{Transcriber's Note:

Misspellings in the original have been preserved. The text uses amixture of italics, boldface, enlarged type, and underlining. They arerepresented 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 thesediseases of the Sexual and Urinary Organs, endorsed by and adoptedin 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 sixthedition of our brochure on Sexual and Urinary Diseases. The success ofthe Civialè Urethral Method, since its first introduction into America, has been almost unparalleled in Medical History, and we feel that thetime has come for replacing the brief pamphlet containing a mere outlineof the method, with a work somewhat more full and exhaustive. 

Aware of the number of worthless and oftentimes actually injuriousremedies that are being advertised and recommended for the cure ofthese affections, and the bogus doctors and worthless firms that infestevery large city, we have endeavored to give inquiring patients everyproof and assurance of the efficacy of the Civialè Remedies, everyfacility for investigating our methods, and proving, to their entiresatisfaction, both the medical ability of our Consulting Staff, and thehonor, honesty and fair dealing of the Agency. We court the fullest andfreest investigation, either by patients themselves or any friends oftheirs in this city, either of whom we shall be happy to see and satisfyat any time, at our Consulting Rooms, Business Offices or Manufactory. 

Repeated trials in some of the most severe cases of Spermatorrhoeaand Impotency, in both France and America, have proven the CivialèRemedies to be safe, speedy and most satisfactory in all their results, and we feel justly proud of having in our hands so excellent andefficient a means for the radical cure of so obstinate, serious andoften dangerous a disease. We take pride in having saved many ayoung and promising life, in having often stayed the hand bent uponself-destruction, and in having many times cheated the grave or theinsane asylum of its expected prey. Nor do we feel less proud inhaving been able, in cases of not so serious, though often of amore 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 totallyImpotent, 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 theutmost care, skill and discretion in both diagnosing and treatingthese cases, and assiduity and scientific accuracy in preparing andcompounding those remedies of which we are the fortunate possessors. Indeed, we do everything in our power to make success an absolutecertainty. 

A word in closing. Our STAFF OF CONSULTING PHYSICIANS is composed ofmen selected with great care for their special skill and attainments inthis special branch of Medical Science. These gentlemen are handsomelyremunerated for their services, and take a pride and interest in everycase they treat. 

Our physicians hold no pecuniary interest in the Agency, and henceprescribe for each case solely on its merits, having nothing to gainby selling less or more to any one under their care. They see and treateach case solely and wholly from a medical standpoint, and hence arenever influenced by any pecuniary considerations whatsoever. Howevergreat the reputation of our physicians may be, we have, from the firstorganization of this institution, taken and held the ground that thebest interest of the patient is best served by resolutely divorcing theMedical 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 sickeningpictures of lust, disease, melancholy and insanity. Charnel-houses ofsin and lust--sloughs of despond and regret--excess of passion offsetby lack of power--dread, despair, hopelessness, shame and desperation, making a picture of misery scarcely to be conceived by any but thoseunfortunate beings who in the thoughtless, careless heyday of youth, orthe reckless reliance on more mature vigor, have weakened, emasculatedand enslaved themselves by indulgences and excesses that have bornefruit of misery, disease and desperation in after years. 

How little the youth who, in his ignorance of the terrible consequencesof his vice, steals away to the secrecy of his chamber or his bed, leaving his happy, healthy and playful companions, in order that hemay let the hot waves of lust and passion run riot in his mind, and dryup every spring of healthy thought and action--how little does he thinkof the after-time of misery and exhaustion that he is bringing uponhimself--how little does he think that the vile demon that he is raisingup will, like the vampire, suck his very life-blood, steal away hisstrength and life and vivacity, besmirch and weaken his mind, take thestrength from his muscles, the courage from his heart, sap the veryfoundation 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 maritalright 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 bydisease or suicide, or is lost to the world and to all joys and friendsbehind the doors of an insane asylum. 

He died of no disease known to medical science. He simply fadedaway--weaker, more nerveless and hopeless day by day; he faded awayuntil, almost before any one knew it, the grave yawned to receive him. Poor, miserable, hopeless wreck--poor suicide, for his own sin and crimewere 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. Wefind their wives unfaithful or unhappy; and their offspring--when theyare cursed with any--poor, miserable, weak fledgelings, with aged, wasted faces, water on the brain, with rickets and softening of thebones--idiots or imbeciles--dying early and scarcely regretted evenby the parent whose progeny they are, for every wail of the littlesuffering 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 oncebroken, the consequences are _inevitable_. 

Of late years it has become the fashion amongst certain men to scoffat this terrible vice of secret indulgence, and to claim that itsevil effects are overrated, are portrayed too vividly. Ask some poorunfortunate whose confidence you may succeed in gaining, and listen tothe pitiful tale of lost health and vitality he will tell you. Mark wellthe wasted hand, the putty-like skin, the black-ringed, lack-lustreeyes, the heavy lip, the labored breath--read the consequences of hissin and crime in his shame-faced way, his shambling gait, his nervelesshands, his fluttering heart, his weakened muscles, and his totteringmemory and mind. 

Must he needs lie dead at our feet before these skeptics can beconvinced? Is not such a state a living death? Must these men visithim in the cell of the asylum, watch him as a raving maniac, gaze uponhim as a hopeless idiot or a driveling imbecile, before they will beconvinced? Such proof is at hand. Not an asylum in any country but hasits score of such; not an asylum record-book but chronicles the sadhistories of thousands of these poor, lost creatures--male and female;not an asylum nurse or doctor but will sadly point out these creaturesto you, bereft of every trace of reason, all sense of shame, stillpracticing the horrible vice that has driven every semblance of humanityfrom their faces and the very light of reason from their eyes. 

True, every boy or man who practices this vice does not come to thisend. But who shall discriminate? There are thousands such, and who shallsay 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 thoughtlessindulgence, the imitation of friend or companion, though apparentlyharmless now, may blanch your rosy cheek, destroy your peace andhappiness of mind, and make a life-long, hopeless, suffering invalidof you--may shut the door of all earthly enjoyment in your face, blastyour hopes, disease or destroy your offspring, alienate you from friendsand family, and cut off from all communion with your race, make you anobject of shame and disgust to your fellow-men, sink you into an earlygrave or entomb you for life in the cold stony walls of a lunaticasylum. 

The day will come, erstwhile, when you will curse the parents who rearedyou, the friends who surrounded you and the teachers and ministers whotaught you, for not warning you of the terrible nature of thisindulgence, so secretly common amongst boys and young men. 

The day will come, when in the midst of your mental, moral and physicalagony, with weakened mind and exhausted body, physicians will tell youthat masturbation is practically harmless, that its consequences areexaggerated, and that your sufferings are mostly imaginary. Then willyou pity their ignorance and bemoan the fact that to such men mustsufferers in your terrible extremity apply without any feeling of beingunderstood, appreciated or sympathized with, and, far less, relieved orcured. 

Happy will you be then, if you can (with your vice and misery staringyou in the face and threatening you with some or all of its direconsequences) direct your steps to those who not only can and willsympathize with you, but who are able to aid you with proper remediesand restoratives and set you safely on the way to health and happinessagain. For there _are_ proper aids and remedies; there are hope andhappiness to be obtained if the affections growing out of this vicebe skillfully taken in hand in time. None but the hopeless suffererswho have been lifted from the misery, shame and weakness of theirself-inflicted suffering know how much this world owes to the highmedical skill, exhaustive study, and persistent search for truth andproper remedies of those two great Frenchmen, +Professors ClaudeLallemand+ and +Jean Civiale+. The medical as well as civil honorsconferred upon them by their country and their medical brethren, greatas they were, could never half repay them for the good they renderedthoughtless youth and suffering manhood by their special discoveries. There can be no question but that the +Civiale Urethral Crayons+, namedthus after this great specialist, and endorsed by the most eminentmedical men of France (that country in which lust and passion arepeculiarly prevalent), are the most far-reaching and reliable specificsfor 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 diseaseshas 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 commoncause, and we therefore give it the most prominence. The others we willname briefly in about the order of their frequency. 

1. MARRIAGE EXCESSES. --A very common cause, more often producingImpotency (loss of Sexual Desire or Power) and Sterility (inability tobeget offspring), than Spermatorrhoea (loss of vital fluid, daily andnightly losses, losses in the urine, nervous prostration, debility, insanity, paralysis, &c. For full description of symptoms, see pages12-16). Sexual desire was given to mankind, like any other power orappetite--to be enjoyed in reasonable moderation _and for the purpose ofinsuring a continuance of our species by the birth of offspring_. Manymen abuse this power--abuse it inordinately, shamefully--and suffer theconsequences. This is especially true of the newly married, and menadvanced in years, who push their failing powers too far. As a justretribution for the abuse of so important a function, the Almightydeprives 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 isstill different. It is as hurtful to an adult as abuse is to a youngperson. God punished Onan for this sin, hence its name. Yet, despitethis 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 amongstthe many cheap, quack remedies for something to re-invigorate andre-vitalize them. 

This is a terrible vice, terrible in its consequences, and however hardyand robust the man, sooner or later his sexual powers must and willsuccumb to the strain. Many men write us, saying that they nevermasturbated, and yet are totally impotent and cannot understand whyit is. And yet they have been thus injuring themselves for years!

Sexual power and desire were given us for one purpose--the perpetuationof our species, and whoso endeavors to avoid this, must suffer. Manymarried couples do not want more children, from care, poverty or othercauses, and hence the extent to which this terrible practice isindulged. It _must_ be from ignorance, for were it commonly known howinjurious this practice is, _but few would dare take the terrible risk_. 

And yet the resulting weakness can be speedily cured if properlytreated. In no class of cases have the Civiale Remedies achieved greatersuccess than in these. 

3. ANYTHING DEBILITATING--such as Overwork, Confinement, SedentaryOccupations, Worry, Care, Excitement, &c. , &c. --These are much morecommon causes of Sexual and Generative Diseases than is generallysupposed, and usually very obstinate and difficult to treat, becausethe system is so run down that there is very little stamina or vitalityto rely upon. Clerks, business men, lawyers, bankers, ministers andstudents are very subject to this form of impaired vital and sexualpower. Theological students are very prone to it. Many do not have anyidea as to what their real trouble is, and lose much valuable time indoctoring for Dyspepsia, Consumption, Neurasthenia and the like, whenreally their very life and vitality are oozing away from them in theirurine 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 theinflammation 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 ofthese complaints. It was here that +Lallemand+ and +Civiale+ foundthe key-note of the true treatment of these diseases. 

5. VARICOCELE, or a wormy, swollen or twisted state of the veins in thebag, and of those that run down to the testicles, is a very common causeof both Spermatorrhoea, Impotency and Debility. (For full description ofthis very common and often unexpected disease, send for our illustratedpamphlet on the subject, or see Chapter XI, page 44 of this book. ) Noman or boy with Varicocele, no matter how it was produced, can beperfectly sound and strong in his Sexual Organs. 

6. UNDEVELOPED, WASTED OR MISSHAPEN PARTS. --A failure to have perfectlydeveloped organs sometimes dates from birth, but in most cases it iscaused 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 causeand effect, and the one, when found, will usually very soon lead to theother. _Twisting or Curving_ is one of the most positive signs ofprevious inflammation, stricture and twisting or distortion of theseminal ducts, and hence sterility or barrenness. In such especially arethe remarkable effects of the +Civiale Treatment+ the most noticeable. We can say with positiveness, and prove it by case after case, that byno other method can such rapid and perfect restoration of the organs toa natural and healthy state be obtained as by this. Some of the veryworst and apparently most hopeless cases that we have had--cases thathave gone from one physician to another without the slightestimprovement--have yielded effectually to the +Civiale Remedies+. In someof them the persons thus afflicted would have been totally unfitted formarriage had they failed to find relief. Their children--healthy, happyand finely developed--speak volumes for what our treatment has done forthem. (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 SeminalDisease. There are a few that we have not mentioned: Blows on the Head, Loins (Small of the Back), Testicles, &c. ; Weakness caused by prolongedillness, fevers, &c. ; Malaria, Consumption, &c. ; the abuse of Tobacco, Opium, Alcohol and Chloral, &c. , &c. ; but these are less common and lessimportant. There is one condition, however, that we have only referredto incidentally, and that is the failure of Sexual Power in men pastmiddle age. No man (if he is reasonably careful and does not abusehimself) should find his powers decaying before he is seventy or eightyyears 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 thatthey "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 truethey escaped the more acute and direful effects, but it told on them inafter years. There are many thousands to-day who are just now feelingthe effects of early vices, now almost forgotten. They can be restoredto _natural_ power by proper treatment, but they rarely are, because butfew of them believe that early self-abuse or later Onanism has anythingto do with it. So they spend a fortune almost--and uselessly too--onStimulants, Nervines, Tonic and the like, but still remain partly orwholly 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. ImpalpableOozings. Losses in the Urine. Losses while at Stool. Mistaken Gleet. 

There are thousands of weak, nerveless men, who do not know what ailsthem; thousands of invalids whose physicians are puzzled and perplexedby their symptoms, and cannot account for the rapid waste of strength, energy and vitality, much less check it; and thousands of others, onthe street, in the pulpit, on the bench, in the counting room, whosetroubles, illness and misery are due to losses of vital fluid. Someknow it, many more do not. Some are being properly or improperly treatedfor it; many are being dosed and drugged for Malaria, Neurasthenia, Consumption, Overwork, Brain Troubles, Paralysis and many equally asfoolish and irrational complaints. They sicken, die, destroy themselvesin hopeless despair of ever getting well and strong again, verge intohopeless idiocy or go raving mad, simply because their trouble is notunderstood; because day by day and hour by hour there is draining fromthem in their urine, at stool and otherwise, that precious vital fluidthat 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 strengthand vitality? This fluid is the only one charged with _life_--actual_life_; capable of producing _life_--of creating offspring--ofimpregnating and developing into perfect being, with thinking andreasoning brain and mind, pulsating heart, expanding lungs, sentientnerves, motive muscle, and all that beautiful, minute and co-ordinatemechanism that forms a perfect human being--the only secretion in thebody capable of propagating species--carrying _life_ within _life_. 

