led the system to retrace its steps, and recover force
for evolution. Then the school resumed its sway, and physiological
laws were again defied. Fortunately graduation soon occurred, and
unintermitted, sustained labor was no longer enforced. The menorrhagia
ceased, but persistent dysmenorrhoea now indicates the neuralgic
friction of an imperfectly developed reproductive apparatus. Doubtless
the evil of her education will infect her whole life.
The next case is drawn from different social surroundings. Early
associations and natural aptitude inclined Miss B---- to the stage;
and the need of bread and butter sent her upon it as a child, at what
age I do not know. At fifteen she was an actress, determined to do her
best, and ambitious of success. She strenuously taxed muscle and
brain at all times in her calling. She worked in a man's sustained
way, ignoring all demands for special development, and essaying first
to dis-establish, and then to bridle, the catamenia. At twenty she was
eminent. The excitement and effort of acting periodically produced the
same result with her that a recitation did under similar conditions
with Miss A----. If she had been a physiologist, she would have known
how this course of action would end. As she was an actress, and not a
physiologist, she persisted in the slow suicide of frequent
hemorrhages, and encouraged them by her method of professional
education, and later by her method of practising her profession. She
tried to ward off disease, and repair the loss of force, by consulting
various doctors, taking drugs, and resorting to all sorts of
expedients; but the hemorrhages continued, and were repeated at
irregular and abnormally frequent intervals. A careful local
examination disclosed no local disturbance. There was neither
ulceration, hypertrophy, or congestion of the os or cervix uteri; no
displacement of any moment, of ovarian tenderness. In spite of all her
difficulties, however, she worked on courageously and steadily in a
man's way and with a woman's will. After a long and discouraging
experience of doctors, work, and weaknesses, when rather over thirty
years old, she came to Boston to consult the writer, who learned at
that time the details just recited. She was then pale and weak. A
murmur in the veins, which a French savant, by way of dedication to
the Devil, christened _bruit de diable_, a baptismal name that science
has retained, was audible over her jugulars, and a similar mu
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