FRUITS OF PHILOSOPHY, OR THE PRIVATE COMPANION OF ADULT PEOPLE. BY CHARLES KNOWLTON, M. D. •* Knowledge is Wealth.” FOURTH EOITIO.V, WITH ADDITION*. Price, One Dollar. PHILADELPHIA. F. P. ROGERS, PRINTER. 1839. Enatn n P>stnct of Pennsylvania, to ml BE JT REMEMBERED, that on t>'<; Ninth day of September, Anno Domin' One Thousand Eight Hundred >UI,| Thirty Nine, Charles Knovvlton, 31. D., of the sai< District, hath deposited in this office the Title ot a Book, the Title of which is in the words loilo" ing, to wit: , 4 Fruits of Philosophy, or the Private Companion plo. Ai»d e-qieciully do 1 ulludc to “Canfield’s Fucy to a late age, say thirty years. This, on the whole, the reverend gentlema n regarded as the best means of preventing over population, with its many attendent evils, within his knowlodge. But is this the sad condition of the human family,? is there no better cticck than this of Malthus, which is useless, if not worse ? Useless, because though Malthus and his many followers (in theory) may preach forever on the subject, the moss of mankind will not follow his injunction. But if this injunction were to be generally fol- lowed, only look at the probable consequences. O” “ The most enlightened observers of mankind are agreed that nothing contributes so positively and immediately to demoralize a nation as for its 12 youth to refrain until u late age, from forming disinterested connexions with those of the other sex. The frightful increase of prostitution, the destruction of health, the rapid spread of intem- perance, the ruin of moral feelings are to the mass, the certain consequences.” Only let the physiological check proposed in this work become generally known, and all the evils of over population, as well as those of Mai- thus’ proposed remedy for the same, may, and probably would be avoided. Every person would then have it in his or her power to take care of one, and if this were done, then every one would be taken care of. No man would need have more children than he could see a fair prospect of pro- jierly educating and providing for; and as no one would need look ahead further than one genera- tion, or for his own offspring, no one would be likely to err greatly in his calculations. It is unquestionably to some artificial chock to conception that Mill, the talented anther of “ Bri- tish India” alludes in the following extract (taken by Owen) from the article “ Colony,” in the sup- plement to the Encyclopaedia Britlanica. “ What are the best means of checking the pro- gress of population, when it cannot go on unre- strained without producing one or other of two most undesirable effects, either drawing an undue portion of the population to the mere raising of food, or producing poverty and wretchedness, it is 13 siot now the time to enquire. It is, indeed, the most important practical problem to which the wis- dom of the politici;>n and the moralist can be ap- plied. It has, till this time, been miserably evaded by all those who have meddled with the subject, as well as by those who were called upon by their situation to find n remedy for the evils to which it relates. And yet, if the superstitious of the nursery were disregarded,, and the princijde of utility kept steadily in view, a solution might not be very dif- ficult to be found ; and the means of drying up one of the most copious sources of human evil—a source which, if all other sources were taken away, might alone suffice to retain the great mass of hu- man beings in misery, might be seen to be neither doubtful nor difficult to be applied.” A nation is composed of individuals, and to be a happy nation the individuals must be happy. At the present time, the situation of many individuals in the United States would be much better if they were not borne down, as they are, by a numerous offspring; yet I do not think there is now an ex- cess of population in these States—I do not think that the greatest good of the greatest number re- quires that the population of these Slates, taken as a whole, should be less. But this cannot be said of every nation—especially China, in some of the large cities of which, it is said that men, appointed for the purpose, pass through the streets every morning with carts to pick up the infants which 14 the inhabitants are permitted to throw out, dead or alive; a practice which is not tolerated because the Chinese ore inhuman beings, but because of the excess of population. It is Borne consolation to know that tko evils which have heretofore been the common checks to population may be removed, and yet an excess of population may be prevented, short of the ascetic im-“ moral restraint” pro- posed by Malthus: and thus forever save us from the horrid practice of the Chinese. If physiolo- gical cltecks were generally known, and generally believed to be as harmless and as effectual as some, from actual experience, have reason to be- lieve them to be, I do not think the effect, at pre- sent, in the United States, would be to check the general increase of population. [ think that this knowledge, while it would prevent so many over- grown and consequently poor families among us, would at the same time, promote early marriages; and nearly all, after being married a few years, would be able to support, and would desire to have a few children. Hence, for one or more centuries, the general increase would be about the same as at present The second evil to be mitigated by the anticon- ception art, is prostitution. The unreflecting may smile at this idea; but I would ask why it is, that there is so much prostitution in this land. Is it not because there are so many unmarried men and women—men of dissipation and profligacy, owing 15 to their not having married in their younger days, and settled down in life? But why are there so many unmarried men (and consequently women) in the country ? Not because young hearts, when they bceomc of age, do not desire to marry, if they could do so and yet get along as well; but bccauso prudential considerations interfere. The young man thinks, I cannot marry yet, I cannot support a family. 1 must make money first, and think of matrimony afterwards. And so it is, that through fear of being encumbered with children before they have made some headway in the world, and of be- ing thereby compelled to “ tug at the oar of inces- sant iabour” throughout their lives, thousands of young men do not marry, but go abroad into the world, and form vicious acquaintances and prac- tices ; or, having passed many years in mortifica- tion, a habit is formed, the fire of youth has abat- ed, amitiveness has become dormant, avarice, or some other selfish passion has got possession of the man, and he docs not wish to marry. Prostitution is an evil which, in my opinion, will never be diminished permanently, and to any great degree, by any mode of operation that has ever yet been pursued tor the purpose. Nature will have its course through some channel or other, and to dam the stream or to smother the flame is to furnish no lasting security against floods and fire. Mankind must undergo some essential change, not to be expected, before any regulations 16 which war against nature’s strongest impulses will avail much. All past experience shows that both law and gospel, when opposed to man’s natural in- stincts are as ineffectual as attempts to tame par- tridges; and it is strange that we have been so slow to profit by this experience. Murriage, early and genera], is the grand remedy for prostitution. It would operate in more ways than one. i\l ore moles than females are born into the world, and if nearly all our young men should marry, there would necessarily be but very few females left, to lead dissolute lives, if there should be a demand for them. If our virtuous females would diminish the evil of which we are speaking then instead of giving their money to build up an “ Asylum” for the abandoned females of our cities, (and to remove these would only make room for fresh hands— thus running many more through the mill,) let them encourage early marriages. This they can do in various ways. In the first place, there be- ing means which give control over the number of offsprings, let them not contemn these means, but approve of them; and when they become com- mon or fashionable, the practice of them will not be thought indelicate, any more than it now is to marry, or to have a niale accoucheur. In the next {dace let every daughter, rich or poor, be taught to manage house-hold affairs, and to xoork. Discountenance expensive fashions and customs, 17 among the young and newly married, such as having a female servant, “ making parties,” See. The rich set a pattern, the poorer try to follow it, and no wonder our young men in moderate cir- cumstances are afraid to marry when they con- sider the expenses which attend “ keeping house," under existing fashions. But if offspring be avoid- ed, and the young wife would be prudent, and would do the necessary housework for herself and husband, he could then accumulate property quite as fast with, as without her. A book might be written on the subject now before me, but I leave it to the reflections of the reader. Third. Poverty, ignorance, and crime may in- directly, and to a considerable degree, be prevent- ed by the practice of the anticonception art. No one will deny that in a large proportion of the families, even in the United States, the number of children is beyond the means of their parents for comfortable support. With incessant toil and rigid economy they may, to be sure, all be kept alive, without becoming a public charge; but they cannot be properly educated and provided for. They come upon the stage ignorant and poor. If they be ambitious, they not un frequently try some honest or dishonest rcheme for getting money uiat involves them iu gmt di'le«4*U-1. K» , n. bitious, tney rvq«M*i,.U r. It ». *.ty true that crimes are by no means confined to the children of the poor man; the rich man’s son, 18 having acquiicd profligate, instead of industrious and economical habits, becomes jxjor, and com- mits crimes; but it is equally true, generally speaking, that poverty and ignorance lend to crime ; and that an excess of offspring is very fre- quently the cause of poverty and ignorance. A writer in the Ediurrburgh iXeto Philosojthical Journal, for April 183-1, Inning shown that in Europe the uverage age of man has bom much increased, within the last century, by the progress of civilization, makes the following remarks:— “ The life of man is tlnw not only embellished in its course by the advancement of civilization, but is even extended by it, and rendered less doubt- ful. The effects of the amelioration of’ the. social condition arc, to restrain uml diminish, in proywr- tion to the jmjnilutiun, the annual number of births, and in a still greater degree that of deaths; on the contrary, u gnat number of births equalled or even exceeded by that of deaths, is a characteristic sign of a state of barbarism.” Modi more might be said, showing tlie evils of a large family of children to a man in low, or even moderate circumstances; but it avails but little to talk to those who uro iucn|*»blr of reflec- tion, and to those who are ca|Kibic, enough has already been said to set them a thinking. Hut before 1 pass to oilier subjects, 1 must present the following eloquent extract from Moral Phi/sioloiry, a work which I wish every body would rcud. 19 “ Iii liovv many instances docs the hard-working father, and more especially the mother, of a pooc family, remain slaves throughout their lives, tug- ging at the oar of incessant labour, toiling to live and living but to die ; when, if their offspring had been limited to tivocr three only, they might have enjoyed comfort, and comparative affluence! How often is the health of the mother, giving birth every yeur to an infant—happy, if it be not twins!— and com|»e)lcd to toil on, even at those times when nature ini|>eriously calls for some relief from daily drudgery—how often is the mother’s comfort, health, nay her life, thus sacrificed ! Or, if care and toil have weighed down the spirit, and at last broken the health of the father, how often is the widow left, unable, with the mo t virtuous inten- tions, to save her fatherless offspring from becom- ing degraded objects of charity, or profligate vota- ries of vice! “ Fathers and mothers! not you who have your nursery and your nursery maids, and who leave your children at home, to fretpieist the crowded rout, or to glitter in the hot ball-room; but you by the labour of whoso hands your children are to live, ami who, as you count their rising numbers, *igh to think how soon sickness or misfortune may lessen those wages which arc now but just suiHcient to afford them bread—fathers and mothers in humble life! to you my argument comes home, with the force of' reality Others 20 *nay impugn—may ridicule it By bitter ex- perience you know and feel its truth.” A fourth advantage is, the prevention of here- ditary diseases. It would require more space than I can spare, to convince any but enlightened physicians of the vast benefit that might be derived to the human family in this respect, by checks so simple, sure, and harmless, that to be in general use, they need only be generally known. But such physicians know full well that hereditary taints, predispositions and infirmities give rise to a large proportion of their professional business, especially among chronic diseases. Scrofula, in all its various forms, one of which is genuine con- sumption, sweeping off its fifty-five thousand an- nually in England, and its tens of thousands in these United States, is a hereditary disease. Most diseases of the nervous system, as Insanity, Epilep- sy, Apoplexy and Palscy, arc more or less heredita- ry-; so, also, are Cancer, causing, it is said, one seventh of the deaths in Paris; Gout, probably Rheumatism, urinary complaints, and many other diseases that might be mentioned. Many cases of disease not regarded as hereditary, are yet ren- dered difficult to cure by some hereditary taint or infirmity; and many diseases are of a hereditary origin, although the parents of their victims had never been visited with diseases of the same name as these diseases of their children. Thus, a son or a daughter may be insane, owing to hereditary 21 predisposition, yet neither of their parents were insane, but epileptic, perhaps, or only very nervous. Persons knowing themselves to be predisposed to any of these diseases, or knowing these diseases to be in their families, may do much to prevent their propagation and diffusion in society, by refraining from offspring—an act which they would not be likely to do, if they could not do it without the sacrifice of domestic enjoyment Many a healthy young man of blood uucontaminatcd there may be, who desires to marry—and who would marry—a certain female, but that lie fears she would give birth to weakly children, or that her health is not equal to the risks and hardships of rearing a family ; but let this young man and woman know that they need have no children unless they choose to do so, they will then marry, and thus tho happiness of loth be promoted. Closely connected with this our fourth advan- tage of the unticoncep ion art, is the preservation and improvement of the species. Spur/.heim, known to the reading world a.; a person who devoted his life to the study of man, says, “ I think that as soon as young persons understand the difference and the distinction of the sexual functions, they should be taught the laws of propagation, and not be kept in a state of ignorance that may provoke a fatal curiosity, compromising in the end, their own and their descendants’ bodily and mental 22 constitution.”