WX4 mm in inn mil NLn DSimSflS 7 NATIONAL LIBRARY OF MEDICINE '/?. ODOCOO£ro>Of>QO£;CO'COO.Jt;>OfL)' Surgeon General's Office ts'l'CtHM, .^ £- j, No..x.i....v......./. * / g^n ^ ^ ^o ^r>CQQP/°iX^^Q»'TC ?C ■ <1 «T_ c. .- ' '■«/ y 'o ____________ ;> > OT « ILLUSTRATED WITH CASES. '" ' ------; irrvtf BY DR. II. J. JORDAN, Doctor of Medicine and Demonstrator of Anatomy and Surgery, 40 3QND STREET, NEW YORK. \NTA 1*7 1 Entered according to Act of Congress, in the year i37i, by DR. II. J. JORDAN, in the Office of the Librarian of Congress, at Washington. Charles F. Hloom, Printer and Stercotyper, 137 AVilliam St. TABLE OF CONTENTS. r.vcK. Introduction.................................- •v Pi .-face............"_.......................... v i i Caution....................................... x'' LECTURE I. Male Organs of Generation.................... 1 LECTURE II. Female Organs of Generation.................. 14 LECTURE III. Functions of tlie Generative Organs......... 17 LECTURE IV. Philosophy of Marriage........................ 30 LECTURE V. Abnormal Condition of the Generative Organs, o-l LECTURE VI. Spermatorrhoea................................ 82 LECTURE VII. False 1 "tlicacy................................ H~ LECTURE VIII. Special Diseases............................... 128 Self Diaguosis................................. Ur,u Appendix..................................... 1°" Instructions to Invalids....................... 173 INTRODUCTION. The very rapid sale of the Fiftieth Edition of this little work, and the demands upon our time by the growing increase of our professional practice, prec'ude us from making any very im- portant, additions to the present issue. There is, however, one point to which, in justice to our- selves, we must advert. Many patients who have consulted us stated that they would have done so long before, but that having in their anxiety procured all works within their reach, relating or supposed to relate, to the evils under which they wen; suffering, they found such marvel- lous cures related in some of them, and such an amount of self-laudation, that, in ignorance of the falsity of the one or the groundlessness of the other, they were led, to their own great ioss of both health and money, to consult the authors of those " too promising" brcchures, 9nly to be disappointed ; and they therefore INTRODUCTION. V recommended us, for the benefit of others who might probably pursue the same course, to say more as to our own success. Now this we cannot consent to do. Our book is an Essay, in as popular a form as possi- ble, on the subject of which it professes to treat;—and the cases quoted, which are few and far between, are related only as illustra- tions of ordinary developments of disease, and are not intended to be striking, as marvellous cures, but indicative merely of the most com- mon types under which the effects of abuses display themselves. "Were we disposed to blow our own trumpet, we could do so most effectually, having, in the course of eleven years' experience in the United States been hon- ored with as large a share of practice in the diseases to which we have devoted ourselves as ever fell to the lot of any physicians. We have therefore no med, if we even had the de- sire (which we abjure), to pursue the course suggested. Those who cannot place confi- dence in our skill and experience without the perusal of imaginary and impossible, (or even difficult), cures, had far better never consult us. For those on the other hand, who, believing in vi INTRODUCTION. our knowledge, and our desire and ability to employ it in mitigation of the evils under which they suffer, we can only say that, so far as the possibilities of restoration are concerned, they will be exerted to the utmost in their behalf; and, as previously stated, we can only add that we have, during our whole sojourn in America, met with no one case which we were not able at all events to relieve. Time will not permit us to pen a new Pre- face to the present Edition, even were it requi- site, and we consequently subjoin that prefixed to tin; Fiftieth. DR. II. J. JORDAN, PREFACE TO THE FIFTY-FIRST EDITION. We could scarcely have hoped, when we first, although in a far more crude form, " launched our little book upon the waters, " that our rem irks upon the necessity which ex- isted for a popular treatise of this kind, would have been so amply confirmed by the unprece- dented demand for edition after edition, as has proved to be the case. It also affords us no small degree of gratifi- cation, that not only has the work itself been thus extensiyely circulated, but that Ave have received from all quarters such genuine and unqualified expressions of approbation as arc contained in the multitude of letters from per- sons of the highest intelligence and education, now in our escritoire—and that those who have consulted us in consequence of the perus -1 of viii PREFACE. former editions of this or others of our works, have borne such grateful testimony to the effi- cacy of our treatment. If, as our investigations proceed, and our experience increases, we find that the evidence of facts compels us to dissent very materially from most of our contemporaries, we wish it nevertheless to be particularly understood that it is truth alone we are in pursuit of, and not victory. The establishment of any one impor- tant fact which was formerly influenced by error, gives us a pleasure we should fail in at- tempting to describe. To endeavor at the expense of truth to please every one; to allow gentleness or politeness to a contemporary author, to hurt or stand in the way of an argument, where perhaps the happi- ness or even the lives of millions are at stake, are qualities which we neither possess, nor do we envy him who possesses them. They only tend to retard ihe improvement of an hon- orable, useful, but imperfect profession, and the man of talent, or of genuine philanthropy, will spurn at such false delicacy. Everyone who is engaged iu the laborious PREFACE. irt task of relieving the afflicted, is bound to de- liver his sentiments with that manliness and independence which ought to characterize those connected with a profession which should have for its very basis the purest sentiments of liberality. Nor should he, if his wish is to im- prove medical science, be intimidated or de- terred, because nun of repute give their sanc- tion to opposite opinions ; it ought, on the con- trary to be remembered, as expressed by a cer- tain philosopher, that " the influence of names is in exact proportion to the want of knowl- edge. " An examination into the nature of, and prac- tical considerations connected with, diseases of the generative system, have ever been in- volved in unnecessary obscurity; and instead of tending to develop these matters, and there- by render them easily understood, it rather seems to have been the wish of those engaged in such discussions to make them, for their own purposes, appear complicated and obscure. Our aim has been, and is, the exact reverse of this. So far from wishing to obscure, we have endeavored to elucidate ; instead of com- X PREFACE. plicating, to unravel the intricate web of sophistry and ignorance in Avhich the subject has been shrouded. So far from encouraging sufferers from dis- eases of the sexual organism to form exagger- ated notions as to the nature and character of their symptoms, and thus literally frightening them into a disordered state of imagination, as is done by too many of the harpies A\dio prey upon the fears they create, it is our object to reassure them, and to endeavor to teach them to distinguish the real from the ideal. So far from Avithholding sympathy and assistance from those avIio have erred from ignorance, or eA'en from gross ahcc, avc maintain that these features rather enhance than diminish the im- portance of the assistance Avhich, for the sake of humanity at large, the physician has it in his poAver to render. With these objects in vicAV, avc now present to the reader the present edition, which has been almost entirely re-written, and enriched Avith those additions suggested by the results of every day's experience and practice. We may observe, in conclusion, that we PREFACE. xi haArc no particular hypothesis to maintain—no object in a'icw but purely the remoAal of dis- eases of the generative organism (Avhieh have been the study of our lives) in the easiest Avay for the patient and the most honorable for the medical attendant. DR. H. J. JORDAN, 40 Bond Street, New Yoke. THJB NEW YORK MUSEUM OF ANATOMY, G1S Broadway, New York. PRINCIPAL DR. H. J. JORDAN, WHO LECTURES DAILY; Besides this, OTHEK LECTURES ARE DELIVERED, illus- trative ol the Mysteries of Creation and THE WONDERS OF NATURE, And a Professor is at all times in attendance to give infor- mation upon any Medical or Physiological subject. The Institution contains the most e\traonlinary Natural Won- ders and Curiosities in the World, and a most superb Col- lection of Anatomical Models and Specimens, nearly THREE THOUSAND IN NUMBER, Which convey to the mind, in the space of an hour or two, a more accurate knowledge of the Human Body and tlie Mys- teries of Creation than years of reading. Open Daily, for Gentlemen only, from 8 a. m. till 10 p m. Xoth-e. — The duties of Dr. H. J. Jokpan at the New Toik JIuseum of Anatomy do not interfere with his practice, and lie may be consulted as usual, at his residence, 40 Bond Street. New York. Li;o nuttf 1. S-^RrCTTTRK OP THE MALE ORGAN'S OF GENERATION7. In order that the reader may be able perfectly to understand and appreciate the mailer con- tained in the folloAving chapters, it is essential that he should have a clear idea of the various organs concerned in the mysterious process of generation, their position, structure, and func- tions. "We Avill commence with those of the male. The most important of the male organs are the testicles, by whose action the semen is elabora- ted, that important secretion Avhich a receiA French Avriter has called " life itself under a fluid form. " The testicles are contained in a purse-like hag, situated at the root of the penis, and be- tAveen the groins, called the scrotum. la the foetus they arc not so situated, but are formed in the posterior, or back part of the cavity of the abdomen, immediately below the 2 STRUCTURE OF THE kidneys. From this position, hoAvever, they gradually descend through the, abdominal ring "to that Avhich they normally occupy during life. Very early in the growth of the foatus, I lie skin at the part where the scrotum is found after birth forms a loose corrugated projection, hut is not distended into a bag until the testi- cles reach it. The scrotum is formed by a continuation of the surrounding common integuments, but is rather thinner and more highly colored than the contiguous skin, and is also much more uneven, being arranged in A'ory numerous small rugre or folds. The inner surface of the scrotum is lined Avith cellular membrane, of a loose and ductile nature, which assumes a firmer and more con- densed form in the central portion so as to constitute a septum, dividing its interior into two cavities, and separating the testicles, so that they can never come in contact Avith each other. The corrugation of the skin of the scrotum keeps the testicles pressed upAvards towards the abdominal ring, by the action of muscular MALE ORGANS OF GENERATION. 3 fibres, colleetiA-ely designated by anatomists as the darlos muscle. On laying open the scrotum, the testicles of each side is found to be enveloped l>v its proper coA-erings, Avhich extends upwards through the abdominal ring, constituting what is called the spermatic cord. The membrane immediately enveloping the body of the testicle, called the tunica vaganilis, which is a dense membraneous sac of a blueish white color, is found to have packets of muscu- lar fibres attacked to its outer surface, Avhich can be traced upAvards through the abdominal ring to the lower edge of the internal oblique muscle of the abdomen, as it descends to the pubes. These fibres form the,crcmaster muscle, the cilice of which is to assist in supporting the Aveight of the testicle, and sometimes, as in sexual congress to draAV it upwards. Contained within the cavity of the tunica vaginalis, beside the testicle itself, is the ap- pendage called the epididymis, to be aftenvards described. The accumulation of fluid Avithin the cavity of the tunica vaginalis forms the disease called hydrocele. The testicle although not a vital organ, %. e* 4 STRUCTURE OF THE one necessary to the existence of life, as the heart lungs, &c, is one absolutely necessary for the perpetuation of the species, and there- fore receives its nerves from the same source as the vital organs themselves. These nerves are conveyed through the spermatic cord, as also are the spermatic veins and arteries. The van deferens, or excretory duct of the testicle, Avhich is readily distinguished from the other vessels by its cartilaginous feel, also pass- es through the spermatic cord. The secreting structure of the testicle is en- closed Avithin a firm and dense membrane called the tioiica albuginca. It is possessed of tome elasticity, so as to rnlarge Avhen the vessels of the testicle are fiijl, and contract upon the evac- uation of their contents; but it i» to the re- sistance offered by this membrane to a rapid or extensive enlargement that the intense pain consequent upon inflammation of the testicles is attributed. A Avhite substance extends in a line through the testicle, from one extremity to the other, in a manner soineAvhat resembling the core of an orange, Avhich has been called the corpus highmorianum, or the nucleus of the testicle. MALE ORGANS OF GENERATION. 5 From this nucleus a number of slender white bands or divisions extend to the tunica albugi- nea (resembling the divisional membranes sep- crating the so-called " quarters " of an orange), the spaces Avhich they enclose being filled with a greyish or yellowish substance (correspond- ing with the fleshy parts of the orange), which substance, however, is found on close exami- nation to consist of packets or bundles of ex- ceedingly minute and hU'hly-tAvistod vessels. There are from thirty to forty of these packets and when the tubular Aess< Is are drawn out and untAvisted. their length is found lo be very considerable. A celebrated anatomi.