fevA °R0/3 
^PHYSIOLOGICAL^ 
Ko VIEW OF 
MARRIAGE. « 
A Popular Treatise on the Secret 
INFIRMITIES 
OF 
gout^ anb glaturitn, 
ARISING FROM 
$ GEN ITAL DISEASES IN BOTH SEXES 
' With upwards of One Hundred and Twenty- 
five Lithographs and Engravings, 
5 Illustrating the Anatoms', Physiology and Diseases of 
• the Sexua'i Organs, their Structure. Uses and • 
Functions; together with plain directions 
/ for the perfect cure of Syphillis, Gleet, 
J Strictures, &c., &c. 
witbQ'D'T imte: 3=5. otitis.-sr t 
To which are added very extensive practical observa- 
tions on.SEXUATTDMBlLtTY. arising from Solitary 
Habits, causing Nocturnal 'Seminal Emissions, or 
Constitutional. Weakness, and its attendant Sympa- 
thies. The whple illustrated by striking cases from 
Dr La Croix'S Private Practice. 
The Reproductive Organs of Females. 
!M'' (Illustrated.) 
Menstruation,-Irregularity, or enti-e suppression 
of the Menses.-How to Remedy,-I'-jgnancy, (illus- 
trated bv Plates,) at different stages of Gestation,- 
How to Prevent Pregnancy,-How to determine when 
it-Exists,-Tha Diseases attending it,-and their Re- 
medies. 
BY M. B. LA CLOIX, M. D., 
• OF ALBANY. N. Y. 
One Hundredth Edition. 
twenty-five.cents a copy: 1'Jate 1. . 
<fee page 736 
Organs of Generation Ac , &c ,1 1 Two 
Kidn eys 2 2, Hnibra or Estonian Tubes, 3, I 
Ovaries,5,SpermaticVessels^, Vulva or Orifice in. the 
Vagina, 7, Aorta,-8 ,Vena Cava,9 Bladder, 0 Hymen.. DR. LA CJIOIX'S 
|ll)t)swlngiral Uitw of Carriage. 
A POPULAR TREATISE ON THE SECRET 
INFIRMITIES OF YOUTH AND MATURITY, 
ARISING FROM 
GENITAL DISEASES IN BOTH SEXES 
With upwards of One Hundred and Twenty-five Colored and 
Putin Lithographs and Engravings, 
(Castrating the Anatomy Physiology and Diseases of the Sexual Oft 
gans, their Structure, Uses and Functions, and the various in- 
juries produced in them by Solitary Habits, Excesses and 
Infection. Causes, Symptoms, and Baneful Effects 
of VENEREAL DISEASES. Together with the 
plain directions for the perfect cure of Syph- 
illis, Gleet, Strictures, &c., &c., 
W i t li out 35^ c r c u r y i 
To which are added very extensive practical observations on, 
SEXUAL DEBILITY, 
Arising from Nocturnal Seminal Emissions, or Constitutional Weal: 
ness, ami its attendant Sympathies. The whole illustrated br 
striking cases from Dr. La Croix's Private Practice. 
ReprolrttrHre (Organs of females 
(Illustrated.) 
Menstruation,-Irregularity, or entire suppression of the Men sea,- 
flow to Remedy,-Pregnancy, (illustrated by Plates,) at different 
stages of Gestation,-How to Prevent,-How to determine 
when it Exists,-The Diseases attending it,-and 
their remedies. 
BY M. B. LA CROIX, M. D., 
OF ALBANY, N. Y. 
Itred uate of the Medical Department of the Northern University - 
llember of the Hospital des Veneriejmes, Paris.-Correspond- 
ent of the Reformed School of Medicine, and Member 
of the Medical Society, 4c., &c., &c. 
One Hundredth Edition. 
P. L. GILBERT. PUBLISHER. ALBANY ? ba ) 
IMPORTANT FACTS THAT OUGHT TO BE READ 
BY EVERY ONE 
SYPHILIS OCCULTA ET LARVATA-LATENT, OR HIDDEN 
SYPHILIS.-In cases of long duration the venereal virus may, as 
it were, assimulate with the human system and assume a milder 
character, that of a lurking poison, yet may even rest for a while 
and cause in its operation, (latent syphilis). There is no chronic 
disease whose form syphilis cannot assume, hence the difficulty 
with most physicians of making a correct diagnosis, and the ob- 
stinacy of the disease under all the ordinary means of treatment. 
The cause which lies at the bottom, the root of the disease, is not 
detected, and, consequently, the means are inappropriate To 
traoa the evil to its remote origin, two ways only remain open to 
us: First, to ascertain whether the patient had been venereally in- 
fected ten, futebn, or even fifty years ago; and whether, since 
that time, he has had a series of alternating diversified complaints, 
frequently intermixed with pauses of apparent health, until the 
accession of the present malady. Secondly, by observing certain 
appearances which are only hnown to the practiced and experi- 
enced eye, which present themselves about the genital organs, 
the face, eyes, mouth, nose, skin, hair, nails, &c , &c., and thus 
we may learn that the most dissimilar and opposite chronic dis- 
eases may be nothing else than the effects and forms of a lurk- 
jig syphilis. Paralysis, spasms, hypochondriasis, profluvia, and 
obstructions, hectic, dropsy, and a host of other maladies, all of] 
which may be of a syphilitic nature. 
The disease may also be acquired by the application of the 
virus to any part covered with only a thin epidermis, as the 
lips, the membrane lining the nasal cavities, the eye-lids, or con- 
unctiva, to a cut, wound, or sore to any part chafed or abraded. 
The infection may be received by handling or washing venereal 
sores; from sponges or cloths used by syphilitic patients; from 
bed-clothes and second-hand clothing; from the seat in the privy; 
from food prepared by hands or fingers on which are venereal ul- 
eers; by a kiss; and, in cases of strong susceptibility, by a syphi- 
litic breath loaded with the infection; and in various other ways. 
When any person is afflicted with any of these, or any other dis- 
eases which have been derived or inherited from parents who 
were infected with the Syphilitic virus-or, when the disease has 
been contracted by or without cohabiting with an infected male 
or female; or when, in short, any of the above mentioned dis- 
eases have originated from, or are combined with Syphiub, how- 
ever acquired (and a vas, proportion are produced by this as their 
primary cause,) Dr. La Croix hesitates not to say to all such, that 
a cure for life is GUARANTIED by the use of his medicines, not 
only from the Syphilitio disease, but from every other which has 
originated from, or coalesced with it-the whole shall be driven 
out together, root and branch. PREFACE. 
In introducing my "Physiological View of Marriage " to 
those who have not yet perused it, I must refer for an 
explanation of its object and purpose to the " Introduction." 
The popularity of the book, as evinced by the enormous 
sale of previous editions, is of itself a proof of how wide 
spread is the debasing sin of which it treats, and of how 
much need there is for instruction and medical aid with 
reference to it. I have the gratification of knowing that 
many young men and women (by their own confessions to 
me) have been arrested in their downward career by the 
terrible warnings and direful consequences given in the 
following pages, as the penalties of those secret violations, 
which consign thousands annually to a premature grave. 
Those who have already had the book in their hands will 
find that its general matter has undergone some revision 
since my return from Europe, with a view of still further 
perfecting it, as a popular instructor and guide. The alter- 
ations will be most apparent in the " Cases " appended to 
the work, the " Confessions of a Boarding School Miss," 
a " College Student," and a * Young Married Lady," etc, 
which will be read with great interest and instruction. 
It is a satisfaction in making a patient understand the 
nature of his malady. By this means he avoids the imposi- 
tions of quacks. It is a melancholy fact that the greater 
part of those persons pretending to give advice upon uerti 
diseTstt ere 'hat have no medical knowledge, or.'? IV 
PREFACE. 
as they may have gathered it in a Drug Store, or by pro 
miscuous and undigested reading of works upon the subject, 
and therefore incompetent to discriminate between the true 
and false systems which are recommended by different 
authors. These persons only practice to deceive and ruin 
their deluded victims. Too indolent to follow their legiti- 
mate business, and in no way capacitated to treat the 
subject of which we speak scientifically and correctly, they 
substitute impudence and presumption for knowledge and 
experience. To accomplish their ends with the more cer- 
tainty, viz: the accumulation of money, they resort to a 
trickery as contemptible as it is ruinous to all who fall into 
their hands. In the large cities of New York, Boston and 
Philadelphia, these uneducated empirics and imposters play 
a game of trickery upon a large scale. A number of offices 
are rented by the same individual, which are often located 
within a stone's throw of each other, or in different sections 
of the same city, and under assumed and false names, they 
own each of-the offices, to which persons are invited and 
influenced to go, only to learn to their deep regret that an 
aggravation of symptoms follow the bad treatment they 
have received. The deluded and ruined patient has no 
redress but to bear silently the wrongs and impositions 
which have been practised upon him, as an expose of their 
villainies would lay open his follies to the world, and sooner 
Jian do that, and disgrace his friends, he submits ofttimes 
W the grosest impositions and extortions. In the cities 
above named, not over two in each place among the large 
number who flourish through the columns of the newspapers, 
are regular educated physicians! Even my own city is not 
exempt from these " sharpers," who are gulling the publie 
by falsely claiming to be physicians, and who are flooding 
the country, through the Post Offices, with " circulars" and 
'' pamphlets," (whole pages frequently being copied from 
my works,) which they put forth as their original productions' PREFACE. 
V 
The majority of these vagabonds are of the lowest grade of 
intellect and responsibility-their practice entirely that of 
extortion and deceit; their publications are a most hetero- 
genous mass of piracies, mawkish sentimentality, and for- 
sooth scriptural quotations. These fellows sail under 
various colors, and assume names as different from their 
own as English is from Hebrew; and if they fail in one 
swindle they change their name and take up another, until 
it has awakened public attention, and the press of this city 
has cautioned the public against their machinations; and 
his Honor the Mayor of the eity of Albany, and the Chief 
of Police, have caused circulars to be sent to every Post 
Master and Newspaper Editor throughout the United States, 
earnestly requesting their aid in ferreting out those who 
have been victimized by these " Love Powder " swindlers, 
and to communicate the circumstances to them immediately. 
Every man's security in consulting a stranger must rest 
more or less on the nominal respectability of the party he 
applies to, whether the adviser be legal or medical, his 
unworthiness cannot be concealed, if he be deserving of 
the censure. The unfortunate and unwary invalid who 
becomes entrapped within the mesh ofthese artful schemers, 
finds too late, to his cost and discomfiture, how grievously 
he has been deceived, Were the money thus parted with 
the only consideration, the lesson would be but a slight 
punishment for the folly committed of seeking counsel from 
such, but the mischief inflicted on the health, by swallowing 
their nostrums, is often irretrievable. It is well, then, that 
the poor invalid should know that these individuals beyond 
the pale of the medical profession must be consulted with 
risk. It will be an acceptable service to society if the 
reader who has attentively perused these pages will forward, 
under envelope, this book to such of his friends or 
acquaintances who, as he may have reason to know or 
inspect have been the victims to the baneful habits described. VI 
nzTACK. 
In thia way a parent may secretly warn a child, to whom 
on such a subject he would not openly speak; and a friend 
may prove the sincerity of his friendship by a like act of 
untold beneficence. The mode of performing a humane 
and charitable action need only be pointed out to render 
obvious its useful application. Then with this book he will 
have something in his hands to guide him through the danger 
and peril of his condition, and enable him toCjudge whether 
he is properly treated, and whether the. person whom he 
employs, understands the nature of the disease he professes 
to treat. Such a guide I furnish him. It is a desideratum 
in this class of medical books which was much wanted. 
The low price of the book places it within the reach of the 
poorest elass of society. It is printed on new type and good 
paper, and its lithographic and wood-eut illustrations are of 
the finest kind, and will prove itself i faithful advistr. 
M.B. LA CROIX, M.D, 
Ausn M Y. 31 Maiden Imu INTRODUCTION. 
This little volume was undertaken in the hope that it might 
be useful. The subject which it embraces, though already 
treated of by physicians, has not yet been offered to the pub- 
lic in a satisfactory manner. It is no trifling difficulty to 
treat of it in such away as not to give offence to the ears of 
chastity. In discussing this topic, facts must be revealed at 
which the modesty of some ignorant persons may take alarm. 
But the illustrious Haller, well observed, " there are no se- 
crets in physiology." This truly great man was perfectly 
right in his opinion of all "educated and enlightened indi- 
viduals;" although the mock-modest, the hypocritical, and 
Pharisaical of all classes, pretend to be horrified at the notice 
of matters of daily occurrence. These must be described 
plainly, and are chiefly objected to, only by those possessed 
of a weak, erratic or prurient imagination, who discover no- 
thing to gratify a licentious curiosity, or a depraved mind, in 
the description-those who pretend to excessive modesty and 
rigid chastity. Is it not infinitely better, then, that we 
should innovate a little on the opinions of the world, and break 
that mysterious and profound silence, which regards the dis- 
cussion of this topic as either indecorus or mischievous?" 
Although there are some stupid and hypocritical persons in 
the medical profession who are even shocked at the consi- 
deration of this subject. I would ask these men, have they 
ever perused the works of Hippocrates, Aristotle, Harvey 
Haller, Spallanzani, Hunter, and a thousand other celebra- 
ted physiologists on the regeneration of the vegetable and 
animal kingdoms? 
I have exerted every endeavor, within the limits of possi- 
bility to render this work at once useful and decent. 
I have made the diseases of the sexual organs of both 
sexes my particular study for the past twenty years, and 
such complaints as arise more immediately from a disorgan- 
ization of the generative system, whether constitutional or VIII 
acquired. My experience in the treatment of cases v* thi» 
character, in all their varied forms and phases, enables me 
to speak confidently and truthfully upon the subject. Wnen 
persons of either sex are about entering into matrimony, 
they ought to subject themselves to a thorough examination 
to see if they are in a condition to exercise the marital func- 
tions ; the easy cares of married life are sometimes disturbed 
by the suspension of those blessing- which concentrate the 
nuptial wreath, arising from a variety of causes (treated of 
in the following pages,) which renders the generative pow- 
ers weak and impotent, yet it can be strengthened, and defi- 
cient energy improved into functional power; and the suf- 
fering community of either sex, especially those entering in- 
to matrimonial life ought to read this book carefully and 
attentively, and avail themselves of the advice therein offered. 
In its pages will be found the history, origin, progress, and 
treatment of venereal diseases, and to a better understand- 
ing of the same, an anatomical detail of the male and female 
organs are given and illustrated, together with every varietv 
of disease to which the sexes are liable. It is a hook which 
has both a negative and positive knowledge. It teaches 
persons how to avoid contracting diseases, and if under its 
deathly influence, puts him in possession of the means of its 
entire cure and removal. It is at once the permanent means 
of rescuing him from the worst of deaths. 
A healthful population is the best ornament and security 
of a republic, in the same degree as the weak, disordered, 
effeminate people, surround it with misery and danger. The 
connecting sympathy between the mind and the body, ren- 
ders each the repository of the other's maladies, and a shri- 
velled emaciated form, is seldom stored with a mind of 
gigantic energy, because the habitual infirmities of the flesh, 
its ailments and agonies, naturally engender something like 
a corresponding imbecility in the intellectual faculty. 
There are many exceptions to this rule, but the theory is 
perfectly maintainable. Luxurious habits effeminate the 
body, and unfit the mind for the noble exercise of its func- 
tions ; they are mildews which feed upon the blossoms of 
intellect, rendering tl.-.it distorted which was originally "per- 
fect, by destroying at the same moment both the vis vita 
and the beauty which gave it imbellishment. 
The foundation of a flourishing maturity and healthful old 
age may be easily laid, and this basis is decided by the 
INTRODUCTION. INTRODUCTION. 
IX 
province of the Parents, Guardians and Tutors of young 
persons. 
In offering my production to the world, I have been ani- 
mated by the thought, that the terrible pictures here present- 
ed, of the effects oT that practice which conducts the misera 
ble beings to the graves' confines-punishments awful enough 
to deter those in whom virtue is not an inanimate principle- 
may arrest some young man in his maddened career, before 
it is irrevocably too late, I desire not to satisfy idle curiosity 
but to open the eyes of both sexes. Propei explanations of 
the causes which create disease and shorten life, enforced 
by the judicious blending of such examples as are best cal- 
culated to impress the memory, awaken the fears, or excite 
the disgust of the young, could not be otherwise than pro 
ductive of a beneficial change in the habits of the rising gen- 
eration, on the contrary while the juvenile mind is carefully 
kept in ignorance of the baneful consequences of those soli- 
tary practices and indulgences which are too common 
amongst youth (and "like a worm in the bud," feed upon 
the constitution even while it .s forming itself,) the few 
apprehensions which may now and then arise, are treated 
as mere speculative terrors, and gradually die away, with- 
out producing any effort to check the insidious mischief. 
Surely, then the attempt to introduce a method of preven- 
tion of all these lamentable evils cannot be unworthy the 
notice of those, upon whom devolves the formation of the 
minds and morals of the growing community. 
For my part, I have been in the daily habit of viewing 
these melancholy portraits of vitiated mortality, and with 
the proudest feelings of thankfulness, I can aver, that in all 
cases (except in the most withering instances of decay,} suc- 
cess the most eminent has crowned my exertions. 
Excesses, likewise, of every kind, are injurious. It is an 
abuse of that reasoning faculty with which a benevolent Provi- 
dence has endowed us, to suffer it to remain an inert privilege, 
while the passions run riot and wanton in the most mischiev 
ous prodigality of appetite. 
The reader will find in the subsequent pages a classifies 
Mon of the disorders growing out of youthful indescretions 
or imprudent maturity ; for it is not to be concealed that erring 
man cannot always in his growth in wisdom keep pace with 
his increase of years; on the contrar*, 1 have had occassion 
to onserve tnat age is no security against maiscreuon1 nur X 
XNTRODUCHOH. 
can the moralist command a greater privilege of indemnity 
from the consequent maladies, than the youthful prodigal. It 
is to be remarked, however, that where the foundation and 
fabric of the constitution have been well laid and tempered, 
disease must necessarily take a slighter hold, and produce less 
important changes. 
The section relating to stricture, and the peculiar mode of 
treatment which I have adopted is well worthy the perusal of 
those who are thus afflicted. 
As I proceed in my undertaking, it will be seen that my 
object is not to promote empiricism, or the circulation of any 
equivocal remedies. The medicines I employ and endeavor 
to make efficacious, are those of established reputation, and 
such as are regularly administered by practitioners in the 
Hospitals of Europe and on the Continent, under whose pro- 
fessional auspices my own knowledge of their effects has been 
acquired. Having for the past year devoted my principal time 
in visiting the Hospitals of Paris, London, Edinburgh, Rome, 
Venice, Vienna, Dresden, Berlin, etc., I am enabled to intro- 
duce in my practice all the new and efficient remedies pre- 
scribed in my speciality. Those who now place themselves 
under my care will have the benefit of my vast and thorough 
researches in this interesting department of medicine, sanc- 
tioned and approved as they are by such men as Civiale, 
Lenoir, Ricord, Velpeau, Chaissagnac, Brecheteau, Acton 
and Curlings, of the French and English Hospitals. The 
only merit to which I lay claim (and which claim will not be 
indifferently supported by the cases to be quoted in the pro- 
gress of this work,) is an originality in the mode of their 
application ; and as my peculiar mode of treatment has ac- 
quired a reputation which amply rewards my labors, I have 
been induced to offer the present observations to the notice, 
end, I hope, to the commendation of the world. 
THE AUTHOR A POPULAR TREATISE 
' 0K 
SEXUAL DISEASES,% 
VENEREAL DISEASE. " 
This dreadful scourge to humanity appears to have beea 
known to the world from an early age. Acrimonious and 
poisonous matter is secreted by the sexual organs, which is 
capable of exciting local and perhaps constitutional affec- 
tions, in those who expose themselves to such poisons, by 
cohabitation. Celcus enumerates varions diseases of the 
sexual organs, most of which are referable to this source of 
impure contact; but the hideous aed alarming malady was 
first noticed from the same source towards the close of the 
fifteenth century, although there exists but little doubt that 
the disease is of Oriental origin, as different parts of the Old 
Testament suggest sanative measures against the contrac- 
tion of diseases, by " ablution and separation to women after 
delivery and menstruation;" in the Proverbs the inspired 
writer admonishes the youth to avoid strange women, lest 
his flesh, and his body be consumed. And in Ecclesiastes 
it is said, that "whoever joineth himself to adulterers Shall 
become impudent, and that rottenness and worms shall have 
him to heritage." 
It has been a matter of discussion as to the quarter in 
which the disease originated. It is usually ascribed to the 
American Continent, i nd believed to have been imported in- 
to Europe by the crev s of Columbus on his first or second 
return home, in 1493 and 1496; but this is rather doubtful, 
for on his return to Sa rille, in the spring of 1493, it had been 
raging in the Spanish army for some weeks, and had spread 
over Auvergne, Lombardy, and various other parts of Italy; 
and in the course of t ie summer months, it was observed in 
Saxony, Brandenburg Brunswick, Mecklenburg, and espe A POPULAR TREATISE 
12 
daily Strasburg, as all the German writers admit; and 
even at Cracow, in Poland; while Fracostorio, who was an 
active witness of the progress of the disease, asserts, that il 
was even ravaging a considerable part of Asia and Africa 
as well as Europe. The fabled origin of the disease is at- 
tributed by Fracostorio in a very elegant poem to his hero 
" Syphilus," who brought down the disease upon himself and 
the world at large as a curse for having insulted Appollo 
while tending the flocks of king Alcithus, while a German 
clergyman of Ruffach, by the name of Matern Berten, de 
«lares it to have been a punishment inflicted by the Ahnighp 
on Charles VIII., and his subjects, in consequence of hi 
having carried the Dutchess Anne, of Bretagne, from th 
Emperor Maximilian, to whom she had been betrothed. 
The character of the disease during the present centurt 
appears to have assumed by degrees a modified form, and 
has lost a great deal of its virulence of former times. This 
doubtless is owing to the instinctive powers or vis medicatrix 
naturae, constantly laboring to subdue it, which wears out 
its strength, and renders it manageable under the most sim- 
ple remedies ; and in the earlier periods of manifestations 
yields at once to the application of a little powder which I 
am in the constant practice of using among my patients. 
One or two applications is all that is necessary to ensur 
speedy and permuae nt relief. patient u never sub- 
je. Zed to the necessity of taking any medicine, if we may 
except one or two drastic purgatives. I will speak more at 
length of the treatment in another part of this work. 
GENERATIVE ORGANS OF THE MALE. 
In order that my readers may comprehend more fully tne 
effects of disease upon the organs of generation, it is essen- 
tial that they should become acquainted with the anatomical 
structure of the parts, the sympathies and physical relations. 
Genital organs and appendages in the male, consist of a 
secretory and excretory apparatus, composed of the follow- 
ing parts : two glands, called testicles; the provisional ex- 
cretory canals, the vasa deferentia ; two reservoirs tor the 
spermatic fluid during the longer or shorter intervals of its 
expulsion, named the vesiculx seminales ; and certain ul- 
timate excretory canals, the ejaculatory ducts and the ure' UN SEXUAL DISEASES 
13 
Ara. To this latter canal is annexed an erectile structure, 
which enables it to assume the condition necessary for the 
ejection of the fecundating fluid: together they form the 
penis. The prostrate gland and Cowpers glands yields 
secretions, the use of which is connected with the generative 
functions: they may be regarded as appendages to the 
urethra. 
THE TESTICLES. 
The testicles, thus named from the Latin word testes, 
which signifies evidences, because they show the strength 
and vigor of man. They are also called didimes, that is to 
say, twins, there being nearly always two. Men have been 
seen, who have had three, and even four ; and others whom 
nature had reduced to one only. It must not, however, be 
supposed, that the first were champions of love ; the pro- 
lific liquor, divided into several organs, lost much of its ac- 
tivity ; and observation confirm, that men who seem to be 
so well provided, do not always enjoy the satisfaction of be- 
coming fathers. It is otherwise with those who have no 
more than one testicle ; I have known some of these who 
were exceedingly fecund, and to whom (which it is of im- 
portance, to observe,) individuals of both sexes owe their 
birth. 
We define the testicles, the glandulous bodies inclosed in 
the scrotum, a species of bag and ordinarily situated below 
the abdomen. We say orsinarily; for we sometimes meet 
with persons who have these organs concealed in the lower 
belly ; and those individuals are much more inclined to the 
pleasures of love, than others.* It moreover, frequently 
happens to infants, that these parts remain fixed in their 
passage ; and sometimes they do not fall into the scrotum 
until the age of puberty. The figure of the testicle is oval, 
a little flatish on each of the sides. Their bulk differs ac- 
cording to ages; they are very small until the age of puber- 
• The enclosed testicles, by rendering the seed abundantly more 
vivid, continually irritate the organs of voluptuousness ; but this 
liquor also cannot be much disposed to fecundity, since it is not air 
lowed time to attain a state of sufficient perfection. 14 
* POPULAR TREATISI 
ty, but then they augment in size, and acquire that of a 
small hen's or a large pigeon's egg; the right testicle is 
nearly always somewhat larger than the left. The two il- 
lustrations subjoined show the testicles in their natural 
situation. 
(Fig. 10.) 
(Fig. 11J 
a. Body of the 
Testicle. 
b. Commence- 
ment of the 
Epididymis.' 
c. End of ditto. 
d. Vas Deferent. 
We further consider these parts, their integuments. Ilia 
first is the scrotum; and this is no more than a continuation 
of the skin divided into two parts by a projecting line, in the 
shape of a suture, which anatomists have named rapha ; it 
tommences at the gland (where it is frenum, or bridle,) and 
terminates at the anus. The scrotum, inside, is lined with a 
membranous flesh, which may be regarded as a real cutane- 
ous muscW; this muscle is called dartos; and it furnishes 
a particular integument to each testicle ; between the slop- 
ing or union of these two fleshy integuments, a partition is 
formed that separates the two parts of the cavity which 
makes the scrotum. The dartos, as I have already observ- 
ed, may be regarded as a muscle; and to its contraction 
must be attributed the wrinkles and tightness of the scrotum', 
we may judge of the health and vigor of a man, when tha 
action of this muscle presses the testicles and apoears W make them ascend. The other particular integuments of 
the testicles are three in number. The first is called vagi 
nalis, it not only covers all the particular vessels of the tes- 
ticles, by closely fastening itself to them, but even their 
body; this integument is again covered, in part, through the 
expansion of,a muscle, named cremaster, which suspend® 
the testicles, and raises them in the act of generation. Un- 
der the tunicce vaginalis, we remark another, to which 
peritestes has been given; it is a bag which envelopes ths 
testicle on every side. Lastly, the third membrane belong- 
ing to this part, and which immediately touches its sub- 
stance is thus named by reason of its color. The annexed 
design will explain the coats and facilitate the understand 
ing of subsequent descriptions : 
ON SEXUAL DISEASES. 
15 
(Fig. 12.) 
1. Body of the 
Testicle. 
2. Epididy- 
mis. 
3. Vas Defer- 
ens. 
4. Spermatic 
Artery. 
5. Veins. 
6. Cremaster 
Muscle. 
7. Tunica Al- 
buginea. 
8. Tunica Va- 
ginalis. 
9. Scrotum. 
3, 4, 5, 6, and 
8, consti- 
tuting the 
Spermatic 
Chord. 
No sooner is an incision made in this last tunicle than we 
discover the substance of the testicle, which is white, soft 
and loose, because it is composed of an infinity of fine ves- 
sels, that perceptibly leave behind the color of the fluid con- 
tained in them. These particular vessels are called the 
spermatic arteries, the spermatic veins, the lymphatic veins, 
tne nerves, the secretory and excretory vessels. On the up- 
per side of the testicle, we perceive, a long body, the figure A POPULAR TRXATISX 
16 
of which nearly resembles that of a caterpillar. It is called 
epididymis on account of its situation. The substance of 
this part is the same as that of the testicle ; and the vessels 
of which it is composed, make an infinity of serpentine con- 
tours : the epididymis terminates at the extremities of two 
eminences, the most considerable of which is named, the head 
of the epididymis, and the smallest is called the tail. At this 
last commences on each side, the vasa deferentia. The fol- 
lowing description relates to the accompanying sketch: 
(Fig. 13 
ll. Body of the 
Testicle. 
b. Tubuli Tes- 
tia. 
c, c. Kete Tes- 
tis. 
d. Vasa De- 
ferentia. 
e. Vascular. 
Cones. 
f. Epididy- 
mis. 
g. Vas Defer- 
ens. 
The use of the testicles is to filtrate the seminal liquor and 
to separate the blood from it, as will elsewhere be shown; 
that of the epididymis is to receive it immediately from the 
testicles, for transmitting it to the seminal vesicles by the 
different canals. The seminal vesicles are two membranous 
and cellular reservoirs, situated at the posterior and inferior 
part of the bladder. Their ordinary length is three finger's 
breadth, and their broadest part is called the bottom ; and 
the narrowest the neck, to which is continued a particular 
conduit, called the ejaculatar. We may see in the above 
engraving the different conduits that transmit the seed of the 
epididymis to the seminal vesicles. The ejaculatory con- 
duits are two small vessels that empty themselves into the 
urethra, nearly nt the neck of the bladder, after having tra- 
versed a glandular body sufficiently film, that embraces the 
seek of the LUuder, and the commencement of the ure<hr.« ON SEXUAL DISEASES, 
17 
The following drawing represents the Prostate Gland, ths 
Vast?ulae Seminales, and the Bladder. 
(Fig. 14.) 
a, a. Prostate Gland. 
b. Gland cut away to 
show the Ducts of 
the Vesiculae. 
c. Ends of the Ducts. 
d, d. Cells of the Ve- 
siculae. 
e. Left Vas Deferens, 
also cut open to show 
its connexion with 
the Vesiculae. 
f. Right Vas Deferens. 
g, £■ Openings of the 
Vas Deferens and 
Vesiculae into the 
Urethra. 
h. Bladder. 
i. Ureter. 
This gland is known as the prostate. It is formed through 
the assemblage ofseveral other glands, whose exterior orifi- 
ces, to the number of ten or twelve, open before an emi- 
nence named veru-montanum. The use of the prostata is to 
separate a soft and oily humor, nearly resembling the seed, 
which lies in the canal of the urethra, and mixing with the 
seed in its ejaculation serves it as a vehicle, impedes the dis- 
sipation of its spirituous parts, and preserves the urethra 
from the acrimony of the urine. 
THE PENIS. 
It will be unnecessary for me to describe the form of thia 
organ, but simnlv sav that it is attached and adheres to the 
toots of the os oubts Phe parts which compose the penis, 18 
A POPULAR TREATISE 
may be dlstinguishsd, with regard to their situation, by con- 
tainers and enclosers. The first are the skin, the cellular 
veb that is remarked under it, and particular membrane, 
which seems to be formed by the sprouting of a ligament 
that fastens the penis to the os pubis, and which is called 
the supporter of the penis. 
The cut below shows a section of the cavernous body, 
•howing the blood vessels that go to it and cause a disten- 
■ion or erection of the penis : 
(Fig. 15.) 
a. Urethic part.-ft. Glans.-c. Dorsal Artery serving the Glaus.- 
d. Dorsal Artery serving of the interior of the Corpus Caver* 
nosum.-«, f. Deep seated Arteries. 
The skin which again covers this part, has a reduplication 
to its extremity; and it is this reduplication that we name 
the prepuce. 
(Fig. 16.) 
In the cut above we see the septum or division of the ca- 
vernous bodies, in which are seen the vessels by which, 
when the erection of the penis subsides, the blood passes in- 
to the dorsal vein of the penis. 
.a 
a. Urethra.-ft. Glans.-c. Dorsal Vein.-d. Septum.-s. Vesseta. This cut is a section of the penis, showing the three 
bodies: 
ON SEXUAL DISEASES. 
19 
(Fig. 17.) 
a. Coipora Cavernosa. 
b. The division or Reptum. 
c. Corpus Spongiosum. 
d. Urethra. 
e. The great vein of the Penis, 
The enclosing parts are the two cavernous bodies, the 
urethra and the gland to which must be joined the muscles. 
The urethra is a long and curved canal, that commences at 
the neck of the bladder, and ends at the extremity of the 
gland. The commencement of this conduit is embraced by 
the prostate gland. 
The interior part of the urethra is very glossy and smooth; 
we remark in it several orifices, that are the conduits of the 
lower prostates, and those of several other glands that fur 
nish a mucilaginous humor, of which I snail speak here- 
after. 
Besides the ligament of which I have spoken, that thor- 
oughly ties the penis to the os pubis, and affords it great 
assistance; not alone during erection, but likewise when it 
is soft and relapsed, the pe pis has six muscles, three on each 
side : two erectores; two icceleratores, and two transver- 
tales. They take their enomination from their use, the 
first aid the erection of the penis, when the cavemons bodies 
extend tnemselves ; the second facilita les the emission of the 20 
A POPULAR TREATISE 
seed, while, being shortened, they compress the seminal 
vesicles and oblige the liquor there contained to enter the 
(Fig. 18.) 
a. Bladder, or receptacle of 
urine. 
b. Ureters, or passages through 
which the urine comes from 
the kidneys, where it is form" 
ed, to the bladder. 
c. Vas Deferens, through which 
the semen passes from the 
testicle, where it is formed, 
to the seminal vesicles, where 
it is matured. 
d, d. Openings of Ureters into 
the bladder. 
e. Prostate Gland. 
f. Orifices of excretory ducts. 
g. Openings of the seminal duct* 
h. Ischio-cavernous muscles. 
i. Bulb of Urethra divided. 
k. Cowpers Glands. 
I. Wide part of Urethra. 
m. Narrow part. 
n. Fossa Navicularis, usuallj 
affected in gonorrhoea. 
o p. Prepuce. 
from whence it issues with impetuosity i avi th* 
te in their operation the conduit of the wthra. fol 
g the package of the urine, or the seed OX SEXUAL DISEASES. 
21 
THE BLADDER AND KIDNEYS. 
The following diagram shows the bladder and its muscu 
ar .scats, and also its neck imbedded in the prostate gland 
(Fig. 19-) 
L The entire kidney.-2. Its cortical, or secreting part.-3. The 
papilla.-4. The pelvis-5. The ureter-6. The bladder-7. The 
detrusor muscle.-8. The sphincter muscle.-9. Prostate gland. 
-10. Neck of the bladder. 22 
The bladder is seen distended, and, of course, as detached 
from the body. The kidneys are also seen - one in its 
natural state, the other divided, to show its inner structure : 
the kidneys and their ureters are crossed to save space in 
the sketch. 
The bladder is an oval sack, and is the reservoir for the 
urine, which is secreted in the kidneys, and passes into the 
two latter ducts, called ureters, and from thence into the 
bladder. The bladder is shaped somewhat like a pear, but 
this shape is varied by its contents, and the relative condi- 
tion of its adjacent parts. Thus when the bladder is full, 
its upper part may be felt rising above the pubis, that por- 
tion of the lower part of the belly that is covered with hair. 
In very fat persons the bladder is flattened by the weight of 
the intestines, and obliged to find room where it can, as in 
pregnant women. Anatomists, when describing the bladder, 
speak of its body, base, or upper part, sides and neck, where 
the urethra, or water passage begins, and which is surround- 
ed by the prostate gland. These parts are seen in the en- 
graving on the preceding page. 
The bladder is composed of several coats. There is a pe- 
culiar membrane investing the important structures in the 
abdomen, called the peritoneum. The base and back part 
of the bladder is covered by a portion of this peritoneum, 
which in a measure supports the bladder in its position, and 
also exercises certain properties, which may hereafter be al- 
luded to, I have described all the parts connected with tlio 
organs of generation in the male, without a desire of making 
a display of anatomical knowledge. The muscles connect- 
ed with these organs having complicated names, I shall be 
excused in not giving them. Nor have I deemed it neces- 
eary in a popular work to give the binding and the insertions 
of the muscles, or of the names of the nerves and vessels 
that are distributed to the organs of generation, and the rea- 
son for my not doing so is, that I should only be understood 
by men versed in anatomy, of which I am not at all solicitous, 
but simply to be intelligible to the general reader. 
DISEASES OF THE URETHRA, OR URINARY 
PASSAGE. 
Gonorrhoea.-This disease was for many years supposed 
to be a local effect of that poison which, when communi 
A POPULAR TREATISE cated to the system, produces syphilis. It is true that the 
disease is received in the same" manner, and by the same 
organs, in cohabiting with an infected person, yet it is a dis- 
ease specifically different from syphilis, which is perfectly 
clear from the following facts. Its appearance did not com- 
mence till more than a hundred years after that of syphilis 
and it will continue for months without any syphilitic symp- 
toms showing themselves, putting at rest the old and erro- 
neous doctrine of their being one and the same disease, 
and that gonorrhoea can run into or assume a syphilitic form. 
The difference, then, between the two diseases is, that gonor- 
rhoea is a local, and syphilis a constitutional disease. 
Symptoms of Gonorrhoea,, or Clap.-A longer or shorter 
time after an impure connexion, as three, six, fifteen days, or 
moie, the patient experiences a sense of heat, or itching at 
the external orifice of the urethra, or urinary passage, which 
at first is more agreeable than painful, but which, in a day 
or two becomes intolerable, and especially in voiding urine. 
There is redness of the orifice of the water passage, which 
may extend along the whole of the tube to the bladder, so 
that the inflammation may be partial or general. The stream 
of urine is now observed to be changed in appearance, it is 
diminished in size, or forked, or the urine is passed in small 
quantities, and sometimes even in drops. A slight whitish 
or greenish discharge is now perceived to issue from the 
urethra, and there are strong painful erections of the penis 
at night, soon after the patient becomes warm in bed. 
About the third, fourth, or fifth day 
from the commencement, there may 
be pains in one or both groins, along 
one or both spermatic cords, in the 
testis, scrotum, and under this part, 
which are increased on evacuating 
the bladder or bowels. The discharge 
now becomes abundant, the urine is 
deeply stained, there is frequent de- 
sire to pass the urine, accompanied 
by severe burning pain, the stream 
of urine is more or less altered, the 
flans penis becomes extremely ten- 
er ana very red, the foreskin, or pre- 
puce, sometimes becomes swollen and 
tightened over the head of the penis, 
off sexual Diseases. 
23 24 
A POPULAR TREATISE 
from which it cannot be drawn back, constituting that form 
of disease known by the name of phymosis: tlie testicles 
are painful, there is pain and sense of weight in the peri 
neum, which prevents the sufferer from walking, and ren- 
ders him very grotesque. The erections of the penis are 
now almost constant, especially at night, and so painful that 
the organ may be curved from above downwards, constitut- 
ing the disease called chordee. The pain extends to the 
testicles, which become so sensitive as to be required to be 
supported with a suspensory bandage, or that the sufferer 
should repose on his back and support them with a hand- 
kerchief. Sometimes the prepuce, by disease, may be drawn 
around the neck of the penis, and in that state become so in- 
flamed as to resist any efforts to draw it over the glans, and 
from the swelling and tightened pressure on the penis, a 
kind of ligature is created ; and, unless immediately reme- 
died. the result will, as it has often done, prove disastrous. 
The circulation of the blood in the 
head of the penis is cut off, and il 
puts on a black appearance, and if 
the ligature be not removed or di- 
vided, mortification takes place, 
and the tip or nose of the penis 
sloughs off, or dies away. This 
state of prepuce is called paraphy- 
mosis. The accompanying dia- 
gram exhibits the foreskin in this 
state. 
Hernia humoralis, or swelled 
Testicles.-When the symptoms 
are intense, the pain is transferred 
from the urethra to one or both 
testicles, which may become ex- 
tremely painful, swollen, and in- 
flamed ; and in such cases the ure- 
thral discharge generally ceases, or is very much diminished. 
When one or both testicles are inflamed, they may suppu- 
rate or become disorganized, or permanently caloused, or 
hardened, and then lose their function of secreting, when in- 
curable impo! mey or sterility may be the result. 
The gonorr.uea poison is capable of producing a similar 
discharge from other parts to which it may be applied, par- 
tisvla/lv if that nart be a mucous membrane, such as the 
(Fig. 21.) ON SEXUAL DISEASE. 
25 
covering to the eyes, and m the nose, and it is often done 
through ignorance or carelessness on the part of the patient 
who is not aware of the serious consequences which maj 
result from applying the finger or towel to the eyes and nose 
Great pain and profuse discharge is sure to follow, and un 
less prompt measures are resorted to, the eyes will be surely 
destroyed. 
The disease is of course infectious 
and a patient may take it from using 
a water-closet that has been visited by 
an infectious person just before, and by 
any other means whereby the matter may 
be communicated, as well as by sexual 
intercourse. If the mucous covering 
of the glans penis is allowed to remain 
covered with the discharge, it will be- 
come excoriated, and chaps and warts 
will spring up speedily and plentifully, 
adhering to it as shown by the engrav- 
_____ ing. Cleanliness in those parts are, 
therefore, absolutely necessary, to escape these vexatious 
difficulties. 
Balanitis.-Men, who, from the structure of the penis, 
are often subjected to a troublesome itching and pain, fol- 
lowed by inflammation and patchy excoriation, differing from 
the disease which we have been describing, yet may tollow 
sexual intercourse, which we call balanitis. 
(Fig. 23.) 
TREATMENT OF GONORRHCEA, OR CLAP. 
In the treatment of this disease the patient should keep as 
quiet as possible, and make use of diluent drinks, antipnl'?- 
gistic regimen, cooling laxatives and topical applications. 
The remedies employed are of two kinds, and of very oppo- 
site characters; stimulant and sedative. Both, also, are 
used generally and locally; with a view of taking off the 
irritation indirectly, by exciting a new action; or directly 
by rendering the parts torpid to the existing action, and de- 
stroying the virulence of the disease, thus allowing it to die 
away of its own accord. I have often cured cases in forty- 
eight hours by local application, the patient suffering 
bo pain from its use, but this must be done at the ven irst 26 
A POPULAR TREATISE 
appearance of disease, before there is any redness at the on 
fiee, or pain in making water. The modus operandi of this 
remedy, is to destroy the virus at once, rendering it perfectly 
harmless and inutile. If there is a slight itching and a feel- 
ing of warmth imparted to the urethra, as the urine passes 
out, then the following solution is the most applicable, and 
may be used at once, but the greatest caution must be ob- 
served, or else it may prove highly injurious, and the dis- 
ease thereby protracted. Remember to use it once only 
(No. 1.) 
Argent. Nitric 8 grs. i 
Aq. Distill 1 oz. 
This will cause a severe inflammation for a few hours, the 
object of which is, to bring on an entire new action, which will 
destroy the disease and throw it off. It must be injected in 
the penis by means of a glass syringe, as a pewter one de- 
stroys the medicinal powers of the application. Should there 
be much heat or tenderness after employing the injection, a 
cooling lotion like the following may be applied frequently 
during the day: 
(No. 2.) 
Liq. Plumbi Sub. Acetatis, 1 drachm. 
Tinct. Opii i do. 
Aq. Distill 8 oz. 
As soon as the patient suspects or perceives the approach 
of Gonorrhoea, he must abstain from beer, ale, cider, wine, 
brandy, and all spirituous or fermented liquors ; also raw 
food, or such as has been preserved by salt, vinegar, or spice. 
Aperient medicines must oe taken, and cleanliness must be 
observed. The next day after using tire above injection, the 
patient may take a heaping teaspoonful of the following 
powder into half a teacup of water, three times a day before 
meals: • 
(No. 3.) 
Pip. Cubeb, rec. Pulv 2 oz. 
Potassi Bitartras, 1 " 
This powder should be continued for three days, at least, 
after all running has disappeared. It will be remembered, 
that only at the first stage of the disease, the above treat- * ON SEXUAL DISEASES. 
ment can be of any use, as a later period would only aggra- 
rate and protract the malady. 
In very painful cases a warm bath is highly beneficial, 
nd the following drink, if possible should be taken during 
he day: 
j (No.4.) , 
Fol. Malve,.. . - ..... 2 oz. t 
Rad. Althea. 
Sem. Cannabis, each 1 lb. 
Boil a tablespoonful with six cups of water, and use it as a 
r tea. 
As soon as all inflammation and pain has subsided (and 
not before) take the following to a druggist who will under- 
stand this, as well as the other prescriptions that yon may 
take him. 
(No. 5.) 
I. Bals. Copaib 
Syrup Tolu, . $ 
, " Papaverana, each 1 oz. 
Aq. Menth, Piperita!, 2 " 
Gum Arab, q. s. 
Aq. Flor. Aurant, ... 2 drachms. 
Dos b.-One tablespoonful three times a day before meals, shake 
It well each time before taking it. 
This I have found a very agreeable and useful preparation 
and in former years cured many thousand patients with it, 
and in the absence of the present remedies which I now em- 
ploy I would regard it as the very best extant. - If I 
could not get the article which I am now using in my prac- 
tice, a prescription of which I would have no object to send- 
ing to any of my patients, but it would do them no good, as 
I am not aware that any one imports it into the country but 
myself, and hence, druggists would not be likely to keep it) 
I would resort to it again. Still I will give my readers a lit- 
tle of the history of the virtues of the plant I am now using; 
which I compound in a form of a pill, and coat it over with 
sugar, so that it may be easily taken, and under all circum- 
stances. It is a mountainous plant, growing spontaneously, 
far in the interior of the Haiwaii Islands, but is also cultiva- 
ted on the plains near the sea. A medical friend writing to 
me from that far distant country says, " In regard to your en- 
27 28 
A POPULAR TREATISE 
quiries respecting the plant which you mention,! would say, 
if I were among the aged and thinking natives of our own 
place,* I should make some enquiries respecting the history 
and virtues which have been ascribed to it, as I cannot, I will 
state the general knowledge which I have gathered in the 
eighteen years I have been among this people. The plant 
belongs to the botanical class Piper, and the species is Piper 
Methzsticus. The root has no particular taste resembling 
the piper, and having never seen the fruit of the plant, I can 
not say whether, in taste, it has any resemblance to Piper 
Cubeb. The effect, as shown upon the natives, in excessive 
doses and long continued, is inflammation of the eyes. The 
effect when long used also, is to throw off the cuticle of the 
skin, a desqamation, winch! attributed to its powerful alter- 
ative properties, still I will not attempt to explain, it may 
be owing to other qualities, I think, however, it would be 
classed among alteratives. Its effect upon gonorrhoea is 
magic-particularly among Europeans. The natives use it 
so much for its intoxicating qualities, that I have not been 
quite so successful with them in its use, uncombined with 
tlie Copaiba balm, and so far as I am acquainted, all classes 
of natives prefer this medicine in the cure of gonorrhoea. I 
have used it successfully in recent cases of syphilis. It fails 
entirely, (often I know) to heal the old ulcers, which we 
have supposed to be of a syphilitic character. As a remedy 
for gonorrhoea, it deserves a thorough trial, for I believe in 
the hands of good physicians it will become a valuable re- 
medy." 
1 have tested the virtues of the plant for the last three 
years, and its success has been unparalleled. In addition 
to the prescription which I have furnished above, (No. 5,) I 
might add many more, but not as good. There are a grea* 
many quack remedies which were once very popular in the 
cure of this disease; such, for instance, as " Cherry's As- 
tringent Pills for Gleet," "Milk of Copaevei," "Dr. Potts's 
Eradicator," " French Specific, Crossman's or Cross's Spe- 
cific Mixture," " Chapman's Mixture," " Peruvian Mixture," 
"Jesuit's Drops," "Parisian Specific," Dr. Wray's " Unfor- 
tunate's Friend," the last, and bv far the most daugeroiit 
quack medicine is " Hunter's Red Drops." The j-ecipes of 
• Tba gentleman was absent from his home at the time. uX SEXUAL DISEASES. 
29 
any or all of them will be cheerfully furnished to any one 
on application by letter, " post paid," or otherwise. 
The complications attendant upon gonorrhcea are some- 
times vet ''oublesome, and require a little notice ; the first 
of which we _ 11 speak is sympathetic buboes, or enlarge- 
ment of the glanu. ' one or both groins. This disease is a 
common consequence . ' 'evere clap, but they are easily re- 
moved by confinement to bed or sofa, cold lotions leeches 
(Fig. 24.) 
and, when they become chronic, by iodine. They are of lit- 
tle consequence in either sex, when there is no chancre, 30 
A POPULAR TREATISE 
ulcers, or excoriations on the genitals. Buboes are often very 
obstinate in scrofulous subjects, and may require weeks or 
months for their removal. They are generally removed by 
cold lotions and iodine. I find great advantages from pres- 
sure made by means of a pad, &c. See diagram on the 
preceding page. 
। Phymons and Paraphymosis.- In case of phymosis, 
when the glans cannot be uncovered, the internal membrane 
of the prepuce becomes inflamed from the accumulation 
of the natural secretion, or from the acrid matter of chancres 
or urethritis, and an artificial opening may be caused by 
ulceration. In such case it may be necessary to subdue in- 
flammation, and divide the prepuce by incision in the man- 
ner shown by the following engraving: 
(Fig.S50 
This operation is also necessary in natural or congenital 
phymosis, when the flow of urine is impeded; as well a« in cases of adults, on account of the 
compression of the glans, during erec- 
tion, and the prevention of sexual 
commerce. (See fig. 26.) 
A gentleman aged twenty-five vears, 
a merchant at the west, while in New 
York, was attacked with paraphyrnosis 
accompanied by considerable swelling 
of the glans penis which was three 
times larger than the natural size, and 
the prepuce was also very much swol- 
len. He applied to an advertising 
empiric while there, who employed 
such long continued and severe pres- 
sure, as to cause fainting; but without 
reducing the parts to their natural 
situation. He left that city in the five 
o'clock boat for Albany, I was called to see him. An in- 
tense inflammation had supervened, and though I resorted to 
the usual means to arrest the progress of disease, slouching 
set in, and destroyed two inches of the penis within thirty- 
four hours from the time of the harsh treatment. The young 
man remained with me until he entirely recovered. 
The disease may be acute or chronic. In acute form the 
prepuce, which is distended with serum, ought to be punc- 
tured with a lancet, so as to reduce its size ; the penis should 
then be extended, pressure made on the swollen glans, be- 
tween the thumbs and fingers, so as to force the blood into 
the spongy tissue of the urethra, which supplies it, and when 
the glans are reduced to the ordinary size, or nearly so, the 
prepuce may be easily drawn over it. But when this cannot 
be done, the edge of the prepuce ought to be incised. Those 
who do not understand the anatomy of the part ought not to 
meddle with it. I knew the case of a young gentleman who 
was improperly treated, the enlargement became permanent^ 
and he was prevented from marrying on account of his im- 
potence, although he might have obtained a large fortune. 
Hernia Huma, alts Orchitis, Inflammation or Swell- 
ing of the Testicles,-The best treatment consists in con- 
finement to bed, or a sofa, cold lotions, repeated leeching, 
fomentation, and other reducing remedies. A suspensory 
bandage, or handkerchief so applied as to support the affected 
organ, and prevent its weight from stretching on the nerves 
ON SEXUAL DISEASES. 
31 
(ng. 26.) 32 
A POPULAR TREATISE 
that supply it, will, in general afford great relief. The testi- 
cle is liable to many diseases which destroy its function. I 
shall merely add here, that there may be atrophy, or wasting 
of the testicle, induced by gonorrhoea or external injury, of 
which I will speak hereafter. 