Surely this was not meant for waste. Surely the influence of its lossupon the system, especially of a boy or young man (growing and not fullydeveloped), must be great, and it is. Many and many a young man thuswastes away before the eyes of his friends from no other cause. Many aone loses health and strength from this cause alone, yet does not knowit. How much better if all this false modesty, social hypocrisy, andblundering medical dosing and drugging, without thorough examination andfull understanding, were wholly done away with, and the young men, andold men too, were brought to understand two cardinal facts:

(a) The immense devitalizing effects of even small continued losses ofvital fluid, and, (b) The fact that many apparently strong and healthy, as well as weakand nerveless, men who find their sexual powers gradually or suddenlyfailing them, can, in nine cases out of ten, trace it directly tolosses of vital fluid in the urine or otherwise, that have been goingon--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 personthus affected should have his urine carefully and thoroughly analyzed bysome competent person. In saying "competent person, " we speak advisedly, for but few chemists and fewer physicians are competent to make suchan examination and draw correct deductions from what is to be foundthere. Any person can, with the proper reagents, test his urine forthe presence or absence of semen, but he cannot make the thorough, scientific, chemical and microscopical analysis that is sometimes neededin order to arrive at a full and perfect diagnosis and successfultreatment. 

 {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 toforward a sample of it at once, for a full and extended analysis, whichwill be made for the nominal fee of $2, merely to cover the cost ofchemicals. 

Our Chemical Laboratory is under the supervision of Mr. G. H. E. DuBell, Ph. D. , a thoroughly competent quantitative and qualitativeanalytical chemist, a graduate of the French and German Universitiesand also a licentiate in this country, who, with his able corps ofassistants, makes all examinations and reports in full upon them to theMedical Chief of Staff, who in turn submits them with the histories ofeach to the full Consulting Board or Staff. 

_CHAPTER III. _

THE FORMS, SYMPTOMS AND CONSEQUENCESOf Masturbation, Spermatorrhoea, Nervous Exhaustionand Spinal Irritability. 

In no disease known to us are the symptoms precisely the same in everycase. 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 givehere the more noticeable ones at first laid down by +Lallemand+, thegreat French physician, who first gave us the name "Spermatorrhoea, "who first wrote upon this disease, who was the first to discover theconnection between the losses of semen and certain symptoms here given, and who, too, was the great originator of that treatment so successfullyperfected by his successor, +Prof. Civiale+, and which is now the_standard_ treatment, recognized and adopted in all the Frenchhospitals. 

OBJECTIVE SYMPTOMS DUE TO MASTURBATION. 

First, as to the appearance and actions of the +Masturbator+--he who isconstantly and recklessly drawing drafts of exhaustion and decay on thenervous energy and strength of his coming manhood, and which are sure tobankrupt the most robust health. 

If there is a man to be pitied on this earth, it is he who is walkingabout from day to day conscious of being guilty of ever having practicedthis vice. Mark the man who is addicted to it in no matter how light aform; _his face tells the story of his sin_. See his +haggard looks+, his +deep, sunken eyes+, which he throws only half-way into thecountenance of his friend. _Note the +blue+ or +black discolorations+under the +eye+; the +nervousness+ to get away from a crowd, and theextreme +girlishness+ or +backwardness+ when +introduced+ into the+company of ladies+. _

The victim of the most dangerous of all vices soon reaches a statewhich, if not promptly relieved by the proper remedy, will end inlife-long misery or an early death. 

Objectively considered, the masturbator is recognized by a marked facialexpression, by a characteristic mannerism, and by a peculiar mentalstate. 

THE FACE. --_The +facial expression+ consists of a +pale+ and +sallowtint+ 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 lineextending+ 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 isembarrassed, awkward+, and +without directness+; his +memory+ is+defective+, and he is +absent-minded+ and +given+ to +reverie+. If thehabit has long existed, and been excessively frequent in repetition, +epilepsy+ may be produced; or +serious mental disorder+, as +delusionalinsanity+, +dementia+, etc. , may occur. _

THE SEXUAL ORGANS. --The state of the +genital organs+ varies with thelength 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+, wherebyan 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 littlestrings; 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 +imaginationis 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 backof 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+, areexperienced. The +organic nervous system+_ manifests a functionaldisturbance in harmony with the disorder of the nervous system of animallife. _+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 determinedby the extent and duration of the habit, and by the constitutionalpeculiarities of the patient. +The more highly developed the nervoussystem, and the more it preponderates in activity over the muscular anddigestive systems, the more serious the effects. +

EFFECTS OF MASTURBATION ON THE MIND

"The most serious +mental effects+ are produced by +masturbation+. Thisvice, commenced at or before the period of puberty, interferes seriouslywith the development of the brain and the evolution of the mentalfaculties. 

"That +spermatorrhoea+ will produce in one class of cases+mental disorders+, and not in another, indicates either that somepredisposition 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 possessedof the highly-developed nervous organization of masturbators are thoseof +delusional insanity+. 

"There is, however, a +cerebral+ (brain) +phase+ of spermatorrhoea whichmay 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+, +delusionalinsanity+, etc. _ In that variety of the cerebral form in which adecided predisposition must be admitted to exist, to disorder of theintellectual faculties, there are found various forms of mentalalienation. The +chronic form+ is the most common, which correspondsto the _+melancholia+ of +Pinel+, or the +lypemania+ of +Esquirol+, terminating in +dementia+. _ Several of the most characteristic caseswhich have happened under my observation correspond to the _+delusionalinsanity+ 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 tendencyin spermatorrhoea. The statistics of any of our large insane asylumswill illustrate the influence of masturbation in the production ofinsanity. Mr. Holmes Coote, in a discussion which followed Dr. Drysdale's paper on the "Medical Aspects of Prostitution, " read beforethe Harveian Society of London, remarked that "he still entertained theopinion that there were no worse evils appertaining to human weaknessthan this. He had opportunities of witnessing the fact that among theyoung there was no cause of insanity more common than indulging inhabits which he would not further particularize, but which were known toresult in the most complete bodily and mental prostration. "--[BritishMedical Journal, Feb. 17, 1866. ]

Dr. John P. Gray, the distinguished Superintendent of the State Asylumat Utica, New York (Twenty-Fourth Annual Report, 1867), thus speaks ofthe +influence of masturbation+ in the production of +insanity+: "Therecords of this institution show five hundred and twenty-one casesadmitted directly attributable to this vice, and I am well convincedthat the number is greatly understated. "

We might add confirmatory testimony from a variety of sources, but theforegoing is sufficient for our purpose. 

IMPORTANT. --_Peculiar, numb, dead, aching, or tingling sensations inthe hands, arms, legs or feet, and headache and specks before the eyeson stooping or reading; also sleeplessness, too sound sleep, andapprehensive dreams should be watched for, and the moment they appeardanger from Paralysis or Insanity is to be apprehended and propertreatment 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 InsaneAsylum at Blackwell's Island, will serve as a _type_ of the many to befound in every hospital for the insane in this country. (_And a terribleand noteworthy fact is, that according to the recent annual reports ofthese institutions, both in this country and Europe, insanity, idiocyand dementia from Seminal Losses and Sexual Abuses, are increasing fromyear 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, bornin N. Y. State. Was found on 6th Avenue surrounded by a crowd who wereattracted by his violent and frantic efforts to destroy everythingwithin his reach. On being arrested and taken to the 29th PrecinctStation House, he was recognized by the Sergeant on duty at the deskas having been arrested twice before within a week--once for violentshouting and disturbance in the street, and once for an attempt atsuicide by drowning. As he had attempted his life by hanging the lasttime he was locked up, and had afterwards seriously injured himself bytrying to dash his brains out, he was adjudged insane, and a watch seton him all night. In the morning, when taken before the magistrate, hewas violent and abusive, using the most frightfully obscene and profanelanguage. There he was held for examination and sent to Bellevue in a"straight-jacket, " which was found to be necessary in order to controlhim. 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 invariablyattempts to take his own life. His language when excited exceeds inobscenity anything ever heard. During the intervals of quiet he isconstantly practicing the vile habit which has undoubtedly been thecause of his insanity. He has lost all sense of shame and continues topractice before visitors, attendants and physicians. He makes no effortto go to the water-closet, and his clothes and cell are in a filthy anddisgusting state. Ever since admission he has refused all food, and ithas been necessary to feed him with a stomach pump. He is losing fleshand strength every day, and is fast wasting away. 

"From his relatives who have twice called to see him it was learnedthat his mental trouble came on very suddenly, although his memory andfaculties have been failing for some time past. They say that hecomplained of sleeplessness, numbness and tingling sensations in thearms and legs, headache, and a peculiar itching of the skin, for monthsbefore any distinct symptoms of insanity appeared. They attribute it allto 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 islittle more than skin and bones. _Rigor mortis_ entirely absent. Shortlyafter 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 firstbegin to feel the strain of early abuse, overwork, confinement, sexualexcess, 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 SpermaticCord (_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 filledwith dark, thick and stagnated blood. The Prostate Gland swells andbecomes enlarged, the Seminal Vesicles become weak, baggy and filledwith a thin, glairy fluid that oozes out into the urine and urine canalon any little strain, exertion or excitement; especially when, afterbeing in the presence of the opposite sex, weak, feeble erectionsfollow. The testicles become flabby and stringy and no longer makestrong, healthy, fecund vital fluid. The constant calls upon them hasexhausted them as also the nerves that gave them life, strength andvitality. 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+. +Memoryand application+, +good judgment+, +decision of character+, and+clear-sightedness+ are not what they were. +Headaches+ are notuncommon. +Bashfulness and trepidation+, especially in the presence offemales, is the rule. The person feels +clumsy+, +embarrassed+ and +illat ease+. +Sleep+ is sometimes poor, there are occasionally +terribledreams+, 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 verylarge--sometimes one small and one large. The hands tremble and perspire+easily+. The person is +absent-minded, melancholy, prone to brood, andfears the jests+ or ridicule of his companions. The +skin+, especiallyof the +face+, sometimes becomes +coarse and red, sometimes is pale andpasty+ and covered with +blotches or pimples+. There is sometimes +spasmat the neck of the bladder+, causing +some delay before the urine willflow 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 oftenpresent, accompanied sometimes by +creeping sensations up the spine+, +flushings of the face+, +chills+ (slight), +dizziness and black spotsbefore the eyes+ on stooping over and occasionally by neuralgic pains inthe +head+ and about the heart. If unchecked, or if the baneful habit isstill persisted in, the symptoms of the First Stage merge rapidly intothose of the

SECOND STAGE. --CONGESTION AND INFLAMMATION. 

Here all the symptoms of the foregoing stage are usually present, onlysomewhat more intensified. The +congestion+ and +irritation+ are +moredecided+, the +weakness+ more marked, the +nervous prostration+ moredecided. 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 excitementand imaginings, presence of the opposite sex, etc. , +Partial+ and+Imperfect Erections, Desire to Masturbate+, Formation of +Evil Picturesin the Mind+, +Flushing and Chilliness+, +Stupidity and Tendency toDoze or Sleep+, +Mental Hebetude+, +Failing Memory+, +Lack of Powerof Application, Energy or Concentration+, +Restlessness+, +Pain andSmarting+ in passing urine, +Wetting the Bed+, +Pain in the Kidneys+, +Headache+, +Pimples+ on the face or body, +Itching or peculiarsensations+ 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+, +Painsin 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 sometimesinto +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+, +TroubledBreathing+, +Indecision+, +Loss of Will Power+, +Bashfulness+, +Burning+of the face, +Coldness+ and +Clamminess+ of the feet and hands, also ofthe +Scrotum+ (or bag), +Palpitation+ of the heart, +Early Loss of fluidduring connection+, +Feelings of Gloom, Despondency, Hopelessness+ of acure, or fear of impending danger or +misfortune+, +Tenderness of theScalp+ and +Spine+, +Dryness+ and +Itching of the skin+, +SuddenSweating+, +Sudden Nervous Trembling+, +Noises+ and +Reports+ in theears and brain, +Weight+ on the brain, +Weak+ and +Flabby Muscles+, easily tired after slight exertion, +Desire to Sleep late+ in themornings and +failure to be rested+ by sleep, +Weakness+ and +Torpor+the day after a nightly emission has occurred, the +Oozing of thickwhite fluid+ from the urethra when +constipated+ or +straining atstool+, +Varicocele+, etc. , etc. 

WEAKNESS AND WASTING OF THE ORGANS. 

