Tag: inches

  • GESTATION OR PREGNANCY

    GESTATION OR PREGNANCY

    Gestation is “the act of carrying young in the Uterus, from the time of conception to that of parturition.” Conception occurs at the moment of the impregnation of the ovum; parturition is the act of delivery, or childbirth. Pregnancy is “the state of being with child.” The terms “period of gestation,” and “period of pregnancy,” respectively, are employed by medical authorities to designate the time during which the mother carries the young within her own body—from the moment of the impregnation of the ovum until the moment of the final delivery of the child into the outer world.

    The term of pregnancy in woman continues for over nine calendar months (or ten lunar months)—from about 275 to 280 days, though in exceptional cases it may be terminated in seven calendar months, or on the other hand may continue for ten calendar months. The usual method is to figure 280 days from the first day of the last menstruation. A simple method of calculating the probable date of delivery is as follows: Count back three months, and then add seven days, and you will have the date of probable delivery. Example: A woman’s first day of last menstruation is March 28. Counting back three months gives us December 28; and adding seven days to this gives us January 4, as the date of probable delivery. There will always be a possible margin of a few days before or after the ascertained probable date—but the delivery will very closely approximate said date. Ignore the shortage of days of February in this calculation, the same being covered by the general margin allowed.

    Development of the Impregnated Ovum. In the preceding lesson we terminated our consideration of the impregnated ovum at the point at which, after the process of segmentation, the “primitive trace” had appeared. This primitive trace appears as an opaque streak, or straight line, formed of an aggregation of cells of a distinctive quality. This delicate “trace” or “streak” is the first indication of the form of the coming child. It is the basis, pattern, or mould, in or around which the spinal column is to be formed, and around which the entire young body is to be developed by the wonderful and intricate processes of dividing and reduplication, and the folding and combination of cells. From one end of this “trace” develops the head; from the other end develops the lower end of the spine. At a later stage there appear tiny “buds” in the positions at which the arms and legs should be; these gradually develop, and their ends split into tiny fingers and toes, and finally are transformed into perfect little arms and legs, miniatures of those of the adult human being.

    The term “the embryo” is employed to designate the developing young creature in the earlier stages of its development, particularly before the end of the third month of its existence. After the end of the third month the embryo is called “the fetus.” In the short space of 280 days the young creature evolves and develops from a single simple cell into a complex organism—a perfect miniature human being. Nature works a wonderful miracle here, and yet so common is it that we take it all as a matter of course, and lose sight of the miracle. From the most simple forms are formed in the developing creature the most complex organs and parts. The heart is formed from a tiny straight line of cells, by enlargement and partition. The stomach and intestines, likewise, develop from a tiny straight line of cells arranged as a tiny tube—the stomach is formed by dilation of one part of the tube, while the large intestine experiences a similar though lesser distention and a greater growth in length; the smaller intestines being formed by growth in length and circumference. The other organs evolve from similar simple beginnings.

    The embryo is nourished during its earlier stages by means of the “yolk sack,” or “umbilical vesicle,” which is outside the body of the embryo, being joined to it by means of the umbilical duct. This yolk sack (originally formed by a “drawing together” in the ovum, which thus separates itself into two portions or areas) is an important feature of the life of the embryo, as it nourishes and sustains it in its earlier stages. Blood vessels form in this yolk sack, and after a time its fluid is absorbed, and after the third month the sack gradually disappears.

    After the passing away of the yolk sack, the embryo is nourished and sustained by the “allantois,” another peculiar sack which is formed. This sack readily becomes filled with blood-vessels, and serves to nourish the embryo by sustenance obtained from the body of the mother through the walls of the Uterus, a direct communication with the blood-vessels of the mother thus being secured. The blood in the embryo, and that in the mother, come into close contact, thus allowing the embryo to be nourished by the blood of the mother. After a time, in turn, the allantois diminishes and dwindles away, its offices being taken up and performed by the “placenta” or “afterbirth.”

    The Placenta or Afterbirth. The Placenta, or afterbirth, is a round, flat substance or organ, contained within the Uterus, by which communication and connection is established and maintained between the fetus and the mother, by means of the umbillical cord. It is a flat, circular mass, about seven inches in diameter, and weighing about sixteen ounces. It is attached to the sides of the Uterus of the mother during the period of gestation, and is expelled from the body of the mother, as “the afterbirth,” after the birth of the child.

    Let us pause a moment, and reconsider the several steps in Nature’s plan for nourishing the embryo and fetus. In the first place, as we have seen, there is the yolk sack or umbillical vesicle, filled with a fluid which nourishes the embryo. This gradually disappears in time, and is replaced by the “allantois” which by connection with the walls of the Uterus is enabled to nourish the fetus from and by the blood of the mother. For a short time, however, the embryo is nourished by both the yolk sack and the allantois. Then the allantois assumes the entire task, and the yolk sack passes away. Then, later, the placenta replaces the allantois, and the latter passes away as did its predecessor. The placenta works along the same general lines as the allantois, but is a far more complex way and with a much higher degree of efficiency, as we shall see presently.

    The placenta is connected with the body of the fetus by what is known as “the umbillical cord.” The “umbillicus” or “navel” in the human being marks the place at which the umbillical cord entered the body of the fetus, from which it was severed after the birth of the child. The purpose of the umbillical cord is to contain and support the umbillical arteries and veins through which the fetus obtains nourishment from the placental substance, and through which the return blood flows. The rich red arterial blood is carried from the placenta to the fetus, and is then distributed over the body of the fetus, nourishing and building it up; the dark venous blood, laden with the waste products of the body of the fetus, is carried back to the placenta, there to be repurified and rendered again rich and nourishing.

    The story of the circulation of the blood of the fetus is most interesting. Although the fetal blood is derived from that of the mother, as we have said, yet the maternal blood does not pass directly from the circulatory system of the mother into that of the fetus; nor does the blood of the fetus return directly into the circulatory system of the mother. In fact, the fetal blood never comes in direct contact with that of the mother, or vice versa. The fetus has an independent circulatory system of its own, and yet, at the same time, from the moment of the placental connection until the moment of childbirth, all its nourishment is derived from its mother.

    The secret of the above paradoxical statement is made apparent when we understand the meaning of the scientific term “osmosis.” Osmosis is “the passage of a fluid through a membrane”; it is a chemical process, caused by the chemical affinity between two liquids or gases separated one from the other by a porous diaphragm or substance. In the process of osmosis in the case before us, the fetal blood takes up nourishing substances and oxygen from the blood of the mother, and passes on to the latter the waste products of the fetal system, by means of passing these substances through the thin porous membranes which separate the two independent systems of blood vessels, i. e., the system of the fetus, and that of the mother. Before birth, in fact, the fetus has its blood nourished and oxygenated by means of the food partaken of by its mother, and the oxygen taken in by the mother in her breathing. After its birth, the infant eats and breathes for itself, and thus nourishes its blood supply directly, instead of receiving it indirectly from the mother.

    The Placenta begins to be formed about the third month of gestation, and continues to develop steadily from that time. At the time of the delivery of the child the Placenta covers nearly or quite one-third of the inner space of the distended Uterus of the mother. The total “afterbirth” consists of the Placenta, the umbillical cord, and the remaining membranes of the ovum, all of which are expelled after the birth of the child.

    The Amnion. An important appendage contained in the Uterus in connection with the developing fetus is that known as “The Amnion.” This is an inner sack which forms within the womb, and which serves to enclose the fetus, and also to sheath the umbillical cord. The Amnion encloses the embryo very snugly during the early stages of its development, but it gradually becomes distended with a pale watery fluid, known as “the amniotic fluid,” the purpose of which is to “float” the fetus and to give it mechanical support on all sides. This fluid is composed of water carrying in solution small quantities of albumin, urea, and salt.