* And in his work on Education he has a chapter “ On the laws of hereditary de- scent” on reading which, I was forceably im- pressed with the idea that a few certain pages from Fruits of Philosophy, would be a most ap- propriate appendix to it, as they contain informa- tion that would enable and induce people to observe those laws of hereditary descent and degradation, which it is so important should be obeyed. From this chapter 1 shall here present some extracts, as being not only consistent with the general design of this work (which is to put into the hands of young men and women—information not easily obtained elsewhere—which they ought to have), but as tending to show the importance of the anti- conception art, ns a means to be resorted to in preserving and improving the species. “ The developemcnt of the human body is fa- voured, retarded, or disordered, according to the general laws of organization, in the same wav as that of other living beings, animal and vegetable. Consequently, children participate in the bodily configuration and constitution of their parents, and also in the particular manifestations of the mind, these licing dependent on the individual parts of the brain. * * * \Vc might, naturally sup- pose this fact sufficcnt to induce reasonable beings to take at least as much care in regard to their * Phrenology, vol. i. p. 155. Poston. 23 offspring as they do in relation to their sheep, pigs, dogs, and horses. Unt man wishes to make him- self an exception from the immutable laws of Nature, and the result of his ignorance and self conceit is lamentable. “ For the sake of bodily health, many natural philosophers, a long time ago, insisted on the necessity ofa better regulation of marriage. Their benevolent design was supported by the constant observation, that health dc|)cnds on organization, and that the latter is propagated bv birth. 4 Sir John Sebright,’ says Dr. Adams,4 informs us, that if a stock of sheep, in which there is any delect, arc permited to breed in and in the defect will gradually increase among them; and Colonel Humphries, by selecting for breeding a marked variety, has succeeded in procuring a stock with deformed Iwncs., * * * * There arc few families where there is not one jwrl of the body weaker than the rest, the lungs, tor instance, the eyes, tiie stomach, the liver, intestines, some other viscus, the brain, »to. 44 Children born of healthy parents, and belonging to a strong stock, always bring into the world a system formed hv nature to resist the causes of dis- ease. While the children of delicate, sickly pa- rents, are overpowered by the least unfavourable circumstance. In curing diseases, nature is often- times more powerful than art, and the latter is in- effectual if not assisted by the former. Longevity 24 depends more on innate constitution than on tiic skill of physicians. Is it • jt astonishing, then, that this knowledge, ns a pr~<-,;cal piece of infor- mation, is not taught to, am -cininatcd among young people? Indeed it otr to be familiarly and generally known : not Leo -e it is ex (meted tliat every one would be rensoc ,i>b enough to re- gulate his conduct by it, but in order to induce as many as possible to do so [a knowledge of the anticonception art should greatly increase the number that would do so.] A great number are too selfish to be guided in their own enjoyments !>v a regard to the condition of their offspring; but many, on the other baud, who rolled on the future, may be induced to avoid, even from a solli>li mo- tive, a union with a person who will be likely to embitter their future days. Even the unthinking must perceive, that the enjoyments of life are ren- dered impossible, when diseases make their rava- ges in a family; and that love, for the most part, ceases, when poverty takes up its aliode in the house. Others, who wish to live in their jKjstcri- ty, will, when acquainted with the immutable laws of nature, submit to them, in order to lay a foundation for the prosjtcrity of their descendants. The phytical education, then, of both sexes, de- serves the greatest attention, and it is unjiardoii- able to neglect that of girls.’' The manifestations of mind depend on tlie ner- vous system, and certain feelings and intellectual 25 powers, arc transmitti <1 from parent to child. Here then, is an additional motive to be careful in the choice of a |*artncr in marriage. No person can be indifferent about having selfish or benevolent, stupid, or intelligent children. The condition of the mother is commonly less valued than it ought to be. It is, however, observed that boys com- monly resemble their mother, and girls their fa- tlicr, and that men of great talents generally de- scend from mothers of a superior organization. Spurzhciin farther remarks, “ lie w lie can convince the world of the imj>ort- ance of the laws of hereditary descent, and induce mankind to conduct themselves accordingly, will do more good to them, and contribute more to their improvement, than all institutions, and all systems of education; families and nations might be im- proved beyond imagination, in figure, statute, com- plexion, health, talents, and moral feelings.” If a nation should ever l»e aroused to the im- |K>itanec of this subject, and any general attempt should be made to improve the s|>eeies by attend- ing to the laws ol hereditary descent, of what vast utility in furthering Ibis attempt would physiologi- cal cliccks to conception then be seen to lie! None would need lie debarred from gratifying their in- stinct, while the sjieeics would lie propogated only by the best of breeders! Improvement would pro- gress from generation to generation, until there 26 would again Ik* “giants in the land,” both physi- cal and mental!!! Fifth. By Ihr art much misery may Is* prevent- ed: by preserving the character of the lecherous, by preventing artificial a hoi l ions, and by dimi- nishing infanticide. I know that some un- lcoiing wou!d-U-thouglit-to.be conservators ol ‘•Public Morals,” which is much talked of as if it were something distinct from the nr In »f itnlirin'u- ul$, but of which no other idea can lie fonm d, 1 know that some such, ignorant of human nature, and satiated by gratification, preach up the doc- trine that the characters of those un'brtunalo be- ings, whose organization is such (together witbliio circumstances bv which they have been surround- ed' that their feelings have been too strong for their discretion, outfit nut to be preserved; Imt that their missteps, though taken with no ill in- tent to any one, ought to become known to the world ; and vet, tiic punishment widen society in- dicts in such a case, tar exceeds what is often in- dicted by legal authorities upon the criminal of evil intentions. With such men I differ entirely in opinion. Their views of human nature and their system of ethics—if they have any—must be essentially different from mine. Human hap- piness is not promoted, either directly or in the long run, by having these missteps made mauilcst to the world. No reason can be given why it should be so promoted, except that it may prevent others 27 from taking the like missteps. Hilt this is not a good reason. Ja;I us examine it. I mi*r!it in the first place demand of these men to make it appear by sound reasoning how much real evil—how much real misery, over and above the happiness— attends or arises from any of these rnisstejis, pro- vided that, none of them are followed lnj conception. We know that young widows, not encumbered with children, arc as readily taken in marriage as those who have ever remained single. But ad- mitting tint illegalized embraces are as evil as the heretofore liability of their causing conception has rendered it necessary lor mankind to regard them, (and 1 shall hereafter show wherein they would be of evil tendency, though never followed bv preg- nancy) still l think they arc not to be rendered less frequent by having some of them made mani- fest to the world by illegitimate births. Whv should they ? Fear of conception, which some seem to regard as the principal preserver of chas- tity—though it is the preserver of only that kind of chastity which it does not preserve!—fear of conception, I say, would not be weakened, if the birth of an illegitimate should not occur in a ten mile circle once in five years. If no such births should occur, still all would know that conception is liable to occur, if a chance be given ; and it would not be known but that the infrequency of such births was owing to infrequency of illegal intercourses. On the other hand, what most rarc- 28 ly happens is most talked about. The tree which stands alone upon the plain is most noticed. Only let the births of illegitimates become quite rare, and this very circumstance will serve to still ren- der them so. The innate modesty of females shrinks from the idea of standing alone, degrad- ed, as the subject of the world’s observation and remark. It is something so with males. But what is common is but little regarded. When a man can look about him and see that parson A, lawyer B, doctor C, and farmer D have been in scrapes,—lord ! what does he care, comparatively, if he too gets into one ? I say, then, that the only reason which can be given why the doings of the ainarous should be suffered to become known, is not a good reason. But there is yet another idea of this subject. I leave the reader to imagine the misery of the un- fortunate female, as alone she weeps, who knows that a few months must develop that which will degrade her in the eyes of the community; I say nothing of her paramour, who may be a generous but warm-hearted young man—but then, their re- latives—their parents, brothers, and sisters. Think of a large family of sisters who feel (though they ought not) that odium is brought upon them by an act of which they are entirely innocent. Ought the just to suffer for the unjust? Is this the way to promote human happiness—to bring sorrow upon a whole family, when a little medicated wa- 29 ter, without injury to any one, would have prevent* ed the cause of it ? Of artificial abortions, which are doubtless produced daily within the United States, I scarcely need speak. All will readily admit that prevention is better than cure. Nor need I attempt to tell how miserable that female must be who is forced to commit an act so abho- rent to her own natural feelings, and so pregnant with danger to her own life, as that of killing her infant child. Stop, reader, and ponder on these subjects. Ask yourself if pregnancy is not what would give to the seduction of one of your daugh- ters its sharpest, deepest sting. Sixth. In a medical point of view, great benefit may be derived by resorting to the art. Many women are so subject to flooding on “ lying in,” that it is extremely difficult to keep them alive; and some die from this cause, even in the presence of their physician. I do not here speak of floodings before the birth of the child, which may occur to any one, and yet the patient be no more liable to them afterwards, than any other one. I allude to those cases, not rare, in which flooding occurs after the birth of every child, and generally be- comes worse each succeeding birth ; rendering the woman so feeble (if life be saved) that nervous and dyspeptic complaints arise, and, altogether, render her unfit for business or enjoyment for months. And when she does at length partially recover her strength, pregnancy again occurs, bringing along 30 with it its usual diseases—which her still feeble system is ill able to bear—and an anxiety and sor- row of mind, which is the very essence of misery— causing her to weep half the time, perhaps for weeks, a state of mind which greatly assists the other diseases in debilitating the system. And the debility and irritability induced by these com- bined causes, increases still further the tendency to flooding. Thus it is, that some cases get to running. The woman passes many years of her prime in uselessness and misery. 1 have seen such cases, and have every reason to believe they were remedied by the art. I will not describe the scenes that not unfre- quently occur in the chamber, where the wife and the mother, perhaps of a large family, is dying, or is supposed to be instantly dying, by loss of blood; but whoever has witnessed sucli a scene will not condemn this work, if he believe it may be the means of preventing only a few of them. In other cases, the deformity of the pelvis is such that the woman cannot be delivered of a liv- ing child. Its head must be perforated, or it must even be dissected, and extracted in pieces—an operation painful and hazardous to the woman. Indeed, sometimes not even this can be done, and the woman must die, for the Caesarean operation but rarely saves her. It is true that these defor- mities of the pelvis will rarely be known until the woman is in labour with her first child ; but it is 31 no small matter to be able, afterwards, to avoid pregnancy without sacrifice of enjoyment. This is a general remark that will not strike the unre- flecting reader like a particular fact; and as most readers are of this class, 1 will here give a particu- lar case that has recently been related to me A young married woman was told by her physician, after her first child had been taken from her, that she must not again become pregnant, as probably she could not live through the operation of being delivered. She had much affection for her hus- band, and he for her, so they continued to live to- gether, but slept in separate beds. After some time had passed in this way, she went to his bed and said, “I have come to receive my death wound.” She conceived, and died in child-birth. 1 believe this to be a true story, but if not, it is certainly an affecting and a rational one, and not essentially different from many other cases. May the curse of Nebuchadnezzar fall upon the creature that would prevent the informa- tion contained in this work from reaching such a woman! These cases of distorted pelvis, or rather the necessary operations by which they give rise, are the evils to which Burns alludes in his Principles of Midwifery, vol. i, p. 236, where he recom- mends producing abortion by taping the ovum, “ in order to prevent a greater evil.” But is not 32 even taping the ovum a greater evil than prevent- ing conception? Certainly it is. And had the lecturer of Glasgow or any other writer on mid- wifery known the method I propose for prevent- ing conception, it certainly would have been re- commended in cases of known contraction of the pelvis instead of artificial abortion. I mention this circumstance in defence of my claims to ori- ginality, which some have seemed disposed to deny me. I have heard of some physicians say- ing that the check which I propose has long been known to the medical profession, and in my tra- vels I once met with a physician apparently of re- spectable standing, who made the same remark. We were strangers to each other, and on my de- fying him to produce any work, published prior to the first edition of this work, that contains any such idea, he appeared all at once to be appre- hensive that he was talking with a physician, and replied that “ he did not know as the idea was to be found in books, but it had been handed down orally, from one physician to another!” It is all false. With many women the sympathetic diseases of pregnancy are so very severe that it is extremely desirable that pregnancy should in future be avoid- ed. They are sometimes so severe that abortion or premature delivery has with the utmost propriety been resorted to, as the only means of saving the life of the patient. But this course has not been 33 so frequently resorted to as it ought to have been. A few months ago, and within a few miles of me, a woman’s life was destroyed by vomiting. But if her physicians, being sensible of the danger she was in, had considered that when gestation ceases, the sympathetic diseases of pregnancy also cease, and had accordingly punctured the membranes, her life would probably have been preserved. ' But cases in which the utility of the art, in a medical view, is, perhaps, still more conspicious, are those of habitual abortion. These cases have generally been found very difficult to remedy. Many a woman has miscarried five, ten, twenty, and even more times. Conceptions and abortions follow each other in such close succession that no time is given for the powers of the system to be restored. Her life is miserable. But let concep- tions be prevented until the uterine system shall have time to regain its vigor, of to loose its habit of throwing off its contents at or near a certain period of gestation, and the woman may yet give birth to an heir. I have already had experience in two cases, confirmatory of the utility of the art in these cases. I have thus far presented the advantages of the art, rather as a means of preventing misery, than as a direct means of promoting that most distinct and positive portion of happiness, called pleasure; and it is in the former light that I feel most dis- posed to recommend it But doubtless there are 34 many persons in affluent circumstances, of well formed bodies, and good constitutions, who think (and surely every one must be admitted to be his own best judge) that their happiness would be promoted by the power to limit and regulate the births of their children. Men of buisness or of pleasure, who may wish to be from home some eight or ten months from the time being, who may wish, perhaps, to visit some foreign country, with or without their wives, may so manage that the latter shall not be confined only when both are at home. Many advantages of the art I have now weighed, as in the balance, against the only two evils I have ever heard urged against it. Probably other advan- tages may hereafter be found to arise from it. It is rarely the case that all applications of any discovery in the sciences are seen at once or ever seen by the one who makes the discovery. If the increase of the human species, by simple and safe means, can be regulated and controlled, without warring against nature, as I am sure it can, it is certainly an important point gained ; and all philanthropists—all real reformers—will “ stick a pin there,” and then look further, before they censure the man or men who have made the discovery. 