_Spinal Anæmia._――That form of spinal anæmia caused by the sexual differs from spinal irritation of other causes only in the more usual beginning at the lower portion of the spinal cord――sacral and lumbar regions. In this we have a group of symptoms of spermatorrhœa that is not by any means rare; not always diagnostic yet, coupled with the necessary history, they afford a condition to which too little attention has been given. Spinal tenderness is always present, increased by pressure, relieved by the incumbent position and aggravated by walking. Unless these symptoms be present, no case is to be considered anæmia of the cord. Where spermatorrhœa and spinal anæmia are associated, and sexual debauch has evidently been the cause of the latter directly, it will be observed that sexual excesses have existed a long time before the latter, or before constitutional disturbance had in any way manifested itself. Spermatorrhœa, when associated with spinal anæmia, appears only secondarily, as a phenomenon of the disease thus caused. As spinal anæmia advances and other tender points appear in the cord, the eccentric symptoms also change and the phenomena are various in accordance with the location and symptoms coincident with such phenomena when the causes have been other than sexual. The lumbar tenderness is generally accompanied by neuralgic pains in the lower limbs, back, abdomen and rectum, cramps in the bladder, with difficulty in urinating; at other times incontinence. In one case, which was under my care two years without any benefit, the whole spinal cord was tender to the touch, and the patient was epileptic and very feeble in mind. When the dorsal region is involved and tender, as might be supposed, there will appear gastric troubles; acidity, pyrosis, nausea and vomiting, gastrodynia; again intercostal neuralgia and rheumatism, cough and dyspnœa, palpitation, fits of fainting and epileptiform convulsions. _Case._――Mrs. P., in addition to unmistakable symptoms of spinal anæmia, with dorsal tenderness would, at the sudden closure of a door, complain of great pain in her abdomen, stomach and uterus. On several occasions she had had involuntary evacuation of fœces and urine during a thunderstorm. Her skin would be covered with cold sweat (hyperidrosis). Medicine had very little influence in this case; but electricity applied daily for three months――a mild current of Faradisation――effected a very satisfactory improvement. This was a case of sexual origin and a result of fifteen years’ sexual excess in her early life; after which she married well to enjoy the remainder of her life in wedlock under the care of a physician constantly.