Hasty readers may draw a false conclusion from this statement. They may

at once infer that the change of life merits little or no attention, if

it thus in nowise increases the bills of mortality. This would be a

serious error. All intelligent physicians know that there are in very

many cases a most unpleasant train of symptoms which characterize this

epoch in the physical life of woman. They are alarming, painful, often

entailing sad consequences, though rarely fatal. All physicians are,

however, not intelligent; and there are too many who are inclined to

ridicule such complaints, to impute them to fancy, and to think that

they have done their full duty when they tell the sufferer that such

sensations are merely indicative of her age, and that in a year or two

they will all pass away. Such medical attendants do not appreciate the

gravity of the sufferings they have been called to relieve. Says a

distinguished writer on the subject, after entering into some details in

the matter: 'I would not dwell on things apparently so trivial as these,

had I not seen some of the worst misery this world witnesses induced

thereby.' Such a conviction should be in the mind of the physician, and

lead him to attach their full weight to the vague, transitory, unstable,

but most distressing symptoms described to him.

SIGNS AND SYMPTOMS.

We shall speak of the various signs and symptoms which occur at and mark

the change; and in commencing so to do, we call attention to an

interesting illustration of the rhythm which controls the laws of life.

As in old age, when we draw near the last scene of all, we re-enter

childhood, and grow into second infancy, so the woman, finishing her

pilgrimage of sexual life, encounters the same landmarks and stations

which greeted her when she first set out. She obeys at eve the voice of

her own nature which she obeyed at prime. The same diseases and

disorders, the same nervous and mental sensations, the same pains and

weaknesses which preceded the first appearance of her monthly illness,

will in all probability precede its cessation. Even those affections of

the skin or of the brain, as epilepsy, which were suffered in childhood,

and which disappeared as soon as the periodical function was

established, may be expected to reappear when the function has reached

its natural termination. Therefore if a woman past the change notices

that she suffers from bleeding at the nose, headache, boils, or some

skin disease, let her bethink herself whether it is not a repetition of

some similar trouble with which she was plagued before the eventful

period which metamorphosed her from a girl into a woman.

So true is what we have just said, that in detailing the symptoms which

frequently occur at the change of life, we could turn back to the

previous pages where we discussed the dangers of puberty, and repeat

much that we there said as of equal application here. For instance, the

green-sickness, _chlorosis_, is by no means exclusively a disease of

girls. It may occur at any period of child-bearing life, but is much

more frequent at the _beginning_ and the _end_ of this term. Hardly any

one has watched women closely without having observed the peculiar tint

of skin, the debility, the dislike of society, the change of temper, the

fitful appetite, the paleness of the eye, and the other traits that show

the presence of such a condition of the nervous system in those about

renouncing their powers of reproduction. The precautions and rules which

we before laid down, can be read with equal profit in this connection.

In addition to these symptoms, which in a measure belong to the

individual's own history, there are others of a general character which

betoken the approaching change. One of them is an increasing

irregularity in the monthly appearance. This is frequently accompanied

with a sinking sensation,--a 'feeling of goneness,' as the sufferer

says--at the pit of the stomach, often attended by flushes of heat,

commencing at the stomach and extending over the whole surface of the

body. The face, neck, and hands are suffused at inopportune moments, and

greatly to the annoyance of the sufferer. This is sometimes accompanied

by a sense of fulness in the head, a giddiness, and dulness of the

brain, sometimes going so far as to cause an uncertainty in the step, a

slowness of comprehension, and a feeling as if one might fall at any

moment in some sort of a fit.

This is not the worst of it. These physical troubles react upon the

mind. An inward nervousness, intensely painful to bear, is very sure to

be developed. She fears she will be thought to have taken liquor, and to

be overcome with wine; she grows more confused, and imagines that she is

watched with suspicious and unkind eyes, and often she worries herself

by such unfounded fancies into a most harassing state of mental

distress. Society loses its attractions, and solitude does but allow her

opportunity to indulge to a still more injurious extent such brooding

phantasms. Every ache and pain is magnified. Does her heart palpitate,

as it is very apt to do? Straightway she is certain that she has some

terrible disease of that organ, and that she will drop down dead some

day in the street. Is one of her breasts somewhat sore, which, too, is

not unusual? She knows at once it is a cancer, and suffers an agony of

terror from a cause wholly imaginary.

Vibrating between a distressing excitement and a gloomy depression, her

temper gives way; and even the words of the Divine Master lose their

influence over her. She becomes fretful, and yet full of remorse for

yielding to her peevishness; she seeks for sympathy, without being able

to give reasons for needing it; she annoys those around her by

groundless fears, and is angered when they show their annoyance. In

fine, she is utterly wretched, without any obvious cause of

wretchedness.

This is a dark picture, but it is a true one--inexorably true. Let us

hasten to add that such a mental condition is, however, neither a

necessary nor a frequent concomitant of the change. We depict it, so

that friends and relatives may better appreciate the sufferings of a

class too little understood, and so that women themselves, by knowing

the cause of such complaints, and the sad results which flow from them,

may make the more earnest efforts to avoid them.

Other symptoms are, a sense of choking, a feeling of faintness, shooting

pains in the back and loins, creepings and chilliness, a feeling as if a

hand were applied to the back or the cheek, a fidgety restlessness,

inability to fix the mind on reading or in following a discourse, and a

loss of control over the emotions, so that she is easily affected to

tears or to laughter. All these merely indicate that nature is employing

all her powers to bring about that mysterious transformation in the

economy by which she deprives the one sex for ever of partaking in the

creative act after a certain age, while she only diminishes the power of

the other.

EFFECTS ON THE CHARACTER.

The effects on the character of this 'grand climacteric' are often

marked. Not unfrequently the woman becomes more masculine in thought and

habit, as has been admirably described by Dr. Tilt:--'There are almost

always while the change is progressing various forms of nervous

irritability and some amount of confusion and bewilderment, which seem

to deprive women of the mental endowments to which they had acquired a

good title by forty years' enjoyment. They often lose confidence in

themselves, are unable to manage domestic or other business, and are

more likely to be imposed on either within or without the family circle.

When the change is effected, the mind emerges from the clouds in which

it has seemed lost. Thankful that they have escaped from real

sufferings, women cease to torture themselves with imaginary woes, and

as they feel the ground grow steadier underfoot, they are less dependent

on others--for, like the body, the mental faculties then assume a

masculine character. The change of life does not give talents, but it

often imparts a firmness of purpose to bring out effectively those that

are possessed, whether it be to govern a household, to preside in a

drawing-room, or to thread and unravel political entanglements. When

women are no longer hampered by a bodily infirmity periodically

returning, they have more time at their disposal, and for obvious

reasons they are less subject to be led astray by a too ardent

imagination, or by wild flights of passion.'

Changes in the moral character also frequently show themselves, and for

a time astonish friends and relatives. These shades of moral insanity

all disappear in a little while, if there be no family tendency to

insanity to prolong and intensify them.

THOSE WHO SUFFER MOST.

Those women especially may anticipate serious trouble at this epoch in

whom the change at puberty was accompanied by distressful and obstinate

disorders,--those in whom the menstrual periods have usually been

attended with considerable pain and prostration, and those in whose

married life several abortions or several tedious and unnatural labors

have occurred; also those who from some temporary cause are reduced in

health and strength,--as from repeated attacks of intermittent fever, or

disorders of the liver and digestive organs. Still more predisposed are

they who are subject to some of those displacements or local ulcerations

which we have mentioned in our chapter on Health in Marriage. It becomes

of great consequence, that any such deviation from the healthy standard

shall be corrected before a woman reaches this trying passage in her

career.

The constitution and temperament have much to do with the liability to

disease and suffering during the change of life. Those of weak

constitutions sometimes fail of the necessary stamina to carry them

easily through the trials of this transition period. It has been

remarked that the _lymphatic_ temperament is the most favorable to an

easy change. Women with this temperament suffer less from nervous or

bilious disorders, and quickly show signs of having been benefited by

what has occurred. Those of a _sanguine_ temperament are more liable to

floodings and to head symptoms; but such disorders with them usually

readily yield to treatment. The _bilious_ temperament predisposes to

disorders of the stomach and liver at this epoch; while the union of the

nervous with the bilious temperament seems to predispose to mental

diseases. The most suffering at this time of life is experienced by

women of a _nervous_ temperament.

