The most efficient way to arrest the evil caused by these abuses, is to stop them. When this is done, order is established very rapidly. Hence the preservative means are in our view better than any remedial measures. Often however, when these excesses have been frequently repeated and long continued, the genital organs continue without provocation the work which was commenced by onanism. Thus _involuntary pollutions_ keep up and increase a degree of exhaustion and other complaints which would otherwise disappear. In this case the treatment to be followed is to arrest the pollutions. These generally result, as we have said, from an inflammation of the seminal passages analogous to that existing in the urethra in blenorrhœa. This fact has lately been demonstrated anatomically by Lallemand and M. Davila. Hence the treatment of involuntary spermatorrhœa resembles in many respects that of chronic catarrh. The following are the principal remedies to be employed. First must be placed cold applications to the genital organs; of these pure water and ice are more generally and successfully employed. In using these, Coelius Aurelian employed sponges. Wichmann wet cloths, and Ste. Marie, who preferred ice, used a bladder. Cold washes and affusions to the part and cold douches to the perineum, and hipbaths and seabaths have also been used. Lallemand who repudiates enemata too hot or warm thinks that those which are cold may be useful. Sulphurous baths have likewise been employed by Lallemand, in the manner described in his work in diseases of the genito-urinary organs. Davila in his thesis relates instances cured in this mode, and also the case of a young man who was cured of a diurnal pollution by introducing into the urethra a sound, which was retained there as long as the patient could bear it. Lallemand entertains the same opinion, and has also employed acupuncture and he says with success. He has known patients who after the application of needles between the posterior parts of the bursœ and the anus, have passed three or four months without pollutions. Some practitioners have succeeded by directing their remedies to the cerebellum and the spinal marrow. Many medicines have been administered internally for losses of semen. Those most in repute are the preparations of iron and quinine, either separately or together. Ferruginous waters, particularly those of Spa, and the oxides of iron, have often been used. Wichmann recommends several glasses of Spa water every morning combined with some preparation of cinchona: Serrurier has related a case showing the efficacy of this treatment. Lallemand thinks that cinchona and generally all remedies which contain tannin, only benefit temporarily. Many authors also disapprove of the use of astringents and tonics in spermatorrhœa, attributing to them among other inconveniences, that of causing constipation.