN. a. The os uteri, b. The cervix, c. c. Extremities of the Fallopian tubes. The former is triangular. The tubes open at its upper angles. The second cavity is more long than broad ; is broader at the middle than at either end ; and at the upper part where it communicates' with the cavity of the body of the uterus an opening exists, called internal orifice of the uterus, the external orifice being the os uteri. The inner surface has several transverse rugae, which are not very 76 GENITAL ORGANS OF THE FEMALE. prominent. It is covered with a fine villi, and the orifices of several mucous follicles are visible. Mucous Membrane of the Uterus. When examined with a lens, the mucous membrane is found to be marked over with minute dots, v/hich are the orifices of numerous simple tubular glands ; some of these are branched and others slightly- twisted into a coil. They can be seen in the virgin uterus, but become POSTERIOR VIEW OF THE UTERUS AND ITS APPENDAGES, THE CAVITY OF THE UTERUS BEING SHOWN BY THE RF^MOVAL OF ITS POSTERIOR WALL, AND THE VAGINA BEING LAID OPEN. a. Fundus, b^ body, and c^ cervix of the uterus, laid open. The arbor vitse is shown in the cervix, d. The os uteri externum, laid open. e. The interior of the upper part of the vagina, f. Section of the walls of the uterus, i. Opening into Fallopian tube. o. Ovary, p. Ligament of ovary, r. Broad ligament, .s. Fallo- pian tube. t. Fimbriated extremity. enlarged on impregnation. The proper tissue of the organ is dense, compact, not easily cut, and somewhat resembles cartilage in color, resistance and elasticity. It is a whitish, homogeneous substance, penetrated by numerous minute vessels. In the unimpregnated state, the fibres which enter into the com- position of the tissue, appear ligamentous, and pass in every direction, but ^o as to permit the uterus to be more readily lacerated from the circumference to the centre than in any other direction. The precise if'f of SECTION OF FEMALE PELVIS, SHOWING THE PRINCIPAL PELVIC NERVES. a. Spermatic vein. b. Spermatic artery, c. Directs to the vena cava d. The aorta. ^, e. Inferior mesenteric nerves, f, g. The fourth and fifth lumbar ganglia. h, i, k. The first, second, and third sacral tn, m, in. The lumbar and sacral nerves, n. Branch supplying lower t>art of the rectum. GENITAL ORGANS OF THE FEMALE. 7T character of the tissue has been a matter of contention amongst anat- omists. The microscope shows it to be composed of muscular fibres of the unstriped variety, interlacing with each other, but disposed in bands and layers, intermixed with much fibro-areolar tissue, a large number of bloodvessels and lymphatics, and a few nerves. The arrangement of the muscular fibres is best studied at an advanced period of utero-gestation. Arteries, Veins, Etc., of the Uterus. Besides the usual organic constituents, the iiterus has arteries, veins, lymphatics and nerves. The arteries proceed from two sources — the sper- matic, which are chiefly distributed to the fundus of the organ, and towards the part where the Fal- lopian tubes terminate ; and the hypogastric, which are sent especially to the body and neck. Their principal branches are readily seen under the peri- toneum, which covers the organ ; they are very tor- tuous ; frequently anastomose, and their ramifica- "iions are lost in the tissue of the viscus, and on its inner surface. The veins empty themselves partly into the sper- matic, and partly into the hypogastric. They are even more tortuous than the arteries ; and, during pregnancy, dilate and form what have been termed uterine sinuses. The nerves are derived partly from the great sympathetic, and partly from the sacral pairs. Some anatomists have maintained that the womb is with nerves ; others, that the number is not by any SECTION OF WOMB. a. Top of uterine cavity, b^ c. Longi- tudinal section, d. Os uteri ( mouth ) . e. upper part of vagina. copiously supplied means great. Appendages of the Uterus. I . The ligamenta lata or broad ligaments, which are formed by the peritoneum. This membrane is reflected over the anterior and pos- terior surfaces and over the fundus of the uterus, and thr 'ateral dupli- 78 GENlTAIv ORGANS OF THE FEMAILE. catures of it form a broad expansion and envelop the Fallopiail tubs* and ovaria. These expansions are the broad ligaments. 2. The anterior and posterior ligaments^ which are four in number and are formed by the peritoneum. Two of these pass from the uterus to the bladder — the anterior — and two between the rectum and uterus — the posterior. 3. The ligamenta rotunda or round ligaments^ which are about the size of a goose-quill, arise from the superior angles of the fundus uteri, and, proceeding obliquely downwards and outwards, pass out through the abdominal rings to be lost in the areolar tissue of the groins. They are whitish, somewhat dense cords, formed by a collec- tion of tortuous veins and lymphatics, nerves and longitudinal fibres, which were, at one time, believed to be muscular, but are now gen- erally considered to consist of condensed areolar tissue. 4. The Fallopian or uter- ine tubes ; two conical, tor tuous canals, four or fiva inches in length, situate in the same broad ligaments that contain the ovaries, and extending from the superior angles of the uterus as far as the lateral parts of the brim of the pelvis. The uterine extremity of the tube is extremely small, and opens into the uterus by an aperture so minute as scarcely to admit a hog's bristle. The other extremity is called pavilion. It is trumpet-shaped, fringed, and commonly inclined towards the ovary, to which it is attached by one of its longest fimbriae. The Fallopian tubes, consequently, open at one end into the cavity of the uterus, and at the other, through the peritoneum into the cavity of the abdomen. They are covered externally by the broad ligament or peritoneum ; are lined internally by a mucous membrane, which is soft, villous, and has many longitudinal folds ; and between these coats is a thick, dense, whitish membrane, which is possessed of con- tractility although muscular fibres caimot be detected in it. FALLOPIAN TUBE. GENITAL ORGANS OF THE FEMALE. 79 The ovaries are two ovoid bodies, of a pale red color, rugous, and nearly of the size of the testes of the male. They are situate in the cavity of the pelvis, and are contained in the posterior fold of the broad ligaments of the uterus. At one time they were conceived to be glandular, and were called the female testes ; but as soon as the notion prevailed that they contained ova, the term ovary or egg vessel was given to them. The external extremity of the ovary has attached to it one of the principal fimbriae of the Fallo- pian tube. The inner extremity has a small fibro-vas- cular cord inserted into it; this passes to the uterus, to which it is attached behind the insertion of the Fallopian tube, and a little section of ovary. lower. It is called ligar^ent of the ovary, and is in the posterior ala of the broad ligament. It is solid, and has no canal. The surface of the ovary has many round prominences, and the peritoneum envelops the v/hole of it, except at the part where the ovary adheres to the broad ligament. The precise nature of its parenchyma or stroma is not determined. When torn or divided longitudinally, it appears to be constituted of a cellulo-vascular tissue. Ovisacs or Graafian Vesicles. On cutting into a healthy ovar)^ of a subject not too lar advanced in life, a number of small vesicles or bladders (so small as to require the aid of the microscope to see them) may be readily separated. These vesicles are named after De Graaf, their discoverer. In the lower animals, the ovary consists of a loose tissue, containing many cells, in which the ova are formed, and from which they escape by the rupture of the cell-walls ; in the higher animals, as in the human female, the tissue is more compact, and the ova, except when they are approaching maturity, can only be distinguished by the aid of a high magnifying power. Observations have shown that the vesicles of De Graaf exist even in the foetus ; and it would seem that during the period of childhood 80 GENITAL ORGANS OF THE FEMALE. there is a continual rupture of ovisacs and discharge of ova at the surface of the ovarium. The ovaria are studded with numerous minute copper-colored spots, and their surface presents delicate vesicular elevations, occasioned by the most matured ovisacs; the escape of these takes place by minute punctiform openings in the SECTION OF GRAAFIAN VESI- CLE OF A MAMMAL, AFTER VON BAEK. I. Stroma of r lie ovary with bloodvessels. 2. Peritoneum. 3 and 4. Layers of the exter- nal coat of the Graafian vesicle. 5. Membrana granulosa. 6. Fluid of Graafian vesicle. 7 Granular zone or discus pro- ligerus containing the ovum (8). DIAGRAM OF A GRAAFIAN VESICLE CON- TAINING AN OVUM. I. Stroma of the tissue of the ovary. 2 and 3. External and internal tunics of the Graafian vesicle. 4. Cavity of the vesicle. 5. Thick tunic of the ovum or yolk-sac. 6. The yolk. 7. Thegerminal vesicle. 8. The germinal spot. peritoneal coat, and no cicatrix is left. The different conditions of progress towards maturation are well seen in the ovary or yolk-bag of the common fowl. The arteries and veins of the ovaries belong to the spermatic. The arteries pass between the two layers of the broad ligament to the ovary, assuming there a beautiful convoluted arrangement, very similar to the convoluted arteries of the testis. These vessels traverse the ovary nearly in parallel lines, as in the marginal figure, forming numerous minute twigs, which have an irregular knotty appearance, from their tortuous condition, and appear to be chiefly distributed to the Graafian vesicles. The nerves of the ovaries, which are extremely delicate, are from the renal plexuses, and their lymphatics communicate with those of the kidneys. CHAPTER VIII. Menstruation. ^ Subject of Great Importance — Girl and Woman — Evils of Too Karly Marriage — Feeble Parents and Feeble Children — Duration of Monthly Period — Period of Puberty — Very Young Mothers — Close of the Menstrual Function — Some Remarkable Facts — Nature of the Menstrual Discharge — Suppressed by Preg- [ nancy — Effects of Nursing — An Evil Practice — Poverty of Blood — Regularity Important — Effects of Dissipation — '* Change of lyife " — Profuse Discharges — Nervous Symptoms — Flushes of Heat — Bleeding at the Nose — Hysteria — The Blessing of Health. TT TREE is known by its fruit;" so a healthy womb — one JTx capable of bearing a child — is known usually by menstrua- tion ; for if menstruation be, in every way, properly and healthily performed, there is, as a rule, no reason, as far as the wife is herself concerned, why she should not conceive, carry, and, in due time, bring forth a living child ; hence the importance of menstruation — the subject we are now entering upon, and which, indeed, is one of the most important that can engage the attention of every woman, for if menstruation be healthy, the womb is healthy, and the woman, as a rule, is healthy, and capable both of conception and of child-bearing. There is an important epoch in the life of a woman which might be divided into three stages, namely : (i) the commencement of menstrua- tion — of puberty ; (2) the continuation, at regular periods, of men- struation — the child-bearing age ; and (3) the close of menstruation— of child-bearing—-*' the change of life." A good beginning at this time is peculiarly necessary, or a girl's health is sure to suffer, and different organs^^^f-the body — her lungs, lor instance — might become imperilled. JA healthy continuation, at regular periods, is much needed, or conceptioTT, when she is married, might not be practicable .^^he close of menstruation requires great attention and skilful m-anagement to ward off many formidable diseases, which at the close of menstruation — at " the change of life" — are more likely than at any time to become developed. 6 81 82 MENSTRUATION. Whether, therefore, it be at the commencement, at the continuation, or at the close, watchfuhiess and care must be paid to the subject, or irreparable mischief might, and probably will, ensue. Landmark Between the Girl and 'Woman. Menstruation — '' the periods " — the beginning of the catamenia ot the menses — is, then, one of the most important epochs in a girl's life. It is the boundary- line, the landmark, between childhood and woman- hood ; it is the threshold, so to speak, of a woman's life. Her body now develops and expands, and her mental capacity enlarges and improves. She then ceases to be a child, and becomes a woman> She is now, for the first time, as a rule, able to conceive. Although puberty has at this time commenced, it cannot be sait that she is at her full perfection ; it takes eight or ten years more to complete her organization, which will bring her to the age of twenty- three or twenty-five years ; which, perhaps, are the best ages for s^ woman, if she have both the chance and the inclination, to marry. If she marry when very young, marriage weakens her system, and prevents a full development of her body. Besides, if she marry when she is only seventeen or eighteen, the bones of the pelvis — the bones of the lower part of the trunk — are not at that time sufficiently developed ; are not properly shaped for the purpose of labor ; do not allow of sufficient space for the head of the child to readily pass, as though she were of the riper age of twenty -three or twenty-five. She might have in consequence a severe and dangerous confinement. Best Time for Marrying. Parents ought, therefore, to persuade their daughters not to marry until they are at least twenty-one ; they should point out to them the risk and danger likely to ensue if their advice be not followed. They should instil into them that splendid passage from Shakespeare, that-— •' Things growing are not ripe until their season." What wonder that the girl of seventeen or eighteen, whose bones qre only half consolidated, and whose pelvis, especially with its mus- MENSTRUATIO.,. S% cular and ligamentous surroundings, is yet far from maturity, loses her health after marriage and becomes the delicate mother of sickly children ? Parents who have the real interest and happiness of their daughters at heart ought, in consonance with the laws of physiology, to discountenance marriage before twenty, and the nearer the girls arrive at the age of twenty-five before the consummation of this important rite, the greater the probability that, physically and morally, they will be protected against those risks which precocious marriages bring in their train. If a lady marry late in life, say after she be thirty, the soft parts engaged in parturition are more rigid and more tense, and thus become less capable of dilatation, which might cause, for the first time, a hard arid tedious labor. Again, when she marries late in life, she might not live to see her children grow up to be men and women. Moreover, as a rule, ''the offspring of those that are very young or very old lasts not." Everything, therefore, points out that the age above indicated — namely, somewhere between twenty-one and thirty — is the most safe and suitable time for a woman to marry. Is the Race Deteriorating? Feeble parents have generally feeble children, diseased parents diseased children, nervous parents nervous children — ''like begets like." It is sad to reflect, that the innocent have to suffer, not only for the guilty, but for the thoughtless and for the inconsiderate. Disease and debility are thus propagated from one generation to another, and the English race becomes woefully deteriorated. It is true that people live longer now than formerly ; but it is owing to increased medical skill and to improved sanitary knowledge, keep- ing alive the puny, the delicate and the diseased ; but, unfortunately, those imperfect creatures, who swell the ranks of the population, will only propagate puny, delicate and diseased progeny like unto them- selves. Not only do children inherit the physical diseases, but they inherit, likewise, the moral and mental infirmities of their parents, and thus are often life-long sufferers. «^ ^ 84 MENSTRUATION. Menstruation generally comes on once every month — that is to say, ever}^ twent}^-eight days ; usually to the day, and frequently to the very hour. Some ladies, instead of being ** regular " ev^ery month, cire ** regular " every three weeks. Each menstruation continues from three to five days ; in some for a week, and in others for a longer period. It is estimated that during each *' monthly period," from four CO six ounces is, on an average, the quantity discharged. A lady seldom conceives unless she be '' regular," although there are cases on record where women have conceived who have never had their ** periods ; " but such cases are extremely rare. When Menstruation Commences. Menstruation in this country usually commences at the ages of from thirteen to sixteen, some earlier ; occasionally at the ages of eleven or twelve ; at other times later, and not until a girl be seventeen or eighteen years of age. Menstruation in large towns is supposed to commence at an earlier period than in the country, and earlier in luxurious than in simple life. Dr. Carpenter, a well-known authority, says in his ^* Human Physi- ology : " "In the human female the period of puberty, or of com- mencing aptitude for procreation, is usually between the thirteenth and sixteenth years. It is generally thought to be somewhat earlier in warm climates than ip cold, and in densely-populated manufacturing towns than in thinly-populated agricultural districts. The mental and bodily habits of the individual have also considerable influence upon the time of its occurrence, girls brought up in the midst of luxury or sensual indulgence undergoing this change earlier than those reared in hardihood and self-denial. Menstruation continues for thirty, and sometimes even for thirty- five years ; and, while it lasts, is a sign that a lady is liable to become pregnant — unless, indeed, menstruation should be protracted much beyond the usual period of time. As a rule, then, when a woman ** ceases to be unwell " she ceases to have a family ; therefore, as men- struation usually leaves her at forty-five, it is seldom that after that V-CETAL SURFACE OF THE PLACENTA ( AFTERBIRTH), MENSTRUATION. 85 age she has a child, yet a recent number of a French medical journa/ records that " Madame X., of Lauvaur, aged sixty years, was recently delivered of twins." Having mentioned a case of late fecundity, here is a case of early fecundity, in which a girl has seven confinements before she was twenty-one years of age ! She was married at fourteen — her husband being only fifteen years old ! Some Curious Facts. Some remarkable cases come to light in the Scotch Registrar-Gen- eral's report in reference to prolific mothers. One mother, who was only eighteen, had four children ; one, who was twenty-tv^o, had seven children, and of two who were only thirty-four, one had thirteen and the other fourteen children ; and, on the other hand, two women became mothers as late in life as fifty-one, and four at fifty- two, and one mother was registered as having given birtn to a child in the fifty- seventh year of her age. In very warm climates, such as in Abyssinia and in India, girls menstruate when very young— at ten or eleven years old ; indeed, they are sometimes mothers at those ages. But when it commences early it leaves early, so that they are old women at thirty. Physically, we know that there is a very large latitude of difference in the periods of human maturity, not merely between individual and individual, but also between nation and nation — differences so great that in some southern regions of Asia we hear of matrons at the age of twelve. Dr. Montgomery brings forward some interesting cases of early maturity. He says : ** Bruce mentions that in Abyssinia he has fre- quently seen mothers eleven years of age, and Dunlop witnessed the same in Bengal. Dr. Goodeve, Professor of Midwifery at Cal- cutta, in reply to a quer}^- on the subject, said : * The earliest age at which I have kncKvii a Hindu woman bear a child is ten years, but I have heard of one at nine.' " In cold climates, such as Russia, women begin to menstruate late in life, frequently not until they are between twenty and thirty years 66 MENSTRUATION. old ; and, as it lasts on them thirty or thirty-five years, it is not an unusual occurrence for them to bear children at a very advanced age — even so late as sixty. They are frequently not "regular" oftener than three or four times a year, and when it does occur the menstrual discharge is generally sparing in quantity. The Menstrual Discharge. The menstrual fluid is not exactly blood, although, both in appearance and in properties, it much resembles it ; yet it never in the healthy state clots as blood does. It is a secretion from the womb, and, when healthy, ought to be of a bright red color, in appearance very much like blood from a recently cut finger. The menstrual fluid ought not, as before observed, to clot. If it does, a lady, "during her periods," suffers intense pain; moreover, she seldom conceives until the clotting has ceased. Application must therefore, in such a case, be made to a medical adviser, who will soon relieve the above pain- ful symptoms, and, by doing so, will probably pave the way to her becom- ing pregnant. Menstruation ceases entirely in pregnancy, during suckling, and usually both in diseased and in disordered states of the womb. It ilso ceases in cases of extreme debility, and in severe illness, especially in consumption ; indeed, in the latter disease — consumption — it is one of the most unfavorable of the symptoms. It has been asserted, and by men of great experience, that some- SYSTEM OF ARTERIES IN THE HUMAN BODY. MENSTRUATION. 87 Smes a woman menstruates during pregnancy. It appears utterly impossible that she should be able to do so. The moment she con- ceives the neck of the womb becomes plugged up by means of mucus; it is, in fact, hermetically sealed. There certainly is sometimes a slight red discharge, looking very much like menstrual fluid, and coming on at her monthly periods, but being usually very sparing in quantity and lasting only a day or so, and sometimes only for an hour or two ; but this discharge does not come from the cavity of, but from some small vessels at the mouth of, the womb, and is not menstrual fluid at all, but a few drops of real blood. If this discharge came from the cavity of the womb, it would probably lead to a mis- carriage. Good authorities declare that it would be quite impossible during pregnancy for menstruation to occur. They consider that the discharge which was taken for menstruation arose from the rupture of some small vessels about the mouth of the womb. EfTects of Suckling. Some ladies, though comparatively few, menstruate during suckling; r;hen they do, it may be considered not the rule but the exception. It is said, in such instances, that they are more likely to conceive, and no doubt they are, as menstruation is an indication of a proneness to conception. Many persons have an idea that when a woman, during lactation, menstruates, her milk is both sweeter and purer. Such is an error. Menstruation during suckling is more likely to weaken the mother, and consequently to deteriorate her milk. It therefore behooves a parent never to take a wet nurse who men- struates during the period of suckling. During " the monthly periods," violent exercise is injurious ; iced drinks and acid beverages are improper ; and bathing in the sea, and bathing the feet in cold water, and cold baths, are dangerous ; indeed, at such times as these, no risks should be run, and no experiments should, for one moment, be permitted, otherwise serious consequences will, in all probability, ensue. *' The monthly periods " are time' not io be trifled with, or woe betide the unfortunate trifler I ' 88 MENSTRUATION. The pale, colorless complexion, helpless, listless, and almost lifeless young ladies, that are so constantly seen in society, usually owe their miserable state of health either to absent, to deficient, or to profuse menstruation. Their breathing is short — they are soon '* out of breath;" if they attempt to take exercise — to walk, for instance, either up stairs or up a hill, or even for half a mile on level ground — their breath is nearly exhausted — they pant as though they had been running quickly. They are ready, after the slighest exertion of fatigue,, and after the least worry or excitement, to feel faint, and sometimes to actually swoon away. It therefore behooves mothers to seek early for their girls medical aid, and that before irreparable mischief has been done to the consti- tution. How many a poor girl might, if this advice had been early followed, have been saved from consumption, and from an untimely grave, and made a useful member of society ; but, alas ! like many other things in this world, mothers will not ''hearken unto counsel" until it be too late — too late ; and then, at the eleventh hour, doctors are expected to work miracles ! A Pernicious Practice. There is an evil practice, which, as it is very general, requires correction, namely, the giving of gin by a mother to her daughter at the commencement of each of *' her periods," more especially if she be in much pain. This practice often leads a girl to love spirits — to become, in the course of time, a drunkard. There are other remedies, not at all injurious, that medical practitioners give at these times, and which will afford both speedier and more effectual relief than gin. If a single lady, who is about to be married, have either painful, or scanty, or too pale, or too dark menstruation, it is incumbent on either her mother or a female friend to consult, two or three months before the marriage take place, an experienced medical man on her case ; if this be not done, she will most likely, after marriage, either labor under ill-health, or be afflicted with barrenness, or, if she do conceive, be prone to miscarry. MENSTRUATION. 89 In a pale, delicate girl or wife, who is laboring under what is popu- larly caMed poverty of blood, the menstrual fluid is sometimes very scant, at others very copious, but is, in either case, usually very pale — almost as colorless as water — the patient being very nervous, and even hysterical. Now, these are signs of great debility ; but, fortunately for such a one, a medical man is, in the majority of cases, in possession of remedies that vvill soon make her all right again. Too Weak to Bring Forth. A delicate girl has no right, until she be made strong, to marry. If she should marry, she will frequently, when in labor, not have strength to bring a child into the world ; which, provided she be healthy and well-formed, ought not to be. How graphically the Bible tells of delicate women not having strength to bring children into the world : " For the children are come to the birth, and there is not strength to bring forth." — 2 Kings, xix. 3. When a lady is neither pregnant nor " regular," she ought imme- diately to apply to a doctor, as she may depend upon it there is some- thing wTong about her, and that she is not likely to become enceinte until menstruation be properly established. As soon as menstruation be duly established, pregnancy will most likely, in due time, ensue What Is Meant by Being Regular. When a lady is said to be *' regular," it is understood that she is ** regular" as to '' quality^" and quantity, and time. If she be only "regular" as to the time, and the quantity be either deficient or in excess; or, if she be "regular" as to the time, and the quality be bad, either too pale or too dark ; or if she be " regular " as to the quality and quantity, and be irregular as to the time, she cannot be well, and the sooner means are adopted to rectify the evil, the better it will be both for her health and for her happiness. A neglected miscarriage is a frequent cause of unhealthy menstrua- tion ; and until the womb, and in consequence "the periods," by judicious medical treatment, be made healthy, there is indeed but scant chance of a family. 90 MENSTRUATION. We have no doubt that alcohol, among fashionable ladies, and which they take in quantities — " to keep them up to the mark," as they call it — is one great cause of hysteria ; ladies who never taste alcohol in any form seldom labor under hysteria. And why is it so ? Alcohol at all in excess, depresses the system, and thus predisposes it tc> hysteria, and to other nervous affections. A lady who is not a votary of fashion, and who is neither a brandy-/ drinker or a wine-bibber, may have hysteria — one, for instance, who has naturally a delicate constitution, or who has been made delicate by any depressing cause. A large family of children, repeated mis- carriages, and profuse menstruation, are three common causes of hysteria ; indeed, anything and everj^hing that produces debility will induce hysteria. " Change of Life." As soon as a lady ceases to be ** after the manner of women" — that is to say, as soon as she ceases to menstruate — it is said that she has a " change of life ; " and if she does not take proper care, she will soon have "a change of health" to boot, which in all probability will be for the worse. " Change of life " is sometimes called ** the critical period." It well deserves its name — it is one of the critical periods of a woman's life, and oftentimes requires the counsel of a doctor experienced in such matters to skilfully treat. After a period of about thirty years' continuation of ** the periods," a woman ceases to menstruate — that is to say, when she is about forty-four or forty-five years of age, and, occasionally, as late in life as when she is forty-eight years of age, she has '* change of life," or, as it is sometimes called, '* a turn of years " — ''the turn of life." Now, before this takes place, she oftentimes becomes ver>' "irregular;" at one time she is " unwell " before her proper period ; at another time either before or after ; so that it becomes a '' dodging time" with her, as it is styled. In a case of this kind menstruation is sometimes very profuse ; it is at another very sparing ; occasionally it is light-colored, almost colorless ; sometimes it is as red as from a cut finger ; while now and then it is as black as ink and as thick as molasses. II MENSTRUATION. 91 When a lady is about having ** change of life," violent flooding is apt to come on — as profuse as though she were miscarrying. Thus violent flooding is often the end of her *' periods," and she sees no more of them. Others, again, more especially the active and abstemious, suffer so little at " change of life," that, without any premonitory symptoms whatever, it suddenly, in due time, leaves them — they, the while, experiencing neither pain nor inconvenience A lady in " change of life " usually begins to feed, fat more especially accumulates about the bosom and about the abdomen, thus giving her a matronly appearance, and, now and then, making her believe that she is enceinte, especially if the wish be father to the thought. So firmly has she sometimes been convinced of her being in an interesting condition, that she has actually prepared baby-linen for the expected event, and has even engaged her monthly nurse. Now, it would be well, before such a one had made up her mind that she be really pregnant, to consult an experienced doctor in the matter and then her mind will be set at rest, and all unpleasant gossip and silly jokes will be silenced. Skilled knowledge, in every doubtful ease, is the only knowledge worth the having ; the opinion of old women, in such matters, is indeed of scant value ! Nervous Affections. She has peculiar pains, sometimes in one place and then in another; ifhe head is often affected, at one time the back, at another time the front, over her eyes, Hght and noise having but little or no effect in aggravating the headache. She is very *' nervous," as it is called, and has frequent flutterings of the heart, and sudden flushings of the face and neck — -causing her to become, to her great annoyance, as red as a peony ! She has swellings and pains of her breast, so as often to make her fancy that she has some malignant tumor there. She is troubled much with flatulence, and with pains, sometimes on the right, and at other times on the left side of the belly ; the flatulence is occasionally ^ost outrageous, so as to cause her to shun society, and to make her 92 MENSTRUATION. life almost burdensome. She has not only " wind " in the bowels, but '• wind " in the stomach, which frequently rises up to her throat, making her sometimes hysterical ; indeed, she is often hysterical — a little thing making her laugh and cry, or both the one and the other in a breath. She has frequently pains in her left side — in the region of the short ribs. She has pains in her back — in the lower part of her back — and low down in her abdomen. The nose is, at these times, very much inclined to bleed, more especially at what was formerly her "periods ; " here nature is doing all she can to relieve her, and, therefore, should not unnecessarily be meddled with, but the nose should be allowed to bleed on, unless indeed the bleeding be very profuse. Eruptions of the skin, more especially on the face, are, at such times, very apt to occur, so as to make a perfect fright of a comely woman ; there is one comfort for her, the eruption, with judicious treatment, will gradually disappear, leaving no blemish behind. Danger of Neglect. The above symptoms, either a few or all of them, are, in *' change of life," of common occurrence, and require the assistance of a doctor experienced in such matters. If the above symptoms be neglected, serious consequences might, and most likely will ensue ; while, on the other hand, if they be properly treated, such symptoms will gradually subside, leaving her in excellent health — better, probably, than she has been in for years, more especially if her constitution had been «jreviously weakened by repeated childbirths. Fat is apt at these times to accumulate about the throat and about the chin — giving her a double chin. There is oftentimes, too, a slight indication of a beard. We sometimes hear of a lady being " fat, fair and forty." Now^ when a wife, at the age of forty, suddenly becomes very fat, however **fair" she maybe, and she is often very fair, she seldom has any more family, even though she be *' regular " — the sudden fatness often denoting premature "change of life." If such a one had, before th^ - Last Lumbar Vertebrae. «ecrum. - Rectum ; here covered by Peritoneuts:* SECTION OF FEMALE PELVIS AND ORGANS. MENSTRUATION. 9^ fat had accumulated, taken more out-door exercise, she would, in all probability, have kept her fat down, and would thus have prevented premature *' change of life." Active, bustling women are seldom very fat, and sometimes have their " periods " until they are forty-eight years of age ; indeed, they occasionally bear children at that age, and have splendid confinements. How true it is, that luxurious living and small families, and hard and tedious labors and premature decay, generally go hand in hanJ together ! But so it is, and so it always will be ; luxury draws hea\')' bills on the constitution, which must eventually be paid, and that with heavy and with compound interest. Meddling w^ith Nature. Bleeding piles are ver}^ apt to occur in *' change of life ; " they fre- quently come on periodically. Now, bleeding piles, at such times as these, may be considered a good sign as an effort of nature to relieve herself, and to be very beneficial to health, and, therefore, ought not, unless very violent, to be interfered with, and certainly not without the consent of a judicious medical man. Meddling with nature is a dangerous matter, and is a hazardous game to play ! When ''change of life" is about, and during the time, and for some- time afterwards, a lady labors under at times, as above stated, great flushings of heat ; she, as it were, blushes all over ; she grows very hot and red, almost scarlet, then perspires, and afterwards becomes cold and chilly. These flushings occur at verj^ irregular periods ; they might come on once or twice a day, at other times only once or twice a week, and occasionally only at what would have been her ^'periods." These flushings might be looked upon as rather favorable symptoms, and as a struggle of nature to relieve herself through the skin. These flushings are occasionally attended with hysterical symptoms. A little appropriate medicine is for these flushings desirable. A lady while laboring under these heats is generally both very much annoyed and distressed ; but she ought to comfort herself with the knowledge that they are in all probability doing her good service, 94 MENSTRUATION. and that they might be warding off from some internal organ of her body serious mischiefs. Better Health May be Expected. ** Change of life" is, then, one of the most important periods of a lady's existence, and generally determines whether, for the rest of her days, she shall either be healthy or otherwise ; it therefore impera- tively behooves her to pay attention to the subject, and in all cases, whei it is about taking place, to consult a medical man, who will, in the majority of cases, be of great benefit to her, as he will be able not only to relieve the symptoms above enumerated, but to ward off many important and serious diseases to which she would otherwise be liable. When ''change of life" ends favorably, which, if properly managed, it most likely will do, she may improve in constitution, and may really enjoy better health and spirits, and more comfort than she has done for many previous years. A lady who has during her wifehood eschewed fashionable society, and who has lived simply, plainly and sensibly, who has avoided brandy-drinking, and who has taken plenty of out-door exercise, will, during the autumn and winter of her existence, reap her reward by enjoying what is the greatest earthly blessing — health! Not only her health will be established, but her comeliness and youthfulness will be prolonged. Although she might not have the freshness and bloom of youth — which is very evanescent — she will probably have a beauty of her own — which is ofttimes more lasting than that of youth — telling of a well-spent life. It is surprising how soon a fashionable life plants crow-feet on the face and wrinkles on the brow; indeed, a fashionist becomes old before her time ; and not only old, but querulous and dissatisfied ; nothing ages the countenance, sours the temper, and interferes with "the critical period," more than a fashionable life. Fashion is a hard, and cruel, and exacting creditor, who will be paid to the uttermost farthing, ** See the wild purchase of the bold and vain. Whose every bliss is bought with equal pain.** CHAPTER IX. Conception. The Seminal A.nimalcule — Body and Soul — Birth and Genius— Children of all Races Resemble their Parents— Kach Parent an Agent—Testes and Ovaries — Zoosperms or Spermatozoa — How Impregnation Takes Place — Vast Numbers of Zoosperms — Egg of the Fowl — ^Most Favorable Period for Conception — How the Generative Act should be Performed— When Impregnation is not Likely to Take Place — Limiting the Number of Children — Prevention of Conception. THE formation of the zoosperm, or seminal animalcule, in man, and the ovum in woman, belongs to the domain of organic life, yet all the highest powers of the soul and the soul's organs are engaged in the work. For there is to be more than a mere bodily organization formed — a mass of bone, muscle, and various tissues. First of all, there is to be generated an immortal soul. The generation of souls seems necessary, indeed, to explain the facts of the hereditary transmission of moral and mental, as well as physical qualities. The souls of children — their moral characters — ■ are like those of their parents, and compounded of those of theii fathers and mothers, some more resembling one, some the other. We never find the soul of a European In the body of a Hottentot, or the soul of a North American Indian in the body of a native of China. How Character is Formed. Two human beings, uniting as one, becoming " one flesh," have thus given to them the power or are the appointed instruments of generating a third being — body, soul and spirit. They forrn it accord- ing to their own capacities. Or, if the soul have any other origin, it must be admitted that they limit Its expression and development, and all its earthly manifestation ; so that there are great and little souls, beautiful and ugly souls, and so on of all varieties of human char- acter. But it must also be admitted that there are facts of human intelli- c^ence and goodness not easily accounted for upon the theory of 95 96 CONCEPTION. hereditar}^ transmission. How came a Shakespeare to spring up in Warwickshire ? What do we know of the progenitors of our greatest geniuses in every department of human achievement? We must admit other influences — supernal inspirations. It may be that if we could know the conditions and peculiar rela- tions and elevations of the souls of parents in the generation of souls of genius, we might see a solution of the mystery. But leaving out / such apparently exceptional facts, we can see that, as a general rule, in families, nations and races the children resemble thc'r parents. English, Scottish, Welsh and Irish have peculiarities as marked as Chinese, Negroes, North American Indians and Esquimaux. And the soul grows as the body grows, and changes as the body changes, and grows strong by exercise, and great by the reception of soul nutriment, and is prepared to generate still higher souls ; and this is the law of education, development and progress. So we have dis- eases of the soul as of the body, these reacting on each other, and each susceptible of proper curative treatment. Does not the mind feed on thoughts and feelings, and get starved or surfeited, and grow dyspeptic on trash or sweetmeats, or exhilarated and intoxicated ? Who has not felt his whole soul strengthened by communion with some strong spirit? Male and Female Organs. This sublime function of the generation of human beings, soul and body, is performed by the two male and female organs, the testes and the ovaries, acted upon by every human faculty and modified by every human circumstance and action. It is not in our power to solve the questions respecting the portions of the mental and physical organization contributed by either parent. We see no reason to believe in any such partition. We think each has a share in the formation of every part, though in any part the influence of one or the other may preponderate. A child may resem- ble either of its parents or both, or it may be more like one of its grandparents than either. It may have more of the mind of one, or the physical constitution of the other, or both may be evenly mingled. CONCEPTION. 97 If a man have a powerfully-developed and active mind and a woman a vigorous organic system, it is likely that their child will resemble each in their strongest points. Germ cell and sperm cell, we believe, are both engaged in the formation of every faculty and organ. The sperm cell is the result of the action of that complex organ, the testicle — an organ composed of a vast surface of tubular struc- ture, and amply supplied with nerve and blood, by which and out of which these animate cells are formed. Then, within the primi- tive sperm cell, appear cells, and within these are formed, first in a circular mass, a great number of exceedingly minute living beings, consisting of an oval-shaped body and a long tail. This self-propelling cell swims in a fluid substance like the white of an Gggy but more opaque, formed partly in the testes and partly secreted by the prostate gland. In full health and vigor, these zoosperms are very numerous and active ; in sickness or exhaustion they are few and weak, and in certain states of the system they entirely disappear, and the power of fecundation no longer exists. THE BLADDER, PROSTATE GLAND AT ITS BASE AND VESICUL/E SEMINALES EXTENDING UP ITS SIDES. Hq-w the Spermatozoa are Set Free. The primitive germ cell first bursts, setting free the smaller cells, and these, in turn, liquefy and set free the now perfected zoosperms ; the seminal fluid containing them then passes on through the vasa deferentia, up the spermatic cord, passes through the walls of the abdomen, and is received with the prostatic fluid, according to the 7 d8 CONCEPTION. common belief, into the seminal vesicles, which are a reservoir in which it is retained, until expelled by the action of the proper mus cular apparatus in the sexual orgasm. The zoosperms retain their power of motion, under favorable cir- cumstances, for hours, and even days, after being ejected. In fish, which do not copulate, they swim about in the water until they come in contact with the eggs spawned by the female. The ripe eggs or hard roe may be taken from the body of a female fish, and the testicle or soft roe from the male, and fecundation produced by mingling them together, and ponds and rivers may be stocked with fish by this mode of artificial impregnation. Spermatic Fluid and the Ovaries In the generation of mammalia the spermatic fluid should be thrown into the mouth of the uterus, and, then, by the contractions of that organ, forced up the Fallopian tubes toward the ovaries. But circumstances may prevent this being accomplished. There may be some malformation, and still impreg- nation may take place, for the active zoosperms, in great numbers, move every way with a rapid THE SPERMATOZOA motiou, and are able to find their way through the entire length of vagina, uterus and Fallopian tubes. On the other hand, when the womb is too low in the common ailment of falling of the womb, the semen may pass beyond the mouth of the womb, and be lodged in a deep fold of the vagina, which may prevent impregnation. While the testicles are engaged in the evolution of zoosperms, the ovaries of the female are no less active in forming and ripening the ova ; but with this striking difference, that, while zoosperms are formed by millions, and may be ejected day after day, we have but one or ^vo, or in rare cases, from three to five, ova perfected once a month, and this process ceases during gestation, and should also be suspended during lactation. The ovum, or egg, which, in all its essential parts. OR LIFE GERMS OF THE MALE. CONCEPTION. 99 is alike in all animals, and which consists of a cell, a nucleus, and a nucleolus, is found in the stroma or mass of the ovary. The egg of the common fowl may be taken as the type of all eggs. Its yolk and white are of immense bulk, compared with its germinal spot, because there must be contained within the shell the entire matter of which the perfect chicken is formed. In the human ovum this matter is small in quantity, as the foetus, from an early period, is nourished by the blood of the mother in the uterus. When this egg is fully formed, ripened, or matured, the cell which envelops it, swells, bursts, and sets it free. It is then grasped by the fimbriated extremity of the Fallopian tube, and begins its journey down that passage to the uter-us. It may be impregnated at any time after it is set free by the, bursting of the Graafian vesicle, until its arrival in the uterus, and possibly until its expulsion from that receptacle. Lfaws of Conception. It will be seen that conception can only take place under certain well-defined circumstances. First, there must be a ripened ovum, set free from its Graafian vesicle. This takes place regularly once a month, after the period of puberty, and in all healthy females is marked by the menstrual evacuation. If this evacuation is coincident with the expulsion of the ovum from the ovary, impregnation must take place, if at all, within eight, or, at most, twelve days of that period. The zoosperms may meet the ovum on its passage, or, possibly, the ovum may find the zoosperm awaiting its arrival. It follows that sexual connection, to answer the natural end, should take place not more than three days before the beginning, or within ten days after the menstrual evacuation. But in the diseases and irregularities of our lives, with the excite- ments of stimulating food and general false habits, with the continual over-excitement and exercise of the generative organs, these processes become irregular and their normal signs not to be depended on. Ova may be prematurely ripened by excitement of the ovaries, caused by sexual indulgence. LcfC. 100 CONCEPTION. The menstrual evacuation, which degenerates into a real hemor- rhage, becomes irregular and uncertain, as well as depraved in its character. Consequently, the rule that sexual union, to produce impregnation, must take place either immediately before or a few days after menstruation, admits of exceptions. It is a safe rule for those who desire to procreate ; but not entirely safe for those who would avoid it, as many, for good reasons, may. A Test of Health. Menstruation appears to be the throwing off of the fluids concerned in the ripening and expulsion of the ova. In a perfectly healthy state the menstrual fluid is very small in quantity, and somewhat tinged with the red coloring matter of the blood. In disease, it becomes a genuine hemorrhage, lasts for three or four days, or longer, with the loss of several ounces of blood, mingled with the proper menstrual fluid. There is no better test of the health of a woman than the one we have just given. In what manner the actual impregnation of the ovum takes place, we have no positive knowledge. Microscopic observers assert that they have seen the zoosperm enter the ovum by an opening left for that purpose. It has even been fancied that the body and tail of the seminal animalcule form the rudiments of the brain and spinal cord. Observations of the progress of foetal development warrant no such conclusion. If it could be established it would prove that the animal system of nerves was formed by the male parent and the organic by the female. The resemblance of children to their parents, and all the phenomena of hereditary transmission of qualities, prove that both f -rents are concerned in the production of every part. We have, then, two objects here of microscopic minuteness. One i.' he germinal point in the female ovum ; the other is the zoosperm, Oi some portion of it. In each of these minute organizations are comprised the elements of a glorious and immortal being. Each contains, moreover, the rudiments of the very form and qualities of that being, physical, moral and mtellectual. There, in that point of 9 "\^ _ , ^w H^^^^ -^ SWEET SIXTEEN CONSULTING HER PROGRAMME CONCEPTION. 101 matter, that pellucid ceu, we have the shape and air, the talents and genius, tiie honesty or roguery-, the pride or humility, the benevolence or selfishness of the future man. We have what determines the form of his hp.ad and hands, the contour of his nose and chin, the color of his eye ana hair. Moreover, this spermatic animalcule, or this eel- germ, has all hereditary idiosyncrasies and diseases — gout, scrofula, venereal taint, or insanity. Life and Character in the Germ and Spermatozoon. We can scarcely conceive of this, yet we must admit it. All the grand and energetic qualities that made a Caesar or a Napoleon— all that can be fairly attributed to blood and birth, to hereditary influ- ences — must have been contained in one or both these atoms. We do not ^mderrate the influences that may act upon the foetus during gestation. We give full credit to the power of education in forming the human character, but we assert that all which makes the basis of the character, mental and physical, must reside in the germ and the spermatozoon, and must combine at the moment of impreg- nation, or the union of these principles. For all the qualities of soul and body which make the differences between a mouse, a dog, a horse, an elephant, must be in their ger- minal principles. The appearance of the zoosperms in different animals varies slightly under the microscope — that cf the ova scarcely at all. Moreover, when two nearly allied species of animals engen- der — when, for example, the zoosperm of the ass unites with the ovum of the mare — each parent is found to contribute to the mental and physical qualities of the offspring. In all crossings of different breeds of animals, we find the same effects produced, the more powerful impressing themselves most strongly, and the two sexes giving each certain peculiar characteristics. Nor is this by any means less notably the fact in the human species. When sexua^ commerce takes place between a negro and a white woman, the child partakes of the mental and physical qualities of botiu 102 CONCEPTION. If we do not understand the process by which the union of the male and female elements is accomplished, in the generation of the new being, the conditions under which it must take place are more clear to us. From a multitude of observations it appears : 1. That the ovum, in a state of healthy maturity, must h-'^ve been set free from the ovary. This is not the case with some of the lower animals. There are insects in whom a single act of the male will fecundate successive generations. In birds, the male principle seems to be added before the egg is mature. 2. The sperma must be recent, and must contain living, active zoosperms. 3. The smallest quantity, and probably a single zoosperm, is suffi- cient, if it comes in contact with the ovum. 4. It is not necessary that there should be any enjoyment of coition on the part of the female. Women who have none, seem even more prolific than others. It may take place in sleep, or other insensibility. In men, also, the orgasm may be accompanied with no pleasure, and even with pain. 5. Even the sexual union is not indispensable. There is no doubt that a female ovum may be impregnated by semen conveyed to it artificially ; and a woman, if she chose, might have a child without ever coming into personal contact with a man. This has been shown in animals by abundant experiments, and is said to have occurred in human subjects. There is, however, not the slightest reason to doubt the result, if the experiment were fairly tried. Points to be Considered. There are a few other points of interest which may as well be dis- cussed here as elsewhere. Few questions are of more practical importance to the human race than under what circumstances the generative act should be performed. We will give our opinion briefly, stating the reasons where they are not self-evident or apparent. I . The generative act should be performed by two persons arrived CONCEPTION. 103 at a full development of their powers, physical and intellectual. The children of young and immature parents are apt to be weak and scrofu- lous. Age cannot be given as an absolute index of maturity, and there are some who are never mature. 2. It should be performed w^ith all the attraction and charm of a mutual love ; and the existence of this is the best evidence that the parties are suitably related to each other ; for those similarities of con- stitution, which forbid the marriage of near relations, and which often exist without consanguinity, and are sometimes wanting with it, also prevent a true love. Hence, marriages of family interest, convenience, similarity of tastes, and friendship, may be very unfortunate with respect to children. Love and its functions require a mingling of opposite qualities. No man ought ever to beget a child for a woman he does not love ; and, especially, no woman ought ever to submit to sexual embrace of a man, unless assured that the union is sanctioned by a mutual affection. 3. It should not be performed by man or woman so as to entail hereditary disease upon their offspring. Insanity, scrofula, consump- tion, syphilis, diseased amativeness, deformities of body, or distressing singularities of mind, should not be entailed upon posterity. 4. A woman should avoid conception if her pelvis is so small or so deformed as to hazard her own life in delivery, or destroy that of the child, or compel an abortion. 5. In the present social state, men and women should refrain from having children, unless they see a reasonable prospect of giving them suitable nurture and education. We have no right to inflict an injury upon an individual or society. How Prevented. But how is pregnancy to be prevented ? There is one way that is natural, simple and effectual. It is to refrain from the sexual act. It vs easily done by most women and by many men. In every civilized community thousands live in celibacy, many from necessity, many Crom choice. In England and the older American States, there is a 104 CONCEPTION. large surplus female population. In Catholic countries the whole priesthood and great numbers of religious, of both sexes, take vows of perpetual chastity. This practice has existed for at least sixteen centuries. We have shown that in ordinary cases conception can only take place when connection is had a day or two before, or ten, or, for safety's sake, say sixteen days after menstruation. There is, then, a 'ortnight each month, when the female is not liable to impregnation ; but it must be remembered that if she is amatively excited in this interval, the ripening of the ova may be hastened, and the very result precipitated that it is intended to avoid. Limiting the Number of Children. And it is also to be observed that the natural period for sexual union is when it is demanded for the purpose of procreation, and that the use of marriage or the sexual act for mere pleasure, and using any means to avoid impregnation, are unnatural. It is questionable, there- fore, whether we can morally justify the use of any means to prevent conception. If it can ever be justified it is when a woman is unwill- ingly compelled to submit to the embraces of her husband, while her health or other conditions forbid her to have children. The limitation of the number of children is advocated as a right and a duty by a class of social reformers, who, at the same time, insist upon the right and even duty of frequent gratification of the amative propensities by all persons who have arrived at the age of puberty. Virtue, chastity, continence, they denounce as unnatural and mis- chievous. We hold, on the contrary, that the law of a pure and unper- verted nature is the law of chastity, and that it is consistent with the highest health, and the best bodily, mental, and moral condi- tion of men and women ; and that men and women can and ought to be as natural and moral at least as the lower orders of the animal creation. The secular philanthropists who teach that it is not only right, but CONCEPTION. loa the duty of all persons, married or single, from the age of pi^berty, to have frequent and regular exercise of amativeness ; who hold that what good men in all ages have called virtue is a vice, that chastity is wickedness and continence criminality, and that lewdness, fornication and adultry are moral duties, are obliged also to advocate the use of preventive checks to an increase of population. On the subject of prevention a well known authority says : "In the human female it is supposed that the speimatozoa will retain then moving power for thirty-six hours after coitus, or connection with the male. Common water at low temperature rapidiy arrests their movements, while dilute saline solutions, or sugar and water, on the other hand, appear to have very little influence upon their actions. The chemical agents are the only ones that have positive injurious effects upon the movements of spermatozoa. They not only stop their operations but dissolve their structure and change their composi- tion. For instance, alcohol, acids, metallic salts, narcotics and strychnine have similar effects to common cold water. Mineral and vegetable acids destroy the life of the semen as readily as electricity." CHAPTER X. Pregnancy. Cetsatlon of Menses — Moming Sickness — Pains in the Breast — Quickening--- l^lui^ terijg Motions — Flatulence — Increase in Size — Emaciation — Heartburn — Mor- bid ^^.ongings — Excitability of Mind — Suitable Clothing — Ablutions — Air qnd Exercise- -Evils of Ind )lence — Ventilation and Drainage — Horrid Odtjrs-— > Disinfectants — Pain a Warning — Hotbeds of Disease — Pure Water — Benefits of Rest — ^What to Eat — Spices and Condiments — Abuse of Stimulants— Ivest- lessness b;nd Sleep. 'jX HEALTHY married woman, during the period of child-bear- rjL ^^g> suddenly '*ceasing-to-be-unwell," is of itself alone almost a sure and certain sign of pregnancy — -requiring but little else besides to confirm jt. This fact is well known by all who have had children— they base their predictions and their calculations upon it, and upon it alone, a.id are, in consequence, seldom deceived. But as " ceasing-to-be-unwell" may proceed from other causes than that of pregnancy — such as disease or disorder of the womb, or of other organs of the body— especially of the lungs — it is not by itself alone entirely to be depended upon ; although, as a single sign, it is, especially if the patient be healthy, the most reliable of all the signs of pregnancy. The next symptom is morning sickness. This is one of the earliest symptoms of pregnancy, as it sometimes occurs a few days, and, indeed, generally not later than a fortnight or three weeks after con- ception. Morning sickness is frequently distressing, oftentimes amounting to vomiting and causing a loathing of breakfast. This «;ign usually disappears after the first three or four months. Morning sickness is not always present in pregnancy, but, nevertheless, it is a frequent accompaniment, and many who have had families place more reliance on this than on any other symptom. Morning sickness is one of the earliest, if not the very earliest, symptom of pregnancy, and is by some ladies taken as their starting-point from which to commence jaaking their " count." 106 ' PREGNANCY. 107 Morning sickness, then, if it does not arise from a disordered stomach, is one of the most trustworthy signs of pregnancy. A lady who has once had morning sickness can always for the future distinguish it from each and from every other sickness ; it is a peculiar sickness, which no other sickness can simulate. Moreover, it is emphatically a morning-sickness — the patient being, as a rule, foi the rest of the day entirely free from sickness, or from the feeling of sickness. Darting Pains in the Breast. A third symptom is shooting, throbbing and lancinating pains, and enlargement of the breast, with soreness of the nipples, occurring about the second month, and in some instances, after the first few months, a small quantity of watery fluid, or a little milk, may be squeezed out of them. This latter symptom, in a first pregnancy, is valuable, and can generally be relied on as conclusive that the female is pregnant. It is not so valuable in an after pregnancy, as a little milk might, even should she not be pregnant, remain in the breasts for some months after she has weaned her child. Mi/k in the breast — however small it might be in quantity — is, espe- cially in a first pregnancy, a very reliable sign ; indeed, ive might go so far as to say a certain sign of pregnancy. The veins of the breast look more blue, and are conseauently more conspicuous than usual, giving the bosom a motUed aj)pcarance. The breasts themselves are firmer and more knotty to the touch. The nipples, in the majority of cases, look more healthy than customary, and are somewhat elevated and enlarged ; there is generally a slight moisture upon their surface,^ sufficient in some instances to mark the linen. Dark Circle Around the Nipple. A dark-brown areola or disc may usually be noticed around the nipple, the change of color commencing about the second month The tint at first is light brown, which gradually deepens in intensity, until towards the end of pregnancy the color may be very dark. Dr. Montgomery, who has paid great attention to the subject, observes : 108 PREGNANCY. •• During the progress of the next two or three months the changes in the areola are in general perfected, or nearly so, and then it pre- sents the following characters : A circle around the nipple, whose color varies in intensity according to the particular complexion of the indi- vidual, being usually much darker in persons with black hair, dark eyes and sallow skin, than in those of fair hair, light-colored eyes and delicate complexion. The area of this circle varies in diameter from an inch to an inch and a half, and increases in most persons as preg- nancy advances, as does also the depth of color. There is a puffy turgescence, not only of the nipple, but of the whole surrounding disc." A dark-brown areola or mark around the nipple is one of the dis- tinguishing signs of pregnancy — -Tnore especially of a first pregnancy. Women who have had large families/ seldom, even when they are not enceinte^ lose this mark entirely, but when they are pregnant it is more intensely dark — the darkest brown — especially if they be brunettes. The Period of Quickening. A fourth symptom is quickening. This generally occurs about the completion of the fourth calendar month ; frequently a week or two before the end of that period, at other times a week or two later. A lady sometimes quickens as early as the third month, while others, although rarely, quicken as late as the fifth, and in very rare cases, the sixth month. It will, therefore, be seen that there is an uncer- tainty as to the period of quickening, although, as we before remarked, the usual period occurs either on or more frequently a week or two before the completion of the fourth calendar month of pregnancy. Quickening is one of the most important signs of pregnancy, and one of the most valuable, as the moment she quickens, as a rule, she first feels the motion of the child, and at the same time she suddenly becomes increased in size. Quickening is a proof that she is nearly half her time gone ; and if she be able to miscarry, quickening makes her more safe, as she is less likely to miscarry after than before she has quickened. run SERKNADB A LOVELY FLOWLR CAST IN HUMAN MOULD.' PREGNANCY. 109 A lady at this time frequently either feels faint or actually faints away ; she is often either giddy or sick or nervous, and, in some instances, even hysterical, although, in some rare cases, some women do not even know the precise time when they quicken. A Peculiar Fluttering. The sensation of " quickening " is said by many ladies to resemble the fluttering of a bird ; by others, it is likened to either a heaving, or beating, or rearing, or leaping sensation; accompanied, sometimes, with a frightened feeling. These flutterings, or heavings, or beatings, or leapings, after the first day of quickening, usually come on half a dozen or a dozen times a day, although it might happen for days together, the patient does not feel the movement of the child at all, or if she does, but very slightly. The more frequent description a lady, when slie has first "quickened,'* gives of her feelings is, that it is more like " the flutterings of a bird ; " when she is about another month gone with child — that is to say, in her sixth month — that it more resembles **a leaping in the womb," or^ in the expressive language of the Bible, ** the babe leaped in ]^ womb." The difference of the sensation between "fluttering" and "leaping" might in this wise be accounted for; the child between four and five months is scarcely old enough, or strong enough, to leap — he is only able to flutter ; but when the mother is in the sixth month (as the case recorded in the Holy Scriptures), the child is stronger, and he is able to leap ; hence the reason why he at first flutters and after a time leaps. What Causes Quickening. "Quickening" arises from the ascent of the womb higher into the abdomen, as, from the increased size, there is not room for it below. Moreover, another cause of quickening is, the child has reached a further stage of development and has, in consequence, become stronger both in its muscular and nervous structure, so as to have strength and motion of his Hmbs powerful enough to kick and plunge about the 110 PREGNANCY. womb, and thus to give the sensation of "quickening." The old- fashioned idea was that the child was not alive until a woman had quickened. This is a mistaken notion, as he is alive, or "quick," from the very commencement of his formation. Flatulence has sometimes misled a young wife to fancy that she has quickened ; but, in determining whether she be pregnant, she ought never to be satisfied with one symptom alone ; if she be, she will frequently be misled. The following are a few of the symptoms that will distinguish the one from the other : In flatulence, the patient is small one hour and large the next ; while in pregnancy the enlarge- ment is persistent, and daily and gradually increases. In flatulence, on pressing the bowels firmly, a rumbling of wind may be heard which will move about at will ; while the enlargement of the womb in pregnancy is solid, resistent, and stationary. In flatulence on tapping — percussing — the abdomen, there will be a hollow sound elicited, as from a drum; while in pregnancy it will be a dull, heavy sound, as from thrumming on a table. In flatulence, if the points of the fingers be firmly pressed into the belly, the wind will wobble about; in preg- nancy, they will be resisted as by a wall of flesh. Increased Size of the Abdomen. The fifth symptom is, immediately after the quickening, increased size and hardness of the abdomen. An accumulation of fat covering the belly has sometimes led a lady to suspect that she is pregnant, but the soft and doughy feeling of the fat is very different to the hard- ness, solidity and resistence of the pressure of pregnancy. Increased size and hardness of the belly is very characteristic of pregnancy. When a lady is not pregnant the belly is soft and flaccid ; when she is pregnant, and after she has quickened, the belly over the region of the womb is hard and resisting. The sixth symptom is pouting or protrusion of the navel. This symptom does not occur until some time after a lady has quickened * indeed, for the first two months of pregnancy the naval is drawn in and depressed. As the pregnancy advances, the navel gradually comes PREGNANCY. Ill more forward. The navel, according to the progress of the preg- nancy, is constantly emerging till it comes to an even surface with the integuments of the abdomen, and to this circumstance much regard is to be paid in cases of doubtful pregnancy. Loss of Flesh. The seventh symptom is emaciation ; the face, especially the nose, pinched and pointed, features altered, a pretty woman becoming, for a time, plain ; these unbecoming appearances generally occur in the early months — the face, as the pregnancy advances, gradually resuming its pristine comeliness. Emaciation, of course, may, and does occur from other causes, besides those of pregnancy ; but still, if there be emaciation, together with other signs of pregnancy, it tends to confirm the patient in her convictions that she is enceinte. Many a plump lady, then, tells of her pregnancy by her sudden emaciation. There is one comfort, as soon as the pregnancy is over, if not before, the body usually regains the former plumpness. The eighth symptom is irritability of the bladder, which is some- times one of the early signs of pregnancy, as it is, likewise, fre- quently one of the early symptoms of labor. The irritability of the bladder, in early pregnancy, is oftentimes very distressing and very painful — the patient being disturbed from her sleep several times in the night to make water, making generally but a few drops at a time. This symptom usually leaves her as soon as she has quick- ened, to return again — but, in this latter instance, usually without pain — -just before the commencement of labor. A Simple Remedy. There is very little to be done, in such cases, in the way of relief One of the best remedies is, a small teaspoonful of sweet spirits of nitre in a wineglassful of water, taken at bed-time. Drinking plenti- fully, as a beverage, of barley water with best gum arabic dissolved in it — half an ounce of gum to every pint of barley water — the gum arabic being dissolved in the barley water by putting them both in 112 PREGNANCY. a saucepan over the fire, stirring the while until the gum be dissolved. This beverage may be sweetened according to taste, either with sugar- candy or with lump sugar. Sleepiness, heartburn, increased flow of saliva (amounting, in some cases, even to salivation), toothache, loss of appetite, longings, excita- bility of mind, liver- or sulphur-colored patches on the skin, and likes and dislikes in eating — either the one or the other of these symptoms frequently accompany pregnancy ; but, as they might arise from other causes, they are not to be relied on further than this — that if they attend the more certain signs of pregnancy, such as cessation of being " regular," morning sickness, pains and enlargement of and milk in the breasts, the gradually darkening brown areola or mark around the nipple, etc., they will then make assurance doubly sure, and a lady may know for certain that she is pregnant. Sleepiness often accompanies pregnancy — the patient being able to sleep in season and out of season — often falling asleep while in com- pany, so that she can scarcely keep her eyes open. A Disagreeable Ailment. Some pregnant ladies are much afflicted with heartburn, ior affliction it assuredly is ; but heartburn, as a rule, although very disagreeable, is rather a sign that the patient will go her time. Moreover, heart- burn is very amenable to treatment, and is generally much relieved by ammonia and soda. Increased flow of saliva is sometimes a symptom of pregnancy, amounting, in rare cases, to regular salivation ; the patient being, for a time, in a pitiable condition. It lasts usually for days ; but, some times, even for weeks, but is not at all dangerous. Some ladies have, during pregnancy — more especially during the early months — wretched appetites ; they regularly loathe their food, and dread the approach of meal-times. While others, on the con- trary, eat more heartily during pregnancy than any other period oi their lives — they are absolutely ravenous, and can scarcely satisfy their hunger. PREGNANCY. 113 The longings of a pregnant lady are sometimes truly absurd ; but like almost everything else, *'it grows upon what it is fed." They long for sucking pig, for the cracklings of pork, for raw carrots and raw turnips, for raw meat — for anything and for everything that is unwholesome, and that they would at any other time loathe and turn away from in disgust. The best plan of treatment for a pregnant lady, who has longings, to adopt is, not to give way to such longings, unless, indeed, the longings be of a harmless, simple nature, and they then will soon pass harmlessly by. Mental Excitement. Excitability of mind is very common in pregnancy, more especially if the patient be delicate ; indeed, excitability is a sign of debility, and requires plenty of good nourishment, but few stimulants. Likes and dislikes in eating are of frequent occurrence in pregnancy — particularly in early pregnancy — more especially if the patient has naturally a weak digestion. If her digestion be weak, she is sure to have a disordered stomach — one following the other in regular sequence. A little appropriate medicine, from a medical man, will rectify the evil and improve the digestion, and thus do away with the likes and dislikes in eating. Liver- or sulphur-colored patches on the skin — principally on the face, neck and throat — are tell-tales of pregnancy, and to an experienced matron, publish the fact that an acquaintance thus marked is enceinte. The Best Clothing. Some newly-married wives, to hide their pregnancy from their friends and acquaintances, screw themselves up in tight stays and in tight dresses. Now, this is not only foolish, but it is dangerous, and might cause either a miscarriage, or a premature labor, or a cross- birth, or a bearing-down of the w^omb. A wife, then, more especially during pregnancy, should, to the br I'^ts and to the abdomen, "Give ample room and verge enough." A lady who is pregnant ought on no account to wear tight dresses, 8 114 PREGNANCY. as the child should have plenty of room. She ought to be, as enceifiie signifies, incincta, or unbound. Let the clothes be adapted to the gradual development, both of the abdomen and the breasts. She must, whatever she may usually do, wear her stays loose. If there be bones in the stays, let them be removed. Tight lacing is injurious both to the mother and to the child, and frequently causes the former to miscarry ; at another time it has produced a cross-birth ; and some- times it has so pressed in the nipples as to prevent a proper develop- ment of them, so that where a lady has gone her time, she has been unable to suckle her infant, the attempt often causing a gathered breast. Health Should Govern Dress. These are great misfortunes, and entail great misery both on the mother and the child (if it has not already killed him), and ought to be a caution and a warning to every lady for the future. But the great thing is for a mother to begin from the beginning, and for her to never allow her daughter to wear stays at all, and then those painful consequences could not possibly ensue. If stays had never been inv^ented, how much misery, deformity, disease, and death might have been averted ! The feet and the legs during pregnancy are very apt to swell and to be painful, and the veins of the leg? to be largely distended. The garters ought at such times to be worn slack, as tight garters are highly injurious ; and if the veins be very much distended, it will be necessary for her to wear a properly-adjusted elastic silk stocking, made purposely to fit her foot and leg, and which a medical man will himself procure for her. It is highly necessary that a well-fitting elastic stocking be worn ; otherwise it will do more harm than good. The feet and legs, in such a case, should, during the day, be frequently rested, either on a leg-rest, or on a footstool, or on a sofa. A warm bath in pregnancy is too relaxing. A tepid bath once a week is beneficial. Sponging the whole of the body every morning with lukewarm water may with safety and advantage be adopted, gradually reducing the temperature of the water until it be used quite PREGNANCY. 115 cold. The skin should, with moderately coarse towels, be quickly but thoroughly dried. The sitz-bath ought every morning to be used. The patient should first sponge herself, and then finish up by sitting for a few seconds, or while in the winter she can count fifty, or while in the summer she can count a hundred in the water. It is better not to be long in it ; it is a slight shock that is required, which, where the sitz-bath agrees, is immediately followed by an agreeable glow of the whole body. If she sit in the water for a long time, she becomes chilled and tired, and is very likely to catch cold. Precautions in Bathing. She ought, until she becomes accustomed to the cold, to have a dash of warm water added ; but the sooner she can use quite cold water the better. While sitting in the bath she should throw either a woolen shawl or a small blanket over her shoulders. She will find the greatest comfort and benefit from adopting the above recom- mendation. Instead of giving, it will prevent cold, and it will be one of the means of warding off a miscarriage, and of keeping her in good health. A shower-bath in pregnancy gives too great a shock, and might induce a miscarriage. We should not recommend for a lady who is pregnant, sea-bathing ; nevertheless, if she be delicate, and if she be prone to miscarry, change of air to the coast (provided it be not too far away from home), and inhaling the sea-breezes, may brace her, and ward off the tendency. But although sea-bathing be not desirable, sponging the body with sea-water may be of great service to her. Air and Exercise. A young wife, in her first pregnancy, usually takes too long walks. This is a common cause of flooding, of miscarriage, and of bearing- down of the womb. As soon, therefore, as a lady has the slightest suspicion that she is enceinte, she must be careful in the taking oX exercise. lie PREGNANCY. Although long walks are injurious, she ought not to run into an opposite extreme — short, gentle and frequent walks during the whole period of pregnancy cannot be too strongly recommended ; indeed, a lady who is enceinte ought to live half her time in the open air. Fresh air and exercise prevent many of the unpleasant symptoms attendant on that state ; they keep her in health ; they tend to open her bowels, and they relieve the sensation of faintness and depression. Exercise, fresh air and occupation are, then, essentially necessary in pregnancy. If they be neglected, hard and tedious labors are likely to ensue. One, and an important reason of the easy and quick labors and rapid '* gettings about" of poor women, is greatly due to the abundance of exercise and of occupation which they are both daily and hourly obliged to get through. Why, many a poor woman thinks but little of a confinement, while a rich one is full of anxiety about the result. Let the rich lady adopt the poor woman's industrious and abstemious habits, and labor need not then be looked forward to, as it frequently now is, either with dread or with apprehension. Stooping, lifting of heavy weights and overreaching ought to be carefully avoided. Running, horse-exercise and dancing are likewise dangerous — they frequently induce a miscarriage. Indolence and Weakness. Indolence is most injurious in pregnancy. It is impossible for a pregnant lady, who is reclining all day on a sofa or on an easy chair, to be strong ; such a habit is most enervating to the mother and weakening to her unborn babe. It is the custom of some ladies, as soon as they become enceinte^ to iancy themselves and to treat them- selves as confirmed invalids, and to lie down, in consequence, the greater part of every day ; now this plan, instead of refreshing them, depresses them exceedingly. Now, the only time for them to lie down is occasionally in the day when they are really tired, and when they absolutely need the refreshment of rest — " The sedentary stretch their lazy length When Custom bids, but no refreshment fillil» Far none they need • ' PREGNANCY. 117 A lady who, during the greater part of the day, lolls either on a BGia or on an easy chair, and who seldom walks out, has a much more Imgering and painful labor than one who takes moderate an^ regular open-air excercise, and who attends to her household duties. An active life is, then, the principal reason why the wives of the pool have such quick and easy labors, and such good recoveries ; why their babies are so rosy, healthy and strong, notwithstanding thf privations and hardships and poverty of the parents. Advantages of Activity. Bear in mind, that a lively, active woman has an easier and quicker labor md a finer race of children than one who is lethargic and indo- lent. Idleness brings misery, anguish and suffering in iu train, and particularly affects pregnant ladies. Oh, that these words would have due weight, then this book will not have been written in vain I The hardest work in the world is having nothing to do, " Idle people have the most labor ; " this is particularly true in pregnancy ; a lady will, when labor actually sets in, find to her cost that idleness has given her the most labor. Says quaint old Burton : " Idleness is the badge of gentry, the bane of body and mind, the nurse of Naughtiness, the stepmother of Discipline, the chief author of all Mischief, one of the seven deadly sins, the cushion upon which the Devil chiefly reposes, and a great cause, not only of Melancholy, but of many other diseases, for the ^mind is naturally active, and if it be not occupied about some honest business, it rushes into Mischief or sinks into Melancholy." A lady sometimes looks upon pregnancy more as a disease than as a natural process ; hence, she treats herself as though she were a regular invalid, and, unfortunately, she too often makes herself really one by improper and by foolish indulgences. Ventilation — Drainage. Let a lady look well to the ventilation of her house ; let her take ^re tha^ every chimney be unstopped and during the daytime that 118 PREGNANCY. every window in every unoccupied room be thrown open. Where there is a skylight at the top of the house it is well to have it made to open and to shut, so that in the daytime it may, winter and summer, be always open ; and in the summer-time it may, day and night, be left unclosed. Nothing so thoroughly ventilates and purifies a house as an open skylight. If a lady did but know the importance — the vital importance — of ventilation, she would see that the above directions were carried out to the very letter. Our firm belief is, that if more attention wert paid to ventilation — to thorough ventilation — child-bed fever would be an almost unknown disease. The cooping-up system is abominable ; it engenders all manner of infectious and loathsome diseases, and not only engenders them, but feeds them, and thus keeps them alive. There is nothing wonderful in all this, if we consider, but for one moment, the exhalations from the lungs are poisonous ; that is to say, the lungs give off carbonic acid gas (a deadly poison), which, if it be not allowed to escape out of the room, must over and over again be breathed. That, if the perspiration of the body (which in twenty-four hours amounts to two or three pounds) be not permitted to escape out of the apartment, it must become foetid — repugnant to the nose, sickening to the stomach, and injurious to the health. How often the nose is a sentinel, and warns its owner of approaching danger. Use of Disinfectants, Verily the nose is a sentinel. The Almighty has sent bad smells lOr our benefit to warn us of our danger. If it were not for an unpleasant smell, we should be constantly running into destruction. How often we hear of an ignorant person using disinfectants and fumi- gations to deprive drains and other horrid places of their odors ; as though, if the place could be robbed of its smell, it could be robbed of its danger. Strange infatuation. No ; the frequent flushings of drains, the removal of nuisances, cleanliness, a good scrubbing of soap and water, sunshine, and the air and winds of heaven, are the be§t disinfectants in the world PREGNANCY. 119 A celebrated and eccentric lecturer on surgei;^ — Abernethy — iu tddressing his class, made the following quaint and sensible remark : ' Fumigations, gentlemen, are of essential importance ; they make so abominable a stink, that they compel you to open the windows and admit fresh air." Truly the nose of a man is a sentinel, * 'And the foetid vapors of the fen Warn him to fly from danger." The right way to do away with the danger is to remove the cause, and the effect will cease ; flushing a sewer is far more efficacious than disinfecting one. Soap and water and the scrubbing brush, and sun- shine and thorough ventilation, each and all are far more beneficial than either permanganate of potash, or chloride of zinc, or chloride of lime. People, now-a-days, think too much of disinfectants, and too little of removal of causes ; they think too much /)f artificial, and too little of natural means. It is a sad mistake to lean so much on, and to trust so much to man's inventions. Benefits of Pain. Not only is the nose a sentinel, but pain is a sentinel. The sense of pain is necessary to our very existence ; we should, if it were not for pain, be constantly falling into many and great and grievous dangers ; we should, if it were not for pain, be running into the fire and be burned ; we should, if it were not for pain, swallow hot fluids and be scalded ; we should, if it were not for pain, be constantly letting things " go the wrong way," and be suffocated ; we should, if it were not for pain, allow foreign substances to enter the eye and be blinded ; we should, if it were not for pain, be lulled to a false secur- ity, and allow disease to go on unchecked and untended until we had permitted the time to pass by when remedies were of little or no avail. Pain is a sentinel, and guards us from danger ; pain is like a true friend, who sometimes gives a little pain to save a greater pain ; pain sometimes resembles the surgeon's knife — it gives pain to cure pain ; sense of pain is a blessed provision of nature, and is designed for the protection, preservation and prolongation of life. 120 PREGNANCY, If a lady, while on an errand of mercy, should, in the morning, ^o into a poor person's bedroom after he, she or they (for oftentimes the room is crowded to suffocation) have, during the night, been sleeping, and where a breath of air is not allowed to enter — the chimney and every crevice having been stopped up — and where too much attention has not been paid to personal cleanliness, she will experience a faint- ness, an oppression, a sickness, a headache, a terrible foetid smell : indeed, she is in a poisoned chamber. It is an odor std generis, which must be smelt to be remembered, and will, then, never be forgotten. " The rankest compound of villainous smell that ever offended nostril." Exhalations from the Body. Pity the poor who live in such sties — not fit for pigs. For pigs* sties are ventilated. But take warning, ye well-to-do in the world, and look well to the ventilation, or beware of the consequences. ** If," says an able writer on fever in the last century, " any person will take the trouble to stand in the sun, and look at his own shadow on a whole plastered wall, he will easily perceive that his whole body is a smoking dunghill, with a vapor exhaling from every part of it. This vapor is subtle, acrid and offensive to the smell ; if retained in the body it becomes morbid, but if re-absorbed, highly deleterious. If a number of persons, therefore, are long confi_ned in any close place, not properly ventilated, so as to inspire and swallow with their spittle the vapors of each other, they must soon feel its bad effects." Contagious diseases are bred and fed in badly- ventilated houses. Ill-ventilated houses are hotbeds of diseases. Contagion is subtle, quick, invisible and inscrutable — tremendous in its effects ; it darts its poison like a rattlesnake, and instantly the body is infected, and the strong giant suddenly becomes as helpless as the feeble infant : " Even so quickly may one catch the plague." Not only should a lady look well to the ventilation of her house, but either she or her husband ought to ascertain that the drains are in good and perfect order, and that the privies are frequently emptied of their contents, and that neither drain-fluids nor privy-fluid communi- PREGNANCY. 