The social position exerts an influence on the pain and the tendency to

disease at this epoch. The poor who are forced to labor beyond their

strength and who are exhausted by fatigue, anxiety, and want, suffer

much. So also do those who have recently been exposed to some great

sorrow. As the poet says:--

Danger, long travel, want, or woe,

Soon change the form that best we know----

For deadly fear can time out-go,

And blanch at once the hair.

Hard toil can roughen form and face,

And want can quell the eye's bright grace,

Nor does old age a wrinkle trace

More deeply than despair.

The occupations of women also have an influence upon the change of life.

Washerwomen are said in particular to suffer more than others on account

of the exposure to which they are subject by their trade. Those who are

confined many hours a day in close or damp rooms are unfavorably

situated for passing through the various stages of the 'grand

climacteric.' The rich, with plenty of time and means to care for

themselves, often blindly or obstinately create an atmosphere about them

and follow a mode of life, quite as deleterious as the enforced

surroundings of their poorer sisters.

DISEASES AND DISCOMFORTS.

In rather more than one out of every four cases the change of life is

either ushered in or accompanied by considerable flooding. When this

occurs at the regular period, and is not in sufficient quantity to cause

debility, and is not associated with much pain, it need not give rise to

any alarm. It is an effort of nature to relieve the impending plethora

of the system, to drain away the excessive amount of blood which would

otherwise accumulate by the cessation of the flow. When it is remembered

that every month, for some thirty years of life, the woman of forty-five

has been moderately bled, we need not wonder that suddenly to break off

this long habit would bring about a plethora, which would in turn be the

source of manifold inconveniences to the whole system. Therefore this

flooding may be regarded as a wise act of nature, and, as such, allowed

to take its course so long as it is not attended with the symptoms

mentioned above. When this is the case, however, the doctor should be

consulted, as then the bleeding may be from inflammation or ulceration,

or even from that dreaded foe to life, cancer.

Instead of finding this exit, the blood occasionally is thrown off by

bleeding at the nose, or is spat up from the lungs, or is passed from

bleeding piles. Due caution must be used about stopping such discharges

too promptly. Rest, cool drinks, and the application of cold to the

parts, are generally all that is needed.

We have just spoken of cancer. This is a subject of terror to many

women, and their fears are often increased and deliberately played upon

by base knaves who journey about the country calling themselves 'cancer

doctors,' and professing to have some secret remedy with which they work

infallible cures. It should be generally known that all such pretensions

are false. It is often a matter of no little difficulty, requiring an

experienced eye, to pronounce positively whether a tumour or ulcer is

cancerous. These charlatans have no such ability; but they pronounce

every sore they see a cancer, and all their pretended cures are of

innocent, non-malignant disorders. Cancers are more apt to develope

themselves at this period. Their seat is most frequently in the womb or

the breast, and they are said to be especially liable to arise in those

women who have suffered several abortions or unnatural labours.

Undoubtedly they are more frequent in the married than the unmarried,

and they evidently bear some relation to the amount of disturbance which

the system has suffered during childbirth, and the grief and mental pain

experienced. For this reason a celebrated teacher of obstetrics insists

upon classing them among nervous diseases. The surgeon alone can cure

them, and he but rarely. Medicine is of no avail, however long and

painstaking have been its searches in this direction. A touching story

is related in this connection of Raymond Sully, the celebrated

philosopher. When a young man, he was deeply impressed with the beauty

of a lady, and repeatedly urged his suit, which she as persistently

repelled, though it was evident she loved him. One day, when he insisted

with more than usual fervor that she should explain her mysterious

hesitation, she drew aside the folds of her dress and exposed her

breast, partly destroyed by a cancer. Shocked and horrified, but unmoved

in his affection, he rushed to the physicians and demanded their aid.

They replied they could give none. He determined to find a cure, if he

had to seek in all parts of the earth. He visited the learned doctors of

Africa and Asia, and learned many wonderful things--even, it was said,

the composition of the philosopher's stone itself; but what he did not

find, and what has never yet been found, was what he went forth to

seek--a cure for cancer.

At this time, too, tumors or swellings of the ovaries are apt to

commence. They are nearly always preceded by scanty or painful

menstruation; and this, therefore, it is the duty of every woman, as she

values the preservation of her future health, to remedy by every means

in her power.

Generally, from the commencement of the change of life commences also a

steady diminution of the sexual passions, and soon after this period

they quite disappear. Sometimes, however, the reverse takes place, and

the sensations increase in intensity, occasionally exceeding what they

even were before. This should be regarded with alarm. It is contrary to

the design of nature, and can but mean that something is wrong.

Deep-seated disease of the uterus or ovaries is likely to be present, or

an unnatural nervous excitability is there, which, if indulged, will

bring about dangerous consequences. Gratification, therefore, should be

temperate, and at rare intervals, or wholly denied.

PRECAUTIONS AND REMEDIES.

To guard against the dangers of this epoch, those general rules of

health which we have throughout insisted upon should be rigidly

observed. If during the whole of her sexual life the woman has been

diligent in observing the laws of health, she has little to fear at this

period. Some simple remedies will suffice to allay the disagreeable

symptoms; and the knowledge that most of them are temporary, common to

her sex, and not significant of any peculiar malady, will aid her in

opposing their attacks on her peace of mind. When plethora, flooding,

or congestion is apparent, the food should be light, chiefly vegetable,

and moderate in quantity. Liquors, wines, strong tea, coffee, and

chocolate should be avoided; an occasional purgative or a glass of some

laxative mineral water should be taken, and cool bathing regularly

observed. Exercise should be indulged in with caution, and care taken to

avoid excitement, severe mental or bodily effort, and exhaustion. If the

system is debilitated, and the danger is rather from a want of blood

than too much blood, nourishing food, tonic medicines, and perhaps some

stimulant, are called for. When the perspiration is excessive, flannel

should be worn next the skin in the daytime, and a flannel night-dress

at night. A tepid bath before retiring is also useful. The 'goneness'

and other unpleasant sensations referred to the pit of the stomach may

be much relieved by wearing a well-made spice-plaster over the stomach,

or binding there a bag of gum camphor; or if these fail, an opium

plaster will hardly fail to be of service. Internally, we think, nothing

at all is needed; but as something must be taken, let it not be spirits

or wine, but half a tea-spoonful of aromatic spirits of ammonia in a few

table-spoonfuls of water. There is too much of a tendency among some

women to seek alleviation in intoxicating compounds, 'bitters,'

'tonics,' and so forth, at such times. They can only result in injury,

and should be shunned. The pains in the back and loins often

experienced, can generally be removed by rubbing the parts with hot

mustard-water and taking a gentle purgative, or by placing against the

lower part of the spine a hot brick wrapped in a flannel cloth wrung

out in warm water or laudanum and water.

Once safely through this critical period, the woman has a better chance

for long life and a green old age than the man of equal years. Tables of

human life show this conclusively. With the sweet consciousness of duty

performed, she is now prepared to assist others by intelligent advice,

cheerful counsel, and tender offices; she can now surround herself with

that saintly halo of kind words and good works which wins a worthier

love than passion offers; and, passing onward to the silence of eternal

rest, she will leave in the memory of all who knew her, pleasant

impressions and affectionate reminiscences.

NOTES.

P. 20. HERMAPHRODITES AND ASEXUALISM.--Rokitansky decides Hohmann to be

a case of _hermaphrodita vera lateralis_, and all who examine her say

the same. See _Wiener Medicin. Wochenschrift_, October, 1868, and the

_Medical and Surgical Reporter_, vol. xix. p. 487. A marked case of

asexualism, proven so by a _post mortem_ examination, is reported in the

_Buffalo Medical and Surgical Journal_ for April, 1869, p. 338; and

another in the _Medical Times and Gazette_ of about the same date. We

might refer to many more recent and authentic cases.

P. 25. AGE OF PUBERTY.--See case by Dr. T. H. Twiner, in the _Richmond

and Louisville Medical Journal_, March, 1869, Raciborski, _De la

Menstruation et de l'Age Critique chez la Femme_, p. 130. The quotation

(p. 26) is from Dr. Edward Smith, _Cyclical Changes in Health and

Disease_,--a profound work. Raciborski is the principal authority for

this and the following section. Our own inquiries fully confirm his

statements.

P. 32. INFLUENCE OF THE MOON ON MENSTRUATION.--On this question, see the

researches of M. Parchappe, _Comptes Rendus de l'Académie des Sciences_,

tom. xvi. p. 550. See also Dr. Shrye, _Tractatus de Fluxu Menstruo_, in

the _Acta Lipsiensia_ for 1686, p. 111; Dr. W. Charleton, _Inquisitio

Physica de Causis Catameniorum_, p. 78; and Galen, _De Diebus

Decretoriis_, lib. iii., for other curious particulars.

