Chapter 6

TREATMENT.--Cutting and tying operations are exceedingly dangerous, having frequently caused death; and even if successful, the testicles, having their blood supply thus entirely cut off, waste away, and Impotence certainly results. Prof. Chevillot, the great French surgeon, was assassinated by a patient, in whose case he tied the veins on both sides for a double Varicocele. Becoming totally impotent, on the very eve of his marriage with a beautiful and accomplished young lady, this man became desperate and attempted the surgeon's life.

To effect a cure, the following obstacles must be overcome:

_Weakness and bulging of the walls of the veins._

_Weakness and relaxation of the dartos muscle of the scrotum._

_Over-clogging and stagnation of blood in the veins._

_Healing and strengthening of the ruptured and relaxed valves of the veins._

_Relief of the pressure and weight of the column of blood from above._

Suspensory Bandages are good, because they act as supports.

Astringent and Tonic Washes are good, because they strengthen the weakened veins and muscles and heal the relaxed valves.

Proper Trusses are good, because they break the great pressure of the blood from above, and act as do the valves in the veins in the groin in health. Also, because they act directly on the disease in cases of Varicocele of the Cord.

But neither one alone will cure a really serious case of Varicocele. Combine them, however, properly and scientifically, so that you have the practical outcome of these three sound principles of cure in the one appliance, and

ANY CASE, NO MATTER HOW SEVERE OR HOW OLD, CAN BE PERMANENTLY AND PAINLESSLY CURED.

Such a perfect and practical combination is to be found in the Elastic self-adjusting and adjustable Cradle and Compressor, which has succeeded in curing many very serious and (apparently) hopeless cases. Patented and thoroughly protected from all infringements and imitations (and many would-be ones, seeing our success and recognizing the merits of the Cradle-Compressor, have lately sprung up), both in this country and Europe, there is nothing like it. It combines all the good points of all previous instruments, and being easy to wear, rapid and pleasing in its results, and certain in its effects, is the only rational means for radically curing this disease.

Briefly: It consists of a very light and elastic triangle of tempered steel bands, that rests on the front of the abdomen, and is held in place by a soft silk-elastic waist-band. In each of the slanting arms of the triangle are small holes that admit the central pivot of a bell-pad, having a central spring, and so adjusted that it adapts itself to every movement of the body without being misplaced. By means of a thumb-screw and the perforations, it (the spring bell-pad) can be set at any point in the groin, and can be changed from day to day and hour to hour.

{Illustration: Fig. 13. INSTRUMENT ON BODY. _a. a._ Transverse Steel Band; _b. b._ Elastic Waist Belt; _c. d._ Metallic Arms, perforated to permit change of pad pressure; _e._ Pubic Shield to which Elastic Cradle is attached; _f._ Bell Spring Pad.}

By means of pivotal joints at the angles, the appliance can be made to fit any one perfectly; moreover, by means of the metallic shoulder below, the arms can be thrown into any lateral variation of the groin line.

We thus are able to obtain all the marked benefits of a truss without any of its drawbacks; and that special disadvantage, steady and wearisome pressure at one point, is wholly obviated. The whole appliance is held in place below by means of perineal tubular rubber bands that connect with the waist-belt behind.

Attached to the metallic shoulder below is the Elastic, Glove-Fitting, Self-Adjusting Testicle-Cradle, by means of which not only are the testicles perfectly supported and rested, but by the sheet-rubber lining and the elastic tie bands, a constant, easy and perfectly painless elastic pressure is kept up on the dilated and sagging veins, which are thereby emptied of their unhealthy and stagnated blood and allowed to regain their tone, strength and contractility.

By means of the elastic bands it is easy to regulate the amount of pressure, thereby constantly adapting it to the improvement that is steadily taking place.

The compression is so uniform, yet so elastic, that it is absolutely painless, and no motion of the body, however violent, can disarrange it. This, and the fact that the blood can enter and leave the testicle with perfect freedom, constitute some of its most marked advantages over the Truss.

Moreover, the wearer always feels a sense of rest and relief while wearing the Elastic Cradle-Compressor, and from the first day the symptoms of weakness and impotence improve. Being made in different sizes and shapes, and of the most durable yet softest silk, and powerful yet yielding elastic, they will wear perfectly until long after the Varicocele has entirely disappeared.