121 cates, in any way whatever, with the drinking-water supply. If it, unfortunately, should do so, the well is poisoned, breeding pestilence and filling our graveyards with corpses. Sure Sources of Disease. Bad drainage and overflowing privies are fruitful sources of child- bed fever, of gastric fever, of scarlatina, of diphtheria, of cholera and of a host of other infectious and contagious and dangerous diseases. It is an abominable practice to allow dirt to fester near human habit- ations ; more especially as dirt when mixed with earth is really so valuable in fertilizing the soil. Drain-poison is so instantaneous in its effects, so subtle in its operations, so deadly in its consequences, so untiring in its labors — working both day and night — that it may well be said to be ''the pestilence that walketh in darkness," and " the sickness that destroyeth in the noon-day." The Water Must Be Absolutely Pure. A lady ought to look well to the purity of her pump-water, and to ascertain that no drain either enters or percolates, or contaminates in any way whatever, the spring ; if it should do so, disease, such as either cholera, or diarrhoea, or dysentery, or diphtheria, or scarlet fever, or gastric fever, will, one or the other, as a matter of course, ensue. If there be the slightest danger or risk of drain contamination, whenever it be practicable, let the drain be taken up and be exam- ined, and let the defect be carefully rectified. When it be impracti- cable to have the drain taken up and examined, then let the pump- water, before drinking it, be always previously boiled. The boiling of the water, as experience teaches, has the power either of destroying or of making innocuous the specific organic faecal life poison, which propagates in drain contamination the diseases above enumerated. The water from our American tube-well is far superior to water from the old pump-well ; the water from the former is always pure, while from the latter it is usually most impure — ^it is oftentimes little 122 PREGNANCY. better than water from a cesspool, it being contaminated either with drainage impurities, with faecal matter, or with water from land-springs. Have nothing to do with the antiquated pump, which is both a nuisance and a danger; indeed, the pump- water being generally- impure, is one of the most frequent causes of diphtheria, of scarlet fever, of dysentery, of cholera, and gastric fever. The pump, fifty years hence, will be, what stage-coaches are now, things of the past — a curiosity. Necessity of Occasional Rest. A lady who is pregnant ought, for half an hour each time, to lie one or two hours every day on the sofa. This, if there be either a bear- ing-down of the womb, or if there be a predisposition to a miscarriage, will be particularly necessary. We should recommend this plan to be adopted throughout the whole period of her pregnancy ; in the early months to prevent a miscarriage, and, in the latter months, on account of the increased weight and size of the womb. The modern sofas are most uncomfortable to lie upon ; they are not made for comfort, but, like many other things in this world, for show ; one of the good, old-fashioned, roomy sofas, then, should be selected for the purpose, in order that the back may be properly and thoroughly rested. There is, occasionally, during the latter months, a difficulty m lying down, the patient feeling as though every time she makes the attempt she should be suffocated. When such be the case, she ought to rest herself upon the sofa, and be propped up with cushions, as we consider rest at different periods of the day necessary and beneficial. If there be any difficulty in lying down at night, a bed-rest, well covered with pillows, will be found a great comfort. Look Well to Your Diet. An abstemious diet, during the early period of pregnancy, is essen- tial, as the habit of body at that time is usually feverish and inflam- matory. We should, therefore, recommend abstinence from beer, porter and spirits. Let us jn this place urge a lady, during her preg- PREGNANCY. 12^ lancy, not to touch spirits, such as either brandy or gin ; they will only inflame her blood and will poison and make puny her unborn babe ; they will only give her false spirits, and will depress her in an increased ratio as soon as the effects of the brandy or of the gin have passed away. She ought to eat meat only but once a day. Rich soups and highly-seasoned stews and dishes are injurious. A lady who is enceinte may depend upon it that the less stimulants she takes at these times the better it will be both for herself and for her infant ; the more kind will be her labor and her ** getting about/* and the more vigorous and healthy will be her child. Ill Effects of Overloading the Stomach. It is a mistaken notion that she requires more nourishment during early pregnancy than at any other time ; she, if anything, requires less. It has often been asserted that a lady who is pregnant ought to eat very heartily, as she has two to provide for. When it is taken into account that during pregnancy she "ceases to be unwell," and therefore that there is no drain on that score ; and when it is also considered how small the ovum containing the embryo is, not being larger for the first two or three months than a hen's ^^g, it will be seen how futile is the assertion. A wife, therefore, in early preg- nancy, does not require more than at another time ; if anything, she requires less. Again, during pregnancy, especially in the early stage, she is more or less sick, feverish, and irritable, and a superabundance of food would only add fuel to the fire, and would increase her sick- ness, fever and irritability. Moreover, she frequently suffers from heartburn and from indigestion. Can anything be more absurd, when such is the case, than to overload" a stomach already loaded with food it is not able to digest? No, let nature in this, as in everything else, be her guide, and she will not tiien go far wrong. When she is further advanced in her pregnancy — that is to say, when she has quickened — her appetite generally improves, and she is much better in health than she was before; Videed, after she has quickened, she is frequently in better health 124 PREGNANCY. than she ever has been. The appetite is now increased. Nature points out that she requires more nourishment than she did at first ; for this reason, the foetus is now rapidly growing in size, and conse- quently requires more support from the mother. Let the food, therefore, of a pregnant woman be now increased in quantity, but let it be both light and nourishing. Occasionally, at this time, she has taken a dislike to meat ; if she have she ought not to be forced to eat it, but should have, instead, poultry, game, fish, chicken-broth, beef-tea, new milk, farinaceous food, such as rice, sago, batter-puddings, and, above all, if she have a craving for it, good sound, ripe fruit. Roasted apples, ripe pears, raspberries, strawberries, grapes, tama- rinds, figs. Muscatel raisins, stewed rhubarb, stewed or baked pears, stewed prunes, the insides of ripe gooseberries, and the juice of oranges are, during pregnancy, particularly beneficial; they both quench the thirst and tend to open the bowels. A^^oid Highly-seasoned Dishes. The food of a pregnant woman cannot be too plain ; highly-seasoned dishes ought therefore to be avoided. Although the food be plain, it must be frequently varied. She should ring the changes upon butcher's meat, poultry, game, and fish. It is a mistaken notion, that people ought to eat the same food over and over again, one day as another. The stomach requires variety, or disease, as a matter of course, will ensue. Light puddings, such as either rice, or batter, or suet pudding, or fruit puddings, provided the paste be plain, may be taken with advan- tage. Rich pastry is highly objectionable. Indeed, it is such, as a rule, to persons of strong digestion. If she be plethoric, abstinence is still more necessary, or she might have a tedious labor, or might suffer severely. The old-fashioned treatment was to bleed a pregnant patient if she were of a full habit of body. A more absurd plan could not be adopted ! Bleeding would, by causing more blood to be made, only increase the mischief; but PREGNANCY. 125 certainly it would be blood of an inferior quality, watery and poor. It might in such case be truly said, that '* The wine of life is drawn." The best way to diminish the quantity of blood is to moderate the amount of food — to lessen the supplies ; but not, on any account, to leave off eating of meat for dinner ; she will, if she do, suffer both at and after her confinement. A Costly Mistake. We have known some ladies, during the few last months of their pregnancies, to abstain from meat altogether, beli-eving thereby that they will insure easier confinements and better *' gettings about." Now, this is altogether a mistake ; they are much more likely, from the low diet, to have more tedious and harder labors, and worse *' get- tings about." Not only so, but if they are kept, during the last months of their pregnancies, on too low a diet, they are likely to make wretched nurses for their children, both in quantity and in the quality of their milk. No ; let a lady who is enceinte adopt the best hy genie means, which we have, in these pages, endeavored to lay down, and she will then be prepared both for her coming labor and for her subsequent suckling. A pregnant lady, then, should endeavor by every means in her power to make herself healthy ; this is the best way to prepare for labor and for suckling. We are not advocating luxury, ease, and enervation — nothing of the kind, for we abhor luxurious living ; but, on the con- trary, we are recommending simplicity of living, occupation, fresh air and exercise, and plain, wholesome, nourishing diet ; all of which may be considered as nature's medicine — and splendid physic, too, it is. The Sleeping Apartment. It is a mistaken practice for a pregnant woman or tor any one else to sleep with closely-drawn curtains. Pure air and a frequent change of air are quite as necessary — if not more so — during the night as during the day, and how can it be pure, and how can it be changed, 126 PREGNANCY. if curtains be closely drawn around the bed ? Impossible. The roof of the bedstead ought not to be covered with furniture; it should be open to the ceiling, in order to prevent any obstruction to a free circu- lation of air. The bed must not be loaded with clothes, more especially with a thick cov^erlet. If the weather be cold, let an extra blanket be put on the bed, as the perspiration can permeate through a blanket when it cannot through a thick coverlet. The knitted, for the summer, are the best kind of coverlets, as they allow the perspiration from the body to escape, and the eider-down, for the winter, as they are light and warm and ventilating. It is a marvel how some people, with four or five blankets and with thick cov^erlet on bed, can sleep at all ; their skins and lungs are smothered up, and are not allowed to breathe, for the skin is as much a breathing apparatus as are the lungs themselves. It is a sad mis- take, and fraught with serious consequences. The bedroom, at night, should be dark ; hence the importance of either shutters or Venetian blinds or dark blinds impervious to light, or thick curtains to the windows. The chamber, too, should be as far removed from noise as possible — as noise is an enemy to sleep. The room, then, should, as the poet beautifully expresses it, be ** deaf to noise and blind to light." Remedies for Restlessness. A lady who is pregnant is sometimes restless at night — she feels oppressed and hot. The best remedies are : (i) Scant clothing on [he bed ; (2) The lower sash of the window, during the summer months, to be left open to the extent of six or eight inches, and during the winter months, to the extent of two or three inches, pro- vided the room be large, the bed be neither near nor under the Window, and the weather be not intensely cold. If any or all of these latter circumstances occur, then (3) the window to be closed and the door to be left ajar (the landing or the skylight window at the top of the house being left open all night, and the door being secured from PREGNANCY. 127 intrusion by means of a door-chain) ; (4) Attention to be paid, if the bowels be costive, but not otherwise, to a gentle action of the bowels by a mild aperient; (5) An abstemious diet, avoiding stimulant of all kinds ; (6) Gentle walking exercise ; (7) Sponging the body every *"*iorning, in the winter, with tepid water, and in the summer with cold water ; (8) Cooling fruits in the summer are, in such a case, very grateful and refreshing. A pregnant woman sometimes experiences an inability to lie down^ the attempt occasionally producing a feeling of suffocation and of faintness. She ought, under such circumstances, to lie on a bed-rest, which must, by means of pillows, be made comfortable ; and she should take every night at bedtime a teaspoonful of sal-volatile in a wineglassful of water. Must Retire Early. Pains at night, during the latter end of the time, are usually frequent, so as to make an inexperienced lady fancy that her labor is commencing. Little need be done, for unless the pains be violent, nature ought not tc be interfered with. If they be violent, application should be m.ade to a physician. A pregnant lady must retire early to rest. She ought to be in bed every night by ten o'clock, and should make a point of being up in good time in the morning, that she may have a thorough ablution, a stroll in the garden, and an early breakfast ; and that she may after wards take a short walk either in the country or in the grounds while the air is pure and invigorating. But how often, more especially when a lady is first married, is an opposite plan adopted. The importance of bringing a healthy child into the world, if not for her own and her husband's sake, should induce a wife to attend to the above remarks. Although some ladies, during pregnancy, are very restless, others are very sleepy, so that they can scarcely, even in the day, keep their eyes open. Fresh air, exercise and occupation are the best remedies for keeping them awake, and the best remedies for many other com- plaints besides. CHAPTER XI. The Human Ovum, or Egg. Bivth of Plants— How Animalcules are Formed — Amazing Number of Eggs in Fishes — Spontaneous Generation a Myth — Ovaries of the Human Female- Seminal Fluid of the Male — Reception of the Ovum by the Uterus — The Germinal Centre — Anatoiay of the Testes — Evolution of Spermatozoa — Result of Impregnation — "The Turn of Life" — Remarkable Changes at PuJi)erty— Woman's Organization Finer than that of Man — Peculiarities and Mission of Woman. REPRODUCTION in animals is curiously analagous to the same process in the vegetable kingdom. There are the same varieties in the modes of multiplication and generation. The process of generation in some of the lower animal organizations is exactly like the throwing out of new bulbs in plants. The polypes throw out buds which in a little while grow mouths, fringed with cilia or tentacles, while they are still holding by stalks and drawing part of their nourishment from their parents. When enough matured to get their own living they drop off, swim away, and shift for themselves. This is gemmation. Fission is a common mode of propagation or multiplication among the infusoria. An animalcule Is seen to contract in a ring around its centre ; the fissure deepens and it divides into two distinct beings, which also divide, and so on, multiplying with surprising rapidity. It has been estimated that one of these animalcules could produce by these successive divisions in eight weeks a progeny of two hundred and sixty-eight millions. This reproductive power is, however, almost rivalled by some fishes and insects. The carp lays seven hundred thousand eggs in a season, and lives two hundred years. The possible progeny of a pair of these fishes is almost beyond computation. The cod is said to produce from four to nine millions of eggs. The female termite lays sixty thousand eggs a day for a cor^stdemble period. 128 THE HUMAN OVUM. 129 Some of tnc lower animals may be multiplied artificially like vege- tables. Thus, if some species of the polypus are cut in pieces, each piece produces the missing parts so as to become a perfect animal, as cuttings of a geranium produce geraniums. But perhaps the most curious mode of multiplication takes place in .some sea-worms. They divide into sections by constricting rings, and each section forms for itself head, eyes, etc., at one extremity, and tail at the other, while yet the sections are united ; but when all is read^.^ each section sets up its own independent life, and then produces in its STRUCTURE OF THE WOMB AND ITS APPENDAGES. Dody germs of similar worms, by the more usual process, just as some vegetables propagate by seeds, as well as by bulbs or tubers. Seeds in Vegetables and Eggs in Animals. These modes of multiplication — fission, gemmation, etc. — such as we have described are, however, not the rule in nature, but the exception, or variation— a ruder method of the extension of life, which is confined to the lower forms of animal existence. As vegetables are generally produced from seeds, animals are generally produced from eggs. There is no good reason, so far as we nov\^ know, to believe that there is any spontaneous generation of veg-etables or animals— that is, that 9 130 THE HUMAN OVUM. any vegetable or animal ever of itself is formed from matter without a spore or germ which has been produced by a similar organization. At some time, and in some way, every kind of living form had its beginning ; but no one has seen such beginning. Creation is a mystery. Every living thing upon the earth has at sometime, some- where, and somehow been created ; but we do not know the when, the where, or the how. Human science reveals to us something of the phenomena of nature — nothing of its causes or beginnings. The Ovaries of the Female. As in vegetables, we find the beginning of new organization in the formation by the generative organs of a plant, which are in most cases portions of its flower, of a germ cell in the ovary or female organ, and of a pollen cell by the anther or male organ, which unite to form the living germ, which develops into the perfect plant ; so in all the higher forms of animal life, in oysters, fishes, insects, birds, beasts and men, we have germs or eggs formed in the ovaries of the female, which at a certain stage of development are impregnated, or fecundate^ UTERUS OF AN ^y u^ion with a similar germ, produced in a somewhat similar organ of the male — the male and female elements uniting to produce the perfect being. The unfer- tilized, unimpregnated or unfecundated ovum or egg quickly perishes. The one to which has been added the masculine element is from that moment endowed with life, and, with favoring conditions, develops with a wonderful activity. Fishes produce a vast number of eggs, as may be seen in the harvZ roe of herring, which, when they have arrived at a certain stage, are spawned — that is, expelled from the body in places which the fish instinctively find for that purpose Salmon come hundreds, perhaps thousands of miles through the deep ocean to lay their eggs in the shallow fresh water streams in which they themselves were hatched THE HUMAN OVUM. 131 The male herring and salmon produce, in organs not unlike the ovaries, myriads of sperm cells, destined to fertilize the germ cells of the female. This is the soft roe — a drain-hke substance, chiefly com- posed of these cells. The male fishes attend the females, and fill the water where their eggs are laid with what seems a milky fluid. The two elements come into contact, perhaps by a mutual attraction, fecundation takes place, and, in due time, swarms of young fishes are the result. With insects and birds, the process is a little varied. The eggs are formed, as with the fishes, in the ovaries of the females, but at a certain stage they are fecundated before leaving the body, by the male element being conveyed to them by a process similar to that which takes place in flowers. The seminal fluid of the male, corresponding to the pollen of the plant, is conveyed to the germ in the ovary by means specially adapted to that purpose. After the egg has grown to its full size — in insects covered with a tough membrane, and in birds with a hard shell — it is placed in some proper nest, and hatched either by solar heat or the warmth of one or ^^^^ ^^^ ^'^^ both of the parents. Animals so born are called oviparous — bom from eggs. A few fishes, as the shark and skate, lay fecundated eggs Hke birds, with curiously formed horny shells, and cables for mooring. The Ovum Passes into the Uterus. With the mammalia, the higher orders of animals, including the human species, there is still another process. The egg or germ is formed in the ovary of the female. When fully formed it bursts from its containing membranes with a certain degree of excitement of the generative system, and passes through tubes provided for that pur- pose into a receptacle called the uterus, or womb. If here met by the seminal fluid, or fertilizing masculine element, fecundation takes place, a perfect germ is produced, foetal life begins. 132 THE HUMAN OVUM. and the animal is, so to speak, hatched in the womb of its mother, nourished by her blood, and grows until it is ready to come into the world and live its independent life. Animals so produced are called viviparous, or born alive. The young of the kangaroo, and other marsupials, are born in a very immature condition, and carried in a kind of bag formed upon the abdomen of the mother within which are the teats from which the littles ones draw their nourishment. The Whole Structure Contained in the Egg. The eggs of birds, from those of the humming-bird, like peas, to ^he great eggs of the ostrich, which will furnish a dinner for six men. THE OVUM ON ARRIVING IN THE FALLOPIAN TUBE. THE OVUM SLIGHTLY ADVANCED IN THE TUBE. contain not only the germ, which is very minute, but its supply of food — the materials from which its body, bones, feathers, etc., are formed during the process of incubation or hatching. The white of the egg, almost pure albumen, is not essential to it, but useful as food. The eggs of many animals are without it. The yolk, consisting of albumen and oil, contains the matter first taken into the organization. The germinal spot, a point of matter, is the real germ, and can only be seen under the microscope. The eggs of viviparous animals are of extreme minuteness. That of a dog is the i-i30th of an inch in diameter including yolk, germinal vesicle, and germinal spot. The human ovum is still smaller, about i-i40thof an inch in diameter; and in the circumference of that small diameter lies, what a v/orld ol THE HUMAN OVUM. 133 character and power — lies all that shall distinguish the highest example of human civilization and culture from the lowest savage- poet, philosopher, hero, idiot ruffian lunatic — all the possibilities and potentialities of humanity. Wonders of Generation. At a certain period in the life of a plant, in organs prepared for that important function, are formed the germs of new plants. The germ producing organ, frond or flower, does its work and dies. The tree lives on, but each individual bud, producing flower and seed or fruit, perishes. This is the law of vegeta- tive generation. Such is also, to a great extent, the law of insect life. The insect pro- duces one crop of germs ; the> are fertilized by one conjunction of the sexes ; the eggs are deposited, some- times in immense numbers, where they can be hatched in safety, and where its proper food can be found for the new being in the earliest stage of its development; and then, as if the whole purpose of life had been """^ °™'' surrounded by cells accomplished, the male and female alike perish. In some cases the< male insect sacrifices his life in the very act of fecundation. In the higher orders of animals, fishes, reptiles, birds and mam mals, the production of germs goes on year after year in varying periods. The guinea-pig begins to breed at two months old, and the higher the type, the later is the period of germ formation, until in man the period of puberty or the beginning of the generative func- tion is at about fifteen years, varying from twelve to eighteen, but the aatural powers are scarcely at their full strength and fitness until some years later. The power of reproduction as to numbers seems to be in the 134 THE HUMAN OVUM. inverse ratio as to development. The lowest forms of life multiply with amazing rapidity ; some insects produce myriads, fishes spawn eggs by millions, hens lay an egg a day for months together, rabbits, cats, dogs breed every few months, and have at each birth a numerous progeny, while the higher orders of mammalia produce their young but once a year, and have but one, or, in rare cases, two at a birth. When the human germ has been slowly formed in the ovary, and perfected up to the period when it bursts forth in its first birth, fit for impregnation, it is nine months in arriving at the development which fits it for birth and independent existence. For twelve months more it draws its supply of nutriment from the mother, and two years may be considered the normal interval from birth to birth. It should never OVUM STILL MORE ADVANCED IN THE TUBE. THE OVUM FROM THE LOWER END OF FALLOPIAN TUBE. be less with a proper regard to the health of the mother, and the proper development of her children, and the practice of shortening Jhis period by hiring wet nurses is a violation of nature which is avenged on parents and their offspring. What the Ovaries are For. The mother is exhausted by too frequent child-bearing, and chil- drcn are deprived of the love, the magnetism, the life of the mother, which comes to them from her blood transformed into the most deli- cious food for them, and the nervous and spiritual food which no money can buy, and no one but the mother can give. The human germ cell or egg is formed from the blood in a gland- like or^an. about an inch and a half long, oval shaped, placed in the THE HUMAN OVUM. 135 lower part of the abdomen in the groin, and on each side of the uterus, or womb. In each ovary, from the period of puberty, in a healthy female, there is a constant formation and growth of germs, or ova, which goes on for thirty or forty years. When the first perfect germs have ripened, one or more, they come to the surface of the ovary, burst from their sacs, sometimes with considerable force, attended by a nervous excitement, a congestion of the bloodvessels of ovaries and womb, and when impregnation does not take place the freed germ passes into the mouth of the Fallo- pian tube, through which it passes into the uterus, from which it passes, with the menstrual evacuation, a secretion from the mucous surfaces of these organs, reddened more or less by some exudation from the congested ves- sels through the mouth of the womb into the vagina. Constant Production of Germs. This menstrual or monthly flow mark- ing the production of germs, and their expulsion when not fecundated by the presence of the masculine clement goes on monthly from its commencement at the age of puberty, normally at fourteen to sixteen years of age, to the period of the cessation of the menses or "turn of life," from forty- five to sixty, when no more germs are formed, and the capacity for child-bearing ceases. Corresponding to the ovaries or egg-forming organs of the female are two similar glandular bodies, called the testes, in the male, which produce the spermatic or seminal fluid, corresponding to the pollen of plants, by which the germs are fertilised or fecundated ; by means of these germ cells and sperm cells the masculine and feminine demerits are brought together so that they can unite in the body and soisl, the 'naterial and spiritual life of a new being. The human testes are LAYER OF ALBUMEN IN THE LOWER PORTION OF THE TUBE (observed ONLY IN THE rabbit). 136 THE HUMAN OVUM. formed within the body near the kidneys, but some time before birth they descend, pass out of the abdomen by the inguinal canal, and take their place in au external sac prepared for them, called the scrotum. These testes or testicles show the importance of their function by a wonderfully elaborate organization, of which some idea is given in the accompanying figure. The oval body is composed of a vast number of lobules, formed of very fine tubes closely folded, and eveiywhere in contact with bloodvessels and nerves. There are in -"-^ich testicle about four hundred and fifty of these lobules. The matter secreted by them passes through a vast number of tubes, i-i/oth of an inch in diameter, ending in a convoluted tubular struc- ture, measuring twenty-one feet in length, ending in a single tube, which carries the masculine generative matter to the urethra, whence, in the sexual congress, it is ejected into the vagina, enters the mouth of the womb, and either there or in the Fallopian tubes meets ana impregnates the germ coming from the ovaries. The seminal fluid is as complex and vital a substance as we should expect to have formed by so remarkable an apparatus. Floating in a liquid are minute cells, in which other cells or corpuscles may be dis- covered, and in these are formed bundles of spermatozoa, curiously- shaped living . cells, 1-600 to I -800 of a line in length, each one of which is furnished with a single cilium or long, slender tail, which propels it with a constant vibrative motion, as if it were a living ani- mialcule. This spermatozoon is the true agent of fertilization, corres ponding to the pollen grain of the flower. It has been discovered in GERMS OF THE MALE. THE HUMAN OVUM. 13? the womb, iin the Fallopian tubes, and in contact with the germ just leaving the ovary. Thus the male and female elements are brought together by a natural process. Source of Form and Features. There can be little doubt that the cells, furnished with long pro- pellers, carry in them the male principle which gives to the female g-erm all that makes the child resemble its father, all that it inherits from him of bodily form, features, complexion, temperament, constitution, mental power and moral character — health, disease, idioysncrasy, that which may make its hap- piness or misery in this life — and who can say how much also in the life to come ? The germs of human, as of all life, are produced in immense numbers. Even in childhood imperfect germs are formed and discharged, and conception may take place before menstruation begins. Idle ness, luxury, the use of rich, highly-sea- soned food, condiments and stimulants, and the excitement of the passions, hasten puberty and exaggerate and dis- order the corresponding masculine function. The microscope does not reveal to us what takes place in the act of impregna- tion or conception, or what change is produced by the contact of the spermatozoon with the ovum. The egg of the maiden hen con- tains the rudiments of the chick, but it can never be hatched. The warmth that brings life and development to the impregnated egg only hastens the putrifaction of the unimpregnated. The unimpreg- nated eggs of the frog quickly putrify ; but if the male element be soon brought to them they expand into living creatures. In this case the spermatozoa are absorbed into the ovum. ANATOMY OF THE TESTES. iS6 7'HE HUMAN OVUM. -Artery of Cord The blood goes to the testes in long, slender, tortuous arteries presenting an extensive surface for the action of nervous energy, and' there is no doubt that the best blood of the body is selected to form the semen, and that it is changed and perfected, first in these arteries and then in the worrierfully fine and convoluted tubes of the testes. The same arterk-s that supply blood to the testes in the male^ furnish the ciiX/ilation of the ovaries in the female; and the same nervous centres furnish the nerve energy and directing intelligence ; but what makes the difference in action — forming germ cells in one sex and sperm cells in the other — or what makes sex must probably remain among life's inscrutable mysteries. ** Arrest of de- velopment" will not account for it, and if it did, what causes arrest of develop- ment? "Male and female created He them." Remarkable Changes at Puberty, At the age of puberty remarkable changes take place in both sexes„ Boys and girls differ, indeed, from their ten- derest years. As a rule, boys are more BODY ^^ TESTIS, SHOWING THE boistcrous, girls morc gentle; while the girl chooses a doll for her plaything, the bey prefers a drum, a sword, or whip. But at puberty the sexual instincts become stronger, and there is in each a more pronounced development of masculine or feminine appearances and qualities. In the boy the voice deepens in tone, and the face begins to be covered with a beard. Where the testes have been removed, detroyed or imperfectly developed, the voice remains treble, and the beard light or wanting. There is an enlargement of the throat, the **Adam*s apple " corresponding to the full development of the mas- culine organs. On the other hand, the girl becomes at puberty more THE HUMAN OVUM. 13& decidedly feminine by the enlargement of the pelvis, the broadening of the hips and the development of the mammary or milk-forming glands in the bosom. There is no beard to mar the delicacy and femmine beauty of the face, but in both sexes alike, at this period, hair appears upon the pubes. The most striking difference, however, is that already men- tioned—the occurrence of the monthly period, marking the ripening and expulsion of germs capable of becoming living men and women. Woman differs from man in her entire organization — mental emo- tional, physical. She is more rounded, graceful, soft, sensitive^ mobile. Her nervous system is finer and more delicate ; she has quicker sensibilities and finer powers of instinct and intuition. Even the bony skeleton of a woman can be dinstinguished at a glance from that of a man by its longer head and broader pelvis, and generally by its smaller hands and feet. Richerand has, perhaps, exas^g^erated in saying: that * ^ ^ ' ... APPEARANCE OF " the reproduction of the species is, in woman, the the seminal most important object in life — almost the only destina- granules. tion to which nature has called her, and the only duty she has to fulfil in human societ}/ ; " but Madame de Stael went nearly as far in saying, ** Love is but an episode in the life of man ; it is the whole history of the life of woman.'' Lord Byron has said, almost in the same words : **Love is of man's life a thing apart; 'Tis woman's whole existence." We think, however, that there are women who have brains as well as ovaries; and that even the faculties which make women most charming as wives and most excellent as mothers, may have a much broader scope than the production, care and education of their own offspring. Hundreds of women who have never borne children have been more than mothers to great multitudes. In the actual condition of humanity there may be a higher work for many women in saving *Jie children of others, than in having children of iheir own. CHAPTER XII. Embryology, or Development of the Fcetu^ Order of Growth — Vital Point of the Bgg — Ovum Protected by Membranes - Resemblance to the Egg of the Fowl — Rapid Changes of the Germ — Sizes oi the Ovum at Different Periods — Formation of Bone and Muscle — Growth of the Vital Organs — How the Embryo is Nourished — Birth of More, than On« Child — Second Conception — Period of Gestation — Pregnancy Table— Numbei- of Days to be Reckoned — From What to Date the Count — Mistakes in Reckon- ing — The Sex of the Child — Proportion of Boys to Girls. ^'T'M^E ovum once impregnated, nature carries forward its devel. JL opment, as nearly as can be observed, in the following order : The ovum is, from the first, enveloped in two mem- branes, the outer of w^-^Vh is called the chorion, the inner the amnion. vVithin lies th^ principle ot life, the germ of the complex being. The ova ol all the higher animals are alike at this period, and one cannot be distinguished from another. The amnion or inner membiane secretes upon its inner surface the liquid in which the foetus is sus- spended during the whole period of gestation. The chorion or outef covering, on the other hand, acts outwardly, throwing out villi, whicl\ gathered at one point, at a certain period unite with vessels on the inner surface of the uterus, and form the placenta or afterbirth, by which the foetus is nourished from the blood of the mother. The central germinal point of the egg and its two coverings form the three parts of a regular cell formation — cell, nucleus and nucleolus. While the ovum is gradually passing down the Fallopian tube, pro polled by the action of its ciliary bodies, a journey which lasts from eight to fourteen days, and in the course of which it is liable to impregnation, the uterus is preparing for its reception. A delicate secretion is poured out over its whole internal surface, which is organ- ized into a membrane caJled the decidua, so that when the ovum arrive* 140 DEVELOPMENT OF THE FCETUS. 141 at the lower end of its Fallopian tube, or, one of the horns of the uterus, this decidua bars its entrance. But, as the ovum is pushed forward, the membrane gives way, and is folded around the ovum, so as to make a double covering. The outer portion is called the decidua vera, or true membrane ; the inner, the decidua reflexa, or folded membrane. We have the ovum now protected by no less than four membranes —two proper to itself, the amnion and chorion, and the two formed by the folded decidua of the uterus. SECTION OF THE LINING MEMBRANE OF A HUMAN UTERUS AT THE PERIOD OF COMMENCmr PREGNANCY, Showing the arrangement and other peculiarities of the glands d, d, d, with their orifices, a, a, a, on the internal surface o( the organ. Twice the natural size. During its passage down the Fallopian tube, the entire ovum is so small that it is with great difficulty it can be found by the closest inspection and the aid of a powerful microscope. When found, however, and subjected to a high magnifying power, it exhibits the 3ame phenomena as it displayed in the incubation of ^^m.^ any other ^%^. There is the yolk, the germinal spot, ^il-^-'4 which gradually expands, and the formation, first of blood, '•^ and an external circulation, and then of the rudimental ovum 14 da\. organs ; but these changes take place in the uterus. ^^^• The human ovum, at its impregnation, is very small — smaller than che naked eye can distinguish. It is from the i- 120th to the i- 140th of an inch in diameter. But from the moment of fecundation it grows with great energy. The foetus of one month is an inch long ; two months, two inches and a half long ; three months, five inches \ 142 DEVELOPMENT OF THE FCETUS. five months, six or seven inches ; seven months, eleven inches ; eight months, fourteen inches ; nine months, eighteen inches. The interior structure of the ovum, and the gradual development of the germ, embryo and foetus, are best explained and illustrated by reference to the larger eggs of fishes and birds The hen's egg may be taken as a model, and when a hen is setting, or, more humanely, when eggs are being hatched by artificial heat, if one be broken every second or third day, the whole development may be watched with great facility. Nature, it will be seen, has prepared every- thing, forgotten nothing, and goes on in the formation of a new being, insect, bird or man, with the same wisdom and power that create a universe and endow it with life and motion. The first step in development in the yolk of the egg must be the vitalization of its matter — further vitalization, we should say, for it is already alive — an organ- ized existence. But the entrance of the mas- culine element, or its union with the ferrinine element, whatever they may be, gives a new and very intense life. There is a diffusion, perhaps a rapid spreading growth of fibres of the nerves of organic life. Under their influ- ence cells are formed of matter already fitted for such structures. These cells undergo rapid transformations and become the bloody muscle, bone, all the tissues of the young animal. In the egg, these cells are seen to become more opaque in some parts, more trans- THE UTERUS WHEN THE OVUM IS ENTERING ITS CAVITY. 0\nmi, y] surrounded by its cho- rion^, a. Cervix, d, b. Fallopian tubes, c. Decidua vera. d. Cavity of the uterus, e. Decidua reflexa. OVUM AND EMBRYO FIF- TEEN DAYS OLD. DEVELOPMENT OF THE FCETUS. 14S parent in others ; they divide and subdivide until the yolk forms what is called a mulberry mass. A germ gathers upon the surface and separates into three layers. In the eggs of fishes, which are so transparent as to be easily watched through the process of develop- ment, may be seen an upper or nervous layer, in which are formed the organs of animal life — bones, muscles, brain and nerves, etc. OVUM AND EMBRYO TWENTY-ONE DAYS OLD. The lower layer gives origin to the organs of vegetative life — the abdominal viscera, intestines, or alimentary system ; the intermediate layer produces the heart, arteries, veins, etCo, of the system of circulation. At a very early period, the general form of the insect or animal is manifested. In insects and crustaceans, the germ is divided into sections. In the germs of vertebrate animals, there are seen the rudi- ments of a spinal canal which, when formed, is filled with a fluid, from which is formed the brain and spinal cord. The embryo rests upon the yolk and covers it like a cap, vertebrates enclosing it by the edges uniting at the navel. In fishes, whose embryonic development has been carefully observed by Professor Agassiz, the first lines of the embryo appear on the tenth day — a canal, which becomes a tube— the spine, and an enlargement at one end, the rudimentary head, in which may soon be seen a t44 DEVELOPMENT OF THE FCETUS. division ot the brain for the organs of sight, hearing and smell ; and soon after the rudiments of eye and ear are apparent. About the seventeenth day the heart is seen as a simple cavity, and, as soon as it is closed, there are regular contractions and a movement of blood corpuscles. On the thirtieth day there is a regular circulation of blood ; the tail gets free, and moves in violent jerks, and the head is soon liberated. The fish has a brain, an intestine, a pulsating heart, and a limited amount of spontaneous motion ; but its form is not clearly defined. By the fortieth day, the shape of the fish is evident, the remains of the yolk hang in a bag to its belly, but it soon becomes ab- sorbed, and then the fish is obliged to seek its own food, having exhausted its embryonic provision. The condition of the fish about the thirtieth day is shown in the embryo of the fowl as early as the eighth day. The head forms more than half the animal, and the eye is out of all pro- portion to the head. The yolk is being absorbed through a membrane and vessels, which unite to form the umbilicus, the yolk of the egg being to the embryo chicken what the placenta and blood of the mother are to the human foetus. In the uterus, the growtn of the new being is rapid. Still, in the human subject, up to the seventh day, nothing is visible to the naked eye. On the tenth day, there may be perceived a semi-transparent, grayish flake. On the twelfth there is a vesicle, nearly of the size of a pea, filled with fluid, in the middle of which swims an opaque spot, presenting the first appearance of an embryo, which may be clearly DIAGRAM REPRESENTING A HUMAN OVUM IN THE SECOND MONTH. a, I. Smooth portion of chorion, a, 2. Villous portion of chorion, /i, k. Elongated villi beginning to collect into placenta, b. Yolk sac, or um- bilical vesicle, c. Embryo, f. Am- aion (inner layer). ^. Allantois. h. Outer layer of amnion, coalescing with chorion. DEV^ELOPMENT OF THE FCETUS. 145 OVUM OF FIVE WEEKS. seen as an oblong or curved body, according as it is viewed, and plainly visible to the naked eye on the fourteenth day. The entire iveight of the embryo and its two investing membranes, waters, etc., is now about one grain. The increase from the first is astonishingly ^, rapid, when we consider its original minuteness. %^ On the twenty-first day the embryo resembles an ant, or a lettuce seed ; its length is four or live lines, and it weighs three or four grains. Many of its parts now begin to show themselves, especially the car tilaginous beginnings of the bones of the spinal column, the heart, brain, etc. On the thirteenth day the embryo is as large as a horse-fly, and resembles a worm bent together. There are as yet no limbs, and the head is larger than the rest of the body. When stretched out, the embryo is nearly half an inch long. In the seventh week bone begins to form in the lower jaw and clavicle. Narrow streaks on each side of the vertebral column show the beginning of the ribs ; the heart is perfecting its form ; the brain enlarged, and the eye and ear growing more perfect, and the limbs sprouting from the body. The lungs are mere sacs, about one line in length, and the trachea is a delicate thread, but the liver is very large. The anus is still imperforate. In the seventh week are formed the renal capsules and kidneys, and the sexual organs are speedily evolved, but the sex of the foetus is not determined until some time after. The embryo is now nine lines, or three-fourths of an inch, in length. In the eighth week the embryo is an inch long, weighs a drachm, and begins to show the division of finders and toes. 10 OVUM OF SEVEN WEEKS. 146 DEVELOPMENT OE THE ECETUS. At from sixty to seventy days, the development is rapid, and all the parts are in the course of progressive formation. The eyes enlarge, the lids are visible, the nose grows prominent, the mouth enlarges, the external ear is I formed, the brain is soft and pulpy, the neck well defined and the heart fully developed. At three months, the eye- lids are distinct, but shut, the lips are drawn together, the organs of generation very prominent in both sexes, both penis and clitoris being re- markably elongated. The heart beats with force, the larger vessels carry red blood, the fingers and toes are well defined, muscles begin to be developed, and the fcetus is four or five inches in length and weighs about tv^o and a half ounces. At four months, it has greatly expanded in all its SECTION OF THE UTERUS WITH THE OVUM ^^^^ ^^^ abdominal mus^ SOMEWHAT ADVANCE©. , . i , t • , ^. , ^ -ui 1 • cles are formed, and the m- a. Muco-gelatinous substance, blocking up os ' uteri, d, b. Fallopian tubes, c, c. Decidua vera testines are no longer visible, prolonged, at <: 2, into Fallopian tube. flf. Cavity \<. a. fb fV. 1 ofuterus, almost completely occupied by ovum. ^^ "^^ montns, tne lungS e, e. Angles at which decidua vera is reflected. J^^yg increased, and are even /. Decidua serotina. g. Allaniois. h. Umbili- cal vesicle. /.Amnion. >^. Chorion, lined with susceptible of a slight dilata- outer fold of serous tunic. ^^^^ ^j^^ ^^^^ -^ ^^^ j^ process of formation, the place of the nails is marked, and meconium gathers in the intestines, showing the action of excretory glands. DEVELOPMENT OF THE FCETUS. 147 Length, eight or ten inches ; weight, fourteen or sixteen ounces. The growth goes on steadily. At six months, a little down appears upon the head, the areolar lissue is abundant, and fat begins to be deposited. Length, nine to twelve inches ; weight, one pound. At sev^en months, every part has increased in volume and perfec- tion ; the bony system is nearly complete. Length, twelve to fourteen inches ; weight, two and a half to three pounds. This is reckoned at the epoch of viability, or the period in which the foetus, if expelled from the uterus, is capable of independent existence. From this period up to nine months, there is a mere increase of size and action. The red blood circulates in the capillaries, and the skin performs the function of perspiration. Length, eigh- teen to twenty-two inches ; weight, from five to eight pounds. There are cases in which an ill-nutured foetus, at its full period, does not weigh more than two or three pounds ; on the other hand, cases are not rare in which the weight is twelve or fifteen pounds. During the first weeks of the evolu- tion of the embryo in the uterus, it is nourished, as the young chicken is, by the yolk of the egg. But soon the villi of the chorion gather into a compact mass, and become adherent to some portion of the uterus. There is formed thus a pla- centa, made of two portions, the maternal side, toward the walls of the uterus, and the foetal, in which the vessels unite into two arteries and one vein, which, with their envelopments, form the umbilical cord, and communicate with the foetal heart. By this means, at every pul- sation of the heart, blood is sent through the two umbilical arteries to the placenta. Here the vessels branch out into capillaries, which mingle with those of the maternal placenta, communicating with the uterus. OVUM OF EIGHT WEEKS. 148 DEVELOPMENT OF THE FCETUS. Through the membranous coats of these vessels the blood of the foetus is nourished and purified. It receives nutritious matter and oxygen ; it gives out carbonic acid. The placenta answers for the foetus, then, the double purpose of stomach and lungs. The foetus has its own individual circulation and life, but all its nutriment, from OVUM OF FIVE MONTHS. the time this connection is formed until it is severed at birth, comes from the mother. The regular period of pregnancy in the human female ends with the tenth lunar month or fortieth week. Physiologists have asked why the process necessary to expulsion should be set up at this period. When they have given an intelligible explanation of any vital period- MALE AND FElMALf FORIMS CONTRASTED. Illustration from Dr, Monfort B Allen's The Ladies* Guide to Health and Beauty , 1905. DEVELOPMENT OF THE FCETUS. 149 icity whatever, they may of this. Time is one of the elements of the universe, whether marked by the beatings of the heart and the move- ments of respiration or the cycles of the stars, which require millions of millions of years for their completion. Regularities of action and consequent accuracy of periods are inherent qualities of the intelligent soul and organic life. It is the organic life that presides over the development of the foetus, and fixes the time for its expulsion. But this organic principle is not a machine. It has the power, for good reasons, to bring on the process of labor earlier, or postpone it to a later period. Time Required for Gestation. The normal period of pregnancy is forty weeks or nine months, reckoning from the last menstrual period. But, as some persons have a quicker pulse than others, so in some the vital processes may be more rapid. There are also diseased irregularities which vary the time. Even domestic animals vary weeks in their periods. A gesta- tion, even in a tolerably healthy woman, may be prolonged two of three weeks, and, in disease, still further. On the other hand, it ma^ come on prematurely. There have been cases where a foetus of six months has been bom and lived, but seven months is generally considered the period of via- bility. At this time, even where miscarriages are artificially produced, it is said that two children out of three live. A reasonable man may be satisfied of the legitimacy of his child, if he has not been absent from its mother more than seven months at the period of its birth ; and if he can count eight months from, his first connection to the birth of a full-grown infant, he has no reason to be dissatisfied. Seven months children are said to occur oftenest in a first pregnancyc There is no probability, we might say, possibility, that when the uterus is occupied by one foetus, and all avenues to the ovaries are blocked up, another later conception can take place. But there is no reason why a woman may not have twins by two fathers, who have connection with her at nearly the same time ; and there are several 150 DEVELOPMENT OF THE FOETUS. cases in which twins have been born, one white and the other mulatto, or mulatto and black, in which the mother avowed that such a state of tacts existed. In the same way a litter of pups may be sired by several males, each pup bearing a resemblance to its particular father. Cases of Twins or More. This brings up the oft-agitated question, whether, after an ovule has been impregnated and passed down into the cavity of the uterus, mother ovule may not be fecundated ; so that the products of two :onceptions may undergo their respective developments in the uterus, md be delivered at an interval corresponding to that between the con- srR5J^^t^^^^s>^ . ceptions. Many physiologists have /i^^^^^^^^^^^^^^ believed this to be possible, and have AVfei&'^i^^^^^^^^^^fe. given it the name oi superfoetation. The case, cited from Sir Everard Home, of a young female, who died on the seventh or eighth day after conception, exhibits that the mouth of the womb is at an early period completely ob- structed by a plug of impervious mucus, and that the inner surface of OVUM, SHOWING FORMATION OF the utcrus is lined by an efflorescence AFTERBIRTH. of plastic matter, the nature of which ts well known to the student of physiology. When such a change has been effected, it would seem to be impos- sible for the male sperm to reach the ovary; and, accordingly, th? general belief is, that superfoetation is only practicable prior to these changes, and where there is a second vesicle ripe for impregnation. Of this kind of superconception or superfecundation it is probable that twin and triplet cases are often, if not always, examples; one ovule being impregnated at one copulation, and another at the next. It may happen, too, that although two ova may be fecundated, both embryos may not undergo equal development. One, indeed, may be arrested *it an early stage, although still retaining the vital force, I« DEVELOPMENT OF THE FOETUS. 151 such a case, the other will generally be found larger than common. A case of the kind occurred in the practice of Professor Hall, of the University of Maryland, and many such are on record. On the 4th of October, 1835, a lady was delivered of a female foetus, two inches and ten lines in length. This occurred about half-past eight in the morning, and at two o'clock on the following morning she was deliv" ered of a second ch'ld. v^^b^'ch Vv^eighed nine and one-half pounds. Period of Gestation—" The Count." The foetus, when first extruded, gave no evidences of decay, and in color and general character resembled the foetus of an ordinary abor- tion. Still, there are many cases recorded - in _.which the interval between the births of the children has been from- one hundred and ten to one hundred and seventy days, and neither of the children war in appearance premature, so that the possibility of a second concep- tion, when the uterus already contains an ovum some months old, can scarcely, perhaps, be denied, however improbable it may seem ; and, indeed, if the facts be admitted, the deduction seems to be irresistible. The period of gestation is usually two hundred and eighty days — > Torty weeks — ten lunar or nine calendar months. It will be well for a ,ady, in making her "count," to commence her "reckoning" about three days after the last day of her being " unwell." The reason we fix on a v/oman conceiving a few days after she has " ceased to be unwell " is that she is more apt to conceive soon after men- struation than at any other time. A Pregnancy Table. A good plan to make the "reckoning" is as follows : Let forty weeks and a few days from the time specified above, be marked on an almanac, and a lady will seldom be far from her calculation. Sup- pose, for instance, the last day of her " ceasing to be unwell " was on January 1 5th, she may expect to be confined on or about October 25th. The loJIowlng table, showing the probable commencement, dur- ation and completion of pregnancy, and indicating the date on of l.*:>2 DEVKLOrMENl OF THE FCETQS. about which which day the labor might occur, will, we tru^^i, be iound very useful. This table allows three days over the 280 days — makirg 283 days ; that is to say, *' the count " of 280 days days commences three days after the last day of a lady being " unwell." The reason we have chosen three days after the last day of menstruation is, a lady is more likely to conceive a few days — say three days — after the lasl day of her ''periods" than at any other time. The reckoning, then, in this table is made to begin from the last day of " her periods "— three days being allowed over for conception— thus making 283 days from the last day of ** the periods " until the completion of the preg- nancy on or about which day — the 283d day — the labor is likely to Last Day of Labor Last Day oj Lxibor "the Per tods V On or About " the Periods^ On or About Tan 1 .... Oct 11 12 13 14 Jan. (C 27 . . , . Nov 6 <( 2 28 .. . , . . 29 C 26 J DEVELOPMENT OF THE FCETUS. 15,1 Casi Day oj "^ the Periods.'' Feb. 22 . " 23 . " 24 . •« 25 . •« 26 . Mar. April 28 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24. 25 26 27 28 29 30 31 1 2 3 4 Labor On or About Dec 2 (( 3 <( 4 (( 5 <( 6 n 7 l< 8 " 9 i( 10 '« 11 (i 12 " 13 i( 14 (( 15 " 16 (( 17 <( 18 i( 19 (( 20 (( 21 " 22 (( 23 Jan. 24 25 26 27 28 29 30 31 1 2 3 4 5 9 10 11 12 Last Day of Labor ''the Periods. ' ' On or A bou J April 5 Jan. 1\ 6 " li 7 *' If) 8 ♦' 10 9 '« 17 10 *' U 11 "19 12 "20 13. . "21 14 "22 15 , "23 16 "24 17 „ , "25 18. . . "26 19 . . . c , . . . . "27 20 "28 21 "29 22 "30 23 "31 24 Feb. 1 25 " 2 26 " 3 27 " 4 28 " 5 29 " 6 30 " 7 May 1 ''■ 8 2 " 9 3 "10 4 . " 11 5 "12 6 "13 7 " U 8 "15 9 •* 16 10 "17 11 "18 12 "IS 13 •• 2v 14 "21 15 "22 16 "23 154 DEVELOPMENT OF THE FCETaS. La -it Day of La bo r ' the Periods.''^ Ok or A bout May 17 Feb. 24 18 "25 19 "26 20 "27 21 •♦28 22 Mar. 1 23 *• 2 24 *• 3 25 «• 4 26 •' 5 '' Ti . , . '• 6 28 '• 7 *' 29 " 8 30 * 9 31 "10 June 1 " 11 2 "12 3 "13 " 4 "14 5. , "15 " 6 . "16 7 "17 " 8. . . "18 9 "19 10 "20 11. "2] *• 12 "22 *■ 13 " 23 *' 14 "24 15 "25 *' 16 "26 17 "27 " 18 "28 " 19 "29 20 "30 21 "31 22 April 1 23 '« 2 24 « 3 2.5 «« 4 26 " 5 '* 27 ♦« 6 Last Day oj Labor ' ' the Periods.'* On or A boui June 28 April 7 29 " 8 30 " 9 July 1 " 10 2 , « n " 3 " :2 4 . . . "13 5 " l-it 6 "15 7 "16 8. . "17 9 "18 10 "19 11 "20 " 12 " 21 13 "22 «' 14 " 2S 15 "24 16 "25 17 "26 18 "27 19 « 21 " 20 "29 21 "80 22 lay 1 '< 23 " 2 24 ........ . " 3 25 *• 4 26 " 5 27 " 6 28 '* 7 29 ** 8 ^ 30 . e . " 9 ' " 31 "10 Aug. 1 *' 11 2 "1? 3 '13 «^ 4, "14 " 5 "1-5 " 6 •* 16 *« 7 "17 '« 3 "18 DEVELOPMENT OF THE FCETUS. 155 Last Day of " the Periods:' Lab On or A .... Ma^ or bout y 19 20 21 22 •« 10 . . . ii IC 11 . . 11 u 12 it (( 13 . . . . « 23 24 25 26 27 28 29 30 31 i (C >« 8 II «( 9 .... . «( 19 « 10 . . . l( 20 21 22 (C 11 ... . to the very letter, while on the other hand, a bad nurse acts on her own judgment, and is always quacking, interfering, and fussing with the breast, and doing on the sly what she dare not do openly. Such conceited, meddlesome nurses are to be studiously avoided ; the} often cause, from their meddlesome ways, the breasts to gather. Let the above advice be borne in mind, and much trouble, miserj and annoyance might be averted. Nature, in the majority of cases manages these things much better than any nurse possibly can do and does not as a rule, require helping. The breasts are sadly tow much interfered and messed with by nurses, and by nurses who arc ii other respects tolerably good ones. No ; nature is usually best le.fi alone : she works in secret, deftly and well, and resents interference- more especially in the cases we have just described. Nature, then, h generally best left alone. Nature is God's vicegerent here upon earth or, as Chaucer beautifully expresses it — ** Nature, the vicar of the Almighty Lord, " Milk-fcver, or Weed. The lying-in patient is liable a few days — generally on the third day after her confinement — while the milk is about being secreted— to a feverish attack, called milk-fc, cr, or weed, or ephemeral fever, and LACl^ATIOJN, OR NURSING. 20i ephememl it truly is, as it lasts only twenty-four hours, or at most, unless some untoward mischief should intervene, forty-eight hours. It comes on Uke an ague fit, having its three stages — -its cold stage, Its hot stage and its sweating stage. There is usually accompanying it headache, and pains flying about the one or both the breasts, the back and the lower part of the belly. The weed, on the due secretion of the milk, usually passes off leaving no dam.age in its track ; yet, notwithstanding, it sometimes does leave injuiy behind, either in the womb or in the breast— causingj in some instances, a bad gathered bosom. The weed, therefore, requires great care and attention, both from the doctor and from the nurse — to ward off such a serious disease as a gathered bosom — as a gathering of the deep-seated structure of the breast undoubtedly is. Stated Times lor Suckling. After the new-born babe is washed, he generally falls asleep, and sleeps on, if not disturbed, for several hours. It is not necessary to rouse him from his slumber to give him sustenapce — certainly not ; the mother's milk is not always ready for him; but as soon as it is he instinctively awakes, and becomes importunate, and cries until he is able to obtain it. Nature — beneficent nature — if we will but listen to her voice, will usually tell us what to do and what not to do. The teasing of a mother's breasts by putting the babe to them before there be milk, and the stuffing of a new-born infant with artificial food, are evils of great magnitude, and cannot be too strongly condemned. A mother ought to suckle her babe at stated times. It is a bad habit to give him the bosom every time he cries, regardless of thf cause ; for be it what it may — overfeeding, griping^ *' wind " or aciditji — she is apt to consider the breast a panacea for all his sufferings. A mother generally suckles her infant too often — having him almost constantly at the bosom. This practice is injuriois both to paren^ and to child. For the first month he should be suckled about every hour and a half, for the second month every two hours, gradually increasing, as he becomes older, the distance of time between, until at 202 LACTATION, OR NURSING. length he has the breast about every four hours. If he were suckled at stated periods, he would only look for it at those times, and be satisfied. Too Much Nursing. A mother frequently allows her babe to be at the bosom a great part of every night. Now, this plan is hurtful both to her and to him ; it weakens her, and thus enfeebles him ; it robs them both of their sleep, and generates bad habits, which it will be difficult to break through ; it often gives the mother a sore nipple and the child a sore mouth ; it sometimes causes the mother to have a gathered oreast, and fills the child with ** wind." It is surprising how soon an infant, at a very early age, may, by judicious management, be brought into good habits; it only requires, at first, a little determination and per- severance A nursincr mo- ther, therefore, ought at once to commence by giving her child the breast at stated periods, and should rigidly adhere to the times above recommended. A mother should not, directly after taking a long walk, and while her skin is in a state of violent perspiration, give her babe the bosom ; the milk, being at that time in a heated state, will disorder her child's bowels, or it may originate in him some skin disease, and one which ;l i night be difficult to cure. She ought, therefore, before she give him the breast, to wait until the surface of her body be moderately cool, but not cold. Let her be careful the while not to sit in draughts, A nursing mother ought to have her dreso, more especially he? stays, made loose and comfortable. A gathered breast sometimes arises from the bones of the stays pressing into the bosom; we should, therefore, recommend her to have the bones removed. D D SECTION OF HUMAN MAMMA. 5. S. Sacks, n, D. Ducts. LACTATION, OR NURSING. 203 If a lady be not in the habit of wearing a flannel waistcoat, sh* ought at least to have her bosoms covered with flannel, taking care that there be a piece of soft linen over the nipples. We should advise a nursing mother to provide herself with a waterproof nursing apron, which may be procured either at any baby-linen establishment or at an india rubber store. What the Nursing Mother Should Eat. A nursing mother ought to live plainly ; her diet should be both light and nourishing. It is a mistaken notion that at these times she requires extra good living. She ought never to be forced to eat more than her appetite demands ; if she be, either indigestion, or heartburn, or sickness, or costiveness, or a bowel-complaint, will ensue. It is a folly at any time to force the appetite. If she be not hungry, com- pelling her to eat will do her more harm than good. A doctor in such a case ought to be consulted. The best meats are mutton and beef; veal and pork may, for a change, be eaten. Salted meats are hard of digestion ; if boiled beef, therefore, be eaten, it ought to be only slightly salted. It is better, in winter, to have the boiled beef unsalted ; it is then, especially if it be the rump, deliciously tender. Salt, of course, must be eaten with the unsalted meat. High-seasoned dishes are injurious ; they inflame the blood, and thus they disorder the milk. Some persons consider that there is no care required in the selec- of the food, and that a nursing mother may eat anything, be it ever so gross and unwholesome ; but if we appeal Lo reason and to facts, we shall be borne out in saying that great care is required. It is well known that cow's milk very much partakes of the properties of the food on which the animal lives. Thus, if a cow feed on garlic, the milk and the butter will have a flavor of the plant. This, beyond a doubt, decides that the milk does partake of the qualities of the food on which she feeds. The same reasoning holds good in the human species, and proves the absurdity of a nursing mother being allowed to eat anything, be it ever so gross, indigestible, or' unwhole- 204 LACTATION, OR NURSING. some. Again, either a dose of purgative medicine given to her, or greens taken by her at dinner, will sometimes purge the babe as violently, or even more so, than it will the mother herself. The Mother's Milk the Best. Even the milk of a healthy wet-nurse acts differently^ and less beneficially, upon the child than the mother's own milk. The ages of the mother and of the wet-nurse, the ages of her own and of the latter's infant, the constitution of one and of the other, the adapta- bility of a m.other's milk for her own particular child — all tend to make a foster-mother not so desirable a nurse as the mother herself. Again, a mother cannot at all times get to the antecedents of a wet- Aurse ; and if she can, they will not always bear investigation. With regard to the ages of the molher and of the wet-nurse— for instance, as a wet-nurse's milk is generally a few weeks older than the mother's own milk, the wet-nurse's milk may, and frequently does, produce costiveness of the bowels of her foster-child ; whilst, on the other hand, the mother's own milk, being in age just adapted to her babe's, may, and generally does, keep her own infant's bowels regular. Ti"c milk, according to the age of the child, alters in properties and qualities to suit the age, constitution, and acquirements of her baby— -• adapting itself, so to speak, to his progressive development; hence the importance of a mother, if possible, suckling her own child. A babe who is nursed by a mother who lives grossly is more prone to disease, particularly to skin and to inflammatory complaints, and to disease which is more difficult to subdue. On the other hand, a nursing mother, who, although she lives on nourishing diet, yet simply and plainly, has usually the purest, as well as the mos* abundant, supply of milk. Variety of Diet for the Mother. Do not let us be misunderstood. We are not advocating that a mother should be fussily particular — by no means. Let her take a variety of food, both animal and vegetable ; let her from day to day I UTERINE SURFACE OF THE PLACENTA (aFTERBIRTH), LACTATION, OR NURSING. 205 vary her diet ; let her ring the changes on boiled and stewed, ok grilled and roast meats ; on mutton and lamb and beef; on chicken and game and fish ; on vegetables, potatoes and turnips ; green? arjc cauliflower ; on asparagus and peas (provided they be yo'^ng and well-boiled), and Lima beans. The maxim of the greatest importance in reference to the materials of human food is mixture and variety— -3 maxim founded upon man's omnivorous nature. Animal and vege^ Uble substances, soups and solid meat, fish, flesh, and fowl, in com- bination or succession, ought to form the dietary of every household Common Sense the Best Guide. But what we object to a nursing mother taking are : gross meats^ such as goose and duck ; highly-salted beef; shellfish, such as lob- ster and crab ; rich dishes ; highly-seasoned soup ; pastry, unless it be plain ; and cabbages and pickles, if found to disagree with the babe, and with any other article of food which is either rich, or gross- er indigestible, and which, from experience, she has found to disagree either with herself or with her child. It will, therefore, be seen, from the above catalogue, that our restrictions as to diet are limited, and are, we hope, founded both on reason and on common sense, which ought to be the guides and councillors of every nursing mother, and of everyone else besides. A nursing mother is subject to thirst ; when such be the case, she ought not to fly either to beer or to wine to quench it ; this will only add fuel to the fire. The best beverages will be either toast and water, milk and water, barley-water and new milk fin equal proportion), or black tea, either hot or cold ; cold black tea is a good quencher of thirst. ' -^ I' Mental Depression and How to Treat It. A lady who is nursing is at times liable to fits of depression. Let us strongly urge the importance of her abstaining from wine and from a'l other stimulants as a remedy ; they would only raise for a time her spirits, and then would depress them in an increased ratio. Either a drive in the country, or a short walk, or a cud of tea, or a chat with a 206 LACTATION, OR NURSING. friend, would be the best medicine. The diet should be good and nourishing ; plenty of bread and plenty of meat should be her staple food. A lady subject to depression should bear in mind that she requires nourishment, not stimulants — that much wine and spirits might cheer her for the moment, but will depress her afterwards. Mischief-Making Doctors. It is necessary to bear the above facts in mind, as there are many advocates who strongly recommend, in a case of this kind, a large consumption both of wine and of brandy. Such men are, at the present moment, doing an immense deal of mischief in the world ; they are, in point of fact, inducing and abetting drunkenness ; they are the authors of blighted hopes, of blasted prospects, of broken health, and of desolated homes. How many a wife owes her love of brandy, and her consequent degradation and destruction, to brandy having, for some trifling ailment, been at first prescribed for her. We maintain that it is highly dangerous to prescribe brandy to any patient, unless her case urgently demand it — unless it be, in point of fact, a case of life or death. It is emphatically playing with a deadly poison, tempting to evil, and courting disease, destruction, and death. Spirits — -brandy, rum, gin, and whiskey — are, during suckling, most injurious ; we may even say that they are to the parent, and indirectly to the child, insidious poisions. When an infant is laboring under an inflammatory complaint, a nursing mother ought not to take stimulants, such as either ale or wine. In a case of this kind, toast and water will, for her dinner, be the best beverage, gruel for her supper, and black tea — not coffee, as it would be too stimulating — both for her breakfast and tea. Fresh Air and Exercise. Outdoor exercise during suckling cannot be too strongly insisted upon ; it is the finest medicine both for babe and mother. Whenever the weather will admit, it must be taken. It is utterly impossible for a nursing mother to make good milk unless she do take an abund- ance of exercise, and breathe plenty of fresh air. LACTATION, OR NURSING. 207 Whatever improves the health of the mother, of course, at the same time benefits the child ; there is nothing more conducive to health than an abundance of outdoor exercise. It often happens that a mother who is nursing seldom leaves her house ; she is a regular fixture, or like a cabbage that vegetates in one spot ; the consequence is, both she and her babe are usually delicate and prone to sickness — it would, indeed, be strange if they were not. A mother ought not immediately after taking exercise to nurse her infant, but should wait for half an hour. Nor should she take violent exercise, as it would be likely to disorder the milk. Carriage exercise, if the weather be hot and sultry, is preferable to walking ; if that be not practicable, she ought to have the windows thrown wide open, and should walk about the hall, the landings and the rooms, as she would, by such means, avoid the intense heat of the sun. Although carriage exercise during intensely hot weather is pre- ferable to walking exercise, yet, notwithstanding, walking must, during some portion of the day, be practiced. There is no substitute, as far as health is concerned, for walking. Many ailments that ladies now labor under could be walked away, and really it would be a pleasant physic — far more agreeable and effectual than either pill or potion. An Amiable Temper. Passion is injurious to the mother's milk, aud consequently to the child. Sudden joy and grief frequently disorder the infant's bowels, producing griping, looseness, etc. ; hence, a mother who has a mild, placid, even temper generally makes an excellent nurse, on which account it is a fortunate circumstance that she is frequently better- J:empered during suckling than at any other period of her life ; indeed, she usually, at such times, experiences great joy and gladness. The happiest period of a woman's existence is, as a rule, when she first becomes a mother : '' The pleasure of the young mother in her babe is said to be more exauisite than any other earthly bliss." It "is an oia, ana, we t)eTieve, a true saying, that the child inherits the temper of his mother or of his wet nurse. This may be owing to 208 LACTATION, OR NURSING. the following reasons : If the mother or the nurse be good-tempered y\\e milk will be more likely to be wholesome, which will, of course, make him more healthy, and consequently better tempered. While, on the other hand, if the mother or the nurse be of an irritable, cross temper, the milk will suffer, and will thus cause disarrangement to his 'system ; and hence, ill-health and ill-temper will be likely to ensue. We all know the influence that good or bad health has on the temper. A.n important reason, then, why a nursing mother is often better tem- pered than she is at other times is, she is in better health, her stomach is in a healthier state : ** A good digestion turneth all to health." Depend upon it, that after all that can be said on the subject it is a good stomach that makes both man and woman strong, and conduces so much to longevity ; if the stomach be strong there is a keen appe- tite and capital digestion, and in consequence of such a happy combi- fiation, good health and long life : " Now, good digestion wait on appetite, And health on both 1 " Inquire of your friends who are octogenarians, and you will almost 'nvariably find that they have wonderfully strong stomachs, and, con- sequently, good appetites and splendid digestions. And if, perchance, they have severe illnesses, how surprisingly they pull through them. (\ good stomach, then, is much to be coveted, and demands both self- lenial and consideration to insure one. Dyspepsia and Melancholy. Cheerfulness, too, is mainly owing to a good stomach ; a melan- •holic person is usually a dyspeptic, while a cheerful person is gener-,' «lly blessed with a good digestion ; it is the stomach, then, that has the principal making of a cheerful disposition. It is a moral impossibility for a dyspeptic to be either thoroughly happy, or contented, or cheer- ful ; while a good stomach will fill the possessor's heart with joy, cause the face to gleam with gladness, and thus " Make sunshine in a shady place." LACTATION, OR NURSING. 209 Hear w^u:t Shakespeare says of the functions of the stomach. The stomach is supposed to speak (and does it not frequently speak, and n very unmistakable language, if we will but only listen to fts voice?); True is it, my incorporate friends, quoth he, That I receive the general food at first Which you do live upon ; and fit it is ; Because I am the storehouse and the shop Of the whole body. Buc if you do remembetj I send it through the rivers of your blood, Even to the court, the heart — to the seat o' the braiii ; And through the cranks and offices of man, The strongest nerves, and small inferior veins, From me receive that natural competency Whereby they live : And though that all at once. You, my good friends, though all at once cannot See what I do deliver out to each ; Yet I can make my audit up, that all From me do back receive the flower of all. And leave me but the bran. Occupation Strongly Recommended. We strongly recommend a nursing mother to attend to her house- hjld duties. She is never so happy, nor so well, as when her mind is moderately occupied with something useful. She never looks so charming as when she is attending to her household duties. Says Milton : For nothing lovelier can be found In woman, than to study household good. We do not mean by occupation the frequenting of balls, of routs, jr of parties. A nursing mother has no business to be at such places; she ought to devote herself to her infant and to her household, and she will then experience the greatest happiness this world can afford. One reason why the poor make so much better nursing mothers than the rich is, the former having so much occupation, while the latter having no real work to do, the health becomes injured, and in consequence the functions of the breast suffer ; indeed, many a fashionable lady has no milk at all, and is, therefore, compelled to delegate to the bottle one of her greatest privileges and enjoyments. 14 210 LACTATION, OR NURSING. A rich mother, who has no work to do, and who lives sumptuously^ has frequently no milk, while the poor mother, who has to labor for her daily bread, and who has to live sparingly, has generally an abundance of milk. Luxury and disease, toil and health, go generally hand in hand together. The healthy breast of milk, then, frequently belongs to the poor woman, to the one whom " The modest wants of every day Tlie toil of every day supplies." What would not some rich mother give for the splendid supply of milk— of healthy, nourishing, life-giving milk — of the poor woman who has to labor for her daily bread. What is the reason that wealthy ladies so frequently require wet nurses ? The want of occupation ! and from whom do they obtain the supply of wet nurses ? From the poor women who have no lack of occupation, as they have to labor for their daily food, and have in consequence the riches of health; though poor in this world's goods : ** For health is riches to the poor." Bear this in mind, ye wealthy, and indolent, and pampered ladies, and alter your plans of life, or take the consequences, and still let the poor woman have the healthy, the chubby, the rosy, the laughing children ; and you, ye rich ones, have the unhealthy, the skinny, the sallow, the dismal little old men and women who are constantly under the doctor's care, and who have to struggle for their very existence. Employment, which Galen calls '' nature's physician," is so essential to human happiness, that indolence is justly considered as the mother of miser)^ Employment an Excellent Panacea. ' Occupation, then — bustling occupation — real downright work, either in the form of outdoor exercise, or of attending to her house- hold duties — a lady, if she desire to have a good breast of milk, must take, if in point of fact, she wish to have healthy children. For the Almighty is no respector of persons. And he has ordained that work shall be the lot of man and of woman, too. It is a blesseo LACTATION, OR NURSING. 211 thing to be obliged to work. If we do not work, we have all to pay a heavy penalty in the form of loss of both health and happiness. •' For work," says Carlyle, " is the grand cure of all the maladies and miseries that ever beset mankind— honest work, which you intend getting done." A mother who is listless and idle, lolling the greater part of everj day in an easy chair, or reclining on a sofa, in a room where a breath of air is not allowed to enter, usually makes a miserable and a wretched nurse. She is hysterical, nervous, dyspeptic, emaciated, and dispirited, iiaving but little milk, and that little of a bad quality ; her babe is puny, pallid, and unhealthy, and frequently drops into an untimely grave. Occupation, with fresh air and exercise, is indispensable to a mother who is suckling. How true it is that *' To be employed is to be happy." While the converse is equally correct — ^to be idle is to be miserable. No wife — more especially no nursing mother — can, then, by an5 possibility, be strong and well unless she have occupation ; occupation is emphatically a necessity. " Nature has made occupation a necessity ' society makes it a duty ; habit may make it a pleasure." " The Periods " During Suckling. If a woman have ''her periods" during suckling, she ought to have a separate bed ; otherwise she will, in all probability, conceive, as she is more likely to conceive after "her periods" than when she has them not. This is important advice, for if it be not attended to, she may, in consequence of becoming pregnant, have to wean her child before he be old enough to be weaned. Besides, her own constitution might, in consequence of her having children too fast, be injured. There is a notion abroad, that a mother who has " her periods " during suckling has sweeter, and purer, and more nourishing milk for her child ; this is a mistaken idea, for really and truly such a mother's milk is less sweet, and pure, and nourishing ; and well it might be, for the two processes of menstruation and of suckling cannot, without ireakening the system, go on together. CHAPTER XVI. Weaning the Child. Jeat Time for Weaning — Effects of Prolonged Nursing — The Mother's Health / be Considered — Knock-kneed and Rickety Children — Weaning Gradually Applications for the Nipples — Aloes and Wormwood — Drying up the Milk- Preparations for Reducing Full Breasts — Symptoms Denoting the Necessity oi Weaning— Delicate Mothers— Return of the Menses— Wet Nurses— Inflamma- tion and How to Treat It — Infectious Diseases — Stimulants to be Avoided. rHERE is an old saying, ''that a woman should carry her child nine months, and should suckle him nine months." It is well known that the first part of the old adage is correct, and experi- ence hay proved the latter to be equally so. If a babe be weaned before ne be nine months, he loses that muscular strength which the breast-milk alone can give ; if he be suckled after he be nine months, he becomes pallid, flabby, weak, and delicate. It is generally recog- nized that the healthiest children are those weaned at nine months complete. Prolonged nursing hurts both child and mother ; in t^^ child, causing a tendency to brain disease, probably through disordered digestion and nutrition ; in the mother, causing a strong tendency to deafness and blindness. It is a very singular fact, to which it is desira- ble that attention were paid, that in those districts of Scotland — namely, the Highlands and insular — where the mothers suckle their infants from fourteen to eighteen months, deaf-dumbness and blind- ness prevail to a very much larger extent among the people than in districts where nine or ten months is the usual limit of the nursing period. The Time When an Infant Should be Weaned. Thic, of course, must depend upon the strength of the child, and upon the health of the mother : nine months on an average being the proper time. If she be delicate, it may be found necessary to wean him at six months ; or if he be weak, or laboring under any disease, it may be well to continue suckling him for twelve months ; but aftef 212 WEANING THE CHILD. 21; *:hat time the breast will do him more harm than good, and will, more over, injure the mother's health. If he be suckled after he be twelve months old, he is generally pale* flabby, unhealthy, and rickety ; and the mother is usually nervous, emaciated, and hysterical. A child who is suckled beyond the proper time, more especially if there be any predisposition, sometimes dies either of water on the brain, or of consumption of the lungs, or of Jniesenteric disease. A child nursed beyond twelve months is very apt, if he should live, to be knock-kneed, and bow-legged, and weak-ankled — to be narrow- chested and chicken-breasted — to be, in point of fact, a miserable little object. All the symptoms just enumerated are those of rickets, and rickets are damaging and defacmg to ** the human form devine." Rickets are a very common complaint among children— nearly all arising from bad management — from hygienic rules not being either onderstood or followed. There are many degrees of rickets, ranging fi-om bow-legs and knock-knees to a crooked spine — to a humpback How a Mother Should \Vean Her Child. She must, as the word signifies, do it gradually — that is to saj> , sne should by degrees give him less and less of the breast, and more and more of artificial food ; she ought at length only to suckle him at night, and lastly, it would be Avell for the mother either to send him away or to leave him at home, and for a few days go away herself A good plan is for the nurse to have in the bed a half-pint bottle of new milk, which, to prevent it from turning sour, had been previously boiled, so as to give a little to the child in lieu of the breast. The warmth of the body will keep the milk of a proper temperature, and will supersede the use of lamps, of candle-frames and other trouble- some contrivances. If the mother be not able to leave home herself] or to send her child from home, she ought then to let him sleep in another room, with some responsible person— we say responsible person, for a babe must not be left to the tender mercies of a giggling, thoughtless, young girl. 214 WEANING THE CHILD. If the mother, during the day-time, cannot resist having her child in the room with her, then we should advise her to make a pastry of aloes — that is to say, let her mix a little powdered aloes with a few drops of water, until it be of the consistence of paste — and let her smear a little of it on the nipple every time just before putting him to the breast ; this will be quite enough for him, and one or two aloe appli- cations to the nipple will make him take a disgust to the bosom ; and thus the weaning will be accomplished. A mother need not be afraid that the aloes will injure her babe ; the minute quantity he will swal- low will do no harm, tor the moment he tastes it, the aloes being extremely bitter, he will splutter it out of his mouth. Bitter Applications for the Nipple. Another application for the nipple to effect weaning is wormwood. There are two ways of applying it, either (i) by sprinkling a very small pinch of powdered wormwood on the nipple, or (2) by bathing the nipple with a small quantity of wormwood tea, just before apply- ing the babe to it ; either the one or the other of these plans will make . him take a dislike to the breast, and thus the weaning will be accom- plished. Wormwood is excessively bitter and disagreeable, and a slight quantity of it on the nipple will cause an infant to turn away from it with loathing and disgust ; the wormwood, the minute quantity he will taste, will not at all injure him. Wormwood was in olden time, according to Shakespeare, used for the purpose of weaning : And she was weaned, — I never shall forget it — Of all the days of the year upon that day : For I had then lay wormwood to my dug [nipple], Sitting in the sun under the dove-house wall, My lord and you were then at Mantua : — Nay, I do bear a brain : but, as I said, When it did taste the wormwood on the nipple Of my dug, and felt it bitter, pretty fool ! To see it tetchy, and fall out with the dug. The best way of " drying up the milk "is to apply to each breasf soap-plaster, spread on soft pieces of wash leather, the shape and size of the top of a hat, with a round hole the size of a quarter in the WEANING THE CHILD. 216 middle of each to admit the nipple, and with a slit from the centre to the circumference of each plaster to make a better fit. These plasters ought to be spread by a druggist. When the child is once weaned, the breasts ought not to be drawn, as the drawing of them would cause them to secrete larger quantities of milk ; if, therefore, the bosoms be ever so full or uncomfortable, a mother ought to leave them alone ; she should wait patiently, and the milk will gradually diminish, and will at length disappear. The draw- ing of the bosoms during weaning, either by means of a breast-pump, or by the mouth, or by other like contrivances, has frequently caused gathered breasts. If not drawn they scarcely, if ever, gather. A Good Preparation for Full Breasts. The above plan of '* drying up the milk " will generally, in five or six days, assuage the milk away ; but if, at the end of three days, the bosoms still continue full and uncomfortable, the plasters should be removed, and the breasts ought, every four hours, to be well but ten- derly rubbed with equal parts of olive oil and eau de Cologne ; the nurse supporting the bosom, during such friction, with her other hand. Let us impress the above important advice on a nursing mother's mind ; it might save a great deal of after suffering and misery. It might be well to state, that after the child has been weaned the milk does not always entirely leave the breasts, not even for weeks, and, in some cases, not even for months ; it is not of the slightest consequence, and requires no treatment to get rid of it. A mother ought, during the period of weaning, to live abstemiously, and should drink as little as possible. In many cases it is necessary to work off the rnilk — to give every morning, for two or three morn- ings, mild aperient medicine, such as either a St. Uitz powder, or a teaspoonful of magnesia, or a teaspoonful of Epsom salts in half a tumbler of warm water, A mother sometimes cannot suckle her child, the attempt bringing on a train of symptoms somewhat similar to the following : singing in the ears, dimness of sight, aching of the eye-balls, throbbing in the 216 WEANING THE CHILD. head, nervousness, hysterics, tremblings, faintness, loss of appetite and of flesh, fluttering and palpitation of the heart, feelings of great ex- haustion, indigestion, costiveness, sinking sensations of the stomach, pains in the left side, great weakness and dragging pains of the loins, which are usually increased whenever the infant is put to the bosom, pallor of the countenance, shortness of breath, swelling of the ankles. Every mother who is suffering from suckling does not have the whole of the above long catalogue of symptoms. But if she have three or four of the more serious of them, she ought not to disobey the warnings, but should discontinue nursing, although it might be necessary, if the babe himself be not old or strong enough to wean, to obtain a healthy wet-nurse to take her place. Remember, then, that if the above warning symptoms be disre- garded, dangerous consequences, both to parent and child, might and probably will be the result. It might either throw the mother into a consumption, or it might bring on heart disease ; and, in consequence of his not being able to obtain sufficient or proper nourishment, it might cause the infant to dwindle and pine away, and, eventually, to die eithrr of water on the brain or of atrophy. Sudden Diminution of Milk. If there be, during any period of suckling, a sudden and great diminution of milk in the breasts, the chances are that the mother is again enceinte ; the child should, if she be pregnant, be either weaned or, if he be not old enough to wean, be supplied with a healthy wet- nurse. It is most injurious both to parent and to child for a mother, when she be pregnant, to continue suckling. Soon after nine months' nursing "the monthly periods" generally return. This is another warning that the babe ought immediately to be weaned, as the milk will lessen both in quantity and in nourish- inent, and the child in consequence will become delicate and puny, and every day he is suckled will lose, instead of gain, ground. We have known many children become, from protracted suckling, smaller at twelve months than they were at nine months ; and well they might WEANING THE CHILD. 