P. 37. CHLOROSIS.--For the pathology of this disease, see Dr. Gaillard

Thomas, _Diseases of Women_, p. 625, and Dr. C. H. Bauer, in the

_Weiner Medicin. Zeitung_, No. 33, 1868. Occasionally the change at

puberty leads to an affection very closely resembling typhoid fever, but

which is strictly due to the sexual crisis; and often goitre commences

at this period. See a review of Raciborski, in the _Bulletin de

Therapeutique_, June, 1869.

P. 39. MASTURBATION IN GIRLS.--See Miss Catherine E. Beecher, _Letters

to the People on Health and Happiness_, p. 159. The late medical

literature on the subject is abundant. See _Ueber die Behandlung der

Masturbation bei kleinen Mädchen, Journal jür Kinderkrankheiten_, Bd.

li. p. 360; H. R. Storer, _Western Journal of Medicine_, July, 1868; and

_Journal of the Gynecological Society_, vol. i. No. 1.

Pp. 50, 51. PREMATURE MARRIAGES.--See Dr. Duncan, _Fecundity,

Fertility_, etc., p. 241; Reich, _Natur und Gesundheitslehre des

Ehelichen Lebens_, p. 518.

P. 56. HOLY LOVE.--The distinction between [Greek: haghapê] and [Greek:

irhôhê] is too familiar to all scholars to need extended mention. See

Trench, _Synonyms of the New Testament, sub voce._

Pp. 57, 58. SINGLE LIFE IN ITS RELATION TO SANITY AND MORTALITY.--The

extraordinary statements in the text are vouched for by Dr. Casper,

_Medicinische Statistik_, vol. ii. p. 164, and Dr. Reich, _Geschichte,

Natur, und Gesundheitslehre des Ehelichen Lebens_, pp. 510, 511. We have

compared the reports of a number of asylums for the insane, and find the

proportions very nearly as great as stated by these authorities.

P. 70. INTERMARRIAGE OF RELATIVES.--The view we advocate on this point,

we know, is neither the received nor the popular one. In the middle ages

it was forbidden to intermarry within the seventh degree of

consanguinity; but this and all other regulations were based on

theological and political, not physiological, grounds. Among others, Dr.

Nathan Allen has insisted on the danger of consanguineous marriages

(_Journal of Psychological Medicine_, Volume ii). But other very careful

and recent students adopt the view of our text: for instance, Dr. F. J.

Behrend, _Journal für Kinderkrankheiten_, December, 1868, p. 316; Dr. A.

Voisin, in the reports of the _Paris Académie de Médecin_,1864, 1865,

and 1868; and Dr. H. Gaillard, in the last edition (1868) of the

_Dictionnaire de Médecine et de Chirurgie Pratique_. All the statements

in the text are supported with incontrovertible evidence by these

writers. If we are asked how to meet the seemingly alarming array of

allegations by Dr. Bemiss, the Kentucky physician referred to in the

_Transactions of the American Medical Association_ for 1859, we would

refer to Dr. Behrend's articles, where the researches of Bemiss are

severely criticised. For Dr. Edward Smith's assertion, see his _Essay on

Consumption_, p. 244 (Philadelphia, 1865).

P. 80. COMMUNICATION OF VENEREAL DISEASES.--Many instances are recorded

where a drinking-glass, a spoon, a fork, or a handkerchief has infected

innocent persons with these terrible diseases (see Cullerier, _Atlas of

Venereal Diseases_, p. 43). They are communicated from the male to the

female, or from the female to the male, with equal facility, and either

parent can transmit them to the children. The physician referred to is

Dr. Sigmund, in the _Humboldt Medical Archives_, 1868.

P. 83. SYMBOLISM.--See Dr. Carus, _Symbolik der Menschlichen Gestalt_,

the most scientific work ever written on physiognomy, phrenology, and

allied subjects.

Pp. 90, 91.--See Raciborski, _De la Puberté et de l'Age Critique chez la

Femme_, p. 133; Tilt, _Uterine Therapeutics_, p. 315.

P. 94. CONTAGION OF PHTHISIS.--See Dr. William A. Hammond's _Treatise on

Hygiene_, p. 438, for air-space required by a healthy person. The

contagion of phthisis is maintained by many authorities--among others,

Dr. W. W. Gerbard (see Pennsylvanian Hospital Reports for 1868, p.

266). Professor Castan has recently collected, in the _Montpelier

Médicale_, a variety of facts, which seem to show that tuberculosis may

be communicated from a diseased to a healthy person by transpiration,

breathed air, and living together (_Press and Circular_, March 10,

1869). In regard to the inoculation of tubercle, we have reference to

the well-known experiments of M. Villemin, of the Hôpital Val-de-Grace,

Paris. In this connection we may record an instance of recent medical

heroism. M. Lespiaud, attached to the surgical department of the

Val-de-Grace, in presence of several of his colleagues, extracted

granular matter from the body of a phthisical subject, and introduced it

under his own integument. This zealous investigator into the etiology of

tuberculosis has thus exposed himself in a courageous way for the

benefit of science, to the effects of a most dangerous and merciless

disease.

P. 96. THE DIGNITY AND PROPRIETY OF THE SEXUAL INSTINCT.--Dr. Edward

John Tilt is the medical writer referred to (see _Uterine Therapeutics_,

pp. 95, 313). See also Bosquet, _Noveau Tableau de l'Amour Conjugal_,

vol. ii. p. 2, etc.; Rousel, _Système Physique et Moral de la Femme_, p.

211; Menville, _Histoire Médicale et Philosophique de la Femme_, vol. i.

p. 36 et seq.; Raciborski, _De la Puberté_, etc., p. 45.

P. 99. ON THE INDULGENCE AND RESTRAINT OF SEXUAL DESIRE.--Menville, vol.

ii. p. 91; Bosquet, vol. ii. p. 280; _Economy of Life--or, Food, Repose,

and Love_, by George Miles. Dr. Edward Smith, in his valuable work on

_Cyclical Changes in Health and Disease_, has collected extensive

statistics showing the effect of the time of conception on the viability

of the foetus. The quotation is from Carpenter's _Human Physiology_, p.

753.

P 103. See _Lancet_ for March 6, 1869, p. 337, for report of discussion

in the Pathological Society of London upon the physical degeneracy

resulting from procreation during intoxication. Authorities could be

cited at length upon this subject, but it is not necessary. See

Huleland's _Art of Prolonging Life_, p. 207.

Pp. 106-114. STERILITY.--For statistics referred to, see Dr. Matthews

Duncan, _Fecundity, Fertility, and Sterility_ (Edinburgh, 1866), p. 181

_et seq._; Dr. Tilt, _Uterine Therapeutics_, p. 291; Dr. Edward Reich,

_Gesundheitslehre des Ehelichen Lebens_, Th. ii.

Dr. J. Marion Sims, _On the Microscope as an Aid in the Diagnosis and

Treatment of Sterility_, _New York Medical Journal_, January 1869, p.

406; Charles Darwin, _The Variation of Animals and Plants under

Domestication_, vol. ii. p. 198; _Philadelphia Medical and Surgical

Reporter_, November 2, 1867, p. 384; A. Debay, _Hygiène et Physiologie

du Mariage_, p. 288 (Paris, Quarante-quatrième édition); Raciborski, _De

la Puberté_, etc., p. 451; Virey, _De la Femme sous ses Rapports Phys._,

etc., p. 332; Dr. Gunning S. Bedford, _The Principles and Practice of

Obstetrics_, p. 107.

P. 115. THE LIMITATION OF OFFSPRING.--We have taken great pains to avoid

giving false or dangerous impressions in this section. The references in

the order of quotation are:--Dr. Tilt, _Hand-Book of Uterine

Therapeutics_, p. 317; Dr. Duncan, _Fecundity, Fertility, Sterility, and

Allied Topics_, pp. 289, 290; Dr. Hillier, _Diseases of Children_, p.

114; John Stuart Mill, _Principles of Political Economy_, p. 591; Dr.

Drysdale, _London Medical Press and Circular_, December, 1868, p. 478;

Raciborski, _De l'Age Critique chez la Femme_, p. 484; _The Nation_,

June 1869; Dr. Edward Reich, _Natur und Gesundheitslehre des Ehelichen

Lebens_, p. 493; _Boston Medical and Surgical Journal_, February 1867;

_Philadelphia Medical and Surgical Reporter_, vol. xix. p. 305;

Sismondi, _Principles of Political Economy_, book vii. chap. v.; Dr.

