_Treatment._――In the management of these peculiar nervous appearances,
many agents may become necessary; but to obtain rest is the
all-important consideration. To aid nutrition is the next in importance,
and thereby build up the structure of the nervous system, improving tone
by assimilation. All causes, of course, must be removed. The medical
treatment will consist of agents that stimulate evolution of
nerve-forces. Tinct. pulsatilla, bromide ammonia, dil. phos. acid, are
agents which act excellently, given one after the other, changed in a
manner to perpetuate their influence. With determination of blood to
the face and head, small doses of gelseminum or bromide potassium, for
temporary relief, and ergotine continued in grain doses.
When the hands and feet are inclined to become cold, the hypophosphites
should be given.
As a tonic in these conditions, and especially when the patient is not
often seen, formula No. 1 will act in a majority of cases very kindly.
Electricity must be resorted to for the permanent relief of nearly all
cases. General Faradisation will be the most generally useful, used
often and by short sittings.
The general bathing, resorted to in bath-houses, is often very
injurious; as no selection of cases as to the peculiar necessities,
and no adaptation, is made; but proper douching is a most excellent
remedial measure, and must be conducted with special care and judgment,
as regards the adaptation of kinds to each and every condition and
temperament.
CHAPTER IX.
_Pseudo-Spermatorrhœa._――A male, enjoying the best of health may,
under certain influences, have an involuntary discharge of seminal
or prostatic fluid; but as the latter will be treated in full
below, I shall first consider accidental discharges of semen as a
pseudo-spermatorrhœa. Impressions are wrought upon the nervous system,
sometimes of a stimulant character――other times like a shock――that are
followed by involuntary losses of semen. It is not uncommon for semen
to be found in the clothing of criminals hanged by the neck; or for
soldiers to ejaculate semen at the time of entering an expected battle.
Involuntary discharges as often occur from the bowels under similar
influences.
But mental shock is not essential to the production of such relaxation
of sphincters. I have on numerous occasions produced an ejaculation of
seminal fluid by the strong currents of electricity passed through the
genitals, localized.
A cold bath has not been uncommonly the cause of such losses, in
perfectly healthy subjects. I was once riding, in company with a
friend, through the country on horseback. My friend had suffered some
rheumatic pains, for which I gave him opium and quinine in large doses
which, under the influence of the friction of the saddle, caused an
ejaculation of semen without erection or erotic thoughts. He was a
robust fellow, and knew nothing of sexual weakness of any kind.
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