A NEW TREATISE ON THE VENEREAL DISEASE, GLEETS, Seminal WEAKNESSES; THE DREADFUL EFFECTS OF SELF-POLLUTION, AND THE CAUSES of IMPOTENCY; BARRENNESS, &c. &c. Directing Methods of Cure, established by repeated Experience. By J. H. SMYTH, M. D. and Man- MIDWIFE. The EIGHTH EDITION. LONDON: Printed for the Author, 1773. [Price 1s. 6d.] To Charles Lucas, Esq; M. D. SIR, IT is with the greatest pleasure I embrace this opportunity to declare the obligations I am under to you for part of the knowledge I have acquired in my profession. A2 The DEDICATION. The world likewise beholds with pleasure, what an ornament you are to physic, and are well con- vinced how much it is indebted to you for the inestimable improve- ment you have made, not only in chymistry, but in many parts of the materia medica. Your success in the healing art is sufficient to demonstrate the re- fined share of sense you are pos- sessed of; and this success not im- mediately effected by pursuing the common methods, but by your just and perfect conception of the nature of the human fabric, and the diseases it is incident to, ren- ders your mode of practice wor- thy the attention of every practi- tioner. I am DEDICATION. I am not at all apprehensive of being too free with your name on this occasion, your generous disposi- tion in being always ready to pa- tronize any thing for the good and relief of mankind, induced me to think this work would meet with your approbation and protection; and that by this public instance I am encouraged to take the liberty of declaring myself, with the most profound respect, SIR, Your most obedient, And most humble Servant, J. H. SMYTH. London, 1765. THE PREFACE. THERE are some things necessary to advertise the reader of, by way of preface to the following work, both in regard to its publication, and the particulars wherein it is proposed to be more useful to the afflicted than any thing of the kind ever yet attempted. I am not altogether unacquainted, but it must undergo censure; this gives me no uneasiness; when I began these few pages, I never entertained a thought of pleasing the critic; my study was, to be as instructive to the diseased reader as in my power. However PREFACE. However uncouth the stile may be, and as incoherently thrown together, I have made it a point to adhere to candour, with the punctuality which should guide the pen of every honest man. Through the whole, I have observed carefully to avoid making use of any technical expressions, least I might not be understood by the meanest capacity. As this treatise is principally intended for the perusal of the diseased, and those who have been ill treated, or by taking mercury, labour under complaints better known than removed, render it highly necessary for every circumstance to be explained in the most familiar terms. My deviating from the common tract of treating the venereal disease, gleets, &c. I am certain will be condemned by those who will not be convinced of their error. How- ever, the deviation I really own; for it is not always a sign of being right to follow with the mob. I must confess I pursued the usual method for some time, till experience pointed to me the mild, safe, and expedi- tious means, which is the cause of this publication. I would PREFACE. I would not have it imagined I censure my brethren of the faculty, I mean the in- genious part of them, whose success in the healing art daily convinces the world of their merit, some of whom I am under many for- mer obligations to, and have the greatest re- spect for. What the reader is to expect in the fol- lowing pages I will now give the heads of: 1st, The motives that induced me to alter in opinion from the general rule of treating venereal complaints. 2d, A short account of the present mode of practice; a practice that should be dreaded as much as the most malignant symptoms of the disease. 3d, I have endeavoured to describe the villany of the impostors which reside in this city, who through their pretensions to physic, rob numbers, not only of their money with- out being of any relief to them, but many of their lives. 4th, I have given the learned doctor Astruc’s account of the origin of this dis- a temper, PREFACE. temper, with his observation on the different changes it has gone through since its first ap- pearance in Europe. 5th, The nature of the venereal virus, what parts are most susceptible of receiving it; and how the disorder is divided into the first and second stage. 6th, An accurate description is given of the venereal infection, from the slightest taint to its most morbid state, laid out in such a manner, that every person may be a judge of the nature and situation of their complaint; and how unnecessary, nay pre- judicial, it is to administer mercury in most venereal cases. 7th, The reader is made acquainted with a new invented medicine, with its comparative excellence to all other remedies, it proving more efficacious in eradicating this infection than any other remedy ever yet discovered. Lastly, Some account of gleet and seminal weaknesses, occasioned by severe treatment in the cure of the venereal disease, or by that base practice, seif-pollution, &c. &c. shewing PREFACE. shewing how the patient is variously affected, and the method of cure, by a restorative re- medy, a medicine that has relieved thousands in the most desponding situation. Thus, reader, I have given you a sketch of this treatise, and am in hopes, that force of truth, and the reflections which men of reason shall make upon the subject, will be sufficient to justify me, and protect this work, which is the result of a long experience; and that the remedies I offer, will some time or other have the preference to all others that are in use, for the benefit of mankind. A NEW A NEW TREATISE ON THE VENEREAL DISEASE, ONANISM, GLEETS, SEMINAL WEAKNESSES, &c. THE introducing of medicines to the public by way of publication, is so much the characteristic of a quack, that I should think it be- neath my notice. The world, I suppose, will take the liberty to criticise and rank me among the impostors that crowd this metro- polis: this gives me no concern, censure I despise; my intention is to relieve my fel- low-creatures, and rescue their constitutions B from [2] from Mercury and base compositions, the destruction of thousands! The opportunities I have had when I had the honour of attending some of his majesty’s forces, furnished me daily with a number of objects labouring under this dreadful malady, from the slightest infection to its most malignant state. For some time I pursued the beaten path of practice, severe purging, mercurials, &c. &c. and really must confess my cures were tedious, and my patients obnoxious to themselves and others. The ill effects this method of treat- ing venereal complaints met with, and struck with compassion for mankind, was conse- quently the cause of the deepest cogitations, I consulted the opinions of authors of the first eminence, and by their assistance, and the experience I had obtained, I fabricated a remedy, which gave me more satisfaction, by expediting my cures, and that with greater ease to my patients than the present methods, which rather injure than assist the afflicted: animated with this success, I, with the utmost assiduity in a series of experi- ments, came to a perfect knowledge of the venereal infection, and method of cure; and having with no small pains acquired this mild [3] mild efficacious composition, I gave it with the greatest accuracy and speculation, and found it in every respect to answer my most sanguine wish. However odd and extraordinary my de- viating from the general rule of treating this disease may appear, the deviation is abso- lutely necessary; it is founded on reason, and the result of a successful practice. My enemies, I make no doubt, will give me the appellation of a dealer in nostrums, but I beg leave to assure the unprejudiced reader, that the basis of this medicine is pointed out by some of the most learned professors that ever appeared in physic, though the compo- sition never before discovered. Before I proceed further in this discourse, I beg leave to make some observations on the present mode of treating venereal com- plaints. When the injured person first per- ceives the infection, which he will suppose to be of a mild nature, viz. a running of mat- ter from the urethra, probably attended with a heat of urine, &c. the afflicted person then seeks for a cure, which is generally con- ducted in the following manner: severe purging and strong mercurials for some time, B2 until [4] until the patient is reduced to follow a state, that he is hardly able to cross his chamber: the complection of the skin daily changes, the teeth are totally spoiled, and the breath becomes so offensive, that it is next to an impossibility to come within some yards of the diseased person: in consequence of this purgation, the heat of urine may be some- what abated, and the other symptoms appear more mild; the patient is now assured he is almost well, and the running is immediately endeavoured to be stopped by injections, or some other means equally as detrimental. What must then be the result of such pro- ceedings? The disorder now changes its course, the discharge pointed out by nature, to carry off the venereal virus being stopped, the poison conveys itself to the blood, and in combination with the mercury, torments the unhappy patient in various manners; conti- nual or flying pains seize the head or limbs; the eyes become sore, the palms of the hands dry and hot, ulcers in the nose, throat, or private parts; blotches, scabs, or a dry scurff appears on the skin; swellings in the groin called buboes, and many other symptoms, which will be taken notice of in due course: this last symptom, however, is the most favourable, the venereal poison being [5] being thrown by a critical discharge from the blood on the conglobate and lymphatic glands of the groin, and, if properly managed, will shortly relieve the patient; but the operation of the knife or caustick (which, by the bye, is absolutely necessary) and being terrify- ing circumstances to the patient, he readily agrees to have it put back, not knowing the consequences that ensues from this rash step; the infection is thrown a second time into the blood, where it perplexes the patient in dif- ferent ways, as before-mentioned. The diseased person by this time finds himself in a worse situation than at first, and is now probably induced by some pom- pous advertisement, which daily appears in the news papers, offering one pernicious compound or another, laid