    Sex in the Embryo and Fetus. It is impossible to determine the sex of the embryo during its early stages. During the fourth week the first traces of the sexual glands appear, but not until the fifth week can the sex be determined even by the microscope. If the embryo is to become a male, certain ducts are transformed into convoluted tubules, and each is attached to the testes which have been formed from the genital nucleus. If the embryo is to become a female, the ducts join to form the uterus and vagina, other portions being transformed into the fallopian tubes and connecting with the ovaries which have been formed otherwise. The outer genitals appear in the early stages of the embryo, but there is no apparent distinction between the sexes, the external organs being the same in all cases, and consisting of a small tubular organ with a small lateral fold of skin on either side. Later, in the male, a groove appears on the under side of this primitive organ, thus forming the urethra, the scrotum being formed from the folded skin at the side. In the female, the primitive organ ceases to develop as in the male, and thus becomes proportionately smaller, and evolves into the clitoris of the female; the two lateral folds, on each side, being transformed into the labia majora, or “outer lips” of the female external genitals.

    Position of the Fetus. During the period of gestation the fetus lies “curled up” in the bag of the amnion. The head is usually relaxed and inclined forward, the chin resting on the breast; the feet are bent up in front of the legs, the legs bent up on the thighs, the knees separated from each other, but the heels almost touching on the back of the thighs; the arms bent forward and the hands placed between them as though to receive the chin between them. The folded-up fetus forms an oval, the longest diameter of which is about eleven inches at its greatest stage of growth. Nature here shows a wonderful ability to pack the fetus into as little space as possible, and in such a position as to protect it from injury, and to discommode the mother as little as possible.

    The following interesting statement made by Helen Idleson, M. D., in a European medical journal several years ago, gives a very clear idea, expressed in popular terms, of the appearance and characteristics of the embryo or fetus in the various stages of its development:

    “The growth of the embryo after fecundation is very rapid. On the tenth day it has the appearance of a semi-transparent grayish flake. On the twelfth day it is nearly the size of a pea, filled with fluid, in the middle of which is an opaque spot, presenting the first appearance of an embryo, which may be clearly seen as an oblong or curved body, and is plainly visible to the naked eye on the fourteenth day. The twenty-first day the embryo resembles an ant or a lettuce seed. Many of its parts now begin to show themselves, especially the cartilaginous beginnings of the spinal column, the heart, etc. The thirtieth day the embryo is as large as a horse-fly, and resembles a worm, bent together. There are as yet no limbs, and the head is larger than the rest of the body. When stretched out it is nearly half an inch long. Toward the fifth week the heart increases greatly in proportion to the remainder of the body, and the rudimentary eyes are indicated by two black spots toward the sides, and the heart exhibits its external form, bearing a close resemblance to that in an adult. In the seventh week, bone begins to form in the lower jaw and clavicle. Narrow streaks on each side of the vertebral column show the beginning of the ribs. The heart is perfecting its form, the brain enlarging, and the eyes and ears growing more perfect, and the limbs sprouting from the body. The lungs are mere sacks, and the trachea is a delicate thread, but the liver is very large. In the seventh week are formed the renal capsules and kidneys.

    “At two months, the forearm and hand can be distinguished, but not the arm; the hand is larger than the forearm, but it is not supplied with fingers. The distinction of sex is yet difficult. The eyes are prominent. The nose forms an obtuse eminence. The nostrils are rounded and separated. The mouth is gaping, and the epidermis can be distinguished from the true skin. The embryo is from one-half to two inches long, the head forming more than one-third of the whole. At the end of three months, the eyelids are distinct but shut; the lips are drawn together; the forehead and nose are clearly traceable, and the organs of generation prominent. The heart beats with force; the larger vessels carry red blood; the fingers and toes are well defined, and the muscles begin to be developed.

    “At the fourth month, the embryo takes the name of ‘fetus.’ The body is six to eight inches in length. The skin has a rosy color, and the muscles produce a sensible motion. A fetus born at this time might live several hours. At five months the length of the body is from eight to ten inches. At six months, the length is twelve and one-half inches. The hair appears on the head, the eyes closed, the eyelids somewhat thicker, and their margins, as well as their eyebrows, are studded with very delicate hairs. At seven months, every part has been increased in volume and perfection; the bony system is nearly complete; length, twelve to fourteen inches. If born at this period, the fetus is able to breathe, cry and nurse, and may live if properly cared for.

    “At eight months, the fetus seems to grow rather in length than in thickness; it is only sixteen to eighteen inches long, and yet weighs from four to five pounds. The skin is very red, and covered with down and a considerable quantity of sebaceous matter. The lower jaw, which at first was very short, is now as long as the upper one. Finally, at term, nine months, the fetus is about nineteen to twenty-three inches long, and weighs from six to eight pounds. The red blood circulates in the capillaries, and the skin performs the functions of perspiration; the nails are fully developed.”

    Another writer says: “There is a superstition that a child born at eight months is not as liable to live as if born at seven months; indeed, many suppose that an eight months’ child never survives. Facts do not prove this idea to be correct. Personally, I have known several eight months’ babies to live and do well, and I believe that their chance of life is much greater than if born at seven months.”

    Children born in the seventh month of gestation are capable of living, though great care is required to rear them for the first few months after birth. The “incubators” now so common in large cities have greatly increased the chances of the “seven months’ child,” and, for that matter, of those born even earlier. There are a number of cases of record where children have been born after six months of gestation, and a few even before the six months, but these cases are rare and unusual, and such children usually die soon after birth.

    The following table, given by a good authority, shows the average length and weight of the human embryo and fetus:

    Age. Length in inches. Weight.
    2 weeks 0.1 Not given
    3 weeks 0.2 3 grains
    4 weeks 0.3 Not given
    5 weeks 0.5 Not given
    6 weeks 0.7 Not given
    7 weeks 0.9 Not given
    8 weeks 1.5 4 drachms
    3 months 3.0 2 ounces
    4 months 6.0 5 ounces
    5 months 9.0 10 ounces
    6 months 12.0 1 pound
    7 months 15.0 3 pounds
    8 months 17.0 5 pounds
    9 months 20.0 6 to 9 pounds

    Professor Clark holds that if at birth the infant weighs less than 5 pounds, it rarely thrives, though the records show that many infants weighing much less than this have lived and thrived. In very rare cases, infants have been known to weigh no more than one pound at birth, and to have still survived and thrived. And, on the other hand, many cases are known where infants were born, and thrived, who weighed more than twice the average weight. So, at the last, it is difficult to lay down hard and fast rules in the case.

    Delivery. At the termination of the period of gestation, the child is born into the world, and, instead of depending upon the blood of the mother for nourishment and oxygen, it begins to ingest its own food, to eliminate its own waste matter through the regular channels of the body, and to use its own lungs for the purpose of obtaining oxygen for its blood and to burn up the waste products in the lungs.

    The process of bringing a child into the world is called “parturition.” The fetus is expelled from the body of the mother by the contraction of the muscles of and around the Uterus, and also by the contraction of the abdominal walls. In the early stages of labor, the uterine muscles are brought into play; but when the fetus enters into the vaginal passage the abdominal muscles manifest their energy. The uterine and abdominal muscular movements are purely involuntary, although the mother may aid in the delivery by voluntary muscular movements. The involuntary muscular movements are due to the reflex action originating, probably, in a part of the spinal cord.

    The uterine contractions are rhythmical, and have been compared to the contraction of the muscles of the heart. Each “labor pain” begins with a minimum of contraction, the activity increasing until a maximum is reached, when it gradually decreases, only to be followed a little later by a new contraction. When the fetus is finally expelled from the Uterus (followed later by the placenta or “afterbirth”) that organ begins a gradual contraction to its normal size, shape, and condition, the restorative process usually lasting over several weeks.

