Early Associations.—As children grow older, watch their associations. Warn them of evil influences and evil practices. Make home so attractive that they will enjoy it better than any other place. Cultivate music; its mellowing, harmonizing, refining influence is too great to be prudently withheld. Children naturally love music; and if they cannot hear it at home, they will go where they can hear it. Supply attractive books of natural history, travels, interesting and instructive biographies, and almost any other books but love-sick novels, and sentimental religious story-books. Guard against bad books and bad associates as carefully as though they were deadly serpents, for they are, indeed, the artful emissaries of the "old serpent" himself. A taste once formed for reading light literature destroys the relish for solid reading; and usually the taste, once lost, is never regained. The fascination of bad companionship once formed around a person is broken with the greatest difficulty. Hence the necessity for watching for the very beginnings of evil and promptly checking them.

The mind should be thus fortified against the trifles and follies of fashionable life. It should be elevated into a sphere far above that occupied by those who pass their time in fashionable drawing-rooms in silly twaddle, with thrumming a piano, with listless day-dreaming, or in the gratification of perverted tastes and depraved instincts in any other of the ways common to fashionable life.



SOLITARY VICE.

If illicit commerce of the sexes is a heinous sin, self-pollution, or masturbation, is a crime doubly abominable. As a sin against nature, it has no parallel except in sodomy (see Gen. 19:5, Judges 19:22). It is the most dangerous of all sexual abuses, because the most extensively practiced. The vice consists in any excitement of the genital organs produced otherwise than in the natural way. It is known by the terms, self-pollution, self-abuse, masturbation, onanism, manustupration, voluntary pollution, solitary or secret vice, and other names sufficiently explanatory. The vice is the more extensive because there are no bounds to its indulgence. Its frequent repetition fastens it upon the victim with a fascination almost irresistible. It may be begun in earliest infancy, and may continue through life.

Even though no warning may have been given, the transgressor seems to know, instinctively, that he is committing a great wrong, for he carefully hides his practice from observation. In solitude he pollutes himself, and with his own hand blights all his prospects for both this world and the next. Even after being solemnly warned, he will often continue this worse than beastly practice, deliberately forfeiting his right to health and happiness for a moment's mad sensuality.

Alarming Prevalence of the Vice.—The habit is by no means confined to boys; girls also indulge in it, though, it is to be hoped, to a less fearful extent than boys, at least in this country. A Russian physician, quoted by an eminent medical professor in New York, states that the habit is universal among girls in Russia. It seems impossible that such a statement should be credible; and yet we have not seen it contradicted. It is more than probable that the practice is far more nearly universal everywhere than even medical men are willing to admit. Many young men who have been addicted to the vice, have, in their confessions, declared that they found it universal in the schools in which they learned the practice.

Dr. Gardner speaks of it as "the secret cause of much that is perverting the energies and demoralizing the minds of many of our fairest and best." He further says:—

"Much of the worthlessness, lassitude, and physical and mental feebleness attributable to the modern woman are to be ascribed to these habits as their initial cause." "Foreigners are especially struck with this fact as the cause of much of the physical disease of our young women. They recognize it in the physique, in the sodden, colorless countenance, the lack-luster eye, in the dreamy indolence, the general carriage, the constant demeanor indicative of distrust, mingled boldness and timidity, and a series of anomalous combinations which mark this genus of physical and moral decay."

The extent to which the vice is practiced by an individual is in some cases appalling. Three or four repetitions of the act daily are not uncommon; and the following from Dr. Copland is evidence of much deeper depravity:—

"There can be no doubt that the individual who has once devoted himself to this moloch of the species becomes but too frequently its slave to an almost incredible degree. A patient who was sent to London for my advice confessed that he had practiced this vice seven or eight times daily from the age of thirteen until twenty-four; and he was then reduced to the lowest state of mental weakness, associated with various bodily infirmities; indeed, both mental power and physical existence were nearly extinguished."

Testimony of Eminent Authors.—Says a medical writer, "In my opinion, neither the plague, nor war, nor small-pox, nor similar diseases, have produced results so disastrous to humanity as the pernicious habit of onanism; it is the destroying element of civilized societies, which is constantly in action, and gradually undermines the health of a nation."

"The sin of self-pollution, which is generally considered to be that of Onan, is one of the most destructive evils ever practiced by fallen man. In many respects it is several degrees worse than common whoredom, and has in its train more awful consequences, though practiced by numbers who would shudder at the thought of criminal connection with a prostitute."[46]

[Footnote 46: Dr. Adam Clarke.]

"However revolting to the feelings it may be to enter upon such a subject, it cannot be passed over in silence without a great violation of duty. Unhappily, it has not been hitherto exhibited in the awful light in which it deserves to be shown. The worst of it is that it is seldom suspected. There are many pale faces and languid and nervous feelings attributed to other causes, when all the mischief lies here."[47]

[Footnote 47: Sir W. C. Ellis.]

We scarcely need add further evidence of the fearful extent of this evil, but will conclude with the following:—

"The pernicious and debasing practice of masturbation is a more common and extensive evil with youth of both sexes than is usually supposed." "A great number of the evils which come upon the youth at and after the age of puberty, arise from masturbation, persisted in, so as to waste the vital energies and enervate the physical and mental powers of man." "Many of the weaknesses commonly attributed to growth and the changes in the habit by the important transformation from adolescence to manhood, are justly referable to this practice."[48]

[Footnote 48: Boston Medical and Surgical Journal.]

Not a Modern Vice.—That this vice is not entirely a modern one is proved by the fact that in many ancient writings directions are given for treating its effects. Even Moses seems to have recognized disorders of this class. Hippocrates and others devoted considerable attention to them.

Victims of all Ages.—The ages at which the habit may be practiced include almost the whole extent of human life. We have seen it in infants of only three or four years, and in old men scarcely less than sixty, in both extremes marked by the most unmistakable and lamentable consequences. Cases have been noted in which the practice was begun as early as two years of age. It is common among African boys at nine and ten years of age, according to Dr. Copland.

Unsuspected Rottenness.—Parents who have no suspicion of the evil, who think their children the embodiment of purity, will find by careful observation and inquiry,—though personal testimony cannot be relied upon,—that in numerous instances their supposed virtuous children are old in corruption. Such a revelation has brought dismay into many a family, only too late in some cases.

Not long since a case came under our care which well illustrates the apathy and blindness of parents with respect to this subject. The parents of a young man whose mind seemed to be somewhat disordered, sent word to us through a friend respecting his condition, asking advice. We suspected from the symptoms described the real cause of the disease, and urged prompt attention to the case. In a short time the young man was placed under our immediate care without encouragement of a cure, and we gave the case still closer study. The characteristic symptoms of disease from self-abuse were marked, but the father was positive that no influence of that kind could have been at work. He had watched his son narrowly from infancy, and did not believe it possible for him to have been guilty. In addition, the young man had long been remarkable for his piety, and he did not believe there could be any possibility of his being guilty of so gross a crime.

A short time sufficed, however, to secure the indisputable evidence of the fact by his being caught in the act by his nurse.

This young man was a sad example of what havoc is made with the "human form divine" by this debasing vice. Once a bright boy, kind, affectionate, active, intelligent, the pride of a loving mother and the hope of a doting father, his mind had sunken to driveling idiocy. His vacant stare and expressionless countenance betokened almost complete imbecility. If allowed to do so, he would remain for hours in whatever position his last movement left him. If his hand was raised, it remained extended until placed in a position of rest by his attendant. Only with the utmost difficulty could he be made to rise in the morning, to eat, drink, or walk. Only by great efforts could he be aroused from his lethargy sufficiently to answer the most simple question. The instinctive demands of decency in regarding the calls of nature were not respected. In short, the distinguishing characteristics of a human being were almost wholly obliterated, leaving but a physical semblance of humanity; a mind completely wrecked, a body undergoing dissolution while yet alive, a blasted life, no hope for this world, no prospect for the next. In the insane asylums of the country may be seen hundreds of these poor victims in all stages of physical and mental demoralization.

Causes of the Habit.—It is needless to recapitulate all the causes of unchastity which have previously been quite fully dwelt upon, nearly all of which are predisposing or exciting causes of solitary as well as of social vice. Sexual precocity, idleness, pernicious literature, abnormal sexual passions, exciting and irritating food, gluttony, sedentary employment, libidinous pictures, and many abnormal conditions of life, are potent causes in exciting the vile practice; but by far the most frequent causes are evil associations, wicked or ignorant nurses, and local disease, or abnormality. These latter we will consider more particularly, as they have not been so fully dwelt upon elsewhere.

Evil Associations.—A child may have been reared with the greatest care. From infancy he may have been carefully shielded from all pernicious influences, so that at the age of ten or twelve, when he is for the first time sent away to school, he may be free from vice; but when he associates with his fellow-students, he soon finds them practicing a habit new to him, and being unwarned, he speedily follows their filthy example and quickly becomes fascinated with the vice. Thousands have taken their first lessons in this debasing habit at school. Teachers and scholars testify that it is often practiced even in school hours, almost under the teacher's eyes; but where the infection most quickly spreads is in the sleeping apartments, where more than one occupy the same bed, or where several sleep in the same room.