{Transcriber's Note: The left edge of this page was partially illegible. Words and letters in braces { } are conjectural; all came at the beginning of a line.}

{Illustration: Fig. 14. ELASTIC TESTICLE CRADLE, {Deta}ched from Compressor, and showing its appearance {when} worn singly. It is lined inside with sheet rubber, and {the t}ie cords are of the very best French elastic. The bag {cover} is of the finest knit silk.}

While it compresses the Varicocele, forces out the blood, and allows the veins a chance to regain their strength and proper size again, it simply supports and keeps from injury the testicle, which at once begins to grow larger. In addition to their curative value in Varicocele, they are now being extensively used by the medical profession for the relief of the pain and subduing of the inflammation of "swelled testicle;" also in hydrocele and hæmatocele.

Being applied over the whole scrotum, they will cure a Double as readily as a Single Varicocele.

In certain recent or simple cases the Elastic Testicle-Cradle alone will effect a perfect cure. If the case is severe or of long standing, if it involves the Cord, or if the sexual organs are affected, the complete instrument should be worn.

It is beautifully made and finished, and is strong and durable, yet light and easily worn.

PRICE.

{Comp}lete Instrument (all attachments) $15.00 {Extra} Central-Spring Bell-Pad, In case of Double Varicocele 3.00 {Elast}ic Glove-fitting Testicle-Sac and Cradle (separate) 6.00

{Sold ne}atly boxed, and with full and explicit directions for applying; as also a {____} prescription for a Tonic, Healing and Astringent Lotion, to be used {in conju}nction with it.

In ordering, please state girth around waist, circumference of scrotum, and length of same from root of penis to about the middle of the bottom of the bag.

The reason why Varicocele has until within the past ten or fifteen years received so little attention is owing to the fact that up to that time this bagging or bulging of the spermatic veins was looked upon as merely a local affection. No one seemed to be aware of the fact that its effect in nine cases out of ten was to produce Seminal Weakness and Loss of Sexual Power, etc. To-day no fact is so well recognized in medicine, although probably not so well known outside of the profession.

Then, too, until very recently, physicians either carelessly dismissed a patient with Varicocele with the advice to "get a suspensory bandage and wear it; the thing don't amount to anything;" or else, when the patient became persistent in his demands for a cure, advised him that the dangerous cutting or tying operations were the only means of relief. But this is all changed now. Physicians have come to know something about the disease, and means for both relief and cure are now speedy and certain, and in no sense painful or dangerous.

It is for the purpose of stating in as plain and concise a manner as possible all the more important facts relating to this disease, and pointing out to such as are troubled with it, or have friends so troubled, not only the proper manner of treatment, but also the danger of delay, that this little treatise has been compiled. Many a man well built and apparently healthy, yet totally bereft of manhood--in a word Impotent--can trace his deplorable condition to a neglected Varicocele.

Nor are these the only ones who need information upon the subject. Thousands of young men are to-day being treated for seminal troubles who will never be cured, because they are entirely ignorant of the existence of a Varicocele of the Cord, that most insidious and dangerous of all forms of Varicocele, or, if aware of it, do not understand the terrible influence it has on their Sexual Powers, and how great and persistent a stumbling-block it will be in the way of all treatment.

It is for the benefit of all such that this little essay is intended. For the sake of clearness we shall consider the subject under the heads of Definition, Frequency, Causes, Dangers, Influence on Sexual Diseases, Wasting of the Organs, Symptoms and Treatment.

Consultation with our physicians, by letter or in person, free, References and testimonials promptly and cheerfully furnished.

CIVIALE REMEDIAL AGENCY, 174 Fulton Street, New York.

_CHAPTER XII._

THE RELIABILITY OF THE CIVIALE REMEDIES, AND THE BUSINESS STANDING AND PROBITY OF OUR AGENCY.

In previous editions of this work, we made no attempt whatever to point out to our readers either our reputation as a medical business firm, or proofs of the efficacy or reliability of the remedies we represent and prescribe, supposing that any person at all familiar with the names and reputation of Professors Lallemand and Civiale, and the honors bestowed upon the latter by the French government, would need no such references, etc. We find, however, that there are but few men in this country who are as familiar as they should be with the nature and extent of Lallemand's and Civiale's medical labors, or indeed with French Medical History at all. We, therefore, for the benefit of such, have here transcribed extracts from that most reliable work, _Appleton's Cyclopedia_ (copies of which may be found in many families, and every town and city library), from which may be learned the professional standing and reputation of these great men.