217 be, as, after nine months, the mother's milk usually does them harm instead of doing them good, and thus causes them to dwindle away. At another time, although the above train of symptoms does not occur, and notwithstanding she may be in perfect health, a mother may not be able to suckle her babe. Such an one usually has very small breasts^ and but little milk in them, and if she endeavor to nurse her child it produces a violent aching of the bosom. Should she dis regard these warnings and still persevere, it might and most likely will produce inflammation of the breast, which will probably end in a gathering. Symptoms Denoting the Necessity o*" Weaning, When the nipples are, and, notwithstanding judicious treatment, pei- sistently for some time continue very sore, it is often an indication that a mother ought to wean her babe. Long-continued, obstinate sore nipples frequently occur in a delicate woman, and speak in language not to be misunderstood, that the child, as far as the mother herself is concerned, must be weaned. Of course, if the infant be not old enough to wean, a wet-nurse, when practicable, ought to take the mother's place. If the above advice were more frequently followed than it is, gathered breasts, much suffering, and broken health would not so frequently prevail as they do now. If a mother be predisposed to consumption ; if she have had spit- ting of blood ; if she be subject to violent palpitation of the heart; if she be laboring under great debility and extreme delicacy of con- stitution ; II she have any of the above complaints or symptoms, shf ought not on any account to suckle her child. Great care and circum.spection are required in the selection of a wet- nurse ; her antecedents should be strictly inquired into ; her own health, and that of her babe must be thoroughly investigated ; the ages of her own child and that of the foster-babe should be compared, as they ought as nearly as possible to be of the same age. If a nursing mother should, unfortunately, catch either scarlatina or small-pox, or any other infectious disease, the child must, imme- '?^» WEANING THE CHILD. .iiately, be eitJUer weaned or transferred to a wet-nurse, or the babe Aimself will, in all probability, catch the disease, and will very likely die. Moreover, the mother's milk, in such a case, is poisoned, and, therefore, highly dangerous for a child to suck. We scarcely need say, that the babe must instantly be removed altogether away from the infected house — small-pox and scarlet-fever both being intensely infectious, and the younger the child — if he do take the infection—' the greater will be his peril. A mother sometimes suckles her child when she is pregnant. This is highly improper, as it not only injures her own health, and may bring on a miscarriage, but it is also prejudical to her babe, and may produce a dehcacy of constitution from which he might never recover ; indeed, it may truly be said, that an infant so circumstanced is always delicate and unhealthy, and ready, like blighted fruit, to dwindle and die away. A mother when she is weaning her child should live very abstemi- ously ; she should avoid highly-spiced and rich dishes, and stimulants of all kinds ; she should drink very little fluid ; she should, as much as possible, be out of sight and hearing of her babe ; she should rub her breasts three times a day with warm camphorated oil. Once hav- ing weaned her child, she should not again put him to the bosom. If she should be so imprudent, she may not only disorder her child and bring on bowel complaint, but she may cause her own breasts to inflame and her nipples to be sore. The less the breasts are meddled with the better, except it be the rubbing of them with warm campho- rated oil, or, as before recommended, the appHcation of soap-plaster spread r^ ^ash-leather to each bo^om. CHAPTER XVII. Ailments of the Mamm^, or Breasts. Small Nipples — Bad Kff<£Cts of Pressure on the Breasts — Nipple-Shields, and How to Use Them — Best Applications — Cracked Nipples — Poor Supply of Milk — Applying Friction to the Breasts — Gatherings, and How Treated — Correct Position in Nursing — Sources of Inflammation — Sucking an Empty Breast — Permanent Injuries — Shivering Fits — Fainting Spells — Mother Not Strong Bnoxigh for the Child — Aperients During Nursing — Virtues of Brown Bread- Practice of Bating Honey and X-'ruit Jams— Use of Tea and Coffee — Evils of Constantly Dosing with Medicine. A GOOD nipple is important both to the comfort of the mother and to the well-doing of the child. One, among many, of the ill effects of stays and of corsets is the pushing-in of the nipples ; sore nipples and consequent suffering are the result. More- over, a mother thus circumstanced may be quite unable to suckle her infant, and then she will be severely punished for her ignorance and folly ; she will be compelled to forego the pleasure of nursing her own children. Ladies who never wear stays have much better nipples, and more fully-developed bosoms ; hence such mothers are more likely to make better nurses to their babes. There is no doubt that the pressure of the stays on the bosom tends both to waste away the gland of the breast (where the milk is secreted), and to cause the nipple either to dwindle or to be pushed in, and thus to sadly inter- fere with its functions. We would strongly advise every mother who has daughters old enough to profit by it, to bear this fact in mind, and thus to prevent mischief when mischief might be prevented, by not allowing them, when young, to wear corsets. Treatment of Very Small and Drawn-in Nipples. The babe ought to nurse through some good nipple-shield, approved by your doctor. We have known many mothers able to ' suckle their children with this invention, who otherwise would have been obliged either to have weaned them, or to have procured the 219 220 AUGMENTS OF THE BREASTS. assistance of ? \vet-nursc. The above aid, in the generaHty of instances, will enable the infant to suck with ease. After this has for a time been used, the nipples will be so improved as to render the continuance of it unnecessary. Of course, we do not advise the use of the nipple-shield until a fair trial has been given by applying the babe at once to the nipple; but if he cannot draw out the nipple, then it ought, by all means, to be tried. Remember, as soon as the nipple be sufficiently drawn out, which, in all probability, it will be in a few days, the nipple-shield should be dispensed with. If a lady, during the latter few months of her pregnancy, were to adopt " fneans to harden the nipples," sore nipples during the period of suckling would not be so prevalent as they now are. A sore nipple is frequently produced by the injudicious custom of allov/ing the child to have the nipple almost constantly in his mouth. " Stated periods for suckling," as recommended in a previous paragraph, ought to be strictly adopted. Another frequent cause of a sore nipple is from the babe having the thrush. It is a folly to attempt to cure the nipple, without at the same time curing the mouth of the infant. An Excellent Remedy. A good application is a liniment composed of equal parts of glycer- ine and of brandy (say a vial containing two drachms of each), which must be shaken up just before using. It should, by means of a camel's- hair brush, every time directly after the babe has been suckled, be painted on the nipple. A piece of cither old soft cambric or lawn, about the sizt: of the palm of the iiand, snipped around to make it fit, ought then to be moistened in the glycerine and brandy, and should, whenever the child is not at the breast, be applied to each of the sore nipples, and worn until they are cured. These applications will be found of much service and of great comfort, and will act as nipple- shields — protecting and healing the nipples. A soft sponge cf warm water should be gently applied to the nipples just before putting the child to the breast. Sometimes the pure glycerine, without the brandy, painted on the AILMENTS OF THE BREASTS. 221 sore nipple does the most good; if, therefore, the glycerine and brandy does not succeed, the pure glycerine should be tried. There is noth- ing in the pure glycerine injurious to the child; it therefore need not, before applying the child to the breast, be wiped off. Cracked and Fissured Nipples. Sometimes the nipple is sore from having either cracks or fissures upon it. These cracks or fissures may attack any part of the nipple, Dut are very apt to form where the nipple joins the breast; and, when very severe, an ignorant nurse, who is always fond of dealing in the marvellous, declares that the child has nearly bitten the nipple off. Now, the best remedy for a cracked and fissured nipple is, for the infant, until the cracks and fissures are cured, to suck through the intervention of a nipple-shield; and every time, directly after the babe has been put to the nipple, to apply to the parts affected either neat brandy, or the glycerine and brandy liniment, or the pure glycerine. Another cause of a sore nipple is from the mother, after the babe has been sucking, putting up the nipple wet. She, therefore, ought always to dry the nipple — not by rubbing it, but by dabbing it with either a soft cambric or lawn handkerchief, or with a piece of soft linen rag (one or other of which ought always to be at hand), every time directly after the infant has done sucking, and just before apply- ing the liniment to the nipple. Loss of Milk. A nursing mother is sometimes annoyed by the milk flowing con- stantly away, making her wet and uncomfortable. All she can do under such circumstances is to wear nipple-shields, and to apply a piece of flannel to the bosom, which will prevent the milk from chilling her, and will thus do away with the danger of her catching cold, etc. A mother ought, before applying the infant to the bosom, to care- fully ascertain if there be milk. This may readily be done by squeez- ing the nipple between the finger and the thumb. If there be no milk, she must wait until the milk be secreted, or serious consc- 222 AILMENTS OF THE BREASTS. quences both to her and to the infant might ensue ; to the former, inflammation and gathering of the bosom and sore nipples ; to the latter, thrush, diarrhoea and eruptions on the skin. If there be a supply of milk in the breasts, and if still the child will not suck, the doctor's attention ought to be drawn to the fact, in order that he may ascertain whether the babe be tongue-tied ; if he :^e. the mystery is explained, and a trifling, painless operation will soon make all right. If the breasts be fuU and uneasy, they ought, three or four times a day, to be well, although tenderly, rubbed with olive oil and eau de Cologne (equal parts of each mixed in a vial). Some nurses rub with their fingers only. Now such rubbing does harm. The proper way to apply friction is to pour a small quantity of the oil and eau de Cologne — first shaking the bottle — into the palm of the hand, the hand i^ing warm, and then to well rub the breasts, taking care to use the whole of the inside of the hand. After the breasts have been well rubbed, each ought to be nicely supported with a large, soft, folded silk handkerchief; each handkerchief must pass under each breast and over the shoulders, and should be tied at the back of the neck, thus acting as a sling. Gathered Breast. A healthy woman with a well-developed breast and a good nipple scarcely, if ever, has a gathered bosom ; it is the delicate, the ill^ developed breasted and worse-developed nippled woman that usually suffers from this painful complaint. And why ? The evil can generally be traced to girlhood. If she be allowed to be brought up luxuriously, her health and her breasts are sure to be weakened, and thus to suffer — more especially when the bosoms' and the nipples' development are arrested and interfered with by tight stays and corsets. The nipple is by them drawn in, and retained on a level with the breast — countersunk, as it were — as though it were of no con- sequence to her future well-being, as though it were a thing of nought Tight lacers will have to pay the penalties they little dream of. AILMENTS OF THE BREASTS. 223 Oh, the monstrous folly of such proceedings ! When will mothers awake from their lethargy ? It is high time that they did so. Many a home, from the mother having ** no nipple "-—the effects of tight lacing—has been made childless, from the babe not being able to procure its proper nourishment, and dying in consequence. It is a frightful state of things. But fashion, unfortunately, blinds the eyes and deafens the ears of its votaries. A gathered or " bad breast,'' as it is sometimes called, is more likely to occur after a first confinement and during the first month. Great care, therefore, ought to be taken to avoid such a misfortune. A gathered breast is frequently owing to the carelessness of a mother ifl not covering her bosom during the time she is suckling. Too much attention cannot be paid to keeping the breast comfortably warm. This, during the act of nursing, should be done by throwing either a shawl or a square of flannel over the neck, shoulders and bosom. Wrong Position in Nursing. Another cause of gathered breasts arises from a mother sitting up in bed to suckle her babe. He ought to be accoustomed to take the breast while she is lying down ; if this habit be not at first instituted, it will be difficult to adopt it afterwards. Good habits may, from earliest babyhood, be taught a child. A sore nipple is another fruitful cause of a gathered breast. A mother, in consequence of the suffering it produces, dreads putting the babe to it ; she therefore keeps him almost entirely to the other breast. The result is, the breast with the sore nipple becomes distended with milk, which, being unrelieved, ends in inflammation, and subsequently in gathering. Another cause, as before indicated, of a gathered breast is a mother not having a properly-developed nipple— the nipple being so small that the child is not able to take hole of it; indeed, the nipple ts sometimes level with the other part of the bosom, and in some instances sunk even below the level of the breast, the patient having what is popularly called "no nipple "-—that is to say, she having no 224 AILMENTS OF THE BREASTS. properly-developed nipple — a nipple not of the least use for any practical purpose whatever, but rather a source of pain and annoy- ance. The nipple, in some cases, never has developed; it is, from' infancy to wifehood, at a perfect standstill. How Inflammation is Produced. With such a patient, when she becomes a mother, it is quite im- possible that she can suckle her child. The child, in such a case, vainly attempts to suck, and the milk, in consequence, becomes "wedged," as the old nurses call it, and inflammation ending in gathering is the result, and to crown all, the child is obliged to be weaned, which is a sad misfortune. But really, in a case of this kind, the child ought never to have been put to the breast at all. The fruitless attempt of an infant to procure milk when there is Ettle or none secreted, is another and frequent cause of a gathered ^osom. Dr. Ballard, in his valuable little work, before quoted, con- siders this to be the principal cause of a gathered breast ; and, as the subject is of immense importance, we cannot do better than give it in his own words, more especially as he has the merit of originating and of bringing the subject prominently before his professional brethren. He says: "This (mammary abscess or gathered breast) is another form of disease entirely referable to the cause under consideration [fruitless sucking] . In the case last related, the formation of mam- mary abscess [gathered breast] was only just prevented by arresting any further irritation of the breast by suckling ; and since I have kept careful notes of my cases, I have observed that in all instances of abscess there has been abundant evidence of a demand being made upon the gland for a supply of milk beyond that which it had the power of secreting. Breast-Pumps and Exhausting-Bottles. ** If the child only has been kept to the breast, then it has suffered with disordered bowels ; but in the majority of cases an additional irritation has been applied; the commonly-received doctrine., that a AILMENTS OF THE BREASTS. ^25 turgid breast is necessarily overloaded with milk, leads mv^thers and nurses to the use of breast-pumps, exhausting-bottles, or even the application of the powerful sucking powers of the nurse herself, to relieve the breasts of their supposed excess ; and it is this extraordi- nary irritation which, in the majority of cases, determines the forma- tion of an abscess [gathering] . ''Sometimes these measures are adopted to remove the milk when a woman is not going to suckle, and then an abscess not unfrequently is established. I have previously alluded to the mistake into which mothers and nurses are led by the appearance of a swollen breast : it is not evidence that the gland can secrete freely, and it is in this turgid state that the excessive irritation tells most severely. This hyperaemic [plethoric] condition seems to be a step towards inflammation, and the irritation supplies that which is wanting to complete the process. If a woman will only remove the child from the breast directly the act of sucking produces pain, she may be pretty sure to avoid abscess. So long as the milk can be obtained there is no pain." The above most valuable advice deserves great attention, and ought to be strictly followed. Twr Forms of Gathered Breast. How is a patient to know that she is about to have a gathered bosom ? There are two forms of gathered breast ; one being of vast, and the other of trifling importance. The first, the serious one, con- sists of gathering of the structure of tiie gland of the breast itself; the latter, merely of the superficial part of the bosom, and ought to be treated in the same manner as any other external gathering. In the mild or superficial kind of gathered bosom, the mother may still persevere in suckling her child, as the secreting portion of the breast is not at all implicated in the gathering ; but in the severe form, she ought not, on any account whatever, to be allowed to do so, but should instantly wean her child from the affected side. The healthy breast she may still continue to nurse from. The important form of a gathered breast we will now describe: ^ sever^^ gathered bosom is always ushered in with a shivering fit ; 15 226 AILMENTS OF THE BREASTS. the moi ^ severe the gathering the longer is the shivering fit. Let this fact be impressed deeply upon our reader's mind, as it admits of no exception. This shivering is either accompanied or followed by sharp lancinating pains of the bosom. The breast now greatly enlarges^ becomes hot, and is very painful. The milk in the affected bosom either lessens or entirely disappears. If the child be applied to the breast (which he ought not to be), it gives the mother intense pain. She is now feverish and ill ; she is hot one minute, and cold the next — feeling as though coM water were circulating with the blood in her veins ; she loses her strength and appetite, and is very thirsty ; she feels, in point of fact, downright ilL A Grave Symptom. A doctor must, at the very onset of the shivering fit, be sent for; and he will, in the generality of instances, be able to prevent such a painful and distressing occurrence as a gathered breast. If twelve hours be allowed to elapse after the shivering has taken place, the chances are that the gathering cannot altogether be prevented, although, even then, it may, by judicious treatment, be materially lessened and ameliorated. We sometimes hear o^ a poor woman suffering dreadfully for months, and of her having a dozen or twenty holes in her bosom. This is generally owing to the doctor not having been sent for imme- diately after the shivering ; we, therefore, cannot too strongly insist, under the circumstances, upon a mother obtaining prompt assistance, not only to obviate present suffering, but, at the same time^ to pre- vent the function of the breast from being injured, which it inevitably, more or less, will be if the important form of gathering be allowed to take place. Permanent Injuries. When once a lady has had the severe form of gathered breast she ought, in all subsequent confinements, to obtain, before suckling her babe, the express permission of the doctor to do so, or the nursing mother may have a return of the gathered breast, and the concoJ>J^ AILMENTS OF THE BREASTS. 227 tant pain, misery, and annoyance. The reason of the above is obvious : the function of the breast, in a severe gathering, might be irreparably injured ; so that, in all subsequent confinements, the very attempt of suckling again may, instead of inducing secretion of milk, set up inflammatory action, terminating in gathering of the breast. Although it is not always prudent to suckle a babe where, in a previous labor, there had been a severe form of gathered breast, yet we have known instances where ladies have been able, after such gathering in a previous confinement, to nurse their children with com- fort to themselves and with benefit to their children. Each individual case, therefore, must be judged on its own merits by a medical prac- titioner skilled in such matters. Treatment for Exhaustion. When a nursing mother feels faint, she ought immediately to lie down and take a little nourishment— either a crust of bread and some light stimulant, or a cup of tea with the yolk of an egg beaten up in it, either of which will answer the purpose extremely well. Brandy, or any other spirit, we would not recommend, as it will only cause, as soon as the immediate effects or the brandy are gone off, a greater depression to ensue ; not only so, but the frequent taking of brandy might become a habit — a necessity — which would be a calamity deeply to be deplored. A mother is sometimes faint from suckling her child too often, she having him almost constantly at the bosom. She must, of coursq expect, as long as she continues this foolish practice, to suffer from faintness. A nursing mother feeling faint is often an indication that the child is robbing her of her strength, and tells her, in unmistak- able language, that she must give him, in addition to the breast milk, artificial food ; or, if, notwithstanding the food, the faintness still con- tinue, that she must wean him altogether. Warnings of faintness. during suckling, then, are not to be disregarded. Strong purgatives during this period are highl}^ improper, as they are c-pt to give pain to the infant, as well as to injure the niother, /ui 228 AILMENTS OF THE BREASTS. enema, either of warm water alone, or of gruel, oil and table salt, applied by means of a good self-injecting enema apparatus, is, in such a case, an excellent — indeed, the very best — method of opening the bowels, as it neither interferes with the digestion of the mother nor of the child. The less opening medicine. — whatever be the kind — a mother who is suckling takes, the better will it be both for herself and for her infant. Even castor oil, the least objectionable of aperients, should not be taken regularly during suckling ; if it be, the bowels will not be moved without it, and a wretched state of things will be established. No ; if the bowels will not act, an enema is by far the best remedy ; you can never do any harm, either to the mother or to the babe, by the administration of an injection ; it will neither induce future consti- pation, nor will it interfere with the digestion of the mother, nor with the bowels, nor with the health of the infant. Virtue in Brown Bread. When a lady who is nursing is habitually costive, she ought to ea. brown instead of white bread. This will, in the majority of cases, enable her to do without an aperient. The brown bread may be made with flour finely ground all one way ; or by mixing one part of bran and three parts of fine wheaten flour together, and then making it in the usual way into bread. Molasses insteavi of butter on the brown bread increases its efficacy as an aperient, and raw should be substituted for lump sugar in her tea. Either stewed prunes, or stewed French plums, is an excellent remedy to prevent constipation. The patient ought co eat, every morning, a dozen or fifteen of them. The best way to stew either orunes or French plums is the following : Put a pound either of prunes or of French plums, and two tablespoonfuls of raw sugar, into a brown jar, cover them with water, put them into a slow oven, and stew them for three or four hours. Both stewed rhubarb and stewed pears often act as mild and gentle aperients. Muscatel raisins, eaten at dessert, will oftentimes, without m(*dicine, relieve the bowels. ilGESTIVE TRACT, SHOWING THE SMALL INTESTINES. AILMENTS Or THE BREASTS. 229 In many cases honey — ^pure honey— is most welcome and beneficial to the human economy. It is recommended to be occasionally eaten in lieu of butter for breakfast. Butter, in some localities, and in some seasons of the year, is far from good and wholesome. One of the qualities of honey is, it frequently acts as an aperient. A Corrective Diet. The Germans are in the habit of eating for breakfast and for tea a variety of fruit jams instead of butter with their bread. Now, if the bowels be costive, jam. is an excellent substitute for butter ; and so is honey. The Scotch, too, scarcely ever sit down either to breakfast or to tea without there being a pot of marmalade on the table Ameri- can ladies, in this matter, may well take a leaf out of the books of the Germans and of the Scotch. A tumblerful of cold spring water, taken early every morning, sometimes effectually relieves the bowels ; indeed, few people know the value of cold water as an aperient — it is one of the best we pos- sess, and, unlike drug aperients, can never by any possibility do harm. We beg to call a mother's especial attention to the fact of water being an admirable aperient for children ; for if our views in the matter be, to the very letter, carried out, much drugging of children may be saved — to their enduring and inestimable benefit. But the misfortune of it is, some mothers are so very fond of quacking their children, that they are never happy but when they are physicking them. The ^hildren of such mothers are deeply to be pitied. Effects of Tea and Coffee. Coffee ought to be substituted for tea for breakfast, as coffee frequently acts as an aperient, more especially if the coffee be sweetened with brown sugar. We would strongly recommend a patient to eat a great variety of food, and to let the vegetable element predominatCc Much meat encourages constipation. Fruit — Muscatel raisins espe- cially — farinaceous food, coffee, and a Va.^\c\:y oi vegetaoles, each and ail incite the bowels to do their duty. 230 AILMENTS OF THE BREASTS. Although a nursing mother ought, more especially if she be costive, to take a variety of well-cooked vegetables, such as potatoes, aspara- gus, cauliflower, French beans, spinach, stewed celery and turnips, she should avoid eating cabbages and pickles, as they would be likely to affect the babe, and might cause him to suffer from gripings, from pain, and " looseness" of the bowels. The " wet compress " is an excellent method of opening the bowels. The way of applying it is as follows : Fold a large napkin a few thick- nesses until it is about half a foot square ; then dip it in cold water and place it over the bowels, over which apply either oil-skin or rubber cloth, which should be, in order to exclude the air, considerably larger than the folded napkin. It should be kept in its place by means of either a bolster case or a broad bandage ; and must be applied Li bed-time, and ought to remain on for three or four hours, or until the bowels be opened. Avoid Constant Doses of Medicine. Let us again-=— for it cannot be too urgently insisted upon — strongly advise a nursing mother to use every means in the way of diet, etc., to supersede the necessity of taking opening medicine, as the repetition of aperients injures, and that severely, both herself and child. More- over, the more opening medicine she swallows, the more she requires ; so that if she once get into the habit of regularly taking aperients, the bowels will not act without them. What r .niserable existence to be always swallowing physic. If a lad}>, then, during the period of suckling, were to take system- atic exercise in the open air ; to bustle about the house and to attend to her household duties ; if she were to drink, the moment she awakes in the morning, a tumblerful of cold water ; if she were to substitute brown bread for white bread, and coffee for tea at breakfast, and brown for white sugar ; if she were to vary her food, both animal and vegetable, and to partake plentifully of some ripe fruit ; if she were to use an abundance of cold water to her skin ; if she were occasionally, at bed-time, to apply a *' wet compress " to her bowels, and to visit AIIJVIENTS OF THE BREASTS. 231 die water-closet daily at one hour ; if she were — even if the bowels vere not opened for four or five days — not to take an aperient of any kind whatever, and avoid quacking herself with physic ; in short, if she would adopt the above safe and simple remedies — many of them beinsf nature's remedies, and which are in the reach of all — she would o not suffer, as she now does, as much from costiveness, which is fre= quently the bane, the misery, and the curse of her existence. But then, to get the bowels into a proper and healthy state, it would take both time and trouble ; and how readily can a couple ot pills be swallowed, and how quickly they act ; but how soon they have to be repeated ! until at length the bowels will not act at all unless goaded into action. The constant swallowing of opening pills, then, makes the bowels stubborn and sluggish, and wounds them unmercifully. The bowels, at length, will not, without the pills, move at all, and so the pills become a dire, and sometimes even a daily, necessity. Oh, the folly and the mischief of such a system ! CHAPTER XVIII. Diseases Peculiar to Women. CiilcrosiSj or G* :ii Sickness — Symptoms and Treatment — Suppression of tlit' Menses— .omoting the General Health -Fresh Air and Exercise — Pleasant Recreation — Profuse Menstruation — Causes and Treatment — Proper Diet — Best Tonics — Leucorrhcea, or Whites — Indications of Inflammation — Baths and Injections — Location of the Disease — Falling of the Womb — How Caused — Remedies — Change of Life — Peculiarities of the Transition — Inflammation of the Breasts — Remedies to be Employed — Heartburn, Etc. — Constipation of Pregnancy — Toothache During Pregnane)^ — Varicose Veins — Urinary DiflScul- ties — Secretion of Milk — Milk Fever — Puerperal Fever. CHLOROSIS, or green sickness, is a disease which occurs exclu- sively among females, chietiy between the ages of thirteen and twenty-four, seldom at a later period ; if it does, it can be hac-=^d tc s-^condary disturbances, such as confinements of young women, coming rapidly one after another, more especially if the women nurse their own children. The disease sometimes breaks out previous to the first appearance of the menses, more frequently after several menstrual periods ; as an entirely primary disease, it only breaks out among unmarried women. It is, in some degree, hereditary ; females ot' a pale complexion are more liable to be attacked with it ; though no constitution is exempt from the disease, although delicate individuals with irritable nerves are more susceptible to it. Among other causes, we may mention : insufficient exercise, mental exertions, without corresponding muscular activity ; excitement of the fancy, especially when caused by novel reading ; excitement of the sexual instinct by onanism, improper con- verse with the other sex ; deprivation of the open air, and interference with the free expansion of the chest by tight dresses. Chlorosis is very commonly met with among daughters of a tuberculous or con- sumptive mother. This disease generally comes on very slowly, the patients becom more irritable, they are apt to get tired after every little effort, the 232 DISEASES PECULIAR TO WOMEN. 233 are liable to changes of color, the skin soon loses its bright lustre, and the patient complains of feeling chilly at an early period of the dis- ease. Inasmuch as the disease may be characterized by a variety of symptoms, we will describe the derangements as they appear in each special organ and system. External and Internal Symptoms. The skin at times has the color of wax ; at other times it is rathet yellowish, or of a dingy white, the veins being either not at all per- ceptible, or but indistinctly so ; the color of the cheeks may change quite often, within a very brief period of time. The visible mucous membranes are more or less without color. Swelling of the feet and limbs sometimes occur, but only in the highest grades of the disease. The following symptoms occur in the digestive range : impaired appetite, aversion to meat, longing for strange articles of diet, such as vinegar, chalk, coffee, beans ; bloating of the stomach after every meal, sourness of the stomach, and generally the bowels are very torpid. In the nervous system we discover excessive irritability, neuralgia, hysteric symptoms, fitful mood. The breathing is accelerated, the least physical exertion causes dyspnoea (shortness of breath), some- times to a very high degree. The circulation is accelerated, very seldom retarded ; disposition to palpitations of the heart, which are easily excited by a physical effort. The menses are irregular, some- times entirely suppressed, or very tardy, sometimes more profuse than usual, but always of a lighter color, or even quite colorless. Heart W^eakness and Palpitation. Accompanying these symptoms are pains of the most diversified kind, very generally uterine catarrh. The urine has a strikingly pale color. The patients generally sleep very soundly, and have to sleep a long time, though sleep never refreshes them. One or the other of these derangements is generally wanting. The T^ne characteristic symptom is never absent : dyspnoea and palpitation 234 DISEASES PECULIAR TO WOMEN. of the heart from the least unusual effort, especially after going up stairs. The course of chlorosis is always more or less protracted, some- times very chronic. If no particular disturbances take place, the affection can sometimes be cured in a few weeks ; whereas, if the mode of living which had acted as the exciting cause is persevered in, the trouble may continue for years. The disease is most com monly more violent in summer than in the winter season. Uncom plicated chlorosis always terminates in recovery. Among the complications, the simultaneous presence of consumption and scrofula are most threatening. We generally find that scrofulous girls who are attacked with chlorosis recover their health to some extent for a year or two, after which they die of consumption, or phthisis may set in as a direct development of a protracted chlorosis. Treatment Recommended. The leading remedies which have been found most useful in this affection are Pulsatilla, Sepia, Bryonia, Sulphur, Calcarea carb., Ferrum, Lycopodium, and Plumbum. Pulsatilla is peculiarly useful in chlorosis, when the derangement seems to have been excited by^ or is connected with, indigestion ; and it is accompanied with headache, particularly in the side of the head, with shooting pains extending to the head and teeth, sometimes shift- ing suddenly to the other side ; sallow complexion, difficulty of breathing, and sense of suffocation after the slightest movement; palpitation of the heart, coldness of the hands and feet, often changing to sudden heat ; disposition to diarrhoea and leucorrhoea, pains in the loins, sensation of weight in the abdomen, almost constant chilliness and shivering, spasms in the stomach, with nausea; inclination to vomit, and vomiting; hunger, with repugnance to food; swelling of. the feet and ankles, great fatigue, especially in the legs. This medicine is particularly adapted to females of mild disposition, disposed to be sad and tearful. Dose : Six pills every evening. Sepia is a remedy of very great value in this disease when there is DISEASES PECULIAR TO WOMEIN. 235 g, good deal of headache ; sallow complexion, with dark colored spots ; frequent colic and pain, as if arising from bruises in the limbs, with a drawing, tearing pain in the thick muscles of the back part of the legs. It may follow Pulsatilla, with great advantage, or be given in alternation with that remedy. Dose: Six pills or a powder ever}^ morning. Bryonia. Frequent congestion of the head and chest, bleeding at the nose, dr}^ cough, coldness and frequent shivering, sometimes alternating with dry and burning heat, constipation or colic, bitter taste in the mouth, tongue coated yellow, sense of pressure in the stomach, as if from a stone. Sulphur is more particulary indicated when there is pressive and tensive pain in the back of the head, extending to the nape of the neck ; humming in the head, pimples on the forehead and round the mouth ; pale and sickly complexion, with red spots on the cheeks ; changeable appetite, with general emaciation : heaviness in the stomach, under the lower ribs and in the abdomen ; bowels irregular, great tendency to take cold, irritability and inclination to be angry, redness and melancholy, with frequent weeping. Dose: Six pills every other day. Calcarea Carb. is often of the most striking benefit in chlorosis. Sometimes a complete cure is effected by it alone, even in the worst cases, with (oedema) swelling of the extremities, and extreme dyspnoea. When there is complication v/ith tubercular diathesis, accompanied by cough. Sulphur and Calcarea" Carb. often prove highly beneficial in alternation, or if oppressive headache is complained of. Sepia may be given in alternation. Sometimes menstruation does not take place for some time afterwards, though the general health is very much improved under the employment of the remedies prescribed. Doi^x, , Six pills every morning. \ This disease should receive prompt, careful and persevering treat ment. It is dangerous only by reason of what it suggests respecting ^he general state of the system and the presence of other and worstr ulments. 236 DISEASES PECULIAR TO WOMEN. SUPPRESSION OR DELAY OF THE MENSEfc.. This suppression either takes place during the flow, or in coiise- quence of causes acting previous to the actual appearance. In the former case a cold may have operated ; or cold washing may be the cause, or the feet may have got chilled, or the patient may not have Dcen sufficiently protected by her clothes ; mental or moral emotions, vexations, chagrin, anger, fright, or dancing, sexual intercourse, dietetic transgressions may have led to the suppression. Most of these causes, if operating shortly before the time when the menses were to come on, may cause their retention. A gradual sup- pression of the catamenia may take place in consequence of deficient nutrition, as well as of the abuse of warm beverages. The more sudden the suppression of the menses, the more violent the changes arising from such an occurrence. Some of the most prominent symptoms are : Violent headache, great anxiety and oppression of breathing, nose-bleed, spitting of blood, congestions ol the head, heart, and lungs, and the like. In some cases, a suppression of this kind gives rise to acute uterine catarrh. If a physician is called in time, he will, of course, inquire what gave rise to the trouble, and will seek to remove the consequences of fright, mortification, anger, etc., by appropriate specific remedies. If the physician is not called until some time after the morbid symptoms iiave existed, the aforesaid remedies will no longer be applicable, and Jne constitutional condition generally will have to be exited upon by corresponding remedies, and you should follow the same course as a physician. The Best Treatment. If the menstrual flow (menses) never has appeared, and the patient .5 strong and healthy, and there is no menstrual molimen (symptoms or sensations of menstruation), it is not prudent to resort to any inter- ference. Every means should be employed to strengthen and invig- orate the system. The body, rather than the mental faculties, should T>e exercised. Life in the open air, and tonics containing iron, should WOMB AND APPENDAGES. The uterus ia the organ of gestation, situated In th« cavity of the pelvis , between the bladder and the rectum. a. The body of the womb. d. The cervix, in the lower end of which is a transverse aperture, the os uteri ; around the uterus, and a little above its lower extremity, the vagina, c, which is here showa cut open and spread out The ovaries, d d^ art placed one on either side of the womb, below and behind the Fallopian tubes, ee^ and each month for a number of years, during the life of a woman, the ovum — egg — bursts from the ovary, and is carried for- ward into the womb. /, /. The broad ligaments. g. g. The round ligaments, h, h. Blood-vessels. DISEASES PECULIAR TO WOMEN. 237 be given, if the patient is anaemic (having thin blood.) Coiiodpcition should be corrected as directed in the treatment of that disease. The preparations containing Aloes are especially appropriate. Scarcely ever is menstruation (and menstrual sensation) absent after nineteen or twenty years, unless there is a lack of development in some of the organs of generation. This is to be inferred, if invigorating measures, after employment for some time, have proved ineffectual. The advice of a skillful physician should be always pro- cured. Development of the womb to a proper size has, in some cases, been induced by treatment. Retention of the menses is probable when regular symptoms of menstruation occur without the flow, and the abdomen of the patient gradually enlarges. The cause of retention may be absence of the vagina, an imperforate hymen or closure of the mouth of the womb These may be overcome by the skill of the surgeon. Bracing Up the General Health. If the general health is good, and the generative organs, vagina, uterus and ovaries are well, or reasonably developed, iron may be efficacious in establishing the menstrual flow. Persons who have amenorrhcea (suppression of menstruation) are generally suffering from an indisposition of some kind, with which the amenorrhcea is associated, or dependent upon. In some cases, the patient has fallen into ill health before the menses have ever appeared, and, as a consequence, there is no attempt at menstruation. It is, therefore, perfect nonsense to attempt to bring on the monthly flow, or cure the amenorrhcea, while the general health remains impaired. In a patient suffering from consumption, treatment ought not to be directed to menstruation at all, until the patient can be brought up to a good degree of general health, and then nature will establish the menses, if the system is able to sustain the discharge. It is a popular error that stoppage of the monthly courses is the cause of the ill-health which accompanies it, whereas, exactly the opposite is the truth ; the general indisposition has caused the suppression of the 238 DISEASES PECULIAR TO WOMEN. menses. In the treatment of these cases, the return of the monthly sickness is the final result to be attained. Improvement in other respects must be first attained, and, almost always, the rest will follow as a necess'^7 under nature's order alone. Pure Air and Exercise. If the patient is not surrounded by good hygiene, this is the first Doint to attain. She should have pure air, and exercise out of doors should be taken. This exercise, if taken for exercise, is apt to be neglected, and not be of a character which will make her of cheerful spirits ; recreations, such as buggy riding, and walking with cheerful companions, or rambles in the fields or woods, will accomplish this, if not carried to a point which is fatiguing. When the patient becomes exhausted at her exercise, she is going a little too far. A sedentary occupation may sometimes need to be changed for a more active one. With persons who are unaccustomed to physical exercise, this habit must be cautiously and gradually begun. With shop and factory girls, poor hygiene is most likely to be the cause of such a poor state of health as will produce amenorrhoea. In these cases, while the use of medicines follows the same rules as in other debilitated patients, it is quitt jecondary to the improvement of their hygenic circumstances. In schools, too little time is given to unrestrained life (exercise) in the open air, and too much time to quiet mental work, and the anxiety of parents as to the intellectual development of their children, leading them to send them to school at too early an age, and crowd- ing them too rapidly, is a prolific source of ill-health, and consequent amenorrhoea. If parents would not send their children to school until they were eight years old, and, then, if a large portion of the day was appropriated by every student, to take such recreations as her inclinations, lead her to, the breaking down and ill-health in schools for girls would be as rare as it is now common, provided eight full hours of the twenty-four were regularly spent in sleep. DISEASES PECULIAR TO WOMEN 239 The importance of exercise is admitted, in theory, in these schools, but the amount is not regulated to the wants of each particular case The long ^valk may be beneficial to the strong and well-nourished, i\ they are accustomed to such exercise. The girls, not so strong and well-fed, may, in these very walks, lay the foundation for a serious disease. To make exercise most useful it must be pleasurable, and for that end restraint must be thrown off. Again, exercise ought not JO be violent. The gymnasium is productive of good, if not carried to an extreme. It may do much harm. Such exercises as jumping are not to be indulged ; occasional and moderate horseback riding is good, but carried to an extreme, it may do harm. Early hours, good nourishing food, of which animal tbod forms a large part, plenty of fresh air and warm clothing are necessary to ensure good health, both before and after menstruation. The constipation and derangement of the digestive organs is gen- erall}' an effect of the state of ill-health, which is to be corrected, in the first place, before the patient can take such an amount of nourish- ment as will bring her body to a vigorous state, and maintain it there. '. Vo or three Compound Rhubarb pills at night, followed by a Seidlitz Powder, or a dessertspoonfal of Rochelle Salts in Lemon- ade in the morning may be given once or twice a week for a time ; or after the bowels have moved freely from the use of three or four Compound Cathartic Pills, remedies may be used as are directed for constipation. The pills containing Aloes and Extract of Nux Vomica are to be preferred. The Rough Towel and Warm Clothing. The circulation should be maintained by free, pleasurable exercise ^n the open air, sponging the skin with tepid or cool water, and rub- bing briskly with a coarse or rough towel, until the skin is aglow, and warm clothing. It is very important to keep the feet, legs and amis so well clothed that they will keep warm. The two remedies which are especially serviceable in building up the health to a point at which menstruation will occur in obedience to :240 DISEASES PECULIAR TO WOMEN. nature alone are Iron and Quinine. One of the best forms for its efficacious administration is the Citrate of Iron and Quinine in doses of from two to five grains three times a day. It may be dissolved in Syrup of Ginger or Orange Flower water. Take of Citrate of Iron and Quinine from one and a half to three drachms, Syrup of Ginger six ounces. Mix. Dose: A teaspoonful, or a teaspoonful and a half, three times a day. If the bitter taste is seriously objected to, one or two grain pills of the Sulphate of Quinine may be given two or three times a day, and the same quantity of the Soluble Citrate of Iron may be given in solution with Cinnamon or Orange Flower water in the same propor- tions as directed for the Citrate of Iron and Quinine. Before buying the sugar or gelatine coated pills of Quinine one of these should be cut open with a knife;, if they are good they will be soft under the coating. Another Mode of Treatment. Pulsatilla should be employed when a suppression takes place from the sudden effects of a chill, when the symptoms generally correspond with those described under the head of that remedy, in the article on Chlorosis. Dose : Six pills in a teaspoonful of water, night and morn- ing, for a week (unless a change should sooner occur) ; then nause eight days, after which the course may, if necessary, be repeated as before, and so on. Cocculus in cases in which there are habitually attacks of colic-like pains in the bowels at the periods at which the menstrual discharge should occur if it were regular, more especially if the patient com- plains of great weakness of the lower extremities, languor and lassitude, precarious appetite, and generally also nausea, with much oppression at the chest and in the region of the stomach, etc. ; especially when this functional derangement occurs in full-habited and apparently healthy persons, particularly if the suppression be traced to mental amotions. Dose : As for Pulsatilla. Belladonna should be employed in cases whicn are associated with DISEA.SES PECULIAR TO WOMEN. 241 fullness of blood, determination of blood to the head, violent throbs bing of the arteries of the head and neck, and nose-bleed. Dose : As directed for Pulsatilla. PROFUSE MENSTRUATION. The quantity of the menstrual discharge varies a great deal in different individuals. The climate, constitution, and manner of living, have considerable influence. The duration of the discharge, and the periods of return, are also varied. In some women it continues from four to ten days, while in others it lasts only a few hours ; from three to six days is, however, the most usual period. The regularity is, in many cases, exact to a day, or even an hour ; while in others, a varia- tion of several days is a usual occurrence, without the slightest disturbance in the usual health resulting therefrom. An excess of loss of menstrual blood, a true menorrhagia, does not occur as often as it may geem to those who complain of it. To con- stitute menorrhagia, several circumstances have to occur that require to be carefully discriminated. The average of discharged blood has to exceed the ordinary loss quite considerably ; and then, again, we have to inquire whether the scantiness of the ordinary menstrual flow is not an abnormal diminution in the present case. The menstrual flow is likewise considered too copious if it continues beyond the ordinary period, although this need not necessarily imply that the menses are profuse. It is, therefore, the morbid character of the menses that is necessary to determine the disorder, for a copious flow of the menses cannot be considered abnormal as long as the constitutional harmony is in no respect disturbed by it. The Common Causes. The causes of profuse menstruation are quite numerous, of which it may be best to make mention of a few : Excess is occasioned by onanism, novel-reading, a constant dwelling of the fancy upon sexual things, and the habitual use of heating beverages. A few other im- portant points have to be added : Under certain circumstances, 3^ pro- 242 DISEASES PECULIAR TO WOMEN. fuse flow of the menstrual blood becomes a real physiological necessity to the body ; for instance, if a larger supply of nourishment than the body requires for its normal support, causes a real plethora. This can hardly be regarded as a morbid condition. A profuse flow is some- times occasioned by changes in the uterus, such as acute or chronic inflammation of the womb, or some foreign growth in the uterine cavity. Nursing exerts a very particular influence. As a rule, nursing women do not menstruate ; yet it may happen, even in the case of quite healthy mothers, that the menses reappear again permanently, in which case the flow is often very profuse. This is not a normal londition, although it does not inconvenience all women. Treatment for Profuse Menstruation. Ipecacuanha is one of the more generally useful medicines in severe cases of this derangement, as well as in flooding after labor, and may, in most instances, be administered first, unless there are strong indica- tions for a preference being given to any of the others. Dose : Six globules in a teaspoonful of water, repeated at intervals of six hours, until amelioration or change. Nux Vomica is especially appropriate for the following symptoms : The discharge being of too frequent occurrence, too profuse, and of too long duration ; and when it commonly stops for a day or so and then returns, attended with spasms in the belly ; sometimes nausea and fainting, especially in the morning ; pains in the limbs, restless- ness, irascibility. Nux Vomica is especially serviceable when the above symptoms occur in females who are addicted to the daily or frequent use of coffee, liquors, and other stimulants, or have been extensively drugged by unwise practitioners. Dose : Six globules in a teaspoonful of water, repeated at intervals of four hours. Gelsemium is indicated in cases in which there is scarcely an interval between the periods ; which are not, however, attended with much suffering ; or, the flow having ceased, is brought on again by fright or other mental emotion. Dose : Three globules. Patients who are habitually affected with excessive menstrual dis- DISEASES PECULIAR TO WOMEN. 24S charge should live with great regularity, keeping early hours, taking regular, but moderate, daily exercise in the open air (during the intervals) in favorable weather, and partaking of nothing but the most digestible, simple, and unstimulating diet, which, at the same time, should be of a nourishing and strengthening description. Emotions of all kinds should be avoided as much as possible ; and during the continuance of the discharge the semi-recumbent posture . should be retained, and the body kept cool. Neither food nor drink should be taken hot ; the food should be as cool as it can be relished, or chiefly cold, and the beverage quite cold. Other Remedies Employed. The successful treatment of profuse menstruation will depend on the exact recognition of the profuse menstruation, and the use of appropriate means for effecting their removal. For this reason, if for no other, the skill of a physician is required to secure such a knowl- edge of the causes of the trouble as will lead to intelHgent and prope' treatment. The general condition of the patient is to be looked after, il rhe blood is impoverished, the patient must be invigorated, and ihe general health improved by good hygiene, good food, pure air, and exercise, carried to the point of making the patient feel vigorous, never fatigued, etc. If the patient resides in a malarious locality, anti-malarial treat- ment will be required, as two or "^liree grains of Quinine three or four times a day, or a larger dose once or twice a day for a few days or a week, followed by such directions as are given in the treatment of ague. The use of iron, as directed in the treatment of anaemia and ague, is generally necessary. If the bowels are torpid and inactive, they should be moved by a brisk cathartic, and during the day of the menstrual flow, a mixture of Epsom Salts and Aromatic Sulphuric Acid should be given, as : Take of Epsom Salts an ounce. Aromatic Sulphuric Acid half an ounce. Syrup three and a half ounces. Mix. Dose: A teaspoonfu] to a dessertspoonful, in water, four times a day. 1 244 DISEASES PECULIAR TO WOMEN. In cases due chiefly to debility, a half a drachm of Sulphate of Iron may be added to the above formula. The dose will be the same, given three times a day. Two or three times a week a laxative pill may be taken, such as are directed for constipation, if the bowels are not sufficiently active. The chronic congestion of the uterus requires attention when this exists, which is always the case in those instances not dependent on organic disease. The warm vaginal douch, as directed for leucorrhoea, is useful. Tonics are also required which contain Quinine, Iron, and Strychnine, as : Take of Citrate of Iron and Quinine, and of the Citrate of Iron and Strychnine, each a drachm and a half; Water of Orange Flowers four ounces. Mix. Dose : A teaspoonful three times a day. This medicine may be sweetened with the addition of sugar or substituting Syrup of Orange. Derangement of the "Womb. Many a case of profuse menstruation depends upon a flexion of the womb. It is astonishing sometimes, how quickly the excessive flow will cease when this displacement is corrected. Hence the neces- sity of securing the services of a careful doctor, who can trace out the cause and apply the proper remedy. A chronic inflammation of the womb, resulting from sub-involution of the womb (its failure to regain its natural size after confinement or miscarriage), may cause this trouble. The most suitable constitutional treatment appears to be the daily use of the hot douche, and hot hip- bath, and rest much of the time in the reclining posture. The tonic recommended for chronic congestion is suitable, with three or four doses a day of half a teaspoonful of Fluid Extract of Ergot. If, after this treatment has been continued through a whole interval, between times of menstruation, without benefit, it will be well to try Iodide of Potassium instead of Strychnine, as in this formula : Take of Elixir of Cinchona and Pyrophosphate of Iron eight ounces, and add Iodide of Potassium five drachms. Mix. Dose : A teaspoon- ful to a dessertspoonful three times a day. DISEASES PECULIAR TO WOMEN. 245 LEUCORRHCEA— WHITES. Simple catarrh is one of the most common derangemencs of the female sex. It originates in a variety of causes. In the first place, we have to mention as exciting causes, such as act directly upon the sexual organs — excessive coition and self-abuse, miscarriage, and to some extent confinements, which, if occurring in too rapid succession, almost always cause leucorrhcea, especially when, after the last-named causes, the patient persists in getting about too soon. The influence of cold, damp weather, or exposure to cold and damp from the location of the residence in a marshy district, or perhaps the nature of the house itself (stone, with walls constantly moist on their inner surface), and from water standing in the cellar, especially when long continued, is a powerful promoter of leucorrhcea. Symptoms of Inflammation. An entire opposite, but not less numerous class of causes of this disease, may be found in the high living, stimulating spices, condi- ments, and drinks in which many women indulge. i\t the first appearance of leucorrhcea, there are usually the indica- tions of acute inflammation, pain, heat, and redness of the parts mvolved which may subside as the discharge becomes more and more fully developed. With this discharge, whether acute or chronic, there will usually be more or less pain in the groins and hypogastrum (lower part of the abdomen), and in the lower part and small of the back. The urethra will often become impHcated, causing painful micturation (passing water) in the acute form, andsometim.es causing almost inability to urinate. How this Disease Should be Treated. The treatment of leuchorrhoea, or whites, must necessarily be directed first to the cause, as failure of the general health, as from consumption or anaemia (impoverishment of the blood). The treat- ment will relate primarily to the treatment of consumption, with wliich this ailment is so frequently and closely associated; directions will be given in the article on consumption ; or, if thf 246 DISEASES PECULIAR TO WOMEN. patient is auccmic (pale, weak and tired, especially tired upon rising after a full night's rest), the treatment will first be directed to the removal of the anaemic condition, by the use of tonic remedies, espe- ciiilly Iron. When the discharge is very profuse and exhausting, the Phosphate or Hypophosphite of Lime may be given with great advantage. Dur- ing the general improvement of the body, the discharge diminishes. The Compound Syrup of the Hypophosphites (Lime, Soda, Potash , and Iron), meets the indications, and is agreeable to take. The dose is from a teaspoonful to a dessertspoonful, three times a day. If there are colicky pains or symptoms of dysentery, the Hypophos- phites should be combined with Dilute Phosphoric Acid. Take of the Compound Syrup of Hypophosphites seven ounces, Dilute Phos- phoric Acid one ounce. Mix. Dose : One or two teaspoonfuls three times a day. The kind and quantity of food should be regulated to meet the wants of the system. Sleep should be long and undisturbed. The skin must be kept warm with flannels, bathing, rubbing and out-door exercise. Baths and Injections. The bath should, as a rule, be warm and tepid, taken daily, and followed immediately by cool bathing. The combined sitz and sponge bath is most generally applicable ; after the bath the skin should be rubbed until it is aglow. If there is a poor reaction or no reaction, the cool bath should not be used. Some are most benefited by the warm baths exclusively. While many cases of leucorrhcea can be cured without them, injec- dons are very valuable in treating this trouble, and sometimes they are a necessity. A long, flexible syringe, having a long vaginal tube, should be selected, and used after the form called the " douche." The syringe should be filled and one end of the tube introduced into the vagina, and the other in the bucket containing the fluid, which is raised considerably higher than the patient. The tube acts as a siphon. The height of the bucket and the length of this column of DISEASES PECULIAR TO WOMEN. 247 fluid governs the force of the current. The flexible tube should, therefore, be long. In this way, any quantity of fluid can be used at an injection with- out wearying the patient. She should lie upon her back, with her hips raised with a pillow, and a rubber cloth so arranged that the fluid may be conducted into a bucket. In the use of water injections^ we have found warm water (as hot as can be borne) the best. The quantity allowed to flow through the vagina should be large- — one or two gallons, frequently repeated. Sometimes the cold douche alter- nated with the hot douche, and less often the cold douche alone, gives better results. The Seat of Disease. The diseased surface is not generally the vagina, but the interior of the womb, which medicated injections do not reach. They are often, however, useful. The simple water injection should be used first, followed by a quart of the medicated injection. A strong tea of White Oak Bark, with or without the addition of one or two tea- spoonfuls of Alum in the quart may be used. One or two drachms of Tannin and four drachms of Alum to a quart of water is often service- able. One or two even teaspoonfuls (drachms) of Sulphate of Zinc in a quart of water may be used. It is often better to change the injec- tion from time to time. If the flow is offensive, the Permanganate of Potash, two drachms to the quart, or one drachm of Carbolic Acid to the quart of water, may be used for an injection. If the discharge is irritating, bathing the external genitals with a solution of Soda or Borax will be useful. A Second Mode of Treatment. The radical cure of this disorder is attended with much difficulty, and can only be effected by long, patient and careful treatment in those cases in which it is incidental to serious derangements of the womb, or of its appendages. Pulsatilla is indicated when the discharge is thick, like cream, or milky, and sometimes gives rise to a burning sensation ; when, more- 248 DISEASES PECULIAR TO WOMEN. over, it is associated with indigestion, and occurs in females of relaxed fibre and lymphatic temperament, or in whom the monthly flow is irregular and scanty; the discharge is often worse when lying down. Dose : Six globules in a teaspoonful of water, morning and evenings for four days (unless a decided change should sooner occur) ; then pause four days, after which the course may, if necessary, be repeated as before, and so on. Sepia should be selected when the affection occurs in delicate and A:xhaustcd females, the discharge being yellow or green, generally watery, and more or less acrid or corrosive ; and when it is accom- panied by a tendency to profuse perspiration, particularly on sitting down, after walking. Sepia is, also, additionally indicated, if the monthly discharges are irregular; and, further, when bearing-down is often experienced. Dose : Four globules. China should be given when the discharge is very profuse, and gives rise to great debility ; the menses seem to be suspended, or the leuccorrhoeal discharge occurs instead ; painful pressing towards the groins and anus. Dose: Four globules, as directed for Pidsatilla. .ffisculus-hip (Buckeye) is indicated where the whites are accom- panied by intense pain and lameness in the back and hips, so that it is almost impossible to rise after sitting, or to walk a long distance ; constipation, and piles. Dose: Three globules, as directed for Pulsatilla. Podophyllum should be administered in cases in which the dis- charge is thick and transparent, and there is constipation, and a feeling of bearing, or pressing downwards on the genitals ; falling of the womb, and protrusion of the intestine during stool. Dose: Three globules, as directed for Piilsatilla. Collinsonia is indicated by cases in which the discharge, which may be thick or thin, is accompanied by great itching of the parts ; and there are obstinate constipation, and disordered and painful menstru:: tion. Dose: Three globules, as directed for Pulsatilla. lodium may be found very useful in cases of long standing, par Ucularly in scrofulous subjects; the whites are most abundant at o^ DISEASES PECULIAR TO WOMEN. 249 near the t'mi- for the menstrual flow ; and the discharge is so very- acrid and corrosive that not only are the adjacent parts made sore, but the imderclothing is made rotten and destroyed. Dose: Six globules. The diet ought to be simple, but generally very nutritive. Coffee and tea ought to be avoided, and cocoa or arrowroot substituted. Regular exposure to the benign influence of the fresh air is commend- able, but over-fatigue and prolonged standing should be seduously avoided. PROLAPSUS UTERI— FALLING OF THE WOMB. This is one of the most common forms of uterine displacement. It occurs in three distinct, different degrees, to each of which some writers on the subject have affixed a different name. Thus, relaxa- tion, or simple descent of the womb, is understood to indicate the first and least displacement downward, and to consist only in a simple bearing-down of the womb upon the upper portion of the vagina. In prolapsus uteris the organ comes still lower down, and may present itself at the orifice of the vagina. In procerdentia uteri there is actual protrusion of the organ, even the entire body of the womb being, in some cases, extended from the rulva. These are but different degrees of descent of the uterus in the line of the vagina. Upon examination of the same displaced uterus, at different times of the day, it may be found to be more or less prolapsed, according to the condition of active exercise, or quiet, in which the parts may have been for some hours previous. Primary Symptoms.' The principal and primary symptoms of the descent of the womb are : dragging and aching pains in the small of the back, pulling and bearing-down pains in the lower part of the abdomen, sensation as if something would issue from the vagina ; sufferings much worse from walking, or other exercise : the pains are often noticed to have come immediately after some exertion of an unusual kind, and after some 250 DISEASES PECULIAR TO WOMEN. more than ordinary muscular effort ; frequent calls to urinate, dysuria (painful urination), or even retention of urine. In the more fully developed forms of prolapsus, the history of the case, the attendant circumstances, and the external appearance of the mouth of the womb, and even of the entire body of the uterus itself, can hardly fail to render the diagnosis at once easy and certain. And if the falling of the womb is not so far developed as to give any such external signs, the severe aggravation from walking and from lifting, together with the relief experienced from lying down, render the case sufficiently clear. Should there be any doubt, however, the vaginal touch will verify the diagnosis. Causes of the Falling of the W^omb. Prolapsus of the womb may arise from various causes, such as over-lifting or some other muscular exertion, or from an improper manner of dress, such as tight lacing, or the weight of heavy clothing dragging on the abdomen. In case of married women who have borne children, many cases of falling of the womb are caused by mismanagement. Perhaps the bandage worn has been too tight, or has slipped 7^ and the pressure has forced the bowels to press down upon the womb while in a relaxed condition, or, perhaps, the patient has gotten up from the bed too soon after confinement ; the whole system being weak, it is very easy to do a little too much, and bring on injuries which are very often hard to relieve one's self of. In cases of displacement of the womb, the recumbent posture is a necessary requirement, together with the properly selected remedy ; a. cure can very frequently be obtained. Treatment. Belladonna. Pressure, as though all the contents of the abdomei would issue through the genital organs. This is particularly felt earl} in the morning ; sensation of heat and dryness in the vagina. Pain' in the pelvic region, which come on suddenly and cease suddenly, or DISEASES PECULIAR TO WOMEN. 251 jeeling in the back as if it would break, hindering motion, suppression of the stool and of urine. Chamomilla. Frequent pressure toward the uterus, like labor ^«)ains, with frequent desire to urinate, often passing large quantities of colorless urine. Frequent discharge of clotted blood, with tearing pain in the veins of the legs, and violent labor-like pains in the uterus. Contrary to her condition in health, she is always out of humor, par= ticularly at her menstrual periods, when she is headstrong, even unto quarreling. She can hardly speak a pleasant word, and has to restrain herself in order to do so. China. In cases where the prolapsus and attendant symptoms were superinduced by losses of fluids, particularly of blood. She has much ringing in the ears, a sense of distention in the abdomen, which is not relieved by eructations. Nux Vom. Prolapsus t^ceri, from straining by lifting. Pressure toward the genital organs, early in the morning, in bed, or during a walk, with a sensation of drawing in the abdomen. Constipation of large, hard, difficult stools, or small stools, with frequent urging. Pain in the small of the back, preventing her from turning over in bed. Frequent urination ; she passes little, and often, with much burning pain. The prolapsus of long standing is often accompanied with dry cough, and a sense of constriction around the lower part of the abdomen. THE CHANGE OF LIFE— MENOPAUSE, After a certain number of years, woman lays aside those functions with which she has been endowed for the perpetuation of the species, and resumes once more that exclusively individual life which had been her's when a child. The evening of her days approaches, and if she- has observed the precepts of wisdom, she may look forward to a lon; and placid period of rest, blessed with health, honored, yes, love^' with a purer flame than any which she inspired in the bloom of youth and beauty. But ere this haven of rest is reached, there is a crisis to pass, which 252 DISEASES PECULIAR TO WOMEN. is ever the subject of anxious solicitude. The more common and less scientific name for it is the change of life ; physicians know it as the menopause — the period of the cessation of the monthly flow. It is the epoch when the ovaries cease producing any more ova, and the woman becomes, therefore, incapable of bearing any more children. The age at which this occurs is variable. In this country, from forty to forty-six years is the most common, though instances are not at all unusual where it does not take place until the half century has been turned, and we have known instances where women past sixty have continued to have their periodical returns. An Infallible Index of the Approaching Change. Examples of early cessation are more rare. We rarely meet them earlier than thirty years, but healthy women have been observed in whom the flow had ceased as early as twenty-eight. The physical change which is most apparent at this time is the ten dency to grow stout. The fat increases as the power of reproduction decreases. And here a curious observation comes in. We have said thc\t when a girl changes to a woman a similar deposit of fat takes place (though less in amount), which commences at the loins. This is the first sign of puberty. In the change of life, the first sign is visible at the lower part of the back of the neck, on a level with the bones known as the cervical vertebra. There commences an accu- mulation of fat, which often grows to form two distinct prominences, and is an infallible index of the period of a woman's life. The breasts do not usually partake of this increase, but become flat and hard, the substance of the gland losing its spongy texture. The legs and arms lose their roundness of outline, and where they do not grow fat, they wither up and resemble those of the other sex. The abdomen enlarges, even to the extent, occasionally, of leading the wife to believe that she is to be a mother — a delusion sometimes strengthened by the absence of the monthly sickness. Finally, a per- ceptible tendency to a beard often manifests itself, the voice grow^ harder, and the characteristics of the female sex become less distinct. DISEASES PECULIAR TO WOMEN, 253 In proportion as women enjoy good health, and especially in pro- portion as the menses are normal in quantity, and regular in their return, may we expect to pass through the trying season of the change of life at about the usual age, or a little later, and with comparatively little suffering, while in proportion as the health has been poor, and especially at the time of puberty, and the menses have been imperfect and irregular, shall we have reason to apprehend that the change of life will be, indeed, a critical period, and that it will require all the care and skill that can be employed to go through it in safety, and with health improved, instead of being rendered much worse. For the change of life, once well passed, the woman settles down with a new form of life, and it may be with a new lease of life, and has a right to look forward to a happy old age. It is gratifying to know that nearly all the threatening affections of the change of life can be avoided by such hygienic care as one can render themselves, as they depend upon causes under the control of the individual. Symptoms of the Change of Life. These vary in different individuals according to their respective temperament ; for in this, as well as in other conditions, women present the plethoric (full of blood), the chlorotic or nerv^ous type. Thus, in those of the plethoric type, the symptoms will resemble those of congestion ; there may be flushes of heat, rush of blood to the face and head, uterine and other hemorrhages, leu- corrhoea, and even diarrhoea. In those of the chlorotic type, the symptoms which, at or near the proper age, would indicate the approach of the change of life, are the sallow complexion, weak pulse and various other indications of debility. In those of a nervous type there is, as the change approaches, an evident disturbance of the equilibrium, not unlike that which, in similar cases, precedes the monthly flow. Hence, the over-anxious look, the brimful eye, the terror-struck expression, as if apprehensive ol seeing some frightful objects, the face bedewed with perspiration, and the remarkable tendency to hysteria, sometimes to be met with. 254 DISEASES PECULIAR TO WOMEN. In many cases, the change of life comes on so gradually, that the system accommodates itself to the new order of things with no shock to the nervous system, and without disturbing the accustomed harmony of the general circulation. In such cases, the intervals between the menstrual periods become more and more prolonged, and even the menstrual discharge itself may gradually diminish in quantity. The most frequent, and least dangerous symptom, is an irregular return of the menstrual flow every week, or every two or three weeks, or every two, three or four or six months, and being raore or less irregular as regards quality or quantity of menstrual blood. Alarming Flooding. Serious and alarming hemorrhages frequently set in. ^specially among plethoric and nervous women, or such as have indulged in sexual excesses. Sometimes these hemorrhages alternate with whitish or yellowish leucorrhcea, which often has a foetid smell, is acrid and extremely copious. This leucorrhcea may continue long after the menstrual discharge has entirely ceased to appear. At this period we not unfrequently meet with colic, uterine cramps, pains in the sides, weight in the loins, or distressing itching in the parts. The most distressing diseases with which the change of life is attended, and often terminate fataly, are ulcers and polypi of the uteres, and cancers of this organ and of the breast, also ; pulmonary phthisis (or consumption), likewise, takes a fresh development and frequently terminates fatally. In this place, it will be sufficient to refer to the different disorders described in this chapter, such as hemorrhage, flooding, diarrhoea, etc., and to their corresponding medicines, for the treatment of the various forms of disease that arise at the change of life. The remedies most frequently useful in disorders of the critical age will be found, asid other affections which may be the most prominent of those which attend the change of life. By all means, the simple treatment for promoting and maintaining the general health and strengthening the constitution should be adopted and wisely pursued. DISEASES PECULIAR TO WOMEN. 255 INFLAMMATION OF THE BREASTS. The mammae constituting exclusively a part of the female organism, we prefer treating of inflammation of the mammae in this place, instead of ranging this disease among the diseases of the thoracic organs. Mastitis, or inflammation proper, only occurs during or immediately after nursing. The painful, sometimes rather extensive, hardened swellings of single portions of the breasts, which sometimes occur among unmarried females or married women who are not nursing, especially about the time of the menses, are evidently transitory states of congestion which never terminate in suppuration. The cause of mastitis is always traceable to the impeded discharge of milk. By some cause or other, soreness, or a bad shape of the nipples, or too feeble drawing of the child, one or more milk-ducts become closed. The doctrine that mastitis can originate in dietetic transgressions or cold, is a convenient supposition rather than a scientific fact. What happens with other abscesses, is, likewise, true in regard to abscesses of the mammae ; in some cases they heal rapidly, in other cases they cause vast destructions of tissue. Mastitis is most apt to occur soon after confinement, or shortly after weaning the child ; mastitis occur- ing at the latter period, is less apt to lead to the formation of abscesses. Sure Signs of the Ailment. The disease never breaks out all at once. Generally, women experience, some time previous, a gradually increasing pain, both spontaneously or while the child is nursing and a swelling develops itself soon after. As a rule, the lower or lateral lobes are inflamed, very seldom the upper ones, and still less frequently both breasts. Sooner or later, sometimes in a few days, and at other times in some weeks, the painful spot becomes red and more sensitive, and the inflammation is intense, the whole organism feels the effect of the inflammatory process, and shows its sympathy by febrile phenomena. Soon the infiltrated tissue shows the signs of suppuration, the pus 266 DISEASES PECULIAR TO WOMEN. being discharged through a small opening. As soon as the discharge commences, the pain ceases and the febrile symptoms abate. The course of the inflammation depends upon a variety of circum- stances. If the inflammation is confined to one lobe, the abscess most commonly discharges close to the nipple, empties itself very rapidly, and heals. If several lobes are inflamed, or the inflamed lobe is situated near the base, the suppuration, swelling, and pain continue for a long time ; months and even years may elapse before the abscess heals, which discharges through several openings near the nipple. This disorder never lasts less than two weeks, and, under correspord- ing circumstances may continue for months even in its acute form. General Treatment. The treatment of mastitis includes, above everything else, a prophy- lactic treatment which has to be commenced long before confinement, especially in the case of primiparae (a woman with her first child). The preservation and proper management of the nipples, and of the mammae generally, should be a constant subject of our attention. After confinement, if women do not intend to nurse their children, they will have to dispense with liquids as much as possible. Nursing women have to keep the following points constantly in view : the breasts must not be kept too warm, must not be enclosed in tight clothing, and must, by some suitable support, be prevented from dragging down ; every time after the baby has nursed, the nipple must be washed, but not be kept moist between the acts of nursing ; the excessive use of liquids which women fancy favor the secretion of milk, must be avoided ; the child should be put to the breast as seldom as possible ; for the more hungry it is the more vigorously it will draw and the more completely the breast will be emptied. At the same time the nipples will not be held so long in the child's mouth, and they will not be exposed so much to the risk of being rnade sore by the constant nursing. By following these instructions, and more particularly, by putting the child to the breast every two kours, mastitis will generally be pi evented. You must do it. DISEASES PECULIAR TO WOMEN. 257 If the breasts have become hard and painful, the best remedy in the case of lying-in women is Bryonia, less frequently Belladonna; whereas, the latter medicine is better adapted to women who are weaning their infants. We sometimes succeed in dispersing the stagnation of the milk by gently rubbing the indurated portion while the child is nurs- ing. The same good effect is sometimes obtained by causing the milk to be drawn by an older, more vigorous child. In no event should the infant be all at once kept from the breastj even if nursing causes pain. It is only if the pain is very acute, anof the hardness considerable, that the infant should no longer be put to the diseased breast. Belladonna will now have to be administered. As soon as redness has set in, the chances of scattering the inflamma- tion are very slim ; in some exceptional cases we may sometimes suc- ceed in effecting this result by a few doses of Mercurius. Warm poultices should never be omitted ; they sometimes favor the disper- sion of the abscess as much as in other cases they hasten the process of suppuration. Hepar sulphuris will piomote the discharge of the pus. A great many authorities teach to open the abscess at an early period, in order to prevent the further spread of the inflammation. We doubt whether such a proceeding is justified by corresponding results ; after opening the abscess, we have often seen the inflamma- *:ion spread much more rapidly ; in the most tedious cases of mastitis, the abscess had been opened in accordance with this suggestion. In a fortnight, at least, the discharge of pus ceases under the use of a few doses of Mercurius, and the sore heals. Treatment for Inflamed Breasts, Bryonia is the principal remedy in this affection, before the inflam- mation becomes fully developed, especially when the breasts are hard, red, tense, and tumefied, and feel heavy, and when there is some, degree of fever. Dose : Of a solution of six globules to four tea- Bpoonfuls of water, give a teaspoonful every four hours. Belladonna is, however, required when the inflammation is more intense, and the erysipelatous appearance of the skin is clearly defined, 17 258 DISEASES MCULIAR TO WOMEN. usually running in radii ; and is, in such instances, usually sufficient to subdue all such inflammatory symptoms. Dose: As directed iox Bryonia, Sulphur may be required, more especially for the treatment of scrof- ulous subjects, and when the previous administration of Belladonna has been productive of partial or limited improvement, and evident susceptibility remaining, even if the active inflammatory symptoms have been allayed. It is also useful when, after the bursting of an abscess in the breast, the cavity is slow in healing up, and the discharge excessive. Dose : As for Bryonia. Graphites should be employed, particularly in scrofulous subjects where the breasts are in such bad condition from previous inflamma- tions and abscesses that the milk cannot flow, and its retention threatens inflammation and abscess. Graphites will, in most cases, ward off this difficulty. Should Graphites fail, Phytolacca should be tried, no other remedy being more prominently indicated. Dose : As directed for Sulphur. Phytolacca-decandria will be found to be a most valuable remedy in many cases ; more particularly where the breasts are hard from the commencement of the disorder, sensitive to touch, and more or less painful. It will also prove useful for *' lumps" in the breasts. Dose: As directed for Bryonia ; use, also, as an external application. Mercurius may be required after any of the foregoing medicines, when, notwithstanding the previous treatm.ent, and the reduction of the inflammatory symptoms, a degree of induration still remains. Dose : As directed for Sulphur. Phosphorus is indicated when symptoms of threatening formation of matter (abscess), such as increase in pain, with transitory chills, and throbbing in the breast ensue. Its immediate employment, under such circumstances, will often succeed in speedily relieving pain, and pre- venting the ripening and bursting of the abscess. It is also indicated in severe cases where there are already fistulous ulcers formed, of blue appearance, and having callous edges ; and the patient has hectic fever and night sweats. Dose : Three globules, every six hours, untif relief is obtained. DISEASES PECULIAR TO WOMEN. 2e59 HEARTBURN— ACIDITY— WATERBRASH. These distressing forms of gastric disturbance sometimes make their appearance soon after conception, while in other cases they may not make their appearance until after the fourth month. Some women are remarkably subject to these symptoms when pregnant ; in others they are manifested with less violence ; in others not at all. There may be merely a burning sensation — heartburn in the throat — which indicates sympathetic irritation : or the severe forms of waterbras.H v/ith acidity which arise from more fully developed irritation. As in the nausea and vomiting of pregnancy, so in waterbrash^. acidity, and heartburn, every degree of intensity and variety of mani« festation and complication may be seen in different individual cases. Sometimes these disturbances are found accompanied with, and greatly aggravating the nausea and vomiting, while at other times they seem to appear instead of the vomiting. As in cases of ordinary dyspepsia, these sufferings are worse after certain articles of food or drink, such as meats, fat meats or gravies, milk or fruit. In the more severe cases, nearly everything that is eaten becomes but an added fuel to the burning fire. Still, a careful avoidance of all those articles which, whether solid or liquid, are ifound to disagree most, and a careful selection from the remedie.'^ given, will, as in cases of nausea and vomiting, go very fa^ to remove the most distressing symptoms, and eventually to secure a gr^^t improvement in the general health. Treatment. Antimonium Crudum. Nausea alone or nao.^ea and frightful vomit- ing with convulsion. Belching, with a taste of what has been eaten. Thirst at night. Painful sense of fulness of the stomach, which is sore on pressure. Dose : Eight pills every four hours. Arsenicum is very useful when there is a very great debility and exhaustion. Very pale, white look. Sensation as of a stone in the stomachv Vomiting of fluids as soon as she takes them. Exhausti^.g 260 DISEASES PECULIAR TO WOMEN. diarrhoea. Feels cold and wants to be in a warm room. Very uneasy and restless. Dose : As for Antimoniinn Crzcdum. Conium. Vertigo on turning in bed. Eructations with heartburn. Terrible nausea and vomiting. Where the history of the case reveals the fact of swelling and soreness of the breasts with each menstrual period, and the patient always feels worse after going to bed, and has to walk about to get relief Dose : Six pills every three hours. Sepia. The thought of food sickens her. Eructations tasting like bad eggs. Want of appetite. Taste bitter or saltish. Disgust for all kinds of food. Vomiting of food and bile. Constipation. Dose : Six pills every night and morning. CONSTIPATION OF PREGNANCY. Constipation is a very common attendant upon pregnancy, so fre- quent that by some it is deemed almost a natural consequence. But it is much more apt to occur, and at the same time to be more troublesome and obstinate, in pregnant women, whose habits of life are confining, and those who are naturally of a more costive habit. When it does not arise from mechanical pressure exerted hy the uterus upon the rectum, by which its dimension is lessened and its action paralyzed, active exercise in the open air (avoiding indigestible food, strong coffee, and other stimulating liquids) is sufficient to remove the complaint, or, at all events, render it less troublesome. When nature requires further assistance, the followmg remedies have given the best satisfaction in the numerous cases which we have treated. Treatment, Nux Vomica. In women of sedentary habits, accustomed to the use of much coffee, wine, and rich and highly-seasoned food, gener- ally. Stools large and difficult ; colicky pains, or loud rumbling or rolling in the bowels. Constipation in persons who have been in the habit of using purgatives. Rush of blood to the head during stool. Dose : Four pills every evening, dry on the tongue. Ignatia can be made use of when the same symptoms as given after THE VITAL SYSTEM. A. Heart. B, B. Lungs. C. Liver. D. Stomach. S. Spleen. m, m. Kidneys, g. Bladder, d is the diaphragm which forms the partition between the thorax and abdomen. Under the latter is the cardiac orifice of the stomach, and at the right extremity, or pit of the stomach, is the pyloric orifice; below ■re the large and small intestines, i. Womb. A, h. Ovaries. i'. Bladder. DISEASES PECULIAR TO WOMEN. 