MacCormac, in _London Medical Press and Circular_, March 1869, p. 244;

Dr. Gaillard Thomas, _Diseases of Women_, p. 58; _Leavenworth Medical

Herald_, April, 1867; Dr. N. K. Bowling, in _The Nashville Journal of

Medicine and Surgery_, October 1868. We have rather let others speak

than spoken ourselves, and have collected the opinions of many most

distinguished physicians and statesmen, who thus pronounce against

excessive child-bearing. Any intelligent physician will acknowledge the

weight to be assigned to such names.

P. 128. SIGNS OF FRUITFUL CONJUNCTION.--Carpenter, _Human Physiology_,

p. 772; Dr. Gunning S. Bedford, _Principles and Practice of Obstetrics_,

p. 304; Menville, vol. i p. 295; Montgomery, _Signs and Symptoms of

Pregnancy_, p. 90.

P. 132. INHERITANCE.--Darwin, _Animals and Plants under Domestication_,

pp. 42, 473; Sir Henry Holland's _Medical Notes and Reflections_, p. 30;

Pritchard, _Researches into the Physical History of Mankind_, vol. ii.

p. 551; Carpenter, _Human Physiology_, p. 779; A. Debay, _Hygiène et

Physiologie du Mariage_, p. 173; Fleurens, _De la Longévité et de la

Quantie de Vie sur le Globe_, p. 256 (Paris, 1860); Hufeland, _Art of

Prolonging Life_, pp. 91, 206; Hammond's _Hygiene_, p. 116; _American

Journal of Medical Sciences_, July, 1865, p. 82; Francis Galton, _On

Hereditary Talent and Character_, in _Macmillan's Magazine_, vol. xii.

pp. 157, 318; Madden, _The Infirmities of Genius_, vol. ii. p. 107;

_Lancet_, December 22, 1868, p. 825; _The British Medical Journal_,

January 11, 1868, p. 25; Dr. Prosper Lucas, _Traité de l'Hérédité

Naturelle_; Victor Hugo, _L'Homme qui Rit_, le seconde chapitre

préliminaire; Watson's _Practice_, p. 1153; Dr. Daniel G. Brinton,

_Guide-Book to Florida and the South_, Pt. iii.; Dr. J. V. C. Smith,

_Physical Indications of Longevity in Man._

P. 163. PLURAL BIRTHS.--Duncan, _Fecundity, Fertility, and Sterility_,

p. 69; Ramsbotham, _System of Obstetrics_, p. 461; _Philadelphia Medical

and Surgical Reporter_, vol. xix. p. 508, xx. p. 98.

P. 167. PREGNANCY.--Menville, i. p. 299; Dr. Gunning S. Bedford, _System

of Obstetrics_, p. 144 et seq.; Montgomery, _Signs and Symptoms of

Pregnancy_; Dr. Edward Rigby, _System of Midwifery_, p. 47.

P. 180. MOTHERS' MARKS.--See a very interesting article by Professor Wm.

A. Hammond, in _The Quarterly Journal of Psychological Medicine and

Medical Jurisprudence_, January, 1868, p. 1, in which he says, in

regard to the influence of the maternal mind over the foetus _in utero_:

'The chances of these instances, and others which I have mentioned,

being due to coincidence, are infinitesimally small; and though I am

careful not to reason upon the principle of _post hoc ergo propter hoc_,

I cannot--nor do I think any other person can, no matter how logical may

be his mind--reason fairly against the connection between cause and

effect in such cases. The correctness of the facts only can be

questioned: if these be accepted, the probabilities are thousands of

millions to one, that the relation between the phenomena is correct.'

See also Dr. J. Lewis Smith, _Diseases of Infancy and Childhood_, 1869,

p. 21; _Philadelphia Medical and Surgical Reporter_, vol. xix. p. 359.

Pp. 192-197. CONCURRENT PREGNANCIES.--Raciborski, _De la Puberté_, etc.,

p. 491; Dr. Gunning S. Bedford, _System of Obstetrics_, p. 442; _Dict.

des Sciences Médicales_, t. L. iii.; _Lancet_, August, 1856, p. 131;

Carpenter, _Human Physiology_, p. 779; Beck's _Elements of Medical

Jurisprudence_, art. 'Superfoetation;' Rokitansky, _Pathological

Anatomy_; _Philadelphia Medical and Surgical Reporter_, May 1, 1869, p.

335.--Professor Pancost removed some years since, from the cheek of a

child some months old, a rudimentary second child.

P. 198. CAN THE FOETUS CRY IN UTERO?--Dr. Bedford Obstetrics, p. 264;

_Lancet_, January 23, 1869.

P. 199. IS IT A SON OR DAUGHTER?--_Philadelphia Medical and Surgical

Reporter_, vol. xvii. p. 495; Dr. Frankenhauser, in the _Monatschrift

für Geburtskunde_; Dr. Packman, _On Impregnation_, _Lancet_, July 18,

1863.

P. 202. GARDNER PEERAGE CASE.--Dr. Bedford, _System of Obstetrics_, p.

299.

P. 204. PROLONGED PREGNANCIES.--Taylor, _Medical Jurisprudence_, p. 586;

_Report of Proceedings against the Rev. Fergus Jardine_ (Edinburgh,

1839).

P. 207. CARE OF HEALTH DURING PREGNANCY.--Churchill, _On Women_, p. 451;

Menville, ii. 114; Tilt's _Elements of Health_, p. 271.

P. 236. TO HAVE LABOR WITHOUT PAIN.--Professor T. Gaillard Thomas says,

'The rule should be to employ an anæsthetic in every case of labor,

_during the second stage_, unless some contra-indication exists. After a

delivery, under its influence patients recover more rapidly, are freer

from complications, and show fewer signs of prostration.' See _Lecture

on the Management of Women after Parturition_, in the _Richmond and

Louisville Medical Journal_, February, 1869, p. 145.

P. 238. WEIGHT AND LENGTH OF NEW-BORN CHILDREN--_Philadelphia Medical

and Surgical Reporter_, vol. xix. p. 388; Carpenter, _Human Physiology_,

p. 810; Ramsbotham, _Obstetrics_, p. 111; _Detroit Review of Medicine

and Pharmacy_, March, 1869, p. 150.

P. 271. THE CHILD.--Dr. J. Lewis Smith, _A Treatise on the Diseases of

Infancy and Childhood_, 1869, p. 28 _et seq._; Dr. Thomas Hillier,

_Clinical Treatise on the Diseases of Children_, p. 17; Dr. Edward

Smith, _Cyclical Changes in Health and Disease_; Dr. John Marshall,

_Outlines of Physiology, Human and Comparative_, pp. 761, 765, 998; Dr.

Charles A. Cameron, _Lectures on the Preservation of Health_, 1868, p.

174; Dr. Charles J. B. Williams, _Principles of Medicine_, p. 480; Dr.

J. Forsyth Meigs, _Diseases of Children_; Dr. E. J. Tilt, _Elements of

Health and Principles of Female Hygiene_, p. 50 _et seq._; Dr. Andrew

Combe, _The Management of Infancy_, p. 73 _et seq._ (ninth ed.

Edinburgh, 1860), _Report of Board of Health of Philadelphia_ for 1868,

p. 43; _British and Foreign Medico-Chirurgical Review_, April 1868, pp.

382, 454; _Southern Journal of the Medical Sciences_, November, 1867, p.

555; Dr. Thomas Hawkes Tanner, _Practice of Medicine_, p. 108; Dr.

William A. Hammond, _Treatise on Hygiene_, p. 95 _et seq._;

_Philadelphia Medical and Surgical Reporter_, vol. xvi. p. 530, xix. pp.

37, 59, 119, 134, 382; Edward C. Seaton, M.D., _A Hand-Book of

Vaccination_; Professor J. B. Fonssagrives, _L'Education Physique des

Filles; Le Rôle des meres dans les maladies des Enfants_; Sir James Y.

Simpson, _Selected Obstetrical and Gynecological Works_, etc., etc.

INDEX.