Nothing is more indispensable to purity of body and of morals than a private sleeping room and single bed for each student. Such an arrangement would protect the youth from the reception of much evil, and would allow an opportunity for privacy which every young man or youth needs for his spiritual as well as physical benefit. Not the least benefit of the latter class is the opportunity for a thorough cleansing of the whole body every morning, which is almost as indispensable to purity of morals as cleanliness of body. The same suggestion is fully as applicable to the sleeping arrangements of girls. The exceptional cases in which this plan would not be the best are very few indeed.

Corruption in Schools.—Says Dr. Acton, "I cannot venture to print the accounts patients have given me of what they have seen or even been drawn into at schools. I would fain hope that such abominations are things of the past." The entrance of a single corrupt boy into a school which may have been previously pure—though such schools must be extremely rare—will speedily corrupt almost the entire membership. The evil infection spreads more rapidly than the contagion of small-pox or yellow fever, and it is scarcely less fatal.

This danger exists not in public or city schools alone, but in the most select and private schools. A father who had kept his two sons under the care of a private governess for several years, and then placed them in a small school taught by a lady, and composed of a few small children from the most select families, was greatly astonished when informed by a physician that his sons showed symptoms of the effects of self-abuse. He was totally incredulous; but an investigation showed that they had already practiced the vile habit for several years, having learned it of an infantile school-mate.

We were acquainted with one instance in which a primary school in a secluded and select community was nearly broken up by the introduction of this vile habit through a corrupt student. Many a watchful teacher has seen the light of growing intelligence suddenly dim and wane in the eye of his favorite student just when he was giving the most promise of developing unusual talents in literature, mathematics, or some one of the natural or physical sciences, and has been compelled to watch the devastating influence of this deadly upas tree that often claims the best and fairest human flowers as its victims.

Wicked Nurses.—In those cases in which the habit is acquired at a very early age, the work of evil is usually wrought by the nurse, perhaps through ignorance of the effects of the habit. Incredible as it seems, it is proved by numerous instances that it is not an uncommon habit for nurses to quiet small children by handling or titillating their genital organs. They find this a speedy means of quieting them, and resort to it regardless or ignorant of the consequences.

Not an Uncommon Case.—Prof. Lusk, of Bellevue Hospital College, New York, related to his medical class in our hearing a case which came under his observation in which all of the children in a large family had been taught the habit by a wicked nurse for the purpose of keeping them quiet after they were put to bed. The vileness that would lead a person to thus rob childhood of its innocence, and blast its prospects for this life and the next, is base enough for the commission of almost any crime. Indeed, the crime could hardly have been a worse one had the nurse referred to in the above case in cold blood cut the throats of those innocent children; perhaps it might have been better for the children.

A gentleman once declared that if he should detect a person teaching this crime to his child he would shoot him on the spot; and if homicide is allowable under any circumstances, it seems to us it would be extenuated by such an aggravation. If occasional bad associations will work an immense damage to the youthful character, what terrible injury may be wrought by an agent of sin, an instructor in vice, who is within the household, who presides in the nursery, and exerts a constant influence! No one can estimate it.

Acton remarks on this point, "I need hardly point out how very dangerous this is. There seems hardly any limit to the age at which a young child can be initiated into these abominations, or to the depth of degradation to which it may fall under such hideous teaching. Books treating of this subject are unfortunately too full of accounts of the habits of such children."

In not a few instances the "hired man" has been the means of communicating to innocent little boys the infamous knowledge which, fortunately, they had not acquired in babyhood. With no knowledge of the evil they are committing, they begin the work of physical damnation which makes a hell of life and leads to endless death.

The "hired girl" is often an equally efficient agent for evil in the instruction of little girls in this debasing vice. Some time ago, the very intelligent parents of a bright family of children were awakened to the importance of this subject from the perusal of the first edition of this work, and upon investigation were horrified to find that their oldest child a promising daughter of ten, was already a victim to the vile practice, having been initiated by a "hired girl." After using in vain every means he could bring to bear upon the case, the father brought her to us, and with tears in his eyes gave his story. After telling of his unsuccessful attempts to effect a reform, he declared that he would far prefer to place his daughter in the grave than to see her grow up a wretched victim of this vice. We were most happy to be able, after a few weeks' treatment, to restore her to her parents, as we hope, permanently reformed. Not a few such cases are constantly coming to the attention of the medical profession.

The Instructor in Vice.—Are these lines perused by any one who has ever taught another this vice so vile, and so certainly followed by penalties so terrible—penalties not upon the instigator but upon the hapless victim? let such a person clothe himself in sackcloth and ashes, and do penance for the remainder of his life. The only way in which he can hope to atone even in some small degree for such a heinous crime, is by doing all in his power to warn those in danger against this sin. When all men receive their just deserts, what will be the punishment of such a one who has not, by thorough repentance and a life spent in trying to undo the work of ruin so foully wrought, in some measure disburdened himself of the consequences of his act!

Sending children very early to bed before they are weary, "to get them out of the way," or for punishment, is a grave error, as this may give rise to the vice. Confining children alone in a room by themselves is an equally reprehensible practice, as it favors the commission of the act, at least, and may afford a favorable opportunity for its discovery. Allowing children to form a habit of seeking solitude is an evil of the same nature.

Local Disease.—In the male, a tight or long foreskin is a frequent cause of the habit. The constant contact of the prepuce with the most sensitive part of the organ increases its sensibility. The secretion is retained, and accumulates, often becoming hardened. In this manner irritation is set up, which occasions uncomfortable feelings, and attracts the hands to the part. Owing to the great degree of excitement due to irritation, but a slight provocation is necessary to arouse voluptuous sensations, and then the terrible secret is revealed. The child readily discovers how to reproduce the same, and is not slow to commit a frequent repetition of the act; and thus the habit is formed.

An Illustrative Case.—A case in which the vice originated in this manner was recently under our observation. The patient was a man of considerable intellectual power and some culture, but showed unmistakable signs of his early indiscretion. He stated that although he mingled quite freely with other boys of his age, he obtained no knowledge of the habit from others. He often heard allusions which he did not understand, and of which he did not, fortunately, discover the meaning. But he was afflicted with congenital phimosis, the prepuce being so tight that retraction was impossible. This, together with urinal irritation,—which occasioned nocturnal incontinence of urine,—constipation, and highly seasoned food, produced so much local irritation as to occasion frequent erections, and an increased secretion. He soon noticed that there was an accumulation of hardened secretion beneath the foreskin, and in attempting to remove this, he accidentally provoked voluptuous sensations. He speedily abandoned himself to the habit, often repeating it several times a day. Beginning at the age of twelve years, he continued it for three or four years.

Soon after acquiring the habit, he became aware of its tendencies, through reading books upon the subject, but he found himself so completely enslaved that abstinence seemed impossible. One resolution to reform after another was formed, only to be speedily broken. His unwholesome diet, habitual constipation, and especially the unfortunate organic difficulty in his genital organs, produced an almost constant priapism, which was only relieved, and then but temporarily, by the act of pollution. His sedentary habits increased the difficulty to an extreme degree.

In the meantime, his constitution, naturally weak, was being gradually undermined. He suffered from constant headache, heart-burn, pains in the back and limbs, weakness, and lassitude. Yet he attributed none of these ailments to the true cause. After the lapse of three or four years thus spent, and after repeated ineffectual attempts, by a powerful effort of the will, by the aid of prayer, and by adopting a more wholesome diet, he succeeded in getting the mastery of his vice. But the local difficulties still continued in a great degree, and under particularly aggravating circumstances occasioned a relapse at long intervals. After a time, the local difficulties grew less and less, and enabled him to gain a complete victory over the habit, though the results of previous sin still remained, for which he desired treatment.

This case will serve as a fair illustration of many of similar character, in which the child accidentally makes the discovery which leads him to work his own ruin.

Other Physical Causes.—Constipation, piles, irritable bladder, fissure of the anus, local uncleanliness, and pruritis of the genital organs, will produce the habit in both males and females in the manner described. Sleeping on feather beds increases the local congestion, and thus favors the exciting influences of any of the above-named causes. It may, perhaps, itself be the exciting cause.

We once treated a patient who was affected with stone in the bladder, and who asserted that the constant irritation which he suffered in the end of the penis was only relieved by friction. This might readily be the cause of masturbation, though in this case the vice had been acquired many years before, and was still continued in spite of all efforts to reform.

Lying upon the back or upon the abdomen frequently leads to self-abuse by provoking sexual excitement. Certain kinds of exercises, as climbing, in particular, have been attended by the same results. It is said that children sometimes experience genital excitement amounting to pleasure as the result of whipping.

