ng woman who has
fully reached the period of puberty without having menstruated. All the
organs which we have described, are manifestly developed, she is
healthy, vigorous, robust, and able to exercise freely or to engage in
laborious occupations. But we notice that her voice is not sweetly
feminine, nor is her presence timid, tender, and winning; there is
wanting that diffident sexual consciousness, which gently woos, and, at
the same time, modestly repels, and tends to awaken interest, curiosity,
and desire. Considering also that she has never manifested any
inclination to menstruate, we are irresistibly led to the conclusion
that the ovaries are wanting; the delicate mustache upon the upper lip,
the undeveloped breasts, the coarse features, and her taste for
masculine pursuits, all concur in this diagnosis. Thus we account for
the harshness of the voice, fitted for command rather than to express
the mellow, persuasive cadences of love. Such a malformation cannot be
remedied.

RETENTION AND SUPPRESSION FROM MORBID CONDITIONS OF THE BLOOD.
Non-appearance, as well as suppression of the menses, may result from an
abnormal state of the blood. The first condition which demands our
attention under this head is _plethora_. In robust, plethoric females
the menses are sometimes very tardy in their appearance, and every month
the attempt to establish this function is attended with pain in the
head, loins, and back, chilliness, nausea, and bloating of the abdomen.
Sometimes there is intolerance of light or sound, and cerebral
congestion, amounting almost to apoplectic symptoms. The pulse is full
and strong, the blood abundant and surcharged with red corpuscles. Such
persons may be accustomed to luxurious living, and there is evidently a
predisposition to abnormal activity of the alimentary functions.

TREATMENT. We may briefly suggest that such subjects should engage in
laborious physical exercise in order to expend the surplus of vitality,
and should lessen the daily amount of food taken, and use that which is
light and unstimulating. We should also prevent the determination of
blood to the head, by keeping it cool and the feet warm, and by
increasing the flow of blood to the extremities. The volume of the
circulation may be diminished by acting upon the natural outlets, such
as the skin, kidneys, and bowels. The proper means and appliances for
quickening the circulation of the blood are indicated, and friction upon
the surfa