-J, has reckoned the diameter of a single tube to be the three-hundreth part of an inch ; and as- serted that the length of the a\ hole, Avhen un- raveled, in an adult testicle, proves to be 5,'.'08 feet. These vessels have been called the lubidi scnuniferi, and they form the largest proportion —indeed nearly the whole—of flu; hulk of the testicle. The semen i^ first form-:d in these tuhuli. Each packet of tubuli surrounds a short and straight Aessel, placid at its upper extremity, into the bottom and sides of which the tubuli 6 STRUCTURE OF THE enter and deposit the semen formed in their cavities. These common recipients of the fluid from the tubuli of each packet have been called rasa recta, they average about one tenth of an inch in length, and arc usually about one-third of their length in diameter. The vasa recta terminate in a set of vessels of a cylindrical shape, Avhich have been named the rcte testis. These are firmly attached to the tunica albuginea, running parallel to each other in the direction of the corpus highmori- anum, or core of the testicle; they are gene- rally about thirty in number, and form commu- nications with each other, cither by lateral openings or by very short branches, so that fluid poured in one Avill readily pass to the others. From the termination of the vessels forming the rcte testis, minute tubes, to the number of thirty or forty, extend in tortuous convolutions beyond the body of the testicle to the organ next to be described, viz:—the epididymis. These tubes are termed rasa effcrentia. The vasa cfterentia, uniting one with the other in succession, ultimately coalesce in a pingle tube, which arranges itself in such mul- MALE OEGANB OF GENERATION. 7 tifarious conArolutions that the number of the flexions has been calculated at upAvards of eleven thousand, and the length of tube, Avhen unraveled and extended, would exceed thirty one feet. These convolutions are arranged in a conical fonu, resting upon the upper and back part of the testicle, and are designated in their totality—the epididymis. The great length of the tube forming this organ proves that slowness of motion is essential to the perfec- tion of the semen. As the tube approaches the termination of the epididymis it gradually increases in capac- ity, its convolutions cease, and it then becomes the ras deferens, before referred to. The \'as deferens in company Avith the sper- matic artery, vein, and nerve, all included within the spermatic cord, passes almost verti- cally upwards to the external abdominal ring, on entering Avhich it slightly alters its course, passing outwards as well as upAvards, and having gained what is called the internal ab- dominal ring, passes through it into the caATity of the abdomen, where its component parts separate, the blood-vessels .and nerve passing on to their Sources; the Aras deferens dipping 8 STRUCTURE OF THE into the pelvis, continuing along the side of the bladder, and terminating in the vesicidcc semi- ncdes. The vesicular seminales resemble in struc- ture the vasa deferentia, They are tAvo small tubes, about tAvo inches and a-half in length, but being convoluted, appear much shorter, and are situated at the back part of the blad- der, the membrane lining them is throAvn into folds, so as to form a number of cells. Here it is that the semen is stored up, these tubes an- swering the purpose of reservoirs; each vesi- eula; terminates, posteriorly, in a rounded cul de sac, and anteriorly, unites with the vas deferens of the same side to form a common duct. These common seminal ducts, resulting from the junction of the vas deferens and the vesicular on each side, are termed the ductus ejaculatorii. Each is about an inch in length, and its calibre is greater and more dilatcable than that of the vesicular seminales. They are directed fonvards, parallel to each other, pass through the prostate gland, and open into the urethra, (the central canal of the penis), by tAvo small oblong orifices. The prostate gland is a small body, about the MALE ORGANS OF GENERATION. 9 size and shape of a chestnut, surrounding part of the neck of the bladder, and the commence- ment of the urethra, measuring about an inch from before backAvards, a little more from side to side, and about half-an-inch in thickness. It is traversed by the urethra, and also by the ductus ejaculatorii; the greater part of it, how- ever, is situated beloAV the urethra, and it therefore rests upon the rectum. It consists of three lobes, two placed laterally—one on either side—and the third betAveen and behind the other tAvo. It secretes a thin Avhite fluid, which is supposed to be for the purpose & lubricating urethra; its texture is peculiar, and is well known to possess, in a high degree the proper- ty of elasticity, a fact Avhich has been turned to considerable account in the operation of lithotomy. The prostate frequently becomes enlarged in old age. Having thus described the organs concerned in the elaboration and conAeyance to the urethra of the various secretions concerned in the office of reproduction, so far as the male is concerned, it is uoav necessary to refer to the structure of the hitromittent organ—the Penis. The penis, although it give* passage to thq 10 STRUCTURE OF THE urine, is not a structure essentially required for that purpose, as in the female no such structure exists, except as represented by the clitoris; its anatomical character, therefore, have no reference to that action, but are adapt- ed solely to the conveyance of the seminal fluid to the uterus of the female for the iinjiortant purpose of impregnation. It is formed chiefly of three bodies of particular structure; two called the corpora cavernosa, and the other the corpus spongiosum, the whole adapting the form of the organ to the use for Avhich it is to be employed. These bodies are covered by the common integuments, loosely attached by the cellular membrane to their surface so as to alloAV of the necessary variations in the size of the organ; no fat is discovered in "this cellular membrane. The corpora cavernosa form about tAvo-thirds of the entire volume of the penis, and determine its form; they arc the shape of longitudinal sections of cylindrical tubes, placed side by side, and blended together the greater part of their length, Avhilst at the rest they branch off into the two muscles called the crura, and con- sequently present nearly the appearance of the MALE ORGANS OF GENERATION. 11 letter Y., the upper part of which would be placed against the pubis, and the lower at the glans penis. The corpora cavernosa form the upper part of the penis; their color is gene- rally an opaque white, and their structure a slightly elastic, dense, fibrous membrane, tra- versed in many places by the blood vessels con- cerned in producing that distension of the organs called erection. The corpora cavernosa do not extend quite to the end of the penis, the glans at the ex- tremity not forming part of it. The corpus spongiosum forms the loAver part of the penis, and is analogous in its structure to the corpora cavernosa. The urethra is situated partly in the groove formed by the union of the two cor- pora cavernosa, and the remaining part sur- rounded by the corpus spongiosum: it extends from the neck of the bladder to the extremity of the penis, and is, in the male, from eight to ten inches in length : it serves to convey the urine from the bladder, and the seminal fluid from the ductus cjaculatorii: it is divided into— a prostatic portion, about an inch in length into which the ductus ejaculatorii and the orifice of the mucus follicles of the prostate gland open— 12 STRUCTURE OF THE a membranous part, comprising the interval be- tween the prostate and the bulb, also about an inch in length, and being the narroAvest part of the canal—and a spongy or vascular portion, extending from the bulb to the glans, and being about six or scA'en inches in length. At the end of this portion, viz. : Avithin the glans, there is a great dilation of ihc canal, called the fossa navicular is : it is this part that is gene- rally affected in gonorrhoea. The gltfns penis is a conical prominence forming the extremity of the penis, and presenting at its base a circu- lar ridge, called the corona glandis. Having thus described the male organs of generation, it becomes necessary, in order to properly understand their functions, to refer briefly to those of the female. a, the vagina; h, the rugrcon its internal surface ; C. the uterus • e the neck ot the uterus: d, the mouth of the uterus; e, the timhrie 'or fringed extremity of tli.i fallopian tube;/, ovarian extremity of the fallopian tube ; g, tlie i una us of the uterus; h, h, h, a sectiou of quires a great amount of careful examination to be able to diagnose successfully in these cases. In case 1250 the patient stated that he suf fered from great debility, which, in fact, wa» SPERMATORRHOEA. 99 evident enough from his appearance. He had been under the treatment of several physicians, and every one had declared, after a microscopic examination of the urine, that semen Avas net present. As he informed us that he had, Avhen at college, practised masturbation, we felt con- vinced that Ave should detect spermalozoa, not- withstanding what those he had preA-iously consulted might haA'e said to the contrary. We examined the urine, and had great difficulty in telling Avhat was present, in consequence of the large quantity of urinary deposits which obstructed the vicAv. On the first occasion, although the examination occupied an hour, we could detect no semen. Still, however, unsatis- fied, we made another examination three or four days later, and after much difficulty detected spennatozoa, but excessively mutilated and broken to pieces. The cause of the debility now made out, the method of treatment, of course, became evident. The tendency to the frequent occurence of involuntary seminal emissions is always more or less increased by an attack of gonorrhoea. A diminution of the involuntary discharges may, and usually does, follow the cure of gon- 100 SPERMATORRHOEA. orrhoea; but this must not be mistaken for a proof of the restoration of the genital apparatus to a normal condition. The slightest cause of irritation is sufficient to re-establish the dis- ease with increased severity. Sometimes this apparent change of symptoms indicates that the case is lapsing into one of confirmed inipo- tency The following case, 1534, is a very instruc- tive one. It cannot be better described than in the patient's own language in his first letter He says :—" It is Avith a deep sense of shame and self-condemnation that I address you, being in a fearful state of ill-health, brought about, as I believe, principally by that filthy practice which you so truly denominate self- pollution. I am now about twenty years of age, and acquired the habit I have named about six years ago, Avhen at school, and continued it for about four or five years, when experienc- ing sudden pains in the loins, and frequently observing a gummy, sticky, oily fluid oozing from the penis, especially in the morning, some times only slightly, and just glueing together the lips of the opening, but at other times more copiously, I became alarmed, and applied to a SPERMATORRHOEA. 101 person in New York, and took his medicines for a considerable time, but without the slight- est benefit. I unfortunately, too, contracted gonorrhoea, which was cured with copaiba, &c, and for some little time afterAvards, although I felt excessively weak, the gluey fluid, which had increased during the gonorrhoea, became greatly diminished. I left Ncav Orleans about that time, hoping that nature and my new oc- cupations, and change of scene and air, would restore me to health : but I soon became worse than ever, so much so that I Avas obliged to re- turn. I then consulted another medical man, who told me that my gononhoea had been im- perfectly cured, and he again gave me copaiba; and I assure you the quantities of that remedy I have sAvallowed, either alone or in combina- tion with other drugs, is almost incredible. Finding no relief, I have at last given it up in despair and disgust, and now write to you, in the hope that you may be able to restore me to heal Ji and vigor. I am not now in New Orleans, as you see by the heading of this let- ter, and therefore cannot at present consult you personally; but I will briefly describe my pre- sent symptoms. What I suffer most from, and 102 BPERMATORRIIfEA. what I feel is gradually draining life and strength away from me, is the emission of so men, especially after taking a few glasses of wine, or being in tlie company of ladies, or any excitement otherwise occasioned. My testicles are in a very pendulous state, and arc getting smaller and "smaller every day, especially the left one, which seems to be a lot of hard cords, My face and parts of my body are covered with pimples, and the slightest degree of fatigue utterly exhausts me. I also feel at times a dull sense of pain, Avhich I cannot describe, along the penis, extending to its furthermost parts, and the urine is very different in appearance to what I fancy it should be. I feel quite certain that unless I obtain speedy relief I shall soon be in my grave; for, besides the bodily symp- toms, I find myself laboring under such despon- dency of mind that, conjointly, I am sure my system cannot long hold out against them. 1 rend you, by same mail as this, a small bottlo containing some of my urine, and also a portion of the discharge between two pieces of clean glass." This case is remarkably illustrative of the mischief arising from a mistaken diagnosis. BPERMATORRHCEA. 103 Spermatorrhoea having been erroneously taken for gonorrhoea; and we doubt not that oceans of copaiba, &c, are administered prejudicially in hundreds of similar cases; and it demon- strates, also, the importance of microscopic examination of urine, &c, in such cases, as we had no difficulty in at once obtaining proof that the impression we had formed upon read- ing his letter, viz, that he was suffering from a severe form of spermatorrhoea, was well founded. The treatment of spermatonlioea is, like the diagnosis, exceedingly difficult, aud requires, also, much skill and experience. The disease arises, as has been shown, from a variety of causes, and each, as a matter of course, will require treatment peculiar to itself. Lallemand, having observed the benefit that followed the application of nitrate of silver, or, as it is com- monly called, lunar caustic to the eye, when its vessels were relaxed by disease, inferred that the application of the same substance to the seminal ducts, when they were relaxed, would be productive of equal benefit. He therefore invented an instrument for this pur- pose, called the porte caustique; and hence arose 104 SPERMATORRHOEA. one of the most brutal modes of treating an affection, Avitb Avhich the whole range of medi- cal science can furnish us. Fvcn supposing this application of caustic to be valuable, which Ave dispute—and admitting the possibility of the operator being quite certain wlun he has reached the ducts, and, therefore, knowing Avhen to cauterize, which Ave deny—still the application of so destructive an agent to such a delicate part as the membrane lining tlie urethra, cannot but be productive of the worst results. How many hundreds of cases of stric- ture can be traced to this horrible treatment. How many persons have had to curse the day that practitioners adopted this French mode; of treating spermatorrhoea, or that on which they were foolish enough to submit themseh'os to it. The employment of the solid nitrate of silver as a remedy in spennatonboea, is not only dan- gerous, but it implies a total disregard of the true pathology of that disease. The objections to the application of the solid caustic to the urethra, are the intense pain with which its use is attended-—the risk of re- tention of urine following the application—the well-known liability of caustic to occasion bc« SPERMATORRHOEA. 