Plain Facts for Old and Young by John Harvey Kellogg

4. We have met a number of ladies whose good fortune and good sense

8314 words  |  Chapter 7

had delivered them from the distorting influence of corset-wearing and tight-lacing, and we have invariably observed that they are as capable of deep respiration as men, and practice it as naturally. We are thoroughly convinced that this so-called physiological difference between man and woman is really a pathological rather than a natural difference, and is due to the evils of fashionable dress, which we have exposed at some length in another work exclusively devoted to that subject.[2] In short, we believe that the only reason why women do not, under ordinary circumstances, breathe as do men, is simply _because they can not_ breathe naturally. [Footnote 2: "Evils of Fashionable Dress, and How to Dress Healthfully."] The Reproductive Elements.--As has been previously observed, in all except the very lowest forms of life, two elements are necessary to the production of a new individual, or a reproduction of the species--a male element and a female element. The special organs by means of which these elements are produced, brought together, and developed into the new individual in a more or less perfect state, are termed _sexual organs_, as we have already seen. As an introduction to the specific study of the sexual organs in the human species, let us briefly consider the Sexual Organs of Plants.--As already remarked, flowers are the sexual organs of plants. Nothing is more interesting in the natural world than the wonderful beauty, diversity, and perfect adaptability to various conditions and functions, which we see in the sexual parts of plants. An exceedingly interesting line of study, which has occupied the attention of many naturalists, is the wonderful perfection displayed in the adaptability of the male and female parts of plants to each other. Without burdening the reader with unnecessary technicalities of detail, we will briefly notice the principal parts of vegetable sexual organs as illustrated in flowers. Complete flowers are made up of four parts, two of which, the _stamen_ and _pistil_, are essential, while the other two, the calyx and corolla, are accessory. The _calyx_ is that part which surrounds the flower at its outer and lower part. It varies greatly in form and color, but is most frequently of a green or greenish color. Just within the calyx is the _corolla_, which usually forms the most attractive, showy, and beautiful part of the flower. The beautifully colored petals of the rose, geranium, dahlia, and other similar flowers, form their corollas. Vegetable Husbands.--Within the cup formed by the calyx and corolla are placed the _stamens_ and _pistils_ of the flower, the first being the male organs proper, and the second the female organs of the flower. The stamen is composed of a stem or filament, at the summit of which are placed two little sacks called the _anther_, which contain a fine, microscopic dust, the _pollen_, which contains the male reproductive element of the flower. This part of the plant corresponds to the male organ of reproduction in animals. A stamen has been called, not inaptly, a vegetable husband. Some flowers have many stamens, or vegetable husbands, which reminds us of the custom in Thibet and some other Eastern countries which allows a woman to have several husbands. Polygamous Flowers.--The great naturalist, Linnaeus, whose name was immortalized by his careful study and classification of organized life, made the number of stamens possessed by various flowers the basis of a systematic classification. For example, a flower having but one stamen was classed as _monandria_, which means, literally, one husband; one having two stamens was classified as _diandria_; flowers having a large number of male organs were termed _polyandria_, or many husbands. The Female Organ of Flowers.--The _pistil_ occupies the very center of the flower. It produces and contains in a cell, the female element, termed the _ovule_. It is surmounted by the _style_ and the _stigma_. A series of plants in which the sexual organs are not visible to the eye are termed _cryptogamia_, which means literally, hidden marriages. As we proceed to study the anatomy of the human sexual apparatus we shall be constantly struck with the remarkable correspondence between animals and vegetables in the structure and functions of the sexual apparatus. Sexual Organs of Animals.--The male reproductive element is called a _spermatozoon_ or _zoosperm_. The female element is called an _ovum_, literally, an egg. The Spermatozoon.--The male reproductive element of animals is formed by an organ called the _testis_, or _testicle_, of which each male possesses two. They are elastic, glandular bodies, and are formed within the cavity of the abdomen, near the kidneys, but usually pass out of the abdominal cavity and descend to their permanent position before birth. The opening in the abdominal wall is usually completely closed in a short time; but occasionally it remains open, giving rise to congenital hernia, an accident in which a loop of intestine follows the testicle down into the scrotum, either completely or partially. In a few animals, as in the porcupine, the opening is never fully closed, and the testis remains in the cavity of the body most of the time, passing out only at certain periods. We also occasionally meet cases of human beings in which the testes have never descended from their place in the abdominal cavity, giving the individuals the appearance of eunuchs. This condition, however, though an abnormal one, does not in any way interfere with the function of the organs, as those who happen to possess it often imagine. We have also met with cases in which the organs were movable, and could readily be pressed up into the abdominal cavity, through the unclosed inguinal cavity, which afforded them a passage downward in the process of development. As before remarked, these peculiarities do not affect the functions of the organs in any appreciable degree, although they not infrequently give rise to some apprehension on the part of those subject to them. The left testicle is sometimes a little smaller than the right, another fact which is seized upon by quacks as a means of exciting the fears of young men who have been addicted to bad habits, although the peculiarity is generally without important significance. The testicles are connected with the urinary passage by means of two ducts which terminate near the base of the bladder, at which point they connect with the urethra. We need not dwell at further length upon the structure of the testicles, as this subject receives fuller attention elsewhere. Human spermatozoa are about 1/600 of an inch in length. Those of reptiles are very much larger. One of the remarkable features of these minute elements is their peculiar movements. While alive, the filamentous tail is in constant action in a manner strongly resembling the movements of the caudal appendage of a tadpole. This wonderful property led the earlier observers to believe that they were true animalcula. But they are not to be regarded as such, though one can scarcely make himself believe otherwise while watching their lively evolutions, and apparent volitionary movement from one point to another. Spermatozoa originate