CHIEFLY CLINICAL.

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proved, 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 dysmenor- rlioea, 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 school-days, to

her matronly life. She was well, and would lave been called robust, up to her first critical period. She then had two tasks imposed upon her at once, both of which required fo; their perfect accomplishment a few years of