elicate. It manifests itself about the age of puberty, and is
accompanied by feeble appetite and digestion. There is no menstrual
discharge, or else it is very slight.

It is caused by innutritious food and residence in damp and
ill-ventilated apartments. It may be hereditary, all the females of
the family being liable to the same disease. Those who drink largely
of tea, coffee, diluted acids, bad wines, and indulge in tight lacing;
are predisposed to this disease. Among the exciting causes may be
mentioned disturbing emotions, unrequited love, homesickness,
depression of spirits, etc. When we take into consideration the fact
that the cause of the disease is impoverishment of the blood, the
treatment will not be difficult.

TREATMENT.

Exercise freely in the open air; protect the body from chilliness with
warm clothing and plenty of it. The patient should sleep on a mattress
in a well-ventilated room. The diet should be nourishing without being
stimulating. It is important that the habits should be regular, and
the mind kept cheerful by society and innocent amusements. Before the
medical treatment is commenced the exciting causes of the disease must
be removed. A complete change must be made in the existence of the
patient. If she is confined closely at school, she must be removed; if
she is inclined to confine herself to the house, send her to the
country. Picture to her the danger she is in by the continuance of
such a life; give her plenty of outdoor exercise. The mental and moral
causes are the most difficult to remove, but a change of scenery and
new friends will do much towards it. For those who are shut up in
factories, or who work all day in a stooping position, a change of
employment must be made. A bath of tepid water in the morning,
followed by a brisk rubbing, will be beneficial; also the frequent use
of the sitting-bath, and the sponge bath in the evening. Active
exercise should precede and follow all baths. During menstruation all
applications of water should be omitted. The following remedies are
recommended by a famous Philadelphian doctor. They are to be taken on
alternate days; that is, take No. 1 one day, No. 2 the next day, etc.:

No. 1.--Precip. carbonate of iron, five drams; extract of conium, two
drams; balsam Peru, one dram; oil cinnamon, twenty drops; simple
syrup, eight ounces; pulverized gum arabic, two drams. Mix. Dose: Two
teaspoonfuls three times a day, e