Note 322 — THIRD SECTION. Relation of the Physician to Diseases consequent upon the Use or Misuse of the Genital Organs.

Caelius Aurelianus, Morb. Chron. bk. V. ch. 7., Item antecedens causa supradictae passionis, quam seminis appellamus lapsum, fuisse probatur, a qua discernitur, si quidem illa passio etiam per diem vigilantibus aegris fluere facit semen, nulla phantasia in usum venereum provocante. (Such is proved to have been another antecedent cause of the above named malady, which we call discharge of semen; but a distinct cause has to be assigned, if it so be that the malady in question makes the semen flow even by day and when the patients are awake, and though no dream provokes to the exercise of love). Philagrius appears to have made this distinction quite correctly, when as quoted by Aëtius (Tetrab. III. serm. 3. ch. 34.), De seminis in somno profluvio, Philagrii (On the discharge of semen in sleep, according to Philagrius), he says: Semen in somnis profundere dicuntur quicumque dum dormiunt, naturae genitale semen emittunt, quod ipsum eis ut plurimum ob vitiati humoris materiam, aut materiae multitudinem aut ob partium seminalium robur contingit. Iam vero quidam et ob animi moestitiam aut inediam, per somnos praeter consuetudinem semen excreverunt, atque id materiae acrimonia irritati, non ob partium seminalium robur, pertulerunt etc. (They are said to discharge semen in sleep, whoever during slumber, ejaculate the genital seed of nature, because they possess it in the greatest degree of abundance either on account of the constituting material of the semen being vitiated or on account of the copiousness of this material, or else on account of the vigour of the seminal organs. But there are also many cases where men have emitted semen in sleep contrary to their wont in consequence of sadness of spirits or fasting, having done so because irritated by the acridness of the material, and not through any vigour of the seminal organs, etc.). The only pity is that Aëtius has not preserved for us his (Philagrius’) opinion as to gonorrhœa, and has not shown clearly exactly what belongs to Philagrius in the Chapter; for a great deal, as indeed is stated, is from Galen and referred by the compiler to gonorrhœa. Philagrius in fact only lived in the latter half of the Fourth Century,—A.D. 364 according to Sprengel, 300 according to Lessing.