Part 2 — CHAPTER I. PRESERVATIVE MEANS RELATIVE TO VENEREAL EXCESSES. (continued 2)

Irritation of the skin, particularly in the neighborhood of the sexual parts, may act on them as we have seen, and produce venereal desires. Debauched libertines have frequently sought pleasure in this, and have sometimes lashed themselves with thongs, or other instruments of torture. In the time of Nero, the art of invigorating the virile powers with green nettles was known and practised. Many authors have stated details on this topic which may be found in the treatise of Melbourne, (De flagrorum usu in re venerea, Lugd. Batav. 1643,2) and an article by Virey. (Dict. des Sc. Med., art. Flagellation.) The pleasures of flagellation, however, also have their limits: it has therefore been prescribed to deaden carnal desires, as well as to excite them. More than one saint has flagellated himself with this hope. In order that it should be efficacious, it should be used with severity.

It can easily be imagined that this remedy may have a very different effect from that proposed. Castigation, and also the denuding of the body, which is necessary, often have an effect on children, indicated by the erection of the penis. Young persons sometimes desire this punishment. The sensations caused by it have been so strong, as to be followed by an immediate emission. How many children have become addicted to onanism, in consequence of this imprudent punishment! how often has the fatal habit of onanism been encouraged by it! These consequences have been pointed out by many authors. Pic de la Mirandole, Rhodoginus, &c., have related instances of it. The following is from Serrurier. “One of my school-fellows,” says he, “found an indescribable pleasure in being whipped: he took every occasion to provoke the master, who never pardoned an offender, but had him scourged, by individuals to whom this duty was committed. This same school-fellow declared that he was sorry when the punishment was ended, because then the pollution was not complete. What has been the consequence of this horrid discovery. The unhappy person became addicted to onanism. Reduced to the lowest stage of consumption, in consequence of the habitual loss of semen, his death presents us a picture of depravity, and an instance of the danger to which one is exposed by this fatal passion.” Castigation is much more to be dreaded when practised by one of an opposite sex from that of the patient. Even young children notice this difference. Rousseau, describing the effect produced on him by being punished by Mademoiselle Lambercier, says, he was then eight years old, “For a long time she confined herself to threats, and the threat of punishment seemed very dreadful to me; but after it was performed, I found it less terrible than I expected; so much so, that it required all my natural sweetness to prevent me from seeking a return of the punishment, by averting it: for I found in the pain, and even in the shame, a mixture of sensuality which had left rather a desire, than a fear to be punished by the same hand. The same punishment from the hand of her brother would doubtless have been less agreeable.” Rousseau having exposed himself a second time to punishment, it was seen by a certain sign, that this chastisement did not produce the desired effect: he therefore escaped afterward. Thanks to his temperament, Rousseau did not contract, at that dangerous period, a habit which would have extinguished, at their source, those admirable faculties which were afterward developed.

The importance of separating the sexes in schools can be seen from the preceding remarks: this is done in many institutions, and should be practised in all. The rod, too, should also be excluded from families, and physicians should explain to families the double danger of a loss of modesty, and of exciting the senses.

Certain articles of clothing may excite the skin, cause an itching, and thus produce effects similar to those of flagellation. Haircloth and sackcloth, with which some orders of monks are now clothed, have contributed, it is said, together with the mode of life to that reputation for incontinence possessed by some orders of friars. A want of cleanliness has also had the same effect. Be this true or not, it is wise to avoid the use of flannels next the skin, particularly in young patients, and around the pelvis. Hence woollen pantaloons should always be lined. The importance of keeping the sexual organs clean, has already been pointed out; the same remarks apply to the whole body.

This cleanliness must be maintained by lotions and baths. The former ought generally to be cold: this rule is seldom contra-indicated. As to baths, we would remark that hot baths ought seldom to be prescribed for onanists and for young persons generally, because of the excitement which they cause. Tepid baths should also be used with care, as they render one susceptible and delicate. Cold baths ought always then to be preferred, when the season and health of the patients permit. There are other rules to be mentioned hereafter.

The venereal appetite may be much modified by food and drinks. This passion and the excesses with which it is attended may be connected with the diet used. Hence when we attempt to cure a young person of onanism a good selection of food and drink is very essential. It is therefore important to state the dietetic conditions by which the venereal appetite is excited or depressed.