(Fig. 27.) 
Enlargement of 
the Epididymit 
and Spermatic 
cord. - This dis- 
ease often follows 
inflammation of the 
testicle, and may 
impede the trans- 
mission of the se- 
men in its proper 
receptacle. It may 
be cured by me- 
chanical support, 
and compression 
by means of adlie- 
sive straps, as 
shown in tne dia- 
gram. There is 
another trouble- 
some and painful 
accompaniment to 
clap, which pre- 
vents the patient 
from sleeping at 
night, called Chor. 
dee, (painful erec- 
tions,) to relieve 
which take: 
Lactuac, 
Camphor, each 3 drachms. 
For twenty pills. One pill four times a day. 
Balanitis.-T1 is, it will be remembered, is an excoriation 
of the glans penis and the lining of the prepuce, accomps ON SEXUAL DISEASES. 
33 
ni®d by a thick purulent discharge, unpleasant to the smell. 
Treatment.-Pass a small piece of Argent. Nit. over.the dis- 
eased surface, (which should previously be well dried with 
lint,) simply to whiten it, and, during the following dtyt 
keep a piece of dry lint constantly between the glans and 
the prepuce, washing the diseased parts with the following 
solution: 
(No. 7.) 
Liq. Plumbi. Sub. Acet ....... 1 <ir*chm. 
Aq. Distill .. - 8 ox. 
Wash three or four times a day ; or sprinkle the following 
powder on them: 
(No. 8.) 
Plumb. Subcarb. 
Pulv. Cinchoni. 
Acidi Tannia. 
For external application. 
Avoid taking too much exercise, and abstain from the use 
of stimulating drinks. If the foreskin swells so as to resist 
an effort to draw it back or forward, a surgeon should be 
consulted immediately, or all the consequences attending 
phymosis or paraphymosis, would be very sure to follow. 
Gleet.-When gonorrhoea is neglected or badly treated, 
it leaves as a sequel, a troublesome discharge of a thin 
watery character, without pain in passing urine, and which 
we call gleet. Persons affected with gleet ought not to 
marry until the disease is cured, or has entirely disappeared 
for some weeks. The usual method of treating this disease 
is by stimulating injections of nitrate of silver, eight grains 
to the ounce. Cubebs and balsam of copaiba and oil cubebs, 
bougies, cold sea-bathing, and local bathing of the genitals 
with salt water, blisters, &.c. But nothing has succeeded so 
well as my " extract of avaf it has cured obstinate gleets 
from one to twenty years standing, in truth, I may say 
it has never failed, when persevered in. 
Morbid irritability of the Urethra.-This annoying dif- 
ficulty often harrasses the patient after all discharges disap- 
pear. There is a constant tingling, partially a pleasurable 
sensation, drawing the attention perpetually to the urethra, 
or there is felt some particular heat or pain in the act of 
passing water. These feelings do not always indicate a ve- 
nereal affection ; they appear to depend upon local irritation. 34 
A POPULAR TREATISE 
perhaps induced by a morbid condition of tne urine. The 
treatment consists in temperate diet, moderately laxative 
medicines, and now and then local applications. It ought 
to be arrested at once by the proper treatment, or else it will 
end in gleet or stricture. My plan, which has never failed, 
is cauterising the parts with nitrate of silver, by means of 
Lailemand's instrument, (the "Porte Caustique,") it cure* 
in one or two applications. 
On Stricture of the Urethra.-Of all the diseases of the 
genito-urinary apparatus, that which is about to occupy otu 
attention is certainly the most frequent; and which may be 
followed by the most prompt and fatal accidents, when those 
who are attacked seek too late the assistance of art, or trust 
themselves to imprudent hands, and to physicians little 
skilled in the treatment of this affection. Stricture is a dis- 
ease of great prevalence and is the most frequent result of 
acute inflammation, arising from clap, masturbation or ex- 
ternal injury. When it arises from clap, it is the consequence 
of inattention in the perfect cure of the primary disease. In 
the first stage of the disease, it would be difficult even for 
the patient to suspect the existence of an incipient stricture ; 
but by degrees the stream of urine coming from the bladder, 
and finding a point of the canal which resists its passage, 
the invalid finds that the process of urinating engages more 
time than formerly. When, after one or several attacks of 
clap, especially when irritating injections have been em- 
ployed, a small whitish, but not abundant discharge, is ob- 
served to remain, which agglutinates the lip of the meatus, 
or orifice every morning, when small mucous filaments aro 
seen floating in the urine, an incipient stricture may be sus- 
pected. At this first period there has been produced hardly 
any change in the emission of the urine; the stream is al- 
most as large as before, and has no( appreciably diminished 
in volume. The patient, however, sometimes experiences a 
slight embarassment in the urethra; but they attribute it to 
any other cause; the discharge alone attracts their atten- 
tion. If the canal be explored with the sound or an ordi 
nary bougie, we can in many cases penetrate as far as the 
bladder, without meeting any obstacle, and without obtain- 
ing the prin of a stricture, which, however, exists on some 
point of the urethra. Thus an inflammation attacks the 
mucous membrane of the urethra, no matter from wl at cause, 
tl passe* into the chronic state, and one or several points of ON SEXUAL DISEASES. . 
35 
the membrane may become the seat of a very circumscribed 
engorgement, which, if it be not always followed by a well 
marked indentation, deprives the mucous tissues of its natu- 
ral extensibility, and if an examination could be made at thio 
point by laying open the urethra, as exhibited in Che follow- 
ing diagram: 
(Fig. 28.) 
A.-Signifying the urethra 
cut open. 
B.-The lacunae and the 
cut end of the bougie 
to show the continu- 
ation of the urethra. 
There wi.l be found upon the interior portion, small .whitish 
filiform lines, situated transversely, slightly, or not at all 
projecting to the eye, but which becomes so upcr passing 
the nail or a sound along the urethra, from behind forwards, 
and which are easily caught by the exploration. 
In the next stage of the stricture the membrane is more 
projecting than those which I nave mentioned; they are 
t'uicker than these last, and are the result of a very decided 
2* 36 
A POPULAR TREATIS1 
induration of the mucous membrane. These indurations 
appear sometimes to be formed by the cicatrice of an ulcera- 
tion. They often exhibit the appearance of a scar produced 
by a burn. The calibre of the canal is lessened, and there 
is an evident diminution of the stream of urine, and if there 
should be a moderate sized instrument introduced, it would 
meet with resistance, still by a little force it would yield, and 
pass the obstruction pretty easy. This is called a valvul&r 
or dilatable stricture. 
If the acute inflammation of the mucous membrane of the 
urethra extend to the subjacent tissues, and there pass also 
into the chronic state, induration, callosities, and nodes, may 
be there found in the point primarily affected. These 
strict) res, which rarely occur in persons who have never 
been subjected to cauterization, are much more frequent in 
those upon whom the caustic has been often and too deeply 
applied. In this case it is easy to conceive that, on account 
of the often repeated application of the nitrate of silver, 
causing the chronic inflammation, which existed in the mu- 
cous membrane, to pass to the acute state, the surrounding 
parts become engorged in a greater or less extent; and at a 
later period this engorgement produces indurations and 
nodes, which are felt by the finger through the canal. These 
strictures are often formed by cicatrices, either in conse- 
quence of wounds >r fistulae of'the urethra. This is what is 
termed callous, or permanent stricture. 
Somtu nes a very severe inflammation of the mucous 
membrane, will cause a great afflux of blood into the spongy 
tissue, and this state of turgescence, which is only temporary, 
will cause a spasmodic contraction of tire muscular fibres, 
which surrounds the portion of the urethra situated between 
the bulb and the prostate gland; they are particularly ob- 
served in nervous subjects during the course of an acute 
gonorrhi :a, ot after venereal excesses, and is called e^spas 
modic st -icture. 
Such are the four forms under which stricture are moat 
frecriently met with. It has been said that vegetations and 
fleshy excresences sometimes appear in the urethra, but very 
mrely. I know of only one case, and that was a woman 
who was admitted in one of the wards of a venereal hospital, 
which 1 was attending, who had a vegetation of several 
Unes in the interior of the urethra. 05 SEXUAL DISEASES. 
37 
A stricture is emphatically progressive in its witure, and 
in a person of temperate nabits will remain sometimes ten or 
fifteen years without passing from one stage into another, 
and twenty or thirty years may have elapsed before it is a 
fully developed case, that is, before it assumes the same 
form of callous or permanent stricture. And there is this 
peculiarity about the disease, that when it once begins, it 
goes on rapidly or slowly to its full development, unless the 
physician is called to arrest and put an end to it by judicious 
means, it will never wear itself out, unassisted by art. 
The causes of Stricture.-As I have remarked the causes 
of stricture are generally the effects of a chronic inflamma- 
tion of the mucous membrane, most often produced by one or 
several attacks of clap, and sometimes by the use of injec- 
tions, that is, the abuse of this remedy, as a means of cure. 
I believe from the opportunities which I have enjoyed for 
forming an opinion, that strictures are much more commonly 
occasioned by a long standing gonorrhoea, or gleet, than 
from a judicious employment of injections. These chronic 
discharges, which, consisting only of a few drops of mucus, 
harrass the unfortunate patients for months, and even years, 
to such a degree, as to cause a disregard for everything else, 
and to induce the most melancholy ideas. The discharge, 
it is true, is not contagious; if, however, an individual af 
fected by it, commit excesses with a female, even one in good 
health, it increases, and may very soon, in some cases, con- 
stitute a genuine clap, which may be communicated. I have 
seen cases which I believe to result from the improper man- 
ner in which they have been treated. A urethral discharge 
among the unprofessional, is too commonly regarded as a 
slight affection, and they scarcely give it a thought, unless 
the inflammatory symptoms, being somewhat severe, render 
ing it difficult and painful to walk, force them to keep their 
chamber. A little greater simplicity in diet is all they Im- 
pose upon themselves. Some, impatient to be relieved fro® 
a discharge which annoys them, resort to remedies, more 
or less energetic, which, if they do not suddenly arrest tha 
disease, only abate its progress; others, more indifferent, 
allow the mucous membrane to become habituated to a mor 
bid secretion, bv opposing no treatment to' the evil. Indi 
viduals in the higher ranks of society, impatient to return to 
their pleasures or their business, importune, before the pro- 
per time, too obliging physicians, who administer to them, 38 
A POPULAR TREATISE 
too early, medicines, which at a later stage, would have 
produced a good effect, but which, at a period w hen the dis 
ease is not sufficiently advanced, derange its progress, and 
induce it to pass into a chronic state, which the physician 
finds it very difficult to arrest, even if the patient at last con 
sents to submit entirely to his advice, and the stricture is 
sure to follow.* Contusions, and ruptures of the canal from 
injuries, will cause stricture. Masturbation, herpetic and 
rheumatismal affections, and excessive exercise on horse- 
back, are fruitful causes of this disease. 
Symptoms of Stricture.-The first symptoms which de- 
note the presence of a stricture, is some remarkable change 
in the stream of urine, which becomes smaller than natural 
twisted like a cork-screw, flattened or divided into two or 
three streams, as the annexed drawings display: 
(Fig. 29.) 
(Fig. 30.) 
The patient usually observes tnat he is obliged to make 
strong expulsive efforts in evacuating the bladder, and when 
he supposes he had accomplished this, he finds on his re- 
turning his penis into his dress, that a few drops of urine 
wet his linen. 
* It is well known that the ultimate tendency of inflammation of 
any kind, is to thicken or to indurate the organ cr tissue, which 
may happen to be the seat of it: and the specific inflammation of 
gonorrhoea has this tendency to a degree perhaps greater than any 
other. ON SEXUAL DISEASES. 
39 
And at other times it scatters over the person 
«Iodws? the patient not having the power to 
direct also js shown in the ac- 
companying drawing; H^may suffer but few 
other inconveniences, for months or years, but 
he finds his symptoms gradually on the in- 
crease ; that there is often a gleety discharge 
from the urethra, that the stream of urine be- 
comes smaller, that a longer time, and more 
straining are required to evacuate the bladder, 
and, at length that the urine only escapes drop 
by drop, accompanied by the most excruciat- 
ing agony, amounting to almost a total inability 
in passing his water. In the first severe attack 
he will doubtless apply to a physician who may suggest 
some sedative treatment, the warm bath, &c., which may for 
the time relieve him. The next attack which may succeed a 
debauch, or to follow a cold or a fatigue, does not so speedily 
-4®g.3 . 
(Fig. 32.\ 
A-The cut edges of the corpus sporgioMft, 
B-The urethra, 
C-The stricture. 40 
A POPULAR TREATISE 
yield to the former mode of treatment, and the urethra oft»» 
Dursts, the urine escapes into the cellular or ttle P®1* 
neum, excites inflammation, wryuiution and fistulous open- 
ings under the scrotum, through which the urine and semen 
are evacuated. When^the urethra bursts below the scro 
turn, the urine becomes infiltrated in the perineum, the 
part swells to a great degree, inflames, suppurates, or mor- 
tifies, and often destroys the patient, though a cure may be 
effected in such cases. Injuries are sometimes inflicted to 
the urethra by the careless introduction of the bougies, in 
making false openings. The mucous membrane has several 
openings, called lacuna, fctf the furnishing a particular 
fluid to moisten and lubricate the urinary tube : they are 
seen in the drawing on the preceding page, (fig. 32.) The 
white lines, or spaces are the lacuna, the other parts (letter 
C.) will give a view of the appearance of simple stricture. 
The following diagram is explanatory of the different forms 
of stricture. (See next page, fig. 42.) 
The dark marginal line denote the calibre of the urethra, 
and the inner lines the actual diameter of the obstructed 
passage. Figure 1 shows the stricture to be on the lower 
part of the urethra. Figure 2 the upper part. Figure 3 ex- 
hibits a stricture of some length, ana a somewhat contracted 
state of the whole canal. Figure 4 denotes a very common 
form of stricture, which resembles a flour-bag tied in the 
middle ; it is the least difficult to cure of any, because it sig- 
nifies that the seat of irritation is limited; but these cases 
are generally precursory to severer forme, if not promptly 
attended to. Figure 5 represents a stricture of considerable 
length, and of course very difficult of removal. 
There are many provocatives to stricture, and when once 
mischief is progressing, it makes up for its slow initiation by 
giant strides. A patient may have a trifling stricture for 
years without experiencing much inconvenience. He takes 
cold, fatigues hims*4f, commits some stomachic or other ex- 
cess, mav possibly have fever, all of which more or less 
disturb the gereral economy, alter the character of the 
urine, and in that manner doubly accelerate the disorgan- 
ization going on in the urethra. A small abscess may spring 
up in the urethra, or below it among the cellular membranes 
and integuments. In either case, it chances now and then 
to burst an opening, and create a communication externally 
with the urinary passage, constituting what is called .fistula. ON SEXUAL DISEASES. 
41 
(Fig. 42.) 
A person laboring under stricture is always liable to these 
occurrences. As much mischief is done oftentimes by mis- 
management as by neglect. The clumsy introduction of a 
bougie, or, in other instances, the unjustifiable introduction 
of one, is likely to, and very often does, lacerate the delicate 
and irritable membrane, and make a false passage. Figure 
6 exhibits an instance at Nos. 1 and 2; the jipper numerical 
shows a false passage made by a bougie, and an obliteration 
of the ordinary passage of the urethra, the result of inflam- 42 
A POPULAR TRRATISZ 
mation, constituting an impassable stricture; the lower 
figure exhibits a false opening, made, in the first instance, by 
a fruitless effort at passing an instrument, when inflamma- 
tion completed the process. No urine escaped from it of 
course, because communication was cut off from the bladder 
by the impassable stricture ; the outlet for the discharge of 
that fluid being through a sinuous opening, marked No. 2, 
the No. 3 denoting the closed end of the urethra. The case 
happened to a man in verv ill health who was prone to ul 
ceration, and he gradually sunk und^r exhaustion from de- 
bility and old age. Figure 7 exhibits a stricture where tlie . 
posterior part was enlarged by the constant pressure of the 
urine to escape through the narrowed part of the urethra; 
ulceration ensued, and a fistulous opening was the conse- 
quence ; the stricture was seated high up, and the fistulous 
canal was several inches long, terminating in the upper and 
posterior part of the thigh; the urine used to dribble through 
it, as well as through die urethra. The patient had been a 
sea-faring man; he was in exhausted health from hot cli- 
mates and intemperate living, and he died at last of con- 
sumption. I have the parts showing the stricture and tlie 
fistulous opening by me, in a state ofgood preservation. In 
Figure 8 is presented an illustration of extensive ulceration, 
producing two fistulous openings; the state of the urethra 
was only discovered after death, the patient having conceal- 
ed his infirmity for many years; he died suddenly from apo- 
plexy, being found dead in his bed by the people of the 
nouse where he lodged. Figure 9 portrays irregular and 
extensive ulceration. The patient died from syphilis, hav- 
ing gonorrhoea at the same time. I have the preparation. 
Figure 10 shows an impervious urethra, and a fistulous 
opening through which the urine flowed. The urinary pas- 
sage was blocked up within two inches from the orifice, and 
the length of the obstruction was perhaps a quarter of an 
inch. It was perforated successfully by the lanceted stilette, 
and the passage thereby rendered continuous ; the catheter 
was worn for several days, and the opening Soon healed 
after a slight application or two of nitric acid. Numerous 
other illustrations might have been given, but the preceding 
convey a passable notion of the simplest, and most confirm- 
ed, and most severe forms of the malady in Question. 
Strictures are aggravated by dissipation sud sexual inter 
course, and-Jay the foundation of fatal diseases of the pro#- Ute gland, neck of the bladder, bladder itself, ureters and 
kidneys, wnich render life almost intolerable. The emissions 
of semen will often happen involuntarily, and be attended 
.with agonizing pain, causing alternations of cold and heat, 
until fever become fairly established. The liver and its se- 
cretions become vitiated. The discharge from the urethra 
f reatly increased in quantity, showing the formation of, and 
ursting of abscesses of the prostate gland into it. 
| There is great derangement of the bowels, the abdominal 
muscles, and those of the anus are greatly relaxed, some- 
times costiveness, at other times a looseness or diarrhoea 
.will supervene inconsequence of the irritation of the bowels, 
caused by protrusion. 
| Great dejection of mind is attendant upon the patient in 
every stage of the malady, they not being aware how easily 
the majority of cases can be removed, too often abandon 
themselves to dissipation and ruin. There is a loss of sex- 
' ual desires, and powers of erection. There is more or less 
pain and weakness in the back, with darting pains through 
the bowels, inside of the thighs, down the legs to the feet, 
। which are alternately cold or hot. Perspires very easily, 
and troubled with night sweats. The bladder becomes ir- 
ritable, and there is a constant desire to urinate during all 
times of the day and night, with a constant itching and tick- 
. ling in the urinary passage, allowing the patient hardly a 
'moment's rest from his sufferings. The organs of digestion 
•are impaired, there is a loss of appetite, soreness of the sto- 
#iach ; depression of spirits ; wasting away of the testicle, 
land a diminution in the size of the generative organs, par- 
iticularly the penis, with a loss of erectile power, resulting in 
J a complete impotency. 
On the treatment of Stricture. - The treatment of thia 
[truly dangerous malady is one of the most delicate, and 
| often the most difficult operation in surgery, and when con- 
i' fided to inexperienced hands, may prove fatal to the sufferer. 
If early application to the physician who understands his 
business is made, the disease is easily remedied ; while, on 
the other hand, if neglected, its horrors accumulate, suffer- 
ing and death close the scene. There are two kinds of stric- 
ture we are chiefly called upon to treat, viz.: Spasmodic and 
Organic. The treatment of the first is the warm bath, ano- 
Mynes, and certain restrictions in diet. I often mal e use of 
.clyster of starch, tj three or four ounces of which I add » 
ON SEXUAL DISEASES. 
43 44 
A POPULAR TREATISE 
hall to one drachm of laudanum, I also giveopiitn internally. 
For cure of the latter 1 rely on dilitation by forced injection^ 
the nature of which 1 will explain hereafter. In order to 
comprehend the true nature of the case, it is essential to the 
success of the treatment that the patient be subjected to a 
course of critical examinations by means of the " sound," 
which is made of solid silver, properly curved. There are 
two methods of performing the operation : first, over the ab- 
domen; second, below the ab(L>ien, as may be seen in the 
following diagrams: 
(Fig. 43.) 
(Fig. 44.) 
When the canal is healthy, the sound passes with perfect 
ease. After ascertaining the existence of stricture, the nurt- 
ber and location of them, which I can very readily do by t/ie 
instrument I use, I advise the patient at once to submit to 
treatment, but it is not that kind usually resorted to by prac- 
titioners generally, viz.: the use of the bougie alone-par- 
ticularly where the urethra is very much contracted, for 
when it is attempted to be introduced into the urethral orifice, 
no matter how small an instrument may be used, it constant 
ly strikes the obstacles and is pushed back ; and if any effort 
be used, it bends it; by this means alone many physicians 
hope to obtain dilitation of the stricture at the end of a few ON SEXUAL DISEASES. 
45 
hoars, so as to allow the patient to urinate. This means, al- 
most always illusive, if not dangerous, may be applied in an 
hospital, where the patients are subjected almost without 
restriction to the will of the surgeon; but in private prac- 
tice it cannot be resorted to, except to teach the suflerers 
a little patience. So often have false passages been made 
in the urethra by the introduction of the bougie, in the at- 
tempt at dilitation, that I became convinced it was a danger- 
ous practice, in those very badly contracted cases, and 
abandoned it for the more simple and safer process, but 
little known and much less practised, in the profession. 
FORCED INJECTIONS. 
My confidence was inspired in the use of this means, by 
the certainty of its accomplishing immediate relief. In cases 
where the urethra is contracted so much as to prevent the 
introduction of the smallest bougie, I have always succeed- 
ed in introducing a liquid, which, by its fluidity, would in- 
linuate itself more easily tnan a solid body into the orifio* 
cf the stricture, and would never fail to relieve the retention 
wthout any kind of danger, by dilating and forcing back 
th* mucus, which, collected into a plug behind this orifice, 
intercepting the course of urine. Numerous successful 
cases daily prove to me,that "forced injections" in every 
case of complete retention of urine, especially from stricture 
constitutes a means as simple as it is easy and certain in its 
mole and application. The simple idea of introducing 
a fliid into an organ already distended with urine, might in 
duci some to fear an increase instead of a diminution of the 
evil, by employing the means above mentioned. But all 
fear on this score is idle, for the quantity of liquid injected 
is so inconsiderable, that it cannot become injurious, if we 
consder, that, upon removing the obstacle, it is immediately 
force! out of the canal by the column of urine for which it 
has iast made a passage. And my experience has proved 
by these means, the (billowing propositions to be established: 
1st. When the patient preserves all his strength, the injec- 
tions are sufficient to allow the entire evacuation of the 
urine contained in the bladder, without resorting to cathe 
tcrisrn and the introduction of the bougies. A POPULAR TREATISE 
46 
2d. In old men and feeble subjects, they relieve the firs/ 
symptoms of retention, and render catheterism and the in 
tro duction of the bougies more easy. 
3d. In the case in which a false passage has been made, 
they are always the surest means of re-opening its natural 
channel to the urine. 
4th. Whatever may be the cause of the retention, the in- 
jections are always useful, since in those cases in which 
they are not sufficient for the entire relief of the symptoms 
they always facilitate the introduction of instruments, and 
render it less painful to the patient. 
5th. Whenever the patient retains sufficient strength, they 
do away with the necessity of puncturing the bladder, an 
operation always very serious, and sometimes mortal. 
6th. Forced injections not only relieve the retention of 
urine, but they are often sufficient to prevent it in individuals 
who nave the canal too much contracted to admit the intro- 
duction of bougies. 
I cannot do better than to cite one of many similar cases 
which have fallen into my hands, to show the certain and 
efficacious means which I employ in relieving the unfortu 
nate individuals attacked with retention of urine, caused by 
stricture. 
M. R , aged about sixty years, suffered for more than 
twenty-five yeans from a difficulty of urinating, caused b» 
two Strictures in the canal, he had already been cauterized 
a great many times, and without success. At this period Mr. E- 
could only insert the smallest bougie which he was obliged 
to wear almost constantly to avoid a retention, and which 
distressed him very much, I immediately undertook to dila/e 
the canal by forced injections, which the patient often per- 
formed himself. He could thus very soon lay aside the use 
of the sounds and bougie, and at the end of two months be 
urinated with so much facility that he was unwilling to con- 
tinue any further treatment. When the urine, after any 
fatigue flowed less freely than usual, he employed an injec- 
tion, and was immediately relieved. 
The "Injection Bag and Tube," can be forwarded to tny 
part of the country with full and ample directions, so as to 
enable any one thus affected to use it with perfect freedom, 
and with perfect success upon themselves. All the neces- 
sary medicine accompanies the same. OK SEXUAL DISEASES. 
47 
Having disposed of my mode of treating stricture in the 
Jdest and worst forms, as far as my experience goes, I will 
mention in addition other methods which are employed, and 
may be used sometimes with benefit. The treatment by dili- 
tation is very ancient, it has been practiced from the sixteenth 
century. Bougies of lead, whalebone, catgut and wax have 
been successively used. The last mentioned were only 
wicks of cotton covered with this matter, and carefully rolled, 
so as to be well united. According as the art progressed, 
the inconveniences and slight advantages of these instru- 
ments were seen, and composition bougies, and those of 
gum elastic were invented. 
(Fig. 56.) 
The diagram here introduced represents the calibre of the 
•arious bougies in general use, and the observer will perceive, 
hat as they are made to accommodate themselves to tire 
tassage they have to pass, how varied must be the changes 
vhich the urethra undergoes. The last outline indicates the 
ratural and healthy bore of the urethra. 
Of the kind of bougies I prefer, is the gum elastic, because 
tley fatigue the patient much less than solid sounds of sil- 
icror any other inflexible •substance. The gum elastic bou- 
ges, such as I use, were invented by Bernard, a Parisian 48 
A POPULAR TREATISZ 
goldsmith. These instruments are composed of a texture of 
silk covered with a particular plaster, into which little or 
no caoutchouc enters, although their name appears to indi- 
cate that they are entirely formed of it, have but slowly ac • 
quired the degree of perfection at which they have arrived 
at present, and that suppleness which allows them to ac 
(Fig. 7L) 05 SEXUAL DISEASES. 
49 
eommodate themselves to the different curvatures 01 the 
canal, when the penis is in a state of relaxation. 
Catheters are instruments for the purposes of withdrawing 
the urine ; they are consequently hollow, and are made of 
the same materials as bougies ; but the most useful and to 
be depended upon are composed of silver. Surgeons, like 
other men, have their fancies : a catheter, when made of sil- 
ver, has very little flexibility; accordingly it must be shaped 
beforehand. Some medical men prefer them quite straight, 
others with an immense curve. A surgeon should possess 
many forms, as the direction of the urethra differs almost in 
all men. The preceding page exhibits not the size, but the 
shape of the more useful and those most generally used. 
Figures 1, 2, and 3, suffice in most instances, whereas 4 is ne- 
cessary in cases of enlargement of the prostate gland, which 
presses up the bladder, and renders the urethral passage 
consequently longer. 
The French employ not only variously curved instru 
ments, but variously shaped. In peculiar cases they are 
doubtlessly useful; but they require to be used only by per 
sons of skill and judgment. In the next three kinds are 
views of such ; they are called conical bougies-the first 
curved, the second straight. They are made of silver, waxen 
cloth, or India-rubber. The third exhibits a sound, employ 
ed to ascertain the seat of the stricture. 
I have already alluded to the improved method I employ 
on finding it necessary to use escharotics. I can not better 
explain the process than by submitting a sketch of the in- 
struments, whereby the mode of application will be instant- 
ly perceived. The instruments are made of silver. The 
figures represent No. 8 a curved, No. 9 a straightened, No. 10 
ditto, with enlarged head, which puts the areola of the stnc- 
ture on the stretch, and secures the central part for the ap- 
plication of the caustic, whatever substance may be em- 
ploved. 
The next kind of instruments are for the purposes of divid- 
ing or piercing hardened obstructions-one or two applica- 
tions creating a passage which a hundred cauterizing? 
would not effect. When any styptic is applied to a morbid 
growth, its tendency is to create a slough, or to destroy the 
part whereto it is applied. In some instances a styptic ac- 
tually promotes increased action : it may temporarily des 
troy the part; but the moment the effect is over, a reaction 50 
A POPULAR TREATISE 
follows, and the excrescence is increased. Such is the case 
in many long-standing, obstinate strictures; and their 
removal by perforation or division is rendered indispensable. 
The practice requires the most careful attention and anato- 
mical knowledge ; and no one-but a professional man would 
attempt its employment. 
No. 11 sketch exhibits a curved instrument, with the point- 
ed lancet projecting as when applied. No. 12 exhibits ditto, 
but with a differently formed instrument, consisting of two 
portions separated, so as to allow a director, in the form of a 
thin silver wire with a silver knob, to pass for the purpose of 
exploring the passage which the instrument is to follow and 
enlarge. It is indispensable in strictures seated upon the soft 
and deep parts, lest a false passage should be made. No. 13 
represents a straight instrument; No 14 ditto, but with the 
lancet in reserve-the last a perforator. , , 
The reader has now been made acquainted with the various 
resources the surgeon has at his command. A few words on 
their employment will complete the necessary amount of in- 
formation to render the one as wise as the other By way of 
recapitulation, the treatment of stricture is by dilatation, 
cauterization, and division. They are estimated in the or- 
der of their arrangement. By dilatation is meant the enlarg- 
ing of the urethral passage through the frequent introduction 
of bougies of graduated sizes. It is in operation unattended 
with any considerable pain ; its novelty sometimes renders a 
patient a little nervous, but a complaint is rarely made after 
a second or third introduction. Indeed, it is oftentimes court- 
ed more frequently than is desirable. The application also 
of caustic, or even the perforator, produces scarcely the least 
inconvenience. Hemorrhage, of most things to be dreaded, is 
less frequent, with cauterizing and cutting instruments (in 
skilful hands), than the incautous employment of blunt-point- 
ed bougies.-J Culverwell.} 
Diseases ofthe Testicle.-The testicle is liable to many 
diseases which destroy its function. Swellings of the testi- 
cle often result from gonorrhoeal irritation in the urethra, 
and when it arises from this cause alone it is owing to sym- 
pathy. The gout is known to produce a swelling of the 
testes of an inflammatory kind, injuries to the testicle pro- 
duce swellings, they are different from those arising from 
clap, being more permanent, having the disease or cause in 
the port itself. Cancers and the scrofula, produce swelling of the testes, but they are generally slow in the^ progress, 
and not at all similar to those arising from irritation of the 
urethra. Horseback riding and wearing tight clothes about 
the parts are another cause. I have known an enlargement 
or induration of one of the testicles caused by the practice 
of masturbation, the individual, while indulging in this hor- 
rid practice, would, at every friction strike the body of the 
testicle, which induced inflammation and thickening of the 
coats. The most common disease 
of the testicle, is an enlargement or 
preternatural dilatation of the veins 
constituting what is called a vari- 
cocele, which frequently causes 
great uneasiness and a wasting 
away of the testicle. It is attended 
with a severe weight in the scro- 
tum ; an unequal knotty swelling; 
and, if the disease affects the whole 
course of the spermatic veins, it 
feels like a bag of earth-worms, or 
a bundle of soft cords, excepting 
the uneasy sensations of weight in 
the scrotum, and a little tenderness 
when pressed, a recent case is pro- 
ductive of but little inconvenience, 
but as the disease advances, severe 
pain gradually comes on, sometimes extending up to the 
back and loins, down to the thigh. 
In advanced stages of the disease, or disorganization, the 
epididymis becomes detached from the body of the testicle, 
and is plainly distinguishable by the fingers. The result of 
all is, that a considerable diminution of sexual power takes 
place; and if means are not adopted to arrest a further 
break-up of the structure, the venereal appetite will subside 
altogether. The above drawing exhibits a tolerably faith- 
ful portrait of the disease ; it represents the varicocele to be 
on the left side-the side most usually affected. 
The folds formed by the veins lapping over each other are 
clearly distinguishable, and the dependent state of the scro- 
tum on the affected side exhibits very well the occasion ofit. 
The treatment consists in giving supoort by means of a sus- 
pensory bandage, which may be worn during the day, and 
the* use of local refrigerants night and morning. The 
ON SEXUAL DISEASES. 
51 
(Fig. 72.) 52 
A POPULAR TREATISE 
of health is sometimes mixed up with it; and tonics and 
fenerous diet are useful. The cold shower bath helps to 
race the system. It is a complaint in which, if it be not of 
very great severity, nor very long continuance, much good 
may be done. In some instances the veins may be allowed 
to empty themselves, which they will do when the body is 
in a recumbent position, and a coated ivory ring, or a silken 
band, may be so placed around them as shall prevent their 
refilling. It is, however, a case fitter for the surgeon's 
management. 
| Hydrocele, or dropsy of the scrotum.-Is an accumulation 
of a transparent fluid in tne tunica vaginalis, or surrounding 
sheath of the testes progressively enlarging, without pain ; 
another variety of the same complaint is, where the fluid is 
contained in the cellular membrane of the Scrotum. The 
ordinary causes of the first variety are not known with any 
degree of certainty. In the majority of cases, it seems to be 
unconnected with any particular state of the health or con- 
stitution. It has, however, been known to follow contu 
sions of the scrotum, though in almost all cases, no such 
cause can.be suspected. By some it is said to occur more 
frequently on the left than on the right side. There may be 
congenital cases of the disease also. The second variety 
takes easily the pressure of the finger, and is mos' ly an ac- 
companiment of general cellular dropsy, and prelude to it. 
The vaginal dropsy of the scrotum is the most common dis- 
ease, and is elastic to the touch. It sometimes takes place 
with great rapidity, but in general very slowly. Sometimes 
the' tunic is extremely distended, and the whole scrotum 
transparent, so that a candle may be seen through its con- 
tents. The unusual size forms a hindrance to sexual inter- 
course, from the integuments of the penis being involved 
therein, and thereby preventing a perfect erection of that 
organ. The two drawings in the next page exhibit the out- 
ward and inward appearance of the scrotum in hydrocele. 
Treatment.-In recent cases of hydrocele emetics have 
appeared peculiarly serviceable ; my principal reliance has 
been upon stimulating and astringent applications, in the 
form ot cataplasms or fomentations ; as vinegar, with or 
without a solution of muriate of ammonia. When there is 
much pain, leeches ought to be applied previously. If 1 do 
not succeed by this method, I open the sac with a lancet, 
Etui evacuate the water, still it may accumulate again, and ON SEXVAL DISEASEI. 
53 
(Fig. 73.) 
(Fig. 74.) 
The Scrotum largely dis- 
tended. 
The Scromm distended to its ut- 
most extent, and the position of the 
fluid shown. The penis is almost 
always more or less drawn up, and 
in severe cases it appears drawn up 
so as scarcely to be perceptible. 
need a repetition of the same operation three or four times a 
year. I have had one patient upon whom I have operated 
for a succession of years, once in three months. . 
The radical cure of Hydrocele.-By the term radical, wo 
mean a permanent cure of the disease, and the only way that 
this can be effected is by obliterating the cavity by e.rciting 
an inflammation in the vaginal tunic. This is effected by an 
injection of an irritating fluid, sucK as brandy, wine, or dilut- 
ed alcohol-and as a general thing is very successful-thio 
will, of course require the aid of the surgeon. 
The best way is at all times to attend early to any dis- 
eases of the testicles ; the progress is so rapid, the mischief 
oo great, and the consequences so deplorable, of uucoa 
trolled disease. 54 
A POPULAR TREATISE 
Abscess of the Testicle.-The testicle is liable to a suppu- 
rative inflammation, particularly" in persons of scrofulous 
temperament. It has often fallen to my lot to treat many 
cases of this character during my practice. There is no 
very severe pain attending the accumulation of matter, which 
may be years in generating, until it becomes ready to dis- 
charge itself at some given point, which may be readily de- 
tected by the fluctuation under the fingers, and should be 
immediately evacuated by the lancet: the discharge of mat- 
ter is usually dark and foetid, and while retained is very in- 
jurious to the patients health, inducing night sweats, acute 
pain, great emaciation, and a diminution of the sexual 
powers. 
Wasting away of the Testicles.-These organs are apt 
to decay. One of them will lessen in bulk, and in a gradual 
manner disappear entirely, or leave only a membranous 
substance in its place. Generally the other remains sound; 
but I have known instances of both becoming affected at the 
same time, and others where the one remained entire as long 
as any part of that which was first affected was perceptible, 
but where it also began to decay as soon as the other was 
entirely destroyed. This affection occurs at all periods of 
life, but most frequently after the fortieth year. Ln some 
instances no cause whatever can be assigned for it; but I 
have observed that it is most frequent in people of delicate 
constitutions, where the muscles are soft and relaxed, and 
the complexion wan and sallow. I have also found that 
those in whom it occurs, have, in almost every instance been 
in early life addicted to onanism, or self-pollution. In a few 
cases it has appeared as an evident consequence of swelled 
testicle. It is seldom attended with pain, the patient being 
in many instances ignorant of his loss, till one or both testes 
are nearly consumed, although there was an entire absence 
of sexual desires. Hitherto no certain remedy has been dis- 
covered for putting a stop to this complaint. Mercury, hem- 
lock, and electricity have been recommended and tried, but 
with no advantage. The only thing recommended which was 
apparently of any benefit, was the cold bath, but the disease 
would return again, and both testes dissolved. I have given 
much thought and attention to this subject before I could 
treat the cases satisfactorily. My first successful case was, 
wh^ie a patient had one of the testes consumed before he 
pereceired it, and the other became affected. I immediately ON SEXUAL DISEASES. 
55 
applied my remedies, and the wasting projesc was stopped 
ana never recurred again. The patient was about thirty-six 
years if age. His inclination and powers of propagation, 
he said, were as strong as before, and his wife bore him a 
healthy child. j 
| Prurigo genitalium,and Podicis.-Two varieties of e?np- 
tions that are often seated in the organs of generation, and 
the rectum, varying in character, intensity, and duration. 
These two species have been again subdivided, although 
they are but various degrees of inflammation, modified by 
idiosyncrasy and habit, arising from local or constitutional 
causes. It occurs on the penis and the scrotum of the male, 
and on the pudendum and the vagina in the female, and may 
in both cases spread to the anus or rectum. In men an ex- 
udation of a serous fluid takes place, and very slight papular 
ulcerations may be detected by the finger. The skin of the 
scrotum becomes brown and sometimes thickened; there is 
always an intolerable itching, and the patients scratch and 
tear themselves, in the vain attempt to obtain relief. When 
it occurs in females, it is still more distressing. It frequently 
excites onanism, voluptuous desires, and violent nympho 
mania. ' 
Herpes Preputialis in the male, and Labialis in the fe- 
male may be known by the appearance of one or more small 
groups of vesicles on either the external or .internal organs 
Of generation. It first appears in the form of several red 
spots or patches, more or less inflamed, rarely exceeding the 
size of a shilling, and generally much smaller; they follow 
the ordinary course of herpes, with the exception of the fluid 
being re-absorbed, the vesicles then break down, and incrus- 
tate, and terminate on the seventh or eighth day, frequently 
earlier. 
The last and most insatiate species is characterized by an 
itching of the skin, which, on inspection, appears of a suf- 
fused redness, and gives off, after a while, a number of thin 
scales : these re-accumulate, and the entire organs of gener- 
ation become sometimes covered with similar patches ; this 
is denominated Psoriasis. The causes which produce them 
are frequent excitation of the organs of generation, the con- 
tact of the fluids secreted during sexual intercourse, and un- 
healthy and relaxed condition of the genitals ; and lastly, 
a disordered state of the digestive organs. It is astonishing 
to what an extent these disorders prevail, and moie so to 56 
find how long the individuals, probably from a sense of 
diffidence in seeking professional assistance, endure them. I 
have encountered many patients who have informed me tha* 
they have had the complaint upon them from five to ten 
years, purposing during the whole of that period to consult 
some medical friend, but postponing it, until their interview 
with myself; and it is the more to be regretted, as the cure 
may always be effected in a week or two, with moderate at- 
tention and perseverance ; but if the attempt be neglected, 
there is no limiting the extent to which the disease may pro- 
ceed. Local diseases, especially of such a nature as those 
under consideration, cannot exist any great length of time 
without involving the digestive organs, which become sym 
pathetically deranged ; and, in like manner do local diseases 
participate with dyspeptic disturbances; each, therefore, 
goes on aggravating the other. 
Pediculi Pubis, or Crabs.-A species of insect which ap- 
pears about the hairy parts of the genital organs, (as exhibit- 
ed in the cut below,) and, indeed, extend all over the body 
A POPULAR TREATISI 
(Fig. 75.) 
A. The Pubis studded with these insect* 
B. The Crabs, or Pediculi Pubis, as they 
are called, about their natural size, as 
picked from the skin. 
particularly in those parts where the hair grows, such as 
under the arm-pits, chest, head, &c., if cleanliness be not 
observed. The itching they give rise to is very harrassing, 
and the patient, unable to withstand scratching, rubs ths 
part into sores, which in healing, exude little crusts that 
break off and bleed. My method in getting rid of these loath- 
some insects, is by using the warm bath, and applying to the 
parts where they are mostly found, the Ung Hudrargori, 
night and morning ; the application of this infallible remedy 
will destroy them effectually in three days. The batlis 
eught to be taken once a day. hm sKxnxr diseases. 
57 
Diseases of the Prostate Gland.-The inflammation of go 
norrhcea may extend from the urethra to the prostate gland, 
and cause disease of this part at any period of life, after pu 
berty. The gland becomes painful and swollen, and may 
bo strongly press the neck of the bladder as to impede or 
prevent the evacuation of that organ, situated at the point of 
junction of the genital and urinary apparatus, it becomes the 
seat of many serious diseases; such as acute inflammation, 
abscesses, chronic engorgement, and tumors, which are de- 
veloped on the portion of the gland situated below the neck 
of the bladder. 
Treatment.-This must be altogether anti-phlogistic. If 
the patient is of a full habit, he must be bled in the inflam- 
matory stage, and leeches applied to the perineum, and to 
the inferior face of the gland, by means of the speculum-ani. 
Emollient and narcotic injections, hip baths and diet, always 
produce good results. 
Diseases of the Bladder.-I have given in another part 
of this work the anatomy of the bladder, where I said that it 
was composed of several coats, which are liable to diseases 
peculiar to their several structures. The size of the organ 
differs in most persons, and the sexes. The female bladder 
is generally the largest. The proverbial ability of females 
to retain their urine longer than men is thus accounted for. 
Much mischief is often done by both sexes disobeying th' 
particular "calls of nature," to urinate; and the younger 
branches should have this fact impressed upon them. I have 
known children acquire a severe and obstinate form of irri- 
tability of the bladder by retaining their urine too long. 
Diseases of the bladder are induced from a variety of com- 
plaints. In gonorrhoea the bladder sometimes becomes af- 
fected almost on the first attack of the disease. The inflam- 
mation spreads so quickly along the urethra that the 
bladder is pained in the course of a few hours from the 
commencement of the discharge* It more frequently occurs, 
however, after the running has been of some duration, and 
for the most part can be traced as the consequence of much 
exposure to cold and dampness; of violent exertion in walk- 
ing or on horse-back, or as the effect of an injection thrown 
with too much violence into the upper part of the urethra. 
Irritability of the Bladder.-The patient from the first 
approach or this disease complains of much uneasiness, 
which at last terminates in severe pain over all the region of 58 
the ul adder, particularly about the neck of it, acconpanied 
with a frequent and painful desire to make water, and often 
with a tenesmus or Dearing down sensation. Thecauses 
which produce this disease may be owing to some general 
derangement in the system which alters the urine in its che- 
mical qualities, excites the bladder the moment it is secreted 
therein ; or it may be the result of nervous agitation, with or 
without any actual diseased state of the bladder. These 
causes must be understood to regulate the treatment, which, 
of course, must be qualified by the provocation, and which 
the patient, when in doubt, had better leave to the discrimi- 
nation of a physician. 
Inflammation of the Bladder.-The bladder is often irritat 
ed by the lodgment of a calculus in it, by viscid substances 
that pass into the circulation, and particularly by Spanish 
flies, ardent spirits, spirits of turpentine or balsams. Its ex- 
terior serous coats, its muscular coat, and its internal mu- 
cous membrane may all be affected, or may be affected se- 
parately. Inflammation of the bladder may be brought on by 
gonorrhoea, the inflammation of the lining of the urethra, ex 
tending to the mucous membrane of the bladder. If the low 
er part be chiefly affected, the pain will extend to, and take 
the course of the perineum. If the Seat be in the neck of 
the organ, there will be a retention of the urine with a con- 
stant urgency to evacuate; if in the fundus, the urine will 
flow drop by drop, and without ceasing ; the bladder will 
five a feeling of being constantly full; and the patient will 
e perpetually and fruitlessly striving to empty it. 
Treatment.-Repeated bleedings, aperients and relaxants, 
with copious emollient injections, suffered to remain in the 
rectum as long as possible form the chief part of the plan of 
cure. The warm hip bath is of essential service with the in- 
ternal use of diosma crenata, which relieves the bladder a 
great deal of its irritability. 
Incontinence of Urine.-An inability to retain the urine in 
the bladder is of three kinds; in the one the water continual- 
ly dribbles away without any inclination to void it, or any 
sensation of its being voided. In other instances, the patient 
can hold his urine in a certain degree ; but, the propensity to 
evacuate it comes on so frequently, suddenly, and irresisti- 
bly that he is compelled to discharge it. This kind occurs 
when the patient is asleep. The first depends on weakness 
or total paralysis of the muscles of the bladder; and the 
A POPULAR TREATISE ON SEXUAL DISEASES. 
59 
•econd is of a spasmodic nature, and commonly depends on 
some irritation operating on the bladder. The last case is 
that in which the urine is discharged involuntarily in ths 
night time, when the patient is asleep. The infirmity is 
mostly met with in young boys and girls, as well as in 
adults, and needs treatment according to circumstances and 
peculiarities of the case. 
Retention of Urine.-When the urine cannot be discharged 
the bladder generally becomes distended in an extraordinary 
degree. There is a strong and incessant desire to pass 
water, attended with a sensation of weight about the peri 
neum. As the difficulties increase, fever supervenes, breath 
ing becomes difficult, copious sweats break out, and if no 
relief be afforded, hicough, vomiting, delirium, and a neat 
approach of death. 
Paralysis of the Bladder.-In this case the passage of 
urine is open; but the bladder has not the power of con 
traction. In persons of advanced age the bladder becomes 
less sensible to the stimulus of the urine, and loses the 
power of contracting sufficiently to discharge the whole of 
its contents. The urine flows in a full but a weak stream, 
and towards the end of every evacuation, the water only comes 
away by drops. The quantity of urine expelled at a time, 
by degrees gets smaller, until a perfect retention occurs. 
This species of disorder is often imputable to a pernicious 
habit of not taking sufficient time to discharge the whole of 
the urine. The treatment of paralysis of the bladder and 
retention of urine must be instrusted to experienced hands ; 
it consists chiefly of purgatives, stimulative enemata up the 
rectum, the introduction of the catheter, the cold bath, rest, 
and general medicinal nervous excitants. 
Urinary Fistula of the Per inceum.-This kind of fistula 
particularly affects individuals in whom one or several stric 
tures exist, and who have for a long time been subject to 
frequent retentions of urine : they may also result from the 
improperly directed introduction of sounds or bougies, and 
from the application of caustic. The urine at each emission 
flows drop by drop through the fistulous passage, and wets 
the patient; gives out a characteristic odor. I have had 
many cases, a very interesting one of the number was a 
sailor about forty-five years of age, who had, since the age 
of twenty, several attacks of gonorrhoea, which were subject- 
ed to all kinds of treatment. His attention was first directed 60 
A POPULAR TREATISE 
to the commencement of his disease by a difficulty he expe- 
rienced in urinating, which daily increased until a complete 
retention resulted from it. At this period a hard and slightly 
painful tumoi formed in the inferior part of the right groin, 
extending toward the perineum, where it soon opened upon 
two points and thus formed a double fistula with a dou- 
ble orifice, which gave a passage to the urine. A few 
days afterwards, two other small tumors appeared, one at 
the inferior part of the symphysis pubis, immediately at the 
root of the penis, the other upon the same level, but a little 
to the right. These tumors opened like that of perineum, 
and formed each one a fistulous orifice when the patient 
urinated, but little urine passed through the urinary orifice, 
the liquid always entering into the fistula. I commenced 
treating this patient by giving him my alkaline tonic, and 
recommending a warm bath once a day. I used the " forced 
injections " until 1 succeeded in dilating the urethra suffi- 
cient to admit the smallest sized catheter into the bladder, 
by which means '! kept that organ empty, and thus allowing 
the fistulous openings a chance to heal, by the proper dress- 
ings. In less than a month of the four openings all healed 
but one alone, that which was situated to the right of tha 
penis, still afforded a passage to a few drops of urine, the 
others were cauterized. The skin of the penis and the scro- 
tum had returned to their normal state; the indurations 
which surrounded the fistula had diminished considerably. 
In about two months and a half the patient departed perfectly 
restored. 
Hermaturia, or Bloody Urine.-This is rarely, if ever, a 
primary disease, but is commonly symptomatic, arising from 
some external injury by blows, bruises, or a fall, by some 
violent exertion, as lifting a heavy weight, jumping, or hard 
riding ; or from a small stone lodged either in tlie kidney 
or the duct, for conveying the urine thence to the bladder, 
and which, by its irregularity in size, wounds or lacerates 
the surface of the part in which it is lodged, or through which 
it is passed. The voiding of bloody urine denotes danger, 
but it is particularly so, when mixed with purulent matter, 
as then it points out that there is ulceration in some part or 
the urinary passages. Nor is the danger less when it has 
been produced by wounds or bruises of the Kidneys. The 
treatment requires the nicest discrimination, principally de- 
mulcent drinks, stimulating and astringent diuretics. The OK SEXUAL DISEASES. 
61 
buchu leaves made into a decoction, and drank freely 
through the day, is a very excellent remedy. Also the 
marsh mallow, of which take three ounces, and put to it three 
quarts of water and boil down to one ; then add two ounces 
of gum arabic and half an ounce of pulverized nitre. Dose. 
-Ateacupful four or five times a day. These cases require 
the advice of the physician. 
Gravel.-This is a collection of sand or small particles of 
stone collected in some part of the body, in the kidneys, ure- 
ters, or the bladder. The symptoms which denote the pres- 
ence of gravel is the frequent and irresistible desire of voiding 
urine. There is a sense of weight or dull pain in the back, 
and an occasional irritation about the neck of the bladder, 
which now and then extends along the urethra. An attack 
of gravel is attended with a fixed pain in the loins, numb- 
ness of tjie thigh on the side affected, nausea and vomiting, 
and not unfrequently with a suppression of the urine. As 
the irritating matter removes from the kidneys down into the 
ureter, it sometimes produces such acute pain as to occasion 
faintings and convulsive fits. The symptoms often resem- 
ble those of inflammation* of the kidneys; but the deposition 
of reddish brown sand, or very fine powder of the same color 
in the urine on becoming cold, will demonstrate the differ- 
ence. When gravel has once formed in the pelvis of the 
(Fig. 76.) 