in the testis as cells, which are filled with granules. After a time, each granule acquires a long appendage, and then the cell has become converted into a bundle of small zoosperms. Development still continues, until finally the thin pellicle on the outside of the bundle is ruptured, thus liberating the young spermatozoa, which speedily complete their full development. The spermatozoon is pure protoplasm, which is the basis of all life, and its power of spontaneous motion is due to this fact. In man, the formation of spermatozoa continues with greater or less rapidity from puberty to old age, though at the two extremes of existence they are imperfectly developed. When not discharged from the body, they are said to be absorbed. Some physiologists claim that they are composed of a substance identical with nerve tissue, and that by absorption they play a very important part in the development and maintenance of the nervous system. It is asserted by good authorities that the reproductive element in man is not so well developed as to be really fit for the reproduction of the species before the age of twenty-four or twenty-five. After the age of forty-five or fifty, the reproductive elements deteriorate in quality, and become again unfitted for vigorous procreation. The fully developed zoosperms are suspended in a transparent, gelatinous fluid, which, mingled with the secretion of the prostate gland and other fluids which it meets during its expulsion from the body, constitutes the _semen_. The Ovum.--The female element of generation, the ovum, is produced by an organ called the _ovary_, of which there are two in each individual. In size and form, the ovary closely resembles the testicle. Like the latter organ, also, it is formed within the body early in the process of development; but instead of passing outward and downward, as does the testicle, it remains within the abdominal cavity, suspended in place by ligaments. It is connected with a duct which receives the ovum as it is discharged, and conveys it to the uterus. The human ovum varies in size from 1/240 to 1/120 of an inch in diameter, and consists of a single cell. Ova are not formed in such large numbers as zoosperms. As a general rule, in the human female, a single ovum is developed and discharged once in about four weeks, during the period of sexual activity. Fecundation.--It is often asked, and the question has elicited some discussion, Which is the principal reproductive element; the zoosperm, or the ovum? The ancients supposed the male element to be the essential element, being simply nourished and developed by the female; but modern research in biological science does not sustain this view. Probably neither one enjoys especial preeminence; for neither can undergo complete development without the other. In very rare cases, the ovum has been observed to undergo a certain amount of development of itself; but a perfect individual can be produced only by the union of the two kinds of elements, which process is known as _fecundation_. The instant this union occurs, the life of a new individual begins. All the changes which result between that moment and the birth of the individual are those of development only. Indeed, the same existence continues from the instant of the union of the two elements, not only until birth, but through growth, the attainment of maturity, the decline of life, and even until death. It is interesting to observe the different methods by which fecundation is effected, both in plants and animals, for this is a process common to both. Fecundation in Flowers.--The great naturalist, Linnaeus, was the first to explain the reproductive process in plants. He tells us that "the flower forms the theater of their amours; the calyx is to be considered as the nuptial bed; the corolla constitutes the curtains; the anthers are the testes; the pollen, the fecundating fluid; the stigma of the pistil, the external genital aperture; the style, the vagina, or the conductor of the prolific seed; the ovary of the plant, the womb; the reciprocal action of the stamens on the pistil, the accessory process of fecundation." Thus marvelous is the analogy between the reproductive organs and their functions in plants and animals. Through this one vital process we may trace a close relation between all the forms of life, from the humblest plant, or even the mere specks of life which form the green scum upon a stagnant pool, to man, the masterpiece of creation, the highest of all animated creatures. In all the realm of Nature there can be found no more remarkable evidences of the infinite skill and wisdom of the Creator of all things. In many instances the action of plants seems almost to be prompted by intelligence. At the proper moment, the corolla contracts in such a way as to bring the stamens nearer to the stigma, or in contact with it, so as to insure fecundation. In some aquatic plants the flowers elevate themselves above the surface of water while the process of fecundation is effected; submerging themselves again immediately afterward. Other very curious changes occur in flowers of different species during the reproductive act. The stigma is observed to become moistened, and even to become distinctly odorous. Often, too, it becomes intensely congested with the juices of the plant, and sometimes even acquires an uncommon and most remarkable degree of contractility. This is the case with the stigma of the tulip and one variety of sensitive plant, and is in these plants observed to occur not only after the application of the pollen to the stigma, but when excited by any other means of stimulation. The flowers of some plants, during and after fecundation, also show an increase of heat, in some cases so marked as to be readily detected with the thermometer. This is said to be the case with the _arum_ of Italy. In some plants in which the pistil is longer than the stamens, thus elevating the stigma above the anthers, the female organ is often observed to bend over and depress itself so as to come within reach of the anthers. In most instances the fecundation of flowers is chiefly effected through a purely mechanical process, though in these cases also we see a wonderful adaptation of parts to conditions. When the male and female parts of flowers are situated on different plants, as is the case in the willow, the poplar, the melon vine, and many other species, the pollen of the male flower is wafted by the wind or gentle breeze to the stigma of the female flower, which will usually be found at no very great distance, although fertilization may take place in this way at very considerable distances. Bees, moths, and many other species of insects, serve a very important purpose in this work, transporting the fertilizing dust upon their wings, antennae, sucking-tubes, and feet. Small birds, and even the humble snail, which would scarcely be credited with any useful function, are also very serviceable in the same direction. The part performed by insects in the reproductive process of many plants is so great that they have been very poetically termed "the marriage priests of flowers." Nature provides for thorough fecundation in these cases by placing the plants which bear the male and the female flowers near each other. This fact accounts for the unproductiveness of certain varieties of strawberries unless mixed with plants of some other variety, it being well known to nursery-men that some varieties produce only the female parts of flowers. Modes of Fecundation in Animals.