Sine cerere et Baccho friget Venus is an old proverb, which however is too obsolete. Generally speaking abundance of good food is more favorable to venereal desires than a contrary mode of diet. This may be seen on a large scale by comparing years of plenty with those of scarcity. We can then remark how injurious periods of public distress are to the procreative power. This has long been observed, but has now been demonstrated beyond a doubt, by the patient researches of Villermé. He has ascertained from several statistical tables of population in France, that at the period of the revolution when the duty was removed from wine, salt, &c., when the laborers found themselves unusually prosperous, when they indulged in feasts and celebrations, in short, lived better, the number of births evidently increased. Eleven tables were examined by Villermé, and to this remark—he found but one exception. On the contrary, when the diet of the people is poor and insufficient, the number of conceptions diminishes and never resumes its level till abundance is restored. It would even seem that after the period of scarcity has passed away, it still continues to exercise an extraordinary degree of energy.

These facts were very manifest after the bad harvest of 1816: the number of conceptions, proportionally speaking was less, from November 1816 to September 1817, especially during the months of April, May, June, and July, than in other years. (Ann. d’hyg. publ., Jun. 1834.) Similar observations have been made in animals: it is remarked that the period of heat supervenes when they are best fed, and that generally they are much more productive when they are domesticated than when in a wild state, where they are often liable to long fasts. Hence there is reason for prescribing fasting to deaden carnal passions. Villermé has remarked that in all those catholic countries of which he has seen statistics, Lent, as it is now observed, and particularly as it was formerly kept, seems to exercise an unfavorable influence on generation.

The facts which have been mentioned may be explained in several ways: first by the action of plenty and scarcity on the health of the public. Probably in times of scarcity, a state of things is observed analogous to what is seen in marshy countries during the reign of epidemics. The action of abundance on the power of procreation may be explained also by the direct influence of the labor of digestion on the organs where the venereal sense is located. It is known that amorous desires are often developed directly after taking food. Nocturnal pollutions sometimes occur directly after lying down. Serrurier speaks of a maniac who had seminal emissions on taking food after long abstinence. (Dict. des Sc. Med., vol. xliv. p. 116.) Farther the effect alluded to may be produced as is readily imagined, more easily and forcibly when the excitement attending the labor of digestion is excessive when for instance, the repast has been great, composed of many exciting and stimulant articles of food and of good wine or with a small quantity of alcoholic drinks. Those individuals who are subject to pollution, feel the direct influence of these circumstances.

Beside the immediate effect mentioned, a warm and analeptic diet by giving the body an increase of excitement and force, may render amorous desires more frequent and vivid. Thus the habitual free use of meats, game, pork, ragouts, spices, heavy wines, liquors, coffee, &c., must be considered as an indirect cause of venereal excesses, particularly if the persons who live on this regimen do not counteract its effects by active exercise. The use of vegetables, especially those which are not very nutritious, have contrary effects. This remark must not be considered too obsolete. A debilitating diet and excessive salacity sometimes coexist: The Landes of Gironde are a striking instance of this; their diet is very miserable; they live on vegetable soups made with rancid lard; broths of meal, of coarse bread, and water, pure or acidulated at most with vinegar, &c. Hence they are extremely thin, are dark and sallow, and have an appearance of unhealthiness: this however does not prevent their indulgence in love, to which they are extremely addicted.

Different articles of food have been mentioned as contributing more than any others to excite the genital powers. Among them are found fishes. It would seem that this quality has long been attributed to them; this opinion however has not been received by moderns with much credit until it was admitted doubtingly by Montesquieu. (Del l’esprit des lois, Book xxiii. ch. 15.) Many authors have admitted this to be fact on the authority of this great man, and then instead of investigating whether it was true or not have attempted to assign the reasons for it. Thus the prolifick virtue of fish has been said to depend on the aromatics and other condiments with which they are prepared; on their seasoning: on the phosphorus contained in their flesh and more particularly in their milt: and by this fact, that populations on the sea-coast live almost exclusively on fish. This has been carried still farther: the parts of fishes which furnish the most of the seminal material have been determined: and this property has been ascribed to the milt, either because the semen is here secreted, or on account of the phosphorus which Fourcroy and Vauquelin have discovered in it. Some fishes however are thought to induce venereal passions more than others.

We have attempted to find the origin of this opinion in regard to fish but without success. In fact it has not the support of popular notoriety which arises insensibly from daily observation. Thus Benoislon has proved directly by statistical facts that fecundity is not greater among the inhabitants of maritime coasts than among those who live in other places. (Bulletin de Férussac, Jan., 1827.) Villermé has noticed that in Greenland and among the Esquimaux, who live principally on fish, on sea-calves, that is, aliments, containing these oily parts, which are regarded as so prolific, women have rarely more than two or three children during their life. Besides if fish has the property ascribed to it, why is it that during Lent, that period of the year when this form of food is most used, the procreative power should be most inactive; a fact which is proved from documents collected in almost every country by the laborious investigations of Villermé. (Annales d’hygiene publ., Jan. 1831.) Hence it is extremely improbable that fish possesses this property, which it is important to establish in order not to discard from the regimen of youth, an article of diet which being both nutritious and slightly stimulating, is well adapted to prevent genital excitement or to subdue it.