1. Corpus cavei* 
nosum. 
2. Bulb of urethra. 
3. Membranous 
portion of ditto. 
4. Prostate gland 
surrounding 
f urethra 
•5. Seminal vea!» 
f cles. 
6. The two vaaa 
deferentia. 
7. The ureters. 
8. The biadder. 62 
A POPULAR TREATISE 
kidneys, or elsewhere, it continues to increase by forming 
new layers on its surface of uric acid successively precipi- 
tated ; of which we may be convinced by cutting the con- 
cretions transversely, which enables us to perceive that they 
are almost entirely composed of concretive layers. 
Causes.-Our food and drink undoubtedly contain the 
agents which form gravel -and stone. There is sufficient 
quantity of sand, either in the native state, or combined with 
other substances, to produce or form calculous concretions. 
When die system is healthy these ingredients are carried off 
by the proper secretions of the system; but, when there is 
debility of any org an, especially the kidneys, they become 
incapable of expelling such sandy concretions, and conse- 
quently, they lodge in the kidneys, ureters, or bladder. In 
general these minute portions of gravel pass off without 
occasioning much disturbance or disease : but if there be an 
excess of uric or any other acid, a chemical union takes 
place, and these particles of stone are united or combined 
together, and there is a constant apposition, until they be- 
come considerably enlarged, or a stone is formed. This 
stone (or stones) may be deposited in the kidneys or ureters, 
and give rise to inflammation of those organs; or it may pass 
down into the bladder; and, if not discharged, constitute all 
tire symptoms of stone. 
Treatment.-In treating this disease, our object must be 
to expel the gravel from the system, which must be accom- 
plished by relaxing the parts which are the seat of the affec- 
tion, and, second, by administering medicines to promote the 
healthy action of the skin and kidneys; a fine auxiliary 
means to re-establish these secretions, is the wann bath, a 
perfect talisman in these affections. It is decidedly one of 
the most useful prophylactic measures we have. When 
there is an excess of acids or alkalines in the urine, our aim 
must be to neutralize the excess of either. The best means 
I have found in accomplishing this is by the use of a com- 
pound I make, composed of uva ursi, pareiva brava, achilae 
piiilefoliae, buchu leaf, carb, soda, &c., &c., which affords 
instant relief. I have treated many cases very successfully 
with it. 
On the following page we show a diagram of the locatet 
of the different organs m the human subject: ON SEXUAL DISEASES. 
63 
(Fig. 77.) 
1-1. The Lunge. 
2. The Stomadv 
3-3. The kidneys. 
4-4. The Ureters. 
5. The Bladder. 
An eruption on the Skin.-The use of Balsam Copaiba 
sometimes produces on the skin an eruption somewhat simi* 
lar to that of the measles, accompanied by great itching. 
Diet, the use of baths, diluent drinks, ana emollient ene- 
mata, causes this eruption to disappear promptly. 
SYPHILIS. 
In all countries into which syphilis has not been imported, 
there is no doubt but it has spontaneously appeared, its de 
velopment being owing to causes it would be interesting to 
discover. We daily see uncleanliness, the use of certain 
fermented drinks, and the too frequent repetition of coition, 
produce balanitis, urethritis, and ulcers about the genital 
parts. li these symptoms be aggravated in consequense of 64 
A POPULAR TREATISE 
want of cleanliness, by the collection of a matter rendered 
acrid by heat, and the usual secretions of the organs, by a 
stimulating regimen, and unusual excitement of the system, 
their intensity augments, and they soon become contagious. 
This, in my opinion, is the way that syphilitic symptoms 
first appeared, and then were spread. 
It would be useful to discover if the emigration of people 
has not contributed to engender syphilitic affections. I am 
almost induced to believe, that men coming from northern 
latitudes, have contracted the venereal by connection with 
women in hot climates, although the latter may have been 
free from disease. The sudden transition of Europeans to 
America, when the new world was discovered, the excesses 
committed by them with the women of the places where they 
landed, the change in their mode of living, and uncleanli- 
ness, are causes of the development of a disease which was 
unknown before in those places. The effect can be produced 
upon such men as abandon themselves too freely to the 
pleasures of love in countries where they are not yet accli 
mated. It can also be produced by too great excitement of 
the genital organs. Many moralists believe and insist, that 
it is a specific punishment sent for our physical transgres 
sions. Philosophically speaking, such it is, because the in- 
fringement of any natural law alwavs incurs a penalty 
However, if it be a manifestation of Divine displeasure, it 
is most unequally apportioned; for it generally happens to 
the least licentious, instead of the most depraved; the timid, 
scrupulous, and nervous man, contracting it on the first loose 
intercourse, whereas the man of the town revels almost with 
impunity; and, lastly, he who exercises the greatest caution 
and cleanliness escapes it altogether, although he may be 
most deserving of the infliction. In a state of timorous ex- 
cno^r*. weare more apt to catch the latent mischief. The 
careless, thougi.2s?« libertine, hardened against infection by 
indifference, free living, and probably strong health, often 
scot-free: and the co al and calculating pleasure 
hunter, who exercises un»o useful antagonistics to disease, 
namely, ablution and selection, comes off triumphant with 
still greater certainty. Starting upon the proposition, that 
nature's laws are unalterable, and believing that fever is 
and has been fever since the creation of the world; that a 
cut finger has healed by the first intention, or has fettered, 
and ever mqy do so-aach condition being modified by the ON SEXUAL DISEASES. 
65 
state of health of the party, and the nature of the wound ; 
that a broken limb was attended with the same consequences 
in the year 1 as it will be in the year 1900; and that dirti- 
ness generated itch, and does so still; I cannot reconcile 
myself to any other belief, but that any violation of the laws, 
whereupon sexual intercourse has been permitted, has been, 
is, and will be attended with corresponding results; and as 
such violations most likely exist where numbers co-herd to- 
gether, I consider syphilis to have been coeval with the ori- 
gin of mankind. The disease is much modified by climate, 
habits, and constitution; and, therefore, ensue the many 
modifications we see in America, and the other large por- 
tions of the globe. The proofs that can be adduced in favor 
of this hypothesis are interminable. 
The next question is, are gonorrhcea and syphilis identi- 
cal 1 Certainly not, any more than the very many modifica- 
tions of generative sores. It is absolutely, now-a-days, a 
difficult question to solve, whether this or that be syphilis ; 
so numerous and yet so closely in resemblance are the ul- 
cers that ensue after sexual cohabitation. The eye is not tc 
be trusted, because so different is real from spurious syphilis 
tnat the French surgeons decide the point by inoculating a 
nealthy portion of the body with the matter or discharge 
from what they suppose to be a syphilitic ulcer. If a cor- 
responding ulcer be produced, the disease is decided to be 
syphilis. If, on the other hand, no result follow, the patient 
is proclaimed free from that malady, and stated to be labor- 
ing under merely common local irritation. What is still 
more curious is tnis : a patient will have ulcers, which every 
medical man will pronounce, on beholding, to be chancres ; 
yet, upon this trial, the inoculation will not evince them to 
be so. A while after, supposing the chancres to tie healed, 
secondary or other symptoms will show themselves- sore 
throat, spotted skin, glandular enlargements, or painful joints, 
follow. The same consequences oftentimes ensue after go- 
norrhcea. The primary diseases can not be identical, be- 
tause the symptoms are vastly different, and the parts 
attacked are also unlike ; and yet there is this anomaly, 
that the after consequences frequently closely resemble each 
ether. 
Another surprising result from loose intercourse is, that 
one female will convey to this individual gonorrhcea, to au- 
jthcr syphilis ; a third will escape scatheless and a fourth 66 
will have a modifiable affection of both diseases. A satis- 
factory exposition of the why and wherefore such things 
should be, or are, is 1 fancy beyond the skill of pathologists. 
Il is enough to know that they happen ; and it is bettf r to 
use those means which past and daily experience furnishes 
to get rid of them, than to ponder and wonder in the vain 
endeavor to explore their origin. 
In giving an opinion that we have always been liable to 
fever, to cut fingers, and to syphilis, I am ready to admit 
that these several conditions depend upon the varied states 
of health of the parties. The fevers (ensuing upon the ill- 
ventilated places) of olden times, compared with those of the 
present day, differ in intensity and frequency, because the 
causes are neither so numerous nor severe. The cut finger 
of a drunkard, and one of otherwise feeble health, is more 
likely to fester, and even mortify, than should the accident 
befall a temperate and healthy individual; and the syphilis 
(or diseases stimulating it) at the present time is less severe 
than formerly, owing to greater attention being paid to per- 
sonal cleanliness, and tne simplicity and earliness of the 
treatment. 
A question worthy of inquiry is, why gonorrhoea and 
syphilis should be infectious? Contagion is a word that 
many medical men would expel from worldly usage, not be- 
lieving in its existence; that is to say, the extension of a 
fever or epidemic, for instance, is not traceable to the dis- 
ease seizing the individual, but to the peculiar aptitude of 
the party to become the recipient of it. Consumption is of 
the most extensive prevalence; but it only occurs in the 
delicate-those peculiarly formed, or rendered apt for it, 
from the circumstance of their lungs being hereditarily feebly 
constructed, or disordered through inflammation following a 
eoid, and which effects are traceable to an infraction of some 
of nature's laws. Sickly children owe their condition to 
then sickly parents, or to their physical mal-education, or 
some. atm . positive violation of nature's regulations ; and in 
like m-nner, where the fire rages or the wintl blows, the fee- 
blest and least protected become the earliest victims. Both 
gonorrhmn and Syphilis furnish a remarkably irritating puru- 
lem fluid, «hich, applied to delicate surfaces, produces cer- 
tain eflects. Experiments have not been made to multiply 
these eflects bevond those incurred by sexual freedom; and 
the one of inoculation by the French surgeons as quotea- 
A POPULAR TREATISE ON SEXUAL DISEASES. 
67 
but accident nag proved that the eye, for instance, puts on, 
after contact with the discharge of gononhcea, the same kind 
of inflammation as follows its contact in coition with the an- 
tagonist generative organs. 
The rectum has also been the seat of venereal affection ; 
and instances have been known of the mouth being also tha 
recipient of disease communicated by a deposition of th« 
poison. If there be such a thing as contagion, it certainly 
exists in the venereal disease ; for, although I admit it (the 
disease) may occur spontaneously, or be generated by half 
a dozen of each of the sexes herding and cohabiting togeth 
er, and neglecting the duties of cleanliness, or committing 
excesses, those very circumstances imply that the disease 
can be extended, notwithstanding a majority of the careful 
and hardy may escape, after a risk of the same. The fact 
of its contagious properties is not upset, because escape is 
owing to the non-susceptibility of the parties, and the cau- 
tion they exercise to prevent a lodgment of, or contact with 
the poisonous matter. 
John Hunter observes, that it is only the developed disease 
that is communicable, and for the propagation of venereal 
affections the poisonous secretion must be deposited. So 
confident was he of this, that he even permitted married men 
having gonorrhoea to cohabit with their wives, to save ap- 
pearances ; care being taken first to clear all the parts of 
any matter, by syringing the urethra, then making water, 
and, lastly, washing the glans. Such, however, is my be- 
lief of the rapidity of the formation of the secretion, that, aid- 
ed by the excitement of the generative act, the deposite cf 
same would necessarily take place with the seminal emis- 
sion, especially in persons of full temperament, and in the 
plenitude of tne sexual appetite, and thereby be liable to 
communicate the disbase. 
It is becoming a prevalent fashion to give new names to 
the several forms of venereal disease, such as substituting 
"urethritis," "blenorrhagia," &c., for gonorrheea; and even 
to syphilis are added "tertiary symptoms the names quo- 
ted being selected to express more symptoms than the old 
ones conveyed. I consider that this circumstance tends 
to support my opinion-the gonorrheea and syphilis are not 
identical, and that each, disease (the former being dis- 
tinguished by urethral discharges, and the latter bj ulcen 
and oth"r cutaneous disfigurements) has immmernbie vnrie 68 
A POPULAR TREATISE 
ties I hold them both to be but modifications ofir.flammation 
from a poisonous source, and its consequences common to 
the structures in which they respectively become seated, and 
differing in degree according to the severity of the attack.- 
Another proof in support of the last assertion is, I think, 
the time of the appearance of the particular disease. There 
is certainly a more usual time for clap to manifest itself, 
such as from the seventh to the ninth day; but it very often 
occurs within twenty-four hours after connexion, and syphilis 
sometimes as early ; and instances occur where weeks elapse 
before either of the forms shows itself. 
Briefly to recapitulate, I consider, then-1. That the gene- 
rative organs have ever been liable to disease from misuse ; 
that the disease is variable and modifiable by many circum 
stances, such as have been before stated-namely, climate, 
age, constitution,and cause. 2. That it is contagious ; mild 
cases usually producing mild consequences, but those de- 
pending much upon the treatment and health. 3. Newly- 
indisposed and severer cases, establishing a worse form of 
disease, alike modifiable by circumstances. I am not pre- 
pared to insist that the syphilis of the present time assumes 
the aspect it did with the ancients, any more than I would 
affirm that it will be the same centuries hence: but I con- 
tend that all abuses of sexual pleasures will be surely fol- 
lowed by sexual disturbances, and that the most likely form 
of ailment is marked either by discharges or ulceration; that 
these diseases are simple or complicated, and all are sepa- 
rate in themselves. There is no fixed order in which what 
are called secondary symptoms occur. It may more usually 
happen that a sore throat will follow the healing of a bubo, 
as swelled testicle is more commonly Subsequent to the oc- 
currence of a gonorrhoeal discharge : but in very many 
cases neither occur, or not in the succession stated. 'The 
anomalies in the disease I shall consider in describing the 
symptoms and treatment, when the reader will judge how 
far the view herein entertained, as to the origin and character 
of the disease, facilitates and simplifies its management and 
control. 
In conclusion of this part of our subject, I may state, that 
. believe the form and severity of any syphilitic disease de- 
pend more upon the state of health nd other aptitudes of 
the party receiving, than of the one e mmunicatmg the dis- 
»aw. ON SEXUAL DISEASES. 
Of the Character of the Syphilitic Poison.-"The vene- 
real poison is only known by the action which follows its 
application." It has been observed, that it is only commu- 
nicable by deposition; and that certain parts are essentially 
prone to its reception: these are the generative apparatus 
of both sexes. The poison is conveyed in the form of a pu- 
rulent fluid; that of gonorrhoea from inflamed vessels with 
corresponding morbid action; that of syphilis, also fiom a 
purulent fluid emanating from the surface of an ulcer. The 
disease prevails only in the human race ; it is impossible to 
transfer it to animals of a lower kind. John Hunter soaked 
lint in matter from a gonorrhoea and chancre, and introduced 
it into the vaginae of bitches and asses without producing any 
effect. Tho same experiment was tried by interposing the 
purulent matter within the prepuce of dogs and male asses, 
and also by'inoculation, but with no other effect titan that of 
producing a common sore. The venereal poison attacks the 
human body in two ways, locally and constitutionally ; the 
latter by absorption of the poison secreted by the patient 
himself. We can only suppose the local form of the disease 
to arise from absorption, and so altering the local action of 
parts as to produce specific results. The constitutional form 
is generally an after-occurrence, although instances are 
known where it has not been preceded by any apparent previ- 
ous form; albeit, no doubt such has existed without exciting 
observation. Gonorrhoea shows itself without abrasion of 
surface; but syphilis is marked by another action-an ul 
ceration of the solids whereon it is found. 
In Hunter's work on the Venereal Disease, there is an in- 
teresting chapter respecting the source of the gonorrhoeal 
secretion, in which it appears that it is produced from the 
vessels investing the mucous membrane of the urethra, by 
their becoming altered in their action; and that ulceration is 
seldom found within the urethra, and when so discovered is 
not from gonorrhoeal poison ; and that where ulceration oc- 
curs, it must be ascribable to an accession of inflammation of 
a distinct character. Both gonorrhoea and syphilis are con- 
ditions assumed by the human frame in self-defence, and 
processes set up to cure the previous one ; and unless the 
constitution be much impaired, the disease gets we'd. Such 
impediments, however, exist in the form of moral tnd social 
arrangements, occupation and variable health, that the end 
without assistance, is seldom accomplished. Gonorrhoea 
69 70 
A POPULAR TREATISE 
may cease of 'ts own accord ; but, according to the belief of 
Hunter, syphilis never; and certainly every day's experi- 
ence proves the fact. We see gonorrhoea cured by the most 
ignorant persons and by the most empyrical measures; but 
syphilis often defies the most skilful treatment. The first 
attack of venereal affections, especially gonorrhoea, is the 
most severe; from which it is presumed that a habit of re- 
conciliation takes place between the disease and the genera 
tive organs ; so that after a recurrence or two of the com- 
plaint, the same party may almost bid defiance to a new 
infection. Yet, if a man lose the habit obtained by frequent 
intercourse, through abstinence from venereal pleasures, he 
will be very likely to contract the disease even on the first 
re-essay, with the very same parties, who may preserve pre- 
cisely the same condition of health that formerly was inoctt- 
ous to him. Cases innumerable can be adduced in support 
of this statement. In the first part of this book, statements 
have been made, proving that the difference in the symptoms 
of gonorrhoea are almost endless. The same may be anti- 
cipated with regard to syphilis. 
SUBDIVISIONS OF SYPHILIS. 
Syphilis is another and a more violent form of the vene- 
real disease than gonorrhoea. All its effects and symptoms 
are divided into two conditions, primary and secondary; the 
former being those which arise either from the direct appli- 
cation of the virus or poison to the part where the ulceration 
first shows itself, or from the irritative and specific effects of 
the poison on the absorbent vessels and glands, as it is pas 
sing through them on its way to the circulation. 
Hence, among the first-the primary-may be classed the 
ulcer or chancre, which in almost every instance is situated 
on the parts of generation, and may or may not be followed 
by a swelling in the glands of the groin, constituting that 
form of the complaint called bubo. 
The secondary symptoms may be defined to be all those 
effects of the disease which take place subsequently to, atwl 
in consequence of, the absorption of the poison into the sys 
tem : comprising sore throat, cutaneous affections - noth 
eruptions and ulcers, pains in the bones and joii is, and 
swellings thereon, called nodes. ON SEXUAL DISEASES. 
71 
I will first consider the symptoms of primary syphilis- 
' chancre arid bubo. 
The coverings and linings of the body differ according to 
their situation. The former, the integuments become hard- 
ened by exposure and exercise, and preserve their velvety 
softness where protected by clothing, and where they are 
subject to less use-instance the hands, feet, face, and abdo- 
men. Certain functions are assigned to each. The cover- 
ing cf the feet takes on a homy hardness, and in like manner 
the hands of a laborei assume a glove-like protection. The 
abdomen, by being co istantly clothed, preserves its soft tex 
ture. The lining membranes of the body have also separate 
offices to perform - the serous and mucous, as they are 
called. The serous is a name given to those lining the 
cavities; the mucous, to those having outlets, from the 
glans penis being generally covered by the prepuce, the 
oarts in contact are called mucous. It differs, however, 
in sensitiveness, from the urethra. The entire covering 
also of the penis is of a very delicate and tender structure; 
and hence, also, from sexual intercourse, these parts become 
the chief seat of syphilis. Gonorrhoea confines its attacks 
to mucous membranes, or, in other words, secreting surfaces. 
In fact, the matter deposited on the common and exposed 
skin is harmless; so also, but to a less degree, is that of 
syphilis. Gonorrhoea is frequently seated on and around 
the glans, and the inner surface or the prepuce ; but more 
frequently, by a hundred-fold, within the urethra. The 
delicate surface, then, of the glans and prepuce, losing some 
of its sensitiveness by frequent exposure, and losing also the 
defence of the secretion which mucous membranes pour out, 
becomes accessible to an occurrence of syphilis-a disease 
that is leadily communicable, by inoculation, to almost any 
part of the body. To quote Hunter, he says, " It is an in- 
variable effect, that when any part of an animal is irritated 
to a certain degree, it inflames and forms matter, the inten- 
tion of which is to remove the irritating cause. This has 
been before stated ; tut is common only to secreting sur- 
faces ; when the same cause is applied to non-secreting sur- 
faces, ulceration is set up. This is not only the case in 
common irritation, but also in specific cases, as in syphilis, 
burns, Ate. 
It is somewhat lifi&cu't to «xplam hew a <han«re s<we is 
produced. Surmises are at our service, and tnose which are A POPULAR TREATISE 
72 
founded upon certain facts are the more likely to be true. 
For instance, a person receiving syphilis must contract it 
from another individual having it. The mere solitary act of 
coition will not spontaneously produce it, provided the party 
be clean, for that surely is not an excess; but having con- 
nexion with an infected one, and thereby exposing a 
healthy surface to a diseased one, becomes an infraction of 
one of nature's laws. Well, the patient contaminating the 
other must have a chancre, which giving off, by contact, its 
morbid secretion, produces a specific result, namely, a small 
pimple. 
In men, the disease is generally contracted upon the frae- 
num, glans penis, or prepuce, or upon the common skin of 
the body of the penis, but most frequently upon the interior. 
From the peculiar and alterable structure of the penis and 
its prepuce, the poison, unless well washed off, is apt to 
lodge in the folds thereof, and sooner or later it manifests its 
influence, which may occur in twenty-four hours, or may be 
withheld for months. Generally, however, seven or eight 
or nine days puts the patient out of suspense. The first 
symptoms consist in an itching, succeeded by a redness of 
the part, out of which is soon observed to spring up a small 
elevation or pimple. In connexions where haste, dispropor- 
tion of size, or much excitement or excess prevails, an abso- 
lute abrasion of the skin often takes place, and the parts 
where such occur are generally the everted portion of the 
prepuce, or the fraenum of the same. 
The accompanying drawings represent the extent of the 
redness and first appearance of the 
pimple. This diagram alludes to 
the irritation and excoriation around 
the fraenum, and (Fig. 79) to the first 
evidence of a chancre. 1 am describ- 
ing the most common form of chancre, 
such as is known in the profession as 
Mr. Hunter's cha'ncre. A percepti- 
ble hardness next ensues round the 
pimple, which becomes more elevated 
when it ulcerates, or, in other words, 
the head gets broken off, a little hol- 
low is left. The tumor (forsuch it maybe called) is gener 
Hly of a imited circumference, seldom exceeding the siz* 
(Fig. 78.) of a silver penny unless in advanced stages 
of the disease. When a chancre attacks 
the fraenum, and undermines it, as it were, 
the fraenum is often destroyed; and of 
course, with its destruction, departs its 
property of controlling or of directing the 
orifice of the urethra in urinating, or in the 
emission of the semen. 
The next drawing exhibits three ulcers : 
one on the prepuce, another under the frae- 
num, having eaten its way through, as 
marked by the black cross-line, and the 
*nird situated on the glans. 
When the pimple appears on the outside 
of the prepuce for instance, it assumes 
generally a larger form, and as the head 
is broken off, crust after crust rises up, 
until the process of ulceration has very 
far advanced, or the applications that are 
generally employed prevent its re-formaq 
tion. In the former instance, the crusts 
are attributable to evaporation of the dis- 
charge ; in the latter, their absence is 
already explained by the prevention of 
the same. There is such a thing as sympathy in eruptive 
disorders. In skin affections of the comers of the mouths 
of children, we often see the inflammation cross from corner 
to corner. The same is observable where the attacks com- 
prise the angle of an eye. So is it with the penis, a stnictui e 
equally as delicate; and accordingly the edges of the prepuce 
often put on a jagged appearance resembling chaps »n 
hands. 
Witness the accompanying wood 
cut. It portrays an ulcer some- 
what diffused on the prepuce, 
and the ragged edge of the 
same structure. The sketch just 
introduced was taken from a patient 
perhaps only a fortnight old with the 
disease. Being a rackety, dissipated 
voung man, and regardless of the 
treatment suggested a week's neglect 
produced the following alteration 
ON SEXUAL DISEASES. 
73 
(Fig. 79.) 
(Fig. 80.) 
(Fig. 81.) 74 
A POPULAR TREATISE 
A new ulcer sprung up, the old one increased in size, ard 
the entire edge of the prepuce became involved in the irri- 
tation. 
Phymosis and paraphymosis occur in syphilis as they do 
in gonorrhoea. Tlie treatment is the same in both. \\ arm 
soothing applications are indispensable; and occasionally, 
to prevent adherence between the glans and prepuce, the 
scalpel must be had recourse to. I have already expressed 
my conviction that the progress of the disease rests as much 
or more upon the condition of the party receiving it, than 
the specific property of the complaint. 
" If the inflammation spreads fast and considerably, it 
shows a constitution more disposed to inflammation than 
natural; if the pain is great, it snows a strong disposition to 
irritation. It also sometimes happens that they begin very 
early to form sloughs; when this is the case, they have a 
strong tendency to mortification. Bleeding is also a con- 
sequence owing to exposure of the ulcered corpus caverno- 
sum."-Hunter. 
The reader will recollect that it has been stated that 
chancres, like the many symptoms of gonorrhoea, differ in 
their characteristics. Quoting from authorities, and, as will 
be further illustrated, the following may be taken as the 
summary of the most prominent appearances :- 
The ordinary chancre is characterized by a hollow centre, 
a hard and ragged edge, a yellow surface, with a deposite 
of tenacious matter, and a red and inflammatory margin. 
There is also a hardness felt at its base on taking the part 
up between the fingers. This has already been shown; but 
as illustrations multiply, the possessor of this publication, ON SEXUAi. DISEASES. 
75 
especially if he be an invalid, will recog- 
nize the annexed. It exhibits the ordi - 
nary chancre on the inner part of the 
prepuce, the glans, and the orifice of the 
urethra-no unfrequent seat of chancre. 
Many ulcers assume a very indolent 
form, and remain quiescent for a long 
period. One patient I knew, who con- 
sulted me for rheumatism, and who dis- 
avowed ever having had syphilis. He 
took vapor baths, which assuaged the 
pain, but did not remove it. Accident discovered to me the 
existence of a sore on the penis, by observing the dressings 
of the same, carefully placed on the corner of the mantel- 
piece in the bath-room. The following was the appearance 
of the sores. He had endured them for 
nearly three months, nor had he per- 
ceived much alteration, either for better 
or worse. The disease was properly 
healed, and he soon got well. 
Another kind is one denominated the 
superficial, with raised edges. It is 
more frequently seated at the upper 
part of the prepuce, and creating a 
thickening of it, ending in phymosis, 
which lasts a long time after the cure 
of the ulcers. This kind of chancre is 
sometimes very obstinate, and con- 
tinues many weeks. The following illustration portrays it! 
presence near the edge of the corona 
glandis. 
There are two other kinds of sores 
called the phagedenic and sloughing 
ulcers and chancres. 
The phagedenic is a corroding ulcer 
without granulations. It is also des- 
titute of any surrounding induration, 
but frequently its circumference is of a 
livid red color. When the disease is 
injudiciously treated, the whole of ti e penis will be destroy- 
ed in a very short time. The absence of coloring detracts 
(Fig. 83.) 
(Fig.Bl) 
(Fig. 86.) 76 
A POPULAR. TREATISE 
from a faithful representation of the kind of sore just all uded 
to. The drawing is sketched from Mr. Skey's work on Sy 
philis. 
(Fig. 87.) 
•-The Ulcer. 
Another and more confirmed specimen from the same au- 
thority is presented. It represents the sloughing ulcer : 
(Fig. 88.) 
a-The ulcer on the pre- 
puce. 
J-The ulcer on the penis. 
1 have witnessed the sloughing, or, in other words, the 
loss of the entire top of the glans and prepuce, within six 
days. The subjoined (overleaf) drawing represents a tume- 
fied state of the penis, ulceration on the glans, surrounding 
the orifice of the urethra, phymosis of the prepuce, and ul- 
cers in different stages on the outside thereof. The sketch 
was taken from Wallace's work. Such are often met with. ON SEXVAL DISEASES. 
77 
Chancres, as before stated, 
often become irritable, spread 
rapidly, and slough, more 
particularly in persons of in- 
temperate and dissipated hab- 
its, or when the case has been 
improperly treated, and open- 
ings into the urethra are form- 
ed to a considerable extent, 
sometimes to the destruction 
of the glans or portion of the 
penis. The illustrative com- 
panion to this paragraph ex- 
hibits (Fig. 90) an ulcer that 
has wormed its way through 
the prepuce, as marked by 
the black line. Warts are 
often met with, as in gonorrhoea, and like those, will arise 
from simple local irritation, from the ac- 
cumulation of the natural secretions, or 
want of cleanliness. They are hard and 
soft, and require different treatment ac- 
cordingly, they are not contagious ; that 
is, they do not communicate a venereal 
affection, but they very readily produce 
a similar disease in parts tney come 
in contact with. The story is here 
well told bj the engraver's aid (see Fig. 
91.) It often happens that the ulcera- 
tion appears checked. A tumor (see 
Fig. 92) will form, and the surface look 
very red and angry-will even yield a 
moisture, and fi- 
nally disappear. 
I say finally, be- 
cause it frequent- 
ly proves very obstinate, end tree 
passes upon the patience and for- 
bearance almost to induce despair. 
It usually is very irritable, the itching 
being most troublesome. The illus- 
tration was taken from a patient whr 
had been an invalid several montha 
(Fig. 89.) 
(Fig. 90.) 
(fig. 91.) 78 
After a certain time, vary- 
ing in proportion to the viru- 
lence of the disease, the poi- 
son is conveyed bv numerous 
absorbents (which run from 
the penis) to the glands in 
the groin, one or more of 
which become inflamed and 
enlarged, producing that well 
known swelling, already al- 
luded to, called bubo. Ulcers, 
too, are sometimes situated 
within the urethra. 
A POPULAR TREATISE 
(Fig. 92.) 
OF BUBOES, 
Surgeons apply the word bubo to inflamed glands from 
syphilis, wherever they happen to be. The body abounds 
with absorbents, which are small delicate vessels that form 
a net-work over the entire surface, and exist also in every 
structure. Their purpose is to convey the nutriment to the 
circulation. They form stations, as it were, or points of as- 
semblage ; and these are generally situated in the angles of 
the body-the groin, the armpits, hams, neck, &c.-parts 
most protected from injury. When skin inflammation is 
present, to familiarize the meaning, the nearest glands sym- 
yathize and swell; as, for instance, who has escaped a swel- 
ling, at one time or other of his life, in the neck, throat, or 
armpits ? When a sore prevails on the penis, or a gonorrhoea 
exists, there most frequently ensues an enlargement of the 
glands of the groin. The result of that enlargement depends 
upon the nature of the inflammation. In gonorrn'ea it is 
merely temporary, not being sufficient to provoke suppura- 
tion, or the formation and discharge of matter, or very rarely 
so ; but in case of venereal ulcers, where the inflammation 
is so conveyed, the escape from such consequences is as 
seldom. 
The mode which nature adopts to transfer the poison is as 
inexplicable in its operation as the production of a swelled 
testicle. Buboes (herein meant,) then, are-or 1 should say a bubo is-a specific inflammation of the glands of the groin. 
It usually occurs un the same side of the body as the ulcer 
is situated ; but when the ulcer is seated on or under the 
fraenum, there seems to be no fixed rule which side shall 
have the honor. Another peculiarity is, that they more 
readily spring up from ulcers on the prepuce than on the 
elan, and are more attributable to ulcers than merely in- 
named surfaces. They do occur sometimes without either 
being apparent. To facilitate the clear understanding of 
what we are talking about, a drawing is presented of the :n« 
guinal glands, and the absorbents 
leading to and from it, which con- 
veys but an imperfect idea of the 
number of the absorbents; but it 
serves to show the nature of them, 
and their mode of communication. 
Glans become inflamed from other 
causes than syphilis ;• a scratch, a 
bruise, or any local irritation, will 
occasion an enlargement of the 
nearest set of glands, or at least one 
of them. Scrofula is a specific 
cause. As the venereal poison car- 
ries with it its morbid nature wherever it happens to be con- 
veyed, the glands become infected with it; and hence it is the 
more readily transferred to the system at large. Very fre- 
quently and fortunately the disease terminates in the 
glands ; that is to say, does not extend to the circulation at 
large. The time that intervenes after absorption has taken 
place, before bubo manifests itself, is as uncertain as that 
of chancre appearing after connexion; but generally the 
party is safe a fortnight after the entire disappearance of the 
chancre. Where it is otherwise, some trace of irritation on 
the glans or prepuce is discoverable upon close investiga- 
tion, or it will follow great fatigue, venereal excesses, &.c. 
If the disease extend to the constitution, it rarely affects 
yther glans than those p' imarily attacked; and hence it is 
rare that more than one 'land becomes inflamed. Having 
gizen the received notions of the cause, the symptoms should 
next be described. 
No person can be unaware of the approach of a bubo. 
There is seldom much advance of a swelling without pain, 
which latter may be said to attract tho patient s atteuwa to 
ON SEXUAL DISEASES. 
79 
(Fip. 93.) 80 
A POPULAR TREATISE 
the part, when a tumor, possibly the size only of a horse 
bean, is discovered. If the swelling Le venereal, it rapidly 
increases in size. It is at first moveable, but soon feels as 
though firmly fixed. There is next experienced inconve- 
nience in walking. If the disease proceed to suppuration 
a continued throbbing is felt in the part, which also swells, 
assumes a diffused redness, and at last an evident fluctua- 
tion is perceived. It may be ushered in with a shivering fit. 
The skin becomes thin and tender, and a conical point pro 
trades, which, unless punctured, bursts and emits its con 
tents. It is astonishing what immense destruction of parts 
takes place in large buboes. The theory how solids become 
converted into fluids; how muscle, fat, and cellular membrane, 
become absorbed, and a thick purulent secretion deposited, 
is fitter for a work addressed exclusively to medical men than 
to the public; and it therefore must suffice that such hap- 
pen, and few persons are ignorant of the fact; but the modut 
aperandi may at best be but the subject of conjecture. 
The artist's graver has here pencilled a faithful picture of 
the disease in question: 
(Fig. 94.) 
On the right side is represented a bubo that has broken, •! 
discharged its contents, and which is in a state of healing5 ON SEXUAL DISEASES. 
81 
on the left side abubo ready to burst; and, byway of econo- 
mising space, the left testicle is exhibited in a state of vari- 
cocele, by no means an unfrequent accompaniment to the 
previously narrated condition, but at the same time by no 
means a necessary attendant, it being a totally distinct affec- 
tion. Buboes present more varieties in their size, and duration 
and consequences, than they do on their initiation. Cases ia 
corroboration will be fonnd in their proper place. 
ON LUES VENEREA, OR SECONDARY SYMP- 
TOMS. 
Secondary symptoms are those changes which occur in 
consequence of the admission of the veilereal poison into 
the system, or common circulation at large. The introduc- 
tion to the disease of bubo explains the mode of inlet. Like 
gonorrhcea and primary syphilis, it is often a very compli- 
cated complaint. Secondary symptoms are admitted to oc- 
cur without being preceded by any primary form, as, for 
instance, by immediate absorption unattended with the irri- 
tation which accompanies chancre, or attendant upon bubo ; 
but where one secondary affection arises without the pri- 
mary, at least many hundred arise subsequent to it; and 
unless, in the latter instance, treatment, and vigilant too, is 
adopted, not one in a hundred escapes them. 
Lues venerea (a synonymous term with syphilis) is sup- 
posed to be imbibed from a very sensitive glans penis, a sim- 
ple abrasion of the skin of that organ, an ordinary ulcer, or 
it may be transferred by inoculation. The late John Hunter 
is certainly the most eminent authority-the vade mecum of 
professional men. In these matters he was a man of inde- 
fatigable perseverance and untiring observation. Few new 
lights have been thrown on syphilis since his time, except 
on the treatment, which has become wonderfully simplified. 
In thus again adverting to Mr. Hunter's name, it is chiefly 
to observe, that the basis of my own thoughts and practice 
has been built upon his writings ; and therefore, in being 
thus explicit in describiug syphilis and its multitudinous 
varieties, the reader is assured that what is here written is, 
at all events, well founded, and not compounded of the 
many new adventurising propositions of the day. Mr. Hun- 82 
ter considered that contamination took place about ine be- 
ginning of the local complaints ; that no person was safe 
from lues while tiie originar sore was present, and not nnder 
treatment; but that, if the seeds of the lues were not already 
implanted in the constitution, the consequences might be 
averted by treatment. Children are born infected with lues, 
whith they derive from their parents; for instance, a man 
laboring under secondary, or primary symptoms, cohabits 
with a healthy female, the female may escape both diseases, 
but the child may inherit them. 
Instances have been known of children so mfected, con- 
veying the disease to the wet nurse, to whose care they may 
be removed; and, like other' infectious disorders, the com- 
plaint may be diffused ad infinitum. 
Syphilis is divided into primary and secondary; but mo- 
dern pathologists add a third stage, called tertiary symp- 
toms. Hunter used to divide lues into two orders; the first 
was the most frequent form of the complaint, after chancre 
and bubo; the second, the remaining symptoms. The for- 
mer consisted of the affections of the skin, throat, nose, 
mouth, and tongue; the latter, the bonesand their coverings, 
called the periosteum and the fascite of muscles, as explain 
ed in the preliminary part of this publication. Lues does 
not always exhibit itself according to this arrangement; 
which circumstance explains that the occurrence is more 
owing to conditions of health, and peculiar tendencies of the 
structures involved to receive the contamination, than to any 
properties of the animal poison. 
He considers, also, that the development of the disease 
depends much upon the state of weather, and the care the 
patient may bestow upon himself; cold being a formidable 
predisposer to the extension of secondary symptoms, and 
that the parts least protected are generally the first to be- 
come diseased. Hence the throat usually exhibits a morbid 
action before the skin, furthermore, upon the cure of the more 
superficial parts of the body ; and, therefore, suddenly sus- 
pending treatment, the symptoms manifest thelnselve in the 
deeper seated. The deduction from this statement is, a ne- 
cessity for especial care in the clothing of the body and the 
continuance of the treatment some little while afterull exter 
Eal evidences of the complaint have disappeared. 
A POPULAR TREATISE ON SEXUAL DISEASES. 
83 
IMPORTANT FACTS 
THAT OUGHT TO BE READ BY EVERY ONE. 
Syjthils Occulta Larvata-Latent or Hidden Syphilis.- 
In cases of long duration the venereal virus may, as it were, 
essim ulate with the human system, and assume a milder 
character, that of a lurking poison, yet may even rest for a 
while, and cease in its operation, (latent syphilis.) There is 
no chronic disease whose form syphilis cannot assume, and 
hence the difficulty with most physicians of making a cor- 
rect diagnosis, and the obstinacy of disease under all the 
ordinary means of treatment. The cause which lies at the 
bottom, the root of the disease, is not detected, and conse- 
quently, the means are inappropriate. To trace the evil to 
its remote origin, two ways only remain open to us : First, 
to ascertain whether the patient had been venereally infected 
ten, fifteen, or even fifty years ago ; and whether, since 
that time, he has had a series of alternating diversified com- 
plaints, frequently intermixed with pauses of apparent health 
until the accession of the present malady. Secondly, by 
observing certain appearances which are only known to the 
practiced and experienced eye, which present themselves 
about the genital organs, the face, eyes, mouth, nose, skin, 
hair, nails, &c., &c., and thus we may learn that the most 
dissimilar and opposite chronic diseases may be nothing else 
than the effects and forms of a lurking syphilis. Paralysis, 
spasms, hypochondriasis, profluvia, and obstructions, hectic, 
dropsy, and a host of other maladies, all of which may be 
of a syphilitic nature. 
tsWe cannot be too much tpon our guard respecting latent 
syphilis, especially in certain ranks of society, and in large 
cities, commercial places, and great thoroughfares, where 
syphilis has become very prevalent. This often throws light 
on obstinate chronic diseases. On inquiry, whether the pa- 
tient has ever been infected, we shall often find that to have 
been the case; and from that period up to the time of in- 
quiry, ihere has existed a continuous chain of phenomena, 
hitherto unsuspected, of a venereal origin. 
These facts show the importance, in all endeavors to ar- 
rive at a correct diagnosis, of knowing what is the mode of 
life, the business, or employment of the patients. 84 
A POPULAR TREATISE 
Jt ai. >u.d be borne in mind, that persons may be afflicted 
wid.e the various forms of the syphilitic d sease without any 
fault of theirs. It may be hereditary, and thus be transmitted 
from father or mother, or both, to the seventh generation; 
thus the iniquity of parents is visited upon their children, 
and appears in every from which any disease can assume. 
We have seen whole families infected, and in no two of them 
were the external symptoms alike ; none of whom were con- 
scious of the nature or origin of the disease, excepting in 
some cases, one of the parents, from whom all the mischief 
originated. The disease may also be acquired by the appli- 
catior if the virus to any part covered with only a thin epi- 
dermis, as the lips, the membrane lining the nasal cavities, 
the eyelids, or conjunctiva, to a cut, wound, or sore, to any 
part chafed or abraded. The infection may be received by 
handling or washing venereal sores; from sponges or cloths 
anil second-hand clothing ; from the seat in the privy ; from 
food prepared by hands or fingers on whjch are venereal 
ulcers ; by a kiss ; and in cases of strong susceptibility, by a 
syphilitic breath loaded with the infection; and in various 
other ways. 
Can constitutional disease occur without a primary chan- 
cre ? I have remarked that the venereal virus may be absorb- 
ed where the skin is sound and entire. Hence Lues Venerea 
may take place where no external marks can be discovered 
upon the part to which the matter of infection was applied. 
It must be admitted that this is by no means a common oc- 
currence ; but I have met with it in such a number of well- 
marked instances, that I have no more doubt of the fact than 
that of any other that falls daily and clearly within our ob- 
servation. It has happened too, in almost all of these, that 
a bubo was one of the first symptoms of the disease. I have 
now upwards of three hundred cases recorded of secondary 
pox taking place where not a vestige could be traced either 
of previous gonorrhoea, chancre, or excoriation. Dr. La 
Croix guarantees a cure for life by the use of his medicines, 
from every possible form of syphilitic disease. 
SYMPTOMS OF THE FIRST STAGE OF LUES. 
Six weeks is the time usually allowed to elapse between 
primary and secondary symptoms; but it is not invariably 
the case, instances having occurred where the disease has 
embraced, and most severely, both stages in a fortnight, and ON SEXUAL DISEASES. 
85 
otl ers between which a much longer time has existed. 1 
have known an instance where it occurred two years after 
exposure, and without the primary symptoms preceding it. 
The first symptoms of lues consist either of a sore throat or 
a spotted skin. When the skin is the seat, a red spot, not 
unlike a flea-bite, is perceived ; the color soon dies into & 
brownish or copper-colored hue. Occasionally, at the out- 
set, a small pimple is observed, which breaks and scurfs ; 
the coppery-colored spot next feels rough, and a kind of 
scurf will exude that after a few days falls off to make way 
for more. The disease being more usually slow than rapid 
in its progress, weeks may be consumed before ulceration 
occurs, and merely a discoloration of the skin is seen in spots 
seldom exceeding the size of a sixpenny or fourpenny piece. 
Some of these spots will nearly disappear, leaving a faint 
scar, and new ones will spring up. The entire body may be 
covered with them, but usually those parts nearer the centre 
of circulation generally possess the most-such as the chest, 
neck, shoulders, arms, wrists, hands, and head. As the dis- 
ease progresses, the scurf on the spots accumulates, falls 
off, re-forms, getting thicker each time, when upon being 
detached, for they cling now more closely, a sore and moist 
state of the skin is observable. This may be covered with a 
new crust, or may at once proceed to suppuration. 
When an ulcer is form- 
id, it will sometimes 
spread rapidy, and em- 
brace a patch the size of 
a crown-piece, when the 
process of ulceration will 
assume the vigor of dis- 
ease. 
The accompanying 
sketch portrays, perhaps, 
more the seat of the dis- 
ease when attacking the 
upper part of the body, 
than the appearance. Ln 
order to give a true por- 
traiture we have copied 
one from life and colored 
t, as may be seen from the 
(Fig. 95.) 86 
A POPULAR TREATISE 
lithograph on the opposite page. The eruption .s smaller 
on the face, and less vicious, generally than on the body; 
but it proves most unsightly, and indicates great advance- 
ment of the disease. The legs (see Fig. 96,) and those parts 
of tho skin least vascular, assume a mottled appearance re- 
sembling recent bruises; at other times, clusters of spots 
like grapes hanging together. 
(Fig. 96.) 
The sho Iders, arms anti 
wrists, also present a somewhat 
(Fig. 97.) 
similar appearance; though 
perhaps not to the same extent, 
owing to being more warmly 
clad, and less m exercise, tua» 
the lower extremity. When the disease extends 
to the hands, it is marked 
by exfoliations of the palm, 
with occasional deep cracks 
that cause.mueh pain. Nor 
are the fingersand nailsex- 
e.npt from this encroaching 
malady, which, during its 
occupation, shows itself by 
a redness under the nail, 
that at last ends in the de- 
struction of the nail. 
The head, also, is a fre- 
quent seat of the disorder. 
It is generally discovered by 
running the hands through 
the hair, when a little crust 
will be detected by the fin- 
gers, or a slight itching will 
show its position, or the 
brush may break it off. The top and hind parts of the head 
are generally the situations selected. Occasionally the hail 
will fall off leaving spots of a 
smooth baldness. 
The vital organs, fortunately, 
are never subject to syphilitic in 
flamination-such as the brain, 
the viscera of the chest, and abdo- 
men ; nor is even the mucous 
membrane of the interior of the 
body affected, its power being 
confined solely to tnose parts or 
structures subject to the influence 
of external causes. 
When the venereal virus attacks 
the throat or palate, the mem- 
brane of the roof of the mouth 
becomes red and inflamed, patches 
ulcerate, and, if not cured, sooner 
ar Inter expose the bony palate, which may be felt by the 
probe. This is the first stage. The exposed bone next ex- 
tbliutes, and a commun'eation is thereby formed between the 
ON SEXUAL DISEASES. 
(Fig. S8.) 
87 
(Kg. 93.) 88 
JL POPULAR TREATISI 
mouth and nose, the fluids re- 
turn through it, the voice is 
changed into a nasal twang, 
and a most offensive discharge 
is secreted. 
This drawing represents ul- 
ceration of the tonsils, uvula, 
and arch of the palate ; also the 
edges of the tongue. The draw- 
ing, (fig. 101,) shows the under 
surface of the tongue, the inner 
part of the lower lip. and the 
lower gums affected with vene- 
real ulcers. 
When the tonsils are attack- 
ed, ulcers appear, precisely 
similar in character to chan- 
cres, hollow in the centre, with 
raised ragged edges, yellow on the surface, with a livid colcr 
on the surrounding margin. A sense of dryness is perceived, 
extending up the eustachian tube to the ear. Sometimes 
the tongue, gums, and inner part of the lips, are attacked 
(see accompanying represen- 
tation.) In the progress of the 
disease, the pharynx, or top of 
the gullet, is brought under its 
influence, and the ulceration 
spreads through it to the ver- 
tebrte or back-bone. Extend- 
ing its course, it next attacks 
the larynx, or top of the wind- 
pipe, when, if not arrested, it 
will soon destroy life. Attend- 
ing this affection of the larynx, 
there is always loss of voice- 
the patient speaks in a low 
whisper. It is more fatal than 
any other form ofthe venereal 
disease. 
The mucous membrane of the nose stands next in order 
as subject to the influence of syphilis, The patient's atten 
tion is first directed to it by an incrustation which forms in 
(Fig. 100.) 
(Fig. 101.) ON SEXUAL DISEASES. 
89 
the nostril. On this being removed, a quantity of blood, 
mixed with purulent matter, is discharged. In two or three 
days, similar incrustations are formed, and under them ul- 
ceration takes place, which frequently lays bare the bone, 
and occasions it to exfoliate ; and this exfoliating often con- 
tinues after the venereal action has ceased. The number of 
bones which come away is often very considerable, and hor 
rible deformity is the result. 
The periosteum and bones become in their turn affected 
by swellings called nodes-the periosteum first, and the 
bones subsequently. Of these, the cylindrical, being most 
exposed to vicissitudes of temperature, are commonly the 
first attacked. Those which are much covered by muscle 
are rarely affected, as for instance, the back part of the tibia, 
or large bone of the leg, while nothing is more common than 
to see nodes on its anterior part, which is only covered with 
skin and periosteum. They occur on the 
fibula only when it is slightly covered, and 
only on the ulna, or elbow bone, when sim- 
ilarly circumstanced. Nodes on the os hu- 
meri, or shoulder-bone, except on the outer 
side, are of very rare occurrence, but are fre- 
quently found on the clavicle, or collar-bone, 
at its scapular and sternal articulations. 
In the accompanying wood-cut is an illus- 
tration of the most frequent situation of nodes 
on the fore-part of the tibia, or chief bone of 
the leg. The swelling is considerable; the 
upper one proceeding to suppuration, and the 
lower indicating merely a tumefaction of the 
lower part of the bone, near the instep. 
The symptoms which mark the disease are 
as follow : The patient experiences in the 
evening a sensation of pain in the bone which 
is afterward in the seat of the node. In the 
course of a few days, a swelling appears in 
the evening, which disappears again on the 
following morning. It is excessively painful 
and tender at night, but in the morning it is 
hardly perceptible, and the tenderness is al- 
most gone. At this particular period the pe- 
riosteum is only affected; but when the in- 
flammation nas continued some time longer 
(Fig. 102. 90 
the bone is diseased and becomes enlarged. Tie rationale 
is this : An inflammation of the periosteum ensues. In a 
short time a deposite takes place between it and the surface 
of the bone. This deposite, in the first instance, is only a 
serous fluid, but a cartilaginous substance is soon secreted, 
which is gradually converted into bone. 
When atttended to early, their treatment is very simple < 
but occasionally cases of considerable difficulty will arise. 
Large quantities of fluid will be found fluctuating betweea 
the periosteum and the bone, which, when unaccompanied 
by redness and inflammation of the skin, may be absorbed 
by proper treatment, but which more usually is only curable 
by evacuation ; and, unless great care be used, exfoliation 
of the bone will ensue to a very great, and sometimes fatal 
extent. The evebrows, forehead, and temples, are often 
the seat of fluid tumors varying from the size of peas and 
beans. Their cu-e must be effected by absorption or de- 
struction of the bone is often produced. 
The flat bones are also subject to syphilis. The one most 
commonly attacked is the os frontis, the symptoms being 
just the same as those on the skin. The side bones of the 
head now and then are affected ; the os occipitis, or back- 
bone of the head, very rarely ; and the os temporis, or tem- 
poral bone, being well covered with muscles, and exposed to 
very little change of temperature, is never affected. 
The os frontis, being the most exposed, is the most fre- 
quently attacked. Suppuration sometimes takes place; 
and when this has occurred on the front, it has happened 
that the same suppurative process has occurred interiorly be- 
tween the dura mater, or the external membrane of the 
brain, and the internal surface of the botie. The matter 
presses upon the brain, and death is the consequence, if the 
pressure be not removed by the use of the trephine or tre- 
panning instrument. This is a degree of severity to which 
the disease rarely reaches now-a-days, from the more exten- 
ded knowledge and iinproved treatment of modern times. 
