Porneiopathology: A Popular Treatise on Venereal and Other Diseases of the Male and Female Genital System; With Remarks on Impotence, Onanism, Sterility, Piles, and Gravel, and Prescriptions for Their TreatmentCulverwell, Robert James
Science
Porneiopathology: A Popular Treatise on Venereal and Other Diseases of the Male and Female Genital System; With Remarks on Impotence, Onanism, Sterility, Piles, and Gravel, and Prescriptions for Their Treatment
Culverwell, Robert James
Genitourinary organs -- Diseases; Sexual health; Sexually transmitted diseases
To diverge, and at the same time to conclude this part of the
subject, I have only to offer a few remarks relative to the medical
and therapeutic treatment of those cases of impuissance, that
age, disorganization, and total incapacity, do not exclude from
consideration. I have already expressed my belief that generative
imbecility is consecutive to general debility; hence, whatever tends
to improve the latter, tends also to remove the former. The diet,
therefore, should be full and generous, with a liberal proportion of
spices; but all stimulating liquids, such as wine, brandy, and the
rest, should be avoided.
Bathing, in its various forms, constitutes no unimportant feature in
the treatment; the cold plunging, the tepid shower, the douche, the
warm and the vapor baths, possess their several influences. The various
medicines that come under the denomination of aphrodisiacs, are not
wholly uninfluential, such as stomachics, aromatics, gums and balsams,
oils, musk, opium, cantharides, strychnine, and others; but as their
administration can only be permitted under professional direction,
no real utility can follow any specification or formulary of their
proportions.
OTHER FORMS OF SEXUAL DEBILITY.
INVOLUNTARY seminal emissions are oftentimes very serious, distressing,
and intractable. They may be produced in two ways—from continence, or
by a high degree of morbid irritability or weakness. The latter is by
far the more frequent; for the treatment of the former is obvious,
and generally effectual. The difference between seminal discharges in
persons of full health, and those morbidly weak, is very opposite: in
the former it is consequent upon an erection, followed by an act of
coitus; while in the latter both are absent. The general debility in
the generative system, inseparable from morbid irritability, occasions
both a failure in the erection of the penis, and an inability to
retain the fluid in the secreting organs. There is no doubt that this
disposition to seminal emissions, conjoined as it generally is with
more or less deficiency of the _vis virilis_, is too often owing to the
habit of self-abuse in early age. The testes usually wither in these
cases, and the patient becomes nearly, if not entirely, impuissant.
Sometimes these cases are attended by an excessive irritability of
the bladder, accompanied by pains in the loins, kidneys, &c. Their
treatment consists in taking nutritious and digestible food, to impart
strength and invigorate the constitution. Stimulants are at the same
time to be carefully avoided, except where great languor and lassitude
prevail. Abstemiousness in liquids is to be enjoined. Habits of a
relaxing nature should be avoided; the patient, instead of sleeping
on a soft, downy bed, should lie on a firm mattress; the air of the
room should be preserved at a moderate temperature, and but few hours
should be allotted to sleep; he should pass much of his time in the
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