a course of tonics prescribed.  Special attention should be paid to the action of the bowels.  The best preventive treatment is the one that is given early, when the girl is growing from childhood to girlhood.  It should be begun even earlier.  A weakly baby should be built up by proper food and outdoor life.  Dainties should not be given to such a child.  When the child is old enough, as some mothers think, to go to kindergarten school, keep the little one at home.  It is plenty early enough to send such a child to school when she is seven years old.  This early school work rushes the child, makes it nervous.  If you should happen to listen to the heart of many young school children you would find it pounding away at a furious rate.  Do not hurry a weakly child.  Do not hurry or rush a young girl even though she is strong, from the ages of twelve to sixteen years.  Our school system does just that.  Instead of taking life easy when she is nearing the crisis (puberty) or is in that period, she is hurried and rushed and crammed with her school work; the girl frequently goes to school during this period, even when she is unwell and sits there for an hour or more with wet skirts and sometimes wet shoes and stockings.  Every day I see girls of all ages go past my office here in this cultured city of Ann Arbor, without rubbers, treading through the slush and water.  Is it any wonder they become sickly, become victims of hysteria and suffer from menstrual disorders?  Dysmenorrhea must follow such carelessness, and the parents are to blame in many cases.  Be careful of your children, especially girls at this age, care less for their intellectual growth, and pay more attention to their body development, even if it should happen to be at the expense of their intellectual development.  A healthy body is better than all the knowledge that can be obtained, if it goes, as it too often does, with a body that is weak and sick.  Outdoor life is necessary.  Horseback riding is splendid; walking is also good exercise at a regular time each day.”

[Nervous system 287]

Physicians’ treatment for Hysteria.—­If there is any womb trouble, it must be attended to.  There is frequently trouble with the menses in cases of hysteria.  It sometimes comes from anemia or simply comes without any special reason.  Tonics like arsenic, iron, strychnine and cod-liver oil are needed for anemia.  Iron valerate is good, in one grain doses, three times a day, in this disease, when the patient is not fleshy.

1.  The following is recommended by Dr. Goodell: 

    Of each one scruple (20 grains). 
      Quinine Valerate
      Iron Valerate
      Ammonia Valerate

Make into twenty pills.  Take one or two pills three times a day.

(This is a good tonic in such cases.)

2.  Fowler’s Solution of Arsenic in three to five drops doses is frequently used (three times a day) and is a good lasting tonic in cases where the patient has a very pale white looking skin.