Women use tallow candles, clothes-pins, and other commodious means, such as friction over the pubes, titilations of the clitoris, etc., for the purpose of exciting erotic energy and sexual orgasm. The nervous excitement which is wrought, is not unlike shock, from general causes; yet, when frequently brought about, may produce an over-stimulation, followed by relaxation and general weakness of the nervous system, or a neurasthenia, advancing to hysteria and organic disease of the nervous system. Various devices have been resorted to to overcome the habit of masturbation. Such things may be of service in children, but in adults moral treatment alone is of any value; and as to any appliances and devices I have nothing new to offer. The old means of blistering, tying the hands, etc., may be resorted to with children, by those who have confidence in their efficacy. In adults, matrimony will often do good, when the habit is in its incipiency; but in an advanced stage it is of little benefit. The great variety of unnatural ways of gratifying the sexual passion is only an evidence of human depravity; and the entailed diseases must be unreservedly studied, that, as much as possible, these abominable conditions may be confined within a certain limit, which should be legally set apart and licensed, that the chaste and elevated portions of society may find protection. These conditions all exist: there is no remedy to abort or expunge them; and the numerous diseases, growing out of this great depravity and mismanagement of the sexual, must all be duly considered, by the medical man, as predisposing and exciting causes of neurine maladies. To prevent the spread of disease, should be the chief aim of every humane citizen, and more especially the physician. Much is said in regard to means and legislation to prohibit the spread of venereal disease; but the nervous diseases caused by sexual debauch and mismanagement are of equal importance and as devastating to the race. If we can give credence to what Dr. S. W. Gross says, in the May number, 1877, _Medical and Surgical Reporter_, of Philadelphia, masturbation has, in his cases, caused fifteen out of nineteen cases of urethral stricture, while four were caused by gonorrhœa. I am not aware of any such proportions reported by any other authority, yet I am thoroughly convinced that masturbation has existed in a great majority of cases of urethral stricture, and in many such cases has been a cause, primarily or secondarily. It is not far from true to say, that a large proportion of masturbators, of advanced age, have a general contraction of the entire urethral canal and a diminished dilatability. Purulent discharges and abscesses are not uncommon along the course of the urethra and prostate gland, followed by folicular disintegration and perforation.