Numerous are the contrivances to control or prevent seminal emissions.
They have all failed, and nothing is lost; as only the effect is
looked upon in their construction, and not the true nature of the
disease; therefore, to prevent spermal losses is not the first object
to accomplish, but to relieve the nerve-centers, which preside over
the manufacture of semen, of these abnormal structural changes; and
the loss of semen will abate. No instrument will then be required; and
if this centric improvement cannot be effected, the patient is beyond
help. No mechanical contrivance will relieve the centric lesions;
therefore, such appliances are useless. The loss of semen is not a
disease, only a manifestation or a phenomenon of centric lesions; and
as we have said heretofore that spermatorrhœa is not even a cause of
such lesions; but sexual shocks, often repeated for a long time, are
the cause of the neurosis through which we have spermal losses――true
spermatorrhœa. This reiteration is made that no mistake may be made in
interpreting the means of relief, which are all aimed at the lesions
instead of their phenomena.
When the patient is not too much debilitated, chloral may be
administered to produce sleep; but very commonly the ergot or ergotine
will allay all nervous irritation and bring on perfect rest. Large
doses are demanded, as much as two grains of Beaujon’s extract three
times per day, or one drachm of Squibb’s fld. ext. or an ext. of equal
strength should be used. Belladonna should be used by commencing with
small doses and gradually increasing until asthenopia is produced, when
small doses should again be used: by this means the extent of tolerance
may be ascertained, and that dose should be continued which does not
affect the eye. When the bladder is involved and urine is voided with
a lack of expulsive energy, or the urine dribbles away, ergot and
belladonna are the remedies. Where there is extensive hyperæsthesia the
bromides are better agents, and also to overcome any reflex irritations.
Hot applications to the spine are often followed by very excellent
effects, as the relief of pain and other troublesome symptoms.
Cold water to the hands, feet and genitals is often followed by
surprising results, and should be used night and morning for a long
period of time――many months. Tonics do great injury in this class of
cases. Quinia, strychnia, phosphorus and iron should never be used in
any form.
_Electricity._――The downward, constant current, alternated with
Faradisation, is indispensable to satisfactory results in the majority
of the cases of the congestive type; using the galvanic one day, and
the induced the next day, with general Faradisation, if it be followed
by pleasant effects and relief of unpleasant nervous symptoms.
Stimulating food, as well as alcoholic and malt liquors, should be
proscribed; yet a generous diet is at all times indispensable. Opiates
should not be administered, even for the relief of pain.
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