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diff --git a/.gitattributes b/.gitattributes new file mode 100644 index 0000000..6833f05 --- /dev/null +++ b/.gitattributes @@ -0,0 +1,3 @@ +* text=auto +*.txt text +*.md text diff --git a/18370-8.txt b/18370-8.txt new file mode 100644 index 0000000..b4ed0fb --- /dev/null +++ b/18370-8.txt @@ -0,0 +1,3931 @@ +The Project Gutenberg EBook of Manhood Perfectly Restored, by Unknown + +This eBook is for the use of anyone anywhere at no cost and with +almost no restrictions whatsoever. You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Manhood Perfectly Restored + Prof. Jean Civiale's Soluble Urethral Crayons as a Quick, + Painless, and Certain Cure for Impotence, Etc. + +Author: Unknown + +Contributor: Civiale Remedial Agency + +Release Date: May 11, 2006 [EBook #18370] + +Language: English + +Character set encoding: ISO-8859-1 + +*** START OF THIS PROJECT GUTENBERG EBOOK MANHOOD PERFECTLY RESTORED *** + + + + +Produced by Louise Hope, Bryan Ness and the Online +Distributed Proofreading Team at http://www.pgdp.net + + + + + +{Transcriber's Note: + +Misspellings in the original have been preserved. The text uses a +mixture of italics, boldface, enlarged type, and underlining. They are +represented here by _lines_ for ordinary emphasis (generally italics), ++marks+ for added emphasis (generally bold). + +Material added by the transcriber is in braces { }. All brackets [ ] +are in the original text.} + + * * * * * + * * * * + * * * * * + + {Illustrated Cover: + + Only Sent When Requested, + and then Only When Sealed. + + GLAD TIDINGS OF GOOD THINGS. + + THE CIVIALÈ REMEDIES + + 174 Fulton St., New York } + + + + + {Illustration: CHEMICAL LABORATORY, CIVIALE REMEDIAL AGENCY.} + + + + + Manhood Perfectly Restored. + + Prof. JEAN CIVIALÈ'S + + SOLUBLE URETHRAL CRAYONS, + + as a + + QUICK, PAINLESS and CERTAIN CURE + + for + +_IMPOTENCE, LOST MANHOOD, SPERMATORRHOEA, LOSSES,_ + _WEAKNESS AND NERVOUS DEBILITY._ + + Also for PROSTATITIS and VARICOCELE. + +[The only standard and officially recognized treatment for these +diseases of the Sexual and Urinary Organs, endorsed by and adopted +in all the Hospitals of Paris, France.--See _Gazette des Hopitaux, +Dec._ 8, 1869; also _Dictionnaire des Sciences_, vol. xxiv., p. 565.] + + + FACTS FOR MEN OF ALL AGES. + + SIXTH EDITION, + + Enlarged, Revised and Illustrated. + + ISSUED BY + + THE CIVIALÈ REMEDIAL AGENCY, + 174 FULTON ST., NEW YORK. + [_Opposite St. Paul's Church._] + 1885. + + + + + {Transcriber's Note: + + The text pages cycle through a series of eight headers: + + (1) _All our Doctors are Regular Graduates, and their Diplomas are + Registered in the Office of the County Clerk, City Hall, New York, + as required by Law._ + (2) _Our Crayons are Inserted without Pain._ + (3) _We Cure where a Cure is Possible._ + (4) _We hold out no False Hopes._ + (5) _Our Treatment is Pleasant, Quick and Lasting._ + (6) _When you are Tired of being Humbugged or Experimented on, send + to us._ + (7) _We Offer Special Help to Impotent Men._ + (8) _Strictest Privacy--Perfect Confidence--Certain Cure._ + + The first set of eight pages has the headers in this order: + 1, 2, 3, 5, 6, 3, 7, 8 + On one later page, headnote 8 begins _Strict Privacy_.} + + + + +TO THE READER. + +It is with great pleasure that we send you a copy of this, the sixth +edition of our brochure on Sexual and Urinary Diseases. The success of +the Civialè Urethral Method, since its first introduction into America, +has been almost unparalleled in Medical History, and we feel that the +time has come for replacing the brief pamphlet containing a mere outline +of the method, with a work somewhat more full and exhaustive. + +Aware of the number of worthless and oftentimes actually injurious +remedies that are being advertised and recommended for the cure of +these affections, and the bogus doctors and worthless firms that infest +every large city, we have endeavored to give inquiring patients every +proof and assurance of the efficacy of the Civialè Remedies, every +facility for investigating our methods, and proving, to their entire +satisfaction, both the medical ability of our Consulting Staff, and the +honor, honesty and fair dealing of the Agency. We court the fullest and +freest investigation, either by patients themselves or any friends of +theirs in this city, either of whom we shall be happy to see and satisfy +at any time, at our Consulting Rooms, Business Offices or Manufactory. + +Repeated trials in some of the most severe cases of Spermatorrhoea +and Impotency, in both France and America, have proven the Civialè +Remedies to be safe, speedy and most satisfactory in all their results, +and we feel justly proud of having in our hands so excellent and +efficient a means for the radical cure of so obstinate, serious and +often dangerous a disease. We take pride in having saved many a +young and promising life, in having often stayed the hand bent upon +self-destruction, and in having many times cheated the grave or the +insane asylum of its expected prey. Nor do we feel less proud in +having been able, in cases of not so serious, though often of a +more embarrassing nature, to restore to full Sexual Power and Vigor +_middle-aged and older men whose desire had out-lived their power_, +or who, through early abuse, had become so weakened as to be totally +Impotent, incapable of perpetuating their species--ashamed, discomfited, +and disappointed at being somewhat less than a man. + +As every case cured is the very best advertisement that we can have, +it is hardly necessary for us to say that we endeavor to exercise the +utmost care, skill and discretion in both diagnosing and treating +these cases, and assiduity and scientific accuracy in preparing and +compounding those remedies of which we are the fortunate possessors. +Indeed, we do everything in our power to make success an absolute +certainty. + +A word in closing. Our STAFF OF CONSULTING PHYSICIANS is composed of +men selected with great care for their special skill and attainments in +this special branch of Medical Science. These gentlemen are handsomely +remunerated for their services, and take a pride and interest in every +case they treat. + +Our physicians hold no pecuniary interest in the Agency, and hence +prescribe for each case solely on its merits, having nothing to gain +by selling less or more to any one under their care. They see and treat +each case solely and wholly from a medical standpoint, and hence are +never influenced by any pecuniary considerations whatsoever. However +great the reputation of our physicians may be, we have, from the first +organization of this institution, taken and held the ground that the +best interest of the patient is best served by resolutely divorcing the +Medical from the Business Department. + + +CIVIALÈ REMEDIAL AGENCY. +Mailing and Shipping Departments, Business Offices, Consulting Rooms, +174 FULTON ST., NEW YORK. +_Opposite St. Paul's Church._ + +Office and Consulting Hours: { 8-12 A.M. + { 1-6 P.M. +Sundays: 9 A.M. to 12 A.M. + + + {Illustration: OFFICES, &c., CIVIALE REMEDIAL AGENCY.} + + + + +The Civiale Urethral Treatment + + +_CHAPTER I._ + +SPERMATORRHOEA--IMPOTENCY--STERILITY. + +The Baneful Effects and Consequences of Masturbation, Marriage Excesses, +Venereal and Urinary Diseases on Boys and Men. + + +Could we read the heart of every man and boy we pass upon the street, +how few--how very few--there are that would not reveal sickening +pictures of lust, disease, melancholy and insanity. Charnel-houses of +sin and lust--sloughs of despond and regret--excess of passion offset +by lack of power--dread, despair, hopelessness, shame and desperation, +making a picture of misery scarcely to be conceived by any but those +unfortunate beings who in the thoughtless, careless heyday of youth, or +the reckless reliance on more mature vigor, have weakened, emasculated +and enslaved themselves by indulgences and excesses that have borne +fruit of misery, disease and desperation in after years. + +How little the youth who, in his ignorance of the terrible consequences +of his vice, steals away to the secrecy of his chamber or his bed, +leaving his happy, healthy and playful companions, in order that he +may let the hot waves of lust and passion run riot in his mind, and dry +up every spring of healthy thought and action--how little does he think +of the after-time of misery and exhaustion that he is bringing upon +himself--how little does he think that the vile demon that he is raising +up will, like the vampire, suck his very life-blood, steal away his +strength and life and vivacity, besmirch and weaken his mind, take the +strength from his muscles, the courage from his heart, sap the very +foundation of his existence, unsex and unnerve him, render him feeble, +wavering and imbecile, dog his footsteps to the very steps of the altar, +to curse and blacken and disappoint those joys of parentage and marital +right that should be his. The shadow deepens with him as life advances, +and follows him, bringing shame and misery and despair at every step, +until the poor victim, driven too far, sinks into an early grave by +disease or suicide, or is lost to the world and to all joys and friends +behind the doors of an insane asylum. + +He died of no disease known to medical science. He simply faded +away--weaker, more nerveless and hopeless day by day; he faded away +until, almost before any one knew it, the grave yawned to receive him. +Poor, miserable, hopeless wreck--poor suicide, for his own sin and crime +were the real causes of his death. + +How many such there are at the present day. We meet them on the street, +in business and at church. Our insane asylums are full of them. We +find their wives unfaithful or unhappy; and their offspring--when they +are cursed with any--poor, miserable, weak fledgelings, with aged, +wasted faces, water on the brain, with rickets and softening of the +bones--idiots or imbeciles--dying early and scarcely regretted even +by the parent whose progeny they are, for every wail of the little +suffering voice pierced his heart and reminded him of his lustful sin, +and passionate, inexcusable indulgence that caused all this misery. + + "And the sins of the father shall be visited upon the children, + even to the third and fourth generations." + +Alas, how true! how indisputable! The imperative Laws of Nature once +broken, the consequences are _inevitable_. + +Of late years it has become the fashion amongst certain men to scoff +at this terrible vice of secret indulgence, and to claim that its +evil effects are overrated, are portrayed too vividly. Ask some poor +unfortunate whose confidence you may succeed in gaining, and listen to +the pitiful tale of lost health and vitality he will tell you. Mark well +the wasted hand, the putty-like skin, the black-ringed, lack-lustre +eyes, the heavy lip, the labored breath--read the consequences of his +sin and crime in his shame-faced way, his shambling gait, his nerveless +hands, his fluttering heart, his weakened muscles, and his tottering +memory and mind. + +Must he needs lie dead at our feet before these skeptics can be +convinced? Is not such a state a living death? Must these men visit +him in the cell of the asylum, watch him as a raving maniac, gaze upon +him as a hopeless idiot or a driveling imbecile, before they will be +convinced? Such proof is at hand. Not an asylum in any country but has +its score of such; not an asylum record-book but chronicles the sad +histories of thousands of these poor, lost creatures--male and female; +not an asylum nurse or doctor but will sadly point out these creatures +to you, bereft of every trace of reason, all sense of shame, still +practicing the horrible vice that has driven every semblance of humanity +from their faces and the very light of reason from their eyes. + +True, every boy or man who practices this vice does not come to this +end. But who shall discriminate? There are thousands such, and who shall +say which it shall be, or at what moment it shall occur? Ah! happy, +rosy-cheeked boy, so gay and thoughtless now, so free from misery, +disease and care, beware! It may be your turn next. A little thoughtless +indulgence, the imitation of friend or companion, though apparently +harmless now, may blanch your rosy cheek, destroy your peace and +happiness of mind, and make a life-long, hopeless, suffering invalid +of you--may shut the door of all earthly enjoyment in your face, blast +your hopes, disease or destroy your offspring, alienate you from friends +and family, and cut off from all communion with your race, make you an +object of shame and disgust to your fellow-men, sink you into an early +grave or entomb you for life in the cold stony walls of a lunatic +asylum. + +The day will come, erstwhile, when you will curse the parents who reared +you, the friends who surrounded you and the teachers and ministers who +taught you, for not warning you of the terrible nature of this +indulgence, so secretly common amongst boys and young men. + +The day will come, when in the midst of your mental, moral and physical +agony, with weakened mind and exhausted body, physicians will tell you +that masturbation is practically harmless, that its consequences are +exaggerated, and that your sufferings are mostly imaginary. Then will +you pity their ignorance and bemoan the fact that to such men must +sufferers in your terrible extremity apply without any feeling of being +understood, appreciated or sympathized with, and, far less, relieved or +cured. + +Happy will you be then, if you can (with your vice and misery staring +you in the face and threatening you with some or all of its dire +consequences) direct your steps to those who not only can and will +sympathize with you, but who are able to aid you with proper remedies +and restoratives and set you safely on the way to health and happiness +again. For there _are_ proper aids and remedies; there are hope and +happiness to be obtained if the affections growing out of this vice +be skillfully taken in hand in time. None but the hopeless sufferers +who have been lifted from the misery, shame and weakness of their +self-inflicted suffering know how much this world owes to the high +medical skill, exhaustive study, and persistent search for truth and +proper remedies of those two great Frenchmen, +Professors Claude +Lallemand+ and +Jean Civiale+. The medical as well as civil honors +conferred upon them by their country and their medical brethren, great +as they were, could never half repay them for the good they rendered +thoughtless youth and suffering manhood by their special discoveries. +There can be no question but that the +Civiale Urethral Crayons+, named +thus after this great specialist, and endorsed by the most eminent +medical men of France (that country in which lust and passion are +peculiarly prevalent), are the most far-reaching and reliable specifics +for Generative, Sexual and Nervous diseases known. + + +CAUSES OF SPERMATORRHOEA AND IMPOTENCY. + SELF-ABUSE NOT THE ONLY CAUSE. + +Many years' experience in the treatment of these debilitating diseases +has proven very surely that there are many causes besides Self-Abuse +(Self-Pollution, Secret Vice or Masturbation) for Spermatorrhoea, +Impotency and Debility or Lost Manhood. Self-Abuse is the most common +cause, and we therefore give it the most prominence. The others we will +name briefly in about the order of their frequency. + +1. MARRIAGE EXCESSES.--A very common cause, more often producing +Impotency (loss of Sexual Desire or Power) and Sterility (inability to +beget offspring), than Spermatorrhoea (loss of vital fluid, daily and +nightly losses, losses in the urine, nervous prostration, debility, +insanity, paralysis, &c. For full description of symptoms, see pages +12-16). Sexual desire was given to mankind, like any other power or +appetite--to be enjoyed in reasonable moderation _and for the purpose of +insuring a continuance of our species by the birth of offspring_. Many +men abuse this power--abuse it inordinately, shamefully--and suffer the +consequences. This is especially true of the newly married, and men +advanced in years, who push their failing powers too far. As a just +retribution for the abuse of so important a function, the Almighty +deprives some of desire, some of power, some of both. + +2. ONANISM.--By many this is confused with Masturbation or Self-Abuse. +While like it in some respects and in many of its consequences, it is +still different. It is as hurtful to an adult as abuse is to a young +person. God punished Onan for this sin, hence its name. Yet, despite +this terrible example so plainly set forth in the Old Testament, +probably one-half of the married men of the present day are pursuing it, +and hence so many Impotent and Powerless persons, seeking vainly amongst +the many cheap, quack remedies for something to re-invigorate and +re-vitalize them. + +This is a terrible vice, terrible in its consequences, and however hardy +and robust the man, sooner or later his sexual powers must and will +succumb to the strain. Many men write us, saying that they never +masturbated, and yet are totally impotent and cannot understand why +it is. And yet they have been thus injuring themselves for years! + +Sexual power and desire were given us for one purpose--the perpetuation +of our species, and whoso endeavors to avoid this, must suffer. Many +married couples do not want more children, from care, poverty or other +causes, and hence the extent to which this terrible practice is +indulged. It _must_ be from ignorance, for were it commonly known how +injurious this practice is, _but few would dare take the terrible risk_. + +And yet the resulting weakness can be speedily cured if properly +treated. In no class of cases have the Civiale Remedies achieved greater +success than in these. + +3. ANYTHING DEBILITATING--such as Overwork, Confinement, Sedentary +Occupations, Worry, Care, Excitement, &c., &c.--These are much more +common causes of Sexual and Generative Diseases than is generally +supposed, and usually very obstinate and difficult to treat, because +the system is so run down that there is very little stamina or vitality +to rely upon. Clerks, business men, lawyers, bankers, ministers and +students are very subject to this form of impaired vital and sexual +power. Theological students are very prone to it. Many do not have any +idea as to what their real trouble is, and lose much valuable time in +doctoring for Dyspepsia, Consumption, Neurasthenia and the like, when +really their very life and vitality are oozing away from them in their +urine or otherwise. + +4. WOMEN'S (OR VENEREAL) DISEASES.--Gonorrhoea (clap), Gleet, Stricture, +Injury to the Urine Canal from the rough use of sounds, bougies, +catheters, &c., &c. Any one or all of these, by extending the +inflammation backward to the seminal ducts and neck of the bladder, +may cause either Spermatorrhoea or Impotency. Indeed, Stricture +(often caused by Self-Abuse) is one of the most common causes of +these complaints. It was here that +Lallemand+ and +Civiale+ found +the key-note of the true treatment of these diseases. + +5. VARICOCELE, or a wormy, swollen or twisted state of the veins in the +bag, and of those that run down to the testicles, is a very common cause +of both Spermatorrhoea, Impotency and Debility. (For full description of +this very common and often unexpected disease, send for our illustrated +pamphlet on the subject, or see Chapter XI, page 44 of this book.) No +man or boy with Varicocele, no matter how it was produced, can be +perfectly sound and strong in his Sexual Organs. + +6. UNDEVELOPED, WASTED OR MISSHAPEN PARTS.--A failure to have perfectly +developed organs sometimes dates from birth, but in most cases it is +caused by self-abuse at a time when the person is growing. In any case, +Seminal weakness and Wasted or Misshapen Parts go together as both cause +and effect, and the one, when found, will usually very soon lead to the +other. _Twisting or Curving_ is one of the most positive signs of +previous inflammation, stricture and twisting or distortion of the +seminal ducts, and hence sterility or barrenness. In such especially are +the remarkable effects of the +Civiale Treatment+ the most noticeable. +We can say with positiveness, and prove it by case after case, that by +no other method can such rapid and perfect restoration of the organs to +a natural and healthy state be obtained as by this. Some of the very +worst and apparently most hopeless cases that we have had--cases that +have gone from one physician to another without the slightest +improvement--have yielded effectually to the +Civiale Remedies+. In some +of them the persons thus afflicted would have been totally unfitted for +marriage had they failed to find relief. Their children--healthy, happy +and finely developed--speak volumes for what our treatment has done for +them. (For Treatment refer to page +42+ of this book.) + + +IMPOTENT OLD MEN-- + THE SEXUAL DECAY OF ADVANCING AGE. + +We have thus far given briefly the most common causes of Seminal +Disease. There are a few that we have not mentioned: Blows on the Head, +Loins (Small of the Back), Testicles, &c.; Weakness caused by prolonged +illness, fevers, &c.; Malaria, Consumption, &c.; the abuse of Tobacco, +Opium, Alcohol and Chloral, &c., &c.; but these are less common and less +important. There is one condition, however, that we have only referred +to incidentally, and that is the failure of Sexual Power in men past +middle age. No man (if he is reasonably careful and does not abuse +himself) should find his powers decaying before he is seventy or eighty +years of age. Mind, we do not say "no man does," but no man "_should_," +provided he is reasonably careful. + +But here comes the fact. Most men are _not_ careful, and most men _have_ +abused themselves at some period. Many believe and stoutly maintain that +they "never had emissions or seminal disease, and it didn't hurt them." +But it did, and it is just now that they begin to feel it. It is true +they escaped the more acute and direful effects, but it told on them in +after years. There are many thousands to-day who are just now feeling +the effects of early vices, now almost forgotten. They can be restored +to _natural_ power by proper treatment, but they rarely are, because but +few of them believe that early self-abuse or later Onanism has anything +to do with it. So they spend a fortune almost--and uselessly too--on +Stimulants, Nervines, Tonic and the like, but still remain partly or +wholly Impotent. Foolish men! + + + + +_CHAPTER II._ + +THE VITAL FLUID + +What it Is, What it Does, and How it is allowed to Drain Away, +Weakening, Emasculating and Dementing the Vicious and the Careless. +Diurnal (daily) Emissions. Nocturnal (nightly) Emissions. Impalpable +Oozings. Losses in the Urine. Losses while at Stool. Mistaken Gleet. + + +There are thousands of weak, nerveless men, who do not know what ails +them; thousands of invalids whose physicians are puzzled and perplexed +by their symptoms, and cannot account for the rapid waste of strength, +energy and vitality, much less check it; and thousands of others, on +the street, in the pulpit, on the bench, in the counting room, whose +troubles, illness and misery are due to losses of vital fluid. Some +know it, many more do not. Some are being properly or improperly treated +for it; many are being dosed and drugged for Malaria, Neurasthenia, +Consumption, Overwork, Brain Troubles, Paralysis and many equally as +foolish and irrational complaints. They sicken, die, destroy themselves +in hopeless despair of ever getting well and strong again, verge into +hopeless idiocy or go raving mad, simply because their trouble is not +understood; because day by day and hour by hour there is draining from +them in their urine, at stool and otherwise, that precious vital fluid +that represents life, health and energy to them. + + {Illustration: Fig. 1. + A HUMAN TESTICLE. + Perfectly Healthy. + [From Gray's Anatomy.] + Each _lobule_ may be seen (carefully guarded from pressure or injury) + in its cell, with a strong fibrous partition on each side. All these + _lobules_ empty into small ducts which converging form the _Globus + Major_, _Epididymis_ and _Globus Minor_, which finally end in the + _Vas Deferens_, _Cord_, _Duct_, or _Tube_ that conveys the fluid to + the Seminal Vesicles at the back of the bladder. (See _Figs._ 5, 6.) + As the veins of a _Varicocele_ surround these delicate _lobules_ + as well as _fine tubing_, it can readily be seen how easily such + pressure, weight and crowding may do very serious injury and make + the flow of semen irregular, or shut it off altogether.} + + {Illustration: Fig. 2. + HUMAN SPERMATAZOA. + [From Gray's Anatomy.] + A. Healthy, well developed and active zoa-sperms from the _Vital + Fluid_ of a strong, robust man. + B. Showing cells and bunches, in which form they are secreted or + made by the testicles.} + +And is it surprising that the continual losses do drain away strength +and vitality? This fluid is the only one charged with _life_--actual +_life_; capable of producing _life_--of creating offspring--of +impregnating and developing into perfect being, with thinking and +reasoning brain and mind, pulsating heart, expanding lungs, sentient +nerves, motive muscle, and all that beautiful, minute and co-ordinate +mechanism that forms a perfect human being--the only secretion in the +body capable of propagating species--carrying _life_ within _life_. + +Surely this was not meant for waste. Surely the influence of its loss +upon the system, especially of a boy or young man (growing and not fully +developed), must be great, and it is. Many and many a young man thus +wastes away before the eyes of his friends from no other cause. Many a +one loses health and strength from this cause alone, yet does not know +it. How much better if all this false modesty, social hypocrisy, and +blundering medical dosing and drugging, without thorough examination and +full understanding, were wholly done away with, and the young men, and +old men too, were brought to understand two cardinal facts: + +(a) The immense devitalizing effects of even small continued losses of +vital fluid, and, + +(b) The fact that many apparently strong and healthy, as well as weak +and nerveless, men who find their sexual powers gradually or suddenly +failing them, can, in nine cases out of ten, trace it directly to +losses of vital fluid in the urine or otherwise, that have been going +on--perhaps wholly unknown to them--for months or years past. + +(See also chapter on "Hidden Spermatorrhoea") + + +ANALYSIS OF URINE. + +At the first symptom of Sexual Decay or Nervous Exhaustion, the person +thus affected should have his urine carefully and thoroughly analyzed by +some competent person. In saying "competent person," we speak advisedly, +for but few chemists and fewer physicians are competent to make such +an examination and draw correct deductions from what is to be found +there. Any person can, with the proper reagents, test his urine for +the presence or absence of semen, but he cannot make the thorough, +scientific, chemical and microscopical analysis that is sometimes needed +in order to arrive at a full and perfect diagnosis and successful +treatment. + + {Illustration: Fig. 3. + URINE OF A YOUNG MAN SUFFERING WITH SPERMATORRHOEA. + 1. Epithelial Scales from the Prostate Gland. + 2. Scales from the Kidney Tubes. + 3, 4. Scales from the Kidney Tubes swollen and degenerated. + 5. Spermatazoa, wasted, shriveled, imperfect and dead. (In this case + the Varicocele had extended up the cord.)} + +If losses of semen are taking place in the urine, it would be well to +forward a sample of it at once, for a full and extended analysis, which +will be made for the nominal fee of $2, merely to cover the cost of +chemicals. + +Our Chemical Laboratory is under the supervision of Mr. G. H. E. Du +Bell, Ph.D., a thoroughly competent quantitative and qualitative +analytical chemist, a graduate of the French and German Universities +and also a licentiate in this country, who, with his able corps of +assistants, makes all examinations and reports in full upon them to the +Medical Chief of Staff, who in turn submits them with the histories of +each to the full Consulting Board or Staff. + + + + +_CHAPTER III._ + +THE FORMS, SYMPTOMS AND CONSEQUENCES +Of Masturbation, Spermatorrhoea, Nervous Exhaustion +and Spinal Irritability. + + +In no disease known to us are the symptoms precisely the same in every +case. They vary with the constitutional peculiarities of the individual. +Yet in nearly every case there are certain prominent or leading symptoms +(signs) that are rarely absent at _some_ stage of the disease. We give +here the more noticeable ones at first laid down by +Lallemand+, the +great French physician, who first gave us the name "Spermatorrhoea," +who first wrote upon this disease, who was the first to discover the +connection between the losses of semen and certain symptoms here given, +and who, too, was the great originator of that treatment so successfully +perfected by his successor, +Prof. Civiale+, and which is now the +_standard_ treatment, recognized and adopted in all the French +hospitals. + + +OBJECTIVE SYMPTOMS DUE TO MASTURBATION. + +First, as to the appearance and actions of the +Masturbator+--he who is +constantly and recklessly drawing drafts of exhaustion and decay on the +nervous energy and strength of his coming manhood, and which are sure to +bankrupt the most robust health. + +If there is a man to be pitied on this earth, it is he who is walking +about from day to day conscious of being guilty of ever having practiced +this vice. Mark the man who is addicted to it in no matter how light a +form; _his face tells the story of his sin_. See his +haggard looks+, +his +deep, sunken eyes+, which he throws only half-way into the +countenance of his friend. _Note the +blue+ or +black discolorations+ +under the +eye+; the +nervousness+ to get away from a crowd, and the +extreme +girlishness+ or +backwardness+ when +introduced+ into the ++company of ladies+._ + +The victim of the most dangerous of all vices soon reaches a state +which, if not promptly relieved by the proper remedy, will end in +life-long misery or an early death. + +Objectively considered, the masturbator is recognized by a marked facial +expression, by a characteristic mannerism, and by a peculiar mental +state. + +THE FACE.--_The +facial expression+ consists of a +pale+ and +sallow +tint+ of the skin, unusual +development+ of +acne+,--red pimples,-- +especially on the +forehead+; a +dark circle+ around the +orbits+; ++dilated+ and +sluggish pupils+; +lustreless eyes+, and an +oblique line +extending+ from the +inner angle+ of the +lids transversely+ across the ++cheek+ to the +lower margin+ of the +malar+ (cheek) +bone+. The +face+ +has a +haggard, troubled, furtive expression+._ + +THE MANNER.--_The +manner+ of the +masturbator+ is peculiar. He is ++listless, shy, retiring+, and +easily confused+; he +avoids society+, +preferring +solitude+; there is a want of +steadiness+ and +decision+ +in his +locomotion+; his inferior +extremities+ seem +deficient+ in ++power+, and all his movements betray +a mind ill at ease+._ + +THE MIND.--_His +mental operations+ are +confused+; his +speech is +embarrassed, awkward+, and +without directness+; his +memory+ is ++defective+, and he is +absent-minded+ and +given+ to +reverie+. If the +habit has long existed, and been excessively frequent in repetition, ++epilepsy+ may be produced; or +serious mental disorder+, as +delusional +insanity+, +dementia+, etc., may occur._ + +THE SEXUAL ORGANS.--The state of the +genital organs+ varies with the +length of time the habit has been indulged. In some young subjects, +there will be observed an _+extraordinary development+ of the +organ+_, +owing to premature excitement; but the disproportion is not maintained. +Prof. Barthalow says: "With the progress of the habit the organ becomes +_+small+ and +relaxed+, the +erections feeble+, the +corpora cavernosa+ +either +waste away+ or their +vessels+ lose their +tonicity+, whereby +an apparent +shrinkage takes place+; the +corpus spongiosum+ and the ++glands+ also +shrink+, so that the +prepuce+ (fore-skin) appears ++unnaturally elongated+. The +testes+ may +increase+ in +size+, become ++tender+ and +irritable+_, or they may waste away to nothing but little +strings; the latter is the more usual result. + +"_+Pains+ in the small of the +back+, a sense of +weight+ and +aching+ +in the +loins+, around the +anus+, and in the +testes+_ is experienced. +_The +appetite is capricious+, the +digestion feeble, and the bowels+ +are +constipated+_, or constipation alternates with diarrhoea. + +"_The+ mind+ is +deficient+ in +power+ of +attention+, the +imagination +is constantly pervaded with vague erotic dreams+, the +moral sense+ +is +blunted+, and the +perceptions+ are +dull+ and +confused+. +Pains+ +in the +head+, in the +occipital+ and +frontal regions+ (front and back +of head)_, and a sense of fullness, and in serious cases _alarming ++Vertigo+ (dizziness and falling); +pains+ in the course of the ++principal nerves+, and an extreme +nervous susceptibility+, are +experienced. The +organic nervous system+_ manifests a functional +disturbance in harmony with the disorder of the nervous system of animal +life. _+Gastralgia+ and +abdominal pain+ (pain in stomach and bowels)_ +and +uneasiness+ are in some cases very distressing symptoms. + +"The distinctiveness of the foregoing symptoms will be determined +by the extent and duration of the habit, and by the constitutional +peculiarities of the patient. +The more highly developed the nervous +system, and the more it preponderates in activity over the muscular and +digestive systems, the more serious the effects.+ + + +EFFECTS OF MASTURBATION ON THE MIND + +"The most serious +mental effects+ are produced by +masturbation+. This +vice, commenced at or before the period of puberty, interferes seriously +with the development of the brain and the evolution of the mental +faculties. + +"That +spermatorrhoea+ will produce in one class of cases ++mental disorders+, and not in another, indicates either that some +predisposition to these disorders existed, or that the habit of ++self-pollution+ was merely an expression of +mental alienation+ +(insanity). The +images+ which pervade the minds of boys possessed +of the highly-developed nervous organization of masturbators are those +of +delusional insanity+. + +"There is, however, a +cerebral+ (brain) +phase+ of spermatorrhoea which +may be separated from the two preceding classes. It is characterized by +_+indistinctness of vision+, +dilatation+ of the +pupil+, +amblyopia+ +(near-sightedness), +diplopia+ (double sight); +diminution+ in the ++sensitiveness+ of the +auditory apparatus+ (deafness); +feebleness+ +of +voice+; +mental preoccupation+, +hebetude+ of +mind+, +confusion+ +of +ideas+, and a +profound melancholy+._ + +"The termination of such cases is in _+suicidal monomania+, +delusional +insanity+, etc._ In that variety of the cerebral form in which a +decided predisposition must be admitted to exist, to disorder of the +intellectual faculties, there are found various forms of mental +alienation. The +chronic form+ is the most common, which corresponds +to the _+melancholia+ of +Pinel+, or the +lypemania+ of +Esquirol+, +terminating in +dementia+._ Several of the most characteristic cases +which have happened under my observation correspond to the _+delusional +insanity+ of +Bucknill and Tuke+_."--[Manual of Psychological Medicine, +Phila. ed., p. 103.] + + +INSANITY FROM SPERMATORRHOEA. + +Many writers are disposed to underrate the importance of this tendency +in spermatorrhoea. The statistics of any of our large insane asylums +will illustrate the influence of masturbation in the production of +insanity. Mr. Holmes Coote, in a discussion which followed Dr. +Drysdale's paper on the "Medical Aspects of Prostitution," read before +the Harveian Society of London, remarked that "he still entertained the +opinion that there were no worse evils appertaining to human weakness +than this. He had opportunities of witnessing the fact that among the +young there was no cause of insanity more common than indulging in +habits which he would not further particularize, but which were known to +result in the most complete bodily and mental prostration."--[British +Medical Journal, Feb. 17, 1866.] + +Dr. John P. Gray, the distinguished Superintendent of the State Asylum +at Utica, New York (Twenty-Fourth Annual Report, 1867), thus speaks of +the +influence of masturbation+ in the production of +insanity+: "The +records of this institution show five hundred and twenty-one cases +admitted directly attributable to this vice, and I am well convinced +that the number is greatly understated." + +We might add confirmatory testimony from a variety of sources, but the +foregoing is sufficient for our purpose. + +IMPORTANT.--_Peculiar, numb, dead, aching, or tingling sensations in +the hands, arms, legs or feet, and headache and specks before the eyes +on stooping or reading; also sleeplessness, too sound sleep, and +apprehensive dreams should be watched for, and the moment they appear +danger from Paralysis or Insanity is to be apprehended and proper +treatment at once taken. These symptoms may mean nothing in some cases, +but they are terrible harbingers of ill in others._ + + +A CASE OF INSANITY FROM SELF-ABUSE.--(_Fig. 4._) + +The following case, taken _verbatim_ from the Care Book of the Insane +Asylum at Blackwell's Island, will serve as a _type_ of the many to be +found in every hospital for the insane in this country. (_And a terrible +and noteworthy fact is, that according to the recent annual reports of +these institutions, both in this country and Europe, insanity, idiocy +and dementia from Seminal Losses and Sexual Abuses, are increasing from +year to year._) + + {Illustration: Fig. 4. + Appearance of James McC----, a few weeks before he died. + (See below.)} + +"James McC----, admitted to the Asylum ten days ago. Single, clerk, born +in N.Y. State. Was found on 6th Avenue surrounded by a crowd who were +attracted by his violent and frantic efforts to destroy everything +within his reach. On being arrested and taken to the 29th Precinct +Station House, he was recognized by the Sergeant on duty at the desk +as having been arrested twice before within a week--once for violent +shouting and disturbance in the street, and once for an attempt at +suicide by drowning. As he had attempted his life by hanging the last +time he was locked up, and had afterwards seriously injured himself by +trying to dash his brains out, he was adjudged insane, and a watch set +on him all night. In the morning, when taken before the magistrate, he +was violent and abusive, using the most frightfully obscene and profane +language. There he was held for examination and sent to Bellevue in a +"straight-jacket," which was found to be necessary in order to control +him. From the padded cell there he was sent here. + +"Upon examination he is found to be suffering from acute mania, +alternating with periods of intense melancholia in which he invariably +attempts to take his own life. His language when excited exceeds in +obscenity anything ever heard. During the intervals of quiet he is +constantly practicing the vile habit which has undoubtedly been the +cause of his insanity. He has lost all sense of shame and continues to +practice before visitors, attendants and physicians. He makes no effort +to go to the water-closet, and his clothes and cell are in a filthy and +disgusting state. Ever since admission he has refused all food, and it +has been necessary to feed him with a stomach pump. He is losing flesh +and strength every day, and is fast wasting away. + +"From his relatives who have twice called to see him it was learned +that his mental trouble came on very suddenly, although his memory and +faculties have been failing for some time past. They say that he +complained of sleeplessness, numbness and tingling sensations in the +arms and legs, headache, and a peculiar itching of the skin, for months +before any distinct symptoms of insanity appeared. They attribute it all +to self-abuse, which he has admitted practicing from an early age. + +"AUGUST 28th.--Is now paralyzed in both lower limbs. Still violent. + +"SEPT. 3d.--Died this morning about 1 A.M. Is so emaciated that he is +little more than skin and bones. _Rigor mortis_ entirely absent. Shortly +after death the skin of the whole body changed to a dark chocolate hue." + +Truth is often stranger than fiction. What end more terrible than this! + + + + +_CHAPTER IV._ + +SPERMATORRHOEA, OR LOST MANHOOD. + + +SYMPTOMS. + +Spermatorrhoea may be conveniently divided into three stages. + +FIRST STAGE--IRRITATION, CONGESTION. + +In this stage the sexual organs of the brain and nervous system first +begin to feel the strain of early abuse, overwork, confinement, sexual +excess, or whatever the cause may be in this particular case. + +The Prostate Gland (_j_, _b_, _Fig. 5_) the Seminal Vesicles (_l_, +_Fig. 5_), Cowper's Duct (_n_, _Fig. 5_), the Testicles and Spermatic +Cord (_h_, _f_, _k_, _Fig. 5_), indeed all the sexual apparatus, +including the bulbous sympathetic nerves lying just inside the spine, +from the small of the back down to the end of the organ, become filled +with dark, thick and stagnated blood. The Prostate Gland swells and +becomes enlarged, the Seminal Vesicles become weak, baggy and filled +with a thin, glairy fluid that oozes out into the urine and urine canal +on any little strain, exertion or excitement; especially when, after +being in the presence of the opposite sex, weak, feeble erections +follow. The testicles become flabby and stringy and no longer make +strong, healthy, fecund vital fluid. The constant calls upon them has +exhausted them as also the nerves that gave them life, strength and +vitality. A heavy dragging +weight+ is often felt in the +groin+, +especially after walking or long standing. There is a feeling of ++weakness+ and +exhaustion+ in the parts. Often +strange sensations+ +shoot through the parts, and they are +cold+ and +clammy+ at one time, +while +weak+ and +sweating profusely+ at another. + + {Illustration: Fig. 5. + MALE ORGANS OF GENERATION. + [From Acton's Celebrated Work on "The Reproductive Organs."] + _Side view of Body cut in half lengthways_ showing the course taken + by the +vital fluid+ from the +Testicle+ (where it is made) to the + Seminal Vesicles (where it is stored). The penis is shown cut off at + dotted line _g_. + + As shown here the +vital fluid+ secreted in the minute tubules of the + healthy testicle is gathered into the vas deferens or conveying tube + _k_, which passing through the groin dips behind the bladder _a_ and + empties into the Seminal Vesicles or Storehouse _b_. From here it is + thrown forcibly into the urethra (urine canal) _e_, when needed, and + expelled anteriorly by the ejaculatory muscles of the urethra. To + reach the urethra the Seminal Duct _m_ passes directly through the + body of the Prostate Gland _j_-_b_. Upon the outside of the testicle, + the tube or duct is found twisted and forming a slight bunch, known + as the epididymis, _f_, _g_, _h_. + + It is here that the pressure of a +Varicocele+ is first felt--here + that it succeeds _in cutting off the free upward flow of vital fluid_ + by pressure on these soft branches of the duct, causing +emissions+ + by varying and irregular pressure and +Impotence+ by constant + pressure. When the +Varicocele+ becomes very large, it then destroys + the delicate tubing or the testicle itself.} + +The general nervous system also feels the +strain+ and +drain+. +Memory +and application+, +good judgment+, +decision of character+, and ++clear-sightedness+ are not what they were. +Headaches+ are not +uncommon. +Bashfulness and trepidation+, especially in the presence of +females, is the rule. The person feels +clumsy+, +embarrassed+ and +ill +at ease+. +Sleep+ is sometimes poor, there are occasionally +terrible +dreams+, sometimes +lascivious ones+ accompanied by +emissions+, ++drowsiness+ and a tired, languid feeling in the morning, and a ++disinclination to rise+ and go to work are certain signs of +impending+ +nervous exhaustion. +The eyes are dull and heavy+, often +black-ringed+ +underneath. The pupils of the eyes are unequal--often very +large--sometimes one small and one large. The hands tremble and perspire ++easily+. The person is +absent-minded, melancholy, prone to brood, and +fears the jests+ or ridicule of his companions. The +skin+, especially +of the +face+, sometimes becomes +coarse and red, sometimes is pale and +pasty+ and covered with +blotches or pimples+. There is sometimes +spasm +at the neck of the bladder+, causing +some delay before the urine will +flow freely+. Often it is passed in a +forked or twisted stream+, +plainly showing the presence of either organic or spasmodic stricture. ++Twitching of the muscles of the eyelid, face and limbs+ is often +present, accompanied sometimes by +creeping sensations up the spine+, ++flushings of the face+, +chills+ (slight), +dizziness and black spots +before the eyes+ on stooping over and occasionally by neuralgic pains in +the +head+ and about the heart. If unchecked, or if the baneful habit is +still persisted in, the symptoms of the First Stage merge rapidly into +those of the + + +SECOND STAGE.--CONGESTION AND INFLAMMATION. + +Here all the symptoms of the foregoing stage are usually present, only +somewhat more intensified. The +congestion+ and +irritation+ are +more +decided+, the +weakness+ more marked, the +nervous prostration+ more +decided. Any, many, or all of the following symptoms may be present, +according to the degree of severity or the rapidity of the disease: + ++Emissions+ (day or night), +Oozing of a glairy fluid+ under excitement +and imaginings, presence of the opposite sex, etc., +Partial+ and ++Imperfect Erections, Desire to Masturbate+, Formation of +Evil Pictures +in the Mind+, +Flushing and Chilliness+, +Stupidity and Tendency to +Doze or Sleep+, +Mental Hebetude+, +Failing Memory+, +Lack of Power +of Application, Energy or Concentration+, +Restlessness+, +Pain and +Smarting+ in passing urine, +Wetting the Bed+, +Pain in the Kidneys+, ++Headache+, +Pimples+ on the face or body, +Itching or peculiar +sensations+ about the scrotum (bag), thighs, legs, anus, etc., +Wasting+ +of the +Organs+, +Stringiness and Softening+ of the +Testicles+, ++Dyspepsia+, +Sluggish Bowels+, +Torpid Liver+, +Failing Sight+, +Pains +in the Head+ (front, top and back), Chest, Limbs, etc., Sensation of the ++Bowels Falling Out+, +Dizziness+ on stooping over or kneeling, +Specks+ +before the +Eyes+, +Erotic Dreams+, +Melancholy+ (developing sometimes +into +Insanity+), +Numbness+ of arms, hands, feet or legs (precursors of ++Paralysis+), +Twitchings+ of the muscles of the eyelids and elsewhere +(sometimes ending in +Epileptic Fits+ or +St. Vitus' Dance+), ++Timidity+, +Diabetes+ and +Deposits+ in the +Urine+, +Troubled +Breathing+, +Indecision+, +Loss of Will Power+, +Bashfulness+, +Burning+ +of the face, +Coldness+ and +Clamminess+ of the feet and hands, also of +the +Scrotum+ (or bag), +Palpitation+ of the heart, +Early Loss of fluid +during connection+, +Feelings of Gloom, Despondency, Hopelessness+ of a +cure, or fear of impending danger or +misfortune+, +Tenderness of the +Scalp+ and +Spine+, +Dryness+ and +Itching of the skin+, +Sudden +Sweating+, +Sudden Nervous Trembling+, +Noises+ and +Reports+ in the +ears and brain, +Weight+ on the brain, +Weak+ and +Flabby Muscles+, +easily tired after slight exertion, +Desire to Sleep late+ in the +mornings and +failure to be rested+ by sleep, +Weakness+ and +Torpor+ +the day after a nightly emission has occurred, the +Oozing of thick +white fluid+ from the urethra when +constipated+ or +straining at +stool+, +Varicocele+, etc., etc. + + +WEAKNESS AND WASTING OF THE ORGANS. + +As a rule the +organs waste away+ rapidly or become +curved, twisted, or +misshapen+. Oftentimes the testicles +dwindle away+ to almost nothing. ++Settled gloom+ and +melancholy+ pervade the mind, and +hallucinations+, ++morbid fear+, +unnatural lust+, +groundless jealousy+ and a +morbid +desire for solitude+ show themselves. Undoubtedly the list of promotive +causes is considerably augmented by maltreatment and the employment of +injudicious remedies. We should therefore suggest to all prudent persons +the wisdom and importance of consulting _competent authority_ only. +Self-enervation in the first instance brings about that irritability +which evinces itself in +nocturnal discharges+, afterwards in +inappreciable but exhaustive +diurnal discharges+, and subsequently in +complete debility of the whole generative system. This seminal fluid, +such indeed as it is--weak, effete and devoid of all generative +power--is undoubtedly the fluid which the organs suffer to escape; and +to prevent further its flow, as well as to give a healthy tone to the +secretory and retentive vessels ought to form our first care. + + +COUGH, CONSUMPTION AND GENERAL DEBILITY AND PROSTRATION. + +It is a curious pathological fact, that during the progress of +Spermatorrhoea, difficulty of breathing, cough, and tightness of the +chest, arising in many constitutions from the seminal disorder, have +sometimes been actually mistaken for pulmonary consumption. The cough +is often distressing, occasionally attended by an expectoration of an +offensive kind. There is no doubt that many have been maltreated for +consumption when Spermatorrhoea was the real malady. That the latter +leads to the former is certain enough, but the stages and connections of +the respective diseases have been grossly misunderstood by practitioners +who have not had sufficient personal acquaintance with the indications +of Spermatorrhoea. + +Remember that these continued seminal discharges of an involuntary +character disorder every function of the animal economy, and it may +be added that while Spermatorrhoea produces so many ruinous effects +peculiar to itself, it aggravates and excites any other disease which +may co-exist with it. + +The +features+ become +pale, emaciated and haggard+. The +eyes are dead, +sunken+ and lustreless, and in many cases hold in their depths +a look +of wild, unsettled fear that denotes rapidly approaching insanity+. The ++bowels+ become +sluggish+, the +appetite capricious+, the +muscles +weak+, the +urine pale+ and with +a heavy sediment of semen+ that +drains away in it almost constantly. +Emissions+ at night becoming more +frequent and copious--sometimes bloody--although the fluid secreted +by the wasted testicles is +scarcely stronger than water+. +Sexual +incapacity shows itself.+ +Ejaculation+ is either +too quick+ or else +very +long delayed+. The +skin+ becomes dry and sallow, the +liver +congested and sluggish+. +The heart beats irregularly+, and any sudden +sound, movement or fright sets it to beating violently. +Shortness of +breath+ is complained of. +The brain becomes weaker and more sluggish +day by day.+ + + {Illustration: Fig. 6. + DIAGRAMMATIC REPRESENTATIONS OF THE TESTICLES, DUCTS, &c. + Showing where the vital fluid is made and stored and how, and by + what means it passes from the +Testes+ (where it is made) to the + +Vesicles+ (where it is stored). The heavy black marks on either + side of the urine channel, show the relative position of the + ejaculatory muscles.} + +He generally loses flesh, and feels uneasiness in his stomach which +suffers from many of the symptoms accompanying dyspepsia. He is easily +startled; the slamming of a door, the firing of a cracker, the falling +of a book, a sudden touch, or even speaking to him unexpectedly, will +cause him to start. Cowardice is a sure consequence of Self-Abuse and +involuntary emissions. The appetite is irregular, often poor, sometimes +voracious; the bowels are also variable in their action. The prostatic +portion of the urethra is frequently irritable and sometimes is very +much +inflamed+; oftentimes there is a +thickening, a sponginess or +puffiness+ of the parts immediately involving the ejaculatory ducts. +The mucous membrane of the vesiculæ seminales becomes inflamed and +thickened. The +testicles+ and the +spermatic cord+ are oftentimes +very tender and the seminal fluid is much thinner than natural. Such a +Patient has generally +dark spots under his eyes+, +a sharp nose+, and +often +flushes of hectic color+ in his cheeks, particularly when in the +presence of company, and there is more or less palpitation of the heart. +In the second stage, as in the first, the pollutions are diurnal and +nocturnal; the latter are copious and recur frequently. So insensible +is the passage of semen that the patient is usually astonished and +horrified on waking to find himself and +bedclothes saturated+ with this +fluid, which is easily absorbed by the clothes, and rapidly dries up, +because it has become thin, watery and effete. In addition to this +loss he is subject to one equally great on almost every occasion +of +urinating+ and +defecating+. This also takes place without any +consciousness on his part, and his only knowledge of the fact is from +the alarming weakness he experiences after passing water or going to +stool. Distraction or absence of mind renders the judgment unfit for any +extensive enterprise. + +The sexual powers are greatly weakened; the overtaxed organs refuse to +fulfill their legitimate task; their susceptibility and irritability are +so great that the power of retention is lost, and the seminal fluid is +discharged prematurely. + +The generative organs are wasted and inactive, or so weakened as to +secrete but a ropy, thin and glairy fluid, having few or none of the +characteristics of Vital Fluid. Should the individual suffering this +way--and either careless or unfortunate enough to go uncured--have +offspring, they will assuredly be puny in body and weakly in mind, and +will lead a miserable existence through the neglect and indiscretion of +their parent. + + +THIRD STAGE.--STAGNATION AND WASTING. + +This stage is an aggravation of the two preceding stages combined. + +The emissions are accompanied and followed by a disagreeable and +disgusting sensation of shame and misery. The mind is absorbed as much +as can be by the one idea of its wretched situation, and the sufferer is +haunted by the thought that his condition and its cause are known to the +whole world, and that he is pitied or scorned by every person he meets. +He is hypochondriacal, and fearful suggestions of self-destruction ever +and anon present themselves. + +The power of mental concentration is entirely gone and the memory is +so feeble that the patient continually forgets what he begins to say. +The dimness of vision is continual and so great as to be a material +annoyance; the eyes are wandering or fixed upon the ground, seldom +venturing to meet the gaze of another. The +ringing in the ears+, +pains +in the head and over the eyes+ are almost perpetual and frequently +accompanied by partial deafness. +The heart is the seat of pain+, ++fluttering+ and +throbbing+ with +violent and long-continued +palpitation+, his hands shake, his limbs tremble, his knees are weak, so +much so that at times it is almost impossible for him to walk erect. He +experiences an insatiable desire for sleep, and yet upon retiring he +lies awake for hours, tormented by his troubled reflections, and at last +falls into an uneasy slumber, of short duration, disturbed by wretched +dreams. + ++Hard, red pimples+ frequently appear on the face, forehead and body, ++scaly patches+ round the +ears, eyes, nose and lips+, a +black or +bluish semi-circle+ shows itself under the +eyes+, and there is a hollow +mark from the corner of the eye in a slanting direction under the +cheekbone to the angle of the mouth, which tells its tale. The +skin is +livid and clammy+ and the digestion is bad. The patient is tormented +with +flatulency+, which he cannot always control and which he justly +dreads, as it renders him an object of +disgust+ to all in his presence. +The bowels are generally +constipated+, obliging him to strain much at +stool, thus aggravating the irritation of the prostate gland vesiculæ +seminales and increasing the +seminal losses+. + +The bladder is irritable and will retain the urine but a short time; the +ureters and kidneys are also inflamed and in post-mortem examinations +are sometimes found to contain +abscesses+; they are the seat of much +pain when pressure is made over the intervertebral spaces of the dorsal +and lumbar vertebræ or backbone. The vesiculæ seminales have +been +indurated+ and can be felt to be +knotty+ and +hard+. The spinal marrow +is very sensitive throughout its whole extent; the cerebellum is the +seat of a +dull+ and +heavy pain+, and there is a feeling of pressure +upon the brain. Cerebral congestion now and then occurs. This stage of +the disease is frequently accompanied by +Bronchitis+ or a continued ++Catarrh+, also by disease of the +rectum+ and all the +tissues near +the generative organs+. + +It is hardly necessary to say that the functions of the nervous system +are completely deranged, indeed, +nervous twitchings+ of the +eyelids+, ++head+ and +limbs+ are the consequences of +Spermatorrhoea+. He is +finally either hurried to a premature grave by consumption, epilepsy or +apoplexy; or insanity, taking the hopeless form of dementia, has removed +him from his home to the madhouse. + +It is safe to say that of all the cases of incurable insanity, a large +majority are caused by Spermatorrhoea. + +Many, owing to +sheer neglect+ or to +false notions of delicacy+, delay +seeking for proper medical relief until they are almost destroyed, and +body and mind are nearly in ruins. + +Pitiable the picture of one who has +reached+ this stage of the disease. +The organs are still congested but +irritability+ has given away to ++torpor+ and +sluggishness+. Semen drains away by day and night without +provocation, these constant losses dragging the person to the very ++brink of the grave+, or +standing him+ within that +melancholy shade+ +where +suicide+, +insanity+ or +idiocy+ almost certainly stares him in +the face. The organs are wasted almost totally away. All +strength+, ++vitality+, +erectile+ and +procreative power+ have left them, and the +victim is at last totally +impotent+. Of no use to themselves, a curse +to their freinds, a disgrace to society, they sink from sight into an +early grave or are lost to the world behind asylum doors. It is a sad +and terrible picture, but true--too true--to life. + +The tendency of Nature in most disorders is towards cure, but +here it +is towards deterioration+. There is no chance here of the evil "wearing +itself out" save in madness and death on the one hand, and on the other +by the salutary intervention of the most +vigorous+, +cautious+ and ++enlightened treatment+, a treatment pursued in the +full light+ of the +aids afforded by the great discoveries in physiological science for +which the present age is happily distinguished. Fortunately for +humanity, by the aid of Chemistry, as well as Medical Science, it has +been reserved for us to present to the public the +Civiale Remedies+, +which have proved themselves undeniable blessings to thousands, +restoring with unerring power those suffering from this hitherto +baffling complaint. + + +LESS SEVERE CASES. + +There are cases where the effects of early abuse are neither so +rapid nor so severe. In many instances the persons, to all outward +appearances, are strong and robust. They only complain of certain sexual +symptoms that trouble them. But let them beware. Appearances are very +deceitful. Let a sudden fit of illness supervene and see how quickly +these apparently healthy men succumb and are swept away by it. Then, +too, in many of these cases, he who to-day may seem strong and healthy, +with the exception of his sexual weakness, may suddenly develop most +grave nervous symptoms, and in less than a month be beneath the sod or +hopelessly insane. Such cases have occurred, and one particular instance +even as we write presents itself to our mind. Poor fellow, he died a +raving maniac the very night he was to have been married to one of the +most charming young ladies in New Haven. And yet he thought he was +perfectly healthy. He only learned his true condition too late for +human aid. + + +HIDDEN SPERMATORRHOEA. + +In many cases the seminal ducts have become so weak and relaxed that +the fluid passes off involuntarily with the water and is not perceived; +also when straining at stool and when you have an erection. To test its +escape in the urine, pass off your water in a clear glass pint bottle +and let it stand twenty-four hours in a warm place; then hold up the +bottle between yourself and the light, and if you discover a sediment +of a +white, fleecy+ nature, resembling cotton, in the bottom, you are +suffering from +hidden spermatorrhoea+, from which all your present +ailments come. Where this fluid passes off with the urine, it is just as +injurious to the system as full emissions, as it is a continual drain +day after day, as well as taking that part of the vitality which goes +to supply the brain and nerves. Many patients afflicted in this way +will notice, shortly after urinating, a +dull pain+ in the forehead, +sometimes extending to the +eye-balls+, causing, as well, a feeling of ++general debility+, as if they had no strength or will to do anything. +If this weakness is allowed to go on unchecked, the mind will become +diseased, the eye-sight will be impaired, and the vital forces +consumed--thereby causing +partial and complete impotency+. Should you +desire greater certainty in testing, either send on a sample of your +urine, or test it with our powder. + +The characteristic symptoms of partial impotency are: an imperfect +erection, or, if the erection is sufficiently vigorous, it is of too +short a duration, and the vital fluid is discharged prematurely. + +The erector muscles become paralyzed, and the organ remains inactive at +the call of the will. + +The person thus afflicted is greatly embarrassed and mortified at his +paralytic condition. That buoyancy of spirit is gone; the snap, vim and +vigor that once held sway has departed--and why? Because that great +motive power (amativeness) that gives the push and go-aheaditiveness is +checked, or rather, ceases to act. + + +THE CURABILITY OF SPERMATORRHOEA AND IMPOTENCY. + +Having before us the records of some three thousand cases, grave, simple +and severe, that have come under our treatment in this country, as well +as the printed copies of the +French Hospital Reports+, and +Civiale's +Works+, in which he minutely reviews all phases of this complaint, +illustrating them with cases from his own practice, we feel justified +in assuring our readers that almost any case can be cured, provided ++thoroughness+ is the maxim of treatment. + +The method of Profs. +Jean Civiale+ and +Lallemand+, as now perfected +and extended by us, and so justly named after +Civiale+, stands +unrivaled in its +success+ as well as its +simplicity+ and ++reasonableness+. To all such as suffer from this harassing complaint +we commend, first, a careful reading of the history of this discovery +and the eminent medical men and hospitals that endorse it; and, second, +a fair trial of these remedies, no matter how +hopeless+, +despondent+ +and +despairing+ you may be. (See page 55.) + +Although the advertising and spreading, and the ringing to full +perfection of this treatment is really due to us and our physicians, +still we feel in duty bound to always keep in view the two great French +surgeons who first discovered the method of +intra-urethral medication+. + + + + +_CHAPTER V._ + +IMPOTENCY OR LOST POWER. + + +Scarcely a day passes that we do not have some patient inquiring +"What +is Impotence?"+--+"Are Impotence and Spermatorrhoea the same Disease?"+ + ++Impotency+ (from the Latin words _im_ [not] and _potens_ [to be able] +means a condition of the Sexual Organs in which a man is not able to +beget his species. It may be because he has lost his erectile power (and +this is how it is most commonly understood), or because he has lost all +desire, or lastly, because the +vital fluid+ has become so +weakened+ +and +degenerated+ as to have lost its +procreative power+. + +Impotence is most common in men past middle age. It may come on as _the +second or third stage of Spermatorrhoea_, or it may develop slowly or +suddenly _without any symptoms of Spermatorrhoea_. It may be accompanied +by various +nervous+ and +exhausting+ symptoms, or these may be _wholly +absent_. If vital fluid is being lost, and the Impotence is due to the +weakness thus caused, +nervous exhaustion+ is sure to come sooner or +later. + +Impotence and Spermatorrhoea may exist together in the same person. + +Many impotent men have no other bad symptoms than simply this failure of +the +sexual organs+ to respond when called upon. The trouble in these +cases usually lies in the erectile muscles, which are +weakened+ or ++paralysed+, and in the +nervous bulbs+ or +ganglia+, that are blunted +or exhausted. + +A perfectly healthy man should be able to beget his species until he is ++at least+ 80 years of age. Instances of such power at the age of 97 are +on record. In these days of +exhaustion+, +early decay+, +excesses+ and ++abuse+, most men begin to lose their power at or before 40. This is not +right, and can +certainly+ be remedied by proper treatment. + + +IMPOTENCY, COMPLICATED WITH BLADDER OR PROSTATE DISEASE. + +In such cases the Prostate Gland is usually congested, enlarged and +irritated, and needs prompt and thorough treatment. (See page 26.) The +tone of the nervous system is also lowered, even though it may not be +apparent to the individual himself. Hence, some good, strong, special, +general and sexual tonic, such as +Civiale's Tonic Regulator+ (see page +30) is needed, as is shown by the rapid improvement that follows its +use, especially when combined with effective measures for strengthening +the +erectile muscles+, invigorating the +Sexual Nerve Ganglia+, and +reducing the +Prostatic congestion+. Some of the most remarkable cases +of the thorough cure of Impotence and restoration to full sexual vigor +that appear in the 53d Volume of the French Hospital Reports, were in +men +past 60 years of age+. + + +IMPOTENCY AND WASTING OF THE ORGANS. + +In many of these cases of impotence (as well as of Spermatorrhoea) +the organs were either small and puny from birth or had wasted away as +the disease progressed--just as a paralyzed arm or leg will waste away +from want of use and exercise. Such cases, as also those where there is +twisting or curving of the organ, need thorough developmental treatment. +Such organs can be readily developed under proper treatment, just as the +breast or a limb may be developed and increased in +size, strength and +power+ by the use of the proper treatment. Those who have not kept pace +with the advances of medical science abroad can scarcely realize how +great her strides have been. To-day it is easy (especially in Sexual, +Seminal and Urinary diseases) to do what ten years ago the majority of +physicians deemed impossible, and to +Lallemand+ and +Civialè+ belong +the highest meed of praise for their unremitting labors in bringing +this branch of medical science to its present state of comparative +perfection. As an illustration we can cite case after case that has been +sent us by physicians in good standing as utterly beyond their skill, +and we have returned their patients to them in a few months' time fully +and +perfectly restored to sexual strength+ and +vigor+ as they, +themselves, were obliged to admit. + + +IMPOTENCY AT ANY AGE IS CURABLE. + +Do not despair then, reader, if you are thus afflicted and have made +several trials and failed to find +health+ and +vigor+. The +Civiale +Remedies+, while not infallible, have certainly done wonders for many +so-called "+hopeless cases+," and we doubt not that you, too, can be +perfectly restored. Submit your conditions and symptoms to our Board of +Consulting Physicians, and at least get their opinion upon it. Certain +it is that these remedies, brought to light by the eminent French +savant, Professor in the greatest medical college in France, and adopted +and endorsed by all the large Parisian hospitals and most eminent French +physicians, +cannot possibly hurt you+, and +more than likely will cure +you+. + + + + +_CHAPTER VI._ + +BLADDER, KIDNEY, PROSTATIC AND URINARY DISEASES. + + +Congestions, irritation and even inflammation of the Urinary Organs +often occur in men, either alone or as a complication of Seminal Disease +and Weakness. The Seminal Vesicles lie just behind the bladder, while +the Seminal Ducts pass through the body of the +Prostate Gland+, and +open into the urethra (or urine channel) upon its surface (see Fig. 5). +Hence, any inflammation or congestion of this large gland that lies at +the root of the organ and neck of the bladder, is almost certain to +produce +Seminal Weakness+, +Losses+ and +Impotence+. + +It will be noticed that men past 50 years of age are often forced to +rise in the night once or oftener to make water. This, and the delay +that sometimes occurs before the stream will start, are usually due to +enlarged +Prostate Gland+--a common condition in men past 50. Many and +many a man at this age finds his +sexual power declining+ and cannot +understand it--+Enlarged Prostate Gland+. + +As the gland enlarges and becomes stiff and its tissues hardened and +brawny, it presses upon and deprives the Sexual Nerves of power and +sometimes paralyzes them, causing total Impotency. How useless--worse +than useless, even hurtful--are the usual remedies. The Prostate Gland +must be softened, cooled and +robbed+ of its +inflammation+ before +Anti-Impotency remedies can be of the slightest service. And here it +is where the great success of the +Civiale Crayons+ is best shown: ++The Prostatic Crayons melt, run down upon, soothe, quiet and allay +the inflammatory and hardened gland+, while the +Impotence Crayons+ are ++re-toning+, +strengthening+ and +re-vitalizing+ the Sexual Nerves, and +strengthening the +erectile+ and +ejaculatory+ muscles. Perfect cure and +perfect restoration are possible if +proper+ means are +properly+ +applied. + +Spermatorrhoea likewise is both caused and complicated by +Prostatic+ +and +Urinary+ inflammation. The Sexual Nerves are involved and weakened +in the same manner as in Impotency, while, in addition the hardened +substance of the Prostate Gland keeps the mouths of the Seminal Ducts +open, and the +vital fluid+ runs away into the +urethra+ to be swept out +with the urine, without let or hindrance. Soon this loss tells, not only +upon the brain and nerves and general health, but upon the testicles +where this fluid is made. So much is wasted that these two glands, work +as they may, cannot supply a sufficiency of good, healthy fluid, and +meet the difficulty by making a thin, watery infertile fluid that would +flow away even if the mouths of the ducts were healthy. They do this at +the cost of a terrible strain upon the whole system--they strain and +injure themselves and grow +weak and flabby+ and finally +wasted+--often +rupture small vessels in their substance, thus yielding +bloody or black +seminal fluid+. + + +The _CAUSES_ of Prostatitis or Prostatorrhoea are many and diverse. +The most prominent are: + +_Gonorrhoea or Gleet_, running backward and settling in the gland or +neck of the bladder; + +_Stricture_, deep in the canal, causing congestion and inflammation; + +_Masturbation_, by keeping the gland excited, congested and irritated, +often causes it; + +_Exposure to cold and wet_, especially sitting on a cold door-step or +damp seat; + +_Blows and Injuries_ of any kind; + +_Strong Injections_, and rough jabbing with steel sounds or rough +bougies; + +_Eating Hot Condiments_, or too free indulgence in alcoholic beverages. + + +VARIOUS COMPLICATIONS. + +If the inflammation extends to the neck of the +bladder+, he has an +attack of +cystitis+. If it goes down along the seminal ducts, it +produces +swelled testicle+, +clogged duct+, +chronic enlargement+, ++cancer+, +cysts+ and hopeless wasting of the +testicles+. If it extends +up the +ureters+, it causes +Bright's Disease+, +abscess+ of the ++kidneys+, or +lumbar fistula+. If it runs forward along the urine +canal, it produces so-called +gleet+. If it settles in the +prostate +gland+ and becomes chronic, it may cause +abscess of the gland+, ++retention of the urine+, and certainly either or both +Spermatorrhoea+ +or +Impotency+. + +It may thus be seen how exceedingly dangerous a disease this ++Prostatitis+ is, and how very important it becomes to check it at +the earliest possible moment. + +SYMPTOMS.