A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Science
A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Medicine -- Practice
Under the plan of treatment thus outlined the majority of cases of
nocturnal and diurnal pollutions recover; but if the spinal genital
centre still remains too impressible, galvanization with the anode to
the lumbar region and the cathode to the perineum will prove highly
serviceable. When the condition is one of spermorrhagia, after the
hyperæsthetic symptoms have subsided the relaxed and paralyzed orifices
of the ejaculatory ducts may be restored to their normal condition by
the continuous current, the negative reophore being placed in the
rectum and the positive on the perineum or the lumbar vertebræ. Should
galvanization fail, {146} the induced current may be passed through a
negative catheter electrode in the prostatic urethra to the anode
resting on the perineum or spine; but this mode of application requires
great caution, and a feeble power should be employed at the
commencement. For this reason the rectal is preferable to the urethral
reophore. In the absence of electrical apparatus the tonicity of the
muscles of the ejaculatory ducts may be greatly improved, and even
restored, by the use of the cooling sound, by the application of a
thirty-grain solution of nitrate of silver, and by cold sitz-baths. In
these cases half a drachm of the fluid extract of ergot after each
meal, or fifteen drops of a mixture composed of six drachms of the
tincture of the chloride of iron and two drachms of the tincture of
cantharides, will also prove valuable. The operations of castration and
excision of portions of the vas deferens need only be mentioned to be
condemned.
To sum up the results of my experience in the management of seminal
incontinence, I may add that the steel bougie, bromide of potassium,
and atropia are especially adapted to cases of nocturnal and diurnal
pollutions, and that after the hyperæsthesia has been relieved
electricity, ergot, and strychnia are the most reliable agents in
spermorrhagia. The end having been accomplished, moderation in sexual
intercourse should be enjoined if the patient is married; continence in
thought and action should be observed if he remains single; and
matrimony should be advised if his circumstances and inclination
warrant it. Marriage should not, however, be encouraged if the
emissions are not arrested, as I have met with several cases in which
the patient was rendered miserable by this act, from the fact that he
deemed his case beyond all hope, as the emissions still continued.
{147}
DISPLACEMENTS OF THE UTERUS.
BY E. C. DUDLEY, A.B., M.D.
The title of this article is not to be taken in a restricted sense,
inasmuch as the uterus is anatomically so connected with adjacent
organs that the displacements of the uterus cannot be intelligently
considered or satisfactorily presented without at the same time
incidentally taking into account the displacements, causative,
resultant, or concurrent, of the ovaries, Fallopian tubes, rectum,
vagina, and bladder.
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