261 Nux., with the addition of an empty feeling at the pit of the stomach ; sighing and full of grief Dose : Four pills every morning, dry on the tongue. Bryonia. The stool is mostly dark, dry and hard, as if burnt, and is evacuated with much difficulty. The lips are parched and cracked. Much thirst. Stinking flatulency. Obstruction of the bowels from hardened stool. Stool too large to be evacuated without pain. Dose : The same as directed for NtLV. Sepia. Sensation of weight or heavy lump in the anus ; this is a very characteristic indication. The stool is very difficult to pass, even with the most terrible and involuntary strainings. Knotty and insuf- ficient stool. Sepia has given very marked benefits. Dose : A powder each second night. TOOTHACHE DURING PREGNANCY. Toothache is a common and veiy distressing accompaniment of pregnancy, being, in fact, only a particular form of neuralgia. If toothache occurs in sound teeth, as is quite frequent, they should never be extracted, and only the greatest care should be used in extracting decayed ones, especially if the patient be of a very nervous temperament. The female should, as soon as she is in proper state, put herself under proper treatment, for this is a valuable indication of some constitutional taint lurking in the system, and no remedies can be otherwise than palHative, until this tendency is eradicated. Treatment. Alumina (Alum). When the pains are excited by mastication (chew- ing of the food), and when they are of a tearing nature, extending to the cheek bone, temple and forehead. Calcarea. When the toothache is excited or aggravated by cold air, or anything hot or cold, and attended with painful sensation of the gums, and pulsative, gnawing, or throbbing pains which are aggravated by noise. Sepia is particularly indicated when there is pulsative, shooting, 262 DISEASES PECQLlAR I'O WOMEN. drawing toothache, with pain extending to the ears, or to the arms and fingers, excited by compressing the teeth or by cold air, and attended with swelling of the cheek, and enlargement of the glands under the lower jaw. Magnesia Carbonica. Nocturnal pains in the teeth, insupportable when lying down, and compelling the patient to get up and walk ; pains generally boring, burning, drawing, tearing, and resembling those of ulceration, attended with swelling of the cheek on the, affected side. Dose: These remedies maybe given every three hours, six pills at a dose, until relief, and then the time may be lengthened. SWELLING OF LOWER LIMBS— VARICOSE VEINS. This a very common attendant of pregnancy ; it often occasions no little inconvenience, and is usually confined to the seventh, eighth and ninth months. It is supposed to arise, in most instances, from mechanical pressure alone, and to be free from constitutional disease. This is true in those cases where it is not accompanied by dropsical affections. Standing and walking serve to aggravate this condition ; it becomes worse toward evening, gradually increases as pregnancy advances, and is often combined with a varicose state of veins. Many females suffer much during pregnancy from distention of veins in the thigh and other parts, which, becoming violent, eventually cause great pain and inconvenience. These varicose veins generally arise from obstructed circulation, caused by the pressure of the uterus upon the blood-vessels. Considerable alleviation is experienced by constant bathing with water or with diluted alcohol or brandy. Also, by bandaging from the foot upwards with a gentle and equal pros- sure, and by preserving a recumbent posture, which is required in severe forms of the complaint, accompanied with considerable swelling of the feet, ankles, etc. Treatment. Pulsatilla may be given, particularly when there is excessive pain •and swelling, with a good deal of inflammation, or when the veins are of i» livid color which is imparted to the whole limb. 1 DISEASES PECULIAR TO WOMEN. 263 Arnica is of great service when the occupations of the patient render it impossible for her to lay herself up, and avoid much stand- ing and moving about in discharge of her domestic duties. Pulsatilla and Arnica given in alternation, a dose every day, will prove very beneficial in such cases. Nux Vomica when the affection is attended with constipation and piles, and irritability of temper. Dose : Six pills every evening. Arsenicum when the veins are attended with severe burning pain, with a sensation as if scalding water was running over them. Dose : Eight pills every second evening. URINARY DIFFICULTIES DURING PREGNANCY. As gestation advances, the increasing size of the uterus causes it to press more and more against the bladder. Thus the capacity of that organ is diminished by the pressure which necessitates a much more frequent discharge of urine. The same frequent micturation results, too, from direct irritation of the neck of the bladder, causing hourly calls to pass w^ater, which are sometimes but partially relieved by the flow of a few drops, only, at a time, or the irritation may amount to dysury (painful urination), or even to a complete retention of urine. Where some displacement seems to be the cause, which may some- times be known by the suddenness of the onset of the difficulty, especially if it follows some accident or over-exertion, the case should receive treatment for the difficulty, different than that which arises from other causes. Sometimes Caused by Pressure of the Womb. Incontinence of urine sometimes appears, especially in the latter stages of pregnancy. When it appears in the early months, it may result from the pressure of the womb upon the neck of the bladder before it rises out of the pelvic cavity, causing the loss of tones of the part. This difficulty will often yield to the proper remedy ; but if not, when it comes on in the early stage of pregnancy, it may be expected to disappear when quickening takes place. 264 DISEASES PECULIAR TO WOMEN. For the medical treatment of these difficulties, the following reme- dies should be studied. It is to be noted, likewise, that these reme- dies should be consulted and may be required for urinary difficulties occurring, not only during pregnancy, but before, during and after parturition as well. Treatment. Aconite. Retention of urine, with stitches in the region of the kidneys. Difficult and scanty emission, with pinching around the umbilicus (navel). Bright-red, hot urine. Desire to urinate, accom- panied with great distress, fear and anxiety. Worse from exposure to dry, cold o-ir. Dose : Six pills every half hour or hour, owing to the severity of the case. Arnica. After passing a little urine she wishes to pass more, but is unable to do so at that time. Brown urine with brick-red sedi- ment. A bruised and sore feeling exists across the lower part of the abdomen. Dose : Four or six pills every two or three hours. Cantharis. Very frequent urination, even sixty times an hour, with violent cutting pain, causing her to scream. The urine is often bloody. The urine does not flow in a stream, but dribbles away, or passes drop by drop, with cutting and burning pains, and tenesmus of the bladder, which is agonizing in severity. Dose: Same as for Aconite. SECRETION OF MILK. This is one of the most mv^resting and lemarkable changes occur- ring during the lying-in period. While the child is still in the uterus, all that pertains to the mother unites to eflect its nourishment, growth, and development there. Suddenly all this is interrupted, the child is expelled from the little world within, and has to find nourishment else- where. Nature intends it to be supplied, as before, from the maternal blood, though through the medium of mammary glands. The reac- tion upon the organism, from this change from the uterus to the breast, causes what is called milk fever, in consequence of which there results a disturbance in the system, more or 'ess well marked, according to the obstacles to be overcome. DISEASES PECULIAR TO WOMEN. 265 In some cases appear chills, fevers, headaches, and a great variety of pains and suffering ; while in others this period is passed without any of the above-mentioned disturbances. As a general thing, all the disturbances incident to the coming of the milk are less when the child is applied to the breast as soon after delivery as is practicable. Much advantage is gained both to the mother and child by this method, since it serves to lessen the suffering of one from hunger, and the danger of the other from fever. It is of vast importance that the natural operations of the organism peculiar to this condition proceed with regularity. Among these, the secretion of milk takes a prominent position, and its sudden suppres- sion is apt to be followed by internal and local inflammation, flow o{ blood to the head, hot and cold flashes, etc. The use of the following remedies should be employed according to their indications. Treatment. Pulsatilla should be promptly applied in cases of sudden sup- pression of the secretion of the milk, whatever cause has occasioned it; and this medicine will frequently be found sufficient to restore the natural flow of milk. Dose: Four pills, repeated every four hours (or every eight, in very mild cases) until change. Bryonia is to be preferred when there is oppression at the chest or stitching pains in the chest or side, or more particularly if the sup- pression can be traced to some sudden mental emotion, or to catch- ,lng cold. Dose : As for Pulsatilla. \ Chamomilla should be selected if the patient be particularly irri- table and excitable, and the suppression be followed by intense flush- ing of heat or burning heat of the hands and face, either with crimson flush or alternate flushing and paleness, or one cheek red and the other pale. Dose : As for Pulsatilla. EXCESSIVE SECRETION OF THE MILK. Occasionally, on the other hand, it happ.'^ns that too abundant a secretion takes place, causing distention of the breasts with spon'ane- 266 DISEASES PECULIAR TO WOMEN. ous flow of milk, keeping the breasts constantly wet. Relief from such an uncomfortable state may be obtained by the appropiate remedy according to the indications below. The function of lactation being one purely physiological, and provided for in the economy of suitable forces. Under the stimulus of maternal instinct and affection most women enjoy perfect health during its continuance. Many, indeed are never so well as when giving suck to their children. Gradual Exhaustion of the System. Under the influence of this process, there arises a greater activity of all the functions at the same time, and, also, a greater strength of appetite, and corresponding energy of the digestive powers. The process of conversion of food is unusually rapid, the excess going to form milk. Where a greater amount is thus formed than is required, the system becomes gradually exhausted, even in health. This over- production may be due simply to excess of vitality, while it may result from the efforts of nature to supply the required material sup- port, even under difficulties. The following remedies will be found beneficial, as the indications appear : Treatment. Aconite may be taken as a precautionary measure when there is high febrile action of the whole system, and we are ignorant of the exciting cause. Dose : Take four globules, repeated at intervals of four hours, until the frequency of the pulse is diminished and the skin becomes moist. Rhus-tox. frequently proves of much service where febrile symptoms arise from distention of the breasts, induced by an excessive secretion, and indications of what is generally termed milk fever (which, how- ever, frequently arises from other causes). Dose: Three globules every six hours until amelioration or change. Calcarea Carb. should be employed in cases in which excessive dis- tention of the breasts, spontaneous emission of milk and loss of flesh ^cur without any marked and active fever symptoms — or after the DISEASES PECULIAR TO WOMEN. 267 previous employment of Aconite or Rhus, when the fever symptoms have been allayed. Dose : Six pills as directed for Rhus. Phosphorus is of especial value in cases of this kind, when there are marked signs of a tendency to consumption, and emaciation takes place rapidly. Phosphorous is yet further indicated when there are sensations as of a rush of blood, with oppression at the chest, and sometimes even short, dry, hacking cough. Dose : Three pills as directed for Rhus. MILK FEVER. The secretion of milk is considered an operation of nature, and not 9ne that requires medic^il aid for its regulation, but occasionally suffer some slight uneasiness for a few days following confinement, and when any of the below-mentioned group of symptoms present them- selves, the affection is known by the name of Milk Fever. Shiverings and heat terminating in perspiration ; the pulse is at first weak, changing to various phases (sometimes quick and frequent), at others soft and regular ; and, in some instances, the symptoms are attended with a drawing pain in the back, extending to the breast, a disagreeable taste in the mouth, thirst, oppressive breathing, anxiety, headache, etc. The exciting causes are neglecting to put the infant to the breast .sufficiently early, which allows the absorption of the milk into the circulation, causing mental emotions, fright, or excessive talking. Treatment. Nature herself, if not disturbed by improper treatment, will, in most cases, suffice to restore the equilibrium of the system ; should the affection become aggravated, we may dread the setting in of puerperal fever. Aconite must be employed in all instances where considerable fever is present, and will usually remove all the symptoms. Dose : Give four globules, repeated after the lapse of three hours, if necessary. Belladonna is very useful in particular cases in which complica- tions with very severe disturbance of the brain, or when inflammatory 268 DISEASES PECULIAR TO WOMEN. action in the breast may supervene. Dose : Three globules, repeated at intervals of four hours, until a degree of improvement sets in, and then at intervals of six hours. Rhus, is also of considerable service when extreme fullness, tension and painfulness of the breasts, with excessive secretion of milk, attend the case. Dose : As directed for Belladonna. CHILD-BED FEVER— PUERPERAL FEVER. The trouble is of so grave a nature that it is with reluctance that we approach the subject. Where it is at all possible, we would advise a skilled physician to be employed. As this work, however, will enter some home where no physician can be procured, it has been thought judicious to treat the disease at sufficient length to be avail- able in cases of emergency. This disease assumes vanous types and degrees, and has received various names. Usually the disease begins on the second, third oi fourth day, although, in some cases, it even appears later, as late even as the eighth or ninth. It sometimes begins with a distinct chill, and, again, there may be only slight chilliness, imperfect and merely noticed. The pulse is very rapid, full and soft. In some cases, there is neither pain, distention nor tenderness of the abdomen ; while in others, the pain is very acute, the distention enormous, and the ten- derness exquisite. Perspiration and Thirst. Profuse sweating is a very common and distressing accompaniment of this disorder ; the sweating of puerperal fever does not diminish the amount of urine, nor abate the quickness of the pulse. An intolerable thirst prevails, and the patient drinks immense quantities of whatever fluid she may be allowed. Dark spots appear on the wrists or other parts of the body. At first, the lochia may be unaffected ; they may be even increased in quantity, but more commonly they are entirely suppressed. As the disease advances, usually about the third day, diarrhoea an/ vomiting may supervene. The patient becomes listless and languid THE UTERUS (wOMb) AND ARTERIES. a, a. The kidneys, b, b. The ureters, c. The uterus, d, d. The broad ligaments. e,e. The ovaries. /,/. The Fallopian tubes, g. The rectum cut. h. The aorta, i. The superior mesenteric artery divided, k. The Inferior mesenteric artery divided. /,/. The renal, w, m. The common iliacs. **«, n. The external iliacs. o, o. The internal iliacs. DISEASES PECULIAR TO WOMEN. 269 .osing all interest in surrounding circumstances, and even in her child, ind the expression of her face indicates anxiety and great prostration ; or, on the other hand, she may be unduly excited, nervous and tremulous. If the disease progresses in spite of treatment, delirium commonly supervenes. Rattling of the breathing, with enormous distention of the abdomen, are usually regarded as fatal symptoms. Symptoms and Causes. As the disease advances, the womb, the peritoneum and other organs, and tissues of the abdomen become involved in the prevailing inflam- mation. The first symptoms of this disease are similar to those of "milk fever," but the distinction is to be made by the fact of absence of pain, and more particularly by absence of tenderness in the abdomen. This disease may result in consequence of a chill occasioned by a draught of air, or other cause, or from the use of damp or wet linens, or it may be occasioned by violence ; or, again, it may be impossible to assign any reason for its occurrence ; in whic'n case we are led tc believe that it is due to infection, or arises in consequence of some lurking taint or predisposition of the system. Aconite should be employed, at first being indicated by the feeble condition, and by other circumstances ; and will in very many instances, when promptly administered, particularly in those cases of a more simple form, serve to dissipate the entire disordered condition, and restore harmony to the system in an almost magical manner. Dose: Give four globules every hour, or half hour, according to the severity of the symptoms. If, at the end of twelve hours, the symptoms have abated, the intervals may be extended two or three hours. Belladonna should be administered when the pain is violent and cramp-like, coming on suddenly and ceasing as suddenly, with swelling of the abdomen ; or the pains are forcing, as if the contents of the abdomen would be forced out ; sensitiveness of the belly to the touch — she cannot even bear the jar of the bed ; redness of the face and eyes ; headache ; Ary mouth with red tongue ; sleeplessness and restiveness ; 'l^lirious ; suppression of the lochia or escape of red and foetid blood . 270 iJiSEASES PECULIAR TO WOMEN. the breasts are red and inflamed, or swollen and empty. Dose : As directed for Aconitum. Hyoscyamus may be used in some cases of a similar nature to that indicative of Belladonna, but where the disease has been developed,] by mental emotions, and is characterized by spasmodic symptoms/ jerks and twitches, delirium, throwing off of the bed-clothes, it is Tiore particularly indicated. Dose : As for Aconite. Rus-tox. is suitable when the fever is of a low typhus grade ; the patient is very restless, constantly tossing about. The lochia is again tinged with blood, or clots of blood are discharged ; aching soreness and stiffness of the limbs ; the tongue is red. Dose : As for Aconite. Colocynth will be found valuable when the abdomen is greatly distended, and the pains are unbearable, being of a sharp, cutting or lancinating character, which cause the patient to draw the thighs up as close to the belly as possible ; diarrhoea with colicky pains, agga- vated or excited by eating or drinking. Dose : As for Aconite. Chamomilla is useful for cases in which the breasts are flaccid and without milk ; diarrhoea ; pains in the abdomen like pains of labor ; general heat with redness of the face, or one cheek is red, and the other is not ; great agitation, impatience and nervous irritability. Dose. As for Mercurius. Diet and Regimen. The most absolute repose of mind and body should be secured ; all noise should be shut out, the room darkened and a moderate tempera- ture maintained ; the room should be well ventilated, so as to have the air changed without admitting a cold draught. Purification of all aliment must be enforced, and the thirst allayed by small quantities of cold water, which should be iced in summer, or when vomiting is present. If the lochia is suppressed, flannels wrung out of warm water may be applied to the external genitals, or a tepid injection may be thrown into the rectum, if there be great constipation ; but it must be a small quantity, that the bowels may not be much disturbed. The infant should be removed and fed on cow's milk and water until th» patient is out of danger. I CHAPTER XIX. Pregnancy External to the Womb. a r jie Occurrence — How the Ovum is Nourished — Causes of Such Conception— ^ jculiarities of the Cases — Obscure Symptoms — General Treatment — Appear- ance of Inflammation — Bursting of the Cyst — Relief for Pain — Opiates and Cordials — Operation for Removal of Foetus — Successful Treatment of this Peculiar Form of Pregnancy. /"XCCASIGNALLY, though fortunately very rarely, after impreg- ^ nation has occurred, the ovum does not reach the womb, but remains either embedded in the ovary, or the Fallopian tube, or falls into the general cavity of the abdomen. Being endowed with life, it attaches itself to that portion of the mother's body wherever it may happen to have lodged, and a communication by vessels is recip- rocally effected between the mother's structures and itself. By means of these vessels it is nourished, an imperfect placenta (afterbirth) is formed, and its increase progresses in as regular, and almost as rapid a manner, as though it had been received in<"0 the cavity of the womb itself It has been stated by Coste that of all animals woman is alone subject to this irregularity ; but this -'s cer- tainly erroneous, for it has been known to occur frequently in the brute creation. Instances of it have been observed in the cow, sheep, bitch, and hare, besides others. The Causes. It would be idle and unprofitable to speculate dc-oply on tne causes that may produce this deviation from nature's established institutions. Explanations have been offered, founded on original conformation, pathological changes, and accidental occurrences. It has been noticed by Breschet and Campbell that the womb of the infant frequently possesses somewhat of a bifurcated or forked formation, such as is natural to the monkey, and in a more striking degree to th-^ female quadruped ; and others have observed it in the adult subject 271 272 PREGNANCY EXTERNAL TO THE WOMB. This anotomical formation has been supposed to favor the produc- tion of tubal or parietal extra- womb impregnation. But almost all the cases on record have occurred to women who had previously borne a family ; and we should presume, if such a shape of the womb disposed to it, that it would be more frequently met with in first pregnancies. Again, a morbid condition of that Fallopian tube through which the 3vum is passing, has been supposed to explain it ; such as an imper- vious state taking place after conception ; a contraction of its calibre, owing to engorgement of its lining membrane, or spasm of its fibres, or paralysis affecting its structure ; and it has been attributed to disease existing in the coats of the ovum itself. Peculiarities of the Cases. Among the accidental occurrences much importance has been attached to mental agitation on the part of the woman, while in the enjoyment of the conjugal embrace ; and some cases are recorded, in ivhich this irregularity has followed a shock or surprise received in coition. Thus a case by the late Baudelocque was supposed to have depended on the woman's hearing somebody trying to enter the apartment. Another very similar is also reported ; and a third where the woman experienced much alarm by a stone being thrown through the window of her chamber during the time of connection ; but it is very doubtful whether such a cause could produce the effect now under considera- tion. The fact, however, of a large relative proportion of unmarried females having become the subjects of the complaint, would afford 3ome foundation for the idea that such persons are more liable to be afflicted with extra uterine gestations than women of regular habits and steady character. The Symptoms. The symptoms are at first very indefinite and obscure ; they are generally those of incipient pregnancy; the menses become suppressed; the breasts enlarge ; and the areolae are more evident ; there is morn- PREGNANCY EXTERNAL TO THE WOMB. 273 ing sickness ; but more local pain is ^elt ; and this pain is referred to one point of the side, mostly low down, within one or other ilium. It may depend on inflammation, or perhaps, which is more probable, on the cyst not yielding kindly to the growing ovum. In some instances, indeed, the patients have enjoyed uninterrupted EXTRA-UTERINE PREGNANCY. t. The thickened wall of the womb. d. Original position of the foetus, c. Sac ' containing foetus. good health, until a period nearly approaching the full term of healthy gestation, but this is not common. If the child continues to live it quickens ; but the motion is also felt more on one side than the other, and is usually attended with much suffering ; the patient increases in ?ize, and is satisfied she is pregnant. Sometimes the child's limbs can 18 274 PREGNANCY EXTERNAL TO THE WOMB. be traced through the walls of the abdomen, especially in conception of the belly. The monthly periods have been known to continue with regularity for the first five or six months ; but more usually, when there has been any colored discharge from the vagina, it has appeared at uncer- tain intervals, has consisted of blood, has been profuse in quantity, and attended with the expulsion of clots ; sometimes, indeed, with masses of fleshy substances that have been mistaken for moles, or with portions of what has been considered the afterbirth. These phenomena have given rise to the belief that the patients had miscar- ried. The bowels are usually constipated after four or five months, and the urine is passed frequently and with pain. "When Inflammation Sets In. On making an examination through the vagina, the mouth of the womb may be raised so high by a portion of the child's body occupy- ing the pelvis, as to be beyond the reach of the finger ; and if it can be touched, the womb will be found unimpregnated, though rather larger and heavier than in its virgin state ; with the cervix not at all, or but slightly, developed. A foot or hand, or the head of the child^ or some other portion of its body may occasionally be felt through the coats of the vagina. After the child's death, and when the efforts made by the uterus to expel it have ceased, which are evi- denced by spasmodic pains, accompanied by some sanguineous dis- charge, milk is generally secreted in the breasts ; the abdomen after a time diminishes somewhat in size ; and the tumor may remain with- out any alteration in its volume, producing little or no distress. If putrefaction, however, takes place, symptoms of general abdomi- nal inflammation supervene ; and when the ulcerative process is estab- lished, it is attended with extreme depression, small quick pulse, hurried and painful respiration, entire loss of appetite, great emaciation, hectic fever, absence of sleep, vomiting and purging. Together with the ^ces, pus and large quantities of the most offensive putrid matter, are trom U«3;e to time evacuated. PREGNANCY EXTERNAL TO THE WOMB. 275 This may, perhaps, give the first indication of the true nature of the case ; and the patient's size diminishes in proportion as the evacua- tions are copious. Should she bear up against the weakening effects of such destructive actions, the whole contents of the sac will be expelled, the time occupied varying exceedingly ; and when they have entirely passed the healing process is set up, and the patient may be restored to comparative health. Sometimes there is but one communication established with the ali- POSITION OF FCETUS OUTSIDE THE WOMB. LTientary canal, at others there are two or three ; sometimes, also, ulceration takes place between the sac and the uterus or vagina ; at others, again, the adhesion is formed between the sac and the abdominal parietes, the contents point as an abscess, and are evacuated externally. We are pretty well persuaded that those cases on record^ in which it is supposed that a foetus lay for an indefinite period in the womb without being expelled or that it had died in the womb, and had made its way in time outvv^ardly by ulceration, were, indeed instances of different varieties of extra-uterine gestation. 276 PREGNANCY EXTERNAL TO THE WOMB. Should the cyst burst, a very different train of symptoms from those above mentioned show themselves. It is probable that the patient may have considered she was advancing in healthy pregnancy, and no indication may have appeared to lead to the knowledge that this serious irregularity existed, beyond some occasional pains that coidd not easily be accounted for ; when she is suddenly seized with the most violent cramp in the side of the abdomen, bearing more the character of colic than any other kind of pain. The symptoms, indeed, of hemorrhage, one after the other, appear (in addition to the excruciating abdominal suffering), until she sinks, within a few hours of the rupture taking place ; for very rarely, indeed, has recovery happened under such circumstances. We can- not be surprised at the violence of the symptoms, when we reflect that they are occasioned by the combined influence of internal hem- orrhage, laceration, and the effusion of a large quantity of blood into the delicate and highly-sensitive peritoneal cavity. Directions for Treatment. Our treatment must depend entirely on the symptoms, and must be directed towards the relief of pain, and assisting nature in her efforts to get rid of the offending mass. The bladder must be particularly attended to. The pain may be relieved by opiates, and nature may be assisted in keeping up the strength by tonic medicines, good diet and cordials, during the process of putrefaction and ulceration. Should any of the bones, in their passage through the rectum, become fixed in that bowel, which is very likely to happen with the broad bones of the skull, the femur and some others, they may be carefully removed, either by the fingers or a pair of forceps. It has been recommended — the child being still alive — that an inci- sion should be made, either through the vagina upon the head, breech or foot (provided either of these parts could be felt low down in the pelvis, and the nature of the case admitted of no doubt), or through the abdominal muscles ; and that the child should be extracted by the forceps or hand, for the sake of its preservation. PART III. Care and Management of Children, CHAPTER XX. Ablution and Clothing. Every Child Should be Its Mother's Care— The Babe a '* Well-spring of Pleasure ** — Directions for Bathing — Prevention of Colds — Skin Eruptions — Free Use of Water — Cleanliness and Health — Treatment for Chafings — Bad Effects of Soda in the Laundry — Proper Time for Bathing the Infant — The Flannel Apron — Clothing — Material for the Belly-band — Light Dressing — Warmth a First Requisite — Danger of Convulsions — How Clothes Should be Fastened — Keeping the Head Cool — Clothing for Winter. THE care and management, and consequently the health and future well-doing of the child, principally devolve upon the mother ; ** for it is the mother after all that has most to do with the mak ing or marring of the man." Dr. Guthrie justly remarks that—'* Moses might have never been the man he was unless he had been nursed by his own mother. How many celebrated men have owed their greatness and their goodness to a mother's training ! " Napoleon owed much to his mother. " The fate of a child," said Napoleon, *' is always the work of his mother;" and this extraordi- nary man took pleasure in repeating, that to his mother he owed his elevation. All history confirms this opinion. The character of the mother influences the children more than that of the father, because k is more exposed to their daily, hourly observation. We are not overstating the importance of the subject in hand when we say, that a child is the most valuable treasure in the world, lha( •*he is the precious gift of God," that he is the source of a mother'9 277 278 ABLUTION AND CLOTHING. greatest and purest enjoyment, that he is the strongest bond of afFec* tion between her and her husband, and that " A babe in a house is a well-spring of pleasure, A messenger of peace and love." We have, in the writing of the following pages, had one object con- stantly in view — namely, health— * ' That salt of life, which does to all a relish give, Its standing pleasure, and intrinsic wealth, The body's virtue, and the soul's good fortune — health/* If the following pages insist on the importance of one of a mother's duties more than another it is this — that the mother herself look well into everything appertaining to the management of her own child. Blessed is that mother among mothers of whom it can be said that " she hath done what she could " for her child—for his welfare, for his happiness, for his health. For if a mother hath not '* done what she could for her child" — mentally, morally and physically — woe betide the unfortunate little creature ; better had it been for him had he never been born. Temperature of the Water. It is not an uncomm.on plan to use cold water for the babe from, the first, under the impression of its strengthening the child. This appears to be a cruel and barbarous practice, and is likely to have a contrary tendency. Moreover, it frequently produces either inflammation of the eyes, or stuffing of the nose, or inflammation of the lungs, oi looseness of the bowels. Although we do not approve of cold water, we ought not to run into an opposite extreme, as hot water would weaken and enervate the babe, and thus would predispose him to disease. Lukewarm rain-water will be the best to wash him with. This, if it be summer, should have its temperature gradually lowered, until it be quite cold ; if it be winter, a dash of warm water ought still to be added, to take off the chill. (By thermometer = 90 to 92 degrees.) It will be necessary to use soap, white Castile soap being the best ABLUTION AND CLOTHING. 279 jbr the purpose, it being less irritating to the skin than the ordinary Boap. Care should be taken that it does not get into the eyes, as i{ may produce either inflammation or smarting of those organs. If the skin be delicate, or if there be any excoriation or *' breaking-out " on the skin, then glycerine soap instead of the Castile soap ought to be used. A mother should comm_ence washing her infant either in the tub or in the nursery basin, as soon as the navel-string comes away. Do not be afraid of water— and that in plenty — as it is one of the best strengtheners to a child's constitution. How many infants suffer from excoriation for the want of water ! A piece of flannel is, for the first part of the washing, very useful^ — that is to say, to use with the soap, and to loosen the dirt and the perspiration; but for the finishing-up process a sponge — a large sponge — is superior to fl_annel to wash all away and to complete the bathing. A sponge cleanses and gets into all the nooks, corners and crevices of the skin. Besides sponge, to finish up with, is softer and more agreeable to the tender skin of a babe than flannel. Moreover, sponge holds more water than flannel, and thus enables you to stream the water more effectually over him. A large sponge will act like a miniature shower-bath, and will thus brace and strengthen him. To Prevent Taking Cold. To prevent a new-born babe from catching cold, it is not necessary to wash the head with brandy. The idea that it will prevent cold is erroneous, as the rapid evaporation of heat which the brandy causes is more likely to give than to prevent cold. That tenacious paste-like substance, adhering to the skin of a new- born babe, should be washed off at the first dressing, provided it be done with a soft sponge and with care. If there be any difficulty in removing the substance, gently rub it, by means of a flannel, either with a little lard, or fresh butter, or sweet-oil. After the parts have been well smeared and gently rubbed with the lard, or oil, or butter, let all be washed off together, and be thoroughly cleansed away, by 280 ABLUTION AND CLOTHING. means of a sponge and soap and warm water, and then, to complete the process, gently put him for a minute or two in his tub. If this paste-like substance be allowed to remain on the skin, it might produce either an excoriation, or a ** breaking-out." Besides, it is impossible, if that tenacious substance be allowed to remain on it, for the skin to perform its proper functions. Thorough Washing from Head to Foot. A babe ought, every morning of his life, to be thoroughly washed from head to foot ; and this can only be properly done by putting him bodily either into a tub or into a bath, or into a large nursery-basin, half-filled with water. The head, before placing him in the bath, should be first wetted (but not dried) ; then immediately put him into the water, and, with a piece of flannel, well soaked, cleanse his whole body, particularly his arm-pits, between his thighs, his groins, and his hams ; then take a large sponge in hand, and allow the water from it, well filled, to stream all over the body, particularly over his back and loins. Let this advice be well observed, and you will find the plan most strengthening to your child. The skin must, after every bati;, be thoroughly but quickly dried with warm, dry, soft towels, first envel- oping the child in one, and then gently absorbing the moisture with the towel, not roughly scrubbing and rubbing his tender skin as though a horse were being rubbed down. The ears must, after each ablution, be carefully and well dried with a soft, dry napkin ; inattention to this advice has sometimes caused a gathering in the ear — a painful and distressing complaint ; and at other times it has produced deafness. Directly after the infant is dried, all the parts that are at all likely lo be chafed ought to be well powdered. After he is well dried and powdered, the chest, the back, the bowels, and the limbs should be gently rubbed, taking care not to expose him unnecessarily during such friction. ' He ought to be partially washed every evening ; indeed, it may he ABLUTION AND CLOTHING. 281 necessary to use a sponge and a little warm water frequently during the day, namely, each time after the bowels have been relieved. Cleanliness is one of the grand incentives to health, and therefore can- not be too strongly insisted upon. If more attention were paid to this subject, children would be more exempt from chafings, " breakings- out," and consequent suffering, than they at present are. After the second month, if the babe be delicate, the addition of two handfuls of table-salt to the water he is washed with in the morning will tend to brace and strengthen him. The Powder to be Used. With regard to the best powder to dust an infant with, there is nothing better for general use than starch — the old-fashioned starch made of wheaten flour — reduced by means of a pestle and mortar to a fine powder ; or Violet Powder, which is nothing more than finely powdered starch scented, and which may be procured of any respect- able druggist. Some others are in the habit of using white lead ; but as this is a poison, it ought on no account to be resorted to. If the parts about the groin and fundament be excoriated, what is then the best application ? After sponging the parts with tepid rain- water, holding him over his tub, and allowing the water from a well- filled sponge to stream over the parts, and then drying them Avith ? soft napkin (not rubbing, but gently dabbing with the napkin), there is nothing better than dusting the parts frequently with finely powdered Native Carbonate of Zinc-Calamine Powder. Warding Off Skin Diseases. Remember excoriations are generally owing to the want of water- to the want of an abundance of water. An infant who is every morn- ing well soused and well swilled with water seldom suffers either from excoriations, or from any other of the numerous skin diseases. Clean- liness, then, is the grand preventative of, and the best remedy for excoriations. Naaman, the Syrian, was ordered " to wash and be clean," and he was healed, " and his flesh came again like unto th^ 282 ABLUTION AND CLOTHING. *iesh of a little child, and he was clean." This was, of course, a miracle ; but how often does water, without any special intervention, act miraculously both in preventing and in curing skin diseases. An infant's clothes, napkins especially, ought never to be washed with soda; the washing of napkins with sodais apt to produce excoria- tions and breakings-out. As washerwomen often deny that they use soda, it can be easily detected by simply soaking a clean white napkin in fresh water and then tasting the water ; if it be brackish and saltj soda has been employed. The Mother the Best Nurse. The proper person to wash and dross the babe is the monthly nurst^ as long as she is in attendence ; but afterwards the mother, unless she should happen to have an experienced, sensible, thoughtful nurse, which, unfortunately, is seldom the case. A good, thick, soft flannel — usually called bath-coating — apron, made long and full, and which, of course, ought to be well dried every time before it is used, is the best for bathing. Let the infant, by all means, then, as soon as the navel-string has separated from, the body, be bathed either in his tub, or in his bath, or in his large nursery-basin ; for if he is to be strong and hearty, in the water every morning he must go. The water ought to be slightly warmer than new milk. It is dangerous for him to remain for a long period in his bath ; this, of course, holds good in a tenfold degree, if the child have either a cold or pain in his bowels. Take care that, immediately after he comes out of his tub, he is well dried with v^arm towels. Right Time for Bathing. It is well to let him have his bath the first thing in the morning, and before he has been put to the breast ; let him be washed before he has his breakfast ; it will refresh him and give him an appetite. Besides, he ought to have his morning ablution on an empty stomach, or it may interfere with digestion, and might produce sickness and pain. In putting him in his tub, let his head be the first part washed. We ali ABLUTION AND CLOTHING. 283 know, that in bathing in the sea, or in fresh water, how much better we can bear the water if we first wet our head ; if we do not do so, we feel shivering and starved and miserable. Let there be no dawdling in the washing ; let it be quickly over. When he is thoroughly dried with warm, dry towels, lei him be well rubbed with the warm hand of the mother or of the nurse. As we previously recomm.ended, while drying him and while rub- bing him, let him repose and kick and stretch either on the warm flannel apron, or else on a small blanket placed on the lap. One bathing in the tub, and that in the morning, is sufficient, and better than night and morning. During the day, as we before observed, he may, after the action either of his bowels or of his bladder, require several spongings of lukewarm water, for cleanliness is a grand incentive to health and comeliness. Rem.em.ber it is absolutely necessary to every child from, his earliest babyhood to have a bath, to be im_mersed every m^orning of his life in the water. This advice, unless in cases of severe illness, admits of no exception. Water to the body — to the whole body — is a necessity of life, of health, and of happiness ; it wards off disease, it braces the nerves, it hardens the fram.e, it is the finest tonic in the world. If every mother would follow to the very letter this counsel, how much misery, how much ill-health might then be averted. Clothing for the Infant. Flannel instead of musHn for the belly-band is to be preferred, for two reasons— first, on account of its keeping the child's bowels com- fortably warm, and secondly, because of its not chilling him (and thus endangering cold, etc.) when he w^ets himself. The belly-band ought to be moderately, but not tightly applied, as if tightly applied, it would interfere with the necessary movement of the bowels. The belly-band should be discontinued when the child is two or three months old. The best way of leaving it off is to tear a strip off daily for a few mornings, and then to leave it off altogether. Nurses^ vho take charge of an infant are frequently in the habit of at once 284 ABLUTION AND CLOTHING. leaving off the belly-band, which often leads to ruptures when the rhild cries or strains. It is far wiser to retain it too long than toa dHort a time, and when a child catches whooping-cough, whilst still very young, it is safer to resume the belly-band. A babe's clothing ought to be light, warm, loose and free from pins. It should be light, without being too airy. Many infant's clothes are both too long and too cumbersome. It is really painful to see how some poor little babies are weighed down with a weight of clothes. They may be said to " bear the burden," and that a heavy one, from the very commencement of their lives. How absurd, too, the practice of making thenv wear long clothes. Clothes to cover a child's feet, and even a little beyond, may be desirable ; but for clothes, when the infant is carried about, to reach to the ground, is foolish and cruel in the extreme. Warmth a Chief Requisite. A babe's clothing should be warm, without being too warm. The parts that ought to be kept warm are the chest, the bowels and the feet. If the infant be delicate, especially if he be subject to inflam- mation of the lungs, he ought to wear a fine flannel, instead of his usual shirts, which should be changed as frequently. The dress should be loose, so as to prevent any pressure upon the blood-vessels, which would otherwise impede the circulation, and thus hinder a proper development of the parts. It ought to be loose about the chest and waist, so that the lungs and the heart may have free play. It should be loose about the stomach, so that digestion may not be impeded ; it ought to be loose about the bowels, in order that the spiral motion of the intestines may not be interfered with — hence the importance of putting on a belly-band moderately slack ; it should be loose about the sleeves, so that the blood may course, without let or hindrance, through the arteries and veins ; it ought to be loose, then, everywhere, for nature delights in freedom from restraint, and will resent, sooner or later, any interference. As few pins should be used in the dressing of a baby as possible ABLUTION AND CLOTHING. 285 Inattention to this advice has caused many a Httle sufferer to be thrown into convulsions. The generality of mothers use no pins in the dressing of their children ; thev tack every part that requires fastening with a needle and thread. They do not even use pins to fasten the baby's diapers. They make the diapers with loops and tapes, and thus altogether supersede the use of pins in the dressing of an infant. The plan is a ■good one, takes very little extra time, and deserves to be universally adopted. If pins be used for the diapers, they ought to be the Patent Safety Pins. Is there any necessity for a nurse being particular in airing an infant's clothes before they are put on ? If she were less particular, would it not make him more hardy? A nurse cannot be too particular on this head. A babe's clothes ought to be well aired the day before they are put on, as they should not be put on warm from the fire. It is well, where it can be done, to let him have clean clothes daily. Where this cannot be afforded, the clothes, as soon as they are taken off at night, ought to be well aired, so as to free them from the perspiration, and that they may be ready to put on the following morning. It is truly nonsensical to endeavor to harden a child, or any one else, by putting on damp clothes. Keep the Head CooL The head ought to be kept cool ; caps, therefore, are unnecessary. If caps be used at all, they should only be worn for the first month in summer, or for the first two or three /tionths in winter. If a babe take to caps, it requires care in leaving them off, or he will catch cold. When you are about discontinuing them, put a thinner ana a thinner one on every time they are changed, until you leave them off altogether. But remember, our opinion is that a child is better with- out caps ; they only heat his head, cause undue perspiration, and thus make him more liable to catch cold. In winter-time when a child is out for exercise, be sure that he is •^11 wrapped up. He ought to have under his cloak a knitted 286 ABLUTION AND CLOTHING. worsted jacket, which should button behind ; and if the weather bv ver>' cold, a shawl over all ; and, provided it be dry above, and the wind be not in the east or in the northeast, he may then brave the weather. He will then come from his walk refreshed and strength- ened, for cold air is an invigorating tonic. At what age ought an infant's clothing to be shortened? This, of course, will depend upon the season. In the summer, the right ^vme *' for shortening a babe," as it is called, is at the end of two months ; in the winter, at the end of three months. But if the right time for " shortening " a child should happen to be in the spring, let it be deferred until May. The springs are very trying and treacherous, and sometimes in April the weather is almost as cold and the wind as biting as m Avinter. It is treacherous, for the sun is hot, and the wind, which is at this time of the year frequently easterly, is keen and cutting. We would far prefer " to shorten " a child in the winter than in the early spring. CHAPTER XXL Diet for the Infant. i^way witli Gruel—When the Tongue is Tied — First Food for the Infant— Both Breasts to be Drawn Alike — Too Frequent Nursing — Artificial Food— A Simple Preparation— Foods of Various Kinds — Baked Flour — Bread Crumbs — Oatmeal — Pulp of Rice — Foods Containing Starch— Arrow-root — New Milk — When ta Give Farinaceous Food — How Digestion is Aided — Salt and Sugar — Weak Mothers — No Real Substitute for Mother's Milk — Nursing and the Mother's Health — Care of the Feeding-bottle — Flatult;nce — ^Time for Weaning — Gin and Peppermint— Diet Versus Physic. TT N infant ought to be put to the breast soon after birth — the J~\ interest, both of the mother and of the child, demands it. It will be advisable to wait three or four hours, that the mother may recover from her fatigue, and then the babe must be put to the breast. If this be done, he will generally take the nipple with avidity. It might be said, at so early a period, that there is no milk in the breast ; but such is not usually the case. There generally is a little from the very beginning, which acts on the baby's bowels like a dose of purgative medicine, and appears to be intended by nature to cleanse the system. But,'provided there be no milk at first, the very act of sucking not only gives the child a notion of sucking, but, at the same time, causes a draught (as it is usually called) in the breast, and enables the milk to flow easily. Of course, if there be no milk in the breast — the babe having been applied once or twice to determine the fact — then you must wait for a few hours before applying him again to the nipple, that is to say, until the milk be secreted. An infant, who, for two or three days, is kept from the breast, and who is fed upon gruel, generally becomes feeble, and frequently, at the end of that time, will not take the nipple at all. Besides, there 1^ a thick cream which, if not drawn out by the child, may cause inflam^ mation and gathering of the breast, and consequently great suffering 287 288 DIET FOR THE INFANT. to the mother. Moreover, placing him early to the breast, moderates the severity of the mother's after-pains, and lessens the risk of her flooding. A new-born babe must not have gruel given to him, as it disorders the bowels, causes a disinclination to suck, and thus makes him feeble. Tongue-Tied Infants. If an infant show any disinclination to suck, or if he appear unable to apply his tongue to the nipple, immediately call the attention of the doctor to the fact, in order that he may ascertain whether the child be tongue-tied. If he be, the simple operation of dividing the bridle of the tongue will remedy the defect, and will cause him to take the nipple with ease and comfort. Provided there be not milk at first, wait with patience ; the child (if the mother have no milk) will not, for at least twelve hours, require artificial food. In the generality of instances, then, artificial food is \ot at all necessary ; but if it should be needed, one-third of new milk ind two-thirds of warm water, slightly sweetened with loaf sugar (or with brown sugar, if the babe's bowels have not been opened), should be given, in small quantities at a time, every four hours, until the milk be secreted, and then it must be discontinued. The infant ought to be put to the nipple every four hours, but not oftener, until he be able to find nourishment. If, after the application of the child for a few times, he is unable to find nourishment, then it will be necessary to wait until the milk be secreted. As soon as it is secreted, he must be applied with great regularity, alternately to each breast. "We say alternately to each breast. This is most important advice. Sometimes a child, for some inexplicable reason, prefers one breast to the other, and the mother, to save a little contention, concedes the point, and allows him to have his own way. And what is frequently the consequence ? A gathered breast. We frequently hear of a babe having no notion of sucking. This ''no notion" may generally be traced to bad management, to stuffing him with food, and thus giving kim a disinclination to take the nipole at all. j^m DIET FOR THE INFANT. 289 A mother generally suckles her baby too often, having him almost constantly at the breast. This practice is injurious both to parent and to child. The stomach requires repose as much as any other part of the body ; and how can it have if it be constantly loaded with breast- milk ? For the first month, he ought to be suckled about every hour and a half; for the second month, every two hours — gradually increas- ing, as he becomes older, the distance of time between, until at length he has it about every four hours. If a baby were suckled at stated periods, he would only look for the breast at those times, and be satisfied. A mother is frequently in the habit of giving the child the breast every time he cries, regardless of the cause. The cause too frequently is, that he has been too often suckled — his stomach has been overloaded ; the little fellow is conse- quently in pain, and he gives utterance to it by cries. How absurd is such a practice ! We may as well endeavor to put out a fire by feed- ing it with fuel. An infant ought to be accustomed to regularity in everything, in times for sucking, for sleeping, etc. No children thrive 60 well as those who are thus early taught. Artificial Food. Where the mother is moderately strong artificial food must not, for the first five or six months, be given ; of course, if she be feeble, a little food will be necessary. Many delicate women enjoy better health whilst suckling than at any other period of their lives. It may be well, where artificial food, in addition to the mother's own milk, is needed, and before giving any farinaceous food whatever (for farinaceous food until a child is six or seven months old is injuri- ous), to give, through a feeding-bottle, every night and morning, in addition to the mother's breast of milk, the following Milk-Watcr-and- Sugar-of-Milk Food : Fresh milk, from on:^ cow ; Warm water, of each a quarter of a pint, Sugar-of-milk, one teaspoonful. The sugar-of-milk should first be dissolved in the warm water, and 19 290 DIET FOR THE INFANT. then the fresh milk, unboiled, should be mixed with it. The sweeten- ing of the above food with sugar-of-milk^ instead of with lump sugar, makes the food more to resemble the mother's own milk. The infant will not, probably, at first take more than half of the above quantity at a time, even if he does so much as that ; but still the above are the proper proportions ; and as he grows older, he will require the whok of it at a meal. Substitutes for Breast Nourishment. What food, when a babe is six or seven months old, is the best sub- stitute for a mother's milk ? The food that suits one infant will not agree with another. The one most generally useful is made as follows : Boil the crumb of bread for two hours in water, taking particular care that it does not burn ; then add only a little lump sugar (or brown sugar, if the bowels be costive) to make it palatable. When he is six or seven months old, mix a little new milk — the milk of one cow — with it gradually as he becomes older, increasing the quantity until it be nearly all milk, there being only enough water to boil the bread ; the milk should be poured boiling hot on the bread. Sometimes the two milks — ^the mother's and the cow's milk — do not agree ; when such is the case, let the milk be left out, both in this and in the foods following, and let the food be made with water, instead of with milk and water. In other respects, until the child is weaned, let it be made as above directed ; when he is weaned, good fresh cow's milk MUST, as previously recommended, be used. Or cut thin slices of bread into a basin, cover the bread with cold water, place it in an oven for two hours to bake ; take it out, beat the bread up with a fork, and then slightly sweeten it. This is an excel- lent food. Another good food is the following : Take about a pound of flour, put it in a cloth, tie it up tightly, place it in a saucepanful of water, and let it boil for four or five hours ; then take it out, peel off the outer rind, and the inside will be found quite dry, which grate. DIET FOR THE INFANT. 291 Another way of preparing an infant's food, is to bake flour — biscuit flour — in a slow oven, until it be of a light fawn color. Baked flour ought, after it is baked, to be reduced, by means of a rolling-pin, to a fine powder, and should then be kept in a covered tin, ready for use. An excellent food for a baby is baked crumbs of bread. The manner of preparing it is as follows : Crumb some bread on a plate ; put it a little distance from the fire to dry. When dry, rub the crumbs in a mortar, and reduce them to a fine powder ; then pass them through a sieve. Having done which, put the crumbs of bread into a slow oven, and let them bake until they be of a light fawn color. A small quantity either of the boiled, or of the baked flour, or of the baked crumb of bread, ought to be made into food, in the same way as gruel is made, and should then be slightly sweetened, according to the state of the bowels, either with lump or with brown sugar. Nourishing and Delicious. Baked flour sometimes produces constipation ; when such is the case, an excellent authority wisely recommends a mixture of baked flour and prepared oatmeal, in the proportion of two of the former and one of the latter. He says : ^' To avoid the constipating effects, I have always had mixed, before baking, one part of prepared oatmeal with two parts of flour ; this compound I have found both nourishing and regulating to the bowels. One tablespoonful of it mixed with a quarter of a pint of milk, or milk and water, when well boiled, flavored and sweetened with white sugar, produces a thick, nourishing and delicious food for infants or invalids." He goes on to remark : '* I know of no food, after repeated trials, that can be so strongly recommended by the profession to all mothers in the rearing of their infants, without or with the aid of the breasts, at the same time relieving them of much draining and dragging whilst nursing with an insufficiency of milk, as baked flour and oatmeal." An excellent food may be made with rusks, boiled for an hour in water, which ought then to be well beaten up by means of a fork, and slightly sweetened with lump sugar. 292 DIET FOR THE INFANT. Another is, the top crust of a baker's loaf, boiled for an hour in water, and then moderately sweetened with lump sugar. It, at any time, the child's bowels should be costive, raw must be substituted for lump sugar. Good wheat flour will also be found suitable. Francatelli, Queen Victoria's cook, gives the following formula for making it : *' To one dessertspoonful of the flour, mixed with a wineglassful of cold water, add half a pint of boiling water ; stir over the fire for five minutes ; sweeten lightly, and feed the baby ; but if the infant is being brought up by the hand, this food should then be mixed with milk — not otherwise." Rice Recomniended. The following is a good and nourishing food for a baby : Soak for an hour some best rice in cold water ; strain, and add fresh water to the rice ; then let it simmer till it will pulp through a sieve ; put the pulp and the water in a saucepan, with a lump or two of sugar, and again let it simmer for a quarter of an hour ; a portion of this should be mixed with one-third of fresh milk, so as to make it of the con- sistence of good cream. This is an excellent food for weak bowels. When the baby is six or seven months old, new milk should be added to any of the above articles of food, in a similar way to that recommended for boiled bread. For a delicate infant, lentil powder is invaluable. It ought to be made into food, with new milk, in the same way that arrow-root is made, and should be moderately sweetened with loaf sugar. What- ever food is selected ought to be given by means of a nursing-bott!e. If a child's bowels be relaxed and weak, or if the motions be offen- sive, the milk must be boiled, but not otherwise. The following is a good food when an infant's bowels are weak and relaxed : Into five large, spoonfuls of the purest water, rub smooth one dessertspoonful of fine flour. Set over the fire five spoonfuls of new milk, and put two bits of sugar into it ; the moment it boils, pour into it the flour and water, and stir it over a slow fire twenty minutes. Where there is much emaciation, we have found genuine arrow- DIET FOR THE INFANT. 293 root a very valuable article of food for an infant, as it contains a great deal of starch, which starch helps to form fat and to evolve caloric (heat), both of which a poor, emaciated, chilly child stands so much in need of. It must be made with equal parts of water and of good fresh milk, and ought to be slightly sweetened with loaf sugar ; a small pinch of table salt should be added to it. Arrow-root will not, as milk will, give bone and muscle, but it will give — what is veiy needful to a delicate child — fat and warmth. Arrow-root, as it is principally composed of starch, comes under the same category as cream, butter, sugar, oil and fat. Arrow-root, then, should always be given with new milk (mixed with one-half of water) ; it will then fulfill, to perfection, the exigencies of nourishing, of warming and fattening the child's body. New milk, composed in due proportions, as it is, of cream and of skim milk — the very acme of perfection— is the only food which, of itself alone, will nourish and warm and fatten. It is for a rhild, par excellence, the food of foods. Arrow-root and all other farinaceoui foods are for a child only supplemental to milk — new milk being fo! the young the staple food of all kinds of foods whatever. Age of the Child Must be Considered. But bear in mind, and let there be no mistake about it, that farina- ceous food, be it what it may, until the child bq six or seven months old — until, indeed, he begin to cut his teeth — is not suitable for a child ; until then, the milk-water-salt-and-sugar food, already recommended, is usually, if he be a dry-nursed child, the best artificial food for him. We have given you a large and well-tried infant's dietary to choose from, as it is sometimes difficult to fix on one that will suit ; but, remember, if you find one of the above to agree, keep to it, as a babe requires a simplicity in food — a child a greater variety. Let us, in this place, insist upon the necessity of great care and attention being observed in the preparation of any of the above articles of diet. A babe's stomach is very delicate, and will revolt at either ill-made cr lumpy or burnt food. Great care ought to be observed as to tb^^ 294 DIET FOR THE INFANT. cleanliness of the cooking utensils. The above directions require the strict supervision of the mother. Broths have been recommended, but, for our own part, we think- that for a young infant they are objectionable ; they are apt to turn acid on the stomach, and to cause flatulence and sickness ; they, sometimes, disorder the bowels and induce griping and purging. How Food is to be Given. Whatever artificial food is used ought to be given by means of a bottle, not only as it is a more natural way than any other of feeding a baby, as it causes him to suck as though he were drawing it from the mother's breasts, but as the act of sucking causes the salivar}/' glands to press out their contents, which materially assist digestion. Moreover, it seems to satisfy and comfort him more than it other- wise would do. The food ought to be of the consistence of good cream, and should be made fresh. It ought to be given milk-warm. Attention must be paid to the cleanliness of the vessel, and care should be taken that the milk be that of one cow, and that it be new and of good quality ; for, if not, it will turn acid and sour, and disorder the stomach, and will thus cause either flatulence or looseness of the bowels, or, perhaps, convulsions. The only way to be sure of having it from one cow is (if you have not a cow of your own) to have the milk from a respectable dairy, and to have it brought to your house in a can of your own. The better plan is to have two cans, and to have the milk fresh every night and morning. The cans, after each time of using, ought to be scalded out, and, once a week, the can should be filled with cold water, and the water should be allowed to remain in it until the can be again required. The Kind of Seasoning. Very little sugar should be used in the food, as much sugar weakens the digestion. A small pinch of table-salt ought to be added to what- ever food is given, as "the best savor is salt." Salt is most whole- DIET FOR THE INFANT. 295 some ; it strengthens and assists digestion, prevents the formation of worms, and, in small quantities, may with advantage be given (if artificial food be used) to the youngest baby. Where it is found to be absolutely necessary to give an infant artifi- cial food whilst suckling, hovr often ought he to be fed ? Not oftener than twice during the twenty-four hours, and then only irt small quantities at a time, as the stomach requires rest, and, at the same time, can manage to digest a little food better than it can a great deal. Let us again urge upon you the importance, if it be at all practicable, of keeping the child entirely to the breast for the first five or six months of his existence. Remember, there is no real substitute for a mother's milk ; there is no food so well adapted to his stomach; there is no diet equal to it in developing muscle, in making bone, or in producing that beautiful, plump, rounded contour of the limbs ; there is nothing like a mother's milk alone in making a child contented and happy, in laying the foundation of a healthy constitution, in preparing the body for a long life, in giving him tone to resist disease, or in causing him to cut his teeth easily and well ; in short, the mother's milk is the greatest temporal blessing an infant can possess. Delicate Mothers. As a general rule, therefore, when the child and the mother are tolerably strong, he is better Avithout artificial food until he have attained the age of three or four months ; then, it will usually be necessary to feed him with the mllk-water-and-sugar-of-milk food twice a day, so as gradually to prepare him to be weaned (if possible) at the end of nine months. When the mother is not able to suckle her infant herself, what ought to be done ? It must first be ascertained, beyond all doubt, that a mother is not able to suckle her own child. Many delicate ladies do suckle their infants with advantage, not only to their offspring, but to themselves. *' I will maintain," says Steele, ''that the mother grows stronger by it, and will have her health >>^tter than she would have otherwise. Her 296 DIET FOR THE INFANT. children will be Vke giants, whereas otherwise they are but living shadows, and like unripe fruit ; and certainly if a woman is strong enough to bring forth a child, she is, beyond all doubt, strong enough to nurse it afterwards." Nursing is a Healthy Process. Many mothers are never so well as when they are nursing ; besideS, suckling prevents a lady from becoming pregnant so frequently as she otherwise would. This, if she be delicate, is an important considera- tion, and more especially if she be subject to miscarry. The effects of miscarriage are far more weakening than those of suckling. If it be ascertained, past all doubt, that a mother cannot suckle her child, then, if the circumstances of the parents will allow — and they ought to strain a point to accomplish it — a healthy wet-nurse should be procured, as, of course, the food which nature has supplied is far, very far, superior to any invented by art. Never bring up a baby, then, if you can possibly avoid it, on artificial food. Remember, there is in early infancy no real substitute for either a mother's or a wet-nurse's milk. It is impossible to imitate the admirable and subtle chemistry of nature. The law of nature is, that a baby, for the first few months of his existence, shall be brought up by the breast ; and nature's la-v* cannot be broken with impunity. It will be imperatively necessary then — "To give to nature what is nature's due." Again, in case of a severe illness occurring during the first nine months of a child's life, what a comfort either the mother's or the wet-nurse's milk is to him ; it often determines whether he shall live or die. But if a wet-nurse cannot fill the place of a mother, then ass's milk will be found the best substitute, as it approaches nearer, in composition, than any other animal's to human milk ; but it is both Viifficult and expensive to obtain. The next best substitute is goat's milk. Either the one or the other ought to be milked fresh, and fresh when wanted, and should be given by means of a feeding-bottle. Ass's milk is more suitable food for a delicate infant. DIET FOR THE INFANT. 297 If neither ass's milk nor goat's milk can be procured, then the following milk-water-salt-and-sugar food, from the very commence- ment, should be given : New milk, the product of one healthy cow ; Warm water, of each, equal parts ; Table-salt, a few grains — a small pinch ; lyump sugar, a sufficient quantity to slightl}" sweeten it The milk itself ought not to be heated over the lire, but should, as above directed, be warmed by the water ; it must, morning and even- insT, be had fresh. The milk and water should be of the same tern- perature as the mother's milk, that is to say, at about ninety degrees Fahrenheit. It ought to be given by means of a fseding-bottle, and care must be taken to scald the bottle out twice a day, for if attention be not paid to this point, the delicate stomach of an infant is soon disordered. The milk should, as he grows older, be gradually increased and the water decreased, until two-thirds of milk and one- third of water be used ; but remember, that either much or little water must always be given with the milk. Where the above food does not agree (and no food except a healthy mother's own milk does invariably agree), substitute sugar-of-milk for the lump sugar, in the proportion of a teaspoonful of sugar-of-milk to eveiy half-pint of food. How to Prepare the Milk. If your child bring up his food, and if the ejected matter be sour^ smelling, we would advise you to leave out the sugar-of-milk alto- gether, and simply to let the child live, for a few days, on milk and water alone, the milk being of one cow, and in the proportion of two- thirds to one-third of warm water — not hot water ; the milk should not be scalded with hot water, as it injures its properties ; besides, it is only necessary to give the child his food with the chill just off. The above food, where the stomach is disordered, is an admirable one, and will often set the child to rights without giving him any medicine whalv^ver. Moreover, there is plenty of nourishment in it to make 298 DIET FOR THE INFANT. the babe thrive ; for after all it is the milk that is the important ingredient in all the foods of infants ; they can live on it, and on it alone, and thrive amazingly. The reason of farinaceous food making babes, until they have commenced cutting their teeth, *' windy," is that the starch of the farinaceous food (and all farinaceous foods contain more or less of starch) is not digested, and is not, as it ought to be, converted by the saliva into sugar; hence, "wind" is generated, and pain and convul- sions often follow in the train. As Near as Possible to Nature. The great desideratum, in devising an infant's formula for food, is to make it, until he be nine months old, to resemble as much as possible a mother's own milk ; and which our formula, as nearly as is practi- cable, does resemble ; hence its success and popularity. As soon as a child begins to cut his teeth the case is altered, and farinaceous food, with milk and with water, becomes an absolute necessity. We wish, then, to call your especial attention to the following facts, for they are facts : Farinaceous foods of all kinds, before a child com- mences cutting his teeth (which is when he is about six or seven months old) are worse than useless — they are positively injurious ; they are, during the early period of infant life, perfectly indigestible, and may bring on — which they frequently do — convulsions. A babe fed on farinaceous food alone would certainly die of starvation ; for up to six or seven months of age, infants have not the power of digesting farinaceous or fibrinous substances. A babe's salivary glands, until he be six or seven months old, does not secrete its proper fluid — namely, ptyalin — and consequently the starch of the farinaceous food, and all farinaceous food contains starch, is not converted into dextrine and grape-sugar, and is, there- fore, perfectly indigestible and useless — nay, injurious to an infant, and may bring on pain and convulsions, and even death ; hence, the giving of farinaceous food, until a child be six or seven months old, is one of the principal causes of infant mortality. DIET FOR THE INFANT. 299 In passing, allow us to urge you never to stuff a babe — never to overload his little stomach with food ; it is far more desirable to give him a little less than enough, than to give him a little too much. Many a poor child has been, like a young bird, killed with stuffing. If a child be at the breast, and at the breast alone, there is no fear of his taking too much ; but if he be brought up on artificial food, there is great fear of his overloading L^o o_omach. Stuffing a child brings on vomiting and bowel complaints, and a host of other diseases which now it would be tedious to enumerate. Let us, then, urge you on no account to overload the stomach of a little child. It is a common practice for a mother to cram herself with food, and to take strong ale to drink, to make good nourishment and plentiful milk. This practice is absurd ; for it either, by making her feverish makes the milk more sparing than usual, or it causes the milk to be gross and unwholesome. On the other hand, we must not run into an opposite extreme. The mother, by using those means most con- ducive to her own health, will best advance the interest of her little charge. It is a common remark that " a mother who is nursing may eat anything." We do not agree with this opinion. Can impure or improper food make pure and proper milk, or can impure and improper milk make good blood for an infant, and thus good health ? Directions for Weaning. The time for weaning must depend both upon the strength of the child, and upon the health of the parent ; on an average, nine months is the proper time. If the mother be delicate, it may be found neces- sary to wean the infant at six months ; or if he be weak, or laboring under any disease, it may be well to continue suckling him for twelve months ; but after that time, the breast will do him more harm than good, and will, moreover, injure the mother's health, and may, if she be so predisposed, excite consumption. How should a mother act when she weans her child ? She ought to do it gradually — that is to say, she should, by degrees, give him 300 DIET FOR THE INFANT. less and less of the breast, and more and more of artificial food ; at length she must only suckle him at night ; and, lastly, it would be well for the mother either to send him away, or to leave him at home, and, for a few days, to go away herself. A good plan is, for the nurse-maid to have a half-pint bottle of new milk — which has been previously boiled — in the bed, so as to give a little to him in lieu of the breast. The warmth of the body will keep the milk at a proper temperature, and will supersede the use of lamps, of candle-frames, and of other troublesome contrivances. A Vicious Practice. If a child be suffering severely from ** wind," it is a bad practice to add either gin or peppermint of the shops (which is oil of peppermint dissolved in spirits) to his food. Many children have, by such a prac- tice, been made puny and delicate, and have gradually dropped into an untimely grave- An infant who is kept, for the first five or six months, entirely xo the breast — more especially if the mother be careful in her own diet — seldom suffers from "wind;" those, on the contrary, who have much or improper food, suffer severely. Care in feeding, then, is the grand preventative of '* wind ;" but if, notwithstanding all your precautions, the child be troubled with flatu- lence, the treatment recommended under the head of Flatulence, in a subsequent chapter, will generally answer the purpose. A small quantity of sugar in an infant's food is requisite, sugar being nourishing and fattening, and making cow's milk to resemble somewhat in its properties human milk ; but, bear in mind, it must be used sparingly. Much sugar cloys the stomach, weakens the diges* tion, produces acidity, sour belchings and wind : ** Things sweet to taste prove in digestion sour." If a babe's bowels be either regular or relaxed, lump sugar is the best for the purpose of sweetening his food ; if his bowels are inclined to be costive, raw sugar ought to be substituted for lump sugar, as raw sugar acts on a young babe as an aperient, and, in the generality of cases, is far preferable to physicking him with opening medicine. CHAPTER XXII. Teething. Infants Sometimes Bom with Teeth — Proper Time for Teething to Commence— Length of Time in Cutting — Lancing the Gums — Mode of Operation— Infantile Convulsions — Gums Injured by Various Substances — Rubber and Leather Rings — Sucking the Thumb — Diet of Fruit — Ailments During Teething — Pain- ful Dentition — Mild Form — Treatment Recommended — The Tepid Bath — Re- laxed Bowels — The ''Tooth Cough" — Disastrous Effects of Opiates— Laudanum and Paregoric — Swollen Gums — Pain and Inflammation — Skin Blotches — Second Teeth — Parental Neglect. THE period at which dentition or teething commences is uncertain. It may, as a rule, be said that a babe begins to cut his teeth at seven months old. Some have cut teeth at three months ; in- deed, there are instances on record of infants having been born with teeth. King Richard the Third is said to have been an example. Shakespeare notices it thus : ** York. — Marry, they say my uncle grew so fast, That he could gnaw a crust at two hours old. 'Twas full two years ere I could get a tooth. Grandam, this would have been a biting jest." When a babe is born with teeth, they generally drop out. On the other hand, teething, in some children, does not commence until they are a year and a half or two years old, and, in rare cases, not until they are three years old. There are cases recorded of adults who have never cut any teeth. Dentition has been known to occur in old age. A case is recorded by M. Carre, in the Gazette Medicate de Paris, September 15, i860, of an old lady, aged eighty-five, who cut several teeth after attaining that age. The first or temporary set consists of twenty. The first set of teeth are usually cut in pairs. Says that eminent authority, Sir Charles Locock : " I may say that nearly invariably the order is — first, the lower front incisors [cutting teeth], then the upper front, then the upper two lateral incisors, and that not uncommonly a double tooth is 301 302 TEETHING. cut before the two lower laterals ; but at all events the lower laterals come seventh and eighth, and not fifth and sixth, as nearly all books on the subject testify." Then the first grinders, in the lower jaw, afterwards the first upper grinders, then the lower corner-pointed or canine teeth, after which the upper corner or eye-teeth, then the second grinders in the lower jaw, and lastly, the second grinders of the upper jaw. They do not, of course, always appear in this rotation. Nothing is more uncertain than the order of teething. A child seldom cuts his second grinders until after he is two years old. He is usually, from the time they first appear, two years in cutting his first set of teeth. As a rule, there- fore, a child two '^ears old has sixteen, and one two years and a half old, twenty teeth. Lrancing the Gums. If an infant be either feverish or irritable, or otherwise poorly, and if the gums be hot, swollen, and tender, it may be necessary (not always) to have them lanced. By doing so the child will, in the generality of instances, be almost instantly relieved. It has been stated that lancing the gums hardens them. This is a mistake — it has a contrary effect. It is a well-known fact that a part which has been divided gives way much more readily than one which has not been cut. Again, the tooth is bound down by a tight mem- brane, which, if not released by lancing, frequently brings on convul- sions. If the symptoms be urgent, it may be necessary from time to time to repeat the lancing. It would, of course, be the height of folly to lance the gums unless they be hot and swollen, and unless the tooth, or the teeth, be near at hand. It is not to be considered a panacea for every baby's ill, although, in those cases where the lancing of the gums in indicated, the beneficial effect is sometimes almost magical. Directions for Cutting the Gums. The proper person, of course, to lance his gums is the physician. But if, perchance, you should be miles away and be out of the reach of one, it would be well for you to know how the operation ought to TEETHING. 30.^ be performed. Well, then, let him lie on the nurse's lap upon his back, and let the nurse take hold of his hands in order that he may not interfere with the operation. Then, if it be the upper gum that requires lancing, 5/ou ought to go to the head of the child, looking over, as it were, and into his mouth, and should steady the gum with the index finger of your left hand ; then, you should take hold of the gum-lancet with your right hand- holding it as if it were a table-knife at dinner — and cut firmly along the inflamed and swollen gum and down to the tooth, until the edge of the gum-lancet grates on the tooth. Each incision ought to extend along the ridge of the gum to about the extent of each expected tooth. Not a Difficult Operation. If it be the lower gum that requires lancing, you must go to the side of the child, and should steady the outside of the jaw with the fingers of the left hand, and the gum with the left thumb, and then you should perform the operation as before directed. Although the lancing of the gums, to make it intelligible to a non-professional person, requires a long description, it is, in point of fact, a simple affair, is soon performed, and gives but little pain. A single word with reference to lancing the gums. This operation is, in almost all cases, unnecessarily performed, and in many cases it proves positively injurious. And yet it sometimes affords the most important and immediate relief Where the gums are red and inflamed, in our opinion they never need to be lanced, but only when in their very slow growth they have changed to a dense, firm, and unyielding cartilaginous formation, thick and of a whitish color, through which the teeth vainly attempt to make their way, and the irritation of the child's system threatens to destroy its life by sheer exhaustion, or by inducing fatal covulsions. How to Treat Convulsions. If teething cause convulsions the first thing to be done, after send- ing for the doctor, is to freely dash water upon the face and to sponge the head with cold water, and as soon as warm water can be procured, 304 TEETHING. to put him into a warm bath of 98 degrees Fahrenheit. If a ther- mometer be not at hand, you must plunge your own elbow into the water ; a comfortable heat for your elbow will be the proper heat for the infant. He must remain in the bath for a quarter of an hour, or until the fit be at an end. The body must, after coming out of the bath, be wiped with warm and dry and coarse towels ; he ought then to be placed in a warm blanket. The gums must be lanced, and cold water should be applied to the head. An enema, composed of table-salt, of olive oil, and warm oatmeal gruel — in the proportion of one tablespoonful of salt to one of oil, and a teacupful of gruel — ought then to be administered, and should, until the bowels have been well opened, be repeated every quarter of an hour. It may be well, for the comfort of a mother, to state that a child in convulsions is perfectly insensible to all pain whatever ; indeed, a return to consciousness speedily puts convulsions to the rout. Gums Injured by Hard Substances. We think it a bad practice to give a child any hard, unyielding sub- stance, as it tends to harden the gums, and, by so doing, causes the teeth to come through with greater difficulty. Softer substances, such as either a piece of wax taper, or an india-rubber ring, or a piece of the best bridle leather, or a crust of bread, are of great service. If a piece of crust be given as a gum-stick, he must, while biting it, be well watched, or by accident he might loosen a large piece of it, which might choke him. The pressure of any of these excites a more rapid absorption of the gum, and thus causes the tooth to come through more easily and quickly. There is an unfounded prejudice against a child's sucking its thumb. The thumb is the best gum-stick in the world ; it is convenient, it is handy (in every sense of the word), it is of the right size, and of the proper consistence, neither too hard nor too soft ; there is no danger, as of some artificial gum-sticks, of its being swallowed, and thus of its choking the child. TEETHING. 305 The sucking of the thumb causes the salivary glands to pour out tneir contents, and thus not only to moisten the dry moutn, but assist the digestion ; the pressure of the thumb eases, while the teeth are "breeding" the pain and irritation of the gums, and helps, when the teeth are sufficiently advanced to bring them through the gums. Sucking of the thumb will often make a cross infant contented and happy, and will frequently induce a restless babe to fall into a sweet refreshing sleep. Truly may a thumb be called a baby's comfort. How the Habit May be Cured. But if an infant be allowed to suck his thumb, will it not be likely to become a habit, and stick to him for years — until, indeed, he become a big boy ? After he has cut the whole of his first set of teeth, that is to say, when he is about two years and a half old, he might, if it be likely to become a habit, be readily cured by the following method, namely, by making a paste of aloes and water, and smearing it upon his thumb. One or two dressings v/ill suffice, as, after just tasting the bitter aloes, he will take a disgust to his former enjoyment, and the habit will at once be broken. Many persons have an objection to children sucking their thumbs, as for instance : ' ' Perhaps it's as well to keep children from plums, And from pears in the season, and sucking their thumbs." Our reply is : P'rhaps 'tis as well to keep children from pears; The pain they might cause, is oft followed by tears ; 'Tis certainly well to keep them from plums ; But certainly not from sucking their thumbs I If a babe suck his thumb 'Tis an ease to his gum ; A comfort ; a boon ; a calmer of grief; A friend in his need — affording relief; A solace ; a good ; a soother of pain ; A composer to sleep ; a cham. and a gain. 20 306 TEETHING. 'Tis handy, at once, to his sweet mouth to glide ; When done with, drops gently down by his side ; 'Tis fixed like au anchor, while the babe sleeps, And the mother, with joy, her still vigil keeps. A child who is teething dribbles, and thereby wets his chest, which frequently causes him to catch cold. Have in readiness to put on several flannel dribbling-bibs, so that they may be changed as often as they become wet ; or, if he dribble very much, the oiled-silk driobling- bibs, instead of flannel ones, may be used, and which may be procured at any baby- linen warehouse. Effect of Fruit upon the Child. In teething, give no fruit, unless it be a few ripe strawberries or raspberries, or a roasted apple, or the juice of five or six grapes — taking care that he does not swallow either the seeds or the skin — or the inside of an orange. Such fruits, if the bowels be in a costive state, will be particularly useful. All stone fruit, raw apples or pears, ought to be carefully avoided, as they not only disorder the stomach and the bowels — causing convul- sions, gripings, etc. — but they have the effect of weakening the bowels. Is a child, during teething, more subject to disease, and, if so, to what complaints, and in what manner may they be prevented ? The teeth are a fruitful source of suffering and of disease, and are with truth styled ''our first and our last plagues." Dentition is the most important period of a child's life, and is the exciting cause of many infantile diseases ; during this period, therefore, he requires constant and careful watching. When we consider how the teeth elongate and enlarge in his gums, pressing on the nerves and on the surrounding parts, and thus how frequently they produce pain, irrita- tion and inflammation ; when we further comtemplate what sympathy there is in the nervous system, and how susceptible the young are to p lin, no surprise can be felt at the immense disturbance, and the con- sequent suffering and danger frequently experienced by children while cutting their first set of teeth. TEETHING. 