Another case, a man of forty-five, also a farmer, was afflicted with dyspepsia, palpitation of the heart, general debility, constipation, constant headache, etc. He could not cut up an armful of wood without bringing on palpitations and gaseous eructations, or being upset for the day; and after having connection with his wife he generally had a terrific headache, lasting for two or three days;[106] he could stand no protracted mental effort, even such as is required to make an addition of a long line of figures, or the least business worry, without the supervening headache. All treatment against these conditions was useless; the colon was kept empty, the diet was changed; pepsin and bismuth, tonics, frictions, Turkish baths, and all hygienic observances and moral treatment were all of no avail. One day, on consulting the writer, he complained of a pruritus at the head of the penis. On examination it was found that he had a narrow, long prepuce, a congenitally-contracted meatus, and was then suffering with a slight balanitis. He was very careful to keep the parts clean, but, he informed me, that in spite of all precautions, these attacks would come on. The mucous covering of the inner fold of the prepuce and glans was so irritable that connection often brought it about. The glans was small and elongated, with the meatus red, and with lips oedematous and congested. To free him from this tormenter, circumcision was advised. The party could not, however, remain away from home for the time required for the operation; so that a compromise operation was performed,--one that would not keep him from business, and, at the same time, relieve the contracting pressure on the glans. This was by Clouquet's operation and bandaging back the prepuce over the penis, back of the corona,--an operation that, in my hands, has often filled all the desired purpose. The meatus was also incised. After the operation _all_ of his troubles disappeared, as they had done in the preceding case, and he was soon a hearty and well man, able to chop wood, attend to business, and, in case of need, do family duty for a Turkish harem without recurrence of his old tormenting, dyspeptic palpitation or sick-headache.