out to delude the unwary; I say this bait he readily swallows, and innocently perseveres in, until process of time convinces him his money is thrown away, and his constitution reduced to the lowest ebb; a consumption next succeeds, which acts the friendly part, for in a short time puts a period to the disorder, and the unhappy sufferer’s life. Our patient being now cured effectually, I shall [6] shall next proceed to give a short detail of quacks, and their medicines, which by the following occurrences, the reader may ascer- tain a knowledge of a set of people he pro- bably thinks does not exist. A gentleman of fortune who had in his juvenile days contracted the venereal in- fection, and had reason to imagine he had been unskilfully treated, and that the poison still remained lurking in his blood, sent for a famous Empyric, who, with a boasted nostrum made his appearance within these few years; the gentleman explained his case, and asked this genius if he could relieve him without the assistance of mercury, ha- ving been sufficiently tortured with that un- merciful mineral already; to this he answered in the affirmative, upon which the gentleman consented, and the cure immediately pro- ceeded on, which was managed with such dexterity, that the patient was in a high sali- vation in a few days; not a little exasperated at finding himself deceived, and in such a situation, he sent for this wonder of the age, who declared there was not a single particle of mercury in any of his medicines; but that they were expelling the mercurials that had formerly been taken: wonderful, indeed, must [7] must be the remedy, that in a few days will carry off, by the salival glands, the relicks of mercury that had lain for years, and probably baffled the endeavours of every rational means! but what was this famous composi- tion that had this singular effect ? Seven grains of mercurius dulcis, or sweet mercury, mixed with a little conserve of roses, in the form of a bolus, and given every other night until the patient was brought into the state men- tioned.—This story was told me by a person of veracity? who prepared and administered the medicines according to the quack’s di- rection. As another instance: Some few years ago a lock in my house being out of order, I sent for a neighbouring smith, who frequently did jobs for me; on my servants return, he told me, that this man was sent to prison for debt: in a short time afterwards, I met this honest Vulcan, dressed with a tye wig, sword, &c. This metamorphosis surprized me much, and when I came home, I enquired of my servant, how the smith lived since he came out of goal? He told me he had commenced doctor, and produced a hand bill, wherein he recom- mends himself to the world as a physician of upwards of forty years practice, arrived from Montpelier. Another [8] Another method of deluding the unguard- ed, is also now become notorious: A number of these mechanics assemble together, and publish themselves under the character of a Company of Surgeons, or Doctor such a one and Co. setting forth the infallibility of their methods after salivation, and every other means has proved ineffectual. Such are the impostors that abound in this metropolis; and is the cause of our hospitals being daily crowded with miserable objects, labouring under this raging malady; yet they find un- thinking people, credulous enough to believe in their impositions, until woful experience convinces them of their error, when too late. It would make several volumes to relate the knavish practices of these pretenders to physic, whose entire aim is to get money by ruining the constitutions of their fellow-creatures. These gentry I once thought beneath my notice, nor would I have mentioned them here, only that I am sensible it is my duty to give mankind a caution carefully to avoid such a dangerous set of people, and not to split upon the Rock which has been the destruc- tion of thousands. But to proceed. Having informed the reader of the ne- cessity for deviating from the present me- thod [9] thod of treating this disease, and given some little account of quacks and their remedies, (for which I am convinced they heartily wish me hanged) I suppose it will be asked, What is my method? To which I answer, Mild cathartics, diuretics, and powerful sudorifics; the means laid down for eradicating the ve- nereal poison by men of the first eminence, such as Boerhaave, Sydenham, and many others, whose names I would take the liberty to mention, and insert their candid observa- tions, only that it would swell this piece much beyond what is intended; therefore I shall just take notice of the rise, progress, and present state of the disease. Most authors that ever wrote on the vene- real disease, differ in opinion relative to its origin; the learned Doctor Astruc tells us, that it was unknown to the antients, and says it was formerly endemial in the West- Indies; and that it was imported from thence by the Spaniards that accompanied the fa- mous Christopher Columbus in his return from the discovery of the new world; and that it made its first appearance in Europe between the years 1494, and 1496. The Doctor also considers the different periods and changes it has already undergone, and observing it has grown gradually milder and C milder [10] milder since its first appearance, he ventures to prognosticate concerning the future periods of it, so as to give us hopes, that it may in time be utterly exterminated; but future ages must determine this. It is no ways essential to our present purpose to enter into a prolix detail how the venereal disease formerly af- flicted the patient, but endeavour to explain its present symptoms, and method of cure. The venereal disease is now distinguished by the first and second stage, or local and universal; in the first stage, or what is called local, the venereal poison is supposed not to exist within the limits of the cir- culation, but to be confined to some parti- cular part of the body, the blood itself re- maining uninfected. In the second stage, or what is called universal, the infection is received into the blood, and circulating with it, mixes with the several secretions, and renders the whole habit tainted. There is great difference with respect to the de- grees of malignity in the venereal poison; in some people it shall be hid a long time, without producing any sensible effects; in others it will appear in a few days, and discover the highest signs of virulency. This difference depends in a great measure on the constitutions of the persons com- muni- [11] municating and receiving the infection; in people of a cold constitution, the active particles of the venereal virus is sometimes so diluted or fixed in viscid humours, as to be capable of acting but in a weak degree; therefore, when this is the case, the symp- toms are of a mild and gentle nature, and slow in producing its effects. On the con- trary, when the virus is more exalted, as happens in hot and bilious constitutions, it will be capable of acting in a greater degree, and occasion more inflammatory and malig- nant symptoms; but this difference will be greater when the constitution of both parties correspond with each other. Thus much may suffice for the nature and difference of the venereal virus. There are several ways of contracting the venereal infection; a disordered nurse can infect the infant that sucks her; and on the other hand, if the child be infected, it is capable of communicating it to the nurse. It may be likewise contracted by kissing, when the mouth or lips of the diseased party is affected with venereal sores and ulcers. It may also be contracted by laying in the same bed with a person who has pocky erup- C2 tions [12] tions on the skin, the warmth of the bed opening the pores, and increasing perspiration, the volatile particles of the infected matter are absorbed. It is likewise caught by handling venereal sores, if the skin is by any accident razed or opened. For instance, a midwife who had a small cut on one of her fingers, was called to deliver a woman, who happened to be infected, having venereal ulcers on her private parts; the venereal matter flowing from the ulcered parts, was received into the wound of the finger, the infection thus caught ran to a very high degree, and was cured un- der my inspection. But the most common way of contracting the infection is by coition. If this disease come from the parents, it is called here- ditary; but if got by any of the afore- mentioned contracts, it is called acquired; in the former it generally breaks out in any part of the body; in the latter it commonly discovers itself first in the parts by which the infection was received. The parts that most readily receive the infection are those of a spongy texture, and covered with a thin skin, such as the lips, the mouth, the geni- tal parts; so that when the disorder is com- municated [13] municated by contract, some of those places are usually first infected, and discover the first symptoms of it. Thus when the nurse contracts the in- fection by giving suck, heat and inflam- mation about the nipples and breast, are the first symptoms, until severer ones appear. When the infant sucks it from the nurse, or a grown person gets it by lascivious kissing, the lips and mouth are the first part affected: but as coition is the most common way of contracting it, so the first symptoms of it appear about the genital parts. By this we may conclude, where the infection is first caught, there it generally makes its first appearance. Having now considered the nature and difference of the venereal poison, and the different ways it is communicated, and how apt particular parts are to receive it, I shall next give an account of the nature, symp- toms, and cure of the infection. Of [14] OF A Gonorrhoea or Clap, called Local: OR, First Stage of the Venereal Disease. THIS generally makes its appearance in a few days after a connection with an infected person. First, an unusual pain is felt about the genital parts, afterwards a few specks of matter appear on the linnen; and as it comes, a titillation is felt in the part, which is like- wise perceived in making water, and gradu- ally increases to a degree of heat and pain: as-the disorders proceeds, other symptoms fol- low, the erection becomes involuntary and frequent, especially when in bed, the running daily increases, and is either of a whitish, yellow, or green colour; the heat of urine is extremely acute, and frequent desire to make it, though with the greatest difficulty, inso- much that it is only voided by a few drops; a