307 The complaints or the diseases induced by dentition are number- less, affecting almost every organ of the body — the brain, occasioning convulsions, water on the brain, etc. ; the lungs, producing conges- tion, inflammation, cough, etc. ; the stomach, exciting sickness, flatulence, acidity, etc. ; the bowels, inducing griping, at one time costiveness, and at another time purging ; the skin, causing *' break- ings-out." To prevent these diseases, means ought to be used to invigorate a child's constitution by plain, wholesome food, as recommended under the chapter on diet : by exercise and fresh air ; by allowing him, weather permitting, to be out of doors a great part of every day ; by lancing the gums only as above directed ; by attention to the bowels, and if he suffer more than usual, by keeping them rather in a relaxed state by any simple aperient ; and, let us add, by attention to his temper ; many children are made feverish and ill by petting and spoiling them. Painful Teething. Painful dentition may be divided into two forms — (i) the mild, and (2) the severe. In the mild form the child is peevish and fretful, and puts his fingers, and everything within reach, to his mouth ; he likes to have his gums rubbed, and takes the breast with avidity ; indeed, it seems a greater comfort to him than ever. There is generally a considerable flow of saliva, and he has frequently a more loose state of bowels than is his wont. Now, with regard to the more severe form of painful dentition : The gums are red, swollen and hot, and he cannot, without express- ing pain, bear to have them touched ; hence, if he be at the breast, he is constantly losing the nipple. There is dryness of the mouth, although before there had been a great flow of saliva. He is fever^ ish, restless, and starts in his sleep. His face is flushed. His head is heavy and hot. He is sometimes convulsed. He is frequentlj violently griped and purged, and suffers severely from flatulence. He is predisposed to many and severe diseases. The young of animals seldom suffer from cutting their teeth — and what is the reason I 308 TEETHING. Because they live in the open air, and take plenty of exercise ; while children are frequently cooped up in close rooms, and are not allowed the free use of their limbs. Remedies Recomniended. The treatment of the mild form of painful dentition consists of fric- tion of the gum with the finger ; a tepid-bath of about 92 degrees Fahrenheit, every night at bedtime ; attention to diet and to bowels ; fresh air and exercise. For the mild form, the above plan will usually be all that is required. If he dribble, and the bowels be relaxed, so much the better ; the flow of saliva and the increased action of the bowels afford relief, and, therefore, must not be interfered with. In the mild form, lancing of the gums is not desirable. The gums ought not to be lanced, unless the teeth be near at hand, and unless the gums be red, hot, swollen and hard. In the severe form a doctor should be consulted early, as more energetic remedies will be demanded ; that is to say, the gums will require to be freely lanced, warm baths to be used, and medicines to be given, to ward off mischief from the head, from the chest, and from the stomach. If you are living in the town, and your baby suffers much from teething, take him into the country. It is wonderful what change of air to the country will often do in relieving a child who is painfully cutting his teeth. The number of deaths in cities, from teething, is frightful ; it is in the country comparatively trifling. Nature Tries to Take Care of Itself. Relaxation of the bowels should be looked upon as an effort of nature to relieve itself A child is never purged without a cause; that cause, in the generality of instances, is the presence of either some undigested food, or acidity, or depraved motions, that want a vent. If we lock up the bowels, we confine the enemy, and thus produce mischief If he be purged more than usual, attention should be paid TEETHING. 30& to the diet — if it be absolutely necessary to give him artificial food while suckling — and care must be taken not to overload the stomach. A child is subject to a slight cough during dentition — called by nurses " tooth-cough " — which a parent would not consider of suffi- cient importance to consult a doctor about, but do not give any nar- cotic, any opiate. ^Vhat the Cough Means. A cough is an effort of nature to bring up any secretion from the lining membrane of the lungs, or from the bronchial tubes, hence it ought not to be interfered with. We have known the administration of syrup of white poppies, or of paregoric, to stop the cough, and thereby to prevent the expulsion of the phlegm, and thus to produce either inflammation of the lungs or bronchitis. Moreover, both pare- goric and other narcotics are, for a young child, dangerous medicines (unless administered by a judicious doctor), and ought never to be given by a mother. Bear in mind that the development of teeth in their regular order, although a perfectly natural process, is often attended with much suffering. When dentition is slow, retarded and difficult, it not only becomes of itself a serious disorder, but it involves also a long train of morbid symptoms and actual diseases which may exhaust the patient's strength, and finally destroy its life. The primary difficulty in such cases is in the nutrition, and as we often see in older children a remarkable backwardness in the development of the osseous (bone) system in general, so we often find in earlier periods of infantile life a corresponding slowness in the development of the teeth. And both these forms of imperfect development, occurring, as they often do, successively in the same children, are to be attributed to some pro- found constitutional taint which affects the nutrition. Swollen and Painful Gums. In some few cases the teeth come through so readily as to scarcely disturb the infant ; but more frequently, indeed, the mouth becomes hot and the gums look tumid, tense and shining, while the exact 310 TEETHING. position of the tooth is marked sometimes before its appearance, by the prominence of the gum ; or the irruption of the teeth is preceded or accompanied by a somewhat different condition of the mouth, in which there is much heat and intense redness of the mucous ' leni- brane, an extremely copious flow of saliva, and a disposition to the formation of small aphthous ulcers on the tongue and on the inside of the lips, though the gums themselves may not be particularly swollen and painful. Either of these states is usually attended with some degree of febrile disturbance, and apparently with considerable suffering to the infant, who is constantly fretful and peevish, or cries out occasionally as if in pain. A third morbid condition of the mouth is sometimes seen, which is usually ushered in or attended by very considerable fever. The gums then become extremely hot and swollen, and unusually tender, especially over some tooth or other in particular; and in that situation we find the gum swollen up into a kind of little tumor. Small unhealthy ulcerations with a sloughy appearance often form upon the summit of the gum, and especially around any tooth which has partially pierced through it. To this affection, which is often very painful and difficult of cure, the name of odontitis infantum has been applied. Teetli a Natural Growth. The tooth does not mechanically cut its way out of the gum, but its growth causes slight pressure by the crown of the tooth, a pres- sure which excites the absorbents to remove the impediment. In this manner, the absorbents do absolutely, when the infant is in a perfectly healthy condition, open up the way for the tooth to escape without pain or suffering. Now, the duty of the physician, or the one acting as such^ is so to direct the course of events, that the evolution of the teeth shall become as painless as any other process of development. All the laws of health should be rigidly enforced, and every prescription care- fully made, and, finally, when the period of dentition fairly commences, if difficulty arises, remedies should be administered* TEETHING. 311 A child who is teething is subject to a "breaking-out," more especially behind the ears, which is most disfiguring, and frequently- very annoying. Apply no external application to cure it, as you should look upon it as an effort of the constitution to relieve itself; and should expect, if the *' breaking-out " were repelled, that either convulsions, or bronchitis, or inflammation of the lungs, or water on the brain, would be the consequence. The only plan to adopt is to be more careful in his diet ; to give him less meat (if he be old enough to eat animal food), and regulate his bowels ; and, if the irritation from the *' break- ing-out " be great, to bathe it, occasionally, either with a little warm milk and water, or with rose-water. Second Teeth. Generally at about the age of seven a child cuts his second set of teeth. He begins to cut them at about that time ; but it should be borne in mind that the second crop of teeth, in embryo, is actually bred and formed from the very commencement of his life, under the first tier of teeth, but which remain in abeyance for years, and do not come into play until the first teeth, having done their duty, loosen and fall out, and thus make room for the more numerous, larger, stronger, and more permanent teeth, which latter have to last for the remainder of his existence. The first set is sometimes cut with a great deal of difficulty, and produces various diseases ; the second, or permanent teeth, come easily, and are unaccompanied with any disorder. We would recommend you to pay particular attention to the teeth of your children ; for, besides their being ornamental, their regularity and soundness are of great importance to the present as well as to the future health of your offspring. If there be any irregularity in the appearance of the second set, lose np time in consulting an experiencecj ^d reputable dentist. CHAPTER XXIII. Diseases of Children. Inflammation of the Eyes — Hiccough and its Treatment — Snuffles, or Cold in the Head — Remedies for Cold — Colic and What to Do for It — Rules for Diet — In- digestion and Vomiting — Flatulence — Milk-crust, or Scabs — Thrush, and How to Overcome It — Costiveness — Diarrhoea — Cholera Infantum — A Dangerous Ailment — Full List of Remedies for Summer Complaint — Alarming Symptoms — Stupor and Convulsions — Standard Treatment — Asthma — Result of Cold — Importance of Prompt Relief — Vaccination — Transmission of Disease — Vacci- nation Should be Repeated. NEWBORN infants and other children are subject to purulent oph- thalmia, or inflammation of the eyes. This disorder is always more or less serious, for, unless speedily cured, the inflamma- tion may result in ulceration, and the contents of the eyeballs be dis» charged, causing permanent deformity as well as hopeless blindness. The first indication of the disease is, generally, the eyelids becoming glued together during sleep, with redness and swelling externally. The causes are : sudden exposure to the light of day, to cold, or the glare of a lamp or fires. Many cases of inflammation of the eyes occur in babes whose mothers are affected with leucorrhoea ; therefore, we must conclude a discharge from the genitals of the mother is a very frequent cause of ophthalmia in newborn infants, or it is some- times epidemic, and no doubt many children who are what is com- monly called "born bhnd," owe their misfortune to the neglect of proper precaution, in many cases the external indications of this afleo tion being so slight as to escape observation. The eye is an organ so delicate, and the importance of proper, judicious treatment for any of its ailments is so great, that a skillful oculist should at all times be consulted. The treatment should be in part constitutional, removing all causes that impair the general health of the child. Indeed, this is an invariable rule in the effort to remedy any local ailment. The trouble can often be made to disappear wher 312 DISEASES OF CHILDREN. 313 good general health is established. The following remedies, however, may, with safety, be used in cases of ophthalmia : Aconite should be administered as soon as we become aware of the existence of this evil ; a few doses will generally be found sufficient to subdue this affection in all mild cases. Dose : Two pills every four hours. Belladonna. The eyes look very red ; cannot bear the light ; open- ing the eyes only when in a dark place. This remedy is good to alternate with Aconite. Dose : As for Aconite. HICCOUGH. This affection, though in itself of slight importance, frequently causes a considerable degree of uneasiness to the young mother. It generally arises from exposure of the body, even in a warm room, to currents of air, even during the operation of dressing and undress- ing the newborn child. Wrapping the infant warm in bed, or better still, applying it to the breast, will generally lead to a cessation of the affection ; should it, however, continue, the administration of a small quantity of white sugar, as much as tvUI cover the end of a teaspoon, dissolved in a tea- spoonful of water, will frequently effectually remove the evil. Nux Vomica. Two pills placed in the mouth of the infant will arrest the trouble, if the other advice should fail. Allopathic Treatment. Hiccough is generally relieved by a sudden arrest of the attention, as by a reproof or a sudden expression of great surprise. Hot cloth* wrung out of warm or hot water may be continually applied, or a mustard and flaxseed poultice laid over the region of the diaphragm. The common internal remedies are cold water, snow, pounded ice oi ice cream. Anodyne and antispasmodic drugs are useful in this as in other coughs. A combination of Chloral, Bromide of Potassium, with or without an opiate, is generally effectual. Take of Hydrate of Chloral and 814 DISEASES OF CHILDREN. Bromide of PotassVim and Bicarbonate of Potash, one scruple, Paregoric, two drachms. Peppermint Water sufficient to make two ounces. Mix. Dose : A teaspoon, half full, to a dessertspoonful, every two or three hours. Obstinate cases will require professional advice. SNUFFLES, OR COLD IN THE HEAD. Snuffles, or cold in the head, is one of the earliest and most common affections of the young infant. It consists of an inflammation of the mucous lining of the nose. The first that is known of it \^^ that the infant's nose is stopped up so as to hinder its breathing, hindering it in the action of sucking, by not allowing the breath to pass througl the nostrils, obliging the infant to release the nipple in order to breathe, causing it to become fretful and irritable. While this state continues, it has its influence against the infant's thriving, both by hindering it from taking a sufficient amount of nour- ishment, and by annoying the breathing of the child so as to disturb its sleep. When the nose is dry while administering a remedy, to remove the evil, relief may be obtained by oiling the nose on the out- side and by using a feather or camel' s-hair pencil on the inside. Fresh lard, goose grease, cream, or a little breast milk will often afford grateful relief. Treatment. Aconite. This remedy, if administered at first, when there are febrile indications, will often cut short an attack of snuffles. Dose : Two globules every two hours. Nux. The trouble is worse at night, particularly toward morning or in the morning. Through the night the nose is very dry. Dose: As for Aconite. Euphrasia. Profuse, fluent discharge and acrid discharge from the eyes ; the eyes are much involved. Dose : As for Aco7tite. Chamomilla. Where there is watery or mucus discharge ; the child is quieted by carrying it up and down the room. One cheek red the other pale. Dose : As for Aconite. Pulsatilla is indicated by thick, green or yellow bloody matter, like DISEASES OF CHILDREN. 315 discharge from the nose, attended with frequent sneezing. Worse towards evening. Dose : As for Aconite. Allopathic Treatment. Cold in the head generally requires but little more than maintaining an equal temperature for a few days, when it naturally subsides. It is necessary to keep the nostrils open that the child may nurse. For this purpose, the nostrils may be moistened with Glycerine; applied with a camel' s-hair pencil. Nurses are in the habit of pro- voking sneezing by dropping milk into the nostril, so clearing it out, and smearing the nose with Olive or Almond Oil. A very useful application when the discharge tends to continue, is Tannin, fifteen grains, Fluid Extract of Belladonna, twenty drops. Glycerine, two drachms. Mix, and apply with a camel's-hair pencil, two or four times a day, after first cleansing the nostril with a camel's-hair brush and warm water. If the discharge is offensive, a solution of one or two grains of Per- inanganate of Potash to the ounce should be used to cleanse the nostril. In chronic cases, the above mixture of Tannin may be used alternately with the dry powder, or a solution of Alum, five grains to the ounce, may be employed. If the disease depends on scrofula, the following mixture may be given : Take of Iodide of Potassium, sixteen grains. Pyrophosphate of Iron, ten grains, water sufficient to make a solution. Syrup of Pepper- mint, sufficient to make two ounces. Mix. Dose : A teaspoon, half full, to a teaspoonful, three times a day. Or three to five drops of the syrup of the Iodide of Iron may be given. CRYING AND WAKEFULNESS— COLIC. Occasional crying of newborn children is a wise provision to bring the respiratory organs into play, and to expand the chest. When, however, the crying becomes excessive and threatens to prove injuri- ous, we must, in the first place, endeavor to discover its origin, which will frequently be found in some derangement in the infant's dress, a 316 DISEASES OF CHILDREN. wet diaper or tight bandage, or perhaps it may feel thirsty and would like to be refreshed by a little cold water. Care and love will eas'ly detect the cause of the child's cries, and a good, true mother will scarcely ever lose her patience at such times. Sleeplessness is ^ften caused by similar circumstances ; the children sometimes lie with their heads too high, or they are too warm, or they are sometimes affected by nursing their mother when she is in a nervous and excited condi- tion ; all these things must be considered. Treatment. Belladonna will frequently be found sufficient to remove the evil when no exciting cause or guiding symptoms of disease present them- selves, and the infant is peevish and irritable, affected with incessant whimperings and wakefulness, or prolonged fits of crying. The infant's face looks somewhat flushed. Dose: Two pills every three hours until relief or change. Chamomilla is of very great service, when the child appears to have griping pain (colic), indicated by drawing up the limbs, contor- tions of the body and face ; or when there is a yellowish, greenish watery discharge from the bowels, the child wants to be carried all the time. Dosi: As for Belladonna, Allopathic Treatment. Crying, when not dependent on hunger, fright, willfulness, or peevishness, is generally dependent on dyspeptic colic. The cries are loud and may be long. Whimpering, moaning, painful cries, depend on inflammatory or exhausting diseases. The smothered cry depends on true or false croup. The treatment, therefore, will have reference to the causative conditions. The use of soothing syrups is not free from danger, as they contain a secret amount of Morphine, which is an unsafe drug to give to children. Simple restlessness may be relieved by two to five-grain doses of Bromide of Potassium dissolved in syrup. When necessary to give an anodyne it is best to gi^iw paregoriQ DISEASES OF CHILDREN. 317 the doses of which are on the printed label, suited to the age. It can be given with the Bromide of Potassium, or an equal amount of Tinc- ture of Hyoscyamus. But rather than by any drugs, should relief be obtained by correcting whatever derangement causes the crying. Colic may be temporarily relieved by a dose of Paregoric suited to the age, given at suitable intervals of from half an hour to longer intervals, until the pain is relieved. Warm cloths or poultices, over the abdomen are useful. The principal treatment consists in correct- ing the derangement of the stomach and bowels. Irritation from un- suitable milk is a. frequent cause, as is noticed at the period of men- struation during lactation ; the occurrence of another pregnancy, violent mental emotions, hard exhausting labor, errors of diet, or some other causes which render the breast milk unsuitable. These causes suggest their own change. If the amount or quality of the breast milk is insufficient, the trouble will be relieved by proper artificial feeding. An excess of acidity in the stomach, as shown by sour eructations (belchings), sour and greenish stools, scattered some- times with lumps of undigested material, call for alkalies sufficient to correct these symptoms. The best is Bicarbonate of Soda, in doses of one or two grains, or teaspoonful doses of Lime Water, given often enough to correct the sourness (acidity). Two to five-grain doses of Pepsin, with an equal quantity of Bismuth, may be given three or four times a day. The Diet Must Be Regulated. The regulation of the diet to the exact wants of the system is the most important part of the treatment. This will have to be accom- plished somewhat by experiment. The milk for artificial, as tested by litmus paper, should be alkaline, and not used until sufficient Lime Water or Soda is added to make it so. It should be perfectly fresh, and kept on ice to prevent any decomposition (souring), or if this is impossible, and it cannot be freshly milked each time it is used, scald- ing will help to keep it, and is in this case permissible. The juice of lean meat may frequently be given instead of milk, with advantage, or raw lean beef, chopped fine, and ground in a 318 DISEASES OF CHILDREN. mortar, and strained through a sieve, may be salted or sweetened, and fed a teaspoonful at a meal. It will frequently be digested when milk will not. In other children, the treatment will be the same for the relief of pain. If the irritating matter is not removed by a free, loose stool, a teaspoonful or a dessertspoonful of Castor Oil (mixed with an equa] quantity of inodorous glycerine, and flavored with a couple of dropc of Oil of Wintergreen or Cinnamon, to make it palatable), should be given. INDIGESTION AND VOMITING. The infant, the same as the adult, is subject to attacks of indigestion, and the disorder in the one case bears a certain similarity to that in the other. Though vomiting in every case is by no means the result of indigestion, for when the stomach is simply overloaded or rather over- filled, it relieves itself of the excess by vomiting, and this act takes place with little effort and no suffering, the process of digestion still going on undisturbed. When indigestion, colic, constipation, or diarrhoea arises from im- proper food in babies raised by hand — that is, from food which evidently does not agree with the child's stomach — or even from unwholesome maternal milk, we will frequently have to encounter many difficulties before we can select a suitable article of food that will agree with the delicate digestive apparatus of the babe. We should endeavor to make a good choice of food ; and if, having done so, we find that the choice has been a mistake, we should try again, not despairingly, but remembering always that what is one baby's food is another baby's poison. Treatment. Ipecac. There is much sickness of the stomach ; the more con stant the nausea, the more certain will Ipecac relieve, the stools look fermented. Dose : Two pills, repeated after a lapse of four hours, Chamomilla. The child is very irritable and fretful, must be carried all the time ; distress after nursing ; sleepless, starting and jerking whil^ asleep ; stools smell like rotten eggs and are green. DISEASES OF CHILDREN. Sl9 chopped, or consist of white and yellow mucus. Dose : As for Jpecac. Arsenicum. The food is thrown up as soon as taken into the stomach, and passes off through the bowels undigested ; the stools are offensive ; much crying during and after nursing, or as soon as the child begins to take food. Emaciation and restlessness. Dose : As for Ipecac. Allopathic Treatment. Flatus will be relieved by alkalies, given as above, and care regard- ing food. Vomiting, except as a symptom of serious disease, and not simply a regurgitation from over-distention of the stomach, will be relieved by the same means. The infant should be given a little less food at a time. With infants at the breast, it is generally of no consequence. FLATULENCE. Gentle friction with the palm of the hand, which has been pre- viously warmed, will often give grateful relief It is best to begin at the lower right side of the bowels, passing the hand gently up the right side as high as the stomach, then cross and down the left side, and so on. At the same time the following remedies should be employed : Nux Vomica should be used at the onset for children of a spare, meagre habit, or who are more subject to a costive condition. Dose : One pill every two hours. Chamomilla should be administered four hours after the third dose of Nux or Pulsatilla, if no permanent rehef should have resulted ; and more especially if convulsions or diarrhoea be developed as attendant symptoms. Dose : As directed for Nux. The diet must, at the same time, be attended to and altered if of an indigestible nature and the suspected cause of the mischief This will, in time, bring a relief, as flatulence never occurs where proper food is furnished the child and only a sufficient quantity is given at regular intervals. 320 DISEASES OF CHILDREN. MILK-CRUST, OR SCAB. This eruption occurs in children while nursing, r.^id more commonly while teething, and appears to be very closely connected with that process. It commonly commences on the cheeks and forehead by the breaking out of a number of small yellowish pustules (pimples), crowded together on a red surface. These pustules excite great itch- ing, and are quickly broken, discharging a viscid fluid that dries, form- ing greenish-yellow scabs ; the scabs are frequently rubbed off, but form again ; fresh crops of pustules appear around the scabs, which, quickly extend to the scalp, and even the face. The eruption appears behind the ears, and patches will sometimes appear, also, upon the neck and breast. The discharge from the pus- tules is caught by the hair upon the head, and forms into small, irre- gular, friable masses, which may resemble the bruised yolk of a hard- boiled Ggg. The pustules or achores, as the small superficial ulcers which they form upon the skin are sometimes called, have an irregular form, contain a straw-colored fluid, rest upon an inflamed base, and are succeeded by a thin brown or yellowish scab. There is much irritation, heat and itching ; the discharge is very profuse, and with so much itch- ing that it is easily rubbed off, leaving the surface raw and excoriated. This ailment may be regarded as nature's effort to throw off from the system what has no right to be there, and the presence of which would be injurious. Must Not be Driven In. Whenever this discharge is brought in contact with the skin — in the face, where it trickles down on the breast, where it falls, and upon the backs of the hands, violently used by the child to rub with — -it proves s^ acrid as to produce there a fresh eruption. The same is true even d the arms of the nurse upon which the child rests its head at night The itching and burning acridity of the eruption, and discharge, are much worse at night. All external application should be avoided, with the exception of a little sweet cream or olive oil, which has sotnetimes proved very grateful. Everything should be carefully JDISEASES OF CHILDREN. ^21 avoided which would have a tendency to drive this eruption in, -jince it mieht result in some more serious trouble. Treatment. Aconite should always commence our treatment, when we find excessive restlessness and excitability produced by this affection, and when the skin around the parts is red, inflamed and itching. Dose : Two pills repeated every two hours. Viola Tricolor. As soon as the beneficial effect has resulted from tlie administration of Aconite ; and six hours after the last dose of e allowed. If the patient cannot be cured without them, we are posi- tive that he will not be cured with them. But do not despair ; many scrofulous patients are cured by time And by judicious treatment. But if desperate remedies are to be used, the poor patient had better by far be left to nature : ** Let me 334 HOW TO PREVENT DISEASE. fall now into the hand of the Lord ; for very great are his mercies i but let me not fall into the hand of man." — Bible. Evils of Stooping. A girl ought never to be allowed to stoop ; stooping spoils the figure, weakens the chest, and interferes with the digestion. If she cannot help stooping, you may depend upon it that she is in bad health, and that a medical man ought to be consulted. As soon as her health Is improved, calisthenic and gymnastic exercises should be resorted to. Horse exercise and swimming in such a case are very beneficial. The girl should live well, on good nourishing diet, and not be too closely confined either to the house or to her lessons. She ought, during the night, to lie on a horse-hair mattress, and during the day, for two or three hours, flat on her back on a reclining board. Stooping, if neglected, is very likely to lead to consumption. If a boy be round-shouldered and slouching in his gait, let him be drilled ; there is nothing more likely to benefit him than drilling. You never see a soldier round-shouldered nor slouchy in his gait. He walks every inch like a man. Look at the difference in appear- ance between a country bumpkin and a soldier. It is the drilling that makes the difference : ** Oh, for a drill-sergeant to teach them to stand upright, and to turn out their toes, and to get rid of that slouching hulking gait, which gives them such a look of clumsiness and stupidity! " Curvature of the Spine. The causes of lateral curvature of the spine, and consequent bulg- ing out of the ribs, arise either from delicacy of constitution, from the want of proper exercise, from too much learning, or from too little play, or from not sufficient or proper nourishment for a rapidly-growing body. We are happy to say that such a case, by judicious treatment, can generally be cured — namely, by gymnastic exercises, such as the hand-swing, the fly-pole, the patent parlor gymnasium, the chest- expander, the skipping rope; the swimming-bath ; all sorts of outdoor games, such as tennis, archery, bicycling in moderation ; by plenty of HOW TO PREVENT DISEASE. 335 good nourishment^ by making her a child of nature, by letting her ain^ost live in the open air, and by throwing books to the winds. But let us strongly urge you not, unless ordered by an experienced surgeon, to allow any mechanical restraints or appliances to be used. If she be made strong, the muscles themselves will pull both the spine and the ribs into their proper places, more especially if judicious games and exercises (as before advised), and other treatment of a strengthen ing and bracing nature, which a medical man will indicate to you, be enjoined. Mechanical appliances will, if not judiciously applied, and in a proper case, waste away the muscles, and will thus increase the mischief; if they cause the ribs to be pushed in in one place, they will bulge them out in another, until, instead of being one, there will be a series of deformities. No, the giving of strength and the judicious exercising of the muscles are, for a lateral curvature of the spine and the conse- quent bulging out of one side of the ribs, the proper remedies, and, in the majority of cases, are most effectual, and quite sufficient for the purpose. Let There be no Delay. We think it well to strongly impress upon a mother's mind the great importance of early treatment. If the above advice be followed, every curvature in the beginning might be cured. Cases of several years' standing might, with judicious treatment, be wonderfully relieved. Bear in mind, then, that if the girl is to be made straight, she is first of all to be made strong; the latter, together with the proper exercises of the muscles, will lead to the former ; and the earlier a medical man takes it in hand, the more rapid, the more certain, and the more effectual will be the cure. An inveterate, long-continued, and neglected case of curvature of the spine and bulging out of the ribs on one side might require mechanical appliances, but such a case can only be decided on by an experienced surgeon, who ought always, in the first place, to be consulted. Spitting of blood is always to be looked upon with suspicion ; eveo 336 HOW TO PREVENT DISEASE. when a youth appears, in other respects, to be in good health, it is frequently the forerunner of consumption. It might be said that, by mentioning the fact, we are unnecessarily alarming a parent, but, accord- ing to Shakespeare, it would be a false kindness if we did not do so : •' I must be cruel, only to be kind." Let us ask, when is consumption to be cured? Is it at the onset, or is it when it is confirmed ? If a mother had been more generally aware that spitting of blood was frequently the forerunner of con- sumption, she would, in the management of her offspring have taken greater precautions ; she would have made everything give way to the preservation of their health ; and, in many instances, she would have been amply repaid by having the lives of her children spared to her. It might be well to state that consumption creeps on insidiously. One of the earliest symptoms of this dreadful scourge is a slight, dry, short cough, attended with tickling and irritation at the top of the throat. This cough generally occurs in the morning ; but, after some time, comes on at night, and gradually through the day and the night. Frequently, during the early stage of the disease, a slight spitting of blood occurs. Growing Bodily Weakness. There is usually hoarseness, not constant, but coming on if the patient be tired, or towards the evening ; there is also a sense of lassi- tude and depression, shortness of breath, a feeling of being quickly wearied — more especially on the slightest exertion. The hair of a consumptive person usually falls off, and what little remains is weak and poor ; the joints of the fingers become enlarged, or clubbed as it is sometimes called; the patient loses flesh, and, after some time, night-sweats make their appearance : then we may know that hectic fever has commenced. Hectic begins with chilliness, which is soon followed by flushings of the face and by burning heat of the hands and feet, especially of the palms and soles. This is soon succeeded by perspirations. The patient has generally, during the day, two decided paroxysms of HOW TO PREVENT DISEASE. Si^f hectic fever — the one at noon, which lasts above five hours ; the other in the evening, which is more severe, and ends in violent per- spirations, which perspirations continue the whole night through. He may, during the day, have several attacks of hectic flushes of the face, especially after eating ; at one moment he complains of being too hot, and rushes to the cool air ; the next moment he is too cold, and almost scorches himself by sitting too near the fire. Whenever the circumscribed hectic flush is on the cheek, it looks as though the cheek had been painted with vermilion, then is the time when the palms of the hands are burning hot. Crabbe, in tb? following lines, graphically describes the hectic flush : ** When Ills thin cheek assumed a deadly hue, And all the rose to on-e small spot withdrew ; They called it hectic ; 'twas a fiery flush, More fixed and deeper than the maiden blush. '* The expectoration at first is merely mucus, but after a time it assumes a characteristic appearance ; it has a roundish, flocculent, tvoolly form, each portion of phlegm keeping, as it were, distinct ; and if the expectoration be stirred in water, it has a milk-like appear- ance. The patient is commonly harassed by frequent bowel com- plaints, which rob him of what little strength he has left. The feet and ankles swell. Last Stages. The perspiration, as before remarked, comes on in the evening, continues all night — more especially towards morning, and while the patient is asleep ; during the time he is awake, even at night, he seldom sweats much. The thrush generally shows itself towards the close of the disease, attacking the tongue, the tonsils and the soft palate, and is a sure harbinger of approaching death. Ema elation rapidly sets in. If we consider the immense engines of destruction at work, namely, the colliquative (melting) sweats, the violent bowel complaints, the vital parts that are affected, the harassing cough, the profuse expectoration, the hectic fever, the distressing exertion of struggling to breathe— -we 22 838 HOW TO PREVENT DISEASE. cannot be surprised that " consumption had hung out her red flag of no surrender," and that death soon closes the scene. In girls, pro- vided they have been previously regular, menstruation gradually declines, and then entirely disappears. The predisposing causes of concumption are the tuberculous habit of body, hereditary predisposition, narrow or contracted chest, deformed spine, delicacy of constitution, bad and scanty diet, or food containing but little nourishment, impure air, close in-door confinement in schools, in shops and in factories, ill-ventilated apartments, dissipa- tion, late hours, over-taxing with book-learning the growing brain, thus producing debility, want of proper out-door exercises and amusements, tight lacing ; indeed, anything and everything that either will debilitate the constitution, or will interfere with, or will impede, the proper action of the lungs, will be the predisposing causes of this fearful and lamentable disease. Poor and Insufficient Diet. An ill, poor, and insufficient diet is the mother of many diseases, and especially of consumption ; *' Whatsoever was the father of a disease, an ill diet was the mother." The most common exciting causes of consumption are slighted colds, neglected inflammation of the chest, long continuance of influenza, sleeping in damp beds, allow- ing wet clothes to dry on the body, unhealthy employments — such as needle-grinding, pearl button making, etc. Supposing a youth to have spitting of blood, what precautions should we take to prevent it from ending in consumption ? Let his health be the first consideration ; throw books to the winds ; if he be at school take him away ; if he be in trade cancel his indentures ; if he be in the town send him to a sheltered healthy spot in the countryj or a mild climate ; let this be done if possible. You should be particular in his clothing, taking especial care to keep his chest and feet warm. If he did not already wear flannel waistcoats, let it be winter or summer, we should recommend him immediately to do so : if it be winter, we should advise him, also, to HOW TO PREVENT DISEASE. 339 take to flannel drawers. The feet must be carefully attended to ; they ought to be kept both warm and dry, the slightest dampness of either shoes or stockings should cause them to be immediately changed. If a boy, he ought to wear double-breasted waistcoats ; if a girl, high dresses. Errors in Treatment. The diet must be nutritious and generous ; he should be encouraged to eat plentifully of beef and mutton. There is nothing better for breakfast, where it agrees, than milk ; indeed, it may be frequently made to agree by previously boiling it. Wine and spirits must, on no account, be allowed. We caution parents in this particular, as many have an idea that wine, in such cases, is strengthening, and that rum and milk is a good thing either to cure or to prevent a, cough. If it be summer, let him be much in the open air, avoiding the evening and the night air. If it be winter he should, unless the weather be mild for the season, keep within doors. Particular atten- tion ought to be paid to the point the wind is in, as he should not be allowed to go out if it is either in the north, in the east, or in the northeast ; the latter is more especially dangerous. We know of nr remedy so likely to ward off that formidable complaint, consumption as change of air. How to Deal with a Sore Throat. If a youth be much predisposed to a sore throat he must use every morning thorough ablution of the body, beginning cautiously,* that is to say, commencing with the neck one morning, then, by degrees, morning after morning, sponging a larger surface, until the whole of the body be sponged. The chill at first must be taken off the water; gradually the temperature ought to be lowered, until the water be quite cold, taking care to rub the body thoroughly dry with a coarse towel — a Turkish rubber being the best for the purpose. He ought to bathe his throat externally every night and morning with lukewarm salt and water, the temperature of which must be ^rradually reduced until at length no warm water be ad(kd. He 340 HOW TO PREVENT DISEASE. should gargle his throat either with barm, vinegar, and sage tea, or with salt and water — two teaspooiifuls of table salt dissolved in a tumbler of water. He ought to harden himself by taking plenty of exercise in the open air. He must, as much as possible, avoid either sitting or standing in a draught ; if he be in one, he should face it. He ought to keep his feet warm and diy. He should take as little aperient medicine as possible, avoiding especially both calomel and blue-pill. As he grows up to manhood he ought to allow his beard to grow, as such would be a natural covering for his throat. Bad Effects of Tobacco. We are not now called upon to give an opinion of the eifects of tobacco smoking on the middle-aged and on the aged. We are addressing a mother as to the desirability of her sons, when boys, being allowed to smoke. We consider tobacco smoking one of the most injurious and deadly habits a boy or young man can indulge in. It coJitracts the chest and weakens the lungs, thus predisposing to consumption. It impairs the stomach, thus producing indigestion. It debilitates the brain and nervous system, thus inducing epileptic fits and nervous depression. It stunts the growth, and is one cause of the present race of pigmieSo It makes the young lazy and disin- clined for work. It is one of the greatest curses of the present day. The following cases prove, more than any argument can prove, the dangerous and deplorable effects of a boy smoking. We copy the first case from Public Opinion: "A pupil in one of the academies, only twelve years of age, was some time since seized with epileptic fits, which became worse and worse in spite of all the remedies employed. At last it was discovered that the lad had been for two years past secretly indulging in the weed. Effectual means were adopted tc prevent his obtaining tobacco, and he soon recovered." The other case was a youth of nineteen. He was an inveterate smoker. From being a bright intelligent lad, he was becoming idiotic, and epileptic fits were supervening. He had painted to him, in vivid colors, the horrors of his case, and was assured that if he still persisted THE LARGE INTESTINES AND MUSCLES OF THE THIGHS. HOW TO PREVENT DISEASE. 341 In his bad practices, he would soon become a drivelling idiot. We at length, after some trouble and contention, prevailed upon him to desist from smoking altogether. He rapidly lost all epileptic symptoms, his face soon assumed its wonted intelligence, and his mind asserted its former power. Treatment for Bleeding from the Nose. Do not, unless it be violent, interfere with a bleeding from the nose. A bleeding from the nose is frequently an effort of nature to relieve itself, and therefore, unless it be likely to weaken the patient, ought not to be restrainedo If it be necessary to restrain the bleeding, press firmly, for a few minutes, the nose between the finger and the thumb ; this alone will often stop the bleeding ; if it should not, then try what bathing the nose and the forehead and the nape of the neck with water, D^uite cold, will do. If these plans fail, try the effect of either powdered alum or of po^vdered matico, used after the fashion of snuff — a pinch or two either of the one or of the other, or of both, should be sniffed up the bleeding nostril. If these should not ansv/er the purpose, although they almost invariably will, apply a large lump of ice to the nape of the neck, and put a small piece of ice into the patient's mouth to suck. If these methods do not succeed, plunge the hands and fore- arms into cold water, keep them in for a few minutes, then take them out^ and either hold, or let be held up, the arms and the hands high above the head ; this plan has frequently succeeded when others have failed. Let the room be kept cool, throw open the windows, and do not have many in the room to crowd around the patient. A local anaesthetic — the ether spray — playing for a few seconds to a minute on the nose and up the bleeding nostril, would act most bene= ncially in a severe case of this kind, and would, before resorting to the disagreeable operation of plugging the nose, deserve a trial. In case of a young lady fainting, lay her flat upon her back, taking cure that the head be as low as, if not lower than, the body ; throw open the windows, do not crowd around her, unloosen her dress as 342 HOW TO PREVENT DISEASE. quickly as possible ; ascertain if she have been guilty of tight lacing ; for fainting is sometimes produced by that reprehensible prac- tice. .Shakespeare knew the great importance of not crowding around a patient who has fainted. He says : **So play the foolish throngs with one that ST?oons; Come all to help him, and so stop the air By which he should revive." Apply smelling-salts to her nostrils ; if they be not at hand, burn a piece of rag under her nose ; dash cold water upon her face ; throw open the window ; fan her, and do not, as is generally done, crowd round her, and thus prevent a free circulation of air. As soon as she can swallow, give her either a draught of cold water or a glass of wine or a teaspoonful of sal-volatile in a wine-glassful of water. To prevent fainting for the future, we would recommend early hours ;• country air and exercise ; the stays, Is worn at all, to be worn slack ; attention to diet ; avoidance of wine, beer, spirits, excitement and fashionable amusements. Sometimes the cause of a young lady fainting is either a disordered stomach or a constipated state of the bowels. If the fainting have been caused by disordered stomach, it may be necessary to stop the supplies, and give the stomach for a day or two, but little to do ; a fast will frequently prevent the necessity of giving medicine. 0( course, if the stomach be much disordered, it will be desirable to con- sult a medical man. A young lady's fainting occasionally arises from debility — from downright weakness of the constitution ; then the best remedies will be, change of air, good nourishing diet, and the following strengthen- ing mixture : Take of Tincture of Perchloride of Iron, two drachms ; Tincture of Calumba, six drachms ; Distilled Water, seven ounces. Two tablespoonfuls of this mixture to be taken three times a day-' Or, for a change, the following : Take of Wine of Iron, one ounce and a-half ; Distilled Watei , six ounces and a-half ; to make a Mix- ture. Two tablespoonfuls to be taken three times a day. Iron medicines ought always to be taken after instead of before : HOW TO PREVENT DISEASE. 343 meal. The best times of the day for taking either of the above mix- tures will be eleven o'clock, four o'clock and seven o'clock. Standard Remedies for Costiveness. The best opening medicines are— cold ablutions every morning of the whole body, attention to diet, variety of food, bran-bread, grapes, stewed prunes, French plums, figs, fruit both cooked and raw™-if it be ripe and sound, oatmeal porridge, lentil powder, vegetables of all kinds, especially spinach, exercise in the open air and early rising. If more attention were paid to these points, poor schoolboys and schoolgirls would not be compelled to swallow such nauseous and disgusting messes as they usually do to their aversion and injury. Should these plans not succeed (although in the majority of cases, with patience and preseverance, they will) we would advise an enema once or twice a week, either simply of warm water, or of one made of gruel, table-salt and olive-oil, in the proportion of two tablespoon- fuls of table-salt, two of oil and a pint of warm gruel, which a boy may administer to himself, or a girl to herself, by means of a proper enema apparatus (syringe). Use of W^ater. Hydropathy is oftentimes very serviceable in preventing and in curing costiveness ; and, as it will sometimes prevent the necessity of administering medicine, it is both a boon and a blessing. Hydro- pathy supplies us with various remedies for constipation. From the simple glass of cold water, taken early in the morning, to the various douches and sea-baths, a long list of useful appliances might be made out, among which we may mention the " wet compresses " worn fot three hours over the abdomen (bowels), with a gutta percha covering. We have here a word or two to say to a mother who is always physicking her family. It is an unnatural thing to be constantly dosing either a child or anyone else with medicine. One would suppose that some people were only sent into the world to be fc)hysicked. If more care were paid- to the rules of health, very littk 344 HOW TO PREVENT DISEASE. medicine would be required. This is a bold assertion, but we are confident that it is a true one. It is a strange admission for a medical man to make, but, nevertheless, our convictions compel us to avow it. The principal reason why girls suffer more from costiveness than boys, is that theii habits are more sedentary ; as the best opening medicines in the world are an abundance of exercise, of muscular exertion, and of fresh air. Unfortunately, poor girls in this enlight- ened age must be engaged, sitting all the while, several hours every day at fancy-work, the piano, and other accomplishments ; theyj, con- sequently, have little time for exercise of any kind. Medicines Lose their Effect. The bowels, as a matter of course, become constipated ; they are^ therefore, dosed with pills, with black draughts, with old-fashioned brimstone and molasses — Oh ! the abomination I — and with medicines of that class, almost ad infinitum. What is the consequence ? Open- ing medicines, by constant repetition, lose their effects, and, therefore, require to be made stronger and still stronger, until, at length, the strongest will scarcely act at all, and the poor unfortunate girl, when she becomes a woman, if she ever does become one, is spiritless, heavy, dull, and listless, requiring daily doses of physic, until she almost lives on medicine. All this misery and wretchedness proceeds from nature's laws having been set at defiance, from artificial means taking the place of natural ones — from a mother adopting as her rule and guide fashion and folly, rather than reason and common sense. When will a mother awake from her folly and stupidity ? This is strong language to address to a lady ; but it is not stronger than the subject demands. Appeal to American Mothers. Mothers of America! do let us entreat you, ponder well upon what we have said. Do rescue your girls from the bondage of fashion and '^f folly, which is worse than the bondage of the Egyptian taskmaster; 'for thi Israelites did, in making bricks without straw, work in thi 1 HOW TO PREVENT DISEASE. 345 open air—*' So the people were scattered abroad throughout all the land of Egypt to gather stubble instead of straw;" but your girls, mziuy of them, at least, have no work, either in the house or in the open air — they have no exercise whatever. They are poor, drawling, dawdling, miserable nonentities, with muscles, for the want of proper exercise, like ribands ; and with faces, for the lack of fresh air, as white as a sheet of paper. What a host of charming girls are yearly sacrificed at the shrine of fashion and folly. Another, and a frequent cause of costiveness, is the bad habit of disobeying the call of having the bowels opened. The moment there is the slightest inclination to relieve the bowels, instantly it ought to be attended to, or serious results will follow. Let us urge a mother to instil into her daughter's mind the importance of this advice. Face Pimples and Blotches. Hard red pimples (acfte — " the grub pimple ") are a common and an obstinate affection of the skin, affecting the forehead, the temples, the nose, the chin, and the cheeks ; occasionally attacking the neck, the shoulders, the back, and the chest ; and as they more frequently affect the young, from the ages of fifteen to thirty-five, and are dis- figuring, they cause much annoyance. These pimples are so well known by most persons as scarcely to need description ; they are conical, red, and hard ; after a while they become white and yellow at the point, then discharge a thick, yellow- colored matter, mingled with a whitish substance, and become covered by a hard brown scab, and lastly, disappear very slowly, sometimes very imperfectly, and often leaving an ugly scar behind them. To these symptoms are not unfrequently added considerable pain, and always much unsightliness. When these little cones have the black head of a " grub " at their point, they constitute the variety termed spotted acne. These latter often remain stationary for months, without increasing or becoming red ; but when they inflame they are in nowise different in their course from the common kind. We find, ill these cases, great benefit to be derived from bathing th^ 346 HOW TO PREVENT DISEASE. face, night and morning, with strong salt and water — a tablespoonful of table-salt to a teacupful of water ; by paying attention to the bowels ; by living on plain, wholesome, nourishing food ; and by taking a great deal of outdoor exercise. Sea-bathing, in these cases,. is often very beneficial. Grubs and. worms have a mortal antipathy to salt. What To Do for Gum-boils. A decayed root of a tooth sometimes causes inflammation and abscess of the gum, which abscess breaks, and thus becomes a gum- boil. Foment the outside of the face with a hot camomile and poppy- head fomentation, and apply to the gum-boil, between the cheek and the gum, a small white bread and milk poultice which renew fre- quently. Four poppy heads and four ounces of camomile blows to be boiled in four pints of water for half an hour, and then to be strained to make the fomentation. Cut a piece of bread, about the size of the little finger — without breaking it into crumb — pour boiling hot milk upon it, cover it over, and let it stand for five minutes, then apply the soaked bread over the gum-boil, letting it rest between the cheek and the gum. As soon as the gum-boil has become quiet, by all means have the affected tooth extracted, or it might cause disease, and consequently serious injury of the jaw ; and whenever the patient catches cold there will be a renewal of the inflammation of the abscess and of the gum- boil, and as a matter of course, renewed pain, trouble and annoyance. Moreover, decayed fangs of teeth often cause the breath to be oflensive. Removal of Corns. The best remedy for a hard corn is to remove it. The usual method of cutting, or of paring a corn away, is erroneous. The fol- lowing is the right way : Cut with a sharp pair of pointed scissors around the circumference of the corn. Work gradually round and round and towards the centre. When you have for some considerable distance well-loosened the edges, you can either with your fingers or HOW TO PREVENT DISEASE. 347 with a pair of forceps generally remove the corn bodily, and that without pain and without the loss of any blood ; this plan of treating a corn we can recommend to you as being most effectual. If the corn be properly and wholly removed it will leave a small cavity or round hole in the centre, where the blood-vessels and the nerve of the corn — vulgarly called the root — -really were, and whichj in point of fact, constituted the very existence or the essence of the corn. Moreover, if the corn be entirely removed, you will, without giving yourself the pain, be able to squeeze the part affected between your finger and thumb. When to Use the File. Hard corns on the sole of the foot and on the sides of the foot are best treated by filing — by filing them with a sharp cutting file (flat on one side and convex on the other) neither too coarse nor too fine in the cutting. The corn ought once every day to be filed, and should be continued until you experience a slight pain, which tells you that the end of the corn is approaching. Many cases of hard corn that have resisted every other plan of treatment, have been entirely cured by means of the file. One great advantage of the file is, it cannot possibly do any harm, and may be used by a timid person— -by one who would not readily submit to any cutting instrument being appHed to the com. The corns between the toes are called soft corns. A soft corn is quickly removed by the strong Acetic Acid, which ought to be applied to the corn every night by means of a camel's-hair brush. The toes should be kept asunder for a few minutes, in order that the acid may soak in; then apply between the toes a small piece of cotton wool. In the generality of cases the plans recommended above, if prop- erly performed, will effect a cure ; but if the corn, from pressure or from any other cause, should return, remove it again, and proceed as before directed. If the corn have been caused either by tight or by ill-fitting shoes, the only way to prevent a recurrence is. of course, to 348 HOW TO PREVENT DISEASE. have the shoes properly made by a clever shoemaker—by one who thoroughly understands his business, and who will have a pair of lasts made purposely for the feet. Best Remedies to Destroy a "Wart. Pure nitric acid, carefully applied to the wart by means of a small stick of cedar wood — a camePs-hair pencil-holder — every other day, will soon destroy it. Care must be taken that the acid does not touch the healthy skin, or it will act as a caustic to it. The nitric acid should be preserved in a stoppered bottle, and must be put out of the reach of children. Glacial Acetic Acid is another excellent destroyer of warts ; it should, by means of a camel' s-hair brush, be applied to each wart, every night just before going to bed. The warts will, after a few apph* cations, completely disappear. Weak and Delicate Young Lradies. What are the causes of so many young ladies of the present day being weak, nervous, and unhappy? The principal causes are — ignorance of the laws of health, nature's laws being set at nought by fashion and by folly, by want of fresh air and exercise, by want of occu- pation, and by want of self-reliance. Weak, nervous, and unhappy. Well they might be. What have they to make them strong and happy ? Have they work to do to brace the muscles ? The diseases peculiar to girls are Chlorosis, or Green-sickness, and Hysterics. Chlorosis is caused by torpor and debility of the whole frame, especially of the womb. It is generally produced by scanty or by improper food, by want of air and of exercise, and by too close application within doors. Here we have the same tale over again — close application within doors, the want of fresh air, and of exercise. When will the eyes of mothers be opened to this important; subject — ^the most important that can engage their attention. The remedies for this have been named, and when properly applied isrill prove to be effectual. THE HEART AND LUNGS. HOW TO PREVENT DISEASE. 84§ If health were more and fashion were less studied, chlorosis would not be such a frequent complaint. This disease generally takes its i-ise from mismanagement — from nature's laws having been set at defiance. We have heard a silly mother express an opinion that it is not genteel for a girl to eat heartily. Such language is perfectly absurb and cruel. How often, too. a weak mother declares that a healthy, blooming girl looks like a milkmaid. It would be well ii she did. How true and sad it is that a pale, delicate face, and clear eyes, indicative of consumption, are the fashionable desiderata ?*• present for complexion. Nature's Greatest Beautifier. A grov/ing girl requires plenty of good nourishment — as much as her appetite demands ; and if she have it not, she will become either chlorotic, or consumptive, or delicate. Besides, the greatest beautifier in the world is health ; therefore, by a mother studying the health of her daughter, she will, at the same time, adorn her body with beauty. We are sorry to say that too many parents think more of the beauty than of the health of their girls. Sad and lamentable infatuation. Nathaniel Hawthorne, our distinguished American, gives a graphic description of a delicate young lady. He says : " She is one of those delicate, nervous young creatures, not uncommon in New England, and whom I suppose to have become what we find them by the gradu- ally refining away of the physical system among young women. Some philosophers choose to glorify this habit of body by terming it spiritual ; but in my opinion, it is rather the effect of unwholesome food, bad air, lack of out-door exercise, and neglect of bathing, on the part of these damsels and their female progenitors." Nathaniel Hawthorne was right. Such ladies, when he wrote, were not uncommon ; but within the last few years to their great credit, be it spoken, " a change has come o'er the spirit of their dreams," and they are wonderfully improved in health ; for, with all reverence be it spoken, " God helps them who help themselves," and they have helped themselves by attending to the rules of health. 350 HOW TO PREVENT DISEASE. "The women of America," says an excellent authority, "are grow* ing more and more handsome every year for just this reason. They are growing rounder of chest, fuller of limb, gaining substance and development in every direction. Whatever may be argued to the con- trary, we believe this to be a demonstrative fact. When the rising generation of American girls once begin to wear thick shoes, to take much exercise in the open air, to skate, to play more, and to affect the saddle, it not only begins to grow more wise but more healthful, and which must follow as the night the day — more beautiful." If a young girl had plenty of wholesome meat, varied from day to day, either plain roast or boiled, and neither stewed, nor hashed, nor highly seasoned for the stomach ; if she has had an abundance of fresh air for her lungs ; if she had plenty of active exercise, such as skipping, dancing, running, riding, swimming, for her muscles ; if her clothing were warm and loose, and adapted to the season ; if her mind were more occupied with active and useful occupation, such as house- hold work, than at present, and if she were kept calm and untroubled from the hurly-burly and excitement of fashionable life, chlorosis would almost be an unknown disease. It is a complaint of rare occur- rence with country girls, but of great frequency with fine city ladies. ■ When sickness comes, intelligent efforts must be made to master it. Many of the achievements of the healing art to-day read like miracles. There is something charming and delightful in the feelings of a patient recovering from a severe illness , it is like a new birth ; it is almost worth the pain and anguish of having been ill to feel quite well again ; everything around and about him wears a charming asoect and a "^•oseate hue. " See the wretch that long has tossed On the thorny bed of pain Again repair his vigor lost, And walk and run again. The meanest flow'ret of the vale. The simplest note that swells the gale, The common air, the earth, the skies„ To him are opening Paradise." PART IV. Female Beauty and Accom- plishments. CHAPTER XXV. Personal Appearance. A Subject ot X3niversal Interest — Ivooking Only to Immediate Effect — How to Assist Nature — Fashionable Ignorance — Nostrums and Quack Cosmetics- Evening Dissipation — Exposure of Health — A Simple Toilet the Best — Harmful Dress — Barbarous Decorations — Conditions on which Personal Beauty Depends — Neglect of Mind and Body — Cleanliness — Temperance in Al 1 Things — Turn ing Night into Day — Abuse of Digestion — Sickly Paleness — How Female Loveliness is Lost — Delicate Women — Painted Simpletons — Derangement of the Pulse — Hygiene of the Greeks. MUCH labor is frequently employed, and much expense incurred, to improve and preserve the personal appearance, and to endow it with new charms, or to increase those which it already possesses. Unfortunately, however, although much thought and ingenuity are often expended, or rather wasted, on the subject, the peculiar conditions, physiological, hygienic, and social, on which female beauty depends, are either only slightly regarded, or partially acted on, when known, and more frequently neglected altogether. With some persons, immediate effect, at whatever sacrifice, and irrespective of consequences, is deemed of more importance than either health or personal cleanliness, or appropriate modes of dressing ; and in few, indeed very few, instances is anything beyond the '' mere out- side effect of the passing hour" for a moment regarded. Hence it is, that, in scarcely any other portion of thedciily routine of life do persons 351 352 PERSONAL APPEARANCE!. more egregiously err than in the means they adopt to carry out theii- wishes in this respect. In general, not a single thought is devoted to the vital functions of the body, or to the structure and offices of the parts to which they devote their most laborious efforts ; yet, on a due attention to these points, both health and the personal appearance — even beauty itself^ 'lepend. "Are the means I employ natural, or do they assist nature ? — are they the most efficient and rational? — are they harmless or injurious?" — are questions that are seldom self-asked in the privacy of the boudoir, dressing-room or bed-chamber. And why is this so ? A reply could be easily given, and we have no doubt many of our readers can furnish one. Habit and example, and thoughtlessness and indolence, and not infrequently ignorance and vanity are the powers which generally occasion the various con- ceits, practices and negligence just alluded to. Nostrums and Cosmetics. Although there is not a single subject on which people generally exhibit, in private, more anxiety than on their toilet, or one in which they are more deeply interested than their personal appearance, there is, perhaps, none on which they take so little trouble to obtain correct information. The fashionable belle and the anxious beau alike adopt the suggestions of some ignorant coquette or " dude," and submit themselves to cosmetic treatment, with a degree of resignation and satisfaction, if not of delight, which under any other circumstances would be truly enviable. Others, as well as those just noticed, scan with eager eyes the advertising columns of the morning papers in search of some expen- sive and often injurious nostrum, which its vendor boldly proclaims possesses the power of imparting beauty and renewing the bloom of youth and health upon the faded cheek, or of conferring the luxuri- ance and rich tints of Circassia or Georgia on hair which dissipation or the hand of time has rendered scanty or streaked with gray. The thoughts of such parties are entirely confined to the passing moment. PERSONAL APPEARANCE. 353 the next soiree, the next ball, the next promenade or the next opera ; and, as observed by a recent eminent author, their vision beyond these events becomes entirely dimmed. But the errors in these matters arising from indolence, thoughtless- ness and indifference to consequences — the desire to save time, trouble and expense — are greater than those already mentioned, and are probably more numerous than all the others put together. Hence it is that every fashionable ball or party, every opera-night and every concert adds to the number of the hapless victims of consumption or some other fell disease, and tinges the pallid cheek with the hectic flush or the sallowness that marks their incipient stages. Improprieties of Dress and Toilet. With some persons — perhaps, we might say with most persons — the duties of the toilet are of a very simple character, being limited to mere acts of cleanliness, and the use of the ordinary hair and skin cosmetics. Others go further, but it is all in the same direction ; their thoughts not extending to those numerous and more important matters without which a pleasing personal appearance, much less beauty, cannot long exist. Among unpolished and ignorant people this is more especially the case. As civilization and refinement and education advance, this attention, or rather misapplication of the atten- tion, lessens. This is particularly the case where the art and science of medicine and physiology have made much progress. In our own country and elsewhere, during the last half-century, the members of the medical faculty have continually directed public attention to improprieties of dress and the toilet ; and happily with such success, that much of the grossness in these particulars that distinguished former periods has gradually died out and passed away. Many articles of dress, and practices which were once thought use- ful or beneficial, or at the most harmless, have thus been exposed, and their use either abandoned or rendered less injurious by the removal of their objectionable features. The present century is pro- S54 PERSONAL APPEARANCE. verbially one of progress, and, perhaps, in no one point is it more distinguished than in the improveoient which it has produced in the social manners, dress and toilet of the people. In the infancy of society and in savage life, immediate effect is the only object desired or thought of Consequences are not regarded, from not being investigated and known. Pigments are adopted, bandages and compression used on various parts of the body, without tne slightest hesitation, or reference to their ultimate effects. And when consequences were observed, they were generally put down to any cause but the right one, and arguments were not wanting to lessen the apparent evils, or to palliate their continuance. Due to Vanity and Ignorance, This palpable incongruity between reason and action is certainly surprising; it is surprising that such should ever have existed, but it is still more surprising that such usages, even in a modified form, should have been transferred from barbarism to civilization. Their existence, in any shape, in countries in which civiHzation and refine- ment have made the greatest progress, must depend on individual vanity and ignorance, and not be chargeable to the general community. In every stage of society, in all ages of the world, the labors of the husbandman have been directed toward the improvement and permanent welfare of his crops and live-stock, and not to mere present appearance, hasty development or gaudy growth. He regards them in every aspect, and under every circumstance, of climate, season, soil, and the previous and present condition of each class he nurses or cultivates. Without this he knows that his crops, or the produce of his labors, will be defective and unprofitable. Interest leads him to this course. The blessings of increased fertility and prolificness and a more abundant harvest are his reward. Is it not wonderful, then, that when the interests of their own bodies are concerned, when the health iind personal appearance are at stake, not only for a period, but probably for life, that rational bein^^ should PERSONAL APPEARANCE, 355 be so careless of themselves, and so indifferent of the future, when they exercise so much care over the humbler objects of creation ? The habits of life of many persons are justly said to be utterly opposed to the permanent enjoyment of health, and utterly subversive of the conditions essential to the existence and permanence of per- sonal beauty, or even a pleasing appearance. Witk others, the dress is such as to prove equally prejudicial ; and with an equally large number the system and means employed in the daily operations of the toilet are not less objectionable. You Should Know Yourself. The apparent neglect and indifference just alluded to is correctly stated, by a recent high authority, to be not occasioned by any direct or intentional disregard of the importance of the subject — not that persons care little whether they be right or wrong : on the contrary, it arises simply from the general apathy and contempt with which it is the habit of most persons to treat any examination into the nature and principles of matters connected with daily life ; any mixture of science with matters falsely supposed to be necessarily trite and unworthy of serious consideration. Some persons will evince much pleasure in attending a popular scientific lecture on some subject probably too abstruse for them to understand ; but to devote a few minutes to the chemistry of their homes and every-day life, or to the structure and functions of their own bodies, or the physiology of their own existence, would excite in them a smile. We are apt to associate the familiar with the trite and vulgar, and to be vulgar would outrage the feelings of the veriest fop or belle in existence. But if familiarity be capable of producing the vulgar and the trivial, then life, health, beauty, even intellect itselfj must indeed be both. Such facts and arguments as these are indubitable. From infancy to age — from poverty to wealth — health, cleanliness, personal comfort, and a pleasing appearance, are, and must ever continue, the first matters of consideration. The welfare of the infant, the child, the 356 PERSONAL APPEARANCE. youth, the adult, are, in different degrees, dependent on them. They are also necessary to the aged, and perhaps even more so ; not merely for their own well-being, but on account of those younger than them- selves around them. By rigid attention to them, and by a judicious occupation of the mind on pleasing subjects, instead of letting it fall back upon itself, much of the vigor and agreeableness of youth may be retained to a late period of life. Essentials of Sound Health. In the personal and social duties just referred to, there is no royal road to pursue — no real secrets to learn. We have only to divest ourselves of the bias which custom or habit, or example, has impressed m us, and to follow the natural instincts of our nature, as directed by science, experience, and reason. There are certain matters necessary to life, and essential to our well-being, such as air, food, sleep, exer- cise, retention and excretion, the passions, etc., which, from not actually forming a part of the living body, were called by the older physicians the ** non-naturals." ^ Attention to these is as essential to the preservation of the health as it is to life ; and through the health, of the personal appearance and comfort of the individual. These are matters, indeed, which are not merely essential auxiliaries of the qualities and endowments referred to, but are actually the very foundation on which not only they, but even the enjoyment of life, depends. Look, for instance, at the influ- ence which temperance, exercise, regular habits, and cleanliness, exert on the health and personal charms. Let us go into fashionable life, as affording strong examples of the neglect or disregard of all of these except the last one, and that in a quarter where we might reasonably, from the rank and education of the parties, the least expect to find it. Temperance includes modera- tion at table, and in all the enjoyments which the world calls pleasure; and regular habits include the recurrence of the appropriate meals 3>: proper intervals, and the avoidance of late hours. These are thiiv^* PERSONAL APPEARANCE. 357 which are, unfortunately, utterly disregarded among the better classes of society, and more particularly in fashionable life. Let us follow a youthful beauty of rank and fashion from the time of rising in the morning until her artificial day is ended, during what is called the "season." In a state of languor and nervous feverish- ness, and with a feeble appetite, the results of the late hours and excitement of the preceding night, she enters the breakfast-room at the early (!) hour of nine, or, more generally, ten or later. Her breakfast probably consists of strong coffee with cream, hot rolls (!) and butter, and perhaps, occasionally, a small portion of grilled fowl, all of which, except the coffee, she has scarcely sufficient energy to take and no appetite to enjoy. Damaging Food and Adulterated Drinks. Then a long exhausting fast not infrequently succeeds, ending in dinner at six or seven in the afternoon or evening, the day, up to this hour, being miscalled morning in fashionable life. At dinner she sates her appetite, rendered keen by long privation, with highly-seasoned soups, fish covered with melted butter and exciting sauces, me^ roasted, boiled, fried and stewed, game, pies, puddings, tarts, pre- serves, followed by the grapes, oranges, indigestible almonds and filberts, ice-creams, and other fruits and dehcacies that form the dessert; the whole being diluted and blended, and finally ** washed down," not merely with water from the crystal fount, but with wine, generally more or less adulterated or poisoned by trade-admixtures, miscalled improvements. Then come the evening's amusements — the soiree, the ball, the opera, the theatre, the late supper — exposure, thinly clad, to rapid transitions of temperature and draughts, in passing from the heated room or building to the carriage, and the journey in the carriage home, at which she arrives during the early hours of the morning, and sometimes not until the sun has risen, and the healthy working girl has commenced her labor for the day. Then comes the opera- tion of being unrobed and unjewelled, before she can retire to bed— 358 PERSONAL APPEARANCE. a bed into which she sinks almost helpless and exhausted, and from •.vhich she rises feverish and unrefreshed. Is it any wonder that such a mode of living should, ere long, Jcrange the stomach, and, by creating bilious disorders, gradually •nge the skin with a wan or sallow hue? Is it any wonder that such .ong fasts, such injudicious feeding, such exhausting habits, such late hours, such exposure, the conversion of night into day and day into night, and the want of sufficient rest and sound sleep, should soon become visible in the features, and make the looking-glass of the fashionable belle a monitor — alas! an unheeded monitor — of her gradually waning charms and health? Sallow Faces and Scrawny Leanness. Under such habits as those just described, it is no wonder that the firm yet delicate texture of the skin gives place to flabby softness, and those delicate portions on which personal beauty depends yield to scraggy leanness or ungraceful, shapeless fat. The once fair skin assumes a sickly paleness and an uninviting rigidity, or a coarse and bloated redness, according to the particular constitution of the victim, but which, in their incipient forms, the vain, deluded creature regards as the mere maturing of her health and beauty. To repair their ravages, the aid of a dressmaker and the cosmetic artist is called in. There is padding to give shape or plumpness where there is none ; corsets and belts to reduce, by compression, the exuber- ant mass of flesh ; and washes, powders, and paints, to rectify the dingy, pallid, or coarse complexion. But all this is useless ; high living, late hours, immoderation, and dissipation have done the work, and female loveliness is lost forever, unless the pursuit of pleasure be at once abandoned, and moderation and regular and natural habits be returned to. Though a lady be as fair as Hebe, as graceful and chaste as Diana, and as beautiful and fascinating as Venus herself, she would soon lose her loveliness and charms by indulgences and habits such as these. Were it not for the greater cleanliness of the fashionable classes, the PERSONAL APPEARANCE. 359 frequent use of the bath, and their being better clothed than their less fortunate brethren, the consequences of their violations of the natural laws would fall on them even more heavily than they now do„ Let us mark the effects of improper food, defective ventilation, and want of cleanliness. These evils exhibit themselves in the unhealthy features, the broken health, the frequent cases of consumption, fevers, and skin diseases, and other ailments affecting the health and personal appearance, so commonly met with. It is only the active nature of their occupations, and the pecuniary inability of most of such persons to indulge in excesses, either in eating or drinking, that prevent these things being still more common than they already are. The immediate and intimate relations of health to the personal appearance cannot be too often pointed out, and should be thoroughly Understood and acted on in the every-day affairs of life. The True Basis of Personal Beauty, Health is soundness of body, with the due performance by its sev- teral parts of all their natural functions, both separately and in unity. This is ** bodily " or '^ physical health," A like perfect exercise of the functions of the mind constitutes *' mental health." The union of the two is necessary to the development of beauty, and to the existence of true corporeal and mental enjoyment. Unsoundness of the body, or the disorganization of any of its func- tions, generally produces a corresponding effect upon the mind, in some portion or other of its manifestations and uses ; and when the mind is seriously diseased, the bodily health frequently, indeed gener- ally, degenerates. The exceptions chiefly include those rare and vast developments of the mind commonly called ** genius," though even these are generally accompanied with a delicate state of health, and sometimes with dis- ease ; and those striking exhibitions of bodily health and vigor, where " reason seems to have given up half its dominion to instinct and muscular strength." In each case there is exaggeration of the one and defect of the ot4xer. Perfect health exists only when the functions 360 PERSONAL APPEARANCE. of both body and mind are properly exercised, and duly balanced to each other. Disease, either "physical" or "mental," is the reverse of health. Any unsoundness, any disarrangement, organic or functional, involves its presence. The existence of disease, or even of any defect of health approaching it, is soon developed in the features, and is, therefore, injurious to the personal appearance, and is incompatible with the existence, or, at all events, the permanency of personal beauty. On the promotion and preservation of the health chiefly depend the improvement of the personal appearance, and the maturity and maintenance of personal beauty. The deHcate nature of the formation and functions of the human body is such that propriety and regularity of dress, living, and the like, are of more importance than is generally supposed, or than some members of the medical profession are ready to admit. Do not abuse your own body. Why Personal Charms Decay. It is, however, a demonstrable fact, that, apart from the vicissitudes of climate and season, and mere accidental circumstances against which foresight is unable to guard, the neglect of these matters is alone sufficient to account for fully one-half of the maladies and suffer- ings which " flesh is heir to." The body must be properly nourished and its heat maintained by appropriate food ; it must be properly clothed to meet the vicissitudes of climate, situation, weather, and individual constitution ; it must be freely exposed to the influence of light, air, warmth, and the like, and it must be kept clean, and enjoy regularity and sufficiency of exercise, sleep, and all the habits necessary to mere animal as well as polished life, for the full exercise of its numerous delicate functions, and the possession of perfect health. Without these matters are attended to, the health will fail, and no efforts of dressing, no toilet, however complicated and laborious, no subtle cosmetics will be capable of preserving the personal charms from certain and rapid decay. PERSONAL APPEARANCE. 361 The true criteria of the existence of health, and the "barometer" by which its energy may be estimated, are presented to man by nature in the personal appearance, freedom, and ability of muscular motion, and the possession of an unclouded mind. In like manner, the approach and inroads of disease, and even a state of delicate or indifferent health, are negatively perceptible by the diminution or absence of these qualities, and of the ordinary expression of the features. A certain sign of disease or disordered health is to be found in the derangement of the pulse. It is known from observation and experi- ence that the pulsations of the arteries depend on the alternating action of the heart, and are correspondent, if not actually synchronal, to it. Any deviation from the natural standard in the heart's action, therefore, affects the frequency and particular character of these pulsa- tions, which thus furnish a ready index to the state of circulation, and through it to the condition of the body. The Pulse Tells the State of the Body. The pulse at the wrist, from the convenience of its situation, is that generally selected for examination. By simply counting the number of its beats per minute, and observing the particular manner in which they are given, a very good general idea may be formed of the state of the system at the time, even by the uninitiated, and thus the pre- sence or approach of disease may be detected. In health, the "pulse" of the adult varies from 60 to 80 beats per minute, unless it be excited or depressed by the influence of mental emotions. The average in the adult male is 72. If its rate is below 65, debility or a lax state of the system is indicated; and if it is habitually above 75, some exciting or disturbing cause may be suspected. In females the pulse is usually lower than in males, 65 to 66 beats per minute being about the average ; but in those of a feeble or lax habit it is not infrequently as low as 60. In inhr.zy and childhood the pulse is much quicker than in the 362 PERSONAL APPEARANCE. adult. During the "first twelve-month" it ranges from 105 to 125 beats per minute; during the "second year," from 90 to no; during the "third year," from 85 to 100; whence its rate gradually lessens until the "sixth" or "seventh" year, when its average is 70 to 75, at about which it keeps for some years after. Towards puberty, it usually quickens and becomes excitable, after which it gradually settles down into the rate peculiar to the constitution or habit of the individual. The pulst is insiantly affected by mental emotions. Those of a violent and exciting kind frequently send it up to 130, or even 145 beats per minute ; whilst those of a depressing nature will sink it to 50, and, in extreme cases, render it for a short time scarcely percepti- ble. Both of these extremes frequently kill — the first, by loading the vessels, particularly those of the brain, with blood ; the other, by so retarding the circulation of the arterial blood, that there is an insuffi- cient supply of it for the purposes of life. In some fevers the pulse reaches even 140 beats per minute. It also commonly varies a little during the day, being influenced by digestion, exercise, labor, sleep, rest, etc. The blessings of health have been universally appreciated by man- kind, and in the highest degree by those nations, ancient and modern, most distinguished for ijeir civilization and refinement. Among the polished nations of antiquity the "principle of health" was deified, and was made an object of adoration and sacrifice. The "Hygeia" of the classical Greeks occupied a very notable place in their mythology, and in the most beautiful fictions of their poetry. Under different names, her worship was general among all the ancient eastern nations. Her statues, which were numerous and of the most chaste description, represented her with a large serpent curled round her body, and drinking out of a cup which she holds in her hand, symbolical of her being the fountain of life and health* CHAPTER XXVI. Bathing for Health and Beauty. Beauty a Thing to be Prized — Personal Cleanliness — Vast Influence of Soap and Water — Choked Perspiration — Secretions of Skin and Teeth — Contagious Poisons — Fruitful Sources of Ill-health — Impoverished Blood — The Tepid Bath — Ablutions Among Jews and Mohammedans — Dirt and Disease — Com- mon Neglect of Bathing — Bath-houses in Europe — The Jolly Frenchman — Sea-bathing — Directions for Using the Warm Bath — Right Temperatures of the Water — Exercise and Beauty. LET us again refer to the value — the importance — the divine influ- ence of beauty in a world — a universe — where all is beautiful. A recent writer on the subject has asked : '' What is the use of beauty ? Is it intended merely to amuse the fancy for a time, and then pall, fade, and be forgotten ? In a system where nothing else is lost, where all is fitness and coherence, and where each part, however minute, seems as necessary to the whole as a single link is to the con- tinuity of a chain, is this quality alone without definite meaning or permanent purpose?" And he answers the question by observing that '' analogy is against the supposition, and we must either set down beauty as an unmeaning superfluity in the scheme of the creation, or else assign it an importance commensurate with the space it occupies in our thoughts." Every rational man will do the latter. ** Then let us not, like thoughtless fools, despise The things of earth which are the things of beauty. All beauty here hath but one aim and mission — To guide our spirits to that heavenly portal, Which, to the earth-chained spirit, is a vision Of beauty all unchanging, all immortal." Cleanliness is a subject of such importance to our well-being that little need be said in its favor, were it not that many persons who loudly declaim about it are negligent of it themselves. That it i& essential to the health, comfort, and personal appearance of the indi- vidual, is so generally admitted, that even those who do not practice 363 364 BATHING FOR HEALTH AND BEAUTY. it are compelled, by their feelings of decency and propriety, to speak in its praise. In favor of personal cleanliness it is impossible to speak too highly or to say too much. It enhances every charm, and creates new ones peculiar to itself It invigorates all the numerous functions of the body and of the mind. It is capable of rendering the most ordinary agreeable, and even the sick and the deformed companionable. Beauty itself without its talismanic influence ceases to attract, or soon palls and satiates the senses it so lately ravished. It is a mark of politeness and good breeding, and is capable of inspiring the most refined senti- ments, affections, and passions. Without it man is unfitted for social intercourse, and his presence in company would prove a manifest cause of offence. Test of Civilization and Refinement. It has been justly observed that, "the different nations of the world are as much distinguished by their cleanliness as by their arts and sciences. The more they are advanced in civilization and refinement, the more they consult this part of politeness." No one perfectly clean in his person can be absolutely disagreeable ; whilst no amount of personal charms in features, figure, or complexion, can render an individual companionable without it. Addison regarded cleanliness as the foster-mother of affection, and as the most enduring of all the auxiliaries of personal beauty. " Beauty commonly produces love, but cleanliness preserves it. Age itself is not unamiable whilst it is preserved ck.an and unsullied ; like a piece of metal constantly kept smooth and bright, we look on it with more pleasure than on a new vessel that is cankered with rust.'