Page:The physical training of children (IA 39002011126464.med.yale.edu).pdf/357

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doors, and the want of fresh air and exercise! When will the eyes of a mother be opened to this important subject?—the most important that can engage her attention!

380. What is the usual age for Chlorosis to occur, and what are the symptoms?

Chlorosis more frequently attacks girls from fifteen to twenty years of age; although unmarried women, much older, occasionally have it. I say unmarried, for, as a rule, it is a complaint of the single. The patient, first of all, complains of being languid, tired, and out of spirits: she is fatigued with the slightest exertion: she has usually palpitation of the heart (so as to make her fancy that she has a disease of that organ, which, in all probability, she has not); she has shortness of breath, and a short dry cough; her face is flabby and pale; her complexion gradually assumes a yellowish or greenish hue—hence the name of chlorosis; there is a dark, livid circle around her eyes: her lips lose their color, and become almost white; her tongue is generally white and pasty; her appetite is bad, and is frequently depraved—the patient often preferring chalk, slate-pencil, cinder, and even dirt, to the daintiest food; indigestion frequently attends chlorosis; she has usually pains over the short-ribs, on the left side; she suffers greatly from "wind," and is frequently nearly choked by it; her bowels are generally costive, and the stools are unhealthy; she has pains in her hips, loins, and back; and her feet and ankles are often-*times swollen. The menstrual discharge is either suspended, or very partially performed; if the latter, it is usually almost colorless. Hysterical fits not unfrequently occur during an attack of chlorosis. 381. How may Chlorosis be prevented?

If health were more and fashion were less studied, chlorosis would not be such a frequent complaint. This disease generally takes its rise from mismanagement—*