--The modes by which fecundation is effected in animals are still more various and wonderful than in plants. In some of the lower animals, as in most fish and reptiles, both elements are discharged from the bodies of the parents before coming in contact, there being no contact of the two individuals. In this class of animals the process is almost wholly analogous to fecundation in those plants in which the male and female flowers are on different plants or different parts of the same plant. In the female fish, a large number of ova are developed at a certain season of the year known as the spawning season. Sometimes the number reaches many thousands. At the same time, the testicles of the male fish, which are contained within the abdominal cavity, become distended with developed zoosperms. When the female seeks a place to deposit her eggs, the male closely follows; and as she drops them upon the gravelly bottom, he discharges upon them the zoosperms by which they are fecundated. The process is analogous to some species of frogs. When the female is about to deposit her eggs, the male mounts upon her back and rides about until the eggs are all deposited, discharging upon them the fertilizing spermatozoa as they are laid by the female. In higher orders of animals, fecundation takes place within the generative organs of the female by contact between the male and the female organs. To effect this, there are necessitated certain accessory organs, the _penis_ in the male and the _vagina_ in the female. Nothing in all the range of nature is more remarkable than the adaptation of the two varieties of sexual organs in each species. This necessary provision is both a powerful means of securing the perpetuation of the species, and an almost impassable barrier against amalgamation. The act of union, or sexual congress, is called _coitus_ or _copulation_. It is accompanied by a peculiar nervous spasm due to excitement of special nerves principally located in the _penis_ in the male, and in an extremely sensitive organ, the _clitoris_, in the female. The nervous action referred to is more exhausting to the system than any other to which it is subject. Union of the Ovum and Zoosperm.--The zoosperms not only come in contact with the ovum, but penetrate the thin membrane which incloses its contents, and enter its interior, where they disappear, becoming united with its substance. In the ova of certain fishes, small openings have been observed through which the spermatozoa find entrance. Whether such openings exist in human ova is an undecided question; but it is probable that they do. Curious Modes of Reproduction.--A peculiar kind of reproduction is observed in a variety of polyp, a curious animal which very much resembles a shrub in appearance. It attaches itself to some solid object, and then, as it grows, sends out little protuberances resembling buds. Some of these separate and fall off, swimming about as separate animals. These never become like the parent polyp; but they lay eggs, which hatch, and become stationary polyps like their grandparent, and in their turn throw off buds to form swimming polyps. In this case we have two kinds of generation combined, alternating with each other. Plant-lice afford a curious illustration of a similar generation. Males and females unite and produce eggs. The creatures produced by the hatching of eggs are neither males nor perfect females. They are _imperfect females_. They are all alike, so that no sexual union occurs. Instead of laying eggs, they produce live young like themselves, which appear to be developed from internal buds similar to the external buds of the polyp. After this method of reproduction has continued for eight or ten generations, a few perfect individuals appear, and the first process is repeated. The common honey-bee affords another illustration like the last. A virgin queen sometimes lays eggs, which always produce males, or drones. After union with a male, she lays eggs in the royal cells which become perfect females like herself. She also seems to have the power to lay, at will, unfecundated eggs, from which drones are produced. Human Beings Are Developed Buds.--It has been very aptly suggested by an eminent physiologist that the ovum and zoosperm may be correctly considered as internal buds. Thus it would appear that generation is universally a process of budding. A child is but a compound bud, an offshoot from its parents. This idea is not a mere fancy, but has a scientific basis. As all the exquisite details of the most beautiful flower are in essence contained within the tiny bud which first makes its appearance, so is the developed human being, the full-grown man or woman, virtually contained within the tiny cell called the ovum after it has been impregnated or fecundated by the zoosperms. In short, men and women are blossoms in a strictly scientific sense. Fecundation in Hermaphrodites.--The process of fecundation in hermaphrodite animals is very peculiar. In some cases, as in the snail, the union of two individuals is usually necessary, though each possesses both kinds of organs. In other cases, as in the tape-worm, the oyster, and numerous other mollusks, a single individual has the power to fertilize its own ova, thus being wholly independent. Human hermaphrodites are usually so deformed that fecundation is not effected, which is a fortunate safeguard against the multiplication of such monstrosities. Development.--After the union of the two elements, known as fecundation or _conception_, if the conditions are favorable, development occurs, and the little germ is in due process of time developed into an individual which is an exact counterpart of its parents. During this developmental process, the embryonic being is variously treated by different classes of animals. Unprotected Development.--Most fishes and reptiles discharge their ova before fecundation, or soon after, and pay no further attention to them. The fish deposits its eggs in a little hollow scooped out in the gravelly bed of a stream, or sows them broadcast upon the waters. The turtle buries its eggs in the sand, and leaves them to be hatched by the sun. The ostrich disposes of her eggs in the same way. Many other species of animals pay no regard to the protection of the germs which are destined, if placed under favorable conditions, to become individuals like themselves. Partial Protection of the Ovum.--There are some exceptions, however, to this general rule among fishes and reptiles. Even fishes manifest a degree of parental solicitude in certain cases. The male of a species of South American fish gathers up the eggs after fecundation has taken place, and carries them in his mouth until they are hatched. Another male fish carries the eggs of his mate in a little pouch upon the lower and posterior part of his body. Certain species of frogs carry their eggs wound about their legs; others suspend them from the abdomen. Another variety carries its young upon its back. Prof. Wyman describes a "swamp toad" which patiently takes the eggs of his mate, one by one, and fastens them upon her back, observing great regularity in arrangement. These several devices are evidently for the purpose of protecting, in some degree, the young individual during the helpless stage of its existence. Development in the Higher Animals and Man.