Abdomen, changes in, during pregnancy, 173

pain in, during pregnancy, 355

Abortion, crime of, how to stop, 122

evils of, 123

Advantages of the games and plays of children, 314

Advice to wives who desire to have children, 113

After birth, 230

Age of husband, 75

nubility, 50

puberty, 23, 25

Air and ventilation during infancy, 307

Air space required in bed-room, 94

Anger, effect of, on the mother's milk, 252

Appetite, depraved, a sign of pregnancy, 175

Approaching labor, signs of, 223

Arrowroot, how to prepare, for children, 275, 291

Articles wanted for confinement, 221

Atavism explained, 133

Attendants during confinement, hints for, 229

Avoidance of hereditary tendencies, 151

'Bad-getting-up,' causes of, 241

Bandage after confinement, how to make, 221

how to apply, 230

Barrenness, its causes and cure, 106

Bath, hour of, for infants, 303

drying of the skin after, 304

during pregnancy, 212

value of, in infantile diseases, 305

Beautiful children, how to have, 140

Beauty, inheritance of, 135

Bedroom, size of, for the married, 94

Bed-wetting, causes and cure, 337

Bed, for married persons, 95

clothing, 96

the most healthful, 95

in confinement, how to 'dress it', 222

Binder, how to make, 221

Births, relative proportion of male to female, 54

Blondes, age of puberty of, 28

Boarding school life, effect of, on girls, 47, 289

Body, changes in, at puberty, 30

symbolism of, 83

Bowel complaints of children, 339

Boys, more born than girls, 154

Braces, abdominal, 376

Breasts, attention required towards the end of pregnancy, 219

changes in, during pregnancy, 170

first application of child to, 232

inflammation and abscess of, 382

management after confinement, 246

Bringing up by hand, 274

Brunettes, age of puberty of, 28

Care of infancy, 271

Carrying an infant, manner of, 309

Celibacy not chastity, 57

results of, 58

Change of life, regimen and perils of, 389

Changes, the monthly, precautions during, 45

precautions in the intervals of, 46

when delayed, 48

painful, 49

worked by puberty, 30

Child, the, 271

attention to, at birth, 231

can it cry before birth?, 198

education, of before birth, 191

Child-bearing, excessive, 115

Childbed, diseases of, 361

mortality of, 237

Childbirth, imprudence after, 240

preparations for, 219

to preserve form after, 242

Children, bathing of, 303

bed for, 297

clothing of, 300

decreased number of, 73

diet for, 288

new-born, weight and length of, 238

three and more at a birth, 164

Children's diseases, home management of, 325

Chlorosis, 36

Choice of a husband, 69

City life, effect of, on puberty, 29, 47

Cleanliness, curative influence of, 378

importance of, to wives, 131

Climate, effect of, on puberty, 27

Clothing at puberty, 43

at confinement, 227

during pregnancy, 209

of new-born infants, 222

of young children, 300

Cold, effect of, on infants, 300

Color of infant, influence of mind of mother on, 182

Completion of puberty, 32

Complexion, 136

inheritance of, 125

Conception, is it possible during pregnancy?, 192

nature of, 125

signs of, 128

Confinement, bed for, 226

day of, how to calculate, 206

dress for, 227

hints for attendants at, 229

imprudence after, 240

preparations for, 219

Constipation of pregnancy, 358

Constitution, effect of the, on puberty, 21

on change of life, 398

Consumption, 41, 71, 94, 148, 151

Continence demanded from husbands, 121

Cough of pregnancy, 359

Count, how to make the, 206

Country life, effect of, on puberty, 29

Courtship, 65

Cousins, shall they marry?, 69

Crime of abortion, 122

Croup, home treatment of, 325

Culture of the skin, 306

Dangers of puberty, 35

Daughters, influenced by fathers, 144

Deformities, are they hereditary?, 139

Degeneracy, cause of, 349

of the human race, a query, 348

Diet for infants, 274, 288

children, 292

the pregnant, 208

Diarrhoea during pregnancy, 357

of infants, 339

Directions for mothers who cannot nurse their own children, 267

Dignity and propriety of the sexual instinct, 96

Disease, communication of, 80

Diseases, hereditary, 148

of children, home management of, 325

of wives and mothers, 352

Distinction of the sexes, 18

Divorce, unnatural and improper, 63

Dress, attention to, during pregnancy, 209

for confinement, 227

Dressing of the new-born child, 231

Drying up of the milk, 258, 279

Duration of labor, 239

Dyspepsia of children, 342

Ear, the hygiene of, in childhood, 323

Education, influence of, over hereditary qualities, 147

of the child in the womb, 191

special senses in children, 318

Emotion, influence of, on unborn child, 185

Emotions, stimulation of, effects of, on puberty, 29

Engagement, the, 85

Engagements, long, 86

Epilepsy, a cause of, 255

Eruptions of childhood, how to prevent, 106

Eternity of love, 60

Exercise at puberty, 42

during pregnancy, 210

of children, 309

Excessive child-bearing, 115

Eyes, the education of, in childhood, 319

Falling of the womb, 368

False labor pains, 225

Fathers, influence of, on daughters, 144

Feeding of infants, manner of, 291

Fertility, hereditary, 138

laws of, 109

First application of child to breasts, 232

cares to the child newly born, 231

mother after childbirth, 230

labors, 51

seven years of life, 314

Fits of children, home treatment of, 330

Flat nipples, how to remedy, 245

Food, during pregnancy, 207

of infants and children, 288

bill of fare for, 292

Foreigners, should native women marry, 73

Form, to preserve after confinement, 242

Frigidity, 109

Galen, anecdote of, 127

Games and plays, advantages of, 314

Gardner, Lord, the case of, 202

Garters, danger of, during pregnancy, 355

Gathered breasts, 382

Goftr, story of, 166

Government of children, hints on, 344

Green sickness, 36

Growth of children, 287

Habits, dangers and advantages of, 316

Hair, its significance, 84

transmission of, 137

Hardening of infants, dangerous theories on the, 303

Hearing, the training of, in children, 323

Head colds of children, home treatment of, 329

Health, care of, during pregnancy, 207

effect of pregnancy on, 216

in marriage, 351

Hereditary diseases, 148

qualities influenced by education, 147

Hermaphrodite, a true, 20

Hindrances to nursing, 245

Hints for attendants at confinement, 229

Home government, hints on, 344

management of some common children's diseases, 325

treatment of female ailments, 377

Husband, age of, 75

and wife, during pregnancy, 216

shall they occupy same room and bed, 93

character of, 79

how to choose, 69

retain the affections of, 130

Husbands, plurality of, 64

Hygiene of puberty, 41

the monthly periods, 45

pregnancy, 207

of infancy, 271

of the special senses, 318

Hygienic habits, importance of teaching children, 316

treatment of inward weakness, 377

Hysterics, 38

Imagination of mother, influence of, on unborn child, 186

Imprudence after childbirth, 240

Indigestion of childhood, 342

Indulgence and restraint of sexual desire, 99

Infancy, care of, 271

deaths in, 272

Infant, first clothing of, 222

washing of, 231

how to carry, 309

lift, 310

teach to walk, 313

Infants' food, 288

Inheritance, 132

how to avoid evil tendencies of, 151

how to have beautiful children, 140

influence of education over, 147

each parent over, 144

of beauty, 135

of diseases, 148

of longevity, 138

of mutilations, 149

of personal qualities, 139

of physical " , 136

of talent and genius, 141

of temperament, 137

late manifestations of, 151

the effects of, 151

Injections, 379

Injurious exercises for infants, 311

Intemperance, of several kinds, 117

Intermarriage of relatives, 69

Inward weakness, 368

Irregularities, causes of, 46

Irrigations, 381

Knowledge, safety in, 17

Labor, cause of, 225

duration of, 239

dress during, 227

false and true, 225

how to calculate time of, 170

how to have, without pain, 236

mortality of, 237

signs of approaching, 223

symptoms of actual, 224

Late manifestations of the effects of inheritance, 151

Late marriages, offspring of, 388

Length of pregnancy, 200

Liebig's soup for infants, 289

Lifting an infant, manner of, 310

Light, necessity of, for children, 308

Limitation of offspring, 115

Long engagements, 86

Longevity, hereditary, 138

Longings in pregnancy, 186

Love, at first sight, 67

differs from lust, 50

is a necessity, 57

is eternal, 60

its power on humanity, 52

what is it?, 54

Looseness of bowels in children, 339

during pregnancy, 357

Lying-in room, the management of, 226

Maiden, the, 23

Manner of feeding infants, 291