    The Physical Signs of Pregnancy. The physical signs of pregnancy in the case of women of normal health are as follows:

    (1) Cessation of the menses, or menstruation. While it is true that a non-pregnant woman may occasionally pass over a menstrual period, yet as a general rule the complete cessation of a period by a married woman, particularly when the woman has previously been regular in this respect, may be considered a probable indication of pregnancy; and when the second period has been passed the probability merges almost into a certainty. An examination by a competent physician will set all doubts at rest.

    (2) Enlargement of the breasts. This indication usually manifests itself in about six or eight weeks after conception. This enlargement is usually preceded by a sensation of tingling and throbbing. The enlargement is manifested in the form of a rather hard and knotty increase, differing from the ordinary fatty increase; the lobules, arranged regularly around the nipple, are plainly distinguishable beneath the skin by means of the touch of the fingers.

    (3) Darkening of the areolar tissue surrounding the nipple. In the unimpregnated condition this tissue is of a pinkish shade; but after impregnation the shade grows darker and the circle increases in size. However, when the woman bears several children in somewhat rapid succession, this dark color may become permanent and accordingly ceases to be an indication.

    (4) Enlargement of the abdomen. This indication manifests itself about the second month, at which time the Uterus begins to elevate the intestines by rising up from the pelvis. In the fourth month the Uterus has risen so far out of the pelvis that it assumes the form and appearance of a hard round tumor. The entire abdomen then begins to enlarge. The Uterus causes an enlargement in the region of the navel at the sixth month, and the region of the diaphragm at the ninth month.

    (5) Quickening, or “signs of life.” This indication manifests first from the fourth month to the fifth—at about the exact half of the entire period of gestation. At this time, and afterward, the movements of the embryo are plainly discernable to the mother.

    The Disorders of Pregnancy. There are a number of physical disorders usually accompanying pregnancy, some of which are trifling, but some of which require the advice of a competent physician. The best plan is for the woman to consult a physician shortly after she discovers herself to be pregnant, and thereafter to visit him occasionally for advice during the period of gestation. The too common plan of postponing the call upon the physician until the eighth or ninth month is not a wise one, for in many cases the advice of a competent physician at an earlier stage of the pregnancy will obviate serious complications. The call upon the physician should usually be made not later than the third or fourth month, and positively not delayed longer than the fifth month. The physician should make an examination to ascertain whether the child is in the normal position in the Uterus, and should also examine the urine each month to ascertain whether the kidneys are functioning normally.

    What is called “morning sickness” is one of the most common of the disorders of pregnancy. It is marked by nausea or vomiting, or both, early in the morning, usually shortly after arising. Some women have at least faint symptoms of this disorder from the very beginning of conception, but usually it does not manifest until the third, fourth, or fifth week of pregnancy. It usually ceases at the end of the third or fourth month. Except in very severe cases, in which the physician should be consulted, the disorder is not serious, and requires but a little common-sense treatment, and rational habits of living. An authority says: “Eat of some fruit that best agrees with palate or stomach; drink hot water; eat nothing until a real hunger demands food. Where nausea occurs after eating, a tart apple or orange is good.” Another authority says: “Let women suffering from morning sickness try acid fruit—apples, oranges, or even lemons, if their sourness is not unpleasant. If a single orange or apple after each meal does not suffice, let them try two; let them eat ten if that number is necessary to conquer the distress. The principle is a correct one, and the relief certain. Let fruit be eaten at all hours of the day—before meals and after, on going to bed at night and at getting up in the morning. If berries are in season, let them be eaten in the natural state—that is, without sugar. If the sickness still continues, omit a meal now and then, and substitute fruit in its stead. By persistence in this course, not only will nausea be conquered, but an easy confinement guaranteed.”

    The pregnant woman often develops a capricious appetite. This disorder may manifest in one or more of several forms, as for instance: the woman may lose her appetite, and take but little food; or she may develop an abnormally large appetite, and eat much more than is necessary; or she may take a dislike to certain kinds of food—many women have an aversion toward meat during pregnancy; or she may have a “craving” for certain articles of food, sometimes for kinds of food not liked at other times, such as sour pickles, sour cabbage, etc. A little common sense, and the presence of attractive articles of fruits, etc., will do much to relieve these troubles; in extreme cases the physician’s advice will help.

    The pregnant woman should have her teeth put in good order as soon as possible, as troubles with teeth sometimes manifest themselves during pregnancy, and give much trouble and annoyance. Difficulty in urination, constipation, piles, irritation or itching of the genital organs, varicose veins, liver spots, and similar disorders, which are sometimes manifest during pregnancy, in some form or degree, should receive the attention and care of a competent physician.

    The following general advice from a competent authority is worthy of being followed: “If everything is satisfactory, if there is no severe vomiting, kidney trouble, etc., the usual mixed diet may continue. The only changes I would make are the following: Drink plenty of hot water during the entire time of pregnancy: a glass or two in the morning, two or three glasses in the afternoon, the same at night. From six to twelve glasses may be consumed. Also plenty of milk, buttermilk and fermented milk. Plenty of fruit and vegetables. Meat only once a day. For the tendency to constipation, whole wheat bread, rye bread, bread baked of bran, or bran with cream. As to exercise, either extreme must be avoided. Some women think that as soon as they become pregnant, they must not move a muscle; they are to be put in a glass case, and kept there until the date of delivery. Other women, on the other hand, of the ultra-modern type, indulge in strenuous exercise, and go out on long fatiguing walks up to the last day. Either extreme is injurious. The right way is moderate exercise, and short, non-fatiguing walks. Bathing may be kept up to the day of the delivery. But warm baths, particularly during the last two or three months, are preferable to cold baths.”

    Childbirth. The first indication of approaching delivery of the child is that of the descent of the child into the pelvis of the mother, from its former position up near the diaphragm. When this occurs, the mother usually experiences a feeling of relief, and a greater ease in breathing because of the relaxation of the former pressure on the diaphragm. Sometimes this occurs several days preceding delivery, while in other cases it occurs only a few hours before delivery. There usually occurs about the same time a slight discharge of mucus tinged with blood. The latter is called “the show,” and is caused by the unsealing of the mouth of the womb, and indicates that the Uterus is preparing to discharge its contents.

    Labor, in childbirth, consists of three stages. In the first stage, the Uterus alone contracts, and the mouth of the womb dilates; in the second stage, the abdominal muscles assist the Uterus in expelling the child; in the third stage, the Placenta (afterbirth) and membranes are expelled.

    After the delivery of the child, and after the pulsation in the umbillical cord has ceased (usually from ten to thirty minutes after delivery), the umbillical cord is severed and tied by the physician. In natural labor, the expulsion of the afterbirth occurs from within a few minutes to an hour after the delivery of the child. Nature is sometimes slow in expelling the afterbirth, but caution should be exercised in the matter of using force to assist Nature in this matter, for injury to the Uterus has often resulted from malpractice in such a case. The afterbirth is not firmly attached to the womb, but is like the peel of an orange which Nature sloughs off in due time.

    PRIVATE Sex Advice to Women By R. B. Armitage, M. D.

    For Young Wives and those who Expect to be Married.

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  • ANATOMY OF THE FEMALE SEX ORGANISM

    ANATOMY OF THE FEMALE SEX ORGANISM

    Every woman should be given plain, practical, sane, sensible instruction concerning the sex organism of woman, its functions, its laws, its use, and its abuse. This important feature of the physical organism plays an all powerful part in the life of every woman, and particularly in the life of the married woman. It is nature’s mechanism for the reproduction of the race. Every child that is born into the world is conceived, gestated, and finally delivered as a result of the functioning of this organism. Therefore, such instruction and knowledge is vitally necessary, not only for the intelligent performance of the duties of parenthood, but also for the best interests of race-preservation, race-culture, and the physical well-being and health of the individual woman.