--Higher animals are less prolific, and their development is a more complicated process; hence, their young need greater protection, and, for this reason, the ova, instead of being discharged from the body of the female after fecundation, are retained.[3] As we have seen that a suitable receptacle is sometimes provided outside of the body, so now a receptacle is needed, and is provided in the interior of the body of the female. This receptacle is called [Footnote 3: Curious examples of internal development sometimes occur in animals which usually deposit eggs. Snakes have been known to produce both eggs and living young at the same time. At the annual meeting of the American Society for the Advancement of Science, at Detroit, Mich., in August, 1875, we had the pleasure of examining a specimen, exhibited by Prof. Wilder, of a chick which had undergone a considerable degree of development within the ovary of the hen. It had a head, a rudimentary brain, and internal viscera, but no feathers nor limbs. It was, in fact, an egg hatched before it had been laid. The anomaly excited much interest at that time and since among biologists.] The Uterus.--This is a hollow, pear-shaped organ, located in the median line, just behind the bladder, between it and the rectum. It is supported in place by various ligaments and by the juxtaposition of other organs. Its larger end is directed upward, and communicates upon each side with a very narrow tube which is prolonged outward on either side until it nearly touches the ovary of the same side. Its lower and smaller end fills the internal extremity of the passage previously described as the vagina. When an ovum is matured, it escapes from the ovary into the narrow tube referred to, called the _Fallopian tube_, and passes down into the cavity of the uterus. If fecundation does not occur, it is expelled or absorbed after six to twelve or fourteen days. If copulation occurs, however, zoosperms are brought into the cavity of the uterus, and, coming in contact with the ovum, fecundate it. This is _conception_. When the natural process is allowed to proceed, development occurs. Uterine Gestation.--This is the term applied to the process last referred to. We shall not attempt to describe in detail this most wonderful and intricate of all living processes; but will sketch only the chief points, leaving the reader who would obtain a more complete knowledge of the subject to consult any one of the numerous physiological and obstetrical works which deal with it in a very exhaustive manner. As soon as the ovum is impregnated by the male element, it begins a process of symmetrical division. The first division produces two cells out of the single one which first existed. By the next division, four segments are produced; then eight, sixteen, etc. While this process is going on, the ovum becomes adherent to the internal wall of the uterus, and is soon enveloped by its mucous membrane, which grows up about and incloses it. The Primitive Trace.--When the process of segmentation has advanced to a certain point, the cells are aggregated together in a compact layer at the surface. Soon a straight line appears upon this layer, which is called the _primitive trace_. This delicate line becomes the basis for the spinal column; and upon and about it the whole individual is developed by an intricate process of folding, dividing, and reduplication of the layer of cells. One end of the line becomes the head, and the other becomes the tail. Even man has a caudal appendage at an early stage of his existence. After a further lapse of time, little excrescences, buds, or "pads," appear in the proper positions to represent the arms and legs. After further development the ends split up into fingers and toes, and by the continued development of the parts, perfect arms and legs are formed. Curious Relation to Lower Animals.--It is a very remarkable fact that in the lower animals we have numerous examples in which the permanent condition of the individual is the same as some one of the stages through which man passes in the process of development. The same author previously quoted makes the following interesting statements:-- "The webbed feet of the seal and ornithorhynchus typify the period when the hands and feet of the human embryo are as yet only partly subdivided into fingers and toes. Indeed, it is not uncommon for the 'web' to persist to some extent between the toes of adults; and occasionally children are born with two or more fingers or toes united to their tips. "With the seal and the walrus, the limbs are protruded but little beyond the wrist and ankle. With the ordinary quadrupeds, the knee and elbow are visible. The cats, the lemurs, and the monkeys form a series in which the limbs are successively freed from the trunk, and in the highest apes they are capable of nearly the same movements as the human arm and leg, which, in their development, passed through all these stages." Simplicity of Early Structures.--The first structures formed are exceedingly simple in form. It is only by slow degrees that the great complicity which characterizes many organs is finally attained. For example, the heart is at first only a straight tube. By enlargement and the formation of longitudinal and transverse partitions, the fully developed organ is finally produced. The stomach and intestines are also at first but a simple straight tube. The stomach and large intestine are formed by dilatation; and by a growth of the tube in length while the ends are confined, the small intestines are formed. The other internal organs are successively developed by similar processes. The Stages of Growth.--At first insignificant in size--a simple cell, the embryonic human being steadily increases in size, gradually approximating more and more closely to the human form, until, at the end of about nine calendar months or ten lunar months, the new individual is prepared to enter the world and begin a more independent course of life. The following condensation of a summary quoted by Dr. Austin Flint, Jr., will give an idea of the size of the developing being at different periods, and the rate of progress:-- At the end of the third week, the embryon is a little less than one-fourth of an inch in length. At the end of the seventh week, it is three-fourths of an inch long. The liver, lungs, and other internal organs are partially formed. At the eighth week, it is about one inch in length. It begins to look some like a human being, but it is impossible to determine the sex. At the third month, the embryon has attained the length of two to two and one-half inches. Its weight is about one ounce. At the end of the fourth month, the embryon is called a fetus. It is from four to five inches long, and weighs five ounces. At the fifth month, the fetus is nearly a foot long, and weighs about half a pound. At the sixth month, the average length of the fetus is about thirteen inches, and its weight one and a half to two pounds. If born, life could continue a few minutes. At the seventh month, the fetus is from fourteen to fifteen inches long, and weighs two to three pounds. It is now viable (may live if born). At the eighth month, the length of the fetus is from fifteen to sixteen inches, and its weight from three to four pounds. At the ninth month, the fetus is about seventeen inches long, and weighs from five to six pounds. At birth, the infant weighs a little more than seven pounds, the usual range being from four to ten pounds, though these limits are sometimes exceeded. Duration of Gestation.