In some cases, the only complaint the patient will make on consulting you, is that he is suffering under a kind of continued fever. He will probably present a hot, dry skin, with something of a hectic appearance. Though all the ordinary means of arresting such symptoms have been tried, he is none the better.
The sleep seems to be irregular and unrefreshing--restlessness during the early part of the night, and in the advanced stages of the disease, profuse sweats before morning. There is also frequent starting in the sleep, from disturbing dreams. The characteristic feature is, that your patient almost always dreams of sexual intercourse. This is one of the earliest, as well as most constant symptoms. When it occurs most frequently, it is apt to be accompanied with pain. A gleety discharge from the urethra may also be frequently discovered, especially if the patient examine when at stool or after urinating. Other common symptoms are nervous headache, giddiness, ringing in the ears, and a dull pain in the back part of the head. It is frequently the case that the patient suffers a stiffness in the neck, darting pains in the forehead, and also weak eyes are among the common symptoms.
One very frequent, and perhaps early symptom (especially in young females) is solitariness--a disposition to seclude themselves from society. Although they may be tolerably cheerful when in company, they prefer rather to be alone.
The countenance has often a gloomy and worn-down expression. The patient's friends frequently notice a great change. Large livid spots under the eyes is a common feature. Sudden flashes of heat may be noticed passing over the patient's face. He is liable also to palpitations. The pulse is very variable, generally too slow. Extreme emaciation, without any other assignable cause for it, may be set down as another very common symptom.
If the evil has gone on for several years, there will be a general unhealthy appearance, of a character so marked as to enable an experienced observer at once to detect the cause. In the case of onanists especially there is a peculiar rank odor emitted from the body, by which they may be readily distinguished. One striking peculiarity of all these patients is, that they cannot look a man in the face! Cowardice is constitutional with them.
HOME TREATMENT OF THE SECRET HABIT.
1. The first condition of recovery is a prompt and permanent abandonment of the ruinous habit. Without a faithful adherence to this prohibitory law on the part of the patient all medication on the part of the physician will assuredly fail. The patient must plainly understand that future prospects, character, health, and life itself, depend on an unfaltering resistance to the morbid solicitation; with the assurance, however, that a due perseverance will eventually render, what now seems like a resistless and overwhelming propensity, not only controllable but perfectly loathsome and undesirable.
2. Keep the mind employed by interesting the patient in the various topics of the day, and social features of the community.
3. Plenty of bodily out of door exercise, hoeing in the garden, walking, or working on the farm; of course not too heavy work must be indulged in.
4. If the patient is weak and very much emaciated, cod liver oil is an excellent remedy.
5. DIET. The patient should live principally on brown bread, oat meal, graham crackers, wheat meal, cracked or boiled wheat, or hominy, and food of that character. No meats should be indulged in whatever; milk diet if used by the patient is an excellent remedy. Plenty of fruit should be indulged in; dried toast and baked apples make an excellent supper. The patient should eat early in the evening, never late at night.
6. Avoid all tea, coffee, or alcoholic stimulants of any kind.
7. "Early to bed and early to rise," should be the motto of every victim of this vice. A patient should take a cold bath every morning after rising. A cold water injection in moderate quantities before retiring has cured many patients.
8. If the above remedies are not sufficient, a family physician should be consulted.
9. Never let children sleep together, if possible, to avoid it. Discourage the children of neighbors and friends from sleeping with your children.
10. Have your children rise early. It is the lying in bed in the morning that plays the mischief.
* * * * *
NOCTURNAL EMISSIONS.
Involuntary emissions of semen during amorous dreams at night is not at all uncommon among healthy men. When this occurs from one to three or four times a month, no anxiety or concern need be felt.
When the emissions take place without dreams, manifested only by stained spots in the morning on the linen, or take place at stool and are entirely beyond control, then the patient should at once seek for remedies or consult a competent physician. When blood stains are produced, then medical aid must be sought at once.
HOME TREATMENT FOR NOCTURNAL EMISSIONS.
Sleep in a hard bed, and rise early and take a sponge bath in cold water every morning. Eat light suppers and refrain from eating late in the evening. Empty the bladder thoroughly before retiring, bathe the spine and hips with a sponge dipped in cold water.
Never sleep lying on the back.
Avoid all highly seasoned food and read good books, and keep the mind well employed. Take regular and vigorous outdoor exercise every day.
Avoid all coffee, tea, wine, beer and all alcoholic liquors. Don't use tobacco, and keep the bowels free.
PRESCRIPTION.--Ask your druggist to put you up a good Iron Tonic and take it regularly according to his directions.
BEWARE OF ADVERTISING QUACKS.
Beware of these advertising schemes that advertise a speedy cure for "Loss of Youth," "Lost Vitality," "A Cure for Impotency," "Renewing of Old Age," etc. Do not allow these circulating pamphlets and circulars to concern you the least. If you have a few Nocturnal Emissions, remember it is only a mark of vitality and health, and not a sign of a deathly disease, as many of these advertising quacks would lead you to believe.
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