    And yet, custom and ancient prejudice have drawn the veil over this most important subject, so that it is difficult for the average woman to find practical, clean information concerning her own anatomy and physiological functions concerned with her sex-life. To many it has appeared that the particular organs and parts of the body concerned with the reproductive functions of the woman are base, unclean, and impure, and that any woman discussing them, or seeking information regarding them, must be immoral or at least not “respectable.” Anatomical charts and physiological treatises on the subject are tabooed outside of the doctor’s office. Women are considered immodest if they seek to acquaint themselves with the facts of life concerning one of their most important classes of physical functions. It is considered “not nice” for a young woman to know anything about her physical being in those phases which play the most important part in her life. Can there be anything more ridiculous and insane? This is a matter which excites the most intense surprise, disgust, and despair in the average person possessing a scientific tendency. But the dawn is breaking, and a better day is ahead of the race concerning these things.

    The sex organs of the woman are divided into two classes, as follows: (1) The external organs; and (2) the internal organs. Let us consider each of these classes in turn.

    THE EXTERNAL SEX ORGANS OF THE WOMAN.

    The external sex organs of the woman are as follows: The Mons Veneris; the Labia Majora; the Labia Minora; the Clitoris; the Meatus Urinarius; and the Vaginal Orifice. The term “the Vulva” is applied to the external sex organs of the woman in general, but more particularly to the Labia Majora and the Labia Minora (the larger and smaller “lips,” respectively). The term “Vulva” is the Latin term meaning “folding doors.”

    The Mons Veneris is the fatty eminence or elevation just above the other external organs, which forms a mount from which its name (literally, “The Mount of Venus”) is derived. At puberty it becomes covered with hair.

    The Labia Majora are the large “outer lips” or folds of skin which enclose the Vaginal Orifice, and which are situated just below the Mons Veneris.

    The Labia Minora are the small “inner lips” of folds of membrane, which are concealed within the Labia Majora, or “outer lips,” and are seen only when the latter are parted.

    The Clitoris is a small organ, about an inch in length, situated at the upper part of the Labia Minora or “inner lips,” and usually being partly or wholly covered by the upper borders thereof. At its extremity it has a small rounded enlargement which is extremely sensitive and excitable, and which is the principal seat of sensation in the woman’s sexual organism.

    The Meatus Urinarius is the orifice of the urethra of the woman, the purpose of which is to afford an exit for the urine. It is located about an inch below the Clitoris and is just above the Vaginal Orifice. It is a common error among uninformed women that the urine passes out through the Vagina; but this, of course, is incorrect, as the two canals and their respective orifices are entirely separate from each other, though situated closely together.

    The Vaginal Orifice is the outer entrance to the Vagina, or Vaginal Canal or Channel. This orifice is located just below the Meatus Urinarius. In the virgin it is usually partly closed by what is known as “The Hymen,” (vulgarly known as the “maiden head”), although in many cases the latter is absent even in the case of young girl infants. It was formerly regarded as an infallible sign of virginity, and its absence was regarded as a proof that virginity was lacking. But this old superstition is passing away, for science has shown that the Hymen is often absent even in the case of young children and infants, and, on the other hand, is sometimes present after several years of married life, and even during pregnancy. Much unhappiness has been caused in some cases where the husband has doubted the virginity of his wife because of the absence of the Hymen, but consultation with a capable physician usually removes this misunderstanding.

    The Hymen is a membranous fold, sometimes circular in shape, with an opening in the center, though in other cases it extends only across the lower part of the orifice. The opening in the center is for the purpose of allowing the menstrual blood and the other secretions of Uterus and Vagina to flow through. In a few cases this opening is absent, the Hymen being what is called “imperforate”; in which case the girl experiences difficulty when menstruation begins, and a physician is required to make a slit or opening in it. In some girls and women the Hymen is quite tough, while in others it is very thin and is easily broken. In the latter cases the young girl frequently breaks the membrane during vigorous exercise, such as jumping rope, etc. And, as has before been said, in some cases infant girls are born without even a trace of the Hymen. Under the circumstances, it is seen that the presence or absence of the Hymen is far from being an infallible proof of the presence or absence of virginity, and the belief in the same is now regarded as almost a superstition of the past.

    THE INTERNAL SEX ORGANS OF THE WOMAN.

    The internal sex organs of the woman are as follows: The Vagina; the Uterus and its appendages; the Fallopian Tubes; the Ovaries, and their ligaments, and the round ligaments.

    The Vagina is the canal or channel leading from the Vaginal Orifice to the Uterus or womb. It is situated in front of the rectum, and behind the bladder. In length, it averages from three to five inches; and it curves upward and backward, reaching to the lower part of the neck of the womb, or Uterus, which part of the neck is enclosed by it. It is a strong fibro-muscular structure, lined with mucous membrane; and is not smooth inside, but is arranged in inner folds or rings which are capable of great extension.

    On either side of the Vagina, near the outer orifice, are two small glands, about the size of a pea, which secrete a peculiar fluid, and which are known as the Glands of Bartholine. The office of the Vagina is that of a complementary to the male organ during the copulative process; to also sustain the weight of the Uterus; to also afford a passage for the infant at the time of its birth; and also to serve as a passage for the menstrual fluid.

    The Uterus, or Womb, is the internal sex organ of the woman which serves to hold the fertilized ovum, or egg, from the time of impregnation, during the period of pregnancy during which the ovum develops into the young child, and until the time of the delivery of the child.

    The Uterus is a hollow pear-shaped muscular organ, about three inches in length, nearly an inch thick, and about two inches broad across its upper part, or fundus; the lower part, or cervix, being much narrower. The cervix, or “neck” of the womb, projects into the Vagina, forming the “os uteri,” or “mouth of the womb,” at that point. The Uterus is composed chiefly of a muscular coat, its walls consisting of strong muscular fibres which contract independently of the will, as do similar muscles in the stomach and bladder. These muscular walls are capable of enormous distention during pregnancy. The muscles of the healthy womb are capable of a tremendous pressure and resistance, and are capable of expelling the child with but slight labor at the time of delivery.

    The Uterus is located just behind and slightly above the bladder, and is supported by eight ligaments which, in a healthy condition, hold it firmly and easily in place. Displacements of the Uterus are due to the weakening or relaxing of some or all of these ligaments, generally caused by general weakness or else by excessive physical exercise or labor. The principal Displacements of the Uterus are as follows: Prolapsus, or lowering of the womb in the vagina; Antroversion, or the bending forward of the womb; Anteflexion, or the “doubling up” of the womb forward on itself; Retroversion, or the bending backward of the womb; and Retroflexion, or the “doubling up” of the womb backward on itself. Extreme degrees of the last four mentioned forms of displacement often interfere with impregnation.

    The internal surface of the Uterus is lined with mucous membrane thickly studded with minute hairlike cells which manifest continuous motion. This motion, in the lower part of the womb, is in the direction of the fundus or upper part of the womb; in the upper part of the womb, the motion is in the opposite direction; the purpose of these opposing movements being to carry the male elements toward that portion of the womb into which the Fallopian Tubes discharge the products of the Ovaries, as we shall see presently.

    The Uterus is supplied with follicles around its neck which secrete a very firm, adhesive mucus substance, which serves as a gate or door across the mouth of the womb during the period of pregnancy, and which also serves to prevent the accidental displacement of the ovum or egg. During and just after menstruation, the Uterus becomes enlarged and more vascular. During pregnancy, it largely increases in weight. After delivery, it resumes its normal size, but the cavity is larger than before conception. In old age, it becomes atrophied and denser in structure.

    The Fallopian Tubes are the ducts of the Ovaries, and serve to convey the ova, or eggs, from the Ovaries to the cavity in the Uterus. They are two in number, one on each side, each tube being about four inches in length. They extend from either side of the fundus of the womb, through the broad ligaments which hold them and the Ovaries in position until they communicate with the Ovaries. They are lined with a membrane composed of the same kind of peculiar hair-like cells which are found in the lining of the womb, the purpose in this case being to urge forward the ova or eggs toward the Uterus.

