men who aver that no woman is entirely free from such symptoms at least immediately before and during the menstrual period. The head surgeon at a well-known London hospital informed a friend of mine that he could always tell when this period was on or approaching with his nurses, by the mental change which came over them.
Now these pathological symptoms noticeable in a slight and more or less unimportant degree in the vast majority, if not indeed in all women, and in a marked pathological degree in a large proportion of women, it is scarcely too much to say do not occur at all in men. I have indeed known, I think, two men, and only two, in the course of my life, exhibiting mental symptoms analogous to those commonly called “hysterical” in women. On the other hand my own experience, and it is not alone, is that very few women with whom I have come into more or less frequent contact, socially or otherwise, have not at times shown the symptoms referred to in a marked degree. If, therefore, we are to admit the bare possibility of men being afflicted in a similar way it must be conceded that such cases represent such rarœ aves as to be negligible for practical purposes.
A curious thing in pronounced examples of this
are connected with the regular menstrual period as well as with disordered menstruation, with pregnancy, with parturition, with Lactation, and especially with the change of life.