Influence of Stimulants.—The use of stimulants of any kind is a fruitful cause of the vice. Tea and coffee have led thousands to perdition in this way. The influence of tobacco is so strongly shown in this direction that it is doubtful if there can be found a boy who has attained the age of puberty and has acquired the habit of using tobacco, who is not also addicted to this vile practice. Candies, spices, cinnamon, cloves, peppermint, and all strong essences, powerfully excite the genital organs and lead to the same result.

It should be further added that there is evidence that a powerful predisposition to this vice is transmitted to the children of those who have themselves been guilty of it.

Signs of Self-Abuse.—The net which this vice weaves around its victims is so strong, and its meshes are so elaborately interwoven with all his thoughts, his habits, and his very being, when it has been long indulged, that it is important to be able to detect it when first acquired, as it may then be much more easily overcome than at any subsequent period. It is often no easy matter to do this, as the victim will resort to all manner of cunning devices to hide his vice, and will not scruple to falsify concerning it, when questioned. To be able to accomplish this successfully, requires a careful study, first, of the signs by which those who indulge in the practice may be known, and, secondly, of the habits of the individuals.

In considering the subject it will be found that there are two classes of signs, as follows:—

1. Those which may arouse suspicion, but any one of which, taken singly, would not be an evidence of the practice.

2. Those which may be regarded as positive. Several suspicious signs together may constitute a positive sign. Under these two heads, we will consider the signs of this vile habit.

It is well to bear in mind the fact that one or two suspicious signs are not evidence of the disease. It is likewise well to remember that the habit may be found where least looked for, and where one would have a right to expect perfect purity. Prejudice must be allowed no voice upon either side. A writer has said that every young person under puberty ought to be suspected of the disease. We can hardly indorse this remark, in full, but it would be at least wise for every guardian of children to criticize most carefully their habits and to quickly detect the first indications of sinful practices. Parents must not think that their children, at least, are too good to engage in such sinful abuses. It is most probable that their children are very like those of their neighbors; and any amount of natural goodness is not a protection against this insidious vice when it presents itself as a harmless pleasure to the unwarned and ignorant child.

Suspicious Signs.—The following symptoms, occurring in the mental and physical character and habits of a child or young person, may well give rise to grave suspicions of evil, and should cause parents or guardians to be on the alert to root it out if possible:—

1. General debility, coming upon a previously healthy child, marked by emaciation, weakness, an unnatural paleness, colorless lips and gums, and the general symptoms of exhaustion, when it cannot be traced to any other legitimate cause, as internal disease, worms, grief, overwork, poor air or poor food, and when it is not speedily removed by change of air or appropriate remedial measures, may safely be attributed to solitary vice, no matter how far above natural suspicion the individual may be. Mistakes will be rare indeed when such a judgment is pronounced under the circumstances named.

2. Early symptoms of consumption—or what are supposed to be such—as cough, and decrease in flesh, with short breathing and soreness of the lungs—or muscles of the chest—are not infrequently, solely the result of this vice. That such is the case may be considered pretty surely determined if physical examination of the lungs reveals no organic disease of those organs. But it should be remembered that solitary vice is one of the most frequent causes of early consumption. Several cases which strikingly prove this have fallen under our own observation.

3. Premature and defective development is a symptom closely allied to the two preceding. When it cannot be traced to such natural causes as overstudy, overwork, lack of exercise, and other influences of a similar nature, it should be charged to self-abuse. The early exercise of the genital organs hastens the attainment of puberty, in many cases, especially when the habit is acquired early, but at the same time saps the vital energies so that the system is unable to manifest that increased energy in growth and development which usually occurs at this period. In consequence, the body remains small, or does not attain that development which it otherwise would. The mind is dwarfed as well as the body. Sometimes the mind suffers more than the body in lack of development, and sometimes the reverse is true. This defective development is shown, in the physical organization of males, in the failure of the voice to increase in volume and depth of tone as it should; in deficient growth of the beard; in failure of the chest to become full and the shoulders broad. The mind and character show the dwarfing influence by failure to develop those qualities which especially distinguish a noble manhood. In the female, defective development is shown by menstrual derangements, by defective growth either in stature, or as shown in unnatural slimness, and in a failure to develop the graces and pleasing character which should distinguish early womanhood. Such signs deserve careful investigation, for they can only result from some powerfully blighting influence.

4. Sudden change in disposition is a sign which may well arouse suspicion. If a boy who has previously been cheerful, pleasant, dutiful, and gentle, suddenly becomes morose, cross, peevish, irritable, and disobedient, be sure that some foul influence is at work with him. When a girl, naturally joyous, happy, confiding, and amiable, becomes unaccountably gloomy, sad, fretful, dissatisfied, and unconfiding, be certain that a blight of no insignificant character is resting upon her. Make a careful study of the habits of such children; and if there is no sudden illness to account for the change in their character, it need not require long deliberation to arrive at the true cause, for it will rarely be found to be anything other than solitary indulgence.

5. Lassitude is as unnatural for a child as for a young kitten. A healthy child will be active, playful, full of life and animal spirits. If a young child manifests indisposition to activity, a dislike for play, lifelessness and languor, suspect his habits, if there is no other reasonable cause to which to attribute his unnatural want of childish sprightliness.

6. In connection with the preceding symptom will generally be found, instead of that natural brilliance of expression in the eyes and countenance, an unnatural dullness and vacantness altogether foreign to childhood. This is a just ground for suspicion.

7. Sleeplessness is another symptom of significance. Sound sleep is natural for childhood; and if sleeplessness be not occasioned by dietetic errors, as eating indigestible food, eating between meals, or eating late suppers, it may justly be a cause for suspicion of evil habits.

8. Failure of mental capacity without apparent cause should occasion suspicion of evil practices. When a child who has previously learned readily, mastered his lessons easily, and possessed a retentive memory, shows a manifest decline in these directions, fails to get his lessons, becomes stupid, forgetful, and inattentive, he has probably become the victim of a terrible vice, and is on the road to speedy mental as well as physical ruin. Watch him.

9. Fickleness is another evidence of the working of some deteriorating influence, for only a weak mind is fickle.

10. Untrustworthiness appearing in a child should attract attention to his habits. If he has suddenly become heedless, listless, and forgetful, so that he cannot be depended upon, though previously not so, lay the blame upon solitary indulgence. This vice has a wonderful influence in developing untruthfulness. A child previously honest, under its baneful influence will soon become an inveterate liar.

11. Love of solitude is a very suspicious sign. Children are naturally sociable, almost without exception. They have a natural dread of being alone. When a child habitually seeks seclusion without a sufficient cause, there are good grounds for suspecting him of sinful habits. The barn, the garret, the water-closet, and sometimes secluded places in the woods, are the favorite resorts of masturbators. They should be carefully followed and watched, unobserved.

12. Bashfulness is not infrequently dependent upon this cause. It would be far from right to say that every person who is excessively modest or timid is a masturbator; but there is a certain timorousness which seems to arise from a sense of shame or fear of discovery that many victims of this vice exhibit, and which may be distinguished from natural modesty by a little experience. One very common mode of manifestation of this timidity is the inability to look a superior, or any person who is esteemed pure, in the eye. If spoken to, instead of looking directly at the person to whom he addresses an answer, the masturbator looks to one side, or lets his eyes fall upon the ground, seemingly conscious that the eye is a wonderful tell-tale of the secrets of the mind.

13. Unnatural boldness, in marked contrast with the preceding sign, is manifested by a certain class of victims. It can be as easily distinguished, however, as unnatural timidity. The individual seems to have not the slightest appreciation of propriety. He commits openly the most uncouth acts, if he does not manifest the most indecent unchastity of manner. When spoken to, he stares rudely at the person addressing him, often with a very unpleasant leer upon his countenance. In some few cases there seems to be a curious combination of conditions. While mentally fearful, timid, and hesitating, the individual finds himself, upon addressing a person, staring at him in the most ungainly manner. He is conscious of his ill manners, but is powerless to control himself. This sign is one which could hardly be of use to any except a very close observer, however, as few can read upon the countenance the operations of the mind.

14. Mock piety—or perhaps we should more properly designate it as mistaken piety—is another peculiar manifestation of the effects of this vicious practice. The victim is observed to become transformed, by degrees, from a romping, laughing child, full of hilarity and frolic, to a sober and very sedate little—Christian, the friends think, and they are highly gratified with the piety of the child. Little do they suspect the real cause of the solemn face; not the slightest suspicion have they of the foul orgies practiced by the little sinner. By the aid of friends he may soon add hypocrisy to his other crimes, and find in assumed devotion a ready pretense for seeking solitude. Parents will do well to investigate the origin of this kind of religion in their children.

15. Easily frightened children are abundant among young masturbators, though all easily frightened persons are not vicious. It is certain, however, that the vice greatly exaggerates natural fear, and creates an unnatural apprehensiveness. The victim's mind is constantly filled with vague forebodings of evil. He often looks behind him, looks into all the closets, peeps under the bed, and is constantly expressing fears of impending evil. Such movements are the result of a diseased imagination, and they may justly give rise to suspicion.

