some of Fliess's results, and in a large number of cases
controlled painful menstruation by painting with cocaine the
so-called "genital spots" in the nose, all possibility of
suggestion being avoided. Ries, of Chicago, has been similarly
successful with the method of Fliess (_American Gynaecology_, vol.
iii, No. 4, 1903). Benedikt (_Wiener medicinische Wochenschrift_,
No. 8, 1901, summarized in _Journal of Medical Science_, October,
1901), while pointing out that the nose is not the only organ in
sympathetic relation with the sexual sphere, suggests that the
mechanism of the relationship is involved in the larger problem
of the harmony in growth and in nutrition of the different parts
of the organism. In this way, probably, we may attach
considerable significance to the existence of a kind of erectile
tissue in the nose.

An interesting example of a reflex influence from the nose
affecting the genital sphere has been brought forward by Dr. E.S.
Talbot, of Chicago: "A 56-year-old man was operated on
(September 1, 1903) for the removal of the left cartilage of the
septum of the nose owing to a previous traumatic fracture at the
sixteenth year. No pain was experienced until two years ago, when
a continual soreness occurred at the apical end of the fracture
during the winter months. The operation was decided upon fearing
more serious complications. The parts were cocainized. No pain
was experienced in the operation except at one point at the lower
posterior portion near the floor of the nose. A profound shock to
the general system followed. The reflex influence of the pain
upon the genital organs caused semen to flow continually for
three weeks. Treatment of general motor irritability with camphor
monobromate and conium, on consultation with Dr. Kiernan, checked
the flow. The discharge produced spinal neurasthenia. The legs
and feet felt heavy. Erythromelalgia caused uneasiness. The
patient walked with difficulty. The tired feeling in the feet and
limbs was quite noticeable four months after the operation,
although the pain had, to a great extent diminished." (Chicago
Academy of Medicine, January, 1904, and private letter.)

J.N. Mackenzie has brought together a great many original
observations, together with interesting quotations from old
medical literature, in his tw