The method of Profs. +Jean Civiale+ and +Lallemand+, as now perfected and extended by us, and so justly named after +Civiale+, stands unrivaled in its +success+ as well as its +simplicity+ and +reasonableness+. To all such as suffer from this harassing complaint we commend, first, a careful reading of the history of this discovery and the eminent medical men and hospitals that endorse it; and, second, a fair trial of these remedies, no matter how +hopeless+, +despondent+ and +despairing+ you may be. (See page 55.) Although the advertising and spreading, and the ringing to full perfection of this treatment is really due to us and our physicians, still we feel in duty bound to always keep in view the two great French surgeons who first discovered the method of +intra-urethral medication+. _CHAPTER V._ IMPOTENCY OR LOST POWER. Scarcely a day passes that we do not have some patient inquiring +"What is Impotence?"+--+"Are Impotence and Spermatorrhoea the same Disease?"+ +Impotency+ (from the Latin words _im_ [not] and _potens_ [to be able] means a condition of the Sexual Organs in which a man is not able to beget his species. It may be because he has lost his erectile power (and this is how it is most commonly understood), or because he has lost all desire, or lastly, because the +vital fluid+ has become so +weakened+ and +degenerated+ as to have lost its +procreative power+. Impotence is most common in men past middle age. It may come on as _the second or third stage of Spermatorrhoea_, or it may develop slowly or suddenly _without any symptoms of Spermatorrhoea_. It may be accompanied by various +nervous+ and +exhausting+ symptoms, or these may be _wholly absent_. If vital fluid is being lost, and the Impotence is due to the weakness thus caused, +nervous exhaustion+ is sure to come sooner or later. Impotence and Spermatorrhoea may exist together in the same person. Many impotent men have no other bad symptoms than simply this failure of the +sexual organs+ to respond when called upon. The trouble in these cases usually lies in the erectile muscles, which are +weakened+ or +paralysed+, and in the +nervous bulbs+ or +ganglia+, that are blunted or exhausted. A perfectly healthy man should be able to beget his species until he is +at least+ 80 years of age. Instances of such power at the age of 97 are on record. In these days of +exhaustion+, +early decay+, +excesses+ and +abuse+, most men begin to lose their power at or before 40. This is not right, and can +certainly+ be remedied by proper treatment. IMPOTENCY, COMPLICATED WITH BLADDER OR PROSTATE DISEASE.