The countenance has often a gloomy and worn-down expression. The patient's friends frequently notice a great change. Large livid spots under the eyes is a common feature. Sudden flashes of heat may be noticed passing over the patient's face. He is liable also to palpitations. The pulse is very variable, generally too slow. Extreme emaciation, without any other assignable cause for it, may be set down as another very common symptom.
If the evil has gone on for several years, there will be a general unhealthy appearance, of a character so marked as to enable an experienced observer at once to detect the cause. In the case of onanists especially there is a peculiar rank odor emitted from the body, by which they may be readily distinguished. One striking peculiarity of all these patients is, that they cannot look a man in the face! Cowardice is constitutional with them.
HOME TREATMENT OF THE SECRET HABIT.
1. The first condition of recovery is a prompt and permanent abandonment of the ruinous habit. Without a faithful adherence to this prohibitory law on the part of the patient all medication on the part of the physician will assuredly fail. The patient must plainly understand that future prospects, character, health, and life itself, depend on an unfaltering resistance to the morbid solicitation; with the assurance, however, that a due perseverance will eventually render what now seems like a resistless and overwhelming
propensity, not only controllable but perfectly loathsome and undesirable.
2. Keep the mind employed by interesting the patient in the various topics of the day, and social features of the community.
3. Plenty of bodily out of door exercise, hoeing in the garden, walking, or working on the farm; of course not too heavy work must be indulged in.
4. If the patient is weak and very much emaciated, cod liver oil is an excellent remedy.
5. Diet. The patient should live principally on brown bread, oat meal, graham crackers, wheat meal, cracked or boiled wheat, or hominy, and food of that character. No meats should be indulged in whatever; milk diet if used by the patient is an excellent remedy. Plenty of fruit should be indulged in; dried toast and baked apples make an excellent supper. The patient should eat early in the evening, never late at night.