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FOOTNOTES:
[33] The development of reproductive cells in special glandular apparatus at the period of puberty, is evidently not peculiar to one sex, but is a physiological fact necessarily common to both. The peculiarity in the female consists in the greater degree of periodicity in the complete development of such cells, in the periodical congestions of a secondary organ, the uterus, and in the loss of blood effected by these.
[34] Thus Herbert Spencer remarks that the mental development of women must be arrested earlier than that of men, in order to leave a margin for reproduction.
[35] Absence of menstruation.
[36] Excessive menstrual hemorrhage.
[37] I use the term efficient in a technical sense, as meaning all-sufficient to produce the given effect, without the intervention of any other cause.
[38] “Menorrhagic chlorosis” of Trousseau.
[39] For it is known that vaso-motor paralysis is not of itself sufficient to induce hæmorrhage, unless the tension of the blood-current be coincidently raised. See Bouchard, Pathogenie des Hæmorrhagies.
[40] The “uterine epistaxis” of malignant fevers are evidently foreign to our subject, as also the hæmorrhages of subinvolution, or of the menopause. The hæmorrhages from anemia are, on the other hand, so frequent, as to explain the majority of such cases as Dr. Clarke's.