ni SEXUAL HYGIENE 
(FROM AN OSTEOPATHIC VIEWPOINT) 
A Scientific Discussion 
of Physiological and Pathological 
Sexual Relations 
A SERIES OF TWELVE LECTURES 
PERSONALLY REVISED 
FROM STENOGRAPHIC REPORT 
BY 
Eugene Howe Henry, D.O. 
Professor of 
Physiology, Hygiene and Dietetics, Chemistry and Toxicology 
American School of Osteopathy 
PRINTED FOR PRIVATE DISTRIBUTION 
J. F. JANISCH SUPPLY HOUSE 
KIRKSVILLE, MISSOURI Copyright, 1922 
By J. F. Janisch 
Kirksville, Mo. PUBLISHER’S FOREWORD 
These lectures have been issued in book form in 
response to numerous requests from those who have 
heard one or more of them, for some easily available 
form in which they can be studied to ad- 
vantage. 
They are the result of careful thought and years 
of practical experience in the Osteopathic profession 
of one who is amply able to deal with the subject. 
An exhaustive discussion of the various topics has 
not been attempted, but rather such a general sur- 
vey as will enable the student and practitioner to 
satisfactorily handle the various problems along 
these lines likely to be encountered in general prac- 
tice. 
As the subject is handled from the Osteopathic 
viewpoint, it is hoped that the book will be found a 
valuable source of information for the practitioner 
in his daily work, as well as in the preparation of 
lectures to be given before organizations of various 
kinds, if desired. TABLE OF CONTENTS 
I. NEED OF SEXUAL INSTRUCTION. 
Lack of Knowledge of Organs and Their Functions. 
Value of Eugenic Marriage Laws. 
Origin and Structure of Genital Organs. 
Inequality of Sexual Education and Development. 
Physiology of the Generative Organs. 
Classification of Females as to Sexual Desires. 
Most Frequent Cause of Divorce. 
Mystery as to Sexual Process. 
Character of Treatment Required. 
II. FUNDAMENTAL REASON FOR MARRIAGE. 
Proper Age for Marrying from a Physiological Standpoint. 
Education and Business as Frequent Controlling Factors. 
Inadvisability of Long Engagements. 
Outlets for Natural Secretions in the Male. 
Possibility of Acquiring Infectious Diseases. 
Amount of Normal Sexual Indulgence. 
Nervous Wrecks from Over-Indulgence. 
Duty to Society in General. 
III. THE DIVORCE QUESTION. 
Causes and Prevention of Divorce. 
Errors in Early Female Education. 
Sexual Inequality. 
View of Early Writers as to Female Sexual Impulses. 
Feeling of Mutual Dissatisfaction. 
Yielding to Temptation. 
Establishing Correct Domestic Relations. 
IV. PREVENTION OF CONCEPTION. 
Horror of Pregnancy on Part of Female. 
Proper Time for Intercourse. 
Consideration of the Jewish Law and Practice. 
Methods of Prevention Generally Used. 
Use of Antiseptic Douches. 
The Value of Bichloride Solution. 
Practice of “Coitus Interruptus.” 
Only Sure Method of Preventing Conception. 
V. ABORTION. 
Result of Unwillingness to Bear Children. 
Infection in Male as a Causative Factor. 
Some Reasons Offered as to Necessity. 
Abortion Specialists. 
Diseases Resulting from Production of Abortion. 
Curettement. 
Legal Justification for Its Performance. 
VI. SCIENTIFIC SEXUAL INTERCOURSE. 
Nature’s Way of Perpetuating the Race. 
Physiology of Sexual Instinct. 
Desirability of Greatest Possible Pleasure. 
Proper Methods of Coitus. 
Stimulation of Female Sexual Centers. 
Mutual Aid in Arriving at Climax. Sexual Relations During Pregnancy. 
Intercourse as a Cause of Miscarriages. 
Prenatal Influences. 
Control of Sex. 
VII. THE CONTINENT LIFE AND ITS BENEFITS. 
Effect on Male and Female. 
Moderation as to Foods. 
Necessity of Exercise and Regular Habits. 
Depletion of Nerve Energy of Male. 
Restoration of Lost Manhood. 
Nature’s Use of Excess Secretions. 
Hormones in the Blood Stream. 
Circumcision. 
VIII. CONSTIPATION. 
As a Cause of Sexual Impulses. 
Inherited Tendencies. 
Instruction of Children and Adults as to Personal Habits. 
Effect of Diet, Exercise, Habits, etc., on Constipation. 
Osteopathic Methods of Cure and Prevention. 
IX. SELF-ABUSE. 
Internal Secretions of Ovary and Testicle. 
Natural Elimination of External Secretions of Testes. 
Effect of Misuse of Organs or Tissues. 
Artificial Means of Relief from Tension of Organs. 
Masturbation and Its Effects on Male and Female. 
Mental Effects of Self-Abuse. 
Diagnosis of Symptoms in Children. 
Alcohol as a Sexual Stimulant. 
X. PAIN A PREREQUISITE TO PLEASURE. 
Cruelty Connected with Sexual Impulses. 
Sadism—Origin, Symptoms, etc. 
Masochism—The Domestic Scene from Which it Developed. 
Difference Between Sadism and Masochism. 
Transmission of Such Perversions to Offspring. 
XI. SEXUAL PERVERSIONS. 
Relation of Whipping of Children to Sexual Impulses. 
Inherited Tendency to Perversions. 
Homosexual Love: Urnings, Saphism or Lesbian Love. 
Onanism. 
Fetishism. 
Exhibitionists. 
Sodomy or Bestiality. 
Connection Between Senile Atrophy and Perversions. 
Intercourse with Young Children. 
XII. OSTEOPATHIC DIAGNOSIS AND CORRECTIVE WORK. 
Confidence of Patient Must Be Secured. 
The Osteopathic Lesion as a Direct Cause. 
Method of Controlling Violent Patients. 
Elimination of All Stimulants. 
The Question of Diet. 
Necessity of Proper Exercise. 
The “Continuous Warm Bath.” 
Method and Kind of Osteopathic Treatments. CHAPTER I. 
NEED OF SEXUAL INSTRUCTION 
Lack of Knowledge of Organs and Their Func- 
tions; Value of Eugenic Marriage Laws; Ori- 
gin and Structure of Genital Organs; Ine- 
quality of Sexual Education and Develop- 
ment; Physiology of the Generative Organs; 
Classification of Females as to Sexual De- 
sires; Most Frequent Cause of Divorce; Mys- 
tery as to Sexual Process; Character of 
Treatment Required. 
At the very beginning of this course of lectures on 
the question of Sexual Hygiene, particularly with ref- 
erence to the Physiological, Psychological and Socio- 
logical aspect of the question, it will perhaps be well 
to consider first the need of education of the public 
along these lines. 
From your own personal experience, you know that 
there is a marked deficiency somewhere in the method 
of instruction along lines that are absolutely essential 
to the welfare of each and every living human being. 
Most of you, no doubt, had but a very vague idea of 
the structure and function of the reproductive organs 
of either sex, before taking up the study of Anatomy, 
Physiology, Embryology and the various other sci- 
ences necessary to the successful practice of the Sci- 
ence of Osteopathy. You may never have thought 
of it from just this phase of the question before, but 
you will probably be surprised, in your own practice, 
at the lamentable lack of even the most superficial 
knowledge of the generative organs and their proper 
care, among both the male and female sex. There 
has been but little taught in the public schools, as 
yet, regarding sexual matters; relatively few of the 8 
Sexual Hygiene 
graduates of the grades go to the higher schools 
where some attempt is made to teach the more ele- 
mentary principles of the subject, and of course a 
much smaller number acquire first-hand, technical 
knowledge from any of our professional schools. 
In the absence of any general system of instruc- 
tion along these lines, it naturally follows that such 
information as that transmitted from mother to 
daughter or father to son is about all that the average 
individual knows as to his or her own organs or those 
of the opposite sex, up until the time of marriage. 
Such things, as a matter of fact, are not much talked 
about, as they are not considered proper, by some 
people. Now modesty is dependent upon the sur- 
roundings and the conditions of the particular indi- 
vidual or people concerned. The exposing of the 
entire anatomy among the natives of Africa is not 
thought any more of than the exposure of merely 
the hands and face in this country—it is simply the 
standpoint from which one looks at it. Of course, 
we do not care to revert to the savage method of 
existence; but it is claimed that among primitive 
peoples who have not come in contact with and 
yielded to some of the evils of civilization, there is 
a higher grade of morality than is to be found among 
what we regard as the higher strata of humanity. 
Therefore, instead of finding that the absence of 
clothing has produced immorality, it is probable that 
its very presence has contributed to the present state 
of affairs and the absolute ignorance everywhere 
manifest as to the anatomy and physiology of the 
human sexual organs. It is a fact, therefore, that 
most individuals do require instruction along these 
lines. 
It is also a self-evident fact that it is far better for 
such information to be given in a proper manner, by Need of Sexual Instruction 
9 
those well equipped for the task, than for the man 
and woman to wait until time for marriage and then 
acquire it at the terrible cost sometimes necessary. 
It not infrequently happens that the young girl 
grows to maturity and is actually married, without 
having had any instruction as to what she might ex- 
pect in the marriage relation, or how to properly care 
for herself or the children that are likely to result 
from such union. It is no wonder, therefore, that 
we have the great number of neurotic individuals 
in the various institutions of the state and nation; 
that many of these individuals become criminals 
and not only entail upon society considerable expense 
for their care but perhaps become progenitors of a 
long and prolific line of criminals of the most vicious 
type; and that an untold host of such people must 
pay for their ignorance by the sacrifice of health 
and often of life itself. The restrictions as to the 
marriage of the unfit, particularly as to certain com- 
municable diseases, in the way of what are known 
as “Eugenic Marriage Laws,” as passed by various 
states during the last few years are entirely proper 
and necessary, and, if rigidly enforced, will do much 
to eliminate the inevitable consequences of the gen- 
eral ignorance along sexual lines; but a far more 
satisfactory method is the dissemination of the 
knowledge necessary to avoid even the possibility of 
those penalties. 
Now you are quite familiar with the fact that in 
the early embryonic development of a human being, 
the sexual organs are entirely undifferentiated; that 
they are not markedly developed until rather far 
along in foetal life; that some of the primary sexual 
organs do not assume what we know as their normal 
position until just prior to birth and that the sec- 
ondary sexual organs do not reach their full stage of 10 
Sexual Hygiene 
maturity for from twelve to eighteen or twenty years 
thereafter. Having a common origin, these organs 
must necessarily have a marked similarity as to 
function, according to their structure, but particu- 
larly as to their blood supply and nervous control. 
It is probable that no structure in the body is so 
well supplied with nerves as the sexual organs, and 
particularly in the female. There are certain definite 
centers in the female, such as the mammary glands, 
the clitoris and the lower part of the vaginal orifice, 
which are far more sensitive than any other part of 
the genital tract. The various nerve centers, or 
the source of the various nerve fibers which control 
the activities of the ovaries, tubes, uterus and va- 
gina, are found in the extreme lower thoracic and 
lumbar areas, and particularly in the sacral region 
of the female spinal column. There is also a very 
intimate but somewhat complex relation between 
the nerve centers supplying the mammary glands 
with the other genital organs just mentioned. Ow- 
ing to the complexity of these nerve association 
tracts, it will be seen from a physiological standpoint 
that it requires considerable time to bring them to 
the proper stage of nerve tension where they will 
properly perform their functions in the sexual act. 
Both the man and the woman should be fully in- 
structed along these lines, so that they can be mut- 
ually helpful, in order that there may be a hyperemic 
condition of all these centers at one and the same 
time, in connection with intercourse. The man 
should understand that organism, up to a certain 
point, is entirely under the control of the cortical 
centers, i. e., of his own will power. He must be 
able to control his own impulses and urge his wife 
to do her share, which of course must be more than a 
passive one, to the fullest enjoyment of both indi- Need of Sexual Instruction 
11 
viduals. If both are amenable to this kind of in- 
struction, there is a possibility that their native 
sexual inequality can be equalized. 
The use of any organ means the growth and devel- 
opment not only of the organ itself, but of the center 
controlling it. Because of the conditions surrounding 
the male and female during the early period of child- 
hood and in adult life, there is an under-development 
of the female, as compared with the male. The in- 
equality existing between the two sexes, as a direct 
result of their early training and environment, is one 
of the most frequent causes of divorce. Not only is 
there a lack of knowledge on the part of the female, 
as a rule, of sexual affairs, but usually an absence of a 
desire to acquire such information, because of the re- 
straining and inhibiting influences which surround 
her. She does not have the same opportunity to 
learn of those things in the animal world, as does the 
male; and because of her early training, both at home 
and at school, her native modesty prevents her in- 
quiring into them. On the other hand, as a result of 
his life and environment, the man has a more or 
less general, although sometimes somewhat per- 
verted, knowledge of those affairs; he usually knows 
more about them than his wife, so that the burden 
of giving the proper instruction must fall upon him to 
a certain extent; and the blame for any sense of dis- 
satisfaction in the marriage relation must rest more 
or less upon his shoulders, under present day condi- 
tions. 
This type of trouble can be handled by the physi- 
cian with most satisfactory results. He can best do 
it, of course, through the husband, who will perhaps 
be the first to complain, owing to what he regards as 
the coldness or indifference of his wife. It may be 
largely the result of the increased activity of the 12 
Sexual Hygiene 
sexual glands of the man himself—he may be of a 
nervous type, so that orgasm will invariably come 
before it should. In that event, he should be in- 
structed to prolong the hyperemic condition of his 
own genital organs so that orgasm will be simultan- 
eous. Any mystery as to the sexual organism of his 
wife should be cleared up, so that he will fully under- 
stand what is required for their mutual enjoyment. 
Both the male and female should understand the 
normal physiological action of the generative organs. 
There are several glands in both the sexes which con- 
tribute to the satisfaction of the reproductive act. 
The semen of the male is a viscid, whitish, or opales- 
cent fluid, of alkaline reaction and characteristic 
odor, and is the result of the combined secretions of 
the testes, prostate, seminal vesicles and Cowper’s 
glands. This fluid serves to convey and maintain 
the vitality of the spermatozoa in their passage along 
the several ducts from the convoluted tubules of the 
testes to the external opening of the male organ. At 
the height of nervous tension during the act of inter- 
course, there is a spasmodic contraction of the smooth 
muscle coat of the ejaculatory ducts of the male, 
causing the discharge of this fluid, the process being 
termed “orgasm.” In the female, there is a physio- 
logical mucous secretion from the vaginal walls, 
which is merely a thick viscid mucous and does not 
contain any elements essential to impregnation. 
As a matter of fact, impregnation of the ovum of 
the female usually takes place in the Fallopian tube, 
where it is met by the spermatozoa contained in the 
male seminal fluid. The secretion of the female, 
therefore, during the act of coitus, is merely a physio- 
logical relief—an instant explosion of the mucous 
cells of the membrane lining the vagina and cervix 
of the uterus, as a result of the hyperemic condition Need of Sexual Instruction 
13 
brought about by the sensations of intercourse. The 
glands are over-stimulated and there is an abundant 
flow of the mucous substance emitted at the height 
of the reproductive act, known as orgasm. On each 
side of the posterior part of the external opening or 
commencement of the vagina is a round or oblong 
body, analogous to Cowper’s gland in the male, 
known as the Gland of Bartholin, which opens by 
means of a long single duct immediately external 
to the hymen. The purpose of the secretion of 
these glands is to lubricate the vagina and facilitate 
the act of coitus. The height of nervous tension is 
only reached and relieved in both the male and fe- 
male by orgasm—the nervous explosion causing the 
discharge of the distinctive fluid of each sex. As 
previously mentioned, it requires relatively a much 
longer time and greater stimulation for the female to 
reach this point than for the average male. You 
will therefore understand the necessity of proper 
instruction of both parties to the affair in order that 
there may be mutual satisfaction. 
As already stated, in the big majority of instances, 
the man is much more familiar with the process than 
the woman, but he has not been properly educated, 
and his education has been more as to his own sexual 
apparatus, so that he knows comparatively little 
regarding that of the female. This is one of the 
things which you as physicians will be called upon to 
handle—to start the giving of the proper kind of 
instruction. It is possible for you to do a certain 
amount of ethical advertising in talks on such sub- 
jects, before various groups of men or women or 
both, in the community in which you locate. In 
fact, this is one of the best ways to bring yourself 
before the public, and you should take a deep and 
active interest in things of this sort. It is one of the 14 
Sexual Hygiene 
very best ways in which you can properly and profit- 
ably advertise yourself and the profession. 
Now, as you can well understand, where there is 
complete satisfaction on both sides, there is one of 
the happiest of homes, but where there is dissatisfac- 
tion on the part of one or the other, you will find quite 
the other kind of a home. As previously suggested, 
the inequality between the two sexes, as a direct re- 
sult of their early training and environment, com- 
bined with the mutual dissatisfaction which this pro- 
duces in married life, is one of the things which causes 
so many divorces. The feminine part of the human 
race may be divided, roughly, into about four groups, 
as follows: 
About ten per cent of all females who enter into 
the marriage state have the kind of an impulse which 
they are more than willing to gratify—they meet their 
consort at least half way and there is complete and 
mutual satisfaction. 
Then, there are at least fifty per cent of married 
individuals on the female side, who are willing to 
make an effort to meet the advances of the male, and 
do their share or assist in a physiological sexual inter- 
course, so that with these there is more or less com- 
plete satisfaction. 
But about thirty per cent of the female married 
folks are so constituted, either from some peculiarity 
of their mental makeup or because of ignorance, that 
there is not complete physiological satisfaction—there 
is still a hyperemic condition of the genital organs 
after the completion of orgasm by the male and the 
termination of the act, due to her inability to reach the 
height of enjoyment just at the proper time, or the 
failure of the husband to assist in that direction, so 
that she is more or less unresponsive and mutual dis- 
gust and dissatisfaction is the inevitable result. It is Need of Sexual Instruction 
15 
this type of married pairs that furnishes the large per 
cent of divorces on the ground of incompatibility. 
Then we have about ten per cent remaining, com- 
posed of women absolutely void of any sexual desires 
—they are cold, frigid and indifferent, and of course 
with such it is impossible to obtain any satisfaction 
for either party concerned. Fortunately, this class 
of individuals makes up much the smaller percentage 
of married pairs. It is the thirty per cent already 
mentioned that furnishes the most of the causes for 
divorce actions; but this type of individual is amen- 
able to the proper kind of education and treatment, 
if discovered in time. 
Then we have, although very rarely, the opposite 
type of case, where it is the man who is sexually cold. 
This is generally due to some congenital malformation 
and lack of proper development or it may be due to a 
pathological condition. The male, naturally, is 
sexually very active. From a physiological and 
anatomical standpoint, man is like any other ani- 
mal—he is naturally polygamous, but from an eth- 
ical standpoint and because of his environment, he 
must be more or less monogamous. Where we have 
to do with “impotence,” which is the term always 
applied to the male, while “sterility” or “barren- 
ness” is used in connection with the female, it may 
be due to sexual abuse. It may be a pathological 
condition, the result of abuse along these lines, ac- 
companied by the use of stimulants, such as alco- 
hol. As a usual thing, we have sexual activity in 
the male up to fifty or sixty or sixty-five, and there 
are cases on record where men seventy or seventy-five 
years of age have had children. It is impossible to 
set any definite age limit on the sexual activity of 
the male; but in the female, after the climacteric* 
there is a gradual passing of inclination. 16 
Sexual Hygiene 
Another factor that must not be lost sight of in the 
early stages of married life, is the fact that there is 
always a considerable amount of nervous excitement 
on the part of both man and wife, attending the first 
few weeks or months of intercourse. There is rarely, 
if ever, complete satisfaction the first time it is at- 
tempted. There are certain physical obstacles which 
must be overcome, in addition to the nervous tension 
and general unfamiliarity with the process, particu- 
larly perforation of the hymen of the female. Be- 
cause of this fact, the first attempt at intercourse is 
usually extremely painful to the woman; and if 
brutally performed by the man, as a result of ignor- 
ance or carelessness, will be the cause of fear and 
disgust on her part and the fruitful source of future 
marital troubles. Because of the nervous tension 
or excitement present in the big majority of instances, 
there is premature ejeculation on the part of the 
male. As a result, the female organs are not suffi- 
ciently lubricated in the proper manner, and the 
pain caused by the entrance of the male organ is 
not soothed as it should be by the pleasurable sensa- 
tions which would normally follow. This may con- 
tinue for some little time and result in the loss on the 
part of the man of the feeling of confidence in his 
own manhood and virility which ordinarily exists; 
and to a sensitive individual this is so extremely hard 
to overcome that in a great many instances, a kind 
of nervous tension is induced which hastens the or- 
gasm for a number of times, and as a result there is 
not complete satisfaction on the part of either mem- 
ber of the party. This is something you will be 
called upon to advise regarding, in a professional ca- 
pacity. The hymen is rarely so strongly developed 
as to offer a serious or permanent obstacle to coitus. 
When this does occur,_it may be corrected by a very Need of Sexual Instruction 
17 
slight operation in the home or office, even without 
an anesthetic of any kind. 
General Osteopathic treatments will have a ten- 
dency to restore a normal circulation and increase the 
normal physiological metabolism of the individual, 
and in this way will tend to strengthen his entire 
nervous system. Necessarily, the treatment must 
be more or less psychical in character—he must be 
told that this nervousness is not at all necessary; 
that he can entirely overcome it with a little prac- 
tice; that his wife is undergoing the same kind of 
nervous excitement and nerve shock; that she is 
really suffering more than he because of the physical 
facts in the case; and that as a result of the nerve 
tension in the female, there is congestion which is 
not relieved as it should and would be by a normal 
orgasm. This is the time to explain to the husband 
something of the anatomy and physiology of the 
female genital tract and remove the mysterious at- 
mosphere surrounding the process of intercourse. 
This will remove the psychical drawbacks, so that 
thereafter, if the husband works carefully and in- 
telligently, he should be able in the course of a few 
repeated attempts to entirely overcome his excessive 
nervousness, to the mutual advantage of both parties. 
Further details of this subject will be taken up in a 
later lecture. CHAPTER II. 
FUNDAMENTAL REASON FOR MARRIAGE 
Proper Age for Marrying from a Physiological 
Standpoint; Education and Business as Fre- 
quent Controlling Factors; Inadvisability 
of Long Engagements; Outlets for Natural 
Secretions in the Male; Possibility of Ac- 
quiring Infectious Diseases; Amount of Nor- 
mal Sexual Indulgence; Nervous Wrecks 
from Over-Indulgence; Duty to Society in 
General. 
The sexual impulse and its gratification is the prim- 
ary and fundamental reason for marriage. It is a 
normal impulse, to be found alike in man and animal, 
and in the human animal, if it can not be gratified 
legally, it is always gratified illegally. It is quite 
possible that either the male or female can get along 
entirely without intercourse, throughout life, and be 
just as well off and happy as if they gave themselves 
those pleasures; but this is an ideal state that is but 
seldom attained and then only by those of firm will 
power, or high moral principles or for other similar 
reasons. Usually, it is considered that a healthy hu- 
man individual, whether male or female, possesses a 
certain animal instinct, a desire for companionship 
through life, with a home and loved ones around him 
or her, which aside from any sexual impulse is an im- 
pelling reason toward the married state Where the 
various conditions are favorable to the marriage re- 
lation, it is probable that but few deliberately turn 
from it and pass through life in a state of “single 
blessedness, ” as it is sometimes termed. Business or 
professional cares, physical health, home responsi- Fundamental Reason for Marriage 
19 
bilities, etc., are frequent handicaps that interfere 
with what would ordinarily terminate in the forma- 
tion of conjugal ties. 
From a purely anatomical and physiological stand- 
point, the female is more mature and therefore cap- 
able of marriage and rearing a family much earlier in 
life than the male. In actual life, it usually happens 
that the women marry at an earlier age than the men, 
but this is due, largely no doubt, to the responsibilities 
that rest upon the man in the way of providing finan- 
cially for the needs of himself, his wife and a pros- 
pective family. Now the average male, at the age of 
seventeen, from a physiological standpoint, should 
be able to marry and rear a family. That merely 
means that by that time his sexual apparatus is devel- 
oped sufficiently for him to secrete live active sperma- 
tozoa, which are able to do their share towards 
bringing a new life into the world. From a broader 
physiological standpoint, as well as for economic 
reasons, however, it is much better that the young 
boy should not marry at that early an age. He is 
still growing and requires practically all of his vitality 
to build up new tissue, as well as to replace those 
out each twenty-four hours of the day. While, 
as stated, from a physiological standpoint, he does 
possess all the requirements for a mature body and 
can perform the normal adult functions, still he has 
not yet reached the proper stage of mental develop- 
ment to take unto himself a mate for the rest of his 
life. As you will readily understand, it is necessary, 
under normal conditions, for such a boy to spend 
further time in school, say from four to six years in 
college and university; and regularly he would go 
to the university for some definite purpose, such as 
to learn some trade or profession, following which he 
takes up that line of work. After that, it means sev- 20 
Sexual Hygiene 
eral years of work before he regards himself as suffi- 
ciently securely established, particularly in profess- 
ional life, to consider marriage. This means that he 
will be from twenty-five to thirty years of age before 
he finishes his work at the university and is able to 
really marry and provide for a family in the way he 
would like. 
