4.

The dangers of serious disease are always great and cannot be avoided outside of marriage.

5. If disease is contracted it often does permanent harm not only to the man, but to his future wife and children.

6. To avoid danger, physical exercise in a gymnasium and out of doors gives healthy relief.

7. A man or woman may be badly diseased and not know it. 8. In boys and young men growth of mind and body progress better without sexual relations.

9. To avoid sexual thoughts train the mind by reading and by studying clean books.

IO. Avoid drinking, obscene pictures and vulgar stories. Smoking in moderation is beneficial. Choose companions who respect womanhood.

N. B.-By following the above common sense rules the man will remain strong sexually, keep his body clean and promote his own and others' happiness.

The Causes of Vaginismus

What is the cause of vaginismus, of that painful spasm of the vagina, which makes coitus extremely disagreeable, extremely painful or even impossible? There are two theories on this point. One theory ascribes vaginismus to local causes: irritation, inflammation in the vagina, fissures, ulcers, acrid leucorrhea, etc. This theory is not tenable. For on the one hand we find many cases in which these conditions are present, but in which vaginismus is absent. On the other hand, we know of many cases of most exquisite vaginismus, in which the most careful examination fails to discover any pathologic local condition of the vagina. We are, therefore, inclined to give our adherence to the second theory-the one that considers vaginismus a neurotic or reflex manifestation. In this connection it is interesting to refer to a case reported recently by Richelot (Bull. de la Soc. de Chirurgie de Paris, Nov. 3, 1908). The patient was a woman 28 years of age who had been married for five years. She had been troubled for fifteen years with a complication of objective and subjective symptoms. At first mucous enteritis set in, and was followed by obstinate constipation, chlorosis, mental depression, and loss of will power. When Richelot examined her, he found all the evidences of chronic inflammation of the appendix. The patient. had never been able to submit to complete coitus. The vagina and vulva showed no morbid appearances, but introduction of the finger caused great pain. Richelot removed the vermiform appendix, which he found buried in adhesions connecting it with the cecum, and filled with small stercoral calculi. He did not operate on the vulva. The vaginismus ceased right after the operation, for when the patient returned to her home, coitus could be practiced without the least pain. The patient's health steadily im

proved, and at the end of two years the bowels were regular without drugs, and all neuroses had disappeared.

In discussing the case, Lucas-Championnière agreed with the neurotic theory. Local irritation did not necessarily cause vaginismus, and was not invariable in cases where that affection was present. Distant sources of irritation, on the other hand, were often to be found. After ovariotomy and hysterectomy vaginismus was not rare. Lucas-Championière in 1879 performed Porro's operation on a dwarf-one of the earliest instances where mother and child were saved. The artificial menopause did not cause much general disturbance, tho there were periodical hemorrhages from the lungs and rectum, and the patient was able to work for her living; but coitus, which she sought eagerly as there was no more chance of the perils of maternity, became impossible on account of the most severe vaginismus. He examined the vulva and could find no pathologic changes.

Yesterday, To-Day, To-Morrow.

YESTERDAY.

There's only one use we can make of yesterday, and that is to take warning by its mistakes and encouragement from its successes. The man who fills our ears with tales of his past successes is a back-number. The man who spends his days bewailing past mistakes and past wrongs is a fool. The man who treasures up past injuries is poisoning his own soul-the very deadliest form of autotoxemia.

Forget it! Take heed of the past only that you may not make the same errors.

TO-DAY.

There is just one day that is our very own, and that is to-day. In this day we must crowd its full share of work and of play, of good done and of pleasure enjoyed. Now alone do we live. Yesterday is dead; let not its shroud trail over the banquet table. Bury your dead, God rest their souls; we are sore at heart over their loss-but all the more reason to cherish and enjoy the living. Bury our dead days-we need all our powers to do full justice to the living. The gospel of the day is Work, and Play. Work with all the strength that endows your arm. Sixty years is the life of a man. Twenty pass before he has found himself, ten more in preparing for his lifework. Twenty years he has left in which to justify his progenitors for his production, in which to push the old world along a bit, to make it wiser, better, happier for his having been. Twenty years to develop a business, build a home, and rear a family. Twenty years to earn the right to peace and plenty in what is left. One-third of this time passes in sleep, some hours more in recreation, not half the day in work; yet that small modicum must furnish support for present and future.

Work while the sun shines; work with your might, with muscle and brain; work your best; work to win.

TO-MORROW.

To-morrow is pregnant with possibilities of good and ill. It is a double door behind which stands the Lady and lurks the Tiger. We hold the key in our hands. On our ability to choose correctly depends our depends our future. We dream of this morrow; but they are dreams and dreams. dreams. The waking dream depicts an ideal, toward which our efforts may tend. The ideal of to-day is something higher, better, fairer than has yet been reached, but in the vista of to-morrows lengthening into obscurity it may be embodied into reality. All human progress is due to such dreamers. Dream-but while waking and working. Do not postpone either work or play till to-morrow. Work first, earn your play, but never forget that to-morrow has also its work. The man who leaves work for to-morrow is a drone; he who postpones his enjoyment till to-morrow is a dullard, a plodder. Engrossed in work he forgets how to enjoy life, and wakes up at last to that appalling fact, when work, too, palls on him before the sickening query: For what? The faculty of enjoying life is the most precious of human possessions. It is one to be studied and developed. The truest forms are to be recognized, that we waste not precious time on false quests.

The above is from the American Journal of Clinical Medicine, and is well worth reproducing by other journals.

"All is Mind."

