Chapter 5

We say "in any case wherein our Medical Director decides that a cure is possible by any means," and we say it with a purpose, for it is our aim and desire, at all times, to be perfectly frank and honest with those who consult us. There are cases that no remedy, be it ever so good, can cure, and when such a one occurs in our practice, we endeavor to show the patient his exact condition, and not (as is so often done) try to persuade him to purchase remedies that we know will do him no good, or, at least, be but an experiment. So, in consulting our Physicians, you may be sure of at least an honest opinion, in exact conformity with the facts in your case.

_CHAPTER IX._

TREATMENT.

The Different Forms of Remedies for Different Forms of Sexual and Urinary Diseases.

These Crayons are put up in packages, each of which will last one month. A single package is ordinarily sufficient for mild cases of either Spermatorrhoea or Impotence. From two to three packages are required for chronic, severe or obstinate cases, or where the person is much debilitated or advanced in years. There are five kinds:

No. 1--For Spermatorrhoea and Chronic Debility. No. 2--For Impotence or Lost Power. No. 3--For Urinary, Kidney, Bladder or Prostate Troubles. No. 4--For Gonorrhoea. No. 5--For Gleet and Stricture (of Venereal Origin). Also: No. 6--A Before-Marriage Tonic Course. No. 7--A Developing Lotion for Weak and Wasted Organs.

The following are the main symptoms of each class, with the kind of course they usually call for. If the patient has the symptoms of both classes he is evidently in an advanced stage, and needs both courses.

SPECIAL CAUTION.

The reader is warned against confounding the CIVIALE URETHRAL CRAYONS with the American Medicated Bougies, Injections, Pastilles, and the like. The disease is really seated in the Urethra (urine canal), and can be easily and painlessly medicated, and certainly cured, by means of the CIVIALE CRAYONS.

{Illustration: Fig. 8. Exact Size and Shape of a +Civiale Soluble Urethral Crayon+. (Inserted into canal of organ).}

CIVIALE'S URETHRAL CRAYONS.

_COURSE No. 1._

_For Spermatorrhoea, Nervous Debility and Masturbation._

SYMPTOMS: Emissions (day or night), Oozing of a glairy fluid under excitement and imaginings, presence of the opposite sex, etc., Partial and Imperfect Erections, Desire to Masturbate, Formation of Evil Pictures in the Mind, Flushing and Chilliness, Stupidity and Tendency to Doze or Sleep, Mental Hebetude, Failing Memory, Lack of Power of Application, Energy or Concentration, Restlessness, Pain and Smarting in passing urine, Wetting the Bed, Pain in the Kidneys, Headache, Pimples on the face or body, Itching or peculiar sensations about the scrotum (bag), thighs, legs, anus, etc., Wasting of the Organs, Stringiness and Softening of the Testicles, Dyspepsia, Sluggish Bowels, Torpid Liver, Failing Sight, Pains in the Head (front, top and back), Chest, Limbs, etc., Sensation of the Bowels Falling Out, Dizziness on stooping over or kneeling, Specks before the Eyes, Erotic dreams, Melancholy (developing sometimes into Insanity), Numbness of arms, hands, feet or legs (precursors of Paralysis), Twitchings of the muscles of the eyelids and elsewhere (sometimes ending in Epileptic Fits or St. Vitus' Dance), Timidity, Diabetes and Deposits in the Urine, Troubled Breathing, Indecision, Loss of Will Power, Bashfulness, Burning of the face, Coldness and Clamminess of the feet and hands, also of the Scrotum (or bag), Palpitation of the heart, Early loss of fluid during connection. Feelings of gloom, despondency, hopelessness of a cure, or fear of impending danger or misfortune, Tenderness of the scalp and spine, Dryness and Itching of the skin, Sudden Sweating, Sudden Nervous Trembling, Noises and Reports in the ears and brain, Weight on the brain, Weak and flabby muscles, easily tired after slight exertion, Desire to sleep late in the mornings, and failure to be rested by sleep, Weakness and torpor the day after a nightly emission has occurred, the Oozing of a thick white fluid from the urethra when constipated or straining at stool, Varicocele, etc., etc.

$5 per Box. Full Course of 3 Boxes, for obstinate and chronic cases, $12.