105 vere attacks of rigor—the danger of profuse urethral hemorrhage, arising on the separa- tion of the slough Avhich its application must produce ; and, lastly, the danger that the sloughing process may involve the membrane of the urinary canal to such an extent as to destroy its integrity, and thereby expose the patient to all the sufferings and dangers re- sulting from infiltration of urine, fistula, and the like. It is allowed by all unprejudiced persons that the results of actual experience far out- weigh the most specious theories, or the bold- est assertions. We therefore select a few cases out of many that have come under our notice, in which the effects of cauterization ot the prostratic and other portions of the urethra proved most serious and distressing. In case 1742, the patient had led a most dis- solute life, and suffered at various times from repeated attacks of gonorrhoea ; the conse- quence, at last, being that he suffered from ob- stinate urethral and vesicular gleet, and a shat- tered constitution. He applied for surgical aid, when cauterization was recommended and ap- plied, the effects of which the patient described 106 SPERMATORRHOEA. as terrible in the extreme—the scalding on mic- turition was for nearly three days beyond de- scription, the difficulty being such as almost to amount to retention. A purulent discharge en- dued, tinged with blood, which continued for several days. On recovery from the local ef- fects of the caustic, the posterior part of the urethra became the seat of a severe and fixed pain, always intensified by the escape of urine. Sexual intercourse, attempted on several oc- casions, created so much pain and inconvenience that it was abandoned. Nocturnal emissions were of frequent occurrence, and also discharge from the vesiculae seminales, Avhenever defaeca tion took place. In this condition he consulted us. On attempting to pass a bougie along (he anterior part of the urethra, much pain was complained of; but when it reached the poste- rior part it was excruciating, and the spasms so violent that it had to be withdrawn. Two or three days being allowed to elapse, and, in the meantime, sedative and efficient medicine administered, another attempt was made with a smaller-sized bougie, which entered the blad- der, but not without much pain and difficulty. This clearly showed that permanent stricture SPERMATORRHEA 107 Was most imminent. We obviated this, how- ever, by catheterizing the urethra; and at the same time successfully counteracted other local and general symptoms by a suitable course of medicines. In another case, 1103, an inveterate gleet led the patient to seek the advice of a surgeon, who cauterized the urethra, particularly at its posterior part. It was accompanied by exces- sive pain and subsequent inflammation, involv- ing the neck of the bladder—there was, in short, the most excruciating agony on voiding urine, a throbbing in the perinaeum, and a profuse purulent discharge, tinged with blood. Leeches had been applied to the perinaeum, and opiates and hot baths administered, which had relieved the more active symptoms. It was three months from this period Avhen he called to consult us. He was then suffering intense pain in the prostatic portion of the urethra extending up to the glans penis, which was al ways increased in voiding urine. In this case also we had much difficulty, al- though the result was ultimately successful. Case 1715 came under our care many months subsequent to cauterization. The patient was f08 SPERMATORRHOEA. a gentleman evidently of a highly nervous tem- perament; but since the local action of the caustic the pain of the urethra had never finally left him, and there Avas also great irritation o( the canal. IIis description of the immediate results of the actions of the solid caustic Avas truly appalling. To be brief, great mischief resulted to the patient; so much so that he be- came the A'ictim of a settled melancholy. Simi- lar treatment was pursued in this case to combat the local disease, Avhich resulted in considerable relief; but after a period of seven Aveeks, Ave deemed it advisable to order him on a tour, as it was evident that time and change alone would alter the state of the mental feel- ings; and this, with the accompanying remedial treatment, gradually eradicated the ill effects caused by the injudicious use of the caustic. These cases will suffice to sho\v that not only does no permanent benefit attend the local action of the solid caustic, but that by its use an array of symptoms become developed, which in some cases bid defiance to every treatment which ingenuity and skill can suggest. Nor are we alone in the opinion we haAre expressed on this matter, for a celebrated author SPERMATORRHOEA. 109 nays of Lallemand (after having spoken of the services which he had rendered to suffering humanity):—He has, moreover, by an exagge- rated representation of the effect of cauteriza- tion in curing spermatorrhoea, not only impaired the value of his contributions to science, but likeAvise injured the patients themselves; inas- much as by reading his book, they have been throAvn into a disconsolate state about the future, almost amounting to despair, when the vaunted infallible remedy of cauterization has not imme- diately produced the promised effect." The daily introduction of bougies is also to be condemned, several cases having come under our notice in which the previous reckless use of that instrument gave rise to symptoms of a most dan- gerous character. This remark does not apply to an occasional use of the bougie in suitable cases ; on the con- trary, Ave have found in many instances that an irritable urethra, with tendency to stricture, has been completely cured after a few applications. The treatment of the various phases of sper- matorrhoea, and of the diseases known under the generic term — debility — require perhaps more skill and experience than any other de- 110 SPERMATORRHOEA. rangements to Avhich the physical organization is subject. These are affections in which the treatment must not be limited to the remedies employed in the practice of one country, or con- tained in the Pharmacopoeia of another. The cases arc sometimes so desperate, and the rem- edies required so potent, that all lands must he ransacked for the latter. We must not confine ourselves to the Aogetable kingdom ; nor seek to obtain antidotes exclusively from the animal or mineral; nature in her totality must be searched for remedial agents. Now this is not done by the major part of those who treat these diseases. They are con- tent with the ordinary routine of treatment, no matter how often it has been weighed in the balance and found wanting, and the result is that which would be expected—the disorders are very rarely cured. Indeed, how practi- tioners can, with their limited Pharmacopoeia, treat affections of this kind, except in early and simple cases, is to us a mystery. There are really, strictly speaking, no remedies in the Pharmacopoeia which can be relied on in these aud other disorders of the generative organism. If the question be asked, what can SPERMATORRHOEA. Ill be employe*! successfully for the purpose oi thoroughly eradicating syphilis from the sys- tem? and what to restore the system to health iu the debility occasioned by self-abuse? or what to stop the spermatorrhoea, the cause of that debility ? the answer, doubtless, is ready —Mercury for the former, tonics for the latter. To which We reply—In the first place, avc dis- put that mercury will have any such effect; and, secondly, if it had, it would only be at the expense of the future health ; and as to the tonics—-more particularly the ordinary tonics of Au»erican practice—these will have no such result; they cannot stop the escape of semen in a bad case of spermatorrhoea. The folloAving case, 1489, may serve as an illustration: The patient stated that he had for years been afflicted with nocturnal emissions, and that for the previous two months he had been totally unable to cohabit with his wife. He had con- sulted many medical men, but without any beneficial result. He had taken Quinine, Iron, aud the vegetable bitters in surprising quanti- ties ; in fact, he thought he had taken everything iu the list of the Materia Medica, and conse- mently he completely despaired of ever being 112 SPERMATORRHOEA. cured. As a last resource, hoAvever, he came to us. We supplied him with a mixture and lotion, which avc ubually employ in cases of a character analogous to his. On taking the bot- tle into his hands we observed a smile pass over his countenance, and on inquiring the cause, he remarked that he fancied his system was already impregnated pretty strongly with what we had given him, as he had taken every- thing. We replied that we were quite sure he had neither taken the mixture or employed the lotion that avc gave him. He seemed doubtful, and we offered to convince him, by writing a prescription containing the drugs employed, and allowed him to get it made up at any dmggist's he might select. We took this course for the double purpose of convincing him that our med- icines Avere neither employed by American med- ical men, nor to be obtained in this country, and also to shoAV him that, notwithstanding that fact, Ave did not wish to pretend to give secret remedies. The prescription Avas as folloAvs: Elixir Acid. Haller, § ss Aqua Laurocerasj 3 ij Ft. Mist SPERMATORRHOEA. 113 Spirit Formic. 3 ij Liq. Anodyn. Hofm. Bals. vit. Hofm. aa | ss Aqua Menth. pip. ----Sperpyll aa % ij Ft. Lotio. He took it away with him, and promised to let us know the result. In a few Aveeks after- wards he called again, and declared himself quite satisfied that our remedies could not be obtained in America, as he had sent the prescrip- tion to several of the first druggists in Nc-av York, and none of them appeared to have even heard of the drags therein prescribed, and also informed us, which was more satisfactory for us to hear, that he was progressing toAvards recoArery. Another instance may be given. The follow- ing is a very excellent diet drink, which Ave have found most beneficial in our practice; all the principal ingredients, however, are article* which cannot be obtained in this country. 114 SPERMATORRHOEA. 5 Flor. Siccat. Lamii. Rad. Cyeri. Rad. Galang. Bistori. Osmund, regal. Flor. ras. rubr. Ichthyocoll. Now, these examples are as good as a hun- dred. The first ingredient in the lotion is a spirit made from ants, and is one of the most effectual remedies, applied externally to the generative organs, that is known in any part of the world, and yet no one in America uses it but ourselves. In fact, the Pharmacopcea is exceedingly limited in remedies of this kind; and no inau can treat these cases successfully, who has not other medicines than those contained in it. The treatment must, of course, vary very ma- 1 rrially, according as the symptoms, constitu- tion, or other circumstances may indicate. In that class of cases in Avhich there are fre- quent nocturnal emissions, accompanied by no positive evidence that the disease has as yet affected the general system, we have found an SPERMATORRHOEA. 115 occasional warm hip-bath, taken on g)ing to bed, with internal administration of Efixir robo- rans Whytii, and Extract of Centaur, minoris, to be beneficial. In another class of patients, in Avhich tie' Bymptoms are of a loAver type, erections feeble, emissions easily provoked, the habit of mastur- bation either practised or having been practised, we find cold Avater applications externally, com bined Avith internal administration of Bromuret of Potass., Balsam Vitae Hoffmani, and Aq. Car- minatio Regia, of much utility ; Avhile in other cases, again, we give Extracts of Trifolium fibrini, Satureia, Serpentaria, &c. In some cases of impotence AAre have admin- istered, Avith very great effect, a lozenge (Mor- suli), prepared according to the folloAving for- mula : 9 Bolet. Cervin. Semin. Eruc. Fraxia. Priap. Cerv. Borac. Venet. Stin. Marin. Piper Alb. Radic. Pyret. Cardam. Rad. Satyrii Eryng. Spec, imper. Nuc. Indie. Vaniglise. Bachar. alb. in Aqua Cinam. Solv. Minut. incisa 116 SPERMATORRHOEA. et pulveris misceantur et fiat 1. a IMorsuli. Si eompleti desiderantur, adde Ambergris, M>schi. Tibet. The proportional quantity of the ingredients nr-utioned, and the number and frequency o'. the morsuli to be taken, will depend, of course, on the peculiarities of the. case, &c. We may- mention that most of the foregoing remedies, and others mentioned in other parts of the work as being employed by us, are only to be found iu foreign Pharmacopoeias. i LECTURE VII. REMARKS ON FALSE DELICAOy. One of the most remarkable and melancholy facts, perhaps, which the history of medical pcience discloses, is that the most important branch of it, viz., sexual physiology, has been studiously ignored. It may safely be affirmed that nearly two-thirds of the " ills that flesh is heir to," are traceable to abuses of the generative organism, and that at least one-half of those abuses are attributable to general ig- norance as to the nature and functions of that organism. But not only are the sufferers them- selves ignorant, but those who should have been able to instruct and relieve them are scarcely less dcA^oid of the knowledge essential for that purpose. All branches of medical science, save that one, have been discussed, been lectured upon, been experimentally illustrated, and been writ- ten upon with the utmost zeal; hut sexual 118 REMARKS ON FALSE DELICACY. physiology, one of the most grave and solemn subjects Avhich can engage the attention of the philosophic jdiysician, has been almost entirely expelled from discussion ; and the most grievous physical ills under which humanity can suffer, permitted to scourge the Avorld unchecked and unheeded. And Avhat renders the matters even more singular is, that Avhile all that most con- cerns the attainment of perfection in man, con- sidered as a species, is practically ignored, there is no lack whatever of attention to analo- gous studies Avith regard to the loAver animals. We arc content to admit, in the most uncon- cerned manner a gradual depreciation of the "physique" of civilized man, whilst everyday Ave are called upon to notice an equally gradual improvement in that of the animals which are of sufficient service to us to demand a careful study of their physiology and treatment. There is no reason whatever why man should not, as a rule, enjoy, in the full perfection of health and strength, his allotted " three score years and ten," save that the very mainspring of all the evils which tend to shorten that span is one with the nature of which most of us are miser- ably ignorant. True, there are many other REMARKS ON FALSE DELICACT. 