--The length of time required for the development of a human being is usually reckoned as about forty weeks. A more precise statement places it at about two hundred and seventy-eight days. This limit is often varied from. Cases have occurred in which a much longer time has been required, and numberless cases have occurred in which human beings have been born several weeks before the expiration of the usual time, as stated. There is some uncertainty respecting the exact length of the period of gestation, which grows out of the difficulty of determining, in many cases, the exact time when conception takes place. Uterine Life.--The uterine life of the new individual begins with the impregnation of the ovum, which occurs the instant it is brought in contact with the zoosperms of the male. While in the uterus, the young life is supported wholly by the mother. She is obliged to provide not only for her own sustenance, but for the maintenance of her child. And she must not only eat for it, but breathe for it as well, since it requires a constant and adequate supply of oxygen before birth as much as afterward. How the Unborn Infant Breathes.--Oxygen and nutriment are both supplied to it through the medium of an organ called the _placenta_, which is a spongy growth composed almost entirely of blood-vessels, and is developed upon the inner wall of the uterus, at the point at which the ovum attaches itself after fecundation. The growing fetus is connected with this vascular organ by means of a sort of cable, called the _umbilical cord_. The cord is almost entirely composed of blood-vessels which convey the blood of the fetus to the placenta and return it again. The fetal blood does not mix with that of the mother, but receives oxygen and nourishment from it by absorption through the thin walls which alone separate it from the mother's blood. The umbilical cord contains no nerves, as there is no nervous connection between the mother and the child. The only way in which the child can be influenced by the mother is through the medium of the blood, to changes in which it is very susceptible, as we shall see more clearly hereafter. The cord is attached to the body of the child at the point called the _navel_, being cut off at birth by the _accoucheur_. With the placenta, it is expelled soon after the birth of the child, and constitutes the shapeless mass familiarly known as the _after-birth_, by the retention of which the most serious trouble is occasionally caused. Parturition.--At the end of the period of development, the young being is forcibly expelled from the laboratory of nature in which it has been formed. In other words, it is born; and this process is termed _parturition_. Though, at first thought, such an act would seem an utter impossibility, yet it is a very admirable illustration of nature's adaptation of means to ends. During the months of gestation, while the uterus has been enlarging to accommodate its daily increasing contents, the generative passages have also been increasing in size and becoming soft and distensible, so that a seeming impossibility is in due time accomplished without physical damage, though possibly not without intense suffering. However, it is a most gratifying fact that modern medical science may do much to mitigate the pains of childbirth. It is possible, by a proper course of preparation for the expected event, to greatly lessen the suffering usually undergone; and some ladies assert that they have thus avoided real pain altogether. Although the curse pronounced upon the feminine part of the race, in consequence of the sin of Eve, implies suffering in the parturient act, yet there is no doubt that the greater share of the daughters of Eve are, through the perverting and degenerating influences of wrong habits and especially of modern civilization, compelled to suffer many times more than their maternal ancestor. We have sufficient evidence of this in the fact that among barbarian women, who are generally less perverted physically than civilized women, childbirth is regarded with very little apprehension, since it occasions little pain or inconvenience. The same is true of many women among the lower laboring classes. In short, while it is true that more or less suffering must always accompany the parturient act, yet the excessive pain usually attendant upon the process is the result of causes which can in many cases be removed by proper management beforehand and at the time of confinement. After being relieved of its contents, the uterus and other organs rapidly return to nearly their original size. Changes in the Child at Birth.--In the system of the child a wonderful change occurs at the moment of its expulsion into the outer world. For the first time, its lungs are filled with air. For the first time they receive the full tide of blood. The whole course of the circulation is changed, and an entirely new process begins. It is surprising in how short a space of time changes so marvelous can be wrought. Nursing.--The process of development is not fully complete at birth. The young life is not yet prepared to support itself; hence, still further provision is necessary for it. It requires prepared food suited to its condition. This is provided by the _mammae_, or breasts, of the female, which are glands for secreting milk. The fully developed gland is peculiar to the female; but a few instances have been known in which it has been sufficiently developed to become functionally active in men, as well as in young girls, though it is usually inactive even in women until near the close of gestation. It is a curious fact that the breasts of a new-born child occasionally contain milk. The first product of the mammae is not the proper milk secretion, but is a yellowish fluid called _colostrum _. The true milk secretion begins two or three days after delivery. The lacteal secretion is influenced in a very remarkable manner by the mental conditions of the mother. By sudden emotions of grief or anger, it has been known to undergo such changes as to produce in the child a fit of indigestion, vomiting, diarrhea, and even convulsions and death. Any medicine taken by the mother finds its way into the milk, and often affects the delicate system of the infant more than herself. This fact should be a warning to those nursing mothers who use stimulants. Cases are not uncommon in which delicate infants are kept in a state of intoxication for weeks by the use of alcoholic drinks by the mother. The popular notion that lager-beer, ale, wine, or alcohol in any other form, is in any degree necessary or beneficial to a nursing woman is a great error which cannot be too often noticed and condemned. Not only is the mother injured, instead of being benefited by such a practice, but great injury, sometimes life-long in its consequences, is inflicted upon the babe at her breast who takes the intoxicating poison at second hand, and is influenced in a fourfold degree from its feebleness and great susceptibility. ANATOMY OF THE REPRODUCTIVE ORGANS. Having now considered the functions and somewhat of the structures of the principal organs of reproduction, we may obtain a more definite idea of the relation of the several organs of each class by a connected review of the anatomy of the parts. Male Organs.