--We have space for but the most prominent and frequent ones: +a +dull, aching, dragging+ or +throbbing pain+ between the legs, made +worse by +standing, walking, jolting+, &c., and sometimes relieved by +hard pressure, or lying down with one's feet higher than their head; +pain, burning or smarting on passing urine; +twisting+ of the stream; +the oozing of a thin, glairy fluid; +sticking+ together of the lips of +the mouth of the urinal canal; +soreness, aching or tenderness+ of one +or both +testicles+; dull pain or ache in +the small of the back+ or ++buttocks+; +dizziness, sudden fits of exhaustion, convulsions, coma +and death+. A +microscopical examination+ of the urine will reveal the +nature of the difficulty in a moment. There also will be found evidences +of great +nervous wear and tear, and seminal losses+, more or less +constant. + + {Illustration: L'ECOLE DE MEDICINE, PARIS. + The most celebrated Medical College in France, in which both + +Civiale+ and +Lallemand+ were Professors.} + + +GLEET AND STRICTURE AS A CAUSE OF SPERMATORRHOEA AND IMPOTENCY. + +These two diseases are probably less understood than almost any other +equally common. It is safe to say that at least one man out of every +ten has, has had, or will have one or both. Neglected gleet often causes +stricture; neglected or improperly treated stricture often causes and +keeps up a gleet. + +Another set of statements, equally sweeping and based upon the best of +medical evidence, may be made, _i.e._, more cases of gleet and stricture +are caused by Self-Abuse (masturbation, Onanism), and sexual excesses +than by gonorrhoea--formerly and ignorantly supposed to be about the +only cause. + +Furthermore, the main cause of both Spermatorrhoea and Impotence is +Stricture (whether caused by self-abuse, gonorrhoea [clap], or any other +excess). It was this very important point that +Lallemand+ guessed at, +and that +Civiale+ definitely ascertained to be a fact--proved it by +examinations of both living and dead subjects, and demonstrated it +before the eyes of every member of the French Academy of Medicine, +the most learned body of medical men in the world. Upon this discovery +is based the now world-famed +Urethral Crayon Treatment+. It +cures--absolutely, thoroughly and +Permanently+ cures--because it is +based on truth; because the proper remedies are placed upon the very +seat and fountain-head of the disease; where quickly and thoroughly it +stamps out the fire (inflammation, from the Latin _in_, and _flamma_, to +burn, to be a-fire) and eradicates the cause, at the same time healing +the abrasions, releasing and invigorating the nerves, cleansing and +unclogging the ducts, strengthening the erectile muscles--in a word +restoring the whole Sexual Apparatus to its natural tone and strength; +not harshly or violently, but gently, kindly, soothingly. Indeed it is a +heavy debt of gratitude the sufferers from Sexual Disease and Weakness +owe to +Professor Jean Civiale+--greatest of all French savants!! + +Were any further proofs necessary, the following facts, the results +of recent experimental investigations by such men as ACTON,{1} BLACK,{2} +GROSS,{3} HAMMOND,{4} BARTHOLOW,{5} DUPUYTREN,{6} ECKHARD,{7} LOVEN,{8} +GALTZ,{9} OLLIVIER,{10} TROUSSEAU,{11} ERB,{12} OTIS,{13} WADE,{14} +SIR EVERARD HOME,{15} LIEGEOIS,{16} TERRILLON,{17} FLEISCHMANN,{18} +BEARD,{19} GRUNFELD,{20} GUYON,{21} ROSENTHAL,{22} LANDON CARTER +GRAY,{23} and many others, could be cited in its favor. + + {Footnote 1: Diseases of the Reproductive Organs, Phila., 1876.} + + {Footnote 2: Renal, Urinary and Reproductive Organs, Phila., 1872.} + + {Footnote 3: Disorders of the Male Sexual Organs, Phila., 1883.} + + {Footnote 4: Impotence in the Male, New York, 1833.} + + {Footnote 5: Spermatorrhoea, Phila., 1880.} + + {Footnote 6: Dictionaire des Sciences, tom. viii, Paris, 1856.} + + {Footnote 7: Beltrage zur anat-uns Phys., Bd. iv. and Bd. vii.} + + {Footnote 8: Arbeiten aus der Phys. Austatt, zu Leipsig, 1866.} + + {Footnote 9: Pflueger's Archlv, Bd. viii.} + + {Footnote 10: Traite des Maladies de la Moelle Epiniere.} + + {Footnote 11: Chu. Méd. de l'Hotel-Dieu de Paris.} + + {Footnote 12: Ziemssen's Cycloped., Amer. Edit., 1876.} + + {Footnote 13: Stricture of the Male Urethra.} + + {Footnote 14: Stricture of the Urethra; its Complications and + Effects.} + + {Footnote 15: Practical Observations, &c., &c.} + + {Footnote 16: Medical Circular and Gazette, 1869, page 381.} + + {Footnote 17: Annal. de Dermatol, et Syphiligraph.} + + {Footnote 18: Wiener Med. Presse, 1878.} + + {Footnote 19: Medical Record, 1879, page 184.} + + {Footnote 20: Endoskopische Befunde bei Erkrankungen des + Samenhugels Wein, 1880.} + + {Footnote 21: Bulletin Génerales de Thérapie, 1867, page 501.} + + {Footnote 22: Wiener Klinik, May, 1880.} + + {Footnote 23: Archives of Medicine, October, 1880, page 191.} + + +STRICTURE THE RESULT OF MASTURBATION, +AND THE CAUSE OF WEAKNESS AND IMPOTENCE. + +In brief it may be stated that +Masturbation+ in early life, and +sexual excesses at a later period, may, and do produce +congestion+, ++inflammation+, +spasm+, +ulceration+, +granulations+, +ulcers+, +and both +spasmodic and organic strictures+ of the urethra; that ++Spermatorrhoea+ and +Impotence+ are due to this condition, and that +the only really rational treatment is that which directly medicates and +heals these parts. This, +Civiale's Soluble Urethral Crayons+ do, better +and quicker than anything else. Prof. GROSS,{24} for instance, says: +"Exclusive of these cases, my notes show that 13 out of every 100 cases +of stricture are due to Onanism;" and OTIS{25} says: "9 per cent. of all +cases are traceable to that practice." REEVES, HENRY SMITH, GOULET, +PHYSIC and LEROY give masturbation as a cause of stricture. BLACK states +a like case leading to sexual incapacity, as a result of the stricture. +WADE says: "In several instances of the kind, +where there had been no +sexual intercourse+, the strictures, which were at the bulb, proved more +than usually refractory from the extreme morbid sensitiveness of the +whole urethral canal." + +Gross goes on to say, that in at least eight out of every ten cases of ++Spermatorrhoea+ or +Impotence+, stricture of the urethra is the cause +of the trouble, whether the stricture is due to gonorrhoea, gleet, etc., +or to +masturbation or excesses+. + + {Footnote 24 _Op cit., page 25._} + + {Footnote 25: _Op cit._} + + +THE CIVIALE PERFECTED AND COMBINED TREATMENT. + +How senseless, then, to endeavor to cure such conditions with stomach +medicines. Still, the CIVIALE method does not wholly discard them. +They have their place and their purpose, and served it well. It was +his practice in many cases to use +Nervines+ and +Tonics+, as well +as +Digestives+ and +Laxatives+, by the stomach, and with excellent +results, for in many of these cases the +digestion was poor+, the +liver +torpid+, the +bowels sluggish+ and +constipated+, and +filled with +wind+, the +appetite capricious+ and +uneven+. +Crayons+ in the urethra +could not wholly cure these symptoms, although they stopped the drain +that originally caused them. Combined with the +Tonic-Regulator+, the +results were prompt and satisfactory. + ++Many patients began to recuperate the moment the inflammation, +stricture, ulceration and accompanying losses of vital fluid were +stopped, and were soon in robust health again+. In others, however, +he found it best, +at the same time that he was healing the diseased+ +urethra, to +clear and invigorate the debilitated nerves and weary +minds, to tone up the stomach and bowels, set the liver gently working, +start the kidneys+ (nearly always congested), +and infuse new life, +strength and vigorous impulses into the whole system by means of his +Tonic-Regulator+, which is a pleasant and most efficacious combination +of +tonics+, +laxatives+ (not purgatives), and +deobstruents+. +Skin, +kidneys, lungs, heart, mind, nerves, stomach, liver and bowels, were +all set to working right+. And, as a consequence, aided by the urethral +remedies, the +losses ceased+, erectile power and +sexual vigor +returned, the step became buoyant and elastic, the mind clear, the +memory retentive, the eyes clear and bright, the lips and cheeks ruddy +with healthful color; the whole system, indeed, renovated, refreshed and +re-invigorated.+ + + + + +_CHAPTER VII._ + +THE DUTIES, RESPONSIBILITIES AND FAILURES +IN AND OF MARRIED LIFE. + + +What more perfect or pleasing picture than that of happy married life. +Yet how little of it we see! How the newspapers dish up to us in strong +words the misery, despair, wretchedness, infidelity and deceit of the +divorce court. How it stares at us from the desolate fireside of friend +and acquaintance; is hinted at or suppressed by the records of the +Coroner's office; leers at us from the sumptuous mansion of the +affluent; lurks in the humble cottage of the mechanic. How sad the +contrast between the home where nestle happiness, love, contentment, +offspring; and the abode of suspicion, deceit, infidelity or barrenness. + +And yet men and women are being married every day, every hour--ay, every +minute. Men and women incompatible physically, mentally, morally--urged +on by lust, cupidity, love; to escape unhappy homes; to hide sad +sins--for a thousand reasons, some good, many bad--are constantly +marrying. + +A man selects a wife less carefully than he would a horse; a woman +yields herself, her life, her happiness, blindly, unreasoningly, to a +man of whom she knows nothing. A man better fitted for the hospital, the +infirmary, or the insane asylum, enters the bonds of wedlock with never +a thought of the consequences; with never a care as to whether he will +wreck his own life and happiness or that of the innocent girl he is +deceiving; with never a heed of the ill-starred, diseased, puny or +idiotic progeny his act may bring into being, a burden to the community, +a curse to himself and a constant reminder of the parent's +foolhardiness--ay, even crime! + +No man who is affected with any form of Sexual or Venereal Disease +should for a single instant even think of +marriage+ until every +trace+ +of his +weakness+ or +disease+ has disappeared. In these days of medical +advance in this special field, there is no excuse for such action. There +are few--very few--cases of Seminal Weakness and Impotency that cannot +now be cured. Of course, here as elsewhere, there are traps and humbugs, +quacks and charlatans, false theories and empty moralizing; but there +is also truth and knowledge, hope and certainty for such as are +sufficiently in earnest to search for them. Prof. Civiale, by his +indomitable perseverance, thorough study and experiment, and final +conclusions and discoveries, has placed the means of a perfect +restoration to full mental, bodily and sexual vigor within the reach of +all, and no man has any right now to enter either blindly or wilfully +into so sacred and important a relationship as marriage, and to lower +and stultify its ends by blighting the happiness of a fair young wife, +exhausting his own vitality in the vain attempt to have offspring, or in +having such as shall be a curse to him through life. + +There are those (let it be hoped they are really honest in their +ignorance) who look upon marriage as the only real cure for Seminal +Weaknesses. Even if it were a fact that the marital relations did +accomplish such a result (and they never do, as bear witness the +thousands who are to-day weak, exhausted, ex-sanguinated, unhappy, +nerveless, hopeless wrecks, who are cursing the ignorant pretenders +who gave this false--this fatal advice); even if such a result was a +certainty, what right has any man to besmirch and soil the purity of a +happy and innocent maiden for such a purpose? By what law of humanity +are woman's hopes and happiness to be hazarded on so fragile a basis, +her bark of life to be launched into a pool of such sickening +bestiality? Such marriages bear and are bearing deadly fruit before our +eyes day by day, in infidelity, abandonment, suicide, insanity, crime +and prostitution--in disease and misery, even to the third and fourth +generation. + + +A SPECIAL SET OF PRE-MARITAL (Before Marriage) REMEDIES. + +No more delicate or wonderful piece of mechanism, no more grandly +conceived and wonderfully perfected bit of God's handicraft is to be +found than the Male and Female Sexual Organs. It is a wonder to those +who have made these parts (with their elastic vessels, cavernous +sinuses, network of nervous ganglia and fibrillæ, chain of lymphatics, +periodical ovulation, timed pubescence, and perfected, co-ordinate +functions) a study, that they stand abuse and excess so well; that +the fierce blasts of lust and passion that sear and scorch them and +well-nigh dry up their fountain springs of vitality and fecundity, do +not wholly destroy or hopelessly disarrange their delicate tissues and +functions. + +The first few years of married life, even to a healthy man, are fraught +with dangers he knows nothing of. How much more then is the sufferer +from a present or even a former Seminal Weakness in danger. + +No man, be he ever so healthy, ever so conscious of purity and freedom +from abuse, should enter the marital state without preparing for the +strain naturally to be expected. As the voice, skin, hair, manner and +morals of the youth change at the period of puberty (when the sexual +power is first developed--when he first becomes a man), so does the +system, mental and moral, change when he enters the bonds of matrimony. +If at puberty new diseases are prone to show themselves and old ones to +be outgrown, so at marriage a like change must be at least expected, and +he who blindly or thoughtlessly hazards a leap in the dark is foolish, +or rather foolhardy. + + +A SPECIAL COURSE OF NERVE AND SEXUAL TONICS. + +Especially for the use of young men who have endangered or injured +their sexual power by abuse in early years, and for older men who have +exhausted themselves by later excesses. +Prof. Civiale+ was wont (very +wisely, we know from actual experience) to prescribe, for a few months +before marriage, a +Special Tonic and Strengthening Marital Course of +Remedies+, having three distinct ends in view, viz.: + +(a) The strengthening, toning up and fortifying of the general system, +nerves and brain, against the unusual call soon to be made upon them; + +(b) The strengthening, toning up and fortifying of the Sexual Nerves, +Ducts, Ganglia, Vesicles and Testes, against the strain soon to be +applied to them, and by this and the preceding means putting the +individual in the very best and most favorable condition for the +production of strong, healthy, robust and creditable offspring; and + +(c) The steady and perfect eradication from the system, by every pore +and viaduct, of all poisonous, contagious, venereal or other material +that might in any way endanger the perfectly normal (healthy and +strong) condition of parent or offspring above spoken of. Through early +abuse, excesses, exposure, neglect, carelessness, imperfect sanitary +conditions, wrong methods of living, immoral practices, etc., the blood +and liver are liable, even though the skin be clear and the cheeks rosy, +to harbor some poisonous humors that might be transmitted to the wife or +offspring--poor innocents, too often made to suffer pitiably for the +vices or thoughtlessness of the father. + +Every man about to marry owes this cleansing, purification and +strengthening of the system general and the system sexual, to his wife, +his fellow men and to himself. + + + + +_CHAPTER VIII._ + +THE CIVIALE URETHRAL TREATMENT. + +For the Radical and Lasting Cure of all Diseases of the Sexual and +Urinary Organs. Its Mode of Operation, Application and Advantages. + + +The Civialè Treatment, by means of quickly melting _medicated_ Crayons +that are _easily_ and _painlessly_ inserted into the urethra (or urine +channel), and thus melt and run down over the irritated, inflamed or +strictured parts, the congested Prostate Gland, and into the orifices of +the Seminal Ducts, is the most successful treatment ever brought forward +for these diseases, and it has met with just appreciation, for it has +performed radical cures in some of the most serious and distressing +cases. Some of the advantages may be briefly summed up as follows: + +1. It combines local and direct medication of the diseased parts of +the urethra, seminal ducts and vesicles, as well as of the Generative +Nerves, by means of Urethral Crayons, with judicious invigoration of the +general Digestive, Nervous, Mental and Circulatory Systems, by means of +Stomach Remedies, thus attacking the complaint from all sides. + +2. The Civiale Urethral Crayons are easily introduced, melt rapidly, +medicate the entire canal, never give the slightest pain, never stain +the clothing, are rapid, pleasant and cleanly in their action, could be +used by a child without danger of injury, are perfectly soft and +flexible, and give uniform satisfaction. + +3. They need be used but once, or, at the most, twice daily. + +4. The good results of the treatment are apparent within the first five +or ten days. + +5. Their price is so reasonable as to place them within the reach of +all. + +6. They may be used to cure gleet, stricture and prostatitis, when +complicating Spermatorrhoea or Impotence. + +7. They never decompose or lose their strength. + +8. They are absolutely free from minerals, mercurials, caustics or +irritants. + +9. They will do precisely what and all that is claimed for them. + ++Civiale's+ knowledge of the anatomy, physiology and pathology of the +Genito-Urinary (Sexual and Urinary) organs, especially fitted him to +study and investigate this subject. It did not take him long to perceive +that +Lallemand's+ idea that the deep urethra, where the seminal ducts +open into it, was the real seat of the disease in both +Spermatorrhoea+ +and +Impotence+, was the true and correct one, and therefore, that any +plan of treatment, to be successful, must look to allaying and healing +the inflammation, congestion or ulceration of the urethra at the neck of +the bladder, and stopping the losses. + +He reasoned that when the inflammation, irritation and spasm of these +parts, and of the seminal ducts, was relieved, the drain of the vital +fluid would cease, the dilated mouths of the ducts contract, the vital +fluid become thicker and healthier, the organs increase to natural size, +and the distressing nervous symptoms, oftentimes dangerous to life or +reason, cease to trouble the patient. + + {Illustration: Fig. 7. + Exact Size and Shape of a +Civiale Soluble Urethral Crayon+. + (Inserted into canal of organ.)} + +These Crayons shown here are small, soft, smooth, perfectly flexible, +and dissolve as soon as they are pushed into the urethral canal, thus +bringing the remedies directly in contact with the ulcerated and eroded +parts, it even running down the ducts into the seminal vesicles +themselves. + +The growth, vigor and future prosperity of every nation depend upon the +strength and energy of its young men, and if the places of the robust +and healthy are to be filled by effeminate, weakened, nervous and +physically drained youths, such as the terrible vice of masturbation +is yearly giving us, the results cannot be other than disastrous. The +advice, warning and guidance of parents and guardians must be looked to +for prevention; the method and remedies of +Lallemand+ and +Civiale+ for +a cure. + + +A GUARANTEED ASSURANCE. + +There are some persons who, from having used various forms of medicated +bougies--having had sounds, catheters and bougies roughly passed upon +them by unskillful persons--or merely from an indistinct belief, based +upon hearsay or tradition, feel some hesitancy about passing anything +into the organ for fear that it may do harm, cause pain, or give rise to +stricture. + +The majority of these timid people have got this idea from hearing +it said that stricture and inflammation have often been caused by +gonorrhoea (clap) injections, and they therefore have the idea that +anything put into the urethra will do harm. There is not the slightest +doubt but that strong injections of nitrate of silver, zinc, copper, +carbolic acid and the like (of which these injections are usually made) +have, in many instances, caused severe inflammation and, eventually, +stricture. + +But that is no reason why proper and absolutely unirritating and bland +medicines, such as those in the +Civiale Crayons+, should do this--and +they don't do it. Make up a strong injection of zinc, copper, &c., and +take a swallow of it. It will burn and pain your mouth and throat, make +you hoarse, and for days afterward you will find it painful to swallow. +Put a troche or lozenge, properly medicated for the purpose, into your +mouth, and, instead of causing pain, irritation and difficulty in +swallowing, it will relieve these symptoms if they exist, cool and calm +the membrane, soothe the irritation, and give tone and strength to the +vocal chords. + +So it is with the CIVIALE SOLUBLE CRAYONS. + +(1.) They are wholly unlike any caustic, metallic or irritating +injection. + +(2.) They do not contain a grain of any mineral, caustic or irritant of +any kind. + +(3.) Their ingredients are purely vegetable. + +(4.) They soothe, calm and allay irritation, and give strength and tone +to the mucous membrane, Seminal Ducts, Generative Nerves and Prostate +Gland. + +(5.) They do not cause stricture, but they cure it if it exists. + +(6.) Allow one to dissolve in the mouth, eye, ear, nose, or, in fact +anywhere. and they will be found to possess only soothing and healing +properties. + +(7.) They can be inserted into the penis without the slightest trouble, +and, melting rapidly and easily, flow down in a bland, soothing, healing +and strength and life-giving stream, over the diseased parts. + +These Crayons have been in constant use in Paris for the past 25 +years, and have never yet, and never will, cause the slightest pain or +irritation. Patients may rest assured, therefore, that in using these +standard French Remedies they are absolutely protected, and need not +feel the slightest degree of fear. Indeed, so well established is this +fact that we are willing to pay $1,000 (one thousand dollars) to any +person or persons who can cite a single instance when the Civiale +Crayons have ever done the slightest harm. + +The disease is in the Urethra or Urine Channel, whether it be +Spermatorrhoe, Impotence, Prostatitis or gleet, and in order to effect +a lasting cure, the remedies must be applied directly to the diseased +membrane. In nine cases out of ten, Spasmodic Stricture already exists +and must be cured before the person can get well, and the only way to +cure it is to apply the medicines directly to it. + +It would be as silly for a man with an ulcer on his leg, or a crushed +finger, to expect to cure it by taking drugs by the stomach and not +applying proper lotions and salves directly to it, as to try to cure +seminal disease or weakness without going right to the spot, as can be +done by the use of the elegant and harmless Crayons of Civiale. + +It was by establishing the fact of local disease and a local remedy +clearly and distinctly, upon both physiological and pathological +grounds and data, that +Lallemand+ and +Civiale+ gained such world-wide +reputation. And it was the discovery of not only the proper remedies, +but an elegant and perfect means of applying them directly to the very +seat and root of the disease, that has made the Civiale Method so justly +famous, and has crowned its use with such undoubted success in this +country, even in cases where every other plan and agent had failed. + + +A REASONABLE AND HONEST GUARANTEE. + +We feel no hesitation whatever in guaranteeing a perfect and permanent +cure of Spermatorrhoea, Impotence, Debility, &c., &c., in any case +wherein our Medical Director decides that a cure is possible by any +means, if the patient will use reasonable care and diligence in pursuing +the treatment, and this is not hard or tiresome; on the contrary, it is +easy, simple and direct. + +We say "in any case wherein our Medical Director decides that a cure is +possible by any means," and we say it with a purpose, for it is our aim +and desire, at all times, to be perfectly frank and honest with those +who consult us. There are cases that no remedy, be it ever so good, can +cure, and when such a one occurs in our practice, we endeavor to show +the patient his exact condition, and not (as is so often done) try to +persuade him to purchase remedies that we know will do him no good, or, +at least, be but an experiment. So, in consulting our Physicians, you +may be sure of at least an honest opinion, in exact conformity with the +facts in your case. + + + + +_CHAPTER IX._ + +TREATMENT. + +The Different Forms of Remedies for Different Forms of Sexual and +Urinary Diseases. + + +These Crayons are put up in packages, each of which will last one month. +A single package is ordinarily sufficient for mild cases of either +Spermatorrhoea or Impotence. From two to three packages are required +for chronic, severe or obstinate cases, or where the person is much +debilitated or advanced in years. There are five kinds: + + No. 1--For Spermatorrhoea and Chronic Debility. + No. 2--For Impotence or Lost Power. + No. 3--For Urinary, Kidney, Bladder or Prostate Troubles. + No. 4--For Gonorrhoea. + No. 5--For Gleet and Stricture (of Venereal Origin). +Also: No. 6--A Before-Marriage Tonic Course. + No. 7--A Developing Lotion for Weak and Wasted Organs. + +The following are the main symptoms of each class, with the kind of +course they usually call for. If the patient has the symptoms of both +classes he is evidently in an advanced stage, and needs both courses. + + +SPECIAL CAUTION. + +The reader is warned against confounding the CIVIALE URETHRAL CRAYONS +with the American Medicated Bougies, Injections, Pastilles, and the +like. The disease is really seated in the Urethra (urine canal), and +can be easily and painlessly medicated, and certainly cured, by means of +the CIVIALE CRAYONS. + + {Illustration: Fig. 8. + Exact Size and Shape of a +Civiale Soluble Urethral Crayon+. + (Inserted into canal of organ).} + + +CIVIALE'S URETHRAL CRAYONS. + +_COURSE No. 1._ + +_For Spermatorrhoea, Nervous Debility and Masturbation._ + +SYMPTOMS: Emissions (day or night), Oozing of a glairy fluid under +excitement and imaginings, presence of the opposite sex, etc., Partial +and Imperfect Erections, Desire to Masturbate, Formation of Evil +Pictures in the Mind, Flushing and Chilliness, Stupidity and Tendency +to Doze or Sleep, Mental Hebetude, Failing Memory, Lack of Power of +Application, Energy or Concentration, Restlessness, Pain and Smarting in +passing urine, Wetting the Bed, Pain in the Kidneys, Headache, Pimples +on the face or body, Itching or peculiar sensations about the scrotum +(bag), thighs, legs, anus, etc., Wasting of the Organs, Stringiness and +Softening of the Testicles, Dyspepsia, Sluggish Bowels, Torpid Liver, +Failing Sight, Pains in the Head (front, top and back), Chest, Limbs, +etc., Sensation of the Bowels Falling Out, Dizziness on stooping over or +kneeling, Specks before the Eyes, Erotic dreams, Melancholy (developing +sometimes into Insanity), Numbness of arms, hands, feet or legs +(precursors of Paralysis), Twitchings of the muscles of the eyelids +and elsewhere (sometimes ending in Epileptic Fits or St. Vitus' Dance), +Timidity, Diabetes and Deposits in the Urine, Troubled Breathing, +Indecision, Loss of Will Power, Bashfulness, Burning of the face, +Coldness and Clamminess of the feet and hands, also of the Scrotum (or +bag), Palpitation of the heart, Early loss of fluid during connection. +Feelings of gloom, despondency, hopelessness of a cure, or fear of +impending danger or misfortune, Tenderness of the scalp and spine, +Dryness and Itching of the skin, Sudden Sweating, Sudden Nervous +Trembling, Noises and Reports in the ears and brain, Weight on the +brain, Weak and flabby muscles, easily tired after slight exertion, +Desire to sleep late in the mornings, and failure to be rested by sleep, +Weakness and torpor the day after a nightly emission has occurred, the +Oozing of a thick white fluid from the urethra when constipated or +straining at stool, Varicocele, etc., etc. + + $5 per Box. + Full Course of 3 Boxes, for obstinate and chronic cases, $12. + +SPECIAL NOTE.--It is a rare thing for any one patient to have all these +symptoms, and some may have some not here mentioned, but it is important +to know just which they do have. Persons desiring treatment will, +therefore, please tear out the proper page, and having crossed out such +symptoms as they do not have, return it to us for the consideration of +our physician. To save delay, it is best in ordinarily severe cases to +send the price of one course, and leave the selection to our physician's +discretion. When less is needed than what is paid for, the balance due +the patient will be returned to him with the necessary medicine. + + +CIVIALE'S URETHRAL CRAYONS. + +_COURSE No. 2._ + +_For Impotence, Failing or Lost Strength and Vigor of the Generative +Organs, Sterility, etc., etc._ + +SYMPTOMS.--(Impotence may arise without any previous symptoms of +Spermatorrhoea, and solely as the result of abuse, overwork, +confinement, blows, falls, fever, etc., but it is often the direct +result of Spermatorrhoea, forming the third stage of that disorder). +Loss of Sexual Desire or Power, Imperfect or Rapidly Failing Erections, +Too Early Emissions During Connection (denoting irritability), Delayed +Emissions (denoting blunting of sensation), Failure to Consummate +Marital Duties, Oozing of vital fluid, Unnatural Desire, but not +sufficient power, Nervous Exhaustion, etc., Wasting of the Organs, +etc., etc., etc. + + 1 Box, for simple or recent cases, $6. Full Course of 3 Boxes, + for severe or chronic cases, men past middle age, feeble subjects, + etc., etc., $15. + + +CIVIALE'S URETHRAL CRAYONS. + +_COURSE No. 3._ + +_For Kidney, Bladder, Prostatic and Other Urinary Difficulties._ + +SYMPTOMS.--Frequent urination, Rising at night to urinate, Pain or +Scalding in passing water, Dribbling of Urine after completing the act, +Pain and aching in the perineum, Mucous oozing from Prostatitis, Gravel, +brick-dust deposit, and other sediments, Stone in the bladder, Diabetes, +Irritation and Enlargement of the Prostate Gland, Congestion and +Inflammation of the Kidneys, Bloody Urination, etc., etc. (Many cases of +Seminal Disease are due to or made worse by urinary trouble, especially +Prostatic Disease, existing at the same time. Hence, when such is the +case, it is important to treat the urinary as well as the seminal +disease in order to be certain to permanently and thoroughly cure both. +The action of the Civialè Urethral Crayons in these cases is prompt and +satisfactory. Indeed, this is the only known means of reaching and +curing Prostatic Affections. + + 1 Box, $5. + 2 Boxes, $9. + Full Course, 3 Boxes, $12. + + +CIVIALE'S URETHRAL CRAYONS. + +_COURSE No. 4._ + +_For Gonorrhoea._ + +One box a certain cure. Prompt, painless, and leaves no stricture. +Constantly used in _L'Hopital du Midi_ and _L'Hopital Lourcine_, the two +great venereal disease hospitals of Paris--the one for males, the other +for females--as well as in the others. + + $5 Per Box. + + +CIVIALE'S URETHRAL CRAYONS. + +_COURSE No. 5._ + +_For Gleet and Stricture (When the result of Venereal Disease)._ + +The formula used in preparing these Urethral Crayons is one of the +finest the great +Civiale+ conceived. Repeated trials and modifications +finally ended in an almost perfect remedy. Gleet or obstinate milky +discharge or oozing of from two to twelve years' standing yielded +painlessly and permanently to their use. Stricture, too, even when +organic, if not so far advanced as to interfere seriously with +urination, yielded kindly to this treatment, being gradually dissolved +and absorbed until, at last, the canal was left free and clear, and all +the symptoms of urinary irritation had disappeared. Testimony from Dr. +Lorey, Interne at the _Hopital du Midi_, will give some idea of the +popularity of this form of treatment in Paris. With them he cured eighty +consecutive cases of Chronic Gleet. + + $5 Per Box. + 2 Boxes, $8. + 3 Boxes, $10. + + +_COURSE No. 6._ + +_CIVIALE'S PRE-MARITAL TONIC COURSE._ + +This is the course we have already adverted to under the head of +marriage, and we believe that enough was there said to make plain both +its object and application. This, unlike the preceding courses, is, so +to speak, a mixed one, consisting of a combination of (1) Tonics and +Sexual Nervines to be taken by the mouth; (2) A Specially Prepared +Course of Crayons (tonic, anti-spasmodic and detergent), to be used +in the urethra, and (3) a lotion or application which, by being gently +applied to the parts once a day with a sponge, soft cloth or the hand, +adds greatly to the strength and erectile power, as well as the tone, +development and vigor of the testicles. + +These are put up under the strict personal supervision of our head +chemist, Mr. Du Bell, and are exactly in accordance with the formlæ and +instructions of the late Prof. Civiale. + + Price per Set, $25. + +This Course may be used alone or in connection with any of the other +Courses. No man (or woman either) could be injured by it, and many weak +and impotent sufferers will find in its use health, strength and bodily +and mental vigor. + +In some instances the Tonic Regulator and Lotion part of this Course are +advisable without the Crayons, and hence we quote their price +separately. + + Tonic Regulator, $10. + Lotio Fortior, $5. + + {Illustration: DR. LOREY, + Interne at l'Hopital du Midi, Paris.} + + +_CIVIALE'S TONIC-REGULATOR._ + +Civialé's Tonic-Regulator is all that its name indicates and much more +besides. It is composed of Tonics, Nervines, Bitters, Laxatives, Nerve +Foods, Cholagogues (acting on the Liver), Diuretics and Diaphoretics +(remedies acting on the Kidneys and Skin and thereby increasing their +secretions and cleansing and purifying the Blood), Digestives, etc., +etc., etc. It will thus be seen that a more complete and uniform General +Tonic-Regulator could not be devised, for it acts upon the Brain, Mind, +Nervous System, Digestive Organs, Spleen and Pancreas, the Bowels +(keeping them in a healthy and regular manner only--not purging or +weakening), upon the Heart, Lungs, Skin, Blood and Kidneys. + +So skillfully is the combination made that no one ingredient interferes +with the other, but on the contrary each seems to vie with the other in +building up and renovating a shattered, weakened and disordered system. + +Bilious, soggy, sleepy men, with aching heads, foul breaths, bad tasting +mouths on rising, clogged secretions, sense of inability to exertion, +furred or yellow tongues, and the like, absolutely need the +Tonic-Regulator, and not Blue Mass or Anti-Bilious Pills. Weak, nervous, +spiritless, exhausted, debilitated, pale, ambitionless, easily tired, +prone to become short of breath and have pain in side on running, who +find it hard to get sleep, are restless, brood over their troubles, real +or imaginary, start at loud noises or sudden jars, perspire too easily, +flush too readily, are not rested by sleep, and who are neuralgic, +certainly need the Tonic-Regulator, and will find it rapid in action +and very pleasant in its results. Health, strength, vigor, rosy cheeks, +elastic step, cheery voice, zest and happiness, hope and ambition, hardy +flesh and good ruddy blood, made by a perfect digestion of strong foods, +will certainly follow, and as they come, all the old myths and phantoms, +the melancholy, dread and brooding will disappear like unhealthy nightly +vapors before the sun. + +Men, young or old, who have let business cares and worries, mental +trouble, family jars, overwork and constant brain wear and tear, +confinement, or long hours in unhealthy offices, lack of exercise, +too rapid bolting of food, and the like, ruin their previously good +constitutions; or those who, through youthful abuses committed in +ignorance and repented so bitterly, or later excesses from unbridled +passions, have drained their vitality, established a condition of sexual +atony (_a_, without; _tonos_, tone or strength or vigor), or done +serious harm to their nervous systems, brains or minds, will find the +very Vital Restorative and Special Generative Tonic they need the most +in Civiale's Tonic-Regulator. + +It does not do one thing; it does many. While it throws open one door to +let health, strength and vigor enter, it opens others for poisonous +secretions, blood impurities and waste products to escape. It not only +makes the blood purer and richer, but it strengthens the organ (the +heart) that pumps it everywhere throughout the system. It not only +builds up and rejuvenates the general system, but it brings vernal +strength and power to the weakened and debilitated organs. + +It was here that Civiale made Common Sense and Medical Science join +hands. (a) With his Medicated Urethral Crayons he healed and +strengthened the organs of Generation by direct local application. +(b) While with the Tonic-Regulator he sent his powerful yet harmless +emissaries (Tonics, Digestives, Cholagogues, Nervines and Nerve Foods, +Laxatives, Diuretics, etc., etc.) into the system, by the stomach, with +the food, thus guaranteeing their entrance into the blood which carried +them to every nerve fibre and tissue and attacked the disease on every +side. + +This is why this double treatment, intelligently carried out, cannot +fail to rebuild the most debilitated and exhausted constitution and +check the most serious drains and losses. + + +_COURSE No. 7._ + +_DEVELOPMENTAL LOTION._ + +As has already been stated, in some persons Seminal Disease and +Losses of Vital Fluid lead to a wasting away, shrinking or dwindling +of the Generative Organs. It exists in others from birth, and is in +no way connected with Seminal Disease. Whichever be the case, it is +nevertheless true that a wasted or deformed part of the body, be it arm, +leg or what not, cannot in this condition be expected to perform its +function in a natural, vigorous and healthy manner. + +There is a great deal of ignorance upon this subject--ignorance that +interferes greatly with the full and proper treatment of cases of +Seminal weakness. Many sufferers from Seminal Disease and Impotence seem +to think that just as soon as the losses or emissions are stopped, or +erectile power returns, the parts will begin to grow and develop, and +soon be restored to natural size and proportions. This is not so. In +some few instances it does occur, but in the large majority it does not. + +It is therefore necessary in these cases to take special measures to +fully and perfectly develop the defective parts, and it can only be +done by giving a new start to growth and circulation to the nervous and +nutritive centres of these parts. A breast, a limb, a hand, indeed any +part of the human body, especially in persons not past fifty years of +age, can be enlarged and developed, and so, too, can the sexual organs. + +_The Developmental Lotion_ that has been in use for many years, is a +local application (viz., applied directly to the organs), and acts by +stimulating growth, circulation and nutrition. It is cleanly, easily +applied, rapid and satisfactory in its results, and we guarantee that +it will give uniform satisfaction in all cases where our Board of +Consulting Physicians recommend the case as favorable for it. + + PRICE OF THE DEVELOPMENTAL LOTION, { Strongest, $15. + { Less strong, 10. + +It is put up in quantity sufficient to accomplish a full and perfect +development. Should more than is at first sent be needed to complete +the development, we will furnish it at half-price. Full instructions +accompany it. + +It should be used in connection with the remedies for Impotency or +Spermatorrhoea in every case where the organs are wasted. Its effects +in such cases are wonderful and the results very gratifying. + + CIVIALE REMEDIAL AGENCY, + 174 Fulton Street, New York. + + + + +_CHAPTER X._ + +REORGANIZED CONSULTING STAFF. + + {Transcriber's Note: + + The names "G. G. Mortimer" and "S. Sorensen" are printed above the + text in a different typeface. The original names, crossed out by + hand, were "Millard F. (or E.) Flowers" (last four letters unclear) + and "George H. Du Bell" (partially illegible). The _curriculum vitae_ + associated with each name is unchanged.} + +G. G. MORTIMER, A.M., M.D., Ph.D., Chief of Staff. + +RICHARD LEE, A.M., M.D., of the Universities of Oxford, London and +Melbourne, Master of Arts, Member of the Royal College of Surgeons, +of England; late Consulting Surgeon to the Beechworth Hospital and +Professor of Botany and Chemistry at the Tasmanian Institute; Honorary +Member of the Victoria Medical Society and Fellow of the Royal Society +of Tasmania and of the Anthropological and Physical Societies of London; +University Medalist, etc., etc. Chief of Personal Consultation. + +HENRY H. KANE, A.M., M.D., late Medical Superintendent of the De +Quincey Home, Interne at the Roosevelt, New York, Bellevue, Charity +and Lenox Hospitals; Physician to the North-Eastern and Good Samaritan +Dispensaries; Lecturer at the Women's Medical College, on Urinary and +Renal Diseases, etc., etc., etc. + +S. SORENSEN, A.M., Ph.D., Manufacturing, Analytical and Experimental +Chemist, Licentiate of the School of Pharmacy of Heidelberg and Berlin, +Germany. (This accomplished chemist has full charge of all analyses of +urine, the preparation of our various formulæ, the purchase and +importation of all drugs, etc., etc.) + +LOUIS B. JONES, Business and General Manager. + +With such a complete and accomplished staff, it will be seen that the +case of every person consulting us will receive the most careful and +combined opinion, judgment and decision of all these men. We have the +greatest and most generally successful remedies known, and by thoroughly +understanding every detail of the cases submitted to us, and carefully +applying these remedies, we seldom or never fail to perform a pleasant, +absolute and lasting cure. + + +PERSONAL CONSULTATION. + +Patients desiring a consultation with our Chief of Staff will find our +offices open and physicians in attendance from 8 A.M. to 6 P.M., daily, +and from 9 to 12 Sundays. + + +HOW TO SEND MONEY. + +Money should be sent by Post Office Order, Postal Note, Check, Draft or +Express Order. Checks, etc., may be made payable either to the Civialè +Remedial Agency, or, if secresy is desired, to our Superintendent, Mr. +L. B. Jones. Please state in your letter to whom the order (when such is +sent) is made payable, in order to avoid confusion in indorsing them for +banking. + + +HOW TO SEND URINE. + +In sending urine, bear in mind the following: + +Never send by Mail--always by Express--charges prepaid. + +Send morning urine. + +Write your name on a slip of paper and paste it on the bottle. + +Pack the bottle securely in a box filled with sawdust or the like. + + + + +_CHAPTER XI._ + +VARICOCELE. + +VARICOSE TESTICLE, OR VARICOCELE. + +A very Common Disease Amongst Men and Boys, and one that has a very +serious effect In Weakening the Sexual Powers, causing Emissions and +Losses, and Preventing a Thorough and Permanent Cure of these +Complaints. + +Varicocele (from the Greek, pronounced Var-i-ko-seal, accent on either +Var or seal) is a condition of bagging, bunching, bulging or twisting +of the veins in the scrotum (bag or testicle sac.) It is most commonly +found on the left side of the bag, but sometimes is to be seen on both +sides. Usually the scrotum is bulged out on the side and sometimes hangs +very low, so long and twisted are the veins. To the touch the veins feel +like a bunch of angle-worms. In some cases they can be seen knotted and +swollen through the thin skin of the bag. + + {Illustration: Fig. 9. + A VARICOCELE. + Showing how the veins are affected and how they press upon the nerve, + duct and artery, and waste the testicle. + 1. Spermatic Artery. + 2, 3. Spermatic Veins. + 4. Spermatic Nerve. + 5. Vas Deferens or Seminal Duct. + 6. Testicle. + 7. Converging Tubes. + 8. Wormy bunch of Veins.} + + {Illustration: Fig. 10. + VARICOCELE, AND INSTRUMENT IN PLACE. + On the right side, the drawing of the instrument is cut away, also + the layers of skin and muscle, showing the dilated and knotty veins + in the groin, before they reach the scrotum, also the Bell Pad in + dotted outline, showing how and where the pressure is properly + exerted. When the veins in the groin are thus affected, we have what + is known as +Varicocele of the Cord+. On the left side, the Cradle + and Compressor is shown in place.} + + +A HIDDEN DANGER. + +In cases of Varicocele of the Cord (one of the most dangerous of all +forms), the veins in the bag are not affected, the trouble being mostly +in the groin (in the canal through which the veins run), where the +swollen and knotted veins press upon and seriously injure the cord, +preventing the free flow of Vital Fluid, and thereby causing Impotence, +Wasting of the Testicles, etc. A dull, heavy, aching or dragging pain in +the groin, back or legs, is about the only symptom. + +The great danger of this form of Varicocele lies in the fact that +thousands of young men are going about to-day not knowing that they have +the disease; not knowing that a persistent evil is nestling in this +little canal, gnawing at their vitals, and slowly but surely undermining +and destroying their sexual vigor and manhood. + +We know this to be so because we are daily being consulted by men of +different ages, who, until our physician, in the course of the +examination, showed it to them, _never suspected its existence_. Many +of these men had been "doctoring" for years for seminal weakness and the +like, with varying success, never being quite cured, or, if cured, soon +relapsing--all because a Varicocele of the Cord existed unsuspected and +therefore untreated. + + {Illustration: Fig. 11. + COMPLETE INSTRUMENT. + Showing mobility at points so that it will fit any individual.} + + {Illustration: Fig. 12. + SIDE VIEW. + Showing Bell Spring, Pad and Pubic Shield.} + + +CAUSES.--The causes of this condition of the veins of the bag are very +numerous. Some of the most important are Masturbation or excess, causing +weakening of all the parts, the veins included; Falls, Blows, Strains, +Excessive Horseback and Bicycle Riding, Running, Jumping, Mumps going +to the Testicles, Gonorrhoeal Inflammation settling there, Kick in the +Groin, Wearing of Improper Trusses, etc., etc. Masturbation is one of +the most common of all the causes. In many instances, even if it does +not _directly_ cause the complaint, it weakens the parts, so that blows, +strains, etc., that in others would not produce any particular trouble, +readily cause it in these persons. + +SYMPTOMS.--The symptoms are not many unless it has caused seminal +weakness and lost vitality, in which case all the symptoms of these +complaints may really be attributed to the Varicocele. Pains in the +Groin, Limbs and Back; a sense of weight or dragging; Neuralgia of the +Testicles, Fetid Perspiration; Itching and peculiar sensations in the +Skin of the Bag; Chafing in warm weather; easy tiring under rapid +walking or running, are not uncommon. In some very bad cases, however, +none of these symptoms, or only a few, are present. Why, we cannot say. + +PROGNOSIS.--In itself this disease is not dangerous. It is from the fact +that the veins may go on bulging until an enormous swelling is produced +(we have seen cases where the bag hung as low as the knee and was nearly +as large around as a man's arm); that the testicles may be entirely +wasted away, and that it may cause Spermatorrhoea, Lost Manhood, Total +Impotence, &c., &c., constitute its greatest gravity. + +TREATMENT.--Cutting and tying operations are exceedingly dangerous, +having frequently caused death; and even if successful, the testicles, +having their blood supply thus entirely cut off, waste away, and +Impotence certainly results. Prof. Chevillot, the great French surgeon, +was assassinated by a patient, in whose case he tied the veins on both +sides for a double Varicocele. Becoming totally impotent, on the very +eve of his marriage with a beautiful and accomplished young lady, this +man became desperate and attempted the surgeon's life. + +To effect a cure, the following obstacles must be overcome: + +_Weakness and bulging of the walls of the veins._ + +_Weakness and relaxation of the dartos muscle of the scrotum._ + +_Over-clogging and stagnation of blood in the veins._ + +_Healing and strengthening of the ruptured and relaxed valves of the +veins._ + +_Relief of the pressure and weight of the column of blood from above._ + +Suspensory Bandages are good, because they act as supports. + +Astringent and Tonic Washes are good, because they strengthen the +weakened veins and muscles and heal the relaxed valves. + +Proper Trusses are good, because they break the great pressure of the +blood from above, and act as do the valves in the veins in the groin in +health. Also, because they act directly on the disease in cases of +Varicocele of the Cord. + +But neither one alone will cure a really serious case of Varicocele. +Combine them, however, properly and scientifically, so that you have the +practical outcome of these three sound principles of cure in the one +appliance, and + + +ANY CASE, NO MATTER HOW SEVERE OR HOW OLD, CAN BE PERMANENTLY AND +PAINLESSLY CURED. + +Such a perfect and practical combination is to be found in the Elastic +self-adjusting and adjustable Cradle and Compressor, which has succeeded +in curing many very serious and (apparently) hopeless cases. Patented +and thoroughly protected from all infringements and imitations (and many +would-be ones, seeing our success and recognizing the merits of the +Cradle-Compressor, have lately sprung up), both in this country and +Europe, there is nothing like it. It combines all the good points of all +previous instruments, and being easy to wear, rapid and pleasing in its +results, and certain in its effects, is the only rational means for +radically curing this disease. + +Briefly: It consists of a very light and elastic triangle of tempered +steel bands, that rests on the front of the abdomen, and is held in +place by a soft silk-elastic waist-band. In each of the slanting arms of +the triangle are small holes that admit the central pivot of a bell-pad, +having a central spring, and so adjusted that it adapts itself to every +movement of the body without being misplaced. By means of a thumb-screw +and the perforations, it (the spring bell-pad) can be set at any point +in the groin, and can be changed from day to day and hour to hour. + + {Illustration: Fig. 13. + INSTRUMENT ON BODY. + _a. a._ Transverse Steel Band; _b. b._ Elastic Waist Belt; + _c. d._ Metallic Arms, perforated to permit change of pad pressure; + _e._ Pubic Shield to which Elastic Cradle is attached; _f._ Bell + Spring Pad.} + +By means of pivotal joints at the angles, the appliance can be made +to fit any one perfectly; moreover, by means of the metallic shoulder +below, the arms can be thrown into any lateral variation of the groin +line. + +We thus are able to obtain all the marked benefits of a truss without +any of its drawbacks; and that special disadvantage, steady and +wearisome pressure at one point, is wholly obviated. The whole appliance +is held in place below by means of perineal tubular rubber bands that +connect with the waist-belt behind. + +Attached to the metallic shoulder below is the Elastic, Glove-Fitting, +Self-Adjusting Testicle-Cradle, by means of which not only are the +testicles perfectly supported and rested, but by the sheet-rubber lining +and the elastic tie bands, a constant, easy and perfectly painless +elastic pressure is kept up on the dilated and sagging veins, which are +thereby emptied of their unhealthy and stagnated blood and allowed to +regain their tone, strength and contractility. + +By means of the elastic bands it is easy to regulate the amount of +pressure, thereby constantly adapting it to the improvement that is +steadily taking place. + +The compression is so uniform, yet so elastic, that it is absolutely +painless, and no motion of the body, however violent, can disarrange it. +This, and the fact that the blood can enter and leave the testicle with +perfect freedom, constitute some of its most marked advantages over the +Truss. + +Moreover, the wearer always feels a sense of rest and relief while +wearing the Elastic Cradle-Compressor, and from the first day the +symptoms of weakness and impotence improve. Being made in different +sizes and shapes, and of the most durable yet softest silk, and powerful +yet yielding elastic, they will wear perfectly until long after the +Varicocele has entirely disappeared. + + {Transcriber's Note: + The left edge of this page was partially illegible. Words and letters + in braces { } are conjectural; all came at the beginning of a line.} + + {Illustration: Fig. 14. + ELASTIC TESTICLE CRADLE, + {Deta}ched from Compressor, and showing its appearance + {when} worn singly. It is lined inside with sheet rubber, and + {the t}ie cords are of the very best French elastic. The bag + {cover} is of the finest knit silk.} + +While it compresses the Varicocele, forces out the blood, and allows the +veins a chance to regain their strength and proper size again, it simply +supports and keeps from injury the testicle, which at once begins to +grow larger. In addition to their curative value in Varicocele, they are +now being extensively used by the medical profession for the relief of +the pain and subduing of the inflammation of "swelled testicle;" also in +hydrocele and hæmatocele. + +Being applied over the whole scrotum, they will cure a Double as readily +as a Single Varicocele. + +In certain recent or simple cases the Elastic Testicle-Cradle alone will +effect a perfect cure. If the case is severe or of long standing, if it +involves the Cord, or if the sexual organs are affected, the complete +instrument should be worn. + +It is beautifully made and finished, and is strong and durable, yet +light and easily worn. + + PRICE. + + {Comp}lete Instrument (all attachments) $15.00 + {Extra} Central-Spring Bell-Pad, In case of Double Varicocele 3.00 + {Elast}ic Glove-fitting Testicle-Sac and Cradle (separate) 6.00 + +{Sold ne}atly boxed, and with full and explicit directions for applying; +as also a {____} prescription for a Tonic, Healing and Astringent +Lotion, to be used {in conju}nction with it. + +In ordering, please state girth around waist, circumference of scrotum, +and length of same from root of penis to about the middle of the bottom +of the bag. + +The reason why Varicocele has until within the past ten or fifteen years +received so little attention is owing to the fact that up to that time +this bagging or bulging of the spermatic veins was looked upon as merely +a local affection. No one seemed to be aware of the fact that its effect +in nine cases out of ten was to produce Seminal Weakness and Loss of +Sexual Power, etc. To-day no fact is so well recognized in medicine, +although probably not so well known outside of the profession. + +Then, too, until very recently, physicians either carelessly dismissed a +patient with Varicocele with the advice to "get a suspensory bandage and +wear it; the thing don't amount to anything;" or else, when the patient +became persistent in his demands for a cure, advised him that the +dangerous cutting or tying operations were the only means of relief. But +this is all changed now. Physicians have come to know something about +the disease, and means for both relief and cure are now speedy and +certain, and in no sense painful or dangerous. + +It is for the purpose of stating in as plain and concise a manner as +possible all the more important facts relating to this disease, and +pointing out to such as are troubled with it, or have friends so +troubled, not only the proper manner of treatment, but also the danger +of delay, that this little treatise has been compiled. Many a man well +built and apparently healthy, yet totally bereft of manhood--in a word +Impotent--can trace his deplorable condition to a neglected Varicocele. + +Nor are these the only ones who need information upon the subject. +Thousands of young men are to-day being treated for seminal troubles who +will never be cured, because they are entirely ignorant of the existence +of a Varicocele of the Cord, that most insidious and dangerous of all +forms of Varicocele, or, if aware of it, do not understand the terrible +influence it has on their Sexual Powers, and how great and persistent a +stumbling-block it will be in the way of all treatment. + +It is for the benefit of all such that this little essay is intended. +For the sake of clearness we shall consider the subject under the heads +of Definition, Frequency, Causes, Dangers, Influence on Sexual Diseases, +Wasting of the Organs, Symptoms and Treatment. + +Consultation with our physicians, by letter or in person, free, +References and testimonials promptly and cheerfully furnished. + + CIVIALE REMEDIAL AGENCY, + 174 Fulton Street, New York. + + + + +_CHAPTER XII._ + +THE RELIABILITY OF THE CIVIALE REMEDIES, +AND THE BUSINESS STANDING AND PROBITY OF OUR AGENCY. + + +In previous editions of this work, we made no attempt whatever to point +out to our readers either our reputation as a medical business firm, or +proofs of the efficacy or reliability of the remedies we represent and +prescribe, supposing that any person at all familiar with the names and +reputation of Professors Lallemand and Civiale, and the honors bestowed +upon the latter by the French government, would need no such references, +etc. We find, however, that there are but few men in this country who +are as familiar as they should be with the nature and extent of +Lallemand's and Civiale's medical labors, or indeed with French Medical +History at all. We, therefore, for the benefit of such, have here +transcribed extracts from that most reliable work, _Appleton's +Cyclopedia_ (copies of which may be found in many families, and every +town and city library), from which may be learned the professional +standing and reputation of these great men. + +Furthermore: Of late years there have sprung up in various parts of the +country, physicians and firms who have made it a business to prey upon +foolish young men, who took everything that was sent to them for gospel. +There are many young men (and old men, too) who do not know us, and for +their benefit we have drawn up here and submitted such proofs of our +probity, fair dealing and medical capacity, as well as of the +reliability of the Civiale Remedies, as will, we believe, carry +conviction of our truthfulness and probity to any honest man's mind. + +We have always been averse to parading before the eyes of the careless, +scoffing world the sufferings of the victims of abuse or excess, even +when by doing so we might profit largely by such a course. We have a +large number of letters from persons who have been cured by this +treatment constantly on file in our office, and any sufferer really in +earnest will be gladly given permission to examine them, should he so +desire. But we certainly shall not parade such letters, written to us in +the strictest confidence and secrecy, to every reader of a treatise of +this kind, especially when we give an abundance of equally as good proof +of another kind. + +_If we have always dealt fairly and with professional honor and ability +with our corresponding and office patients in the past, we certainly +shall continue to do so in the future._ + +First, let us call your attention to two very recent and very flattering +extracts from editorial articles that appeared in newspapers of known +standing and reputation in the city of New York, both of which articles +were wholly unsolicited by us, being the spontaneous testimony of wholly +disinterested journals. + + + + + TESTIMONIALS AND ENDORSEMENTS + + from the + + MEDICAL AND LAY PRESS + + Of this Country and France. + + +A NOTABLE MEDICAL INSTITUTION. + +_From the New York TRIBUNE AND FARMER, Nov. 22, 1884._ + + +It is a well-recognized fact by writers upon longevity that the men of +the present day, both old and young, are less manly and vigorous, less +able to resist the attacks of acute disease, and not only less likely to +produce healthy and vigorous offspring, but in the majority of instances +producing a fewer number as well as a less vigorous and robust progeny. +The ratio of births to deaths has fallen off some 12 per cent. in births +in the past fifteen years. This fact, coupled with the equally startling +consideration that the mortality of infants has increased about 11 per +cent. in the past ten years, must needs fill the mind of a lover of his +kind with dismay and alarm. Although invested and thickly hedged about +by ideas of false modesty and pseudo-propriety, in reality the whole +fabric of national and individual prosperity, health, vigor and +enjoyment, as well as the very important perpetuation of our species, +depend upon perfectly strong, healthy and vigorous procreative powers. +As an oak cannot grow from a flower seed, neither can weak, puny and +debilitated parents give birth to strong, vigorous and mentally sound +and active progeny. + +The subject of Procreative Pathology deserves more careful and extended +study and observation than the majority of our physicians have +heretofore been inclined to give it. Most of them have let the more +numerous and oftentimes the more trivial cases daily coming under their +notice crowd this most serious matter from sight, and when applied to +for advice or treatment by sufferers from these disorders or debilities, +have either pooh-poohed it or have given some simple (or useless) +placebo, believing the trouble to be more imaginary than real. Is it any +wonder, then, that such patients have walked blindfold into the arms of +quacks and charlatans who profess the most tender interest in even their +minutest symptoms? + +We have been led to make the foregoing remarks by what we have just +finished reading in a very interesting and able work upon this subject +recently issued from the press of the Civialè Remedial Agency, of 174 +Fulton street, this city. The subject matter of this book cannot fail to +interest every man, young or old, and must prove of special interest to +men just married, and to that large class of middle-aged men who find to +their surprise and chagrin that while their bodily health is apparently +excellent, their procreative powers have prematurely declined. + +The fact of the establishment in this city of an original institution +under reputable business management, each department of which is +presided over by a physician of special skill and qualifications, is +something of which every citizen should feel proud. And to judge by the +class of patients who may be found in their elegant consulting-rooms, +and the very large amount of express and mail matter they are constantly +receiving, we believe that they are appreciated. + +With our magnificent hospitals, second to none in the world, our large +medical colleges and dispensaries, and the establishment of so large and +excellent an institution as the Civialè Agency, the main offices being +now transferred from Paris to this city, New York may justly claim to be +the great medical centre of the United States, and sooner or later of +the world. + +We maintain now, as we have always maintained, that the surest and best +way to drive quacks and humbugs from any branch of medicine, is to have +some of our very ablest and most honorable physicians make such a branch +their specialty, and such is the course now being pursued by the Civialè +Agency. + +The very fact that it takes its name from and is engaged in +manufacturing and prescribing the remedies of France's most illustrious +specialist, Prof. Jean Civialè, is by itself evidence enough of its +medical value and professional integrity. Our feelings upon these +matters, _i.e._, the great importance of their bearing upon both +individual and national vigor and prosperity, the necessity for driving +from this field of practice those quacks and humbugs who entrap the +foolish and ignorant, those cheap and worthless remedies that flood +the drug market--our feelings upon these matters are, we repeat, very +strong; and hence, when we find an institution for the treatment of +these diseases conducted upon the highest moral, medical and business +principles by men of undoubted medical and business standing and +integrity, we feel that we cannot endorse them too heartily. + + +The _Tribune and Farmer_, of New York city, in its current issue of +July 26th, 1884, says + +"AN EXCEPTION TO THE RULE." + +"The propriety of devoting editorial space to the subject-matter of any +medical advertisement that may appear in our columns may be doubted by +some, and indeed, were it not for our personal knowledge of the skill +and integrity of the Medical Director of the Civialè Remedial Agency of +New York (whose advertisements will be found elsewhere in this issue), +we should deem ourselves more than guilty were we to utter a word of +endorsement as to the efficacy of their system of treating that serious +class of diseases in men which has been generically termed Nervous +Debility, and which for so many years has been, and is at present, made +the stalking-horse for impudent swindlers, quacks and impostors to palm +off worthless and often injurious compounds on their suffering +fellow-men. + +"Let it be understood, then, that we know whereof we speak, and that our +object is simply to furnish those who are afflicted with such reliable +information as will enable them to determine the true character of their +disease, and the best means to be adopted for a cure. + +"The method of treating diseases of the Genito-Urinary organs by means +of the urethral canal is in the first place no new-fangled experiment, +but is identical with the system which has been employed for the past +fifteen years in the leading hospitals of France, and more especially +in Paris, as the standard treatment, and one that gives uniform +satisfaction; and in the history of medical science there are perhaps no +two physicians who have done more for the alleviation of human suffering +and the cure of Sexual and Seminal Diseases than those eminent French +Surgeons, Prof. Jean Civialè and Prof. Claude Lallemand, to whose joint +studies and endeavors this system owes its origin. + +"We believe, in fact, that this theory and practice of medicine is +an advance in the right direction, and we predicted, from its first +introduction in the United States some time ago, that the people would +readily see its truth and accept the wonderful benefits of its practice. +And the result has certainly borne out our prediction, for thousands of +sufferers from such ills as Impotence, Spermatorrhoea, Kidney, Liver and +Urinary troubles have been cured by these remedies." + + + {Illustration: ONE VIEW OF THE HOSPITAL OF THE HOTEL DIEU, PARIS. + + This celebrated hospital of Paris, the oldest as well as the largest + and finest in the city, covers 22,000 square metres of land, has over + 1,000 beds, and a corps of over 100 physicians on its medical and + surgical staff. It is situated on the _Ile de la Cité_, near the + famous church of Notre Dame. It was here that both LALLEMAND and + CIVIALÈ studied under the celebrated DUPUYTREN, one of France's + greatest surgeons, until, in after years, they themselves became + sufficiently great to become its Consulting Surgeons. In France, + honors are gained by ability alone, and not, as here, by political + influence and wire-pulling.} + +The following is a list of the French Hospitals with which Civiale and +Lallemand were connected during their lives. + +HOTEL DIEU. LA PITIE. LA CHARITE. LARABOISIERE. St. ANTOINE. HOPITAL +NECKAR. HOPITAL COCHIN. HOPITAL St. LOUIS. HOPITAL Du MIDI. HOPITAL +LOURCINE. La MATERNITE. HOSPICE BICETRE. + +We next give extracts from Appleton's Cyclopedia, to which reference has +already been made. + +LALLEMAND, CLAUDE FRANÇOIS, a French physician, born in Metz, Jan. 26, +1790, died in Marseilles, Aug. 25, 1854. After serving as assistant +surgeon in the armies of the Empire, he studied in Paris at the Hotel +Dieu under Dupuytren, and, from 1819 to 1845, was Professor of Clinical +Surgery at Montpelier, with the exception of three years, during which +he was suspended for his liberal political expressions. His most +important work, _Recherches Anatomica Pathologiques sur l'Encephale et +ses Dependances_ (Paris, 1820-1836), established his reputation, and was +translated into many languages. In 1845 he was elected to the _Academy +of Sciences_, removed to Paris, and was consulted by patients from every +part of Europe. He bequeathed 50,000 francs to the Institute. +--[_Appleton's Cyclopedia, vol. x, p. 144._ + + {Illustration: Prof. JEAN CIVIALÈ.