35 CHAPTER II. GENKRAT ION. By the term generation I here mean all those actions that take place in organized beings, whether male or female, that are peculiarly and essentially necessary in the reproduction of the species. In this sense, generation is a process consisting of many steps, some of which are known and others unknown. These unknown steps have given rise to conjecture or hypothesis; and as one man has as g ood right to conjecture as another,many conjectures have been offered concerning each of these unknown steps; aud as every one of these conjectures, is termed an hypothesis it is not strange that Drelin- court, who lived in the latter part of the last century, was able to collect 260 hypotheses of generation. The most eminent physiologists have investigated the subject of generation with a labour and zeal indicative of a presentiment, that some great good to mankind would be derived from a correct and perfect knowledge of this process. But there is nothing on record, so far as my reading extends, to show in what way they supposed this good would 36 bp derived from such knowledge; nor can I con- ceive of what practical utility it can be, except as a means of enabling us to promote and prevent conception. It seems to me, indeed, that here is the place, and now is the hour, to settle, if possible, this long disputed subject; and such is the im- portance of the leading object of this book that I should feel justifiable in writing a large volume on the single subject of generation, if it were necessary in accomplishing this object. But I think I may pass over many disputed points, many conjectures, many arguments, and even many facts, and yet present such a view of the subject as shall inspire confidence in the means of preventing conception, which I shall, in the course of this work, propose. It must be obvious to every person of common understanding, that it would be as impossible to ex- plain any process or function of the animal economy, so as to be understood, before the organs which per- form the function have been described, as it would be to explain the operation of an intricate piece of ma- chinery by words, without first naming the several parts of it, and pointing out their several relations to each other. No writer can be understood when he uses terms that have never been defined to the reader, and what is a system of descriptive anatomy but a dictionary of the animal system, containing the names of organs so defined, that is, the organs so described, that the reader may form ideas of what is meant hv these names? Hence it is that 37 physiologists, although they usually write lor those who have already studied anatomy, always precede their explanations of functions by a more cr less complete description of the organs that porfom the functions. I shall so far pursue the same course as to define all the anatomical terms that will ne- cessarily be used in treating of conception. Srxrrio.N I. Of the Male.—The male organs of generation are the testicles, vcsicul© scmir.aics, prostate gland and penis. The testicles arc two oviform bodies situated in the scrotum. In size they vary considerably in dif- ferent individuals. But the “ amitiveness” of indi- viduals is by no means always in proportion to the size of these organs. They are first formed in the abdomen, and if, in some rare cases, they never descend into the scrotum, virility is not by tins cir- cumstance impaired. Their office is to secrete or form the principal part of that fluid which iseniited in sexual intercourse, called semen. The excretory duct of the testicle is called ras deferens, and it forms a part of the s|x?rmatic cord which may be felt extending from the testicle to the lowest part of the abdomen or belly where it dips into that cavity, and crooks about in such a manner as to open into the urethra. The restatin' sauinalrs are two small irregular bodies situated at the lower and posterior part of the bladder, near its neck, and of course between the bladder and that extreme portion of the intestinal canal called rectum. 38 Kadi of these vesicles opens into the vas deferens of the same side, and it has been supposed that the secretion from the testicles passes into them—that they are in fact sem inal reservoirs. But this opinion is probably incorrect. The prostate gland, is a firm dense body resembling in shape a chcsnut, but a little larger. It is situated at the neck of the bladder, and in such a manner as to surround the urethra. This gland secretes a small quantity of whitish fluid, which mixes with the semen on its passage through the urethra. The penis is an ob- long body composed of three principal parts, besides its integuments, namety, the corpora cavernosa, and the urethra, with its spongy covering, called corpus spongiosum urethra. The Corpora 'Cavernosa are two irregular cylinders, having a strong, dense, clastic mem- brane without, and a substance of a cellular struc- ture within. These two bodies unite soon after their origin from the bones of the pelvis, and form the principal part of the body of the penis. Divest- ed of their covering, they still retain the appear- ance of two cylinders applied to each ether length- wise, for above these is a superficial groove pass- ing in that direction, which is occupied by a vein; and below there is a much deeper groove occu- pied by the urethra. The Urethra is the canal whicli extends from the bladder to the orifice at the extremity of the penis. It is formed of membrane; and having 39 parsed through the prostate gland, it is surround* cd, within three fourths of an inch of that body, by a spongy substance, said by some to consist of a plexus of veins. This is the corpus spongiosum. It extends along the urethra to the extremity of the penis, and there expands over the ends of the corpora cavernosa, cap-like, and thus forms tlie glans penis, the abrupt and prominent edge of which, is called the corona glandis, and is endowed with much sensibility. Along the course of the urethra are the orifices of many mucous ducts or sinuses, which pass ob- liquely backwards. They secrete the mucus which lubricates the urethra and defends this highly sensible organ from the acrid urin. Un- der some circumstances so much of this mucus is secreted that it makes its appearance at the orifice of the urethra. When these sinuses are inflamed they secrete the puriform discharge which taker place in gouorrhsea. Of the integuments which envelop the severa organs I have now described, no particular de scription is necessary. I may remark, however that the loose fold which lies around, and seine times extends beyond the glans penis, is called ii scripture language the foreskin, in anatomical th prepuce; and that small longitudinal fold which i always attached to the lower angle of the orific of the urethra is called/renam. Blood is sent from the heart to all parts of th 40 body by arteries, and returned to the heart by veins. The penis, like all other erectile organs, as the nipples and clitoris, is plentifully supplied with these vessels. Like all other parts in which a sensation can be excited, it is also furnished with nerves. But I shall not confuse the reader with a particular description of these vessels and nerves. The distention or erection of the penis is a phenomenon not yet fully explained. We know that when this distention exists, the cellular parts of the corpora cavernosa are filled with blood; we know that titillution, as well as certain thoughts, give rise to this congestion or turgcscncc, but in what way these thoughts produce this' effect, we do not exactly know. Plausible conjectures might be offered, but it would be occupying to much room to no very useful purpose. The pleasurable sensation experienced by the male, is mainly owing to the state of the nerves of his genital organs, and I believe principally to that of the nerves of the urethra and glans penis. The nerves of the urethra are in such a state that the semen passing over them excites tiic greatest degree of pleasure, but the nerves of the glans penis, and especially of the corona glandis may be pleasurably excited by external agents, and without any seminal emission. By the state of these nerves I not only mean their peculiar organi- zation, their nature, but also the condition they may be in at the time. Their condition may 41 suddenly and frequently vary, but their organiza- tion changes very gradually, if at all. It may be different in old age than in youth. The penis is an organ which differs very much in size in different individuals. Blit the power of giving and receiving pleasure depends but very little upon the size of this organ. Four or five inches in length, and one in diameter will do very well, though I suppose this is considerably less than the average size. I am induced to make these remarks by the recollection of an inexperienced young man, who was in a most unhappy state of mind, and refraining from marriage, because he entertained the false notion, that lie could not give a female partner complete satisfaction, owing to the somewhat diminutive size of his member. I have said that the pleasurable sensation is mainly owing to the state of certain nerves. But I believe it depends in some degree on the quality of the semen. When emissions are rare, the semen is more thick—owing to the absorption of its thinner parts—and it emits a stronger odour, hence it is but reasonable to suppose, that it is capable of making a stronger impression upon the nerves of the urethra; and consequently the stronger sensation experienced after abstinence is not wholly owing to the accumulated excitability of these nerves. All our organs were made to act, or else made in vain, for they can perform no office without ac- 42 Uon. And it is essential to their lull development and good condition, that they be exercised in some greater or less degree. If our muscles ore not exercised, they become weak and diminish in volume; if we sleep too much and think but little our intellects become dull. On the other hand, if these organs are excessively excited they are thereby injured: either their organization is im- paired, their excitability is exhausted, or perhaps tiiey have even so drawn upon the common stock of vitality (whatever sort of material this maybe) that the digestive organs have been robbed and debilitated to such a degree that they cannot furnish a due supply of material for the formation of the unknown nervous energy, in the existence of which all physiologists believe, and upon which most of our vital actions essentially depend. So it. is with the gental organs. During a short ab- stinence, they acquire increased excitability, just as the brain and muscles do by short periods of rest; but let this abstinence be very long con- tinued, and their share of nervous energy seems to take a different course. The individual will not so frequently desire, as if he had been in the habit of enjoying himself at shorter intervals. Of the Semen.—The lluid emitted by the male consists of a secretion from tire testicles, the vesi- culce seniinales, the prostate gland, and perhaps from two small bodies called Covvper’s glands, uhich I have not thought it worth while to de- 43 scribe. This compound fluid is wimt is commonly meant by the term semen; and it is this only that has been examined by physiologists, naturalists, and chemists. Were I attempting to give a com- plete view of generation, I should speak of the powers by which these fluids are retained, circu- lated and ejected, but I proceed to speak of the physical, chemical, and physiological properties of the compound fluid. “ At the moment the semen passes from the urethra, it is composed of two substances, the one fluid and the other thick arid nearly opaque. When loll to themselves these substances mix, and the mass liquifies in a few minutes. The odour of the semen is strong and peculiar, its taste saltish, and even a little acrid.”* Chemically examined, it has been found by Pro- lessor Vuuquclin to be composed of 900 parts of water, GO of animal mucilage, 10 of soda, and 30 of phosphate of lime. Its physiological property consists in its power to impregnate. But to be more particular:— When tho semen is examined by the micro- scope, there can bo distinguished a multitude of small animalcules, which appear to have a rounded head, and a long tail. These animclculse move with a certain degree of rapidity; they appear to avoid tho light, and to delight in the shade. They have been found in tho seminal fluid of all ani- * “ Summary of Physiology,” by F. Magendie, as translated by John Revere, M. D., p. 385. 44 inaU whoso semen physiologists liavo been able to collect and examine—differing somewhat in dif- ferent kinds of animals, yet bearing a close resem- bluncc to each other; and they arc unlike the ani- malcule of any other fluid. “They cannot be detected in the semen, when either from age or disease, the animals are rendered sterile.”* Leeu- wenhoek, if not the discoverer of the seminal ani- malcule, was the first who brought the fact of their existence fully before the public. With re- spect to their size he remarked that ten thousand of them may exist in a space not larger than a grain of sand. He believed them to be the germs of future animals—that they are of different sexes, and even thought that he could discover such difference. Buffon and Needham, two distinguished na- turalists, regarded the seminal animalcules, not as regularly organized and independent being3, but what they merely termed vital particles. In this, however, they differed with most philosophers. Bostock gives us quite a list of most respectable authors who have given their full assent to the ac- curacy of Leeuwenhoek’s descriptions of these animals. But what I most wish to impress upon the reader’s mind is, that whether the seminal animals were regarded as sucii in reality, or only as vital particles, all seem to have agreed that in * Bostock’s Physiology, vol. iii. p. 23. 