« ZurückWeiter »
rience has, however, explained retain air in its substance, and these circumstances, without set- absorb perspiration; and, ting aside the propriety of cau. 3. By the covering of the head tion, when the body is perspiring being light, and adapted to permit freely, even at this period of life. the perspiration of the head to be Perhaps the best materials for freely exhaled. shirts and underclothing for boys II. Dress in young Girls, as are calico in summer and flannel connected with health. The same in winter, because both these general principles which should substances are well adapted for regulate the dress of boys are absorbing perspiration. I have applicable to that of girls; but remarked, in a former Essay, the there are, besides, circumstances impropriety of covering the head peculiar to the sex which require in infancy; and I am also inclined a distinct management. The to think, that the hat, as used in greater delicacy of the female this country, is both too heavy frame would lead to the rational and too warm. Nature has pro- inference that the surface of the vided a natural covering for the body requires to be more prohead in the hair, and, therefore, tected from atmospherical alterany additional protection may be nations and kept warmer in girls regarded rather as ornamental thau in boys. The opposite custhan essential ; an intention which tom, however, prevails; and while the modern hat certainly does not boys are clad in warm woollen fulfil. To shade the face from vestments, which cover every the sun is scarcely requisite in part of the trunk,--the shoulders, our climate, except in the very chest, and arms of girls are left height of summer; and though it exposed, and even the part of the may be necessary to guard the body which is covered can scarce. hair from damp and rain, yet caps ly be said to be kept warm, from of much lighter materials, and of the very nature of the apparel a more elegant and becoming which fashion dictates to be proform, might be advantageously per for females. But as one of substituted for the hat. Were I the felicities of life arises from required to give an example of the contemplation of beauty, and the healthfulness of keeping the as the perfection of this is to be head uncovered in the open air in found in the female form, it would youth, I need only to point to the be absurd to think of covering our boys of Christ's Church Hospital fair countrywomen like the inas affording the most satisfactory mates of the Zenana, who are proof. On the whole, so far as carefully shrouded by their vestconcerns dress, the health of boys ments when travelling, lest they is best preserved,
should happen to fall under any 1. By the clothing being loose, other eye than that of a husband ample in all its parts, free from or a father. It is owing to this pressure, and as devoid of liga- contrariety to the demands of natures or bindings as possible.
ture, that so many of this loveli
est part of creation fall victims 2. By the material of which to consumption in the morning of the clothes are made being of a life. If the pleasure, therefore, light, spongy texture, fitted to which we enjoy from the beauty
displayed in the female form re than to develope the intellectual quires that parts of it be left ex- faculties of their daughters, and posed to the eye, let us at least in whose eyes the hourglass secure it in health and vigor, till shape, or some other equally it attains that perfection which is preposterous, the transitory ereits attractive essence, and by ation of fashion, is the perfection. which only it can fascinate. The of the female form. To those, propriety of elegance in the fash- however, who more rationally reion of female attire, and of deli- gard beauty of face and symmecacy and lightness in the texture trical elegance of of the material of which it is ble only when heightened by the composed, I am willing to admit; glow and vigor of health, I need but while the outer garments are only mention, that the present gauze or lace, the surface of the fashion of stays, by pressing on body should be cased in flannel or the liver, the stomach, and other in calico, according to the severi- organs of digestion, obstructs their ty of the season, and the dresses natural functions from being probe so constructed as to cover the perly executed ; and, though the chest completely. But it is
But it is the chest appears to be expanded and form of the modern female attire, free, yet the pressure below, by rather than its texture, which impeding the due descent of the proves so injurious to the growing diaphragm, interferes greatly with girl; for, as the irritability of the the function of respiration, on the frame is great at this period, eve- proper performance of which the rything which can impede its preservation of health almost functions produces a tendency to wholly depends. If, for examdisease ; and, in conjunction with ple, the blood, which is the nuexposure of the surface to cold tritious principle for building up and atmospherical variations, the fabric and supplying the natusymptoms of glandular obstruc- ral waste of the frame, be not tions too often make their ap- properly revivified by exposure pearance, the assimilation of the to the action of the air in the food is incomplete, and enlarge- lungs, the heart soon loses