119 sources of injury to the system, than those to which it is the purpose of this book to allude; but it must be remembered that injurious influ- ences which might leave the strong unscathed, ■will utterly destroy the Aveak and enfeebled; the gust of Avind Avhich Avill extinguish the flame of the flickering taper, Avill only fan a stronger flame into abnormal fierceness. It is to a feeling of false delicacy of the most lamentable character that we owe the state of things we have just been describing. Who is there that, upon mature reflection, would not fully agree with tho opinion of an eminent writer in the Quarterly Reviciv for 1858, who says; " It is time to burst through that artifi- cial bashfulness, which has injured the growth, while it has affected the features of genuine purity. Society has suffered enough from that spurious modesty, which lets fearful forms of vice swell to a rank luxuriance, rather than point at their existence; which coyly turns aAvay its head from the wounds and putrifying sores that are eating into our system, because it Avould have to blush at the exposure." This passage deserves to be written in letters of gold. There are still hundreds and thousands 120 REMARKS ON FALSE DELICACY. of persons who entertain the sentiments here sn jusily and powerfully condemned. The foolish tiding is still prevalent, exercising what influ- ence it possesses to keep the human family in ignorance, upon topics of the greatest importance to its Avell-being. Nor is this false delicacy confined to society generally ; it pervades, as we have already in- timated, even the very schools of medicine ; and the ignorance consequently existing, con- stitute the strongest excuse! of the physicians of old for their constant failure to grapple effectually with the greatest foe to human hap- piness, and for their attributing its effects to other causes, so that the sufferer from genera- tive disarrangement Avas treated for a variety of affections, being only symptoms, as though they Avere independent diseases, and by an in- finite variety of processes, according to the prejudice or professional creed of his advisers, whilst the real enemy, unsuspected and un- dreamed of, was undermining the citadel of health. For though, for instance, in times past, the physical composition of the seminal fluid could not he determined; and tlie fact of its discharge REMARKS ON FALSE DELICACY. 121 -save when in a visible and perceptible man- ner, by nocturnal emission or otherwise—could not be pronounced, the profession might at least have kept its available store of knowledge so * • T ° . - «i readiness, that its members, after going througn ... . . , ' **. . ?. , ~ ^holastic and collegiate training, might be competeiu ^ , e ,. . -, , r. i " "d vantage of, appreciate, and turn to useful purposes J? scientific discoA-eries effected from time to time by abler men. Far from this, hoAveArcr, stu- dents were kept in a state of ignorance, the de- plorable depth of which may be judged from the fact that it was considered discreditable even to discuss the subject; the whole class of diseases of the generative organs, with their manifold complications and influences, thus be- coming a perfect mystery, a sealed book, to the ordinary run of practitioners. So power- ful has become the prejudice, that men of some eminence—Dr Golding Bird, for example— have actually propounded the doctrine, that because the worst, most wide-spread, and most ruinous of human diseases is for the most part the result of a vice, it should not be investi- gated and discussed, and relieved like other dis- eases. 122 REMARKS ON FALSE DELICACY. Lest this statement of fact should not be be- lieved, we quote from his work on " Urinary Deposits," Avherein, after admitting that sper- matozoa are frequently found in the urine, ho says, " It certainly is not very consistent w^- ' J . , ,., . ^veiy on a our national character, to dilate -; J , . , _icat majority of cases, subject which, m fl " . ' ..,(:u of only as the effects of a most degrading vice." But supposing his conclusion as to the cause of such disorganization to be correct, does that fact place it beyond the pale of medical assist- ance ? If " a most degrading vice " gives rise to a disease which prevails extensiA*cly in the laud, so much is there a greater need for the medical philanthropist to endeavor to abolish both the vice itself and the consequences which it produces; and surely that cannot be accom- plished by ignoring the existence both of the one and the other. Such is nevertheless the case; all mention of the disease already discussed, viz., spermatorr- hoea, having been, in consequence of its most frequently having its origin in the habit of self-abuse, almost entirely omitted in the best medical works, so that the young practitioner, REMARKS ON FALSE DELICACY. 123 who Avishes to learn his profession thoroughly, finds the greatest difficulty in becoming at all acquainted with one of its most important de- partments. It is satisfactory to know that there arc a feAV men of eminence Avho do not suffer themselves to be influenced by such absurd and prejudicial ideas. In one of his celebrated Physiological Lec- tures, Mr. Lawrence observes, in reference to the fatal effects of ignoring, or misunderstanding the consequences of abuses of the generative organism :—" I have had occasion frequently to observe that medical skill has failed in Avhat were represented and appeared to be cases commonly called decline, simply because one important feature of the case has been concealed from the physician, and because he had failed to inquire as to its existence ; I mean the decay of those portions and functions of tire human frame which delicacy veils most scrupulously from the human eye, and affections of Avhich seem, by some great mistake, to have been placed without the pale to which ordinary practice gonfines itself." These just and sensible remarks bring us to 124 REMARKS ON FALSE DELICACY. the main object which we have in introducing the subject <>f that false delicacy to which Ave liaA'-e thus been adverting, viz., to impress upon the reader that there is no more real necessity for avoiding the consultation of the enlightened medical practitioner, or, when consulted, for withholding from him the slightest fact Avhich may concern the preservation or restoration of our health, than there is for avoiding the con- sultation of a solicitor when our property is endangered, or keeping from his knowledge fads Avhich Avould enable him to preserve or recover it. Yet we readily give the fullest pos- sible information unreservedly to the latter, and either altogether withhold, or delay it until too late, from the former. This cannot arise from mere Avant of confidence, as it is proverbial that good faith and absolute sccresy characterize equally the sacred confidence of solicitor and client, and physician and patient. The reason Avhy so many hundreds spend a life of misery, or sink to an early grave, when a timely and simple treatment Avould have re- stored happiness and health, is that feeling of false delicacy which it is impossible to condemn in terms sufficiently strong. REMARKS ON FALSE DELICACY. 125 Innumerable instances have occurred Avithiu our practice, of patients Avho have consulted us a considerable time after reading one of our Essays, and, on expressing surprise that they had delayed so long, the reply has usually beer tAVofold—firstly, the matter was such a " deli- cate" one that they could not bear to speak of it to a stranger; secondly, that they fancied avc might look upon their follies with such disgust and contempt as would prevent us from effi- ciently relieving them. We need scarcely say that in the first case they are sacrificing their health to an " idea," and in the second they arc of course utterly mistaken. We adduce these instances, because there may be and arc hun- dreds of others Avho entertain and act upon similar ideas. We are sensible that prejudices from first im- pressions arc difficult of removal; they are not in general to be at once overturned by clearer and more forcible argument, but only by a slow and gradual revolution of the mind, Avhich time alone can effect. The mind must first he di- vested of its incorrect habits of thinking, fn m Avhatever source they may have been acquired, be- fore it can even he open to those which are right. 126 REMARKS ON FALSE DELICACY. It may be said, from the observations in the preceding part of this chapter, that wo are unduly severe on other members of our profes- sion, but Ave may remark that it is our enthu- siasm for the improvement of our profession that has induced us to employ some degree of acrimony; we may also add that we only wish we had not such an ample field for finding fault, nor such opportunities of critical severity —indeed, nothing even then, where Ave might have bee;n personally concerned, could have in- duced us to use it, but the alleviation of human suffering and misery. And in what way can human suffering be alleviated by the physician, save by the careful study of the causes which produce it, and the judicious selection of remedies to remove it: or human misery averted from the patient than by enabling him to become conversant Avith the nature of his organism, the dangers to which it is exposed, and the probable consequence of his ignorance of the one and his neglect of the other. Do we or our children become robbers, be* cause we hear of thefts ? murderers, because we bear of assassinations ? or deprive ourselves REMARKS ON FALSE DELICACY. 127 of lire, because we know that some desperate and lesponding wretch has committed suicide ? Why, then, should we—as the upholders of false delicacy have alleged—be more likely to become vicious from being made acquainted with tlie hideous features of vice, or rush into danger because Ave have had a warning of its hitherto unsuspected existence. And if any have " sinned in ignorance," are thev necessarily beyond the reach of assistance, or justified in neglecting to seek it, and conse- quently in risking the involvement of others in the penalty, bacause of such false notions as those we have been endeavoring to combat ? Tie true physician pays no heed to whether his patients' ills have been caused by fault or by misfortune. He looks upon them simply as existing evils, to be eradicated or alleAnated, and directs his attention to that object alone. LECTURE VII1. SPECIAL DISEASES. It is not e>ur intention te> touch upon the ///.•>- tory of the special diseases Avhich have their origin in promiscuous sexual intercourse. Tie various historical sketches which lnwe been Avritte'ii upem this subject, do not settle1 the (juestiou as to whether they are of ancient ;>r of mexlcrn origin ; and if any rermarks of oi;rs could eve'ii set at rest that long disputeel proh- lem, its solution would confer no practical bene- fit on humanity. It appears to us that the nature and proper treatment of these diseases is the great object after which Ave ought, to seek. Diseases resulting from sexual intercourse, e-ommonly called " Venereal Diseases," may be arranged under two heads, or principal divisions, viz., specific and non-specific. The first division is composed of all those diseases included under the comprehensive term syphilis. SPECIAL DISEASES. 129 Syphilis is a virulent and specific affection peculiar to mankind, and invariably arising from one special viras, or syphilitic poison, which, at least in the present day, is never known to be spontaneously generated, but can ahvays be traced back to contagion from a pre-existing virus. When brought into sufficiently close contact Avith the animal economy to infect it, it produces certain local effects, which are called primary symptoms, or chancres. The importance of bringing to bear all the medical skill possible in reference to a more satisfactory treatment of syphilis than has hitherto rcsulte'd, will be most apparent by a perasal of the opinions expressed in an article on this subject in a medical journal of the day. " What shall we do to an-cst the spread of syphilis, this greatest social evil, and mitigate the dire results of that disease, which are visited upon generation after generation, and thus sap the physical strength, as well as the moral health of the community 1 " Were it possible to limit the effects of sy- philis to those whose guilty indulgence creates and maintains the disease, some might regard it as a just retribution. But, viewed even from 130 SPECIAL DISEASES. this assumption, true charity would hardly turn her back and leave the victims of sin to suffer without hope, or without an effort to relieve them. " It has been the inseparable quality of sin of e.A'eiry kind to involve the innocent in the afflietiems of the guilty. We may imagine a man Avithout family, without dependents, with* out a friend, to destroy his health, and ruin his worldly interests, by addiction to drunkenness; such a man has often been ignorantly called ' no man's enemy but his own.' " But even in such a case, where the sin and folly seem most concentrated, both in origin and consequences, in the sinner, would it be wise, Avould it be Christian-like, to ignore the evil, and leave the wretch to wallow in his vice before the world? If unwise here, it is sheer madness to exclude the victim of syphilis from the pale of charity. "Disregarding for a moment the immediate sufferer as unworthy of compassion, we cannot shut our eyes to the fact that it is out of our power to limit the punishment to him. The passion that leads to this disease cannot be gratified except by the concurrence of two SPECIAL DISEASES. 