Mania, puerperal, 362

Marital relations, times to suspend, 103

when painful, 92, 104

Marriage, age for, 50

health in, 351

time of month for, 87

year for, 87

Marriages, second, 62

Maternity, duties and privileges of, 243

perils of, 352

Matrimony, necessity of, for happiness, 58

Matron, the happy, 243

Memory, visual, cultivation of, in childhood, 320

Men, as wet-nurses, 260

Menstruation explained, 24

Mental impressions, effect of, on hysterics, 39

on unborn children, 180

troubles of girlhood, 47

Milk, mother's, effect of anger on, 253

effect of retention in the breasts, 249

influence of diet on, 249

pregnancy on, 250

over-abundance of, 258

scantiness of, 259

quantity required by infant, 256

when poisonous, 252

value as food, 42

Milk-leg, causes and treatment of, 367

Mind, changes in, at puberty, 31

during pregnancy, 175, 214

influence of over conception, 126

nursing child, 251

unborn child, 182

Miscarriage, 176

causes and dangers of, 178

frequency of, 176

influence of age of mother on, 177

prevention of, 179

symptoms of, 180

Mixture of races by marriage, 71

Month, right time of the, to marry, 87

Monthly changes, precautions in the intervals of, 46

precautions during, 45

when delayed, 48

when painful, 49

Moon, connection of monthly periods with, 32

Morning sickness of pregnancy, 169, 353

Mortality of childbed, 237

comparative, of the two sexes in early life, 154

Mortality of infants, causes of, 271

relative to married life, 57

Mother, the, 243

diseases of, 361

duties of, towards daughters at puberty, 44

influence of, over sons, 144

position in nursing, 225

who is unable to nurse her child, 267

Mothers' marks, 180

Music, influence of, 99

Mutilations, are they inheritable?, 149

Native women, shall they marry foreigners?, 73

Near-sightedness, how to prevent, 322

Neck, form of, 83

its significance, 84

New-born babe, first cares for, 231

weight and length of, 238

Night dress of children, 301

covering of children, 298

the wedding, 91

Nipples, how to harden, 220

Nose-bleed in childhood, 333

Nubility, the age of, 50

Nursing, 244

care of health during, 263

diseases of, 382

hindrances to, 245

position during, 225

prolonged, 262

rules for, 248

when improper, 245

Nursing mother, qualities of good, 257

Offspring, the limitation of, 115

influenced by the mind, 126

Over-nursing, signs of, 265

Overlaying of children, deaths from, 273

Over-production, evils of, 115

remedies for, 121

Ovulation, the meaning of, 24

Painful monthly changes, causes and treatment, 49

Pains of labor, true and false, 225

Painless labors, how to have, 236

Parr, Thomas, the long life of, 139

Pendulous abdomen after confinement, how to escape, 242

Perils of maternity, 352

Persons of both sexes, and of neither sex, 20

Perspiration, fetid, 131

Phases, the three, of woman's life, 22

Piles, during pregnancy, 356

Plays, the, of children, advantages of, 314

Plural births, 163

Plurality of wives or husbands, 64

Position of child while eating, 294

of child while sleeping, 299

Position of mother while nursing, 255

Precautions necessary at the time of the monthly changes, 45

Precocity, remarkable instances of, 25

Pregnancy, 167

bathing during, 212

care of health during, 207

causes of protracted, 205

can a woman again become pregnant during, 192

clothing during, 209

diseases of, 352

double, 192

effect of, on the health, 216

exercise during, 210

food during, 208

influence of, on the milk of nursing mother, 250

length of, 200

relation of husband and wife during, 216

signs and symptoms of, 168

sleep during, 213

ventilation of sleeping-room during, 212

Premature marriages, 50

Preparations for confinement, 219

Prolific wives, 115

Puerperal mania, 362

Qualities transmitted by parents, 132

Quantity of milk required by infant, 256

Quickening, as a sign of pregnancy, 170

flatulence mistaken for, 172

how caused, 171

time of, 171

Race, the human, is it degenerating?, 348

Races, mixture of, 71

Relation of husband and wife during pregnancy, 216

nursing, 264

Relative age of man and wife, 76

proportion of men and women living, 153

Religion, mistaken notions of, 57

Rest, after delivery, 241

during pregnancy, 211

Re-vaccination, 286

Right time of the month to marry, 87

time of the year to marry, 87

Schooling, the, of the first seven years of life, 316

Scrofulous diseases, a cause of, 309

Second marriages, 62

Secret bad habits, 39

Self-deceptions regarding pregnancy, 172

Senses, training of the special, in childhood, 318

Sex of child, how to predict before birth, 198

Sexes, distinction of, 18

laws which determine the relative numbers of the, 155

persons of both and of neither, 20

production of, at will, 157

Sexual desire, indulgence and restraint of, 99

moderation in, 100

instinct, dignity and propriety of, 96

false notions about, 97

desire, influence of on offspring, 98

Sexuality, what it implies, 18

Sickness, morning, during pregnancy, 353

during labor, 225

Signs of approaching labor, 223

puberty, 30

conception, 128

over-nursing, 265

pregnancy, 168

Sight, the training of, in childhood, 319

Single life, the, 386

in its relation to sanity and mortality, 57

Skin, changes in, during pregnancy, 174

culture, of, in infancy, 306

Sleep, amount required in early life, 295

at puberty, 42

during pregnancy, 213

position in, 299

Sleeplessness during pregnancy, 360

Small pox, death rate from, 283

the only preventive against, 284

Son or daughter?, 198

Sore nipples, 246

Soup, Liebig's, 289

Sphere of woman, 21

Spinal disease, 36

Spring-time, 101

Spurious labor pains, 225

Stages of labor, 123

Starvation of girls, 41

Sterility, 106

how to remedy, 113

Still-births, 240

Stilling Jung, anecdote of, 67

Stimulation of the emotions, dangers of, at puberty, 29

St. Pierre, anecdote of, 78

Sully Raymond, anecdote of, 401

Swimming, benefit of, 306

Symbolism of the human body, 83

Syringes, and how to use them, 379

Talent, hereditary, 141

Teething, period of, 279

Temperament, transmission of, 137

Temperaments, explained, 77

influence of, 101

in marriage, 77

Things wanted during confinement, 221

Tight-lacing, 43, 374

Time of expected labor, how to calculate it, 206

of the year to marry, 87

of the month to marry, 87

Times when marital relations should be suspended, 103

Toilet, innocent arts of, 132

Tour, the wedding, 87

Toys, a mean of infantile education, 315

Twins, how to predict, 199

why born, 161

Twin-bearing, 160

influence of, on size of families, 163

Thury, Prof., discovery of, 157

Unborn child, education of, 191

Vaccination, age for, 285

importance of, 282

Varicose veins of pregnancy, 355

Ventilation of sleeping rooms during pregnancy, 212

Virgins, wet-nursing by, 260

Voice, change in, at puberty, 30

Wakefulness of pregnancy, 360

Walk, how to teach a child to, 313

Washing of the new-born infant, 231

Weakness, inward, 368

Weaning, 277

Wedding tour, the, 87

night, the, 91

Weight and length of new-born children, 238

Wet-nurse, how to select, 269

Wet-nursing by virgins and men, 260

White-flowing, 365

Wives famous in history, 59

plurality of, 64

Woman, the three phases in the life of, 22

physical differences from man, 19

sphere of, 21

to be sought, 65

Womb, falling of, 368

Worms of children, home treatment of, 335

Women, diseases peculiar to, 352

treatment of, 377

why redundant, 153

Young wives, 50

mothers, 51

Year, right time of, to marry, 87

Zurich, curious custom in, 93

TESTIMONIALS

OF

EMINENT MEN AND OF THE PRESS

TO THE

PHYSICAL LIFE OF WOMAN

AND ITS AUTHOR.

Of the _very numerous_ testimonials in our hands we select those of

earlier date in preference, as showing the acumen of the writers and the

warmth with which they welcomed the book.

FROM WILLIAM A. HAMMOND, M.D.,

Late Surgeon-General of U. S. Army; Professor of Diseases of the Mind

and Nervous System and of Clinical Medicine in the Bellevue Hospital

Medical College, New York.

NEW YORK, Aug. '69.

DR. NAPHEYS--

_Dear Sir_: I have read with much interest and satisfaction your very

admirable book on "The Physical Life of Woman." I am glad that the

subject has been taken up by one who shows himself so thoroughly

qualified for the task, and I trust the instruction and advice contained

in the volume will reach every woman in the land.

Yours, sincerely,

WILLIAM A. HAMMOND.

* * * * *

FROM REV. HENRY WARD BEECHER.

BROOKLYN, N. Y., Sept. 1869.