    At the ovarian end of the tubes the latter expand into a fringed, trumpet-shaped extremity, the fringe being known as “the fimbria.” The tubes are only about one-sixteenth of an inch in diameter, and their small caliber makes it easy for them to clog up as the result of slight inflammation, or to become clogged up or sealed at their mouths or openings, thus causing sterility or inability of the woman to conceive. If the tubes are clogged, or sealed up, it of course is impossible for the ova or eggs to reach the uterus.

    The Ovaries are the two oval-shaped bodies lying one on either side of the Uterus. In them the ova, or eggs, are formed. They are each about one and one-half inches long, about one inch wide, and about one-half an inch thick. In addition to their attachment to the broad ligament, they are held in position by folds or ligaments running to the fundus of the Uterus and to the fimbriated extremities of the Fallopian Tubes. The Ovaries are covered by a dense, firm coating which encloses a soft fibrous tissue, abundantly supplied with blood-vessels, which is called the stroma. Imbedded in the mesh-like tissue of the stroma are found numerous small, round, transparent vesicles, in various stages of development, known as the Graafian follicles, which are lined with a layer of peculiar granular cells. These Graafian follicles are the receptacles or sacs which contain the ova, or eggs, which constitute the female reproductive germ. Each vesicle contains a single ovum or egg.

    Summary.

    From the foregoing, it is seen that we may enumerate the sex organs of the woman as follows, proceeding from the external to the internal organism: First, the Mons Veneris, or prominent eminence above the more important external sex organs; then the Labia Majora, or large outer “lips” or folds, which are plainly discernable to the ordinary view; then the Labia Minora, or smaller inner “lips” or folds, and the Clitoris or small sensitive organ, and the Meatus Urinarius or urinary orifice, all of which are discernable only when the folds of the Labia Majora are parted or opened. Then, proceeding upward and backward from the Vaginal Orifice, we find the Vagina, or channel or canal leading to the Uterus or Womb; then we find the Uterus or Womb at the upper end of the canal or channel of the Vagina. Then extending from either side of the Uterus or Womb we find those two important sets of organs known as the Fallopian Tubes, and the Ovaries, respectively. The Ovaries discharge their ova, or eggs, into the Fallopian Tubes, from whence they are conveyed to the Uterus or Womb, with which the tubes are connected and into which they open at its upper and large end.

    The Pelvis is that bony arch in the cavity of which are contained the internal sex organs of the woman. The Pelvis is a bony basin which holds and supports the pelvic organs, and is composed of three important parts, as follows: (1) The Sacrum, consisting of five sections of the vertebral column, or spine, fused together so as to constitute the solid part of the lower spine and the back of the Pelvis; (2) the two Hip-Bones, one on each side of the Pelvis; (3) the Pubic Arch, or the front part of the Pelvis, formed by the junction of the two Hip-Bones in front. Attached to the Hip-Bones are the thighs, and also the large Gluteal Muscles which constitute the buttocks, or “seat.”

    The Pelvis of the woman is quite different from that of the man. It is shallower and wider, and lighter in structure than that of the male, and the margins of the Hip-Bones are more widely separated, thus making the hips of the woman far more prominent than those of the man. Also, the Sacrum is shorter than that of the man, and the Pubic Arch wider and more rounded than his. This difference in the bony structure is made necessary by the demand for larger space in the female Pelvis required for the purposes of childbirth. These differences are not so perceptible in childhood, but become marked and pronounced at puberty.

    PRIVATE Sex Advice to Women By R. B. Armitage, M. D.

    For Young Wives and those who Expect to be Married.

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  • YOUTH GYMNASTICS

    YOUTH GYMNASTICS

    The story of Jahn and the Turners—The enthusiasm which this movement generated in Germany—The ideal of bringing out latent powers—The concept of more perfect voluntary control—Swedish gymnastics—Doing everything possible for the body as a machine—Liberal physical culture—Ling’s orthogenic scheme of economic postures and movements and correcting defects—The ideal of symmetry and prescribing exercises to bring the body to a standard—Lamentable lack of correlation between these four systems—Illustrations of the great good that a systematic training can effect—Athletic records—Greek physical training.

    Under the term gymnastics, literally naked exercises, we here include those denuded of all utilities or ulterior ends save those of physical culture. This is essentially modern and was unknown in antiquity, where training was for games, for war, etc. Several ideals underlie this movement, which although closely related are distinct and as yet by no means entirely harmonized. These may be described as follows:

    A. One aim of Jahn, more developed by Spiess, and their successors, was to do everything physically possible for the body as a mechanism. Many postures and attitudes are assumed and many movements made that are never called for in life. Some of these are so novel that a great variety of new apparatus had to be devised to bring them out; and Jahn invented many new names, some of them without etymologies, to designate the repertory of his discoveries and inventions that extended the range of motor life. Common movements, industries, and even games, train only a limited number of muscles, activities, and coördinations, and leave more or less unused groups and combinations, so that many latent possibilities slumber, and powers slowly lapse through disuse. Not only must these be rescued, but the new nascent possibilities of modern progressive man must be addressed and developed. Even the common things that the average untrained youth can not do are legion, and each of these should be a new incentive to the trainer as he realizes how very far below their motor possibilities meet men live. The man of the future may, and even must, do things impossible in the past and acquire new motor variations not given by heredity. Our somatic frame and its powers must therefore be carefully studied, inventoried, and assessed afresh, and a kind and amount of exercise required that is exactly proportioned, not perhaps to the size but to the capability of each voluntary muscle. Thus only can we have a truly humanistic physical development, analogous to the training of all the powers of the mind in a broad, truly liberal, and non-professional or non-vocational educational curriculum. The body will thus have its rightful share in the pedagogic traditions and inspirations of the renaissance. Thus only can we have a true scale of standardised culture values for efferent processes; and from this we can measure the degrees of departure, both in the direction of excess and defect, of each form of work, motor habit; and even play. Many modern Epigoni in the wake of this great ideal, where its momentum was early spent, feeling that new activities might be discovered with virtues hitherto undreamed of, have almost made fetiches of special disciplines, both developmental and corrective, that are pictured and landed in scores of manuals. Others have had expectations no less excessive in the opposite direction and have argued that the greatest possible variety of movements best developed the greatest total of motor energy. Jahn especially thus made gymnastics a special art and inspired great enthusiasm of humanity, and the songs of his pupils were of a better race of man and a greater and united fatherland. It was this feature that made his work unique in the world, and his disciples are fond of reminding us of the fact that it was just about one generation of men after the acme of influence of his system that, in 1870, Germany showed herself the greatest military power since ancient Rome, and took the acknowledged leadership of the world both in education and science.

    These theorizations even in their extreme forms have been not only highly suggestive but have brought great and new enthusiasms and ideals into the educational world that admirably fit adolescence. The motive of bringing out latent, decaying, or even new powers, skills, knacks, and feats, is full of inspiration. Patriotism is aroused, for thus the country can be better served; thus the German Fatherland was to be restored and unified after the dark days that followed the humiliation of Jena. Now the ideals of religion are invoked that the soul may have a better and regenerated somatic organism with which to serve Jesus and the Church. Exercise is made a form of praise to God and of service to man, and these motives are reënforced by those of the new hygiene which strives for a new wholeness-holiness, and would purify the body as the temple of the Holy Ghost. Thus in Young Men’s Christian Association training schools and gymnasiums the gospel of Christianity is preached anew and seeks to bring salvation to man’s physical frame, which the still lingering effects of asceticism have caused to be too long neglected in its progressive degeneration. As the Greek games were in honor of the gods, so now the body is trained to better glorify God; and regimen, chastity, and temperance are given a new momentum. The physical salvation thus wrought will be, when adequately written, one of the most splendid chapters in the modern history of Christianity. Military ideals have been revived in cult and song to hearten the warfare against evil within and without. Strength is prayed for as well as worked for, and consecrated to the highest uses. Last but not least, power thus developed over a large surface may be applied to athletic contests in the field, and victories here are valuable as fore-gleams of how sweet the glory of achievements in higher moral and spiritual tasks will taste later.