Now the question is, how is he going to maintain his 
normal, natural life until that time? During this 
period, there has been the regular formation and ac- 
cumulation of the natural secretions of the male 
generative organs. Some outlet for this accumulated 
material is usually found, or sought, perhaps, as a re- 
sult of his environment and companions. There are 
one of two or three methods open to him: First, he 
can establish illicit relations with some member of the 
opposite sex; Second, he can form the habit of self- 
abuse, or masturbation, as it is more commonly 
known; and Third, he can live an absolutely conti- 
nent life. The old time physician, usually in a case 
of this kind, would recommend to the young man that 
he seek relief in the natural, physiological manner. It 
is a natural and a healthy thing for any male to seek 
the female, and this is particularly true with human 
beings. In youth, these impulses are more pre-emi- 
nent than later in life and yet that is the very time 
they should be yielded to and intercourse had only in 
the legal manner. It is claimed by some that it is 
absolutely necessary, for the proper development of 
the individual that the outlet of the sexual instinct 
be accommodated in the right kind of a way, i. e., in 
the normal physiological manner. Whether this be 
true or not, another phase of the question will be 
considered in a later lecture as to the “Continent 
Life and its Benefits. ” 
In any event, there are more or less friendly rela- Fundamental Reason for Marriage 
21 
tions between members of the two sexes, both in 
school and business life. In time, these relations 
may develop to that extent of intimacy to be expect- 
ed in courtship and marriage. There is the combina- 
tion of intimate and frequent contact with one of 
the opposite sex, with late hours, rich foods, etc., the 
process being often repeated. As a direct result, 
there is overstimulation, due to constant irritation 
or over-excitement of the cortical centers and harm 
invariably follows. No improper conduct is referred 
to, but merely the effect of this constant irritation of 
the cortical centers and reflexly of the various sexual 
centers. It can be laid down as a safe rule that long 
engagements are never a good thing, for either the 
man or the woman in the case. Close physical con- 
tact, as is to be expected in the situation outlined, 
produces over-stimulation not only of the cortical 
centers, but an engorgement of the genital organs 
with blood, which is followed by further stimulation 
of the brain centers associated with their activity. 
There is one case on record which illustrates this 
point very nicely. The woman, who was engaged, 
was so situated that it was impossible, for financial 
reasons, for her to be married for a considerable per- 
iod of time. Her fiance met her every day, and they 
in fact spent all their spare time together As a result 
of the caresses which naturally passed between them, 
she was kept in a constant state of strong but sup- 
pressed sexual excitement. After this had been 
going on for some three or four months, she began 
experiencing a sense of discomfort after each visit; 
there was congestion of the uterine wall and vaginal 
tract; she began to complain of bearing down sensa- 
tions in the lower abdomen and considerable pain 
whenever she did any walking; there was constant 
indigestion, weight in the chest, pain in the head and 22 
Sexual Hygiene 
eyes, along with a persistent diarrhea. This contin- 
ued for some eight or nine months, when the fiance 
was called away and these symptoms very quickly 
lessened, and eventually disappeared. It had simply 
been due to the fact that complete satisfaction had 
not been obtained. Overstimulation had caused 
and will nearly always produce a congestion of the 
genital walls, because of the irritation of the nerve 
endings. This referred directly to the splanch- 
nic area, to the solar and hypogastric plexuses, which 
in turn control digestion to a very great extent As a 
result of this sexual excitement, there is usually gas- 
tric disturbance and diarrhea, merely because the 
sexual excitement is not relieved in a physiological 
manner. 
Of course, there is the further alternative , fre- 
quently sought by some through ignorance of the 
possible results, of the male searching for the female 
who makes a business of catering to this type of indi- 
vidual. Of course, any intercourse outside of the 
married state is unusual and improper from the eth- 
ical and legal standpoint, and should be avoided. 
Another drawback along this line, especially in con- 
nection with professional prostitutes, is that every 
single one of them is infected—some of them all of 
the time and all of them at least a part of the time. 
Proper care can not be taken to sufficiently protect 
yourself against one of these individuals and the 
possible evil consequences, i. e., the very strong 
probability of acquiring an infectious disease that 
will be far-reaching in its consequences, and that, 
in itself, is ce tainly a sufficient reason wdiy these 
individuals should be left entirely alone. It is true 
that an occasional case of venereal disease is secured 
in normal wedlock, but the chances are so slight as 
to be practically nil. While the public drinking cup Fundamental Reason for Marriahe 
23 
results in some contamination and should therefore 
be eliminated from use, yet the number is very slight 
compared with the enormous amount secured in 
other ways. The danger of acquiring an infectious 
disease should, in itself, be a sufficient barrier to 
outside illicit intercourse. 
Venereal diseases constitute one of the gravest 
dangers incident to gratification of the sexual appe- 
tite. If it were not for the ignorance and careless- 
ness of most men, it would not be difficult to avoid 
them and they would soon cease to exist. The at- 
tempt at state regulation of prostitution and the 
pretended inspection of women of the half-world, in 
order to prevent the spread of such diseases, is 
anything but successful. Not only is it impossible 
to keep strict enough watch on the inmates of such 
resorts, but it is manifestly impossible to make in- 
spections often enough to be of any real value in any 
given case, even if it were possible to make a suffi- 
ciently thorough examination or by the use of anti- 
septic washes eliminate all possibility of contagion 
spreading from any one individual. The organisms 
producing these diseases become hidden in the deep 
folds of the mucous membrane of the vagina, so that 
their complete eradication is impossible. One of the 
most tragic effects of the two or three common in- 
fectious diseases is the contamination of an innocent 
wife, whose hitherto pure and chaste life is swramped 
in the mire of another’s ignorance or debauchery. Not 
only is this true, but the children of such a union, 
even if they do not die just before or immediately after 
birth, are usually cursed with the handicap of a ven- 
ereal disease and quite frequently become criminals 
of the worst type The deplorable fact is the enor- 
mous proportion of persons who suffer with these var- 
ious infectious diseases. 24 
Sexual Hygiene 
Perhaps the most common of this class of disease is 
Gonorrhea or Clap, as it is more commonly known, 
which is the result of a microbe called the gonococcus. 
Not only does one attack of this disease fail to protect 
against a second infection but it even predisposes to 
it. When treated properly, in the first place, it 
may be cured in a relatively short time, but more 
often the inflammation becomes chronic and at- 
tacks neighboring organs. The results of such an 
in ect on in women are even worse than in men. A 
prostitute with such an infection may and usually 
does infect an enormous number of men, and these 
in turn carry those germs home to their wives or 
assist in their spread elsewhere. 
An even more formidable disease is that of Syph- 
ilis, which is the result of the Spirocheta Pallida. It 
is much more chronic than gonorrhea and com- 
mences with what is known as the hard chancre, 
which may be located on the genital organs or any 
other portion of the body, particularly in the mouth. 
This disease is much more dangerous and spreads 
rapidly through the blood and lymph systems. Erup- 
tions appear in a few weeks; ulcers of the skin and 
mucous membranes occur; diseases of various internal 
organs may result, the blood vessels may become 
involved or various tumors (or gummata) may be 
produced in different tissues of the body. This is a 
disease that may seem to be cured, but only remains 
latent for a time, to later appear in different organs, 
producing new lesions. The earlier stages of this 
disease may pass unnoticed, owing to their rather 
painless character. The sores of the first two or 
three years are painless but highly contagious, so 
that they may be transmitted by coitus, even un- 
knowingly. It is a disease readily transmitted to 
the wife or children, or both; or it may render mar- Fundamental Reason for Marriage 
25 
riage entirely sterile. Owing to the fact that the 
number of prostitutes is quite small compared with 
the number of men who visit them, a single prosti- 
tute may serve to spread the infection broadcast. 
Another type of venereal disease, but somewhat 
less dangerous and less common than the two al- 
ready discussed, is what is known as the Soft Chan- 
cre. It is so called to distinguish from the hard 
chancre which is primary to syphilis. It usually con- 
sists of an ulcer which remains localized on or around 
the genital organs, in which the ulcerated parts are 
destroyed, but the sore heals without so much trouble 
or danger to members of the opposite sex or children 
of the individual involved. The one point to be 
borne in mind in connection with these several 
infectious diseases is the extreme danger of contract- 
ing them and the great difficulty in thoroughly re- 
moving them from the system when once affected. 
Although such diseases can be handled quite satis- 
factorily under Osteopathic treatment, it is not a very 
good idea to do so, not only because of the danger of 
spreading the infection among your other patients, 
and particularly women; but a reputation of handling 
anything of that nature is anything but desirable un- 
less one wishes to specialize along that line. 
There is another point to consider with reference 
to the marriage problem, and that is the compara- 
tively small group of females who have no sexual 
instinct or desires whatever. Many of these have 
devoted their time entirely to mental development; 
have been thrown into contact with members of the 
opposite sex but little, if any, and even somewhat 
rarely with those of their own sex; and have but 
little interest in the consideration of married life. 
Now, no matter how great a development of the 
brain there may have been, there is still an unsatisfied 26 
Sexual Hygiene 
desire in many of these. Such an individual will 
take up with certain fads, such as “ART,”-which is 
merely one way of getting rid of her nervous sensa- 
tions and incidentally of her sexual cravings, even 
though she may not recognize them as such. In 
other words, there is more or less restlessness o the 
entire nervous organism, and such a person does not 
know just what she wishes to do—is more or less un- 
certain. It is absolutely impossible for the big ma- 
jority of them to pin themselves down to any kind 
of work, along some one particular line, for any great 
length of time. This is merely an evidence of natural 
sexual impulses, in their beginning, which the indi- 
vidual has not yet recognized as such. The art 
centers of Europe are filled with this kind of women. 
In many instances, such a woman has made many 
financial sacrifices in order to go over there to study. 
These outlets in reality merely serve as safety valves 
for the female sexual impulses. When such a person 
finds that she has no artistic inclinations and is not 
satisfied by study or following the lines she has picked 
out, when she is unable to accomplish anything from 
an artistic standpoint, she becomes despondent, and 
if she does not meet the right kind of a man, she be- 
comes more or less of a nervous wreck, at least for a 
time. In passing, it may be noted that pleasure 
which is purely mental is always followed by more 
or less mental despondency, while pleasure where 
there is a certain amount of sexual or sensual enjoy- 
ment does not result in this same mental despond- 
ency. Following gratification of that kind of pleas- 
ure, along different channels, there is a period of 
contentment and happiness. In the gratification of 
the sexual appetite, there must be a mental as well as 
a physical side to it, in order to secure the greatest 
amount of pleasure. Fundamental Reason for Marriage 
27 
So far, we have covered in a more or less general 
way the development of the sexual instinct. Another 
question which you will meet more or less frequently 
is regarding the natural relations between husband 
and wife. You will find any number of patients who 
will come to you for advice as to how often they can 
indulge themselves without any ill effects being pro- 
duced. As a matter of fact, no hard and fast rules 
can be laid down on this subject. The amount of 
indulgence which is normal is a question wdiich is 
entirely an individual one, just as is the amount 
of indulgence in alcohol, tobacco or anything of 
that sort. 
The nerve energy which is expended with each org- 
asm is greater in the male than in the female, so that 
the male requires a greater amount of rest in order to 
be at the height of his powers each time. There is 
not the same amount of loss of albuminous substances 
in the case of the female as in the male. A single 
orgasm, according to the latest authorities, contains 
from thirty million to five hundred million spermato- 
zoa. These are composed almost entirely of albumi- 
nous material and the substance in which they float 
or swim is also soluble albumen and globulin. These 
are taken out of the blood stream and from the 
nourishment of the testicles and all other cells of the 
body, particularly of the nerve cells, which are con- 
cerned with the manufacture of spermatozoa. There- 
fore, the loss of an excessive amount of seminal 
fluid means that there is a drain on the nerve system 
direct. It is due to this drain that there is such a 
tremendous nerve shock as the result of frequent 
orgasms. This effect on the central nervous system— 
the loss of these elements, must be replaced by rest 
or there is a tendency toward a severe derangement 
of the central nervous system. If the nervous sys- 28 
Sexual Hygiene 
tem is weak in the first place, the drain is greater 
than if we have a normally healthy nervous system. 
Perverts who have not had a good family history be- 
hind them, where there has been a certain amount of 
hereditary predisposition along these lines, will suffer 
a greater amount of harm than will a normally 
healthy individual. Some individuals have the abil- 
ity to stand a greater amount of exercise or exertion 
of any kind—they are more phlegmatic and their 
nerve centers are not as easily irritated as are those 
of other types. Such an individual can stand a 
much greater amount of sexual indulgence than the 
other. 
As an illustration of this fact, I need only mention 
that in every city there are a certain number of 
women, nice looking and apparently healthy, who do 
not seemingly show any ill effects from the life they 
lead and the frequent amount of indulgence along 
sexual lines. I refer to the type of women who live 
upon what they are able to make from men, who 
have their own apartments, some of them in ex- 
pensive locations or surroundings, and who dress 
luxuriously. They probably have intercourse any- 
where from one to a dozen times each night, and yet 
as a result of this excessive indulgence, they seeming- 
ly show no ill effects, at least for some time. This 
type of woman is well developed physically and does 
not show any symptoms of emaciation or nervous 
depletion. Of course, they all eventually break 
down prematurely, if they continue that method of 
existence, but it is usually traceable to infection and 
alcoholism. The average female could not stand 
those conditions indefinitely and if a man should 
attempt to live the same kind of a life and have the 
same number of orgasms as do the females in ques- 
tion, he would not last nearly so long. He under- Fundamental Reason for Marriage 
29 
goes a greater strain—there is a greater loss of nerve 
energy with the male. 
Age is also a question which enters largely into the 
question, as well as the physical and mental condition 
of the individual. No one, so far as I know, has any 
record of the number of times an individual could en- 
joy himself without showing ill effects. Between 
the ages of twenty and twenty-five, any given indi- 
vidual can probably indulge in and fully recover from 
three or four times as much sexual intercourse 
as would be possible after forty. It is largely an 
individual question, however. Given two normal, 
healthy individuals of the opposite sexes, it is only 
natural that they should enjoy themselves along 
these lines, and the extent of their enjoyment should 
be determined by their own health. It depends, of 
course more or less upon the nervous makeup of the 
individuals themselves, as what would be normal for 
one would not be, necessarily, for another. It is ex- 
tremely hard to get any real definite facts as to the 
sexual life of most individuals. If he or she does not 
speak, there is no way of obtaining the desired in- 
formation, and even if either does speak, there is 
more or less doubt in your mind as to the truth of 
such statement. It is only natural that this should 
be true, that people should be more or less secretive 
on this subject, because it is a matter primarily be- 
tween the two of them; and aside from that fact, most 
people consider it improper and immodest to discuss 
those subjects, even with the family physician. You 
will find that people will answer questions freely and 
frankly upon every other subject except this one; and 
along this line you can get but little information from 
either party, unless there is a pathological condition. 
This question is-largely an individual one and can 
be determined only from the conditions in any given 30 
Sexual Hygiene 
case. Quite naturally, married life will be much more 
interesting and active, at first, than later. Possibly 
during the first year, intercourse may be indulged in 
on an average of two or three times a week, during 
the part of the month when such things are possible. 
By the second or third year, the average will prob- 
ably have dropped to once a week or perhaps once 
every ten days or two weeks. However, the ques- 
tion as to whether it has been indulged in to excess 
can be determined only from the condition of the par- 
ticular individual. I recall one case, where the 
parties told me that they had indulged as much as 
from one to three times a night, for the first few 
years, and they had been married for about twelve 
years when I saw them. The man was simply a 
nervous wreck and the woman was nearly as bad. 
Such an amount of over-indulgence, of course, had an 
influence for bad on all their after life and that of 
their children. This, of course, would be what we 
would call rather excessive. 
An important, and perhaps the determining factor 
in the question of sexual indulgence is the number of 
children which are produced and which the parents 
can properly provide for. When an individual 
marries, he has a duty to society, to the state and 
country, which he should perform. The number 
must be determined, of course, by the health of his 
wife and the thickness of his own pocketbook. With 
some families, there is no apparent desire or attempt 
to limit the size of the family; but you will frequently 
find cases where, owing to the physical discomfort or 
fear of becoming mothers, or because of financial 
difficulties or because of the health of one or the 
other parent, there is an insistent demand made 
upon the physician for measures to prevent concep- 
tion or avoid its consequences. This question will 
be considered more fully in a future lecture. CHAPTER III. 
THE DIVORCE QUESTION 
Causes and Prevention of Divorce; Errors in 
Early Female Education; Sexual Inequality; 
View of Early Writers as to Female Sexual 
Impulses; Feeling of Mutual Dissatisfac- 
tion; Yielding to Temptation; Establishing 
Correct Domestic Relations. 
In taking up the subject of divorce, we are not, of 
course, interested in the various external causes that 
may arise from time to time, but more particularly 
those which result from ignorance, indiscretions or 
perversions along sexual lines. We have previously 
mentioned the principal classifications of females on a 
sexual basis and the fact that something like thirty 
per cent of married women fail to get the proper 
amount of pleasure out of the act of copulation; and 
we have seen that in a large measure this is due to 
their early education and environment and the lack 
of knowledge on their part of the proper manner in 
which to get the most enjoyment therefrom. It is 
from this class of women that we have the large 
number of divorces on grounds of incompatibility of 
temper and for various other reasons that only 
serve to cover up the real issue at stake. Had such 
an individual received proper instruction prior to 
her marriage, she might have avoided the possibility 
of such complications by remaining single, of course; 
but the chances are that even in the married state 
she would have been able to have so guided family 
affairs as to have avoided the many pitfalls that 
normally lie in the way. It is a fact worthy of 
mention that even mothers very reluctantly talk 32 
Sexual Hygiene 
freely with their daughters upon a subject of such 
vital importance, so that most girls receive but 
meager, if any, instruction from the proper sources. 
Even if the curiosity of the growing girl at the crucial 
period of her life is not met with a reprimand, she is 
as a rule put off with a few words as to her personal 
care. 
Mothers, at the time of commencement of the 
menstrual function and continuing thereafter until 
the daughter is ready for marriage, should make it a 
point to give her full and detailed information as to 
the female and male sexual peculiarities as to struc- 
ture and function. In like manner, the son should 
be instructed by the father, so far as he is able as to 
his part in the reproductive process, rather than leav- 
ing it to the former to acquire such information in 
his own way and from personal experience. A 
knowledge of such things on the part of both man 
and wife or even of either, would prevent most of the 
early marital troubles which may ultimately end in 
the divorce courts. I have been told that an emi- 
nent Chicago physician, who was for some ten years 
a court representative in Iowa, is responsible for the 
statement that 68 out of every 100 divorce cases 
coming under his notice were charged by the com- 
plainant with having originated from indiscretions 
committed the first night after marriage, and that 
those acts might have been avoided if the individuals 
had been properly informed in advance as to their 
respective functions. It is a fact that 
first attempts at sexual congress are but rarely suc- 
cessul or entirely satisfactory. If the woman has 
retained her virginity up to the time of marriage, 
there may even be failure to have a satisfactory 
copulation for a week or two, because of the physical 
obstructions and the pain consequent thereto. There The Divorce Question 
33 
is, however, no occasion for alarm; and if neither 
party has had any previous experience, the pair may 
consider themselves very fortunate if successful 
mutual orgasms are secured, even after as many as 
ten or twelve trials. Now, in such a case, if due 
patience and care are exercised, the greatest pleasure 
will follow their early attempts and no seeds of dis- 
cord will be sown to ultimately bear fruit in the di- 
vorce courts. Then, too, if the male does not expect 
too much and insist upon having his “rights,” in 
season and out of season, at inconvenient times and 
when there is lack of desire on the part of the fe- 
male, during their later years of married life; but 
rather endeavors to accommodate himself to the 
conditions as he finds them and sees that the wife 
receives her share of marital pleasure, he will find 
that sexual troubles and disagreements will have but 
little bearing in their affairs. 
A careful study of the two sexes, their education, 
habits and lives in general will quickly demonstrate 
that much of the distressing discord of early married 
life in particular, is primarily due to their unequal 
sexual desires and pleasures. Not only do the two 
sexes develop along different lines, but the condition 
under which this takes place are vastly different. 
The female inherits and likewise has continually in- 
stilled into her a disposition to disregard matters of 
sex, as immodest and vulgar; and whatever inclina- 
tion she may have to investigate such matters for 
herself are not encouraged, because women do not 
discuss such topics to any great extent or merely 
allude to them in an indefinite manner. 
On the other hand, young boys get out together 
quite frequently, such as in fishing, swimming, etc., 
and have better opportunities of learning of these 
things from their companions and particularly from 34 
Sexual Hygiene 
older youngsters; they talk of such matters more 
freely among themselves than do the females, and 
frequently tell stories that are woven about the 
sexual relation, although the truth is not always 
told in its entirety. In answering the calls of na- 
ture, the young boy has occasion to handle the gen- 
erative organ frequently and in the course of time 
sexual excitement is induced, which of course only 
leads to further investigation. In time he may learn 
the habit of self-abuse from his own investigations or 
from his companions; and even acquire some know- 
ledge of the opposite sex, although usually somewhat 
indefinite and incorrect. 
In the meantime, the female urinary apparatus, 
requiring no manual manipulation for the proper 
voiding of its excretion, the girl’s requirements 
having been taken care of without the necessity of 
handling the parts; and not receiving the constant 
irritation and stimulation of the boy’s existence, 
there is not the same inducement to functional ac- 
tivity of the sexual apparatus in the female. In the 
natural course of events, the girl is not so apt to 
discover by herself the causes of peculiar sexual 
sensations, and the chances of learning them from 
another are rather small compared with that of the 
boy. 
Then, too, the “double standard” of morals, as it 
is termed, generally recognized for the members of 
the two sexes, is an important factor in the after life 
of each. With the female there has been but little 
occasion for frequent sexual activity, as a rule, and 
her habits of thought and earliest teachings have been 
in the direction of the inhibition of sexual desires of 
all kinds. You will be told by many married women 
that so far as they themselves are concerned, there is 
absolutely no sexual sensation. After marriage, they The Divorce Question 
35 
simply undergo or perform the act of copulation be- 
cause the husband desires or insists upon it; they 
themselves do not get any pleasure out of it. Some 
women have been married for twenty to twenty-five 
years, and may even have had several children, with- 
out ever having experienced an orgasm. This is 
primarily due to the fault of the male and not to 
the fact that the female does not have any sexual 
sensations whatever. The early writers, particularly 
in the earlier part and up to the middle of the eigh- 
teenth century were fully agreed upon the fact that 
all good women had absolutely no sexual impulses 
or sensations. At first, the deification of woman 
from the religious standpoint, the fact of the dei- 
fication of the virgin from the standpoint of Chris- 
tianity, all had their tendency to show that the 
feminine part of the human race had absolutely no 
sexual impulses—they were supposed to be abso- 
lutely cold. It was regarded as absolutely indecent 
for any woman to experience or express any apprecia- 
tion or pleasure from such an act. It was not until 
within the last few years, when there has been more 
research along these lines, that it has been proven 
satisfactorily to the scientists that the big majority 
of women are just as capable of enjoying sexual 
intercourse as the male. It requires, however, a 
certain amount of aid and assistance along those 
lines for practically all married women—provided 
they have not been previously educated before mar- 
riage. As a result of the early education of the fe- 
male, her heredity and environment, we have had 
generation after generation, almost since the world 
began, wherein this same process has been followed; 
so that such desires as the female possessed were not 
recognized as sexual impulses and no opportunity 
was given for their expression. 36 
Sexual Hygiene 
As a result of these differences, with the male 
somewhat educated along sexual lines and perhaps 
having had frequent experiences with members of the 
opposite sex, and having generative organs that 
already are functionally active, so that but little 
stimulation is required for their excitation; and on 
the other hand, the female lacking these experiences, 
with her distinctive organs comparatively rudiment- 
ary and incapable of timely activity, combined with 
her disposition to repress her natural feelings and 
emotions, we have an unfortunate situation with 
which to deal. Under these conditions, neither 
party obtains the proper physiological benefits from 
intercourse in the beginning, and if not experienced 
later on, a certain amount of indifference, disgust or 
repugnance takes the place of the bliss that should 
normally exist, and in such a family you will always 
find more or less dissatisfaction existing. 
If, on the other hand, the sexual relations in the 
home were entirely satisfactory, if both parties were 
getting the highest possible pleasure from the act, 
there would be but little yielding to temptation on 
the part of either. If the sexual act at all times 
gives pleasure to both parties concerned, it will be 
sought for their mutual happiness, but unless such 
is the case, entire harmony can not long continue. 