Many other articles of food beside fish have been regarded as aphrodisiac. Many insect eating reptiles, a bird called torcol and numerous insects of which it is useless to speak. Eggs have also been regarded as having the same property, and also truffles, mushrooms, artichokes, celery, cocoa and all its preparations, onions and condiments as ginger, pepper, and vanilla, and finally certain fruits as strawberries, apricots, peaches, pineapples, &c.

Among the articles which we have named there are certainly some which being heating and exciting, may cause desire although containing nothing more specific than a great many substances which are esteemed as antiaphrodisiac, because being cooling and soothing they may produce the opposite effect. Among these latter, we find milk, which, according to Ste. Marie, generally contributes less to form the semen than most other articles of food. Among these also we may mention fresh vegetables and particularly the sorrel, purslain, lettuce, endive, cucumber, mushroom, melons, &c. To these may be added the flesh of young animals, chicken, lamb, veal, &c., and also cooling drinks, as orgeat, lemonade, &c. The regimen best adapted for appeasing all carnal desires consists as we have seen in an antiphlogistic diet which is composed of those fluids or solids which when introduced into the stomach are digested and assimilated with the slightest possible degree of excitement and heat. This regimen is that which should be prescribed to those patients who possess a certain degree of vigor and wish to protect themselves against urgent and dangerous desires.

Different medicines have also been prescribed for the same purpose: many of them act in the same manner as the articles of food we have mentioned: of this character are tisans of marshmallows, violets, barley, emulsions, water distilled from lettuce, purslain, &c.: of a similar character are iced drinks, ice given internally, and even prepared ices. To calm the excitement of the genital organs drugs having a positive influence on the nervous system are also administered. Thus camphor given alone or in combination with nitre has often been prescribed for this purpose. The special action of this article on the urinary passages, leads to the belief that in some cases it may be useful. Primrose and St. Basil have boasted of the internal use of cicuta for moderating too ardent desires. Opium and its preparations have been prescribed for the same purpose. The use of this article by the Orientals and its effects upon them render us rather suspicious of it; there may be cases however in which it is useful. Belladonna deserves more confidence. Dr. Powell, in the London medical magazine for April, 1824, relates the case of a young girl 27 years old, who for more than three years experienced twice a month and even more frequently violent attacks of a libidinous hysteria: her cure was attributed to a potion composed in part of the tincture of belladonna, which was used to such an extent as to produce dilatation of the pupils. The results obtained by Chaussier, and by many others, from applying belladonna to the neck of the uterus either to combat rigidity in labor or to alleviate puerperal convulsions, lead us to think that medicine may prove efficacious in satyriasis and nymphomania. Thridace also may be tried in these cases, and Angelot has related a case of spermatorrhœa supervening in consequence of excesses at the table which was cured by this remedy. Distilled cherry-tree water also might be added which Louyer Villermay indicates as useful in nymphomania.

Boracic acid, formerly termed the sedative salts of Homberg, has also been recommended to subdue amorous passions. This is true likewise of nitre, which, under this name, or that of Sal Prunelle and mineral crystal, has been much esteemed as an antiaphrodisiac. The use of this remedy according to Baldassar cured the man, who demanded so earnestly the removal of his testes, and whose case has already been mentioned: this salt was used because Prevatius, a physician at Pavia, having administered it to a man for an affection of the bladder rendered him impotent. The hemp and the willow have also been recommended: Etmuller believes particularly in the action of this latter; and recommends the extract of its leaves, and the sap obtained from its young branches in spring. (Trait du bon choix des medicamens, 1710. Lyons.)

But among all drugs, those which are the longest known, and which were most esteemed, are the agnus castus or vitex, and the nenuphar. Human credulity is severely taxed, to believe what has been said as to the virtues of these articles. The Greek women, according to Dioscorides, slept during the festivals of Ceres, on the leaves of the agnus castus to preserve their chastity. Arnaud de Villeneuve states that an infallible mode of preserving the breast from all men’s attempts, is to carry a knife, the handle of which is made of this wood. Even now its leaves and seeds are used both externally and internally in monasteries to support more easily the rigors of celibacy. At present, however, no one believes in its virtues. The same is true of the nenuphar. Its reputation, as soothing the genital organs, belongs to the early periods of sciences. It is mentioned in Dioscorides and Galen, and its history is as fabulous as that of the agnus-castus. The list of antiaphrodisiacs would terminate here, if Montegre had not mentioned a tree called mairkonsia, which grew in the East Indies, and which was used by some fakirs to render themselves impotent. Every day those children, who are designed to be fakirs, swallow a small roll of its leaves: the dose is gradually increased, and at the age of twenty-five, the effect is irrevocably produced. This tree is yet to be known by scientific men. (Dict. des Se. Med., Art. Continence.)