16. Confusion of ideas is another characteristic of the devotee of this artful vice. If he attempts to argue, his points are not clearly made. He may be superficially quick and cute, but is incapable of deep thought, or abstruse reasoning; is often very dull of apprehension. Ideas are not presented in logical order, but seem to fall out promiscuously, and fairly represent the condition of a disordered brain. Attempts at joking are generally failures, as the jest is sure to be inappropriate or vulgar, and no one but himself sees any occasion for laughter except at his stupidity. Such individuals are not scarce.

17. Boys in whom the habit has become well developed sometimes manifest a decided aversion to the society of girls; but this is not nearly so often the case as some authors seem to indicate. It would rather appear that the opposite is more often true. Girls usually show an increasing fondness for the society of boys, and are very prone to exhibit marked evidences of real wantonness.

18. Round shoulders and a stooping posture in sitting are characteristics of young masturbators of both sexes. Whenever a child seats himself, the head and shoulders droop forward, giving to the spine a curved appearance.

19. Weak backs, pains in the limbs, and stiffness of the joints, in children, are familiar signs of the habit. To the first of these conditions is due the habitual stooping posture assumed by these children. The habit referred to is not the only cause of these conditions, but its causative occurrence is sufficiently frequent to give it no small importance as a suspicious indication.

20. Paralysis of the lower extremities, coming on without apparent cause, is not infrequently the result of solitary indulgence, even in very small children. We have seen several cases in which this condition was traced to the habit of masturbation, in children under six years of age.

21. The gait of a person addicted to this vice will usually betray him to one who has learned to distinguish the peculiarities which almost always mark the walk of such persons. In a child, a dragging, shuffling walk is to be suspected. Boys, in walking rapidly, show none of that elasticity which characterizes a natural gait, but walk as if they had been stiffened in the hips, and as though their legs were pegs attached to the body by hinges. The girl wriggles along in a style quite as characteristic, though more difficult to detect with certainty, as females are often so "affected" in their walk. Unsteadiness of gait is an evidence seen in both sexes, especially in advanced cases.

22. Bad positions in bed are evidences which should be noticed. If a child lies constantly upon its abdomen, or is often found with its hands about the genitals, it may be at least considered in a fair way to acquire the habit if it has not already done so.

23. Lack of development of the breasts in females, after puberty, is a common result of self-pollution. Still it would be entirely unsafe to say that every female with small mammary glands had been addicted to this vice, especially at the present time when a fair natural development is often destroyed by the constant pressure and heat of "pads." But this sign may well be given a due bearing.

24. Capricious appetite particularly characterizes children addicted to secret vice. At the commencement of the practice, they almost invariably manifest great voracity for food, gorging themselves in the most gluttonous manner. As the habit becomes fixed, digestion becomes impaired, and the appetite is sometimes almost wanting, and at other times almost unappeasable.

25. One very constant peculiarity of such children is their extreme fondness for unnatural, hurtful, and irritating articles. Nearly all are greatly attached to salt, pepper, spices, cinnamon, cloves, vinegar, mustard, horse-radish, and similar articles, and use them in most inordinate quantities. A boy or girl who is constantly eating cloves or cinnamon, or who will eat salt in quantities without other food, gives good occasion for suspicion.

26. Eating clay, slate-pencils, plaster, chalk, and other indigestible articles is a practice to which girls who abuse themselves are especially addicted. The habit sometimes becomes developed to such a wonderful extent that the victims almost rival the clay-eaters of the Amazon in gratifying their propensity.

27. Disgust for simple food is one of the traits which a victim of this vice is sure to possess. He seems to loathe any food which is not rendered hot and stimulating with spices and other condiments, and cannot be induced to eat it.

28. The use of tobacco is good presumptive evidence that a boy is also addicted to a practice still more filthy. Exceptions to this rule are very rare indeed, if they exist, which we somewhat doubt. The same influences which would lead a boy to the use of tobacco would also lead him to solitary vice, and each sin would serve to exaggerate the other.

29. Unnatural paleness and colorless lips, unless they can be otherwise accounted for, may be attributed to secret sin. The face is a great tell-tale against this class of sinners. Justice demands, however, that an individual should be given the benefit of a doubt so long as there is a chance for the production of these symptoms by any other known cause, as overwork, mental anxiety, or dyspepsia.

30. Acne, or pimples, on the face are also among the suspicious signs, especially when they appear upon the forehead as well as upon other portions of the face. Occasional pimples upon the chin are very common in both sexes at puberty and for a few years afterward, but are without significance, except that the blood may be somewhat gross from unwholesome diet or lack of exercise.

31. Biting the finger nails is a practice very common in girls addicted to this vice. In such persons there will also be found, not infrequently, slight soreness or ulceration at the roots of the nails, and warts, one or more, upon one or both the first two fingers of the hand—usually the right.

32. The eyes often betray much. If, in addition to want of luster and natural brilliancy, they are sunken, present red edges, are somewhat sore, perhaps, and are surrounded by a dark ring, the patient, especially if a child, should be suspected and carefully watched. It should be observed, however, that dyspepsia, debility from any cause, and especially loss of sleep, will produce some or all of these signs, and no one should be accused of the vice upon the evidence of these indications alone, neither could he be justly suspected so long as his symptoms could be accounted for by legitimate causes.

33. An habitually moist, cold hand, is a suspicious circumstance in a young person who is not known to be suffering from some constitutional disease.

34. Palpitation of the heart, frequently occurring, denotes a condition of nervous disturbance which has some powerful cause, and which may often be found to be the vice in question.

35. Hysteria in females may be regarded as a suspicious circumstance when frequently occurring on very slight occasions, and especially if there is no hereditary tendency to the disease.

36. Chlorosis, or green sickness, is very often caused by the unholy practice under consideration. It is very commonly attributed, when occurring in young women, to menstrual derangements; but it is only necessary to remember that these menstrual irregularities are in many cases the result of the same habit, as has been already pointed out.

37. Epileptic fits in children are not infrequently the result of vicious habits.

38. Wetting the bed is an evidence of irritation which may be connected with the practice; it should be looked after.

39. Unchastity of speech and fondness for obscene stories betray a condition of mind which does not exist in youth who are not addicted to this vice.

As previously remarked, no single one of the above signs should be considered as conclusive evidence of the habit in any individual; but any one of them may, and should, arouse suspicion and watchfulness. If the habit really exists, but a short time will elapse before other signs will be noticed, and when several point in the same direction, the evidence may be considered nearly, if not quite, conclusive. But persistent watching will enable the positive signs to be detected sooner or later, and then there can no longer be doubt. It is, of course, necessary to give the individual no suspicion that he is being watched, as that would put him so effectually on his guard as, possibly, to defy detection.

Positive Signs.—The absolutely positive signs of solitary vice are very few. Of course the most certainly positive of all is detection in the act. Sometimes this is difficult, with such consummate cunning do the devotees of this Moloch pursue their debasing practice. If a child is noticed to seek a certain secluded spot with considerable regularity, he should be carefully followed and secretly watched, for several days in succession if need be. Many children pursue the practice at night after retiring. If the suspected one is observed to become very quickly quiet after retiring, and when looked at appears to be asleep, the bedclothes should be quickly thrown off under some pretense. If, in the case of a boy, the penis is found in a state of erection, with the hands near the genitals, he may certainly be treated as a masturbator without any error. If he is found in a state of excitement, in connection with the other evidences, with a quickened circulation as indicated by the pulse, or in a state of perspiration, his guilt is certain, even though he may pretend to be asleep; no doubt he has been addicted to the vice for a considerable time to have acquired so much cunning. If the same course is pursued with girls, under the same circumstances, the clitoris will be found congested, with the other genital organs, which will also be moist from increased secretion. Other conditions will be as nearly as possible the same as those in the boy.

Stains upon the night shirt or sheets, occurring before puberty, are certain evidences of the vice in boys, as they are subject, before that time, to no discharge which will leave a stain resembling that from the seminal fluid, except the rare one from piles. In the very young, these stains do not occur; but when the habit is acquired before puberty, a discharge resembling semen takes place before the ordinary period. Of course, the stains from urine will be easily distinguished from others. The frequent occurrence of such stains after puberty is a suspicious circumstance. A discharge in some respects similar may occur in girls.

Before puberty, the effect of the vice upon the genital organs is to cause an unnatural development, in both sexes, of the sensitive portions. When this is marked, it is pretty conclusive evidence of the vice. In girls, the vagina often becomes unnaturally enlarged, and leucorrhoea is often present. After puberty, the organs usually diminish in size, and become unnaturally lax and shrunken.

All of these signs should be thoroughly mastered by those who have children under their care, and if not continually watching for them, which would be an unpleasant task, such should be on the alert to detect the signs at once when they appear, and then carefully seek for others until there is no longer any doubt about the case.

RESULTS OF SECRET VICE.