As a rule the +organs waste away+ rapidly or become +curved, twisted, ormisshapen+. 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 +morbiddesire for solitude+ show themselves. Undoubtedly the list of promotivecauses is considerably augmented by maltreatment and the employment ofinjudicious remedies. We should therefore suggest to all prudent personsthe wisdom and importance of consulting _competent authority_ only. Self-enervation in the first instance brings about that irritabilitywhich evinces itself in +nocturnal discharges+, afterwards ininappreciable but exhaustive +diurnal discharges+, and subsequently incomplete debility of the whole generative system. This seminal fluid, such indeed as it is--weak, effete and devoid of all generativepower--is undoubtedly the fluid which the organs suffer to escape; andto prevent further its flow, as well as to give a healthy tone to thesecretory 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 ofSpermatorrhoea, difficulty of breathing, cough, and tightness of thechest, arising in many constitutions from the seminal disorder, havesometimes been actually mistaken for pulmonary consumption. The coughis often distressing, occasionally attended by an expectoration of anoffensive kind. There is no doubt that many have been maltreated forconsumption when Spermatorrhoea was the real malady. That the latterleads to the former is certain enough, but the stages and connections ofthe respective diseases have been grossly misunderstood by practitionerswho have not had sufficient personal acquaintance with the indicationsof Spermatorrhoea. 

Remember that these continued seminal discharges of an involuntarycharacter disorder every function of the animal economy, and it maybe added that while Spermatorrhoea produces so many ruinous effectspeculiar to itself, it aggravates and excites any other disease whichmay 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 lookof wild, unsettled fear that denotes rapidly approaching insanity+. The+bowels+ become +sluggish+, the +appetite capricious+, the +musclesweak+, the +urine pale+ and with +a heavy sediment of semen+ thatdrains away in it almost constantly. +Emissions+ at night becoming morefrequent and copious--sometimes bloody--although the fluid secretedby the wasted testicles is +scarcely stronger than water+. +Sexualincapacity shows itself. + +Ejaculation+ is either +too quick+ or elsevery +long delayed+. The +skin+ becomes dry and sallow, the +livercongested and sluggish+. +The heart beats irregularly+, and any suddensound, movement or fright sets it to beating violently. +Shortness ofbreath+ is complained of. +The brain becomes weaker and more sluggishday 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 whichsuffers from many of the symptoms accompanying dyspepsia. He is easilystartled; the slamming of a door, the firing of a cracker, the fallingof a book, a sudden touch, or even speaking to him unexpectedly, willcause him to start. Cowardice is a sure consequence of Self-Abuse andinvoluntary emissions. The appetite is irregular, often poor, sometimesvoracious; the bowels are also variable in their action. The prostaticportion of the urethra is frequently irritable and sometimes is verymuch +inflamed+; oftentimes there is a +thickening, a sponginess orpuffiness+ of the parts immediately involving the ejaculatory ducts. The mucous membrane of the vesiculæ seminales becomes inflamed andthickened. The +testicles+ and the +spermatic cord+ are oftentimesvery tender and the seminal fluid is much thinner than natural. Such aPatient has generally +dark spots under his eyes+, +a sharp nose+, andoften +flushes of hectic color+ in his cheeks, particularly when in thepresence of company, and there is more or less palpitation of the heart. In the second stage, as in the first, the pollutions are diurnal andnocturnal; the latter are copious and recur frequently. So insensibleis the passage of semen that the patient is usually astonished andhorrified on waking to find himself and +bedclothes saturated+ with thisfluid, which is easily absorbed by the clothes, and rapidly dries up, because it has become thin, watery and effete. In addition to thisloss he is subject to one equally great on almost every occasionof +urinating+ and +defecating+. This also takes place without anyconsciousness on his part, and his only knowledge of the fact is fromthe alarming weakness he experiences after passing water or going tostool. Distraction or absence of mind renders the judgment unfit for anyextensive enterprise. 

The sexual powers are greatly weakened; the overtaxed organs refuse tofulfill their legitimate task; their susceptibility and irritability areso great that the power of retention is lost, and the seminal fluid isdischarged prematurely. 

The generative organs are wasted and inactive, or so weakened as tosecrete but a ropy, thin and glairy fluid, having few or none of thecharacteristics of Vital Fluid. Should the individual suffering thisway--and either careless or unfortunate enough to go uncured--haveoffspring, they will assuredly be puny in body and weakly in mind, andwill lead a miserable existence through the neglect and indiscretion oftheir 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 anddisgusting sensation of shame and misery. The mind is absorbed as muchas can be by the one idea of its wretched situation, and the sufferer ishaunted by the thought that his condition and its cause are known to thewhole world, and that he is pitied or scorned by every person he meets. He is hypochondriacal, and fearful suggestions of self-destruction everand anon present themselves. 

The power of mental concentration is entirely gone and the memory isso feeble that the patient continually forgets what he begins to say. The dimness of vision is continual and so great as to be a materialannoyance; the eyes are wandering or fixed upon the ground, seldomventuring to meet the gaze of another. The +ringing in the ears+, +painsin the head and over the eyes+ are almost perpetual and frequentlyaccompanied by partial deafness. +The heart is the seat of pain+, +fluttering+ and +throbbing+ with +violent and long-continuedpalpitation+, his hands shake, his limbs tremble, his knees are weak, somuch so that at times it is almost impossible for him to walk erect. Heexperiences an insatiable desire for sleep, and yet upon retiring helies awake for hours, tormented by his troubled reflections, and at lastfalls into an uneasy slumber, of short duration, disturbed by wretcheddreams. 

+Hard, red pimples+ frequently appear on the face, forehead and body, +scaly patches+ round the +ears, eyes, nose and lips+, a +black orbluish semi-circle+ shows itself under the +eyes+, and there is a hollowmark from the corner of the eye in a slanting direction under thecheekbone to the angle of the mouth, which tells its tale. The +skin islivid and clammy+ and the digestion is bad. The patient is tormentedwith +flatulency+, which he cannot always control and which he justlydreads, as it renders him an object of +disgust+ to all in his presence. The bowels are generally +constipated+, obliging him to strain much atstool, thus aggravating the irritation of the prostate gland vesiculæseminales and increasing the +seminal losses+. 

The bladder is irritable and will retain the urine but a short time; theureters and kidneys are also inflamed and in post-mortem examinationsare sometimes found to contain +abscesses+; they are the seat of muchpain when pressure is made over the intervertebral spaces of the dorsaland lumbar vertebræ or backbone. The vesiculæ seminales have +beenindurated+ and can be felt to be +knotty+ and +hard+. The spinal marrowis very sensitive throughout its whole extent; the cerebellum is theseat of a +dull+ and +heavy pain+, and there is a feeling of pressureupon the brain. Cerebral congestion now and then occurs. This stage ofthe disease is frequently accompanied by +Bronchitis+ or a continued+Catarrh+, also by disease of the +rectum+ and all the +tissues nearthe generative organs+. 

It is hardly necessary to say that the functions of the nervous systemare completely deranged, indeed, +nervous twitchings+ of the +eyelids+, +head+ and +limbs+ are the consequences of +Spermatorrhoea+. He isfinally either hurried to a premature grave by consumption, epilepsy orapoplexy; or insanity, taking the hopeless form of dementia, has removedhim from his home to the madhouse. 

It is safe to say that of all the cases of incurable insanity, a largemajority are caused by Spermatorrhoea. 

Many, owing to +sheer neglect+ or to +false notions of delicacy+, delayseeking for proper medical relief until they are almost destroyed, andbody 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 withoutprovocation, 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 inthe face. The organs are wasted almost totally away. All +strength+, +vitality+, +erectile+ and +procreative power+ have left them, and thevictim is at last totally +impotent+. Of no use to themselves, a curseto their freinds, a disgrace to society, they sink from sight into anearly grave or are lost to the world behind asylum doors. It is a sadand terrible picture, but true--too true--to life. 

The tendency of Nature in most disorders is towards cure, but +here itis towards deterioration+. There is no chance here of the evil "wearingitself out" save in madness and death on the one hand, and on the otherby the salutary intervention of the most +vigorous+, +cautious+ and+enlightened treatment+, a treatment pursued in the +full light+ of theaids afforded by the great discoveries in physiological science forwhich the present age is happily distinguished. Fortunately forhumanity, by the aid of Chemistry, as well as Medical Science, it hasbeen 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 hithertobaffling complaint. 

LESS SEVERE CASES. 

There are cases where the effects of early abuse are neither sorapid nor so severe. In many instances the persons, to all outwardappearances, are strong and robust. They only complain of certain sexualsymptoms that trouble them. But let them beware. Appearances are verydeceitful. Let a sudden fit of illness supervene and see how quicklythese 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 mostgrave nervous symptoms, and in less than a month be beneath the sod orhopelessly insane. Such cases have occurred, and one particular instanceeven as we write presents itself to our mind. Poor fellow, he died araving maniac the very night he was to have been married to one of themost charming young ladies in New Haven. And yet he thought he wasperfectly healthy. He only learned his true condition too late forhuman aid. 

HIDDEN SPERMATORRHOEA. 

In many cases the seminal ducts have become so weak and relaxed thatthe fluid passes off involuntarily with the water and is not perceived;also when straining at stool and when you have an erection. To test itsescape in the urine, pass off your water in a clear glass pint bottleand let it stand twenty-four hours in a warm place; then hold up thebottle between yourself and the light, and if you discover a sedimentof a +white, fleecy+ nature, resembling cotton, in the bottom, you aresuffering from +hidden spermatorrhoea+, from which all your presentailments come. Where this fluid passes off with the urine, it is just asinjurious to the system as full emissions, as it is a continual drainday after day, as well as taking that part of the vitality which goesto supply the brain and nerves. Many patients afflicted in this waywill 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 becomediseased, the eye-sight will be impaired, and the vital forcesconsumed--thereby causing +partial and complete impotency+. Should youdesire greater certainty in testing, either send on a sample of yoururine, or test it with our powder. 

The characteristic symptoms of partial impotency are: an imperfecterection, or, if the erection is sufficiently vigorous, it is of tooshort a duration, and the vital fluid is discharged prematurely. 

The erector muscles become paralyzed, and the organ remains inactive atthe call of the will. 

The person thus afflicted is greatly embarrassed and mortified at hisparalytic condition. That buoyancy of spirit is gone; the snap, vim andvigor that once held sway has departed--and why? Because that greatmotive power (amativeness) that gives the push and go-aheaditiveness ischecked, or rather, ceases to act. 

THE CURABILITY OF SPERMATORRHOEA AND IMPOTENCY. 

Having before us the records of some three thousand cases, grave, simpleand severe, that have come under our treatment in this country, as wellas the printed copies of the +French Hospital Reports+, and +Civiale'sWorks+, in which he minutely reviews all phases of this complaint, illustrating them with cases from his own practice, we feel justifiedin 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 perfectedand extended by us, and so justly named after +Civiale+, standsunrivaled in its +success+ as well as its +simplicity+ and+reasonableness+. To all such as suffer from this harassing complaintwe commend, first, a careful reading of the history of this discoveryand 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 fullperfection 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 Frenchsurgeons 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 +"Whatis 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 tobeget his species. It may be because he has lost his erectile power (andthis is how it is most commonly understood), or because he has lost alldesire, 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 _thesecond or third stage of Spermatorrhoea_, or it may develop slowly orsuddenly _without any symptoms of Spermatorrhoea_. It may be accompaniedby various +nervous+ and +exhausting+ symptoms, or these may be _whollyabsent_. If vital fluid is being lost, and the Impotence is due to theweakness thus caused, +nervous exhaustion+ is sure to come sooner orlater. 

Impotence and Spermatorrhoea may exist together in the same person. 

Many impotent men have no other bad symptoms than simply this failure ofthe +sexual organs+ to respond when called upon. The trouble in thesecases usually lies in the erectile muscles, which are +weakened+ or+paralysed+, and in the +nervous bulbs+ or +ganglia+, that are bluntedor 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 areon record. In these days of +exhaustion+, +early decay+, +excesses+ and+abuse+, most men begin to lose their power at or before 40. This is notright, 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 andirritated, and needs prompt and thorough treatment. (See page 26. ) Thetone of the nervous system is also lowered, even though it may not beapparent to the individual himself. Hence, some good, strong, special, general and sexual tonic, such as +Civiale's Tonic Regulator+ (see page30) is needed, as is shown by the rapid improvement that follows itsuse, especially when combined with effective measures for strengtheningthe +erectile muscles+, invigorating the +Sexual Nerve Ganglia+, andreducing the +Prostatic congestion+. Some of the most remarkable casesof the thorough cure of Impotence and restoration to full sexual vigorthat appear in the 53d Volume of the French Hospital Reports, were inmen +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 asthe disease progressed--just as a paralyzed arm or leg will waste awayfrom want of use and exercise. Such cases, as also those where there istwisting or curving of the organ, need thorough developmental treatment. Such organs can be readily developed under proper treatment, just as thebreast or a limb may be developed and increased in +size, strength andpower+ by the use of the proper treatment. Those who have not kept pacewith the advances of medical science abroad can scarcely realize howgreat her strides have been. To-day it is easy (especially in Sexual, Seminal and Urinary diseases) to do what ten years ago the majority ofphysicians deemed impossible, and to +Lallemand+ and +Civialè+ belongthe highest meed of praise for their unremitting labors in bringingthis branch of medical science to its present state of comparativeperfection. As an illustration we can cite case after case that has beensent us by physicians in good standing as utterly beyond their skill, and we have returned their patients to them in a few months' time fullyand +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 madeseveral trials and failed to find +health+ and +vigor+. The +CivialeRemedies+, while not infallible, have certainly done wonders for manyso-called "+hopeless cases+, " and we doubt not that you, too, can beperfectly restored. Submit your conditions and symptoms to our Board ofConsulting Physicians, and at least get their opinion upon it. Certainit is that these remedies, brought to light by the eminent Frenchsavant, Professor in the greatest medical college in France, and adoptedand endorsed by all the large Parisian hospitals and most eminent Frenchphysicians, +cannot possibly hurt you+, and +more than likely will cureyou+. 