Furthermore: Of late years there have sprung up in various parts of the country, physicians and firms who have made it a business to prey upon foolish young men, who took everything that was sent to them for gospel. There are many young men (and old men, too) who do not know us, and for their benefit we have drawn up here and submitted such proofs of our probity, fair dealing and medical capacity, as well as of the reliability of the Civiale Remedies, as will, we believe, carry conviction of our truthfulness and probity to any honest man's mind.

We have always been averse to parading before the eyes of the careless, scoffing world the sufferings of the victims of abuse or excess, even when by doing so we might profit largely by such a course. We have a large number of letters from persons who have been cured by this treatment constantly on file in our office, and any sufferer really in earnest will be gladly given permission to examine them, should he so desire. But we certainly shall not parade such letters, written to us in the strictest confidence and secrecy, to every reader of a treatise of this kind, especially when we give an abundance of equally as good proof of another kind.

_If we have always dealt fairly and with professional honor and ability with our corresponding and office patients in the past, we certainly shall continue to do so in the future._

First, let us call your attention to two very recent and very flattering extracts from editorial articles that appeared in newspapers of known standing and reputation in the city of New York, both of which articles were wholly unsolicited by us, being the spontaneous testimony of wholly disinterested journals.

TESTIMONIALS AND ENDORSEMENTS

from the

MEDICAL AND LAY PRESS

Of this Country and France.

A NOTABLE MEDICAL INSTITUTION.

_From the New York TRIBUNE AND FARMER, Nov. 22, 1884._

It is a well-recognized fact by writers upon longevity that the men of the present day, both old and young, are less manly and vigorous, less able to resist the attacks of acute disease, and not only less likely to produce healthy and vigorous offspring, but in the majority of instances producing a fewer number as well as a less vigorous and robust progeny. The ratio of births to deaths has fallen off some 12 per cent. in births in the past fifteen years. This fact, coupled with the equally startling consideration that the mortality of infants has increased about 11 per cent. in the past ten years, must needs fill the mind of a lover of his kind with dismay and alarm. Although invested and thickly hedged about by ideas of false modesty and pseudo-propriety, in reality the whole fabric of national and individual prosperity, health, vigor and enjoyment, as well as the very important perpetuation of our species, depend upon perfectly strong, healthy and vigorous procreative powers. As an oak cannot grow from a flower seed, neither can weak, puny and debilitated parents give birth to strong, vigorous and mentally sound and active progeny.

The subject of Procreative Pathology deserves more careful and extended study and observation than the majority of our physicians have heretofore been inclined to give it. Most of them have let the more numerous and oftentimes the more trivial cases daily coming under their notice crowd this most serious matter from sight, and when applied to for advice or treatment by sufferers from these disorders or debilities, have either pooh-poohed it or have given some simple (or useless) placebo, believing the trouble to be more imaginary than real. Is it any wonder, then, that such patients have walked blindfold into the arms of quacks and charlatans who profess the most tender interest in even their minutest symptoms?

We have been led to make the foregoing remarks by what we have just finished reading in a very interesting and able work upon this subject recently issued from the press of the Civialè Remedial Agency, of 174 Fulton street, this city. The subject matter of this book cannot fail to interest every man, young or old, and must prove of special interest to men just married, and to that large class of middle-aged men who find to their surprise and chagrin that while their bodily health is apparently excellent, their procreative powers have prematurely declined.

The fact of the establishment in this city of an original institution under reputable business management, each department of which is presided over by a physician of special skill and qualifications, is something of which every citizen should feel proud. And to judge by the class of patients who may be found in their elegant consulting-rooms, and the very large amount of express and mail matter they are constantly receiving, we believe that they are appreciated.

With our magnificent hospitals, second to none in the world, our large medical colleges and dispensaries, and the establishment of so large and excellent an institution as the Civialè Agency, the main offices being now transferred from Paris to this city, New York may justly claim to be the great medical centre of the United States, and sooner or later of the world.

We maintain now, as we have always maintained, that the surest and best way to drive quacks and humbugs from any branch of medicine, is to have some of our very ablest and most honorable physicians make such a branch their specialty, and such is the course now being pursued by the Civialè Agency.