The physician rarely meets more forlorn objects than the victims of prolonged self-abuse. These unfortunate beings he meets every day of his life, and listens so often to the same story of shameful abuse and retributive suffering that he dreads to hear it repeated. In these cases, there is usually a horrid sameness—the same cause, the same inevitable results. In most cases, the patient need not utter a word, for the physician can read in his countenance his whole history, as can most other people at all conversant with the subject.

In order to secure the greatest completeness consistent with necessary brevity, we will describe the effects observed in males and those in females under separate heads, noticing the symptoms of each morbid condition in connection with its description.

EFFECTS IN MALES.

We shall describe, first, the local effects, then the general effects, physical and mental.

Local Effects.—Excitement of the genital organs produces the most intense congestion. No other organs in the body are capable of such rapid and enormous engorgement. When the act is frequently repeated, this condition becomes permanent in some of the tissues, particularly in the mucous membrane lining the urethra. This same membrane continues into and lines throughout the bladder, kidneys, and all the urinary organs, together with the vesiculae seminales, the ejaculatory ducts, the vasa deferentia, and the testes. In consequence of this continuity of tissue, any irritation affecting one part is liable to extend to another, or to all the rest. We mention this anatomical fact here as a help to the understanding of the different morbid conditions which will be noticed.

Urethral Irritation.—The chronic congestion of the urethra after a time becomes chronic irritability. The tissue is unusually sensitive, this condition being often indicated by a slight smarting in urination. It often extends throughout the whole length of the urethra, and becomes so intense that the passage of a sound, which would occasion little if any sensation in a healthy organ, produces the most acute pain, as we have observed in numerous instances, even when the greatest care was used in the introduction of the instrument.

Shooting pains are often felt in the organ, due to this irritation. Pain is in some cases most felt at the root, in others, at the head. It often darts from one point to another. Just before and just after urination the pain is most severe.

Stricture.—Long-continued irritation of the mucous membrane of the urethra produces, ultimately, inflammation and swelling of the same in some portion of its extent. This condition may become permanent, and then constitutes real stricture, a most serious disease. More often the swelling is but transient, being due to some unusual excess, and will subside. Sometimes, also, a temporary stricture is produced by spasmodic contraction of the muscular fibers surrounding the urethra, which is excited by the local irritation. This kind of stricture is often met in the treatment of spermatorrhoea.

Enlarged Prostate.—This painful affection is a frequent result of the chronic irritation in the urethra, which the gland surrounds, the morbid action being communicated to it by its proximity. A diseased action is set up which results in enlargement and hardening. It is felt as a hard body just anterior to the anus, and becomes by pressure the source of much additional mischief. Sometimes the disease progresses to dangerous ulceration. It is attended by heat, pressure, and pain between the anus and the root of the penis.

Urinary Diseases.—The same congestion and irritability extend to the bladder and thence to the kidneys, producing irritation and inflammation of those organs. Mucus is often formed in large quantities; sometimes much is retained in the bladder. Earthy matter is deposited, which becomes entangled in the mucus, and thus a concretion or stone is produced, occasioning much suffering, and perhaps death.

We saw, not long since, a case of this kind. The patient was nearly sixty years of age, and had practiced masturbation from childhood. In consequence of his vice, a chronic irritation of the urethra had been produced, which was followed by enlargement of the prostate, then by chronic irritation of the bladder and the formation of stone. His sufferings were most excruciating whenever he attempted to urinate, which was only accomplished with the greatest difficulty and suffering.

One of the unpleasant results of irritation of the lining membrane of the bladder is inability to retain the urine long, which requires frequent urination and often causes incontinence of urine.

Priapism.—This same morbid sensitiveness may produce priapism, or continuous and painful erection, one of the most "terrible and humiliating conditions," as Dr. Acton says, to which the human body is subject. The horrid desperation of patients suffering under this condition is almost inconceivable. It is, fortunately, rare, in its most severe forms; but hundreds suffer from it to a most painful degree as one of the punishments of transgression of nature's laws; and a most terrible punishment it is.

Piles, Prolapsus of Rectum, etc.—As the result of the straining caused by stricture, piles, prolapsus of the rectum, and fissure of the anus are not infrequently induced, as the following case observed at Charity Hospital, New York, illustrates:—

The patient had a peculiar deformity of the genital organs, hypospadias, which prevented sexual intercourse, in consequence of which he gave himself up to the practice of self-abuse. He had become reduced to the most deplorable condition of both mind and body, and presented a most woebegone countenance. In addition to his general ailments, he suffered from extreme prolapsus of the rectum and a most painful anal fissure. His condition was somewhat bettered by skillful surgical treatment.

Extension of Irritation.—Serious and painful as are the affections already noticed, those which arise from the extension of the congestion and irritation of the urethra to those other organs most intimately connected with the function of generation are still more dreadful in themselves, and far more serious in their consequences. The irritation extends into the ejaculatory ducts, thence backward into the seminal vesicles, and downward through the vasa deferentia to the testes. These organs become unnaturally excited, and their activity is increased. The testicles form an abnormal amount of spermatozoa; the seminal vesicles secrete their peculiar fluid too freely. From these two sources combined, the vesicles become loaded with seminal fluid, and this condition gives rise to a great increase of sexual excitement.

In cases of long standing, the irritation of the urethra at the openings of the ejaculatory ducts, a point just in front of the bladder, advances to inflammation and ulceration. Here is now established a permanent source of irritation, by which the morbid activity of the testes and seminal vesicles is kept up and continually increased. This condition is indicated by frequent twitchings of the ejaculatory and compressor muscles in the perineum. It is also indicated by a burning sensation at the root of the penis after urination, which, in severe cases, amounts to very serious pain.

Atrophy, or Wasting of the Testes.—The first result of the irritation communicated to the testes, is, as already remarked, increased activity; but this is attended by swelling in some cases, more or less pain, tenderness, and, after a time, diminution in size.

This degenerative process likewise affects the seminal fluid, which becomes more or less deteriorated and incapable of producing healthy offspring, even while it retains the power of fecundating the ovum, which it also ultimately loses if the disease is not checked by proper treatment, when the individual becomes hopelessly impotent, a happy result for the race, for it prevents the possibility of his imparting to another being his debilitated constitution.

Varicocele.—This morbid condition consists in a varicose state of the spermatic veins. It is almost always found upon the left side, owing to an anatomical peculiarity of the spermatic vein of that side. It has been supposed to be a result of masturbation and its effects, but is certainly caused otherwise in many cases. It is not infrequently found in these patients; but Prof. Bartholow contends that even in such cases we should "consider its presence, in general, as accidental." Atrophy of the left testicle is often produced by the pressure of the distended veins; but this does not produce impotence. It occasionally occurs simultaneously on both sides, and greatly aggravates the effects of self-abuse, if it is not itself an effect of the vice.

Nocturnal Emissions.—Seminal emissions during sleep, usually accompanied by erotic dreams, are known as nocturnal pollutions or emissions, and are often called spermatorrhoea, though there is some disagreement respecting the use of the latter term. Its most proper use is when applied to the entire group of symptoms which accompany involuntary seminal losses.

The masturbator knows nothing of this disease so long as he continues his vile practice; but when he resolves to reform, and ceases to defile himself voluntarily, he is astonished and disgusted to find that the same filthy pollutions occur during his sleep without his voluntary participation. He now begins to see something of the ruin he has wrought. The same nightly loss continues, sometimes being repeated several times in a single night, to his infinite mortification and chagrin. He hopes the difficulty will subside of itself, but his hope is vain; unless properly treated, it will probably continue until the ruin which he voluntarily began is completed.

This disease is the result of sexual excesses of any kind; it is common in married men who have abused the marriage relation, when they are forced to temporary continence from any cause. It also occurs in those addicted to mental unchastity, though they may be physically continent. It is not probable that it would ever occur in a person who had been strictly continent and had not allowed his mind to dwell upon libidinous imaginations.

Exciting Causes.—The exciting causes which serve to perpetuate this difficulty are chiefly two; viz., local irritation and lewd thoughts.

The first cause is usually chiefly located in the urethra, and especially at the mouths of the ejaculatory ducts. Distention of the seminal vesicles with a superabundance of seminal fluid also acts as a source of irritation. Constipation, worms, and piles have an irritative influence which is often very seriously felt.

Unchaste thoughts act detrimentally in a two-fold way. They first stimulate the activity of the testes, thus increasing the overloading of the seminal vesicles. Lascivious thoughts during wakefulness are the chief cause of lascivious dreams.

Emissions do not usually occur during the soundest sleep, but during that condition which may be characterized as dozing, which is most often indulged in early in the morning after the soundest sleep is passed. This fact has an important bearing upon treatment, as will be seen hereafter.

At first, the emissions are always accompanied by dreams, the patient usually awaking immediately afterward; but after a time they take place without dreams and without awaking him, and are unaccompanied by sensation. This denotes a greatly increased gravity of the complaint.