In such a family, there will always be more or less 
trouble, even over very little things. There will 
be a gradual drifting apart of the two individuals, 
and in time there may be the establishment of illicit 
relations on the part of one or the other with some 
third party, which would not have happened, had 
there been no temptation to seek that which could 
not be attained properly. Because of their differ- 
ences as to education and environment as we have 
seen, it usually happens that it is the man, who, be- The Divorce Question 
37 
cause of inability to satisfy his needs at home, first 
strays from the straight and narrow path, but if there 
is complete satisfaction and relaxation as a result of 
intercourse in the proper and legal manner, there is 
but little chance for the man yielding to any wiles 
and straying to other pastures. If that one idea 
could be sufficiently well implanted in the feminine 
mind, there would be a perceptible dropping off in 
the number of divorce cases. 
This question of sexual inequality will be one of 
the things which you as physicians will be called upon 
to help adjust for your patients. The only way you 
can get satisfactory results in such a case is by estab- 
lishing correct domestic relations. All the Osteo- 
pathic or medical treatment in the world will not 
overcome such conditions, unaided. In fact, there is 
just one sure way in which you can expect to get 
satisfactory results and maintain that condition of 
affairs. First of all you must get the confidence of 
one or both of the parties concerned. You simply 
can not go at them rough shod, because that part 
of one’s life is commonly held sacred—in fact it is 
one of the things which are not talked about as it 
should be, even between husband and wife. You 
will find that the wife will usually tell some things 
to the physician that she will not mention to her 
husband, and in such a case, the physician must act 
as the go-between. Sometimes you will be able 
to get the man to talk and at other times only the 
wife. After ascertaining the facts in the case, you 
can either suggest a way out of the difficulty to the 
party complaining or by later getting into com- 
munication with the other member of the family, 
you can bring up the questions involved in an indi- 
rect manner that will enable you to get some informa- 
tion from that party on which to base further sug- 38 
Sexual Hygiene 
gestions for their mutual good. Such advice, along 
with frequent and regular Osteopathic treatments, 
particularly in the lower dorsal, lumbar and sacral 
regions, to improve the blood and nerve supply to 
the sexual organs, even in the absence of definite 
lesions, should in time produce most satisfactory 
results. 
However, if you are treating a married lady, where 
there are no physical lesions to account for her condi- 
tion, if there are no children and have not been any, 
if there are no lacerations of any kind, and if there 
are no osteopathic lesions in the regions previously 
mentioned, you can rest assured that the condition of 
your patient is due to irregular or unsatisfactory re- 
lations between the husband and wife, and your 
method of treatment must then be carefully planned 
and carried out. Advice along sexual lines will then 
be of ultimately greater value than professional 
treatment of any kind. If the couple have been 
married for some years and even have children, and 
yet have had no real pleasure out of the sexual act, 
you can depend upon it that there is something 
radically wrong with the sexual training or habits 
of one or both parties. You will find that many of 
the female sex think that the act is necessary just 
because of the animal part of the man, or she may 
have taken part only because she thought the hus- 
band would go elsewhere if she did not. In that case, 
the fault is largely with the husband, who has failed 
to prepare the feminine member for proper sexual 
relations. Not only had she failed to receive the 
proper education and training, but the husband had 
failed to give sufficient stimulation before and during 
the progress of the act. In a later lecture we will 
discuss the proper methods to pursue in such a case, 
but it consists largely in the prolongation of the in- The Divorce Question 
39 
troductory performances to the sexual act—which 
will do more than any other one thing toward the 
establishment of happy contented homes. We are 
all human and have mental and physical sides to our 
natures, which must be provided for. Unless both 
sides of our nature are properly taken care of there 
is more or less dissatisfaction, but when such an in- 
dividual has found one of the opposite sex who will 
supply those needs, he or she is sure to be happy. 
The degree of satisfaction will depend largely upon 
the completeness or degree of interchanges of that 
need and supply. 
You, as the physician, therefore, must act as the 
go-between in satisfactorily adjusting these marital 
relations. Most women will not talk as they should 
to their husbands—they are more or less mysterious. 
Their sexual impulses have been so inhibtied as a 
result of their life education and environment from 
the time they were born until they die that it is im- 
possible for them to over-step this mental barrier 
which has been erected around their sexual impulses. 
When the husband can break through this barrier, 
he has gone a long way towards establishing the 
right kind of relations between himself and his wife— 
but this he can only do when he himself thoroughly 
understands their sexual differences and the reasons 
therefor. CHAPTER IV. 
PREVENTION OF CONCEPTION 
Horror of Pregnancy on Part of Female ; Proper 
Time for Intercourse; Consideration of the 
Jewish Law and Practice; Methods of Pre- 
vention Generally Used; Use of Antiseptic 
Douches; The Value of Bichloride Solution; 
Practice of “ Coitus Interruptus ; ” Only Sure 
Method of Preventing Conception. 
Another thing which interferes with the proper and 
fullest enjoyment of the sexual act is the horror which 
many women have of a possible pregnancy. With 
most women who are having sexual relations, the 
question as to whether they have become “caught,” 
as indicated by the non-appearance of the menses, is 
one of grave importance. It is but natural that this 
should be so, as pregnancy marks an important epoch 
in the life of a woman, and with a large per cent it 
certainly causes very great anxiety. However great 
the desire may be to have children, there are usually 
conditions which govern the preference for timely 
occurrence, so that it would be regulated if such a 
thing were possible. Limitation of the size of the 
family is often desired, for various reasons, such as 
the physical discomfort incident thereto, the pain 
of parturition, social ambitions or perhaps at times 
because of economic conditions, so that the subject 
is one which must receive considerable attention on 
the part of the physician as well as the layman im- 
mediately concerned. With such a mental view- 
point firmly implanted in the feminine mind, it is 
quite natural that there would be considerable inter- 
ference with any possible enjoyment which either Prevention of Conception 
41 
the husband or wife could extract from the act. 
When that fear or feeling is present, it must be re- 
moved, at least to a certain degree. Most women 
seem to have the erroneous idea that if there is a lack 
of sexual feeling or impulses on their part, that this 
alone will interfere with the possibility of conception. 
It is not surprising, then, that they should assume an 
absolutely passive attitude toward the performance 
of what should be a period of intense pleasure to both 
parties concerned. Contrary to common belief, it is 
not necessary for the female to have orgasm for 
fertilization to occur. If spermatozoa enter the 
uterus, during or following coitus, the chances are 
very favorable for their passage on up into the Fal- 
lopian tube; and if they there meet and fertilize 
the ovum, conception will take place. 
Because of these facts, it is important to determine 
just when is the proper time for intercourse to be had, 
particularly if there is a desire to avoid fecundation. 
It is usually true that during the time of menstrua- 
tion and immediately prior to and following that 
period is the one time in the month when the woman 
has the impulse or desire for intercourse, i. e., the 
normal desire which has not been aroused by arti- 
ficial stimulation, and this is the very time when 
there is the greatest danger of fertilization occurring. 
Under the conditions of education and environment 
which we have already discussed, during the men- 
strual period is about the only time that the average 
woman has any desire for sexual pleasures, and this 
is really the result of the hyperemic condition of the 
walls of the uterus and vagina. During menstrua- 
tion, there is an engorgement of these parts with 
blood, which means more or less irritation. Impulses 
are generated and sent over the sensory nerves to 
the lumbar region, and then to the higher centers 42 
Sexual Hygiene 
of the brain. If a woman has any sexual desires at 
any period of the month, it is at this particular time— 
just when there is a great liability of impregnation. 
But there is a consciousness of being unfit, or a fear 
of contamination or causing disgust in the mind of 
the other individual, which prevents the proper mood 
for intercourse during the continuance of the flow. 
Then, too, there is the same feeling of disgust, on the 
part of the male, in connection with the menstrual 
flow that is in evidence as a result of the presence 
of any of the other excretions of the body, so that for 
these reasons, intercourse during the continuance of 
menstruation is rather uncommon. 
However, during the period immediately following 
cessation of the menses, while the physical condition 
is still such that her natural cravings are somewhat 
urgent, the wife is inclined to delay the reestablish- 
ment of regular intercourse, because of the fear of a 
possible pregnancy. It is just at this time that she 
would derive the greatest pleasure from copulation, 
but owing to this fear, she represses her own feelings 
and likewise withstands the importunities of her 
husband, and delays matters until the time she con- 
siders safe, when, if performed at all, indulgence is 
more or less difficult and unsatisfactory. Now the 
impression seems to prevail quite extensively and it 
seems to be well founded, that there is less liability 
of the woman becoming pregnant if the period 
during which intercourse is permitted is limited to 
something like ten days or two weeks between 
periods. This is determined by resuming relations 
after from six to ten days following the cessation of 
menstruation and continuing on up to from one to 
three days just before the onset of the next flow. 
Of course, this rule does not apply to all women and 
is not absolutely true, but is found to hold good in Prevention of Conception 
43 
the big majority of cases and is therefore the rule 
followed in the big majority of instances where there 
is a desire to avoid conception, without a willingness 
or determination to go a step farther and absolutely 
destroy the product of conception, should it occur. 
The fact must not be overlooked that spermatozoa 
will live as long as two weeks within the Fallopian 
tubes or within the cavity of the uterus, the mucous 
secretions of which are slightly alkaline in reaction. 
Spermatozoa are active, motile organisms which 
swim against this uterine secretion and passing up 
through the uterus, enter the Fallopian tubes, where 
fertilization occurs. Owing to the length of time 
the spermatozoa can maintain their life and activity 
under these conditions, there is plenty of time, when 
copulation has occurred at any time during the 
month, for them to remain in the uterus or tubes 
and there meet the ovum which has been thrown 
off during a following menstrual period and become 
impregnated, so that there is little, if any time, when 
there is no possibility of conception taking place. 
The danger, of course, is much less during the ten 
days or two weeks between periods than at any other 
time, owing to the fact that it is possible the sperma- 
tozoa may not enter the uterus and hence can not 
meet the ovum, but this possibility is always present. 
The Jewish people have a law, which is almost uni- 
versally observed by their women folks, even though 
they ignore all others, which prohibits sexual congress 
for a period of seven days following the close of the 
menstrual period, as well as during the continuance 
of the flow. They regard the period of menstrua- 
tion as lasting through about five days. It may 
last only two or three or perhaps four days, or it 
may extend over a period of a week, and still be 
normal for that particular individual. However, 44 
Sexual Hygiene 
their law specifically prohibits sexual intercourse 
within seven days after the menstrual period is over. 
This means that a period of at least twelve days 
must be observed, during which no indulgence is 
permitted. If any discharge is noted during the 
inter-menstrual period, seven days must again be 
kept, but not the five just mentioned in that event. 
Then follows, on the night of the seventh day, the 
“bath of purification,” and on the following night 
sexual intercourse is permitted. Now although 
there is thus established a period of twelve days 
each month, during which there is no possibility of 
copulation, the Jews seem to have just as large fami- 
lies as any other people. The mere fact that inter- 
course is permitted during the middle of or between 
the menstrual periods and up as close as possible 
before the commencement of the next menstruation 
does not mean that there is no danger of impregna- 
tion during this period; but this is regarded as the 
time of the month during which there is less danger 
of fertilization following coitus. 
This will be one of the questions which you will 
have to answer more frequently perhaps than any 
other one thing, when in practice, i. e., the proper 
time for intercourse, without there being too great 
danger of impregnation occurring. In order to 
definitely determine the facts along this line, various 
post-mortem examinations have been held upon 
women, in the public hospitals of some of the larger 
cities. Women were used who had died during the 
period of menstruation or a day or so afterward, 
and it has been shown that during this period, the 
process of ovulation occurs—that is, formation of the 
ovum, due to the rapid development of the Graafian 
follicle and its final rupture. It has been a question 
which has not yet been satisfactorily settled as to Prevention of Conception 
45 
whether menstruation is a process of making ready 
of the ovum before it is fertilized, or whether it was a 
process of preparing the uterus for the reception of 
the ovum in case it should become impregnated fol- 
lowing menstruation. These experiments were per- 
formed in the larger hospitals, particularly the Bell- 
view Hospital of New York City. There were some- 
thing like five hundred cases carefully followed along 
these lines, and spermatozoa were found in all parts 
of the female genital tract. This merely shows that 
there is always a possibility for fertilization to occur 
as the result of normal intercourse—it may even 
occur and has occurred without normal intercourse. 
There are cases on record where a woman has been 
confined, and on examination an intact hymen was 
found. There had not been perforation by the male 
organ, and yet the spermatozoa had worked their 
way through the small orifices of the hymen, through 
the vagina and uterus up into the Fallopian tube, 
and there had met and fertilized the ovum. This 
merely demonstrates that complete perforation of 
the hymen is not necessary in order for the semen, 
containing spermatozoa, to be deposited high up in 
the vaginal orifice. 
Another method of fertilization is made use of by 
many stockmen. For example, breeders of fine horses 
have been able at one covering of a mare by a valuable 
stallion, to secure enough fluid to impregnate several 
mares. After the act is over, with a carefully steri- 
lized syringe, they remove a certain amount of the 
semen deposited and inject it directly into the va- 
ginal tract of other mares who are in heat. In this 
wTay it has been found possible to serve four or five 
animals with one ejaculation; and those who are in a 
position to know, say that horses can be secured with 
just as good results in this way as by having the 46 
Sexual Hygiene 
stallion cover each mare in the regular way. It is a 
fact that impregnation can follow the mere deposit 
of the semen or spermatozoa in a live active state in 
the vagina, without having been placed there in the 
normal way. 
This fact led to the establishment of a certain kind 
of a sect which had its origin in Boston; a female be- 
ing the founder. Their belief was that as a normal 
woman from the standpoint of this sect, was abso- 
lutely without sexual desire or feeling; that so far 
as her sexual impulses were concerned, she had no 
sexual sensations, and was absolutely cold and frigid, 
it was their idea that all males should be castrated 
except one, and this particular one, of course, should 
be the most perfect physical specimen of all. This 
individual was to be kept strictly for breeding pur- 
poses, just as is done by stock breeders. Then, 
when any woman wished to become a mother, the 
spermatozoa of this particular individual were to be 
taken and, by means of a syringe, inserted directly 
into the reproductive organs of the female who wished 
to be impregnated. Quite naturally, this sort of a 
sect did not continue to exist very long. 
Despite the various statistics which have been col- 
lected there is considerable uncertainty as to just 
when there is no probability of conception taking 
place following coitus, but there is an interval be- 
tween any two regular menstrual periods, a period 
of at least two weeks, in which there is less liability 
of impregnation or fertilization occurring as the re- 
sult of natural sexual intercourse, during which 
time there is no particular need of using any method 
to prevent it. You will, in all probability, be asked 
as to whether it is the correct or natural thing for 
married individuals to have sexual intercourse only 
when they expect or desire to have children. All of Prevention of Conception 
47 
us know that in certain kinds of animals, in fact in 
almost all types of the lower animals, there is only a 
certain season of the year when the female will permit 
intercourse on the part of the male. Reasoning from 
this fact, some few who claim to be authorities, have 
stated that sexual intercourse among human beings 
should be absolutely prohibited with the exception 
of those times when impregnation was desired, so 
that children would naturally follow. If that were 
true and were generally practiced, in all probability 
the big majority of us would not be counted among 
the present generation, and the race would soon be- 
come extinct. It is a fact that the big per cent of 
conceptions are the result of an accident, rather than 
of deliberate intention. 
Before taking up the question of methods employed 
for the prevention of conception, it might be well to 
indicate something of the effects of the dissemination 
of such knowledge. There is already a considerable 
amount of information, however erroneous it may 
be, among the general public along this line and its 
effect can be easily demonstrated by a comparison of 
facts in the last United States Census with that of 
fifty or even twenty-five years ago. You will find 
that statistics show that France is not the only nation 
which is facing the question of an extraordinary de- 
crease in its birth rate. The very same thing is true 
in this country, although not to so great a degree. The 
records of the families of only a relatively few years 
ago will show a much larger number of children to 
each family than is true today. There were, it is 
true, a much larger number of deaths than today, 
but there was relatively a much greater difference in 
the birth and death rates of that time than of the 
present generation. It is a fact that we do not now 
have a normal amount of births—the birth rate is 48 
Sexual Hygiene 
not just what it should be—but this does not mean 
that the sexual habits of the human animal have 
changed any from what they were before. It is 
merely a case where the environment has changed 
somewhat. Today, there is a certain amount of 
economics which enters into the question of the 
size of a family. The head of a modern family can 
not support one the size of those of your grandparents 
of a generation or two ago, in the manner which is 
considered necessary at the present time. Under 
normal conditions, every two or three years, during 
the period in which it is possible for individuals to 
have children, a new one should appear. This rule 
does not seem to hold good today—there is a marked 
decrease in the size of most families. Whatever the 
reason assigned, it is true that the larger number of 
children to the family that were formerly found are 
not desired today; and just how to prevent having 
too large families, or in some cases how to avoid hav- 
ing any at all, will be a question which you will be 
called upon to answer for a great many of your mar- 
ried patients. 
The first symptoms of pregnancy is the non-appear- 
ance of the menstrual flow; and as soon as this hap- 
pens, as the big majority of women do not wish an 
increase in the size of the family, they do almost ev- 
erything they can think of or are told to do, in order to 
bring about the menstrual period. The use of Sitz 
baths, hot water baths of various kinds, the use of 
var’ous drugs—whether home remedies or on the pre- 
scription of a medical doctor—will not in the vast 
majority of instances overcome impregnation, if it 
has already occurred, provided there has not been a 
previous abortion. The mere fact that the medical 
journals, particularly of the quack variety, as well as 
many magazines and newspapers are flooded with Prevention of Conception 
49 
advertising of various drugs or implements which are 
represented as unfailing along these lines, is one of 
the best evidences that the big majority of women do 
use these preventives. Most of the drugs used con- 
tain cathartics—the action of such a drug is not spe- 
cific upon the wall of the uterus, nor does it produce 
uterine contractions, except as a reflex from the con- 
tractions of the intestinal tract. The use of a drug 
like ergot, which is the one most commonly used to 
bring on the normal flow, is extremely dangerous, 
because such a drug acts not only upon the muscle 
fibers of the uterine wall, but also causes violent 
contraction of all smooth muscle fibers of the body, 
including those of arteries and capillaries. As a re- 
sult there is a marked contraction of those muscle 
fibers, which throws a great deal of additional work 
upon the heart. Such a drug also has a decidedly 
stimulatory effect upon the heart. In the big ma- 
jority of instances, a dose of ergot strong enough to 
induce severe spasmodic contraction of the muscles 
of the uterus is also strong enough to affect the nat- 
ural rhythm of the cardiac action. At first there is 
an increased, rapid pulse, with more or less sense of 
discomfort and in some instances severe pain around 
the heart. This is simply due to the direct action 
of the drug upon the smooth muscle fibers present 
in the heart. If the cardiac muscles were made up 
of smooth muscles entirely, the use of ergot would be 
followed by death, so that because of its specific 
action upon smooth muscles, its use is always at- 
tended by great danger, w 
The methods of preventing conception most gen- 
erally used consist of the wearing by the male or fe- 
male of something to prevent the entrance of the 
spermatozoa into the uterus, or of some vaginal wash 
to remove the semen after its deposit therein. In 50 
Sexual Hygiene 
connection with the use of local protective coverings 
for the genital organs of either sex, it might be well 
to state that they are more or less unsatisfactory. 
Not only do they detract from the pleasure of the 
act, more or less, but they do not afford absolute 
protection, and they set up a certain amount of irri- 
tation of the organs with which they come in con- 
tact. The use of a condom, or thin sheath of rubber 
over the male organ is a method quite frequently 
used. While it may afford some protection to the 
male from the danger of infection, its real value to 
the female is more or less uncertain, owing to the 
danger of breaking while in use. It has the further 
disadvantage of not being always at hand, is not 
easily adjusted, and it does not give the same soft 
friction which one would expect without its use. It 
detracts greatly from the pleasure and satisfaction 
that should be derived from the act, so that from 
every standpoint its value is quite questionable. 
Soft rubber “night caps” as they are termed, 
which are designed to fit over the neck of the uterus, 
or small sponges with a string attached to facilitate 
removal, which are sometimes placed in the cervix 
of the uterus are not very satisfactory. Not only 
is it rather difficult to properly place either of these 
in position, but there is some question as to whether 
they will remain in position. The use of any sub- 
stance in the cervix of the uterus is really exceedingly 
dangerous, as there is always the possibility of in- 
jury or setting up an inflammation. If placed prop- 
erly and retained in position during the performance 
of the act, they may prevent the entrance of sperma- 
tozoa, but they are not safe as protective measures. 
About two drams of human semen is the amount 
usually ejected at one orgasm, which contains from 
thirty million to five hundred million active sperma- Prevention of Conception 
51 
tozoa, any one of which could come in contact with 
and fertilize the ovum. It is almost impossible to 
wash out all the seminal fluid following intercourse; 
even with the cleansing of the vaginal tract with an 
antiseptic wash, after the protective article has been 
removed, there is still a possibility of a few remain- 
ing and getting up into the uterus. In spite of the 
inconvenience of properly placing any of these articles 
and their questionable value, they are still used 
quite frequently because of the fact that they serve 
to counteract the fear of conception to a certain 
extent. 
As to vaginal washes, various antiseptic solutions 
are frequently used to remove the seminal fluid which 
has been deposited in the vagina. These are in the 
nature of douches, used immediately after inter- 
course, and while not entirely sufficient to prevent 
the possibility of conception occurring, are prob- 
ably more satisfactory than any of the mechanical 
devices we have previously discussed. As common- 
ly used, they consist of water, usually mildly warm 
or as hot as can be borne conveniently, with the ad- 
dition of some antiseptic or an acid, like the acetic 
acid found in vinegar, with the hope of sterilizing 
any seminal fluid not actually washed out by the 
water. Various liquids are made use of, but in 
general, anything strong enough to kill the sperma- 
tozoa will work considerable harm to the tissues 
with which it comes in contact. You must remem- 
ber that the main constituent of the spermatozoa is 
the same as the mucous membrane of the vagina. 
Any antiseptic which is strong enough to kill the 
spermatozoa is also strong enough to set up an irrita- 
tion ofthe vagina, no matter what a salesman may 
tell you as to the efficacy of a particular kind of dope 
he is handling, and consequently should not be used. 52 
Sexual Hygiene 
Merely warm water, without the addition of any 
substance, is sufficient to cleanse the parts and re- 
move the seminal fluid from the surface, but will not 
get down into the numerous folds of the mucous lin- 
ing of the vagina, thus making a thorough irrigation 
of the parts rather difficult. Then, too, you must 
remember that there is one other possibility which 
frequently occurs, and no matter how many douches 
are used in that event, conception can not be pre- 
vented. In complete copulation, there is more or 
less activity of the uterus, which drops lower down 
and extends itself to almost the same angle as that 
of the vagina, with a certain amount of opening and 
contracting of the muscle fibers of the cervix, along 
with the excretion of a clear mucous fluid from the 
uterus when the climax is reached, so that there is a 
strong probability of spermatozoa being sucked di- 
rectly into the uterus. As this activity of the uterus 
ceases immediately after orgasm, it is quite evident 
that any fluid used as a wash, no matter how soon 
after completion of the sexual act, could not reach 
and wash out or inhibit the action of any spermato- 
zoa which have already passed directly into the 
uterine cavity, and for this reason the value of any 
wash is more or less questionable. 
There is a way, however, by which the action of 
the spermatozoa can be inhibited, and that is by the 
use of a douche of sodium chloride, at a temperature 
of about 100 degrees Fahr. Now, a normal physio- 
logical salt solution will only serve to increase the 
activity of the spermatozoa, just as it will increase 
the activity of any living cell placed in it. But a 
saturated salt solution will cause a certain amount 
of albumen coagulation and yet not be sufficient to 
destroy the mucous lining of the vagina. It will, 
however, inhibit the activity of the spermatozoa. Prevention of Conception 
53 
If a douche is used at once, just after the sexual act 
has been performed, it is probably the safest and best 
thing to do, but unless used immediately, it is ab- 
solutely valueless. 
As already indicated, it is impossible to use any 
chemical substance which will destroy or kill the 
albumen of the spermatozoa which will not have, at 
the same time, a corrosive effect on the lining of the 
vagina, and in that event, the antiseptic would cause 
more trouble than it would prevent. Some people 
have been known to make use of a bichloride solution 
for a wash; but it is extremely dangerous and should 
never be used, under any circumstances, no matter 
how diluted. There is always a tremendous amount 
of absorption by the walls of the vagina; it is taken 
into the blood stream and it will be invariably fol- 
lowed by trouble, the least of which are the salivary 
symptoms. A severe type of mercurial poisoning 
is set up, and there is the very great danger, always 
present, of the mercury in the blood stream combin- 
ing with the protoplasm of the spinal cord, resulting 
in its destruction and consequent nerve symptoms. 
