Chapter VII – Diseases of the Genitals that Arise from Masturbation and Sexual Excess. One of these diseases is variocele. This is when the veins in the testicles get twisted up somehow. This disorder persists into our modern world and I don’t see what the actual cause is; it just appears to happen in a certain percent of the population, some of whom never have any issues with it. Of course, Dr. Howe knows what it is – masturbation, for the men who present with this have many nocturnal emissions in a week. However, he then brings up the case of a medical student of his acquaintance who had this issue, and he certainly was not the type to give himself up to this vice. So he made him the equivalent of a jockstrap and it worked. Dr. H then proceeds to judge everyone else; the blood vessels become continually dilated from constantly masturbating, and it’s no wonder that eventually it shows!

The first thing to do to treat this is to make the patient stop masturbating; only then can the healing begin. One of the biggest symptoms is constipation, so that should be remedied with BELLADONNA. If that’s too severe, cold water injections should help (I’m assuming he’s politely referring to enemas). Also, be sure to briskly rub the abdomen, as that promotes healthy action of the bowels. Uh oh, sometimes that’s a good, comforting feeling – is that solitary vice, too, doc?

Then he starts to make some sense, with the suspension bandage to elevate the scrotum, and at night to put a cool compress on it to alleviate chafing. Let’s get back to the loony.
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