_Treatment._――In the management of impotence, the patient’s persuasive
influence must not in any way change the intentions of the physician,
or the fast hold of his mind, which is so indispensable to a cure,
will be lost. The patient is always in great haste, and constantly
urging the physician to make rapid progress. Too great firmness cannot
be exercised, and promises of speedy cure will invariably fail.
Time is one of the most important of all elements in the treatment,
as opportunity is afforded for the recuperative powers of nature or
physical forces to become poised.
Perfect confidence in the medical adviser is prerequisite to success,
as by this alone can the patient’s mind be manipulated, and his hope
constantly stimulated. If he has been much exercised in mind about his
case, from reading “self-abuse” literature, moral treatment will be
required to dispel from his mind the pictures there wrought. Not always
can the virile organ be restored to its normal vigor, but elevating the
general health should be first considered, and the patient’s mind kept
constantly thinking about his improving physical condition, instead of
watching for the first erection as he will most naturally do.
When the foregoing conditions cannot be secured, no benefit will result
to the patient. In no disease has mental influence so much to do with
recovery, as in impotence; and I do not hesitate to say, where I can
control my patient’s mind, that I can always effect a very satisfactory
relief. Employment is indispensable, and must be persisted in. The
patient should have no time to play, or brood over his disease, but
must be engaged so constantly that he will be even fatigued after he
has finished his day’s toil, and will sleep long and soundly from
his exhaustion. The most nutritious diet should be selected: meat,
eggs, oysters, milk, etc. Cold bathing at night, before retiring, is
a very important measure; as, first, it washes the parts of a cold,
clammy sweat, and the chill from the water after reaction, produces
a naturally warm feeling, and his attention is not attracted to the
parts by their otherwise doughy, unnatural feeling; and secondly, the
tonic properties of cold are of lasting benefit. The bathing should
extend to the back, perineum, scrotum, penis, and down the thighs. Such
constitutional measures should be resorted to as will favor any of the
imperfect processes in the body. The means should favor assimilation of
food and normal excretion, and the avoidance of stimulating diet and
alcoholic liquors.
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