* But cleanliness is not only agreeable to others, and one of our social duties — it is pleasurable and serviceable to ourselves. Irrespective of its influence on the health and personal charms, its practice has been declared, by one of our recent and highest authorities, to be incom- patible with many of the vices that prove destructive to both the body and the mind. '* Through the prevalence of custom the most vicious habits lose I BATHING FOR HEALTH AND BEAUTY. BOB their horror by being made familiar to us. On the contrary, those who live in the neighborhood of good examples, fly from the first appearance of what is shocking or vicious, and thus pure and unsullied thoughts are naturally suggested to the mind by those objects which perpetually surround us, when they are beautiful and elegant in their kind." In its relations to health, personal cleanliness is of the very highest importance. During life, the skin is continually subjected to abrasion, and continually undergoing the processes of reproduction and decay, by which the cuticle or scarf-skin, its exterior portion, is being con- stantly thrown off, as effete and useless matter, in the shape of very minute scales of dust. This, mingling with the oily, saline, and aqueous matter of the perspiration, and the waste particles of the dress, dust, ^tc, acquires sufficient adhesiveness to attach itself to the surface of the body and to the clothing. The Skin, Like the Lungs, Must Breathe. In this way, unless the accumulation be daily removed by friction and washing, the channels of the perspiration become choked, and the functions of the skin, as a respiratory organ, interfered with, or even partially suspended. At the same time the clothing, and par- ticularly the body linen, becomes loaded and contaminated with the exuviae of the skin, the solid portion of the perspiration, and the ordinary exhalations from the body, and unless frequently renewed, is rendered unwholesome and unfit for use. The hair, too, becomes loaded with scurf and dust, and the pores of the skin under it choked with the exuviae, etc., before referred to, by which the hair-bulbs ''are strangled, as it v/ere, in the performance of their natural functions." The teeth "accumulate organic particles in their interstices, and their enamel becomes encrusted with the minute (microscopic) skeletons of animalculae that populate the mucous secretions of the mouth." All these are prejudicial to health, personal beauty, and refined enjoyment, and may be removed by the simple acts of clean- 366 BATHING FOR HEALTH AND BEAUTY. liiiess which should be practiced by all, and to which reference cannot be too frequent or urgent. The ill consequences of uncleanliness, and particularly of a dirty skin — a skin loaded and obstructed with adhering refuse matter dis- carded by itself — are numerous and serious. Such matter forms a favorable medium for the absorption, and the transmission to the internal portions of the body, of noxious effluvia, vapors and gases, miasmata, and the aerial germs of infectious and contagious diseases. How "We Become Poisoned. It is said that the greater part of (contagious) poisons are con- veyed to us through the external surface of our bodies ; and it is fully proved that poison already communicated has been by cleanliness* removed before it could actually produce any bad effects. We here allude, in particular, to frequent washing, bathing, rinsing the mouth, combing and brushing the hair, and often changing the linen, clothing, and bedding. Such are the immediate effects of neglected ablution of the skin, and the neglect of other acts of personal cleanliness ; the further con- sequences are of an equally serious character. The blood being deprived of one of its sources of oxygen, and of one of the outlets ol its carbon and saline matter, becomes deteriorated, the functions of nutrition imperfect, and the temperature of the body lessened. The matters that should be thrown out of the system through the skin are retained, and have to be eliminated by other organs. The lungs, the kidneys, the liver, the bowels, are each, in their turn, overtasked to perform the functions of another organ. At length they suffer from exhaustion, the health is disturbed, and incipient disease follows. The predisposition exists, and only waits for an exciting cause to give it full development. The period of incubation may be short or long — weeks, months, even years- according to the age and constitutional vigor of the person ; but the evil day comes at last, and skin-diseases, nervous affections, diarrhoea, liver-complaints, consumption, dropsy, visceral obesity or some other BATHING FOR HEALTH AND BEAUTY. 30T serious disease of the vital organs ensues, destroying the last remnan 1:3 of beauty and rendering life uncomfortable, if not a burthen. A lady of vast discernment and of equal experience in these matters, herself as lovely and fascinating as she was accomplished, in addressing her sister that formed her audience, observed : ** An important, and, I might say, the principal receipt which I shall give you for the promotion and preservation of your beauty, is cleanliness, thorough cleanliness, in the most extended sense of the word. It is an indispensable thing. " It maintains the skin in its softness, the complexion in its lustre and natural hue, the limbs in their pliancy, the whole frame in its vigor and fairest light, the mind in its purity and the spirits in the buoyancy of youth irrespective of age and condition. The frequent use of tepid water to the person, and particularly of the tepid bath, is not less grateful to the senses than it is salutary to health and beauty. It is by such ablutions that accidental corporeal impurities are thrown off, cutaneous eruptions removed, and, while the surface of the body is preserved in its original purity and brightness, many threatening and beauty-destroying disorders are prevented." Religious Use of Water, Washing or purification with water forms part of many of the cere- monials of the older religions of the world. Among the ancient Jews, ablutions were performed by both the priests and the people, and, with some modifications, they are still practiced by this strange people at the present day. The ceremony of " purification " by means of water is frequently referred to in the Old Testament. Among the Mohammedans, ablutions form part of their devotions, and are enforced in the Koran. It is generally thought that these ceremonies were originally instituted among the Jews, with the view of promoting the sanitary condition of the people, and that Moharn' med followed the example of the Jewish lawgiver. What further considerations and what further inducements than ^Jiose just given need be offered to enforce the necessity of personal 368 BATHING FOR HEALTH AND BEAUTY. cleanliness ? And when it is added that no dirty or neglected skin can long continue healthy, and ceasing to be healthy must also cease to be beautiful and pleasing, the argument in favor of the daily ablu- tion of the whole surface of the body, or of as large a portion of it as possible, with pure water, will surely be complete. A Stimulant for Mind and Body. However important and beneficial the free and frequent use of water for personal ablution may be, the effects arising from the immersion of the body in it, as in the practice of bathing, are far more extensive and complete. What the one does usefully, but not completely, Ihe other accomplishes readily, satisfactorily, and perfectly. There is no absolute substitute for the entire bath. Its physiological effects are peculiar to itself, and of the utmost importance in hygiene, p'athology, and medicine. Nor is the action of judicious bathing in the promotion of personal comfort and happiness, and personal beauty, less remarkable. Intel- lectual and moral vigor are also gradually but materially influenced and promoted by its beneficial action on the system ; for mind and conscience, being linked to matter in the *' house we live in," become perturbed, or lethargic, in almost exact accordance with the fluctuations of our physical health. The soul and mind cabined within the confines of a dirty skin can no more exercise their god-like prerogatives of highest reason and activity, than the prisoner in a felon's cell can exercise his limbs with the vigor and agility of a free man. Healthy imagination thus becomes dormant or extinguished, and conscience itself blunted or degraded into vice. The comparative neglect of bathing continually furnishes a subject of comment. This neglect is an enigma as difficult to solve as the fabled riddles of the Sphinx. We are always talking about health, and continually professing to be seeking it ; but the practical applica- tions of the principles which we advocate, and the doctrines which we teach, are, unfortunately, the exceptions and not the rule. BATHING 1<0R HEALTH AND BEAUTY. S6P In Europe, the bathing-houses are almost as numerous as the drug- gists' shops are in this country. Yet the French need the former less than we do, because they live more temperately, and are less ground down to think and work, and because they perform more general personal ablution with as much zeal as though it were a religious duty. " The Messieurs are wise enough to discover that life is not rendered one jot sweeter by passing sixteen hours a day behind the desk or counter, to the exclusion of all recreation, except recreation be to count the gains of such excitement, or to indulge the hope of amass- ing a sufficiency to do the ' comfortable and important ' at the close of a wearied life, which the infirmities of age forbid us to enjoy. A Frenchman lives, works, and enjoys himself to the last. Prince Talleyrand died in armor ; his life was a bouquet from which all but the sweetest flowers were excluded." French and Americans Contrasted. A Frenchman knows no ill but what pleasure denies. He rarely has dyspepsia, gout, rheumatism, or fevers. Half his life is spent in Elysium — half ours in purgatory. Indigestion, headaches, nervous- ness, restless nights — ^the " blues " when awake, and the " terribles " when asleep — fall to the lot of the mind-absorbed and money-making American, whilst our lively Parisian, with his light meal and still more lightsome body, finds trouble only in broken limbs, or in positive starvation. The preceding recommendation of bathing applies chiefly to the warm bath and the tepid bath, which are alike adapted to the delicate and the robust, and to every condition of climate and season. Cold bathing, in this climate, is only suited to the most healthy and vigor- ous, and can only be safely practiced during the warmer months of the year, and in a mass of water that has been for some hours exposed to the rays of the sun, and sufficiently large to permit of the heat of the body being maintained by swimming or other active exercise. The shower-bath is an exception to these remarks, and is a con-, venient and invigorating substitute for other forms of bathing. The 24 370 BATHING FOR HEALTH AND BEAUTY. plunge-bath is also a partial exception ; but it should be earefully avoided by those who are predisposed to heart disease or brain disease, or to congestion of any of the great viscera. We have known several fatal cases of apoplexy caused by it. Sea-bathing, from its stimulating arki invigorating action on the skin and the whole nervous system, is not only most agreeable, but highly salutary, when indulged in at the proper season. It has also the important advantage over bathing in fresh water, that persons seldom take cold from it. Sea-bathing, on account of its stimulative and penetrating power, may be placed at the head of those means which regard the care of the skin ; and it certainly supplies one of the first wants of the present generation, by opening the pores, and thereby re -invigorating the whole nervous system. Besides its great power in cases of disease, it may be employed by those who are perfectly well, as the means most agreeable to nature for strengthening the body and preserving the health. As an agent for promoting and preserving the softness and delicacy of the healthy skin, and the bright hues of complexion, it is, however, inferior to the warm bath and the tepid bath. Soft Water and Good Soap. For ordinary bathing to produce its best effects, the water should be soft and pure, and a little good soap sparingly but regularly employed whenever the state of the skin requires it. Hard water tends to make the skin rough and course, and is not so cleansing as pure, soft, natural water. After leaving the ordinary bath, a tepid, or even a cold shower-bath, may be taken with advantage. By employing distilled water for the latter, either alone or combined with a little rose-water {eau de rose)^ or orange-flower water, the luxury and effectiveness of the bath is increased. The addition of three or four ounces of glycerine to this water further improves it, and causes it to impart to the skin a delicacy, and a delightful sensation of softness, obtainable by no other means. The opinion that the warm bath is relaxing, which we sometimes hear expressed by those who are practically unacquainted with its use, BATHING FOR HEALTH AND BEAUTY. 371 IS erroneous. It is only so when persons remain in it too long, or take it too often. As a rule, fifteen to twenty minutes is a sufficiently long space of time to indulge in it; and the best part of the day is either immediately before retiring to rest, or before dressing in the morning ; preferably the first, as a night of refreshing sleep is almost sure to follow it. Neither this nor any other bath should be taken on a full stomachy nor soon after a meal. It is better to allow a couple of hours to elapse before doing so. Nor are those who indulge in a warm bath more liable to take cold than others. On the contrary, they are less so, unless they wilfully expose themselves, insufficiently clad (par- ticularly about the neck and chest), to draughts of cold air. Right Temperature for Bathing. The warm bath ana the tepid bath are adapted to every age of life. The first is particularly congenial to the young, the delicate, and those declining in years. By means of it these last can often not only retard the effects of time upon them and prolong their lives, but pre- serve to themselves the faculties and personal feelings and enjoyments of their former years to a ripe old age. The Duke of Wellington, after leading the trying life of a soldier and a man of the world until about the middle age, adopted the prac- tice of taking a warm bath daily, and thus preserved his faculties and surprising vigor until the period of his death, an event which happened from an accidental surfeit, rather than from decay by age. It may be useful to the reader to know the ranges of the tempera- ture of water appropriate to the respective baths. These are given in *--he following table : Temper iture Fahrenheit. Name. Range. Common average. Cold bath . . . . 33° to 75° . . . 50° to 55° Temperature bath . 75 „ 82 . . . 78 „ 80 Tepid bath .... 82 „ 90 . 85 „ 86 Warm bath . . . . 90 „ 98 . . 93 „ 94 Hot bath 98 ., 112 . ... 105 „io6 572 BATHING FOR HEALTH AND BEAUTY. The preceding remarks have reference to personal cleanliness, but it may be also observed here, that domestic or household cleanliness is scarcely less important. Without it the air within our homes would be perpetually vitiated, and the blessings of light and ventilation, and of salubrity of situation, rendered abortive. Of public cleanliness it has been said that it does the same for our Greets and our highways that the others do for our persons and dwellings. Without it the purity of the air of our cities and towns would be impaired and rendered insalubrious, and, in many cases, actually noxious and pestilential. All these forms of cleanliness are essential to the health, happiness, and well-being of man living in civilized communities. Another subject to which we will briefly allude, before closing this chapter, is exercise — exercise in the open air, in situations exposed to refreshing breezes and the genial sunlight. Without this all othei efforts to preserve the body in vigorous health fail. It is a natural tonic and cosmetic, and is essential to give the glow of health to the otherwise pallid cheek, and to keep it there. Nature teaches us, in the gambols and sportiveness of the lower animals, that bodily exercise is necessary for the growth, vigor, and symmetry of the frame ; whilst the too studious scholar and the indolent man of luxury exhibit in themselves the pernicious conse- quences of the want of it. Many a rich lady would give thousands of dollars for the full-rounded arm and the peach-bloom on the cheek of her kitchen-maid. Well ! might she not have had both by the same amount of exercise and the simple and natural mode of living ? The poet tells us that — "Health is the vital principle of bliss, And exercise of health." CHAPTER XXVII. Beautiful Skin and Complexion. A. Garment of Surpassing Loveliness — Structure of the Skin — Pores for Perspira tion — Absorbent Vessels — How to Beautify the Skin — Effect of Heat and Cold — Ablution— Anointing — Recipes for Skin Washes — Effect of Sunlight- Benefits of Friction — Flesh-gloves — Diseases of the Skin — Black Spots and Marks — Boils — Blueness and Discolorations — Dandruff — Pimples — Itch — Scaly Eruptions — Treatment for Skin Ailments — Freckles — Moles — Paleness- Roughness — Redness — Scurf and Scurvy — Pits from Small-pox — Wrinkles— Abrasions — Bruises — Bums and Scalds — Cuts and Incised Wounds — Excoria- tions — Frost-biteis — Scars. EVERY person knows what the skin is, its external appearance and its general properties ; but there are many of our readers who may not be aware of its peculiar and wonderful construc- tion, its compound character and its manifold uses. It not merely acts as an organ of sense and a protection to the surface of the body^ but it clothes it, as it were, in a garment of the most deHcate textuir and of the most surpassing loveliness. In perfect health it is gifted with exquisite sensibility, and while it possesses the softness of velvet and exhibits the delicate hues of the lily, the carnation and the rose, it is nevertheless gifted with extraor- dinary strength and power of resisting external injury, and is not only capable of repairing, but of actually renewing itself Though unprotected with hair, wool or fur, or v/ith feathers, or scales, as with the brute creation, the human skin is furnished with innumerable nerves, which endow it with extreme susceptibility to all the various vicissitudes of climate and of weather, and prompt the mind to pro- vide suitable materials, in the shape of clothing, to shield it under all the circumstances in which it can be placed. The horse, the dog, the Hon, cannot change its hair or the bear its fur, even though it be transported to a climate the reverse of that in which it was born ; it must alike wear the robe of Nova Zembla undei 373 574 BEAUTIFUL SKIN AND COMPLEXION. the scorching sun of Africa, or that of the tropics on the frozen plains of Siberia, and it will dwindle from this change, and probably perish ; but man can suit his clothing to the latitude, and rove from clime to clime with comparative impunity. His intelligence enables him to shield his skin from all the " skyey influences " with proper raiment, and his taste leads him so to select and prepare this raiment as to serve both for the protection and adornment of his person. Three Layers or Membranes. The skin, though apparently a single membrane, is composed of three distinct layers or membranes, each of which has special duties to perform. The exterior of these, or that one which immediately meets the eye, is called the cuticle, epidermis or scarf-skin. It is of uneven thickness, in some parts being extremely thin and delicate, and in others, particularly those exposed to friction, thicker and harder ; in this respect being accommodated to the nature of the part it covers. It is an albuminous tissue, and in its general physical and chemical properties, for the most part, resembles the nails and the quills of birds, from which it differs chiefly in degree of induration. It is destitute of feeling and of absorbent power, and thus fulfils its duty as a protective covering of the body in a more effective manner than it otherwise would do. Throughout its whole surface it is thickly pervaded with minute pores, to permit the escape of the per- spiration and other exhalations from the body. Its reparation and renewal are carried on at its under surface, whilst its damaged, worn- out and useless portions are thrown off in the form of whitish dust oi minute flakes or scales. Immediately under the cuticle, and resting on the cutis, is the mucous network. It is a thin layer of soft, pulpy matter, of a fibrous character and reticular form, and appears to be the seat of the color of the skin, with the hue of which it always coincides. It may be temporarily blanched by the action of weak solutions of chlorine, chloride of lime, and other bleachers. Beneath the mucous network, and forming the third, last in succession BEAUTIFUL SKIN AND COMPLEXION. 375 inwards, and principal tegumentary covering of the body, is the derma or true skin. It is a highly sensitive, vascular, gelatinous texture, of a very complex structure. It is of a whitish color and fibrous, and appears to be made up of an irregular species of network. Closer examination shows it to be composed of condensed cellular tissue, and to be very thickly supplied with absorbent and excretory vessels, and with arteries, veins, and nerves. A Most Delicate, Perfect Structure. It is here that the minute capillaries of the arteries spread them- selves out, and, by means of the ducts of the sudorific glands or follicles, exhale the peculiar secretion which we call perspiration ; here the so-called roots of the hair terminate, and find nourishment ; and here all the other functions of the skin are performed. It is this por- tion of the tegumentary covering of the body that gives the relative thickness to the whole skin ; and it is the one which, when the scarf- skin and hair are removed, is converted into leather by the processes of tanning. Such is the general structure of the human skin, so complicated and yet so perfect, so delicate and yet so useful. As a protective natural covering of the body, in conjunction with the animal senses, instincts and appetites, and, above all, with an intelligent free-will, it surpasses that of any other animal. It is absolute perfection. It combines within itself the pov/ers of an organ of sense, of excretion, secretion, respiration and nutrition. The integrity of its functions is not only highly conducive to health, but is absolutely essential to its perfect enjoyment, to both corporeal and mental vigor, and to beauty. Surely the preservation and promotion of this excellence, and the removal or alleviation of the effects of disease and accident that impair it, deserve our serious attention. In health, the management of the skin is extremely simple, and consists chiefly in habitual cleanliness and daily personal ablution, as noticed in the preceding chapter. To preserve the softness of its texture, and the delicacy oi its hues, it is also necessary to protect it, 376 BEAUTIFUl SKiN AND COMPLEXION. as much as possible, from external influences and all external accidents capable of injuriously affecting it. Exposures to the extremes of heat and cold, sudden and extreme changes of temperature, and the vicissitudes of weather and climate, tend to destroy its natural sensibility, to thicken and harden it, to render it coarse and rough, and, by causing the obstruction and rupture of its capillary arteries, to impart to it a streaky, ruddy, weather- beaten appearance. Drying winds, whether hot or cold — the east and northeast, for instance, in this climate — also prove injurious, by carry- ing off the moisture which is essential to its suppleness and proper action ; and this, in extreme cases, to a degree sufficient to destroy its vitality, and even to produce chaps or fissures in it. How Sunlight Affects the Complexion. On the other hand, continual exposure to a moist atmosphere, oi humidity or aqueous vapor in any form, tends to relax it, to reduce its tone and hue, and to render it injuriously susceptible to the temperature of the surrounding air, as well as to changes of it. Light and shade also affect the skin, but in opposite ways. Constant exposure to diffused daylight and to sunlight, when not too vivid, for some little time daily, is favorable to the health and beauty of the skin, and improves the hue of the complexion ; but the direct rays of the sun, particularly the summer sunshine, when long continued, thicken and darken it, and sometimes, in persons peculiarly suscep- tible, even blister it, or cause the hardened cuticle to exfoliate. An insufficient exposure to light, on the contrary, causes the skin to assume a pale and sickly hue, and to become lax and unhealthy. To obviate the ill effect of the exposure and external influences just alluded to, the dry skin, after ablution or bathing, may be slightly anointed with some mild, simple oil, as that of the olive or the sweet- almond, as in the last operation of the ancient Roman bath, friction being at the same time employed, and the whole surface subsequently gently wiped with a napkin or towel. Modern chemistry has, how- ever, furnished us with glycerine, a substance which may be used BEAUTIFUL SKIN AND COMPLEXION. 377 instead of oil, and has the advantage of being more cleanly, effective and congenial to the skin. By diluting this article with five or six times its bulk of pure water we have a wash or lotion which is not only capable of imparting deli- cacy, suppleness, and an agreeable sensation to the skin, but also of preserving it, to a very great extent, from the effects of heat and cold, drying winds, fervid sunshine, etc., as well as by its permanently softening power, preventing its induration from friction or pressure, and the formation of callosities on it. For this purpose the skin need only be thoroughly moistened with it, the excess of moisture being subsequently removed by means of a soft towel. Light and Beauty. The importance of the due exposure of the body to daylight or sunlight, just referred to, cannot be too strongly insisted on. Light and warmth are powerful agents in the economy of our being. The former especially is an operative agent on which health, vigor, and even beauty itself depend. Withdraw the light of the sun, with its actinic or chemical rays, from the organic world, and all its various beings and objects would languish and gradually lose those charms which are now their characteristics. In its absence, the carnation-tint leaves the cheek of beauty, the cherry-hue of the lips changes to a leaden-purple, the eyes become glassy and expressionless, and the complexion assumes an unnatural cadaverous appearance that speaks of sickness, night, and death. So pcwerful is daylight, so necessary to our well-being, that even its partial exclusion, or its insufficient admission to our apartments, soon tells its tale in the feeble health, the liability to the attacks of dis- ease, and the pallid features — vacant and sunken, or flabby, pendent, and uninviting — of their inmates. Even the aspect of the rooms in which we pass most of our time, and the number or extent of their windows, is perceptible, by the trained eye, in the complexion and features of those that occupy them. So in the vegetable world — the bright and varied hues of flowers depend on the sunlight. 378 BEAUTIFUL SKIN AND COMPLEXION. In obscure light plants grow lanky and become pale and feeble, ciiey seldom produce flowers, and uniformly fail to ripen their seeds. In even partial darkness the green hue of their foliage gradually pales and disappears, and new growths, when they occur, are blanched or colorless. It is here also worthy of remark, that those persons who spend most of their time in apartments with an aspect ranging from the northwest to the northeast, and to which the direct rays of the sun thus never penetrate, are generally of pale complexion, with a languid expression of the features, and enjoy less vigorous health than those otherwise circumstanced. This is particularly the case with artists, whose studios are usually chosen with a northern aspect, for the sake of the equable and diffused daylight thus secured. Fevers and pestilential diseases generally, are always more frequent and severe among the inhabitants of such apartments than among those exposed for hours daily to the light of the sun. The actinic, or chemical rays of sunlight, are absolutely necessary to the enjoyment of vigorous health and the possession of beauty. The diffused light from a northern sky is deficient in these rays. Best Method of Ablution. The best method of keeping the skin clean and healthy by ablu-. tion and baths has been already generally alluded to, but here some further details may be given. The use of these, and the washing of the skin that forms part of the daily duties of the toilet, appear to be very simple matters, but writers on the subject differ in opinion as to the methods to be followed to render them perfect cleansers i>f the skin. Some of these regard the use of soap and water applied in the form of lather, with the hands, and afterwards thoroughly removed from the skin by copious affusions, rinsing or sluicing with water, of immersion in it, as the best method. This is probably the case when the skin is not materially dirty, or its pores or surface obstructed or loaded with the residual solid matter of the perspiration or its own BEAUTIFUL SKIN AND COMPLEXION. 379 unctuous exudation and exuviae. To remove these completely and readily something more than simple friction with the smooth hand is generally required. In such cases the use of a piece of flannel or serge, doubled and spread across the hand, or of a mitten or glove without divisions for the fingers, and of the same material, will be found most ready and effective. Friction with this, first with soap, and afterwards with water to rinse the soap off, will be found to cleanse the skin more thoroughly and quickly than any other method, and, by removing the worn-out portion of its surface, to impart to it a healthful glow and hue that is most refreshing and agreeable. This effect will be increased by wiping and rubbing the surface thoroughly dry with a coarse and moderately rough, but not a stifif towel, instead of with the fine, smooth diapers, which are now so commonly employed. At the bath, the flesh-brush, usually provided there, will supersede the necessity of using the flannel. Friction Invigorates the System. It frequently happens that, owing to the locality or nature of one's residence, incessant occupation, deficient means or other circum- stances, baths, or even entire personal ablution, cannot be indulged in or only so occasionally. In such cases recourse may be had to dry friction, which may be carried to any extent short of actual irritation. This will be found not only capable of cleansing the skin, but advan- tageous from exciting the cutaneous circulation and invigorating the whole system as well as the skin. The instrument usually employed for the purpose is the flesh-brush, of which there are several varieties ; but those which have the bristles set on a leather back are usually thought to be the most effective and the best. The flesh-glove or flesh-rubber of hair is a useful and very convenient modification of the common flesh-brush.' Of these, that known as the " Indian kheesah " or " mitten " is supe- rior to all others. For the back, which cannot be easily operated on with the hand, a 380 BEAUTIFUL SKIN AND COMPLEXION. flat band or belt of hair is employed. In the absence of flesh-brush, glove and belt, a coarse towel wound round the hand, or even a stocking with the hand thrust into it, may be employed. Apart from mere cleanliness, of which it is a ready and important means, the benefit of friction, which consists of motion and heat, whether or not the same be raised by rubbing the body with a coarse cloth or with the flesh-brush has advantages inconceivable and scarcely credible, by which the obstruction of the pores and the cuta- neous glandules are opened, their stagnating juices broken up, dis- solved, and rendered fit to be carried off in perspiration, in the room of which new juice will succeed with new vigor to the body, and Ion- gevity, as that great naturalist, Lord Verulam, well observes, is in this way most certainly promoted. Something Concerning Cosmetics. The daily vigorous use of the flesh-brush, or the flesh-glove, for those parts of the body covered with the clothing, independent of theraputic action peculiar to itself, is probably the most healthful, effective and ready substitute for the entire bath that can be employed under many of the circumstances by which we are frequently surrounded. Occasional personal ablution, or the use of the sponge- bath, after it, greatly increases its good effects. To promote the beauty of the skin, the assistance of art is frequently had recourse to, and this not always in the most judicious manner. All that is necessary for this purpose, under ordinary circumstances, may be said to consist in the restoration or promotion of the general health and vigor of the body, and the body, and the functions of the skin in particular, as previously indicated. Beyond this we should proceed with caution, and should exercise care, both in the adoption of general means, and the selection of special methods and applications to effect the objects desired. The external applications that are commonly employed for improv- ing the texture, clearness, and hue of the complexion, and of enhanc- ing or preserving its varied charms are " cosmetics." Many of them, BEAUTIFUL SKIN AND COMPLEXION. 381 when judiciously selected and employed, are perfectly safe in use ; but others are the reverse ; and it may be said of nearly all of them, except simple soap and water, that they are seldom required, and that their habitual use is seldom unobjectionable when the general health is good and the skin is in a perfectly healthy state. Having noticed the general management of the skin in a state of health, a few remarks on it when diseased, or when its beauty is impaired by the effects of disease, medical treatment, accidents, or failing health, may prove interesting to the reader. Beauty Impaired by Disease. Diseases of the skin are very numerous and varied in their char- acter, and all of them more or less impair its beauty, whilst most of them disfigure it, and not a few render it loathsome, and their victims unfit for the social circle and society. It is, however, chiefly of those of a mild character, and of the milder forms of others, in which medical aid is seldom sought, and of the prevention and removal of their ill effects on the personal appearance, that we shall chiefly refer to here. The small black spots and marks frequently observed on the skin in hot weather, particularly on the face, generally arise from the accumu- lation of the indurated solid matter of the perspiration in its pores. When they assume the form of small pimples, and often when .otherwise, they may be removed by strong pressure between the fingers, or between the nails of the opposite fingers, followed by the use of hot soap and water. The subsequent daily application of a weak solution of bichloride of mercury, or of sulphate of zinc, will com- pletely remove the swelling, and generally prevent their re-formation, Boils are well-known inflammatory tumors of a superficial and more or less temporary character, which usually terminate by sup- puration. They generally attack the healthy and robust during youth and early manhood, and seldom trouble persons who have reached the middle age. Though very annoying, and in theif latter stages often painful, they are not dangerous. 382 BEAUTIFUL SKIN AND COMPLEXION. Their treatment is very simple. When first they begin to form, they may sometimes be dispersed by friction with the fingers, lowering the diet, avoiding stimulating drinks, and by the use of mild aperients. When they exhibit persistency by gradual enlargement and increasing pain, it is advisable to promote their suppuration by the constant application of poultices of bread and linseed-meal ; or when this is inconvenient, by the use of warm, stimulating embrocations, or cover- ing them with some stimulating plaster. When the tumor is sufficiently mature, the matter should be evacuated by gentle pressure ; or, when the urgency of the case demands it, the head of the tumor may be carefully opened with a lancet, or the point of a very sharp penknife, or a needle. In either case the wound should be dressed, twice a day, with a little simple ointment spread on a piece of lint or a soft rag, and retained in its place by means of a bandage or a piece of adhesive plaster or strapping ; observing, at each renewal of the dressing, to press out any matter present in the tumor, and to thoroughly cleanse its surface by gently wiping or washing it. Treatment for Bad Blood. The pain and inflammation generally subside on the first discharge of the matter, and in a few days the wound heals. The diet may be full and liberal until the maturing of the tumor and the discharge of the matter, after which it should be reduced, and the bowels kept gently open for a few days by the use of some mild aperient. When there is a predisposition to the formation of boils, excess iq either eating or drinking should be particularly avoided, and care should be taken that the bowels act regularly once a day. Tonics, as bark, quinine, or steel, may be had recourse to with advantage ; as also the frequent use of the warm or tepid bath, or preferably, of sea- bathing, to keep the pores of the skin open. Unnatural blueness of the skin — the ** cyanosis " of pathologists — - is said to arise from malformation of the heart, and then is irremedi- phle The blueness or slate color produced by the long-continued BEAUTIFUL SKIN AND COMPLEXION. SSS administration of the salts of silver may, however, be generally less- ened and occasionally removed by the long use of iodide of potassium, both internally and in the form of baths. Nitric acid employed in the same way is sometimes serviceable, as are also chlorinated baths and lotions. Permanent discolorations of the skin, not of the preceding kind, are generally lessened and frequently removed by the daily and long- continued use of a glycerinated solution of bichloride of mercury. Others yield to a weak lotion of chloiide of lime, employed in the same way. Those of a very obstinate character may be treated with occasional blisters. The marks of gunpowder, particularly when pro- duced by ** tattooing" or rubbing it into small punctures made in the skin, are generally very durable, and removed with great difficulty. They often continue for life. To Remove Dandruff and Pimples. Dandruff is an exfoliation of the skin, which differs from common scurfiness, chiefly in occurring in reddish patches. In its exaggerated ibrms, when the patches are irregular, and the cuticle is thrown off in large scales, accompanied with much irritation, it forms the *' pityriasis " of pathologists, and the ''branny tetter" of the vulgar. Its treatment consist in extreme cleanliness, the frequent use of warm soap and water, and attention to the diet. Eruptions are too well known to require any lengthy description here. They are usually classified by writers on the subject into-^ animalcular eruptions, or those due to the presence of animalcula in the scarf-skin, which occasion much irritation, and of which the itch furnishes a well-marked example ; papular, eruptions or dry pimples ; pustular eruptions, or mattery pimples, of which some forms are popularly known as crusted tetters ; scaly eruptions, or dry tetters ; and vesicular eruptions, or watery pimples or vesicles. The treatment of all of the above, except the first, in simple cases, where there is not much constitutional disarrangement, consists mainly in attention to the general principles of health — cleanliness, exercise. 384 BEAUTIFUL SKIN AND COMPLEXION. food, ventilation, and clothing. Occasional doses of mild saline aperients should be taken, and warm or tepid bathing, preferably in sea-water, or ablution in warm soap and water, frequently had recourse to. Stimulants of all kinds should be avoided, and the red meats, ripe fruits, and the antiscorbutic vegetables, should form a consider* able portion of the diet. Things Worth Remembering. Lemonade, made by squeezing the juice of a lemon into a half-pint Lumblerful of water, and sweetening it with a little sugar, should be frequently and liberally taken, as one of the best beverages in such cases. To relieve the itching and irritation (except in the pustular, crusted, and vesicular varieties), brisk friction with a flesh-brush, or a flesh-glove, may be employed. The parts should also be wetted with an appropriate lotion, after each friction or bath, or the use of soap and water. These lotions may consist of half a teaspoonful of salt of tartar, or of the juice of a large lemon, or a wineglassful of strong vinegar, to about three-quarters of a pint of pure water, one or two ounces of glycerine being in each case added. In the absence of glycerine, decoction of bran, or buttermilk, may be used. In the pustular and crusted varieties, two or three ounces of rectified spirit, or five or six ounces of good rum may be added, a like quantity of the water being omitted. When the habit of body is full and inflammatory, the diet should be lowered, and a depletive treatment adopted ; when it is the reverse the diet should be liberal, and, if necessary, a coarse of tonic medi- cine, as bark, quinine, steel, should be taken. Cod-liver oil also proves highly beneficial in all cases. Vigorous daily exercise, so as to produce natural perspiration, is an active curative agent in all skin diseases. Indeed, the best means of removing all the forms of obstinate eruptions and the predisposition to them, is to endeavor to restore the general health of the body in the manner which the existing circumstances may indicate. In trivial cases, where the space affected is not extensive, the daily BEAUTIFUL SKIN AND COMPLEXION. 385 application of a weak solution of bichloride of mercury, or of sulphate of zinc, to which a little glycerine has been added, will be found effective, both for the removal of all the erdinary eruptions and the prevention of their recurrence. The small, hard, distinct pimples — "acne," or "acne simplex" of medical writers — that occur on the forehead, and occasionally on the temples and chin, generally yield to stimulating lotions consisting of equal parts of strong spirit or vinegar and water, or to weak lotions of sulphate of zinc, or of bichloride of mercury, assisted by occasional doses of cooling laxatives, as the saHnes, or a mixture of sulphur and cream of tartar. Let the treatment be thorough. Freckles on a Delicate Skin. Freckles, or the round or oval-shaped yellowish or brownish-yellow spots, resembling stains, common on the face and the backs of the hands of persons with a fair delicate skin who are much exposed to the direct rays of the sun in hot weather, are of little importance in themselves, and have nothing to do with the general health. Ladies who desire to remove them may have recourse to the frequent appli- cation of dilute spirit, or lemon-juice, or a lotion formed by adding acetic, hydrochloric, nitric, or sulphuric acid, or liquor of potassa, to water, until it is just strong enough to slightly prick the tongue. One part of good Jamaica rum to two parts of lemon-juice or weak vinegar, is a good form of lotion for the purpose. The effect of all these lotions is increased by the addition of a little glycerine. The preceding are also occasionally called " common freckles," *' summer-freckles " and " sun-freckles." In some cases they are very persistent, and resist all attempts to remove them while the exposure that produces them is continued. Their appearance may be pre- vented by greater use of the veil, parasol, or sunshade, or avoidance of exposure to the sun during the heat of the day. Another variety, popularly known as cold freckles, occurs at all seasons of the year, and usually depends on disordered health or some disturbance of the natural functions of the skin. Here the 386 BEAUTIFUL SKIN AND COMPLEXION. only external application that proves useful is the solution of bichlo- ride of mercury and glycerine. The itch — '* psora " and " scabies " of medical authors, the " gale" of the French — already referred to, in its common form, is an erup- tion of minute vesicles, generally containing animalcula, and of which the principal seats are between the fingers, bend of the wrist, etc. It is accompanied by intense itching of the parts affected, which is only aggravated by scratching. The usual treatment is with sulphur-ointment (simple or compound), well rubbed in once or twice a day, a spoonful (more or less) of flowers of sulphur, mixed with molasses or milk, being taken at the same time, night and morning. Where the external use of sulphur is objectionable, on account of its smell, a sulphuretted bath or lotion, or one of chloride of lime, may be used instead. In all cases extreme cleanliness, with the free use of soap and water, is a sine qua non in the treatment. How Moles are Removed. The small soft discolorations and excrescences of the skin, popularly called moles, may be removed by touching them every second or third day with strong acetic or nitric acid, or with lunar caustic. If covered with hair, they should be shaved first. When this fails, they may be easily and safely removed by a very simple surgical operation. Extreme paleness of the skin, when not symptomatic of any pri- mary disease, generally arises from debility, or from the languid circula- tion of the blood at the surface of the body ; often, also, from insuf- ficient or improper food, want of out-door exercise, and the like. The main treatment is evident. Warm baths, friction and stimulating lotions and cosmetics may be here employed, together with a course of some mild chalybeate (as the lactate, protophosphate, or ammonia- citrate of iron) and hypophosphite of soda. Roughness and coarseness of the skin, when not depending on an> particular disease, may be removed, or greatly lessened, by daily fric- tion with mild unguents or oil, or by moistening the part, night and BEAUTIFUL SKIN AND COMPLEXION. 387 morning, with a weak solution of bichloride of mercury containing a little glycerine. Rashes and redness of the skin of a common character often arise from very trifling causes, among which indigestion, suppressed per- spiration, irritation and the like are the most frequent. Nettle-rash, so called from the appearance and tingling sensations resembling those caused by the sting of nettles, in some habits of body is very apt to follow the use of indigestible and unwholesome food. It is usually of short duration and recurrent. Exciting Causes Must be Avoided. The treatment consists in the administration of mild saline aperi- ents, and, in severe cases, of an emetic, particularly where the stomach is still loaded with indigestible matter. These should be followed by the copious use of lemonade made from the fresh-expressed juice. The patient should be lightly but warmly clothed during the attack, and exposure to cold or to draughts of cold air should be carefully avoided. The further treatment may be similar to that noticed under eruptions. To prevent the recurrence of the attack the objectionable articles of food, and any other known exciting causes, must be avoided. Red rash, red blotch or fiery spot, a common consequence of dis- ordered health, a sudden fit of dyspepsia, and, in females, of tight- lacing, and rose-rash, false measles or roseola, having commonly a similar origin to the preceding, for the most part require the same treatment. Scurf — *' furfur " or '' furfura " — is a formation depending on the natural and healthy scaling off of the skin on every part of the body on which hair or down grows, but most extensive and observable on the scalp, on account of the abundance and darker color of the hair there. Scurfiness, or excessive scurfiness, is the result of morbid action, and may be treated by the frequent use of the flesh-brush or hair-brush, ablution with soap and water, and the use of mild, stimu- Uting, astringent or cleansing lotion«i 388 BEAUTIFUL SKIN AND COMPLEXION. Scurvy — ''scorbutus" of medical writers — is a disease which, even in its incipient and early stages, when its presence is often unsuspected, is most injurious to the skin and the complexion. It usually com- mences with unnatural sallowness, debility and low spirits. As it proceeds, the gums become sore, spongy and apt to bleed on the slightest pressure or friction ; the teeth loosen, and the breath acquires a foetid odor ; the legs swell, eruptions appear on different parts of the body, and at length the patient sinks under general ema- ciation, diarrhoea and hemorrhages. Its chief cause is improper food, or rather the absence or insufficient supply of fresh meat and vegetables in the diet ; to which cold, humidity, want of exercise and fresh air may be added as secondary ones. Hence its frequent fatal visitations formerly on ship-board, and its still occasional occurrence in ill-victualled ships during long voyages. To Get Rid of "Pits.' The treatment mainly consists in adopting a liberal diet of fresh animal food and green vegetables, with ripe fruit and an ample allow- ance of lemonade made from the fresh- expressed juice. Effervescing draughts formed with bicarbonate of potash (not soda) are also very efficacious. In serious cases, tonics, as quinine and steel, should also be administered. Small-pox — "■ variola " of the medical profession — is a malignant, contagious disease, which, happily for society, owing to the general practice of vaccination, is now comparatively seldom met with, ^Ithough, at no very remote date, it was very common and fatal m this country. Its medical treatment, owing to the severity and danger of the disease, does not properly fall within the province of the present work. The prevention and removal of its ill effects on the personal appearance will, therefore, be alone spoken of here. To prevent the permanent disfiguration of the skin by the pustules of small-pox, called " pitting " or " pock-marks," various plans are adopted, the chief and most certain of which have for their object the exclusion of the light and air. The application, on the third day, of a BEAUTIFUL SKIN AND COMPLEXION. 389 mask formed of calico or thick muslin, freely covered with mercuriaj ointment, and having holes cut in it for the nostrils, eyes and mouth, will, in general, fully effect this object. It may be renewed every other day, or daily, if necessary ; an operation which is best performed by candlelight ; and ics use should be continued until the symptoms of the disease disappear. Another plan, highly spoken of, is to completely coat the entire face with gold-leaf. The application of gold-beater's skin, in a similar manner, is also an effective method, particularly if its slightly moistened surface be afterwards dusted over with some dark powder, as lamp- black, or black-lead, to render it opaque. The excess of powder that refuses to adhere, after dabbing it with a soft wad of cotton-wool, may be blown off with the breath or a pair of bellows. The puncture of the pustules as soon as they are mature has also been recommended to prevent " pitting ; " a plan which may be adopted either by itself, or conjointly with one of those already mentioned. Bodily Vigor Means Beauty. These methods should be supported by keeping the patient com- fortably cool, on a mattress, in a cool and well-ventilated apartment into which little light is admitted, antiseptic cooling drinks being at the same time freely taken. The removal of *' pock-marks," particularly old ones, is a matter of greater difficulty and time than their prevention. In common cases the continued use of a tepid glycerinated ioduretted lotion twice a day, or daily gentle friction with warm oils slightly ioduretted, will produce a manifest improvement, and ultimately wholly or in part remove them. The long-continued daily use of glycerinated solution of bichlo- ride of mercury will also frequently do the same, and will invariably lessen them. Warm sea-water baths are likewise useful, and may be taken at the same time. Wrinkles and looseness of the skin depend chiefly on the attenua- tion of the cutis, or true skin, and the reduction in the bulk of the underlying surfacial portions of the body. They cannot be regardecf 390 BEAUTIFUL SKIN AND COMPLEXION. as a disease of the skin, but are the result of long-continued bad health, anxiety and study, and of general emaciation and old age. Cleanliness, nutritious food, vigorous out-door exercise, agreeable occupation of the mind, and an equable and happy temper, retard their formation. Whatever tends to promote the general health, and to increase the bulk of the body, and particularly the deposition of fat in the cellular tissues, also tends to remove them, and to increase the smoothness and beauty of the skin. The free and frequent use of warm soap and water, followed by the daily use of mild, stimulating, cosmetic lotions or fomentations, or friction with warm oil of a like character, and cod-liver oil internally, is all that art can do for the purpose. Bruises, Burns, and Scalds. Among injuries and disfigurements of the skin from wounds, medical treatment, accidents, and the Hke, may be loentioned : Abrasions or superficial injuries of the skin arising from tne partial removal of the cuticle by friction, in most cases merely require to be protected from dirt and further injury, in any convenient manner. A piece of lint or soft rag, or of common sticking-plaster or strapping, or gold-beater's skin, is suitable for this purpose. When the surface is extensive or irritable, the lint may be advantageously spread with a litt'e spermaceti-ointment or cold-cream before applying it. In all cases, any adhering dirt, sand or gravel should be first /emoved by the affusion of warm or tepid water, or by means of a soft sponge and water. The marks left by them usually disappear in a short time of themselves. When this is not the case, they may be treated in the manner noticed under ** scars." The marks left by blisters, irritating ointments and lotions, etc., may also be treated like scars or the marks left by eruptions, as pointed out elsewhere. Bruises or contusions, unless serious, do not require special atten- tion, and usually disappear in a few days of themselves. The treac- n^-iit, if any be adopted, may consist in fomenting the part with warm BEAUTIFUL SKIN AND COMPLEXION. 391 water, or in friction with a little opodeldoc or soap-liniment, or harts- horn and oil. If there be much inflammation, the part may be freely bathed with a lotion of weak gou lard- water, or with vinegar and water. The treatment of burns and scalds essentially consists in protecting the part from the air and light. When the injury is superficial and slight, a little creosote may be applied, and the part then covered with, a dressing of yellow basilicon (resin-cerate), or other simple ointment, or with a bandage rendered air-tight by means of thick solution of gum or starch, or white of Qgg. Gold-beater's skin, india-rubber court-plaster or sticking-plaster and collodion are admirably adapted for the purpose, the last being preferable whenever it is at hand. You Should Know What to Do. Collodion is a solution of gun-cotton (pyroxiline) in ether to which a small portion of alcohol has been added. It is only necessary to drop it on the wound or surface, previously wiped clean. It instantly spreads and solidifies into a solid, adhesive and highly protective skin 01 jilm. It is also highly useful in abrasions, cuts, raw wounds pro- duced by violence, etc. When the part is very hot and painful, a large poultice of linseed-meal, to which a liberal portion of lard has been added, and on the surface of which a few drops of creosote have been spread, is a suitable application. It should not be changed sooner than the following day. Cooling lotions may also be applied to the surrounding parts. If the injury be a scald, the vesicle or bladder should be snipped with a pair of scissors, or freely pierced with a needle, and the water which it contains gently squeezed out, before applying any of the preceding dressings. In all ordinary cases of a serious character, cooling laxatives should be administered, and the diet should be rather low until the inflamma- tory symptoms subside. The marks left by burns are always more or less permanent, but they may be often reduced or rendered less con- spicuous by the treatment mentioned under scars, etc. Cuts and incised wounds, as well as others of a like character, after 392 BEAUTIFUL SKIN AND COMPLEXION. being freed from blood and dirt by means of a piece of lint or soft rag, or, better, when large, by the affusion of water, or with a soft sponge and water, should have their sides drawn close together, and retained in their places, by means of a piece, or small pieces, of strapping or adhesive plaster. This dressing should not be meddled with for a couple of days, by which time the wound will usually have begun to heal. To Stop Local Bleeding. When the wound is large, or when the nature of the part renders adhesive plaster insufficient, the usual plan is to sew it up, for which purpose the assistance of a surgeon must be sought. In more serious cases, to prevent the accession of inflammatory symptoms, the part should be kept constantly covered with a cold-water dressing, A little creosote dropped on the wound, previously freed from blood, or a small piece of lint or soft rag wet with this liquid and then bound over it, will generally stop local bleeding of this kind, when not extensive. A film of collodion is also very effective. Compound tincture of ben- zoin, quick-drying varnish, copperas-water, black ink, etc., are also popular styptics applied in the same way. Excoriations, in popular language, are those cases of soreness pro- duced by chafing under the arms, behind the ears, between the thigh and in the wrinkles and folds of the skin generally. They occur chiefly in infancy, and in stout persons with a delicate skin, who per spire excessively. Extreme cleanliness, and carefully wiping the parts dry after washing, with the subsequent use of a little violet powder or finely-powdered starch, or French chalk scraped or grated very fine, dusted over the parts once or twice a day, will generally remove them and prevent their recurrence. Frost-bites should be treated by long-continued and patient friction with the hands or a piece of flannel, care being taken to avoid the fire, or even a heated apartment, until the healthy circulation of the parts be fully restored. Disfigurations left by them may be treated in the same way as those from burns, etc. CHAPTER XXVm. The Hair — the Glory of Woman. A^ Unrivalled Ornament — Hair of the Orientals — Premature Decay— Effect of Mental Emotions — Physical Structure — Hair-bulbs and Tubes — Chemical Coii» stitution — Biography of a Hair — Necessity of General Health — Best Manage* ment — Use of Comb and Brush — Curl-papers — Crisping-tongs — Friction — Two Methods of Dressing — Objections to Artificial Styles — Cleansing the Scalp Natural Arrangement of the Hair — Cutting and Clipping — A Dirty Habit- Luxuriant Growth — Curliness and Waviness — Fixing the Hair in Position. THE hair is not only invaluable as a protective covering of the head, but it gives a finish and imparts unequalled grace to the features which it surrounds. Sculptors and painters have bestowed on its representation their highest skill and care, and its description and praises have been sung in the sweetest lays by the poets of all ages. Whether in flowing ringlets, chaste and simple bands, or graceful braids artistically disposed, it is equally charming, and clotb flexible hair is said to contain the most gelatine. Subsequently, Vauquelin discovered that hair contains two different kinds of oily matter — the one white and bland, common to all hair; the other, colored, and on which, in part, the particular color of the haii depends. He also found small and variable quantities of mineral substances \n hair. In light-colored hair he found magnesia; and in black and dark hair, iron and sulphur. It is the presence of these last that mainly gives to dark hair its color. Fur, wool, bristles, and spines, in their chemical nature, structure, and mode of formation, resemble hair ; as also, to a very great extent, do the feathers of birds. Affected by Age. The biography or life-history of a hair resembles that of the micro- cosm of which it forms a part. Human hair is perennial ; and unless its connection with the skin be severed by violence, the effects of disease, or the premature decay of the hair-bulbs from any of the numerous causes liable to affect them, it preserves much of its vigor and integrity to a late period of life. In most animals the hair is deciduous, and is cast annually ; but not in man. In infancy and early childhood the hair is generally pale, soft, thin, and very flexible. As the age increases, it gradually becomes more abundant, darker, coarser, and stiffer. In healthy youth and early maturity it reaches its prime, or state of greatest luxuriance and beauty ; and thus it continues for some years, in a nearly stationary conditio;!. Then it usually, gradually, very gradually, becomes thinner gnd weaker, and slowly loses its glossiness and some of its color. THE HAIR. 399 Next, owing to the decreasing vigor of the circulation of the scalp, and its attenuation consequent on the progress of life, the hair com- mences falling off from the crown of the head, and soon afterward from the partings, which widen and become more conspicuous. The comb and brush may now be perceived to remove a greater number of weak hairs than heretofore, the place of which is not filled up by fresh ones, as formerly. This state may continue for some years, oi even until a late period of life, the hair merely gradually getting weaker and sparser, and the crown more extensively bald; but usually more marked changes occur. Gray Hair and Baldness. About, or soon after the middle age, and sometimes even before it, gray hairs begin to appear. At first they are few in number, and far apart ; but time soon multiplies them, and in a few years they become sufficiently numerous to affect the general hue of the hair. It may be here remarked, that when the hair rapidly gets gray before the middle age, the health of the party being at the same time good, it often does not otherwise deteriorate, but continues strong and vigor- ous for many years, and not infrequently until a late period of life. The crown of the head, by this time, is probably wholly denuded of hair, and that on the other parts, where it still remains, is rapidly growing thinner and weaker, until little is left, and this only on the lower portion of the sides and back of the head. By the process of decay this is, ere long, blanched to a silvery white, and almost general baldness ensues — the usual accompaniment of old age. The hair, however, does not always maintain its integrity, and slowly sink into a state of decay, by gradual changes in the manner just mentioned. On the contrary, a number of influences, avoidable and unavoidable, are constantly at work to deteriorate the one, and to hasten the others. Among these may be mentioned uncleanliness, mismanagement, the use of improper cosmetics, impaired health, disease, anxiety, watchfulness, irregular habits, intemperance, excessive indulgence of 400 THE HAIR. the passions, exposure to the weather, and to the vicissitudes and extremes of cHmate, want of fresh air and exercise, keeping the head unhealthily hot and close, excessive or suppressed respiration, undue pressure, accidents, and the like, from one or more of which the cases of premature grayness and baldness, now so common, in general, arise. Indeed, it may be observed, that whatever proves injurious to the skin also proves injurious to the hair-bulbs imbedded in it, and consequently to the hair itself. It may be laid down as a law, to which there are no exceptions, that the vigor, luxuriance, and beauty of the hair uniformly corre- spond to the state of health of the scalp from which it grows. Whilst \he scalp is soft and thick, and the blood circulates with healthy vigor trough its vessels, as is the case in youth and the early years of maturity, the hair-glands and capsules have ample space to exist and to work in, and ample materials in the shape of healthy arterial blood, out of which to elaborate their secretions. It is during this state that the hair reaches its highest degree of luxuriance and beauty ; and it main- tains these as long as the health and vigor of the scalp continue. Management of the Hair. As soon as the vigor of the circulation in the scalp begins to decline, whether from age, disease, or other causes, it suffers gradual attenuation. The functions of the air-bulbs are thus more or less impeded, and as the attenuation proceeds, they are ultimately arrested altogether. The former produces weak, thin hair ; the last, baldness. The smoothness, thinness, and partial transparency of the bald scalp of the aged has probably been observed by the reader. The management of the hair, under the ordinary conditions of life and health, like that of the skin, is extremely simple, and should be either based on principles derived from the physiological facts already presented to the reader, or of a nature that will not interfere with the healthy functions of the hair-producing organs. The chief of these, and, indeed, the essential ones, involve the ieccssity of keeping both the hair and the skin of the head perfectly THE HAIR. 401 clean, and the former arranged in the direction in which it naturally lies, subject only to such little deviations as may be necessary to adapt it to the position in which it is usually worn ; and this arrangement and position should be constantly followed on each occasion of dressing it. To proceed to details, let us commence the subject with the duties of the toilet on rising in the morning. The personal ablutions hiving been performed, the hair will probably next engage the attention. If the immediate object, before leaving our chamber, or appearing at the jreakfast-table, be merely to restore it from the disorder, into which it has got during the night — its more careful treatment and arrange- ment being deferred to a later period of the day — a slight use of the tomb and brush will probably be found sufficient for the purpose. Vigorous Use of the Brush. If, however, this early toilet be the principal one, or the only com- plete one of the day — as it usually is with the majority of mankind — something more will be necessary. The question then aases. *' How should we proceed to effect the object in view in the most satisfactory manner?" This maybe answered in the following way: one or other of the two methods mentioned being adopted, each of which has advantages peculiar to itself, and, in appropriate cases and circum- stances, is thus preferable to the other. The hair, after a preliminary application of the coarser end of the dressing-comb, should be gently and assiduously brushed straight, or downwards in all directions round the head, until it be rendered quite smooth and apparently free from scurf, the brush being used in the manner hereafter explained. The motion of the hand may now be gradually changed until it assumes a direction upward and across the head, or one contrary to that in which the brush was previously used. This direction of the brush should be continued for a short time. It has the advantage of not exerting any strain on the hair of the crown and of the partings, and of removing all the scurf that has escaped the first brushing. 402 THE HAIR. A similar gradual change in the motion of the hand to the direction in which the brush was first used, will restore the hair to its former position, and again smoothly and equally distribute it around the head from the crown downwards. Now is the time to apply oil or pomade, if an}' be used ; but this will be unnecessary i'' the scalp be thoroughly healthy and the hair luxuriant, as in this Cjrse the natural supply of oily matter, secreted by the oil-glands at its base, will be amply suffix cient to keep it soft and glossy. Pomade and Curling-tongs. Presuming this supply to be deficient, or that, for other reasons, the party desires to use some oil or grease, he had better proceed as follows : having placed a little of the pomade or oil in the palm of the left hand, he should spread it equally over the inner surface of the two hands by rubbing them together. The hands being now applied to the hair, the oily matter on them may be equally diffused over its surface by wiping them on it, and by gentle friction ; after which its further equal distribution may be effected by the hair-brush. Two or three, or, at the most, four drops of oil, or a corresponding quantity of pomatum, according to the abundance of the hair, is amply sufficient for the purpose, when either of these are used daily ; and this quantity cannot be exceeded without inconvenience in regard to cleanliness, and without proving more or less injurious to the healthy scalp. If curling-tongs or crisping-irons (objectionable things, by the bye) be used by the party, this will be the proper time for doing so. The iiair may now be parted and adjusted with the comb (the coarser end being. first used), then again well brushed to give it smoothness and set, and lastly receive any final adjustment to bring it into the usual position and style adopted by the wearer. In the case of long hair in curls or ringlets, or in any other state which it may be undesirable to displace or disarrange by the inverted motion of the brush, the portion of the hair so circumstanced may be firmly grasped in the left hand, and protected by it, whilst the brush is applied with the right. THE HAIR. 403 by which its inversion and disarrangement will be prevented. If curl- papers or hair-crimpers be employed, it will, perhaps, be betti^r to give the hair a thorough brushing in the way described before using them. Natural curliness or waviness of the hair is not affected by brushing, but rather inc^^eased by it. Nor does washing or wetting the hair destroy it. It h only necesssary to subsequently place the locks loosely in a favorable position, with the fingers or comb, for them to resume either form immediately. Artificial Styles. The oftener the comb and brush are subsequently used in the day, the better it will be for the luxuriance, smoothness, and set of the hair. This mode of treating the hair is the one that should be pre- ferred when it is desired that it should present an easy, flowing appearance, and be gracefully affected by the motions of the head and body. The other method referred to is equally simple, and of very general application, and it is particularly adapted to the use of ladies and others who wear their hair in artificial styles, and in positions which it cannot easily be made to assume and retain by the common mode of dressing it. Let us start from the point in the former description. The hair-^ brush having been freed from loose hair with the comb, and from scurf, by passing it smartly two or three times across the side of the extended hand — or, what is better, a fresh clean brush, kept for the purpose, being taken — it should be slightly dipped into water, or invo rosemary- water or rosemary- tea, or any other simple liquid, and, the excess of water having been shaken out of it, applied to the hair, which should be brushed with it, until the latter is slightly moistened all over. In this state the hair should be parted and adjusted with the comb in the usual position or style of dressing it. A small piece of soft flannel that has been dipped in water or any other simple liquid, and then squeezed out, or the moistened brush, if now passed over its surface, will impart further smoothness and 404 THE HAIR. gloss to it, if it be thought desirable ; after which it may be finally re-adjusted with the comb if necessary. In a few minutes it will become dry. The hair may be thus dressed in any style but curls or ringlets, and put into any position, however artificial, and which it will retain during the day as perfectly as if it were fixed with bandoline, unless it be disturbed or ruffled by actual violence. Should this happen, the moistened flannel or brush will again restore it. Or the hair may be treated by the previous method, at will, provided its set and adjust- ment be not interfered with. The latter should only be done when it is a^ain washed or moistened. Injurious Methods ot Dressing. Such are the outlines of two modes of dressing the hair which recommend themselves, not merely on account of their simplicity and effectiveness, but also from their being compatible with the healthy functions of the scalp, and, indeed, promotive of them. Their minor details may be varied to suit individual tastes and cases. The elabo- rate and highly artificial styles of dressing and adjusting ladies' hair, often in the most unnatural positions, with pins, combs, pads, etc. — all more or less injurious — do not fall within the range of the present work. Their adoption depends on personal taste, and must be left to the skill and experience of the hair-dresser. Besides this daily attention to the hair, something else is necessary to ensure its cleanliness and beauty, and the perfect health of the skin of the head from which it springs. For this purpose the head should be occasionally well washed with soap and water, an abundance oi water being used, and great care being subsequently taken to thorv oughly rinse out the whole of the soap with the same water in which the head has been washed. The water may be either tepid or cold, according to the feelings or habit of the person ; and if the head or hair be very scurfy or dirty, or hard water be used, a few grains of soda (not potash or pearlash) may be advantageously added to the water. This will increase its detersive qualities. THE HAIR. 405 After the hair has been washed, which should be done quickly, though thoroughly, it should be freed as much as possible from the water by pressure with the hands, and then wiped with a soft thick towel, which should be done with care, to avoid entangling it. Aftef laying it straight, first with the coarse end of the dressing-comb and then with the finer portion, it may be finally dressed and adjusted by either of the methods previously noticed. In ordinary cases this act of cleanliness should be performed once in every week ; but if the head be much exposed to dust and dirt, or is very scurfy, or the party perspires very freely, it should be per* formed semi-weekly, or even oftener. Thorough Washing of the Scalp. The extreme length of ladies' hair will sometimes render the pro- cess of washing it very troublesome and inconvenient ; in such cases the patient and assiduous use of a clean, good hair-brush, followed by washing the partings and the crown of the head with soap anc^ water, may be substituted. The occasional washing of the head is absolutely necessary to pre serve the health of the scalp, and the luxuriance and beauty of tlie hair, when much oil, pomatum, or other greasy substance is used ilk dressing it. Something may now be said on the adjustment or arrangement oi the hair adopted in dressing it. It has been already mentioned that this should be, as far as possible, in conformity with the natural set of the hair, and that any marked deviations from it are injurious. In the arrangement of the hairs on the surface of the body, it might be inferred that little existed to excite the attention ; but this is not the fact, if we are to judge by the careful investigations to which the sub- ject has given rise. From these we learn that the set of the hair, from the root to the point, is governed by a law as precise as that which regulates any of the other secondary vital functions. Thus, on the head, the hair radiates from a single point — th^ Qrown-^tQ every part of the girQUOi' 406 THE HAIR. ferencc, making a gentle sweep behind, towards the left, and in front, to the right. The direction of this sweep is naturally indicated on the heads of children, and is that in which the hair is turned. The same occurs on the face, and on other parts of the body. It is evident, therefore, that in making our toilet this natural arrange- ment of the hair should be interfered with as little as possible. Comb- ing it, banding it, or braiding it, in an opposite direction to that which it naturally assumes, cannot prove otherwise than prejudicial to its healthy growth and beauty, and if long persevered in, particularly in conjunction with any strain on the roots, leads to its premature rik) often rapid decay, thereby increasing the k)ok of age. Artistic Skill in Cutting. The cutting of the hair is another point connected with its manage- ment which is generally very little understood ; yet there is not merely artistic skill to do this becomingly and beneficially, but also the appli- \:ation of principles founded on a knowledge of the growth and struc- fc^ure of the hair. As a rule, hair-cutters and hair-dressers are ignorant of these principles, and conduct their operations in a very careless way, immediate effect in reference to the personal appearance being the only object which they aim at. Thus, according to the common practice, the strong luxuriant hairs of the lower portions of the head get unduly shortened, whilst the weaker, and probably the decaying hairs of the crown and around the partings, are left of extreme length, and often not cropped at all Now, if there be anything serviceable in strengthening weak an decaying hairs, it is frequent cutting, and being kept moderately short. But such hairs grow feebly, and are of inferior length to their vigorous neighbors, which thus, in general, overtop and conceal hem, and shield them from the scissors of the hair-cutter, who, indeed, neither thinks of them, nor takes the trouble of looking for them. But it is on attention to these weak and impoverished hairs, that the whole art of beneficial hair-cutting depends. To do this, some THE HAIR. 40T trouble, and more time and skill, are required than are usually devoted to the operation ; and for which, of course, those who benefit by them must expect to pay. Besides the mismanagement or improper treatment of the hair, by arranging it in unnatural positions, subjecting it to strains, and the head to pressure, and the like, already referred to, two or three other objectionable practices may be mentioned. Among these the prin- cipal, and the most general, is that of deluging the hair with oily oi^ greasy substances. This is not only unnatural and dirty, but envinces an amount of either bad taste and vulgarity, or of laziness and sloven- liness in the duties of the toilet, which is actually discreditable. The Head Turned into a Dust-trap. Look at the hair of any person who indulges in this dirty habit { What feelings does the sight occasion ? Certainly none of an agree- able kind, or that are complimentary to the party gazed on. Look at his or her hat or bonnet, the collar of his coat, his nightcap, the pillow on which he rests his head, or anything else that his head touches. Do they not strike us with disgust? It has been truly said that " heads of such persons form excellent dust-traps." Luxuriant hair growing on a healthy scalp needs no such extrinsic additions to give it gloss and set ; thorough cleanliness, and the fre- quent and judicious use of the comb and hair-brush, are all that is necessary for the purpose ; and even when the hair is ill supplied with the natural oity secretion at its base — a defect that generally arises from the long-continued use of oil or grease — a small, very small quantity of either of these articles will be found amply sufficient, provided it be properly diffused over and through the hair with the brush. To improve the growth and luxuriance of the hair, when languid or defective, the only natural and perfectly safe method that can bf adopted is to promote the healthy action of the skin of the scalp by increasing the vigor of the circulation of the blood through its minute vessels. For this purpose nothing is so simple and effective as gently 408 THE HAIR. excitation of the skin by frequent continued friction with the hair- brush, which has the convenience of ease of appHcation and inexpen- siveness. The same object may be further promoted by the application of any simple cosmetic, wash, or other preparation, that will gently excite and stimulate the skin, or exercise a tonic action on it, without clog- ging its pores. Strong rosemary-water or rosemary-tea, and a weak solution of the essential oil of either rosemary or garden-thyme, are popular articles of this kind. They may be rendered more stimu- lating by the addition of a little ammonia, or a little spirit, or both of them. The skin of the head should be moistened with them on each occasion of dressing the hair, and their diffusion and action promoted by the use of a clean hair-brush. Aromatized water, to which a very little tincture or vinegar of cantharides (preferably the former) has been added, may also be used in the same way, and is in high repute for the purpose. Good Applications. When the skin is pale, lax, and wrinkled, astringent washes may be used. Strong black tea is a convenient and excellent application of this kind. When the skin and hair are dry, and the latter also stiff and untractable, a little glycerine is an appropriate addition to each of the preceding washes or lotions. The occasional use of a little bland oil strongly scented with oil of rosemary or of origanum, or with both of them, or with oil of mace, or very slightly tinctured with cantharides, is also generally very serviceable when there is poorness and dryness of the hair. When the hair is unnaturally greasy and lax, a defect that seldom occurs, the use of the astringent washes just referred to, or of a little simple oil slightly scented with the essential oil of bitter almonds, will tend to remove or to lessen it. All the articles named above promote the glossiness and waviness of the hair, and arc also among the simplest, safest, and best applica- tions that can be employed when the hair is weak and begins to fall off THE HAIR. 409 To impart some degree of curliness or waviness to the hair when it is naturally straight, and to render it more retentive of the curl imparted to it by papers, or by other modes of dressing it, various methods are often adopted, and different cosmetics employed. The first object appears to be promoted by keeping the hair, for a time, in a state intermediate between perfect dryness and humidity, from which different parts of its structure being unequally affected, in this respect will acquire different degrees of relaxation and rigidity, and thus have a tendency to assume a wavy or slightly curly form, provided the hair be left loose enough to allow it. Old-fashioned Soap and Water. For this purpose nothing is better than washing the hair with soap and water to which a few grains of salt of tartar (carbonate of potash) have been added ; or it may be slightly moistened with any of the hair- washes just mentioned, in each half-pint of which a few grains (say lo to 12) of the carbonate, or a teaspoonful of glycerine, has been dissolved. The moistened hair, after the application of the brush, should be finally loosely adjusted, as desired, with the dressing-comb. The effect occurs as the hair dries. When oils are preferred to hair- washes, those strongly scented with oil of rosemary, to which a few drops of oil of thyme or origanum may be added, appear to be the most useful. A crisped, or a kind of wavy corrugated appearance, of some per- manency, is sometimes given to living human hair by a modification of the process appHed by the pelt-mongers and felt-manufacturers to certain furs, and called '* secretage " by the French. The hair is moistened for rather more than one-half its length with the secretage liquid, care being taken that neither the liquid, nor the hair, until it has been subsequently washed, touches the skin. The operation is conducted before a fire, or in a current of warm air, so that the hair may dry as quickly as possible. The moistened hair is loosely adjusted into the desired positions, or into one favorable for its con- traction, or, when partly dry, it is ''put up" in greased curl-papers. 