} + + {Illustration: Prof. CLAUDE F. LALLEMAND} + +CIVIALÈ, JEAN, a French surgeon, the originator of the operation of +Lithotrity, born near Thiezac, Auvergne, 1792, died in Paris, June 13, +1867. At a very early age, while a pupil of Dupuytren at the _Hotel +Dieu_ hospital in Paris, his attention is said to have been attracted +to the subject of his future discovery; and, after many years of +perseverance, he succeeded in perfecting and introducing to the +profession his new operation of lithotrity. Before that time the only +means was the serious and often dangerous operation of lithotomy (SEE +STONE). He was the teacher of several generations of lithotriptists, +became a member of the MEDICAL ACADEMY, and an officer of the LEGION OF +HONOR. His principal publications are: _De la Lithotritie, ou brolement +de la pierre_, (_Paris_), 1827); _Lettres sur la Lithotritie, &c._ +(1827); _Traite pratique et historique de la Lithotritie_ (1847); +_Resultats Cliniques de la Lithotritie pendent les Annes_ 1860-64 +(1865). --[_Appleton's Cyclopedia, vol. iv, p. 618._ + +We also take pleasure in referring--not as patients, but simply as to +standing, probity, business capacity and the ability of our Consulting +Staff--to the following firms or gentlemen in this city: + +WEST SIDE PHARMACY, dealers in Drugs, Chemicals, &c., corner Hudson and +Charlton streets. + +COFFIN & ROGERS, 85 John street, New York. + +AMERICAN DRUG COMPANY, Islip, Long Island. + +Editor of the "NEW YORK TRIBUNE AND FARMER." + +E. DUNCAN SNIFFEN, 3 Park Row. + + +A CHARACTERISTIC LETTER. + +(For once we transgress our rule--never to put a debility patient's +letter in print unless the patient urges us to do so--and do it at the +request of our Medical Chief of Staff, and with the patient's full +consent. The name, however, we omit, simply stating that should any +intending patient desire to come and see or send some friend living in +the city, to see and verify that letter and many more like it, we shall +be most happy to oblige them.) + + RODNEY, MISS., August 14, 1884. + +_Dear Sirs:_--My course of treatment being almost all used, I feel it +my duty to state to you my present condition, and I can say without +hesitation that I am almost a new man, and I thank God that improvement +has been so thorough and rapid, may it be but lasting. Sexual desire is +now perfect, erections are perfect, emissions come at the right time, +oozing of vital fluid at stools and in the urine has stopped, I rest +well at night with the exception I shall state further on, appetite +is good and digestion almost perfect. I can now approach the presence +of the opposite sex with some satisfaction to myself; ambition is +returning, and in fact a whole new lease of life seems suddenly to have +been allotted to me. The varicocele has almost disappeared. I cannot say +enough in praise for this beautiful little appliance, "the Cradle +Compressor." Now, if it were not for the urinary disorder which still +remains, I should call myself well; that this remains, however, is no +fault of the crayons, and could the Course No. 3 have reached me +undamaged by heat, as did the Course No. 2, I have not the least doubt I +should now be well. The symptoms of this disorder, still present, are +dreams at night, not nervous ones as before, but still unpleasant; +mucous oozing after straining, also in the morning on rising I find the +lips of organ glued, and on forcing apart a drop of this mucous fluid +makes its appearance. I have no doubt whatever that had crayons reached +me perfectly, this disorder would have been conquered same as the other. +Now, in your little circular you guarantee a cure "in all cases wherein +your Medical Examiner decides a cure is possible." Now this certainly +holds good in my case. Please let me know what you are willing to do +about the matter, for I certainly need another course of No. 3 crayons, +and if you would furnish them in place of the ones destroyed in transit, +I should consider your guarantee fulfilled. The course you sent me last +could not be used at all; they were ten times worse than the first ones, +and I only wasted them in trying to use same. However, do not send any +crayons till you hear from me, and I think the weather cool enough, as +they would only be wasted again. Could you furnish me, and at what +price, a suspensory, such as you would recommend, if not, where could +I get one? I think it advisable to wear one after laying aside the +Compressor, as I have to be on my feet all the time. + +Please excuse encroachment on your time and believe me ever, + + Yours very truly, ---- SINGER. + + +DOUBLE VARICOCELE AND SPERMATORRHOEA RADICALLY CURED. + +(These letters are published at the patient's own request, and he will +be most happy to correspond with any earnest and honest inquirer). + + +"TIRED OF HUMBUGGING." + + "ISLIP, Suffolk County, N.Y. + +"_Manager of the Civiale Remedial Agency,_ + "174 Fulton street, New York. + +"_Dear Sir:_--My attention has been several times called to your method +of curing Varicocele of the Bag without any cutting or tying, and I am +now going to describe my case to you, and get your idea whether you can +cure me or not. I would have done this long ago if I hadn't been afraid +of being humbugged, as I often have been by doctors and men who said +they could cure me right off without any pain or trouble. But they all +fooled me out of my money, and that's all. But I'm going to try once +more, and please tell me if you think my case is too bad for your +Compress and Cradle. + +"I'm pretty badly off I know, but it seems to me that this thing ought +to be able to be cured by some one. This is how mine was. Eight or nine +years ago I fell from the rigging of a schooner, and was laid up for +nearly sixteen weeks with a broken thigh. I also had both testicles +terribly sore and swollen, and it was a long time after my leg got well +before I was able to walk, the pain in the groin, testicles and small of +my back was so bad. Sometimes, even when I was sitting quiet, it would +cut me like the stab of a knife. The first I noticed of the Varicocele +was one day when I was taking a bath I saw there was a sort of bulging +there, and come to notice it closer, it felt just like a bunch of +angle worms all twisted together. I tried cold water to it and wore a +suspension bag for a long time, but it didn't do much good. At first it +didn't trouble me much in winter, but was bad in summer. Now it's bad +all the time, and I don't believe I could walk half a mile without I +wore a supporter. + +"I have tried most everything I ever heard of, but it's no use. Some of +the things helped me for a while, but they didn't last, and now I'm +pretty well discouraged, for I don't dare have it operated on; not so +much that I'm afraid of the pain, but because a young man I knew went to +a hospital in New York to be operated on, and died, because the veins +got inflamed from the cutting and tying. + +"I am willing to pay any one a fair price for curing me, because as I +am now I can't do a fair day's work, and my testes are wasting away very +fast. But I don't want any more humbugging, and if you treat me, you +have got to give me good proofs that you can do as you say." + + "Truly yours, D. L. B. + +"I forgot to say that my Varicocele is on _both_ sides, but the left +side is much the worse. It is twice as bulgy as the other." + + +"JUST AS REPRESENTED." + + "ISLIP, N.Y. + +"_Dear Sir:_--I went to the depot night before last and got the package +all right, and when I got up yesterday morning, bathed as the circular +said, and put the Cradle and Compressor on me. I write to tell you how +pleased I am. I always felt sure some one would find a cure for this +thing, and believe I've got hold of the right thing at last, though I'm +not going to crow this time till I'm part way out of the woods at least. + +"Any way, I'm satisfied so far. The appliance is just what it was +represented, and I find that it fits me to a t, and is the most easy and +comfortable thing I ever wore. I haven't had a bit of pain since I put +it on yesterday morning, and I have done some hard work these two days, +purposely twisting and wrenching my body about to see if I would get it +out of place. + +"So far it is all right, and I am very thankful to you, for if it never +cured me it would be a God-send to wear for relief of that horrid dead +ache and dragging pain in my groin and back. I shall want some of your +Crayons soon, and will write again in a few weeks. Please tell me how +long the wash ought to stand before it is strained, and whether it would +hurt me to use it _twice_ a day instead of once. + + "Very respectfully, D. L. B." + + +"PERFECTLY CURED." + + "ISLIP, Suffolk County, N.Y., February 13, 1884. + +"_Dear Sir:_--It is now over two months since I quit wearing the +Cradle-Compressor, and I seat myself to tell you that the Varicocele +seems to be entirely well. The left side is a trifle larger than the +right, but the veins are not wormy as they used to be, and the blood +don't stagnate in them any more. The dragging pain is all gone away, +and the small of my back hasn't pained me for a long time. When I came +to see you in New York, your doctor told me I musn't feel sure that I +was cured until every bit of worminess was gone and the canal was free +of swelled veins. You can tell him that this is so now, and that the +testicles aren't shrunk and wasted the way they used to be. + +"Our doctor here, who told me I couldn't be cured unless I had it +operated on, says it's the most remarkable thing he ever saw. Those are +his very words. He didn't seem any too chipper to find out he was wrong +about having to get cut. + +"I am a thousand times grateful to you. You have made me a man again, +and I shall not forget it. I am ashamed to think how mean a letter I +wrote you last summer about humbugging and the like, but I apologize +now, and if you find any other people that don't feel sure you can cure +them, send them this letter or get them to write to me. + +"I shall remember all you wrote in your last letter about not 'presuming +too much on my improvement,' and to be careful about jumping, straining +and lifting hard, and the like. The Crayons did their work just as well +as the Compress Instrument, and I never can tell you how grateful I am +to you. There's several men I know here that are going to write you +about their cases. One of them, ---- ----, is going down on the train +to-morrow, and will bring this letter with him, he says, for +introduction. Good bye. + + Yours respectfully and gratefully, DAVID L. B." + + +REMARKS. + +The foregoing three letters tell their story plainly and concisely, and +need little or no explanation. We only desire to append the following +note from our Case Book--"D---- B----; RESIDENCE--Bay Shore, Suffolk +County, Long Island, N.Y.; AGE--54; Sex--Male; CIVIL CONDITION--Widower; +OCCUPATION--Track-Walker on L.I. Railroad (formerly Bayman and Sailor); +DISEASE--Double Varicocele, most pronounced on the left side; glands +much softened and wasted; cord also varicose and very painful. +COMPLICATION--Impaired powers, losses and commencing Impotence. +CAUSE--Indirect and Contributive Abuse in earlier years. DIRECT--Fall +from rigging of a vessel. TREATMENT--Medium Cradle and Inguinal +Compressor and one No. 2 Course Civiale's Soluble Crayons. +RESULT--Perfect cure in about 9 months. REMARKS--As severe and +complicated a case as can be found in any records. The symptoms of +Impotence were undoubtedly due to the pressure of the dilated veins on +the testicles in the scrotum and the seminal duct in the Inguinal Canal. +Patient promises to report, in person, at the end of six months, to +determine whether the cure remains perfect." Mr. B---- has since moved +to Islip, Long Island, where letters of inquiry (containing a stamp for +reply) will reach him. + + +CONSULTATION. + +If you should conclude to place your case in our hands, we shall be +pleased to hear from you, and promise you the most careful and thorough +attention. Our Consulting Staff is large, each physician has his special +department to attend to, and each case is afterwards reviewed by the +whole Board, so as to avoid all possibility of error and give each +sufferer the benefit of the highest skill and research. Our patients, +while numerous, are not such a multitude but that we can and do give +each one of them individually the closest attention. Should it be +convenient for you to visit us in person you will be cordially welcomed. + +If you hesitate from ordering, from any cause, we shall be pleased +to correspond with you. We try to feel as if we have a personal +acquaintance with every patient, and treat him as a valued friend; and, +whether you ever order or not, we shall be glad to hear from you and +know your conclusions on this subject. Of course, every letter is +sacredly private. No one reads these but the Manager, and even our old +and trusted medical advisers do not know the names of our patients--only +the numbers and descriptions of cases go into their hands. As a further +assurance we destroy letters, or return them to the writers, whichever +they prefer. + +We solicit your influence with your friends, and will be ready to +reciprocate such favors. You will also be often doing such friends a +favor, for which they will always thank you. + +We shall be particularly pleased to hear from men advanced in years, who +feel the necessity of counteracting growing weakness incident to their +age, and who know the worse than folly of resorting to pernicious secret +preparations, the effect of which is to give unnatural stimulation for a +brief time, to be followed by a dangerous, perhaps fatal, reaction. + + +TO THE MEDICAL PROFESSION. + +We make special terms on our instruments and treatment to physicians, +and cordially invite them to correspond with us. We will do all in our +power to serve the profession to their satisfaction. We have the benefit +of the best medical advice and facilities in certain lines not +attainable from any other source on the continent. + + +GENERAL PRACTITIONERS AND FAMILY PHYSICIANS. + +We cannot refrain, before closing this chapter, from saying a word +or two about the incompetency of the large majority of "general +practitioners" and "family physicians," and their evident carelessness, +and in some instances, even disgust, in the diagnosis and treatment of +this class of cases. + +The readers of this may be among that class who think the "family +physician" the embodiment of medical wisdom, and that if he has failed +to cure the case or pooh-poohed it away, there is no hope. But no one +M.D., however learned, knows all about the ills of flesh. In this, as in +the legal and other learned professions, a man may practice a score of +years, and still know little or nothing about various peculiar cases, +because they don't come under his notice; he has no opportunity to study +them practically, and little inducement to theorize. And the class of +cases we are now considering, it may surprise the sufferer to know, +are deemed by many "regular" physicians beneath their attention. The +physician's calling is a noble one, and he justly takes a high ground +regarding his duties. We honor the scruples of our medical friends, but +we do not understand nor approve the spirit which leads them to meet +these cases with ridicule or evasive answers. + +That they do thus meet this class of cases, and that their course +is censured by the most eminent of the profession, we have abundant +evidence. + +One of the best known medical writers of England, F. B. Courtnay, member +of the Royal College of Surgeons, etc., says in one of his works ("True +and False Spermatorrhoea" pp. 20-21): + +"Again, some medical men * * * * affect to consider these cases +'objectionable,' and on these grounds seek to avoid them. Others boldly +declare, that as most of such cases are the result of unnatural and +immoral habits, the sufferers are justly punished for their conduct, +and are unworthy of the attention and sympathy of any one. + +"Now I conceive this to be a monstrous fallacy; for surely it is +entirely beyond the scope of any medical man's duty to sit in judgment +on the applicants for his professional services. According to my idea of +professional duty, every man is bound to do all in his power to afford +relief to every sufferer who seeks it at his hands, without question as +to the causes and nature of the malady." + +Speaking of one of his patients the same writer says: + +"He had consulted one of the most eminent members of the medical +profession; and this gentleman evidently listened to his narration of +his case with great impatience and indifference, and upon the conclusion +of his history handed him a prescription, saying: 'There, take that for +six weeks, and if it does not do you any good, I don't know what will.' +The interpretation the patient put on his conduct and the remarks was, +that he need not trouble himself to call again. + +"Now, I have the pleasure of personally knowing the professional +gentleman here referred to, and during the last twenty years have been +in the constant habit of meeting him in consultation, and I am sure, +from my knowledge of him, that his behavior resulted from no intentional +unkindness on his part, but solely from the unfortunate feeling of +reluctance to attend to such cases, which, both from my own observations +and from information obtained from patients, I know to be entertained by +too many members of the profession. * * * I am well aware that patients +of this class are often most tedious in the narration of their cases; +that the details they conceive themselves bound to enter upon are most +painful, not to say disgusting, to hear; nevertheless we must, as in +many other instances in the discharge of our duties, submit with +patience, taking the rough and smooth with the same equanimity, and +in the special cases in question, we should endeavor to forget the +patient's vices in his woes." + +Another distinguished physician writes: + +"I cannot disregard the appeals of unhappy and humiliated people. Men +have come to me who were ashamed to show their organs because of their +diminutiveness, and who practiced masturbation and lived in celibacy +rather than bear the humiliation of exposure of the parts. Nothing can +be more pitiable than such a condition." + +If these very moral and dainty practitioners, who, as Dr. Courtnay +says, affect to consider these cases "objectionable" and the sufferers +"unworthy of the attention or sympathy of any one"--if these moralists +could sit at our desk, and day after day, week after week, read the +affecting stories of enforced celibacy, shattered health, broken family +ties, the anguish of jealousy, despair, misanthropy, the consciousness +of physical, mental and moral inferiority begotten by this sad +condition--we think that then these gentlemen would agree with us that +medical science and philanthropy can have no higher object than the +saving of these wrecks. + + +OUR PATIENTS' LETTERS AND TESTIMONIALS. + +Our correspondents are candid--they cannot well afford to be +otherwise--and it is seldom we read one of their letters without feeling +all the interest in the writer that one can for an honest suffering +fellow being. We would not feel this interest did they not evince an +earnest desire to profit by their misfortunes. Our aid is not sought +by those wishing a brute's power for excesses, for we hold out no +inducements to this class, but plainly tell them that they will +inevitably pay the penalty for abuse of nature's laws. Nor are our +patrons among the vicious and imaginative youth, or the class termed +"greenhorns." We confine our advertising almost wholly to the daily +press, thus reaching the most intelligent class of citizens only. + +We regret that, for obvious reasons, we cannot present some of the +letters we have received from those who have been treated by our method. +We are pledged to secresy with our correspondents, however, and cannot +use their names publicly; we cannot publish testimonials, although we +have scores of such a nature as to satisfy the most incredulous, yet all +must understand that it would be a breach of confidence on our part to +make these public, and would ruin our practice besides, as we can only +do business of this nature under guarantee of strict privacy. But of the +many hundreds we have successfully treated, a number have voluntarily +given us permission to refer to them in correspondence with interested +parties. + +We will cheerfully furnish, on conditions named below, a list of some +of the persons who have taken this mode of treatment, been thoroughly +developed in size and strength of the organs, and relieved of every +trace of seminal disease or weakness, and from gratitude and good hearts +have volunteered to answer any questions addressed to them by interested +persons, who are, of course, expected to hold such correspondence +confidential. Bear in mind that we use these names only by permission, +which was given us unsought by patrons who paid for our services, and +now tender this privilege more through kindness to sufferers than a +desire to benefit us financially. To save these gentlemen annoyance and +useless correspondence, we prefer not to furnish their names except to +those who have had previous correspondence with us and who will +accompany the request with references. + + +BASHFULNESS AND FALSE MODESTY. + +We are sorry to note in some of our patrons a feeling of shame in taking +this treatment. Such feeling we cannot but regard as absurd, and the +outgrowth of false ideas. If their present condition has been brought +on by evil habits, it is well enough to be ashamed of that fact, but it +is certainly altogether creditable to make use of the first opportunity +to restore or attain a perfectly natural condition and check such +disastrous losses, and in many cases it is absolutely necessary for the +welfare and happiness of themselves and others. A well-known medical +writer says: + +"This treatment does not interfere with any regular habits or +employment, and may be followed without the knowledge or suspicion of +any person whatever. It is beneficial to the general health and quite +pleasant in its effects, giving the person a rejuvenated, buoyant +feeling, infusing new life and manhood; seemingly dashing young strong +blood through all the sluggish veins and arteries of the form." + +To those who really need this treatment its importance cannot be +overestimated. Each sufferer can answer to himself how very different +life would be if free from his infirmity. Would you not be better +capacitated for business, labor or pleasure? Is not your mind on +the rack often--perhaps always? Have you not at this time, and in +consequence of this deficiency, a tendency to misanthrophy, a bitter +feeling that you are the victim of an unkind Providence, or else bowed +by humiliation due to your own ignorance or vices? Does not your very +incapacity keep your mind filled with lewd thoughts, which in a state of +perfect manhood would not exist? + +From the confession of hundreds we know how each of you will answer most +or all of these questions. + +Is not the means, then, which will raise you above these deplorable +conditions, a blessing inestimable? Is it not an agent of moral as well +as physical regeneration? When this means of deliverance is offered, +will you hesitate in availing yourself of its benefits and making it +known to others who are sufferers like yourself? Let an honest heart +and candid judgment answer for you. + + +THE FALLACY OF CHEAP REMEDIES. + +There are many men who are affected more or less seriously with Diseases +of the Sexual Organs who are constantly on the look-out for so-called +cheap remedies, and in the course of a few years manage to spend upon +these cheap and trashy medicines and appliances twice or three times as +much money as would have been necessary to thoroughly cure them. And +what have they got to show for it? Nothing--absolutely nothing, aye, +even worse than nothing, _i.e._, positive injury to the organs, for, +in nine cases out of ten, these cheap, clap-trap potions, by over +stimulating, imitating and often inflaming the organs, do them actual +harm, hasten and aggravate the disease and leave the patient in a much +worse condition than if he had taken no treatment at all. + +How often have we had cases referred to us for diagnosis and treatment, +where irreparable injury had been done by wrong treatment. Some were in +such a state that no treatment, however excellent, could possibly help +them; in others we have had to labor for months to eliminate these +poisonous medicines from the system and get the Sexual Organs into +proper condition to admit of a restorative treatment; and in still +others the effect of our usually quick and thorough-going remedies were +delayed and interfered with by the ignorance or botchwork of some quack +or bungler, or the well-meant but stupid doctoring of some "family +physician" who thinks himself competent to treat these diseases. + +No more delicate, complicated or easily injured or disarranged piece of +mechanism than the Sexual Organs exists. In health, they must be treated +with care and reason--in disease, with the utmost circumspection. This +branch of medicine, least of all, should be the parade ground of +ignorance, carelessness or false economy. A man's very health, life, +happiness and vigor, his power to procreate his species, to perpetuate +his name, his ability to make his wife happy and his children strong and +vigorous, all depend upon the treatment he selects. What is worth doing +at all is worth doing well, and he who jeopardizes health and happiness, +present and future, on the mistaken basis of false economy, is far from +wise. + +Everything has a value. If a man offers to sell to another a gold watch +worth $150 for $5, you would at once set him down as an impostor, and +the watch as injured or worthless or fraudulent. Yet there are thousands +of men who try to find for a few dollars a remedy for a most serious and +complicated disease. In medicine, as elsewhere, Common Sense plays an +important part. Such remedies cannot possibly do what is claimed for +them. Reputable, honest men, educated and skilled physicians who have +spent thousands of dollars in obtaining a proper medical education, +cannot afford to waste their time for such slight remuneration. Hence, +unscrupulous scoundrels, who have no reputations either to make or lose, +who make most glaring promises in their printed matter, who are willing +to guarantee anything to anybody, infest this field. They know how great +is man's cupidity, and trade upon it willingly, caring nothing for the +consequences. + + +OUR REMEDIES ARE RELIABLE AND REASONABLE. + +We not speak thus disparagingly of cheap remedies because ours are dear, +for no patient who has gone the round of cheap remedies, and has at last +profited by Civiale's method, but will tell you that our treatment is +cheap at any price. + +We charge what we consider a fair and reasonable profit on our remedies. +Our entire institution is conducted on the very highest and most ethical +medical basis. The Physicians comprising our Consulting Staff are men +of the best standing, of fine education, and having special experience +in this branch of medical science; our remedies are made up under the +direct personal supervision of one of the most expert chemists in this +country, and precisely after Civiale's formulæ; our drugs are purchased +from such firms as McKesson & Robbins, Schieffelin, etc., and are of the +purest and best, and our aim at all times is to give the patient +consulting us the full value of his money. + +For such skill and services we charge fairly and reasonably, and we have +yet to find a patient who is dissatisfied. Our cases get well, provided +our advice is followed and a cure is possible. If it is not, we frankly +and candidly tell the truth. We cannot afford to make false statements +or false promises, to hold out hopes we cannot justify, to ruin our +established and well-known reputation for honesty, fair dealing and +medical skill in order to make a few dollars. We find that one man cured +is the very best advertisement we can have, and that one such case makes +us one warm friend and advocate, and brings us many patients, where one +man deceived and defrauded would make us one bitter enemy and injure us +in the eyes of many. Thus, every other consideration of honor and +honesty aside, it pays us better to deal fairly with our patrons. + +This treatment has been thoroughly tried in the most desperate and +adverse cases, and has stood the test of time and repeated trials, has +stood these tests as no other remedy or remedies ever have or ever will, +and in them men of all ages and all conditions may find strength, health +and vigor. + + THE CIVIALE REMEDIAL AGENCY, + MAIN OFFICES AND LABORATORY, + 174 FULTON STREET, + NEW YORK CITY. + +--> Please address all Medical and Business Letters to Offices, 174 +Fulton street. They may be addressed to CIVIALE AGENCY, or Mr. L. B. +Jones, our Business Manager. + +(From the New Orleans _Weekly Picayune_, May 23, 1885.) + +CIVIALE REMEDIAL AGENCY.--Every man, whether he be young, middle aged, +or old, suffering from weakness, debility, or impotency, will be made +healthy and happy by writing to this excellent concern, at 174 Fulton +street, New York. The advertisement should be read, which will show +skeptics that the agency is worthy of confidence. The press and medical +profession indorse the gentlemen connected with it in strong terms. + + + + +A SPECIAL AND IMPORTANT ANNOUNCEMENT. + +STRICT MORALITY vs. FALSE MODESTY. + + +In preparing both the first and later editions of this little work (that +has brought happiness to so many by opening the way to knowledge of a +proper means of cure and methods of regaining health and vigor), +the +utmost care and circumspection have been exercised in an endeavor to +exclude from its pages anything that could be construed by the most +fastidious as immodest, obscene, or in any way offensive to decency, +morality or good breeding+. Indeed, although purely and essentially ++a medical work, and intended solely for such persons whose duty it is +to be acquainted with the facts given+, in order to understand their +complaint, to place themselves under proper treatment, and to avoid +the dangers of quackery, we have in many instances wholly excluded +or materially modified the wording of passages in order to comply +with our original ideas of the strictest purity of thought and speech +commensurate with a truthful and honest statement of facts. + +We wish it distinctly understood that +this treatise is intended solely +for persons suffering from Genito-Urinary Diseases+, and that it is ++never mailed to any person who has not voluntarily requested us to send +it+, and then +not to boys+ or to members of the +opposite sex+. (Our +application books show a large number of such refusals.) + +We look upon our special mission in the field of medicine as +distinct+, ++laudable+ and +holy+. There are those who look down upon this special +branch of medicine, and some ignoramuses who assert that such diseases +only exist in the imaginations of such patients as a result of reading +the pamphlets of quacks who paint frightful pictures of insanity, +idiocy, etc. To such men as these we have only this to say: Consult the +works of Hammond, Black, Acton, Wilson, Lallemand, Civialè, Courtenay, +Lee etc., etc., the authors of which have world-wide reputations, not +only as physicians, but as truthful, honest and moral men. They will +then see how really grave are such affections and how needful of aid. + +God knows that the misery, despondency and actual organic disease, +as a result of early vices, are prevalent enough even to-day to make a +lover of his fellow men sincerely pity and desire to help them. And we +claim (and every honest man cannot but admit) that it is only by the ++widespread dissemination of a knowledge of certain facts+ to young and +old, especially the former, that such vice and its consequences can be +met and overcome. We are daily spreading such knowledge throughout the +length and breadth of this land, not only warning and advising the young +and cautioning the older, but also pointing out to all such as need it a +perfect and easy means of cure and restoration to health and vigor. + +Our mission is as real, noble and important as that of preaching the +Gospel, and aside from its bearing on the enlightenment of those who +would otherwise go astray, and offering the means of relief to those who +have already sinned against Nature, it is of a broader and even more +sweeping importance. As every whole must needs be the sum total of its +integrals, so +each nation+ and +people must+--in mental, moral and +physical traits--+be that which its individual members make it+. +Hence, if perfect general health, full procreative ability and healthy +offspring mark the majority of the individuals, so naturally must the +health, vigor, populousness and power of the nation be accordingly. ++As secret vice diminishes, public virtue and morality become greater.+ +Diseases of the Prostate Gland, Urinary Organs and Sexual Apparatus are +as +real, as embarassing+ and +as needful of cure+ as those of the +lungs, heart, stomach, or any other organ--indeed, more important, for +the latter only affect the life or health of the individual immediately +concerned, while the former concern not only the person affected, but +his offspring also. + +There is no reason why false modesty or pseudo-delicacy should reign +supreme here. If the Almighty had intended these matters to be viewed +and treated in the light which some fanatics and extremists seem to +desire, we would certainly have been created without the power of +procreation entirely. As it is, such organs and such diseases +do +exist+, are of the greatest (individual and national) importance, and +provided a +full knowledge of the causes and consequences of vice and +abuse as related to these parts can be brought vividly and strongly +before the mind of every man, young or old, in a chaste, decent and +strictly professional manner+, the result can only be a good one, and +those who deny it are engaged in moral hair-splitting. + +We felt that the foregoing remarks were both +apropos+ and necessary +with a view to contradicting some statements recently made regarding +the uselessness and demoralizing effects of everything concerning this +branch of medical practice, and as due ourselves in distinctly recording +our belief and practice in the matter; more especially to refute the +false accusation that special medical treatises were being scattered +broadcast over the land and made to invade the privacy of homes, and +coming into the hands of young boys and females. + +THE CIVIALÈ REMEDIAL AGENCY. + + + {Illustration (Civiale Agency)} + + * * * * * + * * * * + * * * * * + +{Errors and irregularities noted by transcriber: + +Civiale : Civialè + _inconsistent spellings in original_ + +the secrecy of his chamber or his bed +or, if secresy is desired +the strictest confidence and secrecy +We are pledged to secresy + _variant spellings in original_ + +HUMAN SPERMATAZOA. +... +well developed and active zoa-sperms + +to their freinds + ++Impotency+ (from the Latin words _im_ [not] and _potens_ [to be able] + _no closing parenthesis_ + +{Footnote 7: Beltrage zur anat-uns Phys., Bd. iv. and Bd. vii.} +{Footnote 20: Endoskopische Befunde bei Erkrankungen des +Samenhugels Wein, 1880.} + _Spelling and punctuation of all footnotes as in original._ + _Footnotes 1-25 were printed in a block, although the text referencing + 24 and 25 was on the following page._ + +Bloody Urination, etc., etc. (Many cases of + _no closing parenthesis_ + +in accordance with the formlæ + +[_Appleton's Cyclopedia, vol. x, p. 144._ +[_Appleton's Cyclopedia, vol. iv, p. 618._ + _open-ended brackets in original_ + _"vol. iv" illegible_ + +(_Paris_), 1827) + _extra parenthesis in original_ + +Again, some medical men * * * * affect to consider +too many members of the profession. * * * I am well aware + _asterisks in original_ + +your doctor told me I musn't feel sure + +a tendency to misanthrophy + +as +real, as embarassing+ and +as needful of cure+ } + + + + + +End of the Project Gutenberg EBook of Manhood Perfectly Restored, by Unknown + +*** END OF THIS PROJECT GUTENBERG EBOOK MANHOOD PERFECTLY RESTORED *** + +***** This file should be named 18370-8.txt or 18370-8.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/1/8/3/7/18370/ + +Produced by Louise Hope, Bryan Ness and the Online +Distributed Proofreading Team at http://www.pgdp.net + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Manhood Perfectly Restored + Prof. Jean Civiale's Soluble Urethral Crayons as a Quick, + Painless, and Certain Cure for Impotence, Etc. + +Author: Unknown + +Contributor: Civiale Remedial Agency + +Release Date: May 11, 2006 [EBook #18370] + +Language: English + +Character set encoding: UTF-8 + +*** START OF THIS PROJECT GUTENBERG EBOOK MANHOOD PERFECTLY RESTORED *** + + + + +Produced by Louise Hope, Bryan Ness and the Online +Distributed Proofreading Team at http://www.pgdp.net + + + + + + +</pre> + + +<div class = "mynote"> +Headnotes (“We Cure where a Cure is Possible,†“We hold out no False +Hopesâ€) were printed across the top of each page. Where this would +interrupt the text, they have been made into sidenotes.<br> +All references to “actual size“ and similar phrases in figure captions +are from the original text. The printed book was not available for +comparison. +</div> + +<p class = "illustration"> +<img src = "images/cleancover.png" width = "344" height = "466" +alt = "for title page text, see end of file"> +</p> + +<h1>Manhood Perfectly Restored.</h1> + +<hr class = "tiny"> + +<h3 class = "smallcaps">Prof. JEAN CIVIALÈ’S</h3> + +<h4 class = "sans extended">SOLUBLE URETHRAL CRAYONS,</h4> + +<h6>—AS A—</h6> + +<h5 class = "boldf">QUICK, PAINLESS and CERTAIN CURE</h5> + +<h6>—FOR—</h6> + +<h5 class = "ital">IMPOTENCE, LOST MANHOOD, SPERMATORRHÅ’A, LOSSES,<br> +WEAKNESS AND NERVOUS DEBILITY.</h5> + +<h6 class = "boldf">Also for PROSTATITIS and VARICOCELE.</h6> + +<p class = "smallest tenem"> +[The only standard and officially recognized treatment for these +diseases of the Sexual and Urinary Organs, endorsed by and adopted in +all the Hospitals of Paris, France.—See <i>Gazette des Hopitaux, +Dec.</i> 8, 1869; also <i>Dictionnaire des Sciences</i>, vol. xxiv., +p. 565.]</p> + +<hr class = "tiny"> + +<h3>FACTS FOR MEN OF ALL AGES.</h3> + +<h6 class = "boldf">SIXTH EDITION,</h6> + +<h6>Enlarged, Revised and Illustrated.</h6> + +<hr class = "tiny"> + +<h6>ISSUED BY<br> + +<span class = "extended">THE CIVIALÈ REMEDIAL AGENCY,</span><br> + +<b>174 FULTON ST., NEW YORK.</b><br> + +[<i>Opposite St. Paul’s Church.</i>]<br> + +——<br> + +1885.</h6> + +<hr> + +<div class = "contents"> +<a href = "#intro">To the Reader</a> +</div> +<div class = "contents"> +<a href = "#chapI">Chapter I.</a> +SPERMATORRHÅ’A—IMPOTENCY—STERILITY.</div> +<div class = "contents"> +<a href = "#chapII">Chapter II.</a> +THE VITAL FLUID</div> +<div class = "contents"> +<a href = "#chapIII">Chapter III.</a> +THE FORMS, SYMPTOMS AND CONSEQUENCES<br> +Of Masturbation, SpermatorrhÅ“a, Nervous Exhaustion +and Spinal Irritability.</div> +<div class = "contents"> +<a href = "#chapIV">Chapter IV.</a> +SPERMATORRHÅ’A, OR LOST MANHOOD.</div> +<div class = "contents"> +<a href = "#chapV">Chapter V.</a> +IMPOTENCY OR LOST POWER.</div> +<div class = "contents"> +<a href = "#chapVI">Chapter VI.</a> +BLADDER, KIDNEY, PROSTATIC AND URINARY DISEASES.</div> +<div class = "contents"> +<a href = "#chapVII">Chapter VII.</a> +THE DUTIES, RESPONSIBILITIES AND FAILURES<br> +IN AND OF MARRIED LIFE.</div> +<div class = "contents"> +<a href = "#chapVIII">Chapter VIII.</a> +THE CIVIALE URETHRAL TREATMENT.</div> +<div class = "contents"> +<a href = "#chapIX">Chapter IX.</a> +TREATMENT.</div> +<div class = "contents"> +<a href = "#chapX">Chapter X.</a> +REORGANIZED CONSULTING STAFF.</div> +<div class = "contents"> +<a href = "#chapXI">Chapter XI.</a> +VARICOCELE.</div> +<div class = "contents"> +<a href = "#chapXII">Chapter XII.</a> +THE RELIABILITY OF THE CIVIALE REMEDIES,<br> +AND THE BUSINESS STANDING AND PROBITY OF OUR AGENCY.</div> +<div class = "contents"> +<a href = "#testimonials">TESTIMONIALS AND ENDORSEMENTS</a> +</div> +<div class = "contents"> +<a href = "#announce">ANNOUNCEMENT</a>: STRICT MORALITY vs. FALSE +MODESTY. +</div> + +<br> +<div class = "contents"> +<a href = "#fig1">Figure 1.</a> +A HUMAN TESTICLE.</div> +<div class = "contents"> +<a href = "#fig2">Figure 2.</a> +HUMAN <ins class = "correction" title = +"so in original">SPERMATAZOA</ins>.</div> +<div class = "contents"> +<a href = "#fig3">Figure 3.</a> +URINE OF A YOUNG MAN SUFFERING WITH SPERMATORRHÅ’A.</div> +<div class = "contents"> +<a href = "#fig4">Figure 4.</a> +Appearance of James McC——, a few weeks before he died.</div> +<div class = "contents"> +<a href = "#fig5">Figure 5.</a> +MALE ORGANS OF GENERATION.</div> +<div class = "contents"> +<a href = "#fig6">Figure 6.</a> +DIAGRAMMATIC REPRESENTATIONS OF THE TESTICLES, DUCTS, &c.</div> +<div class = "contents"> +<a href = "#fig7">Figure 7.</a> +Exact Size and Shape of a <b>Civiale Soluble Urethral Crayon</b>.</div> +<div class = "contents"> +<a href = "#fig8">Figure 8.</a> +Exact Size and Shape of a <b>Civiale Soluble Urethral Crayon</b>.</div> +<div class = "contents"> +<a href = "#fig9">Figure 9.</a> +A VARICOCELE.</div> +<div class = "contents"> +<a href = "#fig10">Figure 10.</a> +VARICOCELE, AND INSTRUMENT IN PLACE.</div> +<div class = "contents"> +<a href = "#fig11">Figure 11.</a> +COMPLETE INSTRUMENT.</div> +<div class = "contents"> +<a href = "#fig12">Figure 12.</a> +SIDE VIEW.</div> +<div class = "contents"> +<a href = "#fig13">Figure 13.</a> +INSTRUMENT ON BODY.</div> +<div class = "contents"> +<a href = "#fig14">Figure 14.</a> +ELASTIC TESTICLE CRADLE.</div> + + + +<p class = "illustration"> +<img src = "images/pic_frontis.png" width = "456" height = "303" +alt = "interior of laboratory"> +<br> +<span class = "caption"> +CHEMICAL LABORATORY, CIVIALE REMEDIAL AGENCY. +</span> +</p> + +<div class = "mynote"> +The above illustration originally appeared as the frontispiece, +before the title page. +</div> + + +<p class = "headnote full"> +<span class = "pagenum">2</span> +All our Doctors are Regular Graduates, and their Diplomas are Registered +in the Office of the County Clerk, City Hall, New York, as required by +Law. +</p> + +<h2 class = "chapter"><a name = "intro">TO THE READER.</a></h2> + +<hr class = "tiny"> + +<p><span class = "firstword"> +It</span> +is with great pleasure that we send you a copy of this, the sixth +edition of our brochure on Sexual and Urinary Diseases. The success of +the Civialè Urethral Method, since its first introduction into America, +has been almost unparalleled in Medical History, and we feel that the +time has come for replacing the brief pamphlet containing a mere outline +of the method, with a work somewhat more full and exhaustive.</p> + +<p>Aware of the number of worthless and oftentimes actually injurious +remedies that are being advertised and recommended for the cure of these +affections, and the bogus doctors and worthless firms that infest every +large city, we have endeavored to give inquiring patients every proof +and assurance of the efficacy of the Civialè Remedies, every facility +for investigating our methods, and proving, to their entire +satisfaction, both the medical ability of our Consulting Staff, and the +honor, honesty and fair dealing of the Agency. We court the fullest and +freest investigation, either by patients themselves or any friends of +theirs in this city, either of whom we shall be happy to see and satisfy +at any time, at our Consulting Rooms, Business Offices or +Manufactory.</p> + +<p>Repeated trials in some of the most severe cases of SpermatorrhÅ“a +and Impotency, in both France and America, have proven the Civialè +Remedies to be safe, speedy and most satisfactory in all their results, +and we feel justly proud of having in our hands so excellent and +efficient a means for the radical cure of so obstinate, serious and +often dangerous a disease. We take pride in having saved many a young +and promising life, in having often stayed the hand bent upon +self-destruction, and in having many times cheated the grave or the +insane asylum of its expected prey. Nor do we feel less proud in having +been able, in cases of not so serious, though often of a more +embarrassing nature, to restore to full Sexual Power and Vigor +<i>middle-aged and older men whose desire had out-lived their power</i>, +or who, through early abuse, had become so weakened +<span class = "pagenum">3</span> +<span class = "headnote"> +Our Crayons are Inserted without Pain. +</span> +as to be totally Impotent, incapable of perpetuating their +species—ashamed, discomfited, and disappointed at being somewhat +less than a man.</p> + +<p>As every case cured is the very best advertisement that we can have, +it is hardly necessary for us to say that we endeavor to exercise the +utmost care, skill and discretion in both diagnosing and treating these +cases, and assiduity and scientific accuracy in preparing and +compounding those remedies of which we are the fortunate possessors. +Indeed, we do everything in our power to make success an absolute +certainty.</p> + +<p>A word in closing. Our <span class = "smallcaps">Staff of Consulting +Physicians</span> is composed of men selected with great care for their +special skill and attainments in this special branch of Medical Science. +These gentlemen are handsomely remunerated for their services, and take +a pride and interest in every case they treat.</p> + +<p class = "bigger">Our physicians hold no pecuniary interest in the +Agency, and hence prescribe for each case solely on its merits, having +nothing to gain by selling less or more to any one under their care. +They see and treat each case solely and wholly from a medical +standpoint, and hence are never influenced by any pecuniary +considerations whatsoever. However great the reputation of our +physicians may be, we have, from the first organization of this +institution, taken and held the ground that the best interest of the +patient is best served by resolutely divorcing the Medical from the +Business Department.</p> + + +<h4>CIVIALÈ REMEDIAL AGENCY.</h4> + +<h6 class = "boldf">Mailing and Shipping Departments, Business Offices, +Consulting Rooms,</h6> + +<h5 class = "sans extended">174 FULTON ST., NEW YORK.</h5> + +<h6 class = "ital">Opposite St. Paul’s Church.</h6> + +<hr class = "tiny"> + +<table> +<tr> +<td class = "rightline smallcaps">office and consulting hours:</td> +<td class = "smallcaps"> +8-12 a.m.<br> +1-6 p.m. +</td> +</tr> +<tr> +<td class = "smallcaps" align = "center" colspan = "2"> +sundays: 9 a.m. <span class = "plain">to</span> 12 a.m. +</td> +</tr> +</table> + +<span class = "pagenum">4</span> + +<p class = "illustration"> +<img src = "images/pic04.png" width = "" height = "" +alt = "office interior"> +<br> +<span class = "caption"> +OFFICES, &c., CIVIALE REMEDIAL AGENCY.</span> +</p> + +<p class = "headnote full"> +<span class = "pagenum">5</span> +We cure where a Cure is Possible. +</p> + + +<h2>The Civiale Urethral Treatment</h2> + +<hr class = "tiny"> + +<h5 class = "ital"><a name = "chapI">CHAPTER I.</a></h5> + +<h4>SPERMATORRHÅ’A—IMPOTENCY—STERILITY.</h4> + +<p class = "subhead"> +The Baneful Effects and Consequences of Masturbation, Marriage Excesses, +Venereal and Urinary Diseases on Boys and Men.</p> + + +<p>Could we read the heart of every man and boy we pass upon the street, +how few—how very few—there are that would not reveal +sickening pictures of lust, disease, melancholy and insanity. +Charnel-houses of sin and lust—sloughs of despond and +regret—excess of passion offset by lack of power—dread, +despair, hopelessness, shame and desperation, making a picture of misery +scarcely to be conceived by any but those unfortunate beings who in the +thoughtless, careless heyday of youth, or the reckless reliance on more +mature vigor, have weakened, emasculated and enslaved themselves by +indulgences and excesses that have borne fruit of misery, disease and +desperation in after years.</p> + +<p>How little the youth who, in his ignorance of the terrible +consequences of his vice, steals away to the secrecy of his chamber or +his bed, leaving his happy, healthy and playful companions, in order +that he may let the hot waves of lust and passion run riot in his mind, +and dry up every spring of healthy thought and action—how little +does he think of the after-time of misery and exhaustion that he is +bringing upon himself—how little does he think that the vile demon +that he is raising up will, like the vampire, suck his very life-blood, +steal away his strength and life and vivacity, besmirch and weaken his +mind, take the strength from his muscles, the courage from his heart, +sap the very foundation of his existence, unsex and unnerve him, render +him feeble, wavering and imbecile, dog his footsteps to the very steps +of the altar, to curse and blacken and disappoint those joys of +parentage and marital right that should be his. The shadow deepens with +him as life advances, and follows him, bringing shame and misery and +despair at every step, until the poor victim, driven too far, sinks into +an early grave by disease or suicide, or is lost to the world and to all +joys and friends behind the doors of an insane asylum.</p> + +<p>He died of no disease known to medical science. He simply faded +away—weaker, more nerveless and hopeless day by day; he faded away +until, almost before any one knew it, the grave yawned to receive him. +Poor, miserable, hopeless wreck—poor suicide, for his own sin and +crime were the real causes of his death.</p> + +<p>How many such there are at the present day. We meet them on the +street, in business and at church. Our insane asylums are full of them. +We +<span class = "pagenum">6</span> +<span class = "headnote"> +Our Treatment is Pleasant, Quick and Lasting. +</span> +find their wives unfaithful or unhappy; and their offspring—when +they are cursed with any—poor, miserable, weak fledgelings, with +aged, wasted faces, water on the brain, with rickets and softening of +the bones—idiots or imbeciles—dying early and scarcely +regretted even by the parent whose progeny they are, for every wail of +the little suffering voice pierced his heart and reminded him of his +lustful sin, and passionate, inexcusable indulgence that caused all this +misery.</p> + +<p class = "smaller twoem"> +“And the sins of the father shall be visited upon the children, even to +the third and fourth generations.†+</p> + +<p>Alas, how true! how indisputable! The imperative Laws of Nature once +broken, the consequences are <i>inevitable</i>.</p> + +<p>Of late years it has become the fashion amongst certain men to scoff +at this terrible vice of secret indulgence, and to claim that its evil +effects are overrated, are portrayed too vividly. Ask some poor +unfortunate whose confidence you may succeed in gaining, and listen to +the pitiful tale of lost health and vitality he will tell you. Mark well +the wasted hand, the putty-like skin, the black-ringed, lack-lustre +eyes, the heavy lip, the labored breath—read the consequences of +his sin and crime in his shame-faced way, his shambling gait, his +nerveless hands, his fluttering heart, his weakened muscles, and his +tottering memory and mind.</p> + +<p>Must he needs lie dead at our feet before these skeptics can be +convinced? Is not such a state a living death? Must these men visit him +in the cell of the asylum, watch him as a raving maniac, gaze upon him +as a hopeless idiot or a driveling imbecile, before they will be +convinced? Such proof is at hand. Not an asylum in any country but has +its score of such; not an asylum record-book but chronicles the sad +histories of thousands of these poor, lost creatures—male and +female; not an asylum nurse or doctor but will sadly point out these +creatures to you, bereft of every trace of reason, all sense of shame, +still practicing the horrible vice that has driven every semblance of +humanity from their faces and the very light of reason from their +eyes.</p> + +<p>True, every boy or man who practices this vice does not come to this +end. But who shall discriminate? There are thousands such, and who shall +say which it shall be, or at what moment it shall occur? Ah! happy, +rosy-cheeked boy, so gay and thoughtless now, so free from misery, +disease and care, beware! It may be your turn next. A little thoughtless +indulgence, the imitation of friend or companion, though apparently +harmless now, may blanch your rosy cheek, destroy your peace and +happiness of mind, and make a life-long, hopeless, suffering invalid of +you—may shut the door of all earthly enjoyment in your face, blast +your hopes, disease or destroy your offspring, alienate you from friends +and family, and cut off from all communion with your race, make you an +object of shame and disgust to your fellow-men, sink you into an early +grave or entomb you for life in the cold stony walls of a lunatic +asylum.</p> + +<p>The day will come, erstwhile, when you will curse the parents who +reared you, the friends who surrounded you and the teachers and +ministers who taught you, for not warning you of the terrible nature of +this indulgence, so secretly common amongst boys and young men.</p> + +<p>The day will come, when in the midst of your mental, moral and +physical agony, with weakened mind and exhausted body, physicians will +tell you that +<span class = "pagenum">7</span> +<span class = "headnote"> +When you are Tired of being Humbugged or Experimented on, send to us. +</span> +masturbation is practically harmless, that its consequences are +exaggerated, and that your sufferings are mostly imaginary. Then will +you pity their ignorance and bemoan the fact that to such men must +sufferers in your terrible extremity apply without any feeling of being +understood, appreciated or sympathized with, and, far less, relieved or +cured.</p> + +<p>Happy will you be then, if you can (with your vice and misery staring +you in the face and threatening you with some or all of its dire +consequences) direct your steps to those who not only can and will +sympathize with you, but who are able to aid you with proper remedies +and restoratives and set you safely on the way to health and happiness +again. For there <i>are</i> proper aids and remedies; there are hope and +happiness to be obtained if the affections growing out of this vice be +skillfully taken in hand in time. None but the hopeless sufferers who +have been lifted from the misery, shame and weakness of their +self-inflicted suffering know how much this world owes to the high +medical skill, exhaustive study, and persistent search for truth and +proper remedies of those two great Frenchmen, <b>Professors Claude +Lallemand</b> and <b>Jean Civiale</b>. The medical as well as civil +honors conferred upon them by their country and their medical brethren, +great as they were, could never half repay them for the good they +rendered thoughtless youth and suffering manhood by their special +discoveries. There can be no question but that the <b>Civiale Urethral +Crayons</b>, named thus after this great specialist, and endorsed by the +most eminent medical men of France (that country in which lust and +passion are peculiarly prevalent), are the most far-reaching and +reliable specifics for Generative, Sexual and Nervous diseases +known.</p> + +<hr class = "tiny"> + +<h5>CAUSES OF SPERMATORRHÅ’A AND IMPOTENCY.</h5> + +<h6>SELF-ABUSE NOT THE ONLY CAUSE.</h6> + +<p>Many years’ experience in the treatment of these debilitating +diseases has proven very surely that there are many causes besides +Self-Abuse (Self-Pollution, Secret Vice or Masturbation) for +SpermatorrhÅ“a, Impotency and Debility or Lost Manhood. Self-Abuse is the +most common cause, and we therefore give it the most prominence. The +others we will name briefly in about the order of their frequency.</p> + +<p><b>1. <u>MARRIAGE EXCESSES.</u></b>—A very common cause, more +often producing Impotency (loss of Sexual Desire or Power) and Sterility +(inability to beget offspring), than SpermatorrhÅ“a (loss of vital fluid, +daily and nightly losses, losses in the urine, nervous prostration, +debility, insanity, paralysis, &c. For full description of symptoms, +see pages 12-16). Sexual desire was given to mankind, like any other +power or appetite—to be enjoyed in reasonable moderation <i>and +for the purpose of insuring a continuance of our species by the birth of +offspring</i>. Many men abuse this power—abuse it inordinately, +shamefully—and suffer the consequences. This is especially true of +the newly married, and men advanced in years, who push their failing +powers too far. As a just retribution for the abuse of so important a +function, the Almighty deprives some of desire, some of power, some of +both.</p> + +<p><b>2. <u>ONANISM.</u></b>—By many this is confused with +Masturbation or Self-Abuse. While like it in some respects and in many +of its consequences, it is still different. It is as hurtful to an adult +as abuse is to a young person. +<span class = "pagenum">8</span> +<span class = "headnote"> +We Cure where a Cure is Possible. +</span> +God punished Onan for this sin, hence its name. Yet, despite this +terrible example so plainly set forth in the Old Testament, probably +one-half of the married men of the present day are pursuing it, and +hence so many Impotent and Powerless persons, seeking vainly amongst the +many cheap, quack remedies for something to re-invigorate and +re-vitalize them.</p> + +<p>This is a terrible vice, terrible in its consequences, and however +hardy and robust the man, sooner or later his sexual powers must and +will succumb to the strain. Many men write us, saying that they never +masturbated, and yet are totally impotent and cannot understand why it +is. And yet they have been thus injuring themselves for years!</p> + +<p>Sexual power and desire were given us for one purpose—the +perpetuation of our species, and whoso endeavors to avoid this, must +suffer. Many married couples do not want more children, from care, +poverty or other causes, and hence the extent to which this terrible +practice is indulged. It <i>must</i> be from ignorance, for were it +commonly known how injurious this practice is, <i>but few would dare +take the terrible risk</i>.</p> + +<p>And yet the resulting weakness can be speedily cured if properly +treated. In no class of cases have the Civiale Remedies achieved greater +success than in these.</p> + +<p><b>3. <u>ANYTHING DEBILITATING</u></b>—such as Overwork, +Confinement, Sedentary Occupations, Worry, Care, Excitement, &c., +&c.—These are much more common causes of Sexual and Generative +Diseases than is generally supposed, and usually very obstinate and +difficult to treat, because the system is so run down that there is very +little stamina or vitality to rely upon. Clerks, business men, lawyers, +bankers, ministers and students are very subject to this form of +impaired vital and sexual power. Theological students are very prone to +it. Many do not have any idea as to what their real trouble is, and lose +much valuable time in doctoring for Dyspepsia, Consumption, Neurasthenia +and the like, when really their very life and vitality are oozing away +from them in their urine or otherwise.</p> + +<p><b>4. <u>WOMEN’S (OR VENEREAL) DISEASES.</u></b>—GonorrhÅ“a +(clap), Gleet, Stricture, Injury to the Urine Canal from the rough use +of sounds, bougies, catheters, &c., &c. Any one or all of these, +by extending the inflammation backward to the seminal ducts and neck of +the bladder, may cause either SpermatorrhÅ“a or Impotency. Indeed, +Stricture (often caused by Self-Abuse) is one of the most common causes +of these complaints. It was here that <b>Lallemand</b> and +<b>Civiale</b> found the key-note of the true treatment of these +diseases.</p> + +<p><b>5. <u>VARICOCELE,</u></b> or a wormy, swollen or twisted state of +the veins in the bag, and of those that run down to the testicles, is a +very common cause of both SpermatorrhÅ“a, Impotency and Debility. (For +full description of this very common and often unexpected disease, send +for our illustrated pamphlet on the subject, or see Chapter XI, page 44 +of this book.) No man or boy with Varicocele, no matter how it was +produced, can be perfectly sound and strong in his Sexual Organs.</p> + +<p><b>6. <u>UNDEVELOPED, WASTED OR MISSHAPEN PARTS.</u></b>—A +failure to have perfectly developed organs sometimes dates from birth, +but in most cases it is caused by self-abuse at a time when the person +is growing. In any case, Seminal weakness and Wasted or Misshapen Parts +go together +<span class = "pagenum">9</span> +<span class = "headnote"> +We Offer Special Help to Impotent Men. +</span> +as both cause and effect, and the one, when found, will usually very +soon lead to the other. <i>Twisting or Curving</i> is one of the most +positive signs of previous inflammation, stricture and twisting or +distortion of the seminal ducts, and hence sterility or barrenness. In +such especially are the remarkable effects of the <b>Civiale +Treatment</b> the most noticeable. We can say with positiveness, and +prove it by case after case, that by no other method can such rapid and +perfect restoration of the organs to a natural and healthy state be +obtained as by this. Some of the very worst and apparently most hopeless +cases that we have had—cases that have gone from one physician to +another without the slightest improvement—have yielded effectually +to the <b>Civiale Remedies</b>. In some of them the persons thus +afflicted would have been totally unfitted for marriage had they failed +to find relief. Their children—healthy, happy and finely +developed—speak volumes for what our treatment has done for them. +(For Treatment refer to page <b>42</b> of this book.)</p> + +<hr class = "tiny"> + +<h4 class = "smallcaps">IMPOTENT OLD MEN—the sexual decay of +advancing age.</h4> + +<p>We have thus far given briefly the most common causes of Seminal +Disease. There are a few that we have not mentioned: Blows on the Head, +Loins (Small of the Back), Testicles, &c.; Weakness caused by +prolonged illness, fevers, &c.; Malaria, Consumption, &c.; the +abuse of Tobacco, Opium, Alcohol and Chloral, &c., &c.; but +these are less common and less important. There is one condition, +however, that we have only referred to incidentally, and that is the +failure of Sexual Power in men past middle age. No man (if he is +reasonably careful and does not abuse himself) should find his powers +decaying before he is seventy or eighty years of age. Mind, we do not +say "no man does," but no man "<i>should</i>," provided he is reasonably +careful.</p> + +<p>But here comes the fact. Most men are <i>not</i> careful, and most +men <i>have</i> abused themselves at some period. Many believe and +stoutly maintain that they "never had emissions or seminal disease, and +it didn’t hurt them." But it did, and it is just now that they begin to +feel it. It is true they escaped the more acute and direful effects, but +it told on them in after years. There are many thousands to-day who are +just now feeling the effects of early vices, now almost forgotten. They +can be restored to <i>natural</i> power by proper treatment, but they +rarely are, because but few of them believe that early self-abuse or +later Onanism has anything to do with it. So they spend a fortune +almost—and uselessly too—on Stimulants, Nervines, Tonic and +the like, but still remain partly or wholly Impotent. Foolish men!</p> + +<hr class = "tiny"> + +<h5 class = "ital"><a name = "chapII">CHAPTER II.</a></h5> + +<h4>THE VITAL FLUID</h4> + +<p class = "subhead"> +What it Is, What it Does, and How it is allowed to Drain Away, +Weakening, Emasculating and Dementing the Vicious and the Careless. +Diurnal (daily) Emissions. Nocturnal (nightly) Emissions. Impalpable +Oozings. Losses in the Urine. Losses while at Stool. Mistaken Gleet.</p> + +<p><span class = "firstword"> +There</span> +are thousands of weak, nerveless men, who do not know what ails them; +thousands of invalids whose physicians are puzzled and perplexed by +their symptoms, and cannot account for the rapid waste of strength, +energy +<span class = "pagenum">10</span> +<span class = "headnote"> +Strictest Privacy— Perfect Confidence— Certain Cure. +</span> +and vitality, much less check it; and thousands of others, on the +street, in the pulpit, on the bench, in the counting room, whose +troubles, illness and misery are due to losses of vital fluid. Some know +it, many more do not. Some are being properly or improperly treated for +it; many are being dosed and drugged for Malaria, Neurasthenia, +Consumption, Overwork, Brain Troubles, Paralysis and many equally as +foolish and irrational complaints. They sicken, die, destroy themselves +in hopeless despair of ever getting well and strong again, verge into +hopeless idiocy or go raving mad, simply because their trouble is not +understood; because day by day and hour by hour there is draining from +them in their urine, at stool and otherwise, that precious vital fluid +that represents life, health and energy to them.</p> + +<table> +<tr> +<td align = "center"> +<a name = "fig1"> +<img src = "images/fig1.png" width = "164" height = "301" +alt = "figure as described in caption"></a> +</td> +<td class = "smaller"> +<p align = "center"> +<b>Fig. 1.</b><br> +<b>A HUMAN TESTICLE.</b><br> +Perfectly Healthy.<br> +[From Gray’s Anatomy.] +</p> +Each <i>lobule</i> may be seen (carefully guarded from pressure or +injury) in its cell, with a strong fibrous partition on each side. All +these <i>lobules</i> empty into small ducts which converging form the +<i>Globus Major</i>, <i>Epididymis</i> and <i>Globus Minor</i>, which +finally end in the <i>Vas Deferens</i>, <i>Cord</i>, <i>Duct</i>, or +<i>Tube</i> that conveys the fluid to the Seminal Vesicles at the back +of the bladder. (See <i>Figs.</i> 5, 6.) As the veins of a +<i>Varicocele</i> surround these delicate <i>lobules</i> as well as +<i>fine tubing</i>, it can readily be seen how easily such pressure, +weight and crowding may do very serious injury and make the flow of +semen irregular, or shut it off altogether. +</td> +</tr> +</table> + +<p> +<table class = "rightfloat"> +<tr> +<td align = "center"> +<a name = "fig2"> +<img src = "images/fig2.png" width = "344" height = "253" +alt = "figure as described in caption"></a> +<br> +<span class = "caption"> +Fig. 2.<br> +HUMAN <ins class = "correction" title = +"so in original">SPERMATAZOA</ins>.<br> +[From Gray’s Anatomy.]</span> +</td> +</tr> +<tr> +<td class = "smaller" width = "344"> +<b>A.</b> Healthy, well developed and active <ins class = "correction" +title = "so in original">zoa-sperms</ins> from the <i>Vital Fluid</i> +of a strong, robust man.<br> +<b>B.</b> Showing cells and bunches, in which form they are secreted or +made by the testicles. +</td> +</tr> +</table> +And is it surprising that the continual losses do drain away strength +and vitality? This fluid is the only one charged with +<i>life</i>—actual <i>life</i>; capable of producing +<i>life</i>—of creating offspring—of impregnating and +developing into perfect being, with thinking and reasoning brain and +mind, pulsating heart, expanding lungs, sentient nerves, motive muscle, +and all that beautiful, minute and co-ordinate mechanism that forms a +perfect human being—the only secretion in the body capable of +propagating species—carrying <i>life</i> within +<i>life</i>.<!--closed by table--> + +<span class = "pagenum">11</span> +<span class = "headnote"> +All our Doctors are Regular Graduates, and their Diplomas are Registered +in the Office of the County Clerk, City Hall, New York, as required by +Law. +</span> + +<p>Surely this was not meant for waste. Surely the influence of its loss +upon the system, especially of a boy or young man (growing and not fully +developed), must be great, and it is. Many and many a young man thus +wastes away before the eyes of his friends from no other cause. Many a +one loses health and strength from this cause alone, yet does not know +it. How much better if all this false modesty, social hypocrisy, and +blundering medical dosing and drugging, without thorough examination and +full understanding, were wholly done away with, and the young men, and +old men too, were brought to understand two cardinal facts:</p> + +<p>(<i>a</i>) The immense devitalizing effects of even small continued +losses of vital fluid, and,</p> + +<p>(<i>b</i>) The fact that many apparently strong and healthy, as well +as weak and nerveless, men who find their sexual powers gradually or +suddenly failing them, can, in nine cases out of ten, trace it directly +to losses of vital fluid in the urine or otherwise, that have been going +on—perhaps wholly unknown to them—for months or years +past.</p> + +<h6>(See also chapter on “Hidden SpermatorrhÅ“aâ€)</h6> + +<hr class = "tiny"> + +<h4>ANALYSIS OF URINE.</h4> + +<p> +<table class = "rightfloat"> +<tr> +<td align = "center"> +<a name = "fig3"> +<img src = "images/fig3.png" width = "386" height = "378" +alt = "figure as described in caption"></a> +<br> +<span class = "caption"> +Fig. 3.<br> +URINE OF A YOUNG MAN SUFFERING<br> +WITH SPERMATORRHÅ’A.</span> +</td> +</tr> +<tr> +<td class = "smaller" width = "386"> +1. Epithelial Scales from the Prostate Gland.<br> +2. Scales from the Kidney Tubes.<br> +3, 4. Scales from the Kidney Tubes swollen and degenerated.<br> +5. Spermatazoa, wasted, shriveled, imperfect and dead.<br> +(In this case the Varicocele had extended up the cord.) +</td> +</tr> +</table> +At the first symptom of Sexual Decay or Nervous Exhaustion, the person +thus affected should have his urine carefully and thoroughly analyzed by +some competent person. In saying “competent person,†we speak advisedly, +for but few chemists and fewer physicians are competent to make such an +examination and draw correct deductions from what is to be found there. +Any person can, with the proper reagents, test his urine for the +presence or absence of semen, but he cannot make the thorough, +scientific, chemical and microscopical analysis that is sometimes needed +in order to arrive at a full and perfect diagnosis and successful +treatment.<!--closed by table--> + +<p>If losses of semen are taking place in the urine, it would be well to +forward a sample of it at once, for a full and extended analysis, +<span class = "pagenum">12</span> +<span class = "headnote"> +Our Crayons are Inserted without Pain. +</span> +which will be made for the nominal fee of $2, merely to cover the cost +of chemicals.