SPECIAL NOTE.--It is a rare thing for any one patient to have all these symptoms, and some may have some not here mentioned, but it is important to know just which they do have. Persons desiring treatment will, therefore, please tear out the proper page, and having crossed out such symptoms as they do not have, return it to us for the consideration of our physician. To save delay, it is best in ordinarily severe cases to send the price of one course, and leave the selection to our physician's discretion. When less is needed than what is paid for, the balance due the patient will be returned to him with the necessary medicine.

CIVIALE'S URETHRAL CRAYONS.

_COURSE No. 2._

_For Impotence, Failing or Lost Strength and Vigor of the Generative Organs, Sterility, etc., etc._

SYMPTOMS.--(Impotence may arise without any previous symptoms of Spermatorrhoea, and solely as the result of abuse, overwork, confinement, blows, falls, fever, etc., but it is often the direct result of Spermatorrhoea, forming the third stage of that disorder). Loss of Sexual Desire or Power, Imperfect or Rapidly Failing Erections, Too Early Emissions During Connection (denoting irritability), Delayed Emissions (denoting blunting of sensation), Failure to Consummate Marital Duties, Oozing of vital fluid, Unnatural Desire, but not sufficient power, Nervous Exhaustion, etc., Wasting of the Organs, etc., etc., etc.

1 Box, for simple or recent cases, $6. Full Course of 3 Boxes, for severe or chronic cases, men past middle age, feeble subjects, etc., etc., $15.

CIVIALE'S URETHRAL CRAYONS.

_COURSE No. 3._

_For Kidney, Bladder, Prostatic and Other Urinary Difficulties._

SYMPTOMS.--Frequent urination, Rising at night to urinate, Pain or Scalding in passing water, Dribbling of Urine after completing the act, Pain and aching in the perineum, Mucous oozing from Prostatitis, Gravel, brick-dust deposit, and other sediments, Stone in the bladder, Diabetes, Irritation and Enlargement of the Prostate Gland, Congestion and Inflammation of the Kidneys, Bloody Urination, etc., etc. (Many cases of Seminal Disease are due to or made worse by urinary trouble, especially Prostatic Disease, existing at the same time. Hence, when such is the case, it is important to treat the urinary as well as the seminal disease in order to be certain to permanently and thoroughly cure both. The action of the Civialè Urethral Crayons in these cases is prompt and satisfactory. Indeed, this is the only known means of reaching and curing Prostatic Affections.

1 Box, $5. 2 Boxes, $9. Full Course, 3 Boxes, $12.

CIVIALE'S URETHRAL CRAYONS.

_COURSE No. 4._

_For Gonorrhoea._

One box a certain cure. Prompt, painless, and leaves no stricture. Constantly used in _L'Hopital du Midi_ and _L'Hopital Lourcine_, the two great venereal disease hospitals of Paris--the one for males, the other for females--as well as in the others.

$5 Per Box.

CIVIALE'S URETHRAL CRAYONS.

_COURSE No. 5._

_For Gleet and Stricture (When the result of Venereal Disease)._

The formula used in preparing these Urethral Crayons is one of the finest the great +Civiale+ conceived. Repeated trials and modifications finally ended in an almost perfect remedy. Gleet or obstinate milky discharge or oozing of from two to twelve years' standing yielded painlessly and permanently to their use. Stricture, too, even when organic, if not so far advanced as to interfere seriously with urination, yielded kindly to this treatment, being gradually dissolved and absorbed until, at last, the canal was left free and clear, and all the symptoms of urinary irritation had disappeared. Testimony from Dr. Lorey, Interne at the _Hopital du Midi_, will give some idea of the popularity of this form of treatment in Paris. With them he cured eighty consecutive cases of Chronic Gleet.

$5 Per Box. 2 Boxes, $8. 3 Boxes, $10.

_COURSE No. 6._

_CIVIALE'S PRE-MARITAL TONIC COURSE._

This is the course we have already adverted to under the head of marriage, and we believe that enough was there said to make plain both its object and application. This, unlike the preceding courses, is, so to speak, a mixed one, consisting of a combination of (1) Tonics and Sexual Nervines to be taken by the mouth; (2) A Specially Prepared Course of Crayons (tonic, anti-spasmodic and detergent), to be used in the urethra, and (3) a lotion or application which, by being gently applied to the parts once a day with a sponge, soft cloth or the hand, adds greatly to the strength and erectile power, as well as the tone, development and vigor of the testicles.

These are put up under the strict personal supervision of our head chemist, Mr. Du Bell, and are exactly in accordance with the formlæ and instructions of the late Prof. Civiale.