It must be observed generally, of both these diseases- 
that of the throat and nose, and this of the bones-that they 
are oftener the result of improper treatment, such as the ex 
eessive use of mercury, and exposure to great vicissitudes o( 
weather while under its influence, inducing what is called 
the mercurial disease, (which in fact is, or was, of more fre- 
quent occurrence than the constitutional svphifilic one,) than 
A POPULAR TREATISE OS SEXUAL DISEASES. 
the result of the natural tendency of the disease id m other- 
wise healthy individual. 
Secondary symptoms.-Secondary symptoms usually ap 
pear from the sixth to the sixteenth week, but are not un 
frequently protracted beyond that period; they are common 
ly ushered in with fever-a general sense of being ill-a 
quickened pulse, headache, loss of appetite, pains in various 
parts of the body, and restlessness at night; in short, there 
is disturbance of all the vital functions, until it is determined 
which structures are to be the retreat of the common enemy 
Some authors assign the skin and throat as more liable to 
attack than others; but I think the distinction dependant 
mainly upon the natural or morbid idiosyncrasy of the in 
valid. 
Syphilitic Eruptions.-The cutaneous eruptions of syph- 
ilis present considerable varieties, assuming a scaly, papu 
lar, tubercular or pustular appearance. Formerly it was 
the opinion that no eruption was venereal, unless character- 
ized by a scurfy exfoliation, and teinted of a copper color. 
This test is not now relied on. In the simpler forms we find 
that the skin becomes mottled at first, which appearance 
may partially die away and re-appear, deeper in color, and 
the spots become more numerous in extent. The patient 
should be apprized that, when tire disease has progressed 
thus far, it is not in its nature to depart unbidden ; but it 
advances usually from bad to worse. 
The mottled dots enlarge, exfoliate, or scurf, or desque- 
mate, as it is called, leaving the subjacent circle thicker 
and thicker, and of the same color as the cuticle which peels 
off! In the ordinary uninterrupted progression, scabs form, 
suppurate, and constitute an ulcer, like a chancre, which 
ulcer assumes all the varieties of chancre. In other cases, 
the eruption, instead of being scaly, " has a raised surface, 
from wnich a whitish matter usually oozes." 
The scaly copper-colored eruption, tlenominated, accord- 
ing to its severity and appearance, syphilitic lepra psoriasis, 
is regarded as most characteristic oi true syphilis, and is the 
most frequent. The following is a drawing'; (Fig. 103,) 
copied from nature ; its pattern is frequently to be met with. 
A celebrated writer, Mr. Carmichael, attaches considerable 
importance to the character and appearance of the eruptions. 
He divides the venerea. lls°ase into four species or varieties t 
91 92 
A POPULAR TREATISE 
1st, the scaly venereal disease, which he considers con 
sequent upon the ordinary chancre. 2d, the papular, con- 
sequent upon gonorrhoeal ulceration; 3d, the tubercular; 
and 4th, the pustular, he names from its appearance. 
Treatment of Syphilis.-A vast number of remedies have 
Been extolleft for their great curative powers in the treat- 
ment of this disease. Every physician has his own method 
of treating it. Some place entire confidence in corrosive OW SEXUAL DISEASES. 
93 
sublimate, others in mercurial friction; some 'ecommend 
gold, others reject all compound, while others again tire out 
their patients with them. Opium has many partizans; iodine 
also; antimony still enjoys the favor of many; sudorifics 
are used by almost all. But mercury is their " sheet an- 
chor," and when that fails them, they are at a loss what to 
do next. That they cure with it occasionally we will not 
pretend to deny; but they are not always successful, and 
the cures effected are far from compensating for the frequent 
failures and distressing consequences, which they experience 
but of which they never speak. These cures, indeed, are 
frequently but nappy exceptions, instead of constituting 
general rules, on which the precepts of a sound theory, and 
the indications of an enlightened practice ought always to be 
founded. The true method of treatment is that which is 
most successful, which accomplishes the most safely and 
promptly the object of the physician, which, in short, most 
completely, and without danger, averts the destructive ten- 
dencies of the disease. If with only a light and mild regimen, 
simple dressings, and harmless medicines I can effect the 
cure of the venereal diseases, there is surely no necessity for 
giving mercury. The general plan which I have adopted in 
the cure of syphilis without mercury, is to restore to their 
natural state such of the viscera as may have too much ac- 
tion, or be actually in a state of irritation ; place the system 
in a state directly opposed to that which it was in, before 
the contagion, during and after the infection maintain the 
digestive canal in a healthy condition ; remove from the pa- 
tient all physical and moral causes of excitement; employ 
with caution such remedies as will counteract the excite- 
ment of the general system ; oppose local symptoms by an- 
tiphlogistic remedies, sometimes aided by narcotics and 
slight stimulants, use none but simple dressings, and in 
many cases none at all; in short, render as simple as possi 
ble, both the internal and external treatment. If the non 
mercurial method be exactly and wisely applied in the treat- 
ment of the venereal disease, can I be blamed tor saying 
that it will be a true blessing to mankind ? In tact, it wiD 
render these affections less severe, and divest it of many of 
those symptoms which will arise during mercurial treatment. 
We will no longer see those shameful and indelible marks 
which have disturbed the tranquillity of so many families, 
and have embittered those who have suffered them. The 94 
A POPULAR TREATISE 
long rain of mercurial diseases, those chronic and disorgan- 
izing affections, the dangers of which increase and multiply 
in proportion to the number of doses of mercury employed 
to remove them, will disappear never to return ; syphilitic 
symptoms will no longer assume the terrible form assigned 
to them hitherto ; their phenomenon will be simple ; their 
cure rapid and without relapses; in short the hospitals forth* 
reception of venereal patients, will no longer present the 
hideous spectacle which many of them now do. These con- 
soling ideas, these flattering hopes, ought to be sufficient to 
excite the zeal of all men, as well as myself, who are 
desirous of serving the interests of science, and contributing 
to the welfare of their fellow citizens. 
Treatment of Chancre.-On the first appearance of cnan- 
cres I would enjoin an alteration in the diet, regulating it, 
according to the strength of the patient. Abstemiousness 
should be the motto, avoiding extremes, however, lest de- 
bility should be induced. Quietude and rest, are two essen- 
tial adjuncts in the treatment of primary syphilis throughout. 
The chancre must be washed with Castile soap and warm 
water three times a day ; and the application of dry lint 
should be made immediately after, to the ulcer. The plan I 
adopt in the very early stages, immediately on its appear- 
ance, at least as soon as the pimple has broken or desqua- 
mated, to apply a "powder," which at once destrovs the 
virulence of the infection, and the patient immediately gets 
well; it causes no pain, and is invariably successful. I snail 
not trouble my readers with many letters or " certificates," 
of (which I could furnish scores) but only refer to some, by 
way of an illustration in my practice. 
THE NEW MODE OF TREATMENT. 
Dear Sir-It is with great pleasure that I have it in my power 
to announce to you the success of your new discovered remedy. I 
made only one local application, and astonishing to relate, every 
symptom of infection disappeared-while a friend of mine, who 
was adected precisely as 1 was, and at the same time, is now on his 
back, suffering the tortures of an ill-treated disease-and 1 am re- 
joicing in a complete restoration to health. I take leave of you 
with more gratitude than my pen can possibly express; and you 
may rest assured you shall have all my influence towards directing 
my friends to a proper channel of relief, >. n. 
To Da. La Croix, Albany, N. Y. ON SEXUAL DISEASES. 
95 
Treatment of Bubo.-In the treatment of a bubo, venereal 
or not, the same principles recommended in the section de- 
voted to the cure of chancre should be followed in this in 
stance: comprising attention to the general health, and 
subdual of the prevailing symptoms. In no form of syphilis 
is rest more essential than in bubo. The patient will be apt 
to plead the necessity of following his business and the utter 
impossibility of staying at home ; that is his affair, mine is 
only to protest against exercise, and urge the importance of 
rest, ana even the recumbent posture, and that alone will 
strip the disease of three fourths of its terrors. Cooling ap 
plications of sugar of lead water, or sal ammoniac and vine- 
(Fig. 104.) 96 
gar will be found very beneficial, leeches may be eminently 
useful if it has not progressed too far; if, h"WAver; suppura 
tion appears inevitable, it will be highly improper to retard 
it: poultices and warm fomentations should be applied, and 
when fit, an opening should be made to permit the discharge 
of matter. Poultices may be applied with a bandage, as 
seen in the preceding cut: 
Treatment of Secondary Symptoms of Syphilis.-Se 
condary symptoms usually appear from the sixth to the six- 
teenth week, and it may be protracted at a much later 
period. I have known two years to have elapsed before the 
" Secondary" symptoms have developed themselves, and if 
it is badly or injudiciously treated, it may bs protracted to 
an indefinite number of years. I liave alraaJr s>ted that 
A POPULAR TREATISE 
(Fig. 105.) ■econdary symptoms consist in eruptions on the skin, warts, 
or vegetations upon the penis, ulcerations of the mucous 
membrane of the mouth, throat, and nose, pains in the joints, 
swellings of the bones and their coverings, and inflammation 
of the various fibrous textures of the body. The preceding 
engraving presents the appearance of Mr. A. C when he 
first consulted me-and I have taken the liberty to publish 
his letter, written me after his recovery.-Many more of 
the same kind might be added from gentlemen too, who 
would have no objection to be referred to bv those similarly 
affected. 
Troy, Sept. 24, 1848. 
My Dear Sir-Yours of the 21st inst., is before me, which I ha* 
ten to answer. You wish me to state the progress of my disease, 
and the effect your treatment had upon it; either of which 1 feel 
myself quite inadequate to the task of describing, knowing of no 
language I can command that can possibly do it. I will, however 
give you simple and true statements. The first I discovered any 
thing of sores, was in September, '44; there came out a couple of 
pimples just below the navel, which in a short time became very 
aggravating, and nearly the size of a cent, resisting all I could get 
done for them. They continued until December, then got better, 
and in January they were healed up; but I did not feel well at the 
stomach, and some time in the next month my eyes became affect- 
ed and very sore. Soon after, symptoms of sores began to show 
themselves on the head, breast, back, legs and arms; I should 
think, in all, one hundred, which soon developed themselves in 
size, from a large pea to a four shilling piece, and were so painful 
that 1 could not, nor did not lay down in bed for four weeks. I was 
under the care of two of the best physicians in Charleston, S. C.- 
They attended me about three months; but they did me no good, 
and finally acknowledged they did not know what ailed me: I 
therefore discharged them, and employed a celebrated German 
doctor. At first sight, he told me what the disease was, and 
thought he could give me relief. He accordingly commenced with 
what he called a physic, made new every day, of which 1 took one 
quart per day. Soon my sores began to dry up, and my appetite 
came back ; and in two months, the sores, excepting two or three 
were entirely healed. This was in June, '45. My business thee 
called me to the north: my physican said 1 was not yet well, 
and if I did not continue his medicine for a month longer, my dis- 
ease would again return-which I found too true. 
I however concluded to leave, and arrived in Saratoga the 
6th of July, feeling very comfortable; but in a few weeks I began 
to fail, and the sores soon became pearly as bad as ever, and 1 bad 
Off SEXUAL DISEASES 
97 98 
A POPULAR TREATISE 
severe pain in the shin-bones, with swelled feel and leg's. I tael 
went to an Infirmary, and took nineteen courses of the Thompso- 
ni n treatment, allot which did me no permanent good; and 1 
went home, and remained until November. Then I went to New- 
York, where 1 fell in with an English physician, who, like all the 
rest, said he could and would cure me for twenty dollars. gave 
him the money, which he was to return, if his medicine did not 
cure me. 1 took his medicine, and at first thought 1 had found 
help; but soon my disease got worse, and a sore broke out on my 
teg, three inches in diameter. I then gave up, and lay down to 
die. 1 was confined to the house most of the winter; and the sore 
on my leg partly healed. 1 still felt bad, and was dissatisfied with 
every body and every thing. In July 1 was advised to travel noi th, 
and went to Montreal. When 1 returned, I found myself worse, 
and my courage all gone. About this time, a sore came out on the 
side of my nose, below the corner of my right eye, which i thought 
would go through my nose and cheek. . 
While in this situation my eye fell upon your advertisement in 
the Troy Budget, parts of which so well agreed with my feelings, 
that hope again revived, and I came to the conclusion to make one 
more trial, and if this failed, to give up all expectation of being 
cured. In this horrible state of body and mind, I called upon you; 
which I believe was in February, '47. You said you could cure 
jne, provided 1 would take your medicines according to your di- 
rections, as to time, diet, &c., &C. I can now say, with great 
pleasure, and in truth and soberness, to you, or any patient that is 
affected as 1 have been-that there is a balm, not only in Gilead, 
but also in Albany, by which they can certainly be cured and 
healed. I have taken four or five courses of your pills, as you 
directed, and am now as well as I ever was, with not a sore upon 
me, and no pain of any kind about my body. I feel ten years 
younger than I did four years ago. 
Now my dear sir, I suppose 1 have said much more about 
progress of my disease than is of any use ; but I have very faiafly 
described my sufferings, and as faintly described the powerful effect 
your treatment has had upon the disease, and the efficacy your 
medicine has had to exterminate the most horrible disease that 
ever infected the human system. And here let me,in true sympa- 
thy and deep feeling, say to any one afflicted, that under yom 
treatment, with their own exertions, that axme is as sure as they 
take the medicine. 
Now sir, give my respects to all thus afflicted, and tell them noi 
to hesitate a moment. 
Very respectfully, yours, ice, ▲. G ON SEXUAL DISEASES. 
99 
Having now fully considered every form of syplulitio dis 
ease compatible with the design of this work, a tew hint! 
relative to the after management of the patients when relieved 
from this complaint, to guard against a relapse, and to se- 
cure an entire restoration to sound healfh, may not detract 
from its utility. There are many patients who, on the disap- 
pearance of the more prominent symptoms of their complaint, 
lose no opportunity of rejoicing in their supposed recovery, 
and innocently commit sundry mapparent irregularities that 
throw them back to their former state of suffering, which a 
little prudence and attention might have prevented. The 
more severe the disease has been, the slower, generally, is 
the recovery, and also less permanent in its results. The 
mere subsidence of pain, the healing of a wound, the disap- 
pearance of a cuticular erupton, or the suppression of a morbid 
secretion, are not in themselves sufficient indications of 
substantial recovery. The various physical and mental 
functions which, during illness are always more or less in- 
volved, have yet to regain their tone. The digestive powers 
of the stomach are easily deranged, and require watchful 
management. 
With regard to medicines, in no form of disease is it «o 
important, as in venereal affections, that they should be con- 
tinued for some time after the disappearance of symptoms. 
Many a relapse of gonorrhoea and secondary syphilis have 
occurred through the abandonment of the means adopted for 
their cure. 
ON SEXUAL DEBILITY. 
Every individual who presumes to call the attention of the 
community to a system, which is scarcely considered as en 
titled to a scientific distinction from its more general subject, 
Medicine, ought to feel convinced that its theory and prac 
tice are likely to accord. And, secondly, that if they should 
be found to harmonize, the adoption of such a system is like 
ly to promote the welfare of society at large. 
We have before shewn that the venereal disease can be 
removed,^v^n when ns inveterate and appalling grasp has 
ADVICE TO INVALIDS. A POPULAR TREATISE 
100 
nearly annihilated the victim-but the main and important 
truth that we wish to impress upon the minds of our readers 
is, that under the present effectual and yet mild arrange- 
ments of medical science, that disease maybe said to exhib- 
it such rare instances of its former malignity, as almost to 
allow the contemplation, at no very distant period, of the 
obliteration of such a curse from the endurance of human in- 
firmity. Certain it is, that in our extensive practice we have 
found this prospective satisfaction gradually ripening itself 
into an assurance of reality. 
May not our endeavours then to remove, or rather to cor- 
rect, sexual debility, be equally conducive, especially in all 
tho^e instances where self depravity has nearly immolated 
its victim? We shall attempt to prove that sexual debility 
can at all events be materially, if not entirely, remedied ; 
and as muscular action may be said to be the prolific basis 
upon which the animal economy depends for its support, we 
shall enter into some observations respecting it. 
Plutarch, speaking of Herodius, says, " Being a school 
master, he had also an opportunity of introducing into his 
academy the art of gymnastic physic; that is, of exercising 
the body into health : and having observed that this art 
might be divided into three parts, ' the Military, Athletic, and 
the Medicinal,'-ne left off the two former, and applied him- 
self solely to the study of the latter, prescribing rules to be 
Observed, and setting down particular exercises to be adapt- 
ed to particular cases and we find also, from the writings 
of Galen and later authors, that the practice was found so 
beneficial in removing various chronic debilities, that sump- 
tuous edifices were erected for its cultivation and improve- 
ment. 
When we reflect that among the various functions which 
the human body has to perform, scarcely any can be carried 
on without the aid of muscular action, and that not merely 
the secretions and excretions, but the equally important 
offices ot respiration, perspiration, and vision, nay that the 
foru ation of chyle and the circulation of the blood, aie inti 
tnat'ilv connected with, and depend on, muscular action, if 
would be needless to dwell on the necessity of general exen 
ciee. 
Tl.c learned Sydenham remarks, " In writing the history 
of chronic diseases, I occasioned the worst fit of gout I ever 
had: for as often as I returned to study, so often thegoutnlsf ON SEXUAL DISEASES. 
101 
returned," &c. &c, Caverhill and Dr. Cheyne coincide in 
this effect, but it may be better to quote what the lathers of 
medicine have advanced in favor of exercise. 
Hippocrates says, exercise gives strength and firmness to 
the body, and vigor to the mind. 
Galen remarks, that we must sometimes rouse the timor- 
ous from their beds, and force the lazy and the sluggish. 
Cornaro has observed, that we must give an equal life to 
all the parts of the body, and not apply to the fluids, and ne- 
glect the solids; for the ground of most mistakes in the 
practice of physic, may be imputed to a want of this dis- 
tinction. 
But Sydenham goes on to say, "In nervous cases I never 
saw any success without exercise ; it is the sovereign reme- 
dy in relaxation."* 
In fact, the healty observance of exercise will, by distribu- 
ting the blood through the minuter vessels, excite perspira 
tion ; it improves the health by removing fulness and morbid 
congestion. 
Having premised the utility of exercise, we must observe, 
that there is a great necessity for its classification. Here 
we shall borrow from Dr. Wallis's opinion-He says, "for 
those who are subject to gravelly affections, or indigestion, 
riding on horseback will be most saluatary ; but to those 
who are liable to gout, &c., walking is recommended. 
" Such as have a strong muscular stamina, with a slug- 
fish circulation and coldness of the extremities, derive bene- 
t from the exercise at cricket, tennis, fencing, or running ; 
whilst for those who are subject to melancholia, or hysteria, 
hunting, shooting, driving, &c., are recommended as divert- 
ing the mind to pleasing associations." 
The second most important point will be, to direct the at 
tention to diet. How wonderful is it to reflect on the power 
of the stomach in so quickly dissolving, assimilating, and 
disposing of the aliment! But extend the research, and the 
conception of these processes will become as sensible as 
striking ; and we shall find that the purpose of aliment is not 
merely to administer to the growth and repair of the body, 
* Celns and Boerhave are consonant in their expressions of the 
same sentiments. 102 
A POPULAR TREATISE 
but, by its bulk and peculiar stimulus, to maintain the exer 
cise of the organs essential to life. 
The benignant Author of our creation, has accommodated 
the nature of man to every species of aliment-and, if an 
American travels into different regions, he will readily ao- 
custom himself to the diet, or rather to the produce of various 
countries-yet his nature will yield to quantity-which if 
insufficient, his strength decays-if excessive, disease attacks 
him. 
Although simple diet be the best calculated for supporting 
the body in health, yet variety may be wcasionally indulged, 
provide 1 the appetite does not range, deyond the limits of 
temperance. Through the wonderful agency of the diges- 
tive organs, animal and vegetable substances of discordant 
na'ures, are happily assimilated into one bland homogneous 
chyle; but these organs themselves will soon indicate the 
effects of abuse-and prompt an immediate return to simple 
regimen. It will be even found that what may be considered 
wholesome at one time, will be injurious at another, so true 
is the old maxim, "Modus utenai ex veneno facit medica 
mentum; ex medicamento venenum."-"The manner of 
using makes poison medicinal, or medicine poison." 
The powers of digestion vary in different persons-some 
are seldom incommoded with quantity, or the most hetero- 
geneous qualities of their food. But how often are medical 
men consulted by complainants of this or that diet, when, 
perhaps, it is the unnatural load of variety, rather than the 
disagreement of a particular food, that causes their suffer- 
ings! 
Invalids are often subject to a false appetite, owing to the 
morbid piquancy of the juices in the stomach, urging them 
to eat more than nature requires. 
Bread, meat, vegetables, and pudding, may be all eaten at 
a meal-provided the sum total does not exceed the quantity 
necessary for digestion. 
Fruits, destined for our pleasure as well as comfort, should 
not be taken after a meal-but instead, or in part thereof. 
Wine, should be allowed chiefly during a repast, and the 
bottle dismissed immediately on the conclusion of it. 
Beer, if mild and well brewed,may be retained as a bever- 
age where it agrees-but water is the valued privilege of our 
nature- and should be preferred. ON SEX0AL DISEASES. 
Spirituous liquors, except as an article of medicine, ought 
to be scrupulously avoided. 
Tea and coflee have their several claims upon our notice 
and being generally introduced, have become necessaries 
of life-neither of these should be used strong, nor sweet. 
On the state of the stomach will depend the quality of sup 
per-which in some valetudinarians may be recommended- 
but its rejection from general custom is among the improve- 
ments of the present generation. 
Dr. Fothergill reduces the varieties of necessary diet to 
the " hoic much," and the " too much," leaving the patient 
to regulate himself by what agrees with him. The Doctor 
relates a conversation between a medical man and one of 
the first Earls of Macclesfield, who frequently interrogated 
his friend on the subject of diet. " Doctor, is this whole- 
some ? " " Does your Lordship like it ? "-" Yes." " Does 
it agree with your Lordship I"-" Yes." " Why then, it is 
wholesome." 
This indeed is the best direction that can be given, pro 
vided we can caution the enquirer against tire too much. 
ON SEXUAL DEBILITY IN MEN. 
Its Causes, natural or acquired, by Onanism, or intern 
temperate Indulgences, and its baneful Effects, as pro 
ducing Impotence, SfC., described. 
The following are among the more general causes of 
Sexual Debility:- 
1st. The excessive indulgence in venereal engagements ; 
or the compulsive abstinence from them altogether, until 
circumstances will wear an appearance more favorable to 
: ndulgence, or inclination become more potential; but when 
this period arrives, the effect of so long and unnatural an 
interdiction exhibits itself in incompetence. 
2d. The frequency of nocturnal emission. 
3d, Venereal disease, where the treatment has been inju- 
ficiously applied, removing the disorder itself Ly leaving 
the grander functions of nature exposed to the effe'-fp of mer- 
curial influence. Gonorrhoea, by the mismanagemc nt evinced 
u those who cure themselves, is made a precurst of sexual 
103 104 
A POPULAR TREATISE 
incompetence, from the organic changes it produces under 
such inauspicious attempts. 
4th. Constitutional imbecility. 
5th. Peculiar formation. 
6th. Intense study. 
7th. A long residence in tropical climates. 
8th. All the preceding causes, though not unfrequent in 
tneir occurrence, are rare instances, when compared to the 
multitudinous victims of impotence, who owe tneir feelings 
to the solitary intemperance of passion, which is more gene- 
rally known by the term of Onanism, and is therefore an 
acquired disease. 
OF EXCESSIVE INDULGENCE IM VENEREAL 
ENGAGEMENTS. 
Excesses are always criminal, because they are alway s 
injurious ; that gift, which, moderately used, is fraught with 
advantage, when abused, becomes the prolific source of mis- 
chief. Drunkenness, gluttony, lewdness, are but the ex 
tremes of certain duties, which, within a prudent scope, are 
beneficial and even necessary to existence. But those par- 
ticular excesses, on the nature and consequence of which, 
this Treatise professes to dilate, are productive, perhaps, of 
a greater latitude and severity of misery to thehuman trame, 
than any other of which man, in the abuse ofbi^rUteilectuai 
greatness, has been convicted. 
Nature is sufficiently explicit as to the legitimate pur- 
poses for which the seminal liquor was given: and she has 
been no less perspicuous in defining its proper end, than 
she is severe in the punishment of its abuse ; visiting any 
misapplication or excess by a variety of inflictions, well cal- 
culated to effect the object of future prevention. The con- 
sequences of excessive venery in newly married persons 
have been copiously discussed, and aptly remarked upon by 
many writers, in such a manner as to repress every disposi- 
tion to excessive indulgence, in all those persons who are 
endued with sound judgment and capable of appreciating the 
following sentiment of Uelsus-"Rarus concubitus corpus 
exekat; ftequens, solvit."-" The bodily powers are excited 
UCCiiStonal coition; by frequent repetition they become 
t'C.! iAnti- " Deviations from this grand rule stand on record. ON SEXUAL DISEASES. 
105 
as beacons ovar the graves of those who have been sacrificed 
on the shrine of passion. 
He, to whom nature or education has given a lascivious 
disposition, ought to be perpetually on his guard to repress 
its slightest emotions, and to oppose desire, with a resolu- 
tion founded upon a view of the consequences that inevita- 
bly wait upon exuberant gratification. The sanguine tem- 
perament and habit of youth, indeed, present a formidable 
obstacle to the exercise of judgment: but infatuation must 
be most firmly rooted, if it cannot yield to the dismal calen- 
dar of those who have destroyed themselves by excess. 
Hippocrates describes the effects of excessive lascivious- 
ness in young married persons in a manner sufficiently 
alarming ; a slow but gradual waste of bodily and mental 
power, perpetual spasms, a spontaneous discharge of the 
seminal liquor, even during the evacuations of nature ; an 
inability to procreate, excessive fatigue upon the slightest 
exertion, shortness of breath, disorders of the head, deaf- 
ness; and to finish the tragic enumeration, to all these 
succeed the Tabes Dorsalis, or Consumption ; thus com- 
pleting the sad catastrophe. 
Galen details, as some of the attendant evils, disorders of 
the brain and nerves; and instances a case of a sudden fatal 
termination of life by excess of venereal indulgence on the 
night of marriage. 
Pliny also adduces two instances of death in the action of 
coition. 
yEtius numbers this excess among the causes ofpalsy, end 
gives a gloomy picture of its more immediate effects. 
In short, it is not possible to exemplify the diversity of 
dreadful complaints arising from so fruitful a source of ev.l; 
afflicting the sufferer with such agony as to make an appeal 
to death the only relief from torment. 
M. Tissot is undetermind whether to identify the seminal 
liquor with the animal spirits, or to consider them as dis- 
tinct from, although invariably acting upon, each other. It 
does appear from many facts, which observation furnishes, 
that they have scarcely a separate existence. Examples 
have been quoted of persons, who, on arriving at the age of 
puberty, and having their testicles removed, returned to the 
situation of childhood, losing all energy of mind, and ac- 
tivity of character; and becoming suddenly objects of pity 106 
A POPULAR TREATISE 
t- these very individuals who had before sought and e* 
teemed their society. 
The following instance furnishes a striking evidence to 
shot the clear connexion between the animal spirits and 
semii '1 liquor. A young gentleman endowed with all those 
qualit. s which attract the love and respect of mankind, be- 
came an inmate in a family of the first respectability. In 
this situation, the elegance of his person and the superiority 
of his mental acquisitions had so influenced the affections 
of a young lady, niece of the master of the house, that a 
proposition of marriage was made to the subject of this 
anecdote, through the medium of the uncle. Sensible of the 
advantageous nature of the connexion, perhaps, and actuated 
by a reciprocity of esteem, the youth betrayed a strange but 
powerful emotion. It nad been frequently observed that, in 
the midst of the most agreeable parties, this young gentle 
man would often fall of! into fits of abstraction and melan- 
choly, which, with his constant habit of avoiding all expla- 
nation of the cause, convinced the uncle of the lady that he 
w-as the victim of some potent, but mysterious sorrow. One 
evening a pleasant party had assembled, among whom was 
the young lady designed for his wife; but on this occasion 
he was unusually abstracted, nor was any attempt to rally 
his spirits crow'ned with success; he retired in a state of 
melancholy, and in the morning his patron received a letter 
from him, covered with blood and a portion of his brain. 
The mystery was in that letter developed-he was impotent; 
and a sense of his distressing situation, under the peculiar 
circumstances in which he was placed, impelled him to 
suicide ! 
Some writers have asserted, that by a postponement of 
venereal enjoyment, until the individuals have reached an 
advanced period of life, the common mischief which results 
from excessive venery would be prevented : they tell us, it 
was in consequence of the intermarriages of the ancient Ger- 
mans never taking place until the 30th year, that those 
people excelled in bravery, energy and endurance, every 
cotemporary race of man; and as a proof of an opposite 
system, the same writers instance the indolence and effemi- 
nacy of the Asiatics, who contract and consummate marriage 
at the age of ten and twelve years. It is clear, however 
that Nature has defined the proper age at which sexual In 
tercourse may be indulged with impunity ; and, us she her ON SEXUAL DISEASES. 
107 
•elf his imposed the checks and penalties of excess, she ii 
the best authority to be consulted, and Reason will uniform 
ly support her decision, be it what it t ury. 
The effects, however, of wicked propensities, may, as far 
as regards bodily inconvenience, be in a measure counter- 
acted by a uniform habit of temperance, and a strict regu- 
larity of diet and medical regimen. The mischiefs which 
are u tl to repose by a pertinacious adherence to this plan, 
are t rived and re-proauced by every excess. An indul 
gene a in Bacchanalian pleasures, where the constitution haa 
been seriously injured in early life, is like the application of 
poison to a sore, entailing- upon the individual who indulges 
a series and succession of evils, from the influence of which 
it will require a long interval of temperance to regenerate 
him. 
Very many discussions have taken place upon the nature 
of the seminal liquor, and the causes which render its too 
frequent, and too copious emission, productive of such exten- 
sive consequences to the human frame. " The seed of man," 
says Hippocrates, " arises from all the humors of his body; 
it is the most valuable part of them." The fluids from every 
part of the human frame, appear to rush to the genital or- 
gans, to give greater effect to the first act of nature. All the 
powers of the body seem to be suspended, or .ather concen- 
trated to one point during the time of coition Galen says, 
" When a person loses his seed, he loses at the same time, 
the vital spirit; so that it is not astonishing that too frequent 
coition should enervate, as the body is thereby deprived of 
the purest of its humors." It has been described by Aris- 
totle, as the excrement of aliments, having the faculty of 
re-producing bodies like that which produced it. Others 
have described it to be a portion of the brain, and have 
pointed out certain ganglions, which form the communica- 
tion between it and the testicles. It is termed by Plato a 
running of the spinal marrow; and by Epicurus it is called 
a part of the soul and body. Pythagoras says it is the 
Hower of the purent blood and Alcceon considers it a vart 
of the brain. 
The male semen is a fluid of a starch-ish consistency 
and of a whit ah color. It has a peculiar odor " like that of 
a bone, while tqing filed, of a styptic and rather acrid taste, 
and of greate.' " uecific gravity than any other fluid of the 
®dy." Shortafter its escape "it becomes liquid and 108 
A POPULAR TREATISE 
translucent ; ' if suffered to evaporate, 't dries into scurfy 
looking substance. By being examined through a power 
fill micro scope, it is ascertained to be animated by an infi 
nite number of animalcules, but they are present only in 
healthy semen, and consequently that fact taken as a cri- 
terion of the virility of the secretion. 
President Wagner thus describes the germ of future ani- 
mal life. " The seminal granules are colorless bodies with 
dark outlines, round and somewhat flattened in shape, and 
measuring from 1-300 to 1-500th of a line in diameter." The 
animalcules exist in the semen of all animals capable of pro- 
creation. They are diversified in form in all animals according 
to their specie, but in man they are extremelv small, scarcely 
surpassing the l-50th, or almost the l-40th of aline in breadth. 
This transparent and flattened body seldom exceeds from 
the l-6th to the l-800th of a line in length." The annexed 
drawing exhibits the granules and animalcules of a human 
male, being magnified from 900 to 1000 times :- 
(Fig. 106.) 
1 Animacules of a 
man, taken from 
the Vas Deferens 
immediately after 
death. 
2. Seminal Granu- 
les. 
3. A bundle of Ani- 
malcules, as group- 
ed together in the 
Testicle. 
4. Seminal Globule 
5. Same surround- 
ed by a cyst or 
bag. 
The distribution of the seminal fluids is said to extend to 
all the nerves of the body, like the animal spirits of the 
brain ; and again, it has been termed the essential oil of the 
animal liquors; and a number of organs are placed in re* ON SEXUAL DISEASES. 
quisition, as ducts and channels, to convey it from the source 
to the object of its secretion. The office of the testicles is 
to separate the seed from the blood, each side receiving one 
artery from the aorta, a little below the emulgents; which, 
unlike all other arteries, arise small, and dilate in their pro- 
gress, that the velocity of the blood may be sufficiently 
abated for the secretion of so viscid a fluid as the seed. 
The rasa defereutia are excretory ducts, passing from the 
epididymes of the testicles, to the vesiculce seminales or 
seminal repositories, for the purpose of conveying into the 
latter the elaborated seed. In the vesiculae seminales them- 
selves, the seed is reposited against the time of coition; 
during the process of which it passes from the vesicles 
through the prostrate gland into the urethra; and the ure- 
thra itself is lined with several glands, for the purpose of 
guarding it from the action of the fluids which pass through 
it. 
It thus appears clearly, from the complicated machinery 
employed in the conveyence and distillation of the seminal 
fluid, that nature has intended its importance to be fully un. 
derstood by those, for whose use and pleasure it was created 
Now, in the too frequent and prodigal emission of this 
liquor, it is manifest, tnat all this variety of organs must U, 
called into unnecessary action; and in nature, as in art, the 
constant friction of the minuter parts of the machine must 
tend to its rapid waste. 
" In a healthy man," says a celebrated writer, " the secre- 
tion of this liquor is constantly made in the testicles; it 
repairs to the reservoirs, the limits of which are very confined, 
and cannot, perhaps, contain all that is secerned in a day : 
nevertheless there are continent men, who do not evacuate 
for whole years. What would become of it, if it did not 
continually return into the vessels of circulation? a return 
which is very much facilitated by the structure of all the 
organs which assist in the secretion of this humor, in con- 
veying it into the proper channel, and in its preservation. 
The veins are there much more considerable than the arte- 
ries ; and this in a proportion, that is not found so great 
elsewhere ; so it is probable, that this return is not only 
made in the vesiculae seminales, but that it previously took 
5lace in the testicles, in the epididymes, and in tlie vasa 
eferentia." 
Haller says, " the semen is kept in the vesiculae seminales 
109 110 
A POPULAR TREATISE 
until the man makes use of it, or nocturnal emission d* 
prive him of it. During all this time, the quantity wiiich 
is there detained excites the animal to the act of venery ; but 
the greatest part of the seed, which is the most volatile and 
odoriferous, as well as the strongest, is absorbed into the 
blood, and it there produces, upon its retutn,very surprising 
changes, it aiakes the beard, hair, and nails to grow ; it 
changes the voice and manners; for age does not produce 
these changes in animals; it is the seed only that operates 
in this manner, and they are never met with in eunucns." 
Cases have been known in fact, where individuals, after 
arriving at the age of puberty, have undergone amputation 
of the testicles, and what were the consequences? The 
beard went away ; the voice from manly strength, returned 
to the shrill piping of childhood, and all the properties and 
definitions of manhood disappeared. This circumstance 
tends to place in a strong point of view, the importance of 
the seminal fluid, as regards its influence upon the whoh 
frame ; and that in its absence, the vessels want their natura. 
stimulus; the fluids are more slow in their motion; the cir 
culation is more languid ; nutrition more irregular, and the 
other functions are performed with less order. 
The sensations which accompany the emission of the 
seed may be adduced as another evidence of its vast impor- 
tance ; all other evacuations are easily expelled when tlie 
frame is in a state of sanity; but a sort of epilepsy attacks 
the whole system when this liquor separates from it. A 
genera' motion ; a convulsion of all the parts; an increased 
quickness in the circulation of all the humors, is necessary 
to give it freedom. The languor which immediatelv suc- 
ceeds emission, shows how much the body loses when it 
parts with this important fluid ; all the energies of manhood 
are necessary to replace it, and instances have been frequent 
in individuals, who nave reached a very advanced age, where 
m consequence of a deficiency of animal fluids to supply the 
loss sustained in coition, instant death ensued. 
It is not many years, since, that an old gentleman, who 
had suddenly taken offence at the whole circle of his rela- 
tions, resolved, notwithstanding his advanced age, (being- no 
.ess than eighty,) to marry, in the hope that he might yet 
have an heir to inherit his propertv. His wealth and respec- 
tability of character, soon induced a young female, scarcely 
of age, to acquiesce in the proposals he made to her; ilia anion look place; but so violent was the exertion made by 
the hoary bridegroom, in the act of coition, that he expired 
immediately after its completion. The remainder ol the 
anecdote, although without relevancy to this essay, deserves 
mention. The relations among whom was the heir at law, 
in default of a natural heir, were not a little delighted at the 
result of the old man's measure of vengeance, and a claim 
was immediately put in for the family estate. Their inten 
lions, however, were doomed to a severe disappointment; 
the widow proved with child, and nine months after the 
marriage and death took place, a natural heir made his ap- 
pearance, and put the question at rest for ever. 
" Plateros gives an instance of a magistrate of a Swiss 
city, who married a second time at an advanced period of 
his life; and at the time he was endeavoring to consummate 
his nuptials, he was obliged to discontinue. The like acci- 
dent happened to him every time he made the same attempt. 
He applied to a variety of quacks. One assured him, after 
he had taken several remedies, that he had nothing further 
to apprehend. He ventured a fresh essay, upon the faith of 
his /Esculapius; the event was immediately the same as be- 
fore, but being resolved to go through with the operation, 
he died in the very act, in the arms of his wife." These in- 
stances are sufficient to confirm the position, in corrobora- 
tion of which they are quoted. 
There is a danger, however, which is not peculiar to age, 
which arises out of the increase of the quantity of blood in 
the cranium, during the act of coition; tne consequence has 
been even appoplexies in some instances ; and where it fell 
short of that mortal extent, it sometimes produced insanity. 
The influence of this accumulation of blood in the head is 
strikingly felt throughout the whole nervous system, which 
becomes proportionably weakened and incapacitated from 
lending it support under the extraordinary exertions of the 
body. 
One of the most common effects of excess is a deprivation 
of the digestive powers, which are gradually diverted from 
that regularity of action, which is essential to health ; and 
when the task of digestion is inadequately performed, it 
is impossible specifically to define the diseases which may 
ensue. The powers become gradually diminished; th# 
memory and the understanding refuse to perform their func- 
tioua, every description of chronic disorder is produced; 
ON SEXUAL DISEASES. 
111 112 
A POPULAR TREATISE 
and all bodily faculties are impaired, and hurried to prema- 
ture decay. 
To prove the truth of this assertion, and to evidence the 
consequences which result from indigestion, it is only neces- 
eary for the reader to recur to his own observation ; and to 
recall to mind the symptoms, which, under such circum- 
stances, have passed before his eyes. All the powers of the 
frame seem to be suspended, and the universal weakness is 
materially aggravated by a general restlessness of imagina- 
tion. 
But as M. Tissot says, " What is the least to he compre- 
hended, or rather, what is quite inconceivable, is the prodi- 
gious weakening of the faculties of the soul. The solution 
of this question must arise from another, which we are in- 
capable of solving; that is, the influence of the two sub- 
stances, one upon the other ; and all we can have recourse 
to is the observation of the phenomena. We are equally 
ignorant of the nature of spirit, and the nature of matter; but 
we know that these two parts of man are so intimately 
united, that all the changes which the one undergoes are 
felt by the other; a circulation more or less of one aliment; 
the same quantity of one aliment before another; a dish of 
co flee instead of a glass of wine : sleep more or less inter- 
rupted ; a stool, a little more or less abundant; too strong 
or too weak perspiration; change our whole manner of see- 
ing and judging of objects :-the revolution of our machine, 
from one hour to another makes us feel and think quite dif- 
ferently ; and as they prompt us, vice and virtue change 
iheir nature, and fresh principles take place." 
Hippocrates recommended fomentations, milk diet, absti- 
nence from venereal enjoyments, and extraordinary exercise 
for at least twelve months, as well as guarding against the 
extremities of heat and cold. By an attention to these pre- 
cepts, this eminent physician promised a cure; but the 
event doubtless has often failed of success as otherwise. 
Tissot observes, that Hippocrates began the cure with an 
emetic and a cathartic, adding, " His authority is sufficient 
for a rule, and yet this rule would, in many instances, be 
prejudicial." He afterwards observes, that " He orders the 
purgative only with a design to remove the flux," &c.; and 
m another place ranks " Such as are ill after venereal ex 
cesses, in the list of those to whom no purgatives should be 
given.'- EFFECTS OF MASTURBATION. Hoffman, on the other hand, administered an emetic to a 
man of about 50 years of age, whose sight was affected in 
Consequence of his propensity to women : he was emaciated 
and consumptive ; this medicine was given to prevent a 
fever, which was apprehended from his eating too heartily of 
smoked porK ; but it made him totally blind; and a similar 
effect is said to have been produced by the administration of 
the same medicine to a prostitute, whose sight had also been 
affected. 
Boerhaave expressly says, "There are small hopes of 
cure; " and afterwards states, that the only method to be 
adopted, is a carefulness with respect to aliment, moderate 
exercise, bathing of the feet, and cautious frictions; and 
upon this maxim he acted in consultation upon the case of a 
man about thirty years of age, who had rendered himself 
impotent by his excesses ; prescribing, as the only possible 
means of an improbable cure, a light dry regimen, exercise 
before breakfast, bathing and opiates: his advice was not 
adopted, and the patient died. 
M. Zimmerman pursued this course in the same dilemma, 
but unsuccessfully ; and it is therefore, reasonable to doubt 
whether any efficacy would have resulted from the adoption 
of Boerhaave's plan, in the case of the devoted victim above 
referred to. 
That many instances of sexual debility owe their exist- 
ence to causes totally foreign to the preceding, does not ad- 
mit of a doubt; and, when compared, are hardly to be 
considered disease, although they trespass severely upon the 
comforts of domestic happiness, when they occur in married 
life, and darken the prospects of such as are entering into 
that blissful station. 
VARIOUS OTHER CAUSES OF DEBILITY. 
Sexual debility, arising from venereal disease, or from go- 
norrhcea, is to be removed only by a very discriminate refer- 
ence to such source; it is, however, to be cured, and gene- 
rally is more easy of relief than any other cause of u com- 
petence. 
Incompetence to hymenial rites arises sometime! ''om 
constitutional imbecility, as well as from intense stud r it 
ON SEXUAL DISEASES. 
113 114 
is only to be observed, in such instances, that a weak habit 
may be strengthened and improved into the more vigorous 
relations of health; here it will be found that the patients 
labor under frequent nocturnal emisssions. A well ar* 
ranged regimen, both of diet and medicine, will soon pro- 
duce convalescence, and, unless aggravated by the eflects 
of Onanism, the patient very soon recovers. 
Sexual debility may arrise from organic malformation, in 
which a knowledge of the peculiar circumstances can alone 
allow an opinion to be hazarded ; as to the likelihood of re 
lief, all that can be said is, that in many instances the natu 
ral actions may be materially assisted; and although it is 
impracticable to metamorphose the aberration of nature into 
perfection, yet the healing art is competent to render tlie 
generative functions both susceptible and communicative of 
mystic enjoyment, under almost any circumstances. 
Intemperate living and long residence in warm climates, 
are amongst the frequent causes of loss of procreative ener- 
gy. We nave studied the change of atmospheric influence, 
m this our native country, as well as in the warmer regions 
of our eastern world ; and are sufficiently acquainted with 
the circumstances that tend to depress the energies, so as to 
offer effectual relief to such as labor under any of these 
disorders. 
Diurnal seminal emission is a pellucid discharge from 
the penis, while the mind is under tne influence of venereal 
thoughts when awake, or will almost alw ays be observed 
after a copious stool; the desire for sexual indulgence 
gradually diminishing. Its presence argues a weakness in 
Ute muscularity of the organs, and is usually attendant on 
the studious, or th tse who nave been enervated by the effect 
of warm climates. 
A POPULAR TREATISE ON SEXUAL DISEASES. 
115 
*ONANISM, MASTURBATION, OR SELF-POLLU- 
TION, 
AND ITS DEPLORABLE CONSEQUENCES. 
The effects which emanate from the practice of unnatura. 
pollution, to which the youth of all ages and countries are 
addicted, convinces us that the great majority, perhaps nine 
tenths of the causes of nervousness, mental imbecility and 
derangements may be attributable to these causes alone, 
'I ire influence of this disease upon the functions, and proba- 
bly the organic condition of the brain, is well attested. In 
the early stages the strength begins to fail, and the consti- 
tution seems to be breaking up; the patient feels neither 
very ill, nor yet in a state of health very satisfactory to him- 
self, and still knows not what to complain of most. Nor is 
it his bodily strength alone that seems to be affected ; his 
mind appears to be involved in the general debility. He 
either is extremely irritable, apprehensive, morose, or sus- 
picious ; or he becomes unhappy, melancholy, despondent, 
avoiding all sorts of social intercourse, even that of his most 
intimate friends and relations. 
Daring all these various revolutions in the general system, 
corresponding changes in the general appearance and coun- 
tenance gradually but steadily unfold themselves. The 
figure becomes altered, the patient emaciates, the weakness 
becomes evident in the stoop ; the low and rounded shoul- 
ders falling in upon the chest; the pale sharpened features, 
the haggard look, but too clearly denounce the hidden mis 
chief, (< vr lithographer, as it will be seen, has executed a 
• The origin of this abuse has by some been referred to the idol- 
atrous worship of the northern Venus, named Frego, or Fraga, in 
oblation to whom her votaries were accustomed to shed their seed. 
The opinion of the All-wise upon the enormity of this offence against 
reason and nature, this direlection of Onan, spoken of in Genesis, 
Chap, xxxviii., 9th and 10th verses: 
" And Onan knew that the seed should not be his, and it came to 
pass, when he went unto his brother's wife, that he spilt it on the 
ground lest that he should give seed to his brother. 
" And the thing which he did, displeased the Lord, wherefore he 
slew him also." 116 
A POPULAR TREATISE 
life-like representation of a young man who had injured 
himself by self-pollution.) Every intimate perceives the 
change, many remark upon it, to the serious annoyance of 
him mos<' interested, the actual sufferer. This gradual de- 
cay, proceeding from no apparent cause, goes on, lamented 
indeed, but unexplained; till at last some more sapient than 
their neighbors, discover that the poor sufferer "is going 
fast into a decline." Now the grand discovery is made, the 
secret revealed, the mystery cleared up, and all become re- 
signed to a calamity they feel they can not avert. 
It has frequently fallen to my lot to see persons at an age 
which may be considered the prime of life, the period of the 
fullest health and vigor, the feeble and decrepia types of a 
premature decay, embittered too by all the agonizing effects 
of the utmost bodily infirmity and mental imbecility. Surely 
the condition of him whose mental inability, at thirty or five 
and thirty years of age, rescues him from those useless 
feelings of anxiety and remorse, which a survey of by-gone 
days would be so eminently calculated to excite, must be 
happy compared with that of him who, unfortunately for 
himself, still retains a higher degree of mental energy. 
Emaciation does not occur in all cases of seminal diseases, 
in some instances no external appearance would indicate any 
very serious inroads upon the health. The patient may 
present a very healthy and florid looking countenance, he 
may be comparatively cheerful and lively when in company, 
but he is conscious of the hidden canker that is gnawing his 
very heart strings, he feels sensibly an impairment of mind, 
by the loss of memory, his flesh feels as if it had been 
bruised, and when he sits down there is a stiffness and sore- 
ness of the back and the joints, a great susceptibily to the 
various changes of weather, with many of the symptoms that 
have been heretofore and will be hereafter enumerated. 
There is not, perhaps, in the whole catalogue of diseases, 
a more painful subject for reflection, or one more disagree- 
able for discussion, than those miserable votaries of solitary 
sensuality; and indeed nothing but the hope of rescuing 
some of those who have not yet irrevocably contaminated 
■heir constitution, from the dangers with which they are 
threatened, or of preventing those who have not yet exposed 
themselves, from braving the danger which they contem 
plate-nothing, I repeat, but the hope of effecting some 
reformation amongst a class whose pernicious habits so ON SEXUAL DISEASES. 
117 
frequently c< me under my review-could have reconciled 
me to publicity upon so painful a subject. 
My attention had been directed at an early period of my 
professional career, to the nature of this affection, and to tha 
changes superinduced in the structure of some of the more 
important par .s of the genital apparatus. Although in a 
great degree acquainted with the symptoms and character 
of this affection, with its train of miserable associations, yet 
it was not till after a sojourn at some of the Continental 
schools, particularly at Paris, London, and in Germany, that 
I became more intimately acquainted with all the phenome- 
na. The hospital presented a hideous picture, intolerable 
suffering, intense anxiety, complete despondency, the utmost 
bodily infirmity, and not unfrequently mental imbecility, the 
emblems of a wretched semi-vitality. It soon fell to the lot 
of the dead house to reveal the effects, upon the seminal 
organs, of incessant exposure to unnatural excitement. In 
our own hospitals may be witnessed pitiable instances of 
the deplorable results of this same horrid practice. Prof. 
Woodward of Connecticut, in a report made to the Legisla- 
ture of that State, remarked that over two thirds of the 
inmates of the " Insane Retreat," (an institution over 
which he presided with so much ability,) were brought 
there for tnat cause alone. In a letter he says: " For 
the last four years it has fallen to my lot to witness, 
examine, and mark the progress, from ten to twenty-five 
cases daily, who have been the victims of this debasing 
habit; and I aver that no cause whatever, which operates 
on the human system, prostrates all its energies-mental, 
moral, and physical-to an equal extent. I have seen more 
cases of idiotcy from this cause alone, than from all the other 
causes of insanity. If insanity and idiotcy do not result, 
other diseases, irremediable and hopeless, follow in its train, 
or such a degree of imbecility marks its ravages upon body 
and mind, as to destroy the happiness of life, and make ex- 
istence itself wretched and miserable in the extreme." 
The importance of a well regulated youth to the produc- 
tioa of a vigorous old age was generally remarked upon in 
the introductory subject to this, and a reference made to 
those prevailing practices of the rising generation, which 
tend to the demoralization of all the faculties of.body and 
mind; leading >v slow, but unerring progress, to those fell 
diseases which first undermine all the enjoyments of exis- 118 
A POPULAR TREATISE 
tence, a ad finally make life itself yield to the torture with 
which it is assailed. 
That learned physician Boerhaave, has given a touching 
account of the effects of these excesses, which although 
frequently quoted, we cannot omit in this place :-In the 
776th section of his Institutes he says, "The loss of too 
much semen, occasions lassitudes, debilities, and renders 
exercise difficult; it causes convulsions, emaciation, and 
pains in the membrane of the brain; it deadens the senses, 
particularly the sight; gives rise to dorsal consumption, in- 
dilence, and various other disorders therewith connected. 
I have seen a patient decay, inasmuch as to destroy the 
whole corporeal frame : he felt a pain even in the membrane 
of the brain; a pain which patients call a dry burning heat, 
and which incessantly bums internally, the most noble parts. 