_CHAPTER VI. _

BLADDER, KIDNEY, PROSTATIC AND URINARY DISEASES. 

Congestions, irritation and even inflammation of the Urinary Organsoften occur in men, either alone or as a complication of Seminal Diseaseand Weakness. The Seminal Vesicles lie just behind the bladder, whilethe Seminal Ducts pass through the body of the +Prostate Gland+, andopen into the urethra (or urine channel) upon its surface (see Fig. 5). Hence, any inflammation or congestion of this large gland that lies atthe root of the organ and neck of the bladder, is almost certain toproduce +Seminal Weakness+, +Losses+ and +Impotence+. 

It will be noticed that men past 50 years of age are often forced torise in the night once or oftener to make water. This, and the delaythat sometimes occurs before the stream will start, are usually due toenlarged +Prostate Gland+--a common condition in men past 50. Many andmany a man at this age finds his +sexual power declining+ and cannotunderstand it--+Enlarged Prostate Gland+. 

As the gland enlarges and becomes stiff and its tissues hardened andbrawny, it presses upon and deprives the Sexual Nerves of power andsometimes paralyzes them, causing total Impotency. How useless--worsethan useless, even hurtful--are the usual remedies. The Prostate Glandmust be softened, cooled and +robbed+ of its +inflammation+ beforeAnti-Impotency remedies can be of the slightest service. And here itis where the great success of the +Civiale Crayons+ is best shown:+The Prostatic Crayons melt, run down upon, soothe, quiet and allaythe inflammatory and hardened gland+, while the +Impotence Crayons+ are+re-toning+, +strengthening+ and +re-vitalizing+ the Sexual Nerves, andstrengthening the +erectile+ and +ejaculatory+ muscles. Perfect cure andperfect 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 weakenedin the same manner as in Impotency, while, in addition the hardenedsubstance of the Prostate Gland keeps the mouths of the Seminal Ductsopen, and the +vital fluid+ runs away into the +urethra+ to be swept outwith the urine, without let or hindrance. Soon this loss tells, not onlyupon the brain and nerves and general health, but upon the testicleswhere this fluid is made. So much is wasted that these two glands, workas they may, cannot supply a sufficiency of good, healthy fluid, andmeet the difficulty by making a thin, watery infertile fluid that wouldflow away even if the mouths of the ducts were healthy. They do this atthe cost of a terrible strain upon the whole system--they strain andinjure themselves and grow +weak and flabby+ and finally +wasted+--oftenrupture small vessels in their substance, thus yielding +bloody or blackseminal 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 orneck 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 ordamp seat;

_Blows and Injuries_ of any kind;

_Strong Injections_, and rough jabbing with steel sounds or roughbougies;

_Eating Hot Condiments_, or too free indulgence in alcoholic beverages. 

VARIOUS COMPLICATIONS. 

If the inflammation extends to the neck of the +bladder+, he has anattack of +cystitis+. If it goes down along the seminal ducts, itproduces +swelled testicle+, +clogged duct+, +chronic enlargement+, +cancer+, +cysts+ and hopeless wasting of the +testicles+. If it extendsup the +ureters+, it causes +Bright's Disease+, +abscess+ of the+kidneys+, or +lumbar fistula+. If it runs forward along the urinecanal, it produces so-called +gleet+. If it settles in the +prostategland+ 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 atthe 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, madeworse by +standing, walking, jolting+, &c. , and sometimes relieved byhard 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 ofthe mouth of the urinal canal; +soreness, aching or tenderness+ of oneor both +testicles+; dull pain or ache in +the small of the back+ or+buttocks+; +dizziness, sudden fits of exhaustion, convulsions, comaand death+. A +microscopical examination+ of the urine will reveal thenature of the difficulty in a moment. There also will be found evidencesof great +nervous wear and tear, and seminal losses+, more or lessconstant. 

 {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 otherequally common. It is safe to say that at least one man out of everyten has, has had, or will have one or both. Neglected gleet often causesstricture; neglected or improperly treated stricture often causes andkeeps up a gleet. 

Another set of statements, equally sweeping and based upon the best ofmedical evidence, may be made, _i. E. _, more cases of gleet and strictureare caused by Self-Abuse (masturbation, Onanism), and sexual excessesthan by gonorrhoea--formerly and ignorantly supposed to be about theonly cause. 

Furthermore, the main cause of both Spermatorrhoea and Impotence isStricture (whether caused by self-abuse, gonorrhoea [clap], or any otherexcess). It was this very important point that +Lallemand+ guessed at, and that +Civiale+ definitely ascertained to be a fact--proved it byexaminations of both living and dead subjects, and demonstrated itbefore the eyes of every member of the French Academy of Medicine, the most learned body of medical men in the world. Upon this discoveryis based the now world-famed +Urethral Crayon Treatment+. Itcures--absolutely, thoroughly and +Permanently+ cures--because it isbased on truth; because the proper remedies are placed upon the veryseat and fountain-head of the disease; where quickly and thoroughly itstamps out the fire (inflammation, from the Latin _in_, and _flamma_, toburn, to be a-fire) and eradicates the cause, at the same time healingthe abrasions, releasing and invigorating the nerves, cleansing andunclogging the ducts, strengthening the erectile muscles--in a wordrestoring the whole Sexual Apparatus to its natural tone and strength;not harshly or violently, but gently, kindly, soothingly. Indeed it is aheavy debt of gratitude the sufferers from Sexual Disease and Weaknessowe to +Professor Jean Civiale+--greatest of all French savants!!

Were any further proofs necessary, the following facts, the resultsof 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 CARTERGRAY, {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, andsexual 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 thatthe only really rational treatment is that which directly medicates andheals these parts. This, +Civiale's Soluble Urethral Crayons+ do, betterand quicker than anything else. Prof. GROSS, {24} for instance, says:"Exclusive of these cases, my notes show that 13 out of every 100 casesof stricture are due to Onanism;" and OTIS{25} says: "9 per cent. Of allcases are traceable to that practice. " REEVES, HENRY SMITH, GOULET, PHYSIC and LEROY give masturbation as a cause of stricture. BLACK statesa like case leading to sexual incapacity, as a result of the stricture. WADE says: "In several instances of the kind, +where there had been nosexual intercourse+, the strictures, which were at the bulb, proved morethan usually refractory from the extreme morbid sensitiveness of thewhole 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 causeof 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 stomachmedicines. Still, the CIVIALE method does not wholly discard them. They have their place and their purpose, and served it well. It washis practice in many cases to use +Nervines+ and +Tonics+, as wellas +Digestives+ and +Laxatives+, by the stomach, and with excellentresults, for in many of these cases the +digestion was poor+, the +livertorpid+, the +bowels sluggish+ and +constipated+, and +filled withwind+, the +appetite capricious+ and +uneven+. +Crayons+ in the urethracould not wholly cure these symptoms, although they stopped the drainthat originally caused them. Combined with the +Tonic-Regulator+, theresults were prompt and satisfactory. 

+Many patients began to recuperate the moment the inflammation, stricture, ulceration and accompanying losses of vital fluid werestopped, 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 wearyminds, 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 hisTonic-Regulator+, which is a pleasant and most efficacious combinationof +tonics+, +laxatives+ (not purgatives), and +deobstruents+. +Skin, kidneys, lungs, heart, mind, nerves, stomach, liver and bowels, wereall set to working right+. And, as a consequence, aided by the urethralremedies, the +losses ceased+, erectile power and +sexual vigorreturned, the step became buoyant and elastic, the mind clear, thememory retentive, the eyes clear and bright, the lips and cheeks ruddywith healthful color; the whole system, indeed, renovated, refreshed andre-invigorated. +

_CHAPTER VII. _

THE DUTIES, RESPONSIBILITIES AND FAILURESIN 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 strongwords the misery, despair, wretchedness, infidelity and deceit of thedivorce court. How it stares at us from the desolate fireside of friendand acquaintance; is hinted at or suppressed by the records of theCoroner's office; leers at us from the sumptuous mansion of theaffluent; lurks in the humble cottage of the mechanic. How sad thecontrast 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, everyminute. Men and women incompatible physically, mentally, morally--urgedon by lust, cupidity, love; to escape unhappy homes; to hide sadsins--for a thousand reasons, some good, many bad--are constantlymarrying. 

A man selects a wife less carefully than he would a horse; a womanyields herself, her life, her happiness, blindly, unreasoningly, to aman of whom she knows nothing. A man better fitted for the hospital, theinfirmary, or the insane asylum, enters the bonds of wedlock with nevera thought of the consequences; with never a care as to whether he willwreck his own life and happiness or that of the innocent girl he isdeceiving; with never a heed of the ill-starred, diseased, puny oridiotic progeny his act may bring into being, a burden to the community, a curse to himself and a constant reminder of the parent'sfoolhardiness--ay, even crime!

No man who is affected with any form of Sexual or Venereal Diseaseshould for a single instant even think of +marriage+ until every +trace+of his +weakness+ or +disease+ has disappeared. In these days of medicaladvance in this special field, there is no excuse for such action. Thereare few--very few--cases of Seminal Weakness and Impotency that cannotnow be cured. Of course, here as elsewhere, there are traps and humbugs, quacks and charlatans, false theories and empty moralizing; but thereis also truth and knowledge, hope and certainty for such as aresufficiently in earnest to search for them. Prof. Civiale, by hisindomitable perseverance, thorough study and experiment, and finalconclusions and discoveries, has placed the means of a perfectrestoration to full mental, bodily and sexual vigor within the reach ofall, and no man has any right now to enter either blindly or wilfullyinto so sacred and important a relationship as marriage, and to lowerand stultify its ends by blighting the happiness of a fair young wife, exhausting his own vitality in the vain attempt to have offspring, or inhaving such as shall be a curse to him through life. 

There are those (let it be hoped they are really honest in theirignorance) who look upon marriage as the only real cure for SeminalWeaknesses. Even if it were a fact that the marital relations didaccomplish such a result (and they never do, as bear witness thethousands who are to-day weak, exhausted, ex-sanguinated, unhappy, nerveless, hopeless wrecks, who are cursing the ignorant pretenderswho gave this false--this fatal advice); even if such a result was acertainty, what right has any man to besmirch and soil the purity of ahappy and innocent maiden for such a purpose? By what law of humanityare 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 sickeningbestiality? Such marriages bear and are bearing deadly fruit before oureyes day by day, in infidelity, abandonment, suicide, insanity, crimeand prostitution--in disease and misery, even to the third and fourthgeneration. 

A SPECIAL SET OF PRE-MARITAL (Before Marriage) REMEDIES. 

No more delicate or wonderful piece of mechanism, no more grandlyconceived and wonderfully perfected bit of God's handicraft is to befound than the Male and Female Sexual Organs. It is a wonder to thosewho have made these parts (with their elastic vessels, cavernoussinuses, network of nervous ganglia and fibrillæ, chain of lymphatics, periodical ovulation, timed pubescence, and perfected, co-ordinatefunctions) a study, that they stand abuse and excess so well; thatthe fierce blasts of lust and passion that sear and scorch them andwell-nigh dry up their fountain springs of vitality and fecundity, donot wholly destroy or hopelessly disarrange their delicate tissues andfunctions. 

The first few years of married life, even to a healthy man, are fraughtwith dangers he knows nothing of. How much more then is the suffererfrom a present or even a former Seminal Weakness in danger. 

No man, be he ever so healthy, ever so conscious of purity and freedomfrom abuse, should enter the marital state without preparing for thestrain naturally to be expected. As the voice, skin, hair, manner andmorals of the youth change at the period of puberty (when the sexualpower is first developed--when he first becomes a man), so does thesystem, mental and moral, change when he enters the bonds of matrimony. If at puberty new diseases are prone to show themselves and old ones tobe outgrown, so at marriage a like change must be at least expected, andhe 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 injuredtheir sexual power by abuse in early years, and for older men who haveexhausted themselves by later excesses. +Prof. Civiale+ was wont (verywisely, we know from actual experience) to prescribe, for a few monthsbefore marriage, a +Special Tonic and Strengthening Marital Course ofRemedies+, 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 beapplied to them, and by this and the preceding means putting theindividual in the very best and most favorable condition for theproduction of strong, healthy, robust and creditable offspring; and

(c) The steady and perfect eradication from the system, by every poreand viaduct, of all poisonous, contagious, venereal or other materialthat might in any way endanger the perfectly normal (healthy andstrong) condition of parent or offspring above spoken of. Through earlyabuse, excesses, exposure, neglect, carelessness, imperfect sanitaryconditions, wrong methods of living, immoral practices, etc. , the bloodand 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 oroffspring--poor innocents, too often made to suffer pitiably for thevices or thoughtlessness of the father. 

Every man about to marry owes this cleansing, purification andstrengthening 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 andUrinary Organs. Its Mode of Operation, Application and Advantages. 

The Civialè Treatment, by means of quickly melting _medicated_ Crayonsthat are _easily_ and _painlessly_ inserted into the urethra (or urinechannel), and thus melt and run down over the irritated, inflamed orstrictured parts, the congested Prostate Gland, and into the orifices ofthe Seminal Ducts, is the most successful treatment ever brought forwardfor these diseases, and it has met with just appreciation, for it hasperformed radical cures in some of the most serious and distressingcases. Some of the advantages may be briefly summed up as follows:

1. It combines local and direct medication of the diseased parts ofthe urethra, seminal ducts and vesicles, as well as of the GenerativeNerves, by means of Urethral Crayons, with judicious invigoration of thegeneral Digestive, Nervous, Mental and Circulatory Systems, by means ofStomach 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 stainthe clothing, are rapid, pleasant and cleanly in their action, could beused by a child without danger of injury, are perfectly soft andflexible, 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 fiveor ten days. 