</p> + +<p>Our Chemical Laboratory is under the supervision of Mr. +G. H. E. Du Bell, Ph.D., a thoroughly competent quantitative +and qualitative analytical chemist, a graduate of the French and German +Universities and also a licentiate in this country, who, with his able +corps of assistants, makes all examinations and reports in full upon +them to the Medical Chief of Staff, who in turn submits them with the +histories of each to the full Consulting Board or Staff.</p> + +<div class = "mynote"> +Fig. 3 was printed sideways (rotated 90° clockwise). It has been rotated +back for this e-text so the numerals will display vertically. +</div> + +<hr class = "tiny"> + +<h5 class = "ital"><a name = "chapIII">CHAPTER III.</a></h5> + +<h4>THE FORMS, SYMPTOMS AND CONSEQUENCES</h4> + +<p class = "subhead"> +Of Masturbation, SpermatorrhÅ“a, Nervous Exhaustion and Spinal +Irritability.</p> + +<p>In no disease known to us are the symptoms precisely the same in +every case. They vary with the constitutional peculiarities of the +individual. Yet in nearly every case there are certain prominent or +leading symptoms (signs) that are rarely absent at <i>some</i> stage of +the disease. We give here the more noticeable ones at first laid down by +<b>Lallemand</b>, the great French physician, who first gave us the name +“SpermatorrhÅ“a,†who first wrote upon this disease, who was the first to +discover the connection between the losses of semen and certain symptoms +here given, and who, too, was the great originator of that treatment so +successfully perfected by his successor, <b>Prof. Civiale</b>, and which +is now the <i>standard</i> treatment, recognized and adopted in all the +French hospitals.</p> + +<hr class = "tiny"> + +<h5>OBJECTIVE SYMPTOMS DUE TO MASTURBATION.</h5> + +<p>First, as to the appearance and actions of the +<b>Masturbator</b>—he who is constantly and recklessly drawing +drafts of exhaustion and decay on the nervous energy and strength of his +coming manhood, and which are sure to bankrupt the most robust +health.</p> + +<p>If there is a man to be pitied on this earth, it is he who is walking +about from day to day conscious of being guilty of ever having practiced +this vice. Mark the man who is addicted to it in no matter how light a +form; <i>his face tells the story of his sin</i>. See his <b>haggard +looks</b>, his <b>deep, sunken eyes</b>, which he throws only half-way +into the countenance of his friend. Note <i>the <b>blue</b> or <b>black +discolorations</b> under the <b>eye</b>; the <b>nervousness</b></i> to +get away from a crowd, and the extreme <i><b>girlishness</b> or +<b>backwardness</b> when <b>introduced</b> into the <b>company of +ladies</b>.</i></p> + +<p>The victim of the most dangerous of all vices soon reaches a state +which, if not promptly relieved by the proper remedy, will end in +life-long misery or an early death.</p> + +<p>Objectively considered, the masturbator is recognized by a marked +facial expression, by a characteristic mannerism, and by a peculiar +mental state.</p> + +<p class = "headnote full"> +<span class = "pagenum">13</span> +We Cure where a Cure is Possible. +</p> + +<p> +<u><b>THE FACE.</b></u>—<i>The <b>facial expression</b> consists +of a <b>pale</b> and <b>sallow tint</b> of the skin, unusual +<b>development</b> of <b>acne,—red pimples</b>,—especially +on the <b>forehead;</b> a <b>dark circle</b> around the <b>orbits; +dilated</b> and <b>sluggish pupils; lustreless eyes</b>, and an +<b>oblique line extending</b> from the <b>inner angle</b> of the <b>lids +transversely</b> across the <b>cheek</b> to the <b>lower margin</b> of +the <b>malar (<i>cheek</i>) bone.</b> The <b>face</b> has a <b>haggard, +troubled, furtive expression</b>.</i> +</p> + +<p> +<u><b>THE MANNER.</b></u>—<i>The <b>manner</b> of the +<b>masturbator</b> is peculiar. He is <b>listless, shy, retiring</b>, +and <b>easily confused;</b> he <b>avoids society</b>, preferring +<b>solitude;</b> there is a want of <b>steadiness</b> and +<b>decision</b> in his <b>locomotion;</b> his inferior +<b>extremities</b> seem <b>deficient</b> in <b>power</b>, and all his +movements betray <b>a mind ill at ease</b>.</i> +</p> + +<p> +<u><b>THE MIND.</b></u>—<i>His <b>mental operations</b> are +<b>confused;</b> his <b>speech is embarrassed, awkward</b>, and +<b>without directness</b>; his <b>memory</b> is <b>defective</b>, and he +is <b>absent-minded</b> and <b>given</b> to <b>reverie</b>. If the habit +has long existed, and been excessively frequent in repetition, +<b>epilepsy</b> may be produced; or <b>serious mental disorder</b>, as +<b>delusional insanity, dementia</b>, etc., may occur</i>. +</p> + +<p> +<u><b>THE SEXUAL ORGANS.</b></u>—The state of the <b>genital +organs</b> varies with the length of time the habit has been indulged. +In some young subjects, there will be observed an <i><b>extraordinary +development</b> of the <b>organ</b></i>, owing to premature excitement; +but the disproportion is not maintained. Prof. Barthalow says: "With the +progress of the habit the organ becomes <i><b>small</b> and +<b>relaxed</b>, the <b>erections feeble</b>, the <b>corpora +cavernosa</b> either <b>waste away</b> or their <b>vessels</b> lose +their <b>tonicity</b>, whereby an apparent <b>shrinkage takes place</b>; +the <b>corpus spongiosum</b> and the <b>glands</b> also <b>shrink</b>, +so that the <b>prepuce</b> (fore-skin<ins class = "correction" title = +"no closing )"> </ins>appears <b>unnaturally elongated</b>. The +<b>testes</b> may <b>increase</b> in <b>size</b>, become <b>tender</b> +and <b>irritable</b></i>, or they may waste away to nothing but little +strings; the latter is the more usual result. +</p> + +<p> +“<i><b>Pains</b> in the small of the <b>back</b>, a sense of +<b>weight</b> and <b>aching</b> in the <b>loins</b>, around the +<b>anus</b>, and in the <b>testes</b></i> is experienced. <i>The +<b>appetite is capricious</b>, the <b>digestion feeble</b></i>, and the +<i><b>bowels</b> are <b>constipated</b></i>, or constipation alternates +with diarrhÅ“a. +</p> + +<p> +“<i>The <b>mind</b> is <b>deficient</b> in <b>power</b> of +<b>attention</b>, the <b>imagination is constantly pervaded with vague +erotic dreams</b>, the <b>moral sense</b> is <b>blunted</b>, and the +<b>perceptions</b> are <b>dull</b> and <b>confused. Pains</b> in the +<b>head</b>, in the <b>occipital</b> and <b>frontal regions</b> (front +and back of head)</i>, and a sense of fullness, and in serious cases +<i>alarming <b>Vertigo</b> (dizziness and falling); <b>pains</b> in the +course of the <b>principal nerves</b>, and an extreme <b>nervous +susceptibility</b>, are experienced. The <b>organic nervous +system</b></i> manifests a functional disturbance in harmony with the +disorder of the nervous system of animal life. <i><b>Gastralgia</b> and +<b>abdominal pain</b> (pain in stomach and bowels)</i> and +<b>uneasiness</b> are in some cases very distressing symptoms. +</p> + +<p> +“The distinctiveness of the foregoing symptoms will be determined by the +extent and duration of the habit, and by the constitutional +peculiarities of the patient. <b>The more highly developed the nervous +system, and the more it preponderates in activity over the muscular and +digestive systems, the more serious the effects.</b> +</p> + +<p class = "headnote full"> +<span class = "pagenum">14</span> +We hold out no False Hopes. +</p> + +<h5 class = "marked">EFFECTS OF MASTURBATION ON THE MIND</h5> + +<p> +“The most serious <b>mental effects</b> are produced by +<b>masturbation</b>. This vice, commenced at or before the period of +puberty, interferes seriously with the development of the brain and the +evolution of the mental faculties. +</p> + +<p> +“That <b>spermatorrhÅ“a</b> will produce in one class of cases <b>mental +disorders</b>, and not in another, indicates either that some +predisposition to these disorders existed, or that the habit of +<b>self-pollution</b> was merely an expression of <b>mental +alienation</b> (insanity). The <b>images</b> which pervade the minds of +boys possessed of the highly-developed nervous organization of +masturbators are those of <b>delusional insanity</b>. +</p> + +<p> +“There is, however, a <b>cerebral</b> (brain) <b>phase</b> of +spermatorrhÅ“a which may be separated from the two preceding classes. It +is characterized by <i><b>indistinctness of vision, dilatation</b> of +the <b>pupil, amblyopia</b> (near-sightedness), <b>diplopia</b> (double +sight); <b>diminution</b> in the <b>sensitiveness</b> of the <b>auditory +apparatus</b> (deafness); <b>feebleness</b> of <b>voice; mental +preoccupation, hebetude</b> of <b>mind, confusion</b> of <b>ideas</b>, +and a <b>profound melancholy</b>.</i> +</p> + +<p> +“The termination of such cases is in <b>suicidal monomania, delusional +insanity</b>, <i>etc</i>. In that variety of the cerebral form in which +a decided predisposition must be admitted to exist, to disorder of the +intellectual faculties, there are found various forms of mental +alienation. The <b>chronic form</b> is the most common, which +corresponds to the <i><b>melancholia</b> of <b>Pinel</b>, or the +<b>lypemania</b> of <b>Esquirol</b></i>, terminating in <b>dementia</b>. +Several of the most characteristic cases which have happened under my +observation correspond to the <b>delusional insanity</b> of <b>Bucknill +and Tuke</b>.‗[Manual of Psychological Medicine, Phila. ed., p. +103.]</p> + + +<h5 class = "marked">INSANITY FROM SPERMATORRHÅ’A.</h5> + +<p>Many writers are disposed to underrate the importance of this +tendency in spermatorrhÅ“a. The statistics of any of our large insane +asylums will illustrate the influence of masturbation in the production +of insanity. Mr. Holmes Coote, in a discussion which followed Dr. +Drysdale’s paper on the “Medical Aspects of Prostitution,†read before +the Harveian Society of London, remarked that “he still entertained the +opinion that there were no worse evils appertaining to human weakness +than this. He had opportunities of witnessing the fact that among the +young there was no cause of insanity more common than indulging in +habits which he would not further particularize, but which were known to +result in the most complete bodily and mental +prostration.‗[British Medical Journal, Feb. 17, 1866.]</p> + +<p>Dr. John P. Gray, the distinguished Superintendent of the State +Asylum at Utica, New York (Twenty-Fourth Annual Report, 1867), thus +speaks of the <b>influence of masturbation</b> in the production of +<b>insanity</b>: “The records of this institution show five hundred and +twenty-one cases admitted directly attributable to this vice, and I am +well convinced that the number is greatly understated.â€</p> + +<p>We might add confirmatory testimony from a variety of sources, but +the foregoing is sufficient for our purpose.</p> + +<span class = "pagenum">15</span> +<span class = "headnote"> +Our Treatment is Pleasant, Quick and Lasting. +</span> + +<p>IMPORTANT.—<i>Peculiar, numb, dead, aching, or tingling +sensations in the hands, arms, legs or feet, and headache and specks +before the eyes on stooping or reading; also sleeplessness, too sound +sleep, and apprehensive dreams should be watched for, and the moment +they appear danger from Paralysis or Insanity is to be apprehended and +proper treatment at once taken. These symptoms may mean nothing in some +cases, but they are terrible harbingers of ill in others</i>.</p> + +<hr class = "tiny"> + +<h5>A CASE OF INSANITY FROM SELF-ABUSE.—(<i>Fig. 4.</i>)</h5> + +<p>The following case, taken <i>verbatim</i> from the Care Book of the +Insane Asylum at Blackwell’s Island, will serve as a <i>type</i> of the +many to be found in every hospital for the insane in this country. +(<i>And a terrible and noteworthy fact is, that according to the recent +annual reports of these institutions, both in this country and Europe, +insanity, idiocy and dementia from Seminal Losses and Sexual Abuses, are +increasing from year to year.</i>)</p> + +<p> +<table class = "rightfloat"> +<tr> +<td align = "center"> +<a name = "fig4"> +<img src = "images/fig4.png" width = "382" height = "421" +alt = "figure as described in caption"></a> +<br> +<span class = "smaller"> +<b>Fig. 4.</b><br> +Appearance of James McC——, a few weeks before he died.<br> +(See below.)</span> +</td> +</tr> +</table> +"James McC——, admitted to the Asylum ten days ago. Single, +clerk, born in N.Y. State. Was found on 6th Avenue surrounded by a crowd +who were attracted by his violent and frantic efforts to destroy +everything within his reach. On being arrested and taken to the 29th +Precinct Station House, he was recognized by the Sergeant on duty at the +desk as having been arrested twice before within a week—once for +violent shouting and disturbance in the street, and once for an attempt +at suicide by drowning. As he had attempted his life by hanging the last +time he was locked up, and had afterwards seriously injured himself by +trying to dash his brains out, he was adjudged insane, and a watch set +on him all night. In the morning, when taken before the magistrate, he +was violent and abusive, using the most frightfully obscene and profane +language. There he was held for examination and sent to Bellevue in a +“straight-jacket,†which was found to be necessary in order to control +him. From the padded cell there he was sent here.<!--closed by table--> + +<span class = "pagenum">16</span> +<span class = "headnote"> +When you are Tired of being Humbugged or Experimented on, send to us. +</span> + +<p>"Upon examination he is found to be suffering from acute mania, +alternating with periods of intense melancholia in which he invariably +attempts to take his own life. His language when excited exceeds in +obscenity anything ever heard. During the intervals of quiet he is +constantly practicing the vile habit which has undoubtedly been the +cause of his insanity. He has lost all sense of shame and continues to +practice before visitors, attendants and physicians. He makes no effort +to go to the water-closet, and his clothes and cell are in a filthy and +disgusting state. Ever since admission he has refused all food, and it +has been necessary to feed him with a stomach pump. He is losing flesh +and strength every day, and is fast wasting away.</p> + +<p>"From his relatives who have twice called to see him it was learned +that his mental trouble came on very suddenly, although his memory and +faculties have been failing for some time past. They say that he +complained of sleeplessness, numbness and tingling sensations in the +arms and legs, headache, and a peculiar itching of the skin, for months +before any distinct symptoms of insanity appeared. They attribute it all +to self-abuse, which he has admitted practicing from an early age.</p> + +<p> +“<span class = "smallcaps">August 28th.</span>—Is now paralyzed in +both lower limbs. Still violent.</p> + +<p> +“<span class = "smallcaps">Sept. 3d.</span>—Died this morning +about 1 A.M. Is so emaciated that he is little more than skin and +bones. <i>Rigor mortis</i> entirely absent. Shortly after death the skin +of the whole body changed to a dark chocolate hue.â€</p> + +<p> +Truth is often stranger than fiction. What end more terrible than +this!</p> + +<hr class = "tiny"> + +<h5 class = "ital"><a name = "chapIV">CHAPTER IV.</a></h5> + +<h4>SPERMATORRHÅ’A, OR LOST MANHOOD.</h4> + +<h5 class = "boldf">SYMPTOMS.</h5> + +<p>SpermatorrhÅ“a may be conveniently divided into three stages.</p> + + +<h5 class = "boldf"><u>FIRST STAGE</u>—<u>IRRITATION, +CONGESTION.</u></h5> + +<p>In this stage the sexual organs of the brain and nervous system first +begin to feel the strain of early abuse, overwork, confinement, sexual +excess, or whatever the cause may be in this particular case.</p> + +<p>The Prostate Gland (<i>j</i>, <i>b</i>, <i>Fig. 5</i>) the Seminal +Vesicles (<i>l</i>, <i>Fig. 5</i>), Cowper’s Duct (<i>n</i>, <i>Fig. +5</i>), the Testicles and Spermatic Cord (<i>h</i>, <i>f</i>, <i>k</i>, +<i>Fig. 5</i>), indeed all the sexual apparatus, including the bulbous +sympathetic nerves lying just inside the spine, from the small of the +back down to the end of the organ, become filled with dark, thick and +stagnated blood. The Prostate Gland swells and becomes enlarged, the +Seminal Vesicles become weak, baggy and filled with a thin, glairy fluid +that oozes out into the urine and urine canal on any little strain, +exertion or excitement; especially when, after being in the presence of +the opposite sex, weak, feeble erections follow. The testicles become +flabby and stringy and no longer make strong, healthy, fecund vital +fluid. The constant calls upon them has exhausted them as also the +nerves that gave them life, strength and vitality. A heavy dragging +<span class = "pagenum">17</span> +<span class = "headnote"> +We Offer Special Help to Impotent Men. +</span> +<b>weight</b> is often felt in the <b>groin</b>, especially after +walking or long standing. There is a feeling of <b>weakness</b> and +<b>exhaustion</b> in the parts. Often <b>strange sensations</b> shoot +through the parts, and they are <b>cold</b> and <b>clammy</b> at one +time, while <b>weak</b> and <b>sweating profusely</b> at another.</p> + +<p class = "rightfloat"> +<img src = "images/fig5.png" width = "404" height = "385" +alt = "figure as described in caption"> +</p> + +<p class = "smaller" align = "center"> +<a name = "fig5"> +<b>Fig. 5.</b></a><br> +<b>MALE ORGANS OF GENERATION.</b><br> +[From Acton’s Celebrated Work on “The Reproductive Organs.â€]</p> + +<p class = "smaller"> +<i>Side view of Body cut in half lengthways</i> showing the course taken +by the <b>vital fluid</b> from the <b>Testicle</b> (where it is made) to +the Seminal Vesicles (where it is stored). The penis is shown cut off at +dotted line <i>g</i>.<br> +As shown here the <b>vital fluid</b> secreted in the minute tubules of +the healthy testicle is gathered into the vas deferens or conveying tube +<i>k</i>, which passing through the groin dips behind the bladder +<i>a</i> and empties into the Seminal Vesicles or Storehouse <i>b</i>. +From here it is thrown forcibly into the urethra (urine canal) <i>e</i>, +when needed, and expelled anteriorly by the ejaculatory muscles of the +urethra. To reach the urethra the Seminal Duct <i>m</i> passes directly +through the body of the Prostate Gland <i>j</i>-<i>b</i>. Upon the +outside of the testicle, the tube or duct is found twisted and forming a +slight bunch, known as the epididymis, <i>f</i>, <i>g</i>, <i>h</i>.<br> +It is here that the pressure of a <b>Varicocele</b> is first +felt—here that it succeeds <i>in cutting off the free upward flow +of vital fluid</i> by pressure on these soft branches of the duct, +causing <b>emissions</b> by varying and irregular pressure and +<b>Impotence</b> by constant pressure. When the <b>Varicocele</b> +becomes very large, it then destroys the delicate tubing or the testicle +itself. +</p> + +<p>The general nervous system also feels the <b>strain</b> and +<b>drain</b>. <b>Memory and application</b>, <b>good judgment</b>, +<b>decision of character</b>, and <b>clear-sightedness</b> are not what +they were. <b>Headaches</b> are not uncommon. <b>Bashfulness and +trepidation</b>, especially in the presence of females, is the rule. The +person feels <b>clumsy</b>, <b>embarrassed</b> and <b>ill at ease</b>. +<b>Sleep</b> is sometimes poor, there are occasionally <b>terrible +dreams</b>, sometimes <b>lascivious ones</b> accompanied by +<b>emissions</b>, <b>drowsiness</b> and a tired, languid feeling in the +morning, and a <b>disinclination to rise</b> and go to work are certain +signs of <b>impending</b> nervous exhaustion.</p> + +<span class = "pagenum">18</span> +<span class = "headnote"> +Strictest Privacy— Perfect Confidence— Certain Cure. +</span> + +<p> +<b>The eyes are dull and heavy,</b> often <b>black-ringed</b> +underneath. The pupils of the eyes are unequal—often very +large—sometimes one small and one large. The hands tremble and +perspire <b>easily</b>. The person is <b>absent-minded, melancholy, +prone to brood, and fears the jests</b> or ridicule of his companions. +The <b>skin</b>, especially of the <b>face</b>, sometimes becomes +<b>coarse and red, sometimes is pale and pasty</b> and covered with +<b>blotches or pimples</b>. There is sometimes <b>spasm at the neck of +the bladder</b>, causing <b>some delay before the urine will flow +freely</b>. Often it is passed in a <b>forked or twisted stream</b>, +plainly showing the presence of either organic or spasmodic stricture. +<b>Twitching of the muscles of the eyelid, face and limbs</b> is often +present, accompanied sometimes by <b>creeping sensations up the spine, +flushings of the face, chills</b> (slight), <b>dizziness and black spots +before the eyes</b> on stooping over and occasionally by neuralgic pains +in the <b>head</b> and about the heart. If unchecked, or if the baneful +habit is still persisted in, the symptoms of the First Stage merge +rapidly into those of the</p> + +<hr class = "tiny"> + +<h5 class = "boldf"><u>SECOND STAGE.</u>—<u>CONGESTION AND +INFLAMMATION.</u></h5> + +<p>Here all the symptoms of the foregoing stage are usually present, +only somewhat more intensified. The <b>congestion</b> and +<b>irritation</b> are <b>more decided</b>, the <b>weakness</b> more +marked, the <b>nervous prostration</b> more decided. Any, many, or all +of the following symptoms may be present, according to the degree of +severity or the rapidity of the disease:</p> + +<p> +<b>Emissions</b> (day or night), <b>Oozing of a glairy fluid</b> under +excitement and imaginings, presence of the opposite sex, etc., +<b>Partial</b> and <b>Imperfect Erections, Desire to Masturbate</b>, +Formation of <b>Evil Pictures in the Mind</b>, <b>Flushing and +Chilliness</b>, <b>Stupidity and Tendency to Doze or Sleep</b>, +<b>Mental Hebetude</b>, <b>Failing Memory</b>, <b>Lack of Power of +Application, Energy or Concentration</b>, <b>Restlessness</b>, <b>Pain +and Smarting</b> in passing urine, <b>Wetting the Bed</b>, <b>Pain in +the Kidneys</b>, <b>Headache</b>, <b>Pimples</b> on the face or body, +<b>Itching or peculiar sensations</b> about the scrotum (bag), thighs, +legs, anus, etc., <b>Wasting</b> of the <b>Organs</b>, <b>Stringiness +and Softening</b> of the <b>Testicles</b>, <b>Dyspepsia</b>, <b>Sluggish +Bowels</b>, <b>Torpid Liver</b>, <b>Failing Sight</b>, <b>Pains in the +Head</b> (front, top and back), Chest, Limbs, etc., Sensation of the +<b>Bowels Falling Out</b>, <b>Dizziness</b> on stooping over or +kneeling, <b>Specks</b> before the <b>Eyes</b>, <b>Erotic Dreams</b>, +<b>Melancholy</b> (developing sometimes into <b>Insanity</b>), +<b>Numbness</b> of arms, hands, feet or legs (precursors of +<b>Paralysis</b>), <b>Twitchings</b> of the muscles of the eyelids and +elsewhere (sometimes ending in <b>Epileptic Fits</b> or <b>St. Vitus’ +Dance</b>), <b>Timidity</b>, <b>Diabetes</b> and <b>Deposits</b> in the +<b>Urine</b>, <b>Troubled Breathing</b>, <b>Indecision</b>, <b>Loss of +Will Power</b>, <b>Bashfulness</b>, <b>Burning</b> of the face, +<b>Coldness</b> and <b>Clamminess</b> of the feet and hands, also of the +<b>Scrotum</b> (or bag), <b>Palpitation</b> of the heart, <b>Early Loss +of fluid during connection</b>, <b>Feelings of Gloom, Despondency, +Hopelessness</b> of a cure, or fear of impending danger or +<b>misfortune</b>, <b>Tenderness of the Scalp</b> and <b>Spine</b>, +<b>Dryness</b> and <b>Itching of the skin</b>, <b>Sudden Sweating</b>, +<b>Sudden Nervous Trembling</b>, <b>Noises</b> and <b>Reports</b> in the +ears and brain, <b>Weight</b> on the brain, <b>Weak</b> and <b>Flabby +Muscles</b>, easily tired after slight exertion, <b>Desire to Sleep +late</b> in the mornings and <b>failure to be rested</b> by sleep, +<b>Weakness</b> and <b>Torpor</b> the day after a nightly emission has +occurred, the <b>Oozing of thick white fluid</b> from the urethra when +<b>constipated</b> or <b>straining at stool</b>, <b>Varicocele</b>, +etc., etc.</p> + +<p class = "headnote full"> +<span class = "pagenum">19</span> +All our Doctors are Regular Graduates, and their Diplomas are Registered +in the Office of the County Clerk, City Hall, New York, as required by +Law. +</p> + +<h5 class = "marked">WEAKNESS AND WASTING OF THE ORGANS.</h5> + +<p> +As a rule the <b>organs waste away</b> rapidly or become <b>curved, +twisted, or misshapen</b>. Oftentimes the testicles <b>dwindle away</b> +to almost nothing. <b>Settled gloom</b> and <b>melancholy</b> pervade +the mind, and <b>hallucinations</b>, <b>morbid fear</b>, <b>unnatural +lust</b>, <b>groundless jealousy</b> and a <b>morbid desire for +solitude</b> show themselves. Undoubtedly the list of promotive causes +is considerably augmented by maltreatment and the employment of +injudicious remedies. We should therefore suggest to all prudent persons +the wisdom and importance of consulting <i>competent authority</i> only. +Self-enervation in the first instance brings about that irritability +which evinces itself in <b>nocturnal discharges</b>, afterwards in +inappreciable but exhaustive <b>diurnal discharges</b>, and subsequently +in complete debility of the whole generative system. This seminal fluid, +such indeed as it is—weak, effete and devoid of all generative +power—is undoubtedly the fluid which the organs suffer to escape; +and to prevent further its flow, as well as to give a healthy tone to +the secretory and retentive vessels ought to form our first care.</p> + +<hr class = "tiny"> + +<h5 class = "marked">COUGH, CONSUMPTION AND GENERAL DEBILITY AND +PROSTRATION.</h5> + +<p>It is a curious pathological fact, that during the progress of +SpermatorrhÅ“a, difficulty of breathing, cough, and tightness of the +chest, arising in many constitutions from the seminal disorder, have +sometimes been actually mistaken for pulmonary consumption. The cough is +often distressing, occasionally attended by an expectoration of an +offensive kind. There is no doubt that many have been maltreated for +consumption when SpermatorrhÅ“a was the real malady. That the latter +leads to the former is certain enough, but the stages and connections of +the respective diseases have been grossly misunderstood by practitioners +who have not had sufficient personal acquaintance with the indications +of SpermatorrhÅ“a.</p> + +<p>Remember that these continued seminal discharges of an involuntary +character disorder every function of the animal economy, and it may be +added that while SpermatorrhÅ“a produces so many ruinous effects peculiar +to itself, it aggravates and excites any other disease which may +co-exist with it.</p> + +<p> +The <b>features</b> become <b>pale, emaciated and haggard</b>. The +<b>eyes are dead, sunken</b> and lustreless, and in many cases hold in +their depths <b>a look of wild, unsettled fear that denotes rapidly +approaching insanity</b>. The <b>bowels</b> become <b>sluggish</b>, the +<b>appetite capricious</b>, the <b>muscles weak</b>, the <b>urine +pale</b> and with <b>a heavy sediment of semen</b> that drains away in +it almost constantly. <b>Emissions</b> at night becoming more frequent +and copious—sometimes bloody—although the fluid secreted by +the wasted testicles is <b>scarcely stronger than water</b>. <b>Sexual +incapacity shows itself.</b> <b>Ejaculation</b> is either <b>too +quick</b> or else very <b>long delayed</b>. The <b>skin</b> becomes dry +and sallow, the <b>liver congested and sluggish</b>. <b>The heart beats +irregularly</b>, and any sudden sound, movement or fright sets it to +beating violently. <b>Shortness of breath</b> is complained of. <b>The +brain becomes weaker and more sluggish day by day.</b> +</p> + +<p class = "headnote full"> +<span class = "pagenum">20</span> +Our Crayons are Inserted without Pain. +</p> + +<p class = "illustration"> +<a name = "fig6"> +<img src = "images/fig6.png" width = "479" height = "371" +alt = "figure as described in caption"></a> +<br> +<span class = "caption"> +Fig. 6.<br> +DIAGRAMMATIC REPRESENTATIONS OF THE TESTICLES, DUCTS, &c.</span></p> + +<p class = "smaller"> +Showing where the vital fluid is made and stored and how, and by what +means it passes from the <b>Testes</b> (where it is made) to the +<b>Vesicles</b> (where it is stored). The heavy black marks on either +side of the urine channel, show the relative position of the ejaculatory +muscles.</p> + +<p class = "space"> +He generally loses flesh, and feels uneasiness in his stomach which +suffers from many of the symptoms accompanying dyspepsia. He is easily +startled; the slamming of a door, the firing of a cracker, the falling +of a book, a sudden touch, or even speaking to him unexpectedly, will +cause him to start. Cowardice is a sure consequence of Self-Abuse and +involuntary emissions. The appetite is irregular, often poor, sometimes +voracious; the bowels are also variable in their action. The prostatic +portion of the urethra is frequently irritable and sometimes is very +much <b>inflamed</b>; oftentimes there is a <b>thickening, a sponginess +or puffiness</b> of the parts immediately involving the ejaculatory +ducts. The mucous membrane of the vesiculæ seminales becomes inflamed +and thickened. The <b>testicles</b> and the <b>spermatic cord</b> are +oftentimes very tender and the seminal fluid is much thinner than +natural. Such a Patient has generally <b>dark spots under his eyes</b>, +<b>a sharp nose</b>, and often <b>flushes of hectic color</b> in his +cheeks, particularly when in the presence of company, and there is more +or less palpitation of the heart. In the second stage, as in the first, +the pollutions are diurnal and nocturnal; the latter are copious and +recur frequently. So insensible is the passage of semen that the patient +is usually astonished and horrified on waking to find himself and +<b>bedclothes saturated</b> with this fluid, which is easily absorbed by +the clothes, and rapidly dries up, because it has become thin, watery +and effete. In addition to this loss he is subject to one equally great +on almost every occasion of <b>urinating</b> and +<span class = "pagenum">21</span> +<span class = "headnote"> +We Cure where a Cure is Possible. +</span> +<b>defecating</b>. This also takes place without any consciousness on +his part, and his only knowledge of the fact is from the alarming +weakness he experiences after passing water or going to stool. +Distraction or absence of mind renders the judgment unfit for any +extensive enterprise.</p> + +<p>The sexual powers are greatly weakened; the overtaxed organs refuse +to fulfill their legitimate task; their susceptibility and irritability +are so great that the power of retention is lost, and the seminal fluid +is discharged prematurely.</p> + +<p>The generative organs are wasted and inactive, or so weakened as to +secrete but a ropy, thin and glairy fluid, having few or none of the +characteristics of Vital Fluid. Should the individual suffering this +way—and either careless or unfortunate enough to go +uncured—have offspring, they will assuredly be puny in body and +weakly in mind, and will lead a miserable existence through the neglect +and indiscretion of their parent.</p> + +<hr class = "tiny"> + +<h5 class = "boldf"><u>THIRD STAGE.</u>—<u>STAGNATION AND +WASTING.</u></h5> + +<p>This stage is an aggravation of the two preceding stages +combined.</p> + +<p>The emissions are accompanied and followed by a disagreeable and +disgusting sensation of shame and misery. The mind is absorbed as much +as can be by the one idea of its wretched situation, and the sufferer is +haunted by the thought that his condition and its cause are known to the +whole world, and that he is pitied or scorned by every person he meets. +He is hypochondriacal, and fearful suggestions of self-destruction ever +and anon present themselves.</p> + +<p>The power of mental concentration is entirely gone and the memory is +so feeble that the patient continually forgets what he begins to say. +The dimness of vision is continual and so great as to be a material +annoyance; the eyes are wandering or fixed upon the ground, seldom +venturing to meet the gaze of another. The <b>ringing in the ears</b>, +<b>pains in the head and over the eyes</b> are almost perpetual and +frequently accompanied by partial deafness. <b>The heart is the seat of +pain</b>, <b>fluttering</b> and <b>throbbing</b> with <b>violent and +long-continued palpitation</b>, his hands shake, his limbs tremble, his +knees are weak, so much so that at times it is almost impossible for him +to walk erect. He experiences an insatiable desire for sleep, and yet +upon retiring he lies awake for hours, tormented by his troubled +reflections, and at last falls into an uneasy slumber, of short +duration, disturbed by wretched dreams.</p> + +<p><b>Hard, red pimples</b> frequently appear on the face, forehead and +body, <b>scaly patches</b> round the <b>ears, eyes, nose and lips</b>, a +<b>black or bluish semi-circle</b> shows itself under the <b>eyes</b>, +and there is a hollow mark from the corner of the eye in a slanting +direction under the cheekbone to the angle of the mouth, which tells its +tale. The <b>skin is livid and clammy</b> and the digestion is bad. The +patient is tormented with <b>flatulency</b>, which he cannot always +control and which he justly dreads, as it renders him an object of +<b>disgust</b> to all in his presence. The bowels are generally +<b>constipated</b>, obliging him to strain much at stool, thus +aggravating the irritation of the prostate gland vesiculæ seminales and +increasing the <b>seminal losses</b>.</p> + +<p> +The bladder is irritable and will retain the urine but a short time; the +ureters and kidneys are also inflamed and in post-mortem examinations +are +<span class = "pagenum">22</span> +<span class = "headnote"> +We hold out no False Hopes. +</span> +sometimes found to contain <b>abscesses</b>; they are the seat of much +pain when pressure is made over the intervertebral spaces of the dorsal +and lumbar vertebræ or backbone. The vesiculæ seminales have <b>been +indurated</b> and can be felt to be <b>knotty</b> and <b>hard</b>. The +spinal marrow is very sensitive throughout its whole extent; the +cerebellum is the seat of a <b>dull</b> and <b>heavy pain</b>, and there +is a feeling of pressure upon the brain. Cerebral congestion now and +then occurs. This stage of the disease is frequently accompanied by +<b>Bronchitis</b> or a continued <b>Catarrh</b>, also by disease of the +<b>rectum</b> and all the <b>tissues near the generative organs</b>.</p> + +<p>It is hardly necessary to say that the functions of the nervous +system are completely deranged, indeed, <b>nervous twitchings</b> of the +<b>eyelids</b>, <b>head</b> and <b>limbs</b> are the consequences of +<b>SpermatorrhÅ“a</b>. He is finally either hurried to a premature grave +by consumption, epilepsy or apoplexy; or insanity, taking the hopeless +form of dementia, has removed him from his home to the madhouse.</p> + +<p>It is safe to say that of all the cases of incurable insanity, a +large majority are caused by SpermatorrhÅ“a.</p> + +<p>Many, owing to <b>sheer neglect</b> or to <b>false notions of +delicacy</b>, delay seeking for proper medical relief until they are +almost destroyed, and body and mind are nearly in ruins.</p> + +<p>Pitiable the picture of one who has <b>reached</b> this stage of the +disease. The organs are still congested but <b>irritability</b> has +given away to <b>torpor</b> and <b>sluggishness</b>. Semen drains away +by day and night without provocation, these constant losses dragging the +person to the very <b>brink of the grave</b>, or <b>standing him</b> +within that <b>melancholy shade</b> where <b>suicide</b>, +<b>insanity</b> or <b>idiocy</b> almost certainly stares him in the +face. The organs are wasted almost totally away. All <b>strength</b>, +<b>vitality</b>, <b>erectile</b> and <b>procreative power</b> have left +them, and the victim is at last totally <b>impotent</b>. Of no use to +themselves, a curse to their <ins class = "correction" title = +"so in original">freinds</ins>, a disgrace to society, they sink from +sight into an early grave or are lost to the world behind asylum doors. +It is a sad and terrible picture, but true—too true—to +life.</p> + +<p>The tendency of Nature in most disorders is towards cure, but <b>here +it is towards deterioration</b>. There is no chance here of the evil +“wearing itself out†save in madness and death on the one hand, and on +the other by the salutary intervention of the most <b>vigorous</b>, +<b>cautious</b> and <b>enlightened treatment</b>, a treatment pursued in +the <b>full light</b> of the aids afforded by the great discoveries in +physiological science for which the present age is happily +distinguished. Fortunately for humanity, by the aid of Chemistry, as +well as Medical Science, it has been reserved for us to present to the +public the <b>Civiale Remedies</b>, which have proved themselves +undeniable blessings to thousands, restoring with unerring power those +suffering from this hitherto baffling complaint.</p> + +<hr class = "tiny"> + +<h5 class = "marked">LESS SEVERE CASES.</h5> + +<p> +There are cases where the effects of early abuse are neither so rapid +nor so severe. In many instances the persons, to all outward +appearances, are strong and robust. They only complain of certain sexual +symptoms that trouble them. But let them beware. Appearances are very +deceitful. Let a +<span class = "pagenum">23</span> +<span class = "headnote"> +Our Treatment is Pleasant, Quick and Lasting. +</span> +sudden fit of illness supervene and see how quickly these apparently +healthy men succumb and are swept away by it. Then, too, in many of +these cases, he who to-day may seem strong and healthy, with the +exception of his sexual weakness, may suddenly develop most grave +nervous symptoms, and in less than a month be beneath the sod or +hopelessly insane. Such cases have occurred, and one particular instance +even as we write presents itself to our mind. Poor fellow, he died a +raving maniac the very night he was to have been married to one of the +most charming young ladies in New Haven. And yet he thought he was +perfectly healthy. He only learned his true condition too late for human +aid.</p> + +<hr class = "tiny"> + +<h5 class = "marked">HIDDEN SPERMATORRHÅ’A.</h5> + +<p>In many cases the seminal ducts have become so weak and relaxed that +the fluid passes off involuntarily with the water and is not perceived; +also when straining at stool and when you have an erection. To test its +escape in the urine, pass off your water in a clear glass pint bottle +and let it stand twenty-four hours in a warm place; then hold up the +bottle between yourself and the light, and if you discover a sediment of +a <b>white, fleecy</b> nature, resembling cotton, in the bottom, you are +suffering from <b>hidden spermatorrhÅ“a</b>, from which all your present +ailments come. Where this fluid passes off with the urine, it is just as +injurious to the system as full emissions, as it is a continual drain +day after day, as well as taking that part of the vitality which goes to +supply the brain and nerves. Many patients afflicted in this way will +notice, shortly after urinating, a <b>dull pain</b> in the forehead, +sometimes extending to the <b>eye-balls</b>, causing, as well, a feeling +of <b>general debility</b>, as if they had no strength or will to do +anything. If this weakness is allowed to go on unchecked, the mind will +become diseased, the eye-sight will be impaired, and the vital forces +consumed—thereby causing <b>partial and complete impotency</b>. +Should you desire greater certainty in testing, either send on a sample +of your urine, or test it with our powder.</p> + +<p>The characteristic symptoms of partial impotency are: an imperfect +erection, or, if the erection is sufficiently vigorous, it is of too +short a duration, and the vital fluid is discharged prematurely.</p> + +<p>The erector muscles become paralyzed, and the organ remains inactive +at the call of the will.</p> + +<p>The person thus afflicted is greatly embarrassed and mortified at his +paralytic condition. That buoyancy of spirit is gone; the snap, vim and +vigor that once held sway has departed—and why? Because that great +motive power (amativeness) that gives the push and go-aheaditiveness is +checked, or rather, ceases to act.</p> + +<hr class = "tiny"> + +<h4 class = "marked">THE CURABILITY OF SPERMATORRHÅ’A AND IMPOTENCY.</h4> + +<p>Having before us the records of some three thousand cases, grave, +simple and severe, that have come under our treatment in this country, +as well as +<span class = "pagenum">24</span> +<span class = "headnote"> +When you are Tired of being Humbugged or Experimented on, send to us. +</span> +the printed copies of the <b>French Hospital Reports</b>, and +<b>Civiale’s Works</b>, in which he minutely reviews all phases of this +complaint, illustrating them with cases from his own practice, we feel +justified in assuring our readers that almost any case can be cured, +provided <b>thoroughness</b> is the maxim of treatment.</p> + +<p>The method of Profs. <b>Jean Civiale</b> and <b>Lallemand</b>, as now +perfected and extended by us, and so justly named after <b>Civiale</b>, +stands unrivaled in its <b>success</b> as well as its <b>simplicity</b> +and <b>reasonableness</b>. To all such as suffer from this harassing +complaint we commend, first, a careful reading of the history of this +discovery and the eminent medical men and hospitals that endorse it; +and, second, a fair trial of these remedies, no matter how +<b>hopeless</b>, <b>despondent</b> and <b>despairing</b> you may be. +(See page 55.)</p> + +<p>Although the advertising and spreading, and the ringing to full +perfection of this treatment is really due to us and our physicians, +still we feel in duty bound to always keep in view the two great French +surgeons who first discovered the method of <b>intra-urethral +medication</b>.</p> + +<hr class = "tiny"> + +<h5 class = "ital"><a name = "chapV">CHAPTER V.</a></h5> + +<h4>IMPOTENCY OR LOST POWER.</h4> + +<p>Scarcely a day passes that we do not have some patient inquiring +<b>“What is Impotence?â€</b>—<b>“Are Impotence and SpermatorrhÅ“a +the same Disease?â€</b></p> + +<p> +<b>Impotency</b> (from the Latin words <i>im</i> [not] and <i>potens</i> +[to be able]<ins class = "correction" title = "close ) missing"> +</ins>means a condition of the Sexual Organs in which a man is +not able to beget his species. It may be because he has lost his +erectile power (and this is how it is most commonly understood), or +because he has lost all desire, or lastly, because the <b>vital +fluid</b> has become so <b>weakened</b> and <b>degenerated</b> as to +have lost its <b>procreative power</b>.</p> + +<p>Impotence is most common in men past middle age. It may come on as +<i>the second or third stage of SpermatorrhÅ“a</i>, or it may develop +slowly or suddenly <i>without any symptoms of SpermatorrhÅ“a</i>. It may +be accompanied by various <b>nervous</b> and <b>exhausting</b> symptoms, +or these may be <i>wholly absent</i>. If vital fluid is being lost, and +the Impotence is due to the weakness thus caused, <b>nervous +exhaustion</b> is sure to come sooner or later.</p> + +<p>Impotence and SpermatorrhÅ“a may exist together in the same +person.</p> + +<p>Many impotent men have no other bad symptoms than simply this failure +of the <b>sexual organs</b> to respond when called upon. The trouble in +these cases usually lies in the erectile muscles, which are +<b>weakened</b> or <b>paralysed</b>, and in the <b>nervous bulbs</b> or +<b>ganglia</b>, that are blunted or exhausted.</p> + +<p>A perfectly healthy man should be able to beget his species until he +is <b>at least</b> 80 years of age. Instances of such power at the age +of 97 are on record. In these days of <b>exhaustion</b>, <b>early +decay</b>, <b>excesses</b> and <b>abuse</b>, most men begin to lose +their power at or before 40. This is not right, and can <b>certainly</b> +be remedied by proper treatment.</p> + +<p class = "headnote full"> +<span class = "pagenum">25</span> +We Offer Special Help to Impotent Men. +</p> + +<h5>IMPOTENCY, COMPLICATED WITH BLADDER OR PROSTATE DISEASE.</h5> + +<p>In such cases the Prostate Gland is usually congested, enlarged and +irritated, and needs prompt and thorough treatment. (See page 26.) The +tone of the nervous system is also lowered, even though it may not be +apparent to the individual himself. Hence, some good, strong, special, +general and sexual tonic, such as <b>Civiale’s Tonic Regulator</b> (see +page 30) is needed, as is shown by the rapid improvement that follows +its use, especially when combined with effective measures for +strengthening the <b>erectile muscles</b>, invigorating the <b>Sexual +Nerve Ganglia</b>, and reducing the <b>Prostatic congestion</b>. Some of +the most remarkable cases of the thorough cure of Impotence and +restoration to full sexual vigor that appear in the 53d Volume of the +French Hospital Reports, were in men <b>past 60 years of age</b>.</p> + +<h5>IMPOTENCY AND WASTING OF THE ORGANS.</h5> + +<p>In many of these cases of impotence (as well as of SpermatorrhÅ“a) the +organs were either small and puny from birth or had wasted away as the +disease progressed—just as a paralyzed arm or leg will waste away +from want of use and exercise. Such cases, as also those where there is +twisting or curving of the organ, need thorough developmental treatment. +Such organs can be readily developed under proper treatment, just as the +breast or a limb may be developed and increased in <b>size, strength and +power</b> by the use of the proper treatment. Those who have not kept +pace with the advances of medical science abroad can scarcely realize +how great her strides have been. To-day it is easy (especially in +Sexual, Seminal and Urinary diseases) to do what ten years ago the +majority of physicians deemed impossible, and to <b>Lallemand</b> and +<b>Civialè</b> belong the highest meed of praise for their unremitting +labors in bringing this branch of medical science to its present state +of comparative perfection. As an illustration we can cite case after +case that has been sent us by physicians in good standing as utterly +beyond their skill, and we have returned their patients to them in a few +months’ time fully and <b>perfectly restored to sexual strength</b> and +<b>vigor</b> as they, themselves, were obliged to admit.</p> + +<h5>IMPOTENCY AT ANY AGE IS CURABLE.</h5> + +<p>Do not despair then, reader, if you are thus afflicted and have made +several trials and failed to find <b>health</b> and <b>vigor</b>. The +<b>Civiale Remedies</b>, while not infallible, have certainly done +wonders for many so-called “<b>hopeless cases</b>,†and we doubt not +that you, too, can be perfectly restored. Submit your conditions and +symptoms to our Board of Consulting Physicians, and at least get their +opinion upon it. Certain it is that these remedies, brought to light by +the eminent French savant, Professor in the greatest medical college in +France, and adopted and endorsed by all the large Parisian hospitals and +most eminent French physicians, <b>cannot possibly hurt you</b>, and +<b>more than likely will cure you</b>.</p> + +<p class = "headnote full"> +<span class = "pagenum">26</span> +Strictest Privacy— Perfect Confidence— Certain Cure. +</p> + +<h5 class = "ital"><a name = "chapVI">CHAPTER VI.</a></h5> + +<h4>BLADDER, KIDNEY, PROSTATIC AND URINARY DISEASES.</h4> + +<p>Congestions, irritation and even inflammation of the Urinary Organs +often occur in men, either alone or as a complication of Seminal Disease +and Weakness. The Seminal Vesicles lie just behind the bladder, while +the Seminal Ducts pass through the body of the <b>Prostate Gland</b>, +and open into the urethra (or urine channel) upon its surface (see +Fig. 5). Hence, any inflammation or congestion of this large +gland that lies at the root of the organ and neck of the bladder, +is almost certain to produce <b>Seminal Weakness</b>, <b>Losses</b> +and <b>Impotence</b>.</p> + +<p>It will be noticed that men past 50 years of age are often forced to +rise in the night once or oftener to make water. This, and the delay +that sometimes occurs before the stream will start, are usually due to +enlarged <b>Prostate Gland</b>—a common condition in men past 50. +Many and many a man at this age finds his <b>sexual power declining</b> +and cannot understand it—<b>Enlarged Prostate Gland</b>.</p> + +<p>As the gland enlarges and becomes stiff and its tissues hardened and +brawny, it presses upon and deprives the Sexual Nerves of power and +sometimes paralyzes them, causing total Impotency. How +useless—worse than useless, even hurtful—are the usual +remedies. The Prostate Gland must be softened, cooled and <b>robbed</b> +of its <b>inflammation</b> before Anti-Impotency remedies can be of the +slightest service. And here it is where the great success of the +<b>Civiale Crayons</b> is best shown: <b>The Prostatic Crayons melt, run +down upon, soothe, quiet and allay the inflammatory and hardened +gland</b>, while the <b>Impotence Crayons</b> are <b>re-toning</b>, +<b>strengthening</b> and <b>re-vitalizing</b> the Sexual Nerves, and +strengthening the <b>erectile</b> and <b>ejaculatory</b> muscles. +Perfect cure and perfect restoration are possible if <b>proper</b> means +are <b>properly</b> applied.</p> + +<p>SpermatorrhÅ“a likewise is both caused and complicated by +<b>Prostatic</b> and <b>Urinary</b> inflammation. The Sexual Nerves are +involved and weakened in the same manner as in Impotency, while, in +addition the hardened substance of the Prostate Gland keeps the mouths +of the Seminal Ducts open, and the <b>vital fluid</b> runs away into the +<b>urethra</b> to be swept out with the urine, without let or hindrance. +Soon this loss tells, not only upon the brain and nerves and general +health, but upon the testicles where this fluid is made. So much is +wasted that these two glands, work as they may, cannot supply a +sufficiency of good, healthy fluid, and meet the difficulty by making a +thin, watery infertile fluid that would flow away even if the mouths of +the ducts were healthy. They do this at the cost of a terrible strain +upon the whole system—they strain and injure themselves and grow +<b>weak and flabby</b> and finally <b>wasted</b>—often rupture +small vessels in their substance, thus yielding <b>bloody or black +seminal fluid</b>.</p> + +<p class = "headnote full"> +<span class = "pagenum">27</span> +All our Doctors are Regular Graduates, and their Diplomas are Registered +in the Office of the County Clerk, City Hall, New York, as required by +Law. +</p> + +<p>The <u>CAUSES</u> of Prostatitis or ProstatorrhÅ“a are many and +diverse. The most prominent are:</p> + +<p class = "inset"> +<u><b>GonorrhÅ“a or Gleet</b></u>, running backward and settling in the +gland or neck of the bladder;</p> + +<p class = "inset"> +<u><b>Stricture</b></u>, deep in the canal, causing congestion and +inflammation;</p> + +<p class = "inset"> +<u><b>Masturbation</b></u>, by keeping the gland excited, congested and +irritated, often causes it;</p> + +<p class = "inset"> +<u><b>Exposure to cold and wet</b></u>, especially sitting on a cold +door-step or damp seat;</p> + +<p class = "inset"> +<u><b>Blows and Injuries</b></u> of any kind;</p> + +<p class = "inset"> +<u><b>Strong Injections</b></u>, and rough jabbing with steel sounds or +rough bougies;</p> + +<p class = "inset"> +<u><b>Eating Hot Condiments</b></u>, or too free indulgence in alcoholic +beverages.</p> + +<hr class = "tiny"> + +<h5>VARIOUS COMPLICATIONS.</h5> + +<p>If the inflammation extends to the neck of the <b>bladder</b>, he has +an attack of <b>cystitis</b>. If it goes down along the seminal ducts, +it produces <b>swelled testicle</b>, <b>clogged duct</b>, <b>chronic +enlargement</b>, <b>cancer</b>, <b>cysts</b> and hopeless wasting of the +<b>testicles</b>. If it extends up the <b>ureters</b>, it causes +<b>Bright’s Disease</b>, <b>abscess</b> of the <b>kidneys</b>, or +<b>lumbar fistula</b>. If it runs forward along the urine canal, it +produces so-called <b>gleet</b>. If it settles in the <b>prostate +gland</b> and becomes chronic, it may cause <b>abscess of the gland</b>, +<b>retention of the urine</b>, and certainly either or both +<b>SpermatorrhÅ“a</b> or <b>Impotency</b>.</p> + +<p>It may thus be seen how exceedingly dangerous a disease this +<b>Prostatitis</b> is, and how very important it becomes to check it at +the earliest possible moment.</p> + +<p> +<u><b>SYMPTOMS.</b></u>—We have space for but the most prominent +and frequent ones: a <b>dull, aching, dragging</b> or <b>throbbing +pain</b> between the legs, made worse by <b>standing, walking, +jolting</b>, &c., and sometimes relieved by hard pressure, or lying +down with one’s feet higher than their head; pain, burning or smarting +on passing urine; <b>twisting</b> of the stream; the oozing of a thin, +glairy fluid; <b>sticking</b> together of the lips of the mouth of the +urinal canal; <b>soreness, aching or tenderness</b> of one or both +<b>testicles</b>; dull pain or ache in <b>the small of the back</b> or +<b>buttocks</b>; <b>dizziness, sudden fits of exhaustion, convulsions, +coma and death</b>. A <b>microscopical examination</b> of the urine will +reveal the nature of the difficulty in a moment. There also will be +found evidences of great <b>nervous wear and tear, and seminal +losses</b>, more or less constant.</p> + +<span class = "pagenum">28</span> + +<p class = "illustration"> +<img src = "images/pic28.png" width = "462" height = "335" +alt = "exterior view of building"> +<br> +<span class = "caption sans"> +L’ECOLE DE MEDICINE, PARIS.<br> +The most celebrated Medical College in France, in which both +<b>Civiale</b> and <b>Lallemand</b> were Professors.</span> +</p> + +<hr class = "tiny"> + +<h4 class = "marked">GLEET AND STRICTURE AS A CAUSE OF SPERMATORRHÅ’A AND +IMPOTENCY.</h4> + +<p>These two diseases are probably less understood than almost any other +equally common. It is safe to say that at least one man out of every ten +has, +<span class = "pagenum">29</span> +<span class = "headnote"> +Our Crayons are Inserted without Pain. +</span> +has had, or will have one or both. Neglected gleet often causes +stricture; neglected or improperly treated stricture often causes and +keeps up a gleet.</p> + +<p>Another set of statements, equally sweeping and based upon the best +of medical evidence, may be made, <i>i.e.</i>, more cases of gleet and +stricture are caused by Self-Abuse (masturbation, Onanism), and sexual +excesses than by gonorrhÅ“a—formerly and ignorantly supposed to be +about the only cause.</p> + +<p>Furthermore, the main cause of both SpermatorrhÅ“a and Impotence is +Stricture (whether caused by self-abuse, gonorrhÅ“a [clap], or any other +excess). It was this very important point that <b>Lallemand</b> guessed +at, and that <b>Civiale</b> definitely ascertained to be a +fact—proved it by examinations of both living and dead subjects, +and demonstrated it before the eyes of every member of the French +Academy of Medicine, the most learned body of medical men in the world. +Upon this discovery is based the now world-famed <b>Urethral Crayon +Treatment</b>. It cures—absolutely, thoroughly and +<b>Permanently</b> cures—because it is based on truth; because the +proper remedies are placed upon the very seat and fountain-head of the +disease; where quickly and thoroughly it stamps out the fire +(inflammation, from the Latin <i>in</i>, and <i>flamma</i>, to burn, to +be a-fire) and eradicates the cause, at the same time healing the +abrasions, releasing and invigorating the nerves, cleansing and +unclogging the ducts, strengthening the erectile muscles—in a word +restoring the whole Sexual Apparatus to its natural tone and strength; +not harshly or violently, but gently, kindly, soothingly. Indeed it is a +heavy debt of gratitude the sufferers from Sexual Disease and Weakness +owe to <b>Professor Jean Civiale</b>—greatest of all French +savants!!</p> + +<p>Were any further proofs necessary, the following facts, the results +of recent experimental investigations by such men as <span class = +"smallcaps">Acton,<a class = "tag" name = "tag1" href = "#note1">1</a> +Black,<a class = "tag" name = "tag2" href = "#note2">2</a> +Gross,<a class = "tag" name = "tag3" href = "#note3">3</a> +Hammond,<a class = "tag" name = "tag4" href = "#note4">4</a> +Bartholow,<a class = "tag" name = "tag5" href = "#note5">5</a> +Dupuytren,<a class = "tag" name = "tag6" href = "#note6">6</a> +Eckhard,<a class = "tag" name = "tag7" href = "#note7">7</a> +Loven,<a class = "tag" name = "tag8" href = "#note8">8</a> +Galtz,<a class = "tag" name = "tag9" href = "#note9">9</a> +Ollivier,<a class = "tag" name = "tag10" href = "#note10">10</a> +Trousseau,<a class = "tag" name = "tag11" href = "#note11">11</a> +Erb,<a class = "tag" name = "tag12" href = "#note12">12</a> +Otis,<a class = "tag" name = "tag13" href = "#note13">13</a> +Wade,<a class = "tag" name = "tag14" href = "#note14">14</a> +Sir Everard Home,<a class = "tag" name = "tag15" href = "#note15">15</a> +Liegeois,<a class = "tag" name = "tag16" href = "#note16">16</a> +Terrillon,<a class = "tag" name = "tag17" href = "#note17">17</a> +Fleischmann,<a class = "tag" name = "tag18" href = "#note18">18</a> +Beard,<a class = "tag" name = "tag19" href = "#note19">19</a> +Grunfeld,<a class = "tag" name = "tag20" href = "#note20">20</a> +Guyon,<a class = "tag" name = "tag21" href = "#note21">21</a> +Rosenthal,<a class = "tag" name = "tag22" href = "#note22">22</a> +Landon Carter Gray,<a class = "tag" name = "tag23" href = +"#note23">23</a></span> and many others, could be cited in its +favor.</p> + +<div class = "footnote"><a name = "note1" href = "#tag1">1.</a> +Diseases of the Reproductive Organs, Phila., 1876.</div> + +<div class = "footnote"><a name = "note2" href = "#tag2">2.</a> +Renal, Urinary and Reproductive Organs, Phila., 1872.</div> + +<div class = "footnote"><a name = "note3" href = "#tag3">3.</a> +Disorders of the Male Sexual Organs, Phila., 1883.</div> + +<div class = "footnote"><a name = "note4" href = "#tag4">4.</a> +Impotence in the Male, New York, 1833.</div> + +<div class = "footnote"><a name = "note5" href = "#tag5">5.</a> +SpermatorrhÅ“a, Phila., 1880.</div> + +<div class = "footnote"><a name = "note6" href = "#tag6">6.</a> +Dictionaire des Sciences, tom. viii, Paris, 1856.</div> + +<div class = "footnote"><a name = "note7" href = "#tag7">7.</a> +<ins class = "correction" title = "so in original">Beltrage zur +anat-uns</ins> Phys., Bd. iv. and Bd. vii.</div> + +<div class = "footnote"><a name = "note8" href = "#tag8">8.</a> +Arbeiten aus der Phys. Austatt, zu Leipsig, 1866.</div> + +<div class = "footnote"><a name = "note9" href = "#tag9">9.</a> +Pflueger’s Archlv, Bd. viii.</div> + +<div class = "footnote"><a name = "note10" href = "#tag10">10.</a> +Traite des Maladies de la Moelle Epiniere.</div> + +<div class = "footnote"><a name = "note11" href = "#tag11">11.</a> +Chu. Méd. de l’Hotel-Dieu de Paris.</div> + +<div class = "footnote"><a name = "note12" href = "#tag12">12.</a> +Ziemssen’s Cycloped., Amer. Edit., 1876.</div> + +<div class = "footnote"><a name = "note13" href = "#tag13">13.</a> +Stricture of the Male Urethra.</div> + +<div class = "footnote"><a name = "note14" href = "#tag14">14.</a> +Stricture of the Urethra; its Complications and Effects.</div> + +<div class = "footnote"><a name = "note15" href = "#tag15">15.</a> +Practical Observations, &c., &c.</div> + +<div class = "footnote"><a name = "note16" href = "#tag16">16.</a> +Medical Circular and Gazette, 1869, page 381.</div> + +<div class = "footnote"><a name = "note17" href = "#tag17">17.</a> +Annal. de Dermatol, et Syphiligraph.</div> + +<div class = "footnote"><a name = "note18" href = "#tag18">18.</a> +Wiener Med. Presse, 1878.</div> + +<div class = "footnote"><a name = "note19" href = "#tag19">19.</a> +Medical Record, 1879, page 184.</div> + +<div class = "footnote"><a name = "note20" href = "#tag20">20.</a> +Endoskopische Befunde bei Erkrankungen des Samenhugels <ins class = +"correction" title = "so in original">Wein</ins>, 1880.</div> + +<div class = "footnote"><a name = "note21" href = "#tag21">21.</a> +Bulletin Génerales de Thérapie, 1867, page 501.</div> + +<div class = "footnote"><a name = "note22" href = "#tag22">22.</a> +Wiener Klinik, May, 1880.</div> + +<div class = "footnote"><a name = "note23" href = "#tag23">23.</a> +Archives of Medicine, October, 1880, page 191.</div> + +<p class = "headnote full"> +<span class = "pagenum">30</span> +We Cure where a Cure is Possible. +</p> + +<h5>STRICTURE THE RESULT OF MASTURBATION,</h5> +<h6 class = "nospace">AND THE CAUSE OF WEAKNESS AND IMPOTENCE.</h6> + +<p>In brief it may be stated that <b>Masturbation</b> in early life, and +sexual excesses at a later period, may, and do produce +<b>congestion</b>, <b>inflammation</b>, <b>spasm</b>, <b>ulceration</b>, +<b>granulations</b>, <b>ulcers</b>, and both <b>spasmodic and organic +strictures</b> of the urethra; that <b>SpermatorrhÅ“a</b> and +<b>Impotence</b> are due to this condition, and that the only really +rational treatment is that which directly medicates and heals these +parts. This, <b>Civiale’s Soluble Urethral Crayons</b> do, better and +quicker than anything else. Prof. <span class = +"smallcaps">Gross</span>,<a class = "tag" name = "tag24" href = +"#note24">24</a> for instance, says: “Exclusive of these cases, my notes +show that 13 out of every 100 cases of stricture are due to Onanism;†+and <span class = "smallcaps">Otis</span><a class = "tag" name = "tag25" +href = "#note25">25</a> says: “9 per cent. of all cases are traceable to +that practice.†<span class = "smallcaps">Reeves, Henry Smith, Goulet, +Physic</span> and <span class = "smallcaps">Leroy</span> give +masturbation as a cause of stricture. <span class = +"smallcaps">Black</span> states a like case leading to sexual +incapacity, as a result of the stricture. <span class = +"smallcaps">Wade</span> says: “In several instances of the kind, +<b>where there had been no sexual intercourse</b>, the strictures, which +were at the bulb, proved more than usually refractory from the extreme +morbid sensitiveness of the whole urethral canal.â€</p> + +<p>Gross goes on to say, that in at least eight out of every ten cases +of <b>SpermatorrhÅ“a</b> or <b>Impotence</b>, stricture of the urethra is +the cause of the trouble, whether the stricture is due to gonorrhÅ“a, +gleet, etc., or to <b>masturbation or excesses</b>.</p> + +<div class = "footnote"><a name = "note24" href = "#tag24">24.</a> +<i>Op cit., page 25.</i></div> + +<div class = "footnote"><a name = "note25" href = "#tag25">25.</a> +<i>Op cit.</i></div> + +<hr class = "tiny"> + +<h4>THE CIVIALE</h4> +<h5 class = "nospace">PERFECTED AND COMBINED TREATMENT.</h5> + +<p>How senseless, then, to endeavor to cure such conditions with stomach +medicines. Still, the <span class = "smallcaps">Civiale</span> method +does not wholly discard them. They have their place and their purpose, +and served it well. It was his practice in many cases to use +<b>Nervines</b> and <b>Tonics</b>, as well as <b>Digestives</b> and +<b>Laxatives</b>, by the stomach, and with excellent results, for in +many of these cases the <b>digestion was poor</b>, the <b>liver +torpid</b>, the <b>bowels sluggish</b> and <b>constipated</b>, and +<b>filled with wind</b>, the <b>appetite capricious</b> and +<b>uneven</b>. <b>Crayons</b> in the urethra could not wholly cure these +symptoms, although they stopped the drain that originally caused them. +Combined with the <b>Tonic-Regulator</b>, the results were prompt and +satisfactory.</p> + +<p> +<b>Many patients began to recuperate the moment the inflammation, +stricture, ulceration and accompanying losses of vital fluid were +stopped, and were soon in robust health again</b>. In others, however, +he found it best, <b>at the same time that he was healing the +diseased</b> urethra, to <b>clear and invigorate the debilitated nerves +and weary minds, to tone up the stomach and bowels, set the liver gently +working, start the kidneys</b> (nearly always congested), <b>and infuse +new life, strength and vigorous impulses into the whole system by means +of his Tonic-Regulator</b>, which is a pleasant and most efficacious +combination of <b>tonics</b>, <b>laxatives</b> (not purgatives), and +<b>deobstruents</b>. <b>Skin, kidneys, lungs, heart, mind, nerves, +stomach, liver and bowels, were all set to working right</b>. And, as a +consequence, aided by the urethral remedies, the <b>losses ceased</b>, +erectile power and <b>sexual vigor returned, the step became buoyant and +elastic, the mind clear, the memory retentive, the eyes clear and +bright, the lips and cheeks ruddy with healthful color; the whole +system, indeed, renovated, refreshed and re-invigorated.</b></p> + +<p class = "headnote full"> +<span class = "pagenum">31</span> +We hold out no False Hopes. +</p> + +<h5 class = "ital"><a name = "chapVII">CHAPTER VII.</a></h5> + +<h4>THE DUTIES, RESPONSIBILITIES AND FAILURES</h4> +<h6 class = "nospace">IN AND OF MARRIED LIFE.</h6> + +<p>What more perfect or pleasing picture than that of happy married +life. Yet how little of it we see! How the newspapers dish up to us in +strong words the misery, despair, wretchedness, infidelity and deceit of +the divorce court. How it stares at us from the desolate fireside of +friend and acquaintance; is hinted at or suppressed by the records of +the Coroner’s office; leers at us from the sumptuous mansion of the +affluent; lurks in the humble cottage of the mechanic. How sad the +contrast between the home where nestle happiness, love, contentment, +offspring; and the abode of suspicion, deceit, infidelity or +barrenness.</p> + +<p>And yet men and women are being married every day, every +hour—ay, every minute. Men and women incompatible physically, +mentally, morally—urged on by lust, cupidity, love; to escape +unhappy homes; to hide sad sins—for a thousand reasons, some good, +many bad—are constantly marrying.</p> + +<p>A man selects a wife less carefully than he would a horse; a woman +yields herself, her life, her happiness, blindly, unreasoningly, to a +man of whom she knows nothing. A man better fitted for the hospital, the +infirmary, or the insane asylum, enters the bonds of wedlock with never +a thought of the consequences; with never a care as to whether he will +wreck his own life and happiness or that of the innocent girl he is +deceiving; with never a heed of the ill-starred, diseased, puny or +idiotic progeny his act may bring into being, a burden to the community, +a curse to himself and a constant reminder of the parent’s +foolhardiness—ay, even crime!</p> + +<p>No man who is affected with any form of Sexual or Venereal Disease +should for a single instant even think of <b>marriage</b> until every +<b>trace</b> of his <b>weakness</b> or <b>disease</b> has disappeared. +In these days of medical advance in this special field, there is no +excuse for such action. There are few—very few—cases of +Seminal Weakness and Impotency that cannot now be cured. Of course, here +as elsewhere, there are traps and humbugs, quacks and charlatans, false +theories and empty moralizing; but there is also truth and knowledge, +hope and certainty for such as are sufficiently in earnest to search for +them. Prof. Civiale, by his indomitable perseverance, thorough study and +experiment, and final conclusions and discoveries, has placed the means +of a perfect restoration to full mental, bodily and sexual vigor within +the reach of all, and no man has any right now to enter either blindly +or wilfully into so sacred and important a relationship as marriage, and +to lower and stultify its ends by blighting the happiness of a fair +young wife, exhausting his own vitality in the vain attempt to have +offspring, or in having such as shall be a curse to him through +life.</p> + +<p>There are those (let it be hoped they are really honest in their +ignorance) who look upon marriage as the only real cure for Seminal +Weaknesses. Even if it were a fact that the marital relations did +accomplish such a result (and they never do, as bear witness the +thousands who are to-day weak, exhausted, ex-sanguinated, unhappy, +nerveless, hopeless wrecks, who are cursing the ignorant pretenders who +gave this false—this fatal advice); even if such a +<span class = "pagenum">32</span> +<span class = "headnote"> +Our Treatment is Pleasant, Quick and Lasting. +</span> +result was a certainty, what right has any man to besmirch and soil the +purity of a happy and innocent maiden for such a purpose? By what law of +humanity are woman’s hopes and happiness to be hazarded on so fragile a +basis, her bark of life to be launched into a pool of such sickening +bestiality? Such marriages bear and are bearing deadly fruit before our +eyes day by day, in infidelity, abandonment, suicide, insanity, crime +and prostitution—in disease and misery, even to the third and +fourth generation.</p> + +<hr class = "tiny"> + +<h5>A SPECIAL SET OF PRE-MARITAL (Before Marriage) REMEDIES.</h5> + +<p>No more delicate or wonderful piece of mechanism, no more grandly +conceived and wonderfully perfected bit of God’s handicraft is to be +found than the Male and Female Sexual Organs. It is a wonder to those +who have made these parts (with their elastic vessels, cavernous +sinuses, network of nervous ganglia and fibrillæ, chain of lymphatics, +periodical ovulation, timed pubescence, and perfected, co-ordinate +functions) a study, that they stand abuse and excess so well; that the +fierce blasts of lust and passion that sear and scorch them and +well-nigh dry up their fountain springs of vitality and fecundity, do +not wholly destroy or hopelessly disarrange their delicate tissues and +functions.</p> + +<p>The first few years of married life, even to a healthy man, are +fraught with dangers he knows nothing of. How much more then is the +sufferer from a present or even a former Seminal Weakness in danger.</p> + +<p>No man, be he ever so healthy, ever so conscious of purity and +freedom from abuse, should enter the marital state without preparing for +the strain naturally to be expected. As the voice, skin, hair, manner +and morals of the youth change at the period of puberty (when the sexual +power is first developed—when he first becomes a man), so does the +system, mental and moral, change when he enters the bonds of matrimony. +If at puberty new diseases are prone to show themselves and old ones to +be outgrown, so at marriage a like change must be at least expected, and +he who blindly or thoughtlessly hazards a leap in the dark is foolish, +or rather foolhardy.</p> + +<hr class = "tiny"> + +<h5>A SPECIAL COURSE OF NERVE AND SEXUAL TONICS.