380. What is the usual age for Chlorosis to occur, and what are the symptoms?
Chlorosis more frequently attacks girls from fifteen to twenty years of age; although unmarried women, much older, occasionally have it. I say unmarried, for, as a rule, it is a complaint of the single.
The patient, first of all, complains of being languid, tired, and out of spirits; she is fatigued with the slightest exertion; she has usually palpitation of the heart (so as to make her fancy that she has a disease of that organ, which, in all probability, she has not); she has shortness of breath, and a short dry cough; her face is flabby and pale; her complexion gradually assumes a yellowish or greenish hue—hence the name of chlorosis; there is a dark, livid circle around her eyes; her lips lose their color, and become almost white; her tongue is generally white and pasty; her appetite is bad, and is frequently depraved—the patient often preferring chalk, slate-pencil, cinder, and even dirt, to the daintiest food; indigestion frequently attends chlorosis; she has usually pains over the short-ribs, on the left side; she suffers greatly from “wind,” and is frequently nearly choked by it; her bowels are generally costive, and the stools are unhealthy; she has pains in her hips, loins, and back; and her feet and ankles are oftentimes swollen. The menstrual discharge is either suspended, or very partially performed; if the latter, it is usually almost colorless. Hysterical fits not unfrequently occur during an attack of chlorosis.
381. How may Chlorosis be prevented?
If health were more and fashion were less studied, chlorosis would not be such a frequent complaint. This disease generally takes its rise from mismanagement—from Nature’s laws having been set at defiance. I have heard a silly mother express an opinion that it is not genteel for a girl to eat heartily! Such language is perfectly absurd and cruel. How often, too, a weak mother declares that a healthy, blooming girl looks like a milkmaid! It would be well if she did! How true and sad it is, that “a pale, delicate face, and clear eyes, indicative of consumption, are the fashionable desiderata at present for complexion.”[[313]]
A growing girl requires plenty of good nourishment—as much as her appetite demands; and if she have it not, she will become either chlorotic, or consumptive, or delicate. Besides, the greatest beautifier in the world is health; therefore, by a mother studying the health of her daughter, she will, at the same time, adorn her body with beauty! I am sorry to say that too many parents think more of the beauty than of the health of their girls. Sad and lamentable infatuation! Nathaniel Hawthorne gives a graphic description of a delicate young lady. He says: “She is one of those delicate, nervous young creatures not uncommon in New England, and whom I suppose to have become what we find them by the gradually refining away of the physical system among young women. Some philosophers choose to glorify this habit of body by terming it spiritual; but, in my opinion, it is rather the effect of unwholesome food, bad air, lack of out-door exercise, and neglect of bathing, on the part of these damsels and their female progenitors, all resulting in a kind of hereditary dyspepsia.”
Nathaniel Hawthorne, a distinguished American, 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 rules 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 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.”[[314]]
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 her stomach; if she 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.
382. 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. If the disease be allowed for any length of time to run on, it might produce either organic—incurable—disease of the heart, or consumption, or indigestion, or confirmed ill health.