45 gome way or other, they arc otfcntial to impreg- nation. Mngendie, however, tellg a* that Spall* nnzani has proved by experiment* tliat they arc not necessary to this end. But Bostock, a later writer than Magendie, mentions no such fact; on the contrary he says that, “if the experiments and observations of Spallanzani and the Genevese physiologists are to be relied on, we can scarcely refuse our assent to the position, that these ani- malcules are, in some way or other, instrumental to the production of the fotus.” For my own part, I cannot imagine how it can be proved by experiment that they arc not necessary. Arc we for a moment to suppose that every one of these microscopic animals have been taken from a por- tion of semen, and the remaining fluid so used as to produce conception ? It is true that Spallanzani believed the semen to act only as a peculiar stimu- lus to the female organs, and not, like Lecuven- hock, that it furnishes any material which enters into the composition of the foetus. But this is not to deny that the seminal animalcules are necessa- ry to fecundation; for the supposed stimulating quality of the semen may be dependent on them. The experiments of Spallanzani to which Magen- die unquestionably alludes, do not warrant tjie conclusion he has drawn from them. I will here present Bostock’s brief account of them, that the reader may the better judge for himself.—“ Hav- ing ascertained that in many of the oviprous 46 quadrupeds impregnation takes place out of the body of the female, he [Spallanzani] was induced to try whether he could not effect the operation, by applying a portion of the seminal fluid to some of the detached ova. He found that the quantity which was necessary was very small, and upon diluting the semen with water until the mixture contained not much more than one three thou- sandeth part of the secretion, he found that a drop of this diluted fluid was capable of producing im- pregnation.”* Is this extreme dilution any proof that not a single animalcule came in contact with each ovum that was impregnated ? or any proof that these animals or vital particles are not in some way or other necessary to fecundation in the hu- man species ? “The secretion of semen commences at the age of puberty; before this period the testicles secrete a small quantity of viscid transparent fluid, which differs essentially from semen. The revo- lution which the whole economy undergoes at this period, such as the tone of voice, the development of hairs, the increase of the muscles, the bones, See., is intimately connected with the existence of the testicles, and the secretion of this fluid. Eu- nuchs preserve the same form as in childhood; their larynx does not increase, their chin is not covered with hair, and their disposition is general- * System of Physiology, vol. iii. p. 51. 47 ly timed; and finally, their physical and moral character very nearly resembles that of females. Nevertheless many of them take delight in vene- real intercourse, and give themselves up with ar- dour to a connexion which must always be un- fruitful.” (Magendie.) In case the testicles are absorbed, as sometimes, though rarely happens, the individual is probably placed upon an equal footing with the eunuch in respect to his virile powers; but if only one testis perish, or be otherwise diseased, he may get children of cither sex. The pleasure of the female, I opine, depends very little if at all on the mere emission of semen. I make this remark in this place, because, rare as are the instances of atrophy of the testis, I have been consulted in such a case by a young man otherwise in good health, as to the fairness and propriety of his entering into the matrimonial state. Section 2. Of the Female.—The female organs of generation are described by anatomists under the two heads of External and Internal Organs. Of the External.—The female orifice com- mences immediately below that prominence which is termed Mons Veneris. On each side of this orifice is a prominence continued from the mons veneris, which is largest above, and gradually diminishes as it descends. These two prominences are called the Labia Externa. Their conjunction below is denominated the fourchette. The space 48 between the place of their junction and the anug is rather more than an inch in extent, and is cal- led the perineum. In the upper angle formed by the labia externa, a small cylindrical body is situated, which receives the name of Clitoris. It is in most of its length pretty closely confined to the bone; and is of variable size in different females; It is analagous in its structure to the penis, except that it has no urethra. It is ex- quisitely sensible; being, as is supposed, the more particular seat of pleasure. Like the penis it is subject to distention, and from like causes. It is an excessive developement of this organ, more frequently, perhaps, than any other abnormal structure, that has given rise to stories about hcr- mophrodites. The skin which lines the internal surface of the labia externa is folded in such a manner as to form two flat bodies, the exterior edges of which arc convex. They are called the Nymphs.. They extend downward, one on each side from the clitoris to near the middle of the orifice, somewhat diverging from each other. Their breadth is in some instances very great; but in most cases about equal to one fourth of their length. They are well supplied with blood-vessels, and proba- bly somewhat tumid on certain occasions. They have been supposed to regulate the course of the urine in its flow from the urethra ; and to favour the necessary enlargement of the parts in parturi- 49 tion. The orifice of the urethra (the canal, short in females, which leads to the bladder) is situated rather more than an inch further inward than the head of the clitoris, and is a little protuberant. Passing by the external lips, the clitoris, the nymphos, and the orifice of the urethra, we come to the membrane called the Hymen. It is situated just at or a trifle behind the orifice of the urethra It is stretched across the passage, and were it a complete septum, it would close up the anterior extremity of that portion of the passage which is called the vagina. Dut the instances in which this septum or partition is complete, are very rare; there being, in almost all cases, an aperture either in its centre, or, more frequently in its anterior edge, giving the membrane the form of a crescent. Through this aperture passes the menstrual fluid. Sometimes, however, this septum is complete, and the menstrual fluid is retained in the vagina and uterus, month after month, until appearances and symptoms much like those of pregnancy are pro- duced, giving rise, perhaps, to unjust suspicions. Such cases require the simple operation of divid- ing the hymen. In many instances the hymen is very imperlcct, insomuch that some have doubted whether it is to be found in the generality of virgins. Where it exists it is generally ruptured in the first intercourse of the sexes, and the lemale is said to loose her virginity. In some rare in- stances it is so very strong as not to be ruptured 50 by such intercourse; and -the nature of the diffi- culty not being understood, the husband has sued for a divorce. But all the difficulty may be re- moved by a slight surgical operation. The hymen is peculiar to the human species. The Internal female organs of generation, are the vagina, the uterus, the ovaries, and their ap- pendages. The Vagina is a membranous canal, commenc- ing at the hymen and extending to the uterus. It is a little curved, and extends backwards and up- wards between the bladder, which lies before and above it, and the rectum, which lies behind, and somewhat below it—even in the erect position. It is rather more narrow at its beginning than it is further inward, and is larger in those who have borne children than in those who have not. The coal or membrane which lines the internal surface of the vagina forms a number of transverse ridges. These ridges are to be found only in the lower or anterior half of the vagina, and they do not extend all around the vagina, but are situated on its an- terior and posterior sides, while the lateral sides are smooth. It may be well to remember these ridges, and all other parts in and about the vagina", as a knowledge of them is calculated to lead to a more thorough use of the check I shall hereafter mention. In those who have borne children these ruga3 or ridges are not so prominent as in others. Throughout the extent 51 occupied by these rugae, arc to be seen, in 6ome cases v/ith the naked eye, the orifices of mucous folicles or ducts, which occasionally discharge considerable quantities of mucus. Exterior to this lining membrane of the vagina is a dense cellular or fibrous structure, of a lightish colour, and very vascular. It may be very much distended, and seems to have a contractile power. At the anterior extremity,of the vagina, on each side of it, there is, superadded to this, a cellular or vascular substance, from two thirds of an inch to an inch in breadth ; which when cut into resembles the corpora cavernosa, or the corpus spongiosum of the penis. These bodies commence near the body of the clitoris, and extend downwards on each side of the vagina. They have been called corpora cavernosa vaginae, and are supposed to be occasion- ally distended with blood. These corpora cavernosa are covered by muscular fibres which constitute the sphincter vaginae muscle, and contract the vagina at the place where they are situated. Probably this muscle is in some degree under the control of the will, (for all sphincter muscles ought to be) and as a few small muscles of the human system are powerless in most persons, because they have seldom or never been called into- action, it is not unreasonable to suppose that the power of this may be increased by repeated volun- tary efforts. The Uterus or womb is situated between the bladder and sectum, but above the vagina. Such-- 52 is its shape that it has been compared to a pear with a long neck. There is of course considerable difference between the body and the neck, the former being twice as broad as the latter. Each of these parts is somewhat flattened. In subjects of mature age, who have never been pregnant, the whole uterus is about two inches and a half in length, and more than an inch and a half in breadth at the broadest part of the body. It is near an inch in thickness. The neck of the uterus is situated downward, and may be said to be inserted into the upper extremity of the vagina. It extends into the vagina the better part of an inch. The uterus is suspended in its situation by certain ligaments, with a description of which I shall not confuse the reader. But I may remark that these ligaments sometimes become weak and relaxed, suffering the uterus to settle downwards, which state of the organ is familiarly called a “ bearing down.” In the uterus is a cavity, which approach- es the triangular form, and from which a canal passes downward through the neck of the uterus into the vagina. This cavity is so small in the unimpregnated state that its sides arc almost in contact, so that the uterus is a thick firm body for so small a one. comparing the cavity of the uterus to a triangle, we say the upper side or line of this triangle is transverse with respect to the body, and the other two lines pass downwards and inwards, so that they would meet and form an angle below, did they not take a course less inward so as to 53 form the canal through the neck. In each of the upper angles of this triangular cavity there is an orifice of such size as to admit a hog’s bristle. These little orifices arc the mouths of two tubes, called the Fallopian tubes, of which more will be said presently. The canal which passes through the neck of the uterus, connecting the cavity of this organ with that of the vagina, is about three lines [twelve lines make an inch] in diameter.* It is different from other ducts, for it seems to be a part of the cavity from which it extends, inasmuch as when the cavity of the uterus is enlarged in the progress of pregnancy, this canal is gradually converted into a part of that cavity. It is about an inch in length. On the anterior and posterior portions of its surface arc many small ridges, most of which have a transverse direction ; and in the grooves between these ridges are the orifices of many mucous ducts. This canal is constantly lined, if not filled, with a thick ropy mucous. The cavity of the uterus (which in the unimpreg- nated state would not admit more than a bean) is also constantly filled with such mucous. * All the canals, tubes, mouths, and other parts that I am now describing, have a bearing on an important question which will yet come before us; and if the reader wishes to be qualified to judge for himself he must remember them. 54 The lower extremity of the neck of the uterus is irregularly convex and tumid. The orifice of the canal in it, is oval, and so situated that it divides the convex surface of the lower extremity of the neck into two portions, which are called the lips of tiic uterus—the anterior of which is larger and more tumid than the posterior. The orifice itself is called os tineas, os uteri, or, in English, the mouth of the womb. With those who have borne many children, or when the parts which sustain the uterus are much relaxed from any cause, the mouth or neck of the uterus is quite low,—even resting on the perineum; and in almost all cases it may be easily reached by a finger introduced per vaginam, especially by a second person, who so proceeds as to have the perineum press upon the space between the fore and middle finger of the right hand. Some have been disposed to deny that the ute- rus is a muscular organ, but this is a dispute about words, for it is certain that it contracts pow- erfully on certain occasions. It is by this means that it expels its contents. Labour is but very lit- tle if at all assisted by the voluntary—more strict- ly the instinctive—efforts of the abdominal mus- cles. The very great increase in the size of the ute- rus, in case of pregnancy, is not attended with any considerable diminution of thickness in its 55 substance. Its blood vessels arc much enlarged, and its structure is more evidently fibrous and mus- cular. The Ovaries, or ovaria, arc two bodies of a flattened oval form; one of which is situated on each side of the uterus on tiie proslerior surface of the broad ligament, at some distance from the uterus. It is generally between ten and twelve lines in length. Each ovarium or ovary is form- ed by an external, firm membrane, and the inte- rior by a peculiar cellular tissue, of a soft texture, and well supplied with blood vessels. In those of a mature age, who have never conceived, each ovary contains from ten to twenty vesicles, formed of a delicate membrane, filled with a transparent fluid. Some of these vesicles are situated so near to the surface of the ovary as to be prominent on its surface; others are near the centre. They are very different in size, the largest being between two and three lines in diamatcr. In those who have ever conceived, one or more of these vesicles have been removed, and in their place a cicatrix or scar is formed, which continues through life. How- ever, the number of cicatrices docs not always cor- respond with the number of conceptions, as once supposed. They often exceed it, (after allowing two for twins, and so on) and are sometimes found where conception has riot been known to have taken place. These vesicles bear much the same relation to women, that the unimpregnated eggs of 56 birds, reptiles, and fishes do to them. The place in the ovarium, left by the vesicle, is filled with a yellow substance, called corpus luteum. In a few months it is absorbed, leaving nothing hut the ci- catrix. It is true that the condition of the uterus has great influence on the whole system, as to health ; yet the peculiarities of females are more espe- pecially dependent on the ovaria; and when they are not developed, as sometimes happens, the ef- fects on the economy, though not similar, are ana- lagous to those of emasculation on the male. The Fallopian Tubes are two canals from four to five inches in length, which proceed between the laminae of the broad ligaments, from the upper angles of the cavity of the uterus, in a transverse direction to some distance from the uterus, when they form an angle, and take a direction down- wards towards the ovaria. At their commence- ment they are very small, their mouths only ad- mitting a bristle; but they enlarge as they pro. gress; and their large extremities, having left the broad ligaments, hang loose in the posterior cham- ber of the pelvis, hard by the ovaria. The mar- gins of their large and open mouths consist of fringed processes; each margin is oblique with respect to its tube ; and the longest of the fringed processes hang from the lowest side of the mar- gin, while the others regularly diminish on each side of them. These processes constitute the 57 Fimbria of the fallopian tubes. They arc highly charged with blood vessels, and well situated to grasp the ovaria, as they do in ease of eonccption. Menstruation.