convulsive contraction is felt under the penis, as if it was pulled downward by a cord; this happens at the time of erection; and [15] and gives the patient intolerable pain; the running is generally more and more plentiful and fœted, not much unlike the discharge from a cancerous ulcer; phymosis, paraphy- mosis, chrystalines, and shankers, are symp- toms that probably next make their appear- ance; the phymosis is, when the prepuce, or skin of the yard is contracted over the glands, so as not to be drawn back; the paraphymosis is just contrary, or when the prepuce is behind the glands, and contracted in such a manner as not to be brought for- ward; phymsises, may be, changed into pa- raphymoses, if the skin be drawn backwards, when it first begins to tighten and contract. Chrystalines are bladders that appear on the prepuce or glands of the yard, which are transparent and red, sometimes of a darker colour. Shankers are little callous eating ulcers, occasioned by the venereal virus, and may happen either with or without a gonorrhœa. They commonly appear in the following manner: first, there arises a little red pim- ple, pointed at top, and replete with a yel- low or whitish matter; these are generally hot and itch, and when they break, pro- duce little stubborn ulcers, whose bottom is usually covered with a viscid mucus. At length [16] length hardness and loss of substance is the most certain sign of them: these ulcers, according to the malignancy of the disease, or the patient’s habit of body, have their different appearances; when they arise on the glands of the yard, or inside of the prepuce soon after an impure contract, these parts being covered with but a thin skin, affords an easy admittance to the vene- real poison, these shankers are local ; but when they appear in other parts of the body, the complaint is of a long standing, or what is called, the universal or confirmed pox; when so, they are generally in clusters, and more callous, though probably not so painful. Another symptom that appears is ve- nereal buboes, these are swellings or tumours that arise in the groin, immediately con- veyed to this part by impure coition, or else thrown upon it by a critical discharge from the blood: when these tumours hap- pen immediately from impure coition, in a few days after having had to do with a suspected person, the patient perceives a slight pain or stiffness in the one or both groins, especially in walking; by degrees the swelling increases, and at length there appears a manifest bubo, which is some- times [17] times round or oblong; sometimes the size of an egg, and sometimes much larger; but when they arise in any considera- ble space of time after a connection with an infected person, especially if they are attended with a sore throat, venereal ulcers, and the like, they are certain signs of a confirmed pox. A bubo may also arise from a virulent gonorrhœa being impru- dently stopped, or when the discharge is too small; and if these buboes are not timely managed, they shortly bring on an universal infection. It frequently happens in the first or second stage of the disease, that one or both testicles become swelled, painful, and inflamed, occasioned either by the venereal matter not discharging itself through the urethra, or stopped and restrained by a natural cause, or by astringent injections, &c. or the venereal poison being con- cealed in the blood, mixes with the semen, and becomes inspissated, and will cause an obstruction, and stagnate in the spermatic vessels. There is another species of the infection, improperly called the dry gonorrhœa; this D affects [18] affects the patient by a violent heat of urine, with a small, or little or no running; some- times attended with a strangury. There is another kind of venereal com- plaint that is the product of a recent infec- tion; this is a discharge of a purulent thickish matter not from the urethra, but from the corona glandis, which is commonly painful and inflamed; this complaint was formerly taken notice of by doctor Sydenham, and since his time by doctor Turner, and other practitioners. There is also a number of excrescences that arise about the anus, sometimes appear- ing like the gills of a cock, and sometimes make other appearances; sometimes soft, at other times hard; the former generally in- flame and suppurate, the latter grows can- cerous, especially by using irritating applica- tions; which is often the occasion of bring- ing a sistula in ano: but these excrescences are more often caused by a confirmed than a local infection. Having now given a brief description of the principal symptoms of the first stage of the venereal infection, I will proceed to give an [19] an account of the second stage, I mean that part which will be necessary for the instruc-- tion of the diseased; so that they may ascer- tain, with some certainty, a satisfactory knowledge of the situation of their com- plaint. The venereal poison, after having infected the parts by which it enters, may be con- veyed into the blood two ways; either by the circulation of the blood itself, which in passing by the confines of the parts affected, take up and carry off some of the virulent particles along with it, or else by the circu- lation of the lymph, which in its return from the parts that first imbibed the infec- tion, conveys the virulent matter along with it, first into the lymphatic glands, and after- wards into the blood. The several disorders of the genital parts increase, or become more malignant, or break out again, after being probably pronounced cured, or else arise anew where they have not been before. If the patient is afflicted with a gonorrhœa, the discharge increases, and becomes more acrimonious, and all the inflammatory symptoms increase likewise. If the genital parts, or the anus are affected D2 with [20] with shankerous ulcers, or excrescences of any kind, though these symptoms are merely local, they become more stubborn when supported by an infected state of the blood. The same may be said of buboes, which, after they have been opened, often become stubborn callous ulcers. If a person has a connection with an infected party, and re- ceives the infection attended with all its local symptoms, properly cured, it never more returns, without a fresh infection; but if imprudently treated, which is too often the case, the disorder will return, pro- bably, in a long time after; not only with some, or all of the former symptoms, but a tribe of others. A confirmed infection shews itself by numberless symptoms, of which these are the most common; buboes, swel- ling of the testicles, shankers in or about the genital parts excrescences of different colours appear on the skin, viz. red, yellow, lived, particularly on the breast, or between the shoulders; also scurffy eruptions, with hard callous bases appear in the corners of the mouth, and upon the forehead and tem- ples, and behind the ears, and from thence spread all over the head, and by degrees over other parts of the body. In time these pustules are covered with broad crusty scabs of a tawny [21] tawny yellow hue; and when they occupy the hairy part, they destroy the roots of the hair, and a baldness is the consequence. The palms of the hands do now become dry and hot, and sometimes cause dry, cal- lous itching chops, which discharge a thin ichor; when these fissures are dead, the skin often separates from the subjacent skin, and cast off in a thin scab. The nails of the fingers and toes become rough, uneven, and ragged; and at length inflaming and ulcerating about the roots, they loosen and fall quite off; this is a symp- tom rarely met with. When the disorder seizes the mouth, it produces little round stubborn ulcers, upon the gums and inside of the lips; the whole arch of the fauces become hot, painful, in- flamed and ulcerated; the ulcerations spread, and eating deep, communicate to the palate bones; in consequence of which the breath becomes offensive, and the bones exfoliate, and sometimes come quite away, so that the patient speaks through the nose. Pustules [22] Pustules arise also in the palate, and be- come ulcers, by which the bones are ren- dered carious and perforated, sometimes as far as the nose. When the disorder attacks the nose, stink- ing ulcers fix upon one or both alæ, or sides of the nose; the outsides of which are generally covered with a hard black scab, which comes away in blowing the nose, and is followed by a bloody mucus; at other times there is no scab at all, but a constant ouzing of a thin acrid stinking sames. These ulcers often spread, and rot the alæ, cor- rode the cartilages, foul the spongy bones, and quite destroy the whole bridge of the nose. Along with these complaints, and some- times precedent to them, the patient is fre- quently tormented with violent acute pains in the head, arms and shoulder blades, shins and joints; they generally come on when in bed, and go off towards morning these are called nocturnal pains. Some of these pains are wandering and superficial, others of them are fixed and deep, [23] deep, and greatly resemble rheumatic or gouty pains. Many unfortunate people have laboured for years under the affliction of those pains, mistaking them for the rheumatism or gout; though, on a strict enquiry, found to be caused by the remains of an ill-cured pox, or the effects of mercurials; yet I have been so happy as to find that by their taking my medicines, they have received the most sur- prising benefits. When the infection is communicated by the lymphatic glands, it produces indurated, moveable, circumscribed tumours in the nose, arm pits, groin, and other parts. The eyes and ears are likewise variously affected with this disease. The eye-lids become rough and angry, with a discharge of a sharp, watery matter; a dimness of the sight is also felt. When the disorder affects the ears, it fre- quently causes a hissing, tingling noise, a thickness of hearing, and deafness; the in- ward [24] ward parts of the ear inflame, suppurate, and are affected with intolerable pains. To these may be added many other dis- orders, which sometimes arise from a vene- real cause; such as heaviness of the head, attended with pain, palsy, convulsions, asth- ma, consumption of the lungs, jaundice, dropsy, piles, hectic, or intermitting fevers also some disorders incident to women, as an ulcer or schirrous tumour of the womb, fre- quent abortions, the exclusion of fœtuses half rotten, or overspread with an universal erysi- pelas; in short, the venereal disease, in its confirmed state, is of such a changeable na- ture, that it puts on