Certain circumstances greatly increase the frequency of the emissions, and thus hasten the injury which they are certain to accomplish if not checked; as, neglect to relieve the bladder and bowels at night, late suppers, stimulating foods and drinks, and anything that will excite the genital organs. Of all causes, amorous or erotic thoughts are the most powerful. Tea and coffee, spices and other condiments, and animal food have a special tendency in this direction. Certain positions in bed also serve as exciting or predisposing causes; as sleeping upon the back or abdomen. Feather beds and pillows and too warm covering in bed are also injurious for the same reason.

In frequency, emissions will vary in different persons from an occasional one at long and irregular intervals to two or three a week, or several—as many as four in one case we have met—in a single night.

The immediate effect of an emission will depend somewhat upon the frequency of occurrence and the condition of the individual. If very infrequent, and occurring in a comparatively robust person, after the seminal vesicles have become distended with seminal fluid, the immediate effect of an emission may be a sensation of temporary relief. This circumstance has led certain persons to suppose that emissions are natural and beneficial. This point will receive attention shortly.

If the emissions are more frequent, or if they occur in a person of a naturally feeble constitution, the immediate effect is lassitude, languor, indisposition and often inability to perform severe mental or physical labor, melancholy, amounting often to despair and even leading to suicide, and an exaggeration of local irritation, and of all the morbid conditions to be noticed under the head of "General Effects." Headache, indigestion, weakness of the back and knees, disturbed circulation, dimness of vision, and loss of appetite, are only a few of these.

Are Occasional Emissions Necessary or Harmless?—That an individual may suffer for years an involuntary seminal loss as frequently as once a month without apparently suffering very great injury, seems to be a settled fact with physicians of extensive experience, and is well confirmed by observation; yet there are those who suffer severely from losses no more frequent than this. But when seminal losses occur more frequently than once a month, they will certainly ultimate in great injury, even though immediate ill effects are not noticed, as in exceptional cases they may not be. If argument is necessary to sustain this position, as it hardly seems to be, we would refer to the fact that seminal losses do not occur in those who are, and always have been, continent both mentally and physically, when such rare individuals can be found. They occur the most rarely in those who the most nearly approach the standard of perfect chastity; so that whenever they occur, they may be taken as evidence of some form of sexual excess. This fact clearly shows that losses of this kind are not natural.

Emission not Necessary to Health.—If it be argued that an occasional emission is necessary to relieve the overloaded seminal vesicles, we reply, the same argument has been used as an apology for unchastity; but it is equally worthless in both instances. It might be as well argued that vomiting is a necessary physiological and healthful act, and should occur with regularity, because a person may so overload his stomach as to make the act necessary as a remedial measure. Vomiting is a diseased action, a pathological process, and is occasioned by the voluntary transgression of the individual. Hence, it is as unnecessary as gluttony, and must be wasteful of vitality, even though rendered necessary under some circumstances. So with emissions. If a person allows his mind to dwell upon unchaste subjects, indulges in erotic dreams, and riots in mental lasciviousness, he may render an emission almost necessary as a remedial effort. Nevertheless, he will suffer from the loss of the vital fluid just the same as though he had not, by his own concupiscence, rendered it in some degree necessary. And as it would have been infinitely better for him to have retained and digested food in his stomach instead of ejecting it—provided it were wholesome food—so it would have been better for him to have retained in his system the seminal fluid, which would have been disposed of by the system and probably utilized to very great advantage in the repair of certain of the tissues.

Eminent Testimony.—An eminent English physician, Dr. Milton, who has treated many thousands of cases of this disease, remarks in a work upon the subject as follows:—

"Anything beyond one emission a month requires attention. I know this statement has been impugned, but I am quite prepared to abide by it. I did not put it forward till I considered I had quite sufficient evidence in my hands to justify me in doing so."

"An opinion prevails, as most of my readers are aware, among medical men, that a few emissions in youth do good instead of harm. It is difficult to understand how an unnatural evacuation can do good, except in the case of unnatural congestion. I have, however, convinced myself that the principle is wrong. Lads never really feel better for emissions; they very often feel decidedly worse. Occasionally they may fancy there is a sense of relief, but it is very much the same sort of relief that a drunkard feels from a dram. In early life the stomach may be repeatedly overloaded with impunity, but I suppose few would contend that overloading was therefore good. The fact is that emissions are invariably more or less injurious; not always visibly so in youth, nor susceptible of being assessed as to the damage inflicted by any given number of them, but still contributing, each in its turn, a mite toward the exhaustion and debility which the patient will one day complain of."

Diurnal Emissions.—As the disease progresses, the irritation and weakness of the organs become so great that an erection and emission occur upon the slightest sexual excitement. Mere proximity to a female, or the thought of one, will be sufficient to produce a pollution, attended by voluptuous sensations. But after a time the organs become so diseased and irritable that the slightest mechanical irritation, as friction of the clothing, the sitting posture, or riding horseback, will produce a discharge which may or may not be attended by sensation of any kind. Frequently a burning or more or less painful sensation occurs; erection does not take place. Even straining at stool will produce the discharge, or violent efforts to retain the feces when there is unnatural looseness.

The amount of the discharge may vary from a few drops to one or two drams, or even more. The character of the discharge is of considerable importance. When it occurs under the circumstances last described, viz., without erection or voluptuous sensations, it may be of a true seminal character, or it may contain no spermatozoa. This point can be determined by the microscope alone. The discharge is the result of sexual excitement or irritation, nevertheless, and indicates a most deplorable condition of the genital organs. The patient is sometimes unnecessarily frightened by it, and often exaggerates the amount of the losses, and the symptoms arising from them. However, when a single nocturnal emission occasions such detrimental results, what must be the effect of repeated discharges occurring several times a day, or every time an individual relieves his bowels, urinates, or entertains an unvirtuous thought! If the losses were always seminal, the work of ruin would soon be complete; fortunately, those discharges which are the most frequent are only occasionally of a true seminal character. It is not true, however, as has been claimed by some writers, one at least, that they are never seminal, as we have proved by repeated microscopic examinations.

Cause of Diurnal Emissions.—The causes of these discharges are spasmodic action of the muscles involved in ejaculation, which is occasioned by local irritation, and pressure upon the seminal vesicles by the distended rectum or bladder. They denote a condition of debility and irritation which may well occasion grave alarm.

In occasional instances, the internal irritation reaches such a height that blood is discharged with the seminal fluid.

Internal Emissions.—As the disease progresses, external discharges finally cease, in some cases, or partially so, and the individual is encouraged by that circumstance to think that he is recovering. He soon discovers his error, however, for he continues to droop even though the discharges apparently cease altogether. This seems a mystery until some medical friend or a medical work calls his attention to the fact that the discharges now occur internally instead of externally, the seminal fluid passing back into the bladder and being voided with the urine. An examination of the urine reveals the presence of cloudy matter appearing much like mucus, or a whitish sediment. A microscopic examination shows this matter to be composed largely of zoosperms, which decides its origin.

An Important Caution.—It is necessary, however, to caution the reader not to pronounce every whitish sediment or flocculent matter found in the urine to be a seminal discharge, for the great majority are of a different character. They are, most frequently, simply mucus or phosphates from the bladder. Seminal fluid cannot be distinguished from mucus by any other than a careful microscopic examination. A microscope of good quality and capable of magnifying at least one hundred and fifty diameters is required, together with considerable skill in the operator. Quacks have done an immense amount of harm by frightening patients into the belief that they were suffering from discharges of this kind when there was, in fact, nothing more than a copious deposit of phosphates, which is not at all infrequent in nervous people, especially after eating.

When the condition described does really exist, however, the patient cannot make too much haste to put himself under the care of a competent physician for treatment. If there is even a reasonable suspicion that it may exist, he should have his urine carefully examined by one competent to criticize it intelligently.

By many authors, the term spermatorrhoea is confined entirely to this stage of the disease.

It is said that the forcible interruption of ejaculation has been the cause of this unfortunate condition in many cases. Such a proceeding is certainly very hazardous.

One more caution should be offered; viz., that the occasional presence of spermatozoa in the urine is not a proof of the existence of internal emissions, as a few zoosperms may be left in the urethra after a voluntary or nocturnal emission, and thus find their way into the urine as it is discharged from the bladder.

Impotence.—In the progress of the disease a point is finally reached when the victim not only loses all desire for the natural exercise of the sexual function, but when such an act becomes impossible. This condition may have been reached even before all of the preceding symptoms have been developed. Ultimately it becomes impossible to longer practice the abominable vice itself, on account of the great degeneration and relaxation of the organs. The approach of this condition is indicated by increasing loss of erectile power, which is at first only temporary, but afterward becomes permanent. Still the involuntary discharges continue, and the victim sees himself gradually sinking lower and lower into the pit which his own hands have dug. The misery of his condition is unimaginable; manhood lost, body a wreck, and death staring him in the face.

This is a brief sketch of the local effects of the horrid vice of self-abuse. The description has not been at all overdrawn. We have yet to consider the general effects, some of which have already been incidentally touched upon in describing nocturnal emissions, with their immediate results.

