Appeal has been made also to direct observation; the number of those who have fallen victims to onanism has been cited. It has been said, call to mind every thing which has occurred to you in the course of a long practice, you will doubtless find deplorable and even numerous instances of the diseases attending onanism; but does this number approximate that of the individuals who abandon themselves to this vice? There are few persons who are not addicted to masturbation; very well, are there many whose constitutions are impaired and whose health is destroyed? It is admitted that premature and too frequent and too often repeated indulgences may injure and sometimes have caused great detriment, yet those who live through them are very numerous, and the distance between the use and abuse of the act of venery, is greater than is generally admitted.
This manner of counting the dead and wounded has something specious in it, but it is defective in this respect, that it takes no account of what has escaped observation, and cannot be estimated. Every practitioner has undoubtedly seen more cases of masturbation than he has seen victims to this habit. But how many circumstances have prevented him from seeing all the diseases which are caused by this habit, or have prevented him from referring these diseases to their true cause? We have already mentioned the influence which his previous reading and occupation have on this subject; to this cause of errour, we may add others. How numerous are the affections which are borne in silence and which never come under the notice of a physician. How numerous too the practitioners who avoid the trouble of referring to the immediate or remote causes of the diseases which are observed by them, and who confine themselves simply to their treatment, without tracing them to their source. How often too are diseases resulting from onanism attributed to causes with which they have no connexion, to causes which were indicated by persons who knew no better, or even by the patient who believed himself to be interested in giving wrong statements. How frequently also does the practitioner exclude himself from obtaining information, by abstaining from making suggestions to the parents, which all hear with displeasure, and repel with indignation. How often, also, does he refrain from asking necessary questions, for fear of wounding the modesty of the young patient, of teaching him a thing of which perhaps he is ignorant, or at least of exciting in him a dangerous curiosity! Finally how frequently are his doubts removed by the art with which those who indulge in onanism, even when young, know how to conceal a habit at which they blush in secret. Now is it reasonable to expect, that the physician when surrounded by so many causes of errour, should go into statistical details and estimate from them the sum total of the ills produced by onanism and other excesses of a similar character? This method would undoubtedly lead to taking a part for the whole and consequently to forming too narrow an opinion of the evil. Many authors having followed this course, and having considered the evils which are unobserved by them as only imaginary, have not denied the dangers and inconveniences of venereal excesses, but have supposed that they exist less frequently than is really the case.
I do not wish to call in question the utility of observations, or to pretend that they must be neglected. I only wish to say that in attaching to them too much consequence we are led to false conclusions which may inspire a dangerous security. The physician who commits this fault, reasons as does the onanist, who being unable to distinguish, either in his comrades or in himself, the effects of his pernicious habit, concludes that it is an innocent practice and that it may be indulged in unreservedly. The principal utility of observing the diseases caused by masturbation is to determine what are the maladies produced by onanism and what is the relative frequency of each of them. We can also certainly form an opinion, from that which is shown by observation, in regard to that which escapes us. But it is only by induction, that the extent of the evils caused by venereal abuses can be estimated. The bad effects produced by these abuses, can be estimated only by considering what they may produce. It is only after studying the genital system in its relations with other organs, and considering the influence it exercises upon them, that we can pronounce in regard to the maladies and infirmities and dangers of all kinds which attend the abuse of the genital system. We proceed to this subject first. We shall then state what is known from direct observation in regard to the different affections which result from venereal excesses.
CHAPTER I.
OF THE DANGERS WHICH MAY FOLLOW VENEREAL EXCESS.
To abuse oneself by onanism, by coition, is to abuse the organs which serve for the execution of these acts. The genital organs in the female are, the vulva, clitoris, vagina, uterus, fallopian tubes and ovaries. Those in the male are the penis, the seminal passages and the testicles. These organs are then placed in such a state that they become a source of disorder and of disease to the rest of the body. Now, what is their power in this respect? Can they do much injury? This is the question now to be examined.
The injury which the genital organs can do to the rest of the body when they are abused, is the natural consequence of the influence exercised when they are not abused! This injury is in a direct ratio with this influence; it is by this then that it must be measured. In fact, it is clear that if the different organs have in the ordinary state different degrees of power, they must, when they do injury, exercise it in different degrees. Let us then attempt to estimate the influence possessed by the genital organs. If it be demonstrated that when these organs are in a state of rest, of excitement, or in use, their influence on the other functions is considerable, some opinion may be formed as to what may be their influence when abused. It must be admitted that organs, which have a powerful effect on all parts of the body, which regulate all the others, which cannot feel, act, and perform their functions without the others taking part in what takes place in them, it must be admitted I say, that when such organs are made instruments of disorder, the bad consequences which follow may be very great.
The genital organs may be observed in three states; the first state is that of rest. They then merely live, present no special sensation and do not proceed to the act of venery. In the second state they become the seat, the focus of more or less vivid sensations, and which have for a special character to invite and to constrain with more or less power to the act of venery. In animals, this state is called rutting: in our species, it has no special name, except when existing to a very great degree, and then it constitutes a disease, termed Satyriasis or nymphomania: I shall call it the state of excitement. The third is that of action: it is the state in which the genital organs are, when they perform their special functions, when they accomplish the act of venery. They then do not simply live as in the first state, or feel as in the second; but they act, and afterward return to one of the preceding states, and particularly to the first: they rest. These are the three aspects under which we shall examine these organs. To render our remarks more intelligible, we will give a few definitions. The power of bringing the genital organs into a state of action is the venereal power: this when put in action is the act of venery. If this act results from the concurrence of the two sexes, it is coition. If it be caused by solitary manipulation, it then receives divers names; the terms most used are masturbation, or onanism. The act of venery, whether it does or does not result from the concurrence of the two sexes may or may not be injurious. When it is injurious in any degree there is then venereal excess, abuse of the genital organs. This sense is the only one attached in this book, to this mode of expression: for if in a moral and religious point of view the simple fact of coition in some cases and of onanism in every case be a vice, an excess, an abuse, the physician should apply these terms only to cases where the health is injured.
§ 1. INFLUENCE