It is absolutely criminal for anyone to use mercuric 
bichloride as a vaginal douche, no matter how great 
the dilution. 
There is a rather prevalent practice, known as 
“ coitus interruptus, ” which is undertaken with the 
determination of preventing the possibility of con- 
ception. It consists merely of inviting sexual ex- 
citement and then failing to complete the act in the 
natural way, by suddenly withdrawing the male 
organ before the critical moment has arrived. This 
is one of the things, however, which should never 
be practiced. In the first place, it is extremely dis- 
gusting to the feminine member of the party, and 
there is more or less incomplete satisfaction, as far as 54 
Sexual Hygiene 
the male is concerned. The discharge occurs in 
many instances before there is entire withdrawal, 
and the discharge of merely a part of the spermato- 
zoa within the vagina does not materially decrease 
the liability of impregnation. Even the discharge 
of the seminal fluid upon the external opening of the 
vagina may be followed by them working their way 
up into the vaginal tract and impregnation may 
occur, on account of the ability of the spermatozoa to 
live for some little time, as we have already discussed. 
Such a method is always attended by the disgust 
which is commonly felt for any of the excretions of 
the body, and is disturbing to the female in particu- 
lar from a psychical standpoint. 
Then, too, such an act means incomplete satisfac- 
tion as far as the feminine member is concerned, be- 
cause it requires so much less time for orgasm in the 
male than the female that the walls of the vagina 
and uterus and the entire lower portion of the genital 
tact is left charged with blood. The sudden cessa- 
tion of the act, before this congestion is relieved in a 
normal physiological manner, means that the female 
is not completely satisfied. If this is kept up for 
any length of time, there is an extremely nervous 
condition developed because of this engorgement of 
the walls of the female genital tract. There is even 
interference with the secretions of the gastric cells 
and also of the intestinal cells and nervous indigestion 
very frequently develops, or there may even be an 
intense and persistent diarrhea. This sort of prac- 
tice, therefore, should be entirely discontinued. It 
is much better to depend upon the use of douches, the 
condom, French night cap, or the use of hot saline 
douches, which more or less thoroughly cleanse the 
vaginal tract. While it is true that this method, if 
carefully followed will prevent conception in the big Prevention of Conception 
55 
majority of cases it will likewise destroy what little 
happiness may have previously existed in that home. 
The consciousness of lustful, selfish indulgence will 
disturb the minds of both the husband and wife 
and produce discord, rather than harmony and hap- 
piness. 
Further in connection with the question of 
methods of preventing conception, we should state 
that the only SURE way is the elimination of all 
intercourse. Of course, if the fluid of the male does 
not enter the female genital organs, there is no pos- 
sibility of conception occurring. If there is any good 
reason for a couple not having children—if it is ab- 
solutely impossible for them to have children—it is 
simply up to the husband to do his part towards 
preventing conception. There are only two ways by 
which conception can be absolutely and safely pre- 
vented, one of which is by the individuals not ex- 
posing themselves to temptation or having inter- 
course at any time, and the other is by means of an 
operation. This is in the nature of the removal of 
the ovaries of the female or of the testicles of the male, 
which would not interfere with the performance of 
the sexual act, but necessarily would eliminate for 
all time the possibility of conception taking place. 
Where the two parties concerned wish to enjoy them- 
selves with absolute safety, this is the only way out. 
You will find, of course, that but few people care to 
resort to these extreme measures to attain that de- 
sired end; and then too, such operations are not 
advisable from a physiological standpoint, as we 
shall later understand from a consideration of the 
internal secretions of those particular organs. 
Just as long as we are normal individuals, as long 
as we have wTithin each of the sexes their specific 
sexual organs producing their peculiar type of se- Sexual Hygiene 
56 
cretion for which there must be some normal outlet 
and as long as we have implanted within us an im- 
pulse or desire for intimate relations with one of the 
opposite sex, just that long will it be natural and 
proper for the gratification of that -impulse and there 
is no reason why it should not be satisfied in the nor- 
mal way. The only truly happy marriages which 
exist are those where there is complete physiological 
gratification of the sexual impulse within reasonable 
limitations, in other words, the gratification not only 
of the mental or spiritual nature but of the physical 
or animal needs of the individual. Just how this is 
to be done must be determined by the two persons 
immediately involved in any given case, and one of 
the foregoing suggestions will usually be found to 
give the necessary information. CHAPTER V. 
ABORTION 
Result of Unwillingness to Bear Children; In- 
fection in Male as a Causative Factor; Some 
Reasons Offered as to Necessity; Abortion 
Specialists; Diseases Resulting from Pro- 
duction of Abortion; Curettement; Legal 
Justification for Its Performance. 
We shall now take up the consideration of a sub- 
ject with which you, as practitioners, will have to 
deal very frequently, and regarding which you will 
have to definitely make up your mind as to your 
course of action quite early in your actual practice. 
There is probably no other one question in regard to 
sexual matters about which you will be consulted 
more frequently or persistently than as to the produc- 
tion of abortions by men and women who for one 
reason or another are unable or unwilling to assume 
the duties of parentage. Modern social conditions 
render most young wives somewhat sensitive regard- 
ing the assuming of maternity immediately after 
marriage and in many cases it will not be willingly 
assumed at any later period. Measures are fre- 
quently undertaken to avoid such a result, and it is 
astonishing sometimes to learn to what lengths they 
will go in their efforts to overcome pregnancy, having 
previously failed in their endeavors to prevent con- 
ception along the lines we have already discussed. 
You will frequently learn of miscarriages having been 
produced by enormous doses of some particular 
drug or in some other artificial manner, by the 
woman herself, who must frequently pay for her 
actions in impaired health or even with life itself. 58 
Sexual Hygiene 
It is not strange, therefore, that women so frequently 
call upon the family physician to perform a service 
of that kind. These demands, of course, can only 
be the result of an unwillingness on the part of the 
woman to bear children, because she considers it 
impossible or inconvenient to have children; or a 
disposition of the prospective father to object to 
having his pleasures interfered with even temporarily, 
combined with a disinclination to have any children 
or perhaps to increase the size of what he regards as 
an already too large family. 
In our discussion of this subject at this time, we do 
not have reference to the large number of accidental 
abortions which occur from time to time, for which 
neither parent is responsible in a direct manner and 
where perhaps it was not desired or may have even 
been a source of disappointment. In such a case, no 
censure is due to either party, but they are rather to 
be pitied and any possible attention and relief given 
to the woman. Neither do we propose to consider 
such abortions as are the direct result of infection in 
the male, where it has been contracted by his im- 
proper conduct either before or after marriage. Where 
the individual knows his condition, however, he is 
certainly guilty of a most serious offense in having 
relations with his wife which might possibly be follow- 
ed by conception, and all concerned are certainly 
much better off when such an embryo fails to go to 
maturity, because an idiot or criminal of some sort 
would probably be the ultimate result. 
Marriage implies a desire for the exercise of the 
sexual function, with the pleasure which accompanies 
it, and a willingness to assume the responsibilities 
which may be expected. Unless there is some ex- 
tra good reason for it, the marital relation should not 
be entered into where there is a firm determination in Abortion 
59 
advance to prevent the fulfillment of its natural 
purpose. However, you will be given all sorts of 
reasons as to the necessity of producing an abortion 
just in that particular case. It may be due to an un- 
willingness on the part of the wife, freely admitted, 
to undergo the physical discomforts incident to bear- 
ing children. It is sometimes due to actual physical 
inability of the wife to bear children, either because 
of some structural derangement or the effects of 
previous pregnancy. On the other hand, the excuse 
may be offered that they are financially unable just 
at that particular time to assume the responsibility 
of further additions to the size of the family, and 
this in fact is the way it is usually put up to the phy- 
sician. The desire for the performance of this crim- 
inal act, for so it is regarded in all states, except under 
very restricted limitations, is merely the result of a 
disinclination to have any children at all or further 
additions to the family because of the responsibilities 
in various ways or the interference with necessary 
conditions, such as where the woman is the bread- 
earner and cannot afford to have this ability impaired 
for a considerable period of time. 
Whatever the reason offered, it is of course neces- 
sary to listen carefully, getting all the facts in the 
case, particularly if it is a regular patient whom you 
would very likely lose unless you complied with her 
request; and then you can quickly outline your course 
of argument in an endeavor to dissuade the patient 
from her desires or intentions. There are but few 
cases where there is a real necessity for the produc- 
tion of an abortion, but it is often difficult to make 
the patient see it from that standpoint. 
In the course of your experience in any community 
of any size, you will find that there may be found in 
that town or city, one or more persons, who for a con- 60 
Sexual Hygiene 
sideration, can be induced to assist in this nefarious 
business. Their large number, particularly in the 
larger cities, only indicates the frequency with which 
their services are demanded. The prosperity of these 
abortion specialists, as they may aptly be designated, 
only partially suggests the extent to which people will 
go and the lucrativeness of the business in general. 
That it has been impossible to rigidly enforce laws 
along this line is another indication of the fact that 
probably all classes of society would thereby be in- 
criminated. It is therefore quite evident that this 
evil, like that of prostitution can only be eradicated 
by the education of the public along lines quite dif- 
ferent from what has been thus far attempted. Aside 
from the legal aspect of the question, it is not ad- 
visable for an Osteopath to become involved in such 
practices, not only because of the danger of the death 
of the patient and the legal complications which may 
follow, but on account of the undesirability of having 
a reputation along those lines. 
As to the diseases which may result from the pro- 
duction of an abortion, much might be said. Just as 
wherever methods have been used continually for 
the prevention of conception, no matter wdiat system 
is employed, there is a certain amount of inflamma- 
tion, so in the artificial production of abortions, no 
matter how carefully it may be done, there is always 
the danger of setting up an inflammation wThich will 
sooner or later cause the female serious trouble. An 
infection may result, which can easily ascend into 
the uterus, on up into the Fallopian tubes and even 
to the ovaries, which may be followed by sterility, or 
a serious condition may be produced making a more 
serious operation necessary for the removal of growths 
or some of the reproductive organs, and even life 
itself may be involved. Abortion 
61 
The use of various drugs along this line is one of 
the causes of so many neuresthenics among women. 
They weaken the intestinal walls by their strong pur- 
gative action and have an irritant effect on the cardiac 
and nerve centers, and as a result of this interference, 
there may be very decided digestive disturbances. 
Constipation, which we will consider somewhat more 
in detail in a later lecture, indigestion, gastritis and 
various other diseases are always present in this type 
of individual. The interference with the normal 
amount of digestion means, in the course of time, mal- 
nutrition. The nervous symptoms—intense nervous 
irritation—are invariably due to the irritant effect 
of these drugs, which they have been taking in the 
hope of overcoming the condition of pregnancy. 
Aside from the injury which may follow the use of 
drugs, they should not be used, as there is no known 
medicine which, when taken into the system of a 
healthy woman in non-poisonous doses, has a suffi- 
ciently specific action upon the uterus to cause it to 
discharge its contents when pregnancy has once begun. 
Many women make use of very hot baths, particu- 
larly as soon as the regular menstrual flow fails to 
make its appearance when expected, and while they 
are not of any material value, they are all right, be- 
cause there cannot possibly be any ill effects. They 
do relieve a considerable amount of mental unrest, 
by the mere fact that they keep the mind of the 
woman employed while attempting to overcome the 
condition, by relieving a certain amount of nervous 
irritation. However, the use of intra-uterine douch- 
es for this purpose should never be attempted, except 
under the care of a physician or surgeon. 
The indiscriminate use of sounds or catheters, by 
either the woman concerned, her husband or physi- 
cian, produces more trouble and difficulties than 62 
Sexual Hygiene 
anything else. The mere fact that when the flow is 
started, not all of the growth is removed and a de- 
composition process is set up, is a sufficient reason 
against the use of such measures. The uterine cav- 
ity is not entirely cleaned out and the work is rarely 
ever done under thoroughly aseptic conditions, and 
the difficulty in thoroughly cleansing the mucous 
surface of the uterine cavity are sufficient causes 
for the trouble which usually follows. No matter 
how many douches are used or what aseptic pre- 
cautions are employed, there is always the danger 
of the sound setting up a certain amount of irrita- 
tion, and infection may follow. If there is not a com- 
plete removal of the embryonic growth, when the 
menstrual flow again starts, where the inner surface 
of the uterus is not completely denuded, this septic 
condition will invariably occur, and this is the dan- 
regous part of the operation. 
When it is absolutely necessary to produce an abor- 
tion, the process known as “ curettement ” is the only 
proper one to employ. When advisable to employ 
this method, it should be carried out under perfectly 
aseptic conditions. A speculum should be used, so 
that there is no possibility of infection occurring. 
The uterus can be drawn down by the use of forceps, 
and as there are no sensory nerves in the cervix, it 
can be handled pretty roughly without producing 
any sense of pain, and the work can thus be properly 
performed. In the use of either the curet or sound, 
absolutely aseptic precautions must be used to pre- 
vent any possibility of later trouble. This sort of an 
operation can be carried out without the use of an 
anesthetic of any kind. However, if one is consid- 
ered necessary, it is much easier and safer to use a 
general anesthetic, rather than to depend upon a 
local one. If cocaine is used, there is a tremendous Abortion 
63 
amount of absorption that it is extremely dangerous, 
so that it is much better to depend upon and use 
only a general anesthetic. It is much better, how- 
ever, never to use a curettement merely to prevent 
an increase in the human race, but only when there 
is some very good and legal reason for the perform- 
ance of that operation. 
It sometimes happens that there is real legal justi- 
fication for the performance of an abortion, but even 
in such a case, it is always better to call in some other 
physician and thus divide the responsibility. Not 
only this, but it is always better to have an examina- 
tion of your patient by some other practitioner, so 
you can talk over the symptoms and conditions very 
thoroughly, and definitely decide whether a curette- 
ment is advisable or not. Inasmuch as such an 
operation is illegal unless done for the purpose of 
saving life, it is much better for your own reputation 
and safety in practice to invariably call in some other 
physician as a consultant prior to the operation. If 
there are symptoms of intense nervousness, so severe 
as to be almost sufficient to unbalance the patient 
mentally, if the woman is melancholic and hyster- 
ical, it is sometimes advisable to produce an 
abortion in order to save the life or health of that 
particular individual. You can get most of the facts 
in the case from the husband, such as whether she 
has told him that she would commit suicide unless the 
condition can be relieved, that she is losing her mind, 
that she is sure she is not going to get well, etc., and 
then in order to save the life of the woman an abor- 
tion is generally regarded as legal. 
Then you will have this other condition to consider, 
and this is the situation where you have been taking 
care of the patient or the patient’s family for some 
time. You know their financial standing and the 
general conditions, and realize that the advent of 64 
Sexual Hygiene 
another child will mean a severe strain on them in 
taking care of its physical requirements, along with 
other burdens of that nature already existing, and 
in such a case it might be proper to abort the condi- 
tion. However, all of the conditions surrounding 
the patient must be taken into consideration. This 
is simply a question wThich each must decide for 
himself, when the time comes, on the basis of the 
existing conditions. 
It is probable that in the future more attention will 
be paid to social interests and that the legal aspect of 
the situation may be altered somewhat in that direc- 
tion. The question as to whether the prospective 
parents shall be the ones to determine the course of 
action in any given case is difficult to decide. In 
case of rape or forced pregnancy in general, it would 
seem that the right of artificial abortion should be 
conceded to the woman. On the other hand, where 
intercourse has been purely voluntary, it would seem 
that it should be strictly prohibited. In principle, 
when the human embryo has once been conceived, 
it should have the right to live, and mere actual de- 
livery, known as birth, is only an episode in its life. 
Some pregnancies are a misfortune for both the par- 
ents and the offspring, and where the physical and 
mental health of mother or child, or both is involved, 
it should not be a difficult matter to decide as to the 
legality of the act. When one parent is an idiot or 
epileptic individual, or the wife is made pregnant by 
a drunken husband against her will, or where a grave 
disease in either parent condemns the child to be- 
come an invalid, it would seem that society in general 
would be better off without having it brought mto 
existence. However, such indications shouldf'not 
be acted upon too hastily or thoughtlessly; a rational 
limit is a matter of practice and common sense when 
all the facts are carefully considered. CHAPTER VI. 
SCIENTIFIC SEXUAL INTERCOURSE 
Nature’s Way of Perpetuating the Race; Phys- 
iology of Sexual Instinct; Desirability of 
Greatest Possible Pleasure; Proper Meth- 
ods of Coitus; Stimulation of Female Sexual 
Centers; Mutual Aid in Arriving at Climax; 
Sexual Relations During Pregnancy; Inter- 
course as a Cause of Miscarriages; Prenatal 
Influences; Control of Sex. 
Practically each and every normal human being has 
certain normal sexual instincts which require gratifi- 
cation at more or less frequent intervals. This is a 
phenomena which man shares with the lower animals, 
the only difference being practically as to the relative 
complexity of the act as we ascend or descend in the 
scale of development. Primarily, the sexual im- 
pulse may be regarded as a desire for evacuation, fre- 
quently acute to a high degree so that the joy of re- 
lief is correspondingly great, just as is true in connec- 
tion with the ordinary excretions of the body. But 
the sexual impulse is much more complex than this 
would indicate and includes the psychic inclination 
to become interested in a person of the opposite 
sex, along with a certain inherent desire for reproduc- 
tion, in other words for offspring. In the higher 
forms of life, this can be accomplished only by the 
union of two individuals of the opposite sex, which 
must be preceded by an impulse to approach, touch 
and caress one of the other sex. In order to insure 
the proper performance of the sexual act requisite 
to reproduction, such act must be surrounded by a 
certain amount of pleasure; in fact nature’s way of 66 
Sexual Hygiene 
preventing the extinction of any given species is by 
surrounding the act of reproduction with the greatest 
possible sensual pleasure. This exists in both the 
male and the female, and this is nature’s way of per- 
petuating the race. 
The physiology of the sexual instinct is controlled 
by nerve centers in the lumbar area. If the spinal 
cord be cut above the second lumbar, the sexual act 
can still be performed, because the center which con- 
trols this function in the human animal is located at 
or about the level of the second lumbar. All sexual 
instincts are controlled by the nervous system or 
nerve centers; in man the brain centers have a cer- 
tain amount of control over the lower or reflex centers, 
in the way of excitation or inhibition. In the lower 
animals, these instincts are controlled entirely by the 
secretions of the sexual organs of that particular ani- 
mal. Investigation has shown the physiology of the 
sexual act to be essentially a reflex action—the result 
of stimulation of the distinctive sexual organs, as for 
instance the result of friction, along with a certain 
amount of psychical influence, under the control of 
the centers in the cortex of the brain. 
In sexual intercourse, the greatest possible pleasure 
is necessary in order to bring the participants into 
such relations that offspring of the highest excellence 
may follow. Just how to obtain this degree of satis- 
faction from the sexual embrace is a question worthy 
of the attention of the most profound minds. If the 
parties immediately concerned are ignorant of the 
proper methods to pursue in cohabitation, not only 
do they fail to derive the greatest possible pleasure 
from the act, but in most cases love is soon turned to 
disgust and even to hatred in a short period of time. 
Intercourse improperly indulged in is almost as weak- 
ening and demoralizing in its effects as any of the Scientific Sexual Intercourse 
67 
methods of self-abuse into which men and women 
frequently fall. In addition, from such unions are 
derived the large number of idiots, imbeciles, nervous 
wrecks and the mediocre children who constitute such 
a grave problem in state and national life today. On 
the other hand, proper sexual indulgences within ethi- 
cal and legal limits is positively beneficial and health- 
giving to both participants. The proper enjoyment 
of sexual intercourse lies in the exchange of sex-mag- 
netism between the male and female, and there is 
mutual satisfaction only to the extent to which this 
end is attained. 
Sexuality is a science or art which, if properly un- 
derstood, would raise our moral and physical stand- 
ing more than anything else. Comparatively few 
men or women understand the proper methods of 
coitus or how to derive the greatest possible pleasure 
from the act. In the first place, it should never be 
indulged in when either of the parties concerned are 
tired or exhausted or immediately after retiring for 
the night, or just before arising in the morning. The 
best results are obtained following a short period of 
rest or even of sleep. Then, too, there should be no 
undue nervous excitement or tendency to hurry 
through the process as fast as possible. With a little 
practice, the act of copulation may be made to ex- 
tend over quite a little period of time, say from fifteen 
to thirty minutes or even longer, and with the great- 
est benefit to both participants. Not only is there 
generated a greater respect towards and longing for 
the husband on the part of the wife, and vice versa, 
but all this contributes to the conception of children 
of wonderful vigor and vitality, both mentally and 
physically. 
The mechanism of coitus is not a complicated one, 
but if scientifically performed there is a minimum of 68 
Sexual Hygiene 
pain, with a maximum of pleasure; and it should in- 
variably be preceded by a certain degree of excitation. 
The question of position to be assumed is not of im- 
portance, but may in some instances govern, to a 
certain extent, the degree of success. That position 
which permits of pressure and friction upon the 
points of greatest sexual sensitiveness with the least 
discomfort or exertion is the one to be selected; but 
various postures are assumed by different people or 
on different occasions. Ordinarily, the female as- 
sumes the dorsal position, as it is not only natural but 
more convenient and satisfactory in various ways. 
This is followed by the introduction of the male 
copulative organ, slowly, with a gentle undulating 
movement, accompanied by a certain amount of for- 
ward pressure, until the distended organ is entirely 
inserted within the lips of the female orifice. Their 
pleasure can be greatly increased by the woman 
freely presenting her parts, so that entrance can be 
more easily made. Frequent brief intervals of rest 
may be indulged in, alternating with free forward 
and backward movements which will gradually work 
both individuals up to a pitch of excitement that 
finally reaches a climax. This can be greatly has- 
tened or retarded by voluntary effort, accompanied 
by variations in their physical activity. The rhyth- 
mic movements of the two individuals, particularly 
on the part of the male, gradually increases the stim- 
ulation of the mucous membrane or skin of the gen- 
ital organs of both parties, the sensations being ab- 
sorbed by the nervous system and carried to all parts 
of the body, so that the entire system is greatly bene- 
fited; the process terminating in the man with the 
ejaculation of the seminal fluid, the woman also ex- 
periencing something analogous thereto. There is 
thus produced, in the two parties concerned, an in- Scientific Sexual Intercourse 
69 
tense desire of penetration one by the other, to the 
limit of physical ability. This is facilitated by sepa- 
ration of the extremities on the part of the female, 
accompanied by more or less tilting of the pelvis; fol- 
lowed by a desire for retention and maintenance of 
the enclosed male organ which is demonstrated by a 
“clinging” type of embrace. Following the comple- 
tion of the sexual act in the most satisfactory way to 
both concerned, there is a profound feeling of repose, 
which quickly manifests itself in rest and sleep. 
Any feeling of depression which may be noted the 
following morning is due more commonly to the loss 
of sleep than to the physical exertion which was re- 
quired. The prevailing disposition to indulge too 
frequently, together with the use of stimulants that 
are sexually exciting are responsible for more injury 
than should accompany a normal amount of proper 
indulgence along these lines. The effects of excessive 
sexual indulgences are only temporary when the per- 
son is ordinarily healthy and are recovered from about 
as rapidly as from any other form of violent exertion. 
However, in those persons who are more or less un- 
stable, because of hereditary tendencies, sexual ex- 
cesses have a more marked effect; and unfortunately, 
they are the ones who usually go to extremes. Along 
with this disposition, they usually are handicapped 
with various other extremes of conduct, so that the 
results cannot but be disastrous; but even then, the 
effects are not nearly so deleterious as seems to be 
the general belief. In this as in more ordinary af- 
fairs of life, previous habits are a very important 
determining factor. Those who have been accus- 
tomed to various sexual exertions are more or less 
well developed along those lines and are more cap- 
able of activity after marriage than one who has not 
had those experiences. The sexual organs of both 70 
Sexual Hygiene 
sexes acquire greater capacity by the regular exer- 
cise of those functions, but as in other affairs of life, 
a degree of moderation is necessary to the fullest 
enjoyment of its pleasures. 
After marriage, one of the questions which usually 
arises and which you will be called upon to answer 
more or less frequently, is as to how often the sexual 
impulse should or may be gratified without injury to 
either. As we have previously seen, there will be 
some difficulty at first in securing complete satisfac- 
tion on the part of one or both individuals, in fact at 
the start or for the first time or two there cannot be 
complete satisfaction in the big majority of cases. 
The feminine side in particular has not been properly 
educated; and then the physiological part of the sex- 
ual impulse and organism of the female is so much 
more complex than the male that it requires more 
time to bring matters to a climax in the female than 
in the male. As you know, this is an act which is 
more or less under the control of the will power, par- 
ticularly in the man, as well as to a lesser degree in 
the woman. The lower centers in the lumbar region 
are, up to a certain point under the more or less 
complete control of the higher centers of the brain. 
Therefore the degree of satisfaction is largely de- 
pendent upon the sensations incident to orgasm. If 
the sexual impulse is not complete, if there is not en- 
tire satisfaction, as a direct result of orgasm, the act 
is more or less disgusting to the female. 