    The dangers and sources of error in this ideal of all-sided training are, alas, only too obvious, although they only qualify its paramount good. First, it is impossible thus to measure the quanta of training needed so as rightly to assign to each its modicum and best modality of training. Indeed no method of doing this has ever been attempted, but the assessments have been arbitrary and conjectural, probably right in some and wrong in other respects, with no adequate criterion or test for either save only empirical experience. Secondly, heredity, which lays its heavy ictus upon some neglected forms of activity and fails of all support for others, has been ignored. As we shall see later, one of the best norms here is phyletic emphasis, and what lacks this must at best be feeble; and if new powers are unfolding, their growth must be very slow and they must be nurtured as tender buds for generations. Thirdly, too little regard is had for the vast differences in individuals, most of whom need much personal prescription.

    B. In practise the above ideal is never isolated from others. Perhaps the most closely associated with it is that of increased volitional control. Man is largely a creature of habit, and many of his activities are more or less automatic reflexes from the stimuli of his environment. Every new power of controlling these by the will frees man from slavery and widens the field of freedom. To acquire the power of doing all with consciousness and volition mentalizes the body, gives control over to higher brain levels, and develops them by rescuing activities from the dominance of lower centers. Thus mens agitat molem.[Footnote: Mind rules the body.] This end is favored by the Swedish commando exercises, which require great alertness of attention to translate instantly a verbal order into an act and also, although in somewhat less degree, by quick imitation of a leader. The stimulus of music and rhythm are excluded because thought to interfere with this end. A somewhat sophisticated form of this goal is sought by several Delsartian schemes of relaxation, decomposition, and recomposition of movements. To do all things with consciousness and to encroach on the field of instinct involves new and more vivid sense impressions, the range of which is increased directly as that of motion, the more closely it approaches the focus of attention. By thus analyzing settled and established coördinations, their elements are set free and may be organized into new combinations, so that the former is the first stage toward becoming a virtuoso with new special skills. This is the road to inner secrets or intellectual rules of professional and expert successes, such as older athletes often rely upon when their strength begins to wane. Every untrained automatism must be domesticated, and every striated muscle capable of direct muscular control must be dominated by volition. Thus tensions and incipient contractures that drain off energy can be relaxed by fiat. Sandow’s “muscle dance,” the differentiation of movements of the right and left hand—one, e.g., writing a French madrigal while the other is drawing a picture of a country dance, or each playing tunes of disparate rhythm and character simultaneously on the piano—controlling heart rate, moving the ears, crying, laughing, blushing, moving the bowels, etc., at will, feats of inhibition of reflexes, stunts of all kinds, proficiency with many tools, deftness in sports—these altogether would mark the extremes in this direction.

    This, too, has its inspiration for youth. To be a universal adept like Hippias suggests Diderot and the encyclopedists in the intellectual realm. To do all with consciousness is a means to both remedial and expert ends. Motor life often needs to be made over to a greater or less extent; and that possibilities of vastly greater accomplishments exist than are at present realized, is undoubted, even in manners and morals, which are both at root only motor habits. Indeed consciousness itself is largely and perhaps wholly corrective in its very essence and origin. Thus life is adjusted to new environments; and if the Platonic postulate be correct, that untaught virtues that come by nature and instinct are no virtues, but must be made products of reflection and reason, the sphere and need of this principle is great indeed. But this implies a distrust of physical human nature as deep-seated and radical as that of Calvinism for the unregenerate heart, against which modern common sense, so often the best muse of both psychophysics and pedagogy, protests. Individual prescription is here as imperative as it is difficult. Wonders that now seem to be most incredible, both of hurt and help, can undoubtedly be wrought, but analysis should always be for the sake of synthesis and never be beyond its need and assured completion. No thoughtful student fully informed of the facts and tentatives in this field can doubt that here lies one of the most promising fields of future development, full of far-reaching and rich results for those, as yet far too few, experts in physical training, who have philosophic minds, command the facts of modern psychology, and whom the world awaits now as never before.

    C. Another yet closely correlated ideal is that of economic postures and movements. The system of Ling is less orthopedic than orthogenic, although he sought primarily to correct bad attitudes and perverted growth. Starting from the respiratory and proceeding to the muscular system, he and his immediate pupils were content to refer to the ill-shapen bodies of most men about them. One of their important aims was to relax the flexor and tone up the extensor muscles and to open the human form into postures as opposite as possible to those of the embryo, which it tends so persistently to approximate in sitting, and in fatigue and collapse attitudes generally. The head must balance on the cervical vertebra and not call upon the muscles of the neck to keep it from rolling off; the weight of the shoulders must be thrown back off the thorax; the spine be erect to allow the abdomen free action; the joints of the thigh extended; the hand and arm supinated, etc. Bones must relieve muscles and nerves. Thus an erect, self-respecting carriage must be given, and the unfortunate association, so difficult to overcome, between effort and an involuted posture must be broken up. This means economy and a great saving of vital energy. Extensor action goes with expansive, flexor with depressive states of mind; hence courage, buoyancy, hope, are favored and handicaps removed. All that is done with great effort causes wide irradiation of tensions to the other half of the body and also sympathetic activities in those not involved; the law of maximal ease and minimal expenditure of energy must be always striven for, and the interests of the viscera never lost sight of. This involves educating weak and neglected muscles, and like the next ideal, often shades over by almost imperceptible gradation into the passive movements by the Zander machines. Realizing that certain activities are sufficiently or too much emphasized in ordinary life, stress is laid upon those which are complemental to them, so that there is no pretense of taking charge of the totality of motor processes, the intention being principally to supplement deficiencies, to insure men against being warped, distorted, or deformed by their work in life, to compensate specialties and perform more exactly what recreation to some extent aims at.

    This wholesome but less inspiring endeavor, which combats one of the greatest evils that under modern civilization threatens man’s physical weal, is in some respects as easy and practical as it is useful. The great majority of city bred men, as well as all students, are prone to deleterious effects from too much sitting; and indeed there is anatomical evidence in the structure of the tissues, and especially the blood-vessels of the groins, that, at his best, man is not yet entirely adjusted to the upright position. So a method that straightens knees, hips, spine, and shoulders, or combats the school-desk attitude, is a most salutary contribution to a great and growing need. In the very act of stretching, and perhaps yawning, for which much is to be said, nature itself suggests such correctives and preventives. To save men from being victims of their occupations is often to add a better and larger half to their motor development. The danger of the system, which now best represents this ideal, is inflexibility and overscholastic treatment. It needs a great range of individual variations if it would do more than increase circulation, respiration, and health, or the normal functions of internal organs and fundamental physiological activities. To clothe the frame with honest muscles that are faithful servants of the will adds not only strength, more active habits and efficiency, but health; and in its material installation this system is financially economic. Personal faults and shortcomings are constantly pointed out where this work is best represented, and it has a distinct advantage in inciting an acquaintance with physiology and inviting the larger fields of medical knowledge.

    D. The fourth gymnastic aim is symmetry and correct proportions. Anthropometry and average girths and dimensions, strength, etc., of the parts of the body are first charted in percentile grades; and each individual is referred to the apparatus and exercises best fitted to correct weaknesses and subnormalities. The norms here followed are not the canons of Greek art, but those established by the measurement of the largest numbers properly grouped by age, weight, height, etc. Young men are found to differ very widely. Some can lift 1,000 pounds, and some not 100; some can lift their weight between twenty and forty times, and some not once; some are most deficient in legs, others in shoulders, arms, backs, chests. By photography, tape, and scales, each is interested in his own bodily condition and incited to overcome his greatest defects; and those best endowed by nature to attain ideal dimensions and make new records are encouraged along these lines. Thus this ideal is also largely though not exclusively remedial.

