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the bed is too hard, but it is one way of telling that one general condition of Arnica, soreness.

Arnica has a special action upon the small blood vessels, the capillaries. It produces such a weakness of the walls of these vessels. that the blood oozes out from slight causes. Blood oozes from the mucous membranes in general, hæmoptysis, hæmatemesis, epistaxes, harmaturia, bleeding from the ears, etc. Any slight mechanical violence produces ecchymoses. There is also noted a general venous: stasis from the weakened capillaries, thus favoring hemorrhages.

Just a few days ago I was called to see a lady who was suffering from great soreness in the lower abdomen, with a bloody discharge from the uterus, caused by lifting and dragging in a very heavy Brussels carpet, which had been out on the line for the purpose of being cleaned. There was a storm coming up, she did not have any help, and the above condition was the result. I gave a few doses of Arnica and the trouble quickly subsided.

I must not forget to call attention to the conditions produced by too violent exercises, such as riding a wheel, playing foot ball, and like exertions. Such exercises carried to excess produce a dilitation of the heart, with violent palpitation, and great soreness; and if allowed to continue, lead to a permanent trouble. Such cases generally yield to a few doses of Arnica properly potentized and given at long intervals.

Arnica is a wonderful remedy, symptoms agreeing, in obstetrical cases. After severe labor or instrumental delivery the parts are more or less bruised, often lacerated, and the patient complains of great soreness, and with it she may have severe after pains always complaining of the great soreness. Arnica is her friend, coming to her rescue and clearing up the entire trouble.

The Arnica patient is often very irritable and boils over, and his boils are very sore and make him more irritable, so much so that he does not want them touched or any one to even approach him. You have seen cases of gout requiring Arnica, and the first condition which confronts you is that the patient does not wish you to approach him, much less to touch his toe.

Hering tells us that the Arnica patient is short and fat. Some of the general symptoms of Arnica can be summed up as follows: Effects of injuries or over-exertions. Thinks he is well; forgetful; irritable ; fear from violence. Bruised soreness ; aching, tearing pains. Prostration. Hemorrhages; ecchymosis. Anæmia. Congestion of venous capillaries. Septicæmia. Painful eruptions; boils.

The aggravations of Arnica are—morning; evening; night; cold damp weather; cold; touch; pressure; over-exertion; motion; riding;

walking; jar; emotional excitement. Amelioration from open air and lying down.

A PLEA FOR THE BABY GIRLS.

Ey Margaret Hassler-Schantz, M. D., Reading, Pa. The condition of the foreskin of boys has received more or less attention, at least since the days of Moses, who is reputed to have inaugurated the practice of circumcision of the male portion of the human race. But the girls have been neglected. Without presuming to pose as their Moses, I do feel an impulse to cry out against the shameful neglect of the clitoris and its hood, because of the vast amount of suffering which could be saved the gentler sex, if this important subject received proper attention and appreciation at the hands of the medical profession.

The first question which concerns the mother, after the cry of her new-born babe is, “Is the child perfect?” The doctor knowing this, and also for his own satisfaction from a professional standpoint, carefully examines the child in all parts with a view of determining the question, so important to the parent and especially to the child. A cleft palate, a spina bifida, an imperforate anus, birth marks of all kinds are carefully noted, and in due time are given whatever attention may be called for. But in spite of the numerous cures that have been effected in the diseases of the gentler sex, both young and old, the importance of taking an invoice of this part, as well as the rest of the baby, at the time of birth has not received a shadow of appreciation which is justly its due.

All up-to-date doctors realize the importance of the proper condition of the foreskin in the male and of securing it during infancy. *Then why should not the same watchful care be required with the foreskin of the clitoris. The application of the same thought to girl babies will have to be harped upon and discussed and presented over and over by writers and teachers, before the girl babies are privileged to enjoy the benefit of free terminal nerve fibers in the region of the clitoris.

The clitoris is the analogue penis, is furnished with many more nerves than the penis, is very vascular, so much so, that deep wounds about the clitoris are accompanied with hemorrhage and often need sutures to arrest bleeding.

The clitoris demands the same attention as the penis, to avoid undue irritation, an irritation that is the source of infantile convulisions, hip-joint diseases, stammering, eczema, chorea, ehlorosis, enuresis, idiocy, and of lust and all its consequences.

le.

From the origin of the word, signifies titillation, hence it must long ago have been deemed over-sensitive to irritation.

Clitordian masturbation, simple titillation, or friction of the clitoris by hand is the most prevalent form of the solitary vice in children and women.

Peculiar movements of the body, often calculated for this end, may accomplish the same titillation of the clitoris, ending in voluptuous spasm.

The external form of masturbation is more common than the internal and with those addicted to it, there is real increase in size of clitoris and it is frequently found situated higher up or farther away from the vaginal outlet. There is an alteration in color, not. however of uniform nature, but dependent upon the amount of irritation to which the parts have been subjected. There is an external. redness, if recent, or a bluish mottled appearance, especially extending about the labia manora if the irritation be very chronic.