—A function of the uterus, ob- viously connected with the process of reproduc- tion, is that, of menstruation. It consists in a monthly sanguineous discharge, termed the menses; and to have it is to menstmte. The age at which menstruation commences varies with different in- dividuals, and also in different climates. The warmer the climate, the earlier it commences and ceases. In temperate climates, it generally first appears at the age of fourteen or fifteen, and ceases at forty-five, or a little later. Whenever it com- mences, the girl is said to arrive at the age of puberty, and acquires a more womanly appearance. Though it be of a darkish red colour, it cannot properly he called blood; for it does not coagulate nor separate into different parts. It is a secretion of the uterus, i.c., the minute vessels distributed to the inner coat of the uterus select, as it were, from the blood, and pour out in a gradual manner, the materials of this fluid. The duration anil quantity of this discharge, and even its colour and consist- ence, are quile variable; but generally speaking it amounts to six or eight ounces, and is from two to four days’ continuance. When it continues eight or ten days, it acquires the properties of arterial blood, and may be considered as a disease. During menstruation, the susceptibility of females is much 58 increased, noise frightens, and a slight contradic- tion affects them. Various unpleasant feelings at- tend it. The regularity of. the return of the “ monthlys,” “ turns,” or “ courses,” the nature and quantity of the fluid evacuated, and the duration of the evacuation, are all intimately connected with the health of the individual, and deserve the parti- cular attention of physicians; and, in case of girls, of older and more experienced friends. No female, but the human, is subject to this evacuation; and various, but unsatisfactory rea- sons, have been assigned for this peculiarity. Menstruation does not take place during preg- nancy or nursing; unless the latter be continued too long—in which case the milk becomes bad. Some, however, are subject to a sanguineous dis- charge that occurs with considerable regularity during pregnancy, and leads them to believe that they have their courses at such times, but it is ex- tremely difficult for physicians to admit this— knowing that the inner surface of the uterus is now lined with a membrane which adheres to it, and has no outlet They believe such discharges to be real blood. For rnyself, however, I see no difficulty in admitting that the vessels about the mouth and neck of the uterus may secrete these discharges, especially when we consider that the menstrual discharge does not always take place from the uterus, but, in some rare instances, from the mucous membrane of the bowels, stomach, 59 lungs, and even the eye. Indeed, even the akin has been known to discharge blood periodically; thus it has been known to issue monthly, from one or more of the fingers, the check, the skin of the abdomen, &c„ unnecessarily alarming the patient and her friends. The use of menstruation seems to be to prepare the uterine system for conception ; for females do not conceive before they commence nor after they cease having their courses : nor while they are suppressed by some disease, by cold, or by nurs- ing, or are attended with great pain. Many credi- ble women, however, have said that they became pregnant while nursingwithout having menstruated since their last accouchement. It is believed that in these cases they had some discharge, colourless perhaps, which they did not notice, but which an- swered the purpose of the common one. The fact is, the old adage that “ there are exceptions to all general rules” holds true in relation to many func- tions of the animal economy; thus although wo- men generally conceive soon after and not soon before being unwell, yet they may conceive at any time; and I am acquainted with one author, no less respectable than Magendie, who says, “Young girls have been known to conceive before menstruation had taken place; old women, in whom the course had ceased at the ordinary pe- riod, have had them re-appear at the age of sixty or seventy, and they have become mothers; lastly, 60 women in whom menstruation has never been ob- served, have nevertheless become pregnant.” I cannot testify to the truth of any of these remarks of Magendie; and I opine there are not many who can. But although the use of the menstrual secre- tion seems to be, to prepare for conception, it is not by any means to be infered that “ amitiveness” ceases at the “turn of life,” that is, when the wo- man ceases to menstruate. Section 3. The Physiology of Generation.— The process of generation in the different classes of animals is carried on in three if not four dif- ferent ways. The first is that which occurs in the higher orders of animals, where the sexual congress of two individuals is essential to the pro- duction of the foetus. The second is where the co-operation of the two sexes is necessary, but where both sexes exist in the same individual. The third is with those animals where nothing resembling sexual organs can be delected; but where we merely observe the foetus to be detached from the body of the parent; while in other cases the body of„thc parent itself is divided into two or more portions, each portion, after the separation, acquiring those parts which are necessary for its perfect existence. It is to the first of these modes that I shall now confine my attention. The nature and origin of the first rudiments of the foetus is a question that has given rise to much 61 speculation. Many eminent naturalists, both an* cient and modern, have held that such rudiments consist of particles of matter derived from each of the parcnts.Leeuwenhoek supposed that the seminal animalcules are the proper rudiments of the foetus ; and that the office of the female is to afford them a suitable receptacle, where they may be supported and nourished, until they arc able to exist by the exercise oftheir own functions. A third hypothesis is that of pre existing germs. It supposes that the fetus exists in the female, previously to sexual congress, and receives no proper acu.ition from the male: the male fluid only serving to excite those actions which are necessary for its developcment. According to this hypothesis, the ovaria of Mrs. Adam must have contained a number of liomun- cules, [little human beings] one within another, like nested boxes, equal to all the human births that ever have been and will be—to say nothing of abortions ! But I will not discuss the merits of this third hypothesis, nor the merits of the first. It is all matter of conjecture; and I choose to oc- cupy my limited space in ottering what I conclude, on the whole, to be the most probable and rational view of the subject. I conjecture, with Leeuwenhoek, that the se- minal animalcules are the proper rudiments of the fetus, and are, perhaps, of different sexes; that in case of impregnation one of them is carried not simply to, but into a vesicle of an ovary, which 62 vesicle is in a condition to receive, and be duly affected by it. It is here surrounded by the al- buminous fluid which the vesicle contains. This fluid being somewhat changed in its qualities by its new comer, stimulates the minute vessels of’ die parts by which it is surrounded, and thus causes more of this fluid to be formed—enlarging the vesiclo and nourishing the animalcule; at the same time tbe absorbent vessels of the ovary being aroused they remove such superficial part of the ovary as has retained the vesicle, and thus the vesicle is set free. Containing the animalcule in its centre, it now takes the name of ovum; and is received by the fimbriated extremity of the fallo- pian tube, which by this time has grasped the ovary; and is by this tube slowly conveyed into the uterus, to the inner surface of which it is at- tached, through the medium of a membrane which is formed by the uterus itself in the in- terum between impregnation and the arrival of the ovum. As to the origin of the seminal animalcules, I believe they are daily formed in the male, (after the age of puberty,) and furnisli us with one of the most incontestible instances of spontaneous generation. A curious question connected with the function of generation, regards the circumstances which determine the future sex of the foetus. According to Hippocrates, the future sex is determined prim 63 cipalJy by the prevalence of the male or female semen, either as to the quantity of it which enters Into its composition, or what lie terms its strength. But the idea of “female semen,” is probably er- roneous. No doubt that in many constitutions the female orgasm increases, like that of the male, until an emission of fluid takes place; but this mucous fluid is probably nothing more than the result of exalted excitation, analagous to the in- creased secretion of other organs from increased stimulation, as the salivary glands from eating, &c. Leeuwenhoek thought that the seminal animal- cule arc of dillercnt sexes, and determine the sex of the foetus. Another opinion, which was current among the ancients, is that one sex arises from the right ovary, and the other from the left; and (favour- ing this doctrine) I know of some experienced and observing women who confidently believe that if they turn upon the right side immediately after intercourse, and so remain tor some time, they will be very likely to bring forth a male child; but if they so turn upon the left side, a female. It would seem, however, that this notion is over- thrown by a case that occurred to one Dr. Gran- ville of a female, who had borne children of both sexes, and the ovary belonging to the left side was entirely wanting—as shown by dissection. How is impregnation produced in the human 64 epeeies ?—It is universally agreed that sometime after a fruitful connection, a vesicle (two in case of twins) of one or the other ovary becomes so en- larged that it bursts forth from the ovary, and takes the name of ovum; which is taken up—or rather received as it bursts forth—by the fimbri- ated extremity of the fallopian tube, and is then slowly conducted along the tube into the uterus, to the inner surface of which it is attached. Here it becomes developed into a full foetus, and is brought forth in about forty weeks from the time of conception, by a process termed parturition. But as “ nothing can act where it i3 not, any more than when it is not,” the question arises, in what way does the semen operate in causing the vesicle to enlarge, &c. ? Docs the semen itself or any part thereof reach the ovary, and if so, in what way is it conveyed to them ? It was long the opinion that the semen was ejected into the uterus in the act of coition ; and that it afterwards by some unknown means finds its way into and along the fallopian tubes to the ovaria. But there are several facts which weigh heavily against this opinion, and some that en- tirely forbid it. In the first place, there are many well attested instances in which impregnation took place while the hymen remained entire, and in which this membrane was found uncommonly thick and strong at the commencement of labour ; where the vagina terminated in the rectum ; and 65 where it was so contracted by an old cicatrix that it could not have admitted the penis. In all these cases, the semen could not have been lodged anywhere near the mouth of the uterus, much less ejected into it. Secondly, it has followed a connection where, from some defect in the male organs, as the urethra terminating some inches behind the end of the penis, it is clear that the semen could not have been ejected into the uterus, nor lodged near its rnouth. Third, the neck of the unimpregnated uterus is so narrow as merely to admit a probe, and is filled like the bean-like cavity of the uterus, with a thick tenacious fluid, which, seemingly, could not be forced away by any power which the male organs possess of ejecting the semen—even if the month of the urethra were in opposition with that of the uterus. Eut, fourth, the mouth of the uterus is by no means fixed; by various causes it is made to assume various posi- tions; and probably the mouth of the urethra scarcely ever comes—and for any length of time remains—in contact with it. Fifth.—“ The tenacity of the semen,” says De- wees, “ is such as renders its passage through the small aperture in the neck of the uterus impossi- ble, even by a power or force much superior to that which we may rationally suppose to reside in the male organs of generation.” More than this, it is very difficult to conceive, nor does any one pre- tend to know, how the semen—admitting it to 66 have /bund its way inio the cavity of the uterus— cgii reach and pass into the minute orifices of the fallopian tubes, at the top of this cavity, and then lie passed along1 these tidies to the ovaria. It may Ik' imagined that the fimbriated extremities of the fallopian IiiIk's grasp the ovaria at the time or very soon after coition, but there is no proof that they do so, until after the ovaria have been influenced by the semen. Sixth.—“llarvey and Do (ccial!y if they have never home children, and arc anxious for a family, but the sensations produced by wind in the bowels, ;,re not so much confined to one spot, but are often felt in parts of the abdomen where the motion of a foetus could not possibly be felt. Quite as fre- quently, perhaps, do fleshy women think them- selves dropsical, and mistake foetal motions for movements of water within the abdominal cavity. After the uterus has become so enlarged that it arisen out of the pelvis into the abdominal cavity, it may be felt with the hands through the "’alls of the abdomen like a ball—not a very hard to be sure, but sufficiently so to be retdily distinguished in most eases; especially if the ab> nominal muscles be relaxed, the woman not very ueshy, and tolerable pressure be made with the bands. Morning sickness and other sympathetic effects of pregnancy now abate, and the health "••proves. f here arc other signs by which a physician is nsswted in determining the existence of pregnan- cy I but it would bo of no practical use to com- mon readers to mention them. Most of those I •nve mentioned may be deceptive, and it is their existing together that gives them weight Sup- pression of the menses may arise from cold and 92 other causes; and so may the stomach and ner- vous affections. Perhaps in the early stages no one symptom is more to be relied upon, than a distinctly increased colour of the circle around the nipple. After quickening, the tumour in the middle and lower part of the abdomen is almost infallible. Section 2. Of the Term of Utero-Gestution.