    This system can arouse youth to the greatest pitch of zest in watching their own rapidly multiplying curves of growth in dimensions and capacities, in plotting curves that record their own increment in girths, lifts, and other tests, and in observing the effects of sleep, food, correct and incorrect living upon a system so exquisitely responsive to all these influences as are the muscles. To learn to know and grade excellence and defect, to be known for the list of things one can do and to have a record, or to realize what we lack of power to break best records, even to know that we are strengthening some point where heredity has left us with some shortage and perhaps danger, the realization of all this may bring the first real and deep feeling for growth that may become a passion later in things of the soul. Growth always has its selfish aspects, and to be constantly passing our own examination in this respect is a new and perhaps sometimes too self-conscious endeavor of our young college barbarians; but it is on the whole a healthful regulative, and this form of the struggle toward perfection and escape from the handicap of birth will later move upward to the intellectual and moral plane. To kindle a sense of physical beauty of form in every part, such as a sculptor has, may be to start youth on the lowest round of the Platonic ladder that leads up to the vision of ideal beauty of soul, if his ideal be not excess of brawn, or mere brute strength, but the true proportion represented by the classic or mean temperance balanced like justice between all extremes. Hard, patient, regular work, with the right dosage for this self-cultural end, has thus at the same time a unique moral effect.

    The dangers of this system are also obvious. Nature’s intent can not be too far thwarted; and as in mental training the question is always pertinent, so here we may ask whether it be not best in all cases to some extent, and in some cases almost exclusively, to develop in the direction in which we most excel, to emphasize physical individuality and even idiosyncrasy, rather than to strive for monotonous uniformity. Weaknesses and parts that lag behind are the most easily overworked to the point of reaction and perhaps permanent injury. Again, work for curative purposes lacks the exuberance of free sports: it is not inspiring to make up areas; and therapeutic exercises imposed like a sentence for the shortcomings of our forebears bring a whiff of the atmosphere of the hospital, if not of the prison, into the gymnasium.

    These four ideals, while so closely interrelated, are as yet far from harmonized. Swedish, Turner, Sargent, and American systems are each, most unfortunately, still too blind to the others’ merits and too conscious of the others’ shortcomings. To some extent they are prevented from getting together by narrow devotion to a single cult, aided sometimes by a pecuniary interest in the sale of their own apparatus and books or in the training of teachers according to one set of rubrics. The real elephant is neither a fan, a rope, a tree nor a log, as the blind men in the fable contended, each thinking the part he had touched to be the whole. This inability of leaders to combine causes uncertainty and lack of confidence in, and of enthusiastic support for, any system on the part of the public. Even the radically different needs of the sexes have failed of recognition from the same partisanship. All together represent only a fraction of the nature and needs of youth. The world now demands what this country has never had, a man who, knowing the human body, gymnastic history, and the various great athletic traditions of the past, shall study anew the whole motor field, as a few great leaders early in the last century tried to do; who shall gather and correlate the literature and experiences of the past and present with a deep sense of responsibility to the future; who shall examine martial training with all the inspirations, warnings, and new demands; and who shall know how to revive the inspiration of the past animated by the same spirit as the Turners, who were almost inflamed by referring back to the hardy life of the early Teutons and trying to reproduce its best features; who shall catch the spirit of, and make due connections with, popular sports past and present, study both industry and education to compensate their debilitating effects, and be himself animated by a great ethical and humanistic hope and faith in a better future. Such a man, if he ever walks the earth, will be the idol of youth, will know their physical secrets, will come almost as a savior to the bodies of men, and will, like Jahn, feel his calling and work sacred, and his institution a temple in which every physical act will be for the sake of the soul. The world of adolescence, especially that part which sits in closed spaces conning books, groans and travails all the more grievously and yearningly, because unconsciously, waiting for a redeemer for its body. Till he appears, our culture must remain for most a little hollow, falsetto, and handicapped by school-bred diseases. The modern gymnasium performs its chief service during adolescence and is one of the most beneficent agencies of which not a few, but every youth, should make large use. Its spirit should be instinct with euphoria, where the joy of being alive reaches a point of high, although not quite its highest, intensity. While the stimulus of rivalry and even of records is not excluded, and social feelings may be appealed to by unison exercises and by the club spirit, and while competitions, tournaments, and the artificial motives of prizes and exhibitions may be invoked, the culture is in fact largely individual. And yet in this country the annual Turnerfest brings 4,000 or 5,000 men from all parts of the Union, who sometimes all deploy and go through some of the standard exercises together under one leader. Instead of training a few athletes, the real problem now presented is how to raise the general level of vitality so that children and youth may be fitted to stand the strain of modern civilization, resist zymotic diseases, and overcome the deleterious influences of city life. The almost immediate effects of systematic training are surprising and would hardly be inferred from the annual increments tabled earlier in this chapter. Sandow was a rather weakly boy and ascribes his development chiefly to systematic training.

    We have space but for two reports believed to be typical. Enebuske reports on the effects of seven months’ training on young women averaging 22.3 years. The figures are based on the 50 percentile column.

    ————————+————+—————————————————+———— | | Strength of | |Lung | | | |right |left |Total |capacity| legs |back |chest|forearm|forearm|Strength ————————+————+———+——-+——-+———-+———-+———— Before training | 2.65 | 93 |65.5 | 27 | 26 | 23 | 230 After six months| 2.87 | 120 |81.5 | 32 | 28 | 25 | 293 ————————+————+———+——-+——-+———-+———-+————

    By comparing records of what he deems standard normal growth with that of 188 naval cadets from sixteen to twenty-one, who had special and systematic training, just after the period of most rapid growth in height, Beyer concluded that the effect of four years of this added a little over an inch of stature, and that this gain as greatest at the beginning. This increase was greatest for the youngest cadets. He found also a marked increase in weight, nearly the same for each year from seventeen to twenty one. This he thought more easily influenced by exercise than height. A high vital index ratio of lung capacity to weight is a very important attribute of good training. Beyer[1] found, however, that the addition of lung area gained by exercise did not keep up with the increase thus caused in muscular substance, and that the vital index always became smaller in those who had gained weight and strength by special physical training. How much gain in weight is desirable beyond the point where the lung capacity increases at an equal rate is unknown. If such measurements were applied to the different gymnastic systems, we might be able to compare their efficiency, which would be a great desideratum in view of the unfortunate rivalry between them. Total strength, too, can be greatly increased. Beyer thinks that from sixteen to twenty-one it may exceed the average or normal increment fivefold, and he adds, “I firmly believe that the now so wonderful performances of most of our strong men are well within the reach of the majority of healthy men, if such performances were a serious enough part of their ambition to make them do the exercises necessary to develop them.” Power of the organs to respond to good training by increased strength probably reaches well into middle life.

    It is not encouraging to learn that, according to a recent writer,[2] we now have seventy times as many physicians in proportion to the general population as there are physical directors, even for the school population alone considered. We have twice as many physicians per population as Great Britain, four times a many as Germany, or 2 physicians, 1.8 ministers, 1.4 lawyers per thousand of the general population; while even if all male teachers of physical training taught only males of the military age, we should have but 0.05 of a teacher per thousand, or if the school population alone be considered, 20 teachers per million pupils. Hence, it is inferred that the need of wise and classified teachers in this field is at present greater than in any other. But fortunately while spontaneous, unsystematic exercise in a well-equipped modern gymnasium may in rare cases do harm, so far from sharing the prejudice often felt for it by professional trainers, we believe that free access to it without control or direction is unquestionably a boon to youth. Even if its use be sporadic and occasional, as it is likely to be with equal opportunity for out-of-door exercises and especially sports, practise is sometimes hygienic almost inversely to its amount, while even lameness from initial excess has its lessons, and the sense of manifoldness of inferiorities brought home by experiences gives a wholesome self-knowledge and stimulus.