5. Their price is so reasonable as to place them within the reach ofall. 

6. They may be used to cure gleet, stricture and prostatitis, whencomplicating Spermatorrhoea or Impotence. 

7. They never decompose or lose their strength. 

8. They are absolutely free from minerals, mercurials, caustics orirritants. 

9. They will do precisely what and all that is claimed for them. 

+Civiale's+ knowledge of the anatomy, physiology and pathology of theGenito-Urinary (Sexual and Urinary) organs, especially fitted him tostudy and investigate this subject. It did not take him long to perceivethat +Lallemand's+ idea that the deep urethra, where the seminal ductsopen into it, was the real seat of the disease in both +Spermatorrhoea+and +Impotence+, was the true and correct one, and therefore, that anyplan of treatment, to be successful, must look to allaying and healingthe inflammation, congestion or ulceration of the urethra at the neck ofthe bladder, and stopping the losses. 

He reasoned that when the inflammation, irritation and spasm of theseparts, and of the seminal ducts, was relieved, the drain of the vitalfluid would cease, the dilated mouths of the ducts contract, the vitalfluid become thicker and healthier, the organs increase to natural size, and the distressing nervous symptoms, oftentimes dangerous to life orreason, 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, thusbringing the remedies directly in contact with the ulcerated and erodedparts, it even running down the ducts into the seminal vesiclesthemselves. 

The growth, vigor and future prosperity of every nation depend upon thestrength and energy of its young men, and if the places of the robustand healthy are to be filled by effeminate, weakened, nervous andphysically drained youths, such as the terrible vice of masturbationis yearly giving us, the results cannot be other than disastrous. Theadvice, warning and guidance of parents and guardians must be looked tofor prevention; the method and remedies of +Lallemand+ and +Civiale+ fora cure. 

A GUARANTEED ASSURANCE. 

There are some persons who, from having used various forms of medicatedbougies--having had sounds, catheters and bougies roughly passed uponthem by unskillful persons--or merely from an indistinct belief, basedupon hearsay or tradition, feel some hesitancy about passing anythinginto the organ for fear that it may do harm, cause pain, or give rise tostricture. 

The majority of these timid people have got this idea from hearingit said that stricture and inflammation have often been caused bygonorrhoea (clap) injections, and they therefore have the idea thatanything put into the urethra will do harm. There is not the slightestdoubt 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 blandmedicines, such as those in the +Civiale Crayons+, should do this--andthey don't do it. Make up a strong injection of zinc, copper, &c. , andtake a swallow of it. It will burn and pain your mouth and throat, makeyou hoarse, and for days afterward you will find it painful to swallow. Put a troche or lozenge, properly medicated for the purpose, into yourmouth, and, instead of causing pain, irritation and difficulty inswallowing, it will relieve these symptoms if they exist, cool and calmthe membrane, soothe the irritation, and give tone and strength to thevocal chords. 

So it is with the CIVIALE SOLUBLE CRAYONS. 

(1. ) They are wholly unlike any caustic, metallic or irritatinginjection. 

(2. ) They do not contain a grain of any mineral, caustic or irritant ofany kind. 

(3. ) Their ingredients are purely vegetable. 

(4. ) They soothe, calm and allay irritation, and give strength and toneto the mucous membrane, Seminal Ducts, Generative Nerves and ProstateGland. 

(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 factanywhere. And they will be found to possess only soothing and healingproperties. 

(7. ) They can be inserted into the penis without the slightest trouble, and, melting rapidly and easily, flow down in a bland, soothing, healingand strength and life-giving stream, over the diseased parts. 

These Crayons have been in constant use in Paris for the past 25years, and have never yet, and never will, cause the slightest pain orirritation. Patients may rest assured, therefore, that in using thesestandard French Remedies they are absolutely protected, and need notfeel the slightest degree of fear. Indeed, so well established is thisfact that we are willing to pay $1, 000 (one thousand dollars) to anyperson or persons who can cite a single instance when the CivialeCrayons have ever done the slightest harm. 

The disease is in the Urethra or Urine Channel, whether it beSpermatorrhoe, Impotence, Prostatitis or gleet, and in order to effecta lasting cure, the remedies must be applied directly to the diseasedmembrane. In nine cases out of ten, Spasmodic Stricture already existsand must be cured before the person can get well, and the only way tocure 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 crushedfinger, to expect to cure it by taking drugs by the stomach and notapplying proper lotions and salves directly to it, as to try to cureseminal disease or weakness without going right to the spot, as can bedone by the use of the elegant and harmless Crayons of Civiale. 

It was by establishing the fact of local disease and a local remedyclearly and distinctly, upon both physiological and pathologicalgrounds and data, that +Lallemand+ and +Civiale+ gained such world-widereputation. And it was the discovery of not only the proper remedies, but an elegant and perfect means of applying them directly to the veryseat and root of the disease, that has made the Civiale Method so justlyfamous, and has crowned its use with such undoubted success in thiscountry, 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 permanentcure of Spermatorrhoea, Impotence, Debility, &c. , &c. , in any casewherein our Medical Director decides that a cure is possible by anymeans, if the patient will use reasonable care and diligence in pursuingthe treatment, and this is not hard or tiresome; on the contrary, it iseasy, simple and direct. 

We say "in any case wherein our Medical Director decides that a cure ispossible by any means, " and we say it with a purpose, for it is our aimand desire, at all times, to be perfectly frank and honest with thosewho consult us. There are cases that no remedy, be it ever so good, cancure, and when such a one occurs in our practice, we endeavor to showthe patient his exact condition, and not (as is so often done) try topersuade him to purchase remedies that we know will do him no good, or, at least, be but an experiment. So, in consulting our Physicians, youmay be sure of at least an honest opinion, in exact conformity with thefacts in your case. 

_CHAPTER IX. _

TREATMENT. 

The Different Forms of Remedies for Different Forms of Sexual andUrinary 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 eitherSpermatorrhoea or Impotence. From two to three packages are requiredfor chronic, severe or obstinate cases, or where the person is muchdebilitated 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 ofcourse they usually call for. If the patient has the symptoms of bothclasses he is evidently in an advanced stage, and needs both courses. 

SPECIAL CAUTION. 

The reader is warned against confounding the CIVIALE URETHRAL CRAYONSwith the American Medicated Bougies, Injections, Pastilles, and thelike. The disease is really seated in the Urethra (urine canal), andcan be easily and painlessly medicated, and certainly cured, by means ofthe 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 underexcitement and imaginings, presence of the opposite sex, etc. , Partialand Imperfect Erections, Desire to Masturbate, Formation of EvilPictures in the Mind, Flushing and Chilliness, Stupidity and Tendencyto Doze or Sleep, Mental Hebetude, Failing Memory, Lack of Power ofApplication, Energy or Concentration, Restlessness, Pain and Smarting inpassing urine, Wetting the Bed, Pain in the Kidneys, Headache, Pimpleson the face or body, Itching or peculiar sensations about the scrotum(bag), thighs, legs, anus, etc. , Wasting of the Organs, Stringiness andSoftening 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 orkneeling, Specks before the Eyes, Erotic dreams, Melancholy (developingsometimes into Insanity), Numbness of arms, hands, feet or legs(precursors of Paralysis), Twitchings of the muscles of the eyelidsand 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 (orbag), Palpitation of the heart, Early loss of fluid during connection. Feelings of gloom, despondency, hopelessness of a cure, or fear ofimpending danger or misfortune, Tenderness of the scalp and spine, Dryness and Itching of the skin, Sudden Sweating, Sudden NervousTrembling, Noises and Reports in the ears and brain, Weight on thebrain, 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, theOozing of a thick white fluid from the urethra when constipated orstraining 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 thesesymptoms, and some may have some not here mentioned, but it is importantto know just which they do have. Persons desiring treatment will, therefore, please tear out the proper page, and having crossed out suchsymptoms as they do not have, return it to us for the consideration ofour physician. To save delay, it is best in ordinarily severe cases tosend the price of one course, and leave the selection to our physician'sdiscretion. When less is needed than what is paid for, the balance duethe 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 GenerativeOrgans, Sterility, etc. , etc. _

SYMPTOMS. --(Impotence may arise without any previous symptoms ofSpermatorrhoea, and solely as the result of abuse, overwork, confinement, blows, falls, fever, etc. , but it is often the directresult 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), DelayedEmissions (denoting blunting of sensation), Failure to ConsummateMarital Duties, Oozing of vital fluid, Unnatural Desire, but notsufficient 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 orScalding 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 andInflammation of the Kidneys, Bloody Urination, etc. , etc. (Many cases ofSeminal Disease are due to or made worse by urinary trouble, especiallyProstatic Disease, existing at the same time. Hence, when such is thecase, it is important to treat the urinary as well as the seminaldisease in order to be certain to permanently and thoroughly cure both. The action of the Civialè Urethral Crayons in these cases is prompt andsatisfactory. Indeed, this is the only known means of reaching andcuring 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 twogreat venereal disease hospitals of Paris--the one for males, the otherfor 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 thefinest the great +Civiale+ conceived. Repeated trials and modificationsfinally ended in an almost perfect remedy. Gleet or obstinate milkydischarge or oozing of from two to twelve years' standing yieldedpainlessly and permanently to their use. Stricture, too, even whenorganic, if not so far advanced as to interfere seriously withurination, yielded kindly to this treatment, being gradually dissolvedand absorbed until, at last, the canal was left free and clear, and allthe symptoms of urinary irritation had disappeared. Testimony from Dr. Lorey, Interne at the _Hopital du Midi_, will give some idea of thepopularity of this form of treatment in Paris. With them he cured eightyconsecutive 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 ofmarriage, and we believe that enough was there said to make plain bothits object and application. This, unlike the preceding courses, is, soto speak, a mixed one, consisting of a combination of (1) Tonics andSexual Nervines to be taken by the mouth; (2) A Specially PreparedCourse of Crayons (tonic, anti-spasmodic and detergent), to be usedin the urethra, and (3) a lotion or application which, by being gentlyapplied 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 headchemist, Mr. Du Bell, and are exactly in accordance with the formlæ andinstructions of the late Prof. Civiale. 

 Price per Set, $25. 

This Course may be used alone or in connection with any of the otherCourses. No man (or woman either) could be injured by it, and many weakand impotent sufferers will find in its use health, strength and bodilyand mental vigor. 

In some instances the Tonic Regulator and Lotion part of this Course areadvisable without the Crayons, and hence we quote their priceseparately. 

 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 morebesides. It is composed of Tonics, Nervines, Bitters, Laxatives, NerveFoods, Cholagogues (acting on the Liver), Diuretics and Diaphoretics(remedies acting on the Kidneys and Skin and thereby increasing theirsecretions and cleansing and purifying the Blood), Digestives, etc. , etc. , etc. It will thus be seen that a more complete and uniform GeneralTonic-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 orweakening), upon the Heart, Lungs, Skin, Blood and Kidneys. 

So skillfully is the combination made that no one ingredient interfereswith the other, but on the contrary each seems to vie with the other inbuilding up and renovating a shattered, weakened and disordered system. 

Bilious, soggy, sleepy men, with aching heads, foul breaths, bad tastingmouths on rising, clogged secretions, sense of inability to exertion, furred or yellow tongues, and the like, absolutely need theTonic-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, whofind it hard to get sleep, are restless, brood over their troubles, realor 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 actionand very pleasant in its results. Health, strength, vigor, rosy cheeks, elastic step, cheery voice, zest and happiness, hope and ambition, hardyflesh 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 nightlyvapors before the sun. 

Men, young or old, who have let business cares and worries, mentaltrouble, 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 goodconstitutions; or those who, through youthful abuses committed inignorance and repented so bitterly, or later excesses from unbridledpassions, have drained their vitality, established a condition of sexualatony (_a_, without; _tonos_, tone or strength or vigor), or doneserious harm to their nervous systems, brains or minds, will find thevery Vital Restorative and Special Generative Tonic they need the mostin Civiale's Tonic-Regulator. 

It does not do one thing; it does many. While it throws open one door tolet health, strength and vigor enter, it opens others for poisonoussecretions, blood impurities and waste products to escape. It not onlymakes the blood purer and richer, but it strengthens the organ (theheart) that pumps it everywhere throughout the system. It not onlybuilds up and rejuvenates the general system, but it brings vernalstrength and power to the weakened and debilitated organs. 

It was here that Civiale made Common Sense and Medical Science joinhands. (a) With his Medicated Urethral Crayons he healed andstrengthened the organs of Generation by direct local application. (b) While with the Tonic-Regulator he sent his powerful yet harmlessemissaries (Tonics, Digestives, Cholagogues, Nervines and Nerve Foods, Laxatives, Diuretics, etc. , etc. ) into the system, by the stomach, withthe food, thus guaranteeing their entrance into the blood which carriedthem to every nerve fibre and tissue and attacked the disease on everyside. 

This is why this double treatment, intelligently carried out, cannotfail to rebuild the most debilitated and exhausted constitution andcheck the most serious drains and losses. 

_COURSE No. 7. _

_DEVELOPMENTAL LOTION. _

As has already been stated, in some persons Seminal Disease andLosses of Vital Fluid lead to a wasting away, shrinking or dwindlingof the Generative Organs. It exists in others from birth, and is inno way connected with Seminal Disease. Whichever be the case, it isnevertheless 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 itsfunction in a natural, vigorous and healthy manner. 