the appearance of almost every other kind of disorder. It must be remarked, however, that all these symptoms are never met with at one and the same time, nor in one and the same person; different people are afflicted with different symptoms, but one person is never afflicted with them all. Thus, far, reader, have I given you an account of the different symptoms by which this complaint affects the diseased person, so that you may easily judge whether you are at [25] at present disordered, or have been ill treat- ed, and there remains any taint of the vene- real poison in the blood, or if you are tortu- red by the baneful effects of mercury. The medicine I now offer for the cure of the venereal infection, is a composition mild in its operation, though powerful in its ef- fects; it is a remedy founded on the foundest basis of theory, by proving its efficacy by thousands of instances, and that without the assistance of a single grain of mercury. It will probably be asked, Why I only should be possessed of this secret? To which I beg leave to answer, my extensive practice in the cure of venereal complaints, gave me daily convincing proofs, that salivations and strong courses of mercurial medicines, (by their ill effects, and frequently non-cures) were not only baneful to the unhappy patients, but the method absolutely erroneous, and con- tradictory to reason. Every man who expects honour or credit by his profession, ought to leave no stone unturned in search of the surest means to relieve his patient. It was my method, for, by repeated experiments, joined with opinions of the most eminent authors of the physical province, I obtained what I sought for; I mean a certain easy method E of [26] of curing the venereal disease, without in- juring the constitutions of my patients, which reiterated experience has sufficiently demon- strated. This medicine is what may be justly termed (by its known reputation) the Speci- fic Drops, a few of which are a dose, taken in any simple liquor; such as a glass of water, a dish of tea, capillaire, &c. in which as much as can be raised on a silver six- pence, of the powder of sal nitri, is to be dissolved: this is to be repeated three or four times a day, taking about every second day a dose of gentle physic, viz. an ounce of glaubers salts, or in strong constitutions, ten drachms, or an ounce an half dissolved in about a gill of warm water; those who cannot take the common glaubers salts, may take in the same form six drachms to an ounce of the sal de signet de Rochel, com- monly called the Rochel salts, which is the most agreeable of all the saline prepara- tions. Those who can by no means what- soever let down a draught composed of these purging salts, the following composi- tion will probably be more grateful to the palate, and fit more conveniently on the stomach. Take [27] Take of the infusion of sena, an ounce and a half. Of the tincture of sena, half an ounce. Of the powder of jalop, a scruple. Of nitre, 15 grains. Of the compound spirit of lavender, 30 drops. Of the syrrup of buckthorn, 3 drachms mixed. Let this be taken twice a week, drink- ing some convenient warm liquor as it ope- rates. Patients who cannot take a purge in the form of a draught, may use these pills, viz. from a scruple to half a drachm, or two scruples of the pill ex duobus; or common purging pill of the shops, made into pills of a middling size, and to be taken twice a week. Preceding in this manner, and ta- king the drops three or four times a day, and a gentle dose of any of these purges about twice a week, avoiding, at the same time, high seasoned and salt provisions, gar- den stuff, or any violent exercise; I can with the greatest justice affirm, and assure the reader, I never knew it to fail to carry off all the malignant symptoms of a fresh con- tracted injury, in eight, ten, or twelve days, E2 with- [28] without the least inconvenience to the pa- tient; nor are the cures performed by this mild, and I may say (if we consider other methods) pleasant remedy, succeeded by other disorders; which seldom or ever fails of being the case, where mercury or severe purging has been the means made use of; long and stubborn gleets, and often a total relaxation of the genital parts ensue; disorders better known than cured. If the patient is affected with phymosis, paraphymosis, buboes, shankers, crystalines, &c. external applications are absolutely ne- cessary; yet they may be contrived in such a manner, that the patient may conduct him- self with perfect ease and secrecy. Many I have daily under my care, who, before they came to me, let their disorder run to a dan- gerous length; their situation in life ren- dering it almost impossible for them to un- dergo the fashionable way of treating this complaint, which often exposes the patient to the disagreeable circumstance of not being able to conceal the disorder. Severe purging immediately brings the patient to a languid state; for as the learned professor Boerhaave says, there is some- thing [29] thing poisonous in strong purges, which evidently appears to be the case by their operation. In the next place, the taking of mercurials soon gives the patient a most dreadful obnoxious breath, of a peculiar offensiveness; for mercury has often so quick an effect on some constitutions, that a small quantity of it will have the power to imme- diately affect the mouth; the gums will grow sore and swell, the teeth loosen, so as not to be able to chew a crust of bread; a flux of saliva next comes on, and if the patient is so unlucky as to catch cold, dan- gerous symptoms ensue, and he is obliged to take to his bed. The mercury now at- tacks the head, and violent acute pains often seize the whole body, probably attended with a delirium. As a particular instance of the dreadful effects of strong mercurials, I refer the rea- der to the following case: Some years ago I was called to a lady of a delicate structure, who had been married about eighteen months, and that time lay in a very dangerous situation; her husband told me, that about half a year before his mar- riage, he had contracted the venereal infec- tion, though of a very mild nature; having never [30] never perceived any other symptoms than a running attended with a small heat of urine: he said, he made immediate application to a certain apothecary, who kept him under a physical discipline near five months; at the end of which time, having still a run- ning, he used an injection, but was assured the infection was perfectly carried off, which he imagined, by the running stopping soon after the use of the injection. At this time he was obliged to marry, at the particular desire of his friends; and about six weeks after, his wife began to complain of a severe smarting at the time of making water, and also discovered a few specks of matter on her linen; these symptoms daily increased; an universal consternation seized the unhappy couple; he declared that he was innocent, and free from any venereal symptoms; but in a few days, a small swelling arose in one of his groins, which shortly appeared a manifest bubo; the cause of his wife’s com- plaint was now easily to be accounted for, that he had never been cured, and had dis- ordered her. Upon this, he applied to a surgeon of his acquaintance, who effectually carried off his complaint in a short time. But to return to the lady, who found herself with child, she could not be persuaded to take [31] take any relief during the whole time of her pregnancy; however, being delivered, she consented to take medicines, as soon as the month of her lying-in was expired: in consequence of which, an apothecary was called in, (the surgeon who cured the hus- band, belonging to the army, was gone to join his regiment); the apothecary proceeded after the usual method, giving mercury hand over head, until his patient was brought to a state, he confessed, “required more assist- “ance than he was able to give:” her head, chaps, gums, tongue, eyes, &c. were swelled to a prodigious size, and the discharge of saliva extremely trifling. She knew no one, and raved incessantly. In this situation I found her, and really it somewhat perplexed me; however, as there was no time to be lost, I began to expel the mercury with as much expedition as her case would admit of, composing her at the same time with a gen- tle anodyne. In a couple of days I was so happy as to find the dangerous symptoms much abated, the swelling being a good deal decreased, and the delirium only at intervals; in about ten or twelve days all danger was partly over, only the patient re- duced extremely low; therefore, as soon as time would permit, I introduced my medi- cine, [32] cines, which in about five weeks performed what is expected from a salivation, without being attended with any of the disagreeable and dangerous circumstances; so that my patient wanted nothing new to reinstate her to her former health, but a little proper nou- rishment. It evidently appears from the case of this lady, how cautious we should be in giving mercury to patients whose constitutions we are strangers to. In some people a few grains will have the most surprizing effect. I have known a person thrown into a spitting, merely by papering a quantity of mercurial plaister. In others I have known it used both in- ternally and externally, to a quantity almost incredible, without shewing the least symp- toms of salivation. Therefore a medicine that is so uncertain in its operation, can be by no means safe, or to be depended on; moreover, the complaints it leaves after it, are often as distressing as the disorder for which it was administered; as I have men- tioned before, violent acute pains in the head or limbs, is frequently the result of taking mercury. An [33] An ancient writer says, in a dissertation on this disorder, among other cases were mer- cury has been prejudicial, relates one in these words: “A man infected with the venereal “disease, was put under an internal course “of mercurials; but after the second or “third dose, one of his intestines burst, of “which he died.” By an injudicious use of it, whether out- wardly applied, or inwardly taken, the nerves are likewise affected, weakened, cor- rupted, and contracted; whence spasms, palsies, and too great an attenuation of the fluids, which often brings on a fatal saliva- tion, ulcers in the mouth and throat, and incurable looseness. Mercury judiciously administered, is how- ever, undoubtedly a most excellent medi- cine: it opens the pores, small vessels, and ducts of the glands; resolves obstructed hu- mours, attenuates those which are too