"Et l'on nous persuadera difficilement que lorsque les hommes ont tant de peine à être hommes, les femmes puissent, tout en restant femmes, devenir hommes aussi, mettant ainsi la main sur les deux rôles, exerçant la double mission, résumant le double caractère de l'humanité! Nous perdrons la femme, et nous n'aurons pas l'homme. Voila ce qui nous arrivera. On nous donnera ce quelque chose de monstreux, cet être répugnant, qui déjà parait à notre horizon."—Le Comte A. De Gasparin.

"Facts given in evidence are premises from which a conclusion is to be drawn. The first step in the exercise of this duty is to acquire a belief of the truth of the facts."—Ram, on Facts.

Clinical observation confirms the teachings of physiology. The sick chamber, not the schoolroom; the physician's private consultation, not the committee's public examination; the hospital, not the college, the workshop, or the parlor,—disclose the sad results which modern social customs, modern education, and modern ways of labor, have entailed on women. Examples of them may be found in every walk of life. On the luxurious couches of Beacon Street; in the palaces of Fifth Avenue; among the classes of our private, common, and normal schools; among the female graduates of our colleges; behind the counters of Washington Street and Broadway; in our factories, workshops, and homes,—may be found numberless pale, weak, neuralgic, dyspeptic, hysterical, menorrhagic, dysmenorrhœic girls and women, that are living illustrations of the truth of this brief monograph. It is not asserted here that improper methods of study, and a disregard of the reproductive apparatus and its functions, during the educational life of girls, are the sole causes of female diseases; neither is it asserted that all the female graduates of our schools and colleges are pathological specimens. But it is asserted that the number of these graduates who have been permanently disabled to a greater or less degree by these causes is so great, as to excite the gravest alarm, and to demand the serious attention of the community. If these causes should continue for the next half-century, and increase in the same ratio as they have for the last fifty years, it requires no prophet to foretell that the wives who are to be mothers in our republic must be drawn from trans-atlantic homes. The sons of the New World will have to re-act, on a magnificent scale, the old story of unwived Rome and the Sabines.

We have previously seen that the blood is the life, and that the loss of it is the loss of so much life. Deluded by strange theories, and groping in physiological darkness, our fathers' physicians were too often Sangrados. Nourishing food, pure air, and hæmatized blood were stigmatized as the friends of disease and the enemies of convalescence. Oxygen was shut out from and carbonic acid shut into the chambers of phthisis and fever; and veins were opened, that the currents of blood and disease might flow out together. Happily, those days of ignorance, which God winked at, and which the race survived, have passed by. Air and food and blood are recognized as Nature's restoratives. No physician would dare, nowadays, to bleed either man or woman once a month, year in and year out, for a quarter of a century continuously. But girls often have the courage, or the ignorance, to do this to themselves. And the worst of it is, that the organization of our schools and workshops, and the demands of social life and polite society, encourage them in this slow suicide. It has already been stated that the excretory organs, by constantly eliminating from the system its effete and used material, the measure and source of its force, keep the machine in clean, healthy, and working order, and that the reproductive apparatus of woman uses the blood as one of its agents of elimination. Kept within natural limits, this elimination is a source of strength, a perpetual fountain of health, a constant renewal of life. Beyond these limits it is a hemorrhage, that, by draining away the life, becomes a source of weakness and a perpetual fountain of disease.