131 persons : one of these may be—often is—inno- cent. " Is the innocent person to be excommuni- cated ? " But, again, upon the gratification of this pas sion depends the perpetuation of the human race. " A man or woman who has, no matter under what circumstances, contracted syphilis, will, if placed immediately under the supervision and treatment of a skilful surgeon, be cured; but neglect this man or woman, treat them as out- casts from society, as Avretches whose shame is so deep that charity herself blushes to relieve them, abandon them to the hands of those mer- cenary harpies that prey upon the miseries of mankind, and the disease can no longer be thus restricted to the first, perhaps guilty sufferers; it assumes a form that lingers in the frame, and generates a chronic poison, which is capable of being transmitted to an innocent Avife, and to children still unborn. " How much of the scrofula, consumption, idiocy, and insanity, that create such havoc in our population, and encumber our asylums, is the indirect effect of syphilis, can never be ac- curately estimated. But it is certain that the 132 SPECIAL DISEASES. hereditary transmission of the syphilitic taint operates largely." Whilst fully endorsing these state-mcuts, wo must remirk that no attempt to e-radie'ate this horrible scourge of the human rave will be sue cessful, unless judicious treatment is brought to bear on the; immediate manifestation of the diseases upon the parts Avhich first receuvc the infectiem. It is also highly important, in refer- ence to the well-being of tlm patient, that a correct diagnosis be formed as to the peculiar character of the primary form in which this disease commences its fearful course. Thanks to the progress of medical science, Byphilis is now entirely under control ! In times past it Avas customary to suffer persons so afflicted to die;, without attempting their relief, under the impression that the complaint was contagieuis and incurable. We find, by the results of every-day experi- ence, that it is solely by an accurate attention to the character of the sor<\ that a clue is ob- tained both to its virulent nature and the kind of treatment best calculated to arrest its pro- gress. It is hence regarded under the two forms of—1. The indurated or infected chancre; 2. SPEC! AT. DISEASES. 133 The soft or non-indurated chancre. The average period during Avhich the sore makes its appear- ance after the local contact Avith the poison, varies between three and ten days, and depends, in some measure, on the folioAving circumstance's: 1. The intensity of the poison ; 2. The consti- tutional condition e>f the patient; 3. The pres- ence of an abraded surface. The local indications of the first, or indurated chancre, consist of a sore, having a rounded or oval form, with raised indurated edges, and ex- cavated surface1, covered Avith a thick, tenacious secretion, resembling chamois leather. Unless arrested at once, it Avill probably be attended by secondary symptoms. The local indications of the second, or non- indurated chancre, are a sore, or sores, devoid of induration ; their surfaces irregular, and freely discharging matter. This form of the disease Avill not be attended with secondary symptoms. The practical importance of ascertaining in any given case the peculiar characteristics of the chancrous sore, Avill be at once apparent Avhen it is stated that on such diagnosis rests the indication which establishes a satisfactory 134 SPECIAL DISEASES. basis for treatment. It is at the same time to be' observed, that the'se; cases do not always come uneh'r tivatmcnt Avhile these specific dis- tinctions continue. It is, however, gratifying to know that there still remains, to the skilful and observant practitioner, other and unimpeach- able indications on Avhich he may bast; his diag- ne>sis with perfect certainty As the non-indurated chancre does not give rise' to secondary or constitutional symptoms, it is simply a local disease, and the administra- tion of mercury in such cases can, under no circumstances, be reepiired. lle-nce we see the immense boe>n Avhich a correct diagnosis of syphilitic sores confers alike upon physician and patient. It is by this alone that the vexed question with lvspe-ct to the indiscriminate, or e;ven the doubtful employment of mercury, receives its satisfactory solution. In other words, the ex- ceptional class of cases in which this powerful remedy is indicated, be'conies at once placed beyond either doubt or uncertainty. The cases, then, about which so much has bei'ii said and Avritten from time to time, that have yielded to treatment without mercury. SPECIAL DISEASES. 135 unattended by secondary results, admit of full explanation ^j the light avc have here pointed It also folioAvs that the facts on Avhich the atte'iapt to ovorthroAv the necessity of mercury in (dl cases of syphilis, although they have been certainly of an extensive, are, at the same time, of a limited character. The practitioners of the old school (who form the great bulk of the profession at the present day), rigidly adhere to the administra- tion of mercury in every case of syphilis they are called upon to treat; while, on the other hand, there is no lack of ignorant pretenders Avho altogether abjure its use. We see thus the Arast importance to the pa- tient affected Avith syphilis in any form, of his taking care that the physician he may consult be neither one who, by the indiscriminate use of mercury, may, in curing one evil, set up another of a more lasting and dangerous char- acter ; nor one who, from ignorance of modern scientific research, shall " paint out," as it were, the outward signs of disease, only to leave a rankling poison to take uneradicable root in the system, and breed subsequent disease and 136 SPECIAL DISEASES. death, not only in the p.uw.nt, himself, but pos- sibly in generations yet to ceune. It is impossible in a little; work of this km a to treat of these' diseases, in the-ir almost infinite! variety of de'Velopnieiit, Avith that minuteness or in that detail Avhich Ave have used in works intende-d sedely for professional reading ; Ave> must content ourse-lves, therefore, by stating that Avhat arc called secondary symptoms are the eonseepiences e>f the absorption of the syphilitic vims into the system, and the resulting con- tamination of the organism. The secondary symptoms follow Avithin the first fcai months of the existence of the indurated form of chancre. They affect the superficial tissues only, are; generally dry in character, and are not fatal te> life. They may be, but arc not necessarily, hereditary ; they are not capable of transmis- sion by innoculation, and seldom (though, when once established, they may re-appear from time: to time in the same indiA-idual) can be produced de novo by a fresh infection. Tertiary symptoms arc the most advanced con- sequences of the absorption of the syphilitic virus into the system. They seldemi appear before six months from the; time of infection, SPECIAL DISEASES. 137 and often much later. They are not innoculable, and not hereditary. They attack the deeper tis- sues and bones, and may be fatal to life. The eruptions Avith Avhich secondary and ter- tiary symptoms are attended may be distin- guished from each other by their tendency to assume, or not assume, an ulcerative condition. The first, or ulcerative class, comprise vesicles, pustules, and tubercles. The second, or non-ulcerative class of erup- tions, are erythema and papula. This distinction is important, because ulcera- tion denotes a considerable activity in the poison, and a want of resistance on the part of the con- stitution of the patient. It must not be forgotten that all syphilitic diseases belong to that class called specific, be- cause they arise from a definite poison, or viras; that they all have their commencement in Avhat is called a chancre; that Avhatever the charac- ter of the latter, it is perfectly under the control of those who thoroughly understand its treat- ment, provided it be taken in time; and that the object of that treatment must be, not only to cause the chancre itself to disappear, but to take care that the blood and the general organ- 138 SPECIAL DISEASES. ism become so purified that no trace of the poison be left to afterAvards vitiate either the patient's oavu system, or that of his subseque-nt offspring. We Avill noAV proceed to re'for to that class of special diseases called non-specific ; that is te> say, those affections Avhich folloAV sexual intereemrse, and Avhich, though often contagious, and capa- ble of reproducing themselves, are not innocu- lable, and do not depend upon a sj'eeial cause. The name e)f the'se is " legion." Their enumera- tion and description would occupy a volume. They include, in fact, every affection Avhich is the result of impure sexual intercourse, which are not included in the class already described, viz., specific affections. As it would be, therefore, utterly impossible in this work to refer to all, we shall confine ourselves to that form of disease known as Gon- orrluea. On being attacked with gonorrhexa, the first symptom the patient experiences is an itching sensation about the orifice of the urethra, or even throughout the whole of it, varying in in- tensity in different cases. A swelling or full- ness of the lins of the urethra then generally SPECIAL DISEASES. 13$ ensues, consequent upon inflammation, and shortly afterwards a discharge commences. As the disease proceeds, the itching becomes converted into a severe pain, especially felt after voiding urine; and the desire to micturate fills him with dread, on account of the scalding pain it occasions. The water soon passes off in a scattered stream, owing to the blood-ves- sels becoming overcharged, and thus narrowing the anterior part of the canal. The inflamma- tion will sometimes extend even to the neck of the bladder, and cause the dangerous symptom, retention of urine. Extreme tenderness is felt in the glans, and unless great cleanliness be observed, excoriation will ensue. If the disease be suffered to proceed unmolested, or, occasion- ally, under any circumstances, the patient may be attacked by chordec, an affection of the most torturing character. On the occurrence of the involuntary erections, which take place in con- sequence of the inflammation, especially when warm in bed, the corpus spongiosum (at the under part of the penis), not permitting of so great an extension as the ca\Temosa, the penis becomes curved, and produces the most excru- ciating agony. In some cases, from a serious 140 SPECIAL DISEASES. infiltration into the prepuce, it becomes distend> ed to an enormous size1, so as to completely oh- se-ure the glans pe'iiis, e-onstifuting the symptom calle'd jd/ymosis. If, at the' commencenie'iit e>f the infiltration into the' propiu-e, the latter has bi'en drawn back, by accident or otherwise1, beyond the glans, the sAvolling Avill them act as a gradually increasing ligament, tightening upon the penis behind the' corona glandis, caus- ing frightful agony, and occasionally rendering a surgical eiperation necessary. This constric- tion of foreskin is called p^traphymosis. Some- times an enlargement of the glands of the' groin (bubei) may be- produced, which, however, rarely suppurate, as do theise produced by syphilis; and one of the most frequent, painful, and troubhisome accompaniments of gonorrhoea is orchitis, or swelled testicle. Of course, the whole of these symptoms vary according to the patient's constitution, habits, and othe'r circumstances ; and sometimes an individual will be affected in a very mild form in one attack, while on the occurrence of another it will be of the most malignant char- acter. The se-cretion of the mucous membrane affected SPECIAL DISEASES. 141 with gonorrhoea, consists of muco-pus, Arary- ing in character according to the period of the duration of the morbid action. During the very earliest period it is generally of a Avhite color, and consists of simple mucus, and under the microscope exhibits epithelial scales and their debris. During the second stage it also contains these circumstances, but, in addition, albumen in solution, and by the aid of the microscope we also detect innumerable pus corpuscles, communicating to it a yellow color, more or less deep, according to their quantity. In its latter and chronic stages, the pus corpus- cles diminish, and the epithelial scales increase, and it remains in that troublesome and obstinate form denominated gleet. It is too commonly the case that individuals suffering from gonorrhosa are apt to consider it a trifling affection. This is an error of the most serious character, as will at once be per- ceived when we mention one only out of its numerous consequences, viz., stricture, a dis- ease which, in but too many cases, renders the patient a martyr for life. There is nothing, nor can there be anything, in any affection of the generative organs to which the term 142 SPECIAL DISEASBS. " trifling " can be applied. No matter what the particular symptom or affection may bo under which we may labor, we shall do well te) bear in mind the poet's injunction, and to " Think nought a trifle, though it small appear, Sands make the mountains, moments make the year, And trifles life." There is no one disease, considered in all its aspects and sequela?, on which such varieties of opinions and treatment exist, and in which such difficulties present themselves to the prac- titioner Avho has not made the generative or- ganism and its affections his exclusive study, as gonorrhoea. The mischievous mistakes con- sequently committed by such practitioners, both in diagnosis and in treatment, are innu- merable. We have heard even the celebrated Ricord of Paris, one of the greatest authorities on syphilis and gonorrhoea, confess in his lec- ture that no disease has so ofte-n puzzled him as simple gleet. With such an admission be- fore us, how can we wonder that those who, even when a correct diagnosis has been made, empirically follow, without discrimination, the antiquated treatment, and after dosing their patients with copaiba, cubebs, &c, ad nauseum, SPECIAL DISEASES. 143 without administering relief, should find them- Belves at fault, and succeed only in leaving their patients worse than they found them, with the additional mental diseases of believing their cases to be past all cure ? One of the most common mistakes which are propagated, both by teaching and practice, by a certain section of the old school, is, that gon- orrhoea must not be cured quickly: and by ab- Burd statements, as to a rapid cure, " driving the disease hito the system," they succeed in reconciling their patients to a nine or tAvelve months' treatment with the most nauseous and worse than useless drugs and injections, used in the main part for the sole purpose of conceal- ing their ignorance, but really believed in by many as being the sole safe method of treat- ment. In these latter cases it is difficult to say which is most to be pitied—the doctor or his patient. Our own long experience of the fallacy and mischievousness of these views, however, may be of service both to the one and to the other.