Besides those articles which act as stimulants on the genital organs specially, these latter are excited by whatever tends to increase the sensibility in general. A great degree of susceptibility, and a moderate development of the venereal sense, may co-exist, and are often found combined: but this only proves that the genital apparatus may escape certain influences, and not respond to the excitements which are impressed on it. Thus, whatever tends to develop, or to diminish the sensibility of a subject, must be considered not as necessarily modifying that of the genital organs, but as having the power to modify it, and as exercising this power in many cases.

Now if we consider that the abuses of the genital organs arise most generally, because the sensibility of these organs has been excited too soon, or too vividly, we can imagine that a very great degree of susceptibility may predispose to these abuses, and, that consequently, to prevent and repress them, we must attend to every thing which favors the development of the genital organs. The power of sensation, like that of thought and action, is in many respects just what it is formed. The education, that is, the cultivation of these three faculties, may then give the senses a precocious language, and become indirectly a principle of excess. It may also, when properly directed, be a powerful means of preventing any excess. Let us see then how education acts, and how it is directed.

It is only by exercise that the faculties are cultivated. It would be very wrong, however, to suppose that each one of them has an individual existence, and by use may be developed separately, and independent of the others. The human faculties seem to have a certain extent of power in common, which they divide in such a manner that one cannot increase except at the expense of the others. An individual who possesses excessive sensibility, rarely enjoys a great degree of muscular vigor. Those men who are noted for muscular strength, are seldom distinguished for the brilliancy of their intellect. Education then acts in two ways: directly, by developing the faculties which it exercises, and indirectly, by opposing the progress of those which it neglects. What it gives to one, it takes from another: it is both a positive, and a negative power. As to the modes of directing it, they act by regulating the use of the three faculties during the period of life when they are forming. This is not the place to say how far education should be carried, so that, in a physical, intellectual, and moral point of view, it should be good: we seek only to determine what it ought to be, in order that a too vivid, or too precocious a facility to receive impressions, may not become the causes of venereal excesses.

It is not among the working classes, that those subject to hysteria and hypochondria, are most numerous. The fatigue of body, when constant, dulls the senses. On the other hand, whatever enervates, renders one susceptible to excesses. These facts, which are generally known, and are confirmed by daily observation, ought to show the influence of exercise and rest on the venereal passion. Onanism is arrested in those children, much more readily, who are extremely active and always in exercise, than in those who are sedentary. The period of puberty, this emancipation of the genital organs, is later, by two or three years, in those individuals who take just enough of repose to rest them from fatigue, than in those who take exercise simply because wearied of repose. Other things being equal, the adult who depends upon his daily labor for his bread, thinks less of sexual pleasures than the idler. Helvetius (de l’homme sect. 10, note 4,) attributes the lascivious tastes of the Asiatics to their idleness, and the indifference of the Canadians to the pleasures of love, to the fatigues experienced by hunting and fishing. Villermé has attempted to show by statistics the influence of great labor on conceptions, but has not accomplished it. He, however, is disposed to regard the influence of fatigue on the sexual feelings, as the cause of the enormous difference said to have been observed in the Antilles, between the fecundity of the black slaves, and that of the whites. He remembers to have read, that in 1798, at St. Domingo, three marriages of blacks produced only two children, while each union between whites produced three children.

It may be seen from the preceding remarks to what extent exercise is useful to young children. Unfortunately, the intellectual and moral necessities of our age cause physical education to be sacrificed in many respects. How many desires must necessarily be cherished, by confining the physical activity of young people, chained down as it were, hour after hour. How many men of mind have protested against the brief period of recreation allowed in our schools. Mr. Taillefer has done this in an excellent work published in 1824, on the improvement to be introduced in schools. This is true, also, of Pavet de Courtailles and Simon, (Hygiene des Colleges, and Hygiene de la jeunesse,) and in America by Dr. A. Brigham, of Hartford, whose work entitled, The Influence of Mental Cultivation upon Health, is full of judicious precept and sound logic. Gymnastic exercises, which are now beginning to be generally used in boys’ schools, and to be adopted in some seminaries for young ladies, compensate in some measure for their enervating education. Simon (of Metz) asserts that masturbation, formerly so destructive in the Orphan Asylum at Berne, has been expelled from it by introducing exercises. He adds, too, that this scourge has also disappeared from the schools of Switzerland, since mutual instruction was introduced, which, as is well known, obliges children to change their position frequently.