General Effects.—The many serious effects which follow the habit of self-abuse, in addition to those terrible local maladies already described, are the direct results of two causes in the male; viz.,

1. Nervous exhaustion;

2. Loss of the seminal fluid.

There has been much discussion as to which one of these was the cause of the effects observed in these cases. Some have attributed all the evil to one cause, and some to the other. That the loss of semen is not the only cause, nor, perhaps, the chief source of injury, is proved by the fact that most deplorable effects of the vice are seen in children before puberty, and also in females, in whom no seminal discharge nor anything analogous to it occurs. In these cases, it is the nervous shock alone which works the evil.

Again, that the seminal fluid is the most highly vitalized of all the fluids of the body, and that its rapid production is at the expense of a most exhaustive effort on the part of the vital forces, is well attested by all physiologists. It is further believed by some eminent physicians that the seminal fluid is of great use in the body for building up and replenishing certain tissues, especially those of the nerves and brain, being absorbed after secretion. Though this view is not coincided in by all physiologists, it seems to be supported by the following facts:—

1. The composition of the nerves and that of spermatozoa is nearly identical.

2. Men from whom the testes have been removed before puberty, as in the case of eunuchs, are never fully developed as they would otherwise have been.

The nervous shock accompanying the exercise of the sexual organs—either natural or unnatural—is the most profound to which the system is subject. The whole nervous system is called into activity; and the effects are occasionally so strongly felt upon a weakened organism that death results in the very act. The subsequent exhaustion is necessarily proportionate to the excitement.

It need not be surprising, then, that the effects of the frequent operation of two such powerful influences combined should be so terrible as they are found to be.

General Debility.—Nervous exhaustion and the loss of the vivifying influence of the seminal fluid produce extreme mental and physical debility, which increases as the habit is practiced, and is continued by involuntary emissions after the habit ceases. If the patient's habits are sedentary, and if he had a delicate constitution at the start, his progress toward the grave will be fearfully rapid, especially if the habit were acquired young, as it most frequently is by such boys, they being generally precocious. Extreme emaciation, sallow or blotched skin, sunken eyes, surrounded by a dark or blue color, general weakness, dullness, weak back, stupidity, laziness, or indisposition to activity of any kind, wandering and illy defined pains, obscure and often terrible sensations, pain in back and limbs, sleeplessness, and a train of morbid symptoms too long to mention in detail, attend these sufferers.

Consumption.—It is well recognized by the medical profession that this vice is one of the most frequent causes of consumption. At least such would seem to be the declaration of experience, and the following statistical fact adds weight to the conclusion:—

"Dr. Smith read a paper before a learned medical association a few years since in which he pointed out the startling fact that in one thousand cases of consumption five hundred and eighteen had suffered from some form of sexual abuse, and more than four hundred had been addicted to masturbation or suffered from nocturnal emissions."[49]

[Footnote 49: Acton.]

"Most of those who early become addicted to self-pollution are soon afterward the subjects, not merely of one or more of the ailments already noticed, but also of enlargements of the lymphatic and other glands, ultimately of tubercular deposits in the lungs and other viscera, or of scrofulous disease of the vertebrae or bones, or of other structures, more especially of the joints."[50]

[Footnote 50: Copland.]

Many young men waste away and die of symptoms resembling consumption which are solely the result of the loathsome practice of self-abuse. The real number of consumptives whose disease originates in this manner can never be known.

Dyspepsia.—Indigestion is frequently one of the first results. Nervous exhaustion is always felt by the stomach very promptly. When dyspepsia is once really established, it reacts upon the genital organs, increasing their irritability as well as that of all the rest of the nervous system. Now there is no end to the ills which may be suffered; for an impaired digestion lays the system open to the inroads of almost any and every malady.

Heart Disease.—Functional disease of the heart, indicated by excessive palpitation on the slightest exertion, is a very frequent symptom. Though it unfits the individual for labor, and causes him much suffering, he would be fortunate if he escaped with no disease of a more dangerous character.

Throat Affections.—There is no doubt that many of the affections of the throat in young men and older ones which pass under the name of "clergyman's sore throat" are the direct results of masturbation and emissions.

Dr. Acton cites several cases in proof of this, and quotes the following letter from a young clergyman:—

"When I began the practice of masturbation, at the age of sixteen, I was in the habit of exercising my voice regularly. The first part in which I felt the bad effects of that habit was in the organs of articulation. After the act, the voice wanted tone, and there was a disagreeable feeling about the throat which made speaking a source of no pleasure to me as it had been. By-and-by, it became painful to speak after the act. This arose from a feeling as if a morbid matter was being secreted in the throat, so acrid that it sent tears to the eyes when speaking, and would have taken away the breath if not swallowed. This, however, passed away in a day or two after the act. In the course of years, when involuntary emissions began to impair the constitution, this condition became permanent. The throat always feels very delicate, and there is often such irritability in it, along with this feeling of the secretion of morbid matter, as to make it impossible to speak without swallowing at every second or third word. This is felt even in conversation, and there is a great disinclination to attempt to speak at all. In many instances in which the throat has been supposed to give way from other causes, I have known this to be the real one. May it not be that the general irritation always produced by the habit referred to, shows itself also in this organ, and more fully in those who are required habitually to exercise it?"

Nervous Diseases.—There is no end to the nervous affections to which the sufferer from this vice is subject. Headaches, neuralgias, symptoms resembling hysteria, sudden alternations of heat and cold, irregular flushing of the face, and many other affections, some of the more important of which we will mention in detail, are his constant companions.

Epilepsy.—This disease has been traced to the vile habit under consideration in so many cases that it is now very certain that in many instances this is its origin. It is of frequent occurrence in those who have indulged in solitary vice or any other form of sexual excess. We have seen several cases of this kind.

Failure of Special Senses.—Dimness of vision, amaurosis, spots before the eyes, with other forms of ocular weakness, are common results of this vice. The same degeneration and premature failure occur in the organs of hearing. In fact, sensibility of all the senses becomes in some measure diminished in old cases.

Spinal Irritation.—Irritation of the spinal cord, with its resultant evils, is one of the most common of the nervous affections originating in this cause. Tenderness of the spine, numerous pains in the limbs, and spasmodic twitching of the muscles, are some of its results. Paralysis, partial or complete, of the lower limbs, and even of the whole body, is not a rare occurrence. We have seen two cases in which this was well marked. Both patients were small boys and began to excite the genital organs at a very early age. In one, the paralytic condition was complete when he was held erect. The head fell forward, the arms and limbs hung down helpless, the eyes rolled upward, and the saliva dribbled from his mouth. When lying flat upon his back, he had considerable control of his limbs. In this case, a condition of priapism seems to have existed almost from birth, owing to congenital phimosis. His condition was somewhat improved by circumcision. In the other case, in which phimosis also existed, there was paralysis of a few of the muscles of the leg, which produced club-foot. Circumcision was also performed in this case and the child returned in a few weeks completely cured, without any other application, though it had previously been treated in a great variety of ways without success, all the usual remedies for club-foot proving ineffectual. Both of these cases appeared in the clinic of Dr. Sayre at Bellevue Hospital, and were operated upon by him.

We have recently observed several cases of spinal disease which could be traced to no origin but masturbation. Two patients were small boys, naturally quite intelligent. They manifested all the peculiarities of loco-motor ataxia in older persons, walking with the characteristic gait. The disease was steadily progressing in spite of all attempts to stay it. An older brother had died of the same malady, paralysis extending over the whole body, and finally preventing deglutition, so that he really starved to death.

Insanity.—That solitary vice is one of the most common causes of insanity, is a fact too well established to need demonstration here. Every lunatic asylum furnishes numerous illustrations of the fact. "Authors are universally agreed, from Galen down to the present day, about the pernicious influence of this enervating indulgence, and its strong propensity to generate the very worst and most formidable kinds of insanity. It has frequently been known to occasion speedy, and even instant, insanity."[51]

[Footnote 51: Arnold.]

"Religious insanity," so-called, may justly be attributed to this cause in a great proportion of cases. The individual is conscience-smitten in view of his horrid sins, and a view of his terrible condition—ruined for both worlds, he fears—goads him to despair, and his weakened intellect fails; reason is dethroned, and he becomes a hopeless lunatic. His friends, knowing nothing of the real cause of his mysterious confessions of terrible sin, think him over-conscientious, and lay the blame of his insanity upon religion, when it is solely the result of his vicious habits, of which they are ignorant.

In other cases, the victim falls into a profound melancholy from which nothing can divert him. He never laughs, does not even smile. He becomes more and more reserved and taciturn, and perhaps ends the scene by committing suicide. This crime is not at all uncommon with those who have gone the whole length of the road of evil. They find their manhood gone, the vice in which they have so long delighted is no longer possible, and, in desperation, they put an end to the miserable life which nature might lengthen out a few months if not thus violently superseded.