* As to the consequences of such a state of * There are however on the other hand, many (prin cipally charlatans) who go to the opposite extreme, and pretend to eradicate the disease in inconceivably short periods, such aa from 24 to GO hours j but although J 44 SPECIAL DISEASES. things we could bring evidences without num- be-rs, from the works of many of the best authors, usually considered as " standard " by the general profession. One of these authors, for example, records a case of a man, aged twenty-six, whose gonor- rheea remained uncured, and attended with a most severe form of rheumatism, ,l in spite of all that surgeons and physicians could do for him; and a residence on the Continent was the only means by which a cure was effected." Resolving not to run the chance of infection, after having been such a martyr, the patient married. Soon afterwards he was again affected, and his wife began to complain of lcucorrhraa. The anthor then goes on to say, (we are quoting literally), " Knowing all the '' circumstances of the case, I advised some '' simple astringent Avash and aperient medi- '' cine; instead of abating, the discharge in- " creased, and was followed, in spite of all advice "and the best concerted measures, by rheumatic " ophthalmia, inflammation of the bladder, and it is not impossible to stop tlie discharge within that time, tlio after conseepiencesof the so-called "Abor- tive Treatment" are of a fearful character, and in many ca.ses may cnduro for a lifetime}, SPECIAL DISEASES. 145 "general rheumatism. The disease, in a sub- " acute form, was no sooner cured in one set of " muscles than it broke out in another. Instead " of driving the disease into the system, I Avas " for some time unable to master the discharge, " and it ivent on, uncontrolled by all oar remedies, " a stumbling-block to the best medical and surgi- " cat opinions in America." The author then goes on to state, that after some years his patient, apparently undeterrea by his previous martyrdom, again consulted him, having been " suddenly seized with rheu- " matism, the immediate cause; of Avhich arose, " in his opinion, from having had an instrument " passed. I ought to say," proceeds the author, " that he had ever since his last attack been subject " to stricture, with some irritation of the bladder, " * * * * As soon as the rheumatic attack " commenced, the bladder, muscles, joints, and eyes " became successively affected ; edt the medical sJcill " in Neiv York was called in, with as little avail " as on the former occasion. Every sort of treat- <' ment was tried, and failed, until apparently the " disease wore itself out." The author, hoAvever, omits to tell us wbether the patient Avas " worn put" as well as the disease- 146 SPECIAL DISEASES. The incredulous reader Avill perhaps scarcely • believe in the truth of the foregoing quotations ; Ave can, however, furnish him with both chap- ter and A-orse in a prete>ntious and bulky prac- tie'al treatise, published only a few months since. We: could adel largely to such instances were it necessary. We say deliberately, as the result of a long and extensive experi(3iice, that Avhen pmperly treated, gonorrheea cannot under any circum- stance's be; cured toe> quickly, and we are happy to find that M. Ricord, after a careful consider- tion of cases, agrees Avith us. The fact is, that the pathology of the diseases now unde'r discussiem has been utterly ne'glcct- ed. In boeiks on this subject, one; writer has copied another, from Hunter downwards, and, as has been avcII observed, " seem to have dis- sected boeiks rather than bodies." The ordinary practitioner is, consequently, not only liable to be confused in his diagnosis and treatment, by the complications which usually attend gonorr- hoea, but frequently confounds it with discharge* of analogous character, or even with those which are totally dissimilar. In case 1443, the patient, a manied man. SPECIAL DISEASES. 147 consulted me in consequence of a discharge which he supposed to be gonorrhoea. He as- sured us he had no improper connection, and was not cognizant of any circumstance by which he could have become infected ; and he was in a condition of the utmost terror lest his wife should suspect him of infidelity. After a close examination Ave found that the discharge resulted from connection with his Avife whilst the latter Avas suffering from a copious discharge de- nominated the fluor albus, or " whites,"* Avhich, iu her case, ahvays increased a short time pre- viously to menstruation. The fact of this disease—the " whites"— being under certain circumstances communicable to the male, has been the1 source of almost in- calculable misery; more especially Avhen the practitioner applied to has been either ignorant of the fact, or careless in his diagnosis. If the husband be conscious that he has had no im- pure connection, the appalling supposition force's itself upon him that his wife ha£ been un- * A very large portion of the female sex suffer from this complaint; this is more especially the case in America, and Avith marrieed women; a circumstanee. in my opinion, attributable partly to the climate and to the large quantity of tea usually drank by them 143 SPECIAL DISEASES. faithful; Avhilst, on the other hand, the wife, ignorant that her " Ave>aknoss," as she calls it, coulel possibly affect him, is made miserable by a similar contemplation. It Avill be: seen, therefore, that it is of the highest pessible im- peirtance, that the ce>r.scie'ntious physician should exercise1 the greatest care in his examination of the discharge, be1 eonqu'tont to form a ce>rrect diagnosis, and thoroughly understanel the best methods of treatment. Having connection, too, during the menstrual periods, will frequently act in a similar manner, and give rise to like uneasiness and anxiety ; and set also with a variety of other circumstances to Avhich av<' might allude, if space, permitted. But the most grievous mistake that can be committed, as regards the patient's own health, is one to which we lum*, alluded in a pre-A-ious chapter, Ariz., that arising from eemfounding symptoms of spe-rmatorrhnca with those e>f gon- orrhoea, and treating the patient for the; bitter. We Ave>re consulte'd in such a case; only a short time since. The patient had contracted gonorr- hoea a few years before, and consulte'd the family medical atte-ndant, Avho apparently cured him. The discharge, however, never completely left SPECIAL DISEASES. 149 him, and on again complaining to his adviser, he continued to prescribe the usual internal remedies and injections. These he took for a very considerable period, but still experienced a continuation of the discharge, finding almost invariably, on awakening in the morning, the lips of the urethra glued together, and, on slight pressure, a drop or two of a transparent oily character made its appearance. He gradually became more and more debilitated, particularly within the few weeks previously to his consult- ing us; his memory began to fail him, and a languor and general disinclination for occupa- tion took possession of him. In fact, we disco- vered that he was suffering from a severe form of spermatorrhoea, which had entirely escaped the notice of the " family physician," who had perseA'eringly, but unwittingly, increased it by continuing, during the Avhole period, to treat him for gonorrhoea. We need scarcely say that, luoving ascertained the real character of the affection ; we had but little difficulty in eradicating it. SELF DIAGNOSIS' i:, MOW SHAM. AVE ASCEItTAIN UNOKU WHAT A I'' KKOTte>N AVE AUK SUKEEKI N'e i '! In consequence of the frequent enepiiries made' of us, " l[e>AV shall I Jcnoio whether I am suffering from spormatorrlura. ? What arc the symptoms by which I shall be able' to recognize it, or by Avhich it will be accompanied ?" We arc induced to adel a few Avoids on this most important point. The; symptoms are infinitely varied, extreme- ly numerous, and differ greatly in different cases, both in number, nature;, and degre;e. It will be- well, perhaps, first to put the most pro- miuent of them into a tabular form, and then to introduce one or two illustrative eases. To render this tabulation more intelligible the symptoms are; diviele-el into Local, i. c., affec- tions of the generative organs; Bodily, i.e., affections of the muscular, circulative, nutritive, and respiratory systems ; and Mental, i. e., af- fections of the nervous system. In the first place, as being not only most SELF DIAGNOSIS. 151 definite in character, but also as indicative of the disease being more than usually deeply seated and confirmed, the local symptoms may be mentioned. They are as follows :— General Symptoms. Pollutions'' accompanying expulsion of urine. Pollutions accompanying defalcation. Erection and emission upon slight excitement, such as the mere presence of females or juxtaposition of their dress, &c. Emissions under similar circumstances, unaccompa- nied by erection. Nocturnal pollutions, with or without erection or con- ciousness. Diurnal pollutions. Spermatic urine. Contraction of the fe>rosldn. Spasmodic or dull pains occasionally in the organs. 'Varicocele, or varicose reins iu tho testicles. Pimples on shoulder and forehead. Premature emission during coitus. Priapism, or erectiems apparently without any excit- ing cause. Decrease of sexual desire or enjoyment. Sanguineous emissions. Diminution in size of tho penis and other organs. Want or imperfection of erectile poAver. Climax—Impotence. In reference to general symptoms, it is necessary to observe that many, if not all, of these symp- toms may occur in and denote forms of ordinary disease; but if produced by spermatonhoea, * The terms " pollutions " and " emissions " refer to involuntary escapes of seminal $uM. 152 SELE DIAGNOSIS. they will be aggravated in degree, and will not yield to treatment known to be eradicative of them in ordinary cases. This fact could be il- lustrated in a variety of instances, but one may suffice. In an otherwise: healthy person an at- tack of indigestion, originating in inattention to diet, Avill yield to gentle purgatives, tonics, and other well known means ; but, if the symp- toms of indigestion exist in consequence of the impairment of the nutritive functions by semi- nal losses, the ordinary remedies for such symp- toms fail to produce their usual effect, as until the' primary cause of the symptoms be removed, the effect will not only continue but increase. In like manner disorders in respiration and circulation may arise indifferently from Sper- matorrhoea, or from other causes ; in the latter case the remedies usually indicated for such symptoms Avill remove them, but not so if they be caused by Spermatorrhoea; and it may be mentioned that it has been clearly ascertained that there is no single function of the animal economy but may not become deranged by long continued seminal losses, SELF DIAGNOSIS. 153 General Symptoms—Bodily. Muscular, Respiratory, Circulatirc, and Nutritive System. Increaseel appetite or voracity (in early stages). Gnawing, and he-at of epigastrium. Uueasiuess, sinking, or faintness before takiug food, followed by disgust or nausea afterAvards. Want of appetite for plaiu kinds of food. Weight of epigastrium. Quickeneel pulse. Flushed face. Acid eructations. Acrid heat at the upper part of oesophagus. Alteration in secretions of liA'er and pancreas. Evolution of flatus. Colic. Griping. Difficulty of breathing, and cough. Distension of stomach and intestines. Muscular flaccidity. ExcessiATe mucous secretions. Irregular action of the heart. Apoplexy. Liquid and unnatural stools. Diarrhoea. Inflammation of rectum. Constipation. Loss of substance. Cadaverous appearance of skim. Hollow sunken eyes. Extreme seusibility to cold. Rheumatism. Loss of hair. Pulmonary catanh. Indolence, or indisposition to exercise. Lassitude. Fatigue on slight exertion. Climax—Confirmed Debility, 154 Sl'XF DIAGNOSIS. General Symptoms—Mental Nerrous System. Ke'stlessness. Sighing. Sensation of congestion. Want of energy. Uncertainty of tone e>f ve>ie;e. Nervous asthma. Vertigo. Want of purpose. Dimness of sight. Weakness of hearing. Aversion to socie'ty. Blushing. Want of confidence1. Avoielence of ceMiversation. Desire for solitude. Listlessuess, and iuability to fix the attention* Cowardice;. Depression of spirits. Giddiness. Loss of memory. Excitability of temper. Moroseness. Want of fixity of atte'iition. Disposition to ruminate. Trembling of the hands. Sudden pallor. Laehrymosity. Tremor from slight cause. Paius in tho back of the head or the spiu« Pain over the eyes. Disturbed and unrefreshed sleep. Strange and lascivious dreams. Hypochonelrias. Climax—Insanity. SELF DIAGNOSIS. 155 The folloAving additional illustrative cases are by no means selected because they present features of great severity, but because they are specimens of the most ordinary cases upon which Ave are consulted; and save that every expression which could afford the slightest clue to the individuality of the parties themseh'es has been carefully eliminated, they are the ver- batim statements of the patients themselves. In order to avoid unnecessary repetition, it may be mentioned that every one of the follow- ing cases, and many thousands of similar and even far more serious ones, have been success- fully treated by us during the tAventy years over which our practice has extended. Case No. 87-1. 1 have been in the filthy habit of practising self-pollution from about the age of 14, Avhen at school, until- I Avas twenty-four. I then married, Avhich is iioav about a year and a-lialf ago, but am ashamed to say that so completely had the habit taken hold of me: that I have even (though not often), practised it since that time, till lately in fact, Avhen I procured a copy of your Philosophy of Marriage. I must men' 156 SELF DIAGNOSIS. tion that I am naturally of a good constitution, but for nearly twelve months past I have gradually been getting thinner and thinner, as though I Avas Avasting aAvay. I appear t<> be in e xce llent health, but am very speedily tired with the slighte-st exertion ; my appetite is pe>or, I have no energy, am extremely nervous, and frequently overcome by melancholy; my me'mory is becoming defective, and I have a very tiresome' little cough, with a sort of chok- ing sensation Avhen attempting to read aloud, especially after a meal; the left testicle: hangs a little1 lower than the; right one, and after the' urine has been allowed to stand for a time a Avhite cloudy secretion appears to be floating about in it, and a sort of greasy looking scum forms on teq>. I am also troubled by frequent emissienis during sleep, all which symptoms induce' me' to think I must be suffering from Spermatorrhea, and trust yon will be> abb' tei e!o something te> relieve' me-. I applied to a medical man who is esteemed very chve:r in this neighborhood, but he said he could not see any complaint, save my getting thin, for which he advised change' of air, and gave me epuinine, but no good effects have followed. SELF DIAGNOSIS. 