Such conditions are influenced very slightly or not at all by medical treatment.
During the period of puberty, cardiopalmus (palpitation of the heart) is very likely to occur, often accompanied by frequent and abundant epistasis, or by the occurrence of slight fever in the evening, and by blood-stained expectorations, suggestive of tuberculosis. The patient is pale (oligohæmic), very thin, and shoots up rapidly (preponderant growth of the limbs); he is subject to muscular asthenia (weakness, exhaustibility of the muscles) and to various forms of nervous excitability.
These symptoms also (some of them so serious as to arouse fears, at one time of rickets and at another of tuberculosis), are all of them quite beyond the reach of medical treatment (tonics, etc.).
Now, a fact of the highest importance, discovered by De Giovanni, is that of spontaneous corrections, that is, the development of compensations within the organism, suited to mitigate the anomalous conditions of this type, and hence the possibility of an artificial intervention capable of calling forth such compensations. Such intervention cannot be other then pedagogic; and it should consist in a rational system of gymnastics, designed in one case to develop the heart, in another the chest, in another to modify the intestinal functions or to stimulate the material renewal of the body; while every form of overexertion must be rigorously avoided.
"I think that we should regard as an error not without consequences what may be seen any day in the gymnasiums of the public schools, where pupils differing in bodily aptitude, and with different gymnastic capacity and different needs are with little discernment subjected to the same identical exercises, for the same length of time.
"And day by day we see the results: there are some children who rebel outright against the required exercise which they fear and from which they cannot hope to profit, because it demands an effort beyond their strength. Some have even been greatly harmed; so that one after another they abandon these bodily exercises, which if they had been more wisely directed would assuredly have bettered their lot.
Fig. 18. Fig. 19.
Brachyscelous type (from Viola).