A very active life may remedy a too great degree of lasciviousness. Hunting, particularly, has been recommended for this purpose. ‘Diana has been regarded as the enemy of Love,’ says Rousseau, “and the allegory is just: the languor of love only comes from sweet repose. Violent exercise extinguishes the tender emotions.” Rullier has known hunting to produce in a man forty years old, who was passionately addicted to it, a true anaphrodisia, which disappeared when the patient adopted, in accordance with the advice of his physician, another mode of life. Some exercises, however, produce a contrary effect, viz.: those which excite the genital organs directly. Riding in a carriage, especially if it jolts much, and still further riding on horseback, may act in this manner. This effect was known to the ancient authors. Aristotle speaks of it. All those accustomed to riding know that the motions of the horse often produce an erection, and sometimes an involuntary emission of semen. A similar occurrence may take place from riding in a carriage. Serrurier has known this to happen in himself.

The sitting posture, when long continued, excites the genital organs. Simon thinks so; because this attitude, by the pain and obstruction which it causes to the circulation, brings the blood to the lower parts of the trunk, and keeps it there: hence, it exposes the young man to excitement of the genital organs, and to engorgements of the spermatic cord: even hemorrhoids appear in those who ride and sit much. This author concludes by condemning the custom, in schools, of keeping the students sitting the greater part of the day. He thinks that the number of hours spent in school should be less, and that the students should study as many of their lessons as possible, in the erect posture. He recommends, also, that the seats should be so constructed as not to generate much heat, as do those which are stuffed.

The action of intellectual labor is extremely analogous to that of muscular exertion. Persons whose minds are much occupied, who are devoted to their studies, are generally but slightly sensual in their feelings. There are some literary men who thus have become prematurely impotent. On the other hand, individuals whose minds are naturally dull and heavy, the imbeciles and idiots, are frequently remarkable for their extreme salacity. The cultivation of the intellect then is not in itself a predisposing cause of venereal abuses, but it may become so indirectly, either by the physical inaction which it demands, or by the nature of the ideas it excites. We have spoken of the former, and will now consider the latter.

The moral influences, that is, those which are impressed on the senses through the medium of the intellect, often predispose young patients to the abuses of which we are treating. The action of these influences is direct: it is by the impressions which they develop, that they may give to the senses the power of holding a language, and of exercising a precocious influence. They are particularly to be dreaded when they address the instinct of propagation, and excite it before the organized system is perfectly developed. The moral education also, that education which consists in keeping from the young certain impressions, does not act until their time has come, and must be considered as one of the most efficacious modes of preventing the premature abuse of venereal pleasures.

Notions of love may, when acquired too soon, excite in the soul a sensation which is first vague, then more precise, and which only requires an opportunity to become a fatal passion. Thus the reading of romances, and books which always interest the soul in love scenes which are painted in bright colors, ought to be strictly forbidden to young people. The same is true of theatrical representations. Here love is in a measure materialized: we see the persons who are animated by this passion: they express themselves in a manner to make one really think they feel it: they attempt by every kind of coquetry to deceive and delude the public, and even to excite desires. Art lends her aid to eloquence and gesture to move the heart, and the fear of failing to enlist the feelings, often induces the actor to overstep the bounds of nature, and then he represents libertinism, not love. Conceive of the effect which this must produce upon one who is uninitiated, who is thus, as it were, introduced into a new world: the venereal sense becomes excited sooner than it ought to be, and desires demand to be satisfied before the body has attained its strength, and consequently before legitimate pleasures are practicable or allowable.

Balls, parties, and assemblies, all opportunities of seeing the world in its gayest and most attractive attire, are dangerous to youth. Generally speaking, the habitual intercourse of the two sexes ought to be avoided as much as possible. In a report made to the Industrial Society of Malhouse, as to the number of hours which children ought to labor daily, the evening labor which brings the different sexes together in the workshops, is mentioned as a great source of trouble. One advantage of schools is, that the different sexes are kept distinct. In families, and we do not except those which are models of morality, the opportunities of intercourse between boys and girls are too frequent. Certain emotions, of an obscure character at first, are felt: curiosity is excited, and soon the secret of solitary indulgence is found. Young persons may also, under their paternal roof, acquire dangerous notions in regard to the material differences between the sexes, and other facts which are the consequence of them. “I do not see,” says Rousseau, “but one mode of preserving in children their innocence; which is, that all those around should respect and love it.” Unfortunately, the smallness of dwelling houses in cities, and other necessities, particularly that of watching their offspring obliges parents to keep their children near them, and their curiosity being always on the alert, often leads them to unfortunate discoveries. Abbe Chappe has stated the manner in which the Samoides live in their huts, as an active cause of libertinism. These individuals do not use beds, but lie, almost naked, on straw and on benches. The children witness much that should be concealed from them; become loose in their morals, and hence they have to be married early to prevent excesses. (Travels in Siberia, Vol. 1.) If accidental observations in the most moral families may be attended with the results just mentioned, what must be the consequence of constant depraved manners; their empire is so great at this age when the mind is unexperienced, and is always ready to adopt the impressions of the moment. In pity then to youth, let every magistrate prevent the publicity of immodesty and vice; do not let prostitution be sanctioned by the law: for when our sons and daughters are liable to find out in an instant what we have so carefully concealed from them, the responsibility should rest not simply on those unfortunate beings who follow such a course of life, but also on the part of those who having the power to prevent it, close their eyes, and permit, or even authorize it.