157 The irealmcnt thus refened to was unsuc- cessful, because it did not touch the deep-seated cause of the symptoms. Case No. 1116. I can no longer conceal from myself that I am suffering from Spermatorrhoea, the result of that Avicked habit contracted even before I Avas in my teens ; I even forget how, and Iioav early it Avas contracted, and although I have sometimes abandoned it for a time, I haA'c al- ways relapsed again into it, and have only lately been able to feel that I have at length mastered it. My age is noAv 26, and although having been three years at the sea side, eAery one con- gratulates me upon my health and appearance, I am quite conscious of the unre'ality of those appearances. My nerves are seriously im- paired, I have very frequent nocturnal emis- sions ; the spirit I once possessed I am afraid is for ever gone, and the sense of fatigue I ex- perience on undertaking the smallest labor, and the flaccid feel of the muscles, renders me doubtful of the possibility of their effective reparation; I cannot fix my attention on my business, make sad blunders, and get very 158 SELF DIAGNOSIS. excitable and ill-tempered. For the last few months, too, I have experienced a dull pain or uneasiness in the testicles, especially on the left side', and have occasional darting pains of a spasmodic charaeter in the' penis, as though they suddenly received a most severe and acute electric shock. In this case, although there Avere well marked local symptoms, the mischief had principally developed itself in the impairment of the ner- vous system. Case No. 1375. It is with great reluctance I pen the follow- ing letter :— I began to indulge' in masturbation or onan- ism some years ago; I do not exaetly knoAV lmw long since. It was brought about by accident. Since yemr work on Marriage fell into my hands, I have resisted the temptation to defile myself. At first it was very difficult, and I eould scare*'- ly restrain myself for a Aveek. I have iioav managed to do se) for about three; weeks, but feel tortured with all Borts of vicious thoughts. This is my situation at present, but previously. SELF DIAGNOSIS. 159 and for som*> years, scarcely a day passed over in which I did not practice self-pollution. I am considerably troubled with knots of tough mucous matter coming up my throat; this al- ways occurred tAvo or three hours after mastur- bation. As it has very considerably decreased lately, I now attribute the symptoms to that cause, wdiich I did not previously suspect. My urine is sometimes Arery muddy, a sort of glyt is found to stick against the side of the urinal, and small white specks are sometimes observa- ble floating about in the urine. I have a ten- dency to be costive, but not especially so. I haA*e not the power of erection I ought to have. I begin to feel weak, and not able to work as I used to do ; and when I rise in the morning I do not feel refreshed after my night's sleep. I have occasionally a throbbing pain at the end of the foreskin, Avhich is swelled, and appears someAvhat inflamed, and I am very subject to pleasure-dreams, which are very Aveakening. I have slight aching pains in the testicles, one of which is slightly wasted, and have pains across the loins and up the neck and back of the head, which I never had before. 160 SELF DIAGNOSIS. Cask No. 11 -1/5. I feel myself constrained to fly tet you at last, anel reA'eal a secret whie-h I can no longer keep to myself. You will readily understand what it is, anel 1 am filled with shame to acknoAvledgo it, but have been doing it in ignorance1 until the last year or two. I am oik- e>f those unhappy beings Avho early fell a victim tee that ae-cursed habit—masturbation, or self pollution, Avhen at school. I Avill eleseribe; all the partie'iilars. \ am now twenty-five; years e.f agv; it, was Avhen I Avas about fourteen I e'eunnienceel that sell- abuse, and sonn times I had .se'xual inle'irourse, About four years ago I had the disease called gonorrhoea, or clap, my doctor e-alled it. He cured me, as I thought; but I still kept, prac- tising that pernicious habit. About two yearn ago, or nearly, I felt a trenienehms prickly itch ing unelerneath the testich-s, se> I went to my doctor again, and he told me it Avas gleet. I have been taking lots of stuff and injections. but they don't do me any good. There- ia scarcely any pain, but an almost continual dis- charge, which causes a stain like gum to be left on my linen. It is much aggravated by taking wine or spirits, or violent exercise; it 7033 SELF DIAGNOSIS. 161 affects my eyes very considerably. I only wish I had read your book before, for I had made up my mind previously to reading it that I should never be cured. My habits are pretty regular, and my occupation out-door. I feel a loss of memory and a continued feeling of languidness, being tired with the least exertion, very ner- vous and timid; the eye^ are very Aveak, and sometimes very hot, and feel sore in their sock- ets. I have pains also in the back of my head; my sleep don't afford me much refreshment, for I very often feed more tired aud languid when I get up than when I go to bed. I am troubled with dreams, and sometimes fancy myself in the embrace of some beautiful Avoman; and on some of theee occasions I have found my night clothes Avet with the fluid which had escaped. The last one occurred only two nights ago; and for the last two years I have had escapes of seminal fluid when in company of females. My water is generally of a high color. I am very Ioav spirited, although I used to be full of life. Case No. 1735. I am suffering from the effects of self-abuse, practised until recently. I am now twenty- 162 SELF DIAGNOSIS. three A'oars of age, tall and thin. When in companv Avith females the penis is continually wi't Avith thin semen, some t'mes Avith ere'ction, sometimes Avithout. I have never had connec- tion Avith any female1, anel if I did, the emission would eome far te»o soon. My forehead anel shoulders are ceiA'ereel Avith pimples, the former being very much disfigured, and they are al- ways avoisi1 after an emission in the night which occurs without, erection. My eyes are bloodshed at times, anel Avater in a breeze of wind, particularly in the morning. The testi- cles hang very low, the le-ft is varicose, and there are no wrinkles at all in the se-reitum on that side. The dribbling, Avhen in company of women, is very odd anel unpleasant. When my urine has stoed a few hours, there is gener- ally a sediment. Is there any fear of the right testicle- bieenniiig varice>se also from hanging? Cask Xo. 856. I am tAventy-seven years of age, of a delicate, nervous temperament; I am single-, aud likely to remain so, unless you can assist me; for there is no disguising the; fact, I am impotent through the effects of gelf-pollutiou, which I SELF DIAGNOSIS. 163 practised from eleven years of age until twen- ty-two, when I became acquainted Avith its mis- chief, and left it off for ever. I then obtained medical advice, which gave me only temporary relief, and I have since applied to another med- ical man, Avho gave me tonics, but I am grieved to say without effect. My bowels are regular, as I am very carefid in my diet; I am much afraid I am suffering from Spermatorrhea, as I haAre noticed that the last drop of urine is thick and ropy, and there is ahvays a copious discharge of semen aftea- any excitement by being in female society, and I have very fre- quent nocturnal emissions. The testicles and penis are very small, and there is something like a lot ot hard cends attached to the left tes- ticle. I have a slight cough ahvays on me, with shortness of breathing, and I am very thin. I often turn very giddy when rising or stooping hurriedly. Reading the slightest thing of a sentimental character brings tears to my eyes, which I cannot help, although I feel them to be maudlin. My sight is weak. I have no con- * fidence in myself. I blush and look guilty at the slightest thing said to me, Avhether right or wrong; blushing and becoming pallid by 164 SELF DIAGNOSIS. turns. I find my constitution is weakened most terribly. I have: got Aery thin this last month, and have had nocturnal emissions se>me- tiines tAvo or three nights running. Sometimes, on going to ste>ol, a thick gummy matter come s from tlie penis, and there is a slight irritation at the root of the pe:nis after passing it. I have slight paiiiB in the back, and seunetimes in the testicles. Cask No. GS2. At the age- of fourteen or fifteen I was taught the disgraceful habit of sell'-pollutietn by a com- panion, anel eontinued to practice it until tAven- ty, Avhen a friend, Avhet knew something of anatomy, &e-., told me the' consequences, and caused me to leave it off in disgust. I am, however, troubled with frequent emissions, ac- companied with disturbing dreams. 1 haA'e sometimes put some' of my urine in a beiitb'. Avhen I have: noticed, after a few hours, a filmy substance1 floating abexit in it, and when it has stood a week, it has he-come quite thick at the bottom. My testicles are very pendulous, and , I sometimes feel a slight escape of semen when in the company of females. My left testicle is SELF DIAGNOSIS. 165 smaller than the right, and has more cords or veins about it. The Avhite of my eyes is gen- erally of a muddy or brownish color, and my sight is certainly not so good as it was former- ly. I have also been troubled with pimples about my face and shoulders, which are very disagreeable. I am troubled with extreme nervousness, iiiAroluntary blushings, Aveakness of sight, lassitude, coldness of the extremities, and sometimes pains in the head and loins. I get rheumatism by the very slightest draught, sometimes Avithin a quarter of an hour after exposure to it, and occasionally it is a long time before I can get rid of it, aud it is frcqucnt- ly severe. Case No. 1371. From twelve to eighteen I practised the habit of masturbation almost continuously, having learnt it from my school-fellows, and neither I nor any of my companions ever for a moment suspected that avc Avere injuring ourselves in any Avay. A fearful mistake, as I now know to my cest. I left it off because I thought it a filthy habit, and since have occasionally had sexual intercourse. On some of these occasions I have 166 SELF DIAGNOSIS. been able to have full and proper connection, ak .another time 11 h• re is premature emission, and sometimes I fail altogether to have an erection, and seminal fluid will pass Avithout any se'iisation. Occasionally, too, a dull pain fellows near the retot of the penis, a most un- easy sensation. There: is never any certainty in my attempts at ceiitieui. I am frequently troubled with lascivieuis dreams, and sometimes with eithers of a less agre'eable kind, but always causing me' te) rise' Avilhout benefit from my rest. All these things AveTe a mystery to me until I read your hook, Avhich completely opened my eye's fe> the' real stale: e>f the case'. My appe-lite: id very bad ; 1 am altogether- unwell, fearfully languid all day long; I always go to bed tired, and Avith an aching pain in my legs, anel rise in the morning tin: same, never feeding better for rest. My face sometimes breaks out in spots, anel I fijok thin anil ill. Tn fact, I fed ill ; I am afraid I have, e|er■•( reiyeel all generative: power, espe-cially as for some time; past 1 have: neit only been afraid te> contemplate inte-rcenirse; from the fear of failure, but Avhen opportunity has offered, have really experienced a total want of desire. tili'LY DIAGNOSIS. 16? In many patients, Avhere circumstances com- pel the treatment to be by correspondence only, we find that the injury to the nervous system is such, that, after Avriting us Avith a full detail of their ease, avc shall perhaps have a letter by the ne-xt post to tell us that they have: overrated the symptoms, and that they feel quite avcII, and fancy they haA'e been nervous almost with- out a cause, and a post or tAATo after will bring a letter that they are thoroughly wretched and despondent. They are troubled by miserable fanei'-s that their letters are opened and read by unknoAvn parties before coming to hand; that every one Avho meets them sees in their countenances the effects of their habits, or is aware in some mysterious Avay of their ill- practices. Others tell us that the blood rushes to their face Avhonevcr a casual eye meets them in the street, frequently accompanied by per- spiration, and that the eyes are involuntarilv cast doAvn, as though they had been suddenly detected in some guilty act; that their conver- sation becomes disconnected and their obser- vations desultory; that they lose all their relish for pursuits which formerly interested them to the highest degree ; that they envy every one they see, fancy that there is nothing left for 168 SEt.F DlAGNUbis. them in the' Avorld, either of utility en- pleasure' ; that they have become aimless and purposeless, anel that all they can do is to drag on a miser- able existence* till the lemih cle>se-s eive-r them. Although Spermatorrhoea anel its he>st e>f ae-- conipanying evils is, in the> majority of e-asos, caused by practices e>f the' kind speiken of in the preceding ease's, it is ne>t invariably the- ease that it is se>. Spermatorrhea may be1 cause el by constipation, by asearides, or worms in the rectum, by stricture' of the- rectum, and many other circumstances. Seiine of these' are1 < a,-y of removal, others more difficult; but in all suth ca.-es the' removal of the' cause' is immedi- ately followed by the' disappearance of the' Sjkt- matorrheea. \W have-, howe-A'or, already exceeded the limits Ave jiiesciibe-d te> ourselvetl in this bro- chure; and must only say, in conclusion, that Ave trust the' various statenie-nts contained in it, which we have endeavored to divest as much as possible of technicalities, may be received in the- spirit in which the-y were written, and may not fail in producing their legitimate; effect, believing, as Ave do, with Home Tooke, that " Truth needs no ornament, aud what «he bor- rows of the pencil is deformity." APPENDIX. We mentioned, in the Preface to the 50th Edition, that Ave had received from highly in- telligent and educated men the most gratifying assurances of the utility of our previous works, and in the Appendix to the Edition introduced the following Letter, received from a Clergyman at the head of a large scholastic establishment, during the time the sheets were passing through the press: -----Rectory, 3d January, 1863. To Dr. H. J. Jordan. Dear Sir :—I feel it to be only a duty to address a few words to you concerning a little book of yours, which has aecielentally fallen into my hands, entitled, " The Philosophy of Marriage ;" the more so, that it came under my cognizance with the proof that it had, in two cases at least, a most beneficial, and, I may add, almost presidential effect. It may be interesting to you to know the circumstance. A monitor in- formed nie that he had discovered that one of the boys under his charge was in possession of an im- proper book, that he had demanded possession of it, but that he had refused either to show it to him, to deliver it up, or to say from whom he had obtained it. His threat of reporting the matter to me was of no avail. 