Many cases occur of a peripheral origin, from inflammation of the mucous membrane of the urethra or prepuce. Gonorrhœa commonly causes a peripheral satyriasis; but this soon passes away and is of minor importance compared to the disease which is intended as the premise of this chapter. Morbid erections appear without erotic desire, and peripheral causes commonly give rise to this condition. It may not be properly considered a disease, as it is so commonly symptomatic of spinal hyperæmia. And never, as yet, have I observed this morbid exaltation of the amative desire without spinal symptoms, with the usual diagnostic signs of spinal hyperæmia of the posterior columns. The treatment, to be followed by success, must be of such a character as will relieve any centric local hyperæmia, and as such treatment seems to give relief is additional evidence of centric turgescence. As a treatment for the disease, bromide of potass and ergot must be administered in large doses, with the addition of galvanism alternated with Faradisation. Cleanliness of the genitalia is indispensable, as well as the removal of any morbid condition or irritating influence. Satyriasis may exist as a very troublesome reflex condition in many painful affections of proximate regions; indurations, hæmorrhoids and cancer of the rectum, irritation of the bladder or prostate gland, or by caluli in either bladder or pelvis of the kidney. _Case._――Jno. C. consulted me on numerous occasions for troublesome erections. His kidneys were painful under a mild Faradic current; his water was high-colored and urethra contracted in calibre, with folicular inflammation periodically appearing, and giving great annoyance by the discharge produced. Dilatation of the urethra to full size has finally given permanent relief from the most troublesome morbid erections, and other reflex nervous manifestations. In such cases, no agent controls reflex irritations like bromide potassium; but it must be given in large doses. When causes cannot be removed, the satyriasis may or may not pass away by appropriate management, or it may be controlled temporarily and return again. I have more than once known this condition to appear and reappear in cancer of the rectum and testes, which was a troublesome feature, with intervals, during the existence of the patient. The local causes, if possible, must be removed. For the treatment of spinal congestion, see page 92. CHAPTER VIII.