Plain Facts for Old and Young

by John Harvey Kellogg

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

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

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

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

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

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

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

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