Price per Set, $25.

This Course may be used alone or in connection with any of the other Courses. No man (or woman either) could be injured by it, and many weak and impotent sufferers will find in its use health, strength and bodily and mental vigor.

In some instances the Tonic Regulator and Lotion part of this Course are advisable without the Crayons, and hence we quote their price separately.

Tonic Regulator, $10. Lotio Fortior, $5.

{Illustration: DR. LOREY, Interne at l'Hopital du Midi, Paris.}

_CIVIALE'S TONIC-REGULATOR._

Civialé's Tonic-Regulator is all that its name indicates and much more besides. It is composed of Tonics, Nervines, Bitters, Laxatives, Nerve Foods, Cholagogues (acting on the Liver), Diuretics and Diaphoretics (remedies acting on the Kidneys and Skin and thereby increasing their secretions and cleansing and purifying the Blood), Digestives, etc., etc., etc. It will thus be seen that a more complete and uniform General Tonic-Regulator could not be devised, for it acts upon the Brain, Mind, Nervous System, Digestive Organs, Spleen and Pancreas, the Bowels (keeping them in a healthy and regular manner only--not purging or weakening), upon the Heart, Lungs, Skin, Blood and Kidneys.

So skillfully is the combination made that no one ingredient interferes with the other, but on the contrary each seems to vie with the other in building up and renovating a shattered, weakened and disordered system.

Bilious, soggy, sleepy men, with aching heads, foul breaths, bad tasting mouths on rising, clogged secretions, sense of inability to exertion, furred or yellow tongues, and the like, absolutely need the Tonic-Regulator, and not Blue Mass or Anti-Bilious Pills. Weak, nervous, spiritless, exhausted, debilitated, pale, ambitionless, easily tired, prone to become short of breath and have pain in side on running, who find it hard to get sleep, are restless, brood over their troubles, real or imaginary, start at loud noises or sudden jars, perspire too easily, flush too readily, are not rested by sleep, and who are neuralgic, certainly need the Tonic-Regulator, and will find it rapid in action and very pleasant in its results. Health, strength, vigor, rosy cheeks, elastic step, cheery voice, zest and happiness, hope and ambition, hardy flesh and good ruddy blood, made by a perfect digestion of strong foods, will certainly follow, and as they come, all the old myths and phantoms, the melancholy, dread and brooding will disappear like unhealthy nightly vapors before the sun.

Men, young or old, who have let business cares and worries, mental trouble, family jars, overwork and constant brain wear and tear, confinement, or long hours in unhealthy offices, lack of exercise, too rapid bolting of food, and the like, ruin their previously good constitutions; or those who, through youthful abuses committed in ignorance and repented so bitterly, or later excesses from unbridled passions, have drained their vitality, established a condition of sexual atony (_a_, without; _tonos_, tone or strength or vigor), or done serious harm to their nervous systems, brains or minds, will find the very Vital Restorative and Special Generative Tonic they need the most in Civiale's Tonic-Regulator.

It does not do one thing; it does many. While it throws open one door to let health, strength and vigor enter, it opens others for poisonous secretions, blood impurities and waste products to escape. It not only makes the blood purer and richer, but it strengthens the organ (the heart) that pumps it everywhere throughout the system. It not only builds up and rejuvenates the general system, but it brings vernal strength and power to the weakened and debilitated organs.

It was here that Civiale made Common Sense and Medical Science join hands. (a) With his Medicated Urethral Crayons he healed and strengthened the organs of Generation by direct local application. (b) While with the Tonic-Regulator he sent his powerful yet harmless emissaries (Tonics, Digestives, Cholagogues, Nervines and Nerve Foods, Laxatives, Diuretics, etc., etc.) into the system, by the stomach, with the food, thus guaranteeing their entrance into the blood which carried them to every nerve fibre and tissue and attacked the disease on every side.

This is why this double treatment, intelligently carried out, cannot fail to rebuild the most debilitated and exhausted constitution and check the most serious drains and losses.

_COURSE No. 7._

_DEVELOPMENTAL LOTION._

As has already been stated, in some persons Seminal Disease and Losses of Vital Fluid lead to a wasting away, shrinking or dwindling of the Generative Organs. It exists in others from birth, and is in no way connected with Seminal Disease. Whichever be the case, it is nevertheless true that a wasted or deformed part of the body, be it arm, leg or what not, cannot in this condition be expected to perform its function in a natural, vigorous and healthy manner.