If there is not complete satisfaction, particularly on 
the part of the woman, there is always a tremendous 
amount of congestion after the act. There is consid- 
erable irritation, as a direct result of the engorgement 
of the uterus and vagina with blood. She is still in a 
state of nervous tension, which is only relieved prop- 
erly by orgasm. If there has been complete satisfac- Scientific Sexual Intercourse 
71 
tion, accompanied by orgasm, this congestion would 
disappear in a very few minutes. If it has not oc- 
curred, she is left in that disagreeable tension that 
uses up nervous energy, and as a result of a continua- 
tion of these conditions, there is produced inflamma- 
tion of the female organs which may terminate in all 
kinds of uterine and ovarian troubles. It is possible, 
and there are cases on record, where the inflamed con- 
dition of the walls of the vagina, of the uterus and of 
the Fallopian tubes was brought about, not by infec- 
tion, though unfortunately that is the cause in many 
instances, but by incompleteness of the sexual act. 
This same thing would happen with a man, if he were 
continually irritated mentally or physically, without 
complete satisfaction. There would be a distention 
of the scrotum with blood and sterility could result 
from the inflammation of the seminal vessels. In or- 
der to obtain complete satisfaction, therefore, there 
must be orgasm on the part of both individuals; and 
this is of much greater importance than the mere 
number of times that intercourse is had in any given 
family. 
If there is complete satisfaction on the part of the 
individuals participating, the number of times they 
may indulge is not such a vital question. Perfect 
union two or three times a month is worth infinitely 
more than mere sexual connection for fifteen or 
twenty times during the same period, wherein there 
is no element of satisfaction on the part of either indi- 
vidual. If the act is carried out along scientific lines, 
there will be complete physiological relaxation and 
satisfaction. If there is more or less hurrying on the 
part of one party or the other," there is a sense of in- 
completeness and there is not the same physiological 
satisfaction to each that there should be. There are 
any number of women who have been married from 72 
Sexual Hygiene 
five to twenty years, and perhaps have children, who 
have never had a single orgasm. They do not know 
what the sexual act really means; are always passive 
and do not know how to conduct themselves. Such 
an individual needs a little instruction as to the anat- 
omy and physiology of the parts; and the husband 
should be taught something regarding the stimula- 
tion of the female sexual centers. 
Owing to the different and diffuse structure of the 
female genital organs, it often happens that the wom- 
an obtains a certain amount of gratification along 
lines that do not necessarily include the sexual act 
and which may not particularly appeal to the man. 
For instance, a woman lays a great deal more stress 
upon the caresses preliminary to the sexual act proper 
than does the man, and it requires relatively longer 
to excite her emotions because of the difference in 
her sexual structure. A suggestive kiss, tender ca- 
resses centered about the nipple and gentle manipu- 
lations of the bust along with a certain amount of 
stroking of the spine, and particularly a certain 
amount of Osteopathic treatment or even gentle 
manipulation in the region of the second and third 
lumbar vertebrae of the female will be of consider- 
able value in the preliminary stages of the process of 
excitation. The clitoris, which is the female organ 
analogous to the male penis, becomes turgid with 
blood, during the performance of the sexual act; so 
that a little gentle manipulation of this organ can 
be used to good advantage. Mild and repeated fric- 
tion of the mucous membrane of the vagina leads to 
the collection therein of an excess of blood, and the 
nervous system receives quite a little stimulation by 
the combination of several of these acts that cannot 
but be conducive to the pleasure of both individuals. 
The human animal can learn quite a little from the Scientific Sexual Intercourse 
73 
lower animals along this line, as they coax and tanta- 
lize each other until both are worked up to the proper 
pitch before they attempt cohabitation. 
Care should be exercised by the male not to reach 
the climax in advance of a like state on the part of 
the woman. Both should reach the degree of excite- 
ment necessary to orgasm at practically the same 
time, as that is the point where the greatest pleasure 
is obtained. Because of the longer period of excita- 
tion necessary for the female, the time spent in the 
various preliminaries outlined is of considerable 
value. It will have a tendency to enable the man to 
overcome any predisposition to premature ejacula- 
tion, and will have a tremendous psychical effect 
upon the mind of the man who has lost, temporarily, 
the higher control of the reflex act. By making a 
severe mental effort, it will be possible for him to 
control himself up to a certain point. That point is 
reached when, as the result of friction, there is such 
an increase in the amount of semen which is thrown 
off or accumulated in the vas deferens that we have 
the sensations being sent into the nerve or cortical 
center which controls motor contraction, resulting in 
the relaxation of the smooth muscle fibres along the 
urethra. If the anatomy and nervous control of 
this part of the genital tract is fully explained to him, 
so that he can understand just how these sensations 
originate, where they come from originally, and the 
fact that this center in the spinal cord is entirely 
under the control of the higher centers, just as any 
other reflex act is up to a certain definite point, he 
should be able to entirely overcome any nervousness. 
This is one of the things which causes possibly more 
disappointments, in the mind of the woman as well as 
the man, than any other one thing in married life. 
By a little practice and telling one another how they Sexual Hygiene 
74 
are getting along during the act, they can bring on 
the climax at practically the same moment. Ap- 
proximation of the lower extremities, in the female, 
will help to hasten the climax; while separation will 
have the opposite tendency. If by these processes 
they can arrange to reach orgasm together, they will 
experience the highest state of ecstasy and both will 
be exhilarated, rather than depressed by the marital 
relation. But the pleasure that is to follow is even 
more delightful. In order to derive the greatest joy 
from the act, the male organ should not be with- 
drawn following orgasm, but should rather remain 
until it becomes flacid, and then only should it be 
taken out. With patience and practice, the act 
itself can be much prolonged, and the exquisite 
feelings incident to intercourse may be enjoyed in- 
definitely. 
There is another question which you may be called 
upon to answer rather frequently, and that is con- 
cerning the proper sexual relations which should ex- 
ist between the married pair during the time of preg- 
nancy. In the first place, it is extremely hard and 
really impossible to tell from physical symptoms 
alone and from the sensations which may arise, as to 
just when fertilization of the ovum has occurred. You 
will occasionally run across women who will tell you 
that they can always tell when impregnation has oc- 
curred; they say they have a peculiar kind of sensa- 
tion which appears within two or three hours after 
coitus and is only present when fertilization has 
taken place. However, in the big majority of in- 
stances, fertilization does not occur immediately. 
It takes some little time for the spermatozoa to work 
their way up into the uterine cavity, along the wall of 
the fundus and up into the Fallopian tube. The 
big majority of all impregnations occur in that tube; Scientific Sexual Intercourse 
75 
very rarely do the spermatozoa meet an ovum in the 
uterine cavity. We have an occasional case where 
the spermatozoa have even wandered on out into 
the peritoneal cavity, met the ovum and we then 
have what is known as an extra-uterine pregnancy. 
This is due to the fact that the ovum may come from 
either ovary and wander in the peritoneal cavity, 
even across to the opposite side, and is not necessarily 
picked up by the end of the Fallopian tube nearest 
to the ovary from which it originated. On its way 
over to the opposite side, then, it may become im- 
pregnated, but there is not, at any time, any sensa- 
tion accompanying the entrance of the male germinal 
cell into the female cell. 
As you will understand, therefore, the exact day or 
hour that impregnation occurs cannot always be as- 
certained even approximately, the usual determining 
point being the non-appearance of the following 
menstrual period, but even this does not always oc- 
cur. It is, however, unnecessary for intercourse to 
be discontinued immediately, from the standpoint of 
its effect on the child-to-be; but the condition of the 
mother is an important determining factor. It is, of 
course, much better from every standpoint if all sex- 
ual intercourse is absolutely discontinued until about 
two months after the child is born. The disturbance 
of the nervous system which accompanies orgasm 
under these circumstances, has a much greater effect 
upon the future mother than under normal physio- 
logical conditions. If this is the first pregnancy, in 
particular, the future mother is in a state of chronic 
worry as to her condition, even under the best kind 
of hygienic environment If there is any extra nerve 
strain thrown upon her organism, the results will in- 
variably show in the general physical and nervous 
condition, in particular, of the future child. 76 
Sexual Hygiene 
Where there has been an absolute inhibition of 
sexual intercourse during the time of pregnancy and 
the mother has been kept in as perfectly hygienic en- 
vironment as is possible; sunshine, the right kind of 
diet, plenty of open air, a certain amount of physical 
exercise and freedom from worry as much as possible 
—provided the father and mother were originally 
healthy individuals—in all probability the child will 
be a perfect physical specimen and have a perfect 
nervous system, as the result of a favorable intra- 
uterine life, without having had any outside violence 
to disturb the nervous mechanism of the mother. 
On the other hand, if sexual intercourse is indulged 
in for the four or five months immediately preceding 
the birth of the child, when necessarily it must be 
carried on under more or less abnormal physical con- 
ditions, there is always a probability that a miscar- 
riage will occur. I have in mind a case where a mis- 
carriage was brought about in the seventh month, as 
a direct result of sexual intercourse. It was more or 
less violent in character, because the amniotic sack 
was ruptured, and as a result of this pleasure of but a 
few minutes, the mother very nearly died. 
Miscarriages can be brought about in this way very 
easily; and this is one of the common causes of mis- 
carriages after the fifth month, always provided of 
course, that there is no syphilitic taint, and when 
there has not been a previous miscarriage. Therefore, 
sexual intercourse should be absolutely prohibited 
during this period,'both for the welfare of the child 
and that of the mother. 
By the two individuals immediately concerned 
living or sleeping in absolutely separate rooms, it will 
not be found difficult for them to abstain from inter- 
course. Merely sleeping in separate beds, but in the 
same room, will not do; because under those condi- Scientific Sexual Intercourse 
77 
tions there is always more or less physical tempta- 
tion. There is not very much physical detriment 
for them to forego their animal pleasures during 
the relatively short period of time that it is neces- 
sary; particularly when they understand that it is for 
the sake of the health of the future mother and the 
child which is to be. Where sexual intercourse is in- 
dulged in up to the last possible minute, its effect is 
invariably shown upon the nervous development of 
the child. Such children are much more nervous 
and irritable, and cry much easier and are more sus- 
ceptible to colic and the various infections to which 
all children are continually being exposed, than is the 
child who had an uneventful, uninterrupted intra- 
uterine life. During that period, the mother is the 
one who furnishes the food supply for the growing 
foetus. Anything which interferes with or increases 
unduly the amount of blood present in the uterine 
cavity, by excessive stimulation, not only interferes 
with the proper development of the child, but also 
has a most decidedly ill-effect on the mother’s nervous 
condition. 
There has been a great deal written about the 
impulses which are capable of being conveyed to 
children during this prenatal period. There is no 
doubt about the mental condition of the mother hav- 
ing a very decided effect on the nervous system of 
the growing embryo. Most of us know of cases 
where as the result of some kind of shock or some 
severe nervous strain which the mother had under- 
gone, the child born during that time invariably 
showed the ill-effect of that strain. There is a de- 
cided effect upon the mental system of the mother 
who is subjected to this strain while carrying the 
child. This is shown in the nervous system of the 
growing child itself. I know of one instance where 78 
Sexual Hygiene 
the first child was born, just as a big majority of us 
were born, without any restrictions as to the life of 
the parents during this time. The child was extreme- 
ly irritable and cried easily, and did not grow very 
rapidly and gain weight as he should. He had a 
severe, chronic constipation, and there was more or 
less chronic gastritis. The second child, born of these 
same two individuals, arrived under very different 
conditions. They had obtained the right kind of 
medical advice and lived the right kind of life before 
this second child was born. He was a happy, cheer- 
ful youngster, except when hungry, and grew quite 
rapidly. The difference in the dispositions of these 
two children and in their mental and physical con- 
ditions was brought about by the circumstances 
which ruled their prenatal existence. It is a very 
simple matter, then, for the married pair to so ar- 
range their lives during this period that they will 
have perfectly healthy, well children; and that the 
mother will not be called upon to undergo more 
than she has to in the nature of things. That does 
not necessarily mean that every nervous child was 
born under these conditions. The mental tempera- 
ment of the mother, however, is transmitted directly 
to the child. This, then, is one of the penalties we 
pay for being careless. 
It is a fact, however, that we do transmit not only 
our physical characteristics, but we also acquire and 
transmit certain biological, chemical conditions which 
have a direct effect on the growth and development of 
the nervous system of the child. Just what this one 
thing is which enables each of us to have children 
which have a different appearance from each other 
and yet strikingly similar to one or other parent, is 
one of the things which is so slight that it cannot be 
shown in any laboratory, or by any known chemical Scientific Sexual Intercourse 
79 
test, and yet that biological difference, whetever it 
may be, invariably exists. The expert chemical 
analysis of the spermatozoa of various individuals 
shows exactly the same percentages of various sub- 
stances present. The spermatozoa of the dog, horse 
and other animals have been shown to have prac- 
tically the same percentage of the various elements 
which go to make them up; and yet we know that 
there is a biological difference existing. Just what it 
is we cannot show by any known chemical test, but 
it is there. It is one of those infinitesimal things 
which exist and by their mere presence determine 
the size, shape and sex of the future child. This is 
one of the things which Science has not yet been able 
to place upon any known basis. The effect of diet 
upon the sex of the child to be born is one of the 
things which may come often enough to be a coinci- 
dent, but not often enough to be a definite, scientific 
fact. You will find that there are any number of 
theories as to the control of sex, from those of the 
effect of diet, up to the time in the month and moon, 
and everything else conceivable; but we still get 
practically the same percentage of male and female 
children. CHAPTER VII. 
THE CONTINENT LIFE AND ITS BENEFITS 
Effect on Male and Female; Moderation as to 
Foods; Necessity of Exercise and Regular 
Habits; Depletion of Nerve Energy of Male; 
Restoration of Lost Manhood; Nature’s 
Use of Excess Secretions; Hormones in the 
Blood Stream; Circumcision. 
We have previously mentioned the three methods 
of procedure for the individual who is unable or un- 
willing to enter the married state, and will now dis- 
cuss the third one, or the Continent Life a little more 
in detail. This is the kind of a life which gives the 
individual much the best kind of results and, if he 
later marries, makes him much the better parent than 
he who lives either of the other two kinds of existence. 
This does not mean, necessarily, that the individual 
who has had illicit intercourse or indulged in mas- 
turbation is unable to overcome it, but it is much 
better for him if he has not so indulged himself. It 
does require, at the present time, a considerable 
amount of will power for the average young man to 
live a strictly continent life. However, abstinence 
from indulgence along sexual lines is by no means 
impracticable for the young man of a normal dis- 
position and average constitution, nor will the health 
of such individual suffer from such conduct. There is 
no question but what normal persons, whether male 
or female, may practice continence indefinitely, with 
much less harmful effects than from even a moderate 
amount of sexual excess, r 
You will find that you will be asked questions along 
this line, and as to how a normal young man can The Continent Life and its Benefits 
81 
keep his sexual instincts under control so that they 
will not get the upper hand of his life entirely. Such 
an individual should live a fairly strict, hygienic life; 
abstaining from all artificial excitations, especially 
from narcotics, alcohol in particular, or habit-forming 
drugs of any kind, for such substances paralyze the 
judgment and will. After the individual is sexually 
mature; if he practices continence he will usually 
experience occasional nocturnal emissions, but his 
health will not suffer from these in any wTay. Most 
students in the various colleges and universities are 
away from home for the first time and are introduced 
into an entirely new environment, and live under 
conditions entirely different from those under which 
they have been brought up, while they are likewise 
away from parental control. It is in such an indi- 
vidual that there is the most danger of straying from 
the path in which he has been brought up, not only 
because of the difference in his own environment, 
but as a result of the habits and example of many 
of his companions, who have not been properly in- 
structed along those lines. The only way in which a 
young man can live this kind of a life is by being 
absolutely normal or moderate in the use of foods. 
He must have certain healthy habits. He must not 
indulge in the eating of an extremely rich diet, one 
containing quantities of meats, or one which is rich 
in pastries, condiments and spices, as such articles 
are decidedly irritating to the centers in the lumbar 
area of the cord. The presence of these irritating 
substances in the blood stream act as a stimulating 
agent on the centers of the lumbar region which con- 
trol the activity of the genital organs. There is an 
increased amount of nitrogenous extracts in the 
blood stream, of albumens and globulins, as the re- 
sult of the use of condiments which are absorbed 82 
Sexual Hygiene 
practically unchanged into the blood stream and un- 
dergo no digestive or oxidation changes at all, and 
they therefore act as mechanical irritants. An in- 
dividual who continually indulges in this kind of a 
diet has a much greater amount of sexual stimulation 
to overcome than the individual who confines him- 
self to a wholesome diet which is easily digested and 
assimilated, and which in the process of assimilation 
is a non-irritant to the nerve centers of the cord. 
Merely overloading the blood stream will cause this 
same kind of an irritant effect on the nerve centers. 
Not only the kind of food taken into the body, but 
the quantity must be watched. 
If a man’s life is properly regulated along hygienic 
lines, if he is careful, first, about the food which he 
eats; if there is no constipation, which as we shall 
see later is an important factor in the stimulation of 
sexual excesses; if he is regular in his daily habits 
and sees to it that he takes a certain amount of the 
right kind of exercise each day; and then if he pre- 
pares himself properly for sleep at night, sleeps in a 
bed which is fairly hard and does not use too much 
cover, but only enough to keep him comfortably 
warm, but not sufficient to overheat the body, there 
should be no reason why he should not be able to 
control those sexual impulses in a more or less physio- 
logical manner. 
We must, of course, take into consideration the 
fact that various individuals, even of the same sex, 
vary considerably, the normal amount of secretions of 
the genital organs depending largely upon the tem- 
perament of the individual. A phlegmatic individ- 
ual is not nearly so active along sexual lines as the 
nervous type. Again, as we have seen, females are 
not nearly so active as males and while they can stand 
a greater amount of sexual indulgence without harm- The Continent Life and Its Benefits 
83 
ful effects than the male, they do not have the long- 
ings for indulgence along those lines that are exper- 
ienced by the male, so that the continent life is more 
readily practiced by the female. Because of the 
greater expenditure of albuminous material in inter- 
course on the part of the male than the female, there 
is a certain amount of depletion of nerve energy of 
the male, which should be avoided by abstinence 
from indulgence along sexual lines under any other 
than the proper relations in the normal married state. 
The man who leads a continent life has a greater a- 
mount of virility and is stronger from both a mental 
and physical standpoint than the one who trans- 
gresses along these lines. While two, three or four 
instances of straying from the straight and narrow 
path may not result in any evil effect, beyond the 
fact that each time it is done he loses a certain amount 
of mental control, yet it is possible to live an abso- 
lutely continent life if you desire and try to do so. 
Another question which you will be asked rather 
frequently, is as to whether drugs or any other kind 
of treatment will restore “lost manhood” or former 
virility. If a time arrives when an individual be- 
comes non-virile, there is no known drug that will re- 
store it. If the testicles atrophy as the result of 
abuse or overuse or because of specific infections, 
there is no known way of restoring the powers of 
youth, despite the various kinds of advertising claim- 
ing that it is possible to restore this function. It is 
possible to restore atrophied muscles, but it is im- 
possible to restore active testicle tissues. When 
once atrophied, these glands are absolutely gone. 
Right in line with this there will be asked the question 
as to whether an individual who has indulged himself 
in masturbation or self-abuse during his youth can 
possibly marry and have children. Now that de- 84 
Sexual Hygiene 
pends entirely upon the amount of such indulgence 
or excess which has taken place. It depends entirely 
upon the ability of that particular individual to re- 
place the albuminous substances which have been re- 
moved from the blood stream as a result of such ac- 
tions, as to wdiether he will regain his manhood or 
not, and it is impossible, as a rule to definitely prophe- 
sy as to whether such an individual will have children 
or not. The probabilities are that he will be able to 
have perfectly normal children, if there has not at 
any time, been any venereal or syphilitic infection of 
any kind. 
One objection is frequently advanced as to the ad- 
visability of a young man living an absolutely conti- 
nent life. Some individuals claim that unless muscle 
fiber undergoes a certain amount of activity, it will 
degenerate and become weakened. They say that 
unless the testicles are exercised every so often, they 
will undergo the same kind of change. That might 
be true if the physiological structure of muscle fibers 
and of the glands were exactly the same. The 
testicles, as a matter of fact, are in a continual state 
of activity—they exercise themselves. They have a 
secretion which is not confined entirely to the sub- 
stances found in the semen. Nature has provided a 
way and will make use of any excess secretions of the 
sexual organs. It may take place in the way of noc- 
turnal secretions, depending upon the nature of the 
individual himself. 
We must not lose sight of the fact that the testicles 
have an internal secretion, which is absorbed di- 
rectly into the blood stream, so that there is a con- 
tinuous, perfectly normal activity of the genital ap- 
paratus. The substances from the various parts of 
the sexual organs are taken directly into the blood 
stream and constitute the various hormones neces- The Continent Life and its Benefits 
85 
sary to the proper functioning of the body. These 
hormones in the blood stream are largely the con- 
trolling factor in the oxidation changes of the body. 
Respiratory exercises increase the size of the chest, 
increasing the lung capacity, and at the same time 
increase and facilitate the activity of these various 
hormones. The stronger the man, the greater the 
amount of this internal secretion of the testicles and 
its absorption into the blood stream, and the greater 
the amount of oxidation changes in the tissues of the 
body. These oxidation changes are seemingly de- 
termined by the presence of these hormones in the 
blood stream, and are more active during the period 
of sexual life—from the age of puberty to about the 
age of fifty, after which it is more or less periodic. 
During that period the individual is in much better 
physical condition than when the testicles commence 
to lose their power of secretion—when they undergo 
atrophy due to the approach of old age. As the 
activity of the testicle diminishes, we have a dimi- 
nution of the mental and physical activities of the 
individual. This is what determines the strong 
virility of the male part of the human species. There 
can not, therefore, be any objection offered to the 
living of the continent life, because while the albumen 
taken out of the plasma of the blood stream is used 
by the sexual organs in the production of their pecul- 
iar secretions, these in turn give back to the blood 
stream these hormones or internal secretions which 
facilitate the oxidation changes and nceessary ac- 
tivities of the body. 
In your practice, you will find that the irritation re- 
sulting from ignorance or carelessness in keeping the 
genital organs, both of the male and female, but par- 
ticularly of the former, thoroughly clean, is an im- 
portant factor in the various sexual excesses. In 86 
Sexual Hygiene 
handling himself, or even in the effort to keep him- 
self in a cleanly condition, a considerable amount of 
irritation is induced in the youngster, so that an 
erection may be brought about which quickly leads 
to harm—masturbation. In such a case, circum- 
cision is always indicated, as it does away with a 
considerable amount of this irritation, facilitates the 
growth and development of the child under the most 
favorable conditions, and is an important factor in 
aiding him to live the proper kind of a clean, healthy 
continent life. CHAPTER VIII. 
CONSTIPATION 
As a Cause of Sexual Impulses; Inherited Tend- 
encies; Instruction of Children and Adults 
as to Personal Habits; Effect of Diet, Exer- 
cise, Habits, etc., on Constipation; Osteopath- 
ic Methods of Cure and Prevention. 
One of the things which, in both men and women, 
causes sexual impulses to an abnormal extent is 
either a distended bladder or a distended rectum— 
constipation. If there are not normal, healthy, reg- 
ular, cleanly habits of body, if the hygiene of the 
body is not properly looked after, if there is an ac- 
cumulation of the waste products of the body which 
should have been passed off as produced, there is 
more or less of a mechanical inhibition of the return 
flow of blood from the pelvic organs, particularly 
those of generation. In this way, constipation is a 
most important factor in the setting up of an irrita- 
tion of the nerve centers or the nerve endings w hich 
control the physiology of the glands which go to make 
up the genital apparatus. These normal physiolog- 
ical factors must be taken into account and you will 
find the question of constipation a most important 
factor, not only in the sexual impulses of your pa- 
tients, but the various body disorders which you w ill 
be called upon to handle from time to time. 
In practically 75% of all cases of constipation, you 
will have to treat, you will find an inherited tendency 
along these lines. There will be more or less of a pre- 
disposition to a bad, abnormal state of affairs in con- 
nection with the elimination of the w7aste products of 
the body. Where there is this more or less heredi- 88 
Sexual Hygiene 
tary tendency towards constipation, you will find that 
the individual does not begin to drink enough water 
and that there are dietetic errors of various kinds. 
There is the habit of bolting of food, so that the action 
of the gastric juices is very largely inhibited and the 
food is not passed into the intestinal tract in the prop- 
er condition for normal digestion to take place. Then 
the fact that most people eat too much and take too 
little exercise—lead a sedentary type of existence— 
accounts to a very great extent for various intestinal 
disturbances. We should learn quite early in life that 
the stomach is one of the things which one cannot 
afford to mistreat—it should be used and not abused. 