thick and viscid, especially the lympha, and dissi- pates concretions even in the remotest parts of the body. On all these accounts, it is found of singular service in tumours, swelled glands, a schirrous spleen, messentery, or F liver, [34] liver, ganglious struma, and other such dis- eases. Many singular good properties mercury is possessed of; at the same time, if it is not used with the greatest accuracy and specula- tion, especially in venereal complaints, it should be dreaded as much as arsenic. And I cannot avoid saying, I have seen more safe and effectual cures performed without it, than ever I saw done with it; for my own part, I have utterly renounced the internal use of it in the venereal disease, (except in some particular cases) which resolution I never can deviate from, while I am so happy as to have discovered a method which is capable of eradicating every species of this disorder; not only with more ease and safety, but with greater certainty, than can ever be depended on from a mercurial course. In a slight case, I mean when there is only a running of matter from the urethra, attended with a heat of urine, the patient taking the Specific Drops, as already taken notice of, making use of a gentle cathartic about twice a week; the complaint will absolutely be carried off in a few days, without [35] without any further inconvenience to the patient. As it acts as an absolute antidote, and operates principally as a diuretic, the urinary passages, which are the seats of the first stage of the disease, being constantly kept cleansed, is indisputably the most easy and effectual method of eradicating the ve- nereal virus, without distressing the patient with nauseous loads of pills, boluses, draughts, electuaries, &c. &c. &c. which are not only horridly disagreeable to the palate and sto- mach, but by their violent operation racks the constitution to an irretrievable state. If we but consider maturely the nature of the venereal virus, and how it effects the parts, by which it is received; we can no longer be at a loss to conclude how essential a medi- cine, composed of a diuretic and sudorific quality, is for carrying off the infection. Let us but remark the observations of the ingenious Monsieur Boteau, an eminent French surgeon, who wrote a very learned treatise on the venereal disease. In this de- scription of the venereal virus, he says as follows: “The venereal virus, examined “with a microscope, appears to be loaded “with small spicula, like little thorns; “this infectious matter, in the act of coi- “tion, is conveyed to either the man or F2 woman: [36] “woman: these spicula keep irritating the “tender parts, which is the cause of the “titillation that is felt soon after the in- “fection is caught, until a kind of blister “rises ; this inflames, swells, and at length “breaks and comes to a suppuration; the “discharge from which is the matter that “appears on the linen, when the patient is “what is vulgarly called clapped. It be- “comes an ulcer, eats and spreads, and “the discharge daily increases, which ex- “coriates as it passes; and this is the cause “of the running. The urine, which is “composed of the saline, acrid particles of “the blood, passing over the ulcerated parts, “gives the patient intolerable pain; from “hence is the cause of what is improperly “called heat of urine.” This ingenious gentleman goes on with informing us how highly necessary it is to administer a proper diuretic on this occa- sion. What Monsieur Boteau says on this sub- ject, we must allow he argues with great judgment; for my own part, the experience I have acquired in treating this disease, convinces me of the certainty of it; as the medicine [37] medicine I make use of, and now offer to the public, dilutes and attenuates the blood and other juices, disposing their more se- rous and humid parts, to go off in greater quantities through the urinary passages, and also to carry along with them the dregs and impurities of those fluids. This medi- cine is of a texture so loose and dissolu- ble, that it mixes most intimately with the blood, and so saturates the whole mass; that if any taint or contagion has infected the juices, or lies lurking in the small vessels; this remedy causes a dissolution of the virulency, washes it away from the habit, and is expelled by the urinary chan- nels. It is a composition composed of such ingredients, whole use requires no confine- ment or so innocent, that it may be taken with great advantage in fevers; and yet so effectual, that it thoroughly cures the clap, carrying off, in a little time, the chordee and sharpness of urine, its un- easy attendants, and indelible marks of the taint, which never disappear till the virus is subdued. Those [38] Those symptoms have constantly govern- ed my conduct in the cure of a clap; while they are present, the virus is in the urethra, and he who prescribes at this time balsamic, drying, or astringent things, in any form whatever, either does not understand the nature of the disease, or puts the patient to the hazard of a pox, that he may have the reputation of curing with speed. In fine, the Specific Drops answer ex- actly the directions of the great Boerhaave, viz. it is a medicine that will communicate itself to all the circulating juices of the body, freeing them from their viscidities, and carrying off their impurities by urine; without relaxing the parts, performing a perfect cure, free from the apprehensions of a pox or gleet, and requires no very parti- lar management, as to diet or exercise, nor no restraint of any kind, except from ex- cesses and coition. After a course of mercurial externally and internally used, the patient is still molested with ulcers, rhagades about the anus, tophs, nodes, ganglia and gummata; but especially pains resembling the rheumatic pains, either fixed or wandering, and owing their origin to [39] to the venereal infection, or the relicks of mercury not properly carried off. In this case I have known my medicine perform wonders; in some, these irksome complaints have been effectually removed; in others, by the use of it, life has been made somewhat more supportable. A remarkable cure performed by the Spe- cific Drops: some time ago, a trooper came to advise with me: his disorder was as fol- lows; about four years before he called on me, he told me he had contracted the ve- nereal disease, which he let run on him as long as he was able to do his duty; he then was salivated, and all the symptoms went off; in about a month after this, he perceived a slight pain just at the entrance of the anus, which gradually increased to a violent degree, and extended all along the genital parts. This complaint was so into- lerable, that he went through another sali- vation; as soon as the mercury began to operate, the pain was removed, but in a little time after the course was over, it re- turned with the usual violence: however, he submitted to four successive salivations, yet [40] yet all to no purpose: he also told me he had used the bougies to no effect, they ra- ther increasing than diminishing the pain. In this situation he applied to me, and I really must say, I had but little hopes of relieving him; but as he earnestly entreat- ed I would consider of some means to a- bate the severe agony he was in, especially in making water, I began with giving him the Specific Drops; the third dose gave him ease, and in about three weeks or a month, this complaint, that had baffled all the efforts of mercury, was utterly dis- sipated. It is above nine months since he left off taking the drops; he called on me the other day with a patient, and told me, he had not the least symptoms of the dis- order since. Another case, where the singular effect of the Specific Drops appear, viz. The steward of a nobleman having caught the venereal infection; by ill treatment it be- came a confirmed pox, for which he was salivated; but an obstinate ulcer fixed it- self in the throat, which would not yield to fumigation, or any other methods that were tried with it; some time ago he came to me, I gave him my medicine, and used a trifling [41] a trifling gargle; in a month the ulcer en- tirely disappeared, and he has remained well ever since. Many thousand cases have proved the excellency of this medicine; nor is it con- fined to the venereal infection alone; for I have tried the efficacy of it in other dis- orders, and found it of infinite service in the following complaints: the fluor al- bus, or whites, a disease incident to women. Also the rheumatism, gout, scurvy, and king’s evil, in which it answered better than the chain of remedies generally made use of on these occasions. Moreover, I can aver, that this medicine never did any harm to a patient, which is more than can be said of many others. I must also observe, that this medicine may be taken by women in their preg- nancy; so that, in case they are disordered, the infection may be eradicated with ease and safety, without waiting until after deli- very; which is often the occasion of chil- dren dying miserable objects, and the con- stitution of the women severely wrecked. G It [42] It will probably be said, as it is a diu- retic, that it must absolutely be a dangerous medicine to administer to a woman in such a situation; but, as I have already menti- oned, that it is composed of such qualities, that it not only eradicates the distemper, by the most gentle evacuations, but, at the same time, so strengthens the parts, that all dan- ger of abortion, by this complaint, is effec- tually removed. Before I conclude this treatise, I will, for the perusal and relief of the afflicted, make some observations on a disorder which gene- rally follows a venereal complaint, where that destructive method, strong purging, or mercurials have been used; this is a gleet or weakness, occasioned also by that horrid and worst of habits, self-pollution; which often reduces the patient to so desponding a state as to render life almost an insupportable burthen. During the course of my practice, having been applied to by many miserable objects labouring under stubborn gleets and weak- nesses, and sometimes totally debilitated, oc- casioned by severe treatment in the venereal disease, frequent debauches, or self-abuse, induced [43] induced me to consider of some means to relieve them. I tried a number of com- positions, until, at length, experience disco- vered to me one possessed of every salutary quality, which is required for the effectual removing such complaints. But before I proceed to an account of this excellent medicine, it will first be ne- cessary to explain the nature and symptoms of a gleet; and also in what manner the pa- tient is affected, when the disorder arises from self-pollution. G2 Brief [44] Brief Observations on Gleets, Seminal Weak- nesses, the Cause of Impotency, and the miserable Complaints occasioned by that detestable Vice, Self-pollution, or too early and excessive Venery. Directing a Method of cure established on reiterated Experience. Nihil est malum, nisi quod turpe aut vitiosum est. Cic. Not any thing is bad, but what tends to corrupt or injure the mind. THE above quotation, I flatter myself will sufficiently authorize, or at least take off any imputation of indecency for my offering to public view an essay on the a- bove subject. As a specimen of my tender regard for the welfare of the public in general, I beg leave to point out the many delusive practices daily made use of by em- pirics; at the same time recommending a speedy, safe, and certain remedy, which many have experienced to their inexpressible satis- [45] satisfaction; the result of which induced me to publish this work, on which, as soon as time will permit, the subject shall be more amply enlarged.