Dr. Dewees found this tincture, taken perhaps for months, the most effectual remedy for painful menstruation, which is an obstinate complaint. If there be frequent strong pulse, heat, thirst, florid countenance, etc., it is not to be taken until these symptoms be removed by low diet, a few doses of salts, and bleeding, if required.
A third medicine for arousing the genital organs, is tincture of Spanish Flies. But I doubt its being equal, in sterility, to the above mentioned medicines, though it may exceed them in some cases, and may be tried if these fail. A drachm of them may be put to two gills of spirits. Dose, 25 drops, in water, three times a day, increasing each one by two or three drops, until some degree of stranguary occurs, then omit until this pass off, as it will in a day or two. Should the stranguary be severe, drink freely of milk and water, slippery elm, or flaxseed tea.
In many cases of sterility, where the general health is considerably in fault, and especially when the digestive organs are torpid, I should have much faith in a Thomsonian course. It is calculated to arouse the capillary vessels throughout the whole system, and thus to open the secretions, to remove obstructions, and free the blood of those effete and phlegmy materials which nature requires to be thrown off. The views of the Thomsonian as to heat and cold appear to me unphilosophical. But this has nothing to do with the efficiency of their measures.
In relation to sterility, I would here bring to mind, what has before been stated, that a woman is most likely to conceive immediately after a menstrual turn. And now, also, let me suggest the idea that Nature's delicate beginnings may be frustrated by the same means that put her a going. This idea is certainly important when the woman is known to have miscarried a number of times. Sterility is sometimes to be attributed to the male, though he apparently be in perfect health. It would be an interesting fact to ascertain if there be no seminal animalculæ in these cases; and whether medicines of any kind are available.
It has been ascertained that a male and female may be sterile in relation to each other, though neither of them be so with others.
The foregoing measures for sterility are also suitable in cases of impotency. This term, I believe, is generally con-lined to, and defined as a want of desire or ability, or both on the part of the male; but I see no good reason why it should not comprehend the case in which there is neither desire nor pleasure with the female. Such females, it is true, may be fruitful; but so, on the other hand, the semen may not have lost its fecundating property. Impotency, at a young or middle age, and in some situations in life especially, is certainly a serious misfortune, to say the least of it. The whole evil by no means consists, in every case, in the loss of a source of pleasure. All young people ought to be apprised of the causes of it—causes which, in many instances, greatly lessen one's ability of giving and receiving that pleasure which is the root of domestic happiness. I shall allude to one cause, that of premature, and especially solitary gratification, in another place. Intemperance in the use of spirits is another powerful cause. Even a moderate use of spirits, and also of tobacco, in any form, have some effect It is a law of animal economy, that no one part of the system can be stimulated or excited, without an expense of vitality, as it is termed. The part which is stimulated draws the energy from other parts. And hence it is, that close and deep study, as well as all the mental passions when excessive, impair the venereal appetite. All excesses, all diseases and modes of life which impair the general health, impair this appetite, but some things more directly and powerfully than others.
As to the remedies for impotency, they are much the same as for sterility. It is of the first importance that the mind be relieved from all care and anxiety. The general health is to be improved by temperance, proper exercise in the open air, cheerful company, change of scenery, or some occupation to divert the mind without requiring much exercise of it; nourishing food of easy digestion; flannel worn next to the skin. The cold bath may be tried, and if it be followed by agreeable feelings, it will do good. The bowels may be gently stimulated by the pills before mentioned; and the preparation of iron also, already mentioned, should be taken.
To stimulate the genital organs more directly, cayenne, Dewees' tincture of guaiac, or tincture of flies, may be taken. I have given directions for making and taking the tincture of flies, chiefly because it is esteemed one of the best remedies for impotency caused by or connected with nocturnal emissions, to which I have before alluded.
It is in cases where little or no pleasure, nor erection, attend these emissions—cases brought on by debauchery, or in elderly persons—that I would recommend tincture of flies, and the other measures above mentioned. In some bad cases, enormous doses of this tincture are required, say two or three hundred drops. Yet the best rule for taking it is that already given, namely, begin with small doses, and gradually increase until some stranguary be felt, or some benefit be received. In this affection, as well as in all cases of impaired virility, the means I have mentioned are to be pursued for a long time, unless relief be obtained. These have cured after having been taken for a year or more without the result. In all cases of impotency not evidently depending upon disease of some part besides the genital organs, I should have much confidence in blisters applied to the lower part of the spine.
Occasional nocturnal emissions, accompanied with erection and pleasure, are by no means to be considered a disease, though they have given many a one such uneasiness. Even if they be frequent, and the system considerably debilitated, if not caused by debauch, and the person be young, marriage is the proper measure.