--As previously stated, the external organs of generation in the male are the _penis_ and the _testicles_, the latter being contained in a pouch called the _scrotum_. The penis is the organ of urination as well as copulation. Its structure is cellular, and it contains a vast number of minute coils of blood-vessels which become turgid with blood under the influence of sexual excitement, producing distention and erection of the organ. A canal passes through its entire length, called the _urethra_, which conveys both the urine and the seminal fluid. The organ is protected by a loose covering of integument which folds over the end. This fold is called the _foreskin_ or _prepuce_. The fluid formed by each testicle is conveyed by the _vas deferens_, a curved tube about two feet in length, to the base of the bladder. Here the vas deferens joins with another duct which communicates with an elongated pouch, the _vesicula seminalis_, which lies close upon the under side of the bladder. The single tube thus formed, the _ejaculatory duct_, conveys the seminal fluid to the urethra, from which it is discharged. As the production of seminal fluid is more or less constant in man and some animals, while its discharge is intermittent, the vesiculae seminales serve as reservoirs for the fluid, preserving it until required, or allowing it to undergo absorption. Some claim that the zoosperms are matured in these organs. They always contain seminal fluid after the age of puberty. During coition, their contents are forcibly expelled by a spasmodic contraction of the muscles which surround them and the ducts leading from them. The Prostate Gland.--Surrounding the ejaculatory ducts and their openings into the urethra at the base of the bladder is the _prostate gland_, which produces a peculiar secretion which forms a considerable portion of the seminal fluid, being mingled with the secretion of the testes during its ejaculation. This gland sometimes becomes the seat of somewhat serious disease. In old age it usually becomes somewhat indurated, and often to such an extent as to seriously affect the health and comfort of the individual by interference with urination and by occasioning pain. Anterior to this organ, in the urethra, is a curious little pouch, the _utriculus_, which corresponds to the vagina and uterus in the female. Just in front of the prostate gland are two small bodies known as Cowper's glands. They secrete a fluid which combines with the seminal secretion. Female Organs.--The _ovaries_, _uterus_, or _womb_, _Fallopian tubes_, and _vagina_ have already been described in part. The external organs of the female are included in the term _vulva_ or _pudenda_. The most superficial parts are the _labia_, two thick folds of integument. Just within these are two thinner folds, the _labia minora_ or _nymphae_. These, together with the _clitoris_, situated just above, are extremely sensitive organs, being the chief seat of sexual sense in the female. At the lower part is the opening to the vagina, which in the virgin is usually partially guarded by a thin membrane, the _hymen_. This is not always a reliable test of virginity, however, as commonly regarded, since it may be destroyed by disease or accident, and may exist even after the occurrence of pregnancy. The vagina extends from the vulva to the lower end of the uterus, which it incloses, passing between the bladder and the rectum. The lower extremity of the uterus presents a small opening which leads into its interior. Upon either side, at its upper and larger end, is a minute opening, the mouth of the Fallopian tube. The latter organs extend from the uterus outward nearly to the ovaries, toward which they present a number of small filaments, one of which is in contact with each ovary. These filaments, together with the interior of the tubes, are covered with a peculiar kind of cells, upon which are minute cilia, or hairs, in constant motion. Very curiously, they all move in the same direction, toward the cavity of the uterus. When an ovum escapes from the ovary in connection with menstruation, it is by these delicate hairs propelled along a filament of tissue to the Fallopian tube, and thence by the same means is conveyed to the uterus. It may come in contact with the zoosperms at any point between the ovary and the lower orifice of the uterus, and thus undergo fecundation. Puberty.--For a certain period after birth, the sexual organs remain in a partially developed condition. This period varies in duration with different animals; in some cases being very brief, in others, comprising several years. Upon the attainment of a certain age, the individual becomes sexually perfect, and is then capable of the generative act. This period is called puberty. In man, puberty commonly occurs between the ages of ten and fifteen years, varying considerably in different climates. In this country, and in other countries of about the same latitude, puberty usually occurs at the age of fourteen or fourteen and one-half years in females, and a few months later in males. In cooler climates, as in Norway and Siberia, the change is delayed to the age of eighteen or nineteen years. In tropical climates it is hastened, occurring as early as nine or ten years. In warm climates it is no uncommon thing for a girl to be a mother at twelve; and it is stated that one of the wives of Mahomet was a mother at ten. Other causes besides climate tend to hasten the occurrence of this change, as habits, temperament, constitutional tendency, education, and idiosyncrasy. Habits of vigorous physical exercise tend to delay the access of puberty. For this reason, together with others, country boys and girls generally mature later than those living in the city by several months, and even a year or two. Anything that tends to excite the emotions hastens puberty. The excitements of city life, parties, balls, theaters, even the competition of students in school, and the various causes of excitement to the nervous system which occur in city life, have a tendency to hasten the occurrence of the change which awakens the sexual activities of the system into life. Hence, these influences cannot but be considered prejudicial to the best interests of the individual, mentally, morally, and physically, since it is in every way desirable that a change which arouses the passions and gives to them greater intensity should be delayed rather than hastened. Influence of Diet on Puberty.