The following case illustrates one of the ways in which our present school methods of teaching girls generate a menorrhagia and its consequent evils. Miss A——, a healthy, bright, intelligent girl, entered a female school, an institution that is commonly but oddly called a seminary for girls, in the State of New York, at the age of fifteen. She was then sufficiently well-developed, and had a good color; all the functions appeared to act normally, and the catamenia were fairly established. She was ambitious as well as capable, and aimed to be among the first in the school. Her temperament was what physiologists call nervous,—an expression that does not denote a fidgety make, but refers to a relative activity of the nervous system. She was always anxious about her recitations. No matter how carefully she prepared for them, she was ever fearful lest she should trip a little, and appear to less advantage than she hoped. She went to school regularly every week, and every day of the school year, just as boys do. She paid no more attention to the periodical tides of her organization than her companions; and that was none at all. She recited standing at all times, or at least whenever a standing recitation was the order of the hour. She soon found, and this history is taken from her own lips, that for a few days during every fourth week, the effort of reciting produced an extraordinary physical result. The attendant anxiety and excitement relaxed the sluices of the system that were already physiologically open, and determined a hemorrhage as the concomitant of a recitation. Subjected to the inflexible rules of the school, unwilling to seek advice from any one, almost ashamed of her own physique, she ingeniously protected herself against exposure, and went on intellectually leading her companions, and physically defying nature. At the end of a year, she went home with a gratifying report from her teachers, and pale cheeks and a variety of aches. Her parents were pleased, and perhaps a little anxious. She is a good scholar, said her father; somewhat over-worked possibly; and so he gave her a trip among the mountains, and a week or two at the seashore. After her vacation she returned to school, and repeated the previous year's experience,—constant, sustained work, recitation and study for all days alike, a hemorrhage once a month that would make the stroke oar of the University crew falter, and a brilliant scholar. Before the expiration of the second year, Nature began to assert her authority. The paleness of Miss A's complexion increased. An unaccountable and uncontrollable twitching of a rhythmical sort got into the muscles of her face, and made her hands go and feet jump. She was sent home, and her physician called, who at once diagnosticated chorea (St. Vitus' dance), and said she had studied too hard, and wisely prescribed no study and a long vacation. Her parents took her to Europe. A year of the sea and the Alps, of England and the Continent, the Rhine and Italy, worked like a charm. The sluiceways were controlled, the blood saved, and color and health returned. She came back seemingly well, and at the age of eighteen went to her old school once more. During all this time not a word had been said to her by her parents, her physician, or her teachers, about any periodical care of herself; and the rules of the school did not acknowledge the catamenia. The labor and regimen of the school soon brought on the old menorrhagic trouble in the old way, with the addition of occasional faintings to emphasize Nature's warnings. She persisted in getting her education, however, and graduated at nineteen, the first scholar, and an invalid. Again her parents were gratified and anxious. She is overworked, said they, and wondered why girls break down so. To insure her recovery, a second and longer travel was undertaken. Egypt and Asia were added to Europe, and nearly two years were allotted to the cure. With change of air and scene her health improved, but not so rapidly as with the previous journey. She returned to America better than she went away, and married at the age of twenty-two. Soon after that time she consulted the writer on account of prolonged dyspepsia, neuralgia, and dysmenorrhœa, which had replaced menorrhagia. Then I learned the long history of her education, and of her efforts to study just as boys do. Her attention had never been called before to the danger she had incurred while at school. She is now what is called getting better, but has the delicacy and weaknesses of American women, and, so far, is without children.

It is not difficult, in this case, either to discern the cause of the trouble, or to trace its influence, through the varying phases of disease, from Miss A——'s school-days, to her matronly life. She was well, and would have been called robust, up to her first critical period. She then had two tasks imposed upon her at once, both of which required for their perfect accomplishment a few years of time and a large share of vital force: one was the education of the brain, the other of the reproductive system. The schoolmaster superintended the first, and Nature the second. The school, with puritanic inflexibility, demanded every day of the month; Nature, kinder than the school, demanded less than a fourth of the time,—a seventh or an eighth of it would have probably answered. The schoolmaster might have yielded somewhat, but would not; Nature could not. The pupil, therefore, was compelled to undertake both tasks at the same time. Ambitious, earnest, and conscientious, she obeyed the visible power and authority of the school, and disobeyed, or rather ignorantly sought to evade, the invisible power and authority of her organization. She put her will into the education of her brain, and withdrew it from elsewhere. The system does not do two things well at the same time. One or the other suffers from neglect, when the attempt is made. Miss A—— made her brain and muscles work actively, and diverted blood and force to them when her organization demanded active work, with blood and force for evolution in another region. At first the schoolmaster seemed to be successful. He not only made his pupil's brain manipulate Latin, chemistry, philosophy, geography, grammar, arithmetic, music, French, German, and the whole extraordinary catalogue of an American young lady's school curriculum, with acrobatic skill; but he made her do this irrespective of the periodical tides of her organism, and made her perform her intellectual and muscular calisthenics, obliging her to stand, walk, and recite, at the seasons of highest tide. For a while she got on nicely. Presently, however, the strength of the loins, that even Solomon put in as a part of his ideal woman, changed to weakness. Periodical hemorrhages were the first warning of this. As soon as loss of blood occurred regularly and largely, the way to imperfect development and invalidism was open, and the progress easy and rapid. The nerves and their centres lacked nourishment. There was more waste than repair,—no margin for growth. St. Vitus' dance was a warning not to be neglected, and the schoolmaster resigned to the doctor. A long vacation enabled the system to retrace its steps, and recover force for evolution. Then the school resumed its sway, and physiological laws were again defied. Fortunately graduation soon occurred, and unintermitted, sustained labor was no longer enforced. The menorrhagia ceased, but persistent dysmenorrhœa now indicates the neuralgic friction of an imperfectly developed reproductive apparatus. Doubtless the evil of her education will infect her whole life.