There is a great deal of ignorance upon this subject--ignorance thatinterferes greatly with the full and proper treatment of cases ofSeminal weakness. Many sufferers from Seminal Disease and Impotence seemto think that just as soon as the losses or emissions are stopped, orerectile power returns, the parts will begin to grow and develop, andsoon be restored to natural size and proportions. This is not so. Insome few instances it does occur, but in the large majority it does not. 

It is therefore necessary in these cases to take special measures tofully and perfectly develop the defective parts, and it can only bedone by giving a new start to growth and circulation to the nervous andnutritive centres of these parts. A breast, a limb, a hand, indeed anypart of the human body, especially in persons not past fifty years ofage, can be enlarged and developed, and so, too, can the sexual organs. 

_The Developmental Lotion_ that has been in use for many years, is alocal application (viz. , applied directly to the organs), and acts bystimulating growth, circulation and nutrition. It is cleanly, easilyapplied, rapid and satisfactory in its results, and we guarantee thatit will give uniform satisfaction in all cases where our Board ofConsulting 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 perfectdevelopment. Should more than is at first sent be needed to completethe development, we will furnish it at half-price. Full instructionsaccompany it. 

It should be used in connection with the remedies for Impotency orSpermatorrhoea in every case where the organs are wasted. Its effectsin 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 andMelbourne, Master of Arts, Member of the Royal College of Surgeons, of England; late Consulting Surgeon to the Beechworth Hospital andProfessor of Botany and Chemistry at the Tasmanian Institute; HonoraryMember of the Victoria Medical Society and Fellow of the Royal Societyof 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 DeQuincey Home, Interne at the Roosevelt, New York, Bellevue, Charityand Lenox Hospitals; Physician to the North-Eastern and Good SamaritanDispensaries; Lecturer at the Women's Medical College, on Urinary andRenal Diseases, etc. , etc. , etc. 

S. SORENSEN, A. M. , Ph. D. , Manufacturing, Analytical and ExperimentalChemist, Licentiate of the School of Pharmacy of Heidelberg and Berlin, Germany. (This accomplished chemist has full charge of all analyses ofurine, the preparation of our various formulæ, the purchase andimportation of all drugs, etc. , etc. )

LOUIS B. JONES, Business and General Manager. 

With such a complete and accomplished staff, it will be seen that thecase of every person consulting us will receive the most careful andcombined opinion, judgment and decision of all these men. We have thegreatest and most generally successful remedies known, and by thoroughlyunderstanding every detail of the cases submitted to us, and carefullyapplying 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 ouroffices 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 orExpress Order. Checks, etc. , may be made payable either to the CivialèRemedial Agency, or, if secresy is desired, to our Superintendent, Mr. L. B. Jones. Please state in your letter to whom the order (when such issent) is made payable, in order to avoid confusion in indorsing them forbanking. 

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 veryserious effect In Weakening the Sexual Powers, causing Emissions andLosses, and Preventing a Thorough and Permanent Cure of theseComplaints. 

Varicocele (from the Greek, pronounced Var-i-ko-seal, accent on eitherVar or seal) is a condition of bagging, bunching, bulging or twistingof the veins in the scrotum (bag or testicle sac. ) It is most commonlyfound on the left side of the bag, but sometimes is to be seen on bothsides. Usually the scrotum is bulged out on the side and sometimes hangsvery low, so long and twisted are the veins. To the touch the veins feellike a bunch of angle-worms. In some cases they can be seen knotted andswollen 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 allforms), the veins in the bag are not affected, the trouble being mostlyin the groin (in the canal through which the veins run), where theswollen 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 inthe groin, back or legs, is about the only symptom. 

The great danger of this form of Varicocele lies in the fact thatthousands of young men are going about to-day not knowing that they havethe disease; not knowing that a persistent evil is nestling in thislittle canal, gnawing at their vitals, and slowly but surely underminingand destroying their sexual vigor and manhood. 

We know this to be so because we are daily being consulted by men ofdifferent ages, who, until our physician, in the course of theexamination, showed it to them, _never suspected its existence_. Manyof these men had been "doctoring" for years for seminal weakness and thelike, with varying success, never being quite cured, or, if cured, soonrelapsing--all because a Varicocele of the Cord existed unsuspected andtherefore 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 verynumerous. Some of the most important are Masturbation or excess, causingweakening of all the parts, the veins included; Falls, Blows, Strains, Excessive Horseback and Bicycle Riding, Running, Jumping, Mumps goingto the Testicles, Gonorrhoeal Inflammation settling there, Kick in theGroin, Wearing of Improper Trusses, etc. , etc. Masturbation is one ofthe most common of all the causes. In many instances, even if it doesnot _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 seminalweakness and lost vitality, in which case all the symptoms of thesecomplaints may really be attributed to the Varicocele. Pains in theGroin, Limbs and Back; a sense of weight or dragging; Neuralgia of theTesticles, Fetid Perspiration; Itching and peculiar sensations in theSkin of the Bag; Chafing in warm weather; easy tiring under rapidwalking 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 factthat 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 nearlyas large around as a man's arm); that the testicles may be entirelywasted away, and that it may cause Spermatorrhoea, Lost Manhood, TotalImpotence, &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, andImpotence certainly results. Prof. Chevillot, the great French surgeon, was assassinated by a patient, in whose case he tied the veins on bothsides for a double Varicocele. Becoming totally impotent, on the veryeve of his marriage with a beautiful and accomplished young lady, thisman 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 theveins. _

_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 theweakened veins and muscles and heal the relaxed valves. 

Proper Trusses are good, because they break the great pressure of theblood from above, and act as do the valves in the veins in the groin inhealth. Also, because they act directly on the disease in cases ofVaricocele 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 thepractical outcome of these three sound principles of cure in the oneappliance, and

ANY CASE, NO MATTER HOW SEVERE OR HOW OLD, CAN BE PERMANENTLY ANDPAINLESSLY CURED. 

Such a perfect and practical combination is to be found in the Elasticself-adjusting and adjustable Cradle and Compressor, which has succeededin curing many very serious and (apparently) hopeless cases. Patentedand thoroughly protected from all infringements and imitations (and manywould-be ones, seeing our success and recognizing the merits of theCradle-Compressor, have lately sprung up), both in this country andEurope, there is nothing like it. It combines all the good points of allprevious instruments, and being easy to wear, rapid and pleasing in itsresults, and certain in its effects, is the only rational means forradically curing this disease. 

Briefly: It consists of a very light and elastic triangle of temperedsteel bands, that rests on the front of the abdomen, and is held inplace by a soft silk-elastic waist-band. In each of the slanting arms ofthe 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 everymovement of the body without being misplaced. By means of a thumb-screwand the perforations, it (the spring bell-pad) can be set at any pointin 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 madeto fit any one perfectly; moreover, by means of the metallic shoulderbelow, the arms can be thrown into any lateral variation of the groinline. 

We thus are able to obtain all the marked benefits of a truss withoutany of its drawbacks; and that special disadvantage, steady andwearisome pressure at one point, is wholly obviated. The whole applianceis held in place below by means of perineal tubular rubber bands thatconnect 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 thetesticles perfectly supported and rested, but by the sheet-rubber liningand the elastic tie bands, a constant, easy and perfectly painlesselastic pressure is kept up on the dilated and sagging veins, which arethereby emptied of their unhealthy and stagnated blood and allowed toregain their tone, strength and contractility. 

By means of the elastic bands it is easy to regulate the amount ofpressure, thereby constantly adapting it to the improvement that issteadily taking place. 

The compression is so uniform, yet so elastic, that it is absolutelypainless, and no motion of the body, however violent, can disarrange it. This, and the fact that the blood can enter and leave the testicle withperfect freedom, constitute some of its most marked advantages over theTruss. 

Moreover, the wearer always feels a sense of rest and relief whilewearing the Elastic Cradle-Compressor, and from the first day thesymptoms of weakness and impotence improve. Being made in differentsizes and shapes, and of the most durable yet softest silk, and powerfulyet yielding elastic, they will wear perfectly until long after theVaricocele 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 theveins a chance to regain their strength and proper size again, it simplysupports and keeps from injury the testicle, which at once begins togrow larger. In addition to their curative value in Varicocele, they arenow being extensively used by the medical profession for the relief ofthe pain and subduing of the inflammation of "swelled testicle;" also inhydrocele and hæmatocele. 

Being applied over the whole scrotum, they will cure a Double as readilyas a Single Varicocele. 

In certain recent or simple cases the Elastic Testicle-Cradle alone willeffect a perfect cure. If the case is severe or of long standing, if itinvolves the Cord, or if the sexual organs are affected, the completeinstrument should be worn. 

It is beautifully made and finished, and is strong and durable, yetlight 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 AstringentLotion, 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 bottomof the bag. 

The reason why Varicocele has until within the past ten or fifteen yearsreceived so little attention is owing to the fact that up to that timethis bagging or bulging of the spermatic veins was looked upon as merelya local affection. No one seemed to be aware of the fact that its effectin nine cases out of ten was to produce Seminal Weakness and Loss ofSexual 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 apatient with Varicocele with the advice to "get a suspensory bandage andwear it; the thing don't amount to anything;" or else, when the patientbecame persistent in his demands for a cure, advised him that thedangerous cutting or tying operations were the only means of relief. Butthis is all changed now. Physicians have come to know something aboutthe disease, and means for both relief and cure are now speedy andcertain, and in no sense painful or dangerous. 

It is for the purpose of stating in as plain and concise a manner aspossible all the more important facts relating to this disease, andpointing out to such as are troubled with it, or have friends sotroubled, not only the proper manner of treatment, but also the dangerof delay, that this little treatise has been compiled. Many a man wellbuilt and apparently healthy, yet totally bereft of manhood--in a wordImpotent--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 whowill never be cured, because they are entirely ignorant of the existenceof a Varicocele of the Cord, that most insidious and dangerous of allforms of Varicocele, or, if aware of it, do not understand the terribleinfluence it has on their Sexual Powers, and how great and persistent astumbling-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 headsof 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 pointout to our readers either our reputation as a medical business firm, orproofs of the efficacy or reliability of the remedies we represent andprescribe, supposing that any person at all familiar with the names andreputation of Professors Lallemand and Civiale, and the honors bestowedupon the latter by the French government, would need no such references, etc. We find, however, that there are but few men in this country whoare as familiar as they should be with the nature and extent ofLallemand's and Civiale's medical labors, or indeed with French MedicalHistory at all. We, therefore, for the benefit of such, have heretranscribed extracts from that most reliable work, _Appleton'sCyclopedia_ (copies of which may be found in many families, and everytown and city library), from which may be learned the professionalstanding and reputation of these great men. 

Furthermore: Of late years there have sprung up in various parts of thecountry, physicians and firms who have made it a business to prey uponfoolish 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 fortheir benefit we have drawn up here and submitted such proofs of ourprobity, fair dealing and medical capacity, as well as of thereliability of the Civiale Remedies, as will, we believe, carryconviction 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, evenwhen by doing so we might profit largely by such a course. We have alarge number of letters from persons who have been cured by thistreatment constantly on file in our office, and any sufferer really inearnest will be gladly given permission to examine them, should he sodesire. But we certainly shall not parade such letters, written to us inthe strictest confidence and secrecy, to every reader of a treatise ofthis kind, especially when we give an abundance of equally as good proofof another kind. 

_If we have always dealt fairly and with professional honor and abilitywith our corresponding and office patients in the past, we certainlyshall continue to do so in the future. _

First, let us call your attention to two very recent and very flatteringextracts from editorial articles that appeared in newspapers of knownstanding and reputation in the city of New York, both of which articleswere wholly unsolicited by us, being the spontaneous testimony of whollydisinterested 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 ofthe present day, both old and young, are less manly and vigorous, lessable to resist the attacks of acute disease, and not only less likely toproduce healthy and vigorous offspring, but in the majority of instancesproducing 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 birthsin the past fifteen years. This fact, coupled with the equally startlingconsideration that the mortality of infants has increased about 11 percent. In the past ten years, must needs fill the mind of a lover of hiskind with dismay and alarm. Although invested and thickly hedged aboutby ideas of false modesty and pseudo-propriety, in reality the wholefabric of national and individual prosperity, health, vigor andenjoyment, 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 anddebilitated parents give birth to strong, vigorous and mentally soundand active progeny. 

The subject of Procreative Pathology deserves more careful and extendedstudy and observation than the majority of our physicians haveheretofore been inclined to give it. Most of them have let the morenumerous and oftentimes the more trivial cases daily coming under theirnotice crowd this most serious matter from sight, and when applied tofor 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 anywonder, then, that such patients have walked blindfold into the arms ofquacks and charlatans who profess the most tender interest in even theirminutest symptoms?

We have been led to make the foregoing remarks by what we have justfinished reading in a very interesting and able work upon this subjectrecently issued from the press of the Civialè Remedial Agency, of 174Fulton street, this city. The subject matter of this book cannot fail tointerest every man, young or old, and must prove of special interest tomen just married, and to that large class of middle-aged men who find totheir surprise and chagrin that while their bodily health is apparentlyexcellent, their procreative powers have prematurely declined. 

The fact of the establishment in this city of an original institutionunder reputable business management, each department of which ispresided over by a physician of special skill and qualifications, issomething of which every citizen should feel proud. And to judge by theclass of patients who may be found in their elegant consulting-rooms, and the very large amount of express and mail matter they are constantlyreceiving, we believe that they are appreciated. 