There is a great deal of ignorance upon this subject--ignorance that interferes greatly with the full and proper treatment of cases of Seminal weakness. Many sufferers from Seminal Disease and Impotence seem to think that just as soon as the losses or emissions are stopped, or erectile power returns, the parts will begin to grow and develop, and soon be restored to natural size and proportions. This is not so. In some few instances it does occur, but in the large majority it does not.

It is therefore necessary in these cases to take special measures to fully and perfectly develop the defective parts, and it can only be done by giving a new start to growth and circulation to the nervous and nutritive centres of these parts. A breast, a limb, a hand, indeed any part of the human body, especially in persons not past fifty years of age, can be enlarged and developed, and so, too, can the sexual organs.

_The Developmental Lotion_ that has been in use for many years, is a local application (viz., applied directly to the organs), and acts by stimulating growth, circulation and nutrition. It is cleanly, easily applied, rapid and satisfactory in its results, and we guarantee that it will give uniform satisfaction in all cases where our Board of Consulting Physicians recommend the case as favorable for it.

PRICE OF THE DEVELOPMENTAL LOTION, { Strongest, $15. { Less strong, 10.

It is put up in quantity sufficient to accomplish a full and perfect development. Should more than is at first sent be needed to complete the development, we will furnish it at half-price. Full instructions accompany it.

It should be used in connection with the remedies for Impotency or Spermatorrhoea in every case where the organs are wasted. Its effects in such cases are wonderful and the results very gratifying.

CIVIALE REMEDIAL AGENCY, 174 Fulton Street, New York.

_CHAPTER X._

REORGANIZED CONSULTING STAFF.

{Transcriber's Note:

The names "G. G. Mortimer" and "S. Sorensen" are printed above the text in a different typeface. The original names, crossed out by hand, were "Millard F. (or E.) Flowers" (last four letters unclear) and "George H. Du Bell" (partially illegible). The _curriculum vitae_ associated with each name is unchanged.}

G. G. MORTIMER, A.M., M.D., Ph.D., Chief of Staff.

RICHARD LEE, A.M., M.D., of the Universities of Oxford, London and Melbourne, Master of Arts, Member of the Royal College of Surgeons, of England; late Consulting Surgeon to the Beechworth Hospital and Professor of Botany and Chemistry at the Tasmanian Institute; Honorary Member of the Victoria Medical Society and Fellow of the Royal Society of Tasmania and of the Anthropological and Physical Societies of London; University Medalist, etc., etc. Chief of Personal Consultation.

HENRY H. KANE, A.M., M.D., late Medical Superintendent of the De Quincey Home, Interne at the Roosevelt, New York, Bellevue, Charity and Lenox Hospitals; Physician to the North-Eastern and Good Samaritan Dispensaries; Lecturer at the Women's Medical College, on Urinary and Renal Diseases, etc., etc., etc.

S. SORENSEN, A.M., Ph.D., Manufacturing, Analytical and Experimental Chemist, Licentiate of the School of Pharmacy of Heidelberg and Berlin, Germany. (This accomplished chemist has full charge of all analyses of urine, the preparation of our various formulæ, the purchase and importation of all drugs, etc., etc.)

LOUIS B. JONES, Business and General Manager.

With such a complete and accomplished staff, it will be seen that the case of every person consulting us will receive the most careful and combined opinion, judgment and decision of all these men. We have the greatest and most generally successful remedies known, and by thoroughly understanding every detail of the cases submitted to us, and carefully applying these remedies, we seldom or never fail to perform a pleasant, absolute and lasting cure.

PERSONAL CONSULTATION.

Patients desiring a consultation with our Chief of Staff will find our offices open and physicians in attendance from 8 A.M. to 6 P.M., daily, and from 9 to 12 Sundays.

HOW TO SEND MONEY.

Money should be sent by Post Office Order, Postal Note, Check, Draft or Express Order. Checks, etc., may be made payable either to the Civialè Remedial Agency, or, if secresy is desired, to our Superintendent, Mr. L. B. Jones. Please state in your letter to whom the order (when such is sent) is made payable, in order to avoid confusion in indorsing them for banking.

HOW TO SEND URINE.

In sending urine, bear in mind the following:

Never send by Mail--always by Express--charges prepaid.

Send morning urine.

Write your name on a slip of paper and paste it on the bottle.

Pack the bottle securely in a box filled with sawdust or the like.