</h5> + +<p>Especially for the use of young men who have endangered or injured +their sexual power by abuse in early years, and for older men who have +exhausted themselves by later excesses. <b>Prof. Civiale</b> was wont +(very wisely, we know from actual experience) to prescribe, for a few +months before marriage, a <b>Special Tonic and Strengthening Marital +Course of Remedies</b>, having three distinct ends in view, viz.:</p> + +<p> +<u>(<i>a</i>) The strengthening, toning up and fortifying of the general +system, nerves and brain, against the unusual call soon to be made upon +them;</u></p> + +<p> +<u>(<i>b</i>) The strengthening, toning up and fortifying of the Sexual +Nerves, Ducts, Ganglia, Vesicles and Testes, against the strain soon to +be applied to them, and by this and the preceding means putting the +individual in the very</u> +<span class = "pagenum">33</span> +<span class = "headnote"> +When you are Tired of being Humbugged or Experimented on, send to us. +</span> +<u>best and most favorable condition for the production of strong, +healthy, robust and creditable offspring; and</u></p> + +<p> +<u>(<i>c</i>) The steady and perfect eradication from the system, by +every pore and viaduct, of all poisonous, contagious, venereal or other +material that might in any way endanger the perfectly normal (healthy +and strong) condition of parent or offspring above spoken of. Through +early abuse, excesses, exposure, neglect, carelessness, imperfect +sanitary conditions, wrong methods of living, immoral practices, etc., +the blood and liver are liable, even though the skin be clear and the +cheeks rosy, to harbor some poisonous humors that might be transmitted +to the wife or offspring—poor innocents, too often made to suffer +pitiably for the vices or thoughtlessness of the father.</u></p> + +<p>Every man about to marry owes this cleansing, purification and +strengthening of the system general and the system sexual, to his wife, +his fellow men and to himself.</p> + +<hr class = "tiny"> + +<h5 class = "ital"><a name = "chapVIII">CHAPTER VIII.</a></h5> + +<h4>THE CIVIALE URETHRAL TREATMENT.</h4> + +<p class = "subhead"> +For the Radical and Lasting Cure of all Diseases of the Sexual and +Urinary Organs. Its Mode of Operation, Application and Advantages.</p> + +<p>The Civialè Treatment, by means of quickly melting <i>medicated</i> +Crayons that are <i>easily</i> and <i>painlessly</i> inserted into the +urethra (or urine channel), and thus melt and run down over the +irritated, inflamed or strictured parts, the congested Prostate Gland, +and into the orifices of the Seminal Ducts, is the most successful +treatment ever brought forward for these diseases, and it has met with +just appreciation, for it has performed radical cures in some of the +most serious and distressing cases. Some of the advantages may be +briefly summed up as follows:</p> + +<p> +<u>1. It combines local and direct medication of the diseased parts of +the urethra, seminal ducts and vesicles, as well as of the Generative +Nerves, by means of Urethral Crayons, with judicious invigoration of the +general Digestive, Nervous, Mental and Circulatory Systems, by means of +Stomach Remedies, thus attacking the complaint from all sides.</u></p> + +<p> +<u>2. The Civiale Urethral Crayons are easily introduced, melt rapidly, +medicate the entire canal, never give the slightest pain, never stain +the clothing, are rapid, pleasant and cleanly in their action, could be +used by a child without danger of injury, are perfectly soft and +flexible, and give uniform satisfaction.</u></p> + +<p> +<u>3. They need be used but once, or, at the most, twice daily.</u></p> + +<span class = "pagenum">34</span> +<span class = "headnote"> +We Offer Special Help to Impotent Men. +</span> + +<p> +<u>4. The good results of the treatment are apparent within the first +five or ten days.</u></p> + +<p> +<u>5. Their price is so reasonable as to place them within the reach of +all.</u></p> + +<p> +<u>6. They may be used to cure gleet, stricture and prostatitis, when +complicating SpermatorrhÅ“a or Impotence.</u></p> + +<p> +<u>7. They never decompose or lose their strength.</u></p> + +<p> +<u>8. They are absolutely free from minerals, mercurials, caustics or +irritants.</u></p> + +<p> +<u>9. They will do precisely what and all that is claimed for +them.</u></p> + +<p> +<b>Civiale’s</b> knowledge of the anatomy, physiology and pathology of +the Genito-Urinary (Sexual and Urinary) organs, especially fitted him to +study and investigate this subject. It did not take him long to perceive +that <b>Lallemand’s</b> idea that the deep urethra, where the seminal +ducts open into it, was the real seat of the disease in both +<b>SpermatorrhÅ“a</b> and <b>Impotence</b>, was the true and correct one, +and therefore, that any plan of treatment, to be successful, must look +to allaying and healing the inflammation, congestion or ulceration of +the urethra at the neck of the bladder, and stopping the losses.</p> + +<p>He reasoned that when the inflammation, irritation and spasm of these +parts, and of the seminal ducts, was relieved, the drain of the vital +fluid would cease, the dilated mouths of the ducts contract, the vital +fluid become thicker and healthier, the organs increase to natural size, +and the distressing nervous symptoms, oftentimes dangerous to life or +reason, cease to trouble the patient.</p> + +<p class = "illustration"> +<a name = "fig7"> +<img src = "images/fig7.png" width = "407" height = "13" +alt = "figure as described in caption"></a> +<br> +<span class = "caption"> +Fig. 7.</span><br> +<span class = "smaller"> +Exact Size and Shape of a <b>Civiale Soluble Urethral +Crayon</b>.<br>(Inserted into canal of organ.)</span> +</p> + +<p>These Crayons shown here are small, soft, smooth, perfectly flexible, +and dissolve as soon as they are pushed into the urethral canal, thus +bringing the remedies directly in contact with the ulcerated and eroded +parts, it even running down the ducts into the seminal vesicles +themselves.</p> + +<p>The growth, vigor and future prosperity of every nation depend upon +the strength and energy of its young men, and if the places of the +robust and healthy are to be filled by effeminate, weakened, nervous and +physically drained youths, such as the terrible vice of masturbation is +yearly giving us, the results cannot be other than disastrous. The +advice, warning and guidance of parents and guardians must be looked to +for prevention; the method and remedies of <b>Lallemand</b> and +<b>Civiale</b> for a cure.</p> + +<hr class = "tiny"> + +<h5>A GUARANTEED ASSURANCE.</h5> + +<p>There are some persons who, from having used various forms of +medicated bougies—having had sounds, catheters and bougies roughly +passed upon them by unskillful persons—or merely from an +indistinct belief, based upon hearsay or tradition, feel some hesitancy +about passing anything into the organ for fear that it may do harm, +cause pain, or give rise to stricture.</p> + +<span class = "pagenum">35</span> +<span class = "headnote"> +Strictest Privacy— Perfect Confidence— Certain Cure. +</span> + +<p>The majority of these timid people have got this idea from hearing it +said that stricture and inflammation have often been caused by gonorrhÅ“a +(clap) injections, and they therefore have the idea that anything put +into the urethra will do harm. There is not the slightest doubt but that +strong injections of nitrate of silver, zinc, copper, carbolic acid and +the like (of which these injections are usually made) have, in many +instances, caused severe inflammation and, eventually, stricture.</p> + +<p>But that is no reason why proper and absolutely unirritating and +bland medicines, such as those in the <b>Civiale Crayons</b>, should do +this—and they don’t do it. Make up a strong injection of zinc, +copper, &c., and take a swallow of it. It will burn and pain your +mouth and throat, make you hoarse, and for days afterward you will find +it painful to swallow. Put a troche or lozenge, properly medicated for +the purpose, into your mouth, and, instead of causing pain, irritation +and difficulty in swallowing, it will relieve these symptoms if they +exist, cool and calm the membrane, soothe the irritation, and give tone +and strength to the vocal chords.</p> + +<p> +So it is with the <span class = "smallcaps">Civiale Soluble +Crayons</span>.</p> + +<p> +<u>(1.) They are wholly unlike any caustic, metallic or irritating +injection.</u></p> + +<p> +<u>(2.) They do not contain a grain of any mineral, caustic or irritant +of any kind.</u></p> + +<p> +<u>(3.) Their ingredients are purely vegetable.</u></p> + +<p> +<u>(4.) They soothe, calm and allay irritation, and give strength and +tone to the mucous membrane, Seminal Ducts, Generative Nerves and +Prostate Gland.</u></p> + +<p> +<u>(5.) They do not cause stricture, but they cure it if it +exists.</u></p> + +<p> +<u>(6.) Allow one to dissolve in the mouth, eye, ear, nose, or, in fact +anywhere. and they will be found to possess only soothing and healing +properties.</u></p> + +<p> +<u>(7.) They can be inserted into the penis without the slightest +trouble, and, melting rapidly and easily, flow down in a bland, +soothing, healing and strength and life-giving stream, over the diseased +parts.</u></p> + +<p> +These Crayons have been in constant use in Paris for the past 25 years, +and have never yet, and never will, cause the slightest pain or +irritation. Patients may rest assured, therefore, that in using these +standard French Remedies they are absolutely protected, and need not +feel the slightest degree of fear. Indeed, so well established is this +fact that we are willing to pay $1,000 (one thousand dollars) to any +person or persons who can cite a single instance when the Civiale +Crayons have ever done the slightest harm.</p> + +<p> +<i>The disease is in the Urethra or Urine Channel, whether it be +SpermatorrhÅ“, Impotence, Prostatitis or gleet, and in order to effect a +lasting cure, the remedies must be applied directly to the diseased +membrane. In nine cases out of ten, Spasmodic Stricture already exists +and must be cured before the person can get well, and the only way to +cure it is to apply the medicines directly to it.</i></p> + +<p> +<i>It would be as silly for a man with an ulcer on his leg, or a crushed +finger, to expect to cure it by taking drugs by the stomach and not +applying proper lotions and salves directly to it, as to try to cure +seminal disease or weakness +<span class = "pagenum">36</span> +<span class = "headnote"> +All our Doctors are Regular Graduates, and their Diplomas are Registered +in the Office of the County Clerk, City Hall, New York, as required by +Law. +</span> +without going right to the spot, as can be done by the use of the +elegant and harmless Crayons of Civiale.</i></p> + +<p> +It was by establishing the fact of local disease and a local remedy +clearly and distinctly, upon both physiological and pathological grounds +and data, that <b>Lallemand</b> and <b>Civiale</b> gained such +world-wide reputation. And it was the discovery of not only the proper +remedies, but an elegant and perfect means of applying them directly to +the very seat and root of the disease, that has made the Civiale Method +so justly famous, and has crowned its use with such undoubted success in +this country, even in cases where every other plan and agent had +failed.</p> + +<hr class = "tiny"> + +<h5>A REASONABLE AND HONEST GUARANTEE.</h5> + +<p>We feel no hesitation whatever in guaranteeing a perfect and +permanent cure of SpermatorrhÅ“a, Impotence, Debility, &c., &c., +in any case wherein our Medical Director decides that a cure is possible +by any means, if the patient will use reasonable care and diligence in +pursuing the treatment, and this is not hard or tiresome; on the +contrary, it is easy, simple and direct.</p> + +<p>We say “in any case wherein our Medical Director decides that a cure +is possible by any means,†and we say it with a purpose, for it is our +aim and desire, at all times, to be perfectly frank and honest with +those who consult us. There are cases that no remedy, be it ever so +good, can cure, and when such a one occurs in our practice, we endeavor +to show the patient his exact condition, and not (as is so often done) +try to persuade him to purchase remedies that we know will do him no +good, or, at least, be but an experiment. So, in consulting our +Physicians, you may be sure of at least an honest opinion, in exact +conformity with the facts in your case.</p> + +<hr class = "tiny"> + +<h5 class = "ital"><a name = "chapIX">CHAPTER IX.</a></h5> + +<h4>TREATMENT.</h4> + +<p class = "subhead"> +The Different Forms of Remedies for Different Forms of Sexual and +Urinary Diseases.</p> + +<p>These Crayons are put up in packages, each of which will last one +month. A single package is ordinarily sufficient for mild cases of +either SpermatorrhÅ“a or Impotence. From two to three packages are +required for chronic, severe or obstinate cases, or where the person is +much debilitated or advanced in years. There are five kinds:</p> + +<table> +<tr> +<td></td> +<td> +No. 1—<b>For SpermatorrhÅ“a and Chronic Debility.</b><br> +No. 2—<b>For Impotence or Lost Power.</b><br> +No. 3—<b>For Urinary, Kidney, Bladder or Prostate +Troubles.</b><br> +No. 4—<b>For GonorrhÅ“a.</b><br> +No. 5—<b>For Gleet and Stricture</b> (of Venereal Origin). +</td> +</tr> +<tr> +<td>Also:</td> +<td>No. 6—<b>A Before-Marriage Tonic Course.</b><br> +No. 7—<b>A Developing Lotion for Weak and Wasted Organs.</b> +</td> +</tr> +</table> + +<span class = "pagenum">37</span> + +<span class = "headnote"> +Our Crayons are Inserted without Pain. +</span> + +<p>The following are the main symptoms of each class, with the kind of +course they usually call for. If the patient has the symptoms of both +classes he is evidently in an advanced stage, and needs both +courses.</p> + +<h5>SPECIAL CAUTION.</h5> + +<p>The reader is warned against confounding the <span class = +"smallcaps">Civiale Urethral Crayons</span> with the American Medicated +Bougies, Injections, Pastilles, and the like. The disease is really +seated in the Urethra (urine canal), and can be easily and painlessly +medicated, and certainly cured, by means of the <span class = +"smallcaps">Civiale Crayons</span>.</p> + +<p class = "illustration"> +<a name = "fig8"> +<img src = "images/fig8.png" width = "403" height = "12" +alt = "figure as described in caption"></a> +<br> +<span class = "caption"> +Fig. 8.</span><br> +<span class = "smaller"> +Exact Size and Shape of a <b>Civiale Soluble Urethral +Crayon</b>.<br>(Inserted into canal of organ.)</span> +</p> + +<h5>CIVIALE’S URETHRAL CRAYONS.</h5> + +<h4 class = "marked sans">COURSE No. 1.</h4> + +<h5 class = "marked">For SpermatorrhÅ“a, Nervous Debility and +Masturbation.</h5> + +<p><b>SYMPTOMS:</b> Emissions (day or night), Oozing of a glairy fluid +under excitement and imaginings, presence of the opposite sex, etc., +Partial and Imperfect Erections, Desire to Masturbate, Formation of Evil +Pictures in the Mind, Flushing and Chilliness, Stupidity and Tendency to +Doze or Sleep, Mental Hebetude, Failing Memory, Lack of Power of +Application, Energy or Concentration, Restlessness, Pain and Smarting in +passing urine, Wetting the Bed, Pain in the Kidneys, Headache, Pimples +on the face or body, Itching or peculiar sensations about the scrotum +(bag), thighs, legs, anus, etc., Wasting of the Organs, Stringiness and +Softening of the Testicles, Dyspepsia, Sluggish Bowels, Torpid Liver, +Failing Sight, Pains in the Head (front, top and back), Chest, Limbs, +etc., Sensation of the Bowels Falling Out, Dizziness on stooping over or +kneeling, Specks before the Eyes, Erotic dreams, Melancholy (developing +sometimes into Insanity), Numbness of arms, hands, feet or legs +(precursors of Paralysis), Twitchings of the muscles of the eyelids and +elsewhere (sometimes ending in Epileptic Fits or St. Vitus’ Dance), +Timidity, Diabetes and Deposits in the Urine, Troubled Breathing, +Indecision, Loss of Will Power, Bashfulness, Burning of the face, +Coldness and Clamminess of the feet and hands, also of the Scrotum (or +bag), Palpitation of the heart, Early loss of fluid during connection. +Feelings of gloom, despondency, hopelessness of a cure, or fear of +impending danger or misfortune, Tenderness of the scalp and spine, +Dryness and Itching of the skin, Sudden Sweating, Sudden Nervous +Trembling, Noises and Reports in the ears and brain, Weight on the +brain, Weak and flabby muscles, easily tired after slight exertion, +Desire to sleep late in the mornings, and failure to be rested by sleep, +Weakness and torpor the day after a nightly emission has occurred, the +Oozing of a thick white fluid from the urethra when constipated or +straining at stool, Varicocele, etc., etc.</p> + +<p class = "newline"> +$5 per Box.<br> +Full Course of 3 Boxes, for obstinate and chronic cases, $12.</p> + +<span class = "pagenum">38</span> +<span class = "headnote"> +We Cure where a Cure is Possible. +</span> + +<p> +<span class = "smallcaps">Special Note</span>.—It is a rare thing +for any one patient to have all these symptoms, and some may have some +not here mentioned, but it is important to know just which they do have. +Persons desiring treatment will, therefore, please tear out the proper +page, and having crossed out such symptoms as they do not have, return +it to us for the consideration of our physician. To save delay, it is +best in ordinarily severe cases to send the price of one course, and +leave the selection to our physician’s discretion. When less is needed +than what is paid for, the balance due the patient will be returned to +him with the necessary medicine.</p> + +<h5>CIVIALE’S URETHRAL CRAYONS.</h5> + +<h4 class = "marked sans">COURSE No. 2.</h4> + +<h5 class = "marked">For Impotence, Failing or Lost Strength and Vigor +of the Generative Organs, Sterility, etc., etc.</h5> + +<p><b>SYMPTOMS.</b>—(Impotence may arise without any previous +symptoms of SpermatorrhÅ“a, and solely as the result of abuse, overwork, +confinement, blows, falls, fever, etc., but it is often the direct +result of SpermatorrhÅ“a, forming the third stage of that disorder). Loss +of Sexual Desire or Power, Imperfect or Rapidly Failing Erections, Too +Early Emissions During Connection (denoting irritability), Delayed +Emissions (denoting blunting of sensation), Failure to Consummate +Marital Duties, Oozing of vital fluid, Unnatural Desire, but not +sufficient power, Nervous Exhaustion, etc., Wasting of the Organs, etc., +etc., etc.</p> + +<p class = "newline"> +1 Box, for simple or recent cases, $6. Full Course of 3 Boxes, for +severe or chronic cases, men past middle age, feeble subjects, etc., +etc., $15.</p> + +<h5>CIVIALE’S URETHRAL CRAYONS.</h5> + +<h4 class = "marked sans">COURSE No. 3.</h4> + +<h5 class = "marked">For Kidney, Bladder, Prostatic and Other Urinary +Difficulties.</h5> + +<p><b>SYMPTOMS</b>.—Frequent urination, Rising at night to +urinate, Pain or Scalding in passing water, Dribbling of Urine after +completing the act, Pain and aching in the perineum, Mucous oozing from +Prostatitis, Gravel, brick-dust deposit, and other sediments, Stone in +the bladder, Diabetes, Irritation and Enlargement of the Prostate Gland, +Congestion and Inflammation of the Kidneys, Bloody Urination, etc., etc. +<ins class = "correction" title = "open ( without closing )">(Many +cases</ins> of Seminal Disease are due to or made worse by urinary +trouble, especially Prostatic Disease, existing at the same time. Hence, +when such is the case, it is important to treat the urinary as well as +the seminal disease in order to be certain to permanently and thoroughly +cure both. The action of the Civialè Urethral +<span class = "pagenum">39</span> +<span class = "headnote"> +We hold out no False Hopes. +</span> +Crayons in these cases is prompt and satisfactory. Indeed, this is the +only known means of reaching and curing Prostatic Affections.</p> + +<p class = "newline"> +1 Box, $5.<br> +2 Boxes, $9.<br> +Full Course, 3 Boxes, $12. +</p> + +<h5>CIVIALE’S URETHRAL CRAYONS.</h5> + +<h4 class = "marked sans">COURSE No. 4.</h4> + +<h5 class = "marked">For GonorrhÅ“a.</h5> + +<p>One box a certain cure. Prompt, painless, and leaves no stricture. +Constantly used in <i>L’Hopital du Midi</i> and <i>L’Hopital +Lourcine</i>, the two great venereal disease hospitals of +Paris—the one for males, the other for females— as well as +in the others.</p> + +<p class = "newline"> +$5 Per Box. +</p> + +<h5>CIVIALE’S URETHRAL CRAYONS.</h5> + +<h4 class = "marked sans">COURSE No. 5.</h4> + +<h5 class = "marked">For Gleet and Stricture (When the result of +Venereal Disease).</h5> + +<p>The formula used in preparing these Urethral Crayons is one of the +finest the great <b>Civiale</b> conceived. Repeated trials and +modifications finally ended in an almost perfect remedy. Gleet or +obstinate milky discharge or oozing of from two to twelve years’ +standing yielded painlessly and permanently to their use. Stricture, +too, even when organic, if not so far advanced as to interfere seriously +with urination, yielded kindly to this treatment, being gradually +dissolved and absorbed until, at last, the canal was left free and +clear, and all the symptoms of urinary irritation had disappeared. +Testimony from Dr. Lorey, Interne at the <i>Hopital du Midi</i>, will +give some idea of the popularity of this form of treatment in Paris. +With them he cured eighty consecutive cases of Chronic Gleet.</p> + +<p class = "newline"> +$5 Per Box.<br> +2 Boxes, $8.<br> +3 Boxes, $10. +</p> + +<span class = "pagenum">40</span> + +<p class = "illustration"> +<img src = "images/pic40.png" width = "353" height = "447" +alt = "Dr. Lorey"> +<br> +<span class = "caption sans">DR. LOREY,<br> +Interne at l’Hopital du Midi, Paris.</span> +</p> + +<h4 class = "marked sans">COURSE No. 6.</h4> + +<h5 class = "marked">CIVIALE’S PRE-MARITAL TONIC COURSE.</h5> + +<p>This is the course we have already adverted to under the head of +marriage, and we believe that enough was there said to make plain both +its object and application. This, unlike the preceding courses, is, so +to speak, a mixed one, consisting of a combination of (1) Tonics and +Sexual Nervines to be taken by the mouth; (2) A Specially Prepared +Course of Crayons (tonic, anti-spasmodic and detergent), to be used in +the urethra, and (3) a lotion or application which, by being gently +applied to the parts once a day with a sponge, +<span class = "pagenum">41</span> +<span class = "headnote"> +Our Treatment is Pleasant, Quick and Lasting. +</span> +soft cloth or the hand, adds greatly to the strength and erectile power, +as well as the tone, development and vigor of the testicles.</p> + +<p>These are put up under the strict personal supervision of our head +chemist, Mr. Du Bell, and are exactly in accordance with the <ins class += "correction" title = "so in original">formlæ</ins> and instructions of +the late Prof. Civiale.</p> + +<p class = "newline"> +Price per Set, $25. +</p> + +<p>This Course may be used alone or in connection with any of the other +Courses. No man (or woman either) could be injured by it, and many weak +and impotent sufferers will find in its use health, strength and bodily +and mental vigor.</p> + +<p>In some instances the Tonic Regulator and Lotion part of this Course +are advisable without the Crayons, and hence we quote their price +separately.</p> + +<p class = "newline"> +Tonic Regulator, $10.<br> +Lotio Fortior, $5. +</p> + +<hr class = "tiny"> + +<h5 class = "marked">CIVIALE’S TONIC-REGULATOR.</h5> + +<p>Civialé’s Tonic-Regulator is all that its name indicates and much +more besides. It is composed of Tonics, Nervines, Bitters, Laxatives, +Nerve Foods, Cholagogues (acting on the Liver), Diuretics and +Diaphoretics (remedies acting on the Kidneys and Skin and thereby +increasing their secretions and cleansing and purifying the Blood), +Digestives, etc., etc., etc. It will thus be seen that a more complete +and uniform General Tonic-Regulator could not be devised, for it acts +upon the Brain, Mind, Nervous System, Digestive Organs, Spleen and +Pancreas, the Bowels (keeping them in a healthy and regular manner +only—not purging or weakening), upon the Heart, Lungs, Skin, Blood +and Kidneys.</p> + +<p>So skillfully is the combination made that no one ingredient +interferes with the other, but on the contrary each seems to vie with +the other in building up and renovating a shattered, weakened and +disordered system.</p> + +<p>Bilious, soggy, sleepy men, with aching heads, foul breaths, bad +tasting mouths on rising, clogged secretions, sense of inability to +exertion, furred or yellow tongues, and the like, absolutely need the +Tonic-Regulator, and not Blue Mass or Anti-Bilious Pills. Weak, nervous, +spiritless, exhausted, debilitated, pale, ambitionless, easily tired, +prone to become short of breath and have pain in side on running, who +find it hard to get sleep, are restless, brood over their troubles, real +or imaginary, start at loud noises or sudden jars, perspire too easily, +flush too readily, are not rested by sleep, and who are neuralgic, +certainly need the Tonic-Regulator, and will find it rapid in action and +very pleasant in its results. Health, strength, vigor, rosy cheeks, +elastic step, cheery voice, zest and happiness, hope and ambition, hardy +flesh and good ruddy blood, made by a perfect digestion of strong foods, +will certainly follow, and as they come, all the old myths and phantoms, +the melancholy, dread and brooding will disappear like unhealthy nightly +vapors before the sun.</p> + +<p>Men, young or old, who have let business cares and worries, mental +trouble, +<span class = "pagenum">42</span> +<span class = "headnote"> +When you are Tired of being Humbugged or Experimented on, send to us. +</span> +family jars, overwork and constant brain wear and tear, confinement, or +long hours in unhealthy offices, lack of exercise, too rapid bolting of +food, and the like, ruin their previously good constitutions; or those +who, through youthful abuses committed in ignorance and repented so +bitterly, or later excesses from unbridled passions, have drained their +vitality, established a condition of sexual atony (<i>a</i>, without; +<i>tonos</i>, tone or strength or vigor), or done serious harm to their +nervous systems, brains or minds, will find the very Vital Restorative +and Special Generative Tonic they need the most in Civiale’s +Tonic-Regulator.</p> + +<p>It does not do one thing; it does many. While it throws open one door +to let health, strength and vigor enter, it opens others for poisonous +secretions, blood impurities and waste products to escape. It not only +makes the blood purer and richer, but it strengthens the organ (the +heart) that pumps it everywhere throughout the system. It not only +builds up and rejuvenates the general system, but it brings vernal +strength and power to the weakened and debilitated organs.</p> + +<p>It was here that Civiale made Common Sense and Medical Science join +hands. (<i>a</i>) With his Medicated Urethral Crayons he healed and +strengthened the organs of Generation by direct local application. +(<i>b</i>) While with the Tonic-Regulator he sent his powerful yet +harmless emissaries (Tonics, Digestives, Cholagogues, Nervines and Nerve +Foods, Laxatives, Diuretics, etc., etc.) into the system, by the +stomach, with the food, thus guaranteeing their entrance into the blood +which carried them to every nerve fibre and tissue and attacked the +disease on every side.</p> + +<p class = "space"> +<b>This is why this double treatment, intelligently carried out, cannot +fail to rebuild the most debilitated and exhausted constitution and +check the most serious drains and losses.</b> +</p> + + +<h4 class = "marked sans">COURSE No. 7.</h4> + +<h5 class = "marked">DEVELOPMENTAL LOTION.</h5> + +<p>As has already been stated, in some persons Seminal Disease and +Losses of Vital Fluid lead to a wasting away, shrinking or dwindling of +the Generative Organs. It exists in others from birth, and is in no way +connected with Seminal Disease. Whichever be the case, it is +nevertheless true that a wasted or deformed part of the body, be it arm, +leg or what not, cannot in this condition be expected to perform its +function in a natural, vigorous and healthy manner.</p> + +<p>There is a great deal of ignorance upon this subject—ignorance +that interferes greatly with the full and proper treatment of cases of +Seminal weakness. Many sufferers from Seminal Disease and Impotence seem +to think that just as soon as the losses or emissions are stopped, or +erectile power returns, the parts will begin to grow and develop, and +soon be restored to natural size and proportions. This is not so. In +some few instances it does occur, but in the large majority it does +not.</p> + +<p>It is therefore necessary in these cases to take special measures to +fully and perfectly develop the defective parts, and it can only be done +by giving +<span class = "pagenum">43</span> +<span class = "headnote"> +We offer Special Help to Impotent Men. +</span> +a new start to growth and circulation to the nervous and nutritive +centres of these parts. A breast, a limb, a hand, indeed any part of the +human body, especially in persons not past fifty years of age, can be +enlarged and developed, and so, too, can the sexual organs.</p> + +<p><u>The Developmental Lotion</u> that has been in use for many years, +is a local application (viz., applied directly to the organs), and acts +by stimulating growth, circulation and nutrition. It is cleanly, easily +applied, rapid and satisfactory in its results, and we guarantee that it +will give uniform satisfaction in all cases where our Board of +Consulting Physicians recommend the case as favorable for it.</p> + +<table> +<tr> +<td class = "rightline"> +PRICE OF THE DEVELOPMENTAL LOTION, +</td> +<td> +Strongest, $15.<br> +Less strong, 10. +</td> +</tr> +</table> + +<p>It is put up in quantity sufficient to accomplish a full and perfect +development. Should more than is at first sent be needed to complete the +development, we will furnish it at half-price. Full instructions +accompany it.</p> + +<p>It should be used in connection with the remedies for Impotency or +SpermatorrhÅ“a in every case where the organs are wasted. Its effects in +such cases are wonderful and the results very gratifying.</p> + +<p class = "fourem" align = "right"> +CIVIALE REMEDIAL AGENCY,</p> +<p align = "right"> +174 Fulton Street, New York.</p> + +<hr class = "tiny"> + +<h5 class = "ital"><a name = "chapX">CHAPTER X.</a></h5> + +<h4>REORGANIZED CONSULTING STAFF.</h4> + +<p> +<span class = "smallcaps">G. G. Mortimer</span>, A.M., M.D., Ph.D., +Chief of Staff.</p> + +<p> +<span class = "smallcaps">Richard Lee</span>, A.M., M.D., of the +Universities of Oxford, London and Melbourne, Master of Arts, Member of +the Royal College of Surgeons, of England; late Consulting Surgeon to +the Beechworth Hospital and Professor of Botany and Chemistry at the +Tasmanian Institute; Honorary Member of the Victoria Medical Society and +Fellow of the Royal Society of Tasmania and of the Anthropological and +Physical Societies of London; University Medalist, etc., etc. Chief of +Personal Consultation.</p> + +<p> +<span class = "smallcaps">Henry H. Kane</span>, A.M., M.D., late Medical +Superintendent of the De Quincey Home, Interne at the Roosevelt, New +York, Bellevue, Charity and Lenox Hospitals; Physician to the +North-Eastern and Good Samaritan Dispensaries; Lecturer at the Women’s +Medical College, on Urinary and Renal Diseases, etc., etc., etc.</p> + +<p> +<span class = "smallcaps">S. Sorensen</span>, A.M., Ph.D., +Manufacturing, Analytical and Experimental Chemist, Licentiate of the +School of Pharmacy of Heidelberg and Berlin, Germany. (This accomplished +chemist has full charge of all analyses of urine, the preparation of our +various formulæ, the purchase and importation of all drugs, etc., +etc.)</p> + +<p> +<span class = "smallcaps">Louis B. Jones</span>, Business and General +Manager.</p> + +<div class = "mynote"> +The names “Mortimer†and “Sorensen†replaced the earlier names “Du Bell†+and (?) “Flowersâ€, crossed out by hand: +</div> +<p class = "illustration"> +<img src = "images/img43.png" width = "417" height = "239" +alt = "page image showing names ‘Du Bell’ and (?)‘Flowers’ +replaced by ‘Mortimer’ and ‘Sorensen’"> +</p> + +<p> +With such a complete and accomplished staff, it will be seen that the +case of every person consulting us will receive the most careful and +combined +<span class = "pagenum">44</span> +<span class = "headnote"> +<ins class = "correction" title = "so in original">Strict</ins> +Privacy— Perfect Confidence— Certain Cure. +</span> +opinion, judgment and decision of all these men. We have the greatest +and most generally successful remedies known, and by thoroughly +understanding every detail of the cases submitted to us, and carefully +applying these remedies, we seldom or never fail to perform a pleasant, +absolute and lasting cure.</p> + +<hr class = "tiny"> + +<h5>PERSONAL CONSULTATION.</h5> + +<p>Patients desiring a consultation with our Chief of Staff will find +our offices open and physicians in attendance from 8 A.M. to +6 P.M., daily, and from 9 to 12 Sundays.</p> + +<hr class = "tiny"> + +<h5>HOW TO SEND MONEY.</h5> + +<p>Money should be sent by Post Office Order, Postal Note, Check, Draft +or Express Order. Checks, etc., may be made payable either to the +Civialè Remedial Agency, or, if <ins class = "correction" title = +"so in original">secresy</ins> is desired, to our Superintendent, Mr. +L. B. Jones. Please state in your letter to whom the order (when +such is sent) is made payable, in order to avoid confusion in indorsing +them for banking.</p> + +<hr class = "tiny"> + +<h5>HOW TO SEND URINE.</h5> + +<p> +In sending urine, bear in mind the following:</p> + +<p> +Never send by Mail—always by Express—charges prepaid.</p> + +<p> +Send morning urine.</p> + +<p> +Write your name on a slip of paper and paste it on the bottle.</p> + +<p> +Pack the bottle securely in a box filled with sawdust or the like.</p> + +<hr class = "tiny"> + +<h5 class = "ital"><a name = "chapXI">CHAPTER XI.</a></h5> + +<h4>VARICOCELE.</h4> + +<h5 class = "boldf">VARICOSE TESTICLE, OR VARICOCELE.</h5> + +<p class = "subhead"> +A very Common Disease Amongst Men and Boys, and one that has a very +serious effect In Weakening the Sexual Powers, causing Emissions and +Losses, and Preventing a Thorough and Permanent Cure of these +Complaints.</p> + +<p>Varicocele (from the Greek, pronounced Var-i-ko-seal, accent on +either Var or seal) is a condition of bagging, bunching, bulging or +twisting of the veins in the scrotum (bag or testicle sac.) It is most +commonly found on the left side of the bag, but sometimes is to be seen +on both sides. Usually the scrotum is bulged out on the side and +sometimes hangs very low, so long and twisted are the veins. To the +touch the veins feel like a bunch of angle-worms. In some cases they can +be seen knotted and swollen through the thin skin of the bag.</p> + +<p class = "headnote full"> +<span class = "pagenum">45</span> +All our doctors are Regular Graduates, and their Diplomas are Registered +in the Office of the County Clerk, City Hall, New York, as required by +Law. +</p> + +<p> </p> + +<table> +<tr> +<td align = "center" width = "33%"> +<a name = "fig9"> +<img src = "images/fig9.png" width = "156" height = "359" +alt = "figure as described in caption"></a> +</td> +<td align = "center"> +<a name = "fig10"> +<img src = "images/fig10.png" width = "279" height = "316" +alt = "figure as described in caption"></a> +</td> +</tr> + +<tr> +<td class = "smaller"> +<p class = "boldf" align = "center"> +Fig. 9.<br> +A VARICOCELE. +</p> +Showing how the veins are affected and how they press upon the nerve, +duct and artery, and waste the testicle.<br> +1. Spermatic Artery.<br> +2, 3. Spermatic Veins.<br> +4. Spermatic Nerve.<br> +5. Vas Deferens or Seminal Duct.<br> +6. Testicle.<br> +7. Converging Tubes.<br> +8. Wormy bunch of Veins. +</td> +<td class = "smaller"> +<p class = "boldf" align = "center"> +Fig. 10.<br> +VARICOCELE, AND INSTRUMENT IN PLACE.</p> +On the right side, the drawing of the instrument is cut away, also the +layers of skin and muscle, showing the dilated and knotty veins in the +groin, before they reach the scrotum, also the Bell Pad in dotted +outline, showing how and where the pressure is properly exerted. When +the veins in the groin are thus affected, we have what is known as +<b>Varicocele of the Cord</b>. On the left side, the Cradle and +Compressor is shown in place. +</td> +</tr> +</table> + +<h4>A HIDDEN DANGER.</h4> + +<p>In cases of Varicocele of the Cord (one of the most dangerous of all +forms), the veins in the bag are not affected, the trouble being mostly +in the groin (in the canal through which the veins run), where the +swollen and knotted veins press upon and seriously injure the cord, +preventing the free flow of Vital Fluid, and thereby causing Impotence, +Wasting of the Testicles, +<span class = "pagenum">46</span> +<span class = "headnote"> +Our Crayons are Inserted without Pain. +</span> +etc. A dull, heavy, aching or dragging pain in the groin, back or legs, +is about the only symptom.</p> + +<p>The great danger of this form of Varicocele lies in the fact that +thousands of young men are going about to-day not knowing that they have +the disease; not knowing that a persistent evil is nestling in this +little canal, gnawing at their vitals, and slowly but surely undermining +and destroying their sexual vigor and manhood.</p> + +<p>We know this to be so because we are daily being consulted by men of +different ages, who, until our physician, in the course of the +examination, showed it to them, <i>never suspected its existence</i>. +Many of these men had been “doctoring†for years for seminal weakness +and the like, with varying success, never being quite cured, or, if +cured, soon relapsing—all because a Varicocele of the Cord existed +unsuspected and therefore untreated.</p> + +<table> +<tr> +<td align = "center" width = "65%"> +<a name = "fig11"> +<img src = "images/fig11.png" width = "291" height = "270" +alt = "figure as described in caption"></a> +</td> +<td align = "center"> +<a name = "fig12"> +<img src = "images/fig12.png" width = "166" height = "220" +alt = "figure as described in caption"></a> +</td> +</tr> +<tr> +<td class = "smaller"> +<p class = "boldf" align = "center"> +Fig. 11.<br> +COMPLETE INSTRUMENT. +</p> +Showing mobility at points so that it will fit any individual. +</td> +<td class = "smaller"> +<p class = "boldf" align = "center"> +Fig. 12.<br> +SIDE VIEW. +</p> +Showing Bell Spring, Pad and Pubic Shield. +</td> +</tr> +</table> + +<p>CAUSES.—The causes of this condition of the veins of the bag +are very numerous. Some of the most important are Masturbation or +excess, causing weakening of all the parts, the veins included; Falls, +Blows, Strains, Excessive Horseback and Bicycle Riding, Running, +Jumping, Mumps going to the Testicles, GonorrhÅ“al Inflammation settling +there, Kick in the Groin, Wearing of Improper Trusses, etc., etc. +Masturbation is one of the most common of all the causes. In many +instances, even if it does not <i>directly</i> cause the complaint, it +weakens the parts, so that blows, strains, etc., that in others would +not produce any particular trouble, readily cause it in these +persons.</p> + +<p> +SYMPTOMS.—The symptoms are not many unless it has caused seminal +weakness and lost vitality, in which case all the symptoms of these +complaints may really be attributed to the Varicocele. Pains in the +Groin, Limbs and Back; a sense of weight or dragging; Neuralgia of the +Testicles, Fetid Perspiration; Itching and peculiar sensations in the +Skin of the Bag; Chafing +<span class = "pagenum">47</span> +<span class = "headnote"> +We Cure where a Cure is Possible. +</span> +in warm weather; easy tiring under rapid walking or running, are not +uncommon. In some very bad cases, however, none of these symptoms, or +only a few, are present. Why, we cannot say.</p> + +<p>PROGNOSIS.—In itself this disease is not dangerous. It is from +the fact that the veins may go on bulging until an enormous swelling is +produced (we have seen cases where the bag hung as low as the knee and +was nearly as large around as a man’s arm); that the testicles may be +entirely wasted away, and that it may cause SpermatorrhÅ“a, Lost Manhood, +Total Impotence, &c., &c., constitute its greatest gravity.</p> + +<p>TREATMENT.—Cutting and tying operations are exceedingly +dangerous, having frequently caused death; and even if successful, the +testicles, having their blood supply thus entirely cut off, waste away, +and Impotence certainly results. Prof. Chevillot, the great French +surgeon, was assassinated by a patient, in whose case he tied the veins +on both sides for a double Varicocele. Becoming totally impotent, on the +very eve of his marriage with a beautiful and accomplished young lady, +this man became desperate and attempted the surgeon’s life.</p> + +<p>To effect a cure, the following obstacles must be overcome:</p> + +<p><i>Weakness and bulging of the walls of the veins.</i></p> + +<p><i>Weakness and relaxation of the dartos muscle of the +scrotum.</i></p> + +<p><i>Over-clogging and stagnation of blood in the veins.</i></p> + +<p><i>Healing and strengthening of the ruptured and relaxed valves of +the veins.</i></p> + +<p><i>Relief of the pressure and weight of the column of blood from +above.</i></p> + +<p>Suspensory Bandages are good, because they act as supports.</p> + +<p>Astringent and Tonic Washes are good, because they strengthen the +weakened veins and muscles and heal the relaxed valves.</p> + +<p>Proper Trusses are good, because they break the great pressure of the +blood from above, and act as do the valves in the veins in the groin in +health. Also, because they act directly on the disease in cases of +Varicocele of the Cord.</p> + +<p>But neither one alone will cure a really serious case of Varicocele. +Combine them, however, properly and scientifically, so that you have the +practical outcome of these three sound principles of cure in the one +appliance, and</p> + +<h5>ANY CASE, NO MATTER HOW SEVERE OR HOW OLD, CAN BE PERMANENTLY AND +PAINLESSLY CURED.</h5> + +<p>Such a perfect and practical combination is to be found in the +Elastic self-adjusting and adjustable Cradle and Compressor, which has +succeeded in curing many very serious and (apparently) hopeless cases. +Patented and thoroughly protected from all infringements and imitations +(and many would-be ones, seeing our success and recognizing the merits +of the Cradle-Compressor, have lately sprung up), both in this country +and Europe, there is nothing like it. It combines all the good points of +all previous instruments, and being easy to wear, rapid and pleasing in +its results, and certain in its effects, is the only rational means for +radically curing this disease.</p> + +<p>Briefly: It consists of a very light and elastic triangle of tempered +steel bands, that rests on the front of the abdomen, and is held in +place by a soft +<span class = "pagenum">48</span> +<span class = "headnote"> +We hold out no False Hopes. +</span> +silk-elastic waist-band. In each of the slanting arms of the triangle +are small holes that admit the central pivot of a bell-pad, having a +central spring, and so adjusted that it adapts itself to every movement +of the body without being misplaced. By means of a thumb-screw and the +perforations, it (the spring bell-pad) can be set at any point in the +groin, and can be changed from day to day and hour to hour.</p> + +<p> +<table class = "leftfloat"> +<tr> +<td align = "center"> +<a name = "fig13"> +<img src = "images/fig13.png" width = "215" height = "325" +alt = "figure as described in caption"></a> +<br> +<span class = "caption"> +Fig. 13.<br> +INSTRUMENT ON BODY.</span> +</td> +</tr> +<tr> +<td class = "smaller" width = "215"> +<i>a. a.</i> Transverse Steel Band; <i>b. b.</i> Elastic +Waist Belt; <i>c. d.</i> Metallic Arms, perforated to permit +change of pad pressure; <i>e.</i> Pubic Shield to which Elastic +Cradle is attached; <i>f.</i> Bell Spring Pad. +</td> +</tr> +</table> +By means of pivotal joints at the angles, the appliance can be made to +fit any one perfectly; moreover, by means of the metallic shoulder +below, the arms can be thrown into any lateral variation of the groin +line.<!--closed by table--> + +<p>We thus are able to obtain all the marked benefits of a truss without +any of its drawbacks; and that special disadvantage, steady and +wearisome pressure at one point, is wholly obviated. The whole appliance +is held in place below by means of perineal tubular rubber bands that +connect with the waist-belt behind.</p> + +<p>Attached to the metallic shoulder below is the Elastic, +Glove-Fitting, Self-Adjusting Testicle-Cradle, by means of which not +only are the testicles perfectly supported and rested, but by the +sheet-rubber lining and the elastic tie bands, a constant, easy and +perfectly painless elastic pressure is kept up on the dilated and +sagging veins, which are thereby emptied of their unhealthy and +stagnated blood and allowed to regain their tone, strength and +contractility.</p> + +<p>By means of the elastic bands it is easy to regulate the amount of +pressure, thereby constantly adapting it to the improvement that is +steadily taking place.</p> + +<p>The compression is so uniform, yet so elastic, that it is absolutely +painless, and no motion of the body, however violent, can disarrange it. +This, and the fact that the blood can enter and leave the testicle with +perfect freedom, constitute some of its most marked advantages over the +Truss.</p> + +<p>Moreover, the wearer always feels a sense of rest and relief while +wearing the Elastic Cradle-Compressor, and from the first day the +symptoms of weakness and impotence improve. Being made in different +sizes and shapes, and +<span class = "pagenum">49</span> +<span class = "headnote"> +Our Treatment is Pleasant, Quick and Lasting. +</span> +of the most durable yet softest silk, and powerful yet yielding elastic, +they will wear perfectly until long after the Varicocele has entirely +disappeared.</p> + +<p> +<table class = "rightfloat"> +<tr> +<td align = "center"> +<a name = "fig14"> +<img src = "images/fig14.png" width = "241" height = "343" +alt = "figure as described in caption"></a> +<br> +<span class = "caption"> +Fig. 14.<br> +ELASTIC TESTICLE CRADLE,</span> +</td> +</tr> +<tr> +<td class = "smaller" width = "241"> +{Deta}ched from Compressor, and showing its appearance +{when} worn singly. It is lined inside with sheet rubber, and +{the t}ie cords are of the very best French elastic. The bag +{cover} is of the finest knit silk. +</td> +</tr> +</table> +While it compresses the Varicocele, forces out the blood, and allows the +veins a chance to regain their strength and proper size again, it simply +supports and keeps from injury the testicle, which at once begins to +grow larger. In addition to their curative value in Varicocele, they are +now being extensively used by the medical profession for the relief of +the pain and subduing of the inflammation of “swelled testicle;†also in +hydrocele and hæmatocele.<!--closed by table--> + +<p>Being applied over the whole scrotum, they will cure a Double as +readily as a Single Varicocele.</p> + +<p>In certain recent or simple cases the Elastic Testicle-Cradle alone +will effect a perfect cure. If the case is severe or of long standing, +if it involves the Cord, or if the sexual organs are affected, the +complete instrument should be worn.</p> + +<p>It is beautifully made and finished, and is strong and durable, yet +light and easily worn.</p> + +<hr class = "tiny"> + +<h5>PRICE.</h5> + +<table> +<tr> +<td> +{Comp}lete Instrument (all attachments)</td> +<td class = "number">$15.00</td> +</tr> +<tr> +<td> +{Extra} Central-Spring Bell-Pad, In case of Double Varicocele</td> +<td class = "number">3.00</td> +</tr> +<tr> +<td> +{Elast}ic Glove-fitting Testicle-Sac and Cradle (separate)</td> +<td class = "number">6.00</td> +</tr> +<tr> +<td colspan = "2"> +{Sold ne}atly boxed, and with full and explicit directions for applying; +as also a +{<span class = "twoem"> </span>} prescription for a Tonic, Healing +and Astringent Lotion, to be used +{in conju}nction with it. +</td> +</tr> +</table> + +<div class = "mynote"> +Some of this page was illegible. Conjectural text from the left gutter +is in braces { }.<br> +<br> +Lower-left portion as scanned, including part of Fig. 14 caption:<br> +<img src = "images/img49thumb.png" width = "417" height = "176" +alt = "page 49"> +Figure caption with two possible reconstructions:<br> +<img src = "images/img49recon.png" width = "370" height = "99" +alt = "Figure 14 reconstructed caption"><br> +<img src = "images/img49recon2.png" width = "358" height = "27" +alt = "Figure 14 reconstructed caption"> +</div> + +<p class = "headnote full"> +<span class = "pagenum">50</span> +When you are Tired of being Humbugged or Experimented on, send to us. +</p> + +<p>In ordering, please state girth around waist, circumference of +scrotum, and length of same from root of penis to about the middle of +the bottom of the bag.</p> + +<p>The reason why Varicocele has until within the past ten or fifteen +years received so little attention is owing to the fact that up to that +time this bagging or bulging of the spermatic veins was looked upon as +merely a local affection. No one seemed to be aware of the fact that its +effect in nine cases out of ten was to produce Seminal Weakness and Loss +of Sexual Power, etc. To-day no fact is so well recognized in medicine, +although probably not so well known outside of the profession.</p> + +<p>Then, too, until very recently, physicians either carelessly +dismissed a patient with Varicocele with the advice to “get a suspensory +bandage and wear it; the thing don’t amount to anything;†or else, when +the patient became persistent in his demands for a cure, advised him +that the dangerous cutting or tying operations were the only means of +relief. But this is all changed now. Physicians have come to know +something about the disease, and means for both relief and cure are now +speedy and certain, and in no sense painful or dangerous.</p> + +<p>It is for the purpose of stating in as plain and concise a manner as +possible all the more important facts relating to this disease, and +pointing out to such as are troubled with it, or have friends so +troubled, not only the proper manner of treatment, but also the danger +of delay, that this little treatise has been compiled. Many a man well +built and apparently healthy, yet totally bereft of manhood—in a +word Impotent—can trace his deplorable condition to a neglected +Varicocele.</p> + +<p>Nor are these the only ones who need information upon the subject. +Thousands of young men are to-day being treated for seminal troubles who +will never be cured, because they are entirely ignorant of the existence +of a Varicocele of the Cord, that most insidious and dangerous of all +forms of Varicocele, or, if aware of it, do not understand the terrible +influence it has on their Sexual Powers, and how great and persistent a +stumbling-block it will be in the way of all treatment.</p> + +<p>It is for the benefit of all such that this little essay is intended. +For the sake of clearness we shall consider the subject under the heads +of Definition, Frequency, Causes, Dangers, Influence on Sexual Diseases, +Wasting of the Organs, Symptoms and Treatment.</p> + +<p>Consultation with our physicians, by letter or in person, free, +References and testimonials promptly and cheerfully furnished.</p> + +<p class = "fourem" align = "right"> +CIVIALE REMEDIAL AGENCY,</p> +<p align = "right"> +174 Fulton Street, New York.</p> + +<p class = "headnote full"> +<span class = "pagenum">51</span> +We Offer Special Help to Impotent Men. +</p> + +<h5 class = "ital"><a name = "chapXII">CHAPTER XII.</a></h5> + +<h4>THE RELIABILITY OF THE CIVIALE REMEDIES,</h4> +<h5>AND THE BUSINESS STANDING AND PROBITY OF OUR AGENCY.</h5> + +<p>In previous editions of this work, we made no attempt whatever to +point out to our readers either our reputation as a medical business +firm, or proofs of the efficacy or reliability of the remedies we +represent and prescribe, supposing that any person at all familiar with +the names and reputation of Professors Lallemand and Civiale, and the +honors bestowed upon the latter by the French government, would need no +such references, etc. We find, however, that there are but few men in +this country who are as familiar as they should be with the nature and +extent of Lallemand’s and Civiale’s medical labors, or indeed with +French Medical History at all. We, therefore, for the benefit of such, +have here transcribed extracts from that most reliable work, +<i>Appleton’s Cyclopedia</i> (copies of which may be found in many +families, and every town and city library), from which may be learned +the professional standing and reputation of these great men.</p> + +<p>Furthermore: Of late years there have sprung up in various parts of +the country, physicians and firms who have made it a business to prey +upon foolish young men, who took everything that was sent to them for +gospel. There are many young men (and old men, too) who do not know us, +and for their benefit we have drawn up here and submitted such proofs of +our probity, fair dealing and medical capacity, as well as of the +reliability of the Civiale Remedies, as will, we believe, carry +conviction of our truthfulness and probity to any honest man’s mind.</p> + +<p>We have always been averse to parading before the eyes of the +careless, scoffing world the sufferings of the victims of abuse or +excess, even when by doing so we might profit largely by such a course. +We have a large number of letters from persons who have been cured by +this treatment constantly on file in our office, and any sufferer really +in earnest will be gladly given permission to examine them, should he so +desire. But we certainly shall not parade such letters, written to us in +the strictest confidence and secrecy, to every reader of a treatise of +this kind, especially when we give an abundance of equally as good proof +of another kind.</p> + +<p> +<i>If we have always dealt fairly and with professional honor and +ability with our corresponding and office patients in the past, we +certainly shall continue to do so in the future.</i></p> + +<p>First, let us call your attention to two very recent and very +flattering extracts from editorial articles that appeared in newspapers +of known standing and reputation in the city of New York, both of which +articles were wholly unsolicited by us, being the spontaneous testimony +of wholly disinterested journals.</p> + +<p class = "headnote full"> +<span class = "pagenum">52</span> +Strictest Privacy— Perfect Confidence— Certain Cure. +</p> + +<h3><a name = "testimonials">TESTIMONIALS AND ENDORSEMENTS</a></h3> + +<h6>FROM THE</h6> + +<h2 class = "smallcaps">Medical and Lay Press</h2> + +<h5>Of this Country and France.</h5> + +<hr class = "tiny"> + +<h4>A NOTABLE MEDICAL INSTITUTION.</h4> + +<hr class = "tiny"> + +<h5 class = "boldf ital">From the New York TRIBUNE AND FARMER, Nov. 22, +1884.</h5> + +<hr class = "tiny"> + +<p>It is a well-recognized fact by writers upon longevity that the men +of the present day, both old and young, are less manly and vigorous, +less able to resist the attacks of acute disease, and not only less +likely to produce healthy and vigorous offspring, but in the majority of +instances producing a fewer number as well as a less vigorous and robust +progeny. The ratio of births to deaths has fallen off some 12 per cent. +in births in the past fifteen years. This fact, coupled with the equally +startling consideration that the mortality of infants has increased +about 11 per cent. in the past ten years, must needs fill the mind of a +lover of his kind with dismay and alarm. Although invested and thickly +hedged about by ideas of false modesty and pseudo-propriety, in reality +the whole fabric of national and individual prosperity, health, vigor +and enjoyment, as well as the very important perpetuation of our +species, depend upon perfectly strong, healthy and vigorous procreative +powers. As an oak cannot grow from a flower seed, neither can weak, puny +and debilitated parents give birth to strong, vigorous and mentally +sound and active progeny.</p> + +<p> +The subject of Procreative Pathology deserves more careful and extended +study and observation than the majority of our physicians have +heretofore been inclined to give it. Most of them have let the more +numerous and oftentimes the more trivial cases daily coming under their +notice crowd this most serious matter from sight, and when applied to +for advice or treatment by sufferers from these disorders or debilities, +have either pooh-poohed it or have given some simple (or useless) +placebo, believing the trouble to be more imaginary than real. Is it any +wonder, then, that such patients have walked blindfold into the arms of +quacks and charlatans who profess the most tender interest in even their +minutest symptoms?</p> + +<p> +We have been led to make the foregoing remarks by what we have just +finished reading in a very interesting and able work upon this subject +recently issued from the press of the Civialè Remedial Agency, of 174 +Fulton street, this city. The subject matter of this book cannot fail to +interest every man, young or old, and must prove of special interest to +men just married, and to that large +<span class = "pagenum">53</span> +<span class = "headnote"> +All our Doctors are Regular Graduates, and their Diplomas are Registered +in the Office of the County Clerk, City Hall, New York, as required by +Law. +</span> +class of middle-aged men who find to their surprise and chagrin that +while their bodily health is apparently excellent, their procreative +powers have prematurely declined.</p> + +<p> +The fact of the establishment in this city of an original institution +under reputable business management, each department of which is +presided over by a physician of special skill and qualifications, is +something of which every citizen should feel proud. And to judge by the +class of patients who may be found in their elegant consulting-rooms, +and the very large amount of express and mail matter they are constantly +receiving, we believe that they are appreciated.</p> + +<p>With our magnificent hospitals, second to none in the world, our +large medical colleges and dispensaries, and the establishment of so +large and excellent an institution as the Civialè Agency, the main +offices being now transferred from Paris to this city, New York may +justly claim to be the great medical centre of the United States, and +sooner or later of the world.</p> + +<p>We maintain now, as we have always maintained, that the surest and +best way to drive quacks and humbugs from any branch of medicine, is to +have some of our very ablest and most honorable physicians make such a +branch their specialty, and such is the course now being pursued by the +Civialè Agency.</p> + +<p>The very fact that it takes its name from and is engaged in +manufacturing and prescribing the remedies of France’s most illustrious +specialist, Prof. Jean Civialè, is by itself evidence enough of its +medical value and professional integrity. Our feelings upon these +matters, <i>i.e.</i>, the great importance of their bearing upon both +individual and national vigor and prosperity, the necessity for driving +from this field of practice those quacks and humbugs who entrap the +foolish and ignorant, those cheap and worthless remedies that flood the +drug market—our feelings upon these matters are, we repeat, very +strong; and hence, when we find an institution for the treatment of +these diseases conducted upon the highest moral, medical and business +principles by men of undoubted medical and business standing and +integrity, we feel that we cannot endorse them too heartily.</p> + +<hr class = "tiny"> + +<p> +The <i>Tribune and Farmer</i>, of New York city, in its current issue of +July 26th, 1884, says</p> + +<h5>“AN EXCEPTION TO THE RULE.â€</h5> + +<p>“The propriety of devoting editorial space to the subject-matter of +any medical advertisement that may appear in our columns may be doubted +by some, and indeed, were it not for our personal knowledge of the skill +and integrity of the Medical Director of the Civialè Remedial Agency of +New York (whose advertisements will be found elsewhere in this issue), +we should deem ourselves more than guilty were we to utter a word of +endorsement as to the efficacy of their system of treating that serious +class of diseases in men which has been generically termed Nervous +Debility, and which for so many years has been, and is at present, made +the stalking-horse for impudent swindlers, quacks and impostors to palm +off worthless and often injurious compounds on their suffering +fellow-men.</p> + +<span class = "pagenum">54</span> +<span class = "headnote"> +Our Crayons are Inserted without Pain. +</span> + +<p> +“Let it be understood, then, that we know whereof we speak, and that our +object is simply to furnish those who are afflicted with such reliable +information as will enable them to determine the true character of their +disease, and the best means to be adopted for a cure.</p> + +<p> +“The method of treating diseases of the Genito-Urinary organs by means +of the urethral canal is in the first place no new-fangled experiment, +but is identical with the system which has been employed for the past +fifteen years in the leading hospitals of France, and more especially in +Paris, as the standard treatment, and one that gives uniform +satisfaction; and in the history of medical science there are perhaps no +two physicians who have done more for the alleviation of human suffering +and the cure of Sexual and Seminal Diseases than those eminent French +Surgeons, Prof. Jean Civialè and Prof. Claude Lallemand, to whose joint +studies and endeavors this system owes its origin.</p> + +<p> +“We believe, in fact, that this theory and practice of medicine is an +advance in the right direction, and we predicted, from its first +introduction in the United States some time ago, that the people would +readily see its truth and accept the wonderful benefits of its practice. +And the result has certainly borne out our prediction, for thousands of +sufferers from such ills as Impotence, SpermatorrhÅ“a, Kidney, Liver and +Urinary troubles have been cured by these remedies.â€</p> + +<hr class = "tiny"> + +<p>The following is a list of the French Hospitals with which Civiale +and Lallemand were connected during their lives.</p> + +<p> +<span class = "smallcaps">Hotel Dieu. La Pitie. La Charite. +Laraboisiere. St. Antoine. Hopital Neckar. Hopital Cochin. Hopital St. +Louis. Hopital Du Midi. Hopital Lourcine. La Maternite. Hospice +Bicetre.</span></p> + +<p class = "illustration"> +<img src = "images/pic54.png" width = "378" height = "255" +alt = "exterior of building"> +<br> +<span class = "caption"> +ONE VIEW OF THE HOSPITAL OF THE HOTEL DIEU, PARIS.</span> +</p> + +<p class = "smaller tenem"> +This celebrated hospital of Paris, the oldest as well as the largest and +finest in the city, covers 22,000 square metres of land, has over 1,000 +beds, and a corps of over 100 physicians on its medical and surgical +staff. It is situated on the <i>Ile de la Cité</i>, near the famous +church of Notre Dame. It was here that both <span class = +"smallcaps">Lallemand</span> and <span class = +"smallcaps">Civialè</span> studied under the celebrated <span class = +"smallcaps">Dupuytren</span>, one of France’s greatest surgeons, until, +in after years, they themselves became sufficiently great to become its +Consulting Surgeons. In France, honors are gained by ability alone, and +not, as here, by political influence and wire-pulling.</p> + +<p class = "headnote full"> +<span class = "pagenum">55</span> +We Cure where a Cure is Possible. +</p> + +<p> +We next give extracts from Appleton’s Cyclopedia, to which reference has +already been made.</p> + +<p class = "smaller"> +<span class = "smallcaps">Lallemand, Claude François</span>, a French +physician, born in Metz, Jan. 26, 1790, died in Marseilles, Aug. 25, +1854. After serving as assistant surgeon in the armies of the Empire, he +studied in Paris at the Hotel Dieu under Dupuytren, and, from 1819 to +1845, was Professor of Clinical Surgery at Montpelier, with the +exception of three years, during which he was suspended for his liberal +political expressions. His most important work, <i>Recherches Anatomica +Pathologiques sur l’Encephale et ses Dependances</i> (Paris, 1820-1836), +established his reputation, and was translated into many languages. In +1845 he was elected to the <i>Academy of Sciences</i>, removed to Paris, +and was consulted by patients from every part of Europe. He bequeathed +50,000 francs to the Institute.—<ins class = "correction" title = +"no closing ]">[<i>Appleton’s Cyclopedia</i></ins>, <i>vol. +x, p. 144.</i></p> + +<table> +<tr> +<td align = "center"> +<img src = "images/civiale.png" width = "209" height = "261" +alt = "portrait of Dr. Civialè"> +<br> +<span class = "caption"> +Prof. JEAN CIVIALÈ.</span> +</td> +<td align = "center"> +<img src = "images/lallemand.png" width = "204" height = "251" +alt = "portrait of Dr. Lallemand"> +<br> +<span class = "caption"> +Prof. CLAUDE F. LALLEMAND</span> +</td> +</tr> +</table> + +<p class = "smaller"> +<span class = "smallcaps">Civialè, Jean</span>, a French surgeon, the +originator of the operation of Lithotrity, born near Thiezac, Auvergne, +1792, died in Paris, June 13, 1867. At a very early age, while a pupil +of Dupuytren at the <i>Hotel Dieu</i> hospital in Paris, his attention +is said to have been attracted to the subject of his future discovery; +and, after many years of perseverance, he succeeded in perfecting and +introducing to the profession his new operation of lithotrity. Before +that time the only means was the serious and often dangerous operation +of lithotomy (<span class = "smallcaps">See Stone</span>). He was the +teacher of several generations of lithotriptists, became a member of the +<span class = "smallcaps">Medical Academy</span>, and an officer of the +<span class = "smallcaps">Legion of Honor</span>. His principal +publications are: <i>De la Lithotritie, ou brolement de la pierre</i>, +(<i>Paris</i><ins class = "correction" title = +"extra ( in original">), </ins>1827); <i>Lettres sur la Lithotritie, +&c.</i> (1827); <i>Traite pratique et historique de la +Lithotritie</i> (1847); <i>Resultats Cliniques de la Lithotritie pendent +les Annes</i> 1860-64 (1865).—<ins class = "correction" title = +"no closing ]">[<i>Appleton’s Cyclopedia</i></ins>, +<i>vol. <ins class = "correction" title = "number illegible">iv</ins>, +p. 618</i>.</p> + +<p class = "headnote full"> +<span class = "pagenum">56</span> +We hold out no False Hopes. +</p> + +<p>We also take pleasure in referring—not as patients, but simply +as to standing, probity, business capacity and the ability of our +Consulting Staff—to the following firms or gentlemen in this +city:</p> + +<p> +<span class = "smallcaps">West Side Pharmacy</span>, dealers in Drugs, +Chemicals, &c., corner Hudson and Charlton streets.</p> + +<p> +<span class = "smallcaps">Coffin & Rogers</span>, 85 John street, +New York.</p> + +<p> +<span class = "smallcaps">American Drug Company</span>, Islip, Long +Island.</p> + +<p> +<span class = "smallcaps">Editor of the “New York Tribune and +Farmer.â€</span></p> + +<p> +<span class = "smallcaps">E. Duncan Sniffen,</span> 3 Park Row.</p> + +<hr class = "tiny"> + +<h5>A CHARACTERISTIC LETTER.</h5> + +<p> +(For once we transgress our rule—never to put a debility patient’s +letter in print unless the patient urges us to do so—and do it at +the request of our Medical Chief of Staff, and with the patient’s full +consent. The name, however, we omit, simply stating that should any +intending patient desire to come and see or send some friend living in +the city, to see and verify that letter and many more like it, we shall +be most happy to oblige them.)</p> + +<p class = "fourem" align = "right"> +<span class = "smallcaps">Rodney, Miss.</span>, August 14, 1884. +</p> + +<p> +<i>Dear Sirs:</i>—My course of treatment being almost all used, I +feel it my duty to state to you my present condition, and I can say +without hesitation that I am almost a new man, and I thank God that +improvement has been so thorough and rapid, may it be but lasting. +Sexual desire is now perfect, erections are perfect, emissions come at +the right time, oozing of vital fluid at stools and in the urine has +stopped, I rest well at night with the exception I shall state further +on, appetite is good and digestion almost perfect. I can now approach +the presence of the opposite sex with some satisfaction to myself; +ambition is returning, and in fact a whole new lease of life seems +suddenly to have been allotted to me. The varicocele has almost +disappeared. I cannot say enough in praise for this beautiful little +appliance, “the Cradle Compressor.†Now, if it were not for the urinary +disorder which still remains, I should call myself well; that this +remains, however, is no fault of the crayons, and could the Course No. 3 +have reached me undamaged by heat, as did the Course No. 2, I have not +the least doubt I should now be well. The symptoms of this disorder, +still present, are dreams at night, not nervous ones as before, but +still unpleasant; mucous oozing after straining, also in the morning on +rising I find the lips of organ glued, and on forcing apart a drop of +this mucous fluid makes its appearance. I have no doubt whatever that +had crayons reached me perfectly, this disorder would have been +conquered same as the other. Now, in your little circular you guarantee +a cure “in all cases wherein your Medical Examiner decides a cure is +possible.†Now this certainly holds good in my case. Please let me know +what you are willing to do about the matter, for I certainly need +another course of No. 3 crayons, and if you would furnish them in place +of the ones destroyed in transit, I should consider your guarantee +fulfilled. The course you sent me last could not be used at all; they +were ten times worse than the first ones, and I only wasted them in +trying to use same. However, do not send any crayons till you hear from +me, and I think the weather cool enough, as they would only be wasted +again. Could you +<span class = "pagenum">57</span> +<span class = "headnote"> +Our Treatment is Pleasant, Quick and Lasting. +</span> +furnish me, and at what price, a suspensory, such as you would +recommend, if not, where could I get one? I think it advisable to wear +one after laying aside the Compressor, as I have to be on my feet all +the time.</p> + +<p> +Please excuse encroachment on your time and believe me ever,</p> + +<p align = "right"> +<span class = "tenem">Yours very truly,</span> +<span class = "fourem smallcaps">—— Singer.