With our magnificent hospitals, second to none in the world, our largemedical colleges and dispensaries, and the establishment of so large andexcellent an institution as the Civialè Agency, the main offices beingnow transferred from Paris to this city, New York may justly claim to bethe great medical centre of the United States, and sooner or later ofthe world. 

We maintain now, as we have always maintained, that the surest and bestway to drive quacks and humbugs from any branch of medicine, is to havesome of our very ablest and most honorable physicians make such a branchtheir specialty, and such is the course now being pursued by the CivialèAgency. 

The very fact that it takes its name from and is engaged inmanufacturing and prescribing the remedies of France's most illustriousspecialist, Prof. Jean Civialè, is by itself evidence enough of itsmedical value and professional integrity. Our feelings upon thesematters, _i. E. _, the great importance of their bearing upon bothindividual and national vigor and prosperity, the necessity for drivingfrom this field of practice those quacks and humbugs who entrap thefoolish and ignorant, those cheap and worthless remedies that floodthe drug market--our feelings upon these matters are, we repeat, verystrong; and hence, when we find an institution for the treatment ofthese diseases conducted upon the highest moral, medical and businessprinciples by men of undoubted medical and business standing andintegrity, we feel that we cannot endorse them too heartily. 

The _Tribune and Farmer_, of New York city, in its current issue ofJuly 26th, 1884, says

"AN EXCEPTION TO THE RULE. "

"The propriety of devoting editorial space to the subject-matter of anymedical advertisement that may appear in our columns may be doubted bysome, and indeed, were it not for our personal knowledge of the skilland integrity of the Medical Director of the Civialè Remedial Agency ofNew York (whose advertisements will be found elsewhere in this issue), we should deem ourselves more than guilty were we to utter a word ofendorsement as to the efficacy of their system of treating that seriousclass of diseases in men which has been generically termed NervousDebility, and which for so many years has been, and is at present, madethe stalking-horse for impudent swindlers, quacks and impostors to palmoff worthless and often injurious compounds on their sufferingfellow-men. 

"Let it be understood, then, that we know whereof we speak, and that ourobject is simply to furnish those who are afflicted with such reliableinformation as will enable them to determine the true character of theirdisease, and the best means to be adopted for a cure. 

"The method of treating diseases of the Genito-Urinary organs by meansof the urethral canal is in the first place no new-fangled experiment, but is identical with the system which has been employed for the pastfifteen years in the leading hospitals of France, and more especiallyin Paris, as the standard treatment, and one that gives uniformsatisfaction; and in the history of medical science there are perhaps notwo physicians who have done more for the alleviation of human sufferingand the cure of Sexual and Seminal Diseases than those eminent FrenchSurgeons, Prof. Jean Civialè and Prof. Claude Lallemand, to whose jointstudies and endeavors this system owes its origin. 

"We believe, in fact, that this theory and practice of medicine isan advance in the right direction, and we predicted, from its firstintroduction in the United States some time ago, that the people wouldreadily see its truth and accept the wonderful benefits of its practice. And the result has certainly borne out our prediction, for thousands ofsufferers from such ills as Impotence, Spermatorrhoea, Kidney, Liver andUrinary 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 andLallemand were connected during their lives. 

HOTEL DIEU. LA PITIE. LA CHARITE. LARABOISIERE. St. ANTOINE. HOPITALNECKAR. HOPITAL COCHIN. HOPITAL St. LOUIS. HOPITAL Du MIDI. HOPITALLOURCINE. La MATERNITE. HOSPICE BICETRE. 

We next give extracts from Appleton's Cyclopedia, to which reference hasalready been made. 

LALLEMAND, CLAUDE FRANÇOIS, a French physician, born in Metz, Jan. 26, 1790, died in Marseilles, Aug. 25, 1854. After serving as assistantsurgeon in the armies of the Empire, he studied in Paris at the HotelDieu under Dupuytren, and, from 1819 to 1845, was Professor of ClinicalSurgery at Montpelier, with the exception of three years, during whichhe was suspended for his liberal political expressions. His mostimportant work, _Recherches Anatomica Pathologiques sur l'Encephale etses Dependances_ (Paris, 1820-1836), established his reputation, and wastranslated into many languages. In 1845 he was elected to the _Academyof Sciences_, removed to Paris, and was consulted by patients from everypart 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 ofLithotrity, born near Thiezac, Auvergne, 1792, died in Paris, June 13, 1867. At a very early age, while a pupil of Dupuytren at the _HotelDieu_ hospital in Paris, his attention is said to have been attractedto the subject of his future discovery; and, after many years ofperseverance, he succeeded in perfecting and introducing to theprofession his new operation of lithotrity. Before that time the onlymeans was the serious and often dangerous operation of lithotomy (SEESTONE). He was the teacher of several generations of lithotriptists, became a member of the MEDICAL ACADEMY, and an officer of the LEGION OFHONOR. His principal publications are: _De la Lithotritie, ou brolementde 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 tostanding, probity, business capacity and the ability of our ConsultingStaff--to the following firms or gentlemen in this city:

WEST SIDE PHARMACY, dealers in Drugs, Chemicals, &c. , corner Hudson andCharlton 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'sletter in print unless the patient urges us to do so--and do it at therequest of our Medical Chief of Staff, and with the patient's fullconsent. The name, however, we omit, simply stating that should anyintending patient desire to come and see or send some friend living inthe city, to see and verify that letter and many more like it, we shallbe most happy to oblige them. )

 RODNEY, MISS. , August 14, 1884. 

_Dear Sirs:_--My course of treatment being almost all used, I feel itmy duty to state to you my present condition, and I can say withouthesitation that I am almost a new man, and I thank God that improvementhas been so thorough and rapid, may it be but lasting. Sexual desire isnow perfect, erections are perfect, emissions come at the right time, oozing of vital fluid at stools and in the urine has stopped, I restwell at night with the exception I shall state further on, appetiteis good and digestion almost perfect. I can now approach the presenceof the opposite sex with some satisfaction to myself; ambition isreturning, and in fact a whole new lease of life seems suddenly to havebeen allotted to me. The varicocele has almost disappeared. I cannot sayenough in praise for this beautiful little appliance, "the CradleCompressor. " Now, if it were not for the urinary disorder which stillremains, I should call myself well; that this remains, however, is nofault of the crayons, and could the Course No. 3 have reached meundamaged by heat, as did the Course No. 2, I have not the least doubt Ishould now be well. The symptoms of this disorder, still present, aredreams at night, not nervous ones as before, but still unpleasant;mucous oozing after straining, also in the morning on rising I find thelips of organ glued, and on forcing apart a drop of this mucous fluidmakes its appearance. I have no doubt whatever that had crayons reachedme perfectly, this disorder would have been conquered same as the other. Now, in your little circular you guarantee a cure "in all cases whereinyour Medical Examiner decides a cure is possible. " Now this certainlyholds good in my case. Please let me know what you are willing to doabout 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 lastcould 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 anycrayons till you hear from me, and I think the weather cool enough, asthey would only be wasted again. Could you furnish me, and at whatprice, a suspensory, such as you would recommend, if not, where couldI get one? I think it advisable to wear one after laying aside theCompressor, 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 willbe 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 methodof curing Varicocele of the Bag without any cutting or tying, and I amnow going to describe my case to you, and get your idea whether you cancure me or not. I would have done this long ago if I hadn't been afraidof being humbugged, as I often have been by doctors and men who saidthey could cure me right off without any pain or trouble. But they allfooled me out of my money, and that's all. But I'm going to try oncemore, and please tell me if you think my case is too bad for yourCompress and Cradle. 

"I'm pretty badly off I know, but it seems to me that this thing oughtto be able to be cured by some one. This is how mine was. Eight or nineyears ago I fell from the rigging of a schooner, and was laid up fornearly sixteen weeks with a broken thigh. I also had both testiclesterribly sore and swollen, and it was a long time after my leg got wellbefore I was able to walk, the pain in the groin, testicles and small ofmy back was so bad. Sometimes, even when I was sitting quiet, it wouldcut me like the stab of a knife. The first I noticed of the Varicocelewas one day when I was taking a bath I saw there was a sort of bulgingthere, and come to notice it closer, it felt just like a bunch ofangle worms all twisted together. I tried cold water to it and wore asuspension bag for a long time, but it didn't do much good. At first itdidn't trouble me much in winter, but was bad in summer. Now it's badall the time, and I don't believe I could walk half a mile without Iwore a supporter. 

"I have tried most everything I ever heard of, but it's no use. Some ofthe things helped me for a while, but they didn't last, and now I'mpretty well discouraged, for I don't dare have it operated on; not somuch that I'm afraid of the pain, but because a young man I knew went toa hospital in New York to be operated on, and died, because the veinsgot inflamed from the cutting and tying. 

"I am willing to pay any one a fair price for curing me, because as Iam now I can't do a fair day's work, and my testes are wasting away veryfast. But I don't want any more humbugging, and if you treat me, youhave 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 leftside 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 packageall right, and when I got up yesterday morning, bathed as the circularsaid, and put the Cradle and Compressor on me. I write to tell you howpleased I am. I always felt sure some one would find a cure for thisthing, and believe I've got hold of the right thing at last, though I'mnot 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 wasrepresented, and I find that it fits me to a t, and is the most easy andcomfortable thing I ever wore. I haven't had a bit of pain since I putit 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 itout of place. 

"So far it is all right, and I am very thankful to you, for if it nevercured me it would be a God-send to wear for relief of that horrid deadache and dragging pain in my groin and back. I shall want some of yourCrayons soon, and will write again in a few weeks. Please tell me howlong the wash ought to stand before it is strained, and whether it wouldhurt 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 theCradle-Compressor, and I seat myself to tell you that the Varicoceleseems to be entirely well. The left side is a trifle larger than theright, but the veins are not wormy as they used to be, and the blooddon'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 cameto see you in New York, your doctor told me I musn't feel sure that Iwas cured until every bit of worminess was gone and the canal was freeof swelled veins. You can tell him that this is so now, and that thetesticles 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 itoperated on, says it's the most remarkable thing he ever saw. Those arehis very words. He didn't seem any too chipper to find out he was wrongabout 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 Iwrote you last summer about humbugging and the like, but I apologizenow, and if you find any other people that don't feel sure you can curethem, send them this letter or get them to write to me. 

"I shall remember all you wrote in your last letter about not 'presumingtoo much on my improvement, ' and to be careful about jumping, strainingand lifting hard, and the like. The Crayons did their work just as wellas the Compress Instrument, and I never can tell you how grateful I amto you. There's several men I know here that are going to write youabout their cases. One of them, ---- ----, is going down on the trainto-morrow, and will bring this letter with him, he says, forintroduction. Good bye. 

 Yours respectfully and gratefully, DAVID L. B. "

REMARKS. 

The foregoing three letters tell their story plainly and concisely, andneed little or no explanation. We only desire to append the followingnote from our Case Book--"D---- B----; RESIDENCE--Bay Shore, SuffolkCounty, 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; glandsmuch 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--Fallfrom rigging of a vessel. TREATMENT--Medium Cradle and InguinalCompressor and one No. 2 Course Civiale's Soluble Crayons. RESULT--Perfect cure in about 9 months. REMARKS--As severe andcomplicated a case as can be found in any records. The symptoms ofImpotence were undoubtedly due to the pressure of the dilated veins onthe testicles in the scrotum and the seminal duct in the Inguinal Canal. Patient promises to report, in person, at the end of six months, todetermine whether the cure remains perfect. " Mr. B---- has since movedto Islip, Long Island, where letters of inquiry (containing a stamp forreply) will reach him. 

CONSULTATION. 

If you should conclude to place your case in our hands, we shall bepleased to hear from you, and promise you the most careful and thoroughattention. Our Consulting Staff is large, each physician has his specialdepartment to attend to, and each case is afterwards reviewed by thewhole Board, so as to avoid all possibility of error and give eachsufferer the benefit of the highest skill and research. Our patients, while numerous, are not such a multitude but that we can and do giveeach one of them individually the closest attention. Should it beconvenient for you to visit us in person you will be cordially welcomed. 

If you hesitate from ordering, from any cause, we shall be pleasedto correspond with you. We try to feel as if we have a personalacquaintance 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 andknow your conclusions on this subject. Of course, every letter issacredly private. No one reads these but the Manager, and even our oldand trusted medical advisers do not know the names of our patients--onlythe numbers and descriptions of cases go into their hands. As a furtherassurance we destroy letters, or return them to the writers, whicheverthey prefer. 

We solicit your influence with your friends, and will be ready toreciprocate such favors. You will also be often doing such friends afavor, for which they will always thank you. 

We shall be particularly pleased to hear from men advanced in years, whofeel the necessity of counteracting growing weakness incident to theirage, and who know the worse than folly of resorting to pernicious secretpreparations, the effect of which is to give unnatural stimulation for abrief 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 ourpower to serve the profession to their satisfaction. We have the benefitof the best medical advice and facilities in certain lines notattainable from any other source on the continent. 

GENERAL PRACTITIONERS AND FAMILY PHYSICIANS. 

We cannot refrain, before closing this chapter, from saying a wordor two about the incompetency of the large majority of "generalpractitioners" and "family physicians, " and their evident carelessness, and in some instances, even disgust, in the diagnosis and treatment ofthis class of cases. 