I have also seen a young man afflicted with a dorsal con- 
sumption ; his person was very agreeable, and though he 
was frequently cautioned not to give way too much to plea- 
sure, he nevertheless yielded to its impulse, and became so 
deformed before his death, that the fleshy substance which 
appears above the spinal apophysis of the loins was entirely 
wasted; the brain itself in this case, appeared consumed. 
Patients in this disease, grow stupid: I never perceived 
such loss of power brought on by any other cause ; and the 
eyes became dull even to the loss of sight." 
Other instances have been quoted from authority, where 
violent pains of the limbs have been succeeded by extreme 
inward cold, inasmuch that while the external skin preserved 
its natural heat, the patient was complaining of the bitterest 
sensation of shivering, and could not be compelled to leave 
an immense fire, even during the summer season. But this 
sensation of cold was accompanied with a singular feeling, 
viz., the continual rotation of the testicles in the scrotum. 
The loss of memory is not the least remarkable symptom 
in the history of this peculiar debility; young men who, 
previous to the influence of self-pollution, were gifted wit» 
a retentive memory, have been afterwards suddenly de- 
prived of its use; and, instead of communicating the in 
terchange of social reflection, have been metamorphosed 
into characters little above actual idiotcy. 
What a gloomy object of contemplation to the susceptible 
mind, is a youth, in the full vigor of life, and, apparently, in 
the perfect possession of his faculties, enduring all the coai- ON SEXUAL DISEASES. 
119 
plicated and dreadful consequences of this wretched infatua- 
tion! A mass of animated fatuity, exciting the compassion 
of those who are unacquainted with the cause of his decay, 
but attracting only the contempt of those, who either from 
information or suspicion, impute the malady to its real 
source. To himself, on the other hand, his situation is still 
more disgusting than to others ; deprived of all internal 
powers of consolation, the anchor of his hopes lost, the 
prospects of existence clouded ; a blank-a blot in creation' 
upon what resource can he draw for strength and fortitude 
to resist the gigantic encroachments of despair, or to dissi- 
pate the horrors of a mind wrecked on the billows of unruly 
passion ? Does he fly to his books for solace ? Alas! they 
can afford him neitner amusement nor instruction; his mem 
ory has no power to retain the impression it receives, and 
morbid imagination identifies with his own situation every 
circumstance of gloom and despondency which passes be 
neath his notice. The melancholy which disturbs him in his 
closet, haunts him in his banquet-room; the spectres of his 
deceased-his murdered energies, rise upon his fancy, even 
while the dance is jocund, and the revel loud; and every 
struggle to emancipate himself only serves to rivet the spell 
of misery which enchains him. For him there is no inter- 
change " in the feast of reason and the flow of soul." He is 
compelled, therefore, to shrink within himself; and what 
awaits him there ? A blasted heath, on which no fruit of 
genius, no flower of intellect can grow; where the atmos 
phere is poisoned with disease, and the soil parched up with 
unwholesome and unnatural heat, rendering it barren and 
obnoxious to the eye. 
Here, then, appears the blessed intervention of loss of 
memory ; what a burthen of additional misery is heightened! 
For on the surface of that memory what a tide of l\orrific 
images would rush! The very anguish would beguile phi- 
losophy itself of its reason, and existence could not be toler- 
ated ! 
Fraught as this portraiture is with horror, it is by no 
means overcharged; it has its originals in existence ; even 
at this moment it is impossible to walk the streets without 
being surrounded with corroborating truths. How many 
young persons do we meet sinking into the grave, apparent- 
ly beyond the reach of human aid, at a period too when life 
is usually developing all its vigors'? Without insinuating 120 
A POPULAR TREATISE 
an illiberal prejudice against the unhappy subjects of dis- 
ease, who may chance to cross our path, is it not possible 
that many of them have been the victims of their own vices 
and follies? This infamous practice of self-pollution occa- 
sions the sacrifice of more human beings, than the fabled 
Hydras and Centaurs of antiquity ; men must be offered up 
in hecatombs at its shrine, until some mighty moralist shall 
arise, by whose energies the monster may be destroyed, and 
humanity be once more rescued from the degradation to 
which, by its vices, it has been reduced. Were the extent 
of the punishments which never fail to follow the commission 
of crime well understood, it is possible that the monition 
thereby conveyed might be sufficient. 
In whatever manner the seminal fluid is wasted, the waste 
naturally calls all the energies of the main body into action 
to repair it; and it is reasonable to infer, that when those 
energies are applied to the reparation of a superfluous and 
criminal flow, they are completely diverted from their legiti- 
mate course of operation ; and the purposes of natural nu- 
trition, as well as the support of the corporeal functions, are 
entirely neglected. When this is the case, the mind ana the 
©ody, sympathising together, experience a complete deteri- 
oration of their powers: the intellectual functions of the 
former, in the first instance, lose their activity, and move 
indolently and inefficiently, until at length they become sus- 
pended, and the patient is plunged into a state of irretrieva- 
ble lethargy. The bodily powers are moved by a propor- 
tionate impulse; the juices are dried up, the sap of existence 
withers in its trunk, the faculties lose their acuteness, and 
the whole frame becomes the melancholy subject of an in- 
curable decay. 
An indulgence in this horrid and unnatural propensity 
also begets a sensation very near akin to actual aversion 
from all the usual enjoyments of life; and so completely is 
the devoted victim subdued by the wretched infatuation, 
that, although perfectly sensible of the rapid change which 
is taking place hi his system, he appears to have lost the 
cower of applying a corrective to the malady, or of making 
the slightest struggle to check its destructive progress. He 
is led away by his passions, which exercise the most com- 
plete tyranny over his reason, and is virtually degraded to 
the level of the irrational part of the creation. Feeling the 
utter impossibility of participating in the pleasures of so- ciety, and of deriving from the natural communion of the 
sexes any of that extatic feeling of delight with which, for 
wise purposes, Providence has connected it, he imbibes a 
gradual, and at length rooted dislike to all conversation 
with his own species, bids adieu to the circle of mankind, 
and imbued with a gloomy misanthropy, the result of his 
own viscious conduct, secludes himself from the world; and 
from a useful and perhaps estimable member of society, be- 
comes the solitary sacrifice of a lust horrible in the sight of 
God and man, and totally repugnant to all the laws of na- 
ture. In fact, it is not at all an unfrequent termination of 
the tragedy, that the wretched victim, weary of a life which 
no longer teems even with the hope of future pleasures, and 
wanting resolution to refrain from his mal-practices, and to 
strive by penitence and reformation, to restore his mind and 
body to something like their original composure, profanely 
raises his hand against his own existence, and finishes his 
career of offences by rushing with awful temerity into the 
presence of that Being, whose precepts he has disobeyed, 
and whose wise purposes, in the object of his creation, he 
has most impiously and unpardonably thwarted. 
Yet notwithstanding the enormity of this offence is so 
conspicuous to the meanest capacity, and notwithstanding 
the records of the thousands and tens of thousands who 
down this precipice have fallen into destruction, the univer- 
sality of the practice is rendered every day more clear. It 
is by no means confined to the unlearned and thoughtless 
part of society; genius and learning are alike infected with 
its influence, and the most expanded capacity of exalted 
rank, and the highest qualifications of mind, are no fences 
against this miserable infection. Prof. Zimmerman, whose 
name and character bear with them the admiration of man- 
kind, and whose authority is not to be controverted, informs 
us of an individual of uncommon attainments and profound 
genius, who was unfortunately addicted to this terrible pro- 
pensity, and who, by continual indulgence in the practice 
of it, gradually lost all those powers of mind, which lie 
formerly possessed, and reduced his body to the most de 
plorable state of emaciation. 
Two circumstances are related by M. Tissot, which he 
picked up in a conversation with a M. Raft, a physician at 
Lyons, and which he gives in the following words: " A 
young man of Montpellier, a student in medicine, died of the 
ON SEXUAL DISEASES. 
121 122 
excess of this kind of debauchery. The idea of his crim* 
had made such an impression on his mind, that lie died in a 
kind of despair, fancying he saw hell opening on every side 
of him, ready to receive him. A child of this city, at the age 
of between six and seven, instructed, as I imagine, by a 
servant maid, polluted himself so often, that a slow fever 
which succeeded, finished him: his rage for this act was so 
great, that he could not be restrained from it the very last 
days of his life. When he was informed that thereby he 
hastened his death, he consoled himself in saying, that he 
should the sooner meet with his father, who died some 
months before." 
Bi. Zimmerman also gives another instance of a gloomy 
description of a young man, who had brought upon himself 
by a similar course of vicious conduct, a settled epilepsy, a 
fit of which immediately followed every nocturnal emission, 
as well as every act of self-pollution ; immediately after the 
fit, he was attacked with very violent pains in the reins. He 
was induced, however, by a representation of his true con- 
dition, to discontinue this baneful practice for some time; 
but his resolution was insufficient to support the change , 
and, in a short time, he renewed his vicious habits, until, at 
length, he was seized with more violent fits, and was found 
dead in his chamber. 
Although consequences to this melancholy extent do not 
occur to every one, who addicts himself to this unnatural 
offence, no person who is guilty of it, is allowed to escape 
without a greater or less degree of punishment; the result 
is materially influenced by the frequency of the acts, the 
strength of the constitution, (which, in some cases, enables 
a patient to bear up against a continued series of attacks,) 
and a variety of other circumstances. The general effect, 
however, is first, a complete depravation of the stomach, which 
occasions it to reject all manner of food, and to allow the 
aliment which is forced into it to pass through without ef- 
fecting the purposes of nutrition; in other cases, where di- 
gestion does take place in any degree, it is attended with the 
most violent and continued pains : frequent vomitings fol- 
low, and no medicine which is administered with a view te 
check them, produces any beneficial change, until the prac 
tice itself is discontinued. In the next degree, it produces 
a difficulty of respiration, occasioned by a weakness in tha 
organs; and this ;s soon succeeded by coug hs, a complete 
A POPULAR TREATISE ON SEXUAL DISEASES. 
123 
change in the tones of the voice, which becomes weak, shrill 
and piping, and a shortness of breath upon the least extra- 
ordinary exertion. Thirdly, it gives occasion to a complete 
relaxation of the nervous system. From these causes pro- 
ceeds an innumerable ramification of diseases, which atfect 
the animal economy in all its parts, and which have been 
described as follows:-" A considerable diminution of the 
powers, paleness in a greater or less degree ; sometimes a 
slight jaundice, which, however, is continual; afterwards 
pimples, which go away, only to make place for others, and 
which continually re-appear all over the face, but particu- 
larly on the forehead, upon the temples, and near the nose; 
remarkable leanness; surprising sensations at the change 
of the seasons, particularly in cold weather ; a languor in 
the eyes; a weakness of sight; a considerable decay of all 
the faculties, particularly of the memory." 
Those various consequences are so completely illustrated 
and embodied in a case given by M. Tissot, that it would be 
wrong to omit quoting it: 
"L. D , was by profession a watch-maker; he had 
lived prudently, and had enjoyed a good state of health till 
he was about seventeen years of age ; at this period he gave 
himself up to masturbation, which he repeated every day, 
sometimes even to the third time; and the ejaculation was 
always preceded and followed by a slight insensibility, and 
a convulsive motion in the extended muscles of the head, 
which drew it very much back, whilst the neck was ex 
tremely swelled. A year had not yet elapsed before he be 
gan to feel a weakness after every act: this notification was 
not sufficient to rescue him from his filthy practices; his soul, 
already devoted to these disorders, was incapable of form 
ing any other idea, and the repetition of his crime became 
more frequent, till such time as he was in a state which 
gave reason to apprehend his death. Too late grown wise, 
the evil had already made so great a progress that he was 
inc arable, and the genital parts were become so easily irri- 
tated, and were so weak, that it was no longer necessary 
that the unhappy youth should be an agent to shed his seed. 
The slightest irritation immediately procured an imperfect 
erection, which was instantly followed by an evacuation of 
this liquor, which daily increased his weakness. This spasm, 
of which he was not before sensible but in consummating 
the act, and which ceased tlerew:th, now became habitual 124 
and frequently attacked him without any apparent cause, 
and in so violent a manner, that during the whole period of 
the fit, which sometimes lasted fifteen hours, and never less 
than eight, he felt such violent pains in the hinder part of 
the neck that he did not scream out, but absolutely howled; 
and all this while he was unable to swallow either solids 
or fluids. Uis voice was become hoarse, but 1 did not ob- 
serve that it was more so whilst the fit continued. He en- 
tirely lost his strength, and was obliged to give up his pro- 
fession, being altogether incapacitated: thus overwhelmed 
with misery, he languished without any assistance for some 
months, and was the more to be pitied, as what memory ne 
had remaining, and which he was at length entirely bereft of 
only served him to take an incessant retrospect of the cause 
of his misfortunes, which were increased by all the aggra- 
vating horrors of remorse. I heard of his situation, and 
went to him; 1 found a being that less re sembled a living 
creature than a corpse, lying upon straw, meagre, 
pale, and filthy, casting forth an infectious stench, almost 
incapable of motion, a watery palish blood issued from his 
nose, slaver, constantly flowed from his mouth; having a 
diarrhoea, he voided his excrements in the bed without know 
ing it, he had a continual flux of semen; his sore watery 
eyes were deadened to that degree, that he could not move 
mem, his pulse was very small quick and frequent; it was 
with great difficulty he breathed, reduced almost to a skele- 
ton, in every part except his feet, which became oedama 
tous. 
*• The disorder of his mind was equal to that of his body, 
devoid of ideas and memory, incapable of connecting two 
sentences, without reflection, without being afflicted at his 
fate, without any other sensation than pain, which returned 
with every fit, at least every third dav. Far below the brute 
creation, he was a spectacle, the horrible sight of which 
cannot be conceived, and it was difficult to discover, that he 
had formerly' made part of the human species. 1 had imme- 
diate recourse to the assistance cf strengthening remedies, 
in order to remove these violent spasmodic fits, which so 
dreadfully brought him back to sensibility only by pain. I 
contented myself with having given him some ease in this 
respect and I discontinued administering remedies, which 
could not ameliorate his condition. He died at the end ofafew 
Jl popular treatise ON SEXUAL DISEASES. 
125 
weeks in June, 1757; his whole body having become urop. 
sic al." 
One of the common attendants of this baneful propensity 
»s hypochondriasis, and it is worthy of observation, that 
when this consequence begins to exhibit itself the cure of 
the unhappy patient becomes a subject »fhope raihe> »han 
expectation. This effect indeed appears to be tl-e termma- 
tion, to which all others combine to arrive. Hypochondria 
sis is in these cases frequently accompanied with delirious 
fits of frenzy, which so feed upon the brain as well is upon 
the bodily faculties, both of which have been previously 
reduced to a lamentable state of imbecility, as to leave 
scarcely anything for death to accomplish. History givea 
us many instances of melancholy men, rendered sc by the 
excesses and abuses which have been before described, who 
on the application of stimuli of any kind, have been driven 
into all the wild ravings of insanity, which have terminated 
in a consumption. Epileptic effects are still more common, 
and in both sexes have been known to be produced by acts 
of venery, as well as by masturbation; and when they ap- 
pear in the last case, the disorder is incurable. The neck 
and spine have frequently been attacked with a promptitude 
and severity, which have rendered medical aid totally ineffi- 
cacious, and from those parts the stiffness has rapidly ran 
through the whole frame, arresting the pliancy of the differ- 
ent members of the body and terminating in death. Instan- 
ces of this kind are rare, but where they have been quoted, 
they are pretty lull and conclusive. We read of one young 
man, who for some time before death put a period to his 
sufferings, could bear no other posture than that of lying on 
his belly in bed, without the power of mo' ing his hands or 
feet, or of taking any aliment, but such as could be intro- 
duced into his mouth, without any agency of his own. We 
read of another, in whom the disease first assumed the ap- 
pearance of intoxication, making him stagger as he walked ; 
subsequently it weakened his legs so much, as to render 
them perfectly useless, at the same time so affecting the 
nand and the arm, that he could not without assistance use 
either, his voice was then attacked, and it was with difficulty 
that he could make himself understood; soon afterwards 
his head fell upon his breast, the extending muscles having 
entirely given way. He was now obliged to pass the whole 
of the day and night upon a settee, in a reclining position, 126 
his head dropping every moment upon his breast, with a 
person perpetually at his side, raising his head, supplying 
him with food ana snuff, wiping his nose, and giving atten- 
tion to him while he endeavored to articulate, by pronounc- 
ing each letter separately. Previous to his death he con- 
fessed that masturbation was the cause. 
One probable cause of the fatal termination, which too 
generally waits upon these excesses, is the secresy which 
shame imposes upon the lips of the patient, with respect to 
the real cause of this disorder; the victim of his own impru- 
dence, rather than admit the real source of his ailments, he 
is perpetually anxious to mislead his medical advisers, who 
are in consequence induced to attribute the variety of de- 
plorable symptoms, which exhibit themselves in his case, to 
causes very remote from those which have actually pro- 
duced them. From the misunderstanding which here takes 
place, an improper mode of treatment is naturally adopted, 
while the disorder daily makes head against the falsely di- 
rected attacks made upon it, and reaches a fatal height of 
influence before the unhappy patient has acquired a degree 
of resolution sufficient to carry him through the shame of an 
avowal. , - 
It is true, indeed, that some medical men, by the unexpect- 
ed application of pointed questions, have extracted the fatal 
truth from the lips of the sufferer, in sufficient time to be en- 
abled to adopt the true course of treatment prescribed by 
nature and tire most approved experience. But, generally 
speaking, medical men are apt to content themselves,!where 
the symptoms are not immediately alarming,) with a super- 
ficial view of the case I efore them. 
Acute disorders are declared to be very fatal in those who 
addict themselves to the practice ot self-pollution: and Fon- 
seca expressly asserts, that when the body is weakened by 
venereal excesses, if, at the same time, it labors under any 
acute disorder, there is no cure for it; and he instances 
seven 1 cases of robust persons in the full vigor of youth, who 
have not been cured without the utmost difficulty. 
The small pox made an attack upon a youth of about 
seventeen, who had carried the practice of self-pollution to 
such an extent, that instead of an emission of seed, nothing 
but blood was produced. The disease proved fatal to him, 
and the opinion of the medical men determined, that its mor- 
tality was the result of the terrible and repeated shocks 
A POPULAR TREATISE ON SEXUAL DISEASES. 
127 
Which he had given to his constitution, in his Im pur- 
suit of the baneful vice before alluded to. 
There was a work published in the course of the : sen 
fury, under the title of Onania, and although it has been fre 
quently attacked for its illogical style, and the inetm-ucy of 
Ine remedies which it prescribes tor the consequences of 
self-pollution, it abounds with eases of the most terrible com- 
plexion, which are well calculated to deter the young prac- 
titioner from the continued pursuit of a vice so odious in its 
nature, and so destructive in its influence. "No sooner," 
says the author, " has this uncleanness got the master over 
the heart, bat forthwith it pursues the man every where, and 
keeps its possession of him at all times, and in all places. 
Upon the most serious occasions, and in the very ^is of 
leligion, he ever and anon finds himself transported with 
lustful conceptions and desires, which incessantly follow 
him and take up his thoughts." 
The inclination to commit this offence increases with the 
frequency with which it is committed : it is that kind oflust 
or appetite, which grows with what it feeds on; and, as 
soon as the infamous practice becomes established, the soul 
unites with the body, to court the repetition of the crime; 
all the faculties of the body become the ready panders to the 
depraved disposition of the mind;-every object of feminine 
grace and attraction, by a strange perversion of legitimate 
effect, as it passes through the diseased organs, incites to 
this unnatural propensity; so that even the active desires, 
lusts, and inclinations, with which nature has endued us, are 
completely changed into passions and dispositions, which 
brutify the species, by tending to gratifications equally at 
war with nature and reason. When the practice of self-pol- 
lution has acquired such a complete ascendancy over all the 
natural feelings of the heart, one of its immediate effects is 
to disgust the individual with those very objects, in whom 
Providence has fixed the centre of sexual and moral en 
joyment; the thirst after natural coition is first weakened, 
and gradually destroyed, in proportion as the taste becomes 
vitiated, and the bodily organs incapacitated for its enjoy- 
dient; for the perpetual waste of the seminal liquor rapidly 
leads to an impotency, both of inclination, as well as bodily 
ability, although the former, in numberless cases, has long 
•urvived the utter destruction of the latter. An exhibition 
®f early symptoms and infirm-ties may, indeed, sometimes, 128 
A POPULAR TREATISE 
by alarming the fears, check the impetuosity of the infatu- 
ated youth; but the moment these providential warning! 
disappear, apprehension gradually decays, and the unnatu 
ral lust returns to its empire, with added power, to tyran 
nize over the weak judgment. 
" Whilst 1 was studying Philosophy at Geneva," says M. 
Tissot, " one of my fellow students had arrived at such a 
horrid pitch, in the practice of these abominations, that ha 
was incapable of abstaining from them, even at the time ot 
his receiving his lessons : he did not long wait for his chas- 
tisement : he died miserably of a consumption, at the end 
of two years." Mention is also made of a whole college, 
who, by this practice, diverted the tediousness of a drowsy 
old professor's metaphysical lessons, which would otherwise 
have driven them to sleep. Societies of lads have been 
known to be formed, for the purpose of carrying on this 
vice. 
Conceive the situation of a youth, devoted to this horrible 
practice, when circumstances lead him to the formation of a 
matrimonial connection, and he is called upon to exchange 
his habit of filthy propensities for the pure enjoyments of 
the nuptial couch! In this case how forlorn is the situation 
of both individuals. The husband, perhaps, experiencing an 
excitation, of a new, but extremely powerful description, 
essays to fulfil the chief end of his union. His passions are 
inflamed to the highest degree ; every faculty appears alive 
to a sensation of exquisite rapture ; but, alas! at the mo- 
ment when he is about to unloose the virgin zone of his 
expecting bride, a spontaneous emission takes place, the 
excitement retires, all the lively emotions prematurely de- 
cay, and the animal functions suddenly become palsied, and 
utterly incompetent to fulfil the end to which they were 
excited. 
The nuptial bed, instead of teeming with a hallowed, ex- 
tatic, and indefinable delight, is converted into a scene of 
blended mortification, disappointment, and suppressed an 
ger : and it is now that the mistaken bride is first penetrated 
with those suspicions, which are too soon corroborated by 
subsequent experience ; and, if, under such circumstances, 
the unfortunate female fall a prey to some artful seducer, 
her offence is not altogether without a justification, and the 
injured husband may accuse himself, as heving abetted hei 
unhappy deviation ON SEXUAL DISEASES. 
129 
Those who are guilty of venereal excesses, by addicting 
themselves to women, have a manifest advantage over tlie 
agents of self-pollution ; for the joy which the heart experi- 
ences, and which is very distinct from that voluptuousness, 
which is solely corporeal, is said to aid digestion, to ani 
mate circulation, to accelerate all the functions, and U 
restore strength and support. Sanctorious says, " Aftes 
excessive coition with a woman that is beloved, a man it 
not sensible of the lassitude which should follow this excess • 
because the joy which the soul feels increases the strength 
of the heart, favors the functions, and repairs what was lost.*' 
Another ancient writer asserts, " That communication with 
an ugly woman exhausts much more than with one that is 
handsome." St. Chrvsostom says, " That when we excite 
ourselves against the laws of nature, the crime on that side 
is much greater than on the other." Nature herself, indeed 
becomes in a measure the advocate of those who follow her 
dictates, inasmuch as she stands forward the stern accuser 
of all those who act in hostility to the plain impulses which 
she has sanctioned. 
Disorders of the nervous system affect the soul with a rapid- 
ity the most astonishing ; fits of epilepsy very soon produce 
total imbecility; the brain is very quickly attacked with an 
extraordinary weakness ; and all the faculties suffer in a pro- 
portionate degree. Loss of sight is one of the early conse 
quences to be dreaded, where epileptic symptoms have 
displayed themselves. 
In strong minds, as the individuals have surpassed the age 
of childhood, and the empire of reason has reached a certain 
established strength, their propensities have doubtless been 
frequently checked and subdued, before they have produced 
any of those dreadful consequences which have been detailed 
in a former part of this Treatise ; but even in these cases, it 
is impossible to ascertain the boundary of the mischief, 
which may have been done to the constitution. It is in 
more advanced age that this secret will be developed, when 
the natural energies of the body begin to decay; it is then 
that the effects of a well-regulated, or misapplied youth, 
exhibit themselves; either producing a wholesome and 
vigorous decline, cheered with the recollections of moral 
»b Ligations performed, and domestic duties fulfilled, of a 
youth of promise, and a manhood of useful energy, or in A POPULAR TREATISE 
fecting the autumn of life with troubles and tortures of the 
sternest complexion, and embittering those hours of more 
advanced life, which require a serene tranquillity to sup- 
port the shattered frame of humanity to its last receptacle. 
Indolence is, unquestionably, a great cause of the increase 
of this as well as of oth'" vicious propensities. When the 
faculties are busied in some particular pursuit, and employee 
in an industrious calling, the temptations that lead to these 
practices lose half their force. There is no leisure for the 
perpetual recurrence to habits which require secrecy, and 
during the indulgence of which, the bosom must be the seat 
of continual apprehension from the fear of intrusion; for vo- 
taries to this abomination have confessed the subserviency 
of soul under which they labored during the tyranny of its 
overwhelming influence, by which the temper of the intel- 
lectual economy has become callous to any appeal of nature 
or religion. 
It is to be lamented, that the effect of this disorder has 
been commonly mistaken, and treated as symptoms of other 
diseases, which, in fact, have in themselves been sympto- 
matic of this grand and unnatural aberration.* This fault, 
however, lies usually with the patient, who, having made 
up his mind to obtain some relief, describes a few most irk 
some sensations, but conceals the true source of his ailments; 
the effect of this partial communication is, to deceive the 
practitioner; who, without troubling himself to institute that 
careful investigation, which is frequently necessary to wring 
from the sufferer a candid acknowledgment, imbibes a spec- 
ulative opinion, and administers more with a view to experi- 
mental result, than to the application of speedy and etfec 
tual relief. Upon the minds of physicians themselves there 
have been great doubts as to the proper mode of treating 
tiie effects of self-pollution, even when the true source of the 
evil has been made known : various methods have been re- 
corded as successful; but it may be doubted whether the 
credit of the victory over so malignant a foe was really due 
to the narrator; or whether nature herself had re-asserted 
ier rights, and by the discontinuance of the practice, the 
130 
* It would hardly be credited that the great John Hunter con- 
sidered the effects of Onanism us almost unimportant, did not hu 
works acknowledge so lamentable a record of his opinion. ON SEXUAL DISEASES. 
131 
patient under such powerful assistance, had regained a por 
lion of his fatuity, and, in some measure, become enabled tc 
make a successful stand against the disease; and had gra 
dually recovered a portion of his original soundness and 
rigor. 
Tiie practice of Hoffman was to restore strength by warns 
volatile medicines, strong agreeable aromatics, beef, veal 
and chicken broth, and other remedies, to promote perspira 
lion. Asses' milk has been highly extolled, but appears in 
the present day, to afford no proofs of its healing power or 
these cases. 
The modes of cure pointed out are various, from the firS 
mstitutors of medical regimen to the present day ; but they 
are not borne out by any conclusive effects, probably from 
the limited attention bestowed by the profession upon this 
state of disease. The causes which induce the great medi 
cal characters of our time to show so little regard to dis- 
tempers of this description, are a fit subject for enlarged 
discussion. It has been alleged in justification of their apa- 
thy in a matterof such grasping importance, that empiricism 
having taken possession of this branch of the medical de- 
partment, the regular faculty can not, without professional 
degradation, descend to enter into competition with unquali- 
fied pretenders. This is a false, not to say an inhuman mode 
of reasoning, where the life of man is to be outweighed by 
the silly scruples of professional delicacy; but allowing 
the momentary weight, were the rays of medical talent to be 
concentrated to this point, how soon would all the shallow 
mystery of quackery be penetrated and exposed ; were pro- 
fessors of skill and science to apply themselves to the de- 
velopment of this disease, in its causes and through its effects, 
how very soon would such impostors be driven from the 
field, and disabled from ever renewing their devastations 
within the sphere of professional science. We are not 
without hope, that as accidental discoveries have furnished 
medical annals with many of the principal specifics in the 
cure of diseases, the promulgation of the baneful conse- 
quences of self-pollution in this work, may direct the notice 
of the medical world to the subject; and, if so, is it likely 
that ignorant empirics can long withstand the united com 
petition of the science, skill, and the principles of integrity 
which form the substantial foundation on which a just pru» 132 
A POPULAR TREATISE 
titioner claims to establish a reputation for useful respecta 
bility and scientific distinction. 
Let us, then, in all cases of this nature, distinguish be- 
tween reason and report; vulgar opinions, and the sense of 
capable judges ; the practice of quackery, and the princi- 
ples of physical deduction. True it is, that some popular 
remedies have found their way into the established Pharma 
copceia, and deserve to be there retained-because men of 
learning and sound sense have sanctioned their admittance. 
In Physic, as in Chemistry, the effect is often a matter of 
experiment, upon which wise men reason and assign the 
use, although the first discoverer of the remedy may have 
been an individual of whose professional acquaintance they 
might have felt ashamed ; it is one thing to prescribe ra- 
tionally, and another to be lucky in cures. Hoffman and 
Boerhaave were the most opposite persons to Paracelsus 
and Van Helmont, who, notwithstanding, have been justly 
recorded as extraordinary men. 
" The truth is, that far the larger part of the practice o< 
physic is empirical, being founded upon collections of ob- 
served facts, happy discoveries, or pernaps, upon instinctive 
propensities."-Sir C. Morgan. 
To ourselves it is a matter of congratulation, that our 
professional studies have been directed to this decried and 
neglected branch of practice; and much credit do we de- 
mand for the success which has, almost exclusively, been 
the result of our own efforts; because, in the first principles 
of medical education, professors seem purposely to exclude 
even a reference to the subject. The fruits of our long and 
industrious application we now lay before the world, actua- 
ted by the broadest motives of general philanthrophy. 
For some time we beheld victims consigned to the desperate 
grasp of unprincipled quackery, before we could mature 
our intention to interfere betwixt the ignominious empi- 
ric and his prey, and to make at least an attempt to snatch 
from destruction a portion, however diminutive, of our fel- 
low beings. At length we carried our purpose into opera- 
tion, and the most decided, the most extensive, and the most 
sininent success, has crowned our exertions. But artifice 
was indispensible to the accomplishment of our object; it 
was necessary to foil these would-be members of the medi- 
cal art with theii own weapons ; in public advertisements 
we have asserted our qualifications educated to the pro- ON SEXUAL DISEASES. 
fession, and authorized to practice it; and the consequences 
have been such as to bring no discredit either on that edu- 
cation or on that authority. Numbers have been snatched 
from the error of their way, and re-established in health 
and energy; and the impression made upon public morals 
by our exertions has been in an equal proportion. Certain 
it is, that such horrible instances, as a few years since came 
daily under our knowledge, are becoming gradually less 
frequent. Patients of this description require the most 
anxious participat/in in their feelings ; a wounded mind is 
not to be goaded by reflective monitions: the medical conso 
lation must flow from hope, that cheering beacon to a throb- 
bing heart: for only by the sympathy of common feeling 
can the anguished soul be beguiled of its torment: when this 
maxim is made the rule of professional conduct, the case 
soon displays symptoms of improvement; but where this 
delicate consideration for the patient's feelings is neglected 
the medical attendant injures more than he relieves. 
The shaft of envy, however, has assailed our successful 
attempt; yet there is a self-satisfaction which is at all times 
equal to repel any invasion of just principles. We direct 
our readers to the subsequent division of this work; where, 
by a series of authenticated communications, they will, in 
the grateful acknowledgements of renovated health, assure 
themselves that the method of treatment on which we have 
so effectually relied, from the commencement of our medi- 
cal career, is directly opposed to that system of pernicious 
excitement which has been so often productive of the most 
disastrous effects ; and against which, in the. course of these 
pages, we have entered our decided protest. 
The application of stimulants may cause a spurious re- 
suscitation of power ; a momentary revival of the nervous 
energies ; but reason will show, that such an impulse is 
evanescent; that instead of communicating benefit, it actu- 
ally contributes to the rancour of disease, by impelling an 
accelerated operation; as an expiring fire may be made to 
emit a luminous exhalation, but the very effort tends to its 
speedier extinction, and it dies as the unnatural flame sub 
sides/ We surely cannot be required to go farther into 
such a subject. 
133 
* We are here alluding to a systematic employment of stimuli, 
and not to then- occasional use. 134 
Parentsand Tutors should have a strict eye to youth j 
recollecting that upon its purity depend all the future pros- 
pects in life in every point of view. It is by the practice of 
temperance, not merely in eating and drinking, but in other 
sensual pleasures ; and by a total ignorance of, or abstinence 
from, the sinful practice of self-polution, that at the com- 
aiencement of life the constitution is so settled and strength- 
ened, as to bear up well against the storms which occur 
during the winter of age. This maxim cannot be too deeply 
enforced on the minds of the aged, that it may be by them 
impressed on the understandings of the young. 
And further, when there shall be observed by those to 
whom the care of youth be intrusted, any sudden changes of 
the complexion, any morbidity of the system, any dereliction 
of the faculties, any abstraction from usual habits, or any al- 
teration of disposition, let them reflect that the effects must 
arise from some cause; a few artful questions apparently 
andesigned, will soon detect the mischief, especia>y if criti- 
cal observation be paid to the countenance of the suspected 
individual. For this purpose, parents, guardians, and in- 
st»-uctors, ought to be well acquainted with the symptoms 
and cases here detailed ; and it is a duty imperative upon 
them to apply to early assistance, that, while they them- 
selves impress upon the youthful mind the religious and 
moral obligations which demand its restriction from a prac- 
tice so degrading to all social duties, they may, at the same 
time adopt a method to assist the constitution by an imme- 
diate check, and ultimately restore it by the extinction ef 
Ais propensity. 
A POPULAR TKEATIS1 ON SEXUAL DISEASES. 
135 
STRUCTURE, FUNCTIONS, AND DISEASES, OF 
THE FEMALE ORGANS OF GENERATION. 
The female genitals occupy the same relative situation in 
the pelvis as the male, but they are an antithesis to each 
other. The male are constructed to deposite, and the fe- 
male to receive. No. 1, is the navel. No. 2, the mans ve- 
neris. In the female there is a conduit or passage ; in place 
of the male penis, termed the vagina (No. 4,) leading tc the 
womb-the receptacle for the impregnating fluid. The 
vagina is placed between the bladder and rectum. Its en- 
trance is marked by doublings, or longitudinal folds of flesh, 
called labia, (No. 3,) between the upper part of which is 
the opening of the urethra into the bladder, called urinary 
meatus (No. 8,) while below is occupied by the aperture, 
passage, or fissure, as above described. At the roof of the 
vagina is a fleshy ridge, with a pouting apex or point anala- 
gous to the penis in the male, except being impervious, and 
called the clitoris (No. 7,) which possesses the power of 
erection, or rather of becoming intumescent when excited, 
and also of furnishing a peculiar secretion. It is exquisite- 
ly sensitive, and believed to be the seat of pleasure in the 
sexual embrace. The vagina consists of a very soft, vascu- 
lar, elastic and contracting structure, constituting, when its 
sides are collapsed, lilliputian rug®, or ridges, like the im- 
pressions left on the sand by a receding sea. Its surface is 
lined by a delicate mucous membrane, which secretes a lu- 
bricating fluid. It is this membrane which is the seat of go- 
norrhoeal discharge, fluor albus, &c.; and it is also subject 
to ulcerations and other diseases. From the clitoris is sus- 
pended an inner fold, like a graceful mantle, called nympho, 
(No. 6,) which are also extremely sensitive, and appear t« 
serve, as they surround the urethra, also for the purpose of 
directing the flow of urine. Under the opening of the 
urethra, adherent to the external margins of the vagina, is 
a membranous veil or curtain, with a small central apes- 
titre, called the hymen, the presence of which is looked upon 
as a test of virginity. After the laceration or dilatation of 
this membrane, which takes place through other causes than 
sexual intercourse, the sides of it contract, and form little 136 
A POFOLAR TREATISE 
wing tike slips, to which the fanciful name of caruneulA 
myrb formes (0 00 0) is applied. 
The subjoined diagram will familiarize the reader with 
the situations of the female organs thus far given : 
In Plate L, in the front part of the book, is the figure of a 
woman with the abdomen, or lower belly laid open, to show 
the essential parts of generation, and others which hav* 
some connection therewith. 
1,1. The two kidneys. 
2, 2. Fimbria or fallopian tubes. 
3. Womb. 
4, 4. Ovaries. 
5. Spermatic vessels. 
6. Vulva, or orifice of the Vagina. 
7. Aorta. 
8. Vena Cava, 
9. Bladder. 
0. Hymen. 
Much has been said regarding the presence of the hymen 
in its entire state. It has been deemed by many to be there 
Claced as a moral evidence of chastity; but its laceration is 
y no means an infallible test of dishonor. In females of 
feeble or consumptive health, and others of delicate consti- 
tutions generally, the aperture of the hymen may become 
dilated from natural causes-from too profuse a flow of the 
menstrual flux, from local debility of the part itself, such as 
exist in the disease known by the name of the whites; and it 
is sometimes to be traced to the habit of personal and soli- 
tary excitement, as will be presently alluded to. The 
membrane is occasionally so dense and hard as to resist 
sexual cohabitation ; and only upon dividing it by the scal- 
pel, can intercourse be sustained. At other times it is so 
fragile and so vascular as to be torn with the least violence 
and profuse haemorrhage to follow. 
At the end of the vagina is the uterus. It is suspended 
by what anatomists call its broad ligaments, which have 
certain local attachments. It resembles in shape a pear 
It is of a peculiar structure, capable of great distension, and 
possessing extraordinary properties. It is divided into a 
body, neck and mouth, and when unimpregnated, is very 
compact, and occupies but little space. The interior is 
consequently very small, and it secretes and pours forth at 
certain periods a sanguinous discharge, termed the menstrua ON SEXUAL DISEASES. 
137 
When conception has occurred, the mouth of the womb, 
which before was open becomes permanently closed until 
the period of delivery. Connected with the womb, and con- 
stituting a most important part ot its machinery, there are 
discovered in the roof of the interior of the uterus, two open- 
ings, which are the ends of two tubes or canals, called th® 
fallopian tubes. 
These tubes have their origin in the ovaria, which are 
two small bodies encased in the ligamentous band support- 
ing the uterus, and resembling the testicle of .ne male; 
hence they have been called the female testes. These ova- 
ria contain a number of little vesicles of the size of mustard 
seeds, and some of the size of a pea, in number from twelve 
to fifteen. These vesicles are denominated the eggs of the 
human species. Annexed to the ovaria are observed, sur- 
rounding the tdbes, certain fimbria, which grasp the ovaria 
during the •opulative act, when prolific, and squeeze out as 
it were, one of these little eggs, and propel it into the 
uterus. 
Still further to facilitate the understanding of the structu •es 
described in addition to the preceding diagram, the follow- 
ing drawing is presented. It exhibits a section of the female 
pelvis, and explains more fully the relative positions of 'u 
contents: 
(Fig. 107.) 
a. The boay pot ion of the pelvis separated from tt« Junction with 
its companion.-4, The spinal column <>ftH back.- r. Toe blad 138 
A POPULAR TREATISE 
•er.-d. The orifice of the urethra.-e. The body of the womb.- 
J. The neck of the womb.-The vagina.-h. The rectum, 01 
end of the intestines. 
The subjoined drawing illustrates the shape and appear 
knee of the womb detached from the body :- 
(Fig. 108.) 
To particularize: The upper part is called the fundut; 
the widest part, the body ; the neck, the narrow part; and 
the lower portion the mouth, or the os tinea. The connex- 
ion of the fallopian tubes is well shown. 
The uterus, or womb, is described by physiologists as be- 
ing of a spongy structure-a structure that yields with its 
enlargement-that grows with its growth-that resumes the 
former size when disburdened of its contents. It is supplied 
with blood-vessels, is duly supported, has scarcely a cavity 
when unimpregnated, but is ever in a state of preparation 
for changes. Of conception we shall presently treat. 
There is one function too important to omit in this place, 
and this is menstruation-a term indicating a monthly pe- 
riodical discharge that escapes, or which is given off from 
the womb. At the commencement of this function, woman 
b said to have arrived at puberty; but there are cases of 
precocity, and others wherein it never occurs, that neutral ON SEXUAL DISEASES. 
139 
!ze this assertion ; besides, menstruation, being deferred or 
protracted, depends frequently upon peculiarities of health. 
As soon, however, as it occurs, a sensible change takes 
place 'a the female economy ; and certainly the other de- 
velopments of womanhood rapidly follow. 
Menstruation is the monthly discharge of a red fluid, com- 
mon to females from fifteen or sixteen years of age to be- 
tween forty and fifty ; and it is held that, while a female 
menstruates, she is apt, and capable also, to conceive. 
The act of connexion is urged by what is called the sex- 
ual propensity. It is accompanied by feelings of the in- 
tensest kind : the acme of enjoyment is at the moment of 
seminal ejaculation. The penis is excited to erection by 
the influx or rush of blood into its cavernous or cellular 
structure ; the scrotum becomes constricted, and compress- 
es the testicles; the vesicula seminales, and the prostate 
gland, are also elevated by the muscles called levatoresani, 
as shown in the preliminary anatomical drawings, whence 
their use may now be better understood, as well as those of 
the perineal muscles, which all more or less assist in caus- 
ing the prompt and forcible ejaculation of the spermatic 
fluid. 
" In the female, the sense of enjoyment, sub coitu, appears 
to be principally excited by the friction of the labia interna 
and clitoris, which are alike in a state of turgescence or 
erection. This nervous excitement, as in the male, often 
reaches such a degree of intensity that a kind of syncoptic 
state is induced." A sense of contented lassitude follows, 
and the mind is permitted to return from the regions of ex- 
cited imngination to its ordinary quietude. 
The due occurrence of the phenomena just detailed does 
not necessarily secure, although it generally succeeds in 
producing a prolific result. Health, aptitude, and one import- 
ant condition are indispensable ; and the last is-a positive 
contact between the male sperm and female ovum. There 
are many remarkable eccentricities that embitter married 
life. A union may exist between two parties who are 
wholly inapt for mutual enjoyment. The sensations be- 
longing to the sexual act are involuntary, and are prove ked 
independently of the will: hence, in connexion without 
consent, or under feelings of great repugnance, the orgasm 
sometimes aroused ; and yet, where the greatest aflectioo 140 
A POPULAR TREATISE 
and desire pi evail, the male oftentimes unseasonably con 
lauding before the female, is a most tantalizing source of 
disappointment. Further allustons will be found to this 
subject under the heads of " Sterility," and " Impuissance." 
As a preliminary aid to the description of the process of 
impregnation, which ensues, the following anatomical draft 
is presented: 
(Fig. 109.) 
U Section of the womb, upper part.-2. Do. of side.-3. Do. of 
lateral covering.-4. Do. of lower part of womb.-5. Cavity of 
the womb.-6. A prominence leading from the openings of the 
fallopian tubes.-7. The vagina.-8 and 9. Fallopian tube cut 
open.-10 and 16. The fimbriated extremity of do.-11. The pa- 
villion. 12. The ovary.-13. Vesicles in do.-14. Continuation 
ovary.-15. Ligament of do.-17. Pavillion of right ovary .-18. 
Right ovary.-19. Connecting band. 
Man, unlike other animals, is not smitten with desire to 
propogate only at particular periods. In sentient beings, 
every season is favorable to the flame of love. 
When conception takes place, the following phenomena 
are believed to occur: The womb is supposed to participate 
in the excitement of the sexual act, and at the moment of 
the orgasm, to receive the male seed, and to mingle with it 
a fluid of its own. The whole apparatus of the uterus ap- 
pears influenced at the same time,* by a kind of electric 
Sriiability. A vesicle, owing to the ovaria being grasped 
* Some say eight days after. ON SEXUAL DISEASES 
141 
or embraced by the Ambrite, escapes from its lodgment and 
enters the fallopian tube, where it bursts and its albuminous 
drop is conveyed into the womb. 
From the circumstance of the male semen returning from 
the vagina after copulation, it has been doubted whether it 
was intended to enter the uterus. It certainly can only en- 
ter once,* and that when impregnation takes place ; and 
even then a small portion suffices, for immediately after 
conception the mouth of the womb becomes impermeably 
closed. The mouth of the womb lies horizontally like the 
lips of the face, while that of the orifice of the urethra is 
arranged perpendicularly : hence the presumption, from this 
better adaptation to transmit and receive, that the semen to 
impregnate should enter the uterus. 
This question is mooted, because it has been supposed by 
some that impregnation ensues from the vapor or odor of 
the male seeil ascending to the womb. Contending parties 
admit, while others deny, that the seed may be, and has 
been, detected in the womb of females and animals having 
been slain (or who may have died) during or soon after the 
act of copulation. Impregnation has followed very imper- 
fect penetration, such as in cases of unruptured hymen, or 
of disproportion of parts, and other causes needless to in 
sert here, by which the supposition is supported that con- 
ception takes place from vaginal absorption ; but it must be 
remembered that the seed is projected generally with great 
force, and that the smallest possible quantity is sufficient 
for impregnation ; also that the vagina possesses a constric- 
tive movement of its own, whereby the seed is carried into 
the womb. 
After the escape of the "albuminous drop," the vascular 
membrane which contained it is converted into what is 
called a corpus luteum; denoting thereby-for it assumes 
the form, after a while, of a fleshy nucleus-that the female 
has either conceived, v r has been under the influence of 
strong amatory excitement. This salvo must be admitted. 
* Instances of different conceptions following connexions at brief 
Intervals are of occasional occurrence. 
A case is recorded of a negress having brought forth a negro and 
a mulatto child, and who confessed having received the embraces 
of a white and a negro the same evening. Drs. Dewees of Phila 
Mphia, an 1 Francis of New-York, adduce similar instances. 142 
A POPULAR TREATISE 
for corpora lutea have been discovered in fetnales where 
intercourse was even impossible; but as this detection of 
corpora lutea generally corroborates the surmise that so 
many conceptions have taken place as there are corpora lutea, 
it is to be presumed that the exception must be owing to soma 
similarly powerful mental, as well as physical excitement. 
When impregnation has taken place, the womb begins to 
enlarge, and become more soft, vascular and turgid-the 
wonderful process of fluids assuming the form of solids com- 
mences, and within a fortnight an investing membrane is formed 
called the decidua, (I will insert as few names as possible,) 
consisting of two kinds of folds, one lining the womb, an j the 
other containing the ovum which has therein "taken ^00t." 
The ovum is now a soft oval mass, fringed with 
vessels, and composed of membranes containing 
the early foetus. See sketch. 
When opened, the foetus appears surrounded by 
three distinct membranes: first, the decidua; se- 
condly the chorion, the inner fold of the former; thirdly the 
amnios. The decidua, as before stated, lines the womb; the 
two others cover the ovum or foetus. After a time the am- 
nios and chorion become adherent to each other, and a fluid 
is interposed betwixt the amnios and foetus, called the liquor 
amnii. The foetus, as it advances, is perceived to be hang- 
ing by an organized support, called the umbilical cord, 
floating in the liouor before named.* 
A draft is here presented of an ovum fa 
section) of a fortnight old; 
and adjoining is one just 
double its age, where the 
cord will be perceived. 
The following further ac- 
count may aid the descrip- 
tion thus far given. The ovum protected 
by a membrane of its own, called the amnios, 
(Fig. 110.) 
(Fig. 111.) 
(Fig- U2) 
* The membrane containing the liquid comes away with the af- 
ter-birth or placenta: but when it is brought away with the child's 
head, it is named a ''caul" to which the ignorant attach a super- 
stitious belief that it saves the possessor from drown, ng, and hence 
it has been a source of traffic between the cunning and the weak- 
minded. Cauls are made by detaching the membrane from (hr 
placenta OX SEXUAL DISEASES. 
143 
descends into the uterus, where it takes its hold of the mem- 
branes already there-the decidua. It pushes ife way be- 
fore, as exemplified in the subjoined drawing: 
(Fig. 113.) 
a-The deers.* 
lining the 
womb. 
6-Do. prctee 
ting the ovuni 
c-The upper 
nart of the 
womb where 
the ovum has 
become ad 
herent. 
i-The ovum 
The next cut shows the advanced condition of the foetus 
(Fig. 114.) 
a-The womb 
6-The liquor 
amnii, with 
the fetus. 
c-The chorion 
d-The decidua 
e-The open 
ing of the fal 
lopian tai es 144 
It will answer no practical usefulness to go through the 
whole minutiae of the various physiological changes that 
take ptece relative to foetal growth from the hour of impreg 
nation to that of delivery. What has already been detailed, 
has been offered to unveil a little of that ignorance that ex- 
ists generally among non-medical persons regarding the his- 
tory of themselves. " Too much learning is a dangerous 
thingand it will readily be allowed, that a sufficient idea 
that certain things happen is oftentimes as useful as to know 
kow they happen, especially when it belongs to a department 
requiring much research, time and ingenuity, thoroughly to 
understand, and which may chance to be foreign to our or- 
dinary pursuit. 
The period consumed in gestation is forty weeks, or nine 
calendar months, and the time is calculated from a fortnight 
after the suspension of menstruation. Some married ladies 
pride themselves upon being able to predict to a day-to tell 
the precise occasion when they conceive, and which they 
date from some unusual sensation experienced at the par- 
ticular embrace which effected the important change. Many 
medical men disallow that such tokens present themselves, 
and are opposed to the belief which many mothers entertain, 
that nature is so communicative; and also are skeptical of 
those extraordinary influences that every day furnish proofs 
of maternal imagination, occasioning to the burden they 
carry, sundry marks, malformations, and monstrosities. 
Examinations have found that the order of foetal organiza- 
tion is somewhat »s follows : the heart and large vessels, 
the liver and appendages, the brain, stomach, and extremi- 
ties. The determination of sex and number has nitherto 
defied exploration. In the early months of pregnancy the 
womb maintains its natural position ; but as it enlarges, it 
also emerges from the pelvis into the abdomen. The mo- 
ment of its slipping out of the pelvis is termed quickening, 
of which most women are sensible-some fainting on the 
occasion, others being attacked with nausea, hysteria, and 
palpitation of the heart. Quickening usually occurs be- 
tween the fourth and fifth month. The foetus is then called 
a child-the law ordaining that, if a woman intentionally 
procure, or such parties as may assist in so doing, abortion 
or miscarriage before quickening, it is misdemeanor, if after 
murder. 
A POPULAR TREATISE TES III., IV., and V.-Figure III. represents the Festus at the third, month. Figure IV. 
i*Dta the Fetus at the fifth month. And figure V. represents Twins at the seventh month ON SEXUAL DISEASES. 
145 
The following diagram is presented to show the situation 
occupied by the womb containing the child just readv to cb 
ter th~ -rorld:- 
(Fig. 115.) 
a-The womb. 
b-The vagina. 
e-The bladder 
d-The rectum. 
A fall pregnant female, like a very corpulent man, walks 
very erect; nence the popular notion that ladke in the one 
condition, and gentlemen in the other, do not tliink meanly 
ol themselves, but strut along well pleased wi h their own 
importance. It is an uncharitable iaea; the attitude is una- 
voidable the head and shou'ders being thrown back to aoun- 146 
terbalance the protuberance in front-to preserve, in fact, 
the centre of gravity, to save themselves from falling. 
