Nathaniel Hawthorne was right. Such ladies, when he wrote, were not uncommon, but within the last two or three 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 rales of health—"The women of America are growing 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 urged to the contrary we believe this to be a demonstrable 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 at croquet, 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"—The Round Table.
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 useful occupation, such as household 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 occurrence with country girls, but of great frequency with fine city ladies.
390. What treatment should you advise?
The treatment which would prevent should be adopted when the complaint first makes its appearance. If the above means do not quickly remove it, the mother must then apply to a medical man, and he will give medicines which will soon have the desired effect. Chlorosis is very amenable to treatment. If the disease be allowed for any length of time to run on, it may produce either organic—incurable—disease of the heart, or consumption or indigestion, or confirmed ill-health.
391. At what period of life is a lady most prone in Hysterics, and what are the symptoms?
The time of life when hysterics occur is generally from the age of fifteen to fifty. Hysterics come on by paroxysms—hence they are called hysterical fits. A patient, just before an attack, is low-spirited; crying without a cause; she is "nervous," as it is called; she has flushings of the face; she is at other times very pale; she has shortness of breath and occasional palpitations of the heart; her appetite is usually bad; she passes quantities of colourless limpid urine, having the appearance of pump water; she is much troubled with flatulence in her bowels, and, in consequence, she feels bloated and uncomfortable. The "wind" at length rises upwards towards the stomach, and still upwards to the throat, giving her the sensation of a ball stopping her breathing, and producing a feeling of suffocation. The sensation of a ball in the throat (globus hystericus) is the commencement of the fit.
She now becomes partially insensible, although she seldom loses complete consciousness. Her face becomes flushed, her nostrils dilated, her head thrown back, and her stomach and bowels enormously distended with "wind." After a short time she throws her arms and her legs about convulsively, she beats her breast, tears her hair and clothes, laughs boisterously and screams violently; at other times she makes a peculiar noise; sometimes she sobs and her face is much distorted. At length she brings up enormous quantities of wind; after a time she bursts into a violent flood of tears, and then gradually comes to herself.
As soon as the fit is at an end she generally passes enormous quantities of colourless limpid urine. She might, in a short time, fall into another attack similar to the above. When she comes to herself she feels exhausted and tired, and usually complains of a slight headache, and of great soreness of the body and limbs. She seldom remembers what has occurred during the fit. Hysterics are sometimes frightful to witness, but, in themselves, are not at all dangerous.
Hysterics—an hysterical fit—is sometimes styled hysterical passion. Shakspeare, in one of his plays, calls it hysterica passio—
"Oh how this, mother, swells up toward my Heart! Hysterica passio!"