One of the most common causes for a constipated 
condition is the laxness of most individuals in their 
personal habits. The calls of nature should be im- 
mediately responded to, at all times; and if neglected 
even for only a very few times, the muscle fibers no 
longer act at certain definite stated intervals. The 
muscles of the colon and rectum can be trained or in- 
duced to act at stated intervals, merely by using a 
certain definite time each day for this purpose. 
Then, too, mental worry or activity limits the ac- 
tivity of the gastric cells, because there is a greater 
amount of blood drawn to the brain by such activity, 
thus depriving the stomach of the amount it should 
have. We have only a certain definite quantity of 
blood in the body, and during digestion about two- 
thirds of all the blood of the body is needed in the 
gastric cavity, and without it, digestion is prolonged 
and in some instances halted. The youngster in 
school or even more mature individuals in college, 
should not, therefore, take his books to the table 
with him, nor should the business man carry his 
business worries with him to the dinner table. Meal- 
time should not be a prolongation of either school or Constipation 
89 
business, and you must instruct your patient not to 
worry. Another thing, you will find it is much bet- 
ter for the student to have the heavy meal in the 
middle of the day, if study is to be done at night. 
Following a heavy meal, there is a natural inclination 
to sleep, due to the fact that the stomach requires 
the larger part of the blood of the body during the 
process of digestion. This results in a more or less 
anaemic condition of the brain, which is not conduc- 
ive to the greatest mental activity. The evening 
meal, therefore, should be literally “supper” and not 
“dinner,” if the evening is to be devoted to study. 
It requires from two to three hours after a heavy meal 
before one is mentally active again, hence the advisa- 
bility of the evening meal being a comparatively light 
one. 
The student should also so regulate his daily life 
that he will not go to bed under mental excitement, if 
he is to derive the greatest possible benefit from the 
hours of sleep. The amount of sleep necessary is 
more or less of an individual question, as some people 
require nine or ten hours, whereas others may be able 
to get along very well with not more than five hours 
of sleep during each twenty-four hours, but this, of 
course, is an exception. As a rule, about eight hours 
is regarded as about the proper average. The stu- 
dent’s life, in particular, therefore, should be so ar- 
ranged that a certain definite time may be devoted to 
study, recreation and sleep. After two or three 
hours of study, after the evening meal, it is necessary 
to prepare the mental centers for sleep. It is not 
best to keep the brain active for several hours and 
then immediately disrobe and roll into bed, while the 
brain is more or less active and congested with blood, 
as it then takes some little time for sleep to arrive. 
It is well to indulge in a slight amount of light calis- 90 
Sexual Hygiene 
thenic exercise before an open window, or a brisk 
walk in the open air is highly beneficial. If, then, a 
slight amount of food is placed in the stomach, there 
will be a calling of the blood from the brain and one 
can go to sleep as soon as he gets into bed. Some 
foods are more or less narcotic in effect—warm milk, 
onions, celery and radishes, which are closely related 
to the poppy family, from which opium is derived— 
and act as sleep producers to a certain extent. A 
deep natural sleep means that the individual is not 
going to have time for anything else—such a sleep 
is practically a dreamless sleep. 
Another fact of which we must not lose sight is that 
the big majority of us eat a too constipating kind of a 
diet—more proteins than are absolutely necessary for 
the proper replacing of the nitrogen which is present 
in the protoplasm of the worn-out cells. About one 
hundred and twenty grams of proteins are about the 
minimum amount of protein upon which we can get 
along, but the big majority of us eat nearer two hun- 
dred grams each twenty-four hours. The standard 
which we use, which gives the best results, is merely a 
slight excess of the amount of nitrogen which is ab- 
solutely essential to the balance of the nitrogenous in- 
take and excretion. By using an excess amount of 
nitrogen, we have the extra amount stored up as a 
reserve supply, and it is this reserve supply which is 
called upon in time of body disease. An excess 
amount of protein intake, irrespective of whether it 
is animal or vegetable, means that there is a consid- 
erable amount of residue left behind in the intestinal 
tract in the form of amino acids principally and as 
connective tissue. The digestive juices act but 
slightly upon the connective tissue present in meat 
fiber and muscle tissue—in all animal food. The 
only place where connective tissue is digested is in Constipation 
91 
the gastric cavity, by the action of hydrochloric acid 
and pepsin. As food stuffs remain but from two to 
three hours in the gastric cavity, we do not have 
very much connective tissue digestion occurring 
and the rest is left behind. However, the amount of 
connective tissue and muscle fiber not digested is 
very slight when compared with the enormous 
amount of intake. This connective tissue is a non- 
irritant to the muscle fibers or mucous membrane of 
the intestinal tract, consequently we do not get very 
much mechanical irritation. 
There is very little residue left behind from the 
digestion of the protein present in eggs, cheese and 
other dairy products, so that where these articles play 
an important part in the diet, we have an exceedingly 
constipating diet. There is not sufficient residue left 
behind after digestion is completed to mechanically 
irritate the nerve endings in the digestive tract suffi- 
ciently to induce proper peristaltic action. Increas- 
ing the amount of vegetables, particularly those rich 
in woody fibers, or cellulose walls, produces a mass 
which by its mere mechanical presence is decidedly 
irritating to the muscle fibers of the intestinal tract. 
Any food stuff which leaves behind a mass of mater- 
ial that is incapable of being digested has a most 
favorable influence on the peristaltic action of the in- 
testinal wall, which should be borne in mind in ar- 
ranging a diet for such a patient. 
The use of fruits and fruit juices in overcoming 
cases of constipation is particularly beneficial, such 
as the use of quantities of ripe and uncooked fruits or 
of oranges, lemons, etc. We get a certain amount of 
food energy from the carbohydrates present, and the 
pulp is composed almost entirely of cellulose. The 
juice contains principally fructose or levulose,which 
are monosaccharids and it is not necessary for them 92 
Sexual Hygiene 
to be acted upon by the digestive juices, being ab- 
sorbed directly into the blood stream. The organic 
salts and acids present act by increasing the inor- 
ganic salt content of the intestinal tract. When ab- 
sorbed into the blood stream, these salts are decidedly 
irritating to the liver cell. Bile, in itself, is intensely 
laxative, therefore, increasing the amount of bile, 
increases the amount of peristalsis. This peristaltic 
influence is due to the tremendous amount of saline 
salts which are present in the bile secretion, to the 
specific irritant action of the bile acids and pigments 
on the nerve endings in the mucous lining of the in- 
testinal tract. Fruit juices which contain quantities 
of tartaric or citric acid are specific in their action 
upon the liver cells. Cream of Tartar or Potassium 
Acid Tartrate is a diuretic, and is taken out of the 
blood stream by the kidney cell. In passing through 
it acts as an irritant to the kidney cell, increasing its 
activity. Ripe fruits contain quantities of water, 
and in that way we further liquify the contents of the 
intestinal tract. Such fruits as grapes, lemons, or- 
anges, grape fruit, etc., are all specific in their action 
upon the liver cell. Malic Acid, which is the acid 
found in apples, has a specific effect upon the liver 
and kidney cells. 
Tea and Coffee, which in themselves are not only 
stimulatory in effect but will produce constipation be- 
cause both contain tannin, which acts as an astring- 
ent, should be avoided. The nature of tannin is to 
inhibit the activity of the mucous glands along the 
entire alimentary tract. Furthermore, there is a 
slight amount of inhibitive action in both, but par- 
ticularly in tea—they are more or less anti-enzymic 
in action. There is an inhibition of the activity of 
the digestive enzymes, and while the food is di- 
gested, the length of time required and the nerve Constipation 
93 
energy spent is much greater than if the tannin were 
not present. Hence, the use of tea or coffee in quan- 
tities is invariably followed by more or less constipa- 
tion; therefore they should not be used. Instead, 
various cereal coffees may be used, or milk, or cocoa, 
or merely quantities of water. 
The big majority of individuals do not begin to 
drink the proper amount of water, either during or 
between meals. Water is absolutely essential to 
gastric digestion, and in fact the various digestive 
enzymes work best when properly diluted. Any 
dimunition in the percentage of wrater present, there- 
fore, decreases the amount of digestion. The di- 
gestion of food takes place in the liquid state, in 
the small intestine, and this liquid is removed from 
the food contents during its passage through the in- 
testines, particularly the small intestine and the 
first portion of the colon. When it reaches the de- 
scending part of the colon, the food residue has be- 
come almost a solid mass, from which all water has 
been abstracted. 
The drinking of quantities of water, particularly 
immediately on arising in the morning, has a most 
favorable effect upon constipation. During the 
night, quantities of mucous material have accumu- 
lated on the surface of the gastric cavity, and the 
drinking of a couple of glasses of water, followed by a 
certain amount of physical exercise or brisk walking 
for a few minutes, will induce peristaltic activity of 
the muscle fibers in the stomach and intestinal wall. 
The water will help push this liquid, mucus sub- 
stance farther down into the intestinal tract, leaving 
behind a clean mucous membrane, and removing all 
obstacles to the flow of the gastric secretion from the 
mucosa of the stomach. Either hot or cold water 
can be used, the first thing in the morning. With a 94 
Sexual Hygiene 
neurotic individual, it is sometimes best to use hot 
water; but cold water will ordinarily give the same 
results. In the usual case, cold water is more tonic 
in its action upon the gastric wall. The drinking of 
from two to four glasses of water will cause a con- 
traction of the muscle fibers in the inner lining of the 
gastric mucosa, which acts as an inhibitor to the 
action of the mucous cells. This is followed by a 
corresponding relaxation of the muscle fibers, which 
means an increase in the amount of blood brought to 
the gastric cavity. The effect of both hot and cold 
water is practically the same in that they bring the 
proper amount of blood to the gastric cavity. 
Where there is a tremendous amount of catarrhal 
mucus in the gastric cavity, the drinking of a physio- 
logical salt solution, made by dissolving a level tea- 
spoonful of salt in a pint of water, will be better than 
the use of either hot or cold water, in which the salt 
has not been added. This normal salt solution is the 
best solvent which we have for catarrhal mucous, and 
washes it off the lining of the stomach. If we have a 
catarrhal condition in the gastric wall, it is advisable 
to drink about two glasses of hot normal salt solution 
about thirty minutes before each meal. In this way 
the catarrhal mucous that has been deposited is 
washed off, leaving a fairly clean mucous surface, 
so that there is then no interference with the flow of 
the gastric secretion from the inner lining of the wall 
of the stomach. The diminution in the amount of 
gastric secretion is due to the stopping up of the 
lumen of the gastric cells with this mucous material. 
It is more of a mechanical obstruction to the flow of 
the gastric secretion than any chemical interference, 
and when we have removed the obstruction, there is 
no interference to the gastric flow directly into the 
gastric cavity. Constipation 
95 
If in connection with the drinking of plenty of wat- 
er, particularly the first thing in the morning as al- 
ready mentioned, there is combined a certain amount 
of physical exercise, very little else in the way of treat- 
ment will be required in the big majority of instances. 
A a man’s daily life should be devoted to ex- 
ercise. Athletics play a much more important part 
in college and university life than formerly, conse- 
quently we have much more virile young men than 
we had before. Not all of us can indulge in general 
athletic sports, but practically every one can so ar- 
range his affairs as to secure a reasonable amount of 
physical exercise every day. Walking is one of the 
best forms of exercise, and preferably should be taken 
early in the morning, before breakfast, particularly 
in obstinate cases of constipation. The walking 
serves to exercise the muscles of the abdomen, and 
along with the two or three glasses of water already 
mentioned, serves to get peristalsis started, so that 
by the time breakfast is finished, there is the desire 
to evacuate the bowels. An individual can thus soon 
accustom the muscles of the bowels to act at a certain 
time each day. Really, an individual should go to 
stool at certain times each day, just as he goes to his 
meals three times each day. Soon he will have es- 
tablished a regular habit that will go a long ways 
towards overcoming his constipation. 
Osteopathic treatment, if given at regular intervals, 
at the same time, will hasten the return to a normal 
condition. Briefly, the treatment should consist of a 
thorough relaxation of the muscles along the spine in 
the splanchnic area, lumbar area, removal of any in- 
nominate lesions which may be present, surgical 
treatment of piles when indicated, straightening of 
the coccyx, thorough stimulation of the splanchnic 
area, as well as local treatment directly over the liver 
and the entire abdominal cavity. 96 
Sexual Hygiene 
This does not mean that all of this treatment will be 
necessary in each individual case, but it briefly out- 
lines the lesions which one may expect to find. Possi- 
bly as many cases of constipation are caused by 
lesions of the innominates and coccyx as any other 
one single condition. Any lesion in the splanchnic 
area which would interfere with the nervous control 
and blood supply to the deeper abdominal organs 
might be the original cause. Whatever the lesion, it 
must, of course, be removed. Dietetic treatment, 
with the drinking of the requisite amount of water 
will hasten the results that should normally be at- 
tained by mere Osteopathic treatment. CHAPTER IX. 
SELF-ABUSE 
Internal Secretions of Ovary and Testicle; 
Natural Elimination of External Secretions 
of Testes; Effect of Misuse of Organs or 
Tissues; Artificial Means of Relief from 
Tension of Organs; Masturbation and Its 
Effects on Male and Female; Mental Ef- 
fects of Self-Abuse; Diagnosis of Symptoms 
in Children; Alcohol as a Sexual Stimulant. 
The question of Self-Abuse is one which has been 
enormously exaggerated, but is one with which you 
will have to deal more or less frequently. While it 
may be carried to the extent of a pathological condi- 
tion at times or by certain individuals, and be pro- 
ductive of a great deal of harm, this is not necessarily 
always true. There is probably absolutely no indi- 
vidual who has not, at one time or another, exper- 
ienced an orgasm long before marriage. Strictly 
speaking, any seminal ejaculation on the part of 
the male, or any nervous tension on the part of the 
female leading to the mucus discharge of the va- 
ginal glands which we have already considered in 
connection with orgasm in the two sexes, which took 
place without actual sexual intercourse would be 
considered pathological, but it need not be carried 
to the point of being actually harmful; and until 
that point is reached it would be better not to use 
the term pathological. 
When the boy or girl approaches puberty, the sex 
glands become active and the vital fluid begins to be 
elaborated and excreted. We have already seen that 
in the male there is an internal secretion which is ab- 98 
Sexual Hygiene 
solutely essential to the proper functioning of every 
part of his organism, and in like manner a similar 
hormone is produced in the ovary of the female. 
There is an exceedingly rich blood supply to the 
ovaries of the members of the female sex, just as 
there is to the sexual organs of the male, which takes 
up and distributes the internal secretion of the ovary 
to the various tissues of her body. Any marked inter- 
ference with these organs, particularly in early life 
while they are in an active, functioning condition, is 
productive of marked changes in both the physical 
and mental characteristics of that individual. While 
the removal of the ovaries of the female or of the 
testicles of the male would, as we have already seen, 
render it impossible for such person to have children, 
yet it is highly inadvisable from the standpoint of 
the health of that person, unless made necessary by 
disease. When castration (which is the term applied 
to the removal of either the ovaries or testicles) is 
performed before puberty, there is a markedly poor 
development of the individual. In the boy there 
is no change of appearance; we do not see the var- 
ious symptoms we look for in a healthy, normal boy; 
there is not the proper bone or muscle development. 
Even the hair does not grow as it should normally. 
If castration occurs after the age of puberty, there 
are still certain outward manifestations and the 
individual’s whole outlook on life is changed. He 
has lost the glands that secrete these essential hor- 
mones. A hormone is a chemical substance, se- 
creted in one part of the body, which on being ab- 
sorbed by the blood stream and carried to another 
part, produces activity of the cells of such part. The 
internal secretions of the ovary are just as necessary 
to the female as those of the testicles to the male, and 
these things are really the determining factors in the Self-Abuse 
99 
two sexes. It is largely the presence of these internal 
secretions or hormones of the sexual organs that de- 
termine the external appearances of the individual. 
Following their removal in the female, she usually 
increases considerably in weight, has much coarser 
features and there is a difference in voice even. 
These facts are now being taken more carefully into 
consideration in the handling of the worst type of 
criminals. We know that heredity plays an import- 
ant part in definitely defining offspring. If there is a 
normal amount of nuclear material in the protoplasm 
of the spermatozoa, if it is in such shape that it can re- 
produce itself as it should—if the right kind of pro- 
toplasmic energy is passed into the ovum, as a result 
of that conjugation, a normal human being is devel- 
oped. If there be any defect in the makeup of either 
the spermatozoa or ovum, that defect is reproduced 
in the organism springing from their conjugation.For 
that reason, mental defectives should never be per- 
mitted to marry or have children, yet that is one of 
the things which frequently occurs. One of the main 
questions to invariably ask a patient is as to his fam- 
ily history. The purpose is to find out whether his 
nervous system is good, that is, if the spermatozoa 
and ovum from which such individual ■ developed 
were what they should have been. -That:can' be 
found out by a definite line of questioning aSi'to 
whether the parents or grandparents suffered from 
any severe mental derangement, or if there was a 
strain of insanity in the family. Education of such 
individuals is useless; legislation does not have any 
effect; the only thing that will do any good is to ab- 
solutely prohibit the continuation of such a line of 
defectives. This is provided for in most state insti- 
tutions by the surgeons in charge being given the 
legal right to perform the operation known as “ster- 
ilization,” on degenerates and incurables. Sexual Hygiene 
100 
Formerly the process of sterilization in the male 
consisted of the entire removal of the testicles, but 
the present method, as employed in the state institu- 
tions of at least one state, consists merely in the re- 
moval of about one-quarter of an inch of the vas 
deferens, through a small opening in the scrotum, 
which is a nearly bloodless operation and requires 
but about three minutes time and does not necessi- 
tate even local anesthetic. The end of the vas 
deferens should not be closed, as the retractive 
influence of the muscles is sufficient to close them; 
but the artery itself is not interfered with. If the 
vas deferens be closed, in a short time pus will de- 
velop, degeneration changes will occur and castra- 
tion must be performed. There is no interference in 
this operation with the internal secretions or actual 
performance of the sexual act. The individual gets 
practically the same amount of pleasure out of it, 
but there is absolute sterilization. 
Such an operation in the female is a little more 
dangerous and requires the opening of the abdomen, 
but may be performed in a very few minutes. It 
consists merely in interrupting the direct communi- 
cation between the ovaries and the uterus, by dislo- 
cation of thp Fallopian tubes—which, of course, 
elinpnMqs .the evil effects of castration. There is ab- 
solutely no interference with the internal secretions 
of the genital organs, which is of prime importance. 
Inasmuch as both the internal and external secre- 
tions of the sexual organs, particularly of the male as 
regards the latter, are being continually elaborated, it 
is but natural that a normal and physiological method 
for the elimination of such external secretion should 
be found. Natural sexual intercourse is the method 
which nature has provided for this purpose; but in the 
absence of anything of this nature, there is a more Self-Abuse 
101 
or less spontaneous elimination of a certain amount 
of the excretions of the testes in other ways, such as 
in nocturnal emissions and the process which we 
speak of as masturbation. 
This is a habit which is frequently and rather easily 
brought about in the male by the necessity of hand- 
ling a portion of his sexual organs. The attention of 
the child is called to that particular part of his anat- 
omy in various ways, which leads to a more intimate 
investigation and knowledge of the organ. Then too, 
the parents of many children do not have any idea as 
to personal cleanliness in regard to the sexual organs 
in particular. If there is not proper care taken in 
this regard, there is more or less irritation all the 
time. There may be such a growth and develop- 
ment of bacilli that there is in some cases a continuous 
source of irritation. The youngster makes various 
discoveries that are no more than natural, and per- 
haps no harm results up until the age of puberty. At 
this time there is a development of the spermatozoa 
and the youngster learns that there is a certain 
amount of pleasure from the irritation that follows 
and the resulting discharge. If the child is of a nor- 
mally inquisitive nature, he begins to experiment and 
masturbation or self-abuse is easily started. Disten- 
rion or inflammatory conditions of the pelvic organs, 
such as we have seen in connection with constipation, 
or friction of the clothing, suggestive physical move- 
ments and the example of older companions are like- 
wise responsible in many instances. A great many 
boys at about the age of puberty are instructed along 
these lines by older women, particularly by a nurse 
or maid, who feel that they are justified in indulging 
in the sexual act with a small boy because there is 
no danger. There is no question but what a great 
many youths get their instruction along sexual lines Sexual Hygiene 
102 
from older women; and they soon find that such acts 
are accompanied by a certain amount of pleasure. 
Youngsters often get information along this line 
from older boys, particularly in boarding schools, and 
cultivate the habit themselves before they realize 
there is anything particularly harmful about it. Sem- 
inal emissions, except those occasioned by natural 
intercourse, are usually regarded as disgusting, so 
that it is considered improper to give any informa- 
tion as to habits of this kind, even to the family phy- 
sician, particularly by young boys for fear of criti- 
cism. It sometimes happens, then, that a boy who 
has abused himself in this way several times is taken 
to a physician, by his father, for some other slight 
ailment. The physician is too much inclined some- 
times to ask him whether he has ever masturbated 
and then may proceed to give him a long lecture on 
the evil of such action, which really has a more dis- 
astrous effect upon the mind of the youngster than 
the act itself had upon him physically. The child 
may be scared and quit the act, but emissions will 
occur any way in most instances, particularly at 
night, a number of times each year. If the boy is 
nervous and high strung, the emissions will come close 
together, but unless they come more often than two 
or three times a month on the average, they are mere- 
ly physiological and not pathological. It is the 
nightly emissions or those which occur three or four 
times a week which are pathological. 
Self-abuse does not ordinarily cause any severe 
nerve trouble in the youngster, if there is a normal 
body to start with; but if there is a certain tendency 
toward nerve degeneration to start with, there will 
be trouble as the result of over-exercise of the testicles 
just as there would be with any other tissues of the 
body. Accompanying the appearance of the external Self-Abuse 
103 
secretion in the testicles, there is a certain amount of 
tension and any handling or irritation is usually fol- 
lowed by some pleasure, as well as a certain degree of 
pain and weakness. This condition, however, is very 
quickly followed by rest, under normal conditions, so 
that but little harm results. The principal trouble 
with a person who is a masturbator is the fact that the 
act can be accomplished so easily that it may be fol- 
low* d by an excess along that line. The cells of the 
male organ grow and develop by exercise, just as any 
other tissue will grow and develop with use. Ex- 
cessive exercise of any tissue, however, will cause a 
condition of hypertrophy which in time will be fol- 
lowed by atrophy to a corresponding degree, and in 
that event there is more or less weakness of that par- 
ticular organ. The trouble, then, is largely the result 
of a tendency to employ artificial means of relief from 
tension of the genital organs on too frequent occas- 
ions, so that there is not sufficient time given for a 
proper amount of relaxation, rest and recovery be- 
tween acts. 
The effects of masturbation are somewhat analo- 
gous in both the male and female. A strong, healthy 
boy or girl may stand a greater amount of self-abuse 
than a weaker individual, just as the stronger could 
go through a greater amount of physical exercise ev- 
ery day than the other; and the weaker individual 
would bring on the same physical troubles in the one 
way as with the other. A moderate amount of this 
kind of abuse in a growing child will probably have no 
serious effect, which merely illustrates the fact that 
mother Nature can withstand a considerable amount 
of abuse and yet recover from it. Yet a number of 
such acts, often repeated, will invariably result in 
trouble. The individual who masturbates, whether 
the growing child or adult, is throwing a severe strain 104 
Sexual Hygiene 
on his own organs and trouble follows almost invar- 
iably. Too much can not be said along these lines, 
as the entire life of any individual can be greatly 
handicapped by self-abuse, if continued for any length 
of time, as a general weakening of the entire body 
structure follows. This is true irrespective of the 
possibilities of picking up some infectious disease, and 
such an individual would be extremely susceptible to 
venereal diseases of all kinds because of the weakened 
condition of his body. 
As may be understood from what has already been 
said, masturbation is not confined entirely to the 
male. The number of females who abuse themselves 
in this way is not so great as among males, but this 
condition does not exist in the female. It is common- 
ly accompanied by some mental disturbance or it may 
be due to this same mental condition. In females, 
the results of excessive masturbation are not so great 
from a chemical standpoint as in the male, in that the 
orgasm of the woman is composed almost entirely 
of the mucus secretion of the vaginal and uterine 
walls, and contains only a slight trace of albumen. 
Where it is carried to excess, the symptoms shown are 
practically the same as in the male. Excessive over- 
work of the nerve centers controlling this orgasm and 
the flow of blood in and around the vaginal wall and 
of the uterus will result, in the course of time, in de- 
struction of nerve tissue, merely due to over-stimu- 
lation. The local symptoms which would be found in 
that condition would be excessive inflammation of the 
clitoris and of the walls of the vagina. They have 
lost their normal healthy tone, are wrinkled, weak 
and flabby. In this erotic type, the individual seem- 
ingly gets more sensual satisfaction and pleasure as 
the result of self-abuse than she does in obtaining re- 
lief in the normal manner. In this, just as we have Self-Abuse 
105 
already seen in connection with normal sexual inter- 
course, a woman can stand a much greater amount of 
sexual activity than a man, merely because the or- 
gasm, when it occurs in the female, does not contain 
these quantities of albumen which is present in the 
seminal fluid of the male. 
