57 Acton.
[Marriage.]—Another class of practitioners, with more apparent regard for morality, recommend matrimony as the sure panacea for all the ills of which the sufferers from self-abuse complain, with the possible exception of actual impotence. Against this course several objections may be urged; we offer the following:—
1. It is not a remedy, since, as in the case of illicit intercourse, "legalized prostitution" is only a substitution of one form of emissions for another, the ill effects of which do not differ appreciably.
2. If it were a remedy, it would not be a justifiable one, for its use would necessitate an abuse of the marriage relation, as elsewhere shown.
3. As another reason why the remedy would not be a proper, even if a good, one, it may well be asked, What right has a man to treat a wife as a vial of medicine? Well does Mr. Acton inquire, "What has the young girl, who is thus sacrificed to an egotistical calculation, done that she should be condemned to the existence that awaits her? Who has the right to regard her as a therapeutic agent, and to risk thus lightly her future prospects, her repose, and the happiness of the remainder of her life?"
In cases in which seminal emissions occur frequently, the most reliable writers upon this subject, Copland, Acton, Milton, and others, advise, with reference to marriage, "that the complaint should be removed before the married life is commenced." Independent of the considerations already presented, the individual affected in this manner and contemplating marriage should carefully consider the possible and probable effects upon offspring, the legitimate result of marriage; these have been already described, and need not be recapitulated.
[Local Treatment.]—While it is true that general treatment alone is occasionally successful in curing the diseases under consideration, and that local treatment alone is very rarely efficient, it is also true that in many cases skillful local treatment is required to supplement the general remedies employed. While there has been a tendency on the part of the profession generally to depend wholly upon general treatment, on the part of a less numerous body of specialists there has been an opposite tendency to depend wholly, or nearly so, upon local measures. Both extremes are evidently wrong.
The object of local treatment for the relief of emissions, especially, is to remove the local cause of irritation, which, as previously shown, is one of the most active exciting causes of seminal losses. To effect this, both internal and external applications are useful. We will now consider some of these agents.