—But to proceed. Of all the disorders that afflict the human body, not any, I affirm, has baffled tho faculty in physic, more than what I now am treating of. My natural inclination to study, joined with an extensive practice in the course of venereal complaints, has fur- nished me with a sufficient number of objects labouring under obstinate gleets, imbecilities, &c. arising from different causes; as to ren- der me not only a competent judge of those disorders, but enables me, at the same time, to form an easy, safe, and rational method of cure, I mean for those whose constitutions are not reduced beyond the power of art to retrieve. Experience (the established foundation of physic) is the only true path to guide the practitioner to a thorough knowledge of diseases, and the methods of cure. With submission to my brethren of the faculty, they must confess, that the curing gleets and seminal discharges, have given them more trouble than the most acute disor- ders; [46] ders; and numbers who have laboured under the same, by applying to empirics, have been loaded with nauseous medicines, without any effect but that of despondency, soon after succeeded by a total dissolution of the ematiated patient. With respect to gleets and feminal discharges, arising from various causes, it is necessary to take notice of the different symptoms in so distinct a manner, as to furnish my rea- ders with a proper idea of the several species of those disorders; that they may, with the greatest certainty, ascertain what part of the malignancy they labour under. Therefore first of the venereal gleet. A venereal gleet is an ostinate conti- nuance of a running, after all the symptoms of the infection are removed; the discharge from the urethra in men, and the vagina in women, that succeed a virulent gonorrhœa, is comprehended as a gleet, of which there are two species, their causes being far diffe- rent from one another; the one proceeds from the relaxation or erosion of the excre- tory ducts that open into the urethra; the other [47] other from ulcers that remain in the pas- sage, after the virulency of the gonorrhœa has been carried off. These ulcers are stated indifferently in any part of the urethra, but wheresoever they are fixed, they furnish a discharge of some sort or other; if they are foul, the discharge will be thin yellow, and some- times greenish, and now and then tinged with blood, especially after a debauch. If these ulcers are clean, the discharge will be white, thick, and sometimes clammy, and the discharge more or less, according to their size and number; if they are few, or only one, and small, the discharge will be less considerable; in the last case, the excretory ducts of the seminal vessels and prostrate glands will be eroded, and the gleet will be partly seminal and partly matter. This species of a gleet which arises from ulcers, is not attended with the symptoms of debility, as if wholly seminal. There is another species of gleet that at- tends the female sex, called by them the Whites, it arises from a laxness of the glands [48] glands of the womb, and a cold petui- tious blood, that instead of the menstrual discharges, issues out a slimy yellowish matter, not much unlike the running of a gonorrhœa, and is so near a-kin, as hardly to be distinguished, and is sometimes at- tended with such a sharpness, as to make it dangerous for men to have any venereal intercourse with them at these times; this disorder is frequently the cause of bar- renness, and brings on many other dis- eases, which often terminates in a con- sumption. In the first species of the gleet, the dis- charge is always seminal, and is occasioned either by long continued, violent and re- peated gonorrhœas, the taking of strong purges, excessive or too early venery, or by that detestable practice, self-pollution. It generally appears when the patient is raised by venereal ideas, in making water, or in going to stool, and in this case the afflicted is frequently troubled with involuntary noc- turnal emissions. If there be a constant gleeting of the seminal humours, though ever so small, the [49] the patient will be but seldom stimulated to venery. If the seminal discharge be not continual, but only returns at particular times, the cold and disinclination to venery, will be much less than in the former case; but whenever an erection happens, the semen will be dis- charged sooner than it ought; and the sti- mulus to venery being by that means taken off, the yard will become flacid, so as to hinder the act of coition. And if the seminal discharge be very great, whether by way of running, or from nocturnal emissions; in either case the bal- samic and spirituous part of the blood will be gradually exhausted, so as to render the parts of generation totally debilitated. The complaints that attend this species of gleets, are in some measure similar to those occasioned by that horrid, unmanly vice, self-pollution; a vice shocking as in- delicate to the ear: a vice productive of the most deplorable disorders, and of so abo- minable a nature, that I should willingly omit the least intimation thereof, to avoid injuring the delicacy of my reader, had not H a [50] a series of successful practice crowded me with an incredible number of unhappy people addicted to this enormous crime, which brought on the most dismal dis- eases; such as vertigos, or giddiness in the head, with dimness of sight, apoplexies, palsies, lethargies, lowness of spirits, a tabes dorsalis, or consumption in the back; in short, a concatenation of every thing preju- dicial to the human frame. By it the whole nervous system becomes impoverished, with an utter impotence for venereal enjoyments; the health and vigour being so precipitately exhausted, an imma- ture old age must inevitably ensue; the certain result of these execrable and inor- dinate passions, even in the very bloom of youth: and I assure the reader, with the greatest veracity, that this vice, too early or excessive venery, and the venereal disease, (with the assistance of mercury) increase the bills of mortality more than all the disor- ders incident to the human body: nor is it in the lead to be wondered at; for rea- son, (which ought to be our chief and only guide) dictates to us, that the semen is the very essence of strength, and renders us active, sprightly, and fit for the diffe- rent [51] rent occupations in life; but when drained of that prolific juice, our constitutions are rendered old, we become languid and pale, the limbs weak and incapacitated to perform their several functions. For instance, if the afflicted walks but a little way, he is soon wearied, and affected with pains in the head, neck, and shoulders; the small of the back, hips and thighs, testicles, &c. a cold- ness to the act of coition, and frequently a total inability is the consequence. That great author Celsus, very justly observes, “We “should carefully avoid making too free, “or lavishly parting with, what would be “our principal relief in sickness.”—There- fore when we are attacked with acute dis- orders, we must inevitably submit to their force, for want of the essential supply to invi- gorate the animal spirits. I could quote many eminent authors, who all coincide with what I here mention; but as divers quotations might rather puzzle and perplex the reader, than elucidate the dis- course; I have, for the more easy conception of every capacity, steered clear of crowding this treatise with superfluous matter, which many productions abound with; a sure token of a real want of judgment or knowledge in H2 physic; [52] physic; as a subterfuge for which, they have recourse to any author to supply their defects. I shall now add some singular instances, which have occurred in my practice: and first, with respect to the subject last men- tioned. A gentleman between twenty and thirty years of age, who was, from his infancy, naturally endowed with a robust constitu- tion, till he arrived at an age, when nature began to ripen; (which should, at that crisis, particularly be preserved to perfect manhood) tho’ by him was most shamefully abused by this too frequent vice, being pointed out to him by a schoolfellow, and which he repeated for many years, till his constitution became totally emaciated; his person a mere shadow of existence, and given up by several of the faculty as incurable; but having heard of my restorative remedy, and its many extraordinary cures, induced him to apply to me: upon my examining thoroughly the effect of his complaints, I must confess I was very dubious of the power of medicine to relieve him; however, by the divine assistance, and the operation of my resto- [53] restorative medicine, he obtained, I may say, a miraculous cure. I shall now observe an instance, as well of the bad effects of a too early, or excess of venereal enjoyments: a young man, who had been greatly afflicted thereby, became so reduced and defective, as not to be able to enjoy the embraces of the fair sex for a considerable time, having brought on him- self a disorder, I mean that of impotency, of which there are three species. The first, in which case there is frequently a strong erection, tho’ no emission; and if any, a thin watery fluid, and even then in a small quantity; this arises from a more close union than before of the excretory ducts of the seminal vessels and prostrate glands, the na- tural consequence of astringent injections, &c. &c. The second species of this