_CHAPTER XI._

VARICOCELE.

VARICOSE TESTICLE, OR VARICOCELE.

A very Common Disease Amongst Men and Boys, and one that has a very serious effect In Weakening the Sexual Powers, causing Emissions and Losses, and Preventing a Thorough and Permanent Cure of these Complaints.

Varicocele (from the Greek, pronounced Var-i-ko-seal, accent on either Var or seal) is a condition of bagging, bunching, bulging or twisting of the veins in the scrotum (bag or testicle sac.) It is most commonly found on the left side of the bag, but sometimes is to be seen on both sides. Usually the scrotum is bulged out on the side and sometimes hangs very low, so long and twisted are the veins. To the touch the veins feel like a bunch of angle-worms. In some cases they can be seen knotted and swollen through the thin skin of the bag.

{Illustration: Fig. 9. A VARICOCELE. Showing how the veins are affected and how they press upon the nerve, duct and artery, and waste the testicle. 1. Spermatic Artery. 2, 3. Spermatic Veins. 4. Spermatic Nerve. 5. Vas Deferens or Seminal Duct. 6. Testicle. 7. Converging Tubes. 8. Wormy bunch of Veins.}

{Illustration: Fig. 10. VARICOCELE, AND INSTRUMENT IN PLACE. On the right side, the drawing of the instrument is cut away, also the layers of skin and muscle, showing the dilated and knotty veins in the groin, before they reach the scrotum, also the Bell Pad in dotted outline, showing how and where the pressure is properly exerted. When the veins in the groin are thus affected, we have what is known as +Varicocele of the Cord+. On the left side, the Cradle and Compressor is shown in place.}

A HIDDEN DANGER.

In cases of Varicocele of the Cord (one of the most dangerous of all forms), the veins in the bag are not affected, the trouble being mostly in the groin (in the canal through which the veins run), where the swollen and knotted veins press upon and seriously injure the cord, preventing the free flow of Vital Fluid, and thereby causing Impotence, Wasting of the Testicles, etc. A dull, heavy, aching or dragging pain in the groin, back or legs, is about the only symptom.

The great danger of this form of Varicocele lies in the fact that thousands of young men are going about to-day not knowing that they have the disease; not knowing that a persistent evil is nestling in this little canal, gnawing at their vitals, and slowly but surely undermining and destroying their sexual vigor and manhood.

We know this to be so because we are daily being consulted by men of different ages, who, until our physician, in the course of the examination, showed it to them, _never suspected its existence_. Many of these men had been "doctoring" for years for seminal weakness and the like, with varying success, never being quite cured, or, if cured, soon relapsing--all because a Varicocele of the Cord existed unsuspected and therefore untreated.

{Illustration: Fig. 11. COMPLETE INSTRUMENT. Showing mobility at points so that it will fit any individual.}

{Illustration: Fig. 12. SIDE VIEW. Showing Bell Spring, Pad and Pubic Shield.}

CAUSES.--The causes of this condition of the veins of the bag are very numerous. Some of the most important are Masturbation or excess, causing weakening of all the parts, the veins included; Falls, Blows, Strains, Excessive Horseback and Bicycle Riding, Running, Jumping, Mumps going to the Testicles, Gonorrhoeal Inflammation settling there, Kick in the Groin, Wearing of Improper Trusses, etc., etc. Masturbation is one of the most common of all the causes. In many instances, even if it does not _directly_ cause the complaint, it weakens the parts, so that blows, strains, etc., that in others would not produce any particular trouble, readily cause it in these persons.

SYMPTOMS.--The symptoms are not many unless it has caused seminal weakness and lost vitality, in which case all the symptoms of these complaints may really be attributed to the Varicocele. Pains in the Groin, Limbs and Back; a sense of weight or dragging; Neuralgia of the Testicles, Fetid Perspiration; Itching and peculiar sensations in the Skin of the Bag; Chafing in warm weather; easy tiring under rapid walking or running, are not uncommon. In some very bad cases, however, none of these symptoms, or only a few, are present. Why, we cannot say.

PROGNOSIS.--In itself this disease is not dangerous. It is from the fact that the veins may go on bulging until an enormous swelling is produced (we have seen cases where the bag hung as low as the knee and was nearly as large around as a man's arm); that the testicles may be entirely wasted away, and that it may cause Spermatorrhoea, Lost Manhood, Total Impotence, &c., &c., constitute its greatest gravity.