Rules relating to the direct and special causes of onanism. The habit of onanism may have three origins: it may be, 1st, that the individual discovers it spontaneously; 2d, that the vice may be taught him; 3d, that being unable to satisfy his desires for coition, he seeks a resource in onanism.

We have already seen that an unusual irritation of the genito-urinary mucous membrane may develop venereal excitement capable of causing satyriasis and nymphomania. This irritation may also act in another manner. The itching it occasions may cause the hands to be carried to the genital organs; unknown sensations are produced, and masturbation is accidentally discovered. We see by this how necessary it is in young patients to protect these parts from all sources of itching. Sometimes, too, a knowledge of this vice comes from accident. Hence children at an early age should be taught habits of modesty; all handling of the genital organs should be prohibited. Children should not be allowed to keep their hands in their pockets. Neither should they be left alone long: the necessity of observing, which is so vivid at their age, is exercised on themselves, when they find nothing else to interest them, and they sometimes make dangerous observations. It is in bed particularly that this evil is most liable to happen; hence they should be taken from their beds as soon as they awake, and the hour of rest should not long precede that of sleep. Many children have been led to onanism by their efforts to resist the wish to urinate. The pressure exercised on the penis by pressing the thighs firmly against each other, has excited sensations which they have attempted to re-produce. We mention this cause of onanism as being much more common than is generally supposed.

There is another cause, which is much more rare, but which deserves to be known: domestic animals, as cats and dogs, have sometimes licked the sexual parts of young children, particularly girls, and have excited a sense which ought to sleep. Hufeland publishes a remarkable case of this character in support of some peculiar views on venereal disease, and adds that Ruggieri some years before, published in the medical journals, a case where, by the licking of a dog, ulcers of a bad character were developed in the genitals of two old maids. (Bibliot. Med., May, 1821, p. 250.)

Most frequently, however, the habit of onanism arises from direct provocation, from instruction. Sometimes this provocation can be attributed only to imprudence. Thus nurses sometimes titillate the genital organs in children to stop their cries. We have already stated, from Biett, the instance of a young girl who had thus contracted this bad habit, and who was cured by the amputation of the clitoris: this case arose probably only from ignorance. Sometimes, however, servants teach their masters’ children from wilfulness. One should be particularly careful of female servants, as it is to them that young children are generally entrusted. Male domestics are generally to be feared, only for those young persons who are near the age of puberty. The wish to please their young master, often induces them to give the most disgusting lessons. Most frequently, however, these lessons come from their associates, the older boys teaching those who are younger.

If among young patients onanism is practised for itself, it is afterward only an apology for the want of more legitimate enjoyments. Celibacy, in adults, is with some few exceptions the only cause of onanism. This practice, and others still more revolting, are common among monastic orders, as the consequence and punishment of vows made contrary to the laws of nature. Polygamy, the quasi celibacy to which the females of many countries submit, also causes great derangements in the system. A kind of consumption has been described to which the Turkish women are subject, and which can be traced to no other cause. (Journal de Med., Vol. 44, p. 539.) It is in prisons, however, where there is no moral feeling, that this vice is most prevalent. Villermé remarks, that the amount of this vice in prisons, is almost incredible. Young and old abandon themselves to it so freely, that the physicians of the prisons of the department of the Seine, attribute the frequency of pulmonary consumption, of cramps in the stomach, muscular debility, weakness of sight, and of the intellectual faculties, to this cause alone. This physician considers onanism as one of the causes of the excessive mortality existing in the depots of mendicity. (Dict. des Sc. Med., art. Prison.)

Sailors also often abandon themselves during their long voyages to this vice. Many adults, and particularly females, seek in solitary indulgence a compensation for the restraints imposed on them by laws and customs. Even animals indulge. Montegre has published some interesting details on this subject. (Dict. des Sc. Med., art. Continence.)

We have said that onanism is performed so easily that it is much more to be feared than sexual intercourse. If then the physician has to choose between the two, he ought not to hesitate. In human things we cannot always choose between an injury and a benefit. Sometimes the selection is between a greater and a lesser evil. We may then without detriment to physical and moral laws, counsel the young man who indulges in onanism, to gratify his feelings in a less dangerous manner. This also was Rousseau’s opinion. He says, in his Emile, “If a tyrant must conquer you, I would prefer to yield you to that from which you can be released most easily: and you can be weaned from females more readily than from yourself.” The physician in these cases should recommend marriage.