</span> +</p> + +<hr class = "tiny"> + +<h5>DOUBLE VARICOCELE AND SPERMATORRHÅ’A RADICALLY CURED.</h5> + +<p> +(These letters are published at the patient’s own request, and he will +be most happy to correspond with any earnest and honest inquirer).</p> + +<h6 class = "boldf"> +“TIRED OF HUMBUGGING.â€</h6> + +<p class = "fourem" align = "right"> +“<span class = "smallcaps">Islip</span>, Suffolk County, N.Y.</p> + +<p class = "ital"> +“Manager of the Civiale Remedial Agency,</p> + +<p align = "center"> +“174 Fulton street, New York.</p> + +<p> +“<i>Dear Sir:</i>—My attention has been several times called to +your method of curing Varicocele of the Bag without any cutting or +tying, and I am now going to describe my case to you, and get your idea +whether you can cure me or not. I would have done this long ago if I +hadn’t been afraid of being humbugged, as I often have been by doctors +and men who said they could cure me right off without any pain or +trouble. But they all fooled me out of my money, and that’s all. But I’m +going to try once more, and please tell me if you think my case is too +bad for your Compress and Cradle.</p> + +<p>“I’m pretty badly off I know, but it seems to me that this thing +ought to be able to be cured by some one. This is how mine was. Eight or +nine years ago I fell from the rigging of a schooner, and was laid up +for nearly sixteen weeks with a broken thigh. I also had both testicles +terribly sore and swollen, and it was a long time after my leg got well +before I was able to walk, the pain in the groin, testicles and small of +my back was so bad. Sometimes, even when I was sitting quiet, it would +cut me like the stab of a knife. The first I noticed of the Varicocele +was one day when I was taking a bath I saw there was a sort of bulging +there, and come to notice it closer, it felt just like a bunch of angle +worms all twisted together. I tried cold water to it and wore a +suspension bag for a long time, but it didn’t do much good. At first it +didn’t trouble me much in winter, but was bad in summer. Now it’s bad +all the time, and I don’t believe I could walk half a mile without I +wore a supporter.</p> + +<p>“I have tried most everything I ever heard of, but it’s no use. Some +of the things helped me for a while, but they didn’t last, and now I’m +pretty well discouraged, for I don’t dare have it operated on; not so +much that I’m afraid of the pain, but because a young man I knew went to +a hospital in New York to be operated on, and died, because the veins +got inflamed from the cutting and tying.</p> + +<p>“I am willing to pay any one a fair price for curing me, because as I +am now I can’t do a fair day’s work, and my testes are wasting away very +fast. But I don’t want any more humbugging, and if you treat me, you +have got to give me good proofs that you can do as you say.â€</p> + +<p align = "right"> +<span class = "tenem">“Truly yours,</span> +<span class = "fourem">D. L. B.</span> +</p> + +<p> +“I forgot to say that my Varicocele is on <i>both</i> sides, but the +left side is much the worse. It is twice as bulgy as the other.â€</p> + +<p class = "headnote full"> +<span class = "pagenum">58</span> +When you are Tired of being Humbugged or Experimented on, send to us. +</p> + +<h6 class = "boldf">“JUST AS REPRESENTED.â€</h6> + +<p class = "fourem smallcaps" align = "right">“Islip, N.Y.</p> + +<p> +“<i>Dear Sir:</i>—I went to the depot night before last and got +the package all right, and when I got up yesterday morning, bathed as +the circular said, and put the Cradle and Compressor on me. I write to +tell you how pleased I am. I always felt sure some one would find a cure +for this thing, and believe I’ve got hold of the right thing at last, +though I’m not going to crow this time till I’m part way out of the +woods at least.</p> + +<p> +“Any way, I’m satisfied so far. The appliance is just what it was +represented, and I find that it fits me to a t, and is the most easy and +comfortable thing I ever wore. I haven’t had a bit of pain since I put +it on yesterday morning, and I have done some hard work these two days, +purposely twisting and wrenching my body about to see if I would get it +out of place.</p> + +<p> +“So far it is all right, and I am very thankful to you, for if it never +cured me it would be a God-send to wear for relief of that horrid dead +ache and dragging pain in my groin and back. I shall want some of your +Crayons soon, and will write again in a few weeks. Please tell me how +long the wash ought to stand before it is strained, and whether it would +hurt me to use it <i>twice</i> a day instead of once.</p> + +<p align = "right"> +<span class = "tenem">“Very respectfully,</span> +<span class = "fourem">D. L. B.â€</span> +</p> + +<h6 class = "boldf">“PERFECTLY CURED.â€</h6> + +<p class = "fourem" align = "right"> +“<span class = "smallcaps">Islip</span>, Suffolk County, N.Y., +February 13, 1884.</p> + +<p> +“<i>Dear Sir:</i>—It is now over two months since I quit wearing +the Cradle-Compressor, and I seat myself to tell you that the Varicocele +seems to be entirely well. The left side is a trifle larger than the +right, but the veins are not wormy as they used to be, and the blood +don’t stagnate in them any more. The dragging pain is all gone away, and +the small of my back hasn’t pained me for a long time. When I came to +see you in New York, your doctor told me I <ins class = "correction" +title = "so in original">musn’t</ins> feel sure that I was cured until +every bit of worminess was gone and the canal was free of swelled veins. +You can tell him that this is so now, and that the testicles aren’t +shrunk and wasted the way they used to be.</p> + +<p> +“Our doctor here, who told me I couldn’t be cured unless I had it +operated on, says it’s the most remarkable thing he ever saw. Those are +his very words. He didn’t seem any too chipper to find out he was wrong +about having to get cut.</p> + +<p> +“I am a thousand times grateful to you. You have made me a man again, +and I shall not forget it. I am ashamed to think how mean a letter I +wrote you last summer about humbugging and the like, but I apologize +now, and if you find any other people that don’t feel sure you can cure +them, send them this letter or get them to write to me.</p> + +<p> +“I shall remember all you wrote in your last letter about not ‘presuming +too much on my improvement,’ and to be careful about jumping, straining +and lifting hard, and the like. The Crayons did their work just as well +as the Compress Instrument, and I never can tell you how grateful I am +to you. There’s several men I know here that are going to write you +about their cases. One of them, —— ——, is going +down on the train to-morrow, and will bring this letter with him, he +says, for introduction. Good bye.</p> + +<p align = "right"> +<span class = "tenem">Yours respectfully and gratefully,</span> +<span class = "fourem">DAVID L. B.â€</span> +</p> + +<p class = "headnote full"> +<span class = "pagenum">59</span> +We offer Special Help to Impotent Men. +</p> + +<h6 class = "boldf">REMARKS.</h6> + +<p>The foregoing three letters tell their story plainly and concisely, +and need little or no explanation. We only desire to append the +following note from our Case Book—“D—— +B——; <span class = "smallcaps">Residence</span>—Bay +Shore, Suffolk County, Long Island, N.Y.; <span class = +"smallcaps">Age</span>—54; Sex—Male; <span class = +"smallcaps">Civil Condition</span>—Widower; <span class = +"smallcaps">Occupation</span>—Track-Walker on L.I. Railroad +(formerly Bayman and Sailor); <span class = +"smallcaps">Disease</span>—Double Varicocele, most pronounced on +the left side; glands much softened and wasted; cord also varicose and +very painful. <span class = +"smallcaps">Complication</span>—Impaired powers, losses and +commencing Impotence. <span class = +"smallcaps">Cause</span>—Indirect and Contributive Abuse in +earlier years. <span class = "smallcaps">Direct</span>—Fall from +rigging of a vessel. <span class = +"smallcaps">Treatment</span>—Medium Cradle and Inguinal Compressor +and one No. 2 Course Civiale’s Soluble Crayons. <span class = +"smallcaps">Result</span>—Perfect cure in about 9 months. <span +class = "smallcaps">Remarks</span>—As severe and complicated a +case as can be found in any records. The symptoms of Impotence were +undoubtedly due to the pressure of the dilated veins on the testicles in +the scrotum and the seminal duct in the Inguinal Canal. Patient promises +to report, in person, at the end of six months, to determine whether the +cure remains perfect.†Mr. B—— has since moved to Islip, +Long Island, where letters of inquiry (containing a stamp for reply) +will reach him.</p> + +<hr class = "tiny"> + +<h5>CONSULTATION.</h5> + +<p>If you should conclude to place your case in our hands, we shall be +pleased to hear from you, and promise you the most careful and thorough +attention. Our Consulting Staff is large, each physician has his special +department to attend to, and each case is afterwards reviewed by the +whole Board, so as to avoid all possibility of error and give each +sufferer the benefit of the highest skill and research. Our patients, +while numerous, are not such a multitude but that we can and do give +each one of them individually the closest attention. Should it be +convenient for you to visit us in person you will be cordially +welcomed.</p> + +<p>If you hesitate from ordering, from any cause, we shall be pleased to +correspond with you. We try to feel as if we have a personal +acquaintance with every patient, and treat him as a valued friend; and, +whether you ever order or not, we shall be glad to hear from you and +know your conclusions on this subject. Of course, every letter is +sacredly private. No one reads these but the Manager, and even our old +and trusted medical advisers do not know the names of our +patients—only the numbers and descriptions of cases go into their +hands. As a further assurance we destroy letters, or return them to the +writers, whichever they prefer.</p> + +<p>We solicit your influence with your friends, and will be ready to +reciprocate such favors. You will also be often doing such friends a +favor, for which they will always thank you.</p> + +<p>We shall be particularly pleased to hear from men advanced in years, +who feel the necessity of counteracting growing weakness incident to +their age, and who know the worse than folly of resorting to pernicious +secret preparations, the effect of which is to give unnatural +stimulation for a brief time, to be followed by a dangerous, perhaps +fatal, reaction.</p> + +<p class = "headnote full"> +<span class = "pagenum">60</span> +Strictest Privacy— Perfect Confidence— Certain Cure. +</p> + +<h5>TO THE MEDICAL PROFESSION.</h5> + +<p>We make special terms on our instruments and treatment to physicians, +and cordially invite them to correspond with us. We will do all in our +power to serve the profession to their satisfaction. We have the benefit +of the best medical advice and facilities in certain lines not +attainable from any other source on the continent.</p> + +<hr class = "tiny"> + +<h5>GENERAL PRACTITIONERS AND FAMILY PHYSICIANS.</h5> + +<p>We cannot refrain, before closing this chapter, from saying a word or +two about the incompetency of the large majority of “general +practitioners†and “family physicians,†and their evident carelessness, +and in some instances, even disgust, in the diagnosis and treatment of +this class of cases.</p> + +<p>The readers of this may be among that class who think the “family +physician†the embodiment of medical wisdom, and that if he has failed +to cure the case or pooh-poohed it away, there is no hope. But no one +M.D., however learned, knows all about the ills of flesh. In this, as in +the legal and other learned professions, a man may practice a score of +years, and still know little or nothing about various peculiar cases, +because they don’t come under his notice; he has no opportunity to study +them practically, and little inducement to theorize. And the class of +cases we are now considering, it may surprise the sufferer to know, are +deemed by many “regular†physicians beneath their attention. The +physician’s calling is a noble one, and he justly takes a high ground +regarding his duties. We honor the scruples of our medical friends, but +we do not understand nor approve the spirit which leads them to meet +these cases with ridicule or evasive answers.</p> + +<p>That they do thus meet this class of cases, and that their course is +censured by the most eminent of the profession, we have abundant +evidence.</p> + +<p>One of the best known medical writers of England, F. B. +Courtnay, member of the Royal College of Surgeons, etc., says in one of +his works (“True and False SpermatorrhÅ“a†pp. 20-21):</p> + +<p> +“Again, some medical men<span class = "twoem"> * * * + * </span>affect to consider these cases ‘objectionable,’ and on +these grounds seek to avoid them. Others boldly declare, that as most of +such cases are the result of unnatural and immoral habits, the sufferers +are justly punished for their conduct, and are unworthy of the attention +and sympathy of any one.</p> + +<p> +“Now I conceive this to be a monstrous fallacy; for surely it is +entirely beyond the scope of any medical man’s duty to sit in judgment +on the applicants for his professional services. According to my idea of +professional duty, every man is bound to do all in his power to afford +relief to every sufferer who seeks it at his hands, without question as +to the causes and nature of the malady.â€</p> + +<p>Speaking of one of his patients the same writer says:</p> + +<p> +“He had consulted one of the most eminent members of the medical +profession; and this gentleman evidently listened to his narration of +his case with great impatience and indifference, and upon the conclusion +of his history handed him a prescription, saying: ‘There, take that for +six weeks, and if it does not do you any good, I don’t know what will.’ +The interpretation the +<span class = "pagenum">61</span> +<span class = "headnote"> +All our Doctors are Regular Graduates, and their Diplomas are Registered +in the Office of the County Clerk, City Hall, New York, as required by +Law. +</span> +patient put on his conduct and the remarks was, that he need not trouble +himself to call again.</p> + +<p> +“Now, I have the pleasure of personally knowing the professional +gentleman here referred to, and during the last twenty years have been +in the constant habit of meeting him in consultation, and I am sure, +from my knowledge of him, that his behavior resulted from no intentional +unkindness on his part, but solely from the unfortunate feeling of +reluctance to attend to such cases, which, both from my own observations +and from information obtained from patients, I know to be entertained by +too many members of the profession.<span class = "twoem"> * * + * </span>I am well aware that patients of this class are often +most tedious in the narration of their cases; that the details they +conceive themselves bound to enter upon are most painful, not to say +disgusting, to hear; nevertheless we must, as in many other instances in +the discharge of our duties, submit with patience, taking the rough and +smooth with the same equanimity, and in the special cases in question, +we should endeavor to forget the patient’s vices in his woes.â€</p> + +<p> +Another distinguished physician writes:</p> + +<p> +“I cannot disregard the appeals of unhappy and humiliated people. Men +have come to me who were ashamed to show their organs because of their +diminutiveness, and who practiced masturbation and lived in celibacy +rather than bear the humiliation of exposure of the parts. Nothing can +be more pitiable than such a condition.â€</p> + +<p>If these very moral and dainty practitioners, who, as Dr. Courtnay +says, affect to consider these cases “objectionable†and the sufferers +“unworthy of the attention or sympathy of any one‗if these +moralists could sit at our desk, and day after day, week after week, +read the affecting stories of enforced celibacy, shattered health, +broken family ties, the anguish of jealousy, despair, misanthropy, the +consciousness of physical, mental and moral inferiority begotten by this +sad condition—we think that then these gentlemen would agree with +us that medical science and philanthropy can have no higher object than +the saving of these wrecks.</p> + +<hr class = "tiny"> + +<h5>OUR PATIENTS’ LETTERS AND TESTIMONIALS.</h5> + +<p>Our correspondents are candid—they cannot well afford to be +otherwise—and it is seldom we read one of their letters without +feeling all the interest in the writer that one can for an honest +suffering fellow being. We would not feel this interest did they not +evince an earnest desire to profit by their misfortunes. Our aid is not +sought by those wishing a brute’s power for excesses, for we hold out no +inducements to this class, but plainly tell them that they will +inevitably pay the penalty for abuse of nature’s laws. Nor are our +patrons among the vicious and imaginative youth, or the class termed +“greenhorns.†We confine our advertising almost wholly to the daily +press, thus reaching the most intelligent class of citizens only.</p> + +<p> +We regret that, for obvious reasons, we cannot present some of the +letters we have received from those who have been treated by our +method. We are pledged to <ins class = "correction" title = +"so in original">secresy</ins> with our correspondents, however, and +cannot use their names publicly; we cannot publish testimonials, +although we have scores of such a nature as to satisfy the most +incredulous, yet all must understand that it would be a breach of +confidence on our part to make these public, and would +<span class = "pagenum">62</span> +<span class = "headnote"> +Our Crayons are Inserted without Pain. +</span> +ruin our practice besides, as we can only do business of this nature +under guarantee of strict privacy. But of the many hundreds we have +successfully treated, a number have voluntarily given us permission to +refer to them in correspondence with interested parties.</p> + +<p>We will cheerfully furnish, on conditions named below, a list of some +of the persons who have taken this mode of treatment, been thoroughly +developed in size and strength of the organs, and relieved of every +trace of seminal disease or weakness, and from gratitude and good hearts +have volunteered to answer any questions addressed to them by interested +persons, who are, of course, expected to hold such correspondence +confidential<ins class = "correction" title = "so in original">, +</ins>Bear in mind that we use these names only by permission, which was +given us unsought by patrons who paid for our services, and now tender +this privilege more through kindness to sufferers than a desire to +benefit us financially. To save these gentlemen annoyance and useless +correspondence, we prefer not to furnish their names except to those who +have had previous correspondence with us and who will accompany the +request with references.</p> + +<hr class = "tiny"> + +<h5>BASHFULNESS AND FALSE MODESTY.</h5> + +<p>We are sorry to note in some of our patrons a feeling of shame in +taking this treatment. Such feeling we cannot but regard as absurd, and +the outgrowth of false ideas. If their present condition has been +brought on by evil habits, it is well enough to be ashamed of that fact, +but it is certainly altogether creditable to make use of the first +opportunity to restore or attain a perfectly natural condition and check +such disastrous losses, and in many cases it is absolutely necessary for +the welfare and happiness of themselves and others. A well-known medical +writer says:</p> + +<p> +“This treatment does not interfere with any regular habits or +employment, and may be followed without the knowledge or suspicion of +any person whatever. It is beneficial to the general health and quite +pleasant in its effects, giving the person a rejuvenated, buoyant +feeling, infusing new life and manhood; seemingly dashing young strong +blood through all the sluggish veins and arteries of the form.â€</p> + +<p> +To those who really need this treatment its importance cannot be +overestimated. Each sufferer can answer to himself how very different +life would be if free from his infirmity. Would you not be better +capacitated for business, labor or pleasure? Is not your mind on the +rack often—perhaps always? Have you not at this time, and in +consequence of this deficiency, a tendency to <ins class = "correction" +title = "so in original">misanthrophy</ins>, a bitter feeling that you +are the victim of an unkind Providence, or else bowed by humiliation due +to your own ignorance or vices? Does not your very incapacity keep your +mind filled with lewd thoughts, which in a state of perfect manhood +would not exist?</p> + +<p> +From the confession of hundreds we know how each of you will answer most +or all of these questions.</p> + +<p>Is not the means, then, which will raise you above these deplorable +conditions, a blessing inestimable? Is it not an agent of moral as well +as physical regeneration? When this means of deliverance is offered, +will you hesitate in availing yourself of its benefits and making it +known to others who are sufferers like yourself? Let an honest heart and +candid judgment answer for you.</p> + +<p class = "headnote full"> +<span class = "pagenum">63</span> +We Cure where a Cure is Possible. +</p> + +<h5>THE FALLACY OF CHEAP REMEDIES.</h5> + +<p>There are many men who are affected more or less seriously with +Diseases of the Sexual Organs who are constantly on the look-out for +so-called cheap remedies, and in the course of a few years manage to +spend upon these cheap and trashy medicines and appliances twice or +three times as much money as would have been necessary to thoroughly +cure them. And what have they got to show for it? +Nothing—absolutely nothing, aye, even worse than nothing, +<i>i.e.</i>, positive injury to the organs, for, in nine cases out of +ten, these cheap, clap-trap potions, by over stimulating, imitating and +often inflaming the organs, do them actual harm, hasten and aggravate +the disease and leave the patient in a much worse condition than if he +had taken no treatment at all.</p> + +<p>How often have we had cases referred to us for diagnosis and +treatment, where irreparable injury had been done by wrong treatment. +Some were in such a state that no treatment, however excellent, could +possibly help them; in others we have had to labor for months to +eliminate these poisonous medicines from the system and get the Sexual +Organs into proper condition to admit of a restorative treatment; and in +still others the effect of our usually quick and thorough-going remedies +were delayed and interfered with by the ignorance or botchwork of some +quack or bungler, or the well-meant but stupid doctoring of some “family +physician†who thinks himself competent to treat these diseases.</p> + +<p>No more delicate, complicated or easily injured or disarranged piece +of mechanism than the Sexual Organs exists. In health, they must be +treated with care and reason—in disease, with the utmost +circumspection. This branch of medicine, least of all, should be the +parade ground of ignorance, carelessness or false economy. A man’s very +health, life, happiness and vigor, his power to procreate his species, +to perpetuate his name, his ability to make his wife happy and his +children strong and vigorous, all depend upon the treatment he selects. +What is worth doing at all is worth doing well, and he who jeopardizes +health and happiness, present and future, on the mistaken basis of false +economy, is far from wise.</p> + +<p>Everything has a value. If a man offers to sell to another a gold +watch worth $150 for $5, you would at once set him down as an impostor, +and the watch as injured or worthless or fraudulent. Yet there are +thousands of men who try to find for a few dollars a remedy for a most +serious and complicated disease. In medicine, as elsewhere, Common Sense +plays an important part. Such remedies cannot possibly do what is +claimed for them. Reputable, honest men, educated and skilled physicians +who have spent thousands of dollars in obtaining a proper medical +education, cannot afford to waste their time for such slight +remuneration. Hence, unscrupulous scoundrels, who have no reputations +either to make or lose, who make most glaring promises in their printed +matter, who are willing to guarantee anything to anybody, infest this +field. They know how great is man’s cupidity, and trade upon it +willingly, caring nothing for the consequences.</p> + +<p class = "headnote full"> +<span class = "pagenum">64</span> +We hold out no False Hopes. +</p> + +<h5>OUR REMEDIES ARE RELIABLE AND REASONABLE.</h5> + +<p>We not speak thus disparagingly of cheap remedies because ours are +dear, for no patient who has gone the round of cheap remedies, and has +at last profited by Civiale’s method, but will tell you that our +treatment is cheap at any price.</p> + +<p>We charge what we consider a fair and reasonable profit on our +remedies. Our entire institution is conducted on the very highest and +most ethical medical basis. The Physicians comprising our Consulting +Staff are men of the best standing, of fine education, and having +special experience in this branch of medical science; our remedies are +made up under the direct personal supervision of one of the most expert +chemists in this country, and precisely after Civiale’s formulæ; our +drugs are purchased from such firms as McKesson & Robbins, +Schieffelin, etc., and are of the purest and best, and our aim at all +times is to give the patient consulting us the full value of his +money.</p> + +<p>For such skill and services we charge fairly and reasonably, and we +have yet to find a patient who is dissatisfied. Our cases get well, +provided our advice is followed and a cure is possible. If it is not, we +frankly and candidly tell the truth. We cannot afford to make false +statements or false promises, to hold out hopes we cannot justify, to +ruin our established and well-known reputation for honesty, fair dealing +and medical skill in order to make a few dollars. We find that one man +cured is the very best advertisement we can have, and that one such case +makes us one warm friend and advocate, and brings us many patients, +where one man deceived and defrauded would make us one bitter enemy and +injure us in the eyes of many. Thus, every other consideration of honor +and honesty aside, it pays us better to deal fairly with our +patrons.</p> + +<p>This treatment has been thoroughly tried in the most desperate and +adverse cases, and has stood the test of time and repeated trials, has +stood these tests as no other remedy or remedies ever have or ever will, +and in them men of all ages and all conditions may find strength, health +and vigor.</p> + +<h4>THE CIVIALE REMEDIAL AGENCY,</h4> +<h6>MAIN OFFICES AND LABORATORY,</h6> +<h5 class = "sans extended">174 FULTON STREET,</h5> +<h6>NEW YORK CITY.</h6> + +<p> +<img class = "nopad" src = "images/finger.gif" width = "46" +height = "20" alt = "-->"> +Please address all Medical and Business Letters to Offices, 174 Fulton +street. They may be addressed to <span class = "smallcaps">Civiale +Agency</span>, or Mr. L. B. Jones, our Business Manager.</p> + +<p align = "center"> +(From the New Orleans <i>Weekly Picayune</i>, May 23, 1885.)</p> + +<p> +<span class = "smallcaps">Civiale Remedial Agency.</span>—Every +man, whether he be young, middle aged, or old, suffering from weakness, +debility, or impotency, will be made healthy and happy by writing to +this excellent concern, at 174 Fulton street, New York. The +advertisement should be read, which will show skeptics that the agency +is worthy of confidence. The press and medical profession indorse the +gentlemen connected with it in strong terms.</p> + +<span class = "pagenum">65</span> + +<h3 class = "chapter"><a name = "announce"> +A SPECIAL AND IMPORTANT ANNOUNCEMENT.</a></h3> + +<h5 class = "sans boldf">STRICT MORALITY vs. FALSE MODESTY.</h5> + +<p>In preparing both the first and later editions of this little work +(that has brought happiness to so many by opening the way to knowledge +of a proper means of cure and methods of regaining health and vigor), +<b>the utmost care and circumspection have been exercised in an endeavor +to exclude from its pages anything that could be construed by the most +fastidious as immodest, obscene, or in any way offensive to decency, +morality or good breeding</b>. Indeed, although purely and essentially +<b>a medical work, and intended solely for such persons whose duty it is +to be acquainted with the facts given</b>, in order to understand their +complaint, to place themselves under proper treatment, and to avoid the +dangers of quackery, we have in many instances wholly excluded or +materially modified the wording of passages in order to comply with our +original ideas of the strictest purity of thought and speech +commensurate with a truthful and honest statement of facts.</p> + +<p> +We wish it distinctly understood that <b>this treatise is intended +solely for persons suffering from Genito-Urinary Diseases</b>, and that +it is <b>never mailed to any person who has not voluntarily requested us +to send it</b>, and then <b>not to boys</b> or to members of the +<b>opposite sex</b>. (Our application books show a large number of such +refusals.)</p> + +<p> +We look upon our special mission in the field of medicine as +<b>distinct</b>, <b>laudable</b> and <b>holy</b>. There are those who +look down upon this special branch of medicine, and some ignoramuses who +assert that such diseases only exist in the imaginations of such +patients as a result of reading the pamphlets of quacks who paint +frightful pictures of insanity, idiocy, etc. To such men as these we +have only this to say: Consult the works of Hammond, Black, Acton, +Wilson, Lallemand, Civialè, Courtenay, Lee etc., etc., the authors of +which have world-wide reputations, not only as physicians, but as +truthful, honest and moral men. They will then see how really grave are +such affections and how needful of aid.</p> + +<p>God knows that the misery, despondency and actual organic disease, as +a result of early vices, are prevalent enough even to-day to make a +lover of his fellow men sincerely pity and desire to help them. And we +claim (and every honest man cannot but admit) that it is only by the +<b>widespread dissemination of a knowledge of certain facts</b> to young +and old, especially the former, that such vice and its consequences can +be met and overcome. We are daily spreading such knowledge throughout +the length and breadth of this land, not only warning and advising the +young and cautioning the older, but also pointing out to all such as +need it a perfect and easy means of cure and restoration to health and +vigor.</p> + +<p>Our mission is as real, noble and important as that of preaching the +Gospel, and aside from its bearing on the enlightenment of those who +would otherwise go astray, and offering the means of relief to those who +have already sinned against Nature, it is of a broader and even more +sweeping importance. As every whole must needs be the sum total of its +integrals, so <b>each nation</b> and <b>people must</b>—in mental, +moral and physical traits—<b>be that which its individual members +make it</b>. Hence, if perfect general health, full procreative ability +and healthy offspring mark the majority of the individuals, so naturally +must the health, vigor, populousness and power of the nation be +accordingly. <b>As secret vice diminishes, public virtue and morality +become greater.</b> Diseases of the Prostate Gland, Urinary Organs and +Sexual Apparatus are as <b>real, as <ins class = "correction" title = +"so in original">embarassing</ins></b> and <b>as needful of cure</b> as +those of the lungs, heart, stomach, or any other organ—indeed, +more important, for the latter only affect the life or health of the +individual immediately concerned, while the former concern not only the +person affected, but his offspring also.</p> + +<p>There is no reason why false modesty or pseudo-delicacy should reign +supreme here. If the Almighty had intended these matters to be viewed +and treated in the light which some fanatics and extremists seem to +desire, we would certainly have been created without the power of +procreation entirely. As it is, such organs and such diseases <b>do +exist</b>, are of the greatest (individual and national) importance, and +provided a <b>full knowledge of the causes and consequences of vice and +abuse as related to these parts can be brought vividly and strongly +before the mind of every man, young or old, in a chaste, decent and +strictly professional manner</b>, the result can only be a good one, and +those who deny it are engaged in moral hair-splitting.</p> + +<p>We felt that the foregoing remarks were both <b>apropos</b> and +necessary with a view to contradicting some statements recently made +regarding the uselessness and demoralizing effects of everything +concerning this branch of medical practice, and as due ourselves in +distinctly recording our belief and practice in the matter; more +especially to refute the false accusation that special medical treatises +were being scattered broadcast over the land and made to invade the +privacy of homes, and coming into the hands of young boys and +females.</p> + +<p class = "fourem" align = "right"> +THE CIVIALÈ REMEDIAL AGENCY.</p> + +<span class = "pagenum">66</span> + +<p class = "illustration"> +<img src = "images/pic66.png" width = "318" height = "453" +alt = "street front of Civialè building"> +</p> + +<hr> + +<div class = "mynote">Text of title page:<br> +<br> +ONLY SENT WHEN REQUESTED, AND THEN ONLY WHEN SEALED.<br> +GLAD TIDINGS OF GOOD THINGS.<br> +THE CIVIALÈ REMEDIES<br> +174 Fulton St., New York +<br> +<br> +Cover as scanned:<br> + +<img src = "images/coverold.png" width = "365" height = "484" +alt = "cover, unretouched version"> +<br> +The variation between “Civiale†and “Civialè“ is as in the original. +</div> + + + + + + + + +<pre> + + + + + +End of the Project Gutenberg EBook of Manhood Perfectly Restored, by Unknown + +*** END OF THIS PROJECT GUTENBERG EBOOK MANHOOD PERFECTLY RESTORED *** + +***** This file should be named 18370-h.htm or 18370-h.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/1/8/3/7/18370/ + +Produced by Louise Hope, Bryan Ness and the Online +Distributed Proofreading Team at http://www.pgdp.net + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Manhood Perfectly Restored + Prof. Jean Civiale's Soluble Urethral Crayons as a Quick, + Painless, and Certain Cure for Impotence, Etc. + +Author: Unknown + +Contributor: Civiale Remedial Agency + +Release Date: May 11, 2006 [EBook #18370] + +Language: English + +Character set encoding: ASCII + +*** START OF THIS PROJECT GUTENBERG EBOOK MANHOOD PERFECTLY RESTORED *** + + + + +Produced by Louise Hope, Bryan Ness and the Online +Distributed Proofreading Team at http://www.pgdp.net + + + + + +{Transcriber's Note: + +Misspellings in the original have been preserved. The text uses a +mixture of italics, boldface, enlarged type, and underlining. They are +represented here by _lines_ for ordinary emphasis (generally italics), ++marks+ for added emphasis (generally bold). + +Material added by the transcriber is in braces { }. All brackets [ ] +are in the original text.} + + * * * * * + * * * * + * * * * * + + {Illustrated Cover: + + Only Sent When Requested, + and then Only When Sealed. + + GLAD TIDINGS OF GOOD THINGS. + + THE CIVIALE REMEDIES + + 174 Fulton St., New York } + + + + + {Illustration: CHEMICAL LABORATORY, CIVIALE REMEDIAL AGENCY.} + + + + + Manhood Perfectly Restored. + + Prof. JEAN CIVIALE'S + + SOLUBLE URETHRAL CRAYONS, + + as a + + QUICK, PAINLESS and CERTAIN CURE + + for + +_IMPOTENCE, LOST MANHOOD, SPERMATORRHOEA, LOSSES,_ + _WEAKNESS AND NERVOUS DEBILITY._ + + Also for PROSTATITIS and VARICOCELE. + +[The only standard and officially recognized treatment for these +diseases of the Sexual and Urinary Organs, endorsed by and adopted +in all the Hospitals of Paris, France.--See _Gazette des Hopitaux, +Dec._ 8, 1869; also _Dictionnaire des Sciences_, vol. xxiv., p. 565.] + + + FACTS FOR MEN OF ALL AGES. + + SIXTH EDITION, + + Enlarged, Revised and Illustrated. + + ISSUED BY + + THE CIVIALE REMEDIAL AGENCY, + 174 FULTON ST., NEW YORK. + [_Opposite St. Paul's Church._] + 1885. + + + + + {Transcriber's Note: + + The text pages cycle through a series of eight headers: + + (1) _All our Doctors are Regular Graduates, and their Diplomas are + Registered in the Office of the County Clerk, City Hall, New York, + as required by Law._ + (2) _Our Crayons are Inserted without Pain._ + (3) _We Cure where a Cure is Possible._ + (4) _We hold out no False Hopes._ + (5) _Our Treatment is Pleasant, Quick and Lasting._ + (6) _When you are Tired of being Humbugged or Experimented on, send + to us._ + (7) _We Offer Special Help to Impotent Men._ + (8) _Strictest Privacy--Perfect Confidence--Certain Cure._ + + The first set of eight pages has the headers in this order: + 1, 2, 3, 5, 6, 3, 7, 8 + On one later page, headnote 8 begins _Strict Privacy_.} + + + + +TO THE READER. + +It is with great pleasure that we send you a copy of this, the sixth +edition of our brochure on Sexual and Urinary Diseases. The success of +the Civiale Urethral Method, since its first introduction into America, +has been almost unparalleled in Medical History, and we feel that the +time has come for replacing the brief pamphlet containing a mere outline +of the method, with a work somewhat more full and exhaustive. + +Aware of the number of worthless and oftentimes actually injurious +remedies that are being advertised and recommended for the cure of +these affections, and the bogus doctors and worthless firms that infest +every large city, we have endeavored to give inquiring patients every +proof and assurance of the efficacy of the Civiale Remedies, every +facility for investigating our methods, and proving, to their entire +satisfaction, both the medical ability of our Consulting Staff, and the +honor, honesty and fair dealing of the Agency. We court the fullest and +freest investigation, either by patients themselves or any friends of +theirs in this city, either of whom we shall be happy to see and satisfy +at any time, at our Consulting Rooms, Business Offices or Manufactory. + +Repeated trials in some of the most severe cases of Spermatorrhoea +and Impotency, in both France and America, have proven the Civiale +Remedies to be safe, speedy and most satisfactory in all their results, +and we feel justly proud of having in our hands so excellent and +efficient a means for the radical cure of so obstinate, serious and +often dangerous a disease. We take pride in having saved many a +young and promising life, in having often stayed the hand bent upon +self-destruction, and in having many times cheated the grave or the +insane asylum of its expected prey. Nor do we feel less proud in +having been able, in cases of not so serious, though often of a +more embarrassing nature, to restore to full Sexual Power and Vigor +_middle-aged and older men whose desire had out-lived their power_, +or who, through early abuse, had become so weakened as to be totally +Impotent, incapable of perpetuating their species--ashamed, discomfited, +and disappointed at being somewhat less than a man. + +As every case cured is the very best advertisement that we can have, +it is hardly necessary for us to say that we endeavor to exercise the +utmost care, skill and discretion in both diagnosing and treating +these cases, and assiduity and scientific accuracy in preparing and +compounding those remedies of which we are the fortunate possessors. +Indeed, we do everything in our power to make success an absolute +certainty. + +A word in closing. Our STAFF OF CONSULTING PHYSICIANS is composed of +men selected with great care for their special skill and attainments in +this special branch of Medical Science. These gentlemen are handsomely +remunerated for their services, and take a pride and interest in every +case they treat. + +Our physicians hold no pecuniary interest in the Agency, and hence +prescribe for each case solely on its merits, having nothing to gain +by selling less or more to any one under their care. They see and treat +each case solely and wholly from a medical standpoint, and hence are +never influenced by any pecuniary considerations whatsoever. However +great the reputation of our physicians may be, we have, from the first +organization of this institution, taken and held the ground that the +best interest of the patient is best served by resolutely divorcing the +Medical from the Business Department. + + +CIVIALE REMEDIAL AGENCY. +Mailing and Shipping Departments, Business Offices, Consulting Rooms, +174 FULTON ST., NEW YORK. +_Opposite St. Paul's Church._ + +Office and Consulting Hours: { 8-12 A.M. + { 1-6 P.M. +Sundays: 9 A.M. to 12 A.M. + + + {Illustration: OFFICES, &c., CIVIALE REMEDIAL AGENCY.} + + + + +The Civiale Urethral Treatment + + +_CHAPTER I._ + +SPERMATORRHOEA--IMPOTENCY--STERILITY. + +The Baneful Effects and Consequences of Masturbation, Marriage Excesses, +Venereal and Urinary Diseases on Boys and Men. + + +Could we read the heart of every man and boy we pass upon the street, +how few--how very few--there are that would not reveal sickening +pictures of lust, disease, melancholy and insanity. Charnel-houses of +sin and lust--sloughs of despond and regret--excess of passion offset +by lack of power--dread, despair, hopelessness, shame and desperation, +making a picture of misery scarcely to be conceived by any but those +unfortunate beings who in the thoughtless, careless heyday of youth, or +the reckless reliance on more mature vigor, have weakened, emasculated +and enslaved themselves by indulgences and excesses that have borne +fruit of misery, disease and desperation in after years. + +How little the youth who, in his ignorance of the terrible consequences +of his vice, steals away to the secrecy of his chamber or his bed, +leaving his happy, healthy and playful companions, in order that he +may let the hot waves of lust and passion run riot in his mind, and dry +up every spring of healthy thought and action--how little does he think +of the after-time of misery and exhaustion that he is bringing upon +himself--how little does he think that the vile demon that he is raising +up will, like the vampire, suck his very life-blood, steal away his +strength and life and vivacity, besmirch and weaken his mind, take the +strength from his muscles, the courage from his heart, sap the very +foundation of his existence, unsex and unnerve him, render him feeble, +wavering and imbecile, dog his footsteps to the very steps of the altar, +to curse and blacken and disappoint those joys of parentage and marital +right that should be his. The shadow deepens with him as life advances, +and follows him, bringing shame and misery and despair at every step, +until the poor victim, driven too far, sinks into an early grave by +disease or suicide, or is lost to the world and to all joys and friends +behind the doors of an insane asylum. + +He died of no disease known to medical science. He simply faded +away--weaker, more nerveless and hopeless day by day; he faded away +until, almost before any one knew it, the grave yawned to receive him. +Poor, miserable, hopeless wreck--poor suicide, for his own sin and crime +were the real causes of his death. + +How many such there are at the present day. We meet them on the street, +in business and at church. Our insane asylums are full of them. We +find their wives unfaithful or unhappy; and their offspring--when they +are cursed with any--poor, miserable, weak fledgelings, with aged, +wasted faces, water on the brain, with rickets and softening of the +bones--idiots or imbeciles--dying early and scarcely regretted even +by the parent whose progeny they are, for every wail of the little +suffering voice pierced his heart and reminded him of his lustful sin, +and passionate, inexcusable indulgence that caused all this misery. + + "And the sins of the father shall be visited upon the children, + even to the third and fourth generations." + +Alas, how true! how indisputable! The imperative Laws of Nature once +broken, the consequences are _inevitable_. + +Of late years it has become the fashion amongst certain men to scoff +at this terrible vice of secret indulgence, and to claim that its +evil effects are overrated, are portrayed too vividly. Ask some poor +unfortunate whose confidence you may succeed in gaining, and listen to +the pitiful tale of lost health and vitality he will tell you. Mark well +the wasted hand, the putty-like skin, the black-ringed, lack-lustre +eyes, the heavy lip, the labored breath--read the consequences of his +sin and crime in his shame-faced way, his shambling gait, his nerveless +hands, his fluttering heart, his weakened muscles, and his tottering +memory and mind. + +Must he needs lie dead at our feet before these skeptics can be +convinced? Is not such a state a living death? Must these men visit +him in the cell of the asylum, watch him as a raving maniac, gaze upon +him as a hopeless idiot or a driveling imbecile, before they will be +convinced? Such proof is at hand. Not an asylum in any country but has +its score of such; not an asylum record-book but chronicles the sad +histories of thousands of these poor, lost creatures--male and female; +not an asylum nurse or doctor but will sadly point out these creatures +to you, bereft of every trace of reason, all sense of shame, still +practicing the horrible vice that has driven every semblance of humanity +from their faces and the very light of reason from their eyes. + +True, every boy or man who practices this vice does not come to this +end. But who shall discriminate? There are thousands such, and who shall +say which it shall be, or at what moment it shall occur? Ah! happy, +rosy-cheeked boy, so gay and thoughtless now, so free from misery, +disease and care, beware! It may be your turn next. A little thoughtless +indulgence, the imitation of friend or companion, though apparently +harmless now, may blanch your rosy cheek, destroy your peace and +happiness of mind, and make a life-long, hopeless, suffering invalid +of you--may shut the door of all earthly enjoyment in your face, blast +your hopes, disease or destroy your offspring, alienate you from friends +and family, and cut off from all communion with your race, make you an +object of shame and disgust to your fellow-men, sink you into an early +grave or entomb you for life in the cold stony walls of a lunatic +asylum. + +The day will come, erstwhile, when you will curse the parents who reared +you, the friends who surrounded you and the teachers and ministers who +taught you, for not warning you of the terrible nature of this +indulgence, so secretly common amongst boys and young men. + +The day will come, when in the midst of your mental, moral and physical +agony, with weakened mind and exhausted body, physicians will tell you +that masturbation is practically harmless, that its consequences are +exaggerated, and that your sufferings are mostly imaginary. Then will +you pity their ignorance and bemoan the fact that to such men must +sufferers in your terrible extremity apply without any feeling of being +understood, appreciated or sympathized with, and, far less, relieved or +cured. + +Happy will you be then, if you can (with your vice and misery staring +you in the face and threatening you with some or all of its dire +consequences) direct your steps to those who not only can and will +sympathize with you, but who are able to aid you with proper remedies +and restoratives and set you safely on the way to health and happiness +again. For there _are_ proper aids and remedies; there are hope and +happiness to be obtained if the affections growing out of this vice +be skillfully taken in hand in time. None but the hopeless sufferers +who have been lifted from the misery, shame and weakness of their +self-inflicted suffering know how much this world owes to the high +medical skill, exhaustive study, and persistent search for truth and +proper remedies of those two great Frenchmen, +Professors Claude +Lallemand+ and +Jean Civiale+. The medical as well as civil honors +conferred upon them by their country and their medical brethren, great +as they were, could never half repay them for the good they rendered +thoughtless youth and suffering manhood by their special discoveries. +There can be no question but that the +Civiale Urethral Crayons+, named +thus after this great specialist, and endorsed by the most eminent +medical men of France (that country in which lust and passion are +peculiarly prevalent), are the most far-reaching and reliable specifics +for Generative, Sexual and Nervous diseases known. + + +CAUSES OF SPERMATORRHOEA AND IMPOTENCY. + SELF-ABUSE NOT THE ONLY CAUSE. + +Many years' experience in the treatment of these debilitating diseases +has proven very surely that there are many causes besides Self-Abuse +(Self-Pollution, Secret Vice or Masturbation) for Spermatorrhoea, +Impotency and Debility or Lost Manhood. Self-Abuse is the most common +cause, and we therefore give it the most prominence. The others we will +name briefly in about the order of their frequency. + +1. MARRIAGE EXCESSES.--A very common cause, more often producing +Impotency (loss of Sexual Desire or Power) and Sterility (inability to +beget offspring), than Spermatorrhoea (loss of vital fluid, daily and +nightly losses, losses in the urine, nervous prostration, debility, +insanity, paralysis, &c. For full description of symptoms, see pages +12-16). Sexual desire was given to mankind, like any other power or +appetite--to be enjoyed in reasonable moderation _and for the purpose of +insuring a continuance of our species by the birth of offspring_. Many +men abuse this power--abuse it inordinately, shamefully--and suffer the +consequences. This is especially true of the newly married, and men +advanced in years, who push their failing powers too far. As a just +retribution for the abuse of so important a function, the Almighty +deprives some of desire, some of power, some of both. + +2. ONANISM.--By many this is confused with Masturbation or Self-Abuse. +While like it in some respects and in many of its consequences, it is +still different. It is as hurtful to an adult as abuse is to a young +person. God punished Onan for this sin, hence its name. Yet, despite +this terrible example so plainly set forth in the Old Testament, +probably one-half of the married men of the present day are pursuing it, +and hence so many Impotent and Powerless persons, seeking vainly amongst +the many cheap, quack remedies for something to re-invigorate and +re-vitalize them. + +This is a terrible vice, terrible in its consequences, and however hardy +and robust the man, sooner or later his sexual powers must and will +succumb to the strain. Many men write us, saying that they never +masturbated, and yet are totally impotent and cannot understand why +it is. And yet they have been thus injuring themselves for years! + +Sexual power and desire were given us for one purpose--the perpetuation +of our species, and whoso endeavors to avoid this, must suffer. Many +married couples do not want more children, from care, poverty or other +causes, and hence the extent to which this terrible practice is +indulged. It _must_ be from ignorance, for were it commonly known how +injurious this practice is, _but few would dare take the terrible risk_. + +And yet the resulting weakness can be speedily cured if properly +treated. In no class of cases have the Civiale Remedies achieved greater +success than in these. + +3. ANYTHING DEBILITATING--such as Overwork, Confinement, Sedentary +Occupations, Worry, Care, Excitement, &c., &c.--These are much more +common causes of Sexual and Generative Diseases than is generally +supposed, and usually very obstinate and difficult to treat, because +the system is so run down that there is very little stamina or vitality +to rely upon. Clerks, business men, lawyers, bankers, ministers and +students are very subject to this form of impaired vital and sexual +power. Theological students are very prone to it. Many do not have any +idea as to what their real trouble is, and lose much valuable time in +doctoring for Dyspepsia, Consumption, Neurasthenia and the like, when +really their very life and vitality are oozing away from them in their +urine or otherwise. + +4. WOMEN'S (OR VENEREAL) DISEASES.--Gonorrhoea (clap), Gleet, Stricture, +Injury to the Urine Canal from the rough use of sounds, bougies, +catheters, &c., &c. Any one or all of these, by extending the +inflammation backward to the seminal ducts and neck of the bladder, +may cause either Spermatorrhoea or Impotency. Indeed, Stricture +(often caused by Self-Abuse) is one of the most common causes of +these complaints. It was here that +Lallemand+ and +Civiale+ found +the key-note of the true treatment of these diseases. + +5. VARICOCELE, or a wormy, swollen or twisted state of the veins in the +bag, and of those that run down to the testicles, is a very common cause +of both Spermatorrhoea, Impotency and Debility. (For full description of +this very common and often unexpected disease, send for our illustrated +pamphlet on the subject, or see Chapter XI, page 44 of this book.) No +man or boy with Varicocele, no matter how it was produced, can be +perfectly sound and strong in his Sexual Organs. + +6. UNDEVELOPED, WASTED OR MISSHAPEN PARTS.--A failure to have perfectly +developed organs sometimes dates from birth, but in most cases it is +caused by self-abuse at a time when the person is growing. In any case, +Seminal weakness and Wasted or Misshapen Parts go together as both cause +and effect, and the one, when found, will usually very soon lead to the +other. _Twisting or Curving_ is one of the most positive signs of +previous inflammation, stricture and twisting or distortion of the +seminal ducts, and hence sterility or barrenness. In such especially are +the remarkable effects of the +Civiale Treatment+ the most noticeable. +We can say with positiveness, and prove it by case after case, that by +no other method can such rapid and perfect restoration of the organs to +a natural and healthy state be obtained as by this. Some of the very +worst and apparently most hopeless cases that we have had--cases that +have gone from one physician to another without the slightest +improvement--have yielded effectually to the +Civiale Remedies+. In some +of them the persons thus afflicted would have been totally unfitted for +marriage had they failed to find relief. Their children--healthy, happy +and finely developed--speak volumes for what our treatment has done for +them. (For Treatment refer to page +42+ of this book.) + + +IMPOTENT OLD MEN-- + THE SEXUAL DECAY OF ADVANCING AGE. + +We have thus far given briefly the most common causes of Seminal +Disease. There are a few that we have not mentioned: Blows on the Head, +Loins (Small of the Back), Testicles, &c.; Weakness caused by prolonged +illness, fevers, &c.; Malaria, Consumption, &c.; the abuse of Tobacco, +Opium, Alcohol and Chloral, &c., &c.; but these are less common and less +important. There is one condition, however, that we have only referred +to incidentally, and that is the failure of Sexual Power in men past +middle age. No man (if he is reasonably careful and does not abuse +himself) should find his powers decaying before he is seventy or eighty +years of age. Mind, we do not say "no man does," but no man "_should_," +provided he is reasonably careful. + +But here comes the fact. Most men are _not_ careful, and most men _have_ +abused themselves at some period. Many believe and stoutly maintain that +they "never had emissions or seminal disease, and it didn't hurt them." +But it did, and it is just now that they begin to feel it. It is true +they escaped the more acute and direful effects, but it told on them in +after years. There are many thousands to-day who are just now feeling +the effects of early vices, now almost forgotten. They can be restored +to _natural_ power by proper treatment, but they rarely are, because but +few of them believe that early self-abuse or later Onanism has anything +to do with it. So they spend a fortune almost--and uselessly too--on +Stimulants, Nervines, Tonic and the like, but still remain partly or +wholly Impotent. Foolish men! + + + + +_CHAPTER II._ + +THE VITAL FLUID + +What it Is, What it Does, and How it is allowed to Drain Away, +Weakening, Emasculating and Dementing the Vicious and the Careless. +Diurnal (daily) Emissions. Nocturnal (nightly) Emissions. Impalpable +Oozings. Losses in the Urine. Losses while at Stool. Mistaken Gleet. + + +There are thousands of weak, nerveless men, who do not know what ails +them; thousands of invalids whose physicians are puzzled and perplexed +by their symptoms, and cannot account for the rapid waste of strength, +energy and vitality, much less check it; and thousands of others, on +the street, in the pulpit, on the bench, in the counting room, whose +troubles, illness and misery are due to losses of vital fluid. Some +know it, many more do not. Some are being properly or improperly treated +for it; many are being dosed and drugged for Malaria, Neurasthenia, +Consumption, Overwork, Brain Troubles, Paralysis and many equally as +foolish and irrational complaints. They sicken, die, destroy themselves +in hopeless despair of ever getting well and strong again, verge into +hopeless idiocy or go raving mad, simply because their trouble is not +understood; because day by day and hour by hour there is draining from +them in their urine, at stool and otherwise, that precious vital fluid +that represents life, health and energy to them. + + {Illustration: Fig. 1. + A HUMAN TESTICLE. + Perfectly Healthy. + [From Gray's Anatomy.] + Each _lobule_ may be seen (carefully guarded from pressure or injury) + in its cell, with a strong fibrous partition on each side. All these + _lobules_ empty into small ducts which converging form the _Globus + Major_, _Epididymis_ and _Globus Minor_, which finally end in the + _Vas Deferens_, _Cord_, _Duct_, or _Tube_ that conveys the fluid to + the Seminal Vesicles at the back of the bladder. (See _Figs._ 5, 6.) + As the veins of a _Varicocele_ surround these delicate _lobules_ + as well as _fine tubing_, it can readily be seen how easily such + pressure, weight and crowding may do very serious injury and make + the flow of semen irregular, or shut it off altogether.} + + {Illustration: Fig. 2. + HUMAN SPERMATAZOA. + [From Gray's Anatomy.] + A. Healthy, well developed and active zoa-sperms from the _Vital + Fluid_ of a strong, robust man. + B. Showing cells and bunches, in which form they are secreted or + made by the testicles.} + +And is it surprising that the continual losses do drain away strength +and vitality? This fluid is the only one charged with _life_--actual +_life_; capable of producing _life_--of creating offspring--of +impregnating and developing into perfect being, with thinking and +reasoning brain and mind, pulsating heart, expanding lungs, sentient +nerves, motive muscle, and all that beautiful, minute and co-ordinate +mechanism that forms a perfect human being--the only secretion in the +body capable of propagating species--carrying _life_ within _life_. + +Surely this was not meant for waste. Surely the influence of its loss +upon the system, especially of a boy or young man (growing and not fully +developed), must be great, and it is. Many and many a young man thus +wastes away before the eyes of his friends from no other cause. Many a +one loses health and strength from this cause alone, yet does not know +it. How much better if all this false modesty, social hypocrisy, and +blundering medical dosing and drugging, without thorough examination and +full understanding, were wholly done away with, and the young men, and +old men too, were brought to understand two cardinal facts: + +(a) The immense devitalizing effects of even small continued losses of +vital fluid, and, + +(b) The fact that many apparently strong and healthy, as well as weak +and nerveless, men who find their sexual powers gradually or suddenly +failing them, can, in nine cases out of ten, trace it directly to +losses of vital fluid in the urine or otherwise, that have been going +on--perhaps wholly unknown to them--for months or years past. + +(See also chapter on "Hidden Spermatorrhoea") + + +ANALYSIS OF URINE. + +At the first symptom of Sexual Decay or Nervous Exhaustion, the person +thus affected should have his urine carefully and thoroughly analyzed by +some competent person. In saying "competent person," we speak advisedly, +for but few chemists and fewer physicians are competent to make such +an examination and draw correct deductions from what is to be found +there. Any person can, with the proper reagents, test his urine for +the presence or absence of semen, but he cannot make the thorough, +scientific, chemical and microscopical analysis that is sometimes needed +in order to arrive at a full and perfect diagnosis and successful +treatment. + + {Illustration: Fig. 3. + URINE OF A YOUNG MAN SUFFERING WITH SPERMATORRHOEA. + 1. Epithelial Scales from the Prostate Gland. + 2. Scales from the Kidney Tubes. + 3, 4. Scales from the Kidney Tubes swollen and degenerated. + 5. Spermatazoa, wasted, shriveled, imperfect and dead. (In this case + the Varicocele had extended up the cord.)} + +If losses of semen are taking place in the urine, it would be well to +forward a sample of it at once, for a full and extended analysis, which +will be made for the nominal fee of $2, merely to cover the cost of +chemicals. + +Our Chemical Laboratory is under the supervision of Mr. G. H. E. Du +Bell, Ph.D., a thoroughly competent quantitative and qualitative +analytical chemist, a graduate of the French and German Universities +and also a licentiate in this country, who, with his able corps of +assistants, makes all examinations and reports in full upon them to the +Medical Chief of Staff, who in turn submits them with the histories of +each to the full Consulting Board or Staff. + + + + +_CHAPTER III._ + +THE FORMS, SYMPTOMS AND CONSEQUENCES +Of Masturbation, Spermatorrhoea, Nervous Exhaustion +and Spinal Irritability. + + +In no disease known to us are the symptoms precisely the same in every +case. They vary with the constitutional peculiarities of the individual. +Yet in nearly every case there are certain prominent or leading symptoms +(signs) that are rarely absent at _some_ stage of the disease. We give +here the more noticeable ones at first laid down by +Lallemand+, the +great French physician, who first gave us the name "Spermatorrhoea," +who first wrote upon this disease, who was the first to discover the +connection between the losses of semen and certain symptoms here given, +and who, too, was the great originator of that treatment so successfully +perfected by his successor, +Prof. Civiale+, and which is now the +_standard_ treatment, recognized and adopted in all the French +hospitals. + + +OBJECTIVE SYMPTOMS DUE TO MASTURBATION. + +First, as to the appearance and actions of the +Masturbator+--he who is +constantly and recklessly drawing drafts of exhaustion and decay on the +nervous energy and strength of his coming manhood, and which are sure to +bankrupt the most robust health. + +If there is a man to be pitied on this earth, it is he who is walking +about from day to day conscious of being guilty of ever having practiced +this vice. Mark the man who is addicted to it in no matter how light a +form; _his face tells the story of his sin_. See his +haggard looks+, +his +deep, sunken eyes+, which he throws only half-way into the +countenance of his friend. _Note the +blue+ or +black discolorations+ +under the +eye+; the +nervousness+ to get away from a crowd, and the +extreme +girlishness+ or +backwardness+ when +introduced+ into the ++company of ladies+._ + +The victim of the most dangerous of all vices soon reaches a state +which, if not promptly relieved by the proper remedy, will end in +life-long misery or an early death. + +Objectively considered, the masturbator is recognized by a marked facial +expression, by a characteristic mannerism, and by a peculiar mental +state. + +THE FACE.--_The +facial expression+ consists of a +pale+ and +sallow +tint+ of the skin, unusual +development+ of +acne+,--red pimples,-- +especially on the +forehead+; a +dark circle+ around the +orbits+; ++dilated+ and +sluggish pupils+; +lustreless eyes+, and an +oblique line +extending+ from the +inner angle+ of the +lids transversely+ across the ++cheek+ to the +lower margin+ of the +malar+ (cheek) +bone+. The +face+ +has a +haggard, troubled, furtive expression+._ + +THE MANNER.--_The +manner+ of the +masturbator+ is peculiar. He is ++listless, shy, retiring+, and +easily confused+; he +avoids society+, +preferring +solitude+; there is a want of +steadiness+ and +decision+ +in his +locomotion+; his inferior +extremities+ seem +deficient+ in ++power+, and all his movements betray +a mind ill at ease+._ + +THE MIND.--_His +mental operations+ are +confused+; his +speech is +embarrassed, awkward+, and +without directness+; his +memory+ is ++defective+, and he is +absent-minded+ and +given+ to +reverie+. If the +habit has long existed, and been excessively frequent in repetition, ++epilepsy+ may be produced; or +serious mental disorder+, as +delusional +insanity+, +dementia+, etc., may occur._ + +THE SEXUAL ORGANS.--The state of the +genital organs+ varies with the +length of time the habit has been indulged. In some young subjects, +there will be observed an _+extraordinary development+ of the +organ+_, +owing to premature excitement; but the disproportion is not maintained. +Prof. Barthalow says: "With the progress of the habit the organ becomes +_+small+ and +relaxed+, the +erections feeble+, the +corpora cavernosa+ +either +waste away+ or their +vessels+ lose their +tonicity+, whereby +an apparent +shrinkage takes place+; the +corpus spongiosum+ and the ++glands+ also +shrink+, so that the +prepuce+ (fore-skin) appears ++unnaturally elongated+. The +testes+ may +increase+ in +size+, become ++tender+ and +irritable+_, or they may waste away to nothing but little +strings; the latter is the more usual result. + +"_+Pains+ in the small of the +back+, a sense of +weight+ and +aching+ +in the +loins+, around the +anus+, and in the +testes+_ is experienced. +_The +appetite is capricious+, the +digestion feeble, and the bowels+ +are +constipated+_, or constipation alternates with diarrhoea. + +"_The+ mind+ is +deficient+ in +power+ of +attention+, the +imagination +is constantly pervaded with vague erotic dreams+, the +moral sense+ +is +blunted+, and the +perceptions+ are +dull+ and +confused+. +Pains+ +in the +head+, in the +occipital+ and +frontal regions+ (front and back +of head)_, and a sense of fullness, and in serious cases _alarming ++Vertigo+ (dizziness and falling); +pains+ in the course of the ++principal nerves+, and an extreme +nervous susceptibility+, are +experienced. The +organic nervous system+_ manifests a functional +disturbance in harmony with the disorder of the nervous system of animal +life. _+Gastralgia+ and +abdominal pain+ (pain in stomach and bowels)_ +and +uneasiness+ are in some cases very distressing symptoms. + +"The distinctiveness of the foregoing symptoms will be determined +by the extent and duration of the habit, and by the constitutional +peculiarities of the patient. +The more highly developed the nervous +system, and the more it preponderates in activity over the muscular and +digestive systems, the more serious the effects.+ + + +EFFECTS OF MASTURBATION ON THE MIND + +"The most serious +mental effects+ are produced by +masturbation+. This +vice, commenced at or before the period of puberty, interferes seriously +with the development of the brain and the evolution of the mental +faculties. + +"That +spermatorrhoea+ will produce in one class of cases ++mental disorders+, and not in another, indicates either that some +predisposition to these disorders existed, or that the habit of ++self-pollution+ was merely an expression of +mental alienation+ +(insanity). The +images+ which pervade the minds of boys possessed +of the highly-developed nervous organization of masturbators are those +of +delusional insanity+. + +"There is, however, a +cerebral+ (brain) +phase+ of spermatorrhoea which +may be separated from the two preceding classes. It is characterized by +_+indistinctness of vision+, +dilatation+ of the +pupil+, +amblyopia+ +(near-sightedness), +diplopia+ (double sight); +diminution+ in the ++sensitiveness+ of the +auditory apparatus+ (deafness); +feebleness+ +of +voice+; +mental preoccupation+, +hebetude+ of +mind+, +confusion+ +of +ideas+, and a +profound melancholy+._ + +"The termination of such cases is in _+suicidal monomania+, +delusional +insanity+, etc._ In that variety of the cerebral form in which a +decided predisposition must be admitted to exist, to disorder of the +intellectual faculties, there are found various forms of mental +alienation. The +chronic form+ is the most common, which corresponds +to the _+melancholia+ of +Pinel+, or the +lypemania+ of +Esquirol+, +terminating in +dementia+._ Several of the most characteristic cases +which have happened under my observation correspond to the _+delusional +insanity+ of +Bucknill and Tuke+_."--[Manual of Psychological Medicine, +Phila. ed., p. 103.] + + +INSANITY FROM SPERMATORRHOEA. + +Many writers are disposed to underrate the importance of this tendency +in spermatorrhoea. The statistics of any of our large insane asylums +will illustrate the influence of masturbation in the production of +insanity. Mr. Holmes Coote, in a discussion which followed Dr. +Drysdale's paper on the "Medical Aspects of Prostitution," read before +the Harveian Society of London, remarked that "he still entertained the +opinion that there were no worse evils appertaining to human weakness +than this. He had opportunities of witnessing the fact that among the +young there was no cause of insanity more common than indulging in +habits which he would not further particularize, but which were known to +result in the most complete bodily and mental prostration."--[British +Medical Journal, Feb. 17, 1866.] + +Dr. John P. Gray, the distinguished Superintendent of the State Asylum +at Utica, New York (Twenty-Fourth Annual Report, 1867), thus speaks of +the +influence of masturbation+ in the production of +insanity+: "The +records of this institution show five hundred and twenty-one cases +admitted directly attributable to this vice, and I am well convinced +that the number is greatly understated." + +We might add confirmatory testimony from a variety of sources, but the +foregoing is sufficient for our purpose. + +IMPORTANT.