disorder is, when the semen is discharged without any sensation of pleasure; the erection being not natural, occasioned by a too great extension or relaxation of the excretory ducts before- mentioned, derived from a gonorrhœa by ill treat- [54] treatment, the neglect of a patient, excessive venery, or self-pollution. The last species of this disorder is, when the penis is weak and languid, utterly in- capable of erection; this frequently happens from two causes; first, when the seminal vessels or prostrate glands are become cal- lous, or filled with fungous flesh; by which means they are but little, if in the least de- gree, stimulated by the semen that is col- lected in them. The second cause consists in a paralytic relaxation of the genital mus- cles, by whose assistance the penis acquires its rigidity and tension. But to return to the patient: I found, on examination, that he principally laboured under the complaints that attend the second species of impotency: he told me, that unfortunately having an engagement on his hands, that frequently obliged him to venereal excesses, and having formerly abused himself by self-pollution, which gradually declined his vigour, till at length he became almost debilitated. In this situation he purchased an empirical composition: a composition set off with all the art of rhetoric to enforce on the pub- lic its efficacy; which, to his sorrow, to- tally debilitated him; for having taken a dose, [55] dose, going to bed according to the direc- tions given him; in about an hour after, he was seized with the most excruciating pain in the genital parts, attended with a violent priapism. Though great the pain, he bore it with uncommon patience, for by the strength of the erection, he flattered himself he could perform wonders; which prompted him to attempt, by an immen- sity of furious efforts; by that means he almost killed himself, as well as his female partner; he was immediately attacked with a stranguary, followed by a delirium, so that his life was despaired of. A physician was sent for, who in some measure relieved him, and he voided from the urethra a quan- tity of blood and spungy flesh, accompa- ned with fainting fits. For three weeks he was confined to his chamber, the ani- mal spirits being quite exhausted by a fre- quent discharge of bloody urine, &c. As soon as these complaints began to alleviate, they were followed by others of equally as distressing a nature, such as diurnal and nocturnal emissions of the semen to an in- credible degree; the penis became quite flacid, and a vehement pain and tension in the testicles; his sight greatly impaired, in- so much that he could neither read nor write, [56] write, but tears issued from his eyes, at- tended with a pain over the eye brows, as if compressed by a weight, and an infinite number of other baneful afflictions. I gave him my restorative medicine, with the necessary rules for a nourishing regimen, which had the happy effects in about six weeks to remove the symptoms; the emissions were considerably decreased, and, in some measure, he resumed his for- mer vigour, though he has ever since sus- tained a great loss of memory. I cannot forbear taking notice of the shocking effects of stimulating medicines, the preparation of cantharides, administered by quacks to excite lust, which they effect by irritating the tender parts of generation, and occasion a stimulation; but, at the same time, destroys the essential qualification, by leaving the parts utterly incapacitated. Dr. Quincy says, that in Meckeren’s observation (among other strange instances of their effects this way) mentions a man who by taking a dose of cantharides, so inflamed him, that though he had almost killed his wife, who declared to the phy- sicians who were sent for next day, that his [57] he that night septies hortum fodivit; yet he continued even in distraction with fresh rage, until he died delirious. Such must have been the fate of the person whose case I before observed, had it not been pre- vented by proper assistance. With respect to the various compositions, offered to the public, pretending to cure gleets, seminal weakness, impotency, &c. &c. I have made a thorough analysis of, and always found them to consist chiefly of cantharides, which I think none but madmen would attempt venturing on; for although they excite a lustful desire, by stimulating and forcing the vessels, they pervert all natural vigour, and frequently leave the parts in an irretrievable state. As another instance of their dangerous effects; a few years ago I was called to a lady who had been married a consider- able time, without having a child, and being very desirous to become a mother, and imagining herself defective, was induced to purchase an advertised medicine, which is recommended to the far sex to cause im- mediate conception. She accordingly took a dose, and in less than an hour was seized with a violent uterine fever. In this situa- I tion [58] tion I found her; and she being of a very delicate constitution, and from what I ap- prehended she had taken, convulsions and a delirium would next follow, and that nothing but death could relieve her. How- ever, though dangerous the circumstances appeared, by my administering the proper antidotes, I was happily deceived in my conjectures; for by an afflux of blood from the uterus or womb, the malignant symptoms began to abate, but reduced her so low, as to terminate in a nervous disorder, and it was upwards of six months before the power of medicine and the country air could reinstate her in her former health. It evidently appears from the case of the gentleman, as well as that of the lady, how cautious we should be in taking ad- vertised medicines, especially without first knowing the abilities of the author; and I cannot avoid saying, it is very remiss in our excellent police, not to inspect more closely the published medicines, and their proprietors, as it is notoriously known, that this metropolis abounds with illiterate pre- tenders to physic. Some of these gentry conceal their names and places of abode; under a pretence of being censured for quack- [59] quackisism, and appoint their pernicious compositions to be sold at booksellers, toy- shops, &c. though the real truth is, being conscious of their own ignorance, do it to shun an examination, even from their very patients; and for mere lucrative views, stab their fellow-creatures in the dark. I flatter myself, I have now given suffi- cient reasons, as well as some instances to deter our unthinking youth, and others, from exhausting their natural strength too precipitately, and bringing themselves to premature death, which must inevitably be the consequence, by the disorders that never fail to ensue from bring too much addicted to venery, more especially from that horrid crime, self-pollution, which must terminate in not only cutting off the thread of life, but, in the interim, attend- ed with a series of such direful effects, as to render them the most miserable objects breathing, sinking under the complicated wretchedness of desperate diseases, without the least gleam of hope in this life, and in a manner incapable of preparing themselves for a future state; for a debility in the constitu- tion impairs the intellects, the very basis of human understanding. I2 I have [60] I have here, without the least exagge- ration, pointed out the delusive pleasures made use of by many, setting forth the malignant effects thereof; and, I hope, and doubt not, but those who read this trea- tise, especially who have addicted them- selves to this horrid custom, will know from experience, that what I have asserted is not the result of whim or caprice, but authenticated by the many dismal specta- cles, which too frequently present them- selves, acknowledging their guilt of such unmanly and pernicious practices; observing, Parcere noninibus, et dicere de vitiis. Care- fully concealing names and persons, though treating of their vices, can give no offence, but may be a means, I hope, to stop this abominable practice, as every one, with the least reflection, must shudder at the bare apprehension of the dangerous consequences resulting therefrom. I have endeavoured to render this discourse both useful and plain to the meanest capacity, at the same time avoiding to injure the delicate ear as much as the nature of the subject can ad- mit of; and shall be happy in this publica- tion, should it be a means of answering the desired effect. As [61] As a caution to those whose inclinations lead them to venereal intercourses, they should first consider their constitutions; for let the reader well observe, that one of a robust habit of body, may, with less dan- ger, indulge himself in those enjoyments to a degree that would be highly preju- dicial, and amazingly impair a person of a more delicate constitution; and though moderation in each respect, ought atten- tively to be adhered to, yet it is more in- cumbent on such, as nature has formed of a tender structure, to avoid those excesses, which their animal system is unable to en- counter. Persons likewise just recovered from sick- ness, should by no means venture on ve- nery; for as coition strains the fibres, relaxes the nerves, and affects every branch of the human frame, it may by the weakness of the several functions bring on some of those disorders already taken notice of. He, therefore, who would frequently en- gage in venereal embraces, ought to be of age, adult, and of an hale constitution; to avoid, by all means, any intemperance that might impair it, such as excessive drink- ing, [62] ing, a too laborious, or sedentary life, bleed- ing, purging, or any thing that would in the least diminish strength; to take sus- tenance of a nourishing, light quality, using gentle, salutary exercise; and, in short, to keep the animal œconomy as it were in its equilibrium: observing those rules, we may venture on venery to a degree of moderation, which if we find is not succeeded by weak- ness or pain, we may then rest assured is not injurious; for as a certain writer elegantly expresses himself: “The youth who bathes in pleasure’s lim- “pid stream “At well-judg’d intervals, feels all his soul “Nerv’d with recruited strength; but if too “oft “He swims in sportive mazes through the “flood, “It chills his languid virtue. To conclude. The Divine Disposer of all things has implanted in us passions for the best of purposes, and at the same time endowed us with a sufficient share of reason (if we give ourselves time to reflect) to curb any impetuosity that might urge us to abuse his great gifts. For it