sness
during the early part of the night, and in the advanced stages of
the disease, profuse sweats before morning. There is also frequent
starting in the sleep, from disturbing dreams. The characteristic
feature is, that your patient almost always dreams of sexual
intercourse. This is one of the earliest, as well as most constant
symptoms. When it occurs most frequently, it is apt to be accompanied
with pain. A gleety discharge from the urethra may also be frequently
discovered, especially if the patient examine when at stool or after
urinating. Other common symptoms are nervous headache, giddiness,
ringing in the ears, and a dull pain in the back part of the head.
It is frequently the case that the patient suffers a stiffness in the
neck, darting pains in the forehead, and also weak eyes are among the
common symptoms.

One very frequent, and perhaps early symptom (especially in young
females) is solitariness--a disposition to seclude themselves from
society. Although they may be tolerably cheerful when in company, they
prefer rather to be alone.

The countenance has often a gloomy and worn-down expression. The
patient's friends frequently notice a great change. Large livid spots
under the eyes is a common feature. Sudden flashes of heat may
be noticed passing over the patient's face. He is liable also to
palpitations. The pulse is very variable, generally too slow. Extreme
emaciation, without any other assignable cause for it, may be set down
as another very common symptom.

If the evil has gone on for several years, there will be a general
unhealthy appearance, of a character so marked as to enable an
experienced observer at once to detect the cause. In the case of
onanists especially there is a peculiar rank odor emitted from
the body, by which they may be readily distinguished. One striking
peculiarity of all these patients is, that they cannot look a man in
the face! Cowardice is constitutional with them.

HOME TREATMENT OF THE SECRET HABIT.

1. The first condition of recovery is a prompt and permanent
abandonment of the ruinous habit. Without a faithful adherence to this
prohibitory law on the part of the patient all medication on the
part of the physician will assuredly fail. The patient must plainly
understand that future prospects, character, health, and life itself,
depend on an unfaltering resistance to the morbid solicitation;
with the assurance, however, that a due perseverance will eventually
re