This advice, too, is sanctioned by experience. Many young men after indulging in sexual intercourse, have commenced onanism; despising the latter, after exercising the former. “We have known a father,” say Fournier and Begin, “who finding his son disobeyed his advice, married him, and with success.” The same remedy has often been tried, and with good effect. A single coition has often sufficed to appease excessive ardor in females, and we could state several cases of nymphomania which have been thus immediately cured. Pregnancy also has been followed by the same results: this fact was known to the ancients and is mentioned in a work ascribed to Hippocrates. Panarolus, Matthew de Grado, and others, have related cases of females affected with nymphomania, who are never calm except during pregnancy. The following fact, observed by Esquirol, shows the influence of coition and pregnancy on the genital system. “A strong and healthy girl, of good family, nineteen years old, became affected with hysteria, with violent and almost constant convulsions. After a long and ineffectual course of medical treatment, this young woman disappeared from her father’s house, and all inquiries for her were in vain. After a few months, Esquirol, passing in the evening through a noted and dissipated quarter of Paris, was stopped by a female, whom he recognised to be his patient. On inquiring what she was doing, she answered, “Getting well.” For eighteen months this girl was a prostitute of the lowest order. She miscarried twice, and finally returned to her father’s house perfectly well. This woman is now married, a mother, and extremely circumspect in her conduct.” (Dict. des Sc. Med., art. Continence.)

§ 2. SECOND INDICATION. TO RESIST THE DESIRE OF ONANISM.

When a desire can be satisfied, and is not, it is because the will is enchained, or this is distracted by circumstances more powerful than desire. Thus then it is possible to inspire an individual with certain fears, or by distracting his thoughts to make his will resist his desires.

The fear of God and his ministers may have great influence over the minds of many, and preserve strict continence. The fear of confession has often, to our knowledge, produced a denial of desire in young persons. At the present day, however, this latter influence cannot be depended on much, and confessors, by their imprudent questions, have often excited curiosity in hearts yet innocent.

The fear of transgressing the rules of modesty taught in youth, restrains some individuals. Others abstain because they fear the correction and reproaches of a father, and think on the shame with which they would be covered were their secret known. Chastisement has sometimes had the effect of rendering the guilty ones very circumspect. But of all fears, that which has produced the most effect on onanists, is the fear of disease and death.

Onanists rarely believe what is told them by parents and others, as to the dangers of their course, but place more credit on what they read in books; and of these, Tissot is the only one which possesses much reputation. It has been much read, and although attended with great good effects, it has not always been useful. Many think its statements exaggerated, and therefore injurious. We have known it to fail entirely of its desired purpose, and to cause deplorable effects. On the whole, however, it has done much good, which it would be unjust not to acknowledge. At the same time, we must say, that a knowledge of the reproaches against Tissot, and the desire to avoid them, have had no influence over a word of the present treatise. In composing it we have been actuated by a desire to tell the truth, and have more than once remarked that we must not judge of the common effects of onanism by the cases which have been published, as those only which are very severe, appear in print. We have also said that the most common effects of onanism consist rather in certain vitiations of temperament, than in diseases having a precise form, and a distinct place in the systems of nosology. We have also shown how rapidly the health is generally restored when indulgence in onanism ceases. But this was done not to exercise any influence over the minds of those who might read the book, but simply to do justice to the truth.

The word of a physician may frequently however produce a change in the patient; more frequently than the reading of a book. He should not hesitate to speak boldly, for if it be requisite he can afterward modify his opinion. The effect of an opinion as follows, “In three months you will be a dead man” is often very great. The onanist trembles and becomes pale: his heart beats quickly, his strength fails. Do not regret it, it is not by encouragement that you will save him from himself. Add however that in a few months he will be a well man, provided he will renounce his bad habits. These words of hope will console him and encourage him to resist his evil desires. Frequently however the impression caused by this language is soon effaced. In this case another remedy must be sought for. The language and tone of the physician too should vary according to the person addressed; but he should always present the certainty of death if the vice is continued, and that of relief if it be arrested.

Sometimes the onanist leaves his old habit very gradually, a course which is recommended by Swediaur. This course may be pursued for two reasons: the first is that it is more easy to quit this habit by degrees than to break it off violently: the second that it is not always prudent to leave off habits suddenly even if they are bad. Persons have sometimes been blinded by being taken from their dungeons too suddenly.