Symptoms of Pregnancy.-Mysterious as is the process 
of impregnation, there are many forewarnings which, being 
generally found correct, are useful to be known. Great as 
are the changes that takb place in the female economy 
during child-bearing, and productive as they frequently are 
»f serious disturbances to health, it is benevolently ordained 
that women who fulfd their destiny of becoming mothers, 
have better health to sustain them through their travail 
than the single or unprolific. The signs of pregnancy dur- 
ing- the first few weeks are very equivocal. The first 
probably is the suppression of menstruafion. Although 
this may occur once only after conception, either in dimin- 
sned quantitv, or more profuse than usual; or it may go on 
m its regularity, for two or three months, or it may occur 
through the whole period of pregnancy; fullness of the 
breasts, the nipples of which become surrounded by a dark 
areola and a moisture or secretion from the papillae or little 
elevations around the nipples ; headache, flushing in the 
face, and heat in the palms of the hands, ensue; also sick- 
ness in the morning, and probably an accession of mental 
irritability ; various longings exist-many very ridiculous, 
otheis bordering on insanity, and some indicating great per- 
version of temper, habits, in hitherto well-conducted incli- 
nations. 
There are many phenomena more readily discovered by 
medical men accustomed to the accoucheur's employment 
than describable, that indicate pregnancy : the sinking of the 
abdomen, the descent and closure of the uterus, the altered 
facial looks, the state of the pulse, &c., &c. 
From the fourth month, when the womb ascends into the 
abdomen, the signs are more positive : the protrusion of the 
navel, the evident enlargement of the belly, the tenderness 
and fulness of, and occasional escape of milk from the 
breasts clearly point out the occasion. 
About the fifth month, the movements of the child are 
very apparent to the mother, when all doubt is removed. 
There are some conditions of female life that assimilate to 
presmancv, and which have defied the judgment of ma- 
trons, ami even medical men, but they are rare--such as 
dropsy el' the abdomen, or ovaries, tumors, accumulations 
of wind, &c. These, with the suspension of menstruatiou 
A POPULAR TREATISE ON SEXUAL LISEASES. 
147 
(whieh last is but an uncertain sign, for it may depend upon 
cold, fever, or inflammation,) have destroyed the anticipa- 
tions of fond wives, and have alarmed those who desire not 
to boonme mothers. 
Parturition: takes place at the end of the ninth month । 
but children born at the end of seven will live, and examples 
are related of some that have "gone" ten. In France, 
legitimacy is allowed to children born on the 299th day of1 
pregnancy. 
(.abor is distinguished by a softening of the soft parts of 
the female organs of generation, an abundant secretion of 
mucus, a relaxation of the mouth of the womb, and a forci 
ble contraction of its body. The expulsion of the child is 
effected by pains of a straining nature. After the birth of 
the child, the womb contracts to its normal or unimpregna- 
ted size, giving forth a discharge, called the lochia, that 
lasts for several days, and the breasts immediately furnish 
the secretion of milk. 
PREVENTION TO CONCEPTION. 
We submit the question to every mother and married lady, 
and to every candid, sober, reflecting father and husband, 
whether it be desirable that they should obtain control over 
the instinct of reproduction, so as to determine when its 
gratification shall produce offspring and when not 1 What 
would be the effect in social life, if mankind obtained and 
exercised control over this instinct. 
We answer, the effect would be moral and civilizing : that 
it would relieve the burdens of the poor and cares of the 
rich; that it would essentially benefit the rising generation 
by enabling parents more carefully to educate and more 
comfortably to provide for their offspring. Nothing so ele- 
vates mankind above the brute creation as the power he ob- 
tains over his instincts. Controlled by reason, and chastened 
bv good feeling, it gives to social intercourse much of its 
cfiarm and zest; directed by selfishness or governed by 
force, it is prolific of misery and degradation. Is it no- 
torious that the families of the married often increase beyond 
what a regard for their children, or the happiness of those 
who give them birth, would dictate ? How often do we hear 
the mother say, I have all the family I want, and am deter- 148 
A POPULAR TREATISK 
mined to nave no more if I can prevent it 1 but alassne has 
not the power, when the partner of her bosom, loses the 
self-control of his passions. 
We unhesitatingly state that a preventive of conception, 
placed in the hands of the mother, will do more to prevent 
that moral evil (abortion) than all the penal enactments of 
our legislators, and the criminal courts which enforce them. 
Yes, it is our firm conviction that a moral check to repro- 
duction will do what judges and juries have in vain attempt- 
ed. It will put an end to the occupation of the abortionist 
by removing the cause and thus striking at the root of the 
evil. 
Every physician knows that there are many, very many 
women so constituted that they cannot give birth to chil- 
dren. They also know that some females cannot become 
mothers without greatly endangering their lives; others 
there are who cannot give birth to living children. While 
others ought not to become parents ; because if they do it is 
only to transmit to their offspring grievous hereditary dis- 
eases. Yet they will not lead a life of celibacy; they marry, 
become parents, and the world suffers by it. Is it desirable, 
is it moral, that such women should become pregnant 1 
From these facts we declare without fear of contradiction, 
that it is desirable that parents should have the power to 
limit their offspring, whether they choose to exercise it or 
not. Who can lose by their having this power ? and how 
many may gain-may gain competency for themselves, and 
the opportunity carefully to educate and provide for their 
children ? How many may escape the jarrings, the quar- 
rels, the discords, the anxieties, which overgrown families 
too often create in the domestic circle. 
There are different means of prevention,* which have been 
in use, one consists of a piece of sponge, about an inch 
square, being placed in the vagina previous to coition, and 
afterwards withdrawn by means of a'double twisted thread, 
* In France and on the Continent of Europe generally, a cover- 
ing (used by the male) called a baudruche, (known as the French 
secret or condom) is used with success, with the view of preventing 
pregnancy. Its intention was originally as a guard against the con- 
fraction of venereal disease during impure connection. They will 
oe sent by mail to any who order, for five dollars per dozen. OK SEXUAL D/SEaSKS. 
149 
or bobbin attached to it. Another method resorted to, is 
for the husband to withdraw, previous to an emission, so 
that none of the semen may enter the vagina of his wife. 
While the third is the use of a syringe full of cold water 
thrown upon the vagina immediately after connection; some- 
times the sulphate of zinc is added to the water, previous to 
using it. There are some who rely upon a variety of herbs 
and leaves made into a tea, to prevent conception, but any 
of the above are not in all cases to be depended on for the 
object sought, and in many instances result injuriously to 
the female. 
The author of these lines, has directed his attention to the 
subject matter above alluded to, and is enabled to offer to 
the suffering mother, a preventive to conception, by the use 
of the Electro Galvanai, a very simple and perfectly harm- 
less instrument to the females using it, being attended with 
no inconvenience. The certainty of its effect can be de- 
pended upon for putting a check to reproduction so long as 
its use is continued. A course of experiments instituted 
several years past, with a view to test the efficacy of the 
electrical influence, as a check to conception or reproduc- 
tion, has demonstrated and proved its perfect adaptation to 
the accomplishment of this important object. The appli- 
cation requires to be immediate and its effects are instanta- 
neous; it is known to impart a slight momentary impetus 
to the parts, so that the vitality of the seminal fluid is de- 
stroyed or expelled. 
The advantages are, that it can be used at any time, and 
under all circumstances. It is perfectly safe, and that it is 
certain, is attested by the fact, that of the large number al- 
ready sold, not one has been returned, although the purchasers 
have had the liberty of doing so, should the instrument fail 
in effecting its object. 
Directions for using it, will accompany the instrument. 
The following question is almost invariably asked : " will 
the use of your instrument injure the health of my wife?" 
I answer it will not, I have already said it is perfectly 
harmless, not the slightest injury can result from using it 
and moreover, I will add, that the health of such as suffei 
from irregularity will be promoted by using it. It requires 
ne previous preparation, being always ready for instant 
us 3 without the least liability or even possibility of getting 
nut of order. 150 
In introducing this novel invention, the writer feels that 
he is broaching a delicate subject. These few explanatory 
remarks are addressed to those only, who have entered the 
XUunicu oLttlCj wilu, i trust, WOUiu xiui be bkcl^ tu tinevjil" 
■true the motives of the author, or convert iris invention to 
an evil purpose. It is more particularly designed for that 
class of females who have entered the married state with 
such enfeebled constitutions, either inherited from their an- 
cestors, caused by sickness, or by having indulged too 
far in the fashionable follies of the age, as to render them 
incapable of being mothers, without endangering their own 
lives, or imparting to their offspring, imbecility of mind, or 
a sickly constitution, which would render existence any 
thing but a blessing. There are some who have mal-con- 
formation of the pelvis in whom child-birth is always at- 
tended with immediate risk of life. Pregnancy never termi- 
nates without intense suffering, seldom without the death 
of the child, frequently with the death of both the mother 
and child. 
Besides these, there are those in the bloom of womanhood, 
the very pictures of health, who. having just entered the 
married state, tremble in constant tear of the awful wreck so 
often produced by the firstborn, when, 
" If not her life upon the altar sacrifice expire, 
The rosy cheek, the ruby lip, it will require." 
To such therefore, I trust this invention will prove a wel- 
come minister of mercy. This novel though important sub- 
ject having engaged the attention for several centuries of 
some of the most learned physiologists and physicians, still 
continued to elude their grasp. And although many theo- 
ries were advanced, amf methods proposed, still most of 
them were either injurious to health, uncertain in their 
effects, or extremely difficult to use. And it seems to have 
been reserved alone for our day to witness it brought to its 
highest state of perfection. 
^The instrument can be sent by express to any part of the 
world- They are warranted to fulfill the purpose for which 
<hey are designed. 
Price ten dollars. 
Previously to entering upon the consideration of the dis 
eases of females, a word or two may be said upon a con 
dition of the womb, unfortunately of frequent prevalence, 
colled prolapsus uteri or falliutr of die womb. Such 
A POPULAR TREATISE ON SEXUAL DISEASES. 
151 
occurrence may take place with single females as well aa 
with married, or those wno have borne children. It may ne 
held as the result of debility ; and according to the degree 
of descent is the inconvenience and suffering. The first 
drawing exhibits the natural position of the uterus : 
(Fig. HC) 
a-The vagina. 
b-The uterus. 
A partial descent of the uterus gives rise to painful drag 
ging sensations about the groins and fundament, and it is 
usually attended by the "whites," or lucorrhcea, a disease 
of which mention is presently made: 
fFig. 117.) 
Partial descent of the uterus- 
fl, a, a-Vagina. 
-Uterus. 
If prolapsus takes place during pregnancy, the womb 
presses upon the bladder and rectum, and occasions irrita- 
bility of both those structures ; but as pregnany advance^ 
and as the womb ascends into the abdomen, these inconve- 
niences cease, and the womb oftentimes regains its tone and 
oosition after child-birth. The womb sometimer protrudes 
exu*rt>allv, and is a source of great distress. Se* hawing t 152 
POPULAR TKRATUR 
(Fig. n« 
Partial deicent of the uterap 
a, a, a-Vagina. 
fr-Uterua 
The management of these cases .s vniefly mecnanical 
beside supporting the general health. The first symptoms 
however, demand efficient attention, and the medical at 
tendant should be made acquainted with every particular. 
It is a question whether the weakened condition of the 
supports of the womb, and the consequent relaxed state oi 
the vagina, are not owing to the manner in which women 
clothe themselves. The pelvic part of the female is kept 
always in a state of unnatural warmth, from the load of 
petticoats and other unnameable female attire. Contrast but 
the difference between the simple unlined trowsers of die 
aiale and five or six-fold clothing of the other sex : either 
the one must yield too much warmth, or the other must 
strike too cold. The sedentary habits of women have of 
eourse, much influence. 
When retention of urine follows the falling down or par- 
tial descent of the womb, the female should lie on her back, 
press the uterus into the pelvis, and urinate in that positon. 
The womb, besides becoming displaced, is subject to an 
eversion, or a turning inside out. Happily, such cases are 
unfrequent, but any disturbance of so important an organ 
demands the promptest attention. 
Treatment. A broad bandage should be worn over the 
lower part of the bowels and drawn moderately tight, a 
■trengthening plaster applied to the back, the restorative 
wine bitters used, the bowels-kept regular, and the surround 
ing parts bathed twice a day with salt and water. A decoc- 
tion of oak bark, to which add a little alum may be injected 
into the vagina once or twice a day. 
There are several kinds of abdominal supporters invented oa SKIP AL DISEASES. 
153 
to take tiff the weight and tension from the womb, which 
may prove very serviceable. I have an abdominal support- 
er which I am in the habit of applying, that is far superior 
to any thing of the kind that I have ever seen. It is very 
light, easily adjusted, and comfortable to wear. I will 
forward it to any part of the Union, with full directions, for 
eight dollars. 
Remark*.-Where the womb protrudes, it ought to be 
replaced by laying the woman in a recumbent position, ap- 
plying the fingers and thumb to the lower part of the tumor, 
and then, by a gradual and gentle pressure, carried upward 
into its centre, and continued until the parts are returned to 
their natural place. This being effected, a proper sized 
sponge is to be introduced, and the woman kept in a recum- 
bent posture for several hours. A sponge ought to be intro- 
duced as high up the vagina as can easily be borne, and it 
must occasionally be removed and well cleansed. As the 
parts recover their proper strength and tone, one somewhat 
of a smaller size should be substituted. 
GONORRHOEA IN WOMEN. 
The urethra is much shorter and more capacious in fe- 
males than in the other sex, and hence the inflammatory 
symptoms are less violent, although the disease is some 
times of longer duration, extends to the external genitals, 
and to the vagina, thus affecting a much greater surface 
than in man. When these parts are acutely inflamed, sex- 
ual intercourse is performed with more or less pain and 
difficulty, and sometimes becomes intolerable; but when 
the disease is chronic, there is no inconvenience. 
The discharge is very abundant, and sometimes comes in 
contact with the extremity of the rectum, which it inflames 
when the mucous membrane of this part affords a whitish or 
purulent secretion. If the mucous lining of the rectum is 
inflamed, there will be heat and pain in the part, which are 
greatly aggravated on evacuating the bowels, and the stools 
will be mixed with mucus or yellow matter, and sometimes 
with blood. 
When this disease occurs during pregnancy, it is abso 
lutelv necessary that it be cured before parturition, as tbs 
matte: msenarged in comma in contact witn ttre eves tri an 154 
infant in passing into the world, may cause a violent punt- 
lent opthalmia. I might narrate the histories of numerous 
eases in which the vision of the new-born infant was de- 
stroyed by opacities of the cornea, induced by the go- 
norrhoeal discharge of the parent. It is, however, fortunate, 
that many such cases admit of cure. 
The medical treatment of both sexes is constitutionally 
alike; but the female has to depend more upon local treat- 
ment than the male. Frequent ablution, rest, temperate 
diet, the more farinaceous and mucilaginous the better, 
avoiding entirely wines, fermented and spirituous liquors, 
together with piild aperients and salines, constitute the 
chiet moans of cure. Injections, together with the " Extract 
of Arva,' n ndispensible. 
I have alreau, alluded to the difficulty of getting female 
patients to be their own confessors. If they appoint others, 
every possible information should be furnished, and fastidi- 
ousness by no means should supplant the avowal of real 
facts. 
The urethral and vaginal discharge is so acrid in some 
cases, as to excoriate the labia, and to give rise to excres- 
cences, vegetations and warts, which may be succeeded by 
ulceration or sloughing of the affected part. 
SYPHILIS IN FEMALES. 
The principal features of syphilis in women consist of 
ulcers, excoriations, warts and buboes. Women, of course, 
are alike liable to all the forms of secondary symptoms. Chan- 
cres usually appear within and on the 
labite. In the drawing here given (Fig. 
119.) the labiae are drawn aside to expose 
the ulceration; and they are also found 
within the vagina and surrounding the 
mouth or protuberance of the womb. It 
is in these cases that the speculum is had 
recourse tt ; and in the Parisian hospitals 
every case is subject to such a mode of 
investigation. The following three illustra- 
tions show what a degree of severity ulcer- 
ation and other changes put on. 7'he first, 
(fig. 120) exhibits superficial excoriation 
extending raj idly, and occasionally a swol- 
A POPULAR TREATIS1 
(Fig. 1T9.) OX SEXUAL DISEASES. 
155 
(Fig. 120.) 
(Fig. 191.) 
len appearance of the os uteri; the second (fiff. 121) shows 
extensive chancrous ulceration; 
and the last, (fig. 122) of a tuber- 
culous character, like little hard- 
ened tumors. But for the specu- 
lum, these conditions might have 
gone on to worse, and led to ir- 
remediable mischief: their treat- 
ment, independently of local means 
such as injections, &c., would 
have been prolonged to an almost 
indefinite time. The use of styp- 
<cs is demanded in female as well 
as male syphilitic developements, 
and accordingly the employment of nitrate of silver, copper, 
&c., is advised, as already explained. 
The drawing (Fig. 123) shows the extent of mischief and 
annoyance to the external organs of female generation con- 
sequent upon neglect. The external labi® are studded 
with chancres. The thighs, buttocks, and rectum, are dot- 
ted and overspread with excoriations. The person from 
whom this sketch is taken was an unfortunate woman of 
the town. As it is not my intention to particularize cases, 
although from my peculiar province I could fill up as many 
Cages as this book contains, with details of such histories, 1 
ave only to add, by way of summary, that the topical and 
oonstitutional treatment being alike in both sexes, the only 
modifications required will be the regulating of the doses 
(Fig. 122.) 156 
A POPULAR TREATISX 
(Fig. 123.) 
of the medicines, which must be done with reference to the 
idiosyncrasy, age, and temperament of the patient. The 
frail system of woman is less able to withstand the dire 
effects of the disease, or the potent means for its extirpation 
than her stronger brotherhood, and therefore the abler and 
more experienced the counsel, the fairer the chance of her 
recovery ; a hint that the writer feels assured will not b« 
received by those to whom his pages are addressed, as a 
vain appeal to repose confidence in other advice than theii 
own. 
MENSTRUATION. 
Menstruation is the discharge of a fluid from the womb 
resembling blood, which takes place monthly, and continues 
until forty-five or fifty years of age, unless suspended by 
pregnancy or disease. It begins at the period of life called 
puberty, which in this country is about fourteen ; it varies 
m other countries considerably from this standard, accord- 
ing to the climate; in some parts of India, females become 
mothers at the age of ten ana twelve, and cease to menstru- 
ate at from twenty-five to thirty; while in the high northern 
regions, as Iceland, twenty-five is the average at which 
thev begin to menstruate. 
The first menstrual discharge is usually destitute of color, 
and makes *its appearance sometimes without anv indisposi OJt sexual diseases. 
157 
tion , but it is usually preceded by headache, feverishness, 
and pains in the back, breasts, and lower extremities. After 
this it returns at uncertain periods, until its regular evacu- 
ations are established. The continuance of the discharge 
varies from a few hours to a week or fortnight; but the 
usual period is three or four days. The quantity is gener- 
ally five or six ounces. 
As females generally begin to menstruate about the age 
of fifteen and leave it oft" about fifty, these two periods are 
the mos' critical of their lives. About the first appearance 
of this discharge, the constitution undergoes a very con- 
siderable change, generally indeed for the better, though 
sometimes for the worse. The greatest care is now neces- 
sary, as the future health and happiness of the female de- 
pend in a great measure upon her conduct at this period. 
It is the duty of mothers, and those who are entrusted 
with the education of girls, to instruct them early in the 
conduct and management of themselves at this critical pe- 
riod of their lives. False modesty, inattention, and igno- 
rance of what is beneficial or hurtful at this time, are the 
sources of many diseases and misfortunes in life, which 
a few sensible lessons from an experienced matron might 
have prevented. Nor is care less necessary in the subse- 
quent return of this discharge. Taking improper food, 
violent affections of the mind, or catching cold at this pe- 
riod, is often sufficient to ruin the health, or to render the 
female ever after incapable of procreation. 
APPROACH OF MENSTRUATION. 
We shall not detail all those interesting personal changeo 
which accrue as a female is about to pass into a state of 
womanhood. They are sufficiently evident to most mothers 
to make this period very peculiar and interesting. It shall 
be our object, therefore to aid them in the duty they owe to 
their offspring, by giving an outline of some of the more 
common symptoms which precede the approach of the 
menses. 
When, at the fourteenth or fifteenth year, a young female, 
whose person has become suddenly developed, is observed 
to present irregular nervous symptoms, such as exba-istion 
from slight exertion, irascibility, and sudden causeless emo- A POPULAR TREATI8X 
158 
tions, accompanied with tears, often frequently followed by 
disturbed sleep, and capricious appetite, with full pulse, 
headache, and suffocative feelings, palpitation of the neatt, 
and pain in the back and loins, we may be pretty sure the 
menses are about to appear. A colorless mucous discharge 
usually accompanies and follows its appearance. The first 
period almost invariably disappears in two or three days, and 
there is no regular recurrence till the third or fourth one, 
after which it gradually becomes more regular. Should 
the female either be very delicate, or uncommonly robust, 
it is liable to still further interruption, and several additional 
periods may elapse before she assumes the proper time and 
quantity that is to be in future her standard of health. 
In most persons, after the menses are properly established, 
few of these troublesome symptoms accompany them; in- 
deed, nothing is more common than for them to appear with 
so little premonition, as to surprise the female very awk- 
wardly. They proceed, for the most part, with more or less 
regularity for five or six days, and then gradually disappear 
leaving a state of lassitude that is dissipated in a day or two. 
The intervening period, for the most part, is from twenty- 
six to twenty-eight days ; though this is liable to great va- 
riation, incases where there are constitutional derangements. 
Some persons are subject to these discharges but two 01 
three times a year; but these are only exceptions to the 
general rule. 
DETENTION OF THE MENSES. 
The non-appearance of the monthly evacuations at the 
natural period, is called retention of the menses, and is ge- 
nerally followed, in time, by serious consequences to health. 
From various causes, the menses are liable to become ob- 
structed at a period when they ought to appear; and unless 
nature is assisted, the constitution becomes so impaired as 
to induce consumption, or some other fatal disease. 
The cause of this disease seems to be a want of power in 
the system, arising from inability to propel the blood into 
the uterine vessels with sufficient force to open their extre- 
mities, and allow a discharge of blood from them. The 
more remote cause seems to ne suppressed perspirati an oc- 
casioned by leading an inactive and sedentary life. We have OK SEXUAL DISEASES. 
159 
noticed c t late that a large proportion of females troubleo 
with this complaint, are those engaged in factories ; and we 
are satisfied that persons thus confined, year after year, de 
prived as they must be of fresh air, and kept constantly in a 
constrained position, inflict a lasting evil upon their consti 
tutions. 
Among the symptoms which characterize this disease are 
debility, great disorder of the stomach and bowels, sallow 
countenance, pains in the back and loins, swelling of the 
ancles at night, and face in the morning, palpitation of the 
heart, hurried or laborious breathing, disturbed sleep, color- 
less urine, derangement of the nervous system, and often 
harassing cough. The skin is pale ana cold, and sometimes 
of a greenish hue, which has given the disease the name of 
the green sickness. 
In regard to treatment of this complaint, it is evident that 
as it proceeds from debility, the great object to be fulfilled 
is to give tone and energy to the system. The patient 
should keep her feet warm and dry, and avoid all exposure 
to a cold or damp atmosphere, especially the night air. If 
the weather is mild, exercise in the open air will be bene- 
ficial. The skin should be rubbed night and morning with 
a coarse towel, or flesh brush, till it is in a glow. The food 
should be light and nourishing, avoiding the use of tea and 
coffee, fat meat, and all oily substances. Sea shore bathing, 
change of air, &c., will do more than any other course to 
establish the health of the patient. Herb tea, such as 
motherwort, penny-royal &c. in connection with the French 
female periodical pill. 
SUPPRESSION OF THE MENSES. 
Aside trom pregnancy, tne menses are frequently inter- 
rupted by exposure to cold, mental agitation and a variety 
of other causes which derange the health. The discharge 
is sometimes suddenly checked by remaining in a damp 
place until the body is chilled ; and in that case there is 
usually headache, a dry cough, hot skin, thirst, tenderness 
in the region of the womb, and pains of the back and lower 
extremities. Sometimes the patient is attacked with shiv 
enngs. If the suppression continues beyond two or three 160 
periods, the health becomes more or less impaired, as in 
retention of the menses; and hemorrhage from the lungs, or 
gome other organ, is liable to occur. 
Our prognostic in this disease -is to be directed by the 
cause which has given rise to it, the length of time it has 
continued, and the state of the person's health in other re- 
spects. When suddenly suppressed inconsequence of cold, 
it may easily be restored by pursuing proper means; But 
where the suppression has been of long standing, and leu 
corrhcea attends, we ought always to consider such circum- 
stances as unfavorable. 
In those cases which have terminated fatally, in conse- 
quence of the long continuance of the disease, the same mor- 
bid changes in the cevarid and uterus are to be observed on 
dissection, as in those of retention of the menses. In this 
complaint the patient should be fully apprised of the eon 
Dection between the suppression and pregnancy. 
In the treatment of this disease, if the suppression is ow- 
ing to a sudden cold, a cure may be effected by a free use 
of warm herb teas, until perspiration ensues ; and if the pa- 
tient is in bed, a heated stone, wrapped in a damp cloth, 
may be placed at her feet. If she perspires with difficulty, 
an injection should be administered, followed by the vapor 
bath, and if necessary, an emetic to cleanse the stomach. If 
the disease is obstinate and of long standing, the treatment 
directed for retention of the menses will be equally applica- 
ble in this, viz., French Female Pills, which are the result 
of the combined knowledge and experience of some of the 
oldest and most distinguished physicians of Europe, and 
have been used by females embracing most of the gentility 
and nobility of France for the last twenty-five years. To 
eulogise their virtues would not add to their merits. We 
will only say try them, and if they do not prove to be what 
they are represented, your money shall be refunded. The 
only precaution necessary to be observed is, married ladies 
should not take them if they have reason to believe that they 
are in certain situations, (the particulars of which will be 
mentioned in the wrapper accompanying each box) though 
always safe and healtny, so gentle, yet so active are they. 
Price One Dollar ner box. They can be transmitted by 
mail to any part of the Union. 
A POPULAR TREATISE &S SEXUAL DISEASES. 
DIFFICULT AND IRREGULAR MENSTRUATION. 
This complaint is often caused by cold, and is liable tr 
occur after abortion, particularly if the woman be of a ner 
s ous or irritable temperament. It is more frequent in cities 
han in the country, and is principally confined to those whc 
..ike but little exercise, or are indolent or luxurious in-their 
habits. The discharge is scanty at first, accompanied with 
grinding or bearing-down pains, which are often more se- 
vere than those of labor. Pains also occur in the back, loins 
and breasts, with headache, fever and tenderness in the re- 
gion of the womb. As the discharge increases, these symp ■ 
toms gradually abate, until finally tney disappear altogether. 
False membrane, and little flakes or masses resembling clots 
of blood, are frequently discharged from the womb, and are 
followed by partial if not entire relief. Instead of feverish 
symptoms, the patient is sometimes attacked with chilliness. 
The stomach and bowels are always more or less deranged. 
The discharge, though deficient at first, may become so pro- 
fuse as to cause considerable debility. 
A female laboring under this complaint very rarely con- 
ceives, although it often disappears after marriage. 
Treatment.-Since it is well known that a derangement 
in the uterine functions must generally proceed from a check 
of perspiration, astringing the minute ends of the uterine 
vessels, or in some manner deranging their functions, caus- 
ing debility, &c., it will appear clear that our first attention 
must be directed to the skin. Cold appears to be the cause 
of the disease, and heat seems to remove it; therefore, when 
these periods of distress occur, let the patient sit over a 
a strong decoction of bitter herbs, such as tansy, hoarhound, 
wormwood, catnip and hops, while a blanket is thrown 
round the waist of the patient to confine the steam to the 
lower parts. After the diseased person has been thus 
•teamed and the feet bathed, let her be put into a bed, 
warmly covered, and diluent drinks given, such as tansy, 
thyme, pennyroyal, &c. At the same time let fomentations 
of the same herbs, enclosed in a flannel bag, be applied to 
the abdomen, as before directed. This will produce perspi- 
ration, and afford immediate relief; and when these distress- 
6 ing symptoms •'re removed, and the patient becomes com- 
fortable, a course of treatment must be adopted to present a 
recurrence of the symptoms, or to produce a natural flow of 
the catamenial discharge, similar to that recommended un- 
der the preceding complaints. Herb tea may be freely 
drank. 
A hot brick, or flannel wet with vinegar, and applied to 
the bowels, soon relieves the pain. 
IMMODERATE FLOW OF THE MENSES. 
The amount of fluid discharged at each menstrual period, 
is generally five or six ounces, but in an unhealthy state of 
the system, the quantity may be increased to such an extent 
as to occasion extreme debility. There are two classes of 
females, says Dr. Gooch, who are peculiarly disposed to 
this complaint. In the robust and plethoric, it is character- 
ized by inflammatory symptoms, as permanent pain, sense 
of fullness, weight and tenderness in the region of the womb, 
together with a hot skin, and a full hard febrile pulse. In the 
other class, it is without pain in the region of the womb, 
and accompanied by a pale countenance, languid circula- 
tion, and a small weak pulse. Dr. Gooch designates the 
latter as the chronic form of the malady. 
If the discharge is long continued, extreme debility en- 
sues, with headache, giddiness, noise in the ears, feeble 
pulse, pale or cadeverous countenance, chilliness, cold 
hands and feet, and a tendency oftentimes to dropsy. The 
discharge may be profuse, and of short duration ; or it may 
continue moderately for ten or twelve days, gradually ex- 
nausting the patient; or it may return every two or three 
weeks, instead of at the established monthly periods. In 
either case, the loss of blood proves highly injurious to the 
constitution. 
The complaint is caused by unwholesome food, impure 
air, want of exercise, intemperance in eating and drinking 
and too much sexual intercourse. It often follows abor 
ticn. 
Traatment.-In the management of this disease we have 
.two objects: first, to moderate the discharge and procure 
iresent security ; and, secondly, to prevent a return. The 
hrst thmir to be done when tne hemorrhage is sudden oi 
POPULAR TREATISE ON SEXUAL DISEASES. 
163 
profuse, is instantly to remove the clothing which miy oc~ 
jasion the least interruption to the free circulation of the 
lood, and tc put the patient to bed, lightly covered with 
•lothes. So long as tais discharge continues, it is of im- 
, ortance to keep her in a recumbent posture, as cool as pos- 
ible, and perfectly at rest, both in body and mind. Clotfis 
.'ipped in cold vinegar and water and applied to the parts, 
mewed as often as they become warm, will be found useful, 
i'hese cold applications have a powerful effect in restrain- 
ing uterine hemorrhage, and ought never to be omitted 
ivhere the discharge of blood is profuse. 
The state of the bowels must be attended to. They can be 
kept gently open by cathartic mixture, sulphur, or any 
mild laxative medicine. Stimulating purgatives, or clisters, 
under such circumstances, are improper, from their tendency 
to increase the discharge. When no symptoms indicating 
an increased action in the vessels of the womb are present, 
astringent medicines should be employed. 
In those cases where the hemorrhage is profuse, or of long 
continuance, and resists the means already pointed out, it 
will be proper to inject into the uterus from a gill to half a 
pint of a strong decoction of oak bark, in which one or two 
drachms of alum have been dissolved, or as much of the 
saturated solution of alum in water, in order to constringe 
and strengthen the vessels of the womb. This may be re- 
peated twice or thrice a day, according to circumstances. 
When there is reason to suppose the hemorrhage proceeds 
from a schirrous or ulcerated state of the womb, all that can 
be done is to afford temporary relief by giving nervines in 
laige doses. 
Regimen.-The diet, at the time of excessive discharge 
must be light and cool. The drink must always be cold, 
as ice-water, lemonade, or tamarind beverage. Port wine, 
in such cases, is too frequently resorted to, which uniformly 
does harm by increasing the circulation. 
Prevention.-To prevent a recurrence of the attack in 
those who are subject to it, the patient must necessarily 
avoid the causes by which it has been produced. When p 
is evident that the discharge is in consequence of a fu? 
habit, it will be proper to reduce the system by living spai 
ingly, by keeping the bowels rather in a laxative state, ano 
by rising early, and taking through the day regular but fra 
quent exercise; and, after the plethora is removed, by 164 
strengthening the vessels, which have been over distended, 
by the use of the cold bath. 
In a greater number of cases, however, we meet with a del- 
icate constitution and spare habit, with pale countenance: 
this state requires the use of sea bathing or the shower bath, 
and the vessels of the womb are particularly strengthened 
by pouring cold water daily on the back and loins. It will 
be advisable to use a generous nutritive diet, with wine, and 
l? have recourse to some of the tonic medicines, as advised 
under the head of obstructed menses, to strengthen the sys- 
tem generally. At the same time the bowels must be at- 
tended to, and invigorating exercise taken daily; whilst, on 
the other hand, fatigue, and especially exposure to relaxing 
heat, must be carefully avoided. 
CESSATION OF THE MENSES. 
The final cessation of the menses is called the turn of life 
or the critical period, and generally occurs in this climate 
between the age of forty-five and fifty. The nearer a wo- 
man approaches her forty-fifth year, the greater will be the 
risk of some irregularity in the menses; and as this period 
is more frequently the one at which any latent disease of the 
uterus shows itself, it is always looked forward to with much 
anxiety by women. So great is the anxiety of some, that it 
no doubt occasions many of the distressing symptoms which 
sometimes accompany this interesting process of the human 
uterus. 
When menstruation is about to decline, the discharge is 
sometimes scanty and colorless, and at other times profuse 
and exhausting ; but it generally returns at irregular pe- 
riods, and diminishes gradually in quantity until it finally 
disappears. 
The breasts diminish in size at this period, and the woman 
becomes incapable of bearing children. In many instances 
the health remains good, notwithstanding this change in 
life; but in others, there are attacks of fever, headache 
eruptions of the skin, with other unfavorable symptoms. 
The stoppage of any customary evacuation, however 
small, is sufficient to disorder the whole frame, and to en- 
danger life itsslf; hence it is that so many women are 
afllicted with chronic disorders about this period.! such 
A POPULAR TREATISE however, as survive, it without contracting any chronic dis- 
esae, often become more healthy than they were before, and 
enjoy strength and vigor to a very great age. 
When the menses disappear suddenly in women of full 
plethoric habits, they should be careful to confine them- 
selves to a spare diet. They should like wise take regular 
exercise in the open air and keep their bodies open by some 
mild laxative, French Female Pills are most excellent for 
this purpose. The frequent use of the flesh brush, and wash- 
ing and rubbing the whole body with cool water will be 
found very serviceable. 
If ulcers break out upon the legs or other parts of the 
body, on the cessation of the menses, they should not be 
healed up too suddenly, as great mischief might be dona 
thereby. They should be regarded as critical discharges, 
and in most instances a salutary drain upon the system. 
FLUOR ALBUS, OR WHITES. 
Fluor albus consists of a discharge from the vagina of a 
white or milky color. It is most common among married 
women, especially if they have frequently miscarried, and 
occurs during pregnancy as well as at other periods. Wo- 
men of a delicate constitution, who have removed from a 
cold to a warm climate, are said to be particularly liable to 
its attacks. As the disease advances, the discharge assumes 
a yellow, green, or brownish color, becoming more or less 
offensive, and occasionally it is so acrimonious, that the wife 
communicates a similar disorder to her husband. The com 
plaint is sometimes merely local, and at others constitutional 
symptoms arise, such as loss of appetite, costiveness, de 
pression of spirits, pains in the back and loins, paleness of 
the countenance, diminution of strength, chilliness, and a 
burning sensation in passing water. 
it exists in the married and single-in the moral and un 
chaste ; therefore the cause should be cautiously divined,, it 
being evident that other than sexual indulgences establish 
this annoying and distressing affliction. It may be fairly 
conceded to be a vitiated secretion, depending upon a weak 
tned state of the local vessels, and moreover- in particular 
habits to be a salutoryevac tation. 
OB SEXUAL DISEASES. 
165 A POPULAR TREATISE 
166 
Ithongh leucorrhoea bears a strong resernb.ance to go- 
norrhoea, there are points by which to distinguish the one 
from the other. In gonorrhoea the discharge is unceasing, 
but small in quantity, and is usually accompanied by in- 
flammatory symptoms; whereas in leucorrlima, the dis- 
charge is irregular and copious, often coming away in large 
lumps. 
Fluor albus is caused by unwholesome diet, strong tsa 
and coffee, the frequent use of purgatives, the irritation of 
pessaries, injuries inflicted by instruments during childbirth, 
and too frequent indulgence in sexual communication, late 
hours mental and boddy fatigue, deficient exercise, impure 
air, and neglect of personal ablution. Barrenness is often 
the result of long continued leucorrhoea. 
Treatment.-The chief object in treating this disease 
should be to impart tone and energy to the system; this 
course in most cases will prove succesful. If the stomach 
is in a disordered condition, a mild emetic should first bo 
given; but, in general, an active purgative will answer. 
This done, make a strong decoction of white oak bark and 
sumac berries, equal parts (perhaps most of the oak would 
behest,) and inject into the vagina with a female syringe, 
twice a-day. Take also, internally about one-third ot a 
teaspoonful of powdered Unicorn root in a little composition 
or ginger-water, twice a-day. If the back is weak, wear a 
plaster of hemlock gum or burgundy pitch. Take a nutri 
tious diet, rise early, and exercise in the open air-use a 
flesh brush freely, and wash the whole body two or three 
times a week with soap and water. This course persevered 
in, will generally effect a cure in a very short time. This 
plan answers in simple cases, in the more obstinate I have a 
more energetic and effective course of treatment. 
GREEN SICKNESS, OR CHLOROSIS 
The usual symptoms of this disease are heaviness fetigus 
on the least exercise, pains in the back, costiveness, a mor- 
bld appetite for chalk, lime, and various other absorbents, 
together with the usual symptoms of dyspepsia. As the 
disease advances, the face becomes pale, and afterwards as- 
sumes a y silowish hue, even verging upon green, from 
whence it derives its name; the lips lose their color, the ON SEXUAL diseases. 
167 
eyes are encircled with a livid areola, the feet swell, the 
pulse is yuick and small; a cough often attends, and some- 
times a great quantity of pale urine is discharged in the 
morning. 
Remedy. - In the cure of this disorder, two indications 
are to be fulfilled, - the first is to increase the tone and 
vigor of the general system ; and second, to excite the ac- 
tion of the uterine vessels by stimulants. The first is to ba 
accomplished by a generous and nutritious diet, and a 
moderate use of Port-juice; daily exercise on horseback, 
agreeable company, and the use of tonic medicines ; fre- 
quent bathing or ablutions will be found very serviceable. 
The second indication of cure is to be promoted by the 
exercise of walking, jumping a rope, by friction. &c. The 
feet should be often soaked in hot water, and the organs of 
generation should be steamed-frequently steamed with 
bitter herbs, as directed in parts of this book. Where chlo- 
rosis is attended with symptons similar to pulmonary 
consumption, it will be proper to give an occasional emetic 
to cleanse the stomach, and to keep the bowels open at the 
same time by gentle purgatives. A change ofcondition by 
marriage, often promotes a permanent cure. 
RETROVERSION OF THE BLADDER 
The bladder is liable to displacement from the same 
causes that produce the various uterine displacements. Re- 
troversion of thaf organ may happen in unmarried persons, 
but it is more likely to occur in those who have been sub 
jected to the debilitating consequences of frequent child 
birth ; particularly extreme cases oi leucorrbma, retro-ver 
sion, or prolapsus. All these derangements have a tendency 
permanently to impair the strength of the attachment by 
which the bladder is sustained m its position, and to allow 
its own weight, when distended, aided by the pressure of 
the intestines, to force it downwards and backwards. 
It falls, in the first stage of its retro vetsion, directly 
against the uterus, because that organ is immediately be- 
hind it. When it settles a little lower, and conies in contact 
with the passage leading to the uterus, it carries before it 
on its way downwards the front part of that passage, and 
may get so far retroverted as to show itself at the natural A POPULAR TREATISE 
168 
•pening, 01 even to pass through it. Tins s, nowever, an 
extreme case ; nor is the disease at all as common as retro- 
version of uterus, for the attachments of the bladder are not 
eo liable to distension; neither is it as moveable, its functions 
not requiring it to be so. 
Slight degrees of retro-version are constantly occurring 
which are relieved by improvement of the general health, 
imparting fresh vigor to the supports of the bladder. Al- 
though complete retro-version of the bladder is compara- 
tively rare, still it is occasionally presented to the notice of 
a practical surgeon, and requires much care and mechanical 
ingenuity on his part, coupled with great obedience, and the 
most favorable surrounding circumstances on that of the 
patient, to effect a cure. 
A lady residing a short distance from the city, called on 
me a short time since in reference to a case of this kind. It 
appears she had been afflicted with prolapsus of the bladder, 
for some three years, and had been treats'1 l,y some of the 
most eminent physicians, who pronouncod her case prolap- 
sus of the womb! After instituting an examination, I told 
the lady at once what the difficulty was, and suggested a 
plan of treatment to which she assented. I had a properly 
constructed supporter made for her to keep the parts in their 
natural position, and put her on a course of tonics, under 
which treatment she at once improved, and if persevered in, 
will no doubt get entirely well. The cases are rare, yet 
they ought to be distinguished and properly treated, and 
they may be cured. 
The means are partly medical, and partly mechanical, 
and are of such a nature that no benefit could be derived 
from mentioning them in this place. Everything that can 
improve the general health, should be carefully adopted by 
the patient. 
MISCARRIAGE OR ABORTION. 
The danger of abortion or miscarriage is such that every 
female ought to be made acquainted with the best method 
ef promptly averting it, at its vexy onset, and by this meant 
the attendance of a physician may often be dispensed with. 
The dangers of this disease are often magnified and exagger- 
ated. It is dangerous if produced bv a fall • blow a kick ON SEXUAL DISEASES. 
169 
from a horse, or any other external bodily v denes er injury 
causing internal contusion, or rupture of some blood ves- 
seis; and, also, (but not to the same extent,) if produced by 
SUUUeu ingui, vioiem uis 01 passion, bou., ui nom general 
debility or disease oi the uterus; but the danger arises mot., 
from the cause which produces the miscarriage, than from 
the miscarriage itself. 
Symptoms.-When miscarriage is about to take place, its 
first symptoms are generally occasional stinging pains t ; 
the bottom of the belly, extending across and around the 
loins and hips ; a feeling of fatigue of the legs, pain in tlie 
forehead, burning sensation of the eyes. The breasts, which 
were before distended, become soft and flabby, hot and cold 
flashes, attended with thirst, fever, and shiverings. In a day 
or two after the appearance of these symptoms, a discharge 
takes place from the womb, of yellow matter, tinctured with 
red* If not arrested at this stage, the pains across the loins 
become more severe and frequent, attended with a sense of 
dead weight, and bearing down about the womb, the water 
is discharged, and the expulsion of the contents takes place. 
The symptoms of miscarriage, however, vary with thecauses 
which produce them, or the state of habit, age or health of 
the patient; some recovering immediately and rapidly, and 
with but little inconvenience. Where miscarriage arises 
from a serious accident, such as a violent fall, bruises, &c., 
the symptoms are somewhat aggravated, and more severe, 
and are often preceded and accompanied with violent and 
profuse floodings and discharges of coagula, in addition to 
the other symptoms; although moderate flowing is not an 
unfrequent symptom in miscarriages. 
It is always accompanied with two circumstances, sepa- 
ration of the membranous bag, and expulsive efforts or con- 
traction of the womb itself. The first is productive of dis- 
charge, the second of pains like those of labor. Sometimes 
the separation or detachment of part of the conception takes 
place first, and produces a separation. In the first of these 
cases, the symptoms of abortion take place suddenly, and 
are usually occasioned by fatigue, sudden exertion, or 
fright. In the second, the pains come on, and there are par- 
ticular feelings, and changes, which indicate that a miscar- 
riage is likely to take place ; as, for instance, the cessation 
of the ivorning sickness, the subsidence of the breast. &c. 170 
Miscarriage is preceded by floodings, pains in the back 
loins, and lower part of the abdomen, evacuation of the 
water, shiverings, palpitation of the heart, nausea, anxiety 
feinting, subsiding of the breasts and belly, pain in the in 
■ide of the thighs, opening and moisture of the womb. 
Treatment.-When a woman is threatened with a mis- 
carriage, there are two objects to attend to; the first is to 
prevent if we can ; the second is to manage it so that as lit- 
tle blood as possible be lost; and both these are obtained 
by the same means. With this view the patient should im- 
mediately, on the first alarm, undress and go to bed, lightly 
covered, with a firm determination not to rise till the process 
be either checked or completely over. There should be 
but little fire in the room, though it be winter; and in sum- 
mer, the windows must be opened. Cloths wet with cold 
water, should instantly be applied to the lower part of the 
belly and back; the drink must be cold, and every thing 
stimulating should be avoided. 
In robust habits, or when the symptoms have been brought 
on suddenly by some such cause as a fall or exertion, it is 
proper to bleed ; and, in case of sickness or great feebleness, 
to give a dose of laudanum ; or, what is better, to adminis- 
ter an anodyne clyster. 
Opiates are useful in every case where we hope to prevent 
abortion, and must be repeated more often or seldom, ac- 
cording to the effect they produce. They are, however, 
improper in those cases were miscarriages must decidedly 
take place. Their tendency to occasion costiveness, when 
employed, must be obviated by clysters, or some gentle 
laxative medicines such as calcmed magnesia, epsom 
salts, or a little castor oil. If there be a continued but trifling 
discharge, great advantage may be derived from injecting, 
three or four titres a day, up the vagina, a solution of alum. 
Ihdeed, in all protracted cases, this is of much benefit. The 
solution ought to be thrown up pretty high, that it may 
reach the womb. 
When these means produce not the desired effect, and along 
With the discharge of blood large clots come off attended 
with bearing down orpains in the Back and loins, especially it 
the symptoms which precede abortion have appeared, there 
must be every probability that the threatening event cannot 
be avoided ; thep we must conduct the patient through the 
erocess . 
POPULAR TREATISE ON SEXUAL DISEASES. 
171 
When the whole conception come awav at once, the pain 
and discharge usually go off; but, if only the foetus come 
awav nil the svmntoms either continue and increase till the 
placenta (or after-birth) lome away, or, if they be tor u lime 
suspended they are sure to return, except in early miscar 
riage of ten or twelve week pregnancy, when sometimes the 
foetus is expelled separately, and the placenta comes imme- 
diately after, but the latter frequently remains several days. 
The most prudent mode in such cases, where the health 
does not appear to be affected by it, is to leave it to nature, 
which sooner or later expels this foreign body. Prof. Meigs, 
of Philadelphia, says he had a case, " where he satisfied 
himself that there was a dead foetus in the womb, notwith- 
standing the woman had neither hemorrhage, nor pain, nor 
any discharge indeed. I determined to try ergot in the 
case; I gave her a drachm of the powder mixed in six fluid 
ounces of cinnamon water, with directions to take a table- 
spoonful three times a day. Before she had finished the 
quantity, the uterine contractions were established, and the 
ovum expelled without accident, or any consequent disor- 
der." The same treatment would be applicable in retention 
of the placenta. 
After the process is over, if the discharge be profuse, and 
do not stop on the application of cold water to the lower 
part of the belly, it will be proper to plug up the vagina, 
and this is best done by taking a piece of soft sponge, dip- 
ping it in sweefoil, and then wringing it gently. This is to 
be introduced with the finder, portion after portion, until the 
lower part of the vagina be well filled. The remainder is 
then to be firmly pressed on the orifice, and held there some 
time for the effused blood to coagulate. In obstinate case*, 
fireyious to the introduction of the plug, we may insert a 
ittle powdered ice, or snow tied up in a rag, if procurable, 
but neither of these should be continued so long as to pro- 
duce pain or much shivering. If faintness occurs from the 
lass of blood by flooding, a little brandy, with two-thirds 
cold water, should be given in frequent and small quanti- 
ties at a time. Nothing so speedily restores the strength in 
such cases. In addition to this mode of treatment, it will be 
advisable to have recourse to the astringent medicines, as 
advised under the head of Immoderate Flow of Mentet. 
Regimen.-Arrow-root, tapioca, sago, panada, or rice and 
milk, constitute a proper regimen. If the process be pr® 172 
POPULAR TREATISE 
traded, and the strength much impaired, the diet may be 
more liberal. In every case, ripe fruit is safe and useful. 
The bowels are to be kept regular, and sleep, if necessary, 
is to be procured by a Dover's powder taken at bed time, 
or if there should be " after pains," a Dover's powder may be 
taken once in four or five hours until quieted. If the breasts 
prove troublesome from the secretion of milk-causing pain 
and tenderness-take equal parts of spirits of camphor and 
laudanum, and bath the breasts often, and a few active doses 
of physic will remedy all the difficulty. 
MASTURBATION, ONANISM, OR SELF-POLLTUION 
IN THE FEMALE. 
An Address to Young Females. 
If satisfaction of the purest kind,-satisfaction most grate 
ful to the heart of man,-such satisfaction as results only 
from acts of benevolence, frequently accompanies the prae- 
tice of the medical art, it is, alas! too frequently also ac- 
companied by sorrow and anxiety. Much pains does it 
oftentimes cost the physician,when he is compelled to speak 
that which he knows or thinks. How difficult and delicate 
is the task too often imposed upon him. Of such a nature is 
that which I am called upon to fulfil towards you. 
I wish to call virtue and morality to the rescue ofhealth, 
reason to the succor of reason herself. In a word, I wish to 
save you from dishonor, disease and death. 
I shall speak to you as I would to my own daughter 
whom 1 love excessively ; but I shall also speak as to a 
daughter who errs without knowing it. 
You would wish to enjoy health. In every way, in all 
your natural functions, symptoms of disease are manifest. 
Your color might, nay should, in freshness and beauty 
emulate the rose. It has vanished ; you are pale"and sick- 
ly. High spirits, gaiety and vivacity were once your com- 
panions. You are now feeble and languid ; and there is no- 
thing to justify so great a change. What then is it I 
There is an error-there are some who even call it a 
crime, but a word so harsh is not needed for you-an error 
which, secretly produced by natural desires, but opposed to 
chastity and honor, reduces the mind, overpowers reason, 
and drags those who yield to it, often when they themselves 
least fear it, from innocence and virtue. ON SEXUAL DISEASES. 
Terrible, dangerous, fatal error! And perhaps-there 
are symptoms which induce me to fear it-pel haps you are 
the victim of this error. It may bd that it is jour feelings, 
the warmth of your temperament, which should bear the 
blame ; but allow me to beg that you would not lay this 
flattering unction to your soul. Why should you, when 
your own reason and judgment teach you that it is an error 
you commit, suffer yourself to become a sad and miserable 
victim ? No, I am sure you will not. Society must not 
thus be deprived of one of its ornaments ; it will lose too 
much, it will lose the example of those virtues with which 
you are blessed. 