When the clitoris and its hood are in a normal condition, the point of the glands is exposed, the complete retraction of the hood is: easily accomplished and no smegma or an irritated condition is found to exist between them. Any deviation from this requires attention. If as in the case of the foreskin the hood be adhered, loosen it. After the tissues have been separated, they will be more or less devoid of epithelium, and consequently will be red. Then draw the hood back as far as possible and drop or pour a thin layer of collodioum overhood and clitoris. This filmy covering will remain several days when it comes off and leaves the part in perfect condition. If the hood is: too long, shorten it, if too tight, it should be slit along its dorsem. In amputating the hood of clitoris, care must be taken not to amputate too closely, as in healing this would result in a binding down of the glans clitorides by a contracting band of cicatrical tissue, which would become a source of increasing irritation.

This is but one instance, but it well illustrates innumerable others: in which sickness and death baffle the doctors, and where a little attention to the hood of the clitoris would have speedily restored the entire organism to harmony.

Miss A, L, age eighteen, brunette, plump figure, nervous temperament, face pimpled and had the expression of sexual self-consciousness. Family history showed tuberculosis and a tendency among the women to pelvic disease. Well, as a child, until three years old, Then began attacks of momentary unconsciousness, sometimes no convulsive movements at all. These attacks came on about every three months or longer, the period shortening, until at puberty the attacks

were coming every two weeks or less. The seizures increasing in severity and frequency, beginning with a scream and lasting fifteen minutes, followed by terrible headaches and digestive disturbances, keeping patient in bed two or three days. Attacks would seize her on street, as often as in bed. Could not go out alone, and was compelled to give up school. She was sent to me by family physician at twelve years of age. Physical examination showed muscles tense all the time, hymen tough and irritable, uterus in good position, rectum all right, but there was no sigò of a clitoris or any appearance to indicate one. The skin was perfectly smooth when gently spread, but I could detect a prominence underneath feeling something like a small shot. I explained to the parents the necessity of liberating the clitoris for the benefit of the nervous system. Nothing more was seen of the case, the parents refusing the operation. When she was eighteen, I was sent for, patient now confined to bed, is dazed most of the time, memory impaired, no self-reliance. Physical examination revealed nothing more than when at twelve years old, except, that there was no history of menstruation. Treatment in the meantime had been bromides and patent “cures”. The family now wished for an operation. The patient was etherized, the skin pinched up with a delicate pair of forceps, so as not to endanger the organ, and a portion clipped off. The underlying tissue was raised and separated properly, so as to expose the good-sized clitoris and allow the passage of instrument around it, which liberated the white balls of smegma. The hood was stretched, and collodioum put on so the parts would not re-adhere. The hymen was removed. While under ether she had convulsive movements. Ten days after operation, the menstrual flow appeared, dark, large quantity, no pain. The menstrual flow became regular. There was one convulsion during the first period, followed by one six months later, when upon examining found the hood adhered to clitoris, which was broken up. There have been no attacks since. The work that was done two years ago has left her well, and she is now working in a store.

By all means, then, let the girls have as fair a start in life as the boys. Sensuality is pitiable and mischievous when the boys are neglected. But the neglect of the girls is still deeper and more disastrous, if possible, in its consequences. It is much easier to prevent than it is to cure. So let both sexes have a fair start in life, and be entirely freed from the sexual self-consciousness which comes from impinged nerve fibres, about the clitoris and its hood, as well as at the glans penis and its foreskin.

PROPHYLAXIS.

By R. B. Tomlin, M. D., Philadelphia, Pa. Prophylaxis! Preservative, or preventative. What an ocean of opportunity; what a privilege; what a duty; what an obligation confronting us. How the horizon fairly emblazons as the many and varied trains of thought flash into and through our minds. Aye, we may well pause as we consider the knowledge and wisdom in that sacred injunction, “Whatsoever a mon soweth that shall he also

reap."

The term “health” is in reality but a relative one. For many centuries the science of medicine has been at sea without guide, rudder, anchor, or known part. It has been a great system of guesswork. Of late years the progress of the early stages of disease has been made clear in some maladies and germs have been found at work in the body. It cannot be proved that these germs alone are the cause of disease. Something more is necessary. A person who is in perfect health is immune from the germs of disease and will not be made sick by them. The life of the disease-producing germs may convert good matter into poisons. The probability is that each variety of germs goes about eating or absorbing poisons of its own liking; one kind devouring one toxin and another devouring another toxin, and so on; getting them either outside or inside the body, wherever they are most available. Some day it may be proved that these deadly bacteria are given the work of destroying the toxins that produce disease, each having its prey; but it is difficult to explain why they develop them outside the body. It became known that toxins must be present in the body either introduced by the germs or made dangerous by them, or attracted by them from a condition of the health already existing. They are now supposed to be in the body and the germs are supposed to be created for the purpose of absorbing them. There are more varieties of disease germs than there are known diseases chargeable to them; but for every variety of such germs there is a toxin which it is probably created to devour; and there are many kinds of disease that are not classed as bacterial, although they are due to the presence of toxins in the body which are generated there. Some are necessary, but many are not. A well person throws them off and is therefore not under their control. To prevent disease it is necessary to prevent the accumulation of toxins; and the real science of medicine consists in throwing off toxins and thus preventing disease.

The latest steps in medical practice are those that counteract the influence of these toxins. Hence the advanced practice of to-day consists in the use of anti-toxins. And these are generally milder forms

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