DR. GEO. H. NAPHEYS--

_Dear Sir_: I have examined your volume: "The Physical Life of Woman,"

and desire to thank you for performing a work so long needed, so

difficult to perform, and now, at length, so well done by you. Every

mother should have this book, nor should she suffer a child to be

married without the knowledge which this work contains. Thousands have

dragged through miserable lives and many have perished for want of such

knowledge. It is to be hoped, too, now that these delicate topics have

been so modestly and plainly treated, that your work will supersede the

scores of ill-considered and often mischievous treatises addressed "to

the married," which too often serve the lusts of men under the pretence

of virtue.

HENRY WARD BEECHER.

* * * * *

FROM REV. HORACE BUSHNELL, D.D.

HARTFORD, CONN., Sept. 1869.

GEO. H. NAPHEYS, M.D.--

_Dear Sir_: I have read a large part of your book with interest. I

shrink from expressing any estimate of it as respects its physiological

merit, but it seems to be a book well studied, and it is written with

much delicacy and a careful respect, at all points, to the great

interests of morality. It will certainly be a great help to intelligence

on the subject, and ought, therefore, to be correspondingly useful.

Very respectfully yours,

HORACE BUSHNELL.

* * * * *

FROM HARVEY L. BYRD, M.D.,

Professor of Obstetrics in the Medical Department of Washington

University of Baltimore, Maryland.

BALTIMORE, Sept. 1869.

DR. GEO. H. NAPHEYS, Philadelphia--

_Dear Sir_: I have examined with much pleasure and satisfaction your

work on "The Physical Life of Woman," and do not hesitate to commend it

most warmly to our countrywomen, for whose benefit it is intended. I

congratulate you on the felicitous manner in which you have treated so

difficult a subject, and would recommend it to the public as supplying a

want that has long been felt in this country.

_Omne verum utile dictu_, and what can be more proper or more useful

than that woman should be made acquainted with the great laws of her

being and the duties for which she was created?

Very respectfully, your obed't servant,

HARVEY L. BYRD.

* * * * *

EXTRACT FROM LETTER RECEIVED FROM EDWIN M. SNOW, M.D., OF PROVIDENCE,

RHODE ISLAND.

PROVIDENCE, Sept. 1869.

DR. NAPHEYS--

_Dear Sir_: I have examined with much interest the advance sheets of

your book, "The Physical Life of Woman:" I am highly pleased with it.

The advice given seems to me to be generally correct, and judiciously

expressed; and, in my opinion, the wide circulation of the book would be

a benefit to the community,

Truly yours,

EDWIN M. SNOW.

* * * * *

FROM REV. GEORGE ALEX. CROOKE, D.D., D.C.L.

PHILADELPHIA, Sept. 1869.

DR. GEO. H. NAPHEYS--

_Dear Sir_: I have carefully read your work entitled "The Physical Life

of Woman," and, as the result, I must candidly say that I believe the

information it contains is well calculated to lessen suffering and

greatly benefit the human race. I know there are some falsely fastidious

persons who would object to any work of the kind, but "to the pure all

things are pure." You have done your part fearlessly and well, and in a

popular manner, and I trust that your work may be productive of all the

good you design by its publication.

Very faithfully,

GEO. ALEX. CROOKE.

* * * * *

OPINION OF LLOYD P. SMITH, Esq.

Librarian Philadelphia Library.

LIBRARY CO. OF PHILADELPHIA, FIFTH ST. BEL. CHESTNUT, PHILADELPHIA,

Sept. 1869.

It is an open question whether books de _secretis mulierum_ should be

written for the general public; but there is no doubt that, when they

are written, it should be done by the regular faculty, and not by

ignorant quacks. Dr. Napheys' "Physical Life of Woman" shows not only

the scientific attainments of the author, but also a wide range of

miscellaneous reading. The delicate subjects treated of are handled with

a seriousness and earnestness becoming their importance, and the

author's views are expressed in excellent English.

LLOYD P. SMITH.

* * * * *

OPINION OF S. W. BUTLER, M.D.

Editor of the Philadelphia "Medical and Surgical Reporter."

I have carefully examined "The Physical Life of Woman," and find it a

work at once thoroughly representing modern science, and eminently

adapted for family instruction. It is well suited to female readers, to

whom it is especially addressed both in the matter it contains and in

the delicacy with which points relating to their physiological life are

mentioned.

S. W. BUTLER.

* * * * *

EXTRACT FROM LETTER RECEIVED FROM JOHN H. GRISCOM, M.D.

NEW YORK, Sept. 1869.

DR NAPHEYS--

_My Dear Sir_: The "Physical Life of Woman" is a very scientific and

intellectually written work, and contains almost all the physiological

and sanitary facts and directions needed for the preservation of the

health and longevity of the maiden, wife, and mother. It must prove

attractive and useful for any lady who reads it.

Your sincere friend,

JOHN H. GRISCOM.

* * * * *

FROM THE NATIONAL BAPTIST, PHILA., DEC. 30, 1869

We join in the cordial welcome which this book has received. There is no

other work which tells so well just what every woman--and every

considerate man also--ought to know. Maternity is the one great function

of woman, according to God's ordinance, and for this marvelous and holy

mission her physical, intellectual, and moral constitution has been

designed. Dr. Napheys, in his wise "Advice to maiden, wife, and mother,"

passes in review the cardinal facts respecting woman's physical life.

The book is written in a very clear and simple style, so that no one can

misunderstand it, while there is nothing to disturb or offend the most

sensitive. A judicious mother would do her maturing daughters great

service by first carefully reading this volume herself, and then have

them read it under her guidance.

* * * * *

OPINION OF MRS. R. B. GLEASON, M.D.

ELMIRA, N. Y., Sept. 1869.

The advance sheets of "The Physical Life of Woman" have been read with

much interest. In this book Dr. Napheys has well met a real need of the

age. There are many things incident to woman's physical organization

which she needs to know, and concerning which she still does not want to

ask a physician, and may not have one at hand when she most desires the

information. This book can be easily read and perfectly understood by

those not familiar with medical terms. All matters of delicacy are

treated with freedom, and still with a purity of thought and expression

which is above criticism.

For many years we have been often asked for just such a book, and shall

gladly commend it to the many wives and mothers who want for themselves

and grown-up daughters such a book of helps and hints for home life.

MRS. R. B. GLEASON.

* * * * *

FROM PROFESSOR JOHN S. HART, LL.D.

STATE NORMAL SCHOOL, TRENTON, N. J.

GEO. H. NAPHEYS, M.D.--

_Dear Sir_: I have read with attention the advance sheets of your book,

"The Physical Life of Woman:" and take pleasure in saying that you have

handled a most difficult and important subject with equal delicacy and

ability.

Yours truly,

JOHN S. HART.

* * * * *

OPINION OF MARK HOPKINS, D.D., LL.D.,

President of Williams College.

"Your book is conscientiously written, and will be likely to do good."

* * * * *

FROM THE N. Y. EVANGELIST, NOV. 18, 1869.

This is a plain and practical treatise, prepared by a physician of skill

and experience, in which he aims to furnish information to women, in

their peculiar conditions and relations, married and single, so as to

enable them to preserve their own health, and perform their duties to

themselves and their children. The most delicate subjects are treated in

language so chaste as not to offend any pure mind.

* * * * *

OPINION OF DR. R. SHELTON MACKENZIE.

PHILADELPHIA, Oct. 1869.

"Believing that such a work as Dr. Napheys' 'Physical Life of Woman,'

giving a great deal of valuable information, explicitly and delicately,

is likely to be of very essential importance to the fair sex, I cannot

hesitate to express my favorable opinion of its object and execution."

* * * * *

LETTER RECEIVED FROM REV. GEO. BRINGHURST,

Rector of the P. E. Church of the "Messiah," Philadelphia.

PHILADELPHIA, Sept. 1869.

DR. GEO. H. NAPHEYS--

_My Dear Sir_: I have perused with considerable care and pleasure the

work on the "Physical Life of Woman," and feel no hesitation in

pronouncing it admirably composed, honest, succinct, refined, and worthy

of the companionship of every lady of this age. I hail its appearance

with gratitude, and look upon it as a valuable contribution to those

efforts which are making in various directions to elevate the tone of

morals of the nineteenth century, and to enable mothers to discharge

faithfully the duties they owe their children.

Sincerely yours,

GEORGE BRINGHURST.

* * * * *

FROM H. N. EASTMAN, M.D.,

Professor of Practical Medicine in Geneva Medical College.

GENEVA, Sept. 1869.

