n and study for all days alike, a hemorrhage once a month
that would make the stroke oar of the University crew falter, and a
brilliant scholar. Before the expiration of the second year, Nature
began to assert her authority. The paleness of Miss A's complexion
increased. An unaccountable and uncontrollable twitching of a
rhythmical sort got into the muscles of her face, and made her hands
go and feet jump. She was sent home, and her physician called, who at
once diagnosticated chorea (St. Vitus' dance), and said she had
studied too hard, and wisely prescribed no study and a long vacation.
Her parents took her to Europe. A year of the sea and the Alps, of
England and the Continent, the Rhine and Italy, worked like a charm.
The sluiceways were controlled, the blood saved, and color and health
returned. She came back seemingly well, and at the age of eighteen
went to her old school once more. During all this time not a word had
been said to her by her parents, her physician, or her teachers, about
any periodical care of herself; and the rules of the school did not
acknowledge the catamenia. The labor and regimen of the school soon
brought on the old menorrhagic trouble in the old way, with the
addition of occasional faintings to emphasize Nature's warnings. She
persisted in getting her education, however, and graduated at
nineteen, the first scholar, and an invalid. Again her parents were
gratified and anxious. She is overworked, said they, and wondered why
girls break down so. To insure her recovery, a second and longer
travel was undertaken. Egypt and Asia were added to Europe, and nearly
two years were allotted to the cure. With change of air and scene her
health improved, but not so rapidly as with the previous journey. She
returned to America better than she went away, and married at the age
of twenty-two. Soon after that time she consulted the writer on
account of prolonged dyspepsia, neuralgia, and dysmenorrhoea, which
had replaced menorrhagia. Then I learned the long history of her
education, and of her efforts to study just as boys do. Her attention
had never been called before to the danger she had incurred while at
school. She is now what is called getting better, but has the delicacy
and weaknesses of American women, and, so far, is without children.

It is not difficult, in this case, either to discern the cause of the
trouble, or to trace its influence, through the varying phases of
disease, from Miss A----'s