--_Peculiar, numb, dead, aching, or tingling sensations in +the hands, arms, legs or feet, and headache and specks before the eyes +on stooping or reading; also sleeplessness, too sound sleep, and +apprehensive dreams should be watched for, and the moment they appear +danger from Paralysis or Insanity is to be apprehended and proper +treatment at once taken. These symptoms may mean nothing in some cases, +but they are terrible harbingers of ill in others._ + + +A CASE OF INSANITY FROM SELF-ABUSE.--(_Fig. 4._) + +The following case, taken _verbatim_ from the Care Book of the Insane +Asylum at Blackwell's Island, will serve as a _type_ of the many to be +found in every hospital for the insane in this country. (_And a terrible +and noteworthy fact is, that according to the recent annual reports of +these institutions, both in this country and Europe, insanity, idiocy +and dementia from Seminal Losses and Sexual Abuses, are increasing from +year to year._) + + {Illustration: Fig. 4. + Appearance of James McC----, a few weeks before he died. + (See below.)} + +"James McC----, admitted to the Asylum ten days ago. Single, clerk, born +in N.Y. State. Was found on 6th Avenue surrounded by a crowd who were +attracted by his violent and frantic efforts to destroy everything +within his reach. On being arrested and taken to the 29th Precinct +Station House, he was recognized by the Sergeant on duty at the desk +as having been arrested twice before within a week--once for violent +shouting and disturbance in the street, and once for an attempt at +suicide by drowning. As he had attempted his life by hanging the last +time he was locked up, and had afterwards seriously injured himself by +trying to dash his brains out, he was adjudged insane, and a watch set +on him all night. In the morning, when taken before the magistrate, he +was violent and abusive, using the most frightfully obscene and profane +language. There he was held for examination and sent to Bellevue in a +"straight-jacket," which was found to be necessary in order to control +him. From the padded cell there he was sent here. + +"Upon examination he is found to be suffering from acute mania, +alternating with periods of intense melancholia in which he invariably +attempts to take his own life. His language when excited exceeds in +obscenity anything ever heard. During the intervals of quiet he is +constantly practicing the vile habit which has undoubtedly been the +cause of his insanity. He has lost all sense of shame and continues to +practice before visitors, attendants and physicians. He makes no effort +to go to the water-closet, and his clothes and cell are in a filthy and +disgusting state. Ever since admission he has refused all food, and it +has been necessary to feed him with a stomach pump. He is losing flesh +and strength every day, and is fast wasting away. + +"From his relatives who have twice called to see him it was learned +that his mental trouble came on very suddenly, although his memory and +faculties have been failing for some time past. They say that he +complained of sleeplessness, numbness and tingling sensations in the +arms and legs, headache, and a peculiar itching of the skin, for months +before any distinct symptoms of insanity appeared. They attribute it all +to self-abuse, which he has admitted practicing from an early age. + +"AUGUST 28th.--Is now paralyzed in both lower limbs. Still violent. + +"SEPT. 3d.--Died this morning about 1 A.M. Is so emaciated that he is +little more than skin and bones. _Rigor mortis_ entirely absent. Shortly +after death the skin of the whole body changed to a dark chocolate hue." + +Truth is often stranger than fiction. What end more terrible than this! + + + + +_CHAPTER IV._ + +SPERMATORRHOEA, OR LOST MANHOOD. + + +SYMPTOMS. + +Spermatorrhoea may be conveniently divided into three stages. + +FIRST STAGE--IRRITATION, CONGESTION. + +In this stage the sexual organs of the brain and nervous system first +begin to feel the strain of early abuse, overwork, confinement, sexual +excess, or whatever the cause may be in this particular case. + +The Prostate Gland (_j_, _b_, _Fig. 5_) the Seminal Vesicles (_l_, +_Fig. 5_), Cowper's Duct (_n_, _Fig. 5_), the Testicles and Spermatic +Cord (_h_, _f_, _k_, _Fig. 5_), indeed all the sexual apparatus, +including the bulbous sympathetic nerves lying just inside the spine, +from the small of the back down to the end of the organ, become filled +with dark, thick and stagnated blood. The Prostate Gland swells and +becomes enlarged, the Seminal Vesicles become weak, baggy and filled +with a thin, glairy fluid that oozes out into the urine and urine canal +on any little strain, exertion or excitement; especially when, after +being in the presence of the opposite sex, weak, feeble erections +follow. The testicles become flabby and stringy and no longer make +strong, healthy, fecund vital fluid. The constant calls upon them has +exhausted them as also the nerves that gave them life, strength and +vitality. A heavy dragging +weight+ is often felt in the +groin+, +especially after walking or long standing. There is a feeling of ++weakness+ and +exhaustion+ in the parts. Often +strange sensations+ +shoot through the parts, and they are +cold+ and +clammy+ at one time, +while +weak+ and +sweating profusely+ at another. + + {Illustration: Fig. 5. + MALE ORGANS OF GENERATION. + [From Acton's Celebrated Work on "The Reproductive Organs."] + _Side view of Body cut in half lengthways_ showing the course taken + by the +vital fluid+ from the +Testicle+ (where it is made) to the + Seminal Vesicles (where it is stored). The penis is shown cut off at + dotted line _g_. + + As shown here the +vital fluid+ secreted in the minute tubules of the + healthy testicle is gathered into the vas deferens or conveying tube + _k_, which passing through the groin dips behind the bladder _a_ and + empties into the Seminal Vesicles or Storehouse _b_. From here it is + thrown forcibly into the urethra (urine canal) _e_, when needed, and + expelled anteriorly by the ejaculatory muscles of the urethra. To + reach the urethra the Seminal Duct _m_ passes directly through the + body of the Prostate Gland _j_-_b_. Upon the outside of the testicle, + the tube or duct is found twisted and forming a slight bunch, known + as the epididymis, _f_, _g_, _h_. + + It is here that the pressure of a +Varicocele+ is first felt--here + that it succeeds _in cutting off the free upward flow of vital fluid_ + by pressure on these soft branches of the duct, causing +emissions+ + by varying and irregular pressure and +Impotence+ by constant + pressure. When the +Varicocele+ becomes very large, it then destroys + the delicate tubing or the testicle itself.} + +The general nervous system also feels the +strain+ and +drain+. +Memory +and application+, +good judgment+, +decision of character+, and ++clear-sightedness+ are not what they were. +Headaches+ are not +uncommon. +Bashfulness and trepidation+, especially in the presence of +females, is the rule. The person feels +clumsy+, +embarrassed+ and +ill +at ease+. +Sleep+ is sometimes poor, there are occasionally +terrible +dreams+, sometimes +lascivious ones+ accompanied by +emissions+, ++drowsiness+ and a tired, languid feeling in the morning, and a ++disinclination to rise+ and go to work are certain signs of +impending+ +nervous exhaustion. +The eyes are dull and heavy+, often +black-ringed+ +underneath. The pupils of the eyes are unequal--often very +large--sometimes one small and one large. The hands tremble and perspire ++easily+. The person is +absent-minded, melancholy, prone to brood, and +fears the jests+ or ridicule of his companions. The +skin+, especially +of the +face+, sometimes becomes +coarse and red, sometimes is pale and +pasty+ and covered with +blotches or pimples+. There is sometimes +spasm +at the neck of the bladder+, causing +some delay before the urine will +flow freely+. Often it is passed in a +forked or twisted stream+, +plainly showing the presence of either organic or spasmodic stricture. ++Twitching of the muscles of the eyelid, face and limbs+ is often +present, accompanied sometimes by +creeping sensations up the spine+, ++flushings of the face+, +chills+ (slight), +dizziness and black spots +before the eyes+ on stooping over and occasionally by neuralgic pains in +the +head+ and about the heart. If unchecked, or if the baneful habit is +still persisted in, the symptoms of the First Stage merge rapidly into +those of the + + +SECOND STAGE.--CONGESTION AND INFLAMMATION. + +Here all the symptoms of the foregoing stage are usually present, only +somewhat more intensified. The +congestion+ and +irritation+ are +more +decided+, the +weakness+ more marked, the +nervous prostration+ more +decided. Any, many, or all of the following symptoms may be present, +according to the degree of severity or the rapidity of the disease: + ++Emissions+ (day or night), +Oozing of a glairy fluid+ under excitement +and imaginings, presence of the opposite sex, etc., +Partial+ and ++Imperfect Erections, Desire to Masturbate+, Formation of +Evil Pictures +in the Mind+, +Flushing and Chilliness+, +Stupidity and Tendency to +Doze or Sleep+, +Mental Hebetude+, +Failing Memory+, +Lack of Power +of Application, Energy or Concentration+, +Restlessness+, +Pain and +Smarting+ in passing urine, +Wetting the Bed+, +Pain in the Kidneys+, ++Headache+, +Pimples+ on the face or body, +Itching or peculiar +sensations+ about the scrotum (bag), thighs, legs, anus, etc., +Wasting+ +of the +Organs+, +Stringiness and Softening+ of the +Testicles+, ++Dyspepsia+, +Sluggish Bowels+, +Torpid Liver+, +Failing Sight+, +Pains +in the Head+ (front, top and back), Chest, Limbs, etc., Sensation of the ++Bowels Falling Out+, +Dizziness+ on stooping over or kneeling, +Specks+ +before the +Eyes+, +Erotic Dreams+, +Melancholy+ (developing sometimes +into +Insanity+), +Numbness+ of arms, hands, feet or legs (precursors of ++Paralysis+), +Twitchings+ of the muscles of the eyelids and elsewhere +(sometimes ending in +Epileptic Fits+ or +St. Vitus' Dance+), ++Timidity+, +Diabetes+ and +Deposits+ in the +Urine+, +Troubled +Breathing+, +Indecision+, +Loss of Will Power+, +Bashfulness+, +Burning+ +of the face, +Coldness+ and +Clamminess+ of the feet and hands, also of +the +Scrotum+ (or bag), +Palpitation+ of the heart, +Early Loss of fluid +during connection+, +Feelings of Gloom, Despondency, Hopelessness+ of a +cure, or fear of impending danger or +misfortune+, +Tenderness of the +Scalp+ and +Spine+, +Dryness+ and +Itching of the skin+, +Sudden +Sweating+, +Sudden Nervous Trembling+, +Noises+ and +Reports+ in the +ears and brain, +Weight+ on the brain, +Weak+ and +Flabby Muscles+, +easily tired after slight exertion, +Desire to Sleep late+ in the +mornings and +failure to be rested+ by sleep, +Weakness+ and +Torpor+ +the day after a nightly emission has occurred, the +Oozing of thick +white fluid+ from the urethra when +constipated+ or +straining at +stool+, +Varicocele+, etc., etc. + + +WEAKNESS AND WASTING OF THE ORGANS. + +As a rule the +organs waste away+ rapidly or become +curved, twisted, or +misshapen+. Oftentimes the testicles +dwindle away+ to almost nothing. ++Settled gloom+ and +melancholy+ pervade the mind, and +hallucinations+, ++morbid fear+, +unnatural lust+, +groundless jealousy+ and a +morbid +desire for solitude+ show themselves. Undoubtedly the list of promotive +causes is considerably augmented by maltreatment and the employment of +injudicious remedies. We should therefore suggest to all prudent persons +the wisdom and importance of consulting _competent authority_ only. +Self-enervation in the first instance brings about that irritability +which evinces itself in +nocturnal discharges+, afterwards in +inappreciable but exhaustive +diurnal discharges+, and subsequently in +complete debility of the whole generative system. This seminal fluid, +such indeed as it is--weak, effete and devoid of all generative +power--is undoubtedly the fluid which the organs suffer to escape; and +to prevent further its flow, as well as to give a healthy tone to the +secretory and retentive vessels ought to form our first care. + + +COUGH, CONSUMPTION AND GENERAL DEBILITY AND PROSTRATION. + +It is a curious pathological fact, that during the progress of +Spermatorrhoea, difficulty of breathing, cough, and tightness of the +chest, arising in many constitutions from the seminal disorder, have +sometimes been actually mistaken for pulmonary consumption. The cough +is often distressing, occasionally attended by an expectoration of an +offensive kind. There is no doubt that many have been maltreated for +consumption when Spermatorrhoea was the real malady. That the latter +leads to the former is certain enough, but the stages and connections of +the respective diseases have been grossly misunderstood by practitioners +who have not had sufficient personal acquaintance with the indications +of Spermatorrhoea. + +Remember that these continued seminal discharges of an involuntary +character disorder every function of the animal economy, and it may +be added that while Spermatorrhoea produces so many ruinous effects +peculiar to itself, it aggravates and excites any other disease which +may co-exist with it. + +The +features+ become +pale, emaciated and haggard+. The +eyes are dead, +sunken+ and lustreless, and in many cases hold in their depths +a look +of wild, unsettled fear that denotes rapidly approaching insanity+. The ++bowels+ become +sluggish+, the +appetite capricious+, the +muscles +weak+, the +urine pale+ and with +a heavy sediment of semen+ that +drains away in it almost constantly. +Emissions+ at night becoming more +frequent and copious--sometimes bloody--although the fluid secreted +by the wasted testicles is +scarcely stronger than water+. +Sexual +incapacity shows itself.+ +Ejaculation+ is either +too quick+ or else +very +long delayed+. The +skin+ becomes dry and sallow, the +liver +congested and sluggish+. +The heart beats irregularly+, and any sudden +sound, movement or fright sets it to beating violently. +Shortness of +breath+ is complained of. +The brain becomes weaker and more sluggish +day by day.+ + + {Illustration: Fig. 6. + DIAGRAMMATIC REPRESENTATIONS OF THE TESTICLES, DUCTS, &c. + Showing where the vital fluid is made and stored and how, and by + what means it passes from the +Testes+ (where it is made) to the + +Vesicles+ (where it is stored). The heavy black marks on either + side of the urine channel, show the relative position of the + ejaculatory muscles.} + +He generally loses flesh, and feels uneasiness in his stomach which +suffers from many of the symptoms accompanying dyspepsia. He is easily +startled; the slamming of a door, the firing of a cracker, the falling +of a book, a sudden touch, or even speaking to him unexpectedly, will +cause him to start. Cowardice is a sure consequence of Self-Abuse and +involuntary emissions. The appetite is irregular, often poor, sometimes +voracious; the bowels are also variable in their action. The prostatic +portion of the urethra is frequently irritable and sometimes is very +much +inflamed+; oftentimes there is a +thickening, a sponginess or +puffiness+ of the parts immediately involving the ejaculatory ducts. +The mucous membrane of the vesiculae seminales becomes inflamed and +thickened. The +testicles+ and the +spermatic cord+ are oftentimes +very tender and the seminal fluid is much thinner than natural. Such a +Patient has generally +dark spots under his eyes+, +a sharp nose+, and +often +flushes of hectic color+ in his cheeks, particularly when in the +presence of company, and there is more or less palpitation of the heart. +In the second stage, as in the first, the pollutions are diurnal and +nocturnal; the latter are copious and recur frequently. So insensible +is the passage of semen that the patient is usually astonished and +horrified on waking to find himself and +bedclothes saturated+ with this +fluid, which is easily absorbed by the clothes, and rapidly dries up, +because it has become thin, watery and effete. In addition to this +loss he is subject to one equally great on almost every occasion +of +urinating+ and +defecating+. This also takes place without any +consciousness on his part, and his only knowledge of the fact is from +the alarming weakness he experiences after passing water or going to +stool. Distraction or absence of mind renders the judgment unfit for any +extensive enterprise. + +The sexual powers are greatly weakened; the overtaxed organs refuse to +fulfill their legitimate task; their susceptibility and irritability are +so great that the power of retention is lost, and the seminal fluid is +discharged prematurely. + +The generative organs are wasted and inactive, or so weakened as to +secrete but a ropy, thin and glairy fluid, having few or none of the +characteristics of Vital Fluid. Should the individual suffering this +way--and either careless or unfortunate enough to go uncured--have +offspring, they will assuredly be puny in body and weakly in mind, and +will lead a miserable existence through the neglect and indiscretion of +their parent. + + +THIRD STAGE.--STAGNATION AND WASTING. + +This stage is an aggravation of the two preceding stages combined. + +The emissions are accompanied and followed by a disagreeable and +disgusting sensation of shame and misery. The mind is absorbed as much +as can be by the one idea of its wretched situation, and the sufferer is +haunted by the thought that his condition and its cause are known to the +whole world, and that he is pitied or scorned by every person he meets. +He is hypochondriacal, and fearful suggestions of self-destruction ever +and anon present themselves. + +The power of mental concentration is entirely gone and the memory is +so feeble that the patient continually forgets what he begins to say. +The dimness of vision is continual and so great as to be a material +annoyance; the eyes are wandering or fixed upon the ground, seldom +venturing to meet the gaze of another. The +ringing in the ears+, +pains +in the head and over the eyes+ are almost perpetual and frequently +accompanied by partial deafness. +The heart is the seat of pain+, ++fluttering+ and +throbbing+ with +violent and long-continued +palpitation+, his hands shake, his limbs tremble, his knees are weak, so +much so that at times it is almost impossible for him to walk erect. He +experiences an insatiable desire for sleep, and yet upon retiring he +lies awake for hours, tormented by his troubled reflections, and at last +falls into an uneasy slumber, of short duration, disturbed by wretched +dreams. + ++Hard, red pimples+ frequently appear on the face, forehead and body, ++scaly patches+ round the +ears, eyes, nose and lips+, a +black or +bluish semi-circle+ shows itself under the +eyes+, and there is a hollow +mark from the corner of the eye in a slanting direction under the +cheekbone to the angle of the mouth, which tells its tale. The +skin is +livid and clammy+ and the digestion is bad. The patient is tormented +with +flatulency+, which he cannot always control and which he justly +dreads, as it renders him an object of +disgust+ to all in his presence. +The bowels are generally +constipated+, obliging him to strain much at +stool, thus aggravating the irritation of the prostate gland vesiculae +seminales and increasing the +seminal losses+. + +The bladder is irritable and will retain the urine but a short time; the +ureters and kidneys are also inflamed and in post-mortem examinations +are sometimes found to contain +abscesses+; they are the seat of much +pain when pressure is made over the intervertebral spaces of the dorsal +and lumbar vertebrae or backbone. The vesiculae seminales have +been +indurated+ and can be felt to be +knotty+ and +hard+. The spinal marrow +is very sensitive throughout its whole extent; the cerebellum is the +seat of a +dull+ and +heavy pain+, and there is a feeling of pressure +upon the brain. Cerebral congestion now and then occurs. This stage of +the disease is frequently accompanied by +Bronchitis+ or a continued ++Catarrh+, also by disease of the +rectum+ and all the +tissues near +the generative organs+. + +It is hardly necessary to say that the functions of the nervous system +are completely deranged, indeed, +nervous twitchings+ of the +eyelids+, ++head+ and +limbs+ are the consequences of +Spermatorrhoea+. He is +finally either hurried to a premature grave by consumption, epilepsy or +apoplexy; or insanity, taking the hopeless form of dementia, has removed +him from his home to the madhouse. + +It is safe to say that of all the cases of incurable insanity, a large +majority are caused by Spermatorrhoea. + +Many, owing to +sheer neglect+ or to +false notions of delicacy+, delay +seeking for proper medical relief until they are almost destroyed, and +body and mind are nearly in ruins. + +Pitiable the picture of one who has +reached+ this stage of the disease. +The organs are still congested but +irritability+ has given away to ++torpor+ and +sluggishness+. Semen drains away by day and night without +provocation, these constant losses dragging the person to the very ++brink of the grave+, or +standing him+ within that +melancholy shade+ +where +suicide+, +insanity+ or +idiocy+ almost certainly stares him in +the face. The organs are wasted almost totally away. All +strength+, ++vitality+, +erectile+ and +procreative power+ have left them, and the +victim is at last totally +impotent+. Of no use to themselves, a curse +to their freinds, a disgrace to society, they sink from sight into an +early grave or are lost to the world behind asylum doors. It is a sad +and terrible picture, but true--too true--to life. + +The tendency of Nature in most disorders is towards cure, but +here it +is towards deterioration+. There is no chance here of the evil "wearing +itself out" save in madness and death on the one hand, and on the other +by the salutary intervention of the most +vigorous+, +cautious+ and ++enlightened treatment+, a treatment pursued in the +full light+ of the +aids afforded by the great discoveries in physiological science for +which the present age is happily distinguished. Fortunately for +humanity, by the aid of Chemistry, as well as Medical Science, it has +been reserved for us to present to the public the +Civiale Remedies+, +which have proved themselves undeniable blessings to thousands, +restoring with unerring power those suffering from this hitherto +baffling complaint. + + +LESS SEVERE CASES. + +There are cases where the effects of early abuse are neither so +rapid nor so severe. In many instances the persons, to all outward +appearances, are strong and robust. They only complain of certain sexual +symptoms that trouble them. But let them beware. Appearances are very +deceitful. Let a sudden fit of illness supervene and see how quickly +these apparently healthy men succumb and are swept away by it. Then, +too, in many of these cases, he who to-day may seem strong and healthy, +with the exception of his sexual weakness, may suddenly develop most +grave nervous symptoms, and in less than a month be beneath the sod or +hopelessly insane. Such cases have occurred, and one particular instance +even as we write presents itself to our mind. Poor fellow, he died a +raving maniac the very night he was to have been married to one of the +most charming young ladies in New Haven. And yet he thought he was +perfectly healthy. He only learned his true condition too late for +human aid. + + +HIDDEN SPERMATORRHOEA. + +In many cases the seminal ducts have become so weak and relaxed that +the fluid passes off involuntarily with the water and is not perceived; +also when straining at stool and when you have an erection. To test its +escape in the urine, pass off your water in a clear glass pint bottle +and let it stand twenty-four hours in a warm place; then hold up the +bottle between yourself and the light, and if you discover a sediment +of a +white, fleecy+ nature, resembling cotton, in the bottom, you are +suffering from +hidden spermatorrhoea+, from which all your present +ailments come. Where this fluid passes off with the urine, it is just as +injurious to the system as full emissions, as it is a continual drain +day after day, as well as taking that part of the vitality which goes +to supply the brain and nerves. Many patients afflicted in this way +will notice, shortly after urinating, a +dull pain+ in the forehead, +sometimes extending to the +eye-balls+, causing, as well, a feeling of ++general debility+, as if they had no strength or will to do anything. +If this weakness is allowed to go on unchecked, the mind will become +diseased, the eye-sight will be impaired, and the vital forces +consumed--thereby causing +partial and complete impotency+. Should you +desire greater certainty in testing, either send on a sample of your +urine, or test it with our powder. + +The characteristic symptoms of partial impotency are: an imperfect +erection, or, if the erection is sufficiently vigorous, it is of too +short a duration, and the vital fluid is discharged prematurely. + +The erector muscles become paralyzed, and the organ remains inactive at +the call of the will. + +The person thus afflicted is greatly embarrassed and mortified at his +paralytic condition. That buoyancy of spirit is gone; the snap, vim and +vigor that once held sway has departed--and why? Because that great +motive power (amativeness) that gives the push and go-aheaditiveness is +checked, or rather, ceases to act. + + +THE CURABILITY OF SPERMATORRHOEA AND IMPOTENCY. + +Having before us the records of some three thousand cases, grave, simple +and severe, that have come under our treatment in this country, as well +as the printed copies of the +French Hospital Reports+, and +Civiale's +Works+, in which he minutely reviews all phases of this complaint, +illustrating them with cases from his own practice, we feel justified +in assuring our readers that almost any case can be cured, provided ++thoroughness+ is the maxim of treatment. + +The method of Profs. +Jean Civiale+ and +Lallemand+, as now perfected +and extended by us, and so justly named after +Civiale+, stands +unrivaled in its +success+ as well as its +simplicity+ and ++reasonableness+. To all such as suffer from this harassing complaint +we commend, first, a careful reading of the history of this discovery +and the eminent medical men and hospitals that endorse it; and, second, +a fair trial of these remedies, no matter how +hopeless+, +despondent+ +and +despairing+ you may be. (See page 55.) + +Although the advertising and spreading, and the ringing to full +perfection of this treatment is really due to us and our physicians, +still we feel in duty bound to always keep in view the two great French +surgeons who first discovered the method of +intra-urethral medication+. + + + + +_CHAPTER V._ + +IMPOTENCY OR LOST POWER. + + +Scarcely a day passes that we do not have some patient inquiring +"What +is Impotence?"+--+"Are Impotence and Spermatorrhoea the same Disease?"+ + ++Impotency+ (from the Latin words _im_ [not] and _potens_ [to be able] +means a condition of the Sexual Organs in which a man is not able to +beget his species. It may be because he has lost his erectile power (and +this is how it is most commonly understood), or because he has lost all +desire, or lastly, because the +vital fluid+ has become so +weakened+ +and +degenerated+ as to have lost its +procreative power+. + +Impotence is most common in men past middle age. It may come on as _the +second or third stage of Spermatorrhoea_, or it may develop slowly or +suddenly _without any symptoms of Spermatorrhoea_. It may be accompanied +by various +nervous+ and +exhausting+ symptoms, or these may be _wholly +absent_. If vital fluid is being lost, and the Impotence is due to the +weakness thus caused, +nervous exhaustion+ is sure to come sooner or +later. + +Impotence and Spermatorrhoea may exist together in the same person. + +Many impotent men have no other bad symptoms than simply this failure of +the +sexual organs+ to respond when called upon. The trouble in these +cases usually lies in the erectile muscles, which are +weakened+ or ++paralysed+, and in the +nervous bulbs+ or +ganglia+, that are blunted +or exhausted. + +A perfectly healthy man should be able to beget his species until he is ++at least+ 80 years of age. Instances of such power at the age of 97 are +on record. In these days of +exhaustion+, +early decay+, +excesses+ and ++abuse+, most men begin to lose their power at or before 40. This is not +right, and can +certainly+ be remedied by proper treatment. + + +IMPOTENCY, COMPLICATED WITH BLADDER OR PROSTATE DISEASE. + +In such cases the Prostate Gland is usually congested, enlarged and +irritated, and needs prompt and thorough treatment. (See page 26.) The +tone of the nervous system is also lowered, even though it may not be +apparent to the individual himself. Hence, some good, strong, special, +general and sexual tonic, such as +Civiale's Tonic Regulator+ (see page +30) is needed, as is shown by the rapid improvement that follows its +use, especially when combined with effective measures for strengthening +the +erectile muscles+, invigorating the +Sexual Nerve Ganglia+, and +reducing the +Prostatic congestion+. Some of the most remarkable cases +of the thorough cure of Impotence and restoration to full sexual vigor +that appear in the 53d Volume of the French Hospital Reports, were in +men +past 60 years of age+. + + +IMPOTENCY AND WASTING OF THE ORGANS. + +In many of these cases of impotence (as well as of Spermatorrhoea) +the organs were either small and puny from birth or had wasted away as +the disease progressed--just as a paralyzed arm or leg will waste away +from want of use and exercise. Such cases, as also those where there is +twisting or curving of the organ, need thorough developmental treatment. +Such organs can be readily developed under proper treatment, just as the +breast or a limb may be developed and increased in +size, strength and +power+ by the use of the proper treatment. Those who have not kept pace +with the advances of medical science abroad can scarcely realize how +great her strides have been. To-day it is easy (especially in Sexual, +Seminal and Urinary diseases) to do what ten years ago the majority of +physicians deemed impossible, and to +Lallemand+ and +Civiale+ belong +the highest meed of praise for their unremitting labors in bringing +this branch of medical science to its present state of comparative +perfection. As an illustration we can cite case after case that has been +sent us by physicians in good standing as utterly beyond their skill, +and we have returned their patients to them in a few months' time fully +and +perfectly restored to sexual strength+ and +vigor+ as they, +themselves, were obliged to admit. + + +IMPOTENCY AT ANY AGE IS CURABLE. + +Do not despair then, reader, if you are thus afflicted and have made +several trials and failed to find +health+ and +vigor+. The +Civiale +Remedies+, while not infallible, have certainly done wonders for many +so-called "+hopeless cases+," and we doubt not that you, too, can be +perfectly restored. Submit your conditions and symptoms to our Board of +Consulting Physicians, and at least get their opinion upon it. Certain +it is that these remedies, brought to light by the eminent French +savant, Professor in the greatest medical college in France, and adopted +and endorsed by all the large Parisian hospitals and most eminent French +physicians, +cannot possibly hurt you+, and +more than likely will cure +you+. + + + + +_CHAPTER VI._ + +BLADDER, KIDNEY, PROSTATIC AND URINARY DISEASES. + + +Congestions, irritation and even inflammation of the Urinary Organs +often occur in men, either alone or as a complication of Seminal Disease +and Weakness. The Seminal Vesicles lie just behind the bladder, while +the Seminal Ducts pass through the body of the +Prostate Gland+, and +open into the urethra (or urine channel) upon its surface (see Fig. 5). +Hence, any inflammation or congestion of this large gland that lies at +the root of the organ and neck of the bladder, is almost certain to +produce +Seminal Weakness+, +Losses+ and +Impotence+. + +It will be noticed that men past 50 years of age are often forced to +rise in the night once or oftener to make water. This, and the delay +that sometimes occurs before the stream will start, are usually due to +enlarged +Prostate Gland+--a common condition in men past 50. Many and +many a man at this age finds his +sexual power declining+ and cannot +understand it--+Enlarged Prostate Gland+. + +As the gland enlarges and becomes stiff and its tissues hardened and +brawny, it presses upon and deprives the Sexual Nerves of power and +sometimes paralyzes them, causing total Impotency. How useless--worse +than useless, even hurtful--are the usual remedies. The Prostate Gland +must be softened, cooled and +robbed+ of its +inflammation+ before +Anti-Impotency remedies can be of the slightest service. And here it +is where the great success of the +Civiale Crayons+ is best shown: ++The Prostatic Crayons melt, run down upon, soothe, quiet and allay +the inflammatory and hardened gland+, while the +Impotence Crayons+ are ++re-toning+, +strengthening+ and +re-vitalizing+ the Sexual Nerves, and +strengthening the +erectile+ and +ejaculatory+ muscles. Perfect cure and +perfect restoration are possible if +proper+ means are +properly+ +applied. + +Spermatorrhoea likewise is both caused and complicated by +Prostatic+ +and +Urinary+ inflammation. The Sexual Nerves are involved and weakened +in the same manner as in Impotency, while, in addition the hardened +substance of the Prostate Gland keeps the mouths of the Seminal Ducts +open, and the +vital fluid+ runs away into the +urethra+ to be swept out +with the urine, without let or hindrance. Soon this loss tells, not only +upon the brain and nerves and general health, but upon the testicles +where this fluid is made. So much is wasted that these two glands, work +as they may, cannot supply a sufficiency of good, healthy fluid, and +meet the difficulty by making a thin, watery infertile fluid that would +flow away even if the mouths of the ducts were healthy. They do this at +the cost of a terrible strain upon the whole system--they strain and +injure themselves and grow +weak and flabby+ and finally +wasted+--often +rupture small vessels in their substance, thus yielding +bloody or black +seminal fluid+. + + +The _CAUSES_ of Prostatitis or Prostatorrhoea are many and diverse. +The most prominent are: + +_Gonorrhoea or Gleet_, running backward and settling in the gland or +neck of the bladder; + +_Stricture_, deep in the canal, causing congestion and inflammation; + +_Masturbation_, by keeping the gland excited, congested and irritated, +often causes it; + +_Exposure to cold and wet_, especially sitting on a cold door-step or +damp seat; + +_Blows and Injuries_ of any kind; + +_Strong Injections_, and rough jabbing with steel sounds or rough +bougies; + +_Eating Hot Condiments_, or too free indulgence in alcoholic beverages. + + +VARIOUS COMPLICATIONS. + +If the inflammation extends to the neck of the +bladder+, he has an +attack of +cystitis+. If it goes down along the seminal ducts, it +produces +swelled testicle+, +clogged duct+, +chronic enlargement+, ++cancer+, +cysts+ and hopeless wasting of the +testicles+. If it extends +up the +ureters+, it causes +Bright's Disease+, +abscess+ of the ++kidneys+, or +lumbar fistula+. If it runs forward along the urine +canal, it produces so-called +gleet+. If it settles in the +prostate +gland+ and becomes chronic, it may cause +abscess of the gland+, ++retention of the urine+, and certainly either or both +Spermatorrhoea+ +or +Impotency+. + +It may thus be seen how exceedingly dangerous a disease this ++Prostatitis+ is, and how very important it becomes to check it at +the earliest possible moment. + +SYMPTOMS.--We have space for but the most prominent and frequent ones: +a +dull, aching, dragging+ or +throbbing pain+ between the legs, made +worse by +standing, walking, jolting+, &c., and sometimes relieved by +hard pressure, or lying down with one's feet higher than their head; +pain, burning or smarting on passing urine; +twisting+ of the stream; +the oozing of a thin, glairy fluid; +sticking+ together of the lips of +the mouth of the urinal canal; +soreness, aching or tenderness+ of one +or both +testicles+; dull pain or ache in +the small of the back+ or ++buttocks+; +dizziness, sudden fits of exhaustion, convulsions, coma +and death+. A +microscopical examination+ of the urine will reveal the +nature of the difficulty in a moment. There also will be found evidences +of great +nervous wear and tear, and seminal losses+, more or less +constant. + + {Illustration: L'ECOLE DE MEDICINE, PARIS. + The most celebrated Medical College in France, in which both + +Civiale+ and +Lallemand+ were Professors.} + + +GLEET AND STRICTURE AS A CAUSE OF SPERMATORRHOEA AND IMPOTENCY. + +These two diseases are probably less understood than almost any other +equally common. It is safe to say that at least one man out of every +ten has, has had, or will have one or both. Neglected gleet often causes +stricture; neglected or improperly treated stricture often causes and +keeps up a gleet. + +Another set of statements, equally sweeping and based upon the best of +medical evidence, may be made, _i.e._, more cases of gleet and stricture +are caused by Self-Abuse (masturbation, Onanism), and sexual excesses +than by gonorrhoea--formerly and ignorantly supposed to be about the +only cause. + +Furthermore, the main cause of both Spermatorrhoea and Impotence is +Stricture (whether caused by self-abuse, gonorrhoea [clap], or any other +excess). It was this very important point that +Lallemand+ guessed at, +and that +Civiale+ definitely ascertained to be a fact--proved it by +examinations of both living and dead subjects, and demonstrated it +before the eyes of every member of the French Academy of Medicine, +the most learned body of medical men in the world. Upon this discovery +is based the now world-famed +Urethral Crayon Treatment+. It +cures--absolutely, thoroughly and +Permanently+ cures--because it is +based on truth; because the proper remedies are placed upon the very +seat and fountain-head of the disease; where quickly and thoroughly it +stamps out the fire (inflammation, from the Latin _in_, and _flamma_, to +burn, to be a-fire) and eradicates the cause, at the same time healing +the abrasions, releasing and invigorating the nerves, cleansing and +unclogging the ducts, strengthening the erectile muscles--in a word +restoring the whole Sexual Apparatus to its natural tone and strength; +not harshly or violently, but gently, kindly, soothingly. Indeed it is a +heavy debt of gratitude the sufferers from Sexual Disease and Weakness +owe to +Professor Jean Civiale+--greatest of all French savants!! + +Were any further proofs necessary, the following facts, the results +of recent experimental investigations by such men as ACTON,{1} BLACK,{2} +GROSS,{3} HAMMOND,{4} BARTHOLOW,{5} DUPUYTREN,{6} ECKHARD,{7} LOVEN,{8} +GALTZ,{9} OLLIVIER,{10} TROUSSEAU,{11} ERB,{12} OTIS,{13} WADE,{14} +SIR EVERARD HOME,{15} LIEGEOIS,{16} TERRILLON,{17} FLEISCHMANN,{18} +BEARD,{19} GRUNFELD,{20} GUYON,{21} ROSENTHAL,{22} LANDON CARTER +GRAY,{23} and many others, could be cited in its favor. + + {Footnote 1: Diseases of the Reproductive Organs, Phila., 1876.} + + {Footnote 2: Renal, Urinary and Reproductive Organs, Phila., 1872.} + + {Footnote 3: Disorders of the Male Sexual Organs, Phila., 1883.} + + {Footnote 4: Impotence in the Male, New York, 1833.} + + {Footnote 5: Spermatorrhoea, Phila., 1880.} + + {Footnote 6: Dictionaire des Sciences, tom. viii, Paris, 1856.} + + {Footnote 7: Beltrage zur anat-uns Phys., Bd. iv. and Bd. vii.} + + {Footnote 8: Arbeiten aus der Phys. Austatt, zu Leipsig, 1866.} + + {Footnote 9: Pflueger's Archlv, Bd. viii.} + + {Footnote 10: Traite des Maladies de la Moelle Epiniere.} + + {Footnote 11: Chu. Med. de l'Hotel-Dieu de Paris.} + + {Footnote 12: Ziemssen's Cycloped., Amer. Edit., 1876.} + + {Footnote 13: Stricture of the Male Urethra.} + + {Footnote 14: Stricture of the Urethra; its Complications and + Effects.} + + {Footnote 15: Practical Observations, &c., &c.} + + {Footnote 16: Medical Circular and Gazette, 1869, page 381.} + + {Footnote 17: Annal. de Dermatol, et Syphiligraph.} + + {Footnote 18: Wiener Med. Presse, 1878.} + + {Footnote 19: Medical Record, 1879, page 184.} + + {Footnote 20: Endoskopische Befunde bei Erkrankungen des + Samenhugels Wein, 1880.} + + {Footnote 21: Bulletin Generales de Therapie, 1867, page 501.} + + {Footnote 22: Wiener Klinik, May, 1880.} + + {Footnote 23: Archives of Medicine, October, 1880, page 191.} + + +STRICTURE THE RESULT OF MASTURBATION, +AND THE CAUSE OF WEAKNESS AND IMPOTENCE. + +In brief it may be stated that +Masturbation+ in early life, and +sexual excesses at a later period, may, and do produce +congestion+, ++inflammation+, +spasm+, +ulceration+, +granulations+, +ulcers+, +and both +spasmodic and organic strictures+ of the urethra; that ++Spermatorrhoea+ and +Impotence+ are due to this condition, and that +the only really rational treatment is that which directly medicates and +heals these parts. This, +Civiale's Soluble Urethral Crayons+ do, better +and quicker than anything else. Prof. GROSS,{24} for instance, says: +"Exclusive of these cases, my notes show that 13 out of every 100 cases +of stricture are due to Onanism;" and OTIS{25} says: "9 per cent. of all +cases are traceable to that practice." REEVES, HENRY SMITH, GOULET, +PHYSIC and LEROY give masturbation as a cause of stricture. BLACK states +a like case leading to sexual incapacity, as a result of the stricture. +WADE says: "In several instances of the kind, +where there had been no +sexual intercourse+, the strictures, which were at the bulb, proved more +than usually refractory from the extreme morbid sensitiveness of the +whole urethral canal." + +Gross goes on to say, that in at least eight out of every ten cases of ++Spermatorrhoea+ or +Impotence+, stricture of the urethra is the cause +of the trouble, whether the stricture is due to gonorrhoea, gleet, etc., +or to +masturbation or excesses+. + + {Footnote 24 _Op cit., page 25._} + + {Footnote 25: _Op cit._} + + +THE CIVIALE PERFECTED AND COMBINED TREATMENT. + +How senseless, then, to endeavor to cure such conditions with stomach +medicines. Still, the CIVIALE method does not wholly discard them. +They have their place and their purpose, and served it well. It was +his practice in many cases to use +Nervines+ and +Tonics+, as well +as +Digestives+ and +Laxatives+, by the stomach, and with excellent +results, for in many of these cases the +digestion was poor+, the +liver +torpid+, the +bowels sluggish+ and +constipated+, and +filled with +wind+, the +appetite capricious+ and +uneven+. +Crayons+ in the urethra +could not wholly cure these symptoms, although they stopped the drain +that originally caused them. Combined with the +Tonic-Regulator+, the +results were prompt and satisfactory. + ++Many patients began to recuperate the moment the inflammation, +stricture, ulceration and accompanying losses of vital fluid were +stopped, and were soon in robust health again+. In others, however, +he found it best, +at the same time that he was healing the diseased+ +urethra, to +clear and invigorate the debilitated nerves and weary +minds, to tone up the stomach and bowels, set the liver gently working, +start the kidneys+ (nearly always congested), +and infuse new life, +strength and vigorous impulses into the whole system by means of his +Tonic-Regulator+, which is a pleasant and most efficacious combination +of +tonics+, +laxatives+ (not purgatives), and +deobstruents+. +Skin, +kidneys, lungs, heart, mind, nerves, stomach, liver and bowels, were +all set to working right+. And, as a consequence, aided by the urethral +remedies, the +losses ceased+, erectile power and +sexual vigor +returned, the step became buoyant and elastic, the mind clear, the +memory retentive, the eyes clear and bright, the lips and cheeks ruddy +with healthful color; the whole system, indeed, renovated, refreshed and +re-invigorated.+ + + + + +_CHAPTER VII._ + +THE DUTIES, RESPONSIBILITIES AND FAILURES +IN AND OF MARRIED LIFE. + + +What more perfect or pleasing picture than that of happy married life. +Yet how little of it we see! How the newspapers dish up to us in strong +words the misery, despair, wretchedness, infidelity and deceit of the +divorce court. How it stares at us from the desolate fireside of friend +and acquaintance; is hinted at or suppressed by the records of the +Coroner's office; leers at us from the sumptuous mansion of the +affluent; lurks in the humble cottage of the mechanic. How sad the +contrast between the home where nestle happiness, love, contentment, +offspring; and the abode of suspicion, deceit, infidelity or barrenness. + +And yet men and women are being married every day, every hour--ay, every +minute. Men and women incompatible physically, mentally, morally--urged +on by lust, cupidity, love; to escape unhappy homes; to hide sad +sins--for a thousand reasons, some good, many bad--are constantly +marrying. + +A man selects a wife less carefully than he would a horse; a woman +yields herself, her life, her happiness, blindly, unreasoningly, to a +man of whom she knows nothing. A man better fitted for the hospital, the +infirmary, or the insane asylum, enters the bonds of wedlock with never +a thought of the consequences; with never a care as to whether he will +wreck his own life and happiness or that of the innocent girl he is +deceiving; with never a heed of the ill-starred, diseased, puny or +idiotic progeny his act may bring into being, a burden to the community, +a curse to himself and a constant reminder of the parent's +foolhardiness--ay, even crime! + +No man who is affected with any form of Sexual or Venereal Disease +should for a single instant even think of +marriage+ until every +trace+ +of his +weakness+ or +disease+ has disappeared. In these days of medical +advance in this special field, there is no excuse for such action. There +are few--very few--cases of Seminal Weakness and Impotency that cannot +now be cured. Of course, here as elsewhere, there are traps and humbugs, +quacks and charlatans, false theories and empty moralizing; but there +is also truth and knowledge, hope and certainty for such as are +sufficiently in earnest to search for them. Prof. Civiale, by his +indomitable perseverance, thorough study and experiment, and final +conclusions and discoveries, has placed the means of a perfect +restoration to full mental, bodily and sexual vigor within the reach of +all, and no man has any right now to enter either blindly or wilfully +into so sacred and important a relationship as marriage, and to lower +and stultify its ends by blighting the happiness of a fair young wife, +exhausting his own vitality in the vain attempt to have offspring, or in +having such as shall be a curse to him through life. + +There are those (let it be hoped they are really honest in their +ignorance) who look upon marriage as the only real cure for Seminal +Weaknesses. Even if it were a fact that the marital relations did +accomplish such a result (and they never do, as bear witness the +thousands who are to-day weak, exhausted, ex-sanguinated, unhappy, +nerveless, hopeless wrecks, who are cursing the ignorant pretenders +who gave this false--this fatal advice); even if such a result was a +certainty, what right has any man to besmirch and soil the purity of a +happy and innocent maiden for such a purpose? By what law of humanity +are woman's hopes and happiness to be hazarded on so fragile a basis, +her bark of life to be launched into a pool of such sickening +bestiality? Such marriages bear and are bearing deadly fruit before our +eyes day by day, in infidelity, abandonment, suicide, insanity, crime +and prostitution--in disease and misery, even to the third and fourth +generation. + + +A SPECIAL SET OF PRE-MARITAL (Before Marriage) REMEDIES. + +No more delicate or wonderful piece of mechanism, no more grandly +conceived and wonderfully perfected bit of God's handicraft is to be +found than the Male and Female Sexual Organs. It is a wonder to those +who have made these parts (with their elastic vessels, cavernous +sinuses, network of nervous ganglia and fibrillae, chain of lymphatics, +periodical ovulation, timed pubescence, and perfected, co-ordinate +functions) a study, that they stand abuse and excess so well; that +the fierce blasts of lust and passion that sear and scorch them and +well-nigh dry up their fountain springs of vitality and fecundity, do +not wholly destroy or hopelessly disarrange their delicate tissues and +functions. + +The first few years of married life, even to a healthy man, are fraught +with dangers he knows nothing of. How much more then is the sufferer +from a present or even a former Seminal Weakness in danger. + +No man, be he ever so healthy, ever so conscious of purity and freedom +from abuse, should enter the marital state without preparing for the +strain naturally to be expected. As the voice, skin, hair, manner and +morals of the youth change at the period of puberty (when the sexual +power is first developed--when he first becomes a man), so does the +system, mental and moral, change when he enters the bonds of matrimony. +If at puberty new diseases are prone to show themselves and old ones to +be outgrown, so at marriage a like change must be at least expected, and +he who blindly or thoughtlessly hazards a leap in the dark is foolish, +or rather foolhardy. + + +A SPECIAL COURSE OF NERVE AND SEXUAL TONICS. + +Especially for the use of young men who have endangered or injured +their sexual power by abuse in early years, and for older men who have +exhausted themselves by later excesses. +Prof. Civiale+ was wont (very +wisely, we know from actual experience) to prescribe, for a few months +before marriage, a +Special Tonic and Strengthening Marital Course of +Remedies+, having three distinct ends in view, viz.: + +(a) The strengthening, toning up and fortifying of the general system, +nerves and brain, against the unusual call soon to be made upon them; + +(b) The strengthening, toning up and fortifying of the Sexual Nerves, +Ducts, Ganglia, Vesicles and Testes, against the strain soon to be +applied to them, and by this and the preceding means putting the +individual in the very best and most favorable condition for the +production of strong, healthy, robust and creditable offspring; and + +(c) The steady and perfect eradication from the system, by every pore +and viaduct, of all poisonous, contagious, venereal or other material +that might in any way endanger the perfectly normal (healthy and +strong) condition of parent or offspring above spoken of. Through early +abuse, excesses, exposure, neglect, carelessness, imperfect sanitary +conditions, wrong methods of living, immoral practices, etc., the blood +and liver are liable, even though the skin be clear and the cheeks rosy, +to harbor some poisonous humors that might be transmitted to the wife or +offspring--poor innocents, too often made to suffer pitiably for the +vices or thoughtlessness of the father. + +Every man about to marry owes this cleansing, purification and +strengthening of the system general and the system sexual, to his wife, +his fellow men and to himself. + + + + +_CHAPTER VIII._ + +THE CIVIALE URETHRAL TREATMENT. + +For the Radical and Lasting Cure of all Diseases of the Sexual and +Urinary Organs. Its Mode of Operation, Application and Advantages. + + +The Civiale Treatment, by means of quickly melting _medicated_ Crayons +that are _easily_ and _painlessly_ inserted into the urethra (or urine +channel), and thus melt and run down over the irritated, inflamed or +strictured parts, the congested Prostate Gland, and into the orifices of +the Seminal Ducts, is the most successful treatment ever brought forward +for these diseases, and it has met with just appreciation, for it has +performed radical cures in some of the most serious and distressing +cases. Some of the advantages may be briefly summed up as follows: + +1. It combines local and direct medication of the diseased parts of +the urethra, seminal ducts and vesicles, as well as of the Generative +Nerves, by means of Urethral Crayons, with judicious invigoration of the +general Digestive, Nervous, Mental and Circulatory Systems, by means of +Stomach Remedies, thus attacking the complaint from all sides. + +2. The Civiale Urethral Crayons are easily introduced, melt rapidly, +medicate the entire canal, never give the slightest pain, never stain +the clothing, are rapid, pleasant and cleanly in their action, could be +used by a child without danger of injury, are perfectly soft and +flexible, and give uniform satisfaction. + +3. They need be used but once, or, at the most, twice daily. + +4. The good results of the treatment are apparent within the first five +or ten days. + +5. Their price is so reasonable as to place them within the reach of +all. + +6. They may be used to cure gleet, stricture and prostatitis, when +complicating Spermatorrhoea or Impotence. + +7. They never decompose or lose their strength. + +8. They are absolutely free from minerals, mercurials, caustics or +irritants. + +9. They will do precisely what and all that is claimed for them. + ++Civiale's+ knowledge of the anatomy, physiology and pathology of the +Genito-Urinary (Sexual and Urinary) organs, especially fitted him to +study and investigate this subject. It did not take him long to perceive +that +Lallemand's+ idea that the deep urethra, where the seminal ducts +open into it, was the real seat of the disease in both +Spermatorrhoea+ +and +Impotence+, was the true and correct one, and therefore, that any +plan of treatment, to be successful, must look to allaying and healing +the inflammation, congestion or ulceration of the urethra at the neck of +the bladder, and stopping the losses. + +He reasoned that when the inflammation, irritation and spasm of these +parts, and of the seminal ducts, was relieved, the drain of the vital +fluid would cease, the dilated mouths of the ducts contract, the vital +fluid become thicker and healthier, the organs increase to natural size, +and the distressing nervous symptoms, oftentimes dangerous to life or +reason, cease to trouble the patient. + + {Illustration: Fig. 7. + Exact Size and Shape of a +Civiale Soluble Urethral Crayon+. + (Inserted into canal of organ.)} + +These Crayons shown here are small, soft, smooth, perfectly flexible, +and dissolve as soon as they are pushed into the urethral canal, thus +bringing the remedies directly in contact with the ulcerated and eroded +parts, it even running down the ducts into the seminal vesicles +themselves. + +The growth, vigor and future prosperity of every nation depend upon the +strength and energy of its young men, and if the places of the robust +and healthy are to be filled by effeminate, weakened, nervous and +physically drained youths, such as the terrible vice of masturbation +is yearly giving us, the results cannot be other than disastrous. The +advice, warning and guidance of parents and guardians must be looked to +for prevention; the method and remedies of +Lallemand+ and +Civiale+ for +a cure. + + +A GUARANTEED ASSURANCE. + +There are some persons who, from having used various forms of medicated +bougies--having had sounds, catheters and bougies roughly passed upon +them by unskillful persons--or merely from an indistinct belief, based +upon hearsay or tradition, feel some hesitancy about passing anything +into the organ for fear that it may do harm, cause pain, or give rise to +stricture. + +The majority of these timid people have got this idea from hearing +it said that stricture and inflammation have often been caused by +gonorrhoea (clap) injections, and they therefore have the idea that +anything put into the urethra will do harm. There is not the slightest +doubt but that strong injections of nitrate of silver, zinc, copper, +carbolic acid and the like (of which these injections are usually made) +have, in many instances, caused severe inflammation and, eventually, +stricture. + +But that is no reason why proper and absolutely unirritating and bland +medicines, such as those in the +Civiale Crayons+, should do this--and +they don't do it. Make up a strong injection of zinc, copper, &c., and +take a swallow of it. It will burn and pain your mouth and throat, make +you hoarse, and for days afterward you will find it painful to swallow. +Put a troche or lozenge, properly medicated for the purpose, into your +mouth, and, instead of causing pain, irritation and difficulty in +swallowing, it will relieve these symptoms if they exist, cool and calm +the membrane, soothe the irritation, and give tone and strength to the +vocal chords. + +So it is with the CIVIALE SOLUBLE CRAYONS. + +(1.) They are wholly unlike any caustic, metallic or irritating +injection. + +(2.) They do not contain a grain of any mineral, caustic or irritant of +any kind. + +(3.) Their ingredients are purely vegetable. + +(4.) They soothe, calm and allay irritation, and give strength and tone +to the mucous membrane, Seminal Ducts, Generative Nerves and Prostate +Gland. + +(5.) They do not cause stricture, but they cure it if it exists. + +(6.) Allow one to dissolve in the mouth, eye, ear, nose, or, in fact +anywhere. and they will be found to possess only soothing and healing +properties. + +(7.) They can be inserted into the penis without the slightest trouble, +and, melting rapidly and easily, flow down in a bland, soothing, healing +and strength and life-giving stream, over the diseased parts. + +These Crayons have been in constant use in Paris for the past 25 +years, and have never yet, and never will, cause the slightest pain or +irritation. Patients may rest assured, therefore, that in using these +standard French Remedies they are absolutely protected, and need not +feel the slightest degree of fear. Indeed, so well established is this +fact that we are willing to pay $1,000 (one thousand dollars) to any +person or persons who can cite a single instance when the Civiale +Crayons have ever done the slightest harm. + +The disease is in the Urethra or Urine Channel, whether it be +Spermatorrhoe, Impotence, Prostatitis or gleet, and in order to effect +a lasting cure, the remedies must be applied directly to the diseased +membrane. In nine cases out of ten, Spasmodic Stricture already exists +and must be cured before the person can get well, and the only way to +cure it is to apply the medicines directly to it. + +It would be as silly for a man with an ulcer on his leg, or a crushed +finger, to expect to cure it by taking drugs by the stomach and not +applying proper lotions and salves directly to it, as to try to cure +seminal disease or weakness without going right to the spot, as can be +done by the use of the elegant and harmless Crayons of Civiale. + +It was by establishing the fact of local disease and a local remedy +clearly and distinctly, upon both physiological and pathological +grounds and data, that +Lallemand+ and +Civiale+ gained such world-wide +reputation. And it was the discovery of not only the proper remedies, +but an elegant and perfect means of applying them directly to the very +seat and root of the disease, that has made the Civiale Method so justly +famous, and has crowned its use with such undoubted success in this +country, even in cases where every other plan and agent had failed. + + +A REASONABLE AND HONEST GUARANTEE. + +We feel no hesitation whatever in guaranteeing a perfect and permanent +cure of Spermatorrhoea, Impotence, Debility, &c., &c., in any case +wherein our Medical Director decides that a cure is possible by any +means, if the patient will use reasonable care and diligence in pursuing +the treatment, and this is not hard or tiresome; on the contrary, it is +easy, simple and direct. + +We say "in any case wherein our Medical Director decides that a cure is +possible by any means," and we say it with a purpose, for it is our aim +and desire, at all times, to be perfectly frank and honest with those +who consult us. There are cases that no remedy, be it ever so good, can +cure, and when such a one occurs in our practice, we endeavor to show +the patient his exact condition, and not (as is so often done) try to +persuade him to purchase remedies that we know will do him no good, or, +at least, be but an experiment. So, in consulting our Physicians, you +may be sure of at least an honest opinion, in exact conformity with the +facts in your case. + + + + +_CHAPTER IX._ + +TREATMENT. + +The Different Forms of Remedies for Different Forms of Sexual and +Urinary Diseases. + + +These Crayons are put up in packages, each of which will last one month. +A single package is ordinarily sufficient for mild cases of either +Spermatorrhoea or Impotence. From two to three packages are required +for chronic, severe or obstinate cases, or where the person is much +debilitated or advanced in years. There are five kinds: + + No. 1--For Spermatorrhoea and Chronic Debility. + No. 2--For Impotence or Lost Power. + No. 3--For Urinary, Kidney, Bladder or Prostate Troubles. + No. 4--For Gonorrhoea. + No. 5--For Gleet and Stricture (of Venereal Origin). +Also: No. 6--A Before-Marriage Tonic Course. + No. 7--A Developing Lotion for Weak and Wasted Organs. + +The following are the main symptoms of each class, with the kind of +course they usually call for. If the patient has the symptoms of both +classes he is evidently in an advanced stage, and needs both courses. + + +SPECIAL CAUTION. + +The reader is warned against confounding the CIVIALE URETHRAL CRAYONS +with the American Medicated Bougies, Injections, Pastilles, and the +like. The disease is really seated in the Urethra (urine canal), and +can be easily and painlessly medicated, and certainly cured, by means of +the CIVIALE CRAYONS. + + {Illustration: Fig. 8. + Exact Size and Shape of a +Civiale Soluble Urethral Crayon+. + (Inserted into canal of organ).} + + +CIVIALE'S URETHRAL CRAYONS. + +_COURSE No. 1._ + +_For Spermatorrhoea, Nervous Debility and Masturbation._ + +SYMPTOMS: Emissions (day or night), Oozing of a glairy fluid under +excitement and imaginings, presence of the opposite sex, etc., Partial +and Imperfect Erections, Desire to Masturbate, Formation of Evil +Pictures in the Mind, Flushing and Chilliness, Stupidity and Tendency +to Doze or Sleep, Mental Hebetude, Failing Memory, Lack of Power of +Application, Energy or Concentration, Restlessness, Pain and Smarting in +passing urine, Wetting the Bed, Pain in the Kidneys, Headache, Pimples +on the face or body, Itching or peculiar sensations about the scrotum +(bag), thighs, legs, anus, etc., Wasting of the Organs, Stringiness and +Softening of the Testicles, Dyspepsia, Sluggish Bowels, Torpid Liver, +Failing Sight, Pains in the Head (front, top and back), Chest, Limbs, +etc., Sensation of the Bowels Falling Out, Dizziness on stooping over or +kneeling, Specks before the Eyes, Erotic dreams, Melancholy (developing +sometimes into Insanity), Numbness of arms, hands, feet or legs +(precursors of Paralysis), Twitchings of the muscles of the eyelids +and elsewhere (sometimes ending in Epileptic Fits or St. Vitus' Dance), +Timidity, Diabetes and Deposits in the Urine, Troubled Breathing, +Indecision, Loss of Will Power, Bashfulness, Burning of the face, +Coldness and Clamminess of the feet and hands, also of the Scrotum (or +bag), Palpitation of the heart, Early loss of fluid during connection. +Feelings of gloom, despondency, hopelessness of a cure, or fear of +impending danger or misfortune, Tenderness of the scalp and spine, +Dryness and Itching of the skin, Sudden Sweating, Sudden Nervous +Trembling, Noises and Reports in the ears and brain, Weight on the +brain, Weak and flabby muscles, easily tired after slight exertion, +Desire to sleep late in the mornings, and failure to be rested by sleep, +Weakness and torpor the day after a nightly emission has occurred, the +Oozing of a thick white fluid from the urethra when constipated or +straining at stool, Varicocele, etc., etc. + + $5 per Box. + Full Course of 3 Boxes, for obstinate and chronic cases, $12. + +SPECIAL NOTE.--It is a rare thing for any one patient to have all these +symptoms, and some may have some not here mentioned, but it is important +to know just which they do have. Persons desiring treatment will, +therefore, please tear out the proper page, and having crossed out such +symptoms as they do not have, return it to us for the consideration of +our physician. To save delay, it is best in ordinarily severe cases to +send the price of one course, and leave the selection to our physician's +discretion. When less is needed than what is paid for, the balance due +the patient will be returned to him with the necessary medicine. + + +CIVIALE'S URETHRAL CRAYONS. + +_COURSE No. 2._ + +_For Impotence, Failing or Lost Strength and Vigor of the Generative +Organs, Sterility, etc., etc._ + +SYMPTOMS.--(Impotence may arise without any previous symptoms of +Spermatorrhoea, and solely as the result of abuse, overwork, +confinement, blows, falls, fever, etc., but it is often the direct +result of Spermatorrhoea, forming the third stage of that disorder). +Loss of Sexual Desire or Power, Imperfect or Rapidly Failing Erections, +Too Early Emissions During Connection (denoting irritability), Delayed +Emissions (denoting blunting of sensation), Failure to Consummate +Marital Duties, Oozing of vital fluid, Unnatural Desire, but not +sufficient power, Nervous Exhaustion, etc., Wasting of the Organs, +etc., etc., etc. + + 1 Box, for simple or recent cases, $6. Full Course of 3 Boxes, + for severe or chronic cases, men past middle age, feeble subjects, + etc., etc., $15. + + +CIVIALE'S URETHRAL CRAYONS. + +_COURSE No. 3._ + +_For Kidney, Bladder, Prostatic and Other Urinary Difficulties._ + +SYMPTOMS.--Frequent urination, Rising at night to urinate, Pain or +Scalding in passing water, Dribbling of Urine after completing the act, +Pain and aching in the perineum, Mucous oozing from Prostatitis, Gravel, +brick-dust deposit, and other sediments, Stone in the bladder, Diabetes, +Irritation and Enlargement of the Prostate Gland, Congestion and +Inflammation of the Kidneys, Bloody Urination, etc., etc. (Many cases of +Seminal Disease are due to or made worse by urinary trouble, especially +Prostatic Disease, existing at the same time. Hence, when such is the +case, it is important to treat the urinary as well as the seminal +disease in order to be certain to permanently and thoroughly cure both. +The action of the Civiale Urethral Crayons in these cases is prompt and +satisfactory. Indeed, this is the only known means of reaching and +curing Prostatic Affections. + + 1 Box, $5. + 2 Boxes, $9. + Full Course, 3 Boxes, $12. + + +CIVIALE'S URETHRAL CRAYONS. + +_COURSE No. 4._ + +_For Gonorrhoea._ + +One box a certain cure. Prompt, painless, and leaves no stricture. +Constantly used in _L'Hopital du Midi_ and _L'Hopital Lourcine_, the two +great venereal disease hospitals of Paris--the one for males, the other +for females--as well as in the others. + + $5 Per Box. + + +CIVIALE'S URETHRAL CRAYONS. + +_COURSE No. 5._ + +_For Gleet and Stricture (When the result of Venereal Disease)._ + +The formula used in preparing these Urethral Crayons is one of the +finest the great +Civiale+ conceived. Repeated trials and modifications +finally ended in an almost perfect remedy. Gleet or obstinate milky +discharge or oozing of from two to twelve years' standing yielded +painlessly and permanently to their use. Stricture, too, even when +organic, if not so far advanced as to interfere seriously with +urination, yielded kindly to this treatment, being gradually dissolved +and absorbed until, at last, the canal was left free and clear, and all +the symptoms of urinary irritation had disappeared. Testimony from Dr. +Lorey, Interne at the _Hopital du Midi_, will give some idea of the +popularity of this form of treatment in Paris. With them he cured eighty +consecutive cases of Chronic Gleet. + + $5 Per Box. + 2 Boxes, $8. + 3 Boxes, $10. + + +_COURSE No. 6._ + +_CIVIALE'S PRE-MARITAL TONIC COURSE._ + +This is the course we have already adverted to under the head of +marriage, and we believe that enough was there said to make plain both +its object and application. This, unlike the preceding courses, is, so +to speak, a mixed one, consisting of a combination of (1) Tonics and +Sexual Nervines to be taken by the mouth; (2) A Specially Prepared +Course of Crayons (tonic, anti-spasmodic and detergent), to be used +in the urethra, and (3) a lotion or application which, by being gently +applied to the parts once a day with a sponge, soft cloth or the hand, +adds greatly to the strength and erectile power, as well as the tone, +development and vigor of the testicles. + +These are put up under the strict personal supervision of our head +chemist, Mr. Du Bell, and are exactly in accordance with the formlae and +instructions of the late Prof. Civiale. + + Price per Set, $25. + +This Course may be used alone or in connection with any of the other +Courses. No man (or woman either) could be injured by it, and many weak +and impotent sufferers will find in its use health, strength and bodily +and mental vigor. + +In some instances the Tonic Regulator and Lotion part of this Course are +advisable without the Crayons, and hence we quote their price +separately. + + Tonic Regulator, $10. + Lotio Fortior, $5. + + {Illustration: DR. LOREY, + Interne at l'Hopital du Midi, Paris.