ch has undoubtedly been the
cause of his insanity. He has lost all sense of shame and continues to
practice before visitors, attendants and physicians. He makes no effort
to go to the water-closet, and his clothes and cell are in a filthy and
disgusting state. Ever since admission he has refused all food, and it
has been necessary to feed him with a stomach pump. He is losing flesh
and strength every day, and is fast wasting away.

"From his relatives who have twice called to see him it was learned
that his mental trouble came on very suddenly, although his memory and
faculties have been failing for some time past. They say that he
complained of sleeplessness, numbness and tingling sensations in the
arms and legs, headache, and a peculiar itching of the skin, for months
before any distinct symptoms of insanity appeared. They attribute it all
to self-abuse, which he has admitted practicing from an early age.

"AUGUST 28th.--Is now paralyzed in both lower limbs. Still violent.

"SEPT. 3d.--Died this morning about 1 A.M. Is so emaciated that he is
little more than skin and bones. _Rigor mortis_ entirely absent. Shortly
after death the skin of the whole body changed to a dark chocolate hue."

Truth is often stranger than fiction. What end more terrible than this!

_CHAPTER IV._

SPERMATORRHOEA, OR LOST MANHOOD.

SYMPTOMS.

Spermatorrhoea may be conveniently divided into three stages.

FIRST STAGE--IRRITATION, CONGESTION.

In this stage the sexual organs of the brain and nervous system first
begin to feel the strain of early abuse, overwork, confinement, sexual
excess, or whatever the cause may be in this particular case.

The Prostate Gland (_j_, _b_, _Fig. 5_) the Seminal Vesicles (_l_,
_Fig. 5_), Cowper's Duct (_n_, _Fig. 5_), the Testicles and Spermatic
Cord (_h_, _f_, _k_, _Fig. 5_), indeed all the sexual apparatus,
including the bulbous sympathetic nerves lying just inside the spine,
from the small of the back down to the end of the organ, become filled
with dark, thick and stagnated blood. The Prostate Gland swells and
becomes enlarged, the Seminal Vesicles become weak, baggy and filled
with a thin, glairy fluid that oozes out into the urine and urine canal
on any little strain, exertion or excitement; especially when, after
being in the presence of the opposite sex, weak, feeble erections
follow. The testicles become flabby and stringy and no longer make
strong, healthy, fecund vital fluid. The co