The readers of this may be among that class who think the "familyphysician" the embodiment of medical wisdom, and that if he has failedto cure the case or pooh-poohed it away, there is no hope. But no oneM. D. , however learned, knows all about the ills of flesh. In this, as inthe legal and other learned professions, a man may practice a score ofyears, and still know little or nothing about various peculiar cases, because they don't come under his notice; he has no opportunity to studythem practically, and little inducement to theorize. And the class ofcases we are now considering, it may surprise the sufferer to know, are deemed by many "regular" physicians beneath their attention. Thephysician's calling is a noble one, and he justly takes a high groundregarding his duties. We honor the scruples of our medical friends, butwe do not understand nor approve the spirit which leads them to meetthese cases with ridicule or evasive answers. 

That they do thus meet this class of cases, and that their courseis censured by the most eminent of the profession, we have abundantevidence. 

One of the best known medical writers of England, F. B. Courtnay, memberof the Royal College of Surgeons, etc. , says in one of his works ("Trueand False Spermatorrhoea" pp. 20-21):

"Again, some medical men * * * * affect to consider these cases'objectionable, ' and on these grounds seek to avoid them. Others boldlydeclare, that as most of such cases are the result of unnatural andimmoral 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 isentirely beyond the scope of any medical man's duty to sit in judgmenton the applicants for his professional services. According to my idea ofprofessional duty, every man is bound to do all in his power to affordrelief to every sufferer who seeks it at his hands, without question asto 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 medicalprofession; and this gentleman evidently listened to his narration ofhis case with great impatience and indifference, and upon the conclusionof his history handed him a prescription, saying: 'There, take that forsix 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 professionalgentleman here referred to, and during the last twenty years have beenin the constant habit of meeting him in consultation, and I am sure, from my knowledge of him, that his behavior resulted from no intentionalunkindness on his part, but solely from the unfortunate feeling ofreluctance to attend to such cases, which, both from my own observationsand from information obtained from patients, I know to be entertained bytoo many members of the profession. * * * I am well aware that patientsof this class are often most tedious in the narration of their cases;that the details they conceive themselves bound to enter upon are mostpainful, not to say disgusting, to hear; nevertheless we must, as inmany other instances in the discharge of our duties, submit withpatience, taking the rough and smooth with the same equanimity, andin the special cases in question, we should endeavor to forget thepatient's vices in his woes. "

Another distinguished physician writes:

"I cannot disregard the appeals of unhappy and humiliated people. Menhave come to me who were ashamed to show their organs because of theirdiminutiveness, and who practiced masturbation and lived in celibacyrather than bear the humiliation of exposure of the parts. Nothing canbe more pitiable than such a condition. "

If these very moral and dainty practitioners, who, as Dr. Courtnaysays, affect to consider these cases "objectionable" and the sufferers"unworthy of the attention or sympathy of any one"--if these moralistscould sit at our desk, and day after day, week after week, read theaffecting stories of enforced celibacy, shattered health, broken familyties, the anguish of jealousy, despair, misanthropy, the consciousnessof physical, mental and moral inferiority begotten by this sadcondition--we think that then these gentlemen would agree with us thatmedical science and philanthropy can have no higher object than thesaving of these wrecks. 

OUR PATIENTS' LETTERS AND TESTIMONIALS. 

Our correspondents are candid--they cannot well afford to beotherwise--and it is seldom we read one of their letters without feelingall the interest in the writer that one can for an honest sufferingfellow being. We would not feel this interest did they not evince anearnest desire to profit by their misfortunes. Our aid is not soughtby those wishing a brute's power for excesses, for we hold out noinducements to this class, but plainly tell them that they willinevitably pay the penalty for abuse of nature's laws. Nor are ourpatrons among the vicious and imaginative youth, or the class termed"greenhorns. " We confine our advertising almost wholly to the dailypress, thus reaching the most intelligent class of citizens only. 

We regret that, for obvious reasons, we cannot present some of theletters we have received from those who have been treated by our method. We are pledged to secresy with our correspondents, however, and cannotuse their names publicly; we cannot publish testimonials, although wehave scores of such a nature as to satisfy the most incredulous, yet allmust understand that it would be a breach of confidence on our part tomake these public, and would ruin our practice besides, as we can onlydo business of this nature under guarantee of strict privacy. But of themany hundreds we have successfully treated, a number have voluntarilygiven us permission to refer to them in correspondence with interestedparties. 

We will cheerfully furnish, on conditions named below, a list of someof the persons who have taken this mode of treatment, been thoroughlydeveloped in size and strength of the organs, and relieved of everytrace of seminal disease or weakness, and from gratitude and good heartshave volunteered to answer any questions addressed to them by interestedpersons, who are, of course, expected to hold such correspondenceconfidential. Bear in mind that we use these names only by permission, which was given us unsought by patrons who paid for our services, andnow tender this privilege more through kindness to sufferers than adesire to benefit us financially. To save these gentlemen annoyance anduseless correspondence, we prefer not to furnish their names except tothose who have had previous correspondence with us and who willaccompany the request with references. 

BASHFULNESS AND FALSE MODESTY. 

We are sorry to note in some of our patrons a feeling of shame in takingthis treatment. Such feeling we cannot but regard as absurd, and theoutgrowth of false ideas. If their present condition has been broughton by evil habits, it is well enough to be ashamed of that fact, but itis certainly altogether creditable to make use of the first opportunityto restore or attain a perfectly natural condition and check suchdisastrous losses, and in many cases it is absolutely necessary for thewelfare and happiness of themselves and others. A well-known medicalwriter says:

"This treatment does not interfere with any regular habits oremployment, and may be followed without the knowledge or suspicion ofany person whatever. It is beneficial to the general health and quitepleasant in its effects, giving the person a rejuvenated, buoyantfeeling, infusing new life and manhood; seemingly dashing young strongblood through all the sluggish veins and arteries of the form. "

To those who really need this treatment its importance cannot beoverestimated. Each sufferer can answer to himself how very differentlife would be if free from his infirmity. Would you not be bettercapacitated for business, labor or pleasure? Is not your mind onthe rack often--perhaps always? Have you not at this time, and inconsequence of this deficiency, a tendency to misanthrophy, a bitterfeeling that you are the victim of an unkind Providence, or else bowedby humiliation due to your own ignorance or vices? Does not your veryincapacity keep your mind filled with lewd thoughts, which in a state ofperfect manhood would not exist?

From the confession of hundreds we know how each of you will answer mostor all of these questions. 

Is not the means, then, which will raise you above these deplorableconditions, a blessing inestimable? Is it not an agent of moral as wellas physical regeneration? When this means of deliverance is offered, will you hesitate in availing yourself of its benefits and making itknown to others who are sufferers like yourself? Let an honest heartand candid judgment answer for you. 

THE FALLACY OF CHEAP REMEDIES. 

There are many men who are affected more or less seriously with Diseasesof the Sexual Organs who are constantly on the look-out for so-calledcheap remedies, and in the course of a few years manage to spend uponthese cheap and trashy medicines and appliances twice or three times asmuch money as would have been necessary to thoroughly cure them. Andwhat 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 overstimulating, imitating and often inflaming the organs, do them actualharm, hasten and aggravate the disease and leave the patient in a muchworse 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 insuch a state that no treatment, however excellent, could possibly helpthem; in others we have had to labor for months to eliminate thesepoisonous medicines from the system and get the Sexual Organs intoproper condition to admit of a restorative treatment; and in stillothers the effect of our usually quick and thorough-going remedies weredelayed and interfered with by the ignorance or botchwork of some quackor bungler, or the well-meant but stupid doctoring of some "familyphysician" who thinks himself competent to treat these diseases. 

No more delicate, complicated or easily injured or disarranged piece ofmechanism than the Sexual Organs exists. In health, they must be treatedwith care and reason--in disease, with the utmost circumspection. Thisbranch of medicine, least of all, should be the parade ground ofignorance, carelessness or false economy. A man's very health, life, happiness and vigor, his power to procreate his species, to perpetuatehis name, his ability to make his wife happy and his children strong andvigorous, all depend upon the treatment he selects. What is worth doingat all is worth doing well, and he who jeopardizes health and happiness, present and future, on the mistaken basis of false economy, is far fromwise. 

Everything has a value. If a man offers to sell to another a gold watchworth $150 for $5, you would at once set him down as an impostor, andthe watch as injured or worthless or fraudulent. Yet there are thousandsof men who try to find for a few dollars a remedy for a most serious andcomplicated disease. In medicine, as elsewhere, Common Sense plays animportant part. Such remedies cannot possibly do what is claimed forthem. Reputable, honest men, educated and skilled physicians who havespent 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 willingto guarantee anything to anybody, infest this field. They know how greatis man's cupidity, and trade upon it willingly, caring nothing for theconsequences. 

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 lastprofited by Civiale's method, but will tell you that our treatment ischeap 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 ethicalmedical basis. The Physicians comprising our Consulting Staff are menof the best standing, of fine education, and having special experiencein this branch of medical science; our remedies are made up under thedirect personal supervision of one of the most expert chemists in thiscountry, and precisely after Civiale's formulæ; our drugs are purchasedfrom such firms as McKesson & Robbins, Schieffelin, etc. , and are of thepurest and best, and our aim at all times is to give the patientconsulting us the full value of his money. 

For such skill and services we charge fairly and reasonably, and we haveyet to find a patient who is dissatisfied. Our cases get well, providedour advice is followed and a cure is possible. If it is not, we franklyand candidly tell the truth. We cannot afford to make false statementsor false promises, to hold out hopes we cannot justify, to ruin ourestablished and well-known reputation for honesty, fair dealing andmedical skill in order to make a few dollars. We find that one man curedis the very best advertisement we can have, and that one such case makesus one warm friend and advocate, and brings us many patients, where oneman deceived and defrauded would make us one bitter enemy and injure usin the eyes of many. Thus, every other consideration of honor andhonesty aside, it pays us better to deal fairly with our patrons. 

This treatment has been thoroughly tried in the most desperate andadverse cases, and has stood the test of time and repeated trials, hasstood 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, healthand vigor. 

 THE CIVIALE REMEDIAL AGENCY, MAIN OFFICES AND LABORATORY, 174 FULTON STREET, NEW YORK CITY. 

--> Please address all Medical and Business Letters to Offices, 174Fulton 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 madehealthy and happy by writing to this excellent concern, at 174 Fultonstreet, New York. The advertisement should be read, which will showskeptics that the agency is worthy of confidence. The press and medicalprofession 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 (thathas brought happiness to so many by opening the way to knowledge of aproper means of cure and methods of regaining health and vigor), +theutmost care and circumspection have been exercised in an endeavor toexclude from its pages anything that could be construed by the mostfastidious 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 isto be acquainted with the facts given+, in order to understand theircomplaint, to place themselves under proper treatment, and to avoidthe dangers of quackery, we have in many instances wholly excludedor materially modified the wording of passages in order to complywith our original ideas of the strictest purity of thought and speechcommensurate with a truthful and honest statement of facts. 

We wish it distinctly understood that +this treatise is intended solelyfor persons suffering from Genito-Urinary Diseases+, and that it is+never mailed to any person who has not voluntarily requested us to sendit+, and then +not to boys+ or to members of the +opposite sex+. (Ourapplication 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 specialbranch of medicine, and some ignoramuses who assert that such diseasesonly exist in the imaginations of such patients as a result of readingthe pamphlets of quacks who paint frightful pictures of insanity, idiocy, etc. To such men as these we have only this to say: Consult theworks of Hammond, Black, Acton, Wilson, Lallemand, Civialè, Courtenay, Lee etc. , etc. , the authors of which have world-wide reputations, notonly as physicians, but as truthful, honest and moral men. They willthen 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 alover of his fellow men sincerely pity and desire to help them. And weclaim (and every honest man cannot but admit) that it is only by the+widespread dissemination of a knowledge of certain facts+ to young andold, especially the former, that such vice and its consequences can bemet and overcome. We are daily spreading such knowledge throughout thelength and breadth of this land, not only warning and advising the youngand cautioning the older, but also pointing out to all such as need it aperfect and easy means of cure and restoration to health and vigor. 

Our mission is as real, noble and important as that of preaching theGospel, and aside from its bearing on the enlightenment of those whowould otherwise go astray, and offering the means of relief to those whohave already sinned against Nature, it is of a broader and even moresweeping importance. As every whole must needs be the sum total of itsintegrals, so +each nation+ and +people must+--in mental, moral andphysical traits--+be that which its individual members make it+. Hence, if perfect general health, full procreative ability and healthyoffspring mark the majority of the individuals, so naturally must thehealth, 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 areas +real, as embarassing+ and +as needful of cure+ as those of thelungs, heart, stomach, or any other organ--indeed, more important, forthe latter only affect the life or health of the individual immediatelyconcerned, while the former concern not only the person affected, buthis offspring also. 

There is no reason why false modesty or pseudo-delicacy should reignsupreme here. If the Almighty had intended these matters to be viewedand treated in the light which some fanatics and extremists seem todesire, we would certainly have been created without the power ofprocreation entirely. As it is, such organs and such diseases +doexist+, are of the greatest (individual and national) importance, andprovided a +full knowledge of the causes and consequences of vice andabuse as related to these parts can be brought vividly and stronglybefore the mind of every man, young or old, in a chaste, decent andstrictly professional manner+, the result can only be a good one, andthose who deny it are engaged in moral hair-splitting. 

We felt that the foregoing remarks were both +apropos+ and necessarywith a view to contradicting some statements recently made regardingthe uselessness and demoralizing effects of everything concerning thisbranch of medical practice, and as due ourselves in distinctly recordingour belief and practice in the matter; more especially to refute thefalse accusation that special medical treatises were being scatteredbroadcast over the land and made to invade the privacy of homes, andcoming 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 bedor, if secresy is desiredthe strictest confidence and secrecyWe 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 desSamenhugels 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 considertoo 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+ }