--The dietary has a not unimportant influence in this respect. Stimulating food, such as pepper, vinegar, mustard, spices, and condiments generally, together with tea and coffee, and an excess of animal food, have a clearly appreciable influence in inducing the premature occurrence of puberty. On this account, if on no other, should these articles be prohibited to children and youth, or used very sparingly. Those who advocate the large use of meat by children and youth have not studied this matter closely in all its bearings. While it is true that children and growing youth require an abundance of the nitrogenous elements of food which are found abundantly in beefsteak, mutton, fish, and other varieties of animal food, it is also true that in taking those articles of food they take along with the nutrient elements properties of a stimulating character, which exert a decidedly detrimental influence upon the susceptible systems of children and youth. At the same time, it is possible to obtain the same desirable nitrogenous elements in oatmeal, unbolted wheat flour, peas, beans, and other vegetable productions, which are wholly free from injurious properties. We are positive from numerous observations on this subject, that a cool, unstimulating, vegetable or farinaceous diet would deter the development of the sexual organism for several months, and perhaps for a year or two. While it might not be in all cases desirable to do this, it would at least be wise to adopt such measures in cases in which the child is unavoidably exposed to influences which have a tendency to hasten the change. It is important to add in this connection a word of caution against the adoption of a dietary too abstemious in character. It is necessary that an abundance of good, wholesome food, rich in the elements of nutrition, should be taken regularly. There is no doubt that many young ladies have induced conditions of serious disease by actual starvation of the system. A young woman who attempts to live on strong tea or coffee, fine-flour bread, and sweet cake, is as certainly starving herself as though she were purposely attempting to commit suicide by means of starvation, and with as much certainty of the same result. Brunettes Naturally Precocious.--It has been observed that in girls the occurrence of puberty is earlier in brunettes than in blondes; and in general it makes its appearance earlier in persons of a nervous or nervo-bilious temperament than in persons of a lymphatic temperament or phlegmatic nature. Certain nationalities and families are marked by the earlier occurrence of puberty than in others. In Jews, the change is commonly a year or two in advance of other nationalities in this country. It also occurs somewhat sooner in negroes and creoles than in white persons, the African race seeming to retain something of the precocity occasioned by the tropical influence of its native clime. Remarkable Precocity.--Cases occasionally occur in which puberty makes its appearance at the age of three or four years. Indeed, a case has been reported in this country in which a female child possessed all the characteristics which are usually developed at puberty, from birth. In this case the regular periodical changes began at birth. Premature Development Occasions Early Decay.--A fact which is of too great importance to allow to pass unnoticed, is that whatever occasions early or premature sexual development, also occasions premature decay. Females in whom puberty occurs at the age of ten or twelve, by the time their age is doubled, are shriveled and wrinkled with age. At the time when they should be in their prime of health and beauty, they are prematurely old and broken. Those women who mature late retain their beauty and their strength many years after their precocious sisters have become old, decrepit, and broken down. Thus, the matrons of thirty and forty years in colder climates are much more attractive in appearance than the maidens of sixteen; while quite the reverse is true in this and other countries where sexual development is unduly hastened. Early Puberty a Cause for Anxiety.--The unnaturally early appearance of puberty is a just cause for apprehension, since it usually indicates an inherent weakness of the constitution. When there are reasons for fearing its occurrence, active measures should be taken to occasion delay if possible. We call especial attention to this point, since there are many who erroneously suppose the early occurrence of puberty to be a sign of superior vigor. Changes which Occur at Puberty.--The changes which occur in the two sexes at this period have been thus described:-- "In both sexes, hair grows on the skin covering the _symphysis pubis_, around the sexual organs, and in the axillae (armpits). In man, the chest and shoulders broaden, the larynx enlarges, and the voice becomes lower in pitch from the elongation of the vocal cords; hair grows upon the chin, upper lip, and cheeks, and often exists upon the general surface of the body more abundantly than in woman." The sexual organs undergo enlargement, and are more frequently excited. The testicles first begin the secretion of the seminal fluid. "In woman, the pelvis and abdomen enlarge, but the whole frame remains more slender, the muscles and joints less prominent, the limbs more rounded and tapering [than in the male]. Locally, both external and internal organs undergo a considerable and rapid enlargement. The mammae enlarge, the ovarian vesicles become dilated, and there is established a periodical discharge of one or more ova, accompanied, in most cases, by a sanguineous fluid from the cavity of the uterus." These changes, so varied and extraordinary, often occur within a very short space of time; and as they are liable to serious derangement, especially in the female, great care should be taken to secure for the individual the most favorable conditions until they are successfully effected. It is, however, a fact deserving of mention, that many of the ills which are developed at this particular period are quite as much the result of previous indiscretions and mismanagement as of any immediate cause. A few suggestions with regard to the proper treatment of individuals at this age may be in place.

Chapters

1. Chapter 1 2. INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 3. INTRODUCTION. 4. 1. In childhood, and until about the age of puberty, respiration in 5. 2. Although there is a change in the mode of respiration in most females, 6. 3. We believe the cause of this modification of respiration is the 7. 4. We have met a number of ladies whose good fortune and good sense 8. 1. Do not allow the boy or girl to be overworked, either mentally or 9. 2. Keep the mind occupied. While excessive labor should be avoided, 10. 3. Abundant exercise out-of-doors is essential for both sexes. Sunshine 11. 4. Watch carefully the associations of the youth. This should be done 12. 5. None too much care can be exercised at this important epoch of human 13. 2. Intense mental excitement, as well as severe physical labor, is to 14. 3. A third hint, which is applicable to both sexes and at all times, 15. 4. Take daily exercise, as much as possible short of fatigue; if 16. 4. Perhaps nothing tends more directly to the production of menstrual 17. 1. If a child is begotten in lust, its lower passions will as certainly 18. 2. The same remarks apply with equal force to the transmission of other 19. 3. The influence of the father is, at the outset, as great as that of 20. 4. If during gestation the mother is fretful, complaining, and 21. 1. For the beginning of a new life, select the most favorable time, 22. 2. If a child has been properly conceived, the duty then devolves upon 23. 3. After birth, the mother still possesses a molding influence upon 24. 1. During the development of the body, all its energies are required 25. 2. The reproductive act is the most exhaustive of all vital acts. Its 26. 3. The effects upon the female are even worse than those upon the male; 27. 