The next case is drawn from different social surroundings. Early associations and natural aptitude inclined Miss B—— to the stage; and the need of bread and butter sent her upon it as a child, at what age I do not know. At fifteen she was an actress, determined to do her best, and ambitious of success. She strenuously taxed muscle and brain at all times in her calling. She worked in a man's sustained way, ignoring all demands for special development, and essaying first to dis-establish, and then to bridle, the catamenia. At twenty she was eminent. The excitement and effort of acting periodically produced the same result with her that a recitation did under similar conditions with Miss A——. If she had been a physiologist, she would have known how this course of action would end. As she was an actress, and not a physiologist, she persisted in the slow suicide of frequent hemorrhages, and encouraged them by her method of professional education, and later by her method of practising her profession. She tried to ward off disease, and repair the loss of force, by consulting various doctors, taking drugs, and resorting to all sorts of expedients; but the hemorrhages continued, and were repeated at irregular and abnormally frequent intervals. A careful local examination disclosed no local disturbance. There was neither ulceration, hypertrophy, or congestion of the os or cervix uteri; no displacement of any moment, of ovarian tenderness. In spite of all her difficulties, however, she worked on courageously and steadily in a man's way and with a woman's will. After a long and discouraging experience of doctors, work, and weaknesses, when rather over thirty years old, she came to Boston to consult the writer, who learned at that time the details just recited. She was then pale and weak. A murmur in the veins, which a French savant, by way of dedication to the Devil, christened bruit de diable, a baptismal name that science has retained, was audible over her jugulars, and a similar murmur over her heart. Palpitation and labored respiration accompanied and impeded effort. She complained most of her head, which felt "queer," would not go to sleep as formerly, and often gave her turns, in which there was a mingling of dizziness, semi-consciousness, and fear. Her education and work, or rather method of work, had wrought out for her anemia and epileptiform attacks. She got two or three physiological lectures, was ordered to take iron, and other nourishing food, allow time for sleep, and, above all, to arrange her professional work in harmony with the rhythmical or periodical action of woman's constitution. She made the effort to do this, and, in six months, reported herself in better health—though far from well—than she had been for six years before.

This case scarcely requires analysis in order to see how it bears on the question of a girl's education and woman's work. A gifted and healthy girl, obliged to get her education and earn her bread at the same time, labored upon the two tasks zealously, perhaps over-much, and did this at the epoch when the female organization is busy with the development of its reproductive apparatus. Nor is this all. She labored continuously, yielding nothing to Nature's periodical demand for force. She worked her engine up to highest pressure, just as much at flood-tide as at other times. Naturally there was not nervous power enough developed in the uterine and associated ganglia to restrain the laboring orifices of the circulation, to close the gates; and the flood of blood gushed through. With the frequent repetition of the flooding, came inevitably the evils she suffered from,—Nature's penalties. She now reports herself better; but whether convalescence will continue will depend upon her method of work for the future.

Let us take the next illustration from a walk in life different from either of the foregoing. Miss C—— was a bookkeeper in a mercantile house. The length of time she remained in the employ of the house, and its character, are a sufficient guaranty that she did her work well. Like the other clerks, she was at her post, standing, during business hours, from Monday morning till Saturday night. The female pelvis being wider than that of the male, the weight of the body, in the upright posture, tends to press the upper extremities of the thighs out laterally in females more than in males. Hence the former can stand less long with comfort than the latter. Miss C——, however, believed in doing her work in a man's way, infected by the not uncommon notion that womanliness means manliness. Moreover, she would not, or could not, make any more allowance for the periodicity of her organization than for the shape of her skeleton. When about twenty years of age, perhaps a year or so older, she applied to me for advice in consequence of neuralgia, back-ache, menorrhagia, leucorrhœa, and general debility. She was anemic, and looked pale, care-worn, and anxious. There was no evidence of any local organic affection of the pelvic organs. "Get a woman's periodical remission from labor, if intermission is impossible, and do your work in a woman's way, not copying a man's fashion, and you will need very little apothecary's stuff," was the advice she received. "I must go on as I am doing," was her answer. She tried iron, sitz-baths, and the like: of course they were of no avail. Latterly I have lost sight of her, and, from her appearance at her last visit to me, presume she has gone to a world where back-ache and male and female skeletons are unknown.

Illustrations of this sort might be multiplied but these three are sufficient to show how an abnormal method of study and work may and does open the flood-gates of the system, and, by letting blood out, lets all sorts of evil in. Let us now look at another phase; for menorrhagia and its consequences are not the only punishments that girls receive for being educated and worked just like boys. Nature's methods of punishing men and women are as numerous as their organs and functions, and her penalties as infinite in number and gradation as her blessings.