} + + +_CIVIALE'S TONIC-REGULATOR._ + +Civiale's Tonic-Regulator is all that its name indicates and much more +besides. It is composed of Tonics, Nervines, Bitters, Laxatives, Nerve +Foods, Cholagogues (acting on the Liver), Diuretics and Diaphoretics +(remedies acting on the Kidneys and Skin and thereby increasing their +secretions and cleansing and purifying the Blood), Digestives, etc., +etc., etc. It will thus be seen that a more complete and uniform General +Tonic-Regulator could not be devised, for it acts upon the Brain, Mind, +Nervous System, Digestive Organs, Spleen and Pancreas, the Bowels +(keeping them in a healthy and regular manner only--not purging or +weakening), upon the Heart, Lungs, Skin, Blood and Kidneys. + +So skillfully is the combination made that no one ingredient interferes +with the other, but on the contrary each seems to vie with the other in +building up and renovating a shattered, weakened and disordered system. + +Bilious, soggy, sleepy men, with aching heads, foul breaths, bad tasting +mouths on rising, clogged secretions, sense of inability to exertion, +furred or yellow tongues, and the like, absolutely need the +Tonic-Regulator, and not Blue Mass or Anti-Bilious Pills. Weak, nervous, +spiritless, exhausted, debilitated, pale, ambitionless, easily tired, +prone to become short of breath and have pain in side on running, who +find it hard to get sleep, are restless, brood over their troubles, real +or imaginary, start at loud noises or sudden jars, perspire too easily, +flush too readily, are not rested by sleep, and who are neuralgic, +certainly need the Tonic-Regulator, and will find it rapid in action +and very pleasant in its results. Health, strength, vigor, rosy cheeks, +elastic step, cheery voice, zest and happiness, hope and ambition, hardy +flesh and good ruddy blood, made by a perfect digestion of strong foods, +will certainly follow, and as they come, all the old myths and phantoms, +the melancholy, dread and brooding will disappear like unhealthy nightly +vapors before the sun. + +Men, young or old, who have let business cares and worries, mental +trouble, family jars, overwork and constant brain wear and tear, +confinement, or long hours in unhealthy offices, lack of exercise, +too rapid bolting of food, and the like, ruin their previously good +constitutions; or those who, through youthful abuses committed in +ignorance and repented so bitterly, or later excesses from unbridled +passions, have drained their vitality, established a condition of sexual +atony (_a_, without; _tonos_, tone or strength or vigor), or done +serious harm to their nervous systems, brains or minds, will find the +very Vital Restorative and Special Generative Tonic they need the most +in Civiale's Tonic-Regulator. + +It does not do one thing; it does many. While it throws open one door to +let health, strength and vigor enter, it opens others for poisonous +secretions, blood impurities and waste products to escape. It not only +makes the blood purer and richer, but it strengthens the organ (the +heart) that pumps it everywhere throughout the system. It not only +builds up and rejuvenates the general system, but it brings vernal +strength and power to the weakened and debilitated organs. + +It was here that Civiale made Common Sense and Medical Science join +hands. (a) With his Medicated Urethral Crayons he healed and +strengthened the organs of Generation by direct local application. +(b) While with the Tonic-Regulator he sent his powerful yet harmless +emissaries (Tonics, Digestives, Cholagogues, Nervines and Nerve Foods, +Laxatives, Diuretics, etc., etc.) into the system, by the stomach, with +the food, thus guaranteeing their entrance into the blood which carried +them to every nerve fibre and tissue and attacked the disease on every +side. + +This is why this double treatment, intelligently carried out, cannot +fail to rebuild the most debilitated and exhausted constitution and +check the most serious drains and losses. + + +_COURSE No. 7._ + +_DEVELOPMENTAL LOTION._ + +As has already been stated, in some persons Seminal Disease and +Losses of Vital Fluid lead to a wasting away, shrinking or dwindling +of the Generative Organs. It exists in others from birth, and is in +no way connected with Seminal Disease. Whichever be the case, it is +nevertheless true that a wasted or deformed part of the body, be it arm, +leg or what not, cannot in this condition be expected to perform its +function in a natural, vigorous and healthy manner. + +There is a great deal of ignorance upon this subject--ignorance that +interferes greatly with the full and proper treatment of cases of +Seminal weakness. Many sufferers from Seminal Disease and Impotence seem +to think that just as soon as the losses or emissions are stopped, or +erectile power returns, the parts will begin to grow and develop, and +soon be restored to natural size and proportions. This is not so. In +some few instances it does occur, but in the large majority it does not. + +It is therefore necessary in these cases to take special measures to +fully and perfectly develop the defective parts, and it can only be +done by giving a new start to growth and circulation to the nervous and +nutritive centres of these parts. A breast, a limb, a hand, indeed any +part of the human body, especially in persons not past fifty years of +age, can be enlarged and developed, and so, too, can the sexual organs. + +_The Developmental Lotion_ that has been in use for many years, is a +local application (viz., applied directly to the organs), and acts by +stimulating growth, circulation and nutrition. It is cleanly, easily +applied, rapid and satisfactory in its results, and we guarantee that +it will give uniform satisfaction in all cases where our Board of +Consulting Physicians recommend the case as favorable for it. + + PRICE OF THE DEVELOPMENTAL LOTION, { Strongest, $15. + { Less strong, 10. + +It is put up in quantity sufficient to accomplish a full and perfect +development. Should more than is at first sent be needed to complete +the development, we will furnish it at half-price. Full instructions +accompany it. + +It should be used in connection with the remedies for Impotency or +Spermatorrhoea in every case where the organs are wasted. Its effects +in such cases are wonderful and the results very gratifying. + + CIVIALE REMEDIAL AGENCY, + 174 Fulton Street, New York. + + + + +_CHAPTER X._ + +REORGANIZED CONSULTING STAFF. + + {Transcriber's Note: + + The names "G. G. Mortimer" and "S. Sorensen" are printed above the + text in a different typeface. The original names, crossed out by + hand, were "Millard F. (or E.) Flowers" (last four letters unclear) + and "George H. Du Bell" (partially illegible). The _curriculum vitae_ + associated with each name is unchanged.} + +G. G. MORTIMER, A.M., M.D., Ph.D., Chief of Staff. + +RICHARD LEE, A.M., M.D., of the Universities of Oxford, London and +Melbourne, Master of Arts, Member of the Royal College of Surgeons, +of England; late Consulting Surgeon to the Beechworth Hospital and +Professor of Botany and Chemistry at the Tasmanian Institute; Honorary +Member of the Victoria Medical Society and Fellow of the Royal Society +of Tasmania and of the Anthropological and Physical Societies of London; +University Medalist, etc., etc. Chief of Personal Consultation. + +HENRY H. KANE, A.M., M.D., late Medical Superintendent of the De +Quincey Home, Interne at the Roosevelt, New York, Bellevue, Charity +and Lenox Hospitals; Physician to the North-Eastern and Good Samaritan +Dispensaries; Lecturer at the Women's Medical College, on Urinary and +Renal Diseases, etc., etc., etc. + +S. SORENSEN, A.M., Ph.D., Manufacturing, Analytical and Experimental +Chemist, Licentiate of the School of Pharmacy of Heidelberg and Berlin, +Germany. (This accomplished chemist has full charge of all analyses of +urine, the preparation of our various formulae, the purchase and +importation of all drugs, etc., etc.) + +LOUIS B. JONES, Business and General Manager. + +With such a complete and accomplished staff, it will be seen that the +case of every person consulting us will receive the most careful and +combined opinion, judgment and decision of all these men. We have the +greatest and most generally successful remedies known, and by thoroughly +understanding every detail of the cases submitted to us, and carefully +applying these remedies, we seldom or never fail to perform a pleasant, +absolute and lasting cure. + + +PERSONAL CONSULTATION. + +Patients desiring a consultation with our Chief of Staff will find our +offices open and physicians in attendance from 8 A.M. to 6 P.M., daily, +and from 9 to 12 Sundays. + + +HOW TO SEND MONEY. + +Money should be sent by Post Office Order, Postal Note, Check, Draft or +Express Order. Checks, etc., may be made payable either to the Civiale +Remedial Agency, or, if secresy is desired, to our Superintendent, Mr. +L. B. Jones. Please state in your letter to whom the order (when such is +sent) is made payable, in order to avoid confusion in indorsing them for +banking. + + +HOW TO SEND URINE. + +In sending urine, bear in mind the following: + +Never send by Mail--always by Express--charges prepaid. + +Send morning urine. + +Write your name on a slip of paper and paste it on the bottle. + +Pack the bottle securely in a box filled with sawdust or the like. + + + + +_CHAPTER XI._ + +VARICOCELE. + +VARICOSE TESTICLE, OR VARICOCELE. + +A very Common Disease Amongst Men and Boys, and one that has a very +serious effect In Weakening the Sexual Powers, causing Emissions and +Losses, and Preventing a Thorough and Permanent Cure of these +Complaints. + +Varicocele (from the Greek, pronounced Var-i-ko-seal, accent on either +Var or seal) is a condition of bagging, bunching, bulging or twisting +of the veins in the scrotum (bag or testicle sac.) It is most commonly +found on the left side of the bag, but sometimes is to be seen on both +sides. Usually the scrotum is bulged out on the side and sometimes hangs +very low, so long and twisted are the veins. To the touch the veins feel +like a bunch of angle-worms. In some cases they can be seen knotted and +swollen through the thin skin of the bag. + + {Illustration: Fig. 9. + A VARICOCELE. + Showing how the veins are affected and how they press upon the nerve, + duct and artery, and waste the testicle. + 1. Spermatic Artery. + 2, 3. Spermatic Veins. + 4. Spermatic Nerve. + 5. Vas Deferens or Seminal Duct. + 6. Testicle. + 7. Converging Tubes. + 8. Wormy bunch of Veins.} + + {Illustration: Fig. 10. + VARICOCELE, AND INSTRUMENT IN PLACE. + On the right side, the drawing of the instrument is cut away, also + the layers of skin and muscle, showing the dilated and knotty veins + in the groin, before they reach the scrotum, also the Bell Pad in + dotted outline, showing how and where the pressure is properly + exerted. When the veins in the groin are thus affected, we have what + is known as +Varicocele of the Cord+. On the left side, the Cradle + and Compressor is shown in place.} + + +A HIDDEN DANGER. + +In cases of Varicocele of the Cord (one of the most dangerous of all +forms), the veins in the bag are not affected, the trouble being mostly +in the groin (in the canal through which the veins run), where the +swollen and knotted veins press upon and seriously injure the cord, +preventing the free flow of Vital Fluid, and thereby causing Impotence, +Wasting of the Testicles, etc. A dull, heavy, aching or dragging pain in +the groin, back or legs, is about the only symptom. + +The great danger of this form of Varicocele lies in the fact that +thousands of young men are going about to-day not knowing that they have +the disease; not knowing that a persistent evil is nestling in this +little canal, gnawing at their vitals, and slowly but surely undermining +and destroying their sexual vigor and manhood. + +We know this to be so because we are daily being consulted by men of +different ages, who, until our physician, in the course of the +examination, showed it to them, _never suspected its existence_. Many +of these men had been "doctoring" for years for seminal weakness and the +like, with varying success, never being quite cured, or, if cured, soon +relapsing--all because a Varicocele of the Cord existed unsuspected and +therefore untreated. + + {Illustration: Fig. 11. + COMPLETE INSTRUMENT. + Showing mobility at points so that it will fit any individual.} + + {Illustration: Fig. 12. + SIDE VIEW. + Showing Bell Spring, Pad and Pubic Shield.} + + +CAUSES.--The causes of this condition of the veins of the bag are very +numerous. Some of the most important are Masturbation or excess, causing +weakening of all the parts, the veins included; Falls, Blows, Strains, +Excessive Horseback and Bicycle Riding, Running, Jumping, Mumps going +to the Testicles, Gonorrhoeal Inflammation settling there, Kick in the +Groin, Wearing of Improper Trusses, etc., etc. Masturbation is one of +the most common of all the causes. In many instances, even if it does +not _directly_ cause the complaint, it weakens the parts, so that blows, +strains, etc., that in others would not produce any particular trouble, +readily cause it in these persons. + +SYMPTOMS.--The symptoms are not many unless it has caused seminal +weakness and lost vitality, in which case all the symptoms of these +complaints may really be attributed to the Varicocele. Pains in the +Groin, Limbs and Back; a sense of weight or dragging; Neuralgia of the +Testicles, Fetid Perspiration; Itching and peculiar sensations in the +Skin of the Bag; Chafing in warm weather; easy tiring under rapid +walking or running, are not uncommon. In some very bad cases, however, +none of these symptoms, or only a few, are present. Why, we cannot say. + +PROGNOSIS.--In itself this disease is not dangerous. It is from the fact +that the veins may go on bulging until an enormous swelling is produced +(we have seen cases where the bag hung as low as the knee and was nearly +as large around as a man's arm); that the testicles may be entirely +wasted away, and that it may cause Spermatorrhoea, Lost Manhood, Total +Impotence, &c., &c., constitute its greatest gravity. + +TREATMENT.--Cutting and tying operations are exceedingly dangerous, +having frequently caused death; and even if successful, the testicles, +having their blood supply thus entirely cut off, waste away, and +Impotence certainly results. Prof. Chevillot, the great French surgeon, +was assassinated by a patient, in whose case he tied the veins on both +sides for a double Varicocele. Becoming totally impotent, on the very +eve of his marriage with a beautiful and accomplished young lady, this +man became desperate and attempted the surgeon's life. + +To effect a cure, the following obstacles must be overcome: + +_Weakness and bulging of the walls of the veins._ + +_Weakness and relaxation of the dartos muscle of the scrotum._ + +_Over-clogging and stagnation of blood in the veins._ + +_Healing and strengthening of the ruptured and relaxed valves of the +veins._ + +_Relief of the pressure and weight of the column of blood from above._ + +Suspensory Bandages are good, because they act as supports. + +Astringent and Tonic Washes are good, because they strengthen the +weakened veins and muscles and heal the relaxed valves. + +Proper Trusses are good, because they break the great pressure of the +blood from above, and act as do the valves in the veins in the groin in +health. Also, because they act directly on the disease in cases of +Varicocele of the Cord. + +But neither one alone will cure a really serious case of Varicocele. +Combine them, however, properly and scientifically, so that you have the +practical outcome of these three sound principles of cure in the one +appliance, and + + +ANY CASE, NO MATTER HOW SEVERE OR HOW OLD, CAN BE PERMANENTLY AND +PAINLESSLY CURED. + +Such a perfect and practical combination is to be found in the Elastic +self-adjusting and adjustable Cradle and Compressor, which has succeeded +in curing many very serious and (apparently) hopeless cases. Patented +and thoroughly protected from all infringements and imitations (and many +would-be ones, seeing our success and recognizing the merits of the +Cradle-Compressor, have lately sprung up), both in this country and +Europe, there is nothing like it. It combines all the good points of all +previous instruments, and being easy to wear, rapid and pleasing in its +results, and certain in its effects, is the only rational means for +radically curing this disease. + +Briefly: It consists of a very light and elastic triangle of tempered +steel bands, that rests on the front of the abdomen, and is held in +place by a soft silk-elastic waist-band. In each of the slanting arms of +the triangle are small holes that admit the central pivot of a bell-pad, +having a central spring, and so adjusted that it adapts itself to every +movement of the body without being misplaced. By means of a thumb-screw +and the perforations, it (the spring bell-pad) can be set at any point +in the groin, and can be changed from day to day and hour to hour. + + {Illustration: Fig. 13. + INSTRUMENT ON BODY. + _a. a._ Transverse Steel Band; _b. b._ Elastic Waist Belt; + _c. d._ Metallic Arms, perforated to permit change of pad pressure; + _e._ Pubic Shield to which Elastic Cradle is attached; _f._ Bell + Spring Pad.} + +By means of pivotal joints at the angles, the appliance can be made +to fit any one perfectly; moreover, by means of the metallic shoulder +below, the arms can be thrown into any lateral variation of the groin +line. + +We thus are able to obtain all the marked benefits of a truss without +any of its drawbacks; and that special disadvantage, steady and +wearisome pressure at one point, is wholly obviated. The whole appliance +is held in place below by means of perineal tubular rubber bands that +connect with the waist-belt behind. + +Attached to the metallic shoulder below is the Elastic, Glove-Fitting, +Self-Adjusting Testicle-Cradle, by means of which not only are the +testicles perfectly supported and rested, but by the sheet-rubber lining +and the elastic tie bands, a constant, easy and perfectly painless +elastic pressure is kept up on the dilated and sagging veins, which are +thereby emptied of their unhealthy and stagnated blood and allowed to +regain their tone, strength and contractility. + +By means of the elastic bands it is easy to regulate the amount of +pressure, thereby constantly adapting it to the improvement that is +steadily taking place. + +The compression is so uniform, yet so elastic, that it is absolutely +painless, and no motion of the body, however violent, can disarrange it. +This, and the fact that the blood can enter and leave the testicle with +perfect freedom, constitute some of its most marked advantages over the +Truss. + +Moreover, the wearer always feels a sense of rest and relief while +wearing the Elastic Cradle-Compressor, and from the first day the +symptoms of weakness and impotence improve. Being made in different +sizes and shapes, and of the most durable yet softest silk, and powerful +yet yielding elastic, they will wear perfectly until long after the +Varicocele has entirely disappeared. + + {Transcriber's Note: + The left edge of this page was partially illegible. Words and letters + in braces { } are conjectural; all came at the beginning of a line.} + + {Illustration: Fig. 14. + ELASTIC TESTICLE CRADLE, + {Deta}ched from Compressor, and showing its appearance + {when} worn singly. It is lined inside with sheet rubber, and + {the t}ie cords are of the very best French elastic. The bag + {cover} is of the finest knit silk.} + +While it compresses the Varicocele, forces out the blood, and allows the +veins a chance to regain their strength and proper size again, it simply +supports and keeps from injury the testicle, which at once begins to +grow larger. In addition to their curative value in Varicocele, they are +now being extensively used by the medical profession for the relief of +the pain and subduing of the inflammation of "swelled testicle;" also in +hydrocele and haematocele. + +Being applied over the whole scrotum, they will cure a Double as readily +as a Single Varicocele. + +In certain recent or simple cases the Elastic Testicle-Cradle alone will +effect a perfect cure. If the case is severe or of long standing, if it +involves the Cord, or if the sexual organs are affected, the complete +instrument should be worn. + +It is beautifully made and finished, and is strong and durable, yet +light and easily worn. + + PRICE. + + {Comp}lete Instrument (all attachments) $15.00 + {Extra} Central-Spring Bell-Pad, In case of Double Varicocele 3.00 + {Elast}ic Glove-fitting Testicle-Sac and Cradle (separate) 6.00 + +{Sold ne}atly boxed, and with full and explicit directions for applying; +as also a {____} prescription for a Tonic, Healing and Astringent +Lotion, to be used {in conju}nction with it. + +In ordering, please state girth around waist, circumference of scrotum, +and length of same from root of penis to about the middle of the bottom +of the bag. + +The reason why Varicocele has until within the past ten or fifteen years +received so little attention is owing to the fact that up to that time +this bagging or bulging of the spermatic veins was looked upon as merely +a local affection. No one seemed to be aware of the fact that its effect +in nine cases out of ten was to produce Seminal Weakness and Loss of +Sexual Power, etc. To-day no fact is so well recognized in medicine, +although probably not so well known outside of the profession. + +Then, too, until very recently, physicians either carelessly dismissed a +patient with Varicocele with the advice to "get a suspensory bandage and +wear it; the thing don't amount to anything;" or else, when the patient +became persistent in his demands for a cure, advised him that the +dangerous cutting or tying operations were the only means of relief. But +this is all changed now. Physicians have come to know something about +the disease, and means for both relief and cure are now speedy and +certain, and in no sense painful or dangerous. + +It is for the purpose of stating in as plain and concise a manner as +possible all the more important facts relating to this disease, and +pointing out to such as are troubled with it, or have friends so +troubled, not only the proper manner of treatment, but also the danger +of delay, that this little treatise has been compiled. Many a man well +built and apparently healthy, yet totally bereft of manhood--in a word +Impotent--can trace his deplorable condition to a neglected Varicocele. + +Nor are these the only ones who need information upon the subject. +Thousands of young men are to-day being treated for seminal troubles who +will never be cured, because they are entirely ignorant of the existence +of a Varicocele of the Cord, that most insidious and dangerous of all +forms of Varicocele, or, if aware of it, do not understand the terrible +influence it has on their Sexual Powers, and how great and persistent a +stumbling-block it will be in the way of all treatment. + +It is for the benefit of all such that this little essay is intended. +For the sake of clearness we shall consider the subject under the heads +of Definition, Frequency, Causes, Dangers, Influence on Sexual Diseases, +Wasting of the Organs, Symptoms and Treatment. + +Consultation with our physicians, by letter or in person, free, +References and testimonials promptly and cheerfully furnished. + + CIVIALE REMEDIAL AGENCY, + 174 Fulton Street, New York. + + + + +_CHAPTER XII._ + +THE RELIABILITY OF THE CIVIALE REMEDIES, +AND THE BUSINESS STANDING AND PROBITY OF OUR AGENCY. + + +In previous editions of this work, we made no attempt whatever to point +out to our readers either our reputation as a medical business firm, or +proofs of the efficacy or reliability of the remedies we represent and +prescribe, supposing that any person at all familiar with the names and +reputation of Professors Lallemand and Civiale, and the honors bestowed +upon the latter by the French government, would need no such references, +etc. We find, however, that there are but few men in this country who +are as familiar as they should be with the nature and extent of +Lallemand's and Civiale's medical labors, or indeed with French Medical +History at all. We, therefore, for the benefit of such, have here +transcribed extracts from that most reliable work, _Appleton's +Cyclopedia_ (copies of which may be found in many families, and every +town and city library), from which may be learned the professional +standing and reputation of these great men. + +Furthermore: Of late years there have sprung up in various parts of the +country, physicians and firms who have made it a business to prey upon +foolish young men, who took everything that was sent to them for gospel. +There are many young men (and old men, too) who do not know us, and for +their benefit we have drawn up here and submitted such proofs of our +probity, fair dealing and medical capacity, as well as of the +reliability of the Civiale Remedies, as will, we believe, carry +conviction of our truthfulness and probity to any honest man's mind. + +We have always been averse to parading before the eyes of the careless, +scoffing world the sufferings of the victims of abuse or excess, even +when by doing so we might profit largely by such a course. We have a +large number of letters from persons who have been cured by this +treatment constantly on file in our office, and any sufferer really in +earnest will be gladly given permission to examine them, should he so +desire. But we certainly shall not parade such letters, written to us in +the strictest confidence and secrecy, to every reader of a treatise of +this kind, especially when we give an abundance of equally as good proof +of another kind. + +_If we have always dealt fairly and with professional honor and ability +with our corresponding and office patients in the past, we certainly +shall continue to do so in the future._ + +First, let us call your attention to two very recent and very flattering +extracts from editorial articles that appeared in newspapers of known +standing and reputation in the city of New York, both of which articles +were wholly unsolicited by us, being the spontaneous testimony of wholly +disinterested journals. + + + + + TESTIMONIALS AND ENDORSEMENTS + + from the + + MEDICAL AND LAY PRESS + + Of this Country and France. + + +A NOTABLE MEDICAL INSTITUTION. + +_From the New York TRIBUNE AND FARMER, Nov. 22, 1884._ + + +It is a well-recognized fact by writers upon longevity that the men of +the present day, both old and young, are less manly and vigorous, less +able to resist the attacks of acute disease, and not only less likely to +produce healthy and vigorous offspring, but in the majority of instances +producing a fewer number as well as a less vigorous and robust progeny. +The ratio of births to deaths has fallen off some 12 per cent. in births +in the past fifteen years. This fact, coupled with the equally startling +consideration that the mortality of infants has increased about 11 per +cent. in the past ten years, must needs fill the mind of a lover of his +kind with dismay and alarm. Although invested and thickly hedged about +by ideas of false modesty and pseudo-propriety, in reality the whole +fabric of national and individual prosperity, health, vigor and +enjoyment, as well as the very important perpetuation of our species, +depend upon perfectly strong, healthy and vigorous procreative powers. +As an oak cannot grow from a flower seed, neither can weak, puny and +debilitated parents give birth to strong, vigorous and mentally sound +and active progeny. + +The subject of Procreative Pathology deserves more careful and extended +study and observation than the majority of our physicians have +heretofore been inclined to give it. Most of them have let the more +numerous and oftentimes the more trivial cases daily coming under their +notice crowd this most serious matter from sight, and when applied to +for advice or treatment by sufferers from these disorders or debilities, +have either pooh-poohed it or have given some simple (or useless) +placebo, believing the trouble to be more imaginary than real. Is it any +wonder, then, that such patients have walked blindfold into the arms of +quacks and charlatans who profess the most tender interest in even their +minutest symptoms? + +We have been led to make the foregoing remarks by what we have just +finished reading in a very interesting and able work upon this subject +recently issued from the press of the Civiale Remedial Agency, of 174 +Fulton street, this city. The subject matter of this book cannot fail to +interest every man, young or old, and must prove of special interest to +men just married, and to that large class of middle-aged men who find to +their surprise and chagrin that while their bodily health is apparently +excellent, their procreative powers have prematurely declined. + +The fact of the establishment in this city of an original institution +under reputable business management, each department of which is +presided over by a physician of special skill and qualifications, is +something of which every citizen should feel proud. And to judge by the +class of patients who may be found in their elegant consulting-rooms, +and the very large amount of express and mail matter they are constantly +receiving, we believe that they are appreciated. + +With our magnificent hospitals, second to none in the world, our large +medical colleges and dispensaries, and the establishment of so large and +excellent an institution as the Civiale Agency, the main offices being +now transferred from Paris to this city, New York may justly claim to be +the great medical centre of the United States, and sooner or later of +the world. + +We maintain now, as we have always maintained, that the surest and best +way to drive quacks and humbugs from any branch of medicine, is to have +some of our very ablest and most honorable physicians make such a branch +their specialty, and such is the course now being pursued by the Civiale +Agency. + +The very fact that it takes its name from and is engaged in +manufacturing and prescribing the remedies of France's most illustrious +specialist, Prof. Jean Civiale, is by itself evidence enough of its +medical value and professional integrity. Our feelings upon these +matters, _i.e._, the great importance of their bearing upon both +individual and national vigor and prosperity, the necessity for driving +from this field of practice those quacks and humbugs who entrap the +foolish and ignorant, those cheap and worthless remedies that flood +the drug market--our feelings upon these matters are, we repeat, very +strong; and hence, when we find an institution for the treatment of +these diseases conducted upon the highest moral, medical and business +principles by men of undoubted medical and business standing and +integrity, we feel that we cannot endorse them too heartily. + + +The _Tribune and Farmer_, of New York city, in its current issue of +July 26th, 1884, says + +"AN EXCEPTION TO THE RULE." + +"The propriety of devoting editorial space to the subject-matter of any +medical advertisement that may appear in our columns may be doubted by +some, and indeed, were it not for our personal knowledge of the skill +and integrity of the Medical Director of the Civiale Remedial Agency of +New York (whose advertisements will be found elsewhere in this issue), +we should deem ourselves more than guilty were we to utter a word of +endorsement as to the efficacy of their system of treating that serious +class of diseases in men which has been generically termed Nervous +Debility, and which for so many years has been, and is at present, made +the stalking-horse for impudent swindlers, quacks and impostors to palm +off worthless and often injurious compounds on their suffering +fellow-men. + +"Let it be understood, then, that we know whereof we speak, and that our +object is simply to furnish those who are afflicted with such reliable +information as will enable them to determine the true character of their +disease, and the best means to be adopted for a cure. + +"The method of treating diseases of the Genito-Urinary organs by means +of the urethral canal is in the first place no new-fangled experiment, +but is identical with the system which has been employed for the past +fifteen years in the leading hospitals of France, and more especially +in Paris, as the standard treatment, and one that gives uniform +satisfaction; and in the history of medical science there are perhaps no +two physicians who have done more for the alleviation of human suffering +and the cure of Sexual and Seminal Diseases than those eminent French +Surgeons, Prof. Jean Civiale and Prof. Claude Lallemand, to whose joint +studies and endeavors this system owes its origin. + +"We believe, in fact, that this theory and practice of medicine is +an advance in the right direction, and we predicted, from its first +introduction in the United States some time ago, that the people would +readily see its truth and accept the wonderful benefits of its practice. +And the result has certainly borne out our prediction, for thousands of +sufferers from such ills as Impotence, Spermatorrhoea, Kidney, Liver and +Urinary troubles have been cured by these remedies." + + + {Illustration: ONE VIEW OF THE HOSPITAL OF THE HOTEL DIEU, PARIS. + + This celebrated hospital of Paris, the oldest as well as the largest + and finest in the city, covers 22,000 square metres of land, has over + 1,000 beds, and a corps of over 100 physicians on its medical and + surgical staff. It is situated on the _Ile de la Cite_, near the + famous church of Notre Dame. It was here that both LALLEMAND and + CIVIALE studied under the celebrated DUPUYTREN, one of France's + greatest surgeons, until, in after years, they themselves became + sufficiently great to become its Consulting Surgeons. In France, + honors are gained by ability alone, and not, as here, by political + influence and wire-pulling.} + +The following is a list of the French Hospitals with which Civiale and +Lallemand were connected during their lives. + +HOTEL DIEU. LA PITIE. LA CHARITE. LARABOISIERE. St. ANTOINE. HOPITAL +NECKAR. HOPITAL COCHIN. HOPITAL St. LOUIS. HOPITAL Du MIDI. HOPITAL +LOURCINE. La MATERNITE. HOSPICE BICETRE. + +We next give extracts from Appleton's Cyclopedia, to which reference has +already been made. + +LALLEMAND, CLAUDE FRANCOIS, a French physician, born in Metz, Jan. 26, +1790, died in Marseilles, Aug. 25, 1854. After serving as assistant +surgeon in the armies of the Empire, he studied in Paris at the Hotel +Dieu under Dupuytren, and, from 1819 to 1845, was Professor of Clinical +Surgery at Montpelier, with the exception of three years, during which +he was suspended for his liberal political expressions. His most +important work, _Recherches Anatomica Pathologiques sur l'Encephale et +ses Dependances_ (Paris, 1820-1836), established his reputation, and was +translated into many languages. In 1845 he was elected to the _Academy +of Sciences_, removed to Paris, and was consulted by patients from every +part of Europe. He bequeathed 50,000 francs to the Institute. +--[_Appleton's Cyclopedia, vol. x, p. 144._ + + {Illustration: Prof. JEAN CIVIALE.} + + {Illustration: Prof. CLAUDE F. LALLEMAND} + +CIVIALE, JEAN, a French surgeon, the originator of the operation of +Lithotrity, born near Thiezac, Auvergne, 1792, died in Paris, June 13, +1867. At a very early age, while a pupil of Dupuytren at the _Hotel +Dieu_ hospital in Paris, his attention is said to have been attracted +to the subject of his future discovery; and, after many years of +perseverance, he succeeded in perfecting and introducing to the +profession his new operation of lithotrity. Before that time the only +means was the serious and often dangerous operation of lithotomy (SEE +STONE). He was the teacher of several generations of lithotriptists, +became a member of the MEDICAL ACADEMY, and an officer of the LEGION OF +HONOR. His principal publications are: _De la Lithotritie, ou brolement +de la pierre_, (_Paris_), 1827); _Lettres sur la Lithotritie, &c._ +(1827); _Traite pratique et historique de la Lithotritie_ (1847); +_Resultats Cliniques de la Lithotritie pendent les Annes_ 1860-64 +(1865). --[_Appleton's Cyclopedia, vol. iv, p. 618._ + +We also take pleasure in referring--not as patients, but simply as to +standing, probity, business capacity and the ability of our Consulting +Staff--to the following firms or gentlemen in this city: + +WEST SIDE PHARMACY, dealers in Drugs, Chemicals, &c., corner Hudson and +Charlton streets. + +COFFIN & ROGERS, 85 John street, New York. + +AMERICAN DRUG COMPANY, Islip, Long Island. + +Editor of the "NEW YORK TRIBUNE AND FARMER." + +E. DUNCAN SNIFFEN, 3 Park Row. + + +A CHARACTERISTIC LETTER. + +(For once we transgress our rule--never to put a debility patient's +letter in print unless the patient urges us to do so--and do it at the +request of our Medical Chief of Staff, and with the patient's full +consent. The name, however, we omit, simply stating that should any +intending patient desire to come and see or send some friend living in +the city, to see and verify that letter and many more like it, we shall +be most happy to oblige them.) + + RODNEY, MISS., August 14, 1884. + +_Dear Sirs:_--My course of treatment being almost all used, I feel it +my duty to state to you my present condition, and I can say without +hesitation that I am almost a new man, and I thank God that improvement +has been so thorough and rapid, may it be but lasting. Sexual desire is +now perfect, erections are perfect, emissions come at the right time, +oozing of vital fluid at stools and in the urine has stopped, I rest +well at night with the exception I shall state further on, appetite +is good and digestion almost perfect. I can now approach the presence +of the opposite sex with some satisfaction to myself; ambition is +returning, and in fact a whole new lease of life seems suddenly to have +been allotted to me. The varicocele has almost disappeared. I cannot say +enough in praise for this beautiful little appliance, "the Cradle +Compressor." Now, if it were not for the urinary disorder which still +remains, I should call myself well; that this remains, however, is no +fault of the crayons, and could the Course No. 3 have reached me +undamaged by heat, as did the Course No. 2, I have not the least doubt I +should now be well. The symptoms of this disorder, still present, are +dreams at night, not nervous ones as before, but still unpleasant; +mucous oozing after straining, also in the morning on rising I find the +lips of organ glued, and on forcing apart a drop of this mucous fluid +makes its appearance. I have no doubt whatever that had crayons reached +me perfectly, this disorder would have been conquered same as the other. +Now, in your little circular you guarantee a cure "in all cases wherein +your Medical Examiner decides a cure is possible." Now this certainly +holds good in my case. Please let me know what you are willing to do +about the matter, for I certainly need another course of No. 3 crayons, +and if you would furnish them in place of the ones destroyed in transit, +I should consider your guarantee fulfilled. The course you sent me last +could not be used at all; they were ten times worse than the first ones, +and I only wasted them in trying to use same. However, do not send any +crayons till you hear from me, and I think the weather cool enough, as +they would only be wasted again. Could you furnish me, and at what +price, a suspensory, such as you would recommend, if not, where could +I get one? I think it advisable to wear one after laying aside the +Compressor, as I have to be on my feet all the time. + +Please excuse encroachment on your time and believe me ever, + + Yours very truly, ---- SINGER. + + +DOUBLE VARICOCELE AND SPERMATORRHOEA RADICALLY CURED. + +(These letters are published at the patient's own request, and he will +be most happy to correspond with any earnest and honest inquirer). + + +"TIRED OF HUMBUGGING." + + "ISLIP, Suffolk County, N.Y. + +"_Manager of the Civiale Remedial Agency,_ + "174 Fulton street, New York. + +"_Dear Sir:_--My attention has been several times called to your method +of curing Varicocele of the Bag without any cutting or tying, and I am +now going to describe my case to you, and get your idea whether you can +cure me or not. I would have done this long ago if I hadn't been afraid +of being humbugged, as I often have been by doctors and men who said +they could cure me right off without any pain or trouble. But they all +fooled me out of my money, and that's all. But I'm going to try once +more, and please tell me if you think my case is too bad for your +Compress and Cradle. + +"I'm pretty badly off I know, but it seems to me that this thing ought +to be able to be cured by some one. This is how mine was. Eight or nine +years ago I fell from the rigging of a schooner, and was laid up for +nearly sixteen weeks with a broken thigh. I also had both testicles +terribly sore and swollen, and it was a long time after my leg got well +before I was able to walk, the pain in the groin, testicles and small of +my back was so bad. Sometimes, even when I was sitting quiet, it would +cut me like the stab of a knife. The first I noticed of the Varicocele +was one day when I was taking a bath I saw there was a sort of bulging +there, and come to notice it closer, it felt just like a bunch of +angle worms all twisted together. I tried cold water to it and wore a +suspension bag for a long time, but it didn't do much good. At first it +didn't trouble me much in winter, but was bad in summer. Now it's bad +all the time, and I don't believe I could walk half a mile without I +wore a supporter. + +"I have tried most everything I ever heard of, but it's no use. Some of +the things helped me for a while, but they didn't last, and now I'm +pretty well discouraged, for I don't dare have it operated on; not so +much that I'm afraid of the pain, but because a young man I knew went to +a hospital in New York to be operated on, and died, because the veins +got inflamed from the cutting and tying. + +"I am willing to pay any one a fair price for curing me, because as I +am now I can't do a fair day's work, and my testes are wasting away very +fast. But I don't want any more humbugging, and if you treat me, you +have got to give me good proofs that you can do as you say." + + "Truly yours, D. L. B. + +"I forgot to say that my Varicocele is on _both_ sides, but the left +side is much the worse. It is twice as bulgy as the other." + + +"JUST AS REPRESENTED." + + "ISLIP, N.Y. + +"_Dear Sir:_--I went to the depot night before last and got the package +all right, and when I got up yesterday morning, bathed as the circular +said, and put the Cradle and Compressor on me. I write to tell you how +pleased I am. I always felt sure some one would find a cure for this +thing, and believe I've got hold of the right thing at last, though I'm +not going to crow this time till I'm part way out of the woods at least. + +"Any way, I'm satisfied so far. The appliance is just what it was +represented, and I find that it fits me to a t, and is the most easy and +comfortable thing I ever wore. I haven't had a bit of pain since I put +it on yesterday morning, and I have done some hard work these two days, +purposely twisting and wrenching my body about to see if I would get it +out of place. + +"So far it is all right, and I am very thankful to you, for if it never +cured me it would be a God-send to wear for relief of that horrid dead +ache and dragging pain in my groin and back. I shall want some of your +Crayons soon, and will write again in a few weeks. Please tell me how +long the wash ought to stand before it is strained, and whether it would +hurt me to use it _twice_ a day instead of once. + + "Very respectfully, D. L. B." + + +"PERFECTLY CURED." + + "ISLIP, Suffolk County, N.Y., February 13, 1884. + +"_Dear Sir:_--It is now over two months since I quit wearing the +Cradle-Compressor, and I seat myself to tell you that the Varicocele +seems to be entirely well. The left side is a trifle larger than the +right, but the veins are not wormy as they used to be, and the blood +don't stagnate in them any more. The dragging pain is all gone away, +and the small of my back hasn't pained me for a long time. When I came +to see you in New York, your doctor told me I musn't feel sure that I +was cured until every bit of worminess was gone and the canal was free +of swelled veins. You can tell him that this is so now, and that the +testicles aren't shrunk and wasted the way they used to be. + +"Our doctor here, who told me I couldn't be cured unless I had it +operated on, says it's the most remarkable thing he ever saw. Those are +his very words. He didn't seem any too chipper to find out he was wrong +about having to get cut. + +"I am a thousand times grateful to you. You have made me a man again, +and I shall not forget it. I am ashamed to think how mean a letter I +wrote you last summer about humbugging and the like, but I apologize +now, and if you find any other people that don't feel sure you can cure +them, send them this letter or get them to write to me. + +"I shall remember all you wrote in your last letter about not 'presuming +too much on my improvement,' and to be careful about jumping, straining +and lifting hard, and the like. The Crayons did their work just as well +as the Compress Instrument, and I never can tell you how grateful I am +to you. There's several men I know here that are going to write you +about their cases. One of them, ---- ----, is going down on the train +to-morrow, and will bring this letter with him, he says, for +introduction. Good bye. + + Yours respectfully and gratefully, DAVID L. B." + + +REMARKS. + +The foregoing three letters tell their story plainly and concisely, and +need little or no explanation. We only desire to append the following +note from our Case Book--"D---- B----; RESIDENCE--Bay Shore, Suffolk +County, Long Island, N.Y.; AGE--54; Sex--Male; CIVIL CONDITION--Widower; +OCCUPATION--Track-Walker on L.I. Railroad (formerly Bayman and Sailor); +DISEASE--Double Varicocele, most pronounced on the left side; glands +much softened and wasted; cord also varicose and very painful. +COMPLICATION--Impaired powers, losses and commencing Impotence. +CAUSE--Indirect and Contributive Abuse in earlier years. DIRECT--Fall +from rigging of a vessel. TREATMENT--Medium Cradle and Inguinal +Compressor and one No. 2 Course Civiale's Soluble Crayons. +RESULT--Perfect cure in about 9 months. REMARKS--As severe and +complicated a case as can be found in any records. The symptoms of +Impotence were undoubtedly due to the pressure of the dilated veins on +the testicles in the scrotum and the seminal duct in the Inguinal Canal. +Patient promises to report, in person, at the end of six months, to +determine whether the cure remains perfect." Mr. B---- has since moved +to Islip, Long Island, where letters of inquiry (containing a stamp for +reply) will reach him. + + +CONSULTATION. + +If you should conclude to place your case in our hands, we shall be +pleased to hear from you, and promise you the most careful and thorough +attention. Our Consulting Staff is large, each physician has his special +department to attend to, and each case is afterwards reviewed by the +whole Board, so as to avoid all possibility of error and give each +sufferer the benefit of the highest skill and research. Our patients, +while numerous, are not such a multitude but that we can and do give +each one of them individually the closest attention. Should it be +convenient for you to visit us in person you will be cordially welcomed. + +If you hesitate from ordering, from any cause, we shall be pleased +to correspond with you. We try to feel as if we have a personal +acquaintance with every patient, and treat him as a valued friend; and, +whether you ever order or not, we shall be glad to hear from you and +know your conclusions on this subject. Of course, every letter is +sacredly private. No one reads these but the Manager, and even our old +and trusted medical advisers do not know the names of our patients--only +the numbers and descriptions of cases go into their hands. As a further +assurance we destroy letters, or return them to the writers, whichever +they prefer. + +We solicit your influence with your friends, and will be ready to +reciprocate such favors. You will also be often doing such friends a +favor, for which they will always thank you. + +We shall be particularly pleased to hear from men advanced in years, who +feel the necessity of counteracting growing weakness incident to their +age, and who know the worse than folly of resorting to pernicious secret +preparations, the effect of which is to give unnatural stimulation for a +brief time, to be followed by a dangerous, perhaps fatal, reaction. + + +TO THE MEDICAL PROFESSION. + +We make special terms on our instruments and treatment to physicians, +and cordially invite them to correspond with us. We will do all in our +power to serve the profession to their satisfaction. We have the benefit +of the best medical advice and facilities in certain lines not +attainable from any other source on the continent. + + +GENERAL PRACTITIONERS AND FAMILY PHYSICIANS. + +We cannot refrain, before closing this chapter, from saying a word +or two about the incompetency of the large majority of "general +practitioners" and "family physicians," and their evident carelessness, +and in some instances, even disgust, in the diagnosis and treatment of +this class of cases. + +The readers of this may be among that class who think the "family +physician" the embodiment of medical wisdom, and that if he has failed +to cure the case or pooh-poohed it away, there is no hope. But no one +M.D., however learned, knows all about the ills of flesh. In this, as in +the legal and other learned professions, a man may practice a score of +years, and still know little or nothing about various peculiar cases, +because they don't come under his notice; he has no opportunity to study +them practically, and little inducement to theorize. And the class of +cases we are now considering, it may surprise the sufferer to know, +are deemed by many "regular" physicians beneath their attention. The +physician's calling is a noble one, and he justly takes a high ground +regarding his duties. We honor the scruples of our medical friends, but +we do not understand nor approve the spirit which leads them to meet +these cases with ridicule or evasive answers. + +That they do thus meet this class of cases, and that their course +is censured by the most eminent of the profession, we have abundant +evidence. + +One of the best known medical writers of England, F. B. Courtnay, member +of the Royal College of Surgeons, etc., says in one of his works ("True +and False Spermatorrhoea" pp. 20-21): + +"Again, some medical men * * * * affect to consider these cases +'objectionable,' and on these grounds seek to avoid them. Others boldly +declare, that as most of such cases are the result of unnatural and +immoral habits, the sufferers are justly punished for their conduct, +and are unworthy of the attention and sympathy of any one. + +"Now I conceive this to be a monstrous fallacy; for surely it is +entirely beyond the scope of any medical man's duty to sit in judgment +on the applicants for his professional services. According to my idea of +professional duty, every man is bound to do all in his power to afford +relief to every sufferer who seeks it at his hands, without question as +to the causes and nature of the malady." + +Speaking of one of his patients the same writer says: + +"He had consulted one of the most eminent members of the medical +profession; and this gentleman evidently listened to his narration of +his case with great impatience and indifference, and upon the conclusion +of his history handed him a prescription, saying: 'There, take that for +six weeks, and if it does not do you any good, I don't know what will.' +The interpretation the patient put on his conduct and the remarks was, +that he need not trouble himself to call again. + +"Now, I have the pleasure of personally knowing the professional +gentleman here referred to, and during the last twenty years have been +in the constant habit of meeting him in consultation, and I am sure, +from my knowledge of him, that his behavior resulted from no intentional +unkindness on his part, but solely from the unfortunate feeling of +reluctance to attend to such cases, which, both from my own observations +and from information obtained from patients, I know to be entertained by +too many members of the profession. * * * I am well aware that patients +of this class are often most tedious in the narration of their cases; +that the details they conceive themselves bound to enter upon are most +painful, not to say disgusting, to hear; nevertheless we must, as in +many other instances in the discharge of our duties, submit with +patience, taking the rough and smooth with the same equanimity, and +in the special cases in question, we should endeavor to forget the +patient's vices in his woes." + +Another distinguished physician writes: + +"I cannot disregard the appeals of unhappy and humiliated people. Men +have come to me who were ashamed to show their organs because of their +diminutiveness, and who practiced masturbation and lived in celibacy +rather than bear the humiliation of exposure of the parts. Nothing can +be more pitiable than such a condition." + +If these very moral and dainty practitioners, who, as Dr. Courtnay +says, affect to consider these cases "objectionable" and the sufferers +"unworthy of the attention or sympathy of any one"--if these moralists +could sit at our desk, and day after day, week after week, read the +affecting stories of enforced celibacy, shattered health, broken family +ties, the anguish of jealousy, despair, misanthropy, the consciousness +of physical, mental and moral inferiority begotten by this sad +condition--we think that then these gentlemen would agree with us that +medical science and philanthropy can have no higher object than the +saving of these wrecks. + + +OUR PATIENTS' LETTERS AND TESTIMONIALS. + +Our correspondents are candid--they cannot well afford to be +otherwise--and it is seldom we read one of their letters without feeling +all the interest in the writer that one can for an honest suffering +fellow being. We would not feel this interest did they not evince an +earnest desire to profit by their misfortunes. Our aid is not sought +by those wishing a brute's power for excesses, for we hold out no +inducements to this class, but plainly tell them that they will +inevitably pay the penalty for abuse of nature's laws. Nor are our +patrons among the vicious and imaginative youth, or the class termed +"greenhorns." We confine our advertising almost wholly to the daily +press, thus reaching the most intelligent class of citizens only. + +We regret that, for obvious reasons, we cannot present some of the +letters we have received from those who have been treated by our method. +We are pledged to secresy with our correspondents, however, and cannot +use their names publicly; we cannot publish testimonials, although we +have scores of such a nature as to satisfy the most incredulous, yet all +must understand that it would be a breach of confidence on our part to +make these public, and would ruin our practice besides, as we can only +do business of this nature under guarantee of strict privacy. But of the +many hundreds we have successfully treated, a number have voluntarily +given us permission to refer to them in correspondence with interested +parties. + +We will cheerfully furnish, on conditions named below, a list of some +of the persons who have taken this mode of treatment, been thoroughly +developed in size and strength of the organs, and relieved of every +trace of seminal disease or weakness, and from gratitude and good hearts +have volunteered to answer any questions addressed to them by interested +persons, who are, of course, expected to hold such correspondence +confidential. Bear in mind that we use these names only by permission, +which was given us unsought by patrons who paid for our services, and +now tender this privilege more through kindness to sufferers than a +desire to benefit us financially. To save these gentlemen annoyance and +useless correspondence, we prefer not to furnish their names except to +those who have had previous correspondence with us and who will +accompany the request with references. + + +BASHFULNESS AND FALSE MODESTY. + +We are sorry to note in some of our patrons a feeling of shame in taking +this treatment. Such feeling we cannot but regard as absurd, and the +outgrowth of false ideas. If their present condition has been brought +on by evil habits, it is well enough to be ashamed of that fact, but it +is certainly altogether creditable to make use of the first opportunity +to restore or attain a perfectly natural condition and check such +disastrous losses, and in many cases it is absolutely necessary for the +welfare and happiness of themselves and others. A well-known medical +writer says: + +"This treatment does not interfere with any regular habits or +employment, and may be followed without the knowledge or suspicion of +any person whatever. It is beneficial to the general health and quite +pleasant in its effects, giving the person a rejuvenated, buoyant +feeling, infusing new life and manhood; seemingly dashing young strong +blood through all the sluggish veins and arteries of the form." + +To those who really need this treatment its importance cannot be +overestimated. Each sufferer can answer to himself how very different +life would be if free from his infirmity. Would you not be better +capacitated for business, labor or pleasure? Is not your mind on +the rack often--perhaps always? Have you not at this time, and in +consequence of this deficiency, a tendency to misanthrophy, a bitter +feeling that you are the victim of an unkind Providence, or else bowed +by humiliation due to your own ignorance or vices? Does not your very +incapacity keep your mind filled with lewd thoughts, which in a state of +perfect manhood would not exist? + +From the confession of hundreds we know how each of you will answer most +or all of these questions. + +Is not the means, then, which will raise you above these deplorable +conditions, a blessing inestimable? Is it not an agent of moral as well +as physical regeneration? When this means of deliverance is offered, +will you hesitate in availing yourself of its benefits and making it +known to others who are sufferers like yourself? Let an honest heart +and candid judgment answer for you. + + +THE FALLACY OF CHEAP REMEDIES. + +There are many men who are affected more or less seriously with Diseases +of the Sexual Organs who are constantly on the look-out for so-called +cheap remedies, and in the course of a few years manage to spend upon +these cheap and trashy medicines and appliances twice or three times as +much money as would have been necessary to thoroughly cure them. And +what have they got to show for it? Nothing--absolutely nothing, aye, +even worse than nothing, _i.e._, positive injury to the organs, for, +in nine cases out of ten, these cheap, clap-trap potions, by over +stimulating, imitating and often inflaming the organs, do them actual +harm, hasten and aggravate the disease and leave the patient in a much +worse condition than if he had taken no treatment at all. + +How often have we had cases referred to us for diagnosis and treatment, +where irreparable injury had been done by wrong treatment. Some were in +such a state that no treatment, however excellent, could possibly help +them; in others we have had to labor for months to eliminate these +poisonous medicines from the system and get the Sexual Organs into +proper condition to admit of a restorative treatment; and in still +others the effect of our usually quick and thorough-going remedies were +delayed and interfered with by the ignorance or botchwork of some quack +or bungler, or the well-meant but stupid doctoring of some "family +physician" who thinks himself competent to treat these diseases. + +No more delicate, complicated or easily injured or disarranged piece of +mechanism than the Sexual Organs exists. In health, they must be treated +with care and reason--in disease, with the utmost circumspection. This +branch of medicine, least of all, should be the parade ground of +ignorance, carelessness or false economy. A man's very health, life, +happiness and vigor, his power to procreate his species, to perpetuate +his name, his ability to make his wife happy and his children strong and +vigorous, all depend upon the treatment he selects. What is worth doing +at all is worth doing well, and he who jeopardizes health and happiness, +present and future, on the mistaken basis of false economy, is far from +wise. + +Everything has a value. If a man offers to sell to another a gold watch +worth $150 for $5, you would at once set him down as an impostor, and +the watch as injured or worthless or fraudulent. Yet there are thousands +of men who try to find for a few dollars a remedy for a most serious and +complicated disease. In medicine, as elsewhere, Common Sense plays an +important part. Such remedies cannot possibly do what is claimed for +them. Reputable, honest men, educated and skilled physicians who have +spent thousands of dollars in obtaining a proper medical education, +cannot afford to waste their time for such slight remuneration. Hence, +unscrupulous scoundrels, who have no reputations either to make or lose, +who make most glaring promises in their printed matter, who are willing +to guarantee anything to anybody, infest this field. They know how great +is man's cupidity, and trade upon it willingly, caring nothing for the +consequences. + + +OUR REMEDIES ARE RELIABLE AND REASONABLE. + +We not speak thus disparagingly of cheap remedies because ours are dear, +for no patient who has gone the round of cheap remedies, and has at last +profited by Civiale's method, but will tell you that our treatment is +cheap at any price. + +We charge what we consider a fair and reasonable profit on our remedies. +Our entire institution is conducted on the very highest and most ethical +medical basis. The Physicians comprising our Consulting Staff are men +of the best standing, of fine education, and having special experience +in this branch of medical science; our remedies are made up under the +direct personal supervision of one of the most expert chemists in this +country, and precisely after Civiale's formulae; our drugs are purchased +from such firms as McKesson & Robbins, Schieffelin, etc., and are of the +purest and best, and our aim at all times is to give the patient +consulting us the full value of his money. + +For such skill and services we charge fairly and reasonably, and we have +yet to find a patient who is dissatisfied. Our cases get well, provided +our advice is followed and a cure is possible. If it is not, we frankly +and candidly tell the truth. We cannot afford to make false statements +or false promises, to hold out hopes we cannot justify, to ruin our +established and well-known reputation for honesty, fair dealing and +medical skill in order to make a few dollars. We find that one man cured +is the very best advertisement we can have, and that one such case makes +us one warm friend and advocate, and brings us many patients, where one +man deceived and defrauded would make us one bitter enemy and injure us +in the eyes of many. Thus, every other consideration of honor and +honesty aside, it pays us better to deal fairly with our patrons. + +This treatment has been thoroughly tried in the most desperate and +adverse cases, and has stood the test of time and repeated trials, has +stood these tests as no other remedy or remedies ever have or ever will, +and in them men of all ages and all conditions may find strength, health +and vigor. + + THE CIVIALE REMEDIAL AGENCY, + MAIN OFFICES AND LABORATORY, + 174 FULTON STREET, + NEW YORK CITY. + +--> Please address all Medical and Business Letters to Offices, 174 +Fulton street. They may be addressed to CIVIALE AGENCY, or Mr. L. B. +Jones, our Business Manager. + +(From the New Orleans _Weekly Picayune_, May 23, 1885.) + +CIVIALE REMEDIAL AGENCY.--Every man, whether he be young, middle aged, +or old, suffering from weakness, debility, or impotency, will be made +healthy and happy by writing to this excellent concern, at 174 Fulton +street, New York. The advertisement should be read, which will show +skeptics that the agency is worthy of confidence. The press and medical +profession indorse the gentlemen connected with it in strong terms. + + + + +A SPECIAL AND IMPORTANT ANNOUNCEMENT. + +STRICT MORALITY vs. FALSE MODESTY. + + +In preparing both the first and later editions of this little work (that +has brought happiness to so many by opening the way to knowledge of a +proper means of cure and methods of regaining health and vigor), +the +utmost care and circumspection have been exercised in an endeavor to +exclude from its pages anything that could be construed by the most +fastidious as immodest, obscene, or in any way offensive to decency, +morality or good breeding+. Indeed, although purely and essentially ++a medical work, and intended solely for such persons whose duty it is +to be acquainted with the facts given+, in order to understand their +complaint, to place themselves under proper treatment, and to avoid +the dangers of quackery, we have in many instances wholly excluded +or materially modified the wording of passages in order to comply +with our original ideas of the strictest purity of thought and speech +commensurate with a truthful and honest statement of facts. + +We wish it distinctly understood that +this treatise is intended solely +for persons suffering from Genito-Urinary Diseases+, and that it is ++never mailed to any person who has not voluntarily requested us to send +it+, and then +not to boys+ or to members of the +opposite sex+. (Our +application books show a large number of such refusals.) + +We look upon our special mission in the field of medicine as +distinct+, ++laudable+ and +holy+. There are those who look down upon this special +branch of medicine, and some ignoramuses who assert that such diseases +only exist in the imaginations of such patients as a result of reading +the pamphlets of quacks who paint frightful pictures of insanity, +idiocy, etc. To such men as these we have only this to say: Consult the +works of Hammond, Black, Acton, Wilson, Lallemand, Civiale, Courtenay, +Lee etc., etc., the authors of which have world-wide reputations, not +only as physicians, but as truthful, honest and moral men. They will +then see how really grave are such affections and how needful of aid. + +God knows that the misery, despondency and actual organic disease, +as a result of early vices, are prevalent enough even to-day to make a +lover of his fellow men sincerely pity and desire to help them. And we +claim (and every honest man cannot but admit) that it is only by the ++widespread dissemination of a knowledge of certain facts+ to young and +old, especially the former, that such vice and its consequences can be +met and overcome. We are daily spreading such knowledge throughout the +length and breadth of this land, not only warning and advising the young +and cautioning the older, but also pointing out to all such as need it a +perfect and easy means of cure and restoration to health and vigor. + +Our mission is as real, noble and important as that of preaching the +Gospel, and aside from its bearing on the enlightenment of those who +would otherwise go astray, and offering the means of relief to those who +have already sinned against Nature, it is of a broader and even more +sweeping importance. As every whole must needs be the sum total of its +integrals, so +each nation+ and +people must+--in mental, moral and +physical traits--+be that which its individual members make it+. +Hence, if perfect general health, full procreative ability and healthy +offspring mark the majority of the individuals, so naturally must the +health, vigor, populousness and power of the nation be accordingly. ++As secret vice diminishes, public virtue and morality become greater.+ +Diseases of the Prostate Gland, Urinary Organs and Sexual Apparatus are +as +real, as embarassing+ and +as needful of cure+ as those of the +lungs, heart, stomach, or any other organ--indeed, more important, for +the latter only affect the life or health of the individual immediately +concerned, while the former concern not only the person affected, but +his offspring also. + +There is no reason why false modesty or pseudo-delicacy should reign +supreme here. If the Almighty had intended these matters to be viewed +and treated in the light which some fanatics and extremists seem to +desire, we would certainly have been created without the power of +procreation entirely. As it is, such organs and such diseases +do +exist+, are of the greatest (individual and national) importance, and +provided a +full knowledge of the causes and consequences of vice and +abuse as related to these parts can be brought vividly and strongly +before the mind of every man, young or old, in a chaste, decent and +strictly professional manner+, the result can only be a good one, and +those who deny it are engaged in moral hair-splitting. + +We felt that the foregoing remarks were both +apropos+ and necessary +with a view to contradicting some statements recently made regarding +the uselessness and demoralizing effects of everything concerning this +branch of medical practice, and as due ourselves in distinctly recording +our belief and practice in the matter; more especially to refute the +false accusation that special medical treatises were being scattered +broadcast over the land and made to invade the privacy of homes, and +coming into the hands of young boys and females. + +THE CIVIALE REMEDIAL AGENCY. + + + {Illustration (Civiale Agency)} + + * * * * * + * * * * + * * * * * + +{Errors and irregularities noted by transcriber: + +Civiale : Civiale + _inconsistent spellings in original_ + +the secrecy of his chamber or his bed +or, if secresy is desired +the strictest confidence and secrecy +We are pledged to secresy + _variant spellings in original_ + +HUMAN SPERMATAZOA. +... +well developed and active zoa-sperms + +to their freinds + ++Impotency+ (from the Latin words _im_ [not] and _potens_ [to be able] + _no closing parenthesis_ + +{Footnote 7: Beltrage zur anat-uns Phys., Bd. iv. and Bd. vii.} +{Footnote 20: Endoskopische Befunde bei Erkrankungen des +Samenhugels Wein, 1880.} + _Spelling and punctuation of all footnotes as in original._ + _Footnotes 1-25 were printed in a block, although the text referencing + 24 and 25 was on the following page._ + +Bloody Urination, etc., etc. (Many cases of + _no closing parenthesis_ + +in accordance with the formlae + +[_Appleton's Cyclopedia, vol. x, p. 144._ +[_Appleton's Cyclopedia, vol. iv, p. 618._ + _open-ended brackets in original_ + _"vol. iv" illegible_ + +(_Paris_), 1827) + _extra parenthesis in original_ + +Again, some medical men * * * * affect to consider +too many members of the profession. * * * I am well aware + _asterisks in original_ + +your doctor told me I musn't feel sure + +a tendency to misanthrophy + +as +real, as embarassing+ and +as needful of cure+ } + + + + + +End of the Project Gutenberg EBook of Manhood Perfectly Restored, by Unknown + +*** END OF THIS PROJECT GUTENBERG EBOOK MANHOOD PERFECTLY RESTORED *** + +***** This file should be named 18370.txt or 18370.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/1/8/3/7/18370/ + +Produced by Louise Hope, Bryan Ness and the Online +Distributed Proofreading Team at http://www.pgdp.net + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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