    In this country more than elsewhere, especially in high school and college, gymnasium work has been brought into healthful connection with field sports and record competitions for both teams and individuals who aspire to championship. This has given the former a healthful stimulus although it is felt only by a picked few. Scores of records have been established for running, walking, hurdling, throwing, putting, swimming, rowing, skating, etc., each for various shorter and longer distances and under manifold conditions, and for both amateurs and professionals, who are easily accessible. These, in general, show a slow but steady advance in this country since 1876, when athletics were established here. In that year there was not a single world’s best record held by an American amateur, and high-school boys of to-day could in most, though not in all lines, have won the American championship twenty-five years ago. Of course, in a strict sense, intercollegiate contests do not show the real advance in athletics, because it is not necessary for a man in order to win a championship to do his best; but they do show general improvement.

    We select for our purpose a few of those records longest kept. Not dependent on external conditions like boat-racing, or on improved apparatus like bicycling, we have interesting data of a very different order for physical measurements. These down to present writing—July, 1906—are as follows: For the 100-yard dash, every annual record from 1876 to 1895 is 10 or 11 seconds, or between these, save in 1890, where Owen’s record of 9-4/5 seconds still stands. In the 220-yard run there is slight improvement since 1877, but here the record of 1896 (Wefers, 21-1/5 seconds) has not been surpassed. In the quarter-mile run, the beet record was in 1900 (Long, 47 seconds). The half-mile record, which still stands, was made in 1895 (Kilpatrick, 1 minute 52-2/5 seconds); the mile run in 1895 (Conneff, 4 minutes 15-3/5 seconds). The running broad jump shows a very steady improvement, with the best record in 1900 (Prinstein, 24 feet 7-1/4 inches). The running high jump shows improvement, but less, with the record of 1895 still standing (Sweeney, 6 feet 5-5/8 inches). The record for pole vaulting, corrected to November, 1905, is 12 feet 132/100 inches (Dole); for throwing the 16-pound hammer head, 100 feet 5 inches (Queckberner); for putting the 16-pound shot, 49 feet 6 inches (Coe, 1905); the standing high jump, 5 feet 5-1/2 inches (Ewry); for the running high jump, 6 feet 5-5/8 inches (Sweeney). We also find that if we extend our purview to include all kinds of records for physical achievement, that not a few of the amateur records for activities involving strength combined with rapid rhythm movement are held by young men of twenty or even less.

    In putting the 16-pound shot under uniform conditions the record has improved since the early years nearly 10 feet (Coe, 49 feet 6 inches, best at present writing, 1906). Pole vaulting shows a very marked advance culminating in 1904 (Dole, 12 feet 132/100 inches). Most marked of all perhaps is the great advance in throwing the 16-pound hammer. Beginning between 70 and 80 feet in the early years, the record is now 172 feet 11 inches (Flanagan, 1904). The two-mile bicycle race also shows marked gain, partly, of course, due to improvement in the wheel, the early records being nearly 7 minutes, and the best being 2 minutes 19 seconds (McLean, 1903). Some of these are world records, and more exceed professional records.[3] These, of course, no more indicate general improvement than the steady reduction of time in horse-racing suggests betterment in horses generally.

    In Panhellenic games as well as at present, athleticism in its manifold forms was one of the most characteristic expressions of adolescent nature and needs. Not a single time or distance record of antiquity has been preserved, although Grasberger[4] and other writers would have us believe that in those that are comparable, ancient youthful champions greatly excelled ours, especially in leaping and running. While we are far from cultivating mere strength, our training is very one-sided from the Greek norm of unity or of the ideals that develop the body only for the salve of the soul. While gymnastics in our sense, with apparatus, exercises, and measurements independently of games was unknown, the ideal and motive were as different from ours as was its method. Nothing, so far as is known, was done for correcting the ravages of work, or for overcoming hereditary defects; and until athletics degenerated there were Do exercises for the sole purpose of developing muscle.

    On the whole, while modern gymnastics has done more for the trunk, shoulders, and arms than for the legs, it is now too selfish and ego-centric, deficient on the side of psychic impulsion, and but little subordinated to ethical or intellectual development. Yet it does a great physical service to all who cultivate it, and is a safeguard of virtue and temperance. Its need is radical revision and coordination of various cults and theories in the light of the latest psycho-physiological science.

    Gymnastics allies itself to biometric work. The present academic zeal for physical development is in great need of closer affiliation with anthropometry. This important and growing department will be represented in the ideal gymnasium of the future—First, by courses, if not by a chair, devoted to the apparatus of measurements of human proportions and symmetry, with a kinesological cabinet where young men are instructed in the elements of auscultation, the use of calipers, the sphygmograph, spirometer, plethysmograph, kinesometer to plot graphic curves, compute average errors, and tables of percentile grades and in statistical methods, etc. Second, anatomy, especially of muscles, bones, heart, and skin, will be taught, and also their physiology, with stress upon myology, the effects of exercise on the flow of blood and lymph, not excluding the development of the upright position, and all that it involves and implies. Third, hygiene will be prominent and comprehensive enough to cover all that pertains to body-keeping, regimen, sleep, connecting with school and domestic and public hygiene—all on the basis of modern as distinct from the archaic physiology of Ling, who, it is sufficient to remember, died in 1839, before this science was recreated, and the persistence of whose concepts are an anomalous survival to-day. Mechanico-therapeutics, the purpose and service of each chief kind of apparatus and exercise, the value of work on stall bars with chest weights, of chinning, use of the quarter-staff, somersaults, rings, clubs, dumb-bells, work with straight and flexed knees on machinery, etc., will be taught. Fourth, the history of gymnastics from the time of its highest development in Greece to the present is full of interest and has a very high and not yet developed culture value for youth. This department, both in its practical and theoretical side, should have its full share of prizes and scholarships to stimulate the seventy to seventy-five per cent of students who are now unaffected by the influence of athletics. By these methods the motivation of gymnastics, which now in large measure goes to waste in enthusiasm, could be utilised to aid the greatly needed intellectualization of those exercises which in their nature are more akin to work than play. Indeed, Gutsmuths’s first definition of athletics was “work under the garb of youthful pleasure.” So to develop these courses that they could chiefly, if not entirely, satisfy the requirements for the A.B. degree, would coordinate the work of the now isolated curriculum of the training-schools with that of the college and thus broaden the sphere of the latter; but besides its culture value, which I hold very high, such a step would prepare for the new, important, and, as we have seen, very inadequately manned profession of physical trainers. This has, moreover, great but yet latent and even unsuspected capacities for the morals of our academic youth. Grote states that among the ancient Greeks one-half of all education as devoted to the body, and Galton urges that they as much excelled us as we do the African negro. They held that if physical perfection was cultivated, moral and mental excellence would follow; and that, without this, national culture rests on an insecure basis. In our day there are many new reasons to believe that the best nations of the future will be those which give most intelligent care to the body.

    [Footnote 1: See H.G. Beyer. The Influence of Exercise on Growth. American Physical Education Review, September-December, 1896, vol. I, pp. 76-87.]

    [Footnote 2: J.H. McCurdy, Physical Training as a Profession.
    Association Seminar, March, 1902, vol. 10, pp. 11-24.]

    [Footnote 3: These records are taken from the World Almanac, 1906, and
    Olympic Games of 1906 at Athens. Edited by J.E. Sullivan, Commissioner
    from the United States to the Olympic Games. Spalding’s Athletic
    Library, New York, July, 1906.]

    [Footnote 4: O.H. Jaeger, Die Gymnastik der Hellenen. Heitz,
    Stuttgart 1881. L. Grasberger’s great standard work, Erziehung und
    Untericht im klassischen Alterthum. Würzburg, 1864-81, 3 vols.]

    Extract from Youth: Its Education, Regimen, and Hygiene, by G. Stanley Hall

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