410 THE HAIR. In a few hours, or sooner, the hair is washed with tepid water (without soap), dried, and slightly oiled. On being now gently- combed and brushed, it generally shrinks up into small crisped or wavy locks ; and it will generally retain this property for two or three weeks, or even much longer. This process is highly objectionable, as, owing to the corrosive nature of the acid-liquid employed in it, it cannot be otherwise than injurious to the hair, and, as a consequence, must hasten its decay. It should, therefore, be avoided by every one ; and it is only noticed here, that its true character may be known. To cause the hair to retain the position given to it in dressing it, various methods and cosmetics are commonly employed. When the arrangement is a natural one, and the hair healthy and tractable, the free use of the hair-brush will usually be sufficient for the purpose. When this is insufficient, the application of a few drops of oil, or, better still, moistening the hair with a little simple water, will effect the object satisfactorily. CHAPTER XXIX. Restoration of the Hair. Early Decay—Cold Water and Friction — Stimulating Applications — ^Restoring tha Health cf the Scalp— Baldness— The Hair Affected by Old Age— Other Cause? — ^Thick Hats — Frequent, Close Cutting— Spanish Flies or Cantharides — Oils and Pomades — Electricity — Diet and Regular Habits — Tonics — Gray Hairs, and How to Treat Them — Morbid Dryness of the Hair — Use of Glycerine- Matting and Felting — Excessive Scurfiness — Rosemary and Thyme — Caution Against Quack Remedies — How Superfluous Hairs are Destroyed — Cleansing the Partings — Borax and Ammonia. THE hair is subject to various deviations from the healthy standard, all of which, as already hinted, depend immediately on the state of the scalp from which it springs, and indirectly on various pauses, of which the principal have been enumerated. Among them \he following may claim a special notice : The gradual impoverishment and decay of the hair=— shown by its becoming finer and thinner, with greater or less loss of its brightness and color, and a larger quantity than usual being remxved on each application of the comb and brush— whether premature or the result of advancing life, is most likely to be arrested, or retarded, by atten- tion to the general health and habits, and careful avoidance of any article of head-dress or other matter which is known to be prejudicial to the hair. The special treatment may consist in daily, or as frequently as possible, washing the head in cold water, gentle continued friction with the hair-brush, and the use of stimulating applications of a similar kind to those already noticed, but of rather greater strength, so as to produce a slight but sensible excitation of the skin of the scalp. Habitually disordered stomach, bowels, or nerves, and par- ticularly biliousness and dyspepsia, frequently affect the hair in this w*ay, and should be met by medical treatment, of which antacids, and ^>mcs, as quinine and iron, should generally form a part. 411 412 RESTORATION OF THE HAIR. Baldness, or destitution or loss of the hair, more especially of thai^ of the crown and fore-part of the head, whether actual or impending, may next be noticed. Gray hair and baldness d'^pending on old age are natural consequences of man's infirmity, and must be regarded as evidence of failing vigor, rather than in the light of a disease. Pre* mature loss of hair may be produced by various causes, some of which have been already noticed. It is common after severe fevers, and after erysipelas and other serious inflammatory affections of the scalp ; and it is frequently caused by external pressure, friction, or violence, want of the necessary exposure of the head to the air, and by such other local actions and conditions which, when long continued, interrupt the normal functions of the skin. Debility and Loss of Hair, Persons with a consumptive, scorbutic, scrofulous, or syphilitic taint, or of a general bad habit of body, are apt to lose their hair early. In these cases the loss probably arises from debility or paralysis of the vessels of the skin, and the consequent insufficient action and nutritioi? of the hair-bulbs. When it occurs in persons of or under the middle age, and apparently enjoying good health, it may be often traced to the pernicious practice of constantly wearing a hard non-ventilating hat, or to disordered stomach or liver, habitual smoking or har<^ drinking, irregular habits, late hours, or the like. Excessive anxiety or grief, and intense study and thoughtfulness, also tend to promote the early decay and loss of the hair. The natural baldness of the aged, and frequently the premature baldness of earlier years, particularly in the studious and gricf-wonij ,' arises from the reduced energy of the circulation in the vessels of the 3calp, and its consequent gradual attenuation, until it becomes too thin to afford sufficient space for the performance of the functions of the hair-bulbs and their associated organs, and too scantily supplied with blood for their due nutrition and support. In such cases it will be found that, owing to this attenuation, the scalp covers a larger portion gf the skull than it previously did when vigorous j and ths^t RESTORATION OF THE HAIR. 413 its sides have somewhat receded from the top of the head, so that the roots of the remaining hairs descend lower on the forehead, temples, and the sides and back of the neck, than formerly. This may be perceived by applying the open hand to the part, and then gently closing the fingers, when the scalp will be drawn into its original position, and will then appear loose and wrinkled over the upper portion of the head thus operated on ; and this in a manner very different to what occurs when the top of the head is covered, or well covered, wath hair. Since the introduction of waterproof clothing and thick, heavy hats, and the very general use of tobacco by the juvenile and scarcely 'mature portion of our population, early baldness has become so com- mon that it now ceases to attract notice. These articles act as preju- diciously on the hair as white bread and alum do on the teeth. Approach of Baldness. When the hair suffers a marked deterioration in quality, and ceases W grow, or grows languidly, and falls off in large quantities without being replaced by new growths, particularly if, at the same time, the usual healthy formation of scurf ceases, and the scalp looks pale, and exhibits a perceptible loss or diminution of its natural warmth, sensi- bility, softness, and plumpness, or, in other words, shows the usual signs of gradual attenuation, the approach of baldness may be sus- pected. It is now that remedial treatment has the best chance of success, and, if promptly and skilfully adopted, will generally arrest or greatly retard the progress of decay. The treatment should be of the nature last above mentioned, but everything must be carried further, and every preparation employed, to be serviceable, should be considerably stronger than in the previous case. The frictions with the hair-brush should be more frequent and longer continued, and the daily ablutions in cold water more rigor- ously performed, or, what is better, replaced by a cold shower-bath taken on rising in the morning. When greasy preparations are used, it is advisable to wash the head with soap and water once a day. 414 RESTORATION OF 'I'HE HAIR. During this treatment the hair should be kept rather short by frequent cutting ; and if no manifest improvement occurs in the course of three or four weeks, the head, or at least the upper portion of it, may be shaved once or twice a week, and a wig, or a scalp, worn for a time. The effect of keeping the hair short, or closely cropped or shaved, is to stimulate the hair-bulbs, and to cause them to spend on the stumps, and on the formation of new hair, the whole of the hair- producing and nutritive matter which would otherwise, for the most part, be taken up by the length of hair removed. Hence the remaining hair generally grows thicker, stiffer and stronger, the oftener the razor or the scissors are employed, and new growths arise ; and this frequently when all other means of restoring the hair fail. Besides this, friction and medicaments can be more con- veniently applied to the skin when naked than when covered with hair. Warmth and Glow from Friction. The strength of the external applications for daily use, whether wash or lotion, oil or pomade, should be sufficient to produce a pleasant glow of warmth, and slight, very slight, redness of the skin of the scalp, which should be promoted by gentle friction. Without this occurs, and continues with little abatement during the interval between their application, they do no good whatever. A proof of their favorable action is afforded by the scalp feeling warm to the hand when placed in contact with it. When there is actual baldness, the same treatment should be followed; but if the portion of the skin implicated be extensive, friction with the hand, a piece of flannel, or a coarse towel, will be preferable to that with the hair-brush. The favorite compounds for external use in baldness, and, perhaps, the most convenient and best, are such as own their stimulating quality to cantharides or Spanish flies, or to their active principle, cantharldine. This application of these drugs has received the sanc- tion of the highest medical authorities, both in Europe and America, including even Dupuytren himself The leading professional hair- RESTORATION OF THE HAIR. 41f) restorers now rely almost exclusively on cantharides, and all the more celebrated advertised nostrums for restoring the hair contain it as their active ingredient. Oils and pomades very strongly impregnated with the essential oils of garden-thyme (origanum) and rosemary, and lotions or liniments containing ammonia with a like addition of these essential oils, probably come next in the frequency of their use as popular restora- tives of the hair in actual and incipient baldness. Electricity and Other Remedies. Among active remedies for baldness, of less common use, may be mentioned mild streaming electricity, warm, stimulating fomentations and fumigations, cotton-oil, ioduretted and phosphuretted oils and lotions, etc. It will be thus seen that the principle generally adopted, by both the professional man and the quack, in the treatment of loss of the hair and baldness, is essentially that of stimulation or excitation of the scalp. The celebrated Rev. John Wesley acted on it in his recom mendation to rub the part morning and evening with a raw onion, until it becomes red, and then to apply a little honey. This is cer- tainly good advice, as independent of the stimulus thus given to the skin and the circulation, the surface of the scalp is rendered more absorbent, and more sensitive to the action of medicaments. As a mechanical aid in furtherance of other treatment, the use of a nightcap so contrived as to contract and lift, as it were, the relaxed scalp into its former dimensions and position, without injurious pres- sure on the head, may also be employed. The reader may now again be cautioned against placing any reliance en external applications, unless he assists their action by due attention to diet, exercise, ventilation, regular habits, and such other matters as tend to promote the general health and vigor of the body. He should also assist the action of external remedies by the use of appropriate internal medicine. A course of tonic medicine, as quinine, or any of the milder chalybeates, preferably the first, or a combination of the 416 RESTORATION OF THE HAIR. two, is often most serviceable in restoring the hair, and is compatible with any other treatment. A course of hypophosphite of soda is generally still more useful. The dose may be 5 to lo grains, twice a day, soon after a meal, dissolved in water or milk. We are told that, during the operation of this remedy, the h>iir, even of consumptive patients, commonly grows a^ain and improves in quality, and the beard reappears. When Life has Gone Out of the Scalp. The baldness of old age, and that arising from the destruction, or permanent injury, or disorganization of the hair-bulbs, admits of no cure, notwithstanding the daily assurances of advertising impostors to ^he contrary. This kind of baldness is indicated by the scalp not being at all warmed and reddened by gentle, continued friction, or by stimulating applications followed by friction. When this is observed, the case is hopeless, and it would be absolute folly to attempt to restore the hair. Gray hairs, when occurring singly, and when few in number, or thinly scattered, may be removed with the tweezers, if their presence be objectionable ; or they may be lifted from among the surrounding hair and moistened with a solution of nitrate of silver of sufficient strength to restore them to their former hue. The straggling gray hairs that frequently show themselves over the fore-part of the tem- ples, and in the beard, are commonly and conveniently so treated. Morbid dryness and intractability of the hair commonly arise from a defective action of the oil-glands. In some cases, this defective action is occasioned by excessive perspiration ; in others, by the pre- vious long and profuse use of crude or rancid oily or greasy sub- stances ; and, occasionally, by the action of strong soap or alkalies, ivhich have been employed in washing the head, and not subsequently choroughly removed by rinsing. The inconvenience may generally be obviated by the free use of the hair-brush, a stimulating wash con- taining a little glycerine, or a few drops of oil strongly scented with som^ stimulating aromatic, being also applied daily. RESTORATION OF THE HAIR. 417 Matting or felting of the hair depends on its peculiar serrated structure, already explained. It frequently arises with long hair, when not daily combed, during sickness. The best mode of restoring the hair to order, in these cases, is to well oil it, and then to endeavor to free it from its state of combination by the patient use ot the coarser end of the dressing-comb, beginning at the ends of the hairs. No force should be used, as the scalp is usually particularly liable to injury at such a time, and the hairs forcibly removed are fre- quently not replaced by fresh ones. To avoid this matting or entanglement, ladies, immediately prior to their accouchment, frequently have their long hair formed into loose soft plaits or braids, to the extent of about one-half of its length. These braids may be easily removed and formed again at any time ; or the hair may be combed and brushed without disturbing them Ammonia and Rosemary Water. Scurfiness of the hair, when of an ordinary and trifling character, is not a disease, but results from want of cleanliness, and particularly from the non-use or insufficient use of the hair-brush. Scurf — " fur- fur," "furfura" — is a natural and healthy formation, and, within cer- tain limits, is most abundantly produced when the hair grows most rapidly. It may be kept from accumulating, but it cannot be pre- vented. This will show how futile any attempt must be which shall have for its object to prevent the formation of scurf It may be removed, and should be removed, every day, wdth the hair-brush ; but prevention is impossible, inasmuch as it is opposed to a law of . nature. Excessive scurfiness is usually symptomatic of an unhealthy state of the skin of the scalp, and should be treated accordingly. The daily use of any mild, stimulating detergent or astringent wash will generally remove, or greatly lessen, the annoyance. For this purpose nothing is better than strongly-scented rosemary water to which some spirit and a little tincture of cantharides or a few drops of liquor oj jur.monia, or, both have been added. It should be applied with a 27 418 RESTORATION OF THE HAIR. small, soft piece of sponge. Strong black tea is also a good wash for excessive scrufiness. If oil be preferred, it should be very strongly scented with oil of rosemary, thyme or mace. Superfluous hairs may be removed either by the application of the tweezers or by depilatories. When the former are used, a few hairs only must be pulled out, one at a time, daily, to avoid excessive irritation. The latter, according to their mode of action, are distin- guished into mechanical depilatories and chemical depilatories. To the first belong highly adhesive plasters, which, on their forcible removal, bring away the hairs with them. A mixture of equal parts of pitch and common resin, spread on leather, is of this class. To Remove Superfluous Hairs. The chemical depilatories usually consist of, or contain as their active ingredients, the caustic earths (lime or baryta) and alkalies, or their sulphurets. Their action is upon the hair-bulbs and hair capsules, the vitality of which they either wholly or partially dc j;troy at the same time that they dissolve off the hairs. Their successful use requires some skill and care, as, owing to their high causticity, they are liable to seriously affect the skin, and, sometimes, to produce inconvenient sores which permanently mark it. Fortunately, there is no real occasion for employing such com- pounds, and **why they are ever used," is a question which vanity and fashion may be left to answer. Fortunately, also, the pain that accompanic their unskilful use and excessive action, acts as a sort of monitor to lead to their removal from the part before their worst effects are produced. The only safe way to use them is to apply them to merely a very small space at a time. The addition of starch is commonly made to render the paste more adhesive and manageable. Almost all the fashionable advertised depilatories contain orpiment or yellow sulphuret of arsenic — a highly poisonous and dangerous substance — from a false idea that it increases the activity of the com- pound. All such nostrums should be avoided. Yet, strange as it may appear, orpiment is, and always has been, a favorite article ip^ RESTORATION OF THE HAIR. 419 these compounds. Lime or orpiment, and nearly always both of them, have, indeed, formed the leading ingredients in fashionable depilatories, both in ancient and modern times. To clean the the partings of the hair, when dirty, nothing is better than soap and water applied with a small piece of flannel or sponge. The cosmetic washes sold for the purpose by the perfumers, under various high-sounding names, usually consist of water holding in solution a small quantity of salt of tartar, or of carbonate of ammonia, variously scented and colored. A little borax, dissolved in rosemary- water, forms a good wash of this kind. They should all be lastly removed from the partings with clean water and the sponge or towel. The hair, or portions of it, particularly that of the face, is sometimes temporarily darkened by what may be called "painting" it. This is done by smearing a black or colored stick of hard pomatum or cosmetic over it until the desired color is given to it, and then slightly diffusing the color over the surface with the brush. The practice is a dirty and unnatural one, as the color is partially removed by everything it touches, and the hair is converted by it into a trap to catch the dust. It is only to be tolerated when occasionally used by the fastidious to conceal a few straggling gray or faded hairs. Its use, like that of false moustaches and whiskers, once so common^ is now chiefly confined to fashionable fops, and to the " swells " and " gents " of low life. CHAPTER XXX. Beauty of Face and Features. Harmony and Right Proportion — The Forehead — Skin Eruptions- - The ByeS— Most Expressive Feature — How to Treat the Eyes — Belladonna—Dimness of Age — Remedies for Discoloration — Effects of Dust and Dirt — Eyelashes and Eyebrows — The Nose — How to Mould and Beautify the Nose — Human Mouth and Lips — Chapped Lips — The Teeth — What Injures the Teeth — Tooth-pow- ders and Use of the Brush — Use of Charcoal — The Ears — Wearing Ear-rings — Chin and Throat — Neck of Beauty. THE beauty of the face depends chiefly on all its several features being pleasingly moulded and in ''perfect keeping" with each other. Without this proportion between the individual features, the most delicate complexion, the brightest eyes, the softest cheeks, the finely-moulded mouth, and the ruddiest lips, may fail to charm, and, by contrast, may even disfigure where they should adorn. It is this excellence of proportion that constitutes one of the chief elements of personal beauty. The possession of an elevated and prominent forehead is correctly regarded as one of the distinguishing features of the human race. Its erectness and extent are characteristic of reason and high intellectual powers, and its development is exactly proportionate to the intelligence of the species and of the individual. A lofty, ample forehead is the attribute of the enlightened white race ; a receding forehead, that of the Negro. Beyond a certain limit reason disappears, and idiocy commences. The absence of a true forehead is one of the characteristics of the brute creation. Its excel- lence is an important ingredient in personal beauty, and is absolutely necessary to the possession of a superior mind. The toilet of the forehead is limited chiefly to the arrangement of the hair. The possessor of a beautiful forehead is seldom disposed to conceal any portion of it, or to modify its apparent form by such means. The practice of wearing the hair over portions of the fore- 420 BEAUTY OF FACE AND FEATURES. 421 head naturally bare is prejudicial to the health of the head, and to th« vigor of the mind. Tne contrary practice of throwing or fixing the hair in unnatural positions, backward from the forehead, is equally objectionable, for reasons already noticed. The defects of an ill-formed forehead may, in general, be rendered less apparent, and often wholly obscured, by an appropriate arrangement of the hair about it — a matter in which .the taste of the individual, and the example of others, will be the best guides. Beauty r.nd Expression of the Eyes. The eyes, of all the features, stand pre-eminent for their beauty and ever-varying powers of expression, and for being the organs of the most exalted, delicate and useful of the senses. It is they alone that " reveal the i::ternal forms of beauty to the mind, and enable it to perceive ,^iem, even at a distance, with the lightning speed of light. It is they alone that clothe the whole creation with the magic charms of color, and fix on every object the identity of figure." It is the eyes alone, or chiefly, that reveal the emotions of the mind to others, and that clothe the features with the language of the soul. Melting with pity, or glowing with hope, or redolent with love, benevolence, desire or emulation, they impart to the countenance those vital fasci- nations which are the peculiar attributes of man. The beauty and expression of the human eye have furnished themes for both poets and prose-writers in all ages. Sculptors and painters have bestowed their highest skill and most laborious efforts on its delineation, and anatomists and physiologists have investigated and described its wonderful structure and functions with a degree of zeal and eloquence perhaps greater than that devoted to any other organ. Physiognomists tell us that the peculiar form, size and expression of the eyes, afford reliable indications of the disposition and mental character of the individual ; whilst the phrenologist assumes, among other things connected with these organs and the parts adjacent to them, that prominent eyes indicate the presence of the organ of lan- guage, and that their possessor can always express his thoughts in words. 1 422 BEAUTY OF FACE AND FEATURES. MODEL OF FEMALE BEAUTY. truly as the tongue does. It is the mirror of the soul, the proof of intelligence, the ex- hibitor of all the emotions that hold possession of the heart. Eyes have a power as great as spoken words. If there is joy within, or sorrow, or dismay, or any great emotion, the eye re- \'eals it. The management of the eyes, in connection with the toilet, consists chiefly in daily bathing or washing them with pure water, and A beautiful eye is one that is full, clear and brilliant, appro- priate in color to the complexion, and, in form, to the features, and of which the connected parts — the eyelids, eyelashes and eyebrows, which, with it, in a general view of the subject, collec- tively form the ex- ternal eye — are also beautiful, and in keep- ing with it. The eye has a language of its own. It speaks as FINE TYPE OF WQWANLY GRACE. BEAUTY OF FACE AND FEATURES. 423 the avoidance of friction or pressure, exposure to dust, irritating fumes, or vivid light, and fatiguing, straining or overtasking them. In washing them, and subsequently wiping them, the utmost delicacy should be exercised. Strong soap should be particularly avoided, and only a soft napkin should be employed to wipe them. The use of a thick, stiff or coarse towel, for the last purpose, is very injurious to them, as it tends to flatten them, and hastens the arrival of the time when the assistance of spectacles becomes necessary. Rubbing the eyes with the fingers when drowsy, especially on awaking in the morning, has a like ten- dency, and is even more injurious. Brilliancy of the Eyes. To strengthen the eyes, to reheve them when fatigued or stiff or weak, irritable or inflamed, or swollen or congested, and to remove chronic ophthalmia, purulent discharges, etc., nothing is equal to fre- quently bathing them with water, at first tepid, but afterwards gradu- ally lowered in temperature to absolute coldness. To increase the beauty and expression of the eyes various means rire occasionally had recourse to, nearly all of which are not merely Tiighly objectionable but even dangerous. Thus, some fashionable ladies and actresses, to enhance the clearness and brilliancy of their eyes before appearing in public, are in the habit of exposing them to air slightly impregnated with the vapor of prussic acid. This is done by placing a single drop of the dilute acid at the bottom of an eye- cup or eye-glass, and then holding the cup or glass against the eye for a few seconds, with the head in an inclined position. It has also been asserted, and we believe correctly, that certain ladies of the demi-monde rub a very small quantity of belladonna- ointment on the brow over each eye, or moisten the same part with a few drops of tincture of belladonna. This produces dilation of the pupil, and gives a pecuhar fulness and an expression of languor to the eyes, which, by some, are regarded as exceedingly fascinating. The use of these active medicinals, in this way, must be manifestly 424 BEAUTY OF FACE AND FEATURES. injurious ; and when frequent, or long continued, or carried to excess, must necessarily result in impaired vision, if not in actual blindness. How the Eyes are Injured. The eyes, like the other organs, suffer changes and functional decay by age, improper treatment and excessive use. They are also injured by many of the violations of the natural laws that accompany modern civilization. Among the last, those that affect the nervous system are the most injurious to the eyes. Dissipation and the habitual use of narcotics — miscalled stimulants — are particularly so. Persons in health, with a brain and nervous system unclouded and undepressed by artificial habits and the use of narcotics, are those that usually possess the best sight, and that retain it unimpaired the longest. The darkness or discoloration round the eyes, frequently observable in females, and which is sometimes permanent, but more frequently periodical, is either constitutional or depends on certain conditions of health, and occurs and disappears with them. In the fashionable world, the aid of the cosmetic art is not uncommonly called in to dis- guise these discolorations. A little French chalk or talc, in impalpable powder, is rubbed on the part and then gently ''dusted off" with a camel-hair pencil or a tuft of badger's hair, or the excess is blown off with the breath. A little of the same powder that has been very slightly tinted with rouge or carmine is next applied, the excess being removed as before. The application of the pencil to clear the edges of the eyelashes, and of the corner of a soft napkin to "tone down" the outer margins of the parts treated, finishes the operation. The effects of dust, dirt, acrid fumes, and other irritating sub- stances on the eyes, may be met by freely bathing them in warm water, or by the use of the eye-douche. Gently raising the eyelid with the fingers, and holding it apart from the eye for a short time, will generally cause a copious discharge of tears, which wil. wash away the offending matter and relieve the irritation. The beauty of the eyelashes consists chiefly in their length and silkiness. These qualities may be promoted by occasionally " topping " BEAUTY OF FACE AND FEATURES. 425 them with a pair of sharp scissors. The practice is most effective when commenced in early childhood. The least possible portion oi their extremities should be removed ; and the operation, to be neatly done, must be performed by a second person. To Beautify the Eyebrows. The eyebrows, unlike the eyelashes, should never be cut, or in any way subjected to the action of the scissors or razor. Their beauty consists in their being smooth, glossy, and well-defined, in having little breadth vertically, and in extending in a graceful, arched line over the eyes. Cutting them ultimately destroys the»e qualities, by causing them to grow coarse, stiff, and irregular. After washing the face, the fingers or napkin should be passed over them to smooth them and to set the hairs in their places. This is all that is required. Some ladies, however, when making their toilet, pass the finger, very slightly moistened with oil or pomade, over the eyebrows, to darken them and give them gloss ; but the practice is not to be recommended. An occasional gray or prominent bristly hair in the eyebrows may be plucked out with the tweezers. It shouid never be cut off, as is the common practice. The nose, though so necessary to the general make-up, seems to labor under the misfortune of being generally turned into ridicule whenever it forms the subject on the tapis. How far it deserves the slights and fun so frequently " poked " at it, we must leave the happy possessors of noses to form their own opinions. There have been, however, many excellent and philosophical writers who have deemed the human nose worthy of their serious consideration, and r vsn o£ eulogy. Sir Joshua Reynolds, the great painter, regards a well-formed nosr as essential to personal beauty. He tells us, that *' the line that forms the arch of the nose is beautiful when it is straight;" and he further observes, " this, then, is the central form which is oftener met witl^ than either the concave, convex, or any other irregular form which can be produced." Sir Charles Bell declares, among other matters, 426 BEAUTY OF FACE AND FEATURES. that ** the nostrils " which form so prominent a portion of the nose, ** are features which have a powerful effect in expression. The breath- ing drawn through them, and their structure formed for alternate expansion and contraction, in correspondence with the motions of the chest, form an index to the condition of respiration when affected by emotion." Among refined nations, and even in the fashionable world, the nose, may be regarded as one of the most fortunate of the features, since it almost uniformly escapes being interfered with at the toilet, further than simple cleanliness requires. This is precisely as it should be, for no interference with it after childhood, can advantageously modify its form or promote its beauty. Ill Treatment of the Nose. The nose, with its air-passages connected with it, always resents interference and mistreatment, whether there be frequent meddling with it with the fingers, blowing it frequently with ungracious violence, exciting it with stimulants, or choking it up with irritating powders. The ill effects of such treatment soon become perceptible, as may be frequently observed in irritable children and youth, and in inveterate snuff-takers. In the last, both the form of the nostrils and the tone of voice suffer. Heavy blows and pressure on the nose rapidly deform it and destroy its beauty. In early childhood, owing to the soft nature of the cartilages that form the nostrils, the shape of the lower part of the nose may gener- ally be slightly modified by gentle continual pressure. Thus, a nose disagreeably wide or spreading at its base, by being very gently and very slightly compressed for a few hours daily, may be reduced to more reasonable limits ; but beyond this nothing should be attempted. The disfigurement which the loss or distortion of the nose occasions must have been observed by the reader. The ambition of every one appears to be to possess a nose, even though it be not the nose of beauty. Individuals who have had the misfortune to lose this organ. BEAUTY OF FACE AND FEATURES. 427 have been known to expend immense sums in ttying to obtain the most effective and respectable substitute for it, in gutta-percha, or membrane, that the art of the mechanical surgeon can produce. SYMMETRY OF FACE AND SHOULDERS. Others have submitted to tedious and painful operations, and have endured prolonged confinement and sufferings for the purpose of the lost organ being replaced in veritable flesh and blood, borrowed from the forehead, the fore-arm, or lower limbs. 428 BEAUTY OF FACE AND FEATURES. Hairs in the nose, when troublesome, may be removed with the tweezers. It should, however, be recollected that they are not idly placed there by nature ; one of their purposes being to act as a filter to the air we breathe. Persons who are much exposed to a dusty atmosphere, had, therefore, better not remove them. Beautiful Mouth and Lips. The beauty of the human mouth and lips, the delicacy of their formation and tints, the;.r power of expression, which is only inferior to that of the eyes, and their elevated position as the media, with the palate, tongue, and teeth, by which we communicate our thoughts to others in an audible form, need scarcely be dilated oi? here- The poet tells us that — - "The lips of woman out of roses take The tints with which they ever stain themselves. They are the beautiful and lofty shelves Where rests the sweetness which the young hours make. And which the earnest boy, whom we call Love, Will often sip in sorrow or in play. Health when it comes doth ruddiness approve. But his strong foe soon flutters it away I Disease and health for a warm pair of lips, Like York and Lancaster, wage active strife ; One on his banner front the White rose keeps, And one the Red ; and thus with woman's life, Her lips are made a battle-field for those Who struggle for the color of a rose." A beautiful mouth is one that is moderately small, and has a well- defined and graceful outline ; and beautiful lips are such as are grace- fully moulded, neither thick nor thin, nor compressed nor lax, and that are endowed with expression, and tinted with the hues of health. The lips are very liable to suffer when exposed to cold and drying winds. The most common effects of such exposure are chaps or small fissures in them, and a species of erysipelatous eruption con- sisting of small clusters of minute vesicles, which soon become moist from the discharge of the watery humor which they contain. BEAUTY OF FACE AND FEATURES. 429 Chapped lips most frequently occur in persons with pale, bluish, moist lips, and a languid circulation, who are much exposed to the wind in dry, cold weather, or who are continually moving from heated apartments to the external air. East and north-east winds are those that generally produce them. The occasional application of a little cold-cream, lip-salve, spermaceti-ointment, or any other mild unguent, will generally prevent them, and remove them when they have already formed. A still more elegant and effective preventive and remedy is glycerine diluted with about twice its weight of eau-de-rose, or glycerinated lip-salve or balsam. The influence which the teeth arc capable of exercising on the personal appearance is universally known and admitted. A beautiful set of teeth is one in which the teeth are com^pact and regular, and smooth, and peariv white, and in which the front ones, at least, are moderately small. The teeth have formed especial objects of attention, in connection with the toilet and cosmetic arts, from almost the earliest ages of the world to the present time. History and tradition, and the researches of archaeologists among the remains of the prehistoric periods of the nations of the East, show us that even dentistry may trace back its origin to a date not very long subsequent to the ** confusion of tongues." How to Care for the Teeth. The preservation of the teeth is an object of the utmost impor- tance ; since, besides their immediate connection with the personal appearance, their integrity is highly subservient to health, owing to their use in preparing the food for the subsequent process of digestion. Unfortunately, the teeth are either wholly neglected, or very improperly treated, by the mass of mankind ; and even those who are most attentive to their teeth, and who highly value their beauty, direct their efforts mainly to rendering the front teeth white, because these are seen when we speak, smile or eat. A thought respecting their permanent preservation scarcely arises until their decay com- - thing tlse has become subordinate.'* 436 TASTEFUL DRESS. It follows from the principles already stated, that any costume, to fulfill properly either of its important functions, must possess fitness in forms, materials, and colors to the person of the wearer, and to the conditions of time, place, and occasion on which it is worn. The fact that fashion compels us constantly to violate this principle does not invalidate it. In treating of dress as an art, we must ignore fashion altogether. In our practice we must do what we can. It is but just^ however, to fashion and its promoters, to admit that they are not responsible for all the incongruities with which we meet. They are often mainly due to bad taste and affectation. " A Poorer Sort of Man." The first application of the law of fitness gives us the distinction of sex in dress, and shows the absurdity of dressing men and women alike. The physiological reasons why every form of dress which is becoming on one sex may with propriety be rejected by the other, will suggest themselves to any one at all familiar wit/1 the human figure. **Some," Mrs. Smith says, "have contended that there should be no difference in the dress of the sexes. I think that a moment's reflection will convince us that this is a mistaken taste. As a general rule, we are shorter than the other sex, and I am sure we do not wish to seem only a poorer sort of men." There should be fitness to the individual, as well as to the sex. We instinctively know that the young and the olid should not dress alike. Neither should the tall and the short, the pale and the rosy, the grave and the gay, the tranquil and the vivacious. Each variety of form, color, and character has its appropriate style. "Woman," the erratic, but beautiful and witty Lola Montes said, " may take a lesson on dress from the garments which nature puts on at the various seasons of the year. In the spring of youth, when all is lovely and gay, the light and transparent robes of brilliant colors may appropriately adorn the limbs of beauty. Especially if the maid possess the airy form of Hebe, a light, flowing drapery is best suited TASTEFUL DRESS. 437 to display her charms. This simple garb leaves to beauty all her empire. No heavy ornaments should load the figure or distract the attention in its admiration of the lovely outlines. The young woman of graver mien should select her apparel with reference to her different style of beauty. Her robes should always be long and more ample than those of her gayer sister ; and they should also be thicker in substance and of a more sober color." "In form," another writer says, ** simplicity and long, unbroken lines give dignity, while complicated and short lines express vivacity. Curves, particularly if long and sweeping, give grace, while straight lines and angles indicate power and strength. In color, unity of tint gives repose — if somber, gravity, but if light and clear, then a joyous serenity — ^variety of tint gives vivacity, and if contrasted, brilliancy." Stripes and Flounces. Tall women should not wear dresses with longitudinal stripes, as they will make them appear taller than they really are. Flounces and stripes running around the dress have an opposite effect, and should be avoided by short persons. Light colors are more suitable to small persons than to large ones, as they increase the apparent size. The colors worn should be determined by the complexion, and should har- monize with it and with each other. The following suggestions from Youmans' " Household Science " will be useful to our fair readers : " Any colored objects, as bonnet trimmings or draperies, in the vicinity of the countenance, change its color ; but clearly to trace that change vv^e must know what the cast of complexion is. This variee infinitely, but we recognize two general sorts, light and dark, or blonde and brunette. In the blondes or fair-complexioned the color of the hair is a mixture of red, yellow, and brown, resulting in a pale orange- brown. The skin is lighter, containing little orange, but with variable tinges of light red. " The blue eye of the blonde is complementary to the orange of the hair. In brunettes the hair is black, and the skin dark, or of an orange tint. The red of the brunette is deeper or less rosy than that 438 TASTEFUL DRESS. of the blonde. Now, the same colors affect these two styles of com- plexion very differently. A green setting in bonnet or dress throws its complement of red upon the face. If the complexion be pale and deficient in ruddy freshness, or admits of having its rose-tint a little heightened, the green will improve it, though it should be delicate in order to preserve harmony of tone. ** But green changes the orange hue of the brunette into a disagree- able brick-red. If any green at all be used, in such case it should be dark. For the orange complexion of brunette the best color is yellow. Its complementary, violet, neutralizes the yellow of the orange and leaves the red, thus increasing the freshness of the com- plexion. If the skin be more yellow than orange, the complementary violet falling upon it changes it to a dull, pallid white. Blue imparts its complementary orange, which improves the yellow hair of the blondes, and enriches white complexions and light flesh tints. Blue is, therefore, the standard color for a blonde, as yellow is for a brunette. But blue injuries the brunette by deepening the orange, which was before too deep. Complexion Must be Consulted. '* Violet yellows the skin, and is inadmissible except where its tone is so deep as to whiten the complexion by contrast. Rose-red, by throwing green upon the complexion, impairs its freshness. Red is objectionable, unless it be sufficiently dark to whiten the face by con- trast of tone. Orange makes light complexions blue, yellow ones green, and whitens the brunette. " White, if without luster, has a pleasant effect with light complex- ions ; but dark or bad complexions are made worse by its strong con- trast. Fluted laces are not liable to this objection, for they reflect the light in such a way as to produce the same effect as gray. Black adjacent to the countenance makes it lighter." Dress should accord with the wearer's pecuniary means, her social position, and the society in which she moves. One's costume should be suited to the time, place and other cm TASTEFUL DRESS. 439 cumstances under which it is to be worn. You would not, of course, wear your summer clothes in winter, or your winter clothes in summer. For a similar reason you should have one dress for the parlor and another for the kitcken, one for in-doors and another for the street or a ramble in the country. Long flowing and even trail- ing skirts are beautiful and appropriate in the drawing-room, but in the muddy streets, draggling in the filth and embarrassing every movement of the wearer, or in the country, among the bushes and briers, they lose all their beauty and grace, because no longer fitting. Fettered by Fashion. No dress that hinders the movements of the body or prevents its symmetrical development can be either fitting or in any high sense beautiful, whatever fashion, which has no respect for physiology, may say to the contrary. .An application of the principles just laid down would give a pleas- ing variety in style and color in place of the uniformity which now so generally prevails. No two persons should dress precisely alike, unless two can be found between whom no point of difference, either in physical or mental character, can be discovered. What is wanted is to get rid of the absurd tyranny of fashion, so that what is becoming to each person, whether man or woman, m^y b«" worn without social outlawry or discredit. Of the advent of such a state of things as this we have strong hopes. There is now cer- tainly a tendency in the right direction among the more thoughtful and independent of both sexes. An authority on this subject has the following hint, which we hope no fair reader of ours will feel constrained to take to herself : " It is no uncommon thing for women to become slatternly after marriage. They say they have other things to attend to, and dress is habitually neglected — except, perhaps, on great occasions, when there is a display of finery and bad taste abroad, to be followed by greater negligence at home. Great respect is shown to what is called * com^ pany,* but apart from this there is a sort of cui bono abandonment^ 440 TASTEFUL DRESS and the compliment which is paid to strangers is withheld from those who have the best right to claim, and are most likely to appreciate it. This is a fatal, but too common error. When a woman, with refer- ence to the question of personal adornment, begins to say to herself, * It 19 only my husband,' she must prepare herself for consequences which, perhaps, she may regret to the latest day of her life." In dressing the hair there is room for the display of a good deal of taste and judgment ; but every lady will be able, after a few experiments, to decide what mode renders her face most attractive. Ornamental Dressing of the Hain Ringlets or frizzes hanging about the forehead suit almost every one. On the other hand, the fashion of putting the hair smoothly, and drawing it back on either side, is becoming to few ; it has a look of vanity instead of simplicity : the face must do everything for it, which is asking too much, especially as hair in its pure state is the ornament intended for it by nature. Hair is to the human aspect what foliage is to the landscape. Women are provided with a more dense and abundant covering of hair than men can boast of, and it is possible for that hair to be so arranged about the head as to discharge nearly all the functions of a perfect hat. There is, or was, for example, a fashion of ''doing " the hair that consisted in forming it into several plaits, that were then lightly coiled round the head so as to evenly cover it over the greater part of its extent. By this means the head was provided with a natural cap, made of a material that of all others would appear to be the most suitable as a covering for it, that was light, easily penetrated by air, pervious to moisture, and not readily influenced by change of temperature. In ancient Greece the hair appears to have been so worn as to render the head, under ordinary circumstances, independent of artifi- cial protection. This was effected by keeping it moderately short, and by massing it more or less evenly over the head. The hair was thus kept loose, and the scalp free from unnecessary compression. TASTEFUL DRESS. 441 As one other example, may be noted the fashion of wearing the hair short, and of splitting it up into a thousand small curls that evenly covered the head with a light but efficient covering. In such a .method the scalp is protected by means that find their most complete fulfilment in the woolly head of the Negro. In the next place, women are much less exposed to the vagaries of climate than are men. They are not (or should not be) exposed to a scorching sun for many hours while engaged in some laborious work, nor, under ordinary circumstances, are they required to bdttle witK wind and rain ; their Hfe is such that it is spent rather under shelter than in the open, and even their out-door amusements do not usually call for much intimate acquaintance with the " elements." Protection Against Heat and Cold. Lastly, the parasol must be regarded as a kind of hat. We would not for a moment advocate the use of this incumbrance. But its adoption is very general, and it may fairly be considered as affording a covering for the head. The thickness of the hair and the excellent blood supply of the scalp afford substantial protection against cold, but against solar heat the civilized female requires artificial aid. The parasol is certainly not the best means of affording that assist- ance. It has to be supported over the head, and is one of the many little obstacles in the way of an easy and graceful carriage. That women can without detriment go with the head practically bare — if we exempt the umbrella and sunshade as headgear — was, we imagine, practically demonstrated some years ago, when the bonnet was reduced to such microscopic dimensions, that by no stretch of lan- guage could it be said to have covered the head. Whatever artificial covering is adopted for the female head, it should at least have these qualifications : it should be light and pervious to air and moisture ; it should maintain the head at all parts at an equable temperature ; it should not constrict the scalp, and it should be competent to protect the eyes from the glare of the sun. Women carry too much rather than too little upon the head. 442 TASTEFUL DRESS. Considering the hair as a head covering, it is often most indiscreetly used. It is allowed to grow too long, and to oppress the head by its needless weight ; or it is massed into knobs and protuberances, that leave one part of the scalp almost bare and another part unduly covered up ; or false hair is indulged in, and collections of this material are located upon the scalp in spots indicated by fashion, with the result that undue pressure is brought to bear upon the skin, and the temperature of the head is disturbed and rendered unequal. Hats and Bonnets. With reference to bonnets, they are often rendered unduly heavy by superfluous ornament, even if not of much weight in themselves. Bonnets and hats, moreover, are frequently poised on one segment of the head only. They have been worn located At the back of the head, so as to leave a considerable portion of the vault quite bare ; and have, on the other hand, been worn so far forward as to approach the eyebrows. Bonnets should, if possible, protect the eyes from the glare of the sun. At present this protection is afforded by the parasol, which is tolerated because just now it is unfashionable to exhibit upon the cheeks the signs of health. The edicts of fashion assert that the complexion must be ** pre- served ;" a sickly pallor is more to be desired than a ruddy skin, and there is some vulgarity surrounding the " nut-brown maid." So long, therefore, as the natural effects of sunlight and a freshening breeze upon the healthy cheek are vulgar, so long will parasols be a neces- sity. When, however, the popular taste will allow that there are beauties in health as well as in disease, the sunshade may be cast aside, the face may be freshened by sun and wind, and a bonnet may be worn so constructed as to shade the eyes from glare. One word with regard to veils. They are worn, we are told, for many reasons. They keep the hair from being blown about ; they help to maintain a bonnet in its place ; and they serve to hide a coarse skin, and to modify the effect of a spotty complexion. It is for others to judge whether these objects are sufficiently weighty to TASTEFUL DRESS. 443 countenance an article of dress that must under any circumstances be uncomfortable. We do not for one moment believe the statements that have been advanced to the effect that veils cause short-sighted- ness, squinting, and blindness, although they must interfere a little with vision when worn. When carried over the mouth they soon become saturated with moisture, and thereby cause all the air that is inhaled to be unduly charged with dampness. This can scarcely be other than a disadvan- tage. The veils thus moistened, moreover, may in cold weather lead to chapping of the skin and to cracked lips, and, owing to the poison- ous dyes that the veils sometimes contain, may induce certain conspicuous eruptions of the face. Danger from Changes of Clothing. Perhaps the most common fault observed in the neck clothing of women consists in the frequent changes that are affected in the amount of material worn round tn*^ part at various times. At one period of the day the neck may be well covered up the to chin, while at another period (as, for example, when an evening dress is donned) it may be suddenly left absolutely bare. To keep the neck constantly well protected by clothing may not be an evil, nor may it be injurious to leave it constantly entirely bare, but it certainly is an evil at one time to protect the part elaborately, and at another to leave it free from all covering. Sudden fluctuations in the circulation and tempera- ture of the skin are not well borne in any part of the body, and the neck forms no exception to the rule. As to what may be the actual manifestations of this unwise prac- tice it is, perhaps, difficult to speak with precision. We think it will, however, be allowed that women are more prone than men to sore throats, to colds, to mild attacks of laryngitis, associated with some loss of voice, and to swellings of the lymphatic glands in the neck. It may not be incorrect to assume that these evils are often to be traced to the uncertain covering of the female neck, and to the abrupt Suctuations of temperature to which that part is sometimes exposed. 444 TASTEFUL DRESS. Women, perhaps, indulge more frequently than men in the practice of wearing tight collars and bands around the neck. This practice appears to be less common since the admiration for a " swan-like neck " has waned, and since it has been demonstrated that such a neck is generally the outcome of an undesirable degree of emaciation.. The Wearing of Ornaments. That beauty * ' Needs not the foreign aid of ornament, But is when unadorned adorned the most, ' * is a trite observation ; but with a little qualification it is worthy of general acceptance. Aside from the dress itself, ornaments should be very sparingly used — at any rate, the danger lies in overloading one's self, and not in using too few. A young girl, and especially one of a light and airy style of beauty, should never wear gems. A simple flower in her hair or on her bosom is all that good taste will permit. When jewels or other ornaments are worn, they should be placed where you desire the eye of the spectator to rest, leaving the parts to which you do not want attention called as plain and negative as possible. There is no surer sign of vulgarity than a profusion of heavy jewelry carried about upon the person, suggestive of a Mexican mule loaded down with gold. CHAPTER XXXII. Deportment and Manners. Importance of Good Behavior — Beauty Marred by Lrack of Grace — Carriage of the Body Reveals Character — Absence of Affectation — Self-possession — A Graceful Walk — ^The Soldier's Drill — Avoiding Offensive Habits — Disorderly Costume — Coarse Eating and Drinking — Disagreeable Noises — I/Ove to Others — Promot- ing Universal Happiness — Selfishness — Right of Privacy — Casual Acquaint- ances — Haughtiness and Pride — Anger — Rudeness — Cheerful Demeanor^ Drones and Workers — Empty Ornaments — Keeping ;^ngagements — Diffusing Good Cheer. DEPORTMENT is the manner of carrying one's self; carriage, manner, or behavior. Good looks are very desirable ; but far more depends upon behavior. The neatness of the person, upon which we have so strongly insisted, is a part of behavior ; so is dress, w^hich is a mode of expression ; and which gives us methods of enhancing and displaying beauties, as well as of concealing defects. But a handsome and well-dressed person may be awkward and con- strained in manner ; stiff or slouching in gait ; angular and extrava- gant in gesture ; sullen, haughty, insolent, cold, rude ; or shy and sheepish ; or craving, fawning, and impertinently familiar. There are a hundred graces and excellencies of manner in the position of the body, the attitudes, movements, gestures, poses of the head, carriage of the arms, placing of the feet, and all those nameless properties and charms, which are in some the unconscious and spontaneous expression of their natures, and, in others, are more or less acquired by the faculty of imitation, and careful training and culture. It needs no argument to prove that beauty was not intended alone ftor chiefly to give happiness to its possessors ; and that, consequently, society has pre-eminent rights in regard to it. The possession of beauty, then, brings with it a heavy responsibility. You have no right to abuse, or mar, or spoil it. You have no right to lose it, by neglect of health, or any habit which tends to the destruction of 446 446 DEPORTMENT AND MANNERS, beauty. You have no right to hide it in ugly and deforming costumes. You have no right to mar it by any lack of grace and propriety of manners. Attitude, the simple pose of the body, is a matter of great impor- tance. It reveals character and breeding. A gentleman or lady stands confessed. Awkwardness and vulgarity are shown in attitude. Once, at an entertainment, we saw a house, full to the gallery, give three rounds of plaudits at the simple silent act of a peasant girl sitting down in a chair. It was nothing else It had nothing to do with the plot of the piece. It was simply and only sitting dowr. But what grace, and beauty, and exqusite delicacy were revealed in every movement, and the quiet, easy attitude into which she sank was a living picture that charmed every beholder. Awkward Postures. The first polite accomplishment is to know how to stand. An awkward person is in a perpetual fidget, and changes incessantly from one uneasy posture to another. He knows not where to put his feet, and his hands are utterly superfluous. There they go — now behind him, now into his pockets — now under his coat tails; and so he fidgets and shifts his weight from one leg to the other, and becomes all the more awkward from the consciousness of his awkwardness. If he could possibly forget himself, and let his Hmbs take care of themselves, it would be better. The same is sometimes true of ladies. The conditions of good deportment are simplicity, or absence of affectation ; ease, or absence of constraint, fussiness or fidgitiness ; and self-possession, self-command, or freedom from timidity. The whole is comprehended in simplicity. Simple manners are good manners. Quiet, easy, calm self-posession gives unconscious grace and dignity. The perfection of good manners is repose ; not languor, nor affected coolness, nor hauteur, but the calm, quiet, simple dignity of the true gentleman or lady. Such persons stand quietly on both legs, but bearing a little more weight on one than the other ; the toes turn DEPORTMENT AND MANNERS. 447 out neatly, the head is a Httle turned, the body is never kept a hard straight line — but all is natural ease and unaffected grace. The arms hang naturally from the shoulders, the hands are in some quiet position, the fingers curve gracefully, with slight partings between the first and second, and the third and fourth. There is no stiffhess, no uneasy shifting and fidgeting, no moving of fingers or features, but all is rounded and graceful as a statue. It is worth some pains to be a lady of good standing in society. Graceful Walking an Accomplishment. One should learn no less to sit at ease. Formerly, ladies were trained to sit upright, and never touch the back of a chair. They might as well have sat on stools. It is now permitted to lean, and, where one is intimate, to lounge ; but it is never permitted to be awkward or ungraceful — never to stretch out the legs, or spread them apart. No gentleman tilts up his chair or sits astride it ; or fiisses with his feet, or drums with his fingers. He sits like a gentleman — it is difficult to describe how ; but every one recognizes it, and every one should do his best to imitate it ; or 'oy being a gentleman, to make it the natural expression of his character. So, too, a true lady studies ease and grace. The gait and air in movement are more complex matters. To walk well, easily, gracefully, is a very important accomplishment. What we do so often we should do well ; and walking is not only useful and necessary, but a great enjoyment ; and every man's gait is the expres- sion of his natural and acquired character. The gait may be heavy or light ; neat or clumsy ; erect or slouching ; pretty or ugly ; quick or slow ; awkward or graceful. The walk or carriage of the body expresses every virtue and every vice, every beauty and every deform ity, habits and diseases. As the mind and heart are expressed in bodily movements these movements in return act upon the intellectual and moral faculties. The raw recruit, drilled into the accomplished soldier, has his mind •* set up," and brought into soldierly habits, as well as his body. The 448 DEPORTMENT AND MANNERS. training of the body certainly affects the mind, and there is more than an analogy between physical and moral uprightness and grace ; and the drill-sergeant and dancing-master exercise a deeper influence than has commonly been recognized. The drill-sergeant takes a booby, a clodhopper, a graceless vaga- bond. He straightens him up, turns out his toes, brings back his shoulders, throws out his chest, and in a few months makes a soldier of him — a straight, well-set, firm, alert, active man — a self-reliant, courageous soldier. And he is a different man forever after. His character has changed with his bearing. Much of the ignoble and awkward in his nature, which found habitual expression in his mien, has been suppressed, driven back, or rooted out hke weeds ; while the finer and more manly characteristics are brought into activity, strength- ened by exercise, and rendered habitual ; and this man, to the last day of his life, shows something of the manner and bearing, and exhibits correspondingly the character of a soldier. All Done by Training. And the dancing-master or teacher of gymnastics and the graces of posture and movement, performs a similar but more refined office. It is his business to bring out, develop, cultivate, and render habitual, the dignities and graces of polished life. He teaches the pupil how he should carry his head, strengthen his limbs, stand, sit, bow, walk, or dance, if dancing is the fashion of the time. He trains him into the external expression of a pure and refined and elegant character ; and, as in the case of the soldier, the external acts upon the internal, and a man becomes really what he endeavors to appear. And in this we have much of the philosophy of education and social culture. By exercise ou** dormant faculties are brought into action. Internal action may be induced by the external expression. Be what you would appear, certainly ; but also appear what you wish to be. Assume the air and manner of calmness, and it will help you to be calm. Put on the natural action of any faculty, and it will excite its activity. Thus we may refine and purify the character. DEPORTMENT AND MANNERS. ^^ When we are trying to reform our lives and make ourselves the best we can be, we may begin with the external deportment. The carriage of the body, and habits of dexterity, grace, and ele- gance are of great importance. Children, it is said, are always grace- ful — they are simple, unconscious, unrestrained, unaffected ; and the attitudes and movements of a child ought to be as pretty as those of a kitten or a bird. But we fall into bad habits ; stoop until we grow round-shouldered ; get into awkward, lounging ways ; carry our hands uneasily as if they did not belong to us, and make ourselves generally disagreeable. Straight Figure and Full Chest. A little care, a little resolute training, the observation and imitation of ease and grace in others, will do much to remedy these besetting sins. If a boy or girl will every day stand with the back against a wall, and brace up in ph)^sical uprightness, it will soon cure a droop- ing spine. If they will resolutely let the arms hang quietly at the side, they will conquer the bashful tendency to fidget with the fingers. If a girl will daily open her chest, and breathe full breaths for some minutes, she will improve her health and figure. Every school-master and school-mistress ought to be somewhat oi a drill-sergeant, and attend to the personal appearance and habits, carriage and manners, of the pupils. This is the specialty of the dancing-master and gymnast, no doubt ; but as every school cannot have its special teacher of gymnastics and dancing, all our teachers should be capable of giving the rudiments at least of refined carriage and manners. In the absence of direct teaching, much is done by unconscious or conscious imitation — only we should know what models we ought to admiit. The worst habits of more exalted personages have found multitudes of imitators. Every one who, by position or talents, grace or beauty, makes an impression upon others, is a teacher of manners. How little do people think of their responsibilities. To walk easily the body must be erect, but not stiff; the arms ^jiust swing, not too far ; the chest expanded for full breathing ; the 29 M DEPORTMENT AND MANNER^ shoulders held back ; the toes a little, but not too much, turned out r and all the muscles of the foot brought into a springy, elastic action. A fine gait in man or woman, as in many animals, is one of the pret- tiest things in the world. Avoid walking stiffly, slovenly, clumsily ; and ladies, because they wear long dresses, must not, therefore, be careless of their feet, turning in their toes, or lifting their skirts with their heels. Be Careful to Avoid Fatigue. Walking is good exercise ; but one may have too much of it. It is a relief from sedentary and monotonous employment ; but where there is much brainwork, long walks are too exhausting. A short, brisk walk, quickening the circulation, and consequently the breath- ing, is better. Delicate persons and invalids are injured by long walks. The vital forces are limited, and must be used with economy. In our efforts to live a good life, satisfactory to ourselves and pleas- ing to our fellow-creatures, there are many things we must carefully avoid. We must avoid every action that is painful, disgusting, offen- sive or troublesome to those about us. We must '* cease to do evil," and then " learn to do well," in the little things of life as well as in the most important. We talk of rights and freedom, but no one has a right to do the smallest wrong to himself or another. There is no freedom but the right to do right. Every improper act really injure? both ourselves and many others. We have no right in any way tc diminish our power of being good and doing good. A musician, playing out of tune, hurts his own ear, and offends the ears of all who hear hii^i. The man who does a distasteful act when quite alone hurts hi«» own sense of propriety ; if he does it with others he offends them and injures himself. No one has the right to appear in pubhc in a dirty, disorderly or unbecoming costume. In this matter there is a world of difference in different countries You may go every day to the most frequented public resorts in Paris without ever seeing a man, much less a woman, in offensive attire. Can the same be said of all places of public resort in America ? DEPORTMENT AND MANNERS. 45l What belongs to the toilet should never be done in public. One may repair an accident, put up a stray ringlet, arrange a shawl, tie a string ; but one may not comb the hair, clean the nails, or touch the nose or ears. It is not dehcate to scratch one's self. Only under the most urgent necessity can one blow her nose in company. It may be wiped, not blown, if it can be avoided, especially at table. In Eng- land no one is ever seen to spit — we wish the same could be said of all parts of America. Where spitting is unavoidable, use a pocket handkerchief; and in all such matters take great care never to be for one instant an object of disgust. In this matter the French and Ger- mans are nearly as bad as the Americans, and Vienna is the only place we know of where the churches are furnished with spittoons. We think those who wish to live purely and delicately, and neve^ injure themselves or offend others, must avoid coarse eating as well as coarse drinking. There are kinds of food which are uncleanly and unsafe. Onions taint the breath too much for general society. If all eat onions, it is different. Cabbage is doubtful. Some kinds of fish, as herrings, not only taint the breath, but their odor exudes from thp skin. The Sin of Gluttony. A pure and inoffensive diet seems to us a cardinal point in goo^ behavior. Gross feeding, in quality and quantity, produces obstruc- tions, obesity, heaviness of body and mind, and so many unpleasant diseases and conditions as to unfit people for society, and even for life ; and gluttony is worse, if possible, than drunkenness, both being rightly reckoned among the deadly sins, any tendency to which every well-meaning person should carefully avoid. Try to free yourself from all annoying habits. Do not make dis- agreeable noises, nor any noises that can be avoided, in eating or drinking. Never hum or whistle, unless quite alone. To do either in company may be very disagreeable. Beware of sniffing, or any unpleasant sound of nose, or mouth, or breathing. Sleep with your mouth closed, so as to never snore. So resolutely guard your life iVo.n any impropriety that you cannot even dream of one — for a careir 452 DEPORTMENT AND MANNERS. conscience never sleeps. It is the strong desire and resolute will to be right and do right that is wanting in those who do wrong. In a word, avoid everything wrong, everything improper, every- thing that hurts yourself or that may be annoying or disagreeable to others ; and do what is just, right, good and pleasant to all about you. The desire and will to do this is the foundation of good behavior. There must be a good heart, then a good understanding, taste, tact, delicacy, all that belongs to an active benevolence, extending to the little things of life as well as the greater and more important. Often we cannot see our own faults ; therefore, we should invite friendly criticism, never be hurt by it, and do our best to profit by it. Members of a Common Society. Men are gregarious — made to live in societies — their well-being and happiness very largely depending upon their associations with each Dther. We come together in friendship, love, mutual help, and in many ways to benefit or amuse one another. We live in families, neighborhoods, societies, churches, and all sorts of industrial, benevo- lent, civil and military organizations. We are parents, children, brothers, sisters, masters, servants, variously related to those around us — bound together by common interests, and we should all be work- ing together for the general good ; all for each, each for all. The welfare and happiness of society depend upon the behavior of its members to each other — upon what we call manners — upon the way 'n which each one makes himself or herself pleasant, agreeable and useful to all around him. We have already spoken of the care of the person necessary that we may avoid giving digust or pain, and which will make our presence a delight ; of dress for comfoit, health, and a decent, and even elegant i adornment of the carriage of the body or deportment ; and now we must consider how people should treat each other o ^s to promote each other's happiness. The foundation of good manners is in that love of our neighbor which religion requires as the second duty of every human being, and DEPORTMENT AND MANNERS. 453 which naturally follows from fulfilling the first ; for it is impossible for us to love God without loving also our fellow-men. This love gives us the desire to promote their well-being and happiness. If we have this love for them we can never treat them with rudeness or injustice ; but always with respect, sincerity, kindness, delicacy, and true charity, A good person has the foundation of good manners. The Christian must be essentially, and in feelings and intentions, e gentleman or lady, though outwardly falling short of the courtesy taught by St. Paul. One of the first points of good breeding is to respect the person and the rights of others — never to intrude upon them ; never to be rude ; never to be in any way troublesome or offensive. We have some- thing to learn in this matter. When a Frenchman enters the company of others, if only in a wine-shop or an omnibus, he deferently salutes the company by raising his hat, as much as to say, " by your good leaves, ladies and gentlemen." Always Mindful of Others. He never enters the shop or cafe without politely saluting the person in charge, and he does the same on leaving. " If you please," is on his lips continually, and at the slightest possible offence, or the least accidental encroachment, he gracefully begs your pardon. In the greatest crowd in Paris, one is never crowded. Each person is careful not to incommode his neighbor. No matter how many may assemble at the doors of a theatre or other place of amusement, they never crowd each other ; they never struggle for the best places ; there is no ugly rush, with women screaming from pain or fright, and possibly fainting and being trampled upon. Every one has the right of privacy — the right to be alone — the right of silence and seclusion ; and even in the intimacy of family life, this right should be carefully regarded. One should never approach another without some indication of welcome ; never enter the private apartment of another without being sure that it is not an annoyance. There is need of tact in these matters, and at the least sign of disquiet. 454 DEPORTMENT AND MANNERb. we should increase our distance. We need not be shy or bashful, however pretty and graceful a certain amount of these qualities may be, but in kindnesss and in justice, as well as from self-respect, and the desire to stand well with others, we should carefully avoid intru- siveness. Rules of Salutation. It is for the elder person to first salute, or welcome the younger ° for the person in a higher social position to recognize or address one in a lower ; for a lady to be the first to salute, speak or hold out her hand to a gentleman. When two strangers meet, if there is any obvious difference in age, rank or position, it should be regarded. A boy should not enter into conversation with a man, nor a gentleman with a lady, beyond some slight civility, without due encouragement. When persons meet on equal terms, in a railway car, at the sea- side, or wherever accident may throw them together, although there should be no intrusion, there may be, and ought to be, on the part of every one, a frank, kindly, neighborly readiness to he^ each other by word and deed. Very pleasant acquaintances are made, and life-long friendships are sometimes the result of pleasant, friendly, and genial manners among fellow-travellers. The habitual reserve of most people is senseless and cruel. All our conduct to our fellow-men should show our respect for them, our regard for their rights, our desire for their happiness. The first element of good manners is unselfishness. The moment a lady thinks too much of herself, her own rights, her own happiness, she begins to be rude to others. The more entirely she devotes herself to securing the comfort and happiness of all around her, the better will be her manners, and good manners are " twice blessed." As the principle of all good conduct in society is the love of the neighbor^ and an active philanthropy, so the element of all evil is egotism, sel- fishness, or the desire of one's own good and happiness, without regard to the rights and welfare of ofchers. Thus, manners must be based on morals^ and minor morals a\id major are really the saim^. I DEPORTMENT AND MANNERS. 456 Haughty manners are the language of pride ; cold manners, of indifference to the comfort and happiness of others ; rude manners show a want of respect for the feelings of others ; scornful manners are a disregard of their rights ; cynical and hypocritical manners arc selfish and bad ; good manners are the expression of good feeling, grace, delicacy, and refinement, free from pride, selfishness, or vanity. A noble manner comes from a generous disposition — a heroic desire to sacrifice one's self for the good of others. Genuine politeness shows itself to the poor and humble. A true lady is specially kind to the aged, the infirm, the unattractive ; to those least likely to receive Attentions from people who are only seeking their own pleasure. Show a Sunny Disposition. Cheerfulness comes from health and hope. Animal spirits make us cheerful in the enjoyment of life and its sensations, but hope and charity give a spiritual cheerfulness, and even gayety of manner, which is very delightful. As far as possible, we should never show gloom or melancholy to those around us. If we carefully conceal what is unpleasant in our bodies, we should do no less with Oc-_ humors or dispositions. We should never let it be seen that we are angry, cross, peevish or low-spirited, where such mental states can give disquiet or pain to others. But the best way is never to be angry, cross, peevish, fretful or disagreeable. That one should feel a flush of anger at injustice or rudeness ; that one should be indignant at insult or outrage is natural ; but in most cases there should be no violent expression of anger and indignation. We must never forget ourselves and what is due to our own character and dignity. There should always be in our own feeling and expres- sion more of sorrow than of anger ; and we must be ready to forgive every injury, as we hope to be forgiven. A serene gayety, a courageous meeting of all the troubles and trials of life, is supremely good conduct and good manners. Calm- ness, patience, the firm possession of one's self, are great virtues, but triumphant serenity or joyousness is more, And it is an emphatic 456 DEPORTMENT ANjj MANNERS. precept of religion : *' Rejoice always ; again I say rejoice." This is the triumph of the higher sentiments of faith and hope over the lower feelings of distrust, grief and anger. But a woman may train herself in good feeling and good conduct as readily as she can avoid being round- shojildcred. It wants but a resolute will to secure either bodily or spiritual uprightness. Idle and Thriftless Women. Every human being should do his part — whatever he is best able to do — in the work of life. An idle man or woman is a burden on industry, and generally worse than a burden. Certainly it is not polite to live on the labor of others without rendering some equivalent. Doubtless there are people who are ornaments to society, but has any one the right to be merely an ornament ? Can one fairly claim a living in the world who only amuses herself and does no good to others ? These are serious questions. If those who do the world's work, and provide all the necessaries of life, are content to feed, clothe and shelter persons who are merely ornamental — pretty to look at — it is their own affair, but it seems to us a point of honor that every one should do something for her daily bread, and not be willing to live upon the labor of others, without rendering some equivalent service. No one grudges pay for useful work, or for ornamental work, which is only anothe^ kind of use. We cheerfully pay the author of any book we care to read, or the painter of any picture v/e care to see, but we do not so cheerfully give a portion of our hard-earned money to support people in idle- ness who do us no good and give us no pleasure. We bear patiently what is, not seeing the way to mend it ; but if any of us were to go to work to organize a new society, should we find any place in it for people who live upon our industry and render no service in return ? But these are matters, you think, rather of morals and political economy than of manners. We are not sure of that. It must be bad manners to pick a man's pocket in any way, or to add to \h?- burden of labor, or the oppression of the poor. But DEPORTMENT AND MANNERS. 457 there will be no question that to be disorderly in one's life, to be unpunctual, not to keep promises or fulfil engagements, or pay one's debts, is very bad manners. A lady should be orderly in the smallest matters, mindful of all promises, duties, and engagements ; always prompt, always punctual, never disappointing or vexing another by her neglect. A lady is one who can be depended upon to do what is right and just. Every engagement is sacred. You are sure that she speaks the truth. You know that she will keep her promise if it be possible. Her word is as good as her bond ; and she will do what she sees to be right in every case, whatever may be the law about it. Upright and downright, pure equity governs all her actions. You can trust her utterly. The Golden Rule. In all oui elations to others, and our intercourse with them, we should try to enter into their views and feelings, and see things from their standpoint. "Put yourself in her place." Treat a servant as you would wish a master or mistress to treat you. If you would have friefxds, be friendly. Be at your ease in simple self-possession, and put others at their ease by accommodating yourself as far as you can to their manners. If George IV. did pour his tea into his saucer when he was taking tea with some old ladies who followed that fashion, he showed that he had some claim to be called the first gentleman in Europe. A wise conformity in little things is far better than the assertion of an insolent superiority. A delicate regard for the feelings of others is the essence of politeness. With a person of thoroughly good manners we are always at our ease. If we speak, we are sure of being listened to with attention and sympathy. If we have a favor to ask, the way is made easy. If granted, it is done so graciously as to double its value ; if refused, it is so kindly done that we scarcely regret it, and feel sure that the refusal was prompted by the best motives. We meet such a person with pleasure, and part with real regret. A sunshine of genialty gives warmth and pleasantness to all about her. CHAPTER XXXIII. The Social Queen. Qualifications for Good Society — Value of Birth and Breeding — Honor to Ladies- Mistress of the House — Introductions — Salutations — Rudeness to Others- Polite Attentions — The Sexes Should Go Together — Variety of Ages — Perfect Equality — The Industrious Woman — Agreea.ble Companions — ^Taste and Re< finement — Woman's Mission is to Adorn — Rules of Etiquette — Simplicity in Behavior — Little Observances — Receptions — Making Calls — Use of Cards- Taking Leave of the Host — Punctuality — '* Doing in Rome as Romans Do.'* SOCIETY is a word of large and various meaning. We talk of being in society — the interests of society — a good position in society — fashionable society — general society. It is properly the friendly meeting of people together to enjoy conversation and amusement with each other. To enjoy society, mutual protection, help, and to be amused with each other, men gather in villages and towns. Meeting often, they find the necessity of making themselves agreeable to each other. They refrain from offensive or injurious conduct, ana they find frequent occasions for mutual civilities and reciprocal good offices. To live pleasantly with each other, men must abandon, or at least conceal, selfishness, injustice, evil tempers, dishonesty, falsehood, and every mean and annoying disposition, and become, or at least appear to be, kind, friendly, disinterested, obliging, cheerful, honest, and honorable. Contact rounds off the rough edges of character, and gives polish to the manners. Politeness, civility, and urbanity mean the manners of people who are refined. In a large sense, every person is considered a member of society ; but we speak of a solitary person as one who goes into no society — meaning one who neither visits nor is visited. \ disreputable person is not admitted into society. A morose person shuns society. A person of loose habits and associations mingles in low society. Where a hereditary aristocracy rules, a man's social position de- 458 THE SOCIAL QUEEN. 459 pends upon his ancestors. Of such men it has sometimes been said that the best part of them is under ground; but no one can deny the advantages of birth and breeding. Wealth gives the means and con- ditions of the highest culture. We have breeds of men as distinctly marked as our breeds of dogs and horses, and men are born with noble, heroic, and beautiful qualities as they are with unfortunate and base ones. We speak rightly of born liars and born thieves. There is, there<' fore, an aristocracy of birth, and to be well born is a great gooa fortune. But this kind of aristocracy is not always that of rank, title or wealth. The child of healthy, honest, educated and refined parents is well bom and a true aristocrat. Honor Paid to the True Lady. High society is composed of people of rank or wealth, who are able to live in a certain style of luxury and splendor; who can give elegant dinners and balls, and assemble around them people of taste and fashion. Good society is composed of good, friendly, intelligent, tasteful people, who can benefit, interest, and amuse each other. Everywhere in society ladies have precedence and honor. They are to have the first seats and the best seats. No gentleman can be seated while a lady stands. No gentleman can help himself to anything until ladies are helped. It is a principle of society that women are to be everywhere deferred to, protected, esteemed, and honored. More deference is shown to women, as women, in America than in any country in the world. Over all social festivities the lady of the house presides. She receives calls, gives invitations, welcomes the guests, sits at the head of the table, and is the social queen. The husband devotes himself to the ladies, and generally to the comfort of the guests. To enter a society to which one is a stranger, some introduction is required. Going to a strange district, one carries letters of introduc- tion. A man presents you to his friend, and vouches for your social position and ^ood cpnduct. He introduces you tP others. Th^ 460 THE SOCIAL QUEEN. Texan gentleman had a very proper idea of the responsibnities of an introduction when he said : ** Mr. A., this is my friend, Mr. B. ; if he steals anything, I'm responsible." But such social endorsement, whether by word or letter, should not be lightly given. A man may not pick your pocket, but he may h^ a bore, and steal your time and patience. You do not wish to make tlie acquaintance of a man who will ever annoy or injure you — -one whom you cannot trust in every way. But there are cases in which no introductions are required. People thrown casually together, as at hotels, in watering-places, and gen- 'irally in travelling, can always make modest advances towards such temporary acquaintance as the circumstances warrant. A satincal poet has represented two Englishmen cast away on a desert island, refusing to speak to each other because they had not been introduced. The more entirely a man is a gentleman, and the woman a lady, the more they are at their ease, and disposed to be kind, courteous anered one, makes society with her impossible. Happily, such women are rare. Most women have the gifts of grace and amiability. They are the natural centres around which the best elements of social life spontaneously gather. And in spite of fashionable follies and frivol- ities, women every day become more brave, self-reliant, free, noble, and, in a word, womanly. Every day there is less oppression of the physically weaker, but morally stronger, sex — stronger by influence, if not by character. You Should have Useful Employments. There is nothing unwomanly or unladylike in every woman being fndustriously and usefully employed. Every woman ought to be able to make her own clothing, and the clothing of at least young children. Every woman ought to know how to cook, so as to pre- pare a good meal in case of need, and to teach and direct her servants. She should be able to do everything that makes a house comfortable and elegant. Once, every lady, the highest in the land, could make bread, and spin, and weave, as well as sew and embroider, and women have not gained in character, nor the country in prosperity, by the loss to women of nearly all kinds of domestic work, and removing so many useful and beautiful arts from the household to the factory. Women have lost many useful avocations, and are now crying out for others. Knitting, crochet, and fancy-work do not satisfy them. Dressing and making calls is not a business for life. Only a few have the gifts which qualify them to be artists and authors. The lack of sensible and useful employments drives women mto unladylike and immoral practices. They must do something. A young lady, full of health and animal spirits, cannot spend all her time in reading novels. She is driven to dissipation and flirtation. What she reads so much about she wishes to experience. She pre (64 THE SOCIAL QUEEN. ■^rves her reputation, no doubt, but what becomes of her character ? And. in the absence of other interests, there comes to many young women the feverish desire for marriage and a settlement in life — a. Ihing which should never rest in her thoughts. It spoils the charm >f any woman to be always thinking of a possible husband. Making Matches and Hunting Husbands. Match-making mammas are bad enough — husband-hunting girls ire intolerable. They repel more than they attract. A woman is never so charming as in utter unconsciousness of charm — never so attractive as when she has no thought of attracting. In society, all possibilities of future relations should be kept out of sight, and every one treated according to his merits. Men and women in society do not meet as husbands and wives, or lovers — only as members of society, in unrestrained freedom to make themselves agreeable to each other. An evident flirtation with any one is a rudeness to all the rest of the company. Special attentions are in bad taste, and sure to offend. And when a lady feels that she has made the impression she most wished to make on a man she desired to attract and charm, because she felt his worth, though her heart may bound with happiness, she must no more show it than she can show the antioathies and disgusts excited by others. A true-hearted woman, with a fair amount of culture, a person not disagreeable, with some taste and observation of life, and a warm benevolence, and desire to please, can scarcely fail to make herself an agreeable and welcome guest in every circle. But a false, uncultured one, with no taste or care for pleasing, critical and censorious, jealous and malicious, is one of the worst samples of the feminine part of humanity. A lady of taste, refinement, and with so much of wealth and fashion as to give her a certain position in society, may become the centre of a circle, a social pivot, an educator, and in many ways a benefactor. Her furniture, the order of her apartments, her pictures and statuary, THE SOCIAL QUEEN. 465 her own dress and ornaments, may be such as to give pleasure and improvement to every person who visits her. Why should not her boudoir or drawing-room be as nicely arranged, and as pretty a study in art, as any picture ? Is she not herself, in the possibilities of her air and manner, in pose and gesture, in dress and ornament, a work of art, as she may be much more in feeling and expression ? Her sphere is to cheer, to refine, to beautify, and bless. The oppor- tunities and influence she may thus acquire, she may turn to the noblest and holiest purposes. You make a call of ten minutes on such a woman, and she lives in your mind and heart a picture of beauty, grace, and charm for long years after. Her dress, her air, her 5weet, engaging manner, the few well-chosen words of genial polite ness, the melody of her voice, the kind glances of her pure and tender eyes, the gentle pressure of her soft hand, all thrill in pleasant memories. Visiting Cards and What they Mean. The word etiquette means a ticket, and the ceremonies of special occasions were formerly written on cards or tickets, furnished to each person who took part in them. Such cards are still delivered, in some places, to the mourners at funerals, and we have bills of fare at dinners, the order of dancing at balls, and programmes at entertain- ments. So cards of invitation tell us that there is to be dancing, and cards of admission sometimes specify what dress is to be worn. Thus, evening dress is required on various occasions. Chambers's Encyclopaedia, says : ** Popular publications are con- itantly issuing from the press for the purpose of teaching etiquette, or the rules of behavior in good society. They will, for the most part, be found far less trustworthy than the promptings of nature, where the individual possesses a reasonable amount of reverence for others, and respect for himself. Yet there are certain conventionalities which can only be learned by instruction of some kind, or by observation, and the observation may be attended by unpleasant circumstances." It is quite true that all our manners and observances are, or should be, founded on a common sense of propriety, of the duty we owe to 30 466 THE SOCIAL QUEEN. others, and a proper regard for the comfort and happiness of all around us. The best and cleverest people behave to others in certain ways, and we observe, admire and imitate them. There are fashions of manners as of dress, but they are much less changeable. In the East, every act of one's life has been reduced to rule and system, and the etiquette of China and Japan has lasted, with little change, for ages. Every one learns all that will ever be required of him in his conduct to superiors, equals, and inferiors, and in every relation of life. In the West we are left more free, and there is more individualit)^ and originality ; but with them we have also more that is disorderly and offensive. It is one of the great discomforts of social life not to k:5iow what is the right thing to do, what is expected of you, and how you can make yourself agreeable, or, at least, not disagreeable to those around you. We feel " at home " wherever we know how to conduct ourselves. Bashfulness, timidity, awkwardness, and all the confusion and suffering that they cause, come from not knowing how to behave Well Versed in Etiquette. The moment we know what we ought to say and do, everything is easy and delightful. A sensitive mind fears nothing so much as being blundering and ridiculous. There are few of us who are quite free of some dread of ** Mrs. Grundy." Education in etiquette begins very early. The mother trains the child from its earliest years — the child imitates its parents. Children are continually warned that this is not nice, and that that is not proper. A child brought up by and among well-behaved people, can hardly go amiss unless from natural perversity. The misfortune is, that nurses, servants and even teachers, in many cases, have no aptitude for good manners or no instruction. If servants were selected for their good manners — if they were required among the qualifications of teachers — the demand would create the supply. Observation and imitation would be stimulated if good manners were the condition of success in life. But there is wanting, first of all, the desire, and then the perception. 1 THE SOCIAL QUEEN. 