If the practice is continued uninterruptedly from boyhood to manhood, imbecility and idiocy are the results. Demented individuals are met in no small numbers inside of hospitals and asylums, and outside as well, who owe to this vice their awful condition. Plenty of half-witted men whom one meets in the every-day walks of life have destroyed the better half of their understanding by this wretched practice.

A Victim's Mental Condition Pictured.—The mental condition of a victim of this vice cannot be better described than is done in the following paragraphs by one himself a victim, though few of these unfortunate individuals would be able to produce so accurate and critical a portrait of themselves as is here drawn by M. Rousseau, as quoted by Mr. Acton:—

"One might say that my heart and my mind do not belong to the same person. My feelings, quicker than lightning, fill my soul; but instead of illuminating, they burn and dazzle me. I feel everything. I see nothing. I am excited, but stupid; I cannot think except in cold blood. The wonderful thing is that I have sound enough tact, penetration, even finesse, if people will wait for me. I make excellent impromptus at leisure; but at the moment I have nothing ready to say or do. I should converse brilliantly by post, as they say the Spaniards play at chess. When I read of a Duke of Savoy who turned back after starting on his journey to say, 'In your teeth! you Paris shop-keeper!' I said, 'That is like me!'"

"But not only is it a labor to me to express, but also to receive, ideas. I have studied men, and I think I am a tolerably good observer; yet I can see nothing of what I do see. I can hardly say that I see anything except what I recall; I have no power of mind but in my recollection. Of all that is said, of all that is done, of all that passes in my presence, I feel nothing, I appreciate nothing. The external sign is all that strikes me. But after a while it all comes back to me."

EFFECTS IN FEMALES.

Local Effects.—The local diseases produced by the vice in females are, of course, of a different nature from those seen in males, on account of the difference in organization. They arise, however, in the same way, congestions at first temporary ultimately becoming permanent and resulting in irritation and various disorders.

Leucorrhoea.—The results of congestion first appear in the mucous membrane lining the vagina, which is also injured by mechanical irritation, and consists of a catarrhal discharge which enervates the system. By degrees the discharge increases in quantity and virulence, extending backward until it reaches the sensitive womb.

Contact with the acrid, irritating secretions of the vagina produces soreness of the fingers at the roots of the nails, and also frequently causes warts upon the fingers. Hence the value of these signs, as previously mentioned.

Uterine Disease.—Congestion of the womb is also produced by the act of abuse; and as the habit is continued, it also becomes permanent. This congestion, together with the contact of the acrid vaginal discharge, finally produces ulceration upon the neck, together with other diseases.

Another result of congestion is all kinds of menstrual derangements after puberty, the occurrence of which epoch is hastened by the habit. Prolapsus and various displacements are produced in addition to menstrual irregularities.

Cancer of the Womb.—Degeneration of this delicate organ also occurs as the result of the constant irritation and congestion, and is often of a malignant nature, occasioning a most painful death.

Sterility.—Sterility, dependent on a total loss of sexual desire and inability to participate in the sexual act, is another condition which is declared by medical authors to be most commonly due to previous habits of self-abuse. In consequence of overexcitement the organs become relaxed.

Atrophy of Mammae.—Closely connected with other local results is the deficient development of the breasts when the vice is begun before or at puberty, and atrophy if it is begun or continued after development has occurred. As previously remarked, this is not the sole cause of small mammae, but it is one of the great causes.

Pruritis.—This is an affection not infrequent in these subjects. Continued congestion produces a terrible itching of the genitals, which increases until the individual is in a state of actual frenzy, and the disposition to manipulate the genitals becomes irresistible, and is indulged even in the presence of friends or strangers, and though the patient be at other times a young woman of unexceptionable modesty. In cases of this kind, great hypertrophy of the organ of greatest sensibility has been observed, and in some cases amputation of the part has been found the only cure.

General Effects.—The general effects in the female are much the same as those in the male. Although women suffer no seminal loss, they suffer the debilitating effects of leucorrhoea, which is in some degree injurious in the same manner as seminal losses in the male. But in females the greatest injury results from the nervous exhaustion which follows the unnatural excitement. Nervous diseases of every variety are developed. Emaciation and debility become more marked even than in the male, and the worst results are produced sooner, being hastened by the sedentary habits of these females, generally. Insanity is more frequently developed than in males. Spinal irritation is so frequent a result that a recent surgical author has said that "spinal irritation in girls and women is, in a majority of cases, due to self-abuse."[52]

[Footnote 52: Davis.]

A Common Cause of Hysteria.—This, too, is one of the most frequent causes of hysteria, chorea, and epilepsy among young women, though not often recognized.

A writer, quoted several times before in this work, remarks as follows:—

"This is not a matter within the scope of general investigation; truth is not to be expected from its habitues; parents are deceived respecting it, believing rather what they wish than what they fear. Even the physician can but suspect, till time develops more fully by hysterias, epilepsies, spinal irritations, and a train of symptoms unmistakable even if the finally extorted confession of the poor victim did not render the matter clear. Marriage does, indeed, often arrest this final catastrophe, and thus apparently shifts the responsibility upon other shoulders, and to the 'injurious effects of early marriages,' to the 'ills of maternity,' are ascribed the results of previous personal abuse.

"For statistics and further information on this all-important subject, we must refer the reader to the opinions of physicians who have the charge of our retreats for the insane, lunatic asylums, and the like; to the discriminating physicians of the families of the upper classes—stimulated alike by food, drinks, scenes where ease is predominant, where indolence is the habit and novel-reading is the occupation—for further particulars on a subject here but barely alluded to."[53]

[Footnote 53: Gardner.]

EFFECTS UPON OFFSPRING.

If sterility does not result, children are liable to be "delicate, puny, decrepit, or subject to various congenital maladies, especially of the nervous system, to idiocy from deficient development of the brain, to hydrocephalus, to epilepsy, convulsions, palsy. The scrofulous diathesis, tubercular and glandular maladies, diseases of the vertebrae and of the joints, softening of the central portions of the brain, and tuberculous formations in the membranes, palsy and convulsions, chorea, inflammations of the membranes or substance of the brain or spinal cord, and numerous other affections to which infants and children are liable, very commonly result from the practice of self-pollution by either of the parents previous to marriage. But the evil does not always stop at this epoch of existence, it often extends throughout the life of the offspring, or it appears only with puberty and mature age."

Too frequently, the victim of self-abuse, when he finds himself suffering from the first results of his sin, neglects to adopt any measures for the cure of the disease. Not understanding its inveterate character, he labors under the delusion that it will cure itself in time. This is a fatal mistake. The diseased conditions induced by this vice never improve themselves. Their constant tendency is to increase in virulence and inveteracy. The necessity of taking prompt measures for relief is too apparent to need especial emphasis.

TREATMENT OF SELF-ABUSE AND ITS EFFECTS.

After having duly considered the causes and effects of this terrible evil, the question next in order for consideration is, How shall it be cured? When a person has, through ignorance or weakness, brought upon himself the terrible effects described, how shall he find relief from his ills, if restoration is possible? To the answer of these inquiries, most of the remaining pages of this work will be devoted. But before entering upon a description of methods of cure, a brief consideration of the subject of prevention of the habit will be in order.

PREVENTION OF SECRET VICE.

For the rising generation, those yet innocent of the evil practices so abundant in this age of sensuality, how the evil habit may be prevented is the most important of all questions connected with this subject. This topic should be especially interesting to parents, for even those who are themselves sensual have seen enough of the evils of such a life to wish that their children may remain pure. There are, indeed, rare exceptions to this rule, for we sometimes learn of parents who have deliberately led their own children into vice, as though they desired to make them share their shame and damnation.

Cultivate Chastity.—From earliest infancy all of those influences and agencies which cultivate chastity should be brought into active exercise. These we need not repeat here, having previously dwelt upon them so fully. The reader is recommended to re-peruse the portion of the work devoted to this subject, in connection with the present section. If parents have themselves indulged in this vice, they should use special care that all of the generative and gestative influences brought to bear upon their children are the purest possible, so that they may not inherit a predisposition to sin in this direction.

Special care should be exercised to avoid corrupt servants and associates. Every servant not known to be pure should be suspected until proof of innocence has been established. They should be especially instructed of the evil arising from manipulation of the genitals even in infants, as they may do immense harm through simple ignorance.

Timely Warning.—But, in spite of chaste surroundings and all other favorable circumstances, if the child is left in ignorance of his danger, he may yet fall a victim to the devices of servants or corrupt playmates, or may himself make a fatal discovery. Hence arises the duty of warning children of the evil before the habit has been formed. This is a duty that parents seldom perform even when they are not unaware of the danger. They in some way convince themselves that their children are pure, at least, even if others are corrupt. It is often the most difficult thing in the world for parents to comprehend the fact that their children are not the best children in the world, perfect paragons of purity and innocence. There is an unaccountable and unreasonable delicacy on the part of parents about speaking of sexual subjects to their children. In consequence, their young, inquisitive minds are left wholly in ignorance unless, perchance, they gain information from some vile source.