e emissions are accompanied and followed by a disagreeable and
disgusting sensation of shame and misery. The mind is absorbed as much
as can be by the one idea of its wretched situation, and the sufferer is
haunted by the thought that his condition and its cause are known to the
whole world, and that he is pitied or scorned by every person he meets.
He is hypochondriacal, and fearful suggestions of self-destruction ever
and anon present themselves.

The power of mental concentration is entirely gone and the memory is
so feeble that the patient continually forgets what he begins to say.
The dimness of vision is continual and so great as to be a material
annoyance; the eyes are wandering or fixed upon the ground, seldom
venturing to meet the gaze of another. The +ringing in the ears+, +pains
in the head and over the eyes+ are almost perpetual and frequently
accompanied by partial deafness. +The heart is the seat of pain+,
+fluttering+ and +throbbing+ with +violent and long-continued
palpitation+, his hands shake, his limbs tremble, his knees are weak, so
much so that at times it is almost impossible for him to walk erect. He
experiences an insatiable desire for sleep, and yet upon retiring he
lies awake for hours, tormented by his troubled reflections, and at last
falls into an uneasy slumber, of short duration, disturbed by wretched
dreams.

+Hard, red pimples+ frequently appear on the face, forehead and body,
+scaly patches+ round the +ears, eyes, nose and lips+, a +black or
bluish semi-circle+ shows itself under the +eyes+, and there is a hollow
mark from the corner of the eye in a slanting direction under the
cheekbone to the angle of the mouth, which tells its tale. The +skin is
livid and clammy+ and the digestion is bad. The patient is tormented
with +flatulency+, which he cannot always control and which he justly
dreads, as it renders him an object of +disgust+ to all in his presence.
The bowels are generally +constipated+, obliging him to strain much at
stool, thus aggravating the irritation of the prostate gland vesiculae
seminales and increasing the +seminal losses+.

The bladder is irritable and will retain the urine but a short time; the
ureters and kidneys are also inflamed and in post-mortem examinations
are sometimes found to contain +abscesses+; they are the seat of much
pain when pressure is made over the intervertebral spaces of the dorsal
and lumbar vertebrae or backbone. The vesiculae seminales have