4^7 of deferent and refined behavior, and of its two elements, self-respect, and respect for others — true self-love and the love of the neighbor. The stolid indifference to all decent manners we see about us, comes from a want of sense of their importance, much more, we believe, than from a brutal disregard of what is right. When men stand upon the sidewalk, so as to oblige women to step into the gutter to get past them, it is charitable to think they are muddled with beer. When people crowd and crush you, and make mad rushes to get the best positions, violating every principle of decent manners, it seems like innate depravity — but it is, perhaps, only a bad habit which they have thoughtlessly drifted into. And this exhibition of brutal selfishness is not confined to the lower ranks of life. The crowding and confusion are sometimes as great in the palace of the sovereign as at the pit entrance of a theatre. When George IV. left Carleton House the fashionable world was admitted to see its splendors. The result was a crowd in which ladies were crushed, trampled upon, and in some cases their clothes entirely torn from their bruised bodies. Such manners are what we might expect in a horde of savages. Surely they are not such as we look for among an enlightened and Christian people. Little Observances are Important. The lil-de observances of social life are more important than many people think them. The outward signs or expressions of any senti- ment not only manifest it to others, but help to keep it active in our- selves. This is the use of all ceremony and ritualism in religion. We strengthen our own reverence by external expressions, and help to excite it in others. A great assembly kneeling with bowed heads in prayer, or uniting in songs of fervent praise, is very impressive. And the same principle governs all social ceremonies and observances. Salutations are social ceremonies. A gentleman raises his hat as a mark of respect ; he touches it to intimates ; he takes it off to ladies, and when he stops to speak to them, or to persons to whom he wishes to show a marked deference, he does not put it on till requested to do 468 rHE SOCIAL QUEEN. so. The hat is touched or raised with the hand farthest Irom the person saluted. We do not salute a friend who is engaged with a lady or a person superior in rank whom we do not know ; but we join a friend in returning the salutation of a stranger to ourself It is the right of a lady to recognize an acquaintance, or not, at her pleasure ; and unless very intimate, a gentleman waits for such recognition. So of stopping for conversation. If we wish to converse more than a few moments, it is better to turn and walk with the one we meet. But a lady or superior must give the invitation. In passing persons frequently, you are not to salute QYQry time. Once is sufficient. Etiquette of the Parlor. Visitors — if strangers — we meet according to rank, position, or intimacy. A gentleman meets a lady at the front door, and accom- panies her to the sidewalk, or puts her into the carriage, at her departure ; and the same with any person to whom he wishes to show particular consideration. A lady receives in her drawnig-room, and does not leave it for gentlemen unless age or position call for special deference. Ladies treat ladies as gentlemen do each other. The visitor salutes her hostess first and last. The manner in which we salute all persons should express the respect and kindness we feel for them, or ought to feel, and which they ought to merit. By treating every one with courtesy we in fact demand of them the character and manners which merit our respect. We, in this way, put all on their good behavior. A polite lady is thus not only a teacher of politeness, but a practical reformer of manners and morals. The place of honor in a room is the farthest from the entrance — ^at a fireside, the corners ; at table, the right of the hostess and host. Introductions are a convenient mode of making people acquainted with each other. The one who introduces becomes responsible for the good behavior of both. No one ought to introduce to another a man who will insult or swindle, annoy or injure him. There are THE SOCIAL QUEEN. 469 special introductions only for particular objects. At a ball, a gentle- man is introduced to a lady simply as her partner for a dance. She is not required to recognize him again. In merely formal introductions people bow to each other, but do not shake hands. Hand-shaking should be the sign of a friendly intimacy. When a lady gives her hand to a gentleman, it should mean that she accepts his friendship. The Americans shake hands 'ever^^where and with everybody. There is abundant hand-shaking among the Germans. The English and French are more properly reticent. It is for the person to whom one is introduced to offer or withhold the hand. As a rule, introductions should not be given except at the request or with the permission expressed or understood of the persons intro- duced ; but intimate friends of both parties may presume upon its being desirable and agreeable. The inferior in age or position is always introduced to the superior, and gentlemen to ladies, unless there is a marked difference in rank or age ; but when equals are introduced the form is repeated, and so each introduced to the other Letters of Introduction. A letter of introduction should be brief and confined to the macter in hand, and given unsealed to the bearer. If given for any purpose of business, you can call and send it in with your card. Otherwise, send it with your card, and wait to have it acknowledged. If the letter is addressed to a lady, however, you must call, send it in, and, of course, give her time to read it. Calls are very brief visits made in the morning, but the fashionable morning is any time before dinner. Morning calls should, however, never be made till sometime after lunch — say three o'clock, nor later than five ; since people dine at from six to eight o'clock, and must have time to dress. Usually no call should last more than fifteen minutes, and when other visitors arrive, it may be shorter. As there is no obligation to see people, ladies who do not wish tn seem rude tell their servants to say " not at home " to those the)' 470 THE SOCIAL QUEEN. decline to see. They may be indisposed or engaged, but " not at home " is a formula which covers the whole ground, and is not to be taken literally. It may mean not " at home " to you on this occa- sion ; and to most callers it is a welcome announcement. They leave a card, which answers every purpose of a merely formal visit. Even this matter might be simplified. In a certain German town it was once the custom for everybody to call upon all his acquaintances on New Year's. As the town grew this became such a burden tc callers and entertainers that they got to sending cards instead, which set all the servants in the town to running their feet off. Finally, the servants took all the cards to a central place, where they Avere sorted over, and each one carried home those intended for his family, which is the present excellent time-and- labor-saving custom. Receptions and Refreshments. A call or the card, its equivalent, must be returned within a week ; and every entertainment, dinner, ball, to which you are invited, must be responded to by a call, if you desire another invitation. When about to be absent for some time, it is expected that you will make a farewell visit to your acquaintances. If you do not see them, leave your card with P. P. C. upon it — ''Potir prendre conge " (to take leave). On your return, you are entitled to receive the first visit. Receptions are admirable inventions for economy and enjoyment. Instead of spending time in calls, or money in dinners, parties, balls, etc., a lady sends a card to all her friends to inform them that she is " at home " on some evening once a week. If she manage her cards well, she may gather around her a delightful society. She has only to offer her visitors a cup of tea or coffee when they arrive, and a bit of cake or a sandwich later. No formal supper is expected. There is conversation and music. ' The more really at home the hostess is, the better for her visitors, who come early or late, and stay as short a time or as long as they like. It is obvious that there can be only here and there one who can have such evenings ; and no lady can expect to fill her roc ms week THE SOCIAL QUEEN. 471 after week unless she has the tact to draw to her agreeable people, and, what is far more difficult, to order, regulate, and govern her guests, and banish bores, disagreeables, and incompatibles "rom her society. At these receptions the less formality the better. Every one is introduced already by the fact of his admission. If you know the lady hostess you know all her guests, and you can in no way please her so much as by making yourself agreeable to any and all of them and especially to any who are, or seem liable to be, neglected. As c:t entrance you go and pay your respects to the lady of the house, so at your departure you very quietly take your leave of her at last, after having said a private good-bye to any others, and so vanish without disturbance. Punctuality Must be Observed. In all cases where there is a set time of beginning, the highest etiquette is perfect punctuality. No one can dine until the last guest arrives. To keep people waiting, to make a dinner spoil, is more than an impoliteness — it is an outrage. So, at a theatre or concert, be in your place before the curtain rises, so as not to disturb the enjoyment of others; and never be so rude as to leave just before the play or concert ends. Leave at the end of the last act or piece of music but one, if you please ; but to disturb an audience by going out at the very climax of interest is a very selfish piece of ill manners. But in almost all cases ill manners is some display of selfishness. Good manners consist in a consideration for the feelings and rights of others. What right have you to mar the enjoyment of music or a play by conversation ? What right to stand up before people who are trying to see some spectacle ? Every way in which you consult your own gratification at the expense of others is unmannerly and unjust. An honest man does what is right or equitable ; a polite or courteous man goes always beyond this line, and high breeding is philanthropy. No man of gallantry would allow a lady to wait for him one moment; and simple honesty requires that every one should be punctual in keeping engagements. To make sure, one should be a 472 THE SOCIAL QUEEN. few minutes before the time, at all events not an instant after. Ano let us advise punctuality in going as well as in coming, and especially celerity in taking leave. If parting be a pain, do not make it weari- some as well. If we "speed the parting guest," she should say good- bye, and go at once. It is not necessary to be rudely abrupt, but in saying good-bye, the sooner it is over the better for all concerned. Suspense is painful to the parties, and tiresome to spectators. As a general rule, we do well to conform to the customs of the place or country we are in, showing thereby our friendly respect to the people we are among. If we visit a church, we should behave as nearly as possible like those who worship in it. If we cannot cons- cientiously do this, we had better keep away. So a republican, visiting a monarchical country, should be careful to pay the customary respect to royalty, and to conform generally to social usages. The hrst Christian Missionaries to China found their way to the hearts of the people by adopting their dress, learning their code of etiquette, an(/ conforming, as far as possible, to their customs. The way to learn all one needs to know of the etiquette and man ners of any society is to be quiet, self-possessed, and observant Notice what well-bred and easy-mannered persons do, and folio*, their example. Never be ashamed of not knowing anything, but take the first opportunity to ask some one what you wish to know and cannot find out for yourself. A request for information is always flattering. Every one is naturally pleased to show her superiority. Every one is happy to give information to another, and guide her in the ways he should go. CHAPTER XXXIV. The Art of Conversing Well. Value of Good Talk — Conversation of Animals — All Can Have Something to Say —The Good Listener — Guiding the Conversation — Regard to Rights and Opinions of Others — Making Others Talk — Topics that are of Mutual Interest — Wit and Humor— Anecdotes — Talk at Table — Sense and Knowledge — Prosy People — Hobbies — Slang — Egotism and Boasting — Pet Phrases — Long-winded Talkers — Impolite Questions — Giving Attention — Avoiding Discussions — Pay- ing Compliments — Moral Character. '' /^OOD TALK," says the author of Realmah, "is ever one of \J the choicest things in the world, and wins all people who come within its sphere." Our social life is chiefly conversa- tion—a turning together — -the interchange of thought and feeling. It is probable that all animals which associate with each other have language and conversation — some method of communicating informa- tion and expressing feeling. Ants and bees evidently talk with each other. When a prize is at hand, or danger threatens, the whole swarm is quickly told of it. They act in concert. They carry on complicated operations quite impossible without some power of con- versation. The hen clucking to her brood calls them to the food she lias discovered, gathers them under her wings, or gives warning of danger when she sees a hawk hovering in the sky. In a morning of spring, when the groves are full of melody, it must be that the melody has meaning, and that every phrase is understood, at least by birds of the same species. The lowing and bleating herds must also talk to each other. Dogs talk together, and learn to understand us much better than we do them. The elephant has a very human comprehension of the orders of his keeper ; and elephants who live in societies hold converse with each other. " Steed threatens steed in high and boastful neighings. '* The conversation of anhnals is natural or instinctive. If men evec bad such a natural language, it has been lost. Instead of it we have 473 474 THE ART OF CONVERSING WELL. hundreds of dialects made up of artificial, conventional, articulate sounds. What we have of instinctive language consists in gestures grimaces, tones, modulations, inflexions, emphasis. Whatever lan^ guage men speak, we know by sight and hearing whether they arr pleased or vexed — whether they hate or love. Our conversation is, therefore, partly natural or instinctive in tones gestures, and expressions of the countenance, laughter, tears, and all the picturesqueness and melody of speech ; and partly artificial and conventional in the use of words, or articulate sounds, whose meaning has been agreed upon. The beauty of all conversation consists in the choice admixture of these two elements of language. We like to see those with whom we converse. The glances of the eye, the flushings of the cheek, the smiles or frowns, and all expressions of feeling on the mobile face, the motions of the head, the slight shrugs of the shoulders tell as much as, often far more than, the spoken words. Good Talkers and Readers. Then how much more expressive is speech than writing. The written word has one meaning — the spoken word may have a dozen. We vary it with every mode of utterance. Written language, how- ever carefully taken down, may give but the faintest idea of the elo- quence, or even the meaning of a speaker. Thus no reporter can do justice to some orators, who have produced the strongest impression upon multitudes of hearers ; people delight us with the warmth, grace and vivacity of their conversation, whose words, if accurately written down, would seem tame and insipid. The life that goes with the speech is wanting. In reading, words have what we are able to put into them. Good readers are those who can express the sense and sentiment of a writer as he would wish to express them in speech. As we all talk more or less ; as conversation is the life, the nervous circulation of the social body, we should try to talk well. To do this we must have intelligence, knowledge, facts of interest, things and thoughts, ideas and sentiments, which others may wish to hear ; and we must be able to convey our ideas in a clear and pleasant manner. THE ART OF CONVERSING WELL. 475 Every one can bring something to the common stock of conversa- tion — the commerce of knowledge and thought, where all freely receive and freely give. The preacher is paid for his sermons, the lawyer for his opinions, the doctor for his prescriptions, the author for his writings, but conversation is generous and free. It asks only reception and appreciation. Those who have are eager to bestow their treasures, and good listeners are as necessary as good talkers, and required in much larger proportions, for to every talker there ought to be ten listeners. When companies divide into couples, and a large room is full of the hum of private discussions, it can scarcely be called conversation. A large party must break into groups, but not into couples. When people know how to listen as well as to talk, the larger the group the more life and variety to the conversation. We doubt if two persons can properly occupy themselves in conversation without an apology to the rest of the company. Guiding the Conversation. It is well that every group should have its leader or centre ; not always the one who talks most or best, but the one who listens, manages, suggests and draws out or gives opportunites to others. A lady of tact and intelligence does the best. She guides conversation as the coxswain steers the boat, or the four-in-hand driver manages his team, checking the restive, touching up the dull, and keeping all in order and up to their work. A lady who can do this, not only for a single group, but for a drawing-room full of guests, arranging com- patibilities, and seeing that all are having the best enjoyment of these opportunities, is fit to be a hostess and social queen. If the first qualification for conversation is to know how to speak, it is, in some ways, a more important one to know how to listen. Wc draw out, encourage, excite and elevate by our manner of receiving and accepting what one says. The orator gets life, suggestion and support from his audience. He is borne up by the waves of thei*' appreciation. Good listeners make good talkers. 476 THE ART OF CONVERSING WELL. A good listener never interrupts, unless very adroitly v^ith a ques- tion or objection, which is also a suggestion and help to tke speaker A good listener is patient and courteous, and does his best to give every one his full opportunity. He does not necessarily agree with what is said. The free expression of difference of opinion is the life of conversation ; but a courteous, and even friendly toleration is its necessity. There is a limit to the proper expression of felling in conversation ; and dissent may be very decided, without being violent or disrespectful. Let People Speak Freely. We must have the same regard to the rights of others in conversa- tion that we ought to have in business. Let every fact have its place, ^nd every argument its weight. To interrupt, overbear, crush with 5:lamor, silence with assumption, are violations of equity, as well as politeness. We may discuss freely, but never dispute ; we may fairly controvert, but we have no right to denounce. And we can never mpute bad motives to persons who hold opinions contrary to our ^wn. A man may be wrong in his facts, absurd in his logic, and hi.«^ ioctrines may be ever so distasteful, or even dangerous, but he mast be treated with kindness and civility, and his motives judged of with charity. It is better, perhaps, that subjects which excite strong emotions, and are liable to produce partisan conflicts, should not be made sub- jects of conversation in general society. In a country where there are so many religious sects and opmions, giving rise to violent ani- mosities, it may be well to banish religious discussions entirely ; but when newspapers, pamphlets, books, treating of such subjects, are read by almost every one, it is very difficult to keep them out of general conversation ; and conversation is, as it must be, more polite than writing. ^o be a good listener, then, we must be very tolerant — not of error itself, but of its expression; not of the fault, but of the individual who is fa\ilty. As one may detest the sin, and yet love the sinner, so one may reprobate what he esteems a false opinion with entire calmness THE ART OF CONVERSING WELL. 47? and unfailing courtesy. To be a good listener, we must be entirely self-possessed, '' swift to hear, slow to speak, slow to wrath." It is polite to listen ; it is often a real charity. We gain more esteem by what we hear than by what we say. Perhaps the highest art in conversation is to make others talk. The man who hears you may be bored ; the man who talks to you never is. He may be dissatis- fied with your views ; he is sure to be pleased with his own. How to Escape a Bore. And if a man is tiresome, or becomes so by talking too much, the best way to escape is by a compliment. Thank him for the pleasure he has given, and do not deprive others of the benefit of listening to his instructive remarks. We are not to be insincere ; for everybody is instructive, though too much of some kinds of instruction may become monotonous. But a man of tact will be able at any time to give a new turn to conversation, and adroitly throw it into the hands of a more entertaining colloquist. Every one who goes into society — that is, who meets n's Icllowmen anywhere where conversation is possible — should know how vo talk. We have written of speech as an accomplishment. We should speak loud enough to be heard, but not loud enough to stun those who are near us. Boisterousness is a sort of insolence. But we should speak with perfect distinctness, so as never to be obliged to repeat a sentence. An even flow of speech is a great comfort to the hearers. It is a pain to listen to people who speak painfully, and find it difficult to get out their words. Speech should be easy, simple, graceful, and, if possible, picturesque, animated, and melodious. There is no music like beau- tiful speech. But the matter of speech must be as choice as the manner is good. When we have said good-morning, and made our congratulations or condolences on the state of the weather, and inquired about the health and conditions of mutual acquaintances, there is still something to be said. The world is full of interesting things, near or remote. Generally the near things are the most interesing. A burglary in the 478 THE ART OF CONVERSING WELL. same street is more to us than the destruction of a city in another hemisphere. We cannot compel people to take an interest in the things that we consider most important. We must take the topics that are current at the time. If a great war is raging, it absorbs all interest. So a trial at law may fill newspapers and conversation. Some political movement, or some social scandal may be the topic of the time. We iiust do our best with the materials at hand ; and what we need is a point of departure. When the conven ation is begun, no one can quite tell what course it will take. Don't Do All the Talking. In talk there must be no monopoly. No one person ought ever to speak more than two or three minutes. Anecdotes or stories can only be used for illustration, and the most interesting one should not last five minutes. Give lectures, or go to lectures if you will, but there must be no lectures in conversation. Every person who wishes to speak must have the opportunity to do so just as much as to eat and drink ; and when a man has had his say on any subject he cannot do better than to turn to some silent, but interested person — one of another sex, if convenient — and see what new contribution can be made to the common stock. And almost every conversation is the better if seasoned with wit and enlivened with gayety. Humor is a gift, like poetry or music. Fun bursts out like fire. Wit is different. Sorne are quick-witted, and are always ready with some pertinent or impertinent remark, but others think out their retorts, as Byron did, and only come to them next day. Such people do well to think over all probable matters of conversation, and have their impromptus ready. But why should not a lady who is giving a party have her good things laid out with her clean linen, and all her jokes, and puns, and repartees in readiness, as one packs a hamper for a picnic ? With a full mind and a good memory, no one can be at fault. The good memory supposes order and self-possession. But all conversa- THE ART OF CONVERSING WELL. 479 tion should seem to be spontaneous, and prompted by the occasion. Story-tellers should have good memories, not only for the details of their anecdotes, but to avoid telling them too often in the same com- pany. The same story should not be told more than twice, unless urgently demanded. The specially social quality is good nature, amiability, the desire to please, the kindness of heart that avoids giving offense, and cannot bear to hurt any one's feelings. A good-natured person may frankly disagree with you, but he never offends. He quarrels good naturedly. He boxes with gloves on — when he fences ever so deftly, there is a great soft button on the end of his foil. He may satirize, ridicule, open up all your weakness and absurdities, but so kindly that you can- not help loving him. He cannot say a harsh, hard, bitter, or contemptuous thing, because he has no hardness and no contempt. Avoid Every Approach to Vulgarity. This is siirple, natural goodness, like the goodness of fond and friendly animals. It may not be a high moral virtue; there is no particular merit in it any more than in beauty or any natural gift, but it is a very delightful quality, and those who do not possess it should imitate those who do. Just as we avoid in person, dress, or manners, anything that may gii"5 disgust or pain, so must we do in our conver- sation. We must no more use vulgar expressions than we would wear vulgar garments. Our talk should be as clean as our fingers. We should no more bite one with our words than with our teeth. An angry word is as bad as a blow, and a satirical word is like a sting. If we are never to say anythii;ig to a person which will give him disgust or pain, we must be even more careful not to say anything of any one which will injure him in the estimation of others. Playful, good-natured criticism upon the little foibles and peculiarities of others, may be no harm, and even useful, but it ceases to be good-natured when it gives pain. Slander is a sin much worse than theft. Charity forbids that we should even tell the truth, when that truth can wound and injure. The best rule is to say all the good we can of every one, 480 THE ART OF CONVERSING WELL. and to refrain from ever saying evil, unless it becomes a clear mattet* of duty to warn some one against him. At table, every subject must be such as will not interfere with appetite and digestion. The conversation should be light, so as not to tax the brain when the life-forces are gathered to the stomach. It should be cheerful, which is another name for convivial. It is better not to talk of food, because if people speak of their likings, they may also speak of their dislikes, and what one is fond of may disgust another. There should never be mentioned at table any subject of possible disgMSt. bubjects Not to be Mentioned. Some say one should never mention at table anything which might not properly be placed upon it. Consequently, one should never mention disease, or medicine, or anything connected with either. If one speaks of a voyage, he must omit the interesting fact of his having been seasick. At all well-regulated water-cure establishments there is an absolute rule against the mention of disease or treatment. There may be no harm in saying, ''I had a glorious douche this mx)ming; " but the discussion that might arise is to be avoided. Generally, noth- ing must ever be said at table which could, directly or indirectly, excite disgust. No more must there be said anything to excite anger. This is, of course, the rule in all conversation ; but it is especially dangerous to get angry over one's dinner. Perfect good nature, and a certain degree of hilarity, befit every feast. People who are serious and thoughtful at table, are liable to become dyspeptics. The con- versation should, therefore, be easy, playful, and mirthful. Party politics and sectarian religion may, therefore, as well be postponed. In England, ladies leave the table soon after the dessert is served, and the gentlemen draw closer for wine and talk. A few years ago they drank much more wine than was good for them, and much Oi their conversation was quite unfit for ladies to hear. In our better days, no gentleman dares to reel back to the drawing-room ; and the conversation of gentlemen is never indecent. Under these reformed conditions, why should the ladies leave the table at all, until all can THE ART OF CONVERSING WELL. 4^1 go together, as they came ? There is no reason, but that Englishmen cling to all the old customs, however unreasonable. If a thing has been done once, the precedent is established, and it must be done forever. But nothing can be done the first time, because it is unprecedented. In France and America, ladies and gentlemen leave the table together. We have books of the table-talk of famous talkers from Martin Luther to Sidney Smith, one of the most genial and benevolent as well as wittiest of colloquists ; still, the dinner-table is not the place for intel- lectual conversation. The tea-table suits it better. The reception and the conversazio7ie ^ where the refreshment of the body is quite a secondary matter, are places for real conversation. Morning parties on the hills, in forests, on shaded lawns, where well-assorted groups can read and talk, are perhaps best of all. Common Sense and Information. To talk well, we must have both sense and knowledge ; but one who has sense must have knowledge also. The experience and i)bservation of every one's life is an education. He who knows him- self knows the most of what is worth knowing ; and all knowledge consists in self-knowledge, and the knowledge of our relations to the world around us. Common sense, or the sense of things common to human beings, our thoughts and feelings, and the matter of our lives, is the best sense we can have, and what helps us most in conve**sation. We do not usually talk about the sciences. How seldom are geol- ogy or astronomy mentioned in conversation. Chemistry is less dis- cussed than cookery. Men do not talk much of geography or geom- etry. History and biography come nearer to us, and still nearer politics and commerce, literature and art — that is, the newest novels, and poems and pictures, or the songs of the season, are conversational topics in the best society. One must read the current literature, and know what is going on in the world ; but the best of all knowledge for conversation is the knowledge of men, women and life. And of all talents none is so useful as sympathy. When we feel 31 482 THE ART OF CONVERSING WELL. with and for our fellows, and can enter into the thoughts and feeilngs of every one we meet, rejoicing in their joys, sharing in their sorrows, ready with comfort and help, then our conversation is a delight. We win all hearts by sympathy more than by all gifts and accomplish- ments. The sympathetic attract ; the cold and heartless repel. We admire beauty, elegance, wit, eloquence ; but we love geniality, friend- liness, goodness. It is not necessary that these qualities should be expressed in words. Professions of benevolence, or of any virtue, are repulsive. All egotism is selfishness, and selfishness is the quality directly opposed to benevolence. We can show our love of virtue by prac- ticing it, and recognizing and praising it in others. Adapt Yourself to Others. Our sympathy comes out in a thousand ways, and it is seen and felt by those who need it. It beams in the face of a kind-hearted man or woman, and reveals itself in the tones of the voice, and every mode of expression. Sympathy especially shows itself in the power of adapting ourselves to others — of becoming all things to all men, that we may do them good. There are some faults we must carefully avoid in conversation — faults of character and faults of manner. It is not only our right, but it is our duty, to conceal our faults. If we have bad feelings we must suppress the expression of them. If I am angry, must I vent my rage ? So if I feel emotions of pride or vanity, am I to strengthen them by giving them expression in words or actions ? Certainly not. Every one in the company of others is on his good behavior. People who snap and snarl at home are polite enough abroad ; and the more they are under such restraint, the better. Society civilizes. The more we bring people together the more we improve their manners ; manners become habits ; habits mould hearts. The lady who boasts becomes ridiculous. Modesty is a virtue highly appreciated by everybody's self-esteem. If I vaunt myself, my family, my property, my deeds, and make myself or any of my fHE ART OF CONVERSING WELL. 483 belongings the subject of conversation, I offend more or less all who listen to me. It is distasteful to the meek, and offensive to the haughty. It is only in droll, bantering ways that people can speak of themselves, and the less they do so in any way, the better. A lady may, of course, tell her own story, simply and frankly, without con- sciousness of merit or affectation of modesty. She may relate things of herself very much to her credit, if their is no vainglorying. Pass by Yourself. ^ man can talk best of what he knows most about, but there is egotism and a temptation to some sort of vainglory when a man speaks much of his own profession or employment. We must talk of what interests others rather than ourselves, and in any case consult the tastes and enjoyments of others — the greatest good of the greatest number. There is a proverbial prohibition against ''talking shop.'' The clergyman is not to wear his surplice and the lawyer is not to carry his green bag. The doctor who has spent the morning in consul- tations should be glad to rest from patients and diseases. Society is for recreation ; so every one can leave his work, and give play to faculties which need exercise. Still, when questions arise in con- versation it is natural to appeal to those who have special knowledge. It is best in all conversation to avoid technicalities not generally understood. As we modulate our voices so as to reach the most distant person in the group, so we should adapt our language to the comprehension of the most ignorant. The skilful orator is careful not to speak over the heads of his hearers when he wishes to " con- vince, and reserves any high flight for the corruscations of his perora- tion. In conversation such displays are out of place. We talk to instruct and amuse ; and amusement should be the vehicle of instruction. Slang, doubtless, cannot be entirely banished ; but it should be used very sparingly, and only the newest and best. Very nice slang becames incorporated into the language. Poor slang has its day, and is thrown aside like last year's fashions. Most slang quickly becomes vulgar. One day some clever or fashionable person, econom- 484 THE ART OF CONVERSING WELL. ical of breath, said *' thanks " instead of " I thank you." Many- followed his example, but when the shop-boys began to pelt him with " thanks " he returned at once to be more elaborate expression. There was a time when the most opposite things were ** awfully nice," but the alarming phrase went out with crinoline or chignons. There is a slang dictionary which it might be well to look over so as to see what to avoid. A Dead Sea of Commonplaces. Pet phrases and hackneyed commonplaces of expression destroy originality. The talk of many persons is entirely made up of these threadbare formularies. Many sermons are a patchwork of them ; and we hear speeches of men of celebrity which consist almost entirely of conventional phrases. All this we should carefully avoid. Life is too short to spend in that way. The man who must talk twenty minutes when he has really nothing, or next to nothing, to say may be excused for padding out with a mess of verbiage. But in conversation the more we condense, the quicker we hit the nail on the head, the better. Diffuseness bores. A dozen persons are eager to express an opinion, or launch a witticism, and you pointlessly prose away for fifteen minutes. Only persons of very high position can be tiresome with impunity. The stage gives us models for conversation. There are no long speeches or stories. No dramatist dares make an actor speak unin- terruptedly for five minutes. Even the set orations in Shakespeare are delightfully short and to the purpose. No audience will hear a long, dull story badly told. Everywhere there must be fire, spirit, animation, deep earnestness, or lively fun, something to interest or amuse, to excite our sympathy or provoke our mirth. A social party is an improvised comedy in which every actor should play his part as well, at least, as if he were on the stage with pay and plaudits. The actor, it is true, has his part written for him, studies it carefully, and practices with frequent rehearsals ; but in our social life each has his part, with all his lifetime to make it perfect; THE ART OF CONVERSING WELL. 485 with constant rehearsal, and daily improvement in thought, expression, and action. Surely this work in earnest is better than any make- believe. What we need for the conversation of social life is a good heart, a full mind, an earnest desire to please, the tact and delicacy never to offend, the motives of a Christian, and the manners of a gentleman or lady. If you have read much and remember what you have read; if you heve travelled much, and can describe well what you have seen and heard ; if you have seen much of the world, and possess a fund of observation and anecdote ; or if you are simply a clear thinker, and can easily arrange your thoughts, and group them into a picturesque expression, you have a right to a large share of the conversation of any circle. Use Choice Language. Let your words be as fit and well chosen as your clothes. Avoid coarseness and vulgarity in speech, as you would in costume. Dress your best thoughts, in words and phrases of corresponding bec^.uty. Plain and homely subjects do not bear finery of expression ; but a delicate sentiment may well be embellished with the flowers of rhetoric. The first salutation may decide your fate with respect to the person you salute. Boldness may disgust, bashfulness seem a confession of meanness. People are inclined to take you at your own estimate or price, unless you appear to set it too high, when they are put on their guard not to be cheated. Let your first address, then, be firm, quiet, dignified, cordial, but not too forward ; confident, but not presuming, and as easy, natural, and unaffected, in air, gesture, and language, as possible. There are people with whom you are acquainted and at your ease in two min- utes. But such persons are entirely at ease with themselves ; entirely natural in their expression of themselves. They are what they seem, and seem what they are. The common principles of equity or justice preside over conversa- 486 THE ART OF CONVERSING WELL. tion. All principles are universal in their application. We iiave no more right to be intrusive, or despotic, or overbearing, or in any way dishonest in our conversation, than in any other mode of action. We have no more right to pass off a counterfeit sentiment or a false opinion, than we have a counterfeit note or a false coin. Conversation should, therefore, first of all, be honest. There is a certain allowance for irony, raillery, satire, and jocularity, as there is for games, sports, and pastimes; but whatever purports to be an expression of fact, or opinion, or feeling, should be altogether truthful Lying, and Accusing Others of It. Two things we must never do. We must never tell a falsehood, and never accuse another of telling one. The one is a great wrong, the other a great insult. A lie is in the intent to deceive, and thereb}( injure. The untruth of badinage and drollery has no bad motive, and neither deceives nor injures. A mystification is not meant to harm any one. Irony may be the opposite of literal truth. But real, essential truthfulness is the first element of social confidence ; and we should be carefully accurate in all serious speech, and never accuse another of what we would not do ourselves. If we doubt the correct- ness of a statement, we must express that doubt with delicacy and politeness. It has been said that the hardest thing to tolerate is intolerance. But intolerance is bad manners, and bad manners are intolerable. The rule is not to intrude our own beliefs or unbeliefs, and especially the latter, for the assertion of unbelief is an attack upon belief Infidelity is negation — contradiction. We may excuse the earnestness of one who wishes us to accept his belief, but why should a man wish to convert us to his unbelief? In any case, a man <,! delicacy and humanity will avoid giving pain. Indecency of language is banished from all decent society. Equiv- ocal expressions, double entendre, jests which mingle blushes with laughter are no longer tolerated. The novels that were once fashion- able have become unreadable ; the comedies that once drew crowded THE ART OF CONVERSING WELL. 487 and applauding audiences are scarcely read in the closet ; the songs and stories that once set the table in a roar are never heard. At the same time, there is less squeamishness and more freedom in the seri- ous discussion of important though disagreeable subjects than formerly. The facts of our social condition cannot be utterly ignored, and earnest discussion must accompany earnest work. The evils of rfociety must be known that they may be remedied. They must be grappled with, or they cannot be removed. Such matters, however, can be mtroduced only by common consent, and in accordance with the law of supply and demand. The few should not force their favorite topics upon the many, and the many should have some regard for the feelings and even the prejudices of the smallest minority. Impertinent Questions. In conversation^, questioning is often disagreeable and even offen- sive. Curiosity may become intrusive. No one likes to be cross- examined. No one likes prying into his private affairs. People do not like to be questioned about their ages, business, property, or per- sonal relations. There are pertinent and impertinent questions ; ques- tions which draw people out, and help them to talk well ; but there are also questions which embarrass and annoy. As a rule, it is better to make observations and suggestions than to ask direct questions. To make a butt of any person in company, to expose him to ridi- cule, or turn the laughter of the company against him, is as much an outrage as it would be to pull his nose, slap his face, or box his ears. Ridicule is only justifiable where it is a fair game that two can play at ; a contest of well-matched wits, who encounter like a couple of wrestlers or fencers. Women of great genius and varied talent are sometimes almost entirely lacking in conversational powers. Brilliant writers are often very poor talkers — shy, dull, silent, with no power of expression. On the other hand, an extreme volubility of small talk and common- places may accompany the utmost shallowness of mind. 488 TITE ARl' OF CONYERSING WELL. There is a power in conversation, as in all modes of expression, which may be termed magnetic. Certan persons impress us deeply with a few simple words, or a quiet gesture, or a mere Icok. The words are nothing, the action is but a slight and simple movement, yet there is a power in them to charm, to thrill, to subdue us. It is the force of the spirit, the magnetism of a strong and penetrative or sympathetic soul. The same words from another person would not affect us. This power in an orator or an actor is quite distinct from his sub- ject or his words. It is his own power. He may be speaking on any subject ; preaching any doctrine. It is beHeved by some that this mysterious power is communicated to the manuscripts of certain writers, and even to their printed works. Show Attention and Interest. Inattention, or the appearance of inattention, to a person speaking to you, is very bad manners. You should not only listen, but should seem to do so ; and do nothing which can detract from that appear- ance. You need not continually reply, " yes," " ah ! " " no," " you don't say," " fancy! " These exclamations have the benevolent inten- tion of showing your interest in the speaker, and encouraging him to proceed, but they are something more than is requisite. Listen with a silent, thoughtful, interested or pleased attention. Look at the per- son who addresses you. Look him clear in the eye, or at least watch the expression of his countenance. Many admirable conversationalists never argue or dispute. They assert the facts they know or believe to be true ; they propound such principles as they entertain ; they give opinions or make suggestions. If their facts are doubted or denied, they leave them to be settled by observation, testimony or competent authority. If their principles are questioned, they may state the science or analogies on which they are based. If their opinions are criticized, they only ask for the same toleration they give to others. Their suggestions and surmises are to be taken for what they are worth. I THE ART OY CONVERSING WELL. 489 But many persons are fond of disputation. It is a mental exercise ^an exciting game — a kind of cerebral gymnastics. Within the bounds of good breeding, and so conducted as not to give annoyance to others, these discussions may be harmless and even advantageous. But they can rarely be entered upon in general society. Men argue, not to be convinced that they are in the wrong ; not always to set others right, but to display their skill or triumph in a contest. Even in public discussions, where two or more able men are pitted against each other, and the partisans of each combatant assemble to hear them, how few are ever converted from one side to the other ? Opinions Seldom Changed by Hot Discussions. In most discussions, we contend with prejudices, bigotries, and idiosyncrasies. How seldom do all the controversies continually going forward, in private conversations, in the pulpit, and by means of the press, convert a religionist, or even a politician, to an opposite faith? Politeness is truly cosmopolitan. It does not ask where one was bom, or what she believes, nor even what she does, so long as it is her own personal affair. It only requires that she be a lady ; and one true lady can do nothing to offend. A bigot cannot be a lady, for she must obtrude her own prejudices, and attack those of others. A certain degree of tolerance for a variety of opinions, manners, and morals, adds to the interest of society, and prevents the necessity of excluding so many subjects that nothing remains to talk about. Doubtless, the more there is of freedom and toleration, the more interesting must be the conversation of any circle. People who wish to please others pay them compliments, praise them, flatter them. Flattery is indiscreet, insincere, or selfish praise. Undeserved praise is the severest censure. Indiscreet praise exposes us to the jealousy of others. Insincere praise is lying with a benevo= lent or selfish motive. But honest, judicious praise is a matter of justice as well as kindness ; and it not only gives pleasure, but is often a real benefit. We are probably too reticent in this respect— tor 490 THE ART OF CONVERSING WELL. stingy of our applause. It is better to freely, generously, graciously commend whatever we find of excellence, and even all well-meant, even if uncuccessful, efforts. What a stimulant to effort is the hearty greeting of an artist on his first appearance before an audience. The enthusiastic applause which rewards success is very delightful. We cannot always give the same expressions of applause in society, but we can and ought to give a frank expression of our good will, pleasure, admiration, and gratitude. We want more simple heartiness in such matters, and much less of that reticence which seems like stupidity, indifference, envy, or contempt. The rules of politeness are never at variance with the principles of morality. Whatever is really impolite is really immoral. We have no right to offend people with our manners or conversp^tion. We have no right to deal with or be influenced by gossip about the people we meet. Their private affairs are none of our business. If we believe a man to be unfit company for us, we must not invite him, but if we meet him where he has been invited by others, we must treat him with civility. Cast Out Notorious Offenders. If we know a man or woman to be a grave offender, we cannot use that knowledge to injure him or her, unless it is absolutely needful for the protection of others. The greatest and best men in the world have been assailed with calumny. The purest and noblest do not always escape it. We cannot investigate — as a rule we must disre- gard — all slanders. Where great offences become notorious, the offenders must be excommunicated. In all other cases we must give every one the benefit of a doubt ; apply charitable constructions, hope for the best, and consider every one innocent until he is proven guilty. There are little blunders in conversation we do well to avoid. It is better not to call out the names of persons we address. We have no right to call attention to the business or profession of any person, or our own, or to introduce private affairs into general society. Few THE ART OF CONVERSING WELL. 491 people like nicknames ; and we must give people their proper desig- nations, unless they really wish us to do otherwise. Avoid expletives and exaggerations, and deal sparingly with ex- clamations. You cannot laugh without explaining what you are laughing at. You cannot whisper without apology. Do not speak to any person in a language a third party cannot understand. This does not, of course, apply to the case of a foreigner, whom you address in his own language — but even then you ought to interpret. Do not quote Latin or Greek in the presence of those who may be presumed to be ignorant of either. The rules for conversation are the same as for all behavior — simplicity, modesty, a calm self-possession, reverence for age and superiority of every kind, a desire to please others and promote their happiness, a forgetfulness of self, or utter absence of all selfishness, care of the absent, justice, benevolence, chanty. CHAPTER XXXV. Miscellaneous Rules of Etiquette. lights of the Sidewalk — Meeting on the Street — Washington's Politeness — ^Th« Veil — Street Recognition— Behavior in Church — Punctuality — Reverent De nicanor — The Tardy — The Talkative and Restless — Expressing Approval- How to Treat ** Company" — Gallantry — Politeness at Home — The Hoiden— The Prude — Indoor Recreations — Undue Familiarity — Courtesy to Strangers- Formal Calls — Social Visits and Entertainmerts — Simpering and Frivolity. 'T'TOUNG people often seem unconscious of the fact that their J^ behavior on the street attracts the attention of older people, and impresses them with favorable or unfavorable ideas of their character. Propriety should govern all street behavior. Polite people never do anythmg on the street to attract attention ; they should neither talk in a loud, boisterous manner, nor laugh uproariously. Conversation that is so noisy as to attract the attention of the passing crowd is either the result of ignorance or of a petty effort to secure a little vulgar notoriety. It is not courteous for young persons of either or of both sexes to have long conferences on the street, as they may obstruct the side- walk, and at the same time excite both critical and unpleasant remarks. Every person is entitled to his share of the sidewalk, and this right should always be respected. It is only the rude, low-bred woman and the blustering bully that assert their vulgarity by refusing to give the half of the pavement. As a gentleman or lady can nevei afford to come in collision with such people, it would be better tHey should even leave the sidewalks than be jostled. To assert ovir real or fancied superiority by depriving others of their rights is rude and vulgar. When persons pass each other on the pavement, they should observe the same rule that drivers do on the street, in order to avoid the inconvenience and danger of a collision. P^ach should kesep to the right. When a gentleman and lady walk in company, he shouUi 492 RULES OF ETIQUETTE. 493 be at the lady's left, in order to prevent those passing from running against her. There is no necessity for the gentleman to change his position at every comer, in order that he may be on the side next the street. She will be protected better if always at the gentleman's right. Persons walking in company should always keep step together. When a gentleman and lady cross the street in company, and the crossing is narrow and muddy, requiring them to go singly, delicacy requires that he should precede her, for the same reason that he should be the first to go upstairs and the last to come down. Persons should not be so engrossed in conversation as to pass their friends upon the street without notice, if it only be a slight inclination of the head and a pleasant smile. Serious offense may be unwittingly ^iven to those whom we should have recognized, but seemed to forget. Such apparent neglect is very trying to the self-love of sensitive people, md may be mistaken for intentional rudeness. Anecdote of Washington. Captain Stephen Trowbridge, once the oldest male inhabitant of Vlilford, N. H., told the following incident of Washington's visit to hat village in 1 790 : While the latter was walking about the town, attended by a number of his officers, a colored soldier, who had fought under him and lost a limb in his service, made his way up to the general and saluted him. Washington turned to this colored soldier, shook hands with him, and gave him a present of a silver dollar. One of the attendants objected to the civilities thus shown by the President of the United States to such an humble person ; but Washington rebuked him sharply, asking if he should permit this colored man to excel him in politeness. When a lady appears on the street with a veil over her face, it may sometimes be a sign that she does not wish to be recognized, and an acquaintance may pass her as a stranger, without either giving or taking offense. If the lady, on approaching, shall remove her veil, it indicates that she wishes to be seen and known. Young people should always be prompt to acknowledge the polite- 4U4 RULES OF ETIQUETTE. ness of those who notice them. They should never speak to their superiors first, as it might be construed as a mark of pert familiarity ; but when a lady or gentleman wishes to salute them, they should respond with a pleasant *' good-morning" or "good-evening," as the case may be, accompanied by an agreeable smile. It is expected that a lady will always recognize the gentleman first; a girl, the boy ; and, as a rule, the superior the inferior in age or statioa It is presumed that young people know and are willing to respect the usages of the church which it is their custom to attend ; but as it may not be so clear what politeness requires of those who visit churches of other denominations, a few words may not be inappro- priate upon the subject. As has already been indicated, the right of worship is one of the inalienable rights of every man, and it is one of the glories of our republican government that it assures to every man the full enjoyment of this right in the erection of houses of worship, and in the exercise of any forms of religious service. Behavior in Church. There is a marked difference in the forms of worship in the syna> gogue, the cathedral, the church, and the meeting-house, and if the Jews, the Catholics, the Episcopalians, or the Friends will open their doors, that we may witness their ceremonies, the least that we can do in accepting their invitation is to behave in a becoming manner. No more serious offense can be committed than to show disrespect to any person's religious faith, especially in the house dedicated to the wor- ship of God. As our attendance there is an entirely voluntary matter, we shall be inexcusable if we injure the feelings of any by an apparent disregard of the sanctities of the place. Mrs. Chapone was asked why she always went so early to church. -' Because," said she, " it is a part of my religion not to disturb the religion of others." Appreciating this idea, we should be punctual to the hour appointed for the services to commence, or, if by accident we arrive too late, we should wait at the door during the opening exer- cisC; and enter when there is a change in the service. RULES OF ETIQUETTE. 495 The entrance to the church should be in as noiseless a manner as possible, and with as little clattering of shoes or rustling of dresses as can be made. Such exhibitions as are sometimes given of new fashions by those who enter late provoke criticisms, not only unsuit- able to the time and place, but also very uncomplimentary to the exhibitors. Refined people never display such extreme vulgarity. If we are not acquainted with the usages of the place, an officer or person appointed for such duty will conduct us to a suitable seat. If invited to follow him, we should do so, taking the place he assigns, and thanking him quietly, at least by a smile, for his courtesy. Conforming to Customs of Worship, It is the custom of the Turks, when they enter a mosque, which is a Mohammedan place of worship, to take off their shoes, that the sacred place may not be defiled. There are those in this land who, v/hen they enter even their own church, not only do not remove their shoes, but fail also to clean off the mud that adheres to them. A decent respect for the usages of good society might prompt such people to practice the external rules of politeness, even if no higher motive should influence them. If the services are such that we may properly join them, it is our duty to do so. It is rude to sit when the congregation stands, unless we have some conscientious scruples against standing. If there be anything strange or peculiar in the ceremonies, it is the grossest rude- ness to express any marks of disapprobation or contempt by talking or laughing. Such misconduct is inexcusable. Nor is it proper to read a paper or book during the service, as it appears disrespectful to the minister, the choir, and the congregation, by an implied indiffer- ence to the sermon and the services. Do not appear to be inattentive, not look at your watch, nor yawn, nor sleep, nor be in an unbecoming haste to leave when the exercises are over. Unless sickness or some imperative call compel you to leave the house, you should remain until the close of the service. When the congregation is passing from the house, do not crowd and 496 RULES OF ETIQUETTE. jostle, as if you were in a hurry to leave. Be calm, decorous, and dignified. If a lady, you should refuse to be escorted by one who waits outside for your appearance. When we buy a ticket to a concert or lecture, we purchase a right to all the enjoyment the entertainment affords, subject, however, to the restriction that we do not interfere with the rights of others. We may secure a reserved seat, but have no right to go in at such a time or in such a manner as to disturb others after the exercises have com- menced. If the seats have not been reserved, those who come first have the choice. It is not uncommon to see men and women enter the hall after ths exercises have begun, who seem utterly ignorant of the proprieties ol the place, or indifferent to the rights of all present. Oftentimes they take no care to come in gently, and manifest no desire, apparently, to avoid the disturbance their entrance occasions. It is such women that push up far to the front, and stand at some gentleman's side, who has come early and secured a seat, in the expectation that he will surren- der his place. Gentlemen are thus sometimes deprived of their rights by the coarse manners of an unfeeling, selfish woman, who has not zv^n the politeness to acknowledge the courtesy. A Mark of Bad Breeding. A lady should feel a great reluctance in depriving an acquaintance, and much more a stranger, of a seat to which she has no claim. Any gentleman who surrenders his seat under such circumstances does it out of pure gallantry, and any lady who receives such a favor should feel under special obligations, and promptly return her thanks to the donor. The neglect of such an acknowledgment is a mark of very bad breeding. The signs that distinguish rude pupils in school are the very same that mark the impolite at the concert. They talk and chatter and simper, to the intense disgust and annoyance of the really discrimina' ting and intelligent portion of the audience. Well-bred, persons pay aiore respect to the rights and feelings of their neighbors than to RULES OF ETIQUETTE. 497 indulge their own selfishness in that manner. The cracking and eating of nuts, and the rustling of fans, programmes, and dresses, are all exhibitions of thoughtless rudeness, and are unbecoming in a place devoted to literary or musical culture. Young folks, on such occasions, are sometimes excited. They lose their self-possession, and become impatient for the exercises to begin. Feeling in this condition, they offend against good taste by whistling, cat-calling, and shouting. Such exhibitions of vulgarity do not dis- tinguish refined and polished people, and always give sffense to the better and more cultivated portion of the audience. Showing Approbation. If the sentiments of the speaker or performer are agreeable, we may approve them by the clapping of hands for his encouragment but if they do not meet our approbation, we need not offend others by hissing or giving other evidences of disapproval. We must bear in mind that every man and woman has a right to express opinions in this country, and if we do not like them we are not compelled to hear them ; but if we go to learn, it is our duty to listen patiently and for- bearingly. Stamping is a very objectionable form of applause, since it usually raises a dust, that is very disagreeable to the audience. It is one of the rudest breaches of politeness for a lady to intimate to a gentleman that she would be pleased to have him escort her to any public entertainment, especially where tickets are to be purchased. Such conduct would place her under a very unpleasant sense of obli- gation, and maybe the cause of much embarrassment to the gentleman. He may have other plans which will be disturbed by such an invitation, or, if he be in limited circumstances, the loss of the money may prove a serious inconvenience. If he gives the lady an invitation, it rests with her to accept it, or respectfully to decline. No young lady will accept such politeness without the approbation of her family and friends, since it is probable that they have better opportunities of knowing whether all the circumstances are suitable. Before the hour appointed, the young gentleman should call at her 498 RULES OlP ETIQUETTE. residence, when she, anticipating his coming, should be ready, without delay, to accompany him. Sometimes young ladies are very incon- siderate. Although they are aware they will be called for, they postpone their preparation until it is so late that they lose much of their pleasure in their hurry, or mortify their friends by coming late. If a lady declines to accompany a young gentleman, she should not mention it under any circumstances. It is very unbecoming, when he is so polite as to offer her a kindness, that she should add an insult to the refusal by telling it. A real lady is never boastful of her ability to win admiration, and, much less, should she be willing to triumph over those whose attentions she has declined. Imposing upon Gentlemon. On entering the place of amusement, the gentleman should precede the lady, secure a seat for her, and not let her hunt one for herself. It is extremely indelicate for a lady even to suggest that a gentleman should make a purchase of any luxury, as fruit, nuts, or refreshing drink, although it would be proper to request him to procure a glass of water. The latter, generally, could be easily obtained by a little personal effort, which he would gladly make ; while the former might cost what he could ill afford to spend. When the exercises are over, the gentleman should accompany the lady to her home. If the hour is suitable, the lady may invite him into the house ; but, if it is too late, she should say, very frankly : " It is too late to invite you to come in, but I shall be pleased to have you call again." It is very unbecoming for young people to stand at the door to converse, and may give rise to unpleasant remarks. No young lady can be too careful to prevent the appearance of any familiarity that may not seem to be sanctioned by her parents and friends. If the gentleman enters the house, he should be too prudent to prolong his stay beyond a proper hour, and thus " wear out his welcome." Such thoughtlessness may interfere very seriously with the arrangements of the household, and prove a real trespass upon the time and good nature of the lady herself. RULES OF ETIQUETTE. 499 One of the distinguishing features of our times is the respect that is shown to woman. The lowest civilization exhibits the female as degraded and oppressed ; treated like a beast of burden, and made entirely dependent upon man ; while the condition of society in w^hich we live is made remarkable by the fact that she is recognized as the equal of man, socially and religiously, and fit to be his trusted friend and counselor. Her claims to the best education are respected, so that she may become intellectually as great as her industry, her capacity, and her ambition will allow. There is no limit to woman's influence for good or evil. What she is fitted to do she may accomplish, and every day her ability is demonstrated in new and hitherto untried fields of exertion. Filial Affection. The place above all others in which woman's inspiration is happiest and best is as wife, mother, sister, or friend, at home. It is there in these relations that we learn to know her best and love her most. For young men to reverence the sex is but to pay a tribute of love to the influence of their own mothers. The highest compliment that can be offered a young man is that he is a tender, devoted son and brother, and the worthiest sentiment that can be uttered in praise of a woman is that she inspires a son or a brother with such respect and affection. The hoiden is defined to be a rude, rough, romping girl. The term will apply to such as are not restrained by the rules of polite society to be courteous and civil, but are continually planning and performing unmaidenly actions. A kind of independence which asserts '"tsclf in always doing right, is not the kind that charms the hoider*. 3he delights to indulge in violations of propriety, which sometimes shock and always annoy her more discreet companions. Such a character is not the one that wins commendation, much less admiration and respect, from good society. Young men may appear to enjoy her company, but she can never be regarded with that high esteem which arises from confidence in her modesty and reliance upon her good sense. 500 RULES OF ETIQUETTE. The prude is defined to be a female of extreme reserve, who afifects peculiar delicacy and coyness of manners. This character is cold, dig- nified, and unsociable; always fearful of compromising her reputation, always sensitive, censorious, and apt to misinterpret the words and actions of others. It is difficult to determine which is the least entitled to respect, the hoiden or the prude ; both are unlovely and unwomanly. The place above all others in which these peculiar and striking phases of character are manifested is in the sociable or small party. The excitement incident to such an assembly tends to exhibit the natural dispositions -of each individual. Some (and this applies to both sexes) are noisy, rude, thoughtless, and inconsiderate ; while others are cold, formal, and constrained. To neutralize these diver- sities, and enable all to contribute to the enjoyment of the occasion, games and amusements of all kinds are brought into requisition. Rough Plays. There is a great diversity in the forms of recreation which may be enjoyed by the young indoors. Some of these are ingenious, amusing, and instructive. Every one in the company should join in any diver- sion which does not violate her conscience or her sense of propriety. Any play that is rough and rude, in which there is danger of injury to persons, to furniture, or to clothing, ought not to be tolerated in the house. Such exercise is for the open air and the lawn. That amusement which permits any improper familiarity between the sexes is not in good taste. If the game requires the boys to catch, and struggle, and wrestle with the girls, or even to put their hands upon their persons, or to kiss them, it is of very doubtful pro- priety. Such freedom is not consistent with that respect which the sexes should cultivate for each other. No girl should permit a boy to be so familiar as to toy with her hands, or play with her rings ; to handle her curls, or encircle her waist with his arm. Such impudent intimacy should never be toler- ated for a moment. No gentleman will attempt it ; no lady will permit it RULES OF ETIQUETTE. 501 That was a witty reproof administered to a thoughtless young man by a young lady. As they were sitting together on the sofa, he carelessly extended his arms upon the back of the seat behind her. "Does your arm pain you?" said she. *' Why, no," he replied; "but why did you ask?" "I thought it must pain you, for I observe it is badly out of place." When strangers enter a community, either to make a visit or to secure a home, politeness requires that those who desire to make their acquaintance shall manifest their disposition to be sociable by giving them the first call. The moral law, no less than the social, requires that we shall treat them with courtesy and kindness, as it is written, "Be not forgetful to entertain strangers." As a general rule, nothing is more grateful to a person of refinement, in a strange place, than to receive evidences of kind consideration and friendly regard from those into whose midst he is accidentally thrown. When a call is m.ade upon a stranger, he or she should be politely invited to return *he compliment, which should be done at the earliest convenience. Friendly Visits and Calls. It frequently happens that persons have a long list of acquaintances, with whom, on account of the pressure of domestic cares, or other important business, which demands the greater part of their time, they cannot be on terms of intim_acy, and yet who desire to cultivate theil friendship by the exercise at least of a formal sociability. In order to accomm.odate this social necessity for recognition, it is the custom to make brief visits or calls, at such times as are convenient, upon those with whom we are accustomed to associate. As the call is necessarily short, it is not expe<^.ted that ladies shall remove their bonnets or shawls. When calls of this kind are made^ and the same may be said of all visits, the visitor .-^hould always enter at the front door, but never until after giving a warning by the knocker or door-bell. The degree of intimacy which would justify the viola- tion of this rule, and especially an entrance without the use of the knocker or bell, should be very clearly established. Suv\\ intercoursQ 502 RULES OF ETIQUETTE. is too unceremonious to base upon it any reasonable expectation of permanence, since, ** Too much familiarity breeds contempt." When the summons is answered by the opening of the door, inquiry should be made for the person or persons in whose honor the call is made ; if they are not in, or circumstances prevent their appearance, the caller may leave a card, upon which his or her name is written, which shows that the call has been made. If cards are not prepared, a verbal message may be left, though it is less likely to be delivered. In such cases, the card or the message stands instead of the call. When calls are not returned, it is understood that even a formal sociability is not considered agreeable. Pleasant Evenings with Neighbors. The call is a visit of ceremony among acquaintances, but the social visit is the informal meeting of intimate friends, who may spend hours in each others' society, with m_utual pleasure and profit. Such meet- ings m_ay be accidental, as when friends drop in to enjoy a pleasant evening with a neighbor, without invitation or previous notice on either side. In these little gatherings, the cerem_ony and style of more formal visits are dispensed with, and hearty good will and neighborly love and kindness have their freest and happiest manifes- tations in conversation, music, or other recreation. If no previous announcement of the visit has been sent, the visitor must not feel hurt if he finds, on his arrival, that a form_er engagem_ent will prevent his friends from affording him the anticipated pleasure. He should excuse them to fulfill their appointments, and lay his plans to come again under more favorable circumstances. We should always bear in mind that it is our duty to assist in entertaining and making others happy, and in relieving the embar- rassment of those who are not self-possessed. Particular attention should be shown to the aged, the sick, and the deformed ; not in such a way as to make them conspicuous, but only to render them happy and comfortable. A kind word and a pleasant smile should be ready ibr every one, Care should always be taken not to show particular RULES OF ETIQUETTE. 503 or too frequent attention in company to our favorites, lest it may excite jealous feelings and unpleasant remarks. Do not simper. If there is anything to enjoy that is worthy of a laugh, laugh heartily ; but remember that uproarious, boisterous mirth is exceedingly vulgar. The ruder the people are, the louder and coarser will be their expressions of enjoyment. If a person is requested to divert the company with instrumental music, a song, or a story, we should stop our conversation, and listen respectfully till it is ended. Possibly the entertainment may not be very agreeable to us, but the respect we owe to the company, who, it may be, are very much pleased, and to the performer, who is trying to gratify us, should compel us to be attentive. Loud talking and immoderate laughter are frequently heard during the performance of music from those whose selfishness will not permit them to make any sacrifice of their own pleasure for the gratification of others. Do Not Wait to be Coaxed. It is very rude for a young person to offer to entertain a com.pany ^vithout an invitation. When one has the ability to sing or play well, and is in.vited to perform., she should do so prom_ptly and gracefully, nor wait to be urged. Young people som.etimes expect a great deal of coaxing before they comply with a polite request. When one accepts the invitation to sing or play, she should be very careful not to weary the audience by continuing the effort too long. It is better to err on the safe side by singing too little than to cause annoyance to those who would prefer a change. We should never ask any person to sing or play unless we are very sure it will be generally agreeable. To give such an invitation as a mere compliment, without desiring to have it accepted, is extremely rude and hypocritical. When a lady declines to exhibit her accom- plishments, it is not polite to insist, as there may be good reasons for the refusal, which it would be improper to make known to th<=^ company. Some persons are fond of collecting pretty, delicate, and rare sped- 504 RtJLES Ul* E-IlQUhrrTE. mens of shells, corals, pictures, etc., and are very sensitive about their being fingered by unskillful hands. When such ornaments are placed upon the mantle or table, they are to be seen, but not handled, unless at the invitation of the owner. We may look at them, and admire their curious combinations of color, but if we should ruin a delicate shell or coral by letting it fall, or in some other manner, it will be a poor apology to say that the injury was the result of accident. We should not yawn in company, nor consult the watch, as if we were tired. If it be necessary to leave before the proper time arrives for the company to go home, it is better to do so without attracting attention. It is not discreet to ** wear out one's welcome," by stay- ing to an unreasonable hour ; it would be better to have our friends regret our going than to wish we were gone. When leaving the house of our entertainers, we should always see them and bid them good-bye. ^^Iptjabetical Iijdex of Subjects. A PAGE Ablution, Best Method of .... 378 Ablutions in Labor 183 Abdomen, Increased Size of . . .110 Accomplishments, Artificial ... 35 Accomplishments, Female .... 351 Acidity, Treatment for 259 Advice to the Unmarried 26 Affections, Trifling with 33 Affection, Filial 499 Afterbirth, Battledore 177 Afterbirth, The 150 Afterbirths, Twin 173 Air. Necessity of Pure 238 American Mothers, Appeal to . . 344 Amusements 500 Animation, To Restore Suspended 176 Animal Kingdom, Lesson from . . 47 Appearance, Personal 351 Appetite, Morbid in Pregnancy . .112 Approbation, Showing 497 Asthma in Children ....... 330 Artificial Food for Infants . . . .289 Awkward Persons 446 B Baths, Cold and Hot 371 Baldness 399 Baths and Injections for Whites . 246 Bathing, Best Time for 282 Baldness of Age 416 Bandage After Labor 179 Bathing for Health and Beauty . . 363 Beauty, Female 351 Beautifier, Nature's Greatest . . .349 Beauty and Bodily Vigor 389 Beauty, Decay of 360 ^auty Impaired by Dis^^se ... 381 tAGB Beauty of Face and Features . . . 420 Beauty of Woman 52 Beauty, True Basis of 359 Bladder, Attention to in Labor . . 182 Blood, How Purified 382 Bleeding, How to Stop 392 Body, Exhalations from 120 Bones and Ligaments 6S Bonnets and Hats 442 Breant, Ailments of 197 Breast, Applications for 193 Breast, Darting Pains in .... . 107 Breasts, Inflammation of 25-1- Breast-pump.«^ 224 Breast, Gathered 222 Breast Nourishment, Substitutes for .290 Breast, Two Forms of Gathered . 225 Breast, Permanent Injuries of . .226 Breasts, Remedy for Full . . . 215 Breeding, A Mark of Bad .... 496 Brown Bread, Value of 228 Bruises, How to Treat ,390 Bums, How to Treat 390 C Cards, Visiting . . . , 465 "Change of Life," Medicine for . 251 ChiM, Weaning of , 212 Children, Diet for .317 Children, Diseases of 312 Child-bed Fever . . • 268 Children, Neglected by Parents . 25 Children, Dependent on Parents . 31 Children, Precocious 38 Children, Feeble 88 Children, Limiting the Number of 104 605 506 ALPHABETICAL INDEX OF SUBJECTS. Childbirth, Mother's Joy in Character, How Formed . . " Change of Life " .... Chloroform in Labor . , . Chest, A Full PAGE . 171 . 95 . 90 . 171 . 449 Cholera Infantum and Summer Complaint 324 Church, Behavoir in 494 Clothing and Ablution 277 Clothing, Danger of Changing . . 443 Clothing, Warm 239 Complexion, How Perfected . . . 373 Cold in the Head ..•'.... 314 Coffee, Effects of 229 Constipation of Pregnancy .... 260 Cold, To Prevent Taking 279 Conversation, Art of 473 Convulsions in Teething 303 Corns, Removal of 346 Coquettes and Flatterers 28 Consent of Parents . ....... 32 Cosmetics 352 Consumption . 336 Consumption, Last Stages of ,. . . 337 Conversation, Guiding the .... 475 Constipation of Infants ...... 322 Constitution, How Broken Down . 53 Courtesies in Private and Public . 62 Courtship 59 Conception 95 Conception, How Prevented . . . 103 Conception. Laws of . 99 Costiveness in Pregnancy .... 168 Costiveness Treatment for , . . . 169 Coition, Rules for Performing . . 102 Complexion, Affected by Sunlight 376 ) Common Sense 205 Cough in Teething 309 Colic, Children's 315 Costiveness, Remedies for .... 343 Cramps in Labor 164 "Crooked Stick" 26 Crying of Newborn Children . . 315 Curious Facts , 85 Customs, Social Curling-tongs . Customs, False PAGB . 466 .402 . 22 Dandruff, To Remove , 383 Dancing-masters 448 Depilatories 418 Deportment 445 Diet and Regimen for Women . . 270 Diet for the Infant 287 Diarrhoea of Children 324 Diseases Peculiar to Women . . . 232 Diseases of Children 312 Disease Fatal to Beauty 381 Disease, Sin of Transmitting ... 46 Disease, How to Prevent 331 Disease, Sources of 121 Diet, Poor and Insufficient . . .338 Diet During Pregnancy ..... 122 Diet, Variety of for the Mother . . 204 Disposition, A Sunny ...... 455 Disinfectants, Use of 118 Doctors, Mischief-making .... 206 Dress, Absurdities of 436 Dress and Display ........ 64 Dress, Rules for 435 Dress, Follies of 42 Dress, Improprieties of 353 Dress, Governed by Health . . . 114 Dress, Tasteful 434 Dress, Stripes of 437 Dress, Suited to the Complexion . 433 Drinks, Adulterated 357 Dyspepsia 208 Ears, The 430 Education at Home 24 Eggs in Animals 129 Embryo, Fifteen Days Old .... 142 Embryo, Twenty-one Days Old . 143 Employments, Useful 463 Enjoyments, Domestic ,,.... 27 ALPHABETICAL INDEX OF SUBJECTS. 507 PAGE Errors to be Avoided 30 Etiquette, Rules of 492 Stiquette to be Studied 466 Excitement in Pregnancy .... 113 Exhaustion, Treatment for Female 266 Exercise, Importance of 193 Eyebrows, How to Beautify .... 424 Eyes, Beauty of 421 Eyes, How Injured 423 Eyes, What to Do for Them ... 422 F Face Pimples 345 Face and Features ........ 420 Face, Protection for the ..... 441 Faces, Sallow and Scrawny .... 358 Fainting 342 Falling Womb, Treatment for . . . 250 Fallopian Tubes 78 Fashion, Slaves of 439 Fatigue, Avoiding 450 Female Forms, Laced and Unlaced 43 File Used for Corns 347 Fits in Children 326 Flatulence in Children 319 Flatterers 28 Flesh-brushes , . . 380 Flesh-gloves . , . 380 Flesh, Loss of in Pregnancy . . . .111 Flooding, Alarming • . 254 Flooding, Treatment for 256 Foetus, Development of 140 Foetus, Misplaced 272 Food, Adulterated 357 Food, How Given to Infants . . . 294 Food, Highly Seasoned .124 Freckles, How to Remove .... 385 French and Americans Contrasted 369 Friction, Good for the System . . 379 Fruit, EflFect Upon a Child .... 306 G Generation, Organs of 66 Generation, Wo^ders of . .... 133 PAGB Genital Organs, Female 71 Gestation, Period of 151 Gestation, Time Required for . . . 149 Germs, Production of 135 Germ, The Life 101 Girls, True Accomplishments of. . 23 Girls, Exercise and Food for . . . 350 Gluttony, Sin of 451 Golden Rule 457 Gossips and Croakers 170 Graafian Vesicles 79 Graafian Vesicle, Diagram of . . . 80 Green Sickness 234 Gum-boils 346 Gums, Hard Substances Injure . . 304 Gums, Lancing the 302 Gums, Swollen . . * 309 Gymnastics 448 H Hair, Management of 400 Hair, Pomade for 402 Hair-brushes 401 Hair, Good Applications for , . .408 Hair Straight or Curly 397 Hair, " Standing on End " . . . . 395 Hair, Artificial Styles of 403 Hair and Curling-tongs 402 Hair, Skill in Cutting 406 Hair of French Royalty 394 Hair, Gray 399 Hair Injured by Dressing 404 Hair Treated with Electricity . . . 415 Hair, Restoration of 411 Hair Affected by Age 398 Hairs, to Remove Superfluous . . 418 ' Hair, Rosemary Water for . . . .417 Hair, Ammonia for the 417 Hair, Loss of 412 Hair, Ornamental Dressing of . . . 440 Hats and Bonnets 442 Happiness and Love 57 Head, Keeping it Cool 285 Health, A Test of 100 608 ALPHABETICAL INDEX OF SUBJECTS. Health, Bracing Up the 237 Health, Essentials of 35G Health Promoted by Bathing . . .364 Heartburn in Pregnancy 112 Heartburn. Treatment for ... . 259 Heart, Service of 58 Heart Weakness 233 Head, A Dust-trap 407 Heredity, Ignorance of 47 Hiccough 313 Home Education 24 How to Prevent Disease 331 Husband, Anxious to Get .... 27 Hymen, The 72 Idleness 456 Infant, Clothing for 283 Infant, Wakefulness of .... . 315 Infant, Diet for 287 Infants, Tongue-tied 288 Indigestion of Children 31 8 Inflammation, How Produced . . 224 Introduction, Letters of 469 Introductions, When Not Needed 460 Instruments, Use of in Labor . .165 Labor in Childbirth 160 Labor, Clothing After 178 Labor, Afterpains of 167 Labor, Regular Pains of 161 Labor, Sickness in ........ 162 Labor Without a Doctor 173 Labor, Symptoms of 161 Labor, Three Stages of 167 Labor, Usual Length of Time . . 166 Lactation 194 Ladies, Honors Paid to 459 Lemonade as a Beverage 384 Life and Happiness 36 Light, Effects of 377 Like Begets Like 37 Lips, Remedy for Chapped . . .427 Little Things, Importance of . . . 467 Love and Parentage 49 Love and Marriage 18 Love Lasts a Lifetime 50 Love, Not to be Stimulated . . . 2& Lovers, Young , .... 60 Lying-in Room, The ISD M Mamma, Milk-ducts in 199 Mamma, Section of 202 Manners, Good 445 Marriage and Female Beauty . . 52 Marriages, Causes of Unhappy . . 19 Marriage, Natural 1£ Marriage, Preparation for .... 23 Marriage, Responsibility of ... 45 Marriage Qualifications for ... 17 Marital Kindness, Example of . . 56 Marrying, Best Age for ..... 82 Match-making Mothers 464 Meanness . , 358 Medicine, Constant Doses of . . . 230 Medicines Lose their Effect . . .344 Melancholy 208 Menstrual Discharge ...... 86 Menstruation, Regularity of . . . 89 Menstruation . 81 Menstruation,- Profuse ...... 241 Menstruation, Causes of Profuse .241 Menses, Suppression of 236 Menses, Treatment for Suppres- sion 236 Mental Depression 205 Mental Organization 37 Milk, Secretion of 264 Milk-fever 200 Milk, Sudden Diminution of . . . 216 Milk, Loss of 221 Milk, Mother's the Best ..... 204 Milk-crust 320 Milk, How to Prepare 297 Mind and Body 10 i Miscarriage, Causes of 187 ALPHABETICAL INDEX OF SUBJECTS. 509 Miscarriage, Greatest Danger of .190 Miscarriage, Symptoms of . . . .189 Miscarriage, Treatment for . . .191 Misery in Married Life 34 Mohammed's Paradise 17 Moles, How Removed 386 Mother, Employment for the . . 185 Mothers, Delicate 295 N Navel-strings . . 173 Neck of Beauty 431 Neglect, Blighting Effects of ... 63 Nervous Affections 91 Newly Married, Truths for ... 55 Nipple, Bitter Applications for . . 214 Nipples, Cracked and Fissured . . 221 Nipple, Dark Circle Around . . . 107 Nipples, Small and Drawn in , . . 219 Nose, The 425 Nose-bleeding 341 Nose, How Changed in Form . . 425 Nostrums 352 Nurses, Good and Bad 184 Nurses, Interference by 200 Nursing, A Duty of Mothers . . . 195 Nursing; A Healthy Process . . . 196 Nursing, Effects of = „ . 87 Nursing Mother, Food for ... . 203 Nursing, Too Much 202 Nursing, Wrong Position in . . . 223 Occupation, Recommended . . . 209 Organs, Male and Female .... 96 Ornaments, Wearing of 444 Ovaries, of the Female . . . .".130 Ovaries, What for 134 Ovisacs 79 Ovum, Diagram of 144 Ovum Passing into the Womb . . 131 Ovum, In Fallopian Tube .... 132 Ovum of Five Weeks 145 Ovum, Entering the Womb Cavity 142 page: Ovum of a Rabbit ........ 13G Ovum, Ripe . 133 Ovum of Eight Weeks 147 Ovum of Five Months 148 Ovum, Fourteen Days Old .... 141 Ovumof Seven Weeks 145 Ovum, The Human 128 Pain, Benefits of 1x9 Palpitation of Heart 233 Parasol, Use of 441 Parlor, Etiquette of the 468 Parturition 160 Pelvis, The 65 Pelvis, Deformed 69 Pelvis, Male and Female 68 *' Periods " During Suckling , . . 211 Pimples and Blotches 345 Poisons, Contagious 366 Politeness 445 Politeness of the French 453 Pomade for the Hair 402 Powder, The Best for Infants . . .281 Pregnancy, Bathing in 115 Pregnancy, Best Clothing in . . . 113 Pregnancy, Activity During . . . 117 Pregnancy 106 Pregnancy, Indolence and Weak- ness in .... , 116 Pregnancy, Remedies for Ail ments of 126 Pregnancy External to the Womb 271 Pregnancy, Extra-uterine .... 273 Pregnancy, Health Rules for . . . 115 Pregnancy, Time Table 152 Profuse Menstruation, Remedies for 343 Pulse, an Index of Health .... 361 Puberty 82 Puberty, Remarkable Changes at 138 Pulse, How Affected 3QZ Punctuality 471 Purification by Water 367 filO ALPHABETICAL INDEX OF SUBJECTS. Quaker, Story of 56 Qualifications for Marriage .... 17 Quarrels in Married Life 27 Queen, Social 458 Quickening, Causes and Sensa- tions of 109 Quickening, Period of 108 Readers, Poor Receptions Refreshment After Labor . Refreshments at Receptions Relatives, Evils of Marrying Rest, Necessity of Rice for the Baby 474 470 179 470 46 122 292 Salutation, Rules of 454 Scab in Children 320 Scalds, How to Treat 39C Scalp, Friction for the 414 Scalp, Washing of the 405 Scrofula 332 Seasoning for Infants' Food . . . 294 Seeds in Vegetables . 129 Self-discipline 21 Seminal Granules 139 Sex, Can It Be Determined? ... 158 Sexes, Proportion of 159 Sexes Should Not be Separated . . 461 Shoulders, Broad 39 Skin, A Delicate Structure .... 375 Skin Diseases, How to Prevent . . 281 Skin, Three Layers of .374 Skin, Treatment of 365 Sleep, Best Apartment for ... . 125 Smallpox Pits 388 Snuffles 314 Soap and Water 370 Social Distinctions 462 Social Queen, The 458 Society 452 Sore Throat 339 Spermatozoa 97 Spermatic Fluid and the Ovaries . 98 Spine, Curvature of 334 Spine, Treatment of Diseased - . 335 Stillbirths 174 Stomach, Making an Idol of . . . 41 Stomach Overloaded in Pregnancy 123 Stooping, Evils of 334 Sucking the Thumb 305 Suckling, Stated Times for . . . 201 I Sunlight and the Complexion . .376 Swelling of Lower Limbs .... 262 Talkers, Good 474 Teeth, A Natural Growth .... 310 Teeth, Care of the 428 Teeth, Effective Cleaning of . . . 429 Teeth, Second Set 311 Teething .301 Teething, Remedies for Painful . 308 Teething, Painful 307 Tea, Effects of 229 Temper, An Amiable 207 Temperaments 41 Testes, Anatomy of 137 Testis, Body of 138 Thrush in Infants 321 Thorax, Natural Form of ... . 40 Time for Bathing 282 Tobacco, Bad Effects of 340 Toothache During Pregnancy . . 26! Towel, The Rough 239 Truths for the Newly Married . . 55 Twins, Cases of 150 Twins, Position of in the Womb . 175 U Unmarried, Advice to 2B Urinary Difficulties During Preg- nancy 263 Uterus, The 74 ALPHABETICAL INDEX OF SUBJECTS. 511 Vaccination , . . . . 330 Vagina, The 72 Vanity, Female 354 Varicose Veins 262 Ventilation and Drainage .... 117 Visits and Calls 501 Vomiting by Children 318 W Walking, Graceful 447 Washington, Anecdote of ... . 493 Washing, Thorough 280 Wastefulness 456 Warmth, A Chief Requisite . . .284 Warts, To Destroy 348 Water, A Stimulant 368 Water, Must be Pure 121 Water, Temperature for Bathing . 278 Water Used for Costiveness . . . 343 Waterbrash, Treatment for . . . . 259 Weaning, Directions for 299 Weaning the Child 212 Weaning, Vicious Practice in . . 300 Weaning, When Necessary . . .217 Whites 245 Whites, Treatment for 245 Woman, Well-trained 20 Women, Idle and Thriftless . . .456 Work, A Good Medicine 210 Womb, Appendages of 77 Womb, Arteries and Veins of . . 77 Womb, Causes of Falling .... 250 Womb, Derangement of 244 Womb, Falling of the 249 Womb, Membrane of 141 Womb, Mucous Membrane of . . 76 Womb, Pressure of 263 Womb, and Five Months' Ovum . 163 Womb, Section of, with Ovum . . 146 Womb, Structure of 129 Womb, The 74 i02 <'-. 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