— The length of time from conception to the com- mencement of labour, in the human species, is not precisely determined by physiologists. “ It seems, however,” says Dcwces, “ from the best calculations that can be made, that nine calender months, or forty weeks, approaches the truth so nearly, that we can scarcely need desire more ac- curacy, could it be obtained.” Unquestionably, however, some cases exceed this period many days, or even weeks; and it is a question which has been much agitated, how far this period is ever exceeded. It is a question of some moment in a legal jxjint of view ; and the knowledge and use of clucks may greatly assist in deciding it. Cases are reported where the usual period was ex- ceeded by five or six months; cases, too, where the circumstances attending them, and the re- spectability of their reporters are such as to com. mnnd our belief. Dr. Dewees has paid much attention to this subject, and he declares himself entirely convinced, “ that the commonly fixed period may be extend- 93 'd from thirteen days to six weeks, under the in- fluence of certain causes or peculiarities of the constitution.” And he expresses himself “ se- verely disappointed” that Dr. Beck, an accredited W riter of this country on Medical Jurisprudence, should treat the idea of extended gestation with so much scepticism and levity as he has done; und this too, without adducing any opposing facts, or employing any apposite reasoning. The occasional departures from the general rule will be the more readily admitted when we con- sider that they are not confined to the human spe- cies. Thus, from the experiments of Tessier it appears that:— “ In 575 cows, 21 calved between the two hun- dred and fortieth and two hundred and seventieth days, average two hundred and fifty-nine; 544 between the two hundred and seventieth and two hundred and ninety-nine days, average two hun- dred and eighty-two; and 10 between the two hundred and ninety-ninth and three hundred and twenty-first days, average three hundred and six days; average on the whole, 282 days; so that, from flic shortest to the longest period, there is a dif- ference of eighty-one days, that is, more than one fourth of the average time.” Similar variations were observed in mares. In with foal for the first time, the average term the whole was three hundred and forty-seven days, and the difference between the extremes, one hundred and thirty-two days. 94 In 110 mares which had fouled before, the average of the whole was three hundred and forty- one days, and tire difference between the shortest and longest j>criods was ninety-seven days. “ In 21 2 sheep, the mean time of gestation was nlioiit one hundred, and fi fly-one days, and the ex- trvine ditferenec, only eleven days." “ In 25 swine, the extremes wcie from one hun- dred and nine to one hundred and thirty-three days.” Mln 101 rabbits, the extreme terms were from twenty-seven to thirty-five days.” Section 3. Of the Nature or Life of the Foetus: Hat it any Rights?—It was the practice with men in former ages, whenever they could not ex- jtluin certain phenomena of nature, to cut the Gordian-knot, by ascribing them to unknown agencies, which they imagined to exist, and to which they gave names. By such procedure, many thinglcss names were brought into use, which have been great stumbling-blocks in the way to truth. These names were used as if they were the names of real existences—as must needs be, if used at all—and being continued in use, for convenience’s sake, they have greatly served to deceive mankind, and to maintain a belief in the reality of the imaginary things they were first used to designate. Of this description of names is the word Life. The two grand classes of organized beings, 95 'Ogctablcs and animals, possess certain organic properties or powers to which the organic union °f their component parts, Inis given rise ; by virtue °f which properties they exhibit many phenomena peculiar to tlicmselvcs—that is, not exhibited by bodies. It is because they do exhibit these phenomena that they arc said to be alive, or t° possess life; and when.their nice, internal or. fanization, is so impaired that they no longer cx- mbit these phenomena, they are said to be dead. W', tlicn, is a thinglcss name. There is no real pchig or agent in existence for it to signify; and 11 i* only out of respect to its age, and the use "'hicli the ]>opular language of the day still com- 1*1* us to make of it, that we consent to give it JV definition at alt When applied to an indivi. dun], as a whole, it signifies the sum total of tho *ganic properties of such individual; when ap- Phed to a part of an individual, as a limb of a man °r of a tree, it signifies all tlic organic pro|x rlics y such part, and no more. We sec tlicn that dif- crc®t parts, os well as different animals and Jelfctables, possess different lives. In fact, tlie •ves 0f no jwo differently organized beings are ‘Jhke; for difference of organization gives rise to ■ucrcncc of properties. Aud when die organize- l°n is doily changing, as in die fmtus, die life is . **ly changing. Tho (ictus, then, has life. But 18 *t vegetable life, or is it animal ? Before we Wn»wer diis question, we must point out that or« 96 panic property which is essential to animal life and which distinguishes it from vegetable. Is it self motion, that is, the power of movinj on the application of a stimulus, and without th< application of physical force ? No; for some or ganized beings which all agree to call vegetables* as the sensitive plant, and the Hedysarum gyronf of tlte East Indies, possess this property in a re- markable degree. It is feasibility, or that pro- perty by virtue of which a sensation may be ex- cited. It is not voluntary motion, (which differs from self-motion, as above defined,) for although most seutient beings—most animals—possess this power, yet some, I believe, do not possess it} and further, contractions of voluntary muscles (not voluntary motions) may and do take place after all would say that animal life is extinct Who has not heard of the astonishing motions excited in M dead” men by galvanism ? The life of the fetus, then, is vegetable, until its nervous system has become so fir completed as to give rise to the property of sensibility, after which it is animal. But it is doubtless a low degree of animal life until near its birth; and even imme- diately before this event—although it may be said to possess the power of seeing, tasting and perhaps hearing and smelling, as well as feeling; yet none of these powers, except feeling, have been called into action; and feeling but very slightly. It has acquired no ideas, or certainly not enough to 97 Constitute a personal identity. It in a* much a part of the female to which it ia vitally attached, '",'l can with no more propriety be said to possess a,1y rightgt than any one of her extremities, or '••an a sensible tumor, as a wen, upon the outer surface of her body. Wo are apt to take a dif- ferent view of it, because wo associate with it an •dea 0f \V|,at it will be according to the ordinary of nature. But I am sjicaking of it as it >f' while it is a fetus, and not of what it will be a«er it has undergone important changes. The earU» under our feet will yet undergo such changes 58 to become men, but who will say it has rights 0,1 this account ? Consciousness and muscular motion arc two dia- U,,ct things, though often existing togcllicr, even and effect The motions of decapitated a,,,,,,pls urc entirely inde])cndent of consciousness; ’’olwithstanding tlic absurd talcs about guillo- 1,led heads turning themselves, (us if to notice. .'Grounding objects) an act physically impossible or them to perform, though they were |w6scsscd a* much feeling and intelligence as Indore sepu- r,,t'-d from their bodies; no jmrt can be moved by ‘muscles, unless these muscles are attached to some f n /wr*' The heart acts regularly and power *7-v iudcpcndcnf of consciousness. The motions 0 lhc foetus in utero ore no proof of conscious* r|c‘''s’ and probably most of them arc r.ot volun- eurancc, he wiith not Bums says, * I have examined carefully a most perfect ovum 1,1 tli ninth week after menstruation, and conse 'lucntly not less (probably) tlian the fifth aftei conception. In it no embryo could be detected— nothing but Iraiuqrarmt fluid.” From this author.- 'nattily, I extract tlic following description:— When Ihe huimui firtus is first distinctly visible ’••trough the membrane, if. is not above a line in 'Ctiglh, til id of an obiong figu In the sixth "cek, ii is seen slightly curved, resembling, as it float* in tlm water, a split pea. In tlic seventh "ei:k, it is equal in size to a small bee; and, by the conclusion of the second mouth, it is bent, and as long a.; a kidney bean. At first it appears like ° oval bodies united by a neck. One of these ls the head, the other the trunk. The head is a Membranous bag, largo in proportion to tho body; 100 IhiI uiUr the first mouth of its distinct uppcarance,. its relative size decreases: on opening it, nothing but a soli pulp is found within. In n little time, •lie face apjicars, the most prominent features of which are tlie eyes; these arc |>roportionably larger in the embryo than in the advanced ftetus, and are placed low down. The face itself is small* tunijiarcd to tlie cranium. Tlie nose does not ap- ja-ar until tlie end of tlie second month; but somo- wliat sooner we may olwirvc two apertures in tlie situation of (lie nostrils. The mouth at first is a round hole, but by thirers the lips appear; and alter tlie third month they are closed, but do not voiier*. Tlie external car in not formed at once, ’nit in |wrts, and is not completed before tbe fifth month: even then it dillcrs in shape from tlie oiu •iticr birth- It is at first like a gently depressed :ir« b. The extremities appear like the liuds of a plant. Tlie arms s.re dirc»:led obliquely forward, toward •lie linv, ami are larger Ilian tlie interior extreme lies. The ♦:*'iii'a»s jhr a time are scarcely to Is- obs* rved : hut in a third mouth, they arc large in propulsion >i* the In dy. \\ licit the rii»1*rvu does not weigh more than :er«i|J«’. 1 he membranes arc as large as a small • gg. * >n Its** otl** r hand, at the full time, when :1m: lii»ii» weighs men j«oumIs. iIk: placenta and i.io .oraii *! • i.„[ weigh a pound and a hall, and :1m propotli<». Oi the iiyw nnm< is greatly leu- 101 KCn°d- In tJie twcin.li week the fiatas weighs ••early two ounces, and measures, when stretched o«t, about thr«e incites, TIic membranes are larger than a goose's egg, and weigh, it'wo include liquor anuii, several ounces. In the fourth •nonth, the (aius is about live inches long. In Ulc fifth uioutli it measures six or seven indies, iu the sixth mouth tin; lirtus is well formed, "‘ensures eight or nine incites, and weigh* about ‘HM; |tom»d troy : whilst Uie placenta and mem- brane* weigh a! tout halt* a |touud, uxdusivu ol* "•o liquor ojmii. In the seventh uioutli, it lias joined about three incites in length, and it may IVc independent ot* tlic uterus, blit its dwnce of JWrviving six hours after birth, is much against it. . dto eight month, it measures about tiftceu ‘"cites, and weighs four or five (toutids. These vary according to sex, and the eon- *°fuialion of parent*. Male children generally 'Vc‘'gh more titan fomalc*; and litcir average has been estimated at twenty inches and a mird, and that of females at a trifle less than Evenly inches. 102 CHAPTER V. SECTION I. REMARKS ON THE REPRODUCTIVE INSTINCT. I scarcely need observe that by this instinct is meant the desire for sexual intercourse. Blumen- b&ch speaks of it, as “ superior to all others in uni- versality and violence.” Perhaps hunger is an ex- ception. But surely, this instinct commands a great proportion of our thoughts; and has \great in- fluence upon our happiness for better or for worse. “ Controlled by reason and chastened by good feelings as remarked by Owen in his Moral Phy- siology—u it gives to social intercourse much of its charms and zest; but directed by selfishness, or governed by force, it is prolific of misery and degradation. In itself, it appears the most social and least selfish of all our instincts. It fits us to give, even while receiving pleasure; and among cultivated beings, the former power is even more highly valued than tbe latter. Not one of our instincts, perhaps, affords larger scope for the exercise of disinterestedness, or fitter play for the best moral feelings of our race. Not one gives birth to relations more gentle, more hu- 103 Ionizing and endearing; not one lies more immediately at the root of the kindliest charities and most generous impulses that honour and bless human nature. It is a much more noble, because less purely selfish instinct' than hunger or thirst Ii is an nstinct that entwines itself around the Wannest ■ jelings and best affections of the heart” But frequently its strength, together with deficient moral cnlturc, is such that it is not “ con- trolled by reason;” and consequently from time memorial it has been gratified, cither in such a mischievous manner, lo such an intemperate de- ffree, or under such impro|»cr circumstances, as to S*vo rise to an incalculable amount of misery. For this reason it has by some been regarded as a low, degrading, and “carnal” passion, with which a holy life must ever be at war. But in the mstinct itself, the philosopher sees nothing deserv- l0g of degrading epithets; it is os much of a heav- e®ly origin as any other part of the human consti- tution ; and he sees not that nature should war uguinst herself. lie believes that among the un- •ophisticated natives of the forest it is, and in wisely organized societies of duly cnlightned beings it "light be, a source of tenfold more happiness than misery. . Physicians, of all others, ought to rise above self- tthness—a difficult act, I grant—and having made memselves acquainted with human nature and all **■ frailties, they ought to strive—not to alter this 104 nature, for this they cannot do—but to diffuse among the people such information as shall enable them to avoid the evils which are liable to arise from gratifying those calls of nature which are inse- pcrable from their existence. It is more useful and more noble to prevent than to cure; and people ought to regard those who do the former, as the greater benefactors. In books, pamphlets, journals, &c., some benevo- lent physicians have already laid much useful in- formation before the public respecting eating, drink- ing, bathing, lacing, contagion, air, exercise, &c., while the hypocracy and prudery of the age have been such as to render it excusable in them to pass by the more important subject now before us. This instinct is liable to be gratified at improper times; to an intemperate degree; and in a mis- chievous manner. This latter error I shall make the subject of the next section. True philosophy dictates that this and all other appetites be so gratified as will most conduce to health and happiness—not merely the happiness attending the gratification of one, but all the senses —not merely sensual happiness, but intellectually; and, finally, not merely the happiness of the indi- vidual, but of the human family. It ought not, either in males or females, to be gratified until the system is fully grown, and some- what matured. Perhaps, as a general rule, in this country, it would be well, on this account, for 105 females not to marry before they are nineteen years of age; and males not before they are two °r three years older. Those who refrain until these ages, will enjoy firmer constitutions, gener- ally speaking, and will ultimately be able to derive more pleasure from the gratification of this instinct than if they indulged earlier—especially to any considerable extent. I admit, nay, I verily believe that certain cases of disease, both in the male and female—but especially in the latter—form cx- ceptions to this general rule. A due regard to health and happiness also en- joins some restraint on this passion—indeed at all times—but especially for a lew years after the mentioned ages. It ought not to be rashly Indulged at first; as all great and sudden changes *n our habits are detrimental to the healthy sys- tem ; as are all active medicines. Yet in some diseases, advantage may be taken of the influence °f sudden changes. Many young married people, ignorant of the consequences, have debilitated the whole system, the genital and nervous systems in particular ; have impaired their mental energies; have induced consumptive, and other diseases; have rendered themselves irritable, unsocial, and melancholy; and finally, much impaired, if not destroyed their Sections for each other, by an undue gratification °f the reproductive instinct. In almost all dis- eases, if gratified at all, it should bo very teni- 106 peratcly. It ought not to be gratified during menstruation; nor on the part of the female, soon after an accouchmcnt or an abortion. In case ot pregnancy a temperate indulgence for the first three or four months may be of no particular in- jury in those not disposed to miscarry. Jhit it ought to be known that the growth of the ftctm in utero may be impaired, and the seeds of future bodily infirmity and mental imbecility of the off- spring may be sown by much indulgence during pregnancy; particularly where the woman expe- riences much sensation in such indulgence. Having glanced at some of the bad effects of an undue as well as untimely gratification, I have but little more to offer under the head of intemper- ate degree. It will be borne in mind that temperance or in- temperance in this matter is not to be decided by numbers ; but depends on circumstances. What would be temperance in one may be intemperance in another ; and with respect to the same indi- vidual, what he might enjoy with impunity were he a muscular labourer, would, were he a student or mental labourer, unfit him for the successful prosecution of his business. Sexual intemperance has a tendency to lead to intemperance in the use of ardent spirits. The languor, depression of spirits, in some instances faintness, and even want of appetite, induced by 107 the former, call loudly for some stimulus*, and give a relish to spirits. The male system is much more exhausted by sexual commerce than the female. It seems, indeed, to have but very little effect, comparatively, upon some females ; but with respect to the male, it has been estimated by Tissot, that the loss of °ne ounce of semen is equal, in its effects upon the system, to the loss of 40 ounces of blood. As it respects the immediate effects, this estimation, Possibly, may not be to great, generally speaking ; hut a man living on a full meat diet, might doubt- less part with fifty ounces of semen in the course °fa year, with far less detriment to the system, than with 2,000 ounces of blood. It is a fact, that mode of living, independent of 0ccupation, makes a great difference with respect to what the system will bear. A full meat diet, turtles, oysters, eggs, wine, &c., certainly promote the secretion of semen, and enable the system to hear its emission. But a cool, vegetable, and milk diet calms all the fiercer passions, the venereal Specially. Persons of tolerable “ amativcncss,” who adopt such a diet as this, and wait for the genital system to operate upon the mind, rather than seek occassions which operate on the mind, ar*d, through the mind, on the genital system, will enjoy clear intellects and a fine flow of spirits. Section 2. Of Onanisn,and Involuntary Seminal ‘Missions.