2. That a robust man requires more than one woman to satisfy his sexual 28. 3. That there are more women than men; and since every woman has a right 29. 4. That the great men of all ages have been polygamists in fact, if 30. 5. That monogamy is a relic of the paganism of the ancient Greeks and 31. 6. That it is the only proper and effective cure for the "social evil," 32. 1. We deny most emphatically the assertion that polygamy is either 33. 2. The second argument is based upon the asserted fact that man 34. 3. While it is true that there are a few more adult women than men, 35. 4. In proof of the propriety of polygamy, as well as of its necessity, 36. 5. The fact that monogamy was practiced among the ancient Greeks and 37. 6. The argument that polygamy will cure the "social evil" is exactly 38. 1. They are useful as well as healthful. While they call into action 39. 1. The sexual function is for the purpose of producing new individuals 40. 2. In the animal kingdom generally, the reproductive function is 41. 3. In those exceptional cases in which the organs of the male are in 42. 4. Fecundation of the female element can only take place about the time 43. 5. The desire for sexual congress naturally exists in the female only 44. 6. The constant development of the sexual organs in human males is a 45. 7. The time of sexual congress is always determined by the condition 46. 1. The fact that in all animals but the human species the act can be 47. 2. The fact that the males of other animals besides man in which the 48. 3. The general law that the reproductive act is performed only when 49. 1. The moment that prostitution is placed under the protection of law 50. 2. Why should so vile a crime as fornication be taken under legal 51. 3. By the use of certain precautionary measures the fears of many will 52. 1. Those which may arouse suspicion, but any one of which, taken singly, 53. 2. Those which may be regarded as positive. Several suspicious signs 54. 1. _General debility_, coming upon a previously healthy child, marked 55. 2. _Early symptoms of consumption_--or what are supposed to be such--as 56. 3. _Premature and defective development_ is a symptom closely allied 57. 4. _Sudden change in disposition_ is a sign which may well arouse 58. 5. _Lassitude_ is as unnatural for a child as for a young kitten. A 59. 6. In connection with the preceding symptom will generally be found, 60. 7. _Sleeplessness_ is another symptom of significance. Sound sleep is 61. 8. _Failure of mental capacity_ without apparent cause should occasion 62. 9. _Fickleness_ is another evidence of the working of some 63. 10. _Untrustworthiness_ appearing in a child should attract attention 64. 11. _Love of solitude_ is a very suspicious sign. Children are naturally 65. 12. _Bashfulness_ is not infrequently dependent upon this cause. It 66. 13. _Unnatural boldness_, in marked contrast with the preceding sign, 67. 14. _Mock piety_--or perhaps we should more properly designate it as 68. 15. _Easily frightened_ children are abundant among young masturbators, 69. 16. _Confusion of ideas_ is another characteristic of the devotee of 70. 17. Boys in whom the habit has become well developed sometimes manifest 71. 18. _Round shoulders_ and a stooping posture in sitting are 72. 19. _Weak backs, pains in the limbs, and stiffness of the joints_, in 73. 20. _Paralysis_ of the lower extremities, coming on without apparent 74. 21. The _gait_ of a person addicted to this vice will usually betray 75. 22. _Bad positions_ in bed are evidences which should be noticed. If 76. 23. _Lack of development of the breasts_ in females, after puberty, 77. 24. _Capricious appetite_ particularly characterizes children 78. 25. One very constant peculiarity of such children is their extreme 79. 26. _Eating clay, slate-pencils, plaster, chalk,_ and other 80. 27. Disgust for simple food is one of the traits which a victim of this 81. 28. _The use of tobacco_ is good presumptive evidence that a boy is 82. 29. _Unnatural paleness_ and colorless lips, unless they can be 83. 30. _Acne_, or _pimples_, on the face are also among the suspicious 84. 31. _Biting the finger nails_ is a practice very common in girls 85. 32. The eyes often betray much. If, in addition to want of luster and 86. 33. An habitually moist, cold hand, is a suspicious circumstance in 87. 34. _Palpitation of the heart_, frequently occurring, denotes a 88. 35. _Hysteria_ in females may be regarded as a suspicious circumstance 89. 36. _Chlorosis_, or _green sickness_, is very often caused by the unholy 90. 37. _Epileptic fits_ in children are not infrequently the result of 91. 38. _Wetting the bed_ is an evidence of irritation which may be 92. 39. _Unchastity of speech_ and fondness for obscene stories betray a 93. 2. Loss of the seminal fluid. 94. 1. The composition of the nerves and that of spermatozoa is nearly 95. 2. Men from whom the testes have been removed before puberty, as in 96. 1. Begin by a resolution to reform, strengthened by the most solemn 97. 2. Resolve to reform _now_; not to-morrow or next week, but this very 98. 3. Begin the work of reform by purging the mind. If a lewd thought enters 99. 4. As a help to purity of mind, whenever impure thoughts enter, 100. 5. Avoid solitude, for then it is that temptation comes, and you are 101. 6. Strictly comply with all the rules laid down for the cultivation 102. 7. Above all, seek for grace and help from the Source of all spiritual 103. 1. _Never overeat_. If too much food is taken at one meal, fast the 104. 2. _Eat but twice a day_, or, if supper is eaten, let it be very light, 105. 3. _Discard all stimulating food_. Under this head must be included, 106. 4. _Stimulating drinks_ should be abstained from with still greater 107. 5. In place of such articles as have been condemned, eat fruits, grains, 108. 1. From seven to nine hours' sleep are required by all persons. The 109. 2. Arise immediately upon waking in the morning if it is after four 110. 3. If insufficient sleep is taken at night, sleep a few minutes just 111. 4. Never go to bed with the bowels or bladder loaded. The bladder should 112. 5. The position in sleeping is of some importance. Sleeping upon the 113. 6. Soft beds and pillows must be carefully avoided. Feather-beds should 114. 7. Too many covers should be avoided with equal care. The thinnest 115. 8. Thorough ventilation of the sleeping-room, both while occupied and 116. 9. If wakeful at night, instead of lying in bed trying to go to sleep, 117. 10. One of the most effectual panaceas for certain varieties of 118. 1. It is not a remedy, since, as in the case of illicit intercourse, 119. 2. If it were a remedy, it would not be a justifiable one, for its use 120. 3. As another reason why the remedy would not be a _proper_, even if 121. 1. Give the matter prompt attention. Do not delay to adopt curative 122. 2. Set about the work of getting well with a fixed determination to 123. 3. Avoid watching for symptoms. Ills are greatly exaggerated by 124. 4. Never consult a quack. The newspapers abound with lying 125. 5. Do not despair of ever recovering from the effects of past 126. 6. Every sufferer from sexual disease must make up his mind to live, 127. 2. The production of similar individuals which shall also have the power

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