1 consequently had the boy, a fino manly youth of sixteen, before me, and asked for the book; when he gaA-e me up that which I referred to at the commencement of this letter. He also told me, which I should not have expected, that he and another of his sehoolfelloAVS had for some few months practised the frightful habit of self-pollution, having no idea that he was doing anything that was either improper or injurious, but that a fortnight previously he had fcecome possessed of the work in question, the con- 170 ArrENDix. tents of which hael so opened his eyes to the wicked- ness of Avhich ho hael been guilty, that ne>t only hael ho and his fellow studont bee-euno utterly asbanieel anel disgusted with tlie-ir conduct, anel hael firmly reselve-d ne-\v-r to ele> tlie like again, but they we're eneleaveuing to ineliice> senile' e)(lie-rs wlie)lll tlie'y knew to be- pur- suing similar course;s torcael the be>ok,so as to he-come ace|uaiute-el with the; elreaelful eoiise'e|Ue-ue-i-s of their procedure1. Onoof these' latter, Imwever, berth vie-ious anel spiteful, hael tedel tho numitor the tale Avhich led to its cemiing uneler my cognizance'. Having sinco pewiscel the work, I am bound <<> say that you have: tivate-el a, A'e-ry diflicult, anel delicatee subject very wisely anil very well; anel, although I am ne>t prepare-el to say that I shenilel altogether approve* its indiscriminate: e-irculatie>n ameuig youth of teuele-r years, I am constrained to admit the- pre>e>f 1 have; before: me, that avhe-re: a vie-.ioiiM course: has bce-n enli'i'eil upon, its perusal has been atte'iieleel with beneficial results; anell miiste'e'itainlysay that 1 think every one who has charge; e>f youth slioulel be in possessiewi of all the' fae-l.s which it e-ontains, so as te» eatable, llicin to make; that use: of the1 import.'iiif in lor-' mation it eonveys, or e:veai e>f tlie; book itself, that their discietiem may dictate-., I i-iii epiite agre-e-. with you as te) the Aviele- e-Ntent te) w llich tho wiekeel e-onrse-s alllleleel to by yem obtain in large; selie>ols, althe)iigh I think freuu my own e;x- pe;rie'ne'e:, that public se-hools are not ne arly so hael in this re-speot as private; eene-s. I know of the: evil in rpie-st ion be-ing praet ise-el shamelessly at a large private se-Iiool I was at, anel also eve-n of its be-ing kneiwn anel taught by one-, to the other at a boy's school, whe-re the: eldest pupil was ne»t more than eleven ye-ars of age-! I am glael te> see yem attaek se> fe-arle-ssly anel ener- ge-t,ically that modern Hcntimciitalism whiehis under- mining the: health anel growth e»f eivilized man, by ignoring the deleterious influences which work such irreparable mi.M-hie-f in se>cie:ty, both physically and morally, for / think nothing can encourage rice so much as the knowledge that it ran propagate itself in darkness APPENDIX. 171 and in safety, because no one dares to drag it into the glare of day. Parents and tutors may be well assured that wherever a few boys are gathereel together the evil habit will become known anel practised, however it may bo regarded by individuals or the majority; and they shouhl therefore be armed at all points Avith such information as your valuable: little book affords them, so that the Avarnings it contains should not be Avithheld from those Avho are in danger. A hint—a word—1 o an ingenuous yemth, may often strengthen his resolutions of purity, and I shouhl haAe found myself far better a.ble te> deal with cases of that seirt hael I earlier pe>ssesseel the information your work has been the means of affording me. Wishing success in the promulgation e»f these views may attend its increased circulation, belieAre me, dear sirs, Truly yours, ---- NoremlxT, lHf>9. Words can never express the debt e>f gratitude I owe you. I had thought from my bitter experience that there was really no help for me, anel mentally resigned myself to a blighted, reckless, torpid existence. Your cheering eenmsel and inspiring Avords awakened hopes that had long been a stranger to me, and now in the fulness of time I am again a man, aud live to bless the he.ur that prompted me to consult you, and to honor you for your noble, skilful, disinterested treatment aud uniform kindness. Dear Doctor, you know that I have been treated by all the first physicians in the State:s, and derived no bcni'.fit from their prescriptions ; you knoAV better, far better than I do, the mise-ry you saved me from, anel that to you I owe all the happiness of my future life ; this, my dear De>ct,or, prompts me to beg your acee-pt- anco of this letter, expressive of my deepest respect auel gratitude. I beg to remain, most respectfully and gratefully, your friend and former patient, J. M. Subscribed and sworn to before me, ? this 5th day of Julv, 1809. <, J. D. JOHNSON, Notary Public. 172 APPENDIX. My Dear Doctor,—Pray accept my warmest thanks for yemr skilful tivatmemt of my case;. It is scarcely nine weeks since I placed myself under your care, and the nice-rations on my arms anel le-gs are; nearly Avell; they are entirely healed, and e-eneicd with a healthy crustacieuis surfae;e; which is elaily ce)ining otf, h'aving a perfeetly healthful but Home - what, elelieate: skin underneath. I wish you to use this letter in any manner you desire-, as I eonsiele-r your skill anel treatment almost niiraeiihnis—re-me-m- ber 1 was two years in the.Hospital, one \ear an emt- ele>e>r patient, anel hael t lie; advice anel assistanee: e>f the; tiiil men in New York eity all to no purpose. Deielor, 1 thank you again, anel Avill always [)ra.\ for your wel- fare and prosperity. Vonr grateful patient, M.F. E. Subscribed anel sworn te) be.foro me;, ) this 12th day of May, In)!). $ W. H. POST, Notary Public, Manufacturers anel Merchants Bank. Nkw Yoi:k, \0th May, 1 *<;<». I, K----m V----s, make from fee-lings e>f pure fralituele the following ve>liintary statement anel ac- nowleelgeine'iit to Dr. II. J. J. 1 hael snlfereil for ye-ars from exee-ssive; general i\e weakness, disca.se> of the lungs ami general elcltility, hael in vain trieel aline»st, e:very physician in Ne-w York, until Provieleiice in- dnee el me te» call upem Di-.H..T.J.under wheise; skilful care, treatment, noble generosity, and kindly atten- tion, I thank God, I am to day a well man. E---M V---8. October 15th, 1868. My Dear Sir,—You will doubth:ss recollect my having been under yemr professional treatment from the fall of last year until last June, when you pro- nounced me wholly cured. I need not attempt to elescribe the condition I was in Avhen I first consulted you, a» at that time you probably realized it much better than myself, and I APPENDIX. 173 was not in a fit condition of mind to realize or ap- preciate anything. My only wonder is that my friends had not sent me to a lunatic asylum. I hael learned the vile habit, of masturbation, which was the cause of all my tronbles, at the ago of fifteen, and though, at first, 1 hael not practiced it to great exe;e;ss, still I found it growing upon me, till, at the age of tAventy-two, the practice of it failed to give me the desired amount of excite- ment, and I then resorted to some of the most beastly unnatural acts Avhich the human mind could ever have deArise;d. During the two years previous to my first interview Avith you, 1 recollect but very few of the events con- nected Avith my life", and it iioav seems like a dream, a sleep, or a great blank in my existence. Shattered in physical health, and still more in intellect, I felt that my life Avas a curse to myself, and a nuisance to my frienels, aud, on two or three occasions, nothing but the most, providential accidents saved me from a suicide's death. You Avell know the progress of my case under your care—slow at first, but afterwards more rapid. I believe you accennplished more in those few months than others would have demo in as many years; but, Doctor, you may ask the object of my letter, since I no louge:r need your services. My only object is one of the deepest gratitude. Thanks to your talent, I am nenv sound in body aud mind ; and, as a special evi- dence of the latter, I was married on the first of the present month. I am pursuing a goe>d and profitable business, anel, should you ever pass near my residence, comparatively humble though it may be, if you will condescend to call, you Avill find a comfortable home, a happy and au'octiemate wife, aud a still happier husband, all of which, I repeat, I owe to you. Please accept the accompanying trifles, as a testi- monial of my gratitude ; they are the results of my own industry, and the products of my little home- stead. Should you at any time see fit to make use of thia 174 APPENDIX. letter, for the benefit of any other similar unfortunate, you have my full cemsent, as I can think of nothing which I would not eh) for your sake. I am, dear Doctor, your ever grate'fnl anel happy Servant, P. D. (,»---v. Dkvr Sir : In gratitude for tho wonderful result of your livat- incut, pray accept, my heart tilt thanks, ami long may you live- te> bene-tit such sufferers ;in I was until a wise l'ro\ idence: dire-e-te-el my sle-ps to you, anil that necasion shall c\ e-r, while 1 live, be happily thought of. On the Hithelayof Se-ptember, Htil, I consulte-el you in e'e)iisi'(|ui'uci: of a habit—viz., mast urbatiou—whie li I ae;epiiied at my femrte-enth ye:ar, and pe-rsevered in until twenty t we> \e-ars of age. Tho symptemis Ave-re, as I was te>ld by my family physician, such as e:e>ulel leave: ne> hope-s of my rece>very. I hael trie-d many emine-nt doctors, ami taken almost, eveay re-nieely, until at last I despaired of relied", anil I elcein it only my duty, for the- benefit. e>f others situale-el as I was, testate; that, though I Kiillcrcil from nocturnal emiis- sie)ns, eve-ry seeeiuel night, was peil'eetly prostrate-el; had pains be-twe-em my shoulele-rs, leiss of ini-nieny, anel testicles much aft'eeteel. 1 am neiw well, vigorems, ami,thank ( !im1, in the full e:nje>yinent of perfect health, not having had an omission for six months. I beg you to accept this written testimony (anel which, should oe:c;isiou re-e|uire-, make use of) as a ve-ry small token eif the de-ep elebt of regard I owe you, Aud believe me- to be ever, Yemrs truly, F----K I-'----u. Subscribeel and sworn te> be--fore me:, > thia 7th day of Noveuiher, i860. \ K. C. ELLIOTT, Neitary Public. FiPDi'.. IL J. JORDAN, having no connect ion with any other firm, can only be consulted at his pe rma- uent oflice, No. 40 Bond Street, New York. ^^■We may remark previously to introducing the following Instructions, that many are deterred from ap- plying for professional aid in consequence of the supposi- tion that their cases are beyond cure. We wish it there- fore to be understood that during the whole period of oui practice in this country, we have never met with one so severe as to baffle ua, and that we have been called upon to treat and have treated successfully, cases far more ditficult than any we ever met with in our practice abroad. THE FOLLOWING INSTRUCTIONS Are given for the purpose of facilitating Invalids in obtaining onr advice. The hours of consultation are from 10 A. M. till 2, and from 5 to 8 P. M., on Sundays till 2 P. M., at the Con- sulting Rooms, 40 Bond Street, New Ycrk. Patie>nts who desire to be treated by correspondence should observe the following Instructions:— \.—Their letters should contain full particulars aa to age—Constitution or temperament—Habits as to occu- pation—Mode of living—Whether married or single— Supposed cause of affection—Condition of bowels—Or- dinary state of urine—State of particular organs affect- ed, and—Whether any, and if so what, treatment ha« been previously adopted 2.—The letters may, at the option of the patient, be either signed with his own name or an assumed one, or initials, as circumstances may render expedient, and 176 INSTRUCTIONS. must be accompanied by a remittance of Five Dollars as consultation fee. This is absolutely necessary, as otherwise our time (which is valuable) would be taken up with undecisive applications. 3.—The replies will be addressed, either direct, or to post office till culled for, or in any other manner desired ; but in every case the addre'ss to which they are to be forwarded should be clearly indicated, aud fully and legibly written. 4.—The remedies can be forwarded to all parts of the world, carefully packed, and screened from observation, and will be addressed strictly according to the instruc- tions of the patient, which instructions should be clear and unmistakeable. 5.—Dr. II. J. Jokdan wishes to impress on all patients with whom U is at all practicable, the importance of af- fording him at least one personal interview, as the: ad- vantages resulting to them from such a course will, by the increased certainty anel celerity of the treatment, more than repay them the trouble and expense: thereby occasioned. Should this, however, be impracticable e>r inconvenient, let the patient pass urine, on arising in the morning, iuto a half-pint phial, taking especial care that the laslftw drops ure included ; and after it has stood fer a few days, report in his letter on its np- pe arance. deposit, Ac., or, what, is still better, enclose a small portion, (always the very last portion voided) in a flat 2 oz. bottle, and forward it to Dr. II. J. .Ionian, packed in a Seidlitz box. The box and bottle required may be obtained of any druggist. N.B.—AH communications should be addressed to DR. H. J. JORDAN, 40 iJo.\p Stkjsct, Nbw Yojw, "/' ....A. .AAA. THE PHILOSOPHY OF MARRIAGE, BEING EIGHT IMPORTANT LECTURES I: ON THE (j Q^J) FUNCTIONS AND DISORDERS m REPRODUCTIVE OEGANS AND SPECIAL DISEASES, AS DELIVERED AT THE New York Museum of Anatomy, 618 Broadway, \e\v York. ILLUSTEATED WITH CASES, BY DR. II. J. JORDAN, i doctor of Medicine and Demonstrator of Anatomy and Surgery, 40 BOND STREET, NEW YORK ■*tnnrmrtr»HT>mw>nTiMinn WORKS BY DR. H. J. JORDAN. HAPPINESS OR MISERY, PRICE, TWKNTY-KIVE CENTS. ATLAS OF THE FORMATION OF THE HUMAN BODY, Jit ttjc Curlieet Stage* of it« ptrelopnunt, OOMPILKD FROM TUK RESEARCHES Of THK LATE PHOfBgSOR May be obtained direct from the Author, 40 IJontl St., N. Y. PRICE: PLAIN, $10; CelLOREI), »2U. THE LIFE OF A EUROPEAN IX INDIA, U2ING A TREAriSE ON THE DISEASES OF TROPICAL COUNTRIES. MORE ESPECIALLY THOSE OF THE ORGANS OF GENERATION: THG.R CAUdE, PREVENTION- AND Cl'RE. May be had of the Author, at 4) Bond Street, New York. PRICE H, CLOTH ;> >> >i>■> S1^ » ja*> _> > . ~3e> :> >> !> > -■"> :> > » .>> •J > S "S "S > :> >~ , > > > X JS> > >, : :» ^ > » » 5 •> ■ 3D > ' > ^Jfc- > > > * y > > - ^ >^> » -> » "> > T> r> > >> ">^ » NLM OSlDTSflS 7 NATIONAL LIBRARY OF MEDICINE ■-•'" /* '.♦.'■'♦J-C*'t'-,">V'«",!,;'.--'','» '.•,'■ -» ■it NLM051095857