Thank you for your interest. This book is very old from 1884. The binding is separated. I wouldn’t know how to bind it back together and wouldn’t want to try. I’m thinking it could be bounded back since the pages are intact a separation in places for the age it is still readable and interesting read and how a women were viewed back then as hysterical because they were menstruating. Leaching was common as well to suck out bad blood. Treatments have certainly changed. A gamble indeed going to the Dr. back then.