When a young man however finds himself unable to resist the force of his desires notwithstanding the perusal of books and the advice of his physician, there is still one resource, which is the sight of an onanist dying. Approach and look at him: he was recently healthy and his prospects bright. He indulged in onanism: see what he is now; friends and physicians remonstrated with him but in vain; he would listen to nothing, he believed nothing. Now however he believes, but it is too late, for in a few days his earthly career will be closed. If terror does not affect him who witnesses this doleful picture you cannot produce it. A surgeon named Bertrand aware of the power of this mode of instruction constructed in wax two figures which represented onanists of both sexes. These figures were exhibited to those suspected of indulging in onanism and produced it is said very beneficient effects.

The ancients and we will cite Avicenna, and Paul of Egina, recommend that we should attempt to excite in the minds of those addicted to this vice an interest about external objects. Distraction is then a mode which may be usefully recommended to those onanists over whom their desires have not much power. Travelling, study, recreation, in fact every thing which can give the mind a strong and new direction, should be recommended, and may have the effect of distracting the onanist from his bad habit.

§ 3. THIRD INDICATION. REMOVE FROM THOSE WHO HAVE THE WISH TO MASTURBATE THE POWER OF DOING SO.

Masturbation is possible only under the two following conditions: first there must be an opportunity to indulge in secret; next there must be a possibility of indulging. Hence by frustrating these conditions we can prevent onanism, the wishes of the onanist to the contrary notwithstanding.

The opportunities for onanism are all embraced under one term, isolation. It is necessary for the onanist to be alone. Hence watchfulness, that precaution which makes the young man constantly observes, which exposes him every moment to detection and consequently to shame, to reproaches and to punishment for his fault, is a powerful means of preventing it.

Watchfulness should be particularly practised over young people, when they are undressed, in bed, in the bath or in the privy. Hence the young patient should undress, go to bed and rise under your inspection. If this be not sufficient, he should share your bed. This measure is frequently the only way to prevent onanism. In large boarding schools there should be no private rooms: the sleeping chambers should be extensive, and a lamp, which would give sufficient light to assist your watchfulness, but not enough to prevent sleep, should burn in it all night. The masters and those who have charge of the pupils ought to examine in silence at different hours and the most perfect quiet should exist in the apartment. Here too the hours of retirement and of rising should be calculated according to the ages, so that the suspected or guilty might never go to bed except to sleep. Be watchful of those who stay long in privies: those however with ample accommodations are not so dangerous as those which are single. In some schools the doors of the privies are open at the top, so that an adult can look into them. Need we add that persons who are suspected should be watched in the bath.

Onanism is executed with the hand and thighs on the sexual parts or by rubbing these parts against external bodies. Different modes have been proposed to obviate and prevent these. The most simple of all is to oblige the children to keep their hands out of bed. This plan when it can be observed is often sufficient, particularly in boys. Besides this we knew of only one remedy, the purpose of what can be concealed, viz., the application of a cold cataplasm to the sexual parts, a plan we have recommended several times. Pavet de Courtielle proposes the use of a chemise reaching below the feet and which is drawn together at the bottom: this remedy may be efficacious. The remedies which remain to be treated of are essentially coercive: hence the chance of success is smaller the older and stronger the patients are.

The hands may be tied to keep them from the sexual organs, and the feet also may be tied so as to keep the thighs separated. The child too may be placed in a straight waistcoat fastened behind, which may force the arms to rest on the chest. Different apparatus has been contrived also to keep the thighs asunder. One is composed of thick pieces of cork which are attached to the inside of the thighs. Drawers opening behind are sometimes used: these serve to imprison the lower part of the trunk.

A kind of truss is sometimes used to preserve the sexual parts from external contact. The principal piece of this is of metal, either silver or tin: for females its form is triangular, and for boys it represents a sort of mould, in which the penis and scrotum may be placed: the bandage is kept in place by springs, like those of herniary bandages. To add to the security of this apparatus it is sometimes applied to a dress which opens only behind. In young and feeble children these means are exceedingly efficacious, as experience has proved. The art of the onanist has even sometimes evaded these bandages. The following case occurred in the practice of Reveille Pariset; a little girl 7 years old, whose health failed every day having been detected in onanism, her mother instead of reproaching her, gave her to understand that it was the custom to apply a bandage to girls of her age. This bandage was fitted very accurately and attained the purpose desired; the health of the child being rapidly established. Soon however the symptoms reappeared and more violently than before. The bandage was examined and it was found to be undisturbed. She however was watched and it was found that she used a quill for the purposes of onanism, which she slipped in under the bandage. After this, the mother stayed with her daughter all the time, and by her vigilance the child was saved.

These mechanical bandages have other inconveniences which limit their use. First they cannot be employed in boarding schools as they become the subject of remark; and then they keep up in the genital organs a constant heat, irritation and moisture. The edges of the principal piece also may cause deep excoriations. For all this, however they are often useful and ought not to be neglected.