its ments of the joints occur, which power for propelling it with suffigenerally, as the girl advances in cient force through the bloodvesgrowth, terminate in distortion of sels; these are enfeebled, become the spine. To prevent this evil, incapable of maintaining duly the which is generally regarded as vital fluid in its current, till it the consequence rather of natural reaches the extreme capillaries delicacy of constitution than of and the secreting organs, which mismanagement, various contriv- being improperly supplied with ances have been produced at dif- the pabulum of their productions, ferent periods: of these, the most the assimilation must be defeated, ancient is the stays, or stiff bod- and even if diseases do not superdice, which is, nevertheless, a vene, the body falls into a state most frequent cause of distortion of direct debility. It is a very freamong girls. I am aware that it quent remark, that whilst we find is almost hopeless to preach this one crooked boy, there are twendoctrine to those mothers who at- ty deformed girls. I will not detend more to model the figure ny that this is partly to be attri
buted to the greater freedom in larges the sphere of utility, and exercise permitted to boys, and enlarges the felicities of life. to their exemption from many re
T. straints imposed on girls ; but it is also partly attributable to those e errors in dress on which I am remarking, and which are errone- A Case of Aneurism, communicated ously supposed to improve the for the Boston Med. Intelligencer elegance of the female form. by DR. AMASA TROWBRIDGE,
It is, indeed, a singular anoma of Jefferson co. N.Y. ly, that amidst the modern im
Carter, aged 82 years, of provements in female education, Lewis co. N.Y., received a wound and the elevation of mind and in 1823, by the point of a butchgreater correctness of judgment er's knife passing into the left which have consequently result- arm, dividing the brachial artery ed, English women should contin- about three inches above the inue to yield up their minds in mat ner condyle. The wound was ters of taste to be enslaved by small through the integuments and the conceits of the ignorant and triceps muscle. A powerful hepresumptuous, and allow them- morrhage immediately ensued, selves to be beguiled into the be- which was restrained by tight lief that the monstrous forms in bandaging, without surgical aid or which these ministers of fashion advice. The wound healed in a occasionally disguise the most few days. Within two weeks the perfect of the labors of the Divi- patient used the arm as usual. nity, are elegant or attractive. Soon after this a small pulsating The writer of these Essays has tumor appeared near the woundpointed out the injurious effects ed part,-no surgical advice was of compression of the body by received till twelve months after. dress on growing girls, which his The nature of the tumor, and its daily observation and experience danger, were then explained to have displayed and confirmed ; the patient. Compression and but, independent of this, he ven- other means were used, but the tures to assert, in the face of all tumor increased till it was eight the most approved modelers of inches in circumference, and its figure, that he can instance fe- protrusion and pressure on the males who have never worn a nerves and muscles, rendered the corset, nor ever been laced in arm nearly useless. the armor of the stays, who, for Dr. S. Miller had occasionally symmetry of form, elegance of advised the patient, and in the attitude, and ease and graceful- month of August, 1825, recomness of gesture, far surpass all mended an operation to effect a those who have ever been tortur- cure. The patient consented, ed into shape by the caprice of and an incision was made over the fashion. And, after all, whatever axillary portion of the artery, and may be the judgment of the arbi- a ligature placed in the usual manters of taste, health, it cannot be ner. In performing this operadenied, is the most important con- tion, a small incision was made sideration. It is this alone which into the artery, and on raising the diffuses a charm over beauty, en- tourniquet, jets of arterial blood
were thrown from below the liga. In all cases of false aneurisms, ture; another ligature was placed as they are styled, when situated below this aperture, which re- where openings and dissection strained the bleeding. Difficul- can be made safely without dities existed which the surgeon viding parts important to life, or could not solve,-the blood flow- the use of limbs, the best way is ed from the tumor below, instead to remove the aneurismal tumor, of passing from the axilla. The and secure the artery at its exwound however was dressed, and tremity within the sac. in two days after, the tumor was May 30, 1827. punctured with a lancet ; a pro
A case of diseased ovarium, from fuse hemorrhage followed : com
the same gentleman, shall appear in pression and tight bandaging re
due time.-ED. strained the bleeding for a few days, when it gushed out again, and continued to bleed occasion From the London Med. and Phys. Journal. ally for 19 days, which reduced Cases of Wounded and Diseased the patient to the last extremity. Arteries, treated principally at
I visited him on the 23d of Au St. Thomas's Hospital, by B. gust, in consultation with Dr.