—By Onanism is, now generally meant 108 self or solitary gratification, which, however, diiTers materially from the act of Onan, mentioned Gen. eh. xxxviii, ver. 9. I believe it is the general opinion of enligtcued physicians, that this practice is far more injurious to the system than gratification in the natural way. Hut it is not easy to give any very satisfac- tory reason why the same amount emitted in this way should bo more injurious, than if emitted in sexual congress.i’rohahlij we are to look to the mind lor the cause of its l>cing so. We may well sup- pose that the thoughts which attend and follow gratification with females arc of a more agree- able cast; it is probable, too, that having enjoyed the highest degree of pleasure, the mind is more at ease and satisfied, and docs not dwell so incessantly on one thing, as when only self gratification has been experienced. These suppositions being well founded, those who are aware of the great influence of the mind over the body, will think the fact of greater injury from solitary gratification sufficiently accounted for. But probably those addicted to onanism, emit more frequently than others ; for many circum- stances operate to hinder at least illegal intercourse, which have no control over the 6elf-devoted de- bauchee; and his thoughts being much engrossed with his passion, he frequently falls into the act. But gratification in any way is injurious until the system becomes well developed, and in a mea- 109 matured; and perhaps the mere knowledge of this fact will have as much controlling influence over young men, and icomcn too, as if it were ac- companied with the explanations which might be given. To prevent any confusion of ideas, I will here remark that the voluntary gratification of the venereal instinct, in any manner, or to any ex- tent whatever, is not itself a disease, but an act which may cause disease, and which may some- times be caused by disease. That is, some morbid •rritation in the system—perhaps in the genital organs themselves, or in the rectum, the bladder, 'he brain, or elsewhere, may give rise to such fu- rious desires that no moral resolutions can with- stand them, as those who make and administer -Ws ought to be aware. The act then, is not a disease ; nor does it, though commenced ever so in life, or practiced ever so frequently, pro- duce a particular set of sjunptoms in every case: ,;iat is, symptoms that do not attend other diseases, •'••id arc not produced by other causes. Of all the mentioned by Tissot, there is not one "’hich may not arise from oilier causes than im 1'roper venereal indulgences. I believe the practice of Onanism, is quite pre 'illent and pernicious; that its bad effects arc by 110 means confined to those devoted to it, hut e.v- f°ud to their progeny; and that Tissot’s treatise *s well calculated to check it. But still I think 110 this treatise, and some others extant, on some ac- counts objectionable. It is in a great measure filled with a collection of desperate cases, and when a young man, ignorant of medicine, reads these cases, and the multitudes of symptoms which, amongst all the cases, he will meet with, he must be an uncommonly sound and healthy man, or he will believe that he has already done himself great, if not irreparable injury; and will suffer more in" mind, and consequently in body, than if he had never seen the book, but had con- tinued his practice. It is truly astonishing what a degree of mental disquietude will arise in a young man from the idea that his.virile powers are injured, and this too by his own mal-practice; and equally astonishing, except to the enlightened physician, how this state of the mind will impair the bodily powers. In all the cases in Tissot’s treatise, the mischief is attributed to Onanism, or to excess with women, without any intimation in any of the cases that the morbid symptoms might be owing to some disease, in the production of which the evil practice or excess had nothing to do: or any intimation that the excess itself might be owing to some disease over which the patient could have no control. A man marries a young wife and in three weeks becomes blind, and in four months dies; another is attacked the day af- ter marriage with acute fever, and two others a week after; another has an epileptic fit, as he was in the 111 habit of doing before he married; a young wo* Man becomes chlorotic, &c., &c.; and all these diseases arc, by Bekkers and Tissot, attributed to 'encry as a matter of course. I do not believe that in any case more good than evil arises from erroneous views or false colouring. If a young Man have a fever or a young woman become pale and weak soon after marriage, the world need not suppose it is necessarily owing to intemperance. When vve sec a man have a voracious appetite f°r food or for nature’s drink, [water,] we suppose that his stomach or some other part is diseased; *ind this disease may have been caused by excesses 111 eating and drinking, or it may not; so, too, an excessive venereal appetite may have been pro- duced by other causes than excessive indulgence, when a physician is called to a patient whose corporeal and mental powers arc much impaired, and he can discover no cause more probable than Venereal excesses, he is still to inquire if these excesses have been such as would so reduce a well person; and if they have he is still to inquire ?f there be not some morbid state of the system, or so,nc local irritation, which is the cause and not the effect of such excesses. Excess at a mature age is now and then pro- ductive of great infirmity in both sexes, but pro- bably it is premature indulgence, and especially that is doing the most and worst mis- chief. This practice in boys not only impair# 112 their growth, and weakens the mental and corpo- real powers : but it attracts the vital fluids to the genital organs, giving rise to an habitually preter- natural secretion of semen, and, finally, inducing that irritability and repletion of these organs which are the principle cause of involuntary nocturnal emissions ofsemen. This stale of these organs causes the lascivious dreams, which, to be sure, are in most cases, the immediate cause of these emissions. I am inclined to the opinion that in most cases this state of these organs is induced by premature and unnatural indulgence, because, according to Blu- mcnbach, no animal but man is subject to these in- voluntary emissions of semen. I would say, then, that if a youth be given to the practice of masturbation or Onanism, he will be liable : First, to render the genital organs irritable, and produce in them a habit of secreting a supera- bundance of semen. Second, if all at once he become continent, procuring no voluntary emissions in any way, there will soon be repletion, giving rise to dreams and involuntary emissions. Though I find it convenient in the arrangement of my ideas to consider involuntary emissions as constituting a disease; still there are all degrees of difference as to their frequency, as well as to their effects upon the system; and in many cases they ought to give rise to no uneasiness of mind whatever. Blunicnbuch, a very eminent physiolo- gist, regards them as “ among the natural cxcrc- 113 hons, intended to liberate the system from the otherwise urgent and superfluous semen, more or *°ss frequently, according to the variety of tem- perament and constitution. “ I willingly grant,’’ says he, “ that barbarous nations of a phlegmatic temperament, and copulating promiscuously, do not require this excretion; but I must contend that it is a perfectly natural relief in a young n,an, single, sanguineous, full of juices, with a strong imagination, and living high, although en- joying the complclcst health in all other respects.” ' Institutes of Physiology, p. 208. In other cases, however, these emissions give r*ae to us deplorable effects us any voluntary cr- osses. They effeminate the system, making ba- k'es of men; they produce an effect upon the nervous system much like long continued griefj or other depressing passions, so that moral causes which would but little disturb a sound man, de- press these patients very much, and not unfrequent- v cause them to weep. They reflect much on what they consider their miserable prospects of toture happiness ; and these sad reflections do the system immense injury. Let a young man once become possessed with the idea that his virility is Impaired, and that sexual intercouse would greatly ,njurc him, if not ultimately destroy; and, my Word for it, his mind will wear down his machine oster than any degree of intemperance that is at a Prevalent. Let him now have no adviser but 114 Tis6ot’B treatise, and lie will certainly die ! Once on a time, before I studied medicine, I was most intimately acquainted with a young man who was subject to these emissions from the age of 17 to that of 21 ; lie had them not oftener, on an average, than about once a week, and sometimes he would pass a month without any ; his appetite and digestion were good, and for the most part he slept well, nor did he part with any semen in any other way; yet such was the state of his mind in relation to his complaint, that he all the while gradually lost strength, was considerably emacia- ted, and not a little nervous. The passage I have just quoted from Blumenbach would have done him more good than all the medicine, which he was for years continually pouring down, from no less than eight physicians, who at different times prescribed for him. For a short time he was so low that the emissions were not attended with erections, and with but very little agreeable sensa- tion. With some patients, the mere presence of fe- males give rise to emissions ; with others, a little semen now and then passes off on going to stool. There are others, again, who are subject to a pe- lucid discharge from the urethra itself, without erection, but with venereal thoughts while awake. This, of course, is not semen, but a fecretion of the urethra, owing, probably, to relaxation or de- bility. A diseased state of the urethra may give 115 r»se to a purulent discharge, unattended with la* c*vious ideas, and not caused by an impure con- flection. Tissot warns females against the practice of self-gratification, and says it produces in them as deplorable effects as in males ; “ besides rendering them not unfrequently sterile, and even indifferent to the pleasures of the marriage bed.” As to the medical treatment of those who have lnjtired themselves by premature, unnatural, or excessive venery, I shall say but little. In some cases of nocturnal emissions, the remedies here- after mentioned for impotency would be proper, common remedies for debility brought on by venereal excesses, whether attended by these emis- s‘ons or not, are tincture of flies, bark, preparations °* iron, cold bath, exercise, and employment that "'ftl, if possible, divert the mind, &c. Where the desires are so strong that the patient cannot re- frain from voluntary emissions—constituting a disease called Styriasis—Opium, in large and re- Peatcd doses, is good; as also spare vegetable diet, nitre, neutral salts, and other medicines supposed to be cooling, close study ! To prevent nocturnal emissions the male may uerive some advantage by any contrivance his in- genuity can invent, which shall so confine the ftenis that erection cannot take place without pro- ving an uneasiness which will awake him, in tnany instances, before the omission takes place. 116 I would suggest a bandage around the body just nbove the hips, opposite the centre of the back, at- tach the end of another bandage to the. first, and bring it forward between the thighs; cut in it a small hole in the right place for passing through the penis, and then carry it up towards the navel, and fasten it to the first bandage. Passing the penis through the hole, turn it down towards the perineum, and there confine it with two or three pieces of tape, attached to the bandage on which the penis now lies. In most of these cases, stimu- lating, tonic, and astringent medicines are worse than useless. Remedies that allay irritation and remove the causes of it are the proper -ones. Cos- tiveness should be obviated by cooling apperients, such as epsom salts; and before going to bed, let the patient, by means of an India-rubber bag and pipe, inject into the rectum half a pint or more of tepid water, to unload the rectum before he retires, and also to allay irritation in that quarter. In some obstinate cases, cold water, or a very weak infusion of lobelia, as a teaspoonful of the powder- ed leaves, or a half a teaspoonful of the seed, to the half pint of water, may operate better than sim- ple warm water. If neither succeed in lengthen- ing the intervals between the emissions to a con- siderable extent; half a grain of opium dissolved in two ounces of water, or ten to fifteen drops of laudanum in two ounces of fresh oil or thin starch, may be injected after the tepid water injection has 117 Passed off. If there be any disorder of the sto- mach or other digestive organs, it must by all ,r>eans be attended to. The patient should avoid stimulating foods and drinks, and late suppers. He should not drink freely of any liquids in the evening; and should lake care to empty the bladder, not only on going 1° bed, but whenever he awakes during the night, bed should be hard and not over warm, and ”e should avoid lying on the back, as much as Possible. But for nocturnal emissions in youngcrly per- sons, whose constitutions are not all broken down, *he best remedy is marriage. It restored the young man whose case I have mentioned to health j*nd strength in the course of a few months; and b® is now the father of several healthy children. was induced to take this step by hearing that others like himself had been cured by this inea- sure. Since I have been in the practice of medi- an0 I have recommended this course to a very fow; ancj i know that success in one case, (and I not know but in all) has followed the adoption it. I am thus particular to mention these facts, because