GEO. H. NAPHEYS, M.D.--

_Dear Sir_: I have just completed a careful reading of your advance

sheets of "The Physical Life of Woman," and I unhesitatingly pronounce

it an admirable work, and one especially needed at this time. The book

is written in a chaste, elevated, and vigorous style, is replete with

instruction indispensable to the welfare and happiness of woman, and

should be placed in the hands of every mature maiden and matron in our

land.

H. N. EASTMAN.

* * * * *

EDITORIAL FROM PHILADELPHIA MEDICAL AND SURGICAL REPORTER.

It is a singular fact, that in this country, most of the works on

medical and hygienic matters have been written by irregular

practitioners in order to help on its legs some ism or pathy of their

own. The public is really desirous of information about the great

questions of life and health. It buys whatever is offered it, and cannot

tell of course the tares from the wheat. In fact, as we have said, there

has been very little wheat offered it. Scientific physicians do not seem

to have taken the pains in this country, as in Germany, to expand sound

medical information among the people.

We therefore welcome all the more warmly a work which, under any

circumstances, would command our praise, advance sheets of which are now

before us. The author is Dr. George H. Napheys, of this city, well

known to all the readers of the "Reporter" as a constant contributor to

its pages for a number of years, a close student of therapeutics, and a

pleasing writer. The title of the book is "The Physical Life of Woman:

advice to the Maiden, Wife, and Mother." It is a complete manual of

information for women, in their peculiar conditions and relations,

married and single.

The style is simple, agreeable, and eminently proper and delicate,

conspicuously so when treating of such difficult topics to handle in a

popular book, yet so necessary to be handled, as the marital relations

of husband and wife, the consummation of marriage, etc.

We do not doubt that this work will find as large a sale both in and out

of the profession in this country, as the works of Bock and Klencke in

Germany, and of Tilt and Chavasse in England.

* * * * *

FROM THE NASHVILLE JOURNAL OF MEDICINE AND SURGERY FOR NOVEMBER, 1869.

The outside of this book is more stylish and artistic than any the

market has owed to the press this season. The type and paper of the

inside are in keeping with the elegant exterior. The work contains much

valuable matter, in a style peculiarly attractive. It is intended to

treat woman as a rational being, to let her know much about herself as a

woman, that from this knowledge she may prevent and therefore escape

much of the suffering endured by her sex.

And who can do this but a physician? This may be regarded as the first

attempt of the kind in this country.

* * * * *

FROM THE MEDICAL RECORD, NEW YORK, JAN. 15, 1870.

Doctor Napheys, in his work on "The Physical Life of Woman," has

acquitted himself with infinite credit. The subject, which for a work of

its size takes a very wide range, is treated in choice, nay elegant

language, and we have not noticed a single expression upon the most

delicate matter that could offend the most refined taste. There are,

too, a great many interesting historical facts connected with the

general topic, both in an ethical and physiological point of view, which

show much discrimination in their production, and a good amount of

sterling scholarship. To the medical reader there are many points in the

book that are worthy of attention, prominent among which are remarks

bearing upon the right of limitation of offspring. We sincerely hope

that, for the real benefit of American women, it may meet with a hearty

reception, and be productive of great good, in preventing many of those

disorders now so rife in the community, which are solely the result of

ignorance of the ordinary laws of female hygiene.

No one, however scrupulous, need fear to admit the work within the pale

of his family circle, and place it, with confidence, in the hands of his

daughters.

* * * * *

FROM THE NEW YORK MEDICAL GAZETTE, JAN. 8, 1870.

Though professedly written for popular instruction, this little book

will not fail to instruct as well the professional reader. We cordially

recommend the perusal of Dr. Napheys' book to every woman seeking a

fuller acquaintance with her physical organism.

* * * * *

FROM THE BOSTON MEDICAL AND SURGICAL JOURNAL, NOV. 25, 1869.

Most valuable for the perusal of mothers, and of those fathers who may

be equal to the task of advising sons liable to commit matrimony. The

style--of the text--is unexceptionable. Words are not wasted, and those

used are to the point. The volume is not a mere _resumé_ of others'

opinions; but the author has made the topics of which he treats his own.

* * * * *

FROM THE CHICAGO MEDICAL EXAMINER OF NOV. 1869.

This work is written in a plain and pleasing style, well calculated both

to please and instruct. There is nothing of the _sensational_ or

imaginative character in it. On the contrary, its teachings are in

strict accordance with scientific facts and good sense. Though designed

specially for females, yet a careful perusal would be productive of much

benefit to both sexes.

* * * * *

FROM THE METHODIST HOME JOURNAL, DEC. 4, 1860.

Hitherto, the subjects so honestly and so skilfully treated in this

volume have, to a very great extent, been ruled out of the realm of

popular knowledge, and information of this class sought only in a

clandestine manner. The people have suffered by deplorable ignorance on

those topics, which should be as familiar to us as the alphabet. Dr.

Napheys, by his scientific handling of the physiological points which

relate to health, training, and development, has rendered a great

service to the world. This, the press, and public men, have not been

slow to acknowledge. The book has gained unqualified praise, and well

deserves it.

* * * * *

FROM THE PRESBYTERIAN, OF PHILADELPHIA, DEC. 4, '69.

A book which treats wisely and delicately of very important subjects,

and subjects which ought to be treated by competent hands, instead of

being left to quacks and the venders of nostrums. Dr. Napheys is

evidently a conscientious and intelligent physician, and his counsels

are such as may be put in the hands of all persons needing such

counsels. We commend it for its judicious exposition of the laws of

nature.

* * * * *

FROM THE NEW YORK CHRISTIAN UNION, JAN. 8, 1870.

Society owes a debt of gratitude to this brave and scientific physician

for the unexceptionable way in which he has performed a work that has,

up to the publication of this book, been a paramount need, not to be

satisfied anywhere in the English language. If the volume contained only

the chapter on the influence of the mother's mind upon her unborn child,

we would recommend its purchase by every family in the United States.

* * * * *

FROM THE PHILA. EVENING TELEGRAPH, OCT. 6, 1869.

This is a work by a physician of reputation on the hygiene of woman,

designed for popular use, and introducing a variety of topics not

generally discussed outside of regular scientific medical works. Dr.

Napheys writes with dignity and earnestness, and there is not a chapter

in his book that may not be read by persons of both sexes. Of course

such a work as this is intended for men and women of mature years, and

it is not suitable to be left lying about for the gratification of idle

curiosity. The author has been careful to write nothing that can

possibly give offence, and he conveys much sound instruction that, if

heeded by those to whom it is particularly addressed, will save much

suffering.

* * * * *

FROM THE INDEPENDENT, NEW YORK, NOV. 11, 1869.

It required a brave but sensitively pure man to provide for the want

which existed for some reliable medical instruction upon points which

every woman and every married man ought to know, and few do. Dr. Napheys

we do not know personally. But his book is at once brave and pure. It is

written in such a spirit that she who really desires to learn the truths

of which she cannot with justice to herself or others be ignorant, may

do so without being shocked; while he who hopes to stimulate a vicious

imagination by its perusal will turn from its pages disappointed away.

* * * * *

FROM REV. HENRY CLAY TRUMBULL,

Secretary of New England Department of Missions of the American

Sunday-school Union.

HARTFORD, CT., Oct. 1869.

GEO. H. NAPHEYS, M.D.--

_My Dear Sir_: Understanding, from my long acquaintance with you, your

thoroughness of mental culture, your delicacy of sentiment, and your

sound good sense, I was prepared to approve heartily the tone and style

of your new work, "The Physical Life of Woman," when its advance sheets

were first placed in my hands.

A close examination of it convinces me that it is a book which can be

read by every woman to her instruction and advantage. Its manner is

unexceptionable. Its style is remarkably simple. Its substance evidences

your professional knowledge and your extensive study. I believe it needs

only to be brought to notice to commend itself widely. I think you have

done an excellent work in its preparation.

Sincerely your friend,

H. CLAY TRUMBULL.

* * * * *

FROM THE REV. W. H. H. MURRAY,

Pastor of the Park Street Church, Boston, Mass.

DEC. 2, 1871.

It is with sincere gratitude to the author that I give my endorsement to

the book entitled "The Physical Life of Woman." Never was such a work

more needed anywhere, or in any age, than it is in America at this time.

I should rejoice at its introduction among the people until every wife

and mother in the country and the world had a copy in her possession. In

it the author has indeed given needed instruction and warning. He

deserves the thanks of every Christian and well-wisher of the race.

W. H. H. MURRAY.

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