Have you ever seen a lovely flower, when the least breath 
would scatter its leaves to the wind, and yet retaining all its 
original loveliness? Such a flower are you; unless you be 
warned in time, like it you will perish, and leave your sor- 
rowing relatives to murmur at your loss. Listen then to 
the warning voice. Read attentively the effects that are 
produced from the same cause, and impelled from the same 
feelings in the opposite sex. 
Health and beauty are not the only blessings I wish to 
preserve for you. The error into which I fear you have 
fallen, takes from you slowly, but surely, all moral feelings, 
all proper sentiments ; it annihilates the happiest gifts of in- 
tellect ; it deprives you of all esteem of yourself, and de 
stroys every hope of happiness. 
CONCLUSION 
The remaining diseases peculiar to the female pelvic 
vicera and their outlet, are haemorrhoids or piles, irritability 
and inflammation of the bladder, disordered uterine functions, 
urethritis, or inflamation of the urinary passage, internal 
and external irritation, or excoriation, hysteria, cancer of the 
womb and ovaries, dropsy of the ovaries, prolapsus, or fall 
ing of the rectum, fistula in ano and pereneo ; all of which 
comes within my province, and am daily consulted with refer- 
ence to them, and no morbid delicacy should prevent any 
lady from consulting me as a means of securing health and 
comfort. All shall be treated with delicacy, and they need 
not be subjected to any exposure by calling, as they will 
always be seen, if desired, alone and in separate apartments. 
173 174 
A POPULAR TRXATIIX 
ON .MPUISSANCE, OR IMPOTENT. 
" See in slow steps, the gaudy shades advance, 
Dragging along their soft inheritance. 
The wrinkle short in jaundiced front appears, 
That shows, at thirty, their precocious years:- 
The hand of Pleasure't is that lays them low ; 
And, gen'rous to the world, they strike the blow." 
The necessary qualities to give an individual birth, ara 
accorded to all animated beings; and if economical in theit 
pleasures, they may, till the approach of dissolution, enjoy 
the fairest privilege accorded by nature. An old man, who 
has not abused the prime of his life, is still capable of offer- 
ing some sacrifices to love; while he, on the contrary, ac- 
celerates the instant of enjoyment; that multiplies the plea- 
sures by irritating voluptuousness; is unable to taste its de- 
lights, when he arrives at the term marked by nature for 
extending, communicating, and perpetuating his existence. 
Such a man is reminded by a nearly extinguished imagina- 
nation ; in vain has he recourse to aprhrodisiacal remedies. 
In this unfortunate condition, man wants the assistance of a 
physician, to conserve his existence, if still in love with life, 
after being deprived of what frequently forms its greatest 
happiness ; it is sufficient for such a being to drag on his 
sorrowful days, the prey of remorse, till the Parcae termi- 
inate a career intermixed with bitterness. Let him not 
therefore, contemplate in leaving to posterity any descen- 
dants, who, without being capable of their father's excesses, 
would participate in his punishment. It is not for the man 
alone I write, but there are some deprived of the happiness 
of being fathers, from obstacles not brought upon themselves. 
1 suppose an individual, to whom nature has not refused 
that which co-operates with the propagation of his species ; 
but whom an hereditary weakness, or languor, the ordinary 
consequences of severe diseases has placed out of state to 
offer hymen the tribute which is voluntarily paid by man- 
kind. If this man, oppressed by unmerited misfortunes, con 
fide to me his situation, I will, if possible, afford him relief. 
Impotence implies incapability ofintercourse ; sterility, the 
inability of procreation ; the causes of either of which may 
be deemed organic, functional, or moral. The following  
175 
will be devotea firstly to its consideration oi rotation i 
the male : 
IMPOTENCY AND STERILITY OF THE MALE. 
I divide impotency into habitual or absolute and acciden 
tai or transitory. By the first I understand the state of a 
man, who, since his birth, has not given any proofs of virility. 
The second is a sudden cessation of the signs that announce 
competency to the propagation of the species; and this sort 
of impotency is abundantly more common than the other; 
but there is likewise every reason to hope for a cure in thia 
instance, which is extremely difficult in the first species of 
impotence. 
The manifest impotence of the male must be the absence 
of the penis, or testicles. The penis must be all lost, or it 
will still perform its function and duty. The testicles may 
be in the abdomen, (or belly) and as faithful as any two 
that evei^graced a scrotum. 
One may be removed and the other perform a double duty 
successfully. Both may be removed, and the vesiculae 
seminales contain semen for one prolific emission. 
Eunuchs have erections and emissions, but the fluid is 
prostratic or urethral. 
Unnatural length or size of tne penis 
are causes of impotency in some cases, 
where the disproportion of organs is 
great, but every size of the male organ 
can find corresponding female organs 
well fitted by nature. 
Malformation of the genital organs 
are causes of impotence, and the most 
common, and that which is easily reme- 
died, is the state of the prepuce in certain 
subjects, where the extremity of the penis 
is covered by it. The accompanying 
diagram will illustrate the appearance of 
this condition of things, complicated with 
a varicocele. This inconvenience, which 
we call phymosis, is enough for opposing 
itself frequently to generation. I knew a 
gentleman who had been married tea 
(Fi* 176 
1 POPULAR TREATISB 
years, who could not in that time procure himself a succesion 
from this cause alone : fatigued at length, by the continual 
pleasantries with which he was assailed, he resolved to oc- 
cupy tumselt witn me cure, imposing silence on his friends. 
He consulted with me, and i advised a division oi the pre- 
puce, an operation productive of but little and momentary 
pain, to which he consented. This expedient suceeded, and 
the title of Father amply indemnified him for the little incon- 
venience which it caused him. 
Individuals affected with an opening anywhere between the 
end of the penis and scrotum, are impotent; the urethra open- 
ing on the dorsum of the penis is equally a cause. 
This will depend upon the length of the penis from the 
scrotum to the opening. Shortness of penis or diminution 
of size never produce impotence. Obliquity, tortuosity, or bi- 
furcation of penis stricture of the urethra, phymosis, paraphy 
mosis, warts, chancr?, and extreme length of frenum, are not 
absolute causes of impotence, for they can be removed by 
operations. Impotence in man must depend upon defect in 
erection, intromission, and ejaculation of semen, for all these 
are necessary for coition. 
Impotence in men is more frequent than in women, and they 
arise in the former from two causes, viz., malformation oi the 
genitals, and a want of action in them. 
A want of erecton may be the result of a physical or moral 
cause. 
The physical causes depend on defects of the body, such 
as curvatures of the spine, frigid and apathetic tempera- 
ments that act upon the imagination and suddenly produce 
atony of the genital organs. 
The genital organs during life present two states which 
may be termed the frigid zones of existence, and are mani- 
fest in childhood and old age. The infant has nothing to 
give, and the old man has given all he ever had. Immatu 
rity of age and innocence are causes of want of erections. 
This doctrine, however, admits of exceptions, as children 
nave been precociously developed before their fourteenth 
year. 
A boy aged seven years, a native of the department of Lot, 
was so far developed as to make a furious attack upon a 
female child, and deprive her of that she never could regain. 
On the other hand, a Frenchman aged ninety-nipe years ON SEXUAx. DISEASES. 
177 
married his tenth wife, and was a father at one hunared and 
two. 
Thonwa Parr married at one hundred and twenty, and 
performed nuptial duties so well at one hundred and tony 
that he even forgot he was an old man. In general tmj 
power of procreation begins at puberty, a-nd ends at sixty* 
five. 
Immaturity of age or innocence may be put down as the 
first cause of want of power of erection ; here we meet with 
a frigid or apathetic constitution, and a total insensibility to 
sexual desires. This may be Saad to constitute a profound 
lympnatic temperament. Persons of this temperament have 
fair skin aiid white hair, no beard, countenance pale, and 
flesh soft, voice clear, sharp and piercing, eyes sorrowful 
and dull, the form round, shoulders straight, perspiration 
acrid, testicle small, withered, pendulous and soft, the sper- 
matic cord small, scrotum flaccid, testicle insensible, a moral 
apathy, pusillanimity and fear on the least occasion-with 
a majority of these symptoms the individual is impotent. 
Habitude of chastity is.an opponent to exertion, as was the 
case with the ancient fathers of the desert; and those who 
adhere with religious strictness to certain forms of church 
government and discipline. 
Impotence occasioned by moral love, has its origin in the 
imagination. Im a well adapted union, where both sexes 
desire equally, the fortunate moment that is to crown their 
hopes, pleasure offers itself under the fairest colors ; it is a 
rose that by degrees acquires a tint, and blossoms to volup- 
tuousness. It is a flower which Nature has thrown upon 
pleasure, and that is ornamented with colors more or less 
vivid, according as the soul feels, more or less, the trans- 
ports by which it is agitated. 
From an alliance, cemented by agreements that do not 
exist in nature ; from an union wherein the interested do not 
experience the cheerfulness of the heart; result frequently 
those transports, which 1 may be permitted to name melan- 
cholics ; those sombre extacies. In short, compulsatory 
pleasures give birth to indifference ; and from thence, witn 
many men, is there scarcely a short step to impotence. 
A too vigorous erection is often a cause cf impotence. A 
gentleman espoused a young and most lovely lady, to whom 
>e vigorously comported himself; but there proved an es- 
jential obstacle to his happiness; all announced in hi» 178 
transport, tne moment of extacy, and the pleasure vanishee 
which he meant to enjoy. The illusion was more favorabh 
to him than the reality ; while dreams, that succeeded hit 
impotent efforts, awakened, by delicious sensations, those 
equivocal signs of his capacity. The most forcible erections 
were in no wise accompanied with those precious discharges 
that indicate voluptuousness in its utmost extent. 
When he consulted me as to the cause, I attributed it at 
once to a too vigorous erection, which stopped the conduit 
of the urethra with so much force, that it could not be sur 
mounted by means that compel the semen to flow from ths 
seminal vessels; while, on the contrary, this pressure being 
less forcible in his dreams, the evacuation occurred with 
greater liberty. 
The method of cure in this gentleman's case proved for- 
tunate, as it was discovered with facility, and procured those 
pleasures whose enjoyment he so much merited, and who 
had a long time been the prey of love. 
Impotence is sometimes occasioned by protracted illness, 
long watching, great fatigue, either mental or corporeal, tvant 
of nutriment, excessive evacuations, scorbutus, cachexia, 
dropsy, malignant fevers and diseases of the brain and spinal 
marrow, while strange to relate, some diseases stimulate the 
genital organs, as calculous, gout, rheumatism, consump- 
tion, piles, mania, itch, leprosy, and other cutaneous diseases. 
Excessive venery is a commoner cause of impotence, and 
a frequent cause of want of family in young persons. In 
many cases, where an individual has reduced himself by too 
many acts of debauchery, their lascivious imaginations will 
often oppose their cure. 
In genital derangments resulting from excesses and other 
kinds of imprudence, we often find a relaxation or obliteration 
of the structure of the testicles, so that the seminal fluid 
is no longer secreted. In many of these cases I find the epi- 
didymis in a peculiar condition, indurated, knotted and tuber- 
culated, a condition of things I do not find noticed by any of 
the numerous authorities which I have consulted. Where 
this does exist, the sexual desire is most usually wholly ex- 
tinguished. 
Moral causes.-No one fact more faithfully proves the 
influence of the moral cause over the physical state of man 
than the phenomena of erections. A lascivious idea will 
arise in the midst of the Christians gravest meditations. Th« 
A POP! LAR TREATISE 5 SEXUAL DISEASES. 
179 
virile organs will answer its appeals and be prepared for its 
fun< tions ; but another thought arises, and the most amorous 
Hrp instontaneousl v extinguished with frigid in- 
diff' ' :e. Chagrin, inquietude, debilitatory passions, Ac., 
prostrate the whole ecortomy; while jealousy and profound 
meditation impede the faculty of procreation. For eager de- 
sires, ardent imagination, excess of love, fear of not being 
loved, timidity, respect, doubt of capability, the fear of being 
surprised, the shame of modesty, antipathy, a knowledge 
of some physical defect in the female, are sufficient to oppose 
successful erections. A sigh, a recollection, or an equivo- 
cal word, is sufficient to destroy the strongest illusion, and 
in many instances to suppress the most amorous desires of 
the venereal-passions. 
Literary men and philosophers, those who have ruling 
desires and ideas, which excite the brain more than the gen 
ital organs are apt to be impotent. The fear of impotence 
will often produce it, hence the impression of former times 
as to the influence of his Satanic Majesty and his worthy 
colleagues, the witches. 
The impotence which I have named absolute, when it 
principally depends on the vice of conformation, must be re- 
garded as incurable. A man, in reality, deprived of any one 
of the essential parts, on proceeding to generation, is there- 
to incapable, and will always remain so. There are some de- 
fects susceptible of correction, (of which I cited one instance 
in the case of a gentleman wno had been troubled with a 
phytnosis,) but they must solely relate to the conformation 
of the exterior parts. These necessaily must be in existence; 
as, for example, nothing can supply the want of the testicle, 
nor the organ destined to transmit the seminal liquor, in the 
place appropriated by nature for generation. 
IMPOTENCE AND STERILITY OF THE FEMALE. 
A female may be impotent, and not sterile; and sterile, 
but not impotent. Impotence can only exist in the female, 
when there is an impervious vagina ; but even this condition 
does not necessarily infer stertility,many cases being record 
ed, where the semen, by some means or another, through an 
aperture that would not admit a fine probe, has found en- 
trance to the vagina and ©ccasioned imoregnation. 180 
impotence may arise from a malformed pelvis, the absence 
of a vagina, adhesion of its labia, unruptured hymen, or one 
of such strength as to resist intromission. In the two for- 
mer instances, sterility is irremediable ; but art, and indeed 
nature, may overcome the latter impediments. 
Were these pages intended only for the surgery, instead 
of the public, the annexed wood cuts would be unnecessary, 
medical men being conversant with the inconvenience in 
question; but all the world not being bless- 
ed with similar anatomical information, the 
sketches are presented. The upper one re- 
presents the relative situation of the female 
urethra (1), and the contracted orifice of the 
hymen (2). In the cases of hardened obstruc- 
tion, where the hymen assumes an almost 
cartilaginous texture, the attempts at marital 
consummation are fruitless, and often give 
rise to severe local inflammation. The infir- 
mity, on the other hand, is easily and pain- 
lessly removable by surgi- 
cal skill. The lower draw- 
ing represents a hymen with 
two apertures (2), which, if 
broken down by violence, 
leaves a troublesome lacerated wound. The 
surgeon's assistance is indispensable. 
Where hermaphrodism exists, the sex is 
usually more masculine ; it is a vulgar er- 
ror to suppose that the two sexes exist en- 
tire, and that they are capable of giving and 
receiving the offices of married life. The 
following sketch (fig. 127,) 
is merely introduced to show 
the more frequent malformation. The pe- 
nis exists, but has no urethra : below is an 
opening resembling the vagina of the female, 
which is but of short length, at the bottom 
of which, (in fact, the perineum) the urethra 
opens. The testicles are entire, and the 
individual from whom the draft was taken 
possessed somewhat the desire of the male 
without the capability of penetration : th» 
ocnis, when excited from its ntmehnu t* 
A POPULAR TREATISE 
(Fig. 125.) 
(Fig. 126.) 
(Fig. 127.) ON SEXUAL DISEASES 
181 
the lips of the imaginary vagi 
na, and also from its contract 
ed form, presenting merely a 
kind of bulbous tumor. Ever 
where hermaphrodism more 
closely partakes of the female 
conception never takes place; 
hence all such parties are ste 
rile. 
Nature, as if to atone for de- 
nying to some the delights of 
maternity has been occasion- 
ally doubly bountiful to others 
The accompanying drawing, 
(fig. 128,) exhibits a section of 
a double uterus. Cases are 
on record, where both have 
have been impregnated. 
In the instance of a deceas- 
ed married female, that fell 
under my observation, the 
uterus or womb presented the 
following appearances : 
The usual cavity was discoverable, but it 
was filled with a cheesy-like substance, and 
also there where some ulcered-looking cav- 
erns filled with the same material. This 
female, while living, endured continued pains 
in the uterine region, was insensible to mari- 
tal physical enjoyments, sterile, although a 
wife several years, and the constant sufferer 
from a vaginal discharge. Her death was 
consequent upon a severe cold that ended in 
consumption. 
Leucorrhcea is often attended with barren- 
ness ; at all events, it is very debilitating, and 
thus impedes conception. A notion once 
prevailed that women who did not menstru- 
ate could not conceive ; it has since been dis- 
proved, except in those instances where men- 
struation never occurred : a single monthly 
discharge indicates an aptitude for conception. It is to ne 
observed that barren women have very small breasts. Wo 
(Fig. 129.) 
(Fig. 129.) 182 
A fOVULAR TREATISE 
me a who are very fat are often barren, for their corp ulence 
often exists 8 s a mark of weakness of the system, or it de- 
pend° "pnn « want of activity in the ovaria : thus spayed or 
castrated animals generally become lat. The same reoiuiks 
apply to the male kind, who are outrageously co. patent. 
There are many other peculiarities in matrimonial life, fer- 
tile subjects for speculation; such as, for instance, the 
lapse of time that often occurs after marriage before concep- 
tion takes place, and the space between each act of gesta- 
tion ; the solution of which may be, these occurrences are 
modified by certain aptitudes, dispositions, state of health, 
&c.; the same may explain why persons have lived toge- 
ther for years in unfruitful matrimony, and who yet, after 
being divorced, and marrying others, have both had chil- 
dren. 
It is not always that the most healthy women are more 
favorable to conception than the spare and feeble. High 
feeding and starvation are alike occasionally inimical to 
breeding. The regularity of " courses " appears principally 
essential to secure impregnation; and the intercourse is 
generally held likely to be the more fruitful that takes 
place early after that customary relief. 
Women in health are capable of bearing children, on an 
average, for a period of thirty years, from the age of fifteen 
to forty-five; but their incapacity to procreate does not deny 
them the sexual gratification, it being well accredited, that 
women upward of seventy years of age have been known, 
who have lost but little of the amative inclination and enjoy- 
ment which they possessed in their early days. Men cer- 
tainly possess their procreative power to a longer period, it 
being common for men to become fathers at eighty, ninety, 
and one hundred-old Parr becoming a parent at the age of 
one hundred and thirty. Women rarely fall pregnant be- 
yond fifty. 
Some females endure intense pain during coition, so as to 
occasion fainting or great exhaustion. Such suffering is 
usually traceable to internal ailments-such as piles, fistu- 
lous openings between the rectum and vagina, ulcerated 
wombs, vaginal tumors or abscesses. Cases continually 
present themselves, where, on the removal of the cause, the 
effect is eursd. 
Th, mi.rber of children that women have individually 
given birth to is very variable. It is altered, among a col- ON SEXUAL DISEASES. 
183 
lection of fa Jts of this nature, that one female gave birth to 
eighteen children at six births; another, forty-four children 
in all, thirty in the first marriage and fourteen in the second ; 
and in a still more extraordinary case, fifty-three children in 
all, in one marriage, eighteen times single births, five times 
twins, four times triplets, once six, and once seven.* Men 
have been known to beget seventy or eighty children in two 
or more marriages. With regard to the average proportion 
ef male and female births, it appears that the males predom- 
inate about four or five only in one hundred. The average 
number of children in each marriage is, in England, from 
five to seven. 
To a continual irritability of temper among females may 
be ascribed infertility. Independently of ever fostering do- 
mestic disquietude, it produces thinness and feeble health ; 
and, where pregnancy does ensue, it most frequently pro- 
vokes miscarriages, or leads to the birth of ill-conditioned 
and puny offspring. 
Perhaps one of the most indispensable and endearing 
qualifications of the feminine character is an amiable temper. 
Cold and callous must be the man who does not prize the 
meek and gentle spirit of a confiding woman. Her lips may 
not be sculptured in the line of perfect beauty, her eye may 
not roll in dazzling splendor, but if the native smile be ever 
ready to welcome, and the glance fraught with clinging de- 
votion, or shrinking sensibility, she must be prized far above 
gold or rubies. A few moments of enduring silence would 
often prevent years of discord and unhappiness ; but the 
keen retort and waspish argument too often break the chain 
of affection, link by link, and leave the heart with no tie to 
hold it but a cold and frigid duty. 
* Dr. A. Sidney Doane has recorded a case, in his edition of 
w Good's Study of Medicine," where a woman brought forth fifty* 
Wren children.-Vol. ii,, p W 184 
A POPULAR TREAT'S® 
TREATMENT OF IMPOTENCE. 
In venturing upon this part of the subject, it will be as well, 
first, to distinguish those cases that are curable from those 
that admit of no relief. Among the latter may be enumera- 
ted all those arising from transitory or accidental defect in 
the organs of generation. Where, also, old age is the cause, 
little is to be done • medicines are of no avail, and tempora- 
ry stimuli not unfrequently worse. 
That certain medicaments, aliments and so forth, do pos- 
sess an aphrodisiac power, is not to be denied ; but when 
adopted by those weak beings, whose bodies are either worn 
out by age or excess, and who pin their faith to such restora- 
tives, the little remaining sensibility in their frames, the 
source of life and energy, can not sustain the shock of reac- 
tion ; and the result is, total annihilation or death. 
From what has already been stated, it will be perceived, 
that the mind exercises no inconsiderable influence over the 
functions of the organs of generation : and as the state of 
the mind depends upon the particular circumstances under 
which it may be placed, any attempt to establish a code of 
instructions, applicable to every instance in which a sportive 
fancy, or disturbed imagination, constituted the prevailing 
cause, would be abortive, and might be considered as pan- 
dering to a vicious and depraved appetite, whereas the ob- 
ject of this treatise is only to encourage the diffident, to as- 
sist the afflicted, and render a service io those legitimately 
deserving it. 
As excess in sexual indulgence impairs the generative 
iower, no less injurious may entire abstinence be considered. 
'he due exercise of an organ tends to its perfection, as the 
neglect or misuse of it, to its impairment. Besides, there is 
not any wonderful virtue in abstaining from the proper use 
of the sexes. Why, in the name of morality, were such pow- 
erful impulses and desires bestowed upon us 1 Why were 
such wonderful organizations given to us, if they were not 
orig'nally designed to be used by every one who is posses- 
sed of them ? Society, in its present form, is not perhaps con- 
structed with a philosophical regard to our own natural 
instincts, and our own original rights. 
Among the causes that induce impuissance, or that dis- 
tressing condition known under the cognomen of nervow ON SEXUAL DISEASES. 
185 
debility, there is not one more reprenensive man the unwor- 
thy and pernicious practice of self-abuse. It is much to be 
regretted, that some medicai writer, of talent and estimation 
in society, has not turned his attention to the subject, and 
given the influence of his name in denouncing to the world 
the misery and devastation which are the unerring couse 
quences of this sordid and solitary vice. It is indeed an un 
pleasant and thankless task; and there probably exists ir 
most minds, an unwillingness to enter upon a subject it 
which there is so much difficulty in selecting Language suf 
ficiently appropriate to exhibit the folly in its true colors 
without offending the ears of the chaste and virtuous. 
But a question of such paramount importance should no 
be sacrificed to any false and prudish notions of delicacy : ■ 
shall therefore offer such observations, as I may think cal 
culated to check the progress of a vice, that has done more 
to demoralize the human mind than the whole catalogue? of 
existing causes besides. It may be deemed an exaggera- 
tion, when it is stated that full three-fourths of the insane 
owe their malady to the effects of masturbation : but the as- 
sertion is corroborated by one of the first writers on medical 
jurisprudence, and is fully borne out by the daily experience 
of proprietors of lunatic asylums. The practice of self-abuse 
usually has its origin in boarding-schools, and other places 
where young persons congregate in numbers; and there are 
few of us who may have observed the vice practised, although 
it may be unpleasant to avow as much, that could resist the 
contamination. 
And thus it is, though ninety-and-nine be pure and spot- 
less as the driven snow, if the hundredth be immoral, the 
poison is soon disseminated, and the whole flock become in- 
itiated into a vice, which, if indulged in, will blast their intel- 
lectual faculties, and probably consign them as outcasts of 
society ; rendering them slavering idiots, or the inmates of 
a lunatic asylum. It is not only in private schools that this 
sin rages, our public foundations and colleges are not exempt 
from it. The heads of our universities arc particularly scru- 
pulous in driving from their neighborhood the frail fair, lest 
they should contaminate the votaries of learning ; while a 
vice far more degrading in its practice, and infinitely more 
baneful in its effects rages within the very sanctuaries of 
classic lore. Many a brilliant genius has sunk into fatuity 
beneath its degrading influence. Loss of memory, idiocv, 186 
A POPULAR TREATISE 
blindness,* total impotence, nervous debility, paralysis, 
strangury, Ac., are among the unerring consequences of an 
indulgence in this criminal passion. I need not bring a 
greater proof of the dire effects of an indulgence in the prac- 
tice of masturbation, than the deplorable state of mind to 
which it reduced one of our greatest poets. 
The treatment of this delusive and mentally annihilating 
propensity, falls equally within the province of the philoso- 
pher and the physician. Without a total abandonment of 
the practice, the case is hopeless; and he to whom the con- 
sequences shall have been portrayed and heeds them not, is 
unworthy of our sympathy, but deserves the evils he entails 
upon himself. 
Now, as the consequences of all criminalities continue to 
ensue so long as the provocative be kept up, it is very evi- 
dent that, as a first step toward the restoration of order and 
health, the cause must be removed or withheld. The mere 
will or resolution is seldom sufficient: virtue, like vice, has 
its allurements, and those belonging to the former must be 
called into requisition as antagonists to the snares of the 
latter. Physic cannot check bad principles, or bad indul- 
gences. No method is or can be superior to that full en- 
ployment of the mental faculties on noble and intellectual 
subjects, on objects worthy of the high ends for which Na- 
ture .has adapted them. And though the difficulty will be 
great in inducing new and good habits, to the exclusion of 
such as are unworthy and degrading, yet the effectual ac- 
complishment of such a resolution is not of uncommon oc- 
currence ; and the sufferer may be placed under circum- 
stances where good habits may be more frequently called 
into action naturally, to the exclusion of vicious propensi. 
ties. The time should be well filled, so as to leave no room 
for flying tc the various usual sources of amusement that 
fill up the life of the thoughtless and gay. Every hour and 
every minute should be provided for, so as to exclude the 
* A patient was admitted into the ophthalmic wards of the Hotel 
Dien, Paris, with great weakness of sight, amounting almost to 
amaurosis. He confessed that he was in the habit of polluting him- 
self, and that he was immediately seized with complete blindness 
whenever be addicted himself to the practice. Cases very similar 
Co the above have been noticed by Dr. Doane of New York, who 
ban pa'd great attention to diseases of this character. ON SEXUAL DISEASES. 
187 
admission of idleness and sloth, the forerunners of mental 
and bodily disease. Studies connected with education 
should be encouraged. Modern languages have a great 
claim on the consideration of all who are engaged in busi 
Hoss to any extent, and are of incalculable use after they 
have fulfilled the immediate end for which their culture is 
here recommended. The various sciences bearing more cr 
less on the pursuits and employments of every man, are 
earnestly recommended to the choice of the unfortunate 
victim of sensuality. Geology and botany would call him 
into the healthful fields, or fill up his time by the fireside, in 
studying the many excellent works on those subjects : the 
still higher utility of chemistry, as being made of practical 
use in almost every business, and demonstrating the else 
unintelligible phenomena of a multitude of natural processes 
and changes, may be held up as another inducement to call 
forth his best energies. 
Travelling, to those who can afford the expense or the 
time, is one of the best means of conquering this baneful 
habit. The numerous objects thereby presented to the eye 
of the invalid in the manners, government, and productions 
of art and nature, of the countries he visits, are an incessant 
source of pleasing and useful excitement, and can not fail, 
especially if the traveller be accompanied by an intelligent 
and moral friend, to weaken and eradicate the bad impres- 
sions of the past. 
To diverge, and at the same time to conclude this part of 
the subject, I have only to offer a few remarks relative to the 
medical and therapeutic treatment of those cases of impuis- 
sance, that age, disorganization, and total incapacity do not 
exclude from consideration. I have already expressed my 
belief that generative imbecility is consecutive to general de 
bility ; hence, whatever tends to improve the latter, tends to 
remove also the former. The diet, therefore, should be full 
and generous, with a liberal proportion of spices ; but al) 
stimulating liquids, such as wine, brandy, and the rest 
should be avoided. 
Impotency arising from the variety of causes which I have 
heretofore mentioned, may be cured. The powers of nature 
may yet be invoked. Science not only points out the evil, 
but it finds a cure. Make no delay, O ye enslaved votaries 
of Venus, and victims of - winded love of self-pollution. 
Neglect not the offers of .our salvation-no, not for oue 188 
* POPULAR TREATISE 
hour ; do not reject the means by which the fangs of vics 
may be unfastened, and health restored and life preserved. 
1 have been in the habit of prescribing medicines which 
have been tested satisfactorily, as possessing these singular 
and extraordinary powers, necessary to recruit the system, 
weakened by torture and a prey to accumulating sorrows, 
and for the cure of this most distressing, and what seemed 
incurable disease. The many authenticated cases which 
are given in the latter part of the book must prove conclu- 
sively that tne treatment in these cases has by no means 
been unsuccessful. 
EFFECTS OF INCONTINENCE, CELIBACY AND 
MARRIAGE. 
The past pages relate chiefly to the diseases of the gene- 
rative system consequent upon contagion, upon accident, 
md the ordinary wear and tear of human life : the foliow- 
ag, to the ills that ensue from the over-indulgence in, and 
s bstinence from, the proper purposes of the reproductive 
organs, and the benefits derivable from a fulfilment of the 
intentions of their natural functions. 
There may be much good policy and correct feeling in ob- 
jecting to the too public inquiry into these matters. The 
private closet and the public eye are two very different tri- 
bunals, and what may be approved of in the one is very 
likely to be condemned in the other. The line of deciding 
what shall be communicated and what should be suppressed 
may be drawn too closely ; and that knowledge which is 
acquired by stealth is seldom so practical as that obtained 
by competition. If, therefore, the topics herein embraced 
were to be expunged, and their discussion prohibited, the 
afflicted would have no other resource than to apply to the 
adventuring and ill-educated empiric, instead of confiding 
nis troubles to the legitimate professional man. A study to 
•ecome useful, should be general; and it is to be hoped that 
the prudish reserve which excludes this kind of investigation 
from our medical schools will be laid aside, and truth beob 
rained by allowable investigation. 
The most moral and chaste, at the age of ptberty are as- 
sailed with feelings and desires, that, though new andunan- 
icipated. yet need little interpretation when present, and so ON SEAOAL DISEASES. 
argent end imperious, that if not legitimately satisfied, ua 
ture and instinct are not slow in pointing out a means of 
gratification. 
In the male, imagination commanding a wider range than 
in the female, and fed by associations with, and the usages 
of, the world, elicits consequences explanatory of life's pur- 
poses ; and the youth having once experienced perhaps 
unsolicited, and possibly during sleep, the agony of seminai 
secretion, can rarely withstand the afterward tempting plea 
sure of seeking a self-repetition of such solitary indulgence 
which the forbidden union of the sexes, at this early period, 
may urge him to. 
Setting aside the selfishness and unmanliness of the vice, 
it is, important that the wearer of the cap and bells should 
know the consequences of abusing a given function by such 
a means of gratification. There is no mental passion, or 
physical exertion, that produces such temporary nervous 
prostration as the completion of the act of sexual intercourse; 
and it therefore can be easily conceived how debilitating 
must be the immoderate indulgence of the practice. Health 
consists in a due performance of all the functions of the or- 
gans of the body, and an undue exercise of them is sure to 
lead to a disturbance of the economy. 
In ordinary sexual commerce, particular phenomena en- 
sue, the circulation is powerfully roused, the heart thumps 
violently, the blood is driven to the brain, and great mental 
exaltation is induced, and instances have been known of 
death suddenly crushing the transport. The too frequent 
repetition of such excitement can not fail to wear out, and 
disease the overwrought organs, the heart and brain particu- 
larly, upon the healthy condition of which the health of the 
entire frame rests; and hence the diseases of the libertine 
are usually consumption, physical weakness, and mental 
imbecility, all the result of disordered circulation and im- 
paired nervous power. If, therefore, such consequences fol- 
low a waste of the allotted privileges of naan, how much 
more severe must they be that arise from nervous exhaus- 
tion, that which transpires from an absolute stretch of an al- 
ready overwrought imagination, from, in fact, ideal pleasures, 
instead of those springing from the instinctive stimulous im- 
parted by the presence of, and cohabitation with, woman. 
I have elsewhere treated upon the sad and withering effects 
cf self-indulgence in a hvgsan point of view. My object 190 
A POPULAR TREATISE 
here 'a to portray the consequences of the like, and the more 
lawful, intemperance of sexual cohabitation in a domestis 
light, in how far it is destructive to the health and happines* 
of others, than the party addressed-the partner of our 
worldly anxieties, and the offspring that issue from our 
union. How striking is the change of appearance only 
much less the positive bodily condition of married person* 
of both sexes, within one or two years of their union, espe- 
cially if the match be a youthful one. Let any one, even 
with a limited acquaintance, recollect such of his former fe- 
male associates, whom he knew when single, and mayhap 
may have indulged with in little modest pleasantries; let 
him recall the gay-lit countenance, the ruddy and prominent 
cheek, the sparkling and lively eye,the plump and well filled 
neck-in fact, let him but compare her then and now, and 
how disheartening the change; the same being may be re 
cognised, but it is the same being only in mind, and not in 
person. There are exceptions, as 1 shall presently show, 
but this is the too frequent portraiture of those who embark 
in precocious hymenial contracts, and restrain not the mari- 
tal privileges. The countenance assumes, when thoughtful, 
the careworn aspect; the blanched cheek shows here and 
there a furrowed imprint; the lustre of the eye is dimmed ; 
and, to drop from the figurative to the literal, the collar-bones, 
hitherto " overlaid with nature's plastic moulding," seem 
appointed only for union's sake, lest the fabric of neck and 
shoulders should drop in pieces. Mark also the decayed 
health and spirits ; hear the bitter grief of headaches, side- 
aches, nerveaches, and behold, perhaps, the puny offspring 
"mewling and puling in the nurse's arms." 
Thu bridegroom wears a sorrowful and thoughtful look. 
He may possess all the comforts which few inherit, but like 
Pharaoh's lean kine, as chaff thrown before the wind, their 
purpose is opposed. 
This may be held as a ridiculous picture, but I defy de- 
nial of its unhappily too frequent illustration in real life. A 
word or two on the opposite extreme, continence. The 
reader will observe, in another page, the remark that every 
part, be it flesh, bone, or nerve, has its use. The reproduc- 
tive organs have theirs ; but it is not only for the propaga- 
tion of the species-they afford an outlet for accumulated 
secretion-they aid in resolving the animal passions-they 
are the secret incentive to sexual love, and the bond of union ON SEXUAL DISEASES. 
191 
between tlie sexes. They give an appetite mat, liice hunger 
must be appeased, or nature, revolts; and the harmony of 
society falls before the ungovernable fury of maniacal crav- 
ing. Health, the source of all happiness, without the pos- 
session of which the world with its beauties would be, for all 
we cared, tenantless, materially rests upon a proper and 
moderate use of the copulative process. Entire continence, 
a rarity among mankind, establishes in both sexes the most 
miserable perversions of mind and body. In man, we have 
instances recorded of mania, melancholy, apoplexy, and foul 
skin-disorders. Blindness, deafness, and a host of evils, 
some greater, and few less than these just penned. It is 
true, continence is, as remarked, but seldom observed espe- 
cially in males, who, b.eing denied sexual ctftmnerce, are es- 
tranged by the distressful habit of onanism ; and thereby in 
some measure, the enumerated maladies are avoided; but 
as masturbation, like other vices, grows with unbounded 
speed, a train of ills, far more distressful, await the sufferer, 
who, in addition, becomes, in the meridian of life, deprived 
of the very power he in youth was so improvident of. Con- 
tinence in females, wnicn all admit to be the brightest orna 
ment a woman possesses, is attended with a poor requital; 
and its prevalence (to the honor of our countrywomen be it 
spoken) is truly attested by the miseries of hysteria, and oth 
er nervous derangements, that pervade the junior and elderly 
maiden branches of every family, and constitute so formida- 
ble an enemy to domestic felicity. A wide field is open for 
comment upon the subject, which is better adapted for the 
moralist than physician. This manual, professing to be but 
a vehicle for topics of a professional nature only, the writer 
apologises for the digression, and can but express his regret, 
that public opinion is unfavorable to the discussion of such 
matters, which embrace considerations highly important to 
a nation, both in a moral and hygtean view. Continent per 
sons but seldom attain old age; whereas, the married fe- 
males, for instance, although exposed to the dangers of preg- 
nancy and delivery, live generally longer than those who 
are unmarried or chaste ; and provident married men escape 
the ills and snares that beset single blessedness, ns it is 
called. Libertinism, on the other hand, in whatever way 
practised, is hurtful and destructive to long life. 
Continence may be a virtue, but is not imposed where 192 
marriage is allowable ; and then, if deviatea from with mo 
deration only, the greatest amount of health and happiness 
may be elicited, and the proper end of it obtained. Matri- 
mony, where succeeded by the birth of children, powerfully 
conduces to the health and happiness of women. 
Many female disorders are relieved by marriage. Amen- 
arrhuea and chlorosis, disordered conditions of the uterine 
ftinctions, hysteria, scrofula, skin-aftections, numerous ner- 
vous disorders, and many local complaints, yield as soon as 
pregnancy commences. 
Results should, however, be well weighed, before irrevo 
cable steps are taken. There are many diseases and struc- 
tural impediments opposed to the matrimonial contract. 
Malformation ^nd mental imbecility should be held as strong 
interdicts to the conjugal union. People ought not to mar- 
ry before manhood is well developed (the male at least 21 
to 23 years of age, the female 18 to 21). Precocious or late 
marriages are injurious to reproduction. The unnatural 
union of old and young of either sex with the other, entails 
its own miseries. A curious estimate of salacious appetites 
and power has been drawn up as pervading the different 
temperaments. The temperaments as elsewhere noticed, are 
four-the Sanguine, Nervous, Bilious, and Phlegmatic. 
Persons of the sanguine temperament aregenerally of good 
.sealth, and vigorous in amorous pleasures. The nervous 
are extremely susceptible in their sensations, and generally 
much given to female society. Combined with the sanguine 
they are capable of great amorous excesses. The bilious 
temperament imparts a jealous bearing in all affairs of sexu 
al solicitude, that detracts from the fondness and affection 
which so entwine a woman to a lover or a husband. The 
melancholic or phlegmatic person is frigid and apathetic in 
his amours; and love becomes with him a secondary con- 
sideration to advancement in life. These temperaments are 
frequently intermixed, and are much modified by age and 
health; and the salacious powers correspond. 
Speculations have arisen among physiologists, as to the 
effect of climate and season as well as age and tempera- 
ment, oh the reproductiue powers. Temperate and warm 
climates are more prolific in exciting the copulative desire, 
than the frigid and uncongenial situations of the noKthern 
hemisphere. The seasons bear a somewhat near analogy- 
spring is supposed to be more ootentthan summer, autumn, 
A POPULAR TREATISE ON SEXUAL DISEASES. 
193 
or winter, in arousing the amative propensities, which, like 
the productions of the earth, come, as it were, at thrSt time 
into a new existence. This observation is borne out by the 
statistical fact of there being a greater number of births 
about Christmas and the new year, than any other period. 
Man, however is allowed to be omnivorous in all his ap- 
petites; and the uniformity of his sexual greediness is pre- 
served by diet corresponding to the season, which renders 
the whole twelvemonth a perpetual spring. Man, as well 
as other animals, is, when in a state of health, capable ot 
C recreating upon almost any food. But when there is de- 
ility of the digestive or generative organs, the injury can 
be repaired by the use of proper stimulating diet, thereby 
occasioning due and sufficient secretions. 
Air, exercise, health, and prosperity, are not without con- 
siderable influences. If seasons are not positively influential 
certain it is, that particular lunar and solar periods are, 
taken in conjunction with the state of the body. 
"Morning," says a French writer, "is the spring of the 
journey, when all the functions of the body are renovated." 
Others declare, that when night veils the light of the day, 
the quietude and secresy thereby afforded, offer moments 
most congenial to the gratification of mutual love. Sexual 
transports should be avoided after a repast, instanceshaving 
been Known of apoplexy being induced by the excitement of 
connexion being superadded to the stimulative influence of 
wine and food. 
Henry III. consulted one Fernal for the infertility of his 
queer., Catharine de Medicis. The advice submitted, com 
prised the following notifications : Abundant and peculiar 
nourishment; occasional change of residence; the allowing 
several days to elapse between each conjugal act ; and 
lastly, that the most favorable moment for impregnation 
was immediately on the cessation of menstruation. It was 
not until the adoption of these hints, that her majesty con 
ceived. 
Professor Dewees, of Philadelphia, enjoins that, for the 
enjoyment of majriage and the production of children, ma- 
trimony should not be engagedin, until the body is healthily 
and completely developed; until then the most scrupulous 
continency should be preserved. From the 23d to the 25th 
year is the suggested period for the male ; from the 19th to 194 
A POPULAR TREATISE 
the 21st. the female. These observations apply to Euro- 
peans chiefly; for in India, women become mothers at ten, 
owing to ■ their early development. Precocious marriages 
bring premature decay on the father and mother, and en- 
tail on their offspring, diminutive stature, debility of body 
and imbecility of mind, thus generating consumption, scrof- 
ula, insanity, &c. Well-regulated marriages contribute to 
social and lasting happiness, and the prosperity of the na- 
tion at large; but ill-assorted ones, those where the peace 
of either is infringed by opposing temper, or by the after- 
discovery of hitherto concealed physical incapacities, pre- 
sent a scene of wretchedness and disappointment to which 
death itself were preferable. These remarks might be con- 
siderably amplified ; but enough has been said, to induca 
those who approach to manhood, to be provident of that 
which, once lost, is, under all circumstances, difficult to re- 
gain ; and those on the eve of embarking in the most binding 
and solemn obligation of all human contracts, marriage, to 
ponder well, ere they compromise the happiness of others 
as well as themselves, by engaging in a compact, they may 
know themselves incapable of fulfilling or of efficiently per- 
forming ; one from which they can not with honor retreat, 
and one that, once sealed, demands a rigid compliance with 
its recognised duties. 
The gist of the present article may then thus be summed 
up : That self-indulgence and excessive sexual cohabitation 
are hurtful in the highest degree; that they induce early 
impuissance, and bring down a load of mental and corpo- 
real ailments. That premature marriages are destructive to 
health and long life, and that weak and sickly children are 
the general result where impregnation of the female follows. 
That entire continence was never ordained, and is alike pro- 
ductive of disease. That moderate copulation propagates 
the human kind, preserves health, and promotes longevity, 
and the sexual capability is thereby retained to the latest 
verge of senility. 
That it is unnatural and unjust for impuissant persons to 
intermarry with those having healthy expectations, and the 
power of enjoyment; and that it behooves all who have a 
doubt as to their own capacity, to have that doubt removed ; 
but, if rendered evident, to abstain from shipwrecking their 
own happiness, or from occasioning disappointment to others. NOTICE TO PATIENTS 
Desirous above all other things, to render himself proa 
eient in his profession, the author assures his patients and 
the public, that he attends personally to all cases that come 
before him, either by correspondence or by personal visits, 
and upon the principles of the strictest confidence, and with 
the utmost regard for professional honor and secresy.- 
Persons calling at his office or sending for packages of 
medicines, may rely upon his assurance of confidential 
secrecy with implicit faith, and expect no more than to be 
charged with a fair, and mutually satisfactory remunera- 
tion for services rendered, considering the circumstances 
and difficulties of cases, rather than a too prevalent and 
selfish practice of extortion, among quacks and pretenders. 
APPLICATIONS FOR ADVICE OR MEDICINE BY 
MAIL. 
Patients who reside in any part of the United States, 
at whatever distance from Albany, can have the remedies 
applicable to their several disorders forwarded, care- 
fully secured in a portable compass, and in every respeot 
of convenient use, they are requested to be as minute as 
possible in the detail of their cases, as to the duration of 
the complaint, the symptoms, age, general habits of living, 
and oicupations in life of the Darty ; and to secure prom»> 196 
NOTICE TO PATIENTS. 
ttention, the communication must also be accompanied by 
bank note, (free of postage) without which, no notice 
whatever can be taken of their application; and this will 
not be considered unreasonable when it is stated, that we 
are at the present time, holding the most extensive corres- 
pondence that ever fell to the lot of any one single-handed 
to accomplish, our daily receipt of letters average from 
fifteen to twenty, which are answered by us alone, and 
and hence those who seek our advice in matters pertaining 
to themselves, must bear in mind that our time is constant 
ly occupied, and we cannot pay any attention to letters of 
this discription without the usual remittances accompany 
ing such applications. 
| LETTERS RETURNED OR DESTROYED. 
Our general method is to return the correspondence on 
the termination of a case, or to destroy it, as we may have 
been apprised ; but it is a tribute due to the general feel- 
ing of those who have appealed to our attention, to ac- 
knowledge most abundant proofs of their liberality as well 
as their gratitude, which has amply repaid us in a two-fold 
degree; by the remuneration we consider ourselves enti- 
tled to expect from the studious employment of our time, 
and by the prouder contemplation of having releived so 
many instances of human infirmity. 
MARRIED OR SINGLE LADIES. 
A11 female complaints, of whatever name or nature are 
treated by us successfully. The most convenient rooms 
ei~ays in reserve for ladies who may wish to consult us NOTICE TO PATIENTS. 
197 
COTtfidentiaUy with regard tc any of those interesting 
complaints, to which their delicate organization renders 
them liable. 
Those ladies whose pec uliar complaints naturally excite 
a fearful hesitation in applying for advice, may rest assured 
that in most instances, a personal interview is unnecessary 
as remedies, with general instructions, can be as well 
administered through the medium of correspondence 
SYMPATHY INSTEAD OF CENSURf 
Is often found by the intelligent physician to be a surer 
means of securing the desirable results of skilful treatment, 
than a morbid indifference to the welfare of those who from 
misfortune or other causes have become the sufferers from 
disease. And a correct knowledge of human nature is not 
among the least important qualifications, of a successful 
practitioner. 
Science is of but little avail, where confidence and gen- 
erous feeling are found wanting. Many patients are lost 
by treatment, little less severe than heartless brutality- 
PHE SUCCESS OF TREATMENT 
Invalids will find the advice and treatment of the author 
perfectly satisfactory and successful, as many hundreds of 
testimonials in his possession will show, and as thousands 
of living witnesses can attest, who are now enjoying health 
and happiness, after passing through his successful mud® 
of treatment 198 
fiSES. 
A perusal of the authors work, connot fail to satisfy every 
one, concerned that his experience and knowledgeoft.be 
diseases for the cure of which he has spent so many years, 
Justly entitle him to the cognomen, so often employed by 
his friends, of the " Good Samaritan." 
MEDICAL ATTENDANCE. 
Office Hours.-It is necessary to state, for the informa- 
tion of those patients who wish to consult me personally, 
that the hours of attendance at my office are from nine 
o'elock in the morning until nine in the evening-and on 
Sundays from two o'clock until five P. M. 
I 
CLINICAL REPORT OF CASES. 
The following communications and cases are made pub 
lie, as illustrating the peculiar mode of treatment, and the 
success attending the same, upon the different subjects of 
our care. To prevent any unpleasant feelings on so deli- 
cate a subject, in the exposure of names, we have substitu- 
ted merely initials, omitting in some instances, the places 
of residence, so no clue to the secrecy can be possibly 
elicited. 
To give a representation of the effects of solitary indul 
gence upon tire health generally, I may instance the fol- 
lowing among many cases: 
Case 1 
One of my earliest friends, a gentleman endowed with 
great natural talents, strong sensible mind, and to all ap- 
pearance possessed of great mental vigor, for some years 
had been suffering from an incessant dis'-''arge 'rmn the CASES. 
199 
cretkra, ao obstinate as to resist all the means adopted fot 
sts removal. He also suffered from pains of an annomalous 
character in different parts of the body ; and, notwithstand- 
ing very active treatment, he was obliged to leave, without 
being materially benefited, for another section of country, 
I thus lost sight of him, for a period of nearly six years, 
he had however, long ere this evinced an aversion to corres- 
pondence. A medical gentleman in practice in the neigh- 
borhood where my friend resided communicated to me tlis 
following particulars : 
He stated that he had been consulted by this gentleman, 
who complained that he then had lost all desire whatever 
for sexual intercourse, which he attributed to some persons 
having removed the vital part of the testicle, while lie was 
under the influence of mesmerism 1 not only the improba- 
bility, but also, the absolute impossibility of such an occur- 
ance was explained, and urged upon him ; but no further 
investigation appears to have been instituted. Being in the 
country a few weeks since, I accidentally met this gentle- 
man's brother, from whom I learned, that some few months 
after the occurrence above detailed, symptoms of insanity 
became much more evident. During the first twelve months 
he was kept under the superintendance of his friends ; but 
the malady increasing, it ultimately became necessary to 
place him in a lunatic assyluin, where, from every thing 1 
can learn, 1 fear he will have to remain for the rest of his 
days. This case made a very strong impression upon my 
mind-one of my earliest associates, of an active vigorous 
mind, robust health, not the slightest apparent tendency 
to any form or even degree of mental alienation-in a few 
short years the inmate of a lunatic asylum. The mind- 
" that grand prerogative of man"-alienated and destroyed; 
my earliest acquaintance-the friend of my youth-the in- 
mate of a lunatic asylum; a living, certainly, but sensemsa 
mass of clay 1 
From what 1 have seen, I cannot help feeling that this 
case is only one instance of the baneful influence of (unnat- 
urally induced) serious disorders of the genital system 
upon the mind ; and that, had such a view been taken at I lie 
commencement, and the case been treated accordingly, the 
melancholy catastrophe might have been averted. Indeed, 
case* of this sort require great Ptlention and close watch- 
ing, to arrest future results. 200 
CASES. 
Case 2. 
The friends of a gentleman preparing foi one cf the if arn 
ed professions, consulted me respecting the state of his 
mind. They observed that his memory had become much 
unpaired, and his intellects much affected. He had latterly 
evinced a dictate for all those amusements which he for- 
merly enjoyed, and what was still more strange, he had 
taken an utter dislike to the fair sex! He repeatedly de- 
clared that he envied the man who cleaned his Loots, and 
wished it had fallen to his lot to be the servant. He dis- 
torted the most trifling incidents, and magnified to the ut- 
most every disappointment or vexation, however trifling in 
'ts nature. He became morose in his temper; his disposi- 
tion suspicious; a haggard and sickly appearance; a wild 
vacant look, which, together with all the marks of a com- 
pletely broken down constitution, induced his friends bo 
think seriously of placing him under some lestraint, and it 
was at this period that I was applied to. 
Upon an interview with the patient himself, I declared to 
him my conviction, that if he steadily adhered to my in 
etructions, he would ultimately regain his health and 
strength, I then told him that I knew the real cause of bis 
illness, and delicately hinted to him my suspicions of its na- 
ture ; namely, excessive indulgence in a solitary vice. At 
this, however, he was very indignant; protested most 
solemnly that he had never indulged in any practice of the 
sort; and denied that he had ever done any thing capable 
of bringing on disease of such a description. I urged, how 
ever, the unerring nature of my investigation, and the facts 
left no room whatever to doubt the nature and cause of the 
debility from which he was suffering. 
