_Gonorrhœa with erection of the penis_ is called sometimes _Satyriasis_ or _Satyriasmus_ sometimes _Priapism_,[301] and is a species of cramp,[302] which however only attacks the penis, belongs to the category of the emphysemata, or inflations,[303] and is conditioned by an afflux of the humours, particularly of conspissated or badly compounded humours.[304] However this last phænomenon is only a symptom of that morbid lasciviousness which _Paulus Aegineta_ entitles Priapism, while he designates the condition connected with it by the name of Satyriasis, this having its origin in an inflammatory affection of the seminal vessels.[305] No proof is needed that both these views are right so far as this, that gonorrhœa is both spasmodic and inflammatory, and in either case may be accompanied by priapism. Nothing, or only very little, is evacuated of a nature to make the patients experience relief; and if there is, they are again attacked by the evil, until the original cause of the erection is eliminated, on which the penis relaxes of itself and subsides.[306] According to _Paulus Aegineta_ paresis of the spermatic vessels,—the second form of gonorrhœa,[307]—supervenes, if the disease is not relieved, or else general spasms. Patients attacked by such spasms succumb rapidly, suffering from cold sweats and tympanitic distension of the abdomen. _Alexander of Tralles_ (IX. 10) saw the erection even continue after the death of the patient. This form is not a common one; it occurs pre-eminently among young people,[308] and according to _Themison’s_ observations, who frequently saw the complaint in Crete, where however it was probably very often a result of pederastia, is subject to epidemic influence. The _treatment_ of this form of gonorrhœa demands according to _Paulus Aegineta_ (loco citato) immediate general blood-letting,—this _Galen_[309] also recommends, and practised with advantage,—local cupping or leeching, simple clysters, cooling and composing embrocations and poultices of solanum (nightshade) or cicuta (hemlock) in the lumbar region, of litharge, Cimolian earth, psymithium (white-lead) with vinegar, water or sweet wine, on the perineum. Internal remedies are a decoction of mallows, mercury and birch-bark, sap of rue, decoction from the root of the iris, nymphaea (water-lily) and adianthum (maidenhair). Diuretics are injurious. Patients should at the same time be put upon a low, vegetable diet, and the supine posture avoided. _Galen_ (loco citato) recommended in addition emetics, but not purgatives, also embrocations of _ceratum rosaceum_, friction and subsequently gymnastic exercises. _Alexander of Tralles_ insists particularly on the patient avoiding[310] all wanton scenes and thoughts, and forbids the use of any cold, specially astringent things, whereby the resolution of the contraction is made more difficult (πάθος δυσδιαφόρητον γενέσθαι,—the affection is rendered hard to be resolved).