TRAVERS, Esq. F.R.S. Miller, who gave me the above the following are short notes of mentioned facts. The patient's
cases of wounded or diseased arage, feebleness from the loss of teries. I shall not detail such as blood, and edematous state of the are either of ordinary occurrence, hand and arm, with a partial loss or present no peculiar circumof sensibility, offered but little stance in their history, symptoms, encouragement for surgical inter
or treatment. Of the latter a ference. Two courses were pro- considerable proportion has fallen posed,-amputation, or removal
but the case of fe. of the tumor and securing the ar- moral or popliteal aneurism is so tery which supplied it with blood. familiar, and the operation which The latter was adopted; a free constitutes its cure so well estabincision was made over the tumor, lished and successful, that the reand its contents removed, which petition of the narrative would be consisted of fetid matter and coa
a useless tax on the reader's gulated blood, some portions of
patience. which appeared fibrous, like muscular substance, the whole cover. CASE I. Of Tumor, supposed to be ed by a thick sac. At the bot Aneurism, spontaneously cured. tom of the sac the bleeding ex May 17th, 1817. Haltremity of the artery was disco- lett, aged 30, a tailor, of healthy vered, enlarged and ossified about appearance. About three weeks three quarters of an inch from its prior to this date, the day after a extremity ; this was cut off, and very long walk, he perceived a a ligature applied. The wound swelling in the right ham, which was dressed with adhesive straps has gradually increased in size, and bandages, and the arm and and at arst had a distinct and even hand kept warm ; free suppura- strong pulsation.
The tumor is tion took place in a few days, and defined, but nearly fills the popa sound state of the arm followed. liteal space, and has the charac
ter of aneurism, excepting that Case II. Blood Tumor, from an the pulsation is obscure. There ulcerated Opening of the Femois stiffness and pain in the part, ral Artery, which proved fatal. and he cannot extend the leg. A stout man, of middle age, The joint is in no degree affected, was admitted under the late Mr. nor has he a swelling in any other CHANDLER, into St. Thomas's part of the body.
Hospital, with a diffused deepJune 1st.-Since his admission seated swelling of the thigh, of and confinement in a horizontal great size and tension, but withposture, the tumor has contracted out pulsation or any original chain its dimensions, and become racter of aneurism. It was refirmer; not the slightest pulsation ported to have increased rapidly is perceptible, and the almost of late. Shortly after his admiscomplete extension of the limb sion, while the history and treatcan be performed. No applica- ment of the case were under detion whatever has been made liberation, he died suddenly in since his admission. The
the night. describes the change to be such
The dissection of the limb as confirms the belief that the showed that an opening in the fetumor was aneurismal. A moral artery had permitted the plaster was applied to the hant, escape of blood, by repeated isand the whole extremity bound sues, to such extent as to occasion with rollers from the instep to the enormous increase of the the hip.
swelling, and ultimately the fatal
Lamelated coagula Within a month the man left syncope. the hospital free from lameness, but there was no vestige of a sac.
formed the walls of the tumor, and with scarce a vestige of the tumor. He promised to return
Since this case occurred, I in the event of any alteration, but have felt jealous of swellings did not again present himself.
which, void of pulsation, have This might, or might not, be had the character of spurious ananeurism. It presented the ex
eurism, from the depth, diffusedternal character of this disease, which are, in fact, such as to dis
ness, and tension of the swelling; and certainly not that of bursal, glandular, or cellular tumor. The figure the whole limb, from joint pulsation at the time of the man's
to joint. admission was not strong enough Case III. Of Blood Tumor, from to be pronounced direct. He an Ulcerated Opening in the stated that it was much weaker Popliteal Artery, diffused over than it had been. The contrac the greater part of the Thigh ; tion of the swelling was uniform, for which Amputation was peror, on its whole circumference, formed immediately below the not broken ; and the tension was Trochanter Minor. exchanged for a greater density. Richard Durrant, a farmer's It was believed by those who ex- laborer, aged fortyfive, was adamined it to be aneurism. If mitted into St. Thomas's Hospinot, it may be fairly asked, what tal, on September 1st, 1825, with was it?
a tumor occupying the lower