GENERAL SYMPTOMS OF THE SECRET HABIT.
The effects of either self-pollution or excessive sexual indulgence, appear in many forms. It would seem as if God had written an instinctive law of remonstrance, in the innate moral sense, against this filthy vice.
All who give themselves up to the excesses of this debasing indulgence, carry about with them, continually, a consciousness of their defilement, and cherish a secret suspicion that others look upon them as debased beings. They feel none of that manly confidence and gallant spirit, and chaste delight in the presence of virtuous females, which stimulate young men to pursue the course of ennobling refinement, and mature them for the social relations and enjoyments of life.
This shamefacedness, or unhappy quailing of the countenance, on meeting the look of others, often follows them through life, in some instances even after they have entirely abandoned the habit, and became married men and respectable members of society.
In some cases, the only complaint the patient will make on consulting you, is that he is suffering under a kind of continued fever. He will probably present a hot, dry skin, with something of a hectic appearance. Though all the ordinary means of arresting such symptoms have been tried, he is none the better.
The sleep seems to be irregular and unrefreshing—restlessness during the early part of the night, and in the advanced stages of the disease, profuse sweats before morning. There is also frequent starting in the sleep, from disturbing dreams. The characteristic feature is, that your patient almost always dreams of sexual intercourse. This is one of the earliest, as well as most constant symptoms. When it occurs most frequently, it is apt to be accompanied with pain. A gleety discharge from the urethra may also be frequently discovered, especially if the patient examine when at stool or after urinating. Other common symptoms are nervous headache, giddiness, ringing in the ears, and a dull pain in the back part of the head. It is frequently the case that the patient suffers a stiffness in the neck, darting pains in the forehead, and also weak eyes are among the common symptoms.
One very frequent, and perhaps early symptom (especially in young females) is solitariness—a disposition to seclude themselves from society. Although they may be tolerably cheerful when in company, they prefer rather to be alone.
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.