The principal ill effects of the habit of self-abuse are 
due to the mental effects. The fact that this kind of 
an act is always carried on in secret, that it is more or 
less disgusting, and that the individual, if a small 
child, has been talked to along these lines by the par- 
ents or physician, who have endeavored to prevent it 
by literally scaring the child to death, is responsible 
for much of the mental disaster that follows. If the 
mental effect from this viewpoint could be eliminated, 
in the adult as wrell as the growing child, masturba- 
tion would be practically of the same value as normal 
coitus, so far as wear and tear on the central nervous 
system is concerned. Men who live by themselves, 
out in the wilderness, in lumber camps, hermits and 
individuals of that sort, of course, have no normal 
physiological way of relieving themselves of the in- 
creased tension in the genital organs and frequently 
resort to a certain amount of masturbation. It may 
occur once a month or in two months, but probably 
not so often as they would relieve themselves under 
normal physiological conditions. While some go so 
far as to say that the drain of nerve energy as a result 
of natural intercourse is only about one-third as 
great as that occasioned by a single act of masturba- 
tion, from the facts wre are able to get along this line, 
there does not seem to be any such comparison. It is 
probable an individual who was in the habit of per- 
forming the act of self-abuse before marriage, if he 
had used a certain amount of judgment in so doing, 
would find that the nerve drain was no greater from 106 
Sexual Hygiene 
such a method than from performing the sexual act 
after marriage. So that, as we have already indi- 
cated, the harm in the act seems to be principally 
from the ease and consequent frequency with which 
it can be performed and the psychical influence of 
what the individual has been told regarding it. If 
the individual is neurotic to start with, or if the par- 
ents or grandparents were troubled with nervous dis- 
eases, such a person would suffer considerably more 
from such conduct than the one having an ordinarily 
healthy body and mind at the outset. 
The characteristic symptoms present in a mastur- 
bator are those where the skeletal muscles are in a 
weak, flabby condition. The hands are cold and 
clammy. When one shakes hands with the average 
individual, there is a warm solid grip. However, 
there are instances of nervous effects where we have 
this same kind of a cold, clammy feeling in the palms 
of the hands. These two symptoms are practically 
present in every single instance of masturbation, 
where it is carried to excess. That does not mean 
that the individual may have the same nervous con- 
ditions which are shown in cold moist palms which 
are not due to masturbation, so that you must be 
extremely careful not to jump at conclusions. There 
must be careful questioning and watching for a per- 
iod of four to six or eight weeks, before you can say 
that any individual is a masturbator. While you may 
suspect it and handle the case along those lines, you 
must not be too hasty in making up your mind. An- 
other indication is that the individual does not seek 
the company of his own kind and avoids, usually, 
those of the opposite sex, and he also avoids the 
games which his comrades enjoy. There are some 
other circumstances which will bring about the same 
condition, such as embarrassment, etc. All of these Self-Abuse 
107 
things, taken together, however, enables one to make 
up his mind to a considerable degree of certainty. 
Very frequently you will be asked as to whether 
masturbation or self-abuse is essential to health in a 
person who is not married and able to secure normal 
physiological relief. It is NOT. Nature herself will 
take care of any excess amount of secretion; and it is 
not even necessary for any individual who is living a 
hermit life to indulge himself along these lines, as 
nature is amply able to take care of his requirements. 
A boy who masturbates should be given two or 
three osteopathic treatments each week; should take 
a cold shower bath each morning, should have plenty 
of outdoor exercise; should not have an excess of 
cover at night, and also get plenty of sleep—if he does, 
he will recover without difficulty. However, the 
results of excessive masturbation will invariably show 
later in life. After the age of forty years, that indi- 
vidual will find that his mental powers are failing 
very rapidly; he will be unable to concentrate on 
mental work. There is sure to be a certain amount of 
weakness in his mental activities. Softening of the 
brain, “paresis” or paralysis may develop as the re- 
sult of throwing away these hormones and because 
of the interference in the cortical or nerve centers. 
These degenerative changes may be so great as to re- 
sult in idiocy or imbecility, and such an individual is 
usually an easy prey to any of the various infectious 
diseases—he has lost a considerable amount of his 
normal resistance, because there is no longer in the 
blood stream those hormones without which the 
various cells of the body can not grow and develop 
properly. The resistance of that individual, there- 
fore, to any invading micro-organism is very mater- 
ially lessened. 
There are certain substances which- have a stimula- 108 
Sexual Hygiene 
tory effect on the centers controlling the genital or- 
gans. One of these is alcohol—the individual who 
uses alcohol is much more likely to have his sexual 
instincts get control than is the one who does not use 
it at all. Tobacco has a somewhat similar effect, and 
the excessive use of it will invariably cause excessive 
stimulation of these lumbar centers. The moderate 
use of tobacco, in any form, probably has no ill ef- 
fects; that is if used in moderation, there are prac- 
tically no ill effects. What is “sane” and “overuse” 
is practically an individual question, because of the 
differences of construction in various individuals. 
This, therefore, is one of the questions which each 
individual must decide for himself. However, scien- 
tists have made some experiments as to the relation 
between the use of alcohol and sexual acts as a cause 
of nervous diseases. It has been found that copulat- 
tion itself is not very tiring to the individuals con- 
cerned, but the breakdown is claimed to be the re- 
sult of the effect of the alcohol, rather than merely 
the sexual act itself. 
Some rather interesting statistics have been kept 
by the government in Switzerland for the last twenty 
years, as to the previous history of various perverts 
and degenerates. It is found that during the part of 
the year when the grapes are ripe, or during vintage 
as it is called, and then during carnival time, or the 
period just preceding Lent, there is invariably a con- 
siderable amount of alcohol imbibed. During the 
period of vintage, practically everyone, the laborers 
in particular, have free access to the wine. It is also 
a custom in that country for the laborers to be enter- 
tained every evening, during vintage, in some way; 
usually with a dance which is accompanied by all the 
wine the individual cares to drink. Now alcohol has a 
specific effect upon the sexual centers; and in the first Self-Abuse 
109 
stages it causes a considerable amount of stimulation. 
An individual who has imbibed a certain amount of 
alcohol is much more easily induced to indulge in 
sexual intercourse than one who has not. Further- 
more, it has been proven biologically that the sper- 
matozoa which are voided during the period of partial 
intoxication have undergone some kind of a biological 
change. The albumen or protoplasm shrinks in the 
spermatozoa which have been secreted by an indi- 
vidual while under the influence of alcohol, and 
seemingly have different biological properties. The 
mere fact that either or both the men and women 
connected with this celebration are about three- 
fourths intoxicated does not prevent fertilization, but 
rather favors it. Sexual intercourse is ahvays much 
more promiscuous under those conditions than it 
would be otherwise. The statistics of the Swiss gov- 
ernment show that each year there are about nine 
thousand individuals born who have cerebral lesions 
—who are not normal. The largest crop of births of 
these idiotic individuals occurs about nine months 
after the time of vintage and again about nine 
months after carnival time. During both of these 
periods, everyone enjoys himself to his full capacity, 
and as there are no restrictions upon the use of alco- 
hol, that is one of the reasons why there are so many 
idiots born in the wine growing districts of that coun- 
try. 
The first effect of alcohol is to excite stimulation of 
the sexual centers. As the quantity of alcohol in- 
creases, we have a corresponding paralytic effect upon 
these same centers. If at this time an individual in- 
dulges in sexual intercourse, it will take him from 
three to five or even seven times as long to reach 
orgasm as it would if there was no alcohol in the 
blood stream. As the result of this long continued 110 
Sexual Hygiene 
sexual intercourse, the conditions are much more 
favorable from a physiological standpoint for com- 
plete fertilization, in that as the orgasm in the fe- 
male commonly requires longer to be consummated 
than in the man, anything which slows it up in the 
man will have a tendency toward a simultaneous or- 
gasm, thus making fertilization more likely to occur. 
The use of alcohol, then, is one of the reasons why 
we have this steady supply of perverts being born. 
That is also why we find a greater number of perverts 
in the wine drinking countries than in any other. 
Even in countries like Scotland, where the strongest 
alcoholic drink is the mixed drink containing a small- 
er percentage of alcohol, than in the warmer, wine 
drinking countries, there is a considerable amount of 
alcohol taken daily, and consequently we have the 
atrophic, degenerative changes caused as the result 
of the continuous presence of alcohol in the blood 
stream. It is an absolute biological fact, and sta- 
tistics will bear out the statement, that all of these 
sexual perverts have sprung from the union of indi- 
viduals who had either some central cerebral lesion 
or were habitual users of alcohol to excess. CHAPTER X. 
PAIN A PRE-REQUISITE TO PLEASURE 
Cruelty Connected With Sexual Impulses; Sad- 
ism—Origin, Symptoms, etc.; Masochism—The 
Domestic Scene from Which it Developed; 
Difference Between Sadism and Mascochism; 
Transmission of Such Perversions to Off- 
spring. 
While the infliction of a small amount of pain, in 
connection with sexual impulses, sometimes acts as an 
excitant to passion, the normal man has no desire to 
be cruel and what pain is inflicted is in kindness, 
rather than in anger; but when such pain is carried 
beyond the limits which he himself can soothe, it is 
no longer enjoyed, under normal conditions. The 
male usually finds some pleasure in exerting force and 
perhaps delights in domination, while the female 
derives pleasure in experiencing force and rather en- 
joys submission. Occasionally, however, we find a 
case where the sexual impulse is characterized by an 
inclination to maltreat the individual toward whom 
the sexual desires are directed, even to the extent of 
extreme violence or cruelty. This, then, becomes a 
perversion, of which Sadism and Masochism are the 
most pronounced types. 
Sadism derives its name from a certain Marquis De 
Sade, who was born in 1740, at Paris, who belonged to 
a noble and somewhat distinguished family. His 
family history is said to have been rather poor, his 
own father and both grandfathers having been neu- 
rasthenics, who had come from a long line of alcohol- 
ics, but so far as history tells us, there was no known 
syphilitic taint present. However, members of the 112 
Sexual Hygiene 
family had been confined in various insane asylums. 
On the maternal side there had been several cases of 
epilepsy, and the latter part of the marquise’s life was 
spent in an asylum. Of the seventy-four years of his 
life, twenty-seven were spent in confinement, either 
in prison or in a state asylum of some kind. Sadism is 
defined as the “ association of violence and cruelty 
with sexual enjoyment, such violence or cruelty not 
being necessarily exerted by the person himself who 
seeks sexual pleasure in this association.” In other 
words, it is associated with the idea of the infliction 
of pain upon the other party to the sexual act. It 
is true that a certain degree of Sadism may be regard- 
ed as normal, in that there is a certain definite, psychi- 
cal connection between love as we commonly term it, 
and pain. The first sexual intercourse which a wom- 
an undergoes is accompanied, as we have seen, by a 
considerable amount of physical pain. The first forc- 
ible entrance into the hymen means the rupturing 
of it, with an excessive dilatation which as yet the 
vaginal walls have not undergone, so that the first 
intercourse is usually rather painful, so far as the 
feminine part of the act is concerned. It requires, 
necessarily, a considerable amount of mere physical 
force, muscular exertion or more or less brute force, 
practically, in order to accomplish this act. Very 
frequently, wrhen orgasm occurs with both parties, it 
is accompanied by the infliction of severe physical 
pain—the love “bite,” as it is commonly termed, 
which is purely physiological and psychological in 
its action. The convulsion or muscular spasm of 
orgasm is much more intense when it is accompanied 
by intense muscular contraction. While this idea of 
pain is closely allied with normal sexual intercourse, 
yet when this blending with the act of a certain defi- 
nite amount of pain is exceeded, then we have the Pain a Prerequisite to Pleasure 
113 
perverted type to which the name of Sadism is com- 
monly applied. 
The man whose name was given to this kind of 
sexual perversion was decidedly feminine in type. He 
did not have any great muscular strength, his face 
was decidedly delicate and pale; and in nervous make- 
up was neuropathic. In his physical makeup he was 
rather of the feminine type than the ordinary strong, 
virulent masculine individual. The history of his 
life shows that at an early age—at or around eight or 
ten years of age—he first saw physical punishment 
inflicted upon one of the feminine members of his 
household, a sister or cousin, I believe, who was 
whipped, and this small fellow happened to see the 
whipping. It was done rather lustily upon the bare 
gluteal region, and this was the first real physical 
pain he had seen inflicted upon anyone. Watching 
this castigation occur resulted in giving this young 
boy a certain kind of pleasure—he had a sort of cruel 
streak in him, and he got a certain amount of pure 
physical pleasure out of the sight of this particular 
act of whipping. Shortly afterwards he succeeded 
in inducing some of his young feminine playmates to 
allow him to whip them. He kept this up for sev- 
eral years, the mere process of whipping affording 
him a considerable amount of physical satisfaction. 
At first, of course, he did not know just what these 
impulses were. As he grew older, he was taught the 
natural methods of sexual intercourse by one of the 
maids in the family, but did not get any direct phys- 
ical pleasure out of this. 
At the age of fifteen or sixteen years, he persuaded 
his paramour to permit him to use the whip upon her 
before the sexual act was performed, and then he 
discovered that he did not have any trouble in ob- 
taining a natural vigorous erection, so that there- 114 
Sexual Hygiene 
after, just prior to having sexual relations, he always 
used the whip upon his companion. In this way he 
was able to get a much greater amount of physical 
satisfaction from the sexual act than he had without 
the infliction of the pain. He then induced prac- 
tically all the young girls with whom he came in 
contact to permit him, either as the result of the 
offer of money or bribes of various sorts, to use a 
whip on their naked bodies. As the result of this 
perversion, he was caught and imprisoned for sev- 
eral years. During the time of his imprisonment, he 
indulged more or less constantly in masturbation, 
but aside from this one sexual perversion he had a 
most brilliant mind. During the first period of his 
incarceration he wrote several short stories, and one 
fairly long story, woven around his own sexual life 
and perversion. At that age of literature there was 
much more freedom than at present; in fact, prac- 
tically no restrictions were made against anything 
being written or printed, consequently his stories 
were all of the sexual type and were woven around 
this one perversion—intense pain as an accompani- 
ment of sexual intercourse. It was from his bril- 
liant stories—regarded as an inexhaustible treasury 
of information on those subjects—that the psycholo- 
gists and scientists have given the author’s name to 
this particular type of sexual perversion. It is claim- 
ed by Krafft-Ebbing that Sadism is usually, if not 
always, congenital and hereditary. It is usually re- 
strained for a long time, by fear, education or moral 
sentiments. But when normal coitus fails to pro- 
cure for such a perverted sexual appetite the satis- 
faction it demands, the sadist gives away to his pass- 
ion—which gives the false appearance of an acquired 
vice. Some Sadists satisfy themselves by flogging 
prostitutes, while others make martyrs of their Pain a Prerequisite to Pleasure 
115 
victims, thus procuring the maximum of pleasure. 
While Sadism is more common in men, it sometimes 
occurs in women, such as Catherine de Medici, who 
had her maids flogged before her eyes and enjoyed 
witnessing the massacre of the Huguenots. Women 
in whom Sadism usually assumes a milder form than 
in men, are usually contented with biting a man, dur- 
ing coitus, till he bleeds. 
A century or so later, in the early part of the 
eighteenth century, another gentleman—if you could 
properly call him that—an individual by the name of 
Sacher-Masoch, who was born in 1836, began to 
write various kinds of novels and stories in connec- 
tion with sexual perversions. This is the opposite 
type of perversion, from what is known as Sadism, 
and is described by Krafft-Ebing as follows: “By 
Masochism I understand a peculiar perversion of the 
physical vita sexualis in which the individual af- 
fected, in sexual feeling and thought, is controlled 
by the idea of being completely and unconditionally 
subject to the will of a person of the opposite sex, of 
being treated by this person as by a master, humilia- 
ted and abused. This idea is colored by sexual feel- 
ing; the Masochist lives in fancies in which he creates 
situations of this kind, and he often attempts to 
realize them.” This individual was half a Russian 
by birth, having also Spanish and German ancestry, 
and to his ancestry and environment his biographer 
attributes great significance. While still a child he 
was in the midst of the bloody scenes of the revolu- 
tion which culminated in 1848, so that at a somewhat 
early age he found the atmosphere and even some 
of the most characteristic elements, of the peculiar 
types which mark his work as a novelist. 
As a child he was greatly interested in representa- 
tions of cruelty and loved to gaze at pictures of execu- 116 
Sexual Hygiene 
tions while at the period of puberty he regularly 
dreamed that he was himself fettered and in the pow- 
er of a cruel woman who tortured him. It has been 
stated that the women of Galicia, in which province 
this man Sacher-Masoch was born, either rule their 
husbands and make slaves of them or they them- 
selves sink to the wretchedness of slaves. We are 
also told that the average Russian peasant woman is 
not satisfied in her sexual life unless she receives a 
certain amount of painful or cruel treatment from her 
husband. If she is not whipped every so often, she 
thinks she is losing her husband’s love. This is a kind 
of perversion, Masochism, in which sexual intercourse 
is accompanied by real pain, or the idea of receiving 
pain. All of the sexual stories of Sacher-Mosoch 
were written from the feminine point of view. His 
perversion was that the feminine party to sexual 
intercourse must be brutally subdued, by force, into 
sexual intercourse, by the lover, and the passivity 
of their subjection must be accompanied by pain. 
The thing which gave young Masoch this idea was 
that just before the age of puberty, probably about 
the age of ten or eleven years, he was visiting a mar- 
ried cousin of his, a Countess. She was a beautiful 
woman and wTas of a developed, strong vigor- 
ous type—she was the member who really ruled the 
household. She was exceedingly passionate and 
lustful in her life; was not satisfied with the atten- 
tions of her husband and seemingly had several 
lovers at the same time. She seemed to be rather 
fond of the youngster and permitted him to have 
certain liberties and allowed him to aid her in dress- 
ing, but had never permitted sexual intercourse. At 
one time, as he was kneeling in front of her to help 
put on her ermine slippers, he kissed her feet; at 
which she smiled and gave him a slight kick, at Pain A Prerequisite to Pleasure 
117 
which he was greatly pleased. Not long after, while 
playing hide-and-seek with his sisters, he had hidden 
himself behind some clothing in the bedroom of the 
Countess, when she suddenly entered, accompanied 
by someone he took to be her husband, so that he 
immediately decided to remain in hiding to avoid a 
scolding. She entered, but the man w ith her was not 
her husband but a lover; and not daring to betray 
his presence, the youngster saw her lie down on a 
sofa and commence to caress this lover. In a very 
few minutes, however, her husband accompanied 
by two friends, broke in the door and surprised the 
Countess in a rather compromising position. She 
however quickly arose to her feet, seized a whip 
and very relentlessly drove the husband and his 
friends out of the room. During the confusion that 
followed, the lover escaped, but during all of this per- 
formance, the youngster had managed to get along 
without being discovered. He remained there for a 
time, when the husband came back and wTas met by a 
volley of blows from the wdiip and a blow in the face 
wdth her fist struck him to the floor, streaming wdth 
blood. Just about this time, the clothes-rail fell, ex- 
posing the youngster in hiding, so that the Countess 
then turned on him in anger, threw him to the floor 
and beat him unmercifully; but while the pain wras 
considerable, he seemed to enjoy it very much. As 
the youngster finally made his escape, he saw her turn 
and kick her husband, and through the closed door he 
heard the sound of the wdiip applied by the Countess 
accompanied by the groans of her husband. It is 
quite natural that such a domestic scene should color 
his entire after life in a sexual way, and this wras no 
doubt the foundation for his novels dealing with sex- 
ual matters. 
This Countess wras also very fond of furs, and this 118 
Sexual Hygiene 
fact also colored his sexual life to such an extent that 
he was not satisfied with any women with whom he 
had anything to do unless they wore some article of 
fur as a part of their clothing. It is also claimed that 
he kept a woman’s fur cloak in his study, which he 
would stroke from time to time as a sort of stimula- 
tion to his brain. In the meantime he found that 
before he could have normal intercourse with any 
woman, he had to be more or less brutally treated by 
his paramour. While Masoch was very intelligent 
from a literary standpoint and wrote a great deal, all 
of his stories and novels had as the heroine a most 
beautiful woman, who invariably wore furs and also 
treated her lovers with the utmost severity. This 
idea of having sexual intercourse which is accom- 
panied by submission and the direct result of brute 
force or rough treatment, as well as even physical 
pain, was the perversion which he had, and as he 
exhibited it to such a marked degree, the name of 
Masochism has been applied to this form of sexual 
relationship. 
Among older men of the present generation are 
those who sometimes find it necessary, before they 
can enjoy sexual relations, to have the woman beat 
them with whips or otherwise maltreat them before 
they can become sexually excited. Where physical 
pain is absolutely essential to cause an increased 
amount of sexual activity, we have a true case of 
Sadism. Where sexual intercourse and the idea of 
love and passion are strongly colored by the idea 
that one must be beaten into subjection, and that 
such an individual can only enjoy sexual intercourse 
when it is accompanied by these various illusions, we 
have a case of Masochism. These are the two prin- 
cipal perversions wherein the inducing of pain plays 
an important part, and usually the symptoms of one Pain a Prerequisite to Pleasure 
119 
or the other are quite markedly exhibited in such 
perverts, though we cannot always regard them as 
opposed manifestations, both sometimes being found 
in one and the same individual. 
In individuals who have either of these particular 
perversions, there is but little possibility of them be- 
ing able to marry and live happily, so far as their sex- 
ual relations are concerned. Where there is such a 
marriage and children are produced, the particular 
type of perversion is not invariably found in such 
children. As a matter of fact, such perversions seem 
to work a much greater hardship on the parent, and 
seem to be extremely difficult to transmit to poster- 
ity. Unless there has been such an excessively ven- 
ereal life on the part of the parent that the activity 
of the spermatozoa is decreased, if children are pro- 
duced, they are commonly very healthy and normal. 
There may, of course, be other nervous conditions 
present, like epilepsy, neurasthenia, etc., but the di- 
rect transmission of such perversions as are acquired, 
from father to son, is extremely difficult to demon- 
strate. We do not always find a tendency toward 
such perversions, which confirms the statement as to 
the questionable possibility of transmitting an ac- 
quired tendency along these lines. CHAPTER XI. 
SEXUAL PERVERSIONS 
Relation of Whipping of Children to Sexual Im- 
pulses; Inherited Tendency to Perversions; 
Homosexual Love (Urnings, Saphism or Les- 
bian Love); Onanism; Fetishism; Exhibition- 
ists; Sodomy or Bestiality; Connection Be- 
tween Senile Atrophy and Perversions; In- 
tercourse With Young Children. 
In this lecture we will consider particularly the 
pathological side of sexual life, as you may run up 
against this type of case almost any time, because 
you can not tell them from outside appearances. 
The use of whips, in order to aid in the stimulation 
of sexual impulses, is more or less common. Physical 
whipping upon the gluteal region causes a mechani- 
cal effect or irritation of the nerves which go directly 
to the genital organs. Mechanical irritation and 
stimulation of the peripheral endings of these nerves 
induces erection in the male and a hyperemic condi- 
tion of the female vaginal and uterine walls. There 
are any number of stories in which whipping plays an 
extremely important part. If you could converse 
freely with any of the feminine inmates of the var- 
ious houses of prostitution, you would invariably be 
told that they have men, fifty years of age or perhaps 
older, who will come in and give them a plentiful sup- 
ply of money, if, before sexual intercourse is indulged 
in or attempted, they will use the whip vigorously 
upon their naked bodies. There is no question but 
what, frequently, in old age the use of the whip in 
this way does cause an increased amount of sexual 
activity. You will find that these chaps, say along Sexual Perversions 
121 
about sixty-five, seventy or seventy-five years of 
age, who have lived a rather extreme sexual life all 
the time, will find physical castigation absolutely 
necessary in order to induce a simple erection. This 
kind of physical, mechanical irritation, applied di- 
rectly to the gluteal regions, does have an anatomical 
and physiological cause in producing an increased 
amount of sexual impulses. 
This is one of the main reasons why whipping 
should never be utilized as a method of correction in 
youngsters, as the mere whipping of young children 
frequently induces or causes sexual impulses. Very 
frequently it is the first whipping that the young boy 
has had which induced the first erection, due entirely 
to this physical, mechanical irritation of the nerve 
endings in the gluteal regions, which are in direct 
connection with the pudendal nerve, which controls 
the blood flow through the penis. This is true of the 
female sex, as well as the male; but here we have a 
hyperemic condition of the walls of the vagina and 
uterus, as the direct result of the castigation. There 
are any number of cases on record, that have been ob- 
tained from both normal and abnormal individuals, 
which show that their first sexual impulses were in- 
duced or brought about, they claimed as the direct 
result of whipping. 