the situation of some of these patients is lllQst pitiable, because medicine will not always them, and because no writer to my know- Cc%e, has recommended marriage in these cases, "'here the system is much debilitated. But in the Case I have mentioned, the patient could take but 118 little exercise, and was so weak, especially in the back, that to stand erect ten or fifteen minutes was a great task. Marriage in such cases is a course which many physicians would at first thought pronounce detrimental; but man, take him mind and body together, is a curious piece of composition, and often confounds those who sit in closets and speculate. I see no great difficulty, however, in accounting for the good effects of marriage in these cases; I say marriage, as it would be difficult in these civil times to enjoy all the desirable circumstances without it. We all know that certain thoughts are a most powerful stimulus to the genital system ; and .the object is to have all fear and restraint, set aside—to have the company of a female perfectly free and con- stant—to have the patient become satisfied, not to say satiated, so that the imagination may be still, and suffer the mind to get hold of, and dwell upon some other subject. Such company, so enjoyed, is also comforting, calming, restorative, to the long agitated and irritable nervous system. Be- sides all this, in marriage there is a natural ex- cretion of that which would otherwise excite dreams, and thus effect its own emission, and cause the miserable patient to think, “ alas 1 I am no better—I have doctored and doctored, but it does no good—every time makes me more difficult to cure—I am gradually loosing ground— what shall I do ? must I die ?” which thinking, if 119 80 it may be called, is very injurious to Uie syg tern. My experience in these cases has been with those who “ had not known women.” How mar- riage would operate with those who have freely enjoyed female company, I am not so sure. Much, I think, would depend on circumstances. While I would advise—nay, urge, those who have unfortunately fell into the unsocial and nig- gardly practice of onanism, to abandon it at once; still I would apprise them that by so doing, they hray expect to have an emission in their sleep now a,'d then ; but if they are not alarmed at it, as they need not be, it will do them no more harm than if Voluntarily induced. For want of this information, issot’s treatise is calculated to do some harm, as J-hose who read it may quit the practice, then have involuntary emissions, and be much fright- ened. Section 3. Of Sterility.—Sterilityor barren- hess, is not considered in itsc If as a disease; hot as the consequence of some general or local forbid state. For this or some other reason, too Jttle attention has been paid to it by the medical Profession. A complete and able treatise on steri- II y and impotency would be very acceptable not oierely to the many individuals personally interes- , but to medical practitioners. Long attention o the subject, and better opportunities for making °hservations than any one, to my knowledge, has 120 yet enjoyed, are necessary to the production of such a treatise. In many cases of sterility even where offspring are desired, the subjects of it feel an undue delicacy in consulting a physician; which, taken in connection with their faith- lessness in the powers of medicine, prevents them from doing so; while on the other hand, the in- frequency of such applications, deprives physicians of good opportunities for acquiring skill in the treatment of such cases, and also contributes in no small degree to the almost total neglect of the sub- ject by practitioners. My present design is, to show what cases of sterility are probably curable ; to mention a few means proper to be tried w'ithout applying to a physician; and to induce those sujccts of these cases, who desire offspring, to make such applica- tion ; if the means I shall mention prove ineffectual. Sterility may be said to be owing to imperfect organization, or imperfect action of the organs of generation. The imperfection of organization may be congenital, that is from birth; and may consist in a very strong hymen, partially or wholly imper- forate—which however does not invariably prevent conception—in narrowness of the vagina; in defi- ciency of ovaria; in shortness or imperviousnessof the fallopian tubes, See. In other cases the organi- zation is rendered imperfect by some organic disease; such as large polypi in the uterus or vaginia, dropsy of the ovaria Sec. Most cases of sterility from mal-organization. 121 either congenital or acquired are incurable. Where it is owing to narrowness of the vagina, however, “soap baths, vapour baths, the introduction of fine sponges imbibed with oily or mucilaginous sub- stances, frictions of the perineum with oil or lard, and coitus immediately after menstruation,” have been recommended with good prospect of success. Where the hymen forms the obstruction, a slight surgical operation is all that is required. Where the ovaria are imperfect or wholly wanting, the menses do not appear; the breasts are not de- veloped, sexual desire is inconsiderable, or wholly absent, and the case incurable. But in by far the greater proportion of cases of sterility; it is the action of the organs of generation that is in fault; or at least, there are no evident marks of organic imperfection. The predisposing causes of this imperfect action are, a phlegmatic or masculine constitution; serious diseases, as fevers, dropsy, &c., venereal excesses, solitary or othcr- VVjse. Obesity seems also to be a frequent predis- posing cause; as “ very corpulent women arc often barren, for their corpulence depends either upon 'vant of activity of the ovaria, spayed, or castrated anmials generally becoming lat, or it exists as a mark of weakness of the system.”—Burns. . In most of these cases of imperfect action, there 18 some irregularity ofthe menses; being obstructed, or Bparing, or attended with much pain; or they are 00 profuse, or too frequent. “ It is extremely rare,” 122 says Bums, “ for a woman to conceive, who does not menstruate regularly; and, on the other hand, correct menstruation generally indicates a capability of impregnation on the part of the woman.” But it has been ascertained that a male and female may be sterile in relation to each other, though neither of them be so with others. Where the menstruation is imperfect, the first step is to correct this; for which purpose the ad- vice of a physician will generally be necessary ; for these irregularities are so various, and depend on such various causes and states of the system, that it would be inconsistent with the plan of this work to give sufficient directions for treating them, but where the general health is tolerably good, and there is no more imperfection of the menstruation than in thousands of females who are not sterile, we must suppose there is a peculiar weakness, atony, or torpor of the organs immediately con- cerned—unless the fault bewith the husband. I will mention some measures, easily put in practice, calculated to remove this peculiar atony, &c. A tonic diet, consisting in a good proportion of meat; travelling; cold bathing; tincture of can- tharides taken internally, and frictions with volatile linament containing some tincture of cantharides on and below the loins, or even a blister upon that part of the back that is below the loins. The flesh brush may be generally applied, and light shocks from the electric machine may be sent through the 123 pelvis. Cayenne taken freely on food or in any other way. Occasionally a brisk purge, and nightly an aloetic pill, so as to act a little on the bowels the next day. A moderate salivation by mercury iS sometimes successful. A temporary separation from the husband, and then copulation some two °r three days after the termination of a menstrual course. Let this copulation take place in free pure air, for the warm, foul air, of the bed is sup- posed to be unfavourable. Let the husband be ab- stemious (not as to diet) before this copulation, that the semen may be more active, and for some days afterwards, on the woman’s account. And if conception do take place, let him still be tem- perate, and cautious not to frustrate the action of gestation. There is great sympathy between the breasts and the generative organs. Therefore let the breasts be frequently but gently handled, the nipples tittilated, sucked, &c. The mind may be operated upon by all those endearing attentions which common sense can suggest, and what are called lascivious books and engravings may be of use. What more powerfully stimulates the organs of generation than the imagination ? When sterility—if so it may be called—is owing to frequent abortions, conception must be for some time prevented, as suggested in the first chapter of this work, and the system strengthened. Tincture of cantharidea may be prepared by Putting a drachm of Spanish flies, a little bruised, 124 into a gill of common spirits. It will be fit for use in six or eight days. From ten to twenty drops of it may be taken in a little water three times a day, and the dose may be increased a drop or two each day, even to one hundred drops, if it should not previously produce any unpleasant ef- fect, and the first and only unpleasant effect will probably be strangury, that is a frequent desire to urinate, and some pain or scalding in doing so. This will soon pass away by omitting the medicine, and more readily if milk and water, flaxseed or slippery elm tea, be freely drank ; after which the medicine may be again taken, beginning with small doses. In this way it may be well to perse- vere for three or four months. This tincture is about a third stronger than that kept in apothecary’s shops. This medicine taken as above is one of the best for leucorrhoea, or the “ whites.” Particularly old and bad cases. The volatile linament may be prepared by put- ting some olive [sweetj oil into an opodeldock or other open mouthed phial, then turn in about half as much aqua ammonia, which is liquid hartshorn, and shake them briskly together. Two or three teaspoonfuls of tincture of cantharides may be added to this linament, if the linament alone do not evidently stimulate the skin. The aloetic pills consist of equal parts of aloes and castile soap, and are known by this name, by all regular physicians and apothecaries. 125 The African cayenne is much stronger than the American. Section 4. Of Impotency—This term seems not to be used in precisely the same sense by all Writers. It is generally considered as an inability to Perform on the part of the male. Sir A. Cooper, in speaking of it, says that it consists “ in an irrita- bility of the visiculce seminales, and perhaps of the vasa deferentia, which is evinced by this; a Wan going to be connected with a woman, the Woment his organs come in contact with hers, an emission takes place, and all inclination ceases.” I do not question but that in such cases there is an un- due “ irritability” of the genital organs, the parent of which, in elderly persons, is probably debility. But I consider such cases as constituting only one variety of impotency. According to my views, Wipotency consists in an inability of giving, or of receiving pleasure; and females as well as males Way be subjects of it, yet neither the one or the ?ther shall be sterile. That is, the semen of the male may be of a fructifying quality; and the female may conceive though she have no Pleasure in the act which causes her to do so. According to this view, there are some varieties at)d all degrees of impotency The male may be '''ell able to produce pleasure, but not to enjoy it Were the erection is good, and of long continu- ance; but the secreting and ejeculating organs arc not “ irritable,” but torpid; and the sensibility 126 of tlie nerves of the glans penis and urethra may also be diminished, or the semen may be of a va- pid, unirritating quality, and so make but a weak impression on the nerves of the latter part. This is one variety. Another is that of Cooper, already mentioned. A third consists in the absence of de- sire and erection, then there is the case of females, who experience no pleasure, and so on. I wish it were as easy to give directions which, if followed, would cure all cases of impotency, as it is to distinguish different varieties among them. For in the young and middle aged, especially in some situations of life, impotency is certainly a serious misfortune, to say the least-of it. The whole evil by no means consists, in every case, in the loss of a source of pleasure. All young peo- ple ought to be apprized of the causes of it— causes which in many instances greatly lessen one’s ability of giving and enjoying that pleasure which is the root of domestic happiness. Premature and excessive indulgence, either soli- tary or natural, arc the most frequent causes of impotency. Injuries of the head, spine, or geni- tal organs, may be causes of it. In the sense I use the term, almost all diseases, and especially diseases of the stomach, are causes of temporary turns of it, in some degree. There is a close sympathy between the testicles and stomach in the male, and probably between the ovaria tainly the uterus) and the stomach in the female; 127 and very slight derangements of the stomach will impair the veneveal desire, &c., so long as such derangements continue. Hence emetics and cath- artics often seem to stimulate the genital organs, as they often cause in them renewed action and feeling. The use of opium, tobacco, and other nar- cotics, seems to impair the sensibility of the nerves of the genital organs. Sedentary habits, close study, and depressing passions, as anxiety, grief, &c., impair the male power of giving, and more espe- cially do they impair both the male and female power of receiving or enjoying pleasure. And hence in attempting a cure of impotency, all these causes are to be removed or avoided as much as possible. Sir Astlcy Cooper says, “ If it arise, as it fre- quently does in old people, from an affection of the mind, two instances of which I have known in men of property and resectability, married to a6 fine and handsome women as could be seen, which attributed to a conciousness of incapability, as here was a considerable disparity in years, make fight of the complaint; but, at the same time as- SUre them of a certainty of cure, or at least of getting better ; and prescribe pills composed of any mert substance, desiring them to be careful to take °ne only at night, and by no means have any con- action with their wives; and it is seldom that more than half a dozen are swollowed before a good account is given by the patient of their surprising effiaoy. >fr. Hunter recommended a patient who 128 was complaining of impotence to sleep with a fe- male, but forbade him to have any connexion with her for several nights. In this case, the dis- ease being merely a mental affection, he was com- pletely relieved by pursuing the plan only a night or two, as nature was found to be ever vigorous.”— Cooper's Lectures by Snyder. But in most cases, real medicine will be proper. Where the erection is tolerably good, but the emis- sion too early, we should say that opium will be beneficial; and at the same time let the mind dwell on the affection, and on women, as little as possible. Where the emission is tardy, and the sensation deficient, let the patient persue such courses and take such medicines as prescribed for sterility; especially the tincture of flies—taken for a long time, perhaps a year, and in large doses if necessary it sometimes does wonders, in cases of seminal atony. It invigorates the whole system, and enlivens the mind ; which is generally much depressed in these cases. The greater the debility of the general system, or of the generative, the greater doses will be required and borne. Drs. Francis and Hosack of New York esteemed this medicine very highly in these cases. Females whose desires are deficient or wanting, may also persue the course recommended for sterility; and many of them, being in a state of general debility, with pale countenances, will be much benefitted by adding to this course prepara- tions of iron. P05-51