is be- yond [63] yond a doubt, that if those passions are governed according to the Omnipotent De- cree, it will encourage us only to use them for good and wise ends; but by giving way to vicious depraved excesses, we lose the command of our intellects, by plunging ourselves into labyrinths, derogatory to the intent of our existence, and pervert the designs of our beneficent Creator; we must then render ourselves and off-spring (if by chance any) unequal and despicable to those, whose prudence and happy disposition of mind have led them no further than the li- mits of reason, and the pleasures of enjoying a just conscience. I shall now beg leave to introduce a cer- tain and effectual remedy for those disorders that are the consequence of excessive venery, or that unnatural filthy practice, self-pollution. I recommend to the afflicted a medicine of the most singular nature, which I would by no means presume to do in this public man- ner, had not a multiplicity of instances in private practice proved its efficacy beyond my most sanguine expectation. Animated by its success, and every day furnishing me with fresh assurances, what a wel- [64] a welcome reception it would meet with; it having been tried and approved of by many eminent professors of the faculty, and the continual approbations I receive both personally and by letter; I undoubtedly would be an enemy to myself and the public, if I did not disclose its surprizing effects. It is nature’s restorative; a preparation of a most elaborate process, founded on such sure basis, that its virtues are sufficient to defend it from the calumny of those who envy what is beyond the power of their shallow capacity to comprehend. This medicine is probably the greatest cordial to nature, the whole materia medica can pro- duce, and will even at the last ebb of life, afford amazing assistance to the languid spi- rits. It is an admirable remedy for all weaknesses or relaxations of the body, whe- ther natural or acquired; for it not only for- tifies the feeble parts, especially the stomach after excesses, but reinstates health and vigour to a decayed constitution; if in the power of medicine. Those who by venereal engagements, repeated salivations, or the frequent use of mercurial medicines, have emaciated their con- [65] constitutions, perhaps, to all appearance be- yond recovery; also if by severe illnesses the animal juices are become totally impove- rished, that the patient is reduced to a con- sumptive state; in all such cases it will to admiration nourish, comfort, and revive the whole vital system, and in every degree invigorate the animal functions. Persons who have not the happiness to be so ready in their venereal intercourses as they would desire, and probably from a suspicion of an insufficiency of either party, this great cordial medicine will certainly render their embraces fruitful. It is by these une- qualled virtues, that it effectually removes the causes of impotency in one sex, and barrenness in the other, with all imagin- able expedition; it stops obstinate gleets, though probably of a very long standing, and after astringent injections and internal remedies have had no effect. In the fluor albus, or whites, a disorder incident to the fair sex, which is too frequently the cause of barrenness, and a tribe of other me- lancholy complaints, it is a most excellent remedy. Much more might be said in behalf of the sovereign power and utility of this re- K storative [66] storative medicine; but lest it should be deemed exaggeration, I shall only say, a trial of it will remove every scruple of dissi- dence, by restoring health to my patients, and doing honour to my practice. As a proof of my assertion, I refer my readers to the following letters, the original of which I have filed with many others. To Doctor SMYTH. SIR, THE benefit I have received from your restorative medicine, prompts me to return you those my sincere thanks for the assistance you have thus given me. My complaint was a total imbecility of the parts of generation (though a young man) which after taking two bottles of the above restorative, I thank God and you, I have entirely regained my former vigour. I give you my free consent (for the benefit of the afflicted) to make this public. And am, Sir, Your most humble Servant, E. ADDEN. BATH. The [67] The CASE of Captain WEST. SIR, HEARING of the reputation of your Restorative Medicine, induced me to make trial of it. My case was a relaxation of the generative faculties, occasioned, I must confess, by the follies of youthful excesses, and a residence for some time, in a hot climate. However, I have taken your Restorative regularly, and have the pleasure to assure you I have entirely regain- ed my former vigour, and now enjoy a bet- ter state of health, than I have done for some years past.—If you think proper, you may publish this, And am, Sir, Your most humble Servant, Oliver James West. Scarborough. K2 The [68] The CASE of Mr. W. NICHOLSON. SIR, I Think it my Duty to inform you, that after taking nine bottles of your Resto- rative Drops, I am perfectly recovered from a debilitated state, the cause of which I unfortunately brought on myself, by a prac- tice I am ashamed to mention. I am, Sir, Your most humble servant, W. NICHOLSON. Twickenham, Aug. 16, 1771. The CASE of H. Fletcher, Esq; SIR, I Should think myself wanting in gratitude, if I omitted acquainting you, that I am perfectly recovered from a relaxed emaciated state, by taking your restorative medicine: my complaints were occasioned, I am well convinced, by the effects of different cli- mates, and partly my own imprudence, the particulars of which, delicacy will not per- mit me to mention; however, as you know the particulars of my case, I give you my consent (as it may be the means of reliev- ing many, who labour under similar com- plaints) to communicate it to the public. I am, Sir, your obedient servant, HEN. FLETCHER. Bath, Jan. 3, 1773. [69] An extraordinary Cure performed by Dr. Smith’s Specific Drops, universally ac- knowledged the only absolute Remedy for venereal and scorbutick Complaints, with- out Mercury. SIR, THE great benefit I and my wife have happily experienced from your Specific Drops,prompt us, to return our most sincere thanks and grateful acknowledgments to you. Our case was as follows: Having a call to London some time since, I impru- dently entered into a scene of dissipation, which on my return to the country, the venereal disease displayed itself in my wife, (to whom I had innocently communicated it) it having been in my blood a long time before it made its appearance on me. In this deplorable state, we applied to an emi- nent surgeon of this town, whose utmost efforts was of no effect: at length, happily hearing of your Specific Drops, we made trial of them, and found the desired relief. Filled with gratitnde at our surprizing re- covery, we give our consent (for the benefit of the public) to make this known. I am, Sir, your most humble servant. G. JAMES, Upholsterer. Nov. 20, 1772. Some [70] Some hundreds of cases I could here exemplify, and point out their different diseases, and from whence their complaints arose, but least it might offend those who have honoured me with their confidence. I would not attempt offering to public view a matter of such a delicate nature, without the immediate approbation of the individual. I must now come to a conclusion, and hope this work will meet with as favourable a re- ception as the remedies offered in it have done. So plain a description is given of the venereal infection, gleets, &c. that the afflict- ed, by comparing their case with the diffe- rent symptoms, may easily know the situa- tion of their disorder, and their real cause of their complaint. There is one thing to be observed in this treatise, that the reason the venereal symptoms in women are not distinct- ly described, is, that it would only be a re- petition of the same thing over again, as that disease affects both sexes much in the same manner. Before I close this discourse, I must beg leave, in vindication of myself, to add the following remark: that every proficient in any art, science, or profession, will ever meet with enemies, by persons of low and base minds, who, envious of others superior talents, vainly [71] vainly endeavour by censuring others, to im- pose on the understanding of mankind. Vain- ly, I say, because their shallow capacities can- not comprehend how easy their fallacy is seen through. Attacks of this nature, no doubt, are made at me by these splenetic gentry, which I attribute to the great success I daily meet with from my salutary methods: being confident, it is beyond the reach of such, to injure or prejudice me in my well-known established reputation in physic. But why should I expect to go uncensured, since it has been the fate of the greatest men that ever appeared in the physical province? How- ever, to all calumniators my reply is, and ever shall be, I laugh at their folly, and, with the world, despise their meanness. †*† Those who chuse to communicate their cases by letter, are desired to be as ex- plicit and clear as possible, and they shall be as agreeably answered. *** The Doctor’s New Treatise on the Venereal Disease, &c. price 1s. 6d. The Re- storative for Weaknesses, &c. price 1l. 1s. and 10s. 6d. a bottle, with full directions. The Specific Drops for venereal complaints, in bottles, at 5s. and 2s. 6d. with printed directions, are to be had at the following places: Mr. Pridden’s, bookseller, No. 100, Fleet-street; Mr. Cavell’s, bookseller, the corner [72] corner of Middle-row, Holborn; Mr. Blyth's, bookseller. No. 87, Cornhill, near the Royal- Exchange; Mr. Turpin’s, bookseller, at the Golden-Key, opposite Hicks’s Hall, St. John’s Street, West-Smithfield; and at the Doctor’s house in George street, York-Buildings, in the Strand, London. To be had also in the following towns, viz. Mr. Goadby, Printer, at Sherborne, Dor- setshire; Mr. Pine, Printer, at Bristol; Mr. Trewman, Printer, at Exeter; Mr. Raikes, Printer, at Gloucester; Messrs. Fletcher and Co. Printers, Cambridge; Mr. Carnan, Prin- ter, at Reading, Berkshire; Mr. Sealy, Prin- ter, at Salisbury; Mr. Chase, Printer, at Nor- wich; Mr. Slack, Printer, at Newcastle; Mr. Aris, Printer, at Birmingham; Messrs. Sim- mons and Kirby, Canterbury; Mr. Pugh, Printer, at Hereford; Mr. Clachar, Printer, at Chelmsford; Mr. Griffith Wright, Prin- ter, New St. End, Leeds, Yorkshire; Mr. Monk, Printer of Adams’s Courant, Chester; Mr. Drewry, at Derby; Mr. Gregory, at Leicester; and in all the principal towns in England. FINIS.