Does it matter a Tinker's dam, or effect any alteration in the constitution of things, whether all the substance of the Universe is Mind, if such substance manifests itself to human intelligence in one case as thought and in another case as a brickbat? Suppose, in truth, the brick is composed altogether of atoms, or cells, of "Mind-stuff" shall we therefore refuse to use it in the building of houses? Shall we therefore alter our conduct towards it, take off our hat to it, and recognize it as a self-conscious entity capable of feeling pain and acquainted with grief?

"All is Good."

I wonder if somebody should put a snake into Mrs. Eddy's bed, unbeknown to her, and upon the old lady's retiring in her nightgown to woo the "Silence," she should suddenly realize that something was the "matter," that her legs were in the grasp of a sinuous, coiling, slimy substance, and a forked red tongue, with a hiss, was darting at her face, I wonder if she would "serenely fold her hands" and placidly "affirm," "All is good! there is no evil! all is mind; there is no matter!" or whether she would hop out of

that bed in a livelier frame of mind and body than when she lay down upon it?

I wonder were the Blissful Profet to pay a visit to Puget Sound, whose waters are full of monstrous devil-fishes, and, unacquainted with that fact, he were to conclude to indulge in the luxury of a sea-bath and swim, and when some fifty yards or so from short should find his body in the grasp of a huge Octopus, innumerable tentacles writhing about his limbs and planting their sucking-pumps on his flesh, while its demon eyes. burned into his, I wonder if he would blissfully sing, "O, I am so happy in the arms of this dear one!" or whether he would set up such vibrations in the atmosphere shouting for help as would equal those caused by a Kansas cyclone? I'll bet if he could find his voice at all, the only limit to it would be the strength of his lungs.

If I were God I would give these fool-optimists, these moonstruck-owls, or birds of Divine Wisdom, mistaking mid-night for noon-day, a sanitizing dose of Hell in the city slums.-Frank T. Reid, in Soundview.

On Healthfulness and Happiness.

By Dr. JAMES P. WARBASSE, Editor, N. Y. State Jour. of Med. I have recently had a friend make the statement that he would rather be happy than healthy; this in connection with the harm that tobacco was doing him. He preferred to suffer the physical ills entailed by tobacco than to sacrifice the pleasure of the fragrant plant. This is his affair. It is a terse way of saying, that, it is better to do what one wants to do without considering its healthfulness or unhealthfulness than it is to do disagreeable things for health's sake. This is a perfectly reasonable view. One generally does what he wants to, and that is usually the most sensible thing to do. That is a man's birthright as soon as he is strong enough to enter into the inheritance of his own and take possession. As a child he has to do what some one else thinks is good for his health or for their happiness. But when his ego has grown strong there comes into play der Einzige und sein Eigentum. Then, too, there is a disposition to take the gambler's chance. One often violates a law of health hoping that the retribution may not be forthcoming. Sometimes it is not, and he becomes emboldened and takes a chance again.

Shall I take a cold bath on a winter's morning or not? Shall I walk to the office, or ride? Shall I decline to take a couple of drinks with a convivial friend, or not? Shall I be healthy or shall I be happy? These are the questions often asked. And one naturally decides for happiness, for it is that for which we live. The object of life is happiness, not health. We are not living for the sake of growing healthy; we are living with happiness in view. The man who makes healthfulness his ain, in life might be a fine specimen of a brute, but he would be a pretty poor sort

of a man. But just here comes the duty of medicine to humanity: that duty is to make the incentive to happiness and healthfulness grow towards one another until finally they come together and coalesce. Then we shall find happiness in doing what is healthful, and health in happiness.

This consummation is in process of evolution. One does not go down to breakfast without having brushed his teeth, although it is a time-consuming, and, in itself, in no wise a pleasurable task. We also bathe and keep our bodies clean. Our ancestors a few generations ago gave little heed to either of these operations. Knowledge of their value to us as individuals makes us perform with happiness tasks which otherwise would be disagreeable. The influence of medicinal science upon human progress is destined to bring into the circle of happiness all those things which make for health, for health is one of the most important prerequisites of happiness.

This is just the process which is going on with regard to morality, and has reached a high state of development among the most cultivated people. The old question used to be, Shall I be good or happy? If I am good I shall miss lots of fun. Education has brought morality and happiness so close together that now they touch. The foundation stones of happiness are hewn in the quarry of morality. Happiness is comparatively little sought for in immorality. Men have learned that the best happiness must be consistant with morality. Of course, the consummation is not yet quite completed; that would mean, I think, what is called the millennium.

This development of healthful happiness must really go hand in hand with moral happiness. Morals do not thrive well in unhealthy bodies, Ecclesiastes and David to the contrary notwithstanding. The compulsory morality of old men, who are the wrecks of youthful sinners, is not the real thing, although, of course, better than nothing. A man in jail cannot steal, nor can a sexual wreck be a roaring libertine. Desirable morality is of the healthy and vigorous type. The same is true of happiness. Healthful happiness-it is that towards which medical science is directed. We are aiming towards the state of enlightenment in which, if the walk to the office is the most healthful, it will be preferred to the ride; in which the harmful tipple will be declined with pleasure; and in which my friend will value his health more than his pipe. Harmless pleasures will take the place of harmful ones, and health and happiness hand in hand will trip merrily on.

Low Spirits.

Fancy a man ever being in low spirits. Life is too short for such betises. The most unfortunate wretch alive calculates unconsciously that it is better to live than to die. Well, then, he has something in his favor. Existence is a pleasure, and the