It was ultimately arranged that he should be placed un- 
der mv care. I commenced the treatment, which was soon 
attended with the most surprising results. A discharge 
which invariably followed the emptying of the bladder or 
the evacuation of the bowels, as well us the oozing from 
Sho urethra and the nocturnal emissions, after a short timo 
began to give away, and ultimately disappeared. The ge- 
raral health greatly improved, and he was completely re- 
stored in about foe months, when he left his home to resum* 
his studies in Cambridge. CASES. 
201 
After the lapse of several months this gentleman again 
consulted me, of his own accord, stating that his former 
Bytupiumo Lad returned. The treatment former! v nnrsued 
was again adopted, but without the same success; and at 
last I began to suspect that he was again pursuing his fo£ 
mer vicious habits. 1 now directed the application of the 
Ung. Antimon, potassio-tartrat. to be rubbed on the penis, 
till the usual eruption was brought out; the irritation it so 
excited prevented indulgence in his former bad habits, the 
parts being so sore, that he could scarcely endure the 
slightest touch. His general health at once greatly im 
proved, all the bad symptoms vanished, and his health be- 
came once more re-established. Fearing, however, that Ite 
might again abandon himself to his former practices, I 
strongly urged marriage to him, observing that he would 
thus substitute a natural excitement, for a most unnatural, 
fiernicious and destruct've indulgence. He fortunately fol- 
owed my advice and got married, and I had the pleasure of 
hearing shortly after, that his lady was Soon in the way "that 
ladies wish to be who love their lords," and farther that the 
gentleman is in excellent health. 
This patient since confessed to me, what nothing could in- 
duce him to admit before, that my view of the nature and cause 
of his disease was perfectly correct. That he had so indulg- 
ed and so addicted himself to masturbation, that he found it 
utterly impossible to resist the temptation, though fully sen 
sible and thoroughly convinced of the ruin which he was en 
tailing upon his own constitution. He assured me that he 
more than once contemplated suicide. This case is interest- 
ing, as showing the ascendancy which bad habits sometimes 
acquire over the resolution. Such patients conceal their 
propensities from the shame and disgrace to which it expo- 
ses them. 
Venereal attacks, including gonorrhoea, act not only on 
the system at large, but also on the procreative organs. In 
some instances, perhaps, the remedies employed in their cure 
may have a marked influence, and such effects have been, 
and perhaps not incorrectly attributed to mercury. Some- 
times the disease is not eradicated, but lies dormant, and 
may appear after its effects, in producing genital debility, 
have manifested themselves, as may be illustrated bv th« 
following case 202 
CASES. 
Case 3. 
n Feoruary 1818, a gentleman consulted, me stating tlxt 
he had lost all desires for sexual indulgence. I administered 
the usual remedies, without his experiencing any benefit 
whatever; I then went into a thorough examination of his 
case, and on examining the testicles, the epididymis in both, 
felt indurated, thickened, and hard. He complained also of 
sore throat, which on examination, was found to present a 
very suspicious appearance; copper colored eruptions also 
broke out, and appeared on different parts of the body, I hn 
mediately placed nim under a course of medicines for "second 
ary syphilis" under which plan, not only the ulcers in the 
throathealed,but the eruption vanished. The medicine was a 
little increased, by which the induration of the epididymis dis- 
appeared, the desire, as well as the capability for sexual in- 
tercourse returned, and with the exception of a little debility, 
which continued for some time, he perfectly recovered. 
Here we may clearly connect the sexual inability with die 
venereal taint, affecting the condition of the testicle, more 
especially the epididymis; indeed, in most of these cases I 
constantly find the epididymis in an indurated, and some- 
times knotted state, and so long as this continues, impotency 
and spermatorrhoea, or seminal weakness will be the conse 
quence. Syphilitic and gonorrhaeal affections, when they 
involve the testicle, are more likely to be followed by sucn 
results, as perhaps will be fully exemplified in the history 
of the following case : 
Case 4. 
A gentleman, twenty-five years of age, fair complexion, 
blue eyes, narrow contracted chest, but no hereditary dis- 
position to consumption; father and mother living, and in 
perfect health ; onconsulting me, gave the following history ? 
About two years ago he contracted syphilis, and then suf- 
fered severely from swelled testicle. He could not positive- 
ly state whether or not mercury had been giver for the pri 
naary sore. He soon, however, recovered, ard then went 
into the country. In about three months after his arrival at 
home, an eruption made its appearance upon the chest, 
which extended to the face, head and neck, and from theme 
•peedily spread all over the bodv. For this he consulted a CASES. 
203 
gefitleman piactising in the village where he resided. Under 
hie treatment the disease somewhat improved for a short 
time, but he soon relapsed, and got worse again. He now 
consulted several other physicians, but without any perma- 
nent benefit. The throat became deeply ulcerated, the rd 
ceration attacking the nose, tongue, and different parts of 
the body There was a continualdischarge from the urethra, 
and all desire as well as capability, for sexual gratification 
weie completely lost. In this state he was prevailed upon 
by a friend living in Albany, to come to the city to see me. 
Upon examination of the fauces, I found the tongue and 
throat deeply ulcerated, and the nose in the same state. 
Copper colored blotches all over the body ; the epididymis 
indurated and somewhat knotty ; the sexual appetite entire- 
ly gone, with a total inability for such indulgence ; the spir- 
its much depressed ; the mental faculties impaired; pale 
sullencomplexion ; violent palpitation of the heart; disturbed 
and restless nights,--he had not had a sound sleep for months ; 
severe nocturnal pains, and apparently a complete break up 
of the constitution. I put him upon a course of tonics anil 
" anti-syphilitic" remedies, and his general health improved 
rapidly ; the sexual appetite returned, and became so strong 
that he could not resist indulging it,notwithsdanding the full 
recollection of how dearly he paid for his former imprudence. 
Sometime afterwards this gentleman again came under my 
care, suffering from gonorrhoea. Having relieved-him, I ad- 
vised a return to the country. I saw him some considerable 
time afterwards, when he told me he had never experienced a 
moments illness after he left Albany. 
I have always found in bad cases that the patient suffers 
from a sort of incessant oozing from the urethra, and that 
on talking to a female, or when in the society of women, such 
persons experience a kind of pleasurable sensation, and a 
sort of involuntary emission succeeds. The following case 
will illustrate the matter. 
Case 5. 
A gentleman, on the point of marriage, stated that he la 
bored under a weeping from the urethra ; this was not very 
troublesome, but occasionally the discharge was more pro 
fuse. Sometimes the only evidence was t few stains, as if 
frctn the white of an egg, observed upcn the linen. Bi 204 
whenever in company with ladies, more especially if engaged 
in conversation with, or sitting next a lady, were it only at 
dinner, he experienced an uncontrolable erection, and this 
was attended with a sort of pleasurable sensation, speedily 
eucceeded by an involuntary discharge. This young man 
admitted, that ne had for a long time been in the habit of 
practicing masturbation. When at a boarding school, in the 
early part of his youth, he was taught this vice by some of 
his fellow students. After leaving the school he became 
religiously disposed, and strictly avoided all sexual profana- 
tion, but still could not resist the impulse which he felt, to 
indulge in the pernicious practice, the nabit of which he con- 
tracted while at school. This young man after suffering 
the greatest impositions from a quack in Boston, (who has, it 
?s said, a number of offices in Endicott street under his con- 
trol,) was recommended by a friend ot his to me. I placed 
him under the use of tonics and antispasmodic remedies- 
which in due course of time effectually restored him-and 
he is now enjoying the sweets of the 'honey moon." 
Persons who have unfortunately contracted this habit suf- 
fer not only in body but in minc^ and they nesitate to consul 
their family physician, fearful of a discovery of their real 
condition. "The condition of these persons," says Curling, 
" Is melancholy enough. Aware of the abhorrence with 
which their practices are regarded, they hesitate to apply to 
their family physician, and fly for relief to ignorant, but art- 
ful quacks, by whom their resources are drained, for which 
they meet in return with disappointment. Such is the heavy 
penalty often paid by man for gross indulgence in sensuality 
-a degraded nature and a ruined constitution, embittering 
the best days of his existence, and sometimes leading to in- 
Bamity or suicide." 
I •; 
« Case 6. 
I was consulted by a gentleman last July, in which I doubt 
ed my ability to help him, as he had been under the care of 
some other practitioners of known eminence, and I told him 
I could not promise any thing very flattering, but would 
make the attempt, to which he very gladly assented. It ap- 
peared, from his previous history, that he had been suffering 
for many months from the acute stage of gonorrhoea, tor 
which he had used a variety of remedies that had been pre- 
CASES. CASES. 
205 
scribed to him. The result was acute inflammation of tl e tes- 
ticles, ending in chronic enlargement and hardening of that 
organ. At this period he first observed that his desires for 
sexual indulgence had remarkably decreased, and had at 
last become extinct. When he called on me, I found hia 
mental powers very much impaired, and although in the very 
prime of life, his health and bodily strength failed. Natu- 
rally warm hearted, and full of life, vigor and spirits, he had 
become chilled by disease, obtuse, callous, and indifferent; on 
examining the testicle, I found the epididymis in the state 
already mentioned, enlarged, indurated, with a rough tuber- 
culated feel. 1 commenced by giving tone to the general 
system-for I found it very much debilitated-by administer- 
ing the various tonics I have before mentioned. I also gave 
him in addition some active vegitable alteratives, which he 
continued with very little intermission for some time, when I 
was very agreeably surprised to find that the epididymis be- 
gan to feel softer, to decrease in size, and at length to become 
quite natural. He pursued this plan, with some other ad- 
juncts directed to improve indigestion, regulate the bowels, 
and strengthen the system, for some time, when I found that 
the testicle was restored to its natural condition; his health 
renovated; that his sexual appetite regained its former keen- 
ness. and in fact, the patient was in the full enjoyment of 
health and natural vigor. 
It ought always to be borne in mind by patients suffering 
from diseases of this character, that it requires patient per- 
severance in tire use of the proper remedies to overcome the 
terrible consequences of these truly frightful cases, (if neglect- 
ed) from three, four, to five months, and yet it is a constant 
feature in these cases, that, in-consequence of the effects upon 
the nervous system, there is a dissatisfaction, a restlessness, 
and an impatience, under every plan and regulation, that 
renders the treatment in many instances, however well di- 
rected, unsuccessful. Thus, they apply for professional as- 
sistance, and after a few visits, and an imperfect trial of the 
plan suggested, feeling no amendment, they go to others in 
rapid succession, or broken down both in spirits and in 
strength, they are allured to the unprincipled quack, by the 
flattering promise of a " speedy cure" but which pioves a 
most decided failure in the still greater loss of nealth. The 
case which I subjoin affords an example ; and I understand 
that, after consulting a number of the mest eminent surgeons 206 
in New York, he paid one hnndred dollars to one advertising 
quack of that city, who engaged to cure him in a month: 
Case 7. 
The gentleman alluded to above, wrote to me in October, 
i850, from New York, where he was then stopping savin"; 
hat he had been recommended to me, by a mutual friend, 
and begged I would at any sacrifice, (which should be abun - 
lantly made up to me,) come and see him at his hotel. I 
accordingly did so. He was a remarkably fine healthy 
ooking man. He told me that he had never suffered in his 
.ife time from illness of any consequence, with the exception 
>f having been confined to his room for a few weeks, with 
»welled testicle, attended with intense pain and acute inflam- 
mation, and which it had proved a matter of some difficulty 
to remove. When, however, the acute symptomsand swell- 
ing had subsided, he discovered that although the appetite 
remained, the power of sexual gratification was entirely lost; 
nor could he exert it under any circumstances. This pro- 
duced a considerable degree of mental excitement and vex- 
ation, by no means abated by the fact, that he was engaged 
to a lady of considerable fortune, great attractions, and su- 
;>erior attainments. He had consulted a number of the most 
eminent surgeons, (he being a man of large wealth) but 
oeing extremely anxious and impatient, he passed from the 
:are of one to another, with such rapidity that he destroyed 
•very chance of benefit. Having had some hints relative to 
this line of conduct, when he consulted me, I declined un- 
dertaking the management of his case, unless upon certain 
conditions, which were first, that he should adhere strictly 
to the plans laid down for him; secondly, that he should 
persevere for at least three months. I then explained to him 
my views of the cause of failure, viz : his constantly chang 
ing his medical adviser, and throwing himself into the hands 
of incompetent persons, without affording the skilful sur- 
geons whom he consulted sufficient time to effect any good 
Having acknowledged the justness of my remarks, and ac 
quiesced with my proposals, I undertook the management of 
sis case. 
On examination, I found swelling, and some remains of 
hardness in the testicle; the epididymis in the conditioa 
CASES. CASES. 
207 
alreaay mentioned as peculiar to these cases. Jnder tha 
circumstance I prescribed my " alterative pill" with othet 
remedies, which upon a strict perseverance, the testes began 
to get softer and to become natural. The indurations m the 
epididymis also gave way, and at last disappeared by almost 
imperceptible degrees. When the epididymis recovered its 
natural state, not only the appetite for, but the capability of, 
sexual indulgence returned. 
Case 8. 
Mr. , connected with a wholesale house for which 
he used to travel, became gradually enervated. He had for 
many years indulged in the practice of masturbation, until tha 
nealth, gradually declined, the strength failed, and the pa- 
tient was at last obliged to withdraw himself from his occu- 
pation, that of a traveller, and to confine himself to transac- 
tions but a short distance from home. This patient had the 
reputation of being an extremely, moral, fastidious and abste 
tnious young man, which I believe was the case. Notwitb 
standing, in an unguarded moment, to add to his previous 
difficulties, he contracted a violent gonorrhoea, attended with 
inflammation and intolerable chordee. Their symptoms 
proved very obstinate, inconsequence of the delicate state of 
his health. I immediately used the most effectual and speedy 
method of curing the gonorrhoea, and then urged upon 
him the necessity of restraining from indulgence in his per- 
nicicjus habits, " which advice he followed, and I prescribed 
.he necessary remedies, and in the course of cwo months he 
was enabled to resume his travelling again for the house he 
was engaged at. 
Case 9. 
A gentleman from one of the western states, wno had oc- 
casion frequently to visit New York, on one of these occa- 
sions unluckily contracted gonorrhoea. This was attended 
with high inflammatory action, producing swelled testicles, 
which confined him to his bed several days, on the subsi- 
dence of the inflammatory symptoms, he left New York, the 
testis continuing enlarged but not painful. On Ww return 
oome, however, he discovered that lie had lost all sexual 208 
powers. This was the cause of a good deal of anxiety 
and irritability of temper, as the impotency continued with- 
ont intermission for toe space of two years, actwithstand* 
ing he had consulted some of the ablest men in his neigh- 
borhood. A patient, whom I had relieved from a very bad 
stricture, persuaded him that he was suffering from a similar 
disease, and strongly urged him to consult me. On exami- 
nation, I found the urethra perfectly healthy ; but I found 
the testis still enlarged and somewhat hard, the epididymis 
indurated. I at once apprised him of my view of his case, 
and prescribed accordingly, and the result p'roved that I was 
correct in my diagnosis, for in the course of three cr four 
months he perfectly recovered. I have frequent opportuni- 
ties of seeing this patient, and he invariably informs me that 
he feels perfectly well and completely cured. 
I have cited a number of cases to show that impotency 
very often arises from gonorrhoea, as well as from syphilitic 
affections, generally ; and I find the epipidymis indurated 
in the manner I have mentioned, and had I not enjoyed nu- 
merous opportunities, I never could have imagined that so 
many persons, immediately after marriage, became, or at 
all events complained of having become, impotent. This 
can only be referred to impure indulgence before marriage 
and the excitement which usually supervenes, or succeeds 
to this state, and I am satisfied from experience, that many 
cases of confirmed sterility occur under such circumstances 
When masturbation has been practiced to a great extent 
previous to marriage, impotency is a very frequent, and 
often immediate, result. 
It is a system with some physicians, I believe, to advise 
marriage as a curative in cases of seminal weakness, but i 
think upon very erroneous principles ; at all events, my ex 
perience does not confirm its prudence. Persons complain 
mg of a continual discharge from the urethra, nocturnal, oi 
other involuntary emissions, imperfect erections, &c., should 
endeavor to recruit themselves by restrictions, or celibacy, 
and not aggravate their disorders by entering into the mar- 
iage state. The unhapppy effects of this plan, perhaps, will 
toe rendered more apparent by the history of the following 
eaa® • 
CASES. CASES. 
209 
Case 10 
4 gentleman was suffering for upwards of two years iji 
». discharge from the urethra, which was looked upon as a 
sequela of gonorrhoea. He consulted a medical man, under 
whose care he remained for nearly the above period, and 
who put him under the influence of copaiba, cubebs, and the 
whole routine of urinary astringents, administered, too, in 
the most extraordinary doses. The disease, however, still 
continuing unabated, this gentleman suggested marnage as 
a means of cure, which advice the patient adopted, and the 
consequence was, that I was shortly after consulted by his 
lady, who was laboring under the impression that she was 
suffering from the effects of his previous delinquencies, as 
the gentleman stated that he had had a venereal attack or two 
previous to his marriage. However, I could, not discover 
any satisfactory evidence of gonorrhoea, which would have 
been most in accordance in the ladies state ; and although 
I endeavored to assure her, by explaining that many ladies 
were often affected in a similar manner after marriage, I 
could not succeed in removing the morbid impression from 
her mind. Under this conviction, she begged her husband 
to call upon me, when he stated that he had been affected 
in consequence of previous imprudence, and expressed his 
fears, that he had infected his wife. However, I was soon 
able to satisfy him on that point; and I then learned the 
following particulars. The discharge had been brought on 
by improper indulgence ; and he now found that although 
he could not have a perfect erection, the most trivial circum- 
stances caused a sort of a seminal emission, and that during 
'he night, he generally had from three to four or fivenoctut- 
nal emissions ; and although sleeping with his wife, he felt 
not the slightest desire, nor did he feel capable of the sexual 
act. This he said was productive of much uneasiness-in- 
deed, unhappiness to both parties, and he felt in consequence 
very miserable. I assured him that the case was not so 
hopeless as he imagined, and explained to him what it would 
be necessary for him to do, I gave him tonic and astringent 
medicines and advised him to separate a little from his wife 
in compliance with which he left town for Saratoga Springs 
where he remained two months, and then returned perfect!' 
cured 210 
It cannot le t>o strongly impressed upon the mine, that 
marriage under these circumstances is very frequently fol- 
lowed by impotency, it may attack him suddenly, and with 
out any warning, so that the party is not aware, until he 
makes the trial, of his inability to consummate the venereal 
act, (as the case below will show,) or it may not attack him 
until a number of years after his marriage. The influence of 
the disease is insidious in its nature. Headache, periodical 
at first, but a sense of tightness, with obtuse pains, nervous 
trepidations, violent palpitation of the heart, first appearing 
only at intervals, but soon repeating their visits with fearful 
frequency ; a slight cough, with a sense of constriction in 
the chest. Bowels very irregular-appetite poor-great de 
pression of spirits-aberration of mind-ekes out a lingering, 
Buffering, and miserable existence in silence, and ultimately 
sinks into the tomb-the victim of his own vices and follies ; 
carrying with him unrevealed the secret cause of a premature 
descent into the grave. His unsuspecting wife and family, 
wholly unconscious on the one hand, and the sufferer's own 
sense of shame on the other, contribute to preserve a secret, 
the timely disclosure of which might have been attended with 
widely different and more happy results. 
Cate 11. 
A gentleman consulted me who premised frankly, that, 
when very young, he indulged to a very great excess. 
Being a gentleman of considerable fortune, he accustomed 
himself to wine and good living, and all the various stimu- 
lants so well adapted to excite the animal propensities. He 
visited Paris, Rome, and other fashionable foreign localities, 
where he spent several months. Here he enjoyed the society 
of the fair sex, having introductions to all the most fashion- 
able society. He now debased his feelings and his morals 
by means too well understood to require further explana- 
tion here. At length, satiated and disgusted, he determined 
to reform, and cultivate domestic comforJ. With this view 
tie returned home, and made an offer to an accomplished. 
• miable, and beautiful young lady; was accepted, and on 
his marriage settled a very considerable property upen any 
male issue that might prove the result of this alliance. He 
had not been more than six months married, when he sud- 
CASES. denly became completely impotent, and utterly incapable 
of the sexual act, which had the effect of souring his tem- 
per, giving a moroseness to his disposition, and rendering 
him truly wretched. 
Under these circumstances he came to this city to con- 
sult me. He had previously consulted some very eminent 
medical men, who had cauterised him a number of times, 
and 1 found much local irritation in consequence of it, 
which I was obliged to tranquillize. I then placed him 
under a course of invigorating medicines, directed him to 
use sea bathing, and to abstain from all sexual gratification 
for six or seven weeks, when he returned home perfectly 
well, and his health completely well. His wife, he wrote 
me, shortly after became pregnant, and in due time was de 
Uvered oi a daughter, full grown, and in every respect 
healthy. 
The connexion between urinary and cutaneous affections 
has been long established, and is now generally acknow- 
ledged; I am not, however, aware that any thing of the 
kind has been observed with respect to cutaneous affections 
and impotency. However, some time since, I met with a 
case of syphilitic eruptions, with either an accidental asso- 
ciation, or a real complication. The nature will be best 
illustrated by the following case: 
Case 12. 
A gentleman consulted me in consequence of a syphilitic 
eruption, from which he was suffering, and which had 
resisted for a number of years, every plan of treatment 
adopted for its removal. I directed him to take a prescrip- 
tion, which I prepared for him, for four months, and recom- 
mended in audition, the warm and sulphurous bathing. 
This plan ultimately cured him. In a note which I received 
from him, conveying to me the pleasing intelligence of his 
recovery, he informed me that he was not the only person 
obliged, as the removal of the cutaneous disease was attend- 
ed with that of another-impctency; and from which he 
had been suffering for some years. As he had formed an 
early attachment, and entered into a matrimonial engage- 
ment, which these two impediments completely marred, 
their removal proved a source of no small pleasure. 
casks. 
211 212 
CASES. 
Remarks. 
I am frequently consulted in cases of gleet, or, at all 
events, by patients who imagine that they are suffering from 
gleet. After what has been already observed, I need scarcely 
state here, that unless a proper examination is instituted, 
we may be deceived as to the real nature of the affection, 
and be prescribing remedies in vain, for a disease which has 
no real existence, while we are wholly neglecting that 
wh>se real existence is productive of much mischief. It may 
appear, perhaps, more candid than prudent to admit that, 
upon more occasions than one, I have split upon the very 
same rock from which I would warn others ; and if this 
admission prove a beacon to preserve any of my profession- 
al brethren from a similar shipwreck, I shall not regret this 
acknowledgment. In considering the treatment applicable 
to this disease, I do not use the ordinary routine of reme- 
dies, such as are commonly used. I have had ample oppor- 
tunities of observing the various modes practiced for the 
relief or cure of gonorrhoea and syphilis at all the great 
schools of Europe:-London, Edinburgh, Paris, ana the 
Continent generally, that my advantages could scarcely 
have been equalled, in ascertaining the best mode of treat- 
ment in the different varieties of sexual diseases. 
There is a matter intimately connected with this subject, 
Ind which, from circumstances of recent, and, I will say, 
painful occurrence, it would be almost unpardonable in me 
to pass over in silence :-I allude to discharges from the ure- 
thra, involving suspicions affecting both the character and 
the chastity of persons above all suspicions. Discharges of 
a purulent nature, strongly resembling that from gonorrhoea, 
occasionally arise from ordinary inflammation of the mucous 
lining of the urethra ; nor are such rare occurrences. I am 
frequently applied to by persons suffering from purulent dis- 
charges from the urethra, and which look upon them as go- 
norrhoeal, although, in certain instances, such an origin is 
almost morally impossible, notwithstanding the circumstan- 
ces may lead to the most serious and lamentable results. I 
fear not a few chaste and virtuous women have been the 
victims of misapprehension and foul suspicion under such 
cire umstai>nes, and rendered wretched, their characters blast- 
ed, and ail their prospects destroyed. When the reputation CASES. 
of a virtuous female is thus at stake, it is the bounden du- 
ty of the practitioner to pause, to reflect, and maturely to 
weigh the consequences, before he pronounce the awful 
doom. These reflections are suggested, in consequence of 
a very recent occurrence, the particulars of which will ba 
found in the following detail: 
Case 13. 
A gentlemen called upon me stating that he was induced 
to apply in consequence of having, for the first time on the 
4th of March last, observed some yellow colored stains up- 
on his linen. He took no further notice for a daj or so, but 
finding their appearance increase rather than diminish, he 
examined his urethra, and found that there was a discharge 
of a yellowish, thick, purulent looking fluid, which was easily 
pressed out from the urethra. Under these circumstances, 
ne consulted a medical gentleman, who pronounced the dis- 
order gonorrhoea; and directed copaiba and the other reme- 
dies usually employed in such cases. But as I have been 
since informed, he felt by no means content, and he suffered 
much from anxiety, in consequence of which, a> tHe sobcita 
tion of a friend, he consulted me. 
I examined carefully into the matter, but more particularly 
the urethral discharge, and upon due deliberation, felt quite 
warranted in dissenting from the opinion previously given. 
I stated that I looked upon the discharge as originating in 
something of a very different nature from a gonorrhoeal taint. 
The gentleman appeared more surprised than satisfied with 
this statement, and expressed a wish that his professional 
attendant and myself should meet in consultation, as it was 
a matter of serious moment to him. This beiii£ agreed to, 
and an interview arranged, we met; upon which occasion a 
very minute examination of the discharge was made, and the 
particulars of the case thoroughly investigated and fully 
discussed ; the result of which was a conviction on our parts, 
and a conjoint declaration of our unanimous opinion that die 
discharge was not gonorrhoeal. 
Notwithstanding, however, the patient still seemed doubt- 
fnl and dissatisfied, and consequently proposed that the state 
of his wife's health (this was the first I heard of his being a 
married man.) should be ascertained ■ declarin'" that he wag 
213 214 
CAS'KS. 
placedintlie greatest possible perplexity, as, whatever the 
nature of his disoider, he was satisfied that it could not be 
derived frnm nnv illicit «n,>rrp Wlo Inrlv whnw> tilings 
and distress of mind (for the parties occupied a hi?! p-'shion 
in society, and moved in the most fashionable circles,) may 
be more easily imagined than portrayed, at the unfounded 
imputation, evinced not only the utmost willingness, but the 
most ardent desire that her innocence should be satisfactorily 
established, and her reputation rescued from aspersion and 
unjust suspicion. I need hardly say that the result was 
fierfectly satisfactory, and the injured lady was at length ful- 
y,and most justly re-established in her husband's confidence, 
love esteem and respect. 
Remark*. 
I have introduced the above detail to show how guarded 
physicians ought to be, when their opinion is sought under 
such circumstances; and if regularly educated medical 
practitioners are liable to fall into error and commit mistakes, 
now little reliance ought to be placed upon the capabilities 
or opinions of those, whose knowledge and whose character 
entitle them to neither our confidence or our respect. I 
make these comments because 1 know of one instance, in 
particular, in which a great deal of misery and wretchedness 
were entailed upon a most virtuous and respectable lady, by 
the impudent and unfounded dogmas of an arrant quack.. 
The following will show what various sources are resort 
ed to, to excite the animal passions : 
Cate 14. 
Sir, having noticed an advertisement stating the success 
that has crowned your efforts in treating certain delicate 
cases, and having lost all confidence in physicians about 
here, many I have consulted, and who, I am confident, only 
make a bad matter worse, 1 now, in implicit confidence and 
with somewhat of hope, will state to you my case, and en- 
deavor, at the same time to give all the particulars that I 
shall deem necessary to your fully understanding it. It is 
this: at the age of fourteen years, withrut any instruction CASES. 
215 
or inducement whatever, save the teachings of vicit us ass© 
ciations, together with the promptings of very warm pas- 
sions, I one day, without the privity of any one, commenced 
the practice of self-indulgence, as well as other means of 
gratification, of which I am almost ashamed to mention-that 
is of letting a young calf, take my private member into his 
mouth and suck it, until an emission was excited. These 
different methods I followed up three years faithfully-sup- 
posing that it was a necessary prelude to manhood. At thia 
time a medical work upon the subject aroused me to a full 
sense of my folly and danger-1 broke off but found that I 
had brought upon myself a loathsome disease (! suppose it 
may be called one,) viz. "nocturnal emissions" during sleep, 
which till now, at the age of twenty-one has baffled all my 
attempts to subdue it. These occur sometimes two or three 
nights in succession, though rarely a week elapses between 
them. After these emissions, for two or three uays, a langor 
prevades my whole system-my mind is unmanned-my 
apprehension dull-my memory sensibly impaired, so much 
so that it is now quite poor, though once very good-I am 
plunged in the deepest melancholy-pimples upon my face 
and forehead-a dull headache-a dimness of vision-small 
specks seems as if floating through the air-and at night an 
almost total blindness-weakness in my legs, and "sharp, 
though not very acute pains in the small of my back, gen- 
erally succeed. It is with inconceivable horror, regret and 
remorse that I anticipate, without some speedy remedy, a 
complete prostration of my physical and mental powers, a 
premature grave, and the blasting of hopes, which fond 
parents sometimes entertain for their offspring, especially an 
" only son." 
Tears of penitence and sorrow have often flown for that 
transgression of nature's laws, which have been to me the 
source of so much trouble. I have a love of virtue for its 
own sake-and it grieves me to think that must be deprived 
of it. I enjoy female society extremely well-I deny myself 
any criminal intercourse with them. I dispise it from the 
bottom of my heart-I can in truth say that I never have had 
any thing of the kind to do with them, since a lad, when I 
had no conception of the guilt attached to it. 
And now if I could obtain relief of you, I should with 
heartfelt gratitude conceive you my greatest benefactor 
Truly yours. 216 
CASKS. 
Case 15. 
Dr. La Croix : Dear Sir-I submit the following facte; 
and you are at liberty to use them as you feel disposed, 
have tor a long time been afflicted with one of the most 
obstinate cases of Secondary Syphilis, that ever attacked 
humanity, and for the last three years have been in search 
of relief; I have been under care of not less than ten of the 
most distinguished surgeons, who have been extolled for 
their medical learning, and their eminent skill in such cases, 
under whose treatment I have been more or less for the last 
year, without receiving any benefit, I determined to try all 
that afforded the least ray of hope, to check a disease, which 
threatened such a horrid deformity to my face, accordingly 
proceeded to your office, and to my great joy found the long 
sought for relief; deeming it unnecessary to go into detail 
of my suffering, both mentally and physically, and to the 
unprincipled extortion that I was at different times subjected 
to, I will simply add that I found one man who thought more 
of restoring me to health, than of getting my money. Dr. 
La Croix, I can safely say did for me what no other man 
could do; he saved me from a speedy death!! I have been 
under Dr. La C's medical treatment only fourteen days! the 
wonderful restorative effects of his medicine on me has been 
astonishing, and with confidence I can assert that none need 
despair of a speedy cure by applying to him. His personal 
treatment to me has been kind and consolatory, and to a 
mind harrassed with disease, is so soothing; to Dr. La C. I 
can never be too grateful. C. G. 
Sworn before me, 
DANIEL W. MILLS, 
Comm'r of Deeds, City of Albany. 
Case 16. 
The following communication is from a patient who had 
luffered from the effects of this habit, and bad treatment, and 
who acknowledges after a treatment of three months, to 
nave been effectually cured by DR. LA CROIX'S new and 
improved Remedies: 
P , Dec. 10, 1849 
Dr. La Croix : Sir-I have seen your advertisement in 
me of the citv naners, and have come to the conclusion to CASES. 
217 
try once more to be cured. My complaint i*" Les emissions 
no iturnes," with which blight of life and sting of death I 
have been troubled for the last four years. You can well 
imagine that I have left no means untried, that my situation 
and circumstances would allow, to be rid of this cursed 
disease-worse than mortal. I have tried the physician, 
reputed, learned and skilful, as well as the mountebank, but 
both to no purpose. I have taken pills, powders, lotions, 
potions ana cordials, only to end no better than when I 
negan. I have tried diversion in every way-in amusement, 
in books, in travel, in virtuous society, and, indeed, I may say 
:n every thing except matrimony and suicide: those I leave 
for the last alternatives I I am troubled once a week, some- 
times four or five nights in succession; and I have been two 
or three weeks without anything of the kind. After one of 
these occurrences, for several nights, I am nervous and rest- 
less, until nature is overpowered ; and then as soon as com- 
fortable sleep falls upon me again, I am afflicted-causing 
loss of eyesight and memory, dullness, &c. 
My life is that of a student still, though I left school two 
years since. My habits are temperate but my temperament 
is sanguine nervous, making me naturally excitable and pas- 
sionate ; yet I think I am as capable of self-control as most 
men. Now Doctor, I have laid open to you my case : I wish 
you to tell me freely what you really think. If you think 
medicine cannot cure me, do not hesitate to tell me so ; for 
I am still a man of some nerve-not quite driven to despair. 
Very respectfully, your obedient servant, 
J. B. J. 
[Letter No. 2.J 
P , April 1, 1830. 
Dr. La Croix ; Dear Sir-Nearly a month has elapsed 
since I left oft taking your medicine, and I find no return of 
my malady ; and hence I may say that your treatment has 
been every way satisfactory. You will please to receive 
nerewith a remittance, not merely as a compensation for 
your attentien to my case, but as the grateful tribute ef 
patient who really deemed himself incurable. 
J. B. J. 218 
CASES. 
Confessions of a Boarding School Girl. 
"It is with a deep sense of remorse and self-condemnatio? 
that I now feel compelled to address you upon a subject that 
causes my cheek to tingle with shame ; but as life is dear to 
all, I lay aside all maidenly reserve and freely confess to you 
my folly, that I may receive such advice as you may deem 
applicable in a case like mine. At the early age of twelve 
years I was sent to "Miss 's Seminary," a boarding 
school for young ladies. At fourteen I acquired the habit of 
"self-abuse," through the teachings of my room-mate, a girl 
some years older than myself. At sixteen I left the school, and 
resided with my parents abroad for nearly three years. My 
time was principally occupied in visiting in the different cities 
on the Continent the galleries of sculpture and painting, as 
well as various kinds of amusements sought after by the 
traveler for pleasure. The many excitements abroad to tempt 
the passions, such as the facility to procure, indeed to have 
thrust upon your notice, lascivious drawings, books, paintings, 
etc., together with the loose manners of the people, goaded 
me on as it were with a perpetual thirst to drink deep of the 
intoxicating pleasures. I left France for my own country at 
the age of nineteen, a complete wreck. I was very weak, 
and countenance pale and emaciated, with pimply eruptions 
upon my forehead. My parents, believing that I was going 
into a decline, and totally ignorant of the cause which was 
fast hastening their only daughter to an early tomb, deemed 
it prudent to return home with me. For a twelvemonth after 
my return home I abandoned the practice, I had the satisfac- 
tion of observing a visible change for the better in my appear 
ance and health. About a year back I again gave way and fed 
into my old habits. I am now just twenty-two years of age, 
and although I feel the blush of shame burning in my cheek, 
I am sensible it is my duty to confess to you the truth, the 
temptation to practice the old habit is irresistible to me. I can- 
not withstand it. I am again the victim of my folly. The 
disease, for such I may call it, preys very much upon my mind. 
What am I to do ? May I entreat your generous consideration 
to my unhappy case ? Impose what restrictions you may 
think proper, I will resolutely abide by them; and if by your 
advice or means I can be rescued to a state of health, I shall 
ever feel under the most lasting obligations to you." 
Remarks. 
The grand object in this instance was to conquer the 
existing monomaniacal propensity. Such means were fully 
successful in this instance, although I could detail others CASES 
219 
where all efforts were unavailing, and where the parties 
were so fettered by the illusive charm, that they determined 
and proceeded to shut themselves up to their gratification. 
Such, although few within my own knowledge, and I hope 
should also fear that this statement may prove self-convicting 
to, have assuredly the lunatic asylum in prospective for their 
declining life. 
The following is a case of a " College Student," which in 
its result is full of encouragement with regard to the hopes 
of cure. In no instance is solitary defilement more terribie 
to contemplate than when its victims, as often happens, are 
those of great original powers of mind, which good fortune 
has given them the means of still further exciting by cultiva- 
tion. Studious, imaginative, often buried in dreams and 
reveries, the whole nature of the student becomes highly 
sensitive, and should he give way to this dangerous temptation, 
he feels far more acutely than commoner minds can do, wheat 
once he becomes aware of the abyss of degradation into 
which he has plunged himself. Fortunately there is generally 
allied with such natures great strength of mind, when a fair 
prospect of rescue is presented by its exercise. 
Confessions of a College Student. 
Our patient was a student of twenty-two, slightly built, and 
of the medium height. In his first letter to us he described 
his symptoms to us minutely, and yet with that clearness, 
combined with brevity, which can only be accomplished by a 
person of education and intellectual parts. We now take up 
his words-"Great nervousness and indecision of character, 
for the most part gloomy : indifference about society ; forget- 
fulness ; impossibility ot concentrating my ideas for any 
length of time ; ' vain and foolish ' thoughts my constant 
oppression. Much anxiety, and far too sanguine a temperment 
to be natural. Great wish for study, and often accomplished, 
but the effects are not lasting. Very frequent erections of the 
penis, attended with pain, as if distension were too great; this 
to a great degree arises from repeated vitiated thoughts, and 
immediately so. By great exertion I sometimes control this, 
but it is often almost involuntary, perhaps owing to the exci- 
table state of the penis, arising from the corrupt condition of 
the governing powers of the mind. Loss of semen at stool 
and during sleep, and lascivious, waking dreams. On awa- 
kening in this fact, for instance, my system appears to have 
undergone a most powerful exertion, and there is a feeling of 
a loss of. as it were, the corner stone of my body Slight 
erection, but a discharge of semen, on the least tittilation. 220 
CABEg. 
"The above are, I am persuaded, (and I blush to write it,) 
the result of years of self-pollution. At the age of eleven I 
was initiated. I committed it for some time in ignorance, but 
when I was alive to my sinful and dangerous course, not all 
my exertions, both bodily and mental, have succeeded in 
freeing me from its power. I have conquered and been 
defeated, defeated and conquered, until this day. 1 know it 
must be subdued in the heart. But you will confer no trilling 
benefit by renewing the body, as, with the physical vigor your 
medicines are said to impart, I hope to succeed in a final 
resistance. 
"P. S. I may add that the penis is small, even in comparison 
with my slightness of build. I am unmarried, with no imme- 
diate prospect of being so. Appetite fair ; great lassitude 
frequently. I am taking small doses of cod liver oil. This 
sometimes produces the feeling of weariness. The action of 
the bowels regular." 
To this gentleman we sent a packet of medicines, and he 
was not long in applying for more, stating that though he still 
would not be over confident, yet he felt " as if he could soon 
lift up his head and defy the devil which had so long possessed 
him," so much strength and success had he already acquired 
in the contest with his besetting sin. He continued the medi- 
cines for some time, and at last wrote-with many more 
expressions of the same kind- 
" It's all right. May God forever bless you! Is there 
anything 1 can do to show my deep sense of what I owi you 
for the cure ? 1 am amazed at the alteration. I knew that 
had some natural talents, and thought I was capable of severe 
study, but oh, the length of time these gifts werec omparatively 
useless, while I remained under that fearful cloud from which 
you have rescued me. Memory, judgment, the faculty of men- 
tal analj-zation, all are active again. Rapid discernment has 
taken the place of dull indistinctness, and I see all things 
clearly as I used to do when I was a child, bursting into fresh 
intelligence, and receiving a distinct impression from every 
new object. My brain no longer staggers under the confused 
images chasing each other through it, but all is distinct. I am 
self-possessed, cheerful and nerved for all the disappointments 
which may beset the career of an ambitious student, resolved 
by hard work to make his way in the world. Once more you 
may command me if I can do anything to extend the reputation 
of your treatment, and thus aid in emancipating many who 
are still held in the debasing thraldom from which I have 
escaped." CASES. 
221 
Canftttions of a Young Married Lady. 
A very handsome young lady called on me for my advice 
under the following circumstances: She was a perfectly 
healthy girl before her marriage, but of exceedingly warm 
temperament, and her present appearance was that of perfect 
health. She complained much of pain in the loins and bacK, 
and had occasionally a profuse whitish discharge, for which 
she consulted an eminent physician, who told her she had 
inflammation of the womb, applied twenty leeches to its neck, 
and gave her mercury and other medicines. She was recom- 
mended to me by a mutual lady friend, who could not believe 
she had anything of the kind about her. I examined her with 
a speculum, and found she had nothing of the kind. The 
information greatly cheered her spirits. The mouth of the 
womb was spasmodically contracted ; the passage was re- 
laxed, so that the womb was very much downwards, and a 
discharge from the mouth of the womb itself. Everything 
else was perfectly healthy. She confessed to me that she 
was of an amorous and excitable temperament, and the dread 
she suffered before her marriage of the possible consequences 
that her feelings might lead her to, for when in the presence 
of her intended husband, she became positively convulsed 
with lascivious longings, so that she feared she would betray 
and demean herself before she became a wife. The lady had 
been well educated and morally brought up, but her nerves 
and vital system prevailed, and her emotion became ungovern- 
able. These excitements were happily not permanent, but 
still they were too frequently periodical; and notwithstanding 
her notions of propriety powerfully restrained her from a 
positive outbreak into solicitation, she feared there might 
arrive a moment when she might lose that self-command, and 
fall a victim of her misfortunes; for however generously a 
man may be disposed, not to take advantage of such a mani- 
festation, the excitement of his position would, I apprehend, 
be such as to render him irresponsible for his conduct. If the 
history of every case of seduction could be analyzed, it would 
I think be found that really fewer are premeditated than arise 
fram a combination of opportunity and impulse. The lady, 
however, married the man of her choice, with a pure and 
spotless reputation, but confessed having indulged in the em- 
brace of her husband (a healthy young man) beyond the limits 
of propriety and decorum. This alone explained the state she 
wa? in, which was one, if I may so call it, of constant volup- 
tuous excitement. Very mild aperient and tonic remedies, 
with a regulation of her married life, up to the moment while 
I write, has proved sufficient to remove the disabilities under 
which she labored. 222 
CONCLUSION 
CONCLUSION. 
The preceding pages of this work are generally devoted to 
the description of the various diseases which originate in ths 
imprudence of both sexes; without entering into minute de- 
tails of the various modes of relief. We have abstained from 
the recommendation of the remedies, because we consider 
medicine in the hands of the timid, the irresolute, or the igno- 
rant, as more likely to produce evil than advantage. The 
salutary properties of medicine are only elicited by the 
most judicious proportions and skilful preparations. By adapt- 
ing our treatment to each series of disease, the science of 
medicine may be effectually rescued from the degrading re- 
proach of vulgar educated quackery, or the equally dangerous 
and unfeeling sophistry of regular empiricism. Our peculiar 
attention to these diseases will allow us to cure patients at a 
distance from Albany, as our arrangements with the different 
Express Companies are such, that we can treat patients with 
secrecy, certainty, and dispatch, in every part of the United 
States and Canada. 
NOTICE. 
Da. La Croix is in daily receipt of lengthy communications 
from persons who are prompted often by a vain curiosity, or 
perhaps by the mercenary motive of obtaining personal advice 
without remuneration. To obviate the serious and profitless 
occupation of his time by reading of them, he must exact of 
all who would consult him, a remittance of one dollar, without 
which remittance the writers cannot be answered. The only 
object of this invariable rule is protection against improper 
and unfair encroachment, but as he is anxious to inspire those 
who apply to him, with the conviction that the amount men- 
tioned is not exacted at the suggestion of an undue and avari- 
cious desire of gain, Dr. L. is willing to credit the entire sum 
to his patients m part payment for any subsequent arrange- 
ment which may be made for advice and medicines. All let- 
ters requiring a simple reply, the writer will bear in mind to 
enclose a postage stamp. This is a trifling tax on my corres- 
pondents, while to me, if not complied with, amount* to an 
onerous and enormous sum in the course of the year. INDEX. 
223 
A . i Ki IS UENT. 
1_. , 'oVVCTION, . 7 
Ikefack, 3 
History of Venereal Diseases, 11 
Generative Organs of the Male, 12 
1 »ise:is»s <>f the Urethra-Gonorrhcea or Clap, 22 
Sy ; ptoms of do. do. do 23 
Chordee 24 
Hernia Humoralis, or Swelled Testicles, 21 
Treatment of do do. 81 
Treatment or Cure of Clap, 25 
Sympathetic Bubo from do., 29 
rhymesis and Paraphytnosis .. 30 
Enlargement of the Epididymis and Spermatic Chord, 83 
Gleet and Irritability of the Urethra, 83 
Stricture of the Urethra, 86 
Dilatable Stricture, 86 
Calloused do. 86 
Spasmodic do 86 
Causes of do 37 
Symptoms do 88 
Treatment do. by Forced Injections, 43 
Diseases of the Testicles, 50 
Varicocele of do 51 
Abcess of da 54 
Wasting away of do. ; 54 
Ilydrococele of do 52 
Treatment and Radical Cure of Ilydrococele, 52 
Prurigo and Podices, 55 
Herpes Preputialis and Labialis, 55 
Pediculi Pubis, or Crabs, 56 
Diseases of the Prostate Gland, 57 
TreatmenEof do. 57 
Diseases of the Bladder, 57 
Irritability of do 57 
Inflammation of do . 53 
Paralysis of do M 
Treatment of diseases of Bladder, Bp 
Inconti nence of Urine, 58 
Retention of do 58 
Hermaturia, or Bloody Urine, 68 
Urinary Fistulse of the Perineum, 52 
Gravel, 61 
Cause of Gravel, 61 
Treatment of do, 61 
Eruption of the Skin from the use of Balsum Copaiva, 63 
Syphilis, or Pox, 63 
Character of the Syphilitic Poison, 69 
Subdivision of Syphilis, 70 
Syphilitic Buboes, a• • • v 
Lues Venerea, or Secondary Syphilis, 61 224 
• ; t r»«» 
Venereal Warts. 25 
Latent, or Hidden Syphilis 85 
Symptoms of the first stages ofLues, 84 
Syphilitic Eruptions, 9\ 
Treatment or cure of Syphilis or Pox, OS 
Treatment or Cure of Chancre, 94 
New Mode of Treatment, 94 
Treatment of Bubo, 95 
do of Secondary Syphilis, . 96 
Advice to Invalids, 82 
Sexual Debility, 93 
do. do. in the Male,.... 108 
On Excessive Indulgence in Venereal Enjoyments, 104 
Various other Causes of Debility,.. 113 
On Ouanism. Masturbation or Sclf-Polution 115 
Structure, Functions, and Diseases of the Female Organs of 
Generation, illustrated, 135 
Pregnancy, - 14G 
Preventive of Pregnancy, .... 14 
Electro-Galrania, *... 151 
Prolapsus Uteri, or falling of the Womb '.T..... ' 50 
Treatment of Prolapsus, r 
Qonorrhrea in Women, m3 
Syphilis in Females, V-4 
Menstruation, lo« 
Approach of Menstruation,. 151 
Retention of do. 153 
Difficult and Irregular no., 161 
Immoderate Sow of Menses 162 
Cessation of the Menses or Turn of Life, 164 
Fluor Albus or Whites, 16.1 
Green Sickness, or Chlorosis, 166 
Retroversion of the Bladder, 167 
Miscarriage or Abortion, 168 
An Address to young females on Onanism, 172 
On Impuissance, or impotence, 174 
Impotency and Sterility of the Male, 175 
do. do. Female, 179 
Treatment or Cure of Impotence, 184 
Effects of Incontinence, Celibacy and Marriage, 18* 
Notice to Patients, 195 
Applications for Advice, 195 
Letters Returned or Destroyed, 196 
Married or Single Ladies, 196 
Sympathy instead of Censure, 197 
The Success of Treatment, WT 
Medical Attendance, ' 
Clinical Report of Cases, 
Conclusion, ' 
Qualifications (Opinions of the Press), 
Index, 
index. To Patients at a Platan 
Tm wonderful facilities existing now for in*f!oon 
letter .. .ih every city, town, and Tillage in the U. 8 '. 
between the four quarters of the civilised globe no; « t 
werld, aa it were, by this social union, into one form' si 
.stages accruing herefrom, especially since the I* • tr 
U^id and frequent, are never to be suAciontly entir 
extend to all classes of society, and to every jizpMO / 
Net only caa the ties of relationship and frendsl - be 
by daily Interchange of thought, but every want ' 
aleatod, every trouble told, and every sympathy eal » 
fbw instance! can the postal arrangements bo used t 
St and convenience than in establishing a profbsslo ' 
dance between individuals possibly remote by diets 
ether, and very probably averse to any other mea-j 
teg sentiments or opinions. Thousands of peopl » 
th* moment desirous of solving some delicate qc • a~r 
i*T their own organisation, especially as treated j 'n 
aaomolrs, or anxious to confess to some infirmity, । else r Ir > 
on* to know how tn remove one, and that one, one hioh » ' the 
*' 'ice them to confer upon orally, with their 
- h lose a professional friend, and, least of all 
' tn their own Immediate locality. It ', useless t. 
upset the prejudice. The grave is no less pieitive, and 
many ot our fellow -creatures would sooner descend to it than sub- 
to be recognised even as the afflicted. In the fc n of a letter 
a writer may preserve his incopwtio, and yet submi the case 
a tittle care and pains almost as well as can be doc e by a y 
visit la the eioset the pea may portray every m - te sail 
foev san bo avowed that might, perhaps, bo law moils to u 
aad. indeed, M statement seed remain untold, which the flat 
agitation. and didHonoe of aa interview might dri"? complete 
tram the head. But by a persona] interview the ey» of the Ph; 
steins saa detect mere than the tongue can declare. Uy expert 
ease extends aver many years, and nneo the reduction of postegu 
the number of my oorrespeadents is almost incredible. However 
I hoiu nyseu'* s > the service of those who may seek my counss 
.■ either way. / need scarcely add, that as every letter is onl 
ipoood and replied >to by my myoelf. the purport shall bo be* 
test religiously sacred Th, ordinary foe of 11 must aeoompar 
web communication, <k it sannot bo replied to. and upon rv 
bg a fair and candid statement, 1 shall be most happy to a 
by demands, to the limited moans of patients. My mr drt » 
Minpoundod under my own directions, and care a tot a wl 
Itos packages is scut by mail or axprass, that w l v .iti 
Unto shall bo betrayed. Address 
u 8. u c tor , i. u 
Al - Z. M 
J- Office Removed from No 5A Beaver to ' i n 
etweeu Broadway and North Pean St. Albany. F. 81 Maiden. Lane, 
(Near Broadway), 
ALBANY, N. Y. 
Dr. La Croix, late of No. 56 Beaver st., having 
erected the above splendid edifice, is now ready to receive patients at 
his new Office. From its proximity to the Depots of the Central, West- 
ern, Hudson River, Harlem and Northern Rall Roads (all of which are 
at the terminus of the street), and the principal Hotels, It will be found 
very accessible to strangers who wish to consult the Dr. while passing 
through the city. 
C?f Hours of Consultation dally from 9 A. M. until 2 P. M., and 
from 4 o'clock until 9 P. JI. Sundays from 2 Uli S P. M.