Almost all of the perversions of the sexual centers 
are those tendencies which have been inherited. It 
is extremely hard to show any acquired perversions 
of any sort along the sexual line. Invariably the 
family history of the child will show that the par- 
ents and grandparents were confirmed alcoholics, 
that there was a history of insanity, epilepsy and 
things of that sort among the immediate ancestors 
of that individual and never any farther away than 
two generations. This inherited tendency may be 122 
Sexual Hygiene 
held under subjection for some little time, until the 
individual comes in contact with something of the 
kind, or some one line of action has been suggested 
to him, and then, owing to this inherited tendency 
along these lines, he very easily falls into the habit 
or acquires these various kinds of perversions. 
The one particular type of sexual perversion which 
possibly has a greater number of followers than any 
of us would think, is that of Homosexual Love, as it 
is called—an inverted type of sexual relations, where 
the individual prefers a member of his or her own 
sex to one of the opposite sex. It seems a little 
absurd that the sexual longings of a man or woman 
could be directed, during an entire life time prac- 
tically, to some person of the same sex. This patho- 
logical condition, however, is as common as it is 
certain; and is found much more frequently in the 
eastern countries and in Brazil than in any other na- 
tion. These individuals have a decidedly bad nerve 
history and all of them are neurotic in their ten- 
dency. The men afflicted with this particular type of 
perversion are more or less feminine in appearance, 
and do not have the strong masculine virility which 
is commonly associated with a healthy man. 
There are also hallucinations or illusions which ac- 
company this particular type of perversion. Their 
“love,” if you can call it that, for the object of their 
affections, is seemingly much stronger, for a short 
period of time, than that which exists in normal 
sexual relations. Such individuals are very easily 
attacked by spasms of jealousy, and they live, in 
reality, a life which from their standpoint is full of 
trials and tribulations. This particular type of in- 
version, or “pederasty” as it is sometimes called, 
has been made a crime. Where this sort of thing is 
carried on between two men, it is, of course, unnat- Sexual Perversions 
123 
ural, unless one of them has sold himself for money. 
Afterwards he may use this mere fact for purposes of 
blackmail, and they frequently do extort huge sums 
of money from one of these “Urnings, ” as they are 
called, which is the German name for this particular 
type of individual. This name was given to this 
type of pervert by one of their number by the name 
of Ulrich, who announced himself publicly as the 
apostle of homosexual love. This man found that 
his particular sexual ideas were antagonistic to the 
normal sexual relations; but attempted to obtain 
legal sanction for this kind of love. He was the son 
of a long line of confirmed alcoholics and degenerates. 
His father and two of his uncles had spent a consider- 
able portion of their lives in various insane asylums. 
Also the grandfather and some of the granduncles 
had spent a considerable period of time in the same 
way, so that he had a decidedly bad previous nerve 
history. This tendency showed very early in life, as 
when the sexual impulses began to develop, he seem- 
ingly did not have any normal impulses whatever. 
So far as feminine impulses or sexual desires towards 
one of the opposite sex were concerned, he viewed 
them with more or less abhorrence, and he had a 
particular aversion for women. He would hang 
around the various public bathing houses and urinals, 
so that he would be able to see the external genitals 
of the male. Such sights were always sufficient in 
themselves to cause an erection and in a great many 
instances complete ejaculation. He was more or 
less erotic, his mind was continually filled with these 
various perverted sexual pictures and the excitement 
resulting therefrom was relieved very early in life 
by masturbation. 
As he grew older, he found it extremely difficult to 
satisfy his kind of a sexual impulse, but in the course 124 
Sexual Hygiene 
of time he gradually gathered around him a number 
of these perverts or inverts, and they formed them- 
selves into a club. Gradually the sect extended to 
most of the large cities on the Continent, all of the 
larger and many of the smaller cities in Brazil, and 
in some of the larger cities of our own country there 
are various meeting places for these Urnings, as they 
are called. They have a more or less secret society, 
with various signs so that they can recognize each 
other very readily. Owing to the fact that this kind 
of a sexual act is a crime and is punishable by incar- 
ceration in the state prisons for a period of years, it is 
necessary for them to be extremely careful in living 
their own typical sexual life. 
From their standpoint and according to the writ- 
ings of their founder, Ulrich, and of various others 
who have followed him, they say that such a sexual 
intercourse, or love existing between members of the 
same sex is the ideal kind of love, if you can call it 
that. So far as they are concerned, natural normal 
coitus as we know it is absolutely disgusting. They 
do not get any real pleasure from viewing a nude 
member of the other sex, but it is more or less dis- 
gusting to them. In many of the larger cities they 
have a club house or meeting place. They take a 
great deal of delight in dressing up in various femi- 
nine garments and cultivating feminine ways; and it 
is said by those who know that this type of human 
animal is much more adapted to flirting than is the 
normal one. They have certain “balls” several 
times a year; and an international one is held in 
Berlin during the time just preceding Lent, at which 
time all of their belief, from the various cities on the 
Continent, get together for a week or even two or 
three wreeks of a carnival time, and it is during this 
period that they have their big affairs. In the ball- Sexual Perversions 
125 
room you will see and find more than half of the men 
present dressed in women’s clothes—and very ex- 
pensive ones at that—and from outward appearances 
you can not distinguish them from women. They have 
cultivated the feminine wralk and various feminine 
ways; they call each other by feminine names and 
they get their real sexual pleasures in this way. 
Sexual inversion, howrever, is not always confined 
to men, and while it is not rare in women, does not 
manifest itself so publicly. It is called Lesbian love 
or Saphism; and the female inverts of this type are 
known as “tribades. ” You will sometimes find sex- 
ual inversion among women, in which there is a de- 
cided sexual love existing between two women; and 
there are even cases on record of the marriage of twro 
women. One of them, of course, assumed the man’s 
part, wore male clothing, assumed masculine ways 
and would commonly wear hair very short, and so 
far as the physical, outward appearances were con- 
cerned, was a typical man. They are the type of 
women who satisfy their pathological appetites by 
mutual masturbation, especially by mutual licking 
of the clitoris or “cunnilingus” as it is termed. From 
the nature of the feminine mind and the mere fact 
that love with a woman is not confined entirely to 
sensuality and sexual intercourse, the mere fact also 
that there has been more or less friendship existing 
between one of these inverts and a young girl and 
that this friendship is expressed in more or less lov- 
ing ways, it naturally follows that this attachment 
in a short space of time leads to more intimate sexual 
relations, and in this way they can keep their ranks 
well recruited. They are very adept in the art of se- 
ducing young girls, and unless these girls have had 
normal parents and are well balanced, they fall for 
this sort of thing very easily. 126 
Sexual Hygiene 
Another form of sexual perversion, “Onanism” as 
it is termed, is merely one form of masturbation. It 
was first applied to “coitus interruptus,” because 
Onan, a son of Judah, was the first of whom we have 
any record, who during the act of intercourse with- 
drew and scattered his seed upon the ground to pre- 
vent fertilization. From this fact, masturbators 
are frequently called onanists. We find that most 
of these perversions, particularly onanism, sadism 
and masochism are merely forms of masturbation. 
Another one of the pathological sexual types is 
where some one object, rather than any particular 
human individual, is absolutely necessary to call forth 
any sexual impulses. This sort of thing is called 
“fetishism.” Whatever it may be due to, whether 
induced by the sight of a pair of shoes or a pair of 
gloves, or furs, or any particular articles of women’s 
apparel or even of men’s clothing, such object is in- 
variably made the center of the individual’s sexual 
life. Occasionally this particular condition arises 
merely from a suggestion. Masoch, whose name was 
given to one particular type of perversion, was a fet- 
ish worshipper. Invariably, all of his paramours or 
the females with whom he had anything to do, must 
be dressed in furs; otherwise there was absolutely no 
sexual excitation. In most of the houses of prosti- 
tution, particularly in the large cities, things are so 
arranged for these various individuals who require 
some other object besides the feminine companion in 
order to derive any physiological satisfaction, that 
they may be taken care of properly. 
One of the most common fetishes which is used is a 
pretty pair of shoes, of the type worn by a female. 
Some individuals are so affected, merely by the sight 
of a pair of such shoes, that it is absolutelyimpossible 
for them to go by a shoe window without starting sex- Sexual Perversions 
127 
ual impulses, and some, who have more or less fine 
sentiments outside of this one particular pathological 
perversion, will even blush when they pass one of 
these windows filled with beautiful shoes—they think 
it is absolutely indecent for these shoes to be exhib- 
ited. One individual in particular carried this 
fetish so far that it was impossible for him to buy a 
pair of shoes—the mere thinking of them would cause 
an erection and the handling of such shoes would 
cause orgasm. 
These perversions, almost invariably, are due to 
some hereditary taint. Even where they have been 
brought forth by suggestion, careful questioning will 
show that the previous nerve history of the individ- 
ual was decidedly bad. Where this perversion is 
acquired as the result of some suggestion, hypnotism 
or suggestion given by an individual or physician 
who has the necessary ability to get into the inner 
sexual life of his patient, has accomplished good re- 
sults. In the big majority of instances, hypnotism 
and suggestion from outside has absolutely no effect. 
Even when the individual seemingly has some kind of 
predilection for a member of the opposite sex, you can 
hardly go so far as to call the feeling which he has a 
true love. Even if this affection or whatever it may 
be, leads to marriage, the attempt at normal coitus 
is not satisfactory, unless at the same time he can in- 
duce his companion to put on a pair of shoes or he 
can handle his particular fetish, whatever it may be; 
or unless he can bring the image of that fetish to his 
own mind. Under those conditions, it is possible in 
some instances to have sexual relations, but a thor- 
oughly normal coitus is absolutely impossible, be- 
cause it can not take place unless this image or idea 
is present in the individual’s mind. It is this one 
particular object, whatever it may be, which has 128 
Sexual Hygiene 
assumed ascendency over the normal sexual im- 
pulses, and they refuse to act unless some image of 
this fetish or the object itself is present. Fetishes are 
made of almost any common object, the most com- 
mon being shoes or some one article of feminine ap- 
parel. 
Then there is another common type of pathological 
perverts, who belong to the class called “Exhibition- 
ists.” It is absolutely impossible for one of these 
inverts to obtain any sexual relief in any way, unless 
the act of masturbation is carried on where some one 
can see them, and particularly a member of the op- 
posite sex. In order to obtain orgasm, there must be 
this one central idea, the main thought being that 
some member of the opposite sex shall observe the 
act. While it is not always necessary for some fe- 
male to actually be present, yet it is in the big ma- 
jority of instances. This idea that someone is 
watching the performance seems to give them a cer- 
tain amount of virility or nerve control that they do 
not have under any other conditions. This sort of 
thing is more or less shocking to the public morals, 
but as the true exhibitionist never attempts to force 
intercourse with any one woman or anyone else, 
there are seldom any evil consequences beyond the 
annoyance caused the other party. Such an indi- 
vidual merely places himself behind a hedge or fence 
on some less frequented by-way, where it will be pos- 
sible to see a solitary woman pass by, and then lies 
in wait until this occurs, when he begins masturba- 
tion with the central idea present that he now has 
an interested audience watching the performance. 
This sort of an individual is never able to enjoy mar- 
ried life from a physiological standpoint. Seeming- 
ly, the spectator must be a total stranger to the in- 
dividual—if it is someone with whom he has at- Sexual Perversions 
129 
tempted normal coitus, it is absolutely impossible 
for him to get any satisfaction or even an erection. 
With the central idea that someone who is not known 
to him is watching the performance, he apparently 
weaves a small romance in his own mind, with this 
one particular act playing the stellar part. 
One of the most common pathological conditions 
is that of “sodomy” or “bestiality. ” This, of course 
means having sexual intercourse with animals. This, 
according to the laws of all the states, is a misde- 
meanor, punishable by incarceration in a state prison. 
So far as the real evil or damage is concerned, there 
is none, particularly as to the poor individual who 
attempts to get relief in this way is concerned. There 
is no danger of any after-effects from this sort of sex- 
ual enjoyment, as there is no possibility of concep- 
tion occurring; nor is there any chance of the indi- 
vidual himself contracting any venereal infection. 
Furthermore, if he is permitted to relieve himself in 
this manner instead of marrying, there is no possi- 
bility of producing a child who will have this same 
kind of a perversion, because this type of sexual 
perversion is the most easily of all pathological con- 
ditions to be passed on to posterity. If there is no 
cruelty connected with the act, and where no small 
animal is used, there is no reason why the unfortu- 
nate individual should not be permitted to satisfy 
himself in this way. It would be much cheaper 
from an economic standpoint if no attention were 
paid to such an individual, in that the state, hence 
eventually the tax payers, would not have to pay his 
board and other expenses for a term of years. The 
maximum is twenty and the minimum penalty is 
ten years in almost all of the states for conviction of 
this act. 
The various perversions which we see, accom- 130 
Sexual Hygiene 
panied by other insanities, are the result of patho- 
logical conditions of coitus. They are merely symp- 
toms of the general mental condition, particularly in 
the approach of old age, in the beginning of senility, 
where we have certain pathological changes occurring 
in the protoplasm of the nerve cell. They are under- 
going more or less atrophy. The first effect of this 
atrophic condition is a considerable amount of irrita- 
tion. This irritation very quickly results in almost 
entire loss of sensation, so that the relief which they 
do obtain is only for a short space of time; when the 
atrophic changes have gone on for a time there is 
complete loss of sensation. At an early age, during 
youth or early adult life or at middle age, where we 
have this cerebral condition, in the big majority of 
instances they are accompanied by some kind of 
sexual effect. It may result in masturbation or 
any other way in which the individual can get relief. 
One of the ways in which this relief is obtained is 
by a sexual act performed upon young girls. This is 
hardly a true perversion, but has been named “Pede- 
rosis;” and is, seemingly, more of a symptom than a 
true pathological perversion. From anatomical rea- 
sons, it is absolutely impossible to get any satisfaction 
at all in attempting intercourse with a young girl, of 
seven, eight or nine years of age; yet there is this 
sexual hallucination present which forces the indi- 
vidual along these lines. He has this thought, thinks 
that this is the only way in which he can get any sex- 
ual satisfaction—possibly he may have been dis- 
appointed in other attempts he has made at normal 
coitus—and he imagines, as do the big majority of 
insane individuals, that he is very badly misused, 
that the whole world is against him and that only 
in this way can he get satisfaction. 
Under this insane desire to obtain satisfaction, a Sexual Perversions 
131 
severe injury may be caused to the young girl. There 
are any number of instances where as the result of 
forcible sexual intercourse with a child in this way, 
there have been deep tears into the rectum, and fur- 
thermore, the posterior walls of the vagina have been 
absolutely torn apart. In the sexual frenzy which 
this type of brute indulges in, there is always a chance 
that the child may be seriously damaged. This sort 
of an insane desire is more of a symptom of some 
other central nervous system or cerebral lesion than 
of any one true pathological perversion. 
We have now gone over in a general way, practi- 
cally all of the pathological perversions in connection 
with the sexual act, merely that you will be acquaint- 
ed with them if you happen to find any of them in 
your practice. The various other symptoms which 
are shown invariably accompany some serious cere- 
bral lesion. In these types which we have mentioned 
so far, they are so prevalent that they are classified 
as true pathological conditions. CHAPTER XII. 
OSTEOPATHIC DIAGNOSIS AND 
CORRECTIVE WORK 
Confidence of Patient Must be Secured; The 
Osteopathic Lesion as a Direct Cause; Meth- 
od of Controlling Violent Patients; Elimina- 
tion of all Stimulants; The Question of Diet; 
Necessity of Proper Exercise; The “Continu- 
ous Warm Bath;” Method and Kind of Osteo- 
pathic Treatments. 
We will now take up in a somewhat general way the 
method of treatment of these pathological conditions. 
As to their cure, that depends almost entirely upon 
the ability of the physician to obtain the confidence of 
his patient. If there is not absolute confidence in his 
physician on the part of the patient, in these types of 
pathological conditions in particular, it is absolutely 
useless for that physician to go any further with any 
kind of treatment. Some of these perverts will talk 
very freely with the physician, but many will not do 
so. Usually, when such people are examined regard- 
ing their perversions, it is almost impossible to find 
out, by questioning the patient himself, anything re- 
garding his or her particular trouble. If you can get 
the confidence of such an individual and get him or 
her to talk freely, there is a possibility of effecting a 
cure. If the individual is married, for instance if it 
is a man and you can talk freely with the wife, you 
can find out the situation and by having her act in 
such a way as to at first give in to these perverted 
impulses and then gradually overcome them, there is 
the possibility of a cure. There are cases on record 
where individuals who had these tendencies in youth Osteopathic Diagnosis and Corrective Work 
133 
or early adult life, have lost them or they have en- 
tirely disappeared through the cooperation of the 
wife. 
While, as yet, because our Science is compara- 
tively young, wTe have not had very many of these 
cases, yet those cases which we have treated have all 
been improved, and in a number of cases there has 
been an absolute cure. There is no doubt but what 
the physiological condition of such an individual can 
be cured, provided you have his confidence and can 
show him in words of one syllable the effect that 
overuse or abuse of the sexual organs will have, and 
likewise the effect of his own particular type of per- 
version as it actually exists. The cause may be some 
suggestive picture or some suggestion which someone 
has made to this individual, which has stuck in his 
brain, becoming the one thing which controls his en- 
tire sexual center. Then again, an osteopathic 
lesion may be either a predisposing or exciting factor 
of these perversions. It may be that a lesion in the 
cervical or upper thoracic region in particular is the 
immediate or primary cause of mental deficiency, or 
a lesion in the region of the second or third lumbar 
vertebrae may lead to a continual stimulation of the 
sexual centers, and reflexly of the cortical centers 
associated with them. There is no reason why, if 
the mechanical lesion which originally caused or pre- 
disposed to the weakness or condition, is removed, 
there should not be an immediate tendency to over- 
come and control the effect of any central idea or 
suggestion such as we have considered. Hypnotism 
or suggestion, which is given in the hypnotic condi- 
tion, in a great many instances has accomplished 
wonderful results; in others, it has had absolutely no 
effect. As to whether suggestions in themselves 
would cure the condition is extremely doubtful. 134 
Sexual Hygiene 
The method of handling such pathological cases 
will depend largely upon the type of perversion and 
the extent to which it is carried by the patient. It is 
the duty of the physician, of course, to give friendly 
advice whenever sought, without attempting to 
frighten or reprimand the individual, which would 
only have a tendency to preclude the possibility of 
accomplishing anything for that particular patient. 
Some can be handled entirely in the patient’s own 
home, but where the pathological condition is of a 
dangerous type or the patient is uncontrollable at 
times, it will perhaps be found necessary to place 
them in a special sanitarium or private hospital to 
which you have access, so that you can give them the 
proper attention at frequent intervals. 
If you have a medical friend, who is connected with 
any large city or state insane asylum, it will be well 
worth your while, from a pathological standpoint, 
for you to get him to take you through some of their 
various wards, particularly those which are not open 
to the public. In one of these wards you will find 
only members of the male sex; and you will find that 
they will masturbate whenever they have a chance, 
some of them openly; although this is not true of 
most of them. There will be a certain few of 
them who will satisfy their sexual desires in that way 
and by having intercourse with another male. When 
you are taken into a female ward you may find per- 
haps a hundred inmates in this one particular ward, 
which is called the psychopathic ward, where there 
are various kinds of insanity. These individuals are 
decidedly amorous in their tendencies; when the 
physician comes in he will be immediately surrounded 
by a crowd of these females. Some of them will 
caress him and pet him, and some will even attempt 
to scratch and bite, merely because they are jealous Osteopathic Diagnosis and Corrective Work 
135 
of the attempts of the others or the attention he is 
receiving from them. 
The age of the patients will really surprise you, as 
the big majority of them will have gray hair and their 
age will be anywhere from forty-five to perhaps seven- 
ty. These are the ones who are showing active erotic 
sensations, preceding senile decay, as a result of path- 
ological changes in the cortex or of the psychical 
centers. These centers, because they are not con- 
trolled as they are under normal conditions, excite 
the genital organs. As a result of this continuous 
irritation, there is excessive and almost continuous 
masturbation. Only in that way can they relieve 
themselves of these irritating impulses and sensa- 
tions. This sort of pathological sexual impulse is 
due to the pathological changes which are occurring 
in the cortex. When certain pathological changes 
occur in the lumbar area of the cord, which have been 
preceded by an inflammatory condition, then as a 
result of the pressure of this extra amount of blood 
in the cord we have a continual irritation of the 
ejaculatory center situated at about the second lum- 
bar. As the result of this continued irritation, we 
have a hyperemic condition, which results in the 
male in erection and evacuation, which is sometimes 
more or less continuous, and is a condition which 
can be relieved only by masturbation. 
In the handling of pathological conditions like we 
have enumerated, if you can induce the patient to ab- 
stain from the use of alcoholic drinks of all kinds, 
and even from the use of tobacco, tea and coffee, you 
will find that you can usually get a cure. It is much 
better for the individual to give up entirely the use of 
alcoholic stimulants of all kinds than to attempt to 
use a moderate amount of alcohol and give up to- 
bacco, tea and coffee, because alcohol is more irritat- 136 
Sexual Hygiene 
ing to the sexual centers than any other kind of 
stimulant. 
Along with the elimination of stimulants of all 
kinds must be considered the question of diet. The 
use of a strong, concentrated diet, like meat and 
other proteins, will cause more or less irritation of 
the sexual centers, and should therefore be avoided 
just as far as possible. If you can, you should get 
such an individual to live upon vegetables and fruits 
as far as possible, along with well-cooked carbohy- 
drate foods. The use of a proper diet, along with 
plenty of out-door life, particularly a considerable 
amount of physical exercise; that is, as much as the 
patient can stand, even up to the point of physical 
exhaustion, has a tendency to overcome this condi- 
tion. 
The surface cells under the prepuce at the end of 
the glans penis secrete a substance called smegma. 
This, when allowed to accumulate as it frequently 
does in young boys, becomes a continual source of ir- 
ritation. Cleanliness of this particular portion of the 
male body very often is all that is required to over- 
come masturbation. A normal boy, unless his at- 
tention is called to this portion of his anatomy by 
continual irritation, can very easily forget this act, 
and removing the irritating cause is all that is usually 
necessary. Where, however, there is an excessive 
amount of self-abuse, of the type where it is almost 
continuous, more than mere cleanliness is indicated. 
This condition results in a drain on the albuminous 
substances of the blood, as the semen is composed 
principally of albumens and peptones from the blood 
stream as we have already seen, so that the continual 
loss of this amount of albumen does result in ex- 
cessive irritation, loss of weight and in many in- 
stances, of a most persistent insomnia. This type of Osteopathic Diagnosis and Corrective Work 
137 
pathological perversion can be relieved successfully 
for several hours and sometimes for days at a time, 
by placing the patient in what is called a “continuous 
warm bath.” In giving this, the patient is placed 
in the tub and immersed up to the neck, the tub being 
so arranged that there is a continuous flow of water, 
which is not warmer than 100°F and no colder than 
98°F, or about blood temperature all the time. This 
heat induces complete muscular relaxation, and the 
filling of the abdomen and surface cells with blood 
which relieves the tension in the brain and cortex. 
We have already discussed the method of giving Os- 
teopathic treatments and other corrective work in 
connection with children who have acquired the hab- 
it of self-abuse. 
In that small class of women whom we have men- 
tioned as apparently having no sexual longings or 
desires, thorough Osteopathic treatments, particu- 
larly in the lower thoracic and entire lumbar as well 
as the sacral regions will set up a more healthy con- 
dition and equalize the blood flow in the genital or- 
gans, as well as throughout the spinal cord. This 
sort of treatment, with the necessary instruction on 
the subject to the husband of that particular patient, 
will go a long ways towards effecting a permanent 
cure, and will certainly give much better results than 
any other known method of treatment. 
In conclusion, I might say that in the handling of 
such pathological conditions as we have described in 
the last two or three lectures, it is necessary, First of 
all, to get the entire confidence of the patient. Sec- 
ond, to consult with the husband or wife or relatives 
of the patient, in order that you may get first-hand 
information as to the situation and perhaps get their 
hearty co-operation towards the desired end. Third, 
the Osteopathic lesion must not be overlooked as 138 
Sexual Hygiene 
both a predisposing and exciting factor of the trouble, 
so that it must be found and corrected, and frequent 
thorough treatments must be given extending over a 
considerable period of time, of years even if neces- 
sary, in order to put every part of the patient’s or- 
ganism in good condition and maintain that state of 
affairs. Fourth, you must give due attention to the 
elimination of stimulants of all kinds; Fifth, a cheer- 
ful, hygienic environment at all times must be pro- 
vided for the patient. Sixth, the tissues of the body 
must be built up by the right kind of a nourishing, 
non-irritating diet; and Seventh, you do not want to 
forget the necessity of a sufficient amount of out- 
door air and healthy physical exercise for the patient 
at all times. If all these things are given due atten- 
tion, accompanied by regular, thorough and general 
Osteopathic treatments at frequent intervals, you 
should be able to accomplish wonderful results with 
practically any of these pathological conditions.