The very fact that it takes its name from and is engaged in manufacturing and prescribing the remedies of France's most illustrious specialist, Prof. Jean Civialè, is by itself evidence enough of its medical value and professional integrity. Our feelings upon these matters, _i.e._, the great importance of their bearing upon both individual and national vigor and prosperity, the necessity for driving from this field of practice those quacks and humbugs who entrap the foolish and ignorant, those cheap and worthless remedies that flood the drug market--our feelings upon these matters are, we repeat, very strong; and hence, when we find an institution for the treatment of these diseases conducted upon the highest moral, medical and business principles by men of undoubted medical and business standing and integrity, we feel that we cannot endorse them too heartily.

The _Tribune and Farmer_, of New York city, in its current issue of July 26th, 1884, says

"AN EXCEPTION TO THE RULE."

"The propriety of devoting editorial space to the subject-matter of any medical advertisement that may appear in our columns may be doubted by some, and indeed, were it not for our personal knowledge of the skill and integrity of the Medical Director of the Civialè Remedial Agency of New York (whose advertisements will be found elsewhere in this issue), we should deem ourselves more than guilty were we to utter a word of endorsement as to the efficacy of their system of treating that serious class of diseases in men which has been generically termed Nervous Debility, and which for so many years has been, and is at present, made the stalking-horse for impudent swindlers, quacks and impostors to palm off worthless and often injurious compounds on their suffering fellow-men.

"Let it be understood, then, that we know whereof we speak, and that our object is simply to furnish those who are afflicted with such reliable information as will enable them to determine the true character of their disease, and the best means to be adopted for a cure.

"The method of treating diseases of the Genito-Urinary organs by means of the urethral canal is in the first place no new-fangled experiment, but is identical with the system which has been employed for the past fifteen years in the leading hospitals of France, and more especially in Paris, as the standard treatment, and one that gives uniform satisfaction; and in the history of medical science there are perhaps no two physicians who have done more for the alleviation of human suffering and the cure of Sexual and Seminal Diseases than those eminent French Surgeons, Prof. Jean Civialè and Prof. Claude Lallemand, to whose joint studies and endeavors this system owes its origin.

"We believe, in fact, that this theory and practice of medicine is an advance in the right direction, and we predicted, from its first introduction in the United States some time ago, that the people would readily see its truth and accept the wonderful benefits of its practice. And the result has certainly borne out our prediction, for thousands of sufferers from such ills as Impotence, Spermatorrhoea, Kidney, Liver and Urinary troubles have been cured by these remedies."

{Illustration: ONE VIEW OF THE HOSPITAL OF THE HOTEL DIEU, PARIS.

This celebrated hospital of Paris, the oldest as well as the largest and finest in the city, covers 22,000 square metres of land, has over 1,000 beds, and a corps of over 100 physicians on its medical and surgical staff. It is situated on the _Ile de la Cité_, near the famous church of Notre Dame. It was here that both LALLEMAND and CIVIALÈ studied under the celebrated DUPUYTREN, one of France's greatest surgeons, until, in after years, they themselves became sufficiently great to become its Consulting Surgeons. In France, honors are gained by ability alone, and not, as here, by political influence and wire-pulling.}

The following is a list of the French Hospitals with which Civiale and Lallemand were connected during their lives.

HOTEL DIEU. LA PITIE. LA CHARITE. LARABOISIERE. St. ANTOINE. HOPITAL NECKAR. HOPITAL COCHIN. HOPITAL St. LOUIS. HOPITAL Du MIDI. HOPITAL LOURCINE. La MATERNITE. HOSPICE BICETRE.

We next give extracts from Appleton's Cyclopedia, to which reference has already been made.

LALLEMAND, CLAUDE FRANÇOIS, a French physician, born in Metz, Jan. 26, 1790, died in Marseilles, Aug. 25, 1854. After serving as assistant surgeon in the armies of the Empire, he studied in Paris at the Hotel Dieu under Dupuytren, and, from 1819 to 1845, was Professor of Clinical Surgery at Montpelier, with the exception of three years, during which he was suspended for his liberal political expressions. His most important work, _Recherches Anatomica Pathologiques sur l'Encephale et ses Dependances_ (Paris, 1820-1836), established his reputation, and was translated into many languages. In 1845 he was elected to the _Academy of Sciences_, removed to Paris, and was consulted by patients from every part of Europe. He bequeathed 50,000 francs to the Institute. --[_Appleton's Cyclopedia, vol. x, p. 144._

{Illustration: Prof. JEAN CIVIALÈ.}

{Illustration: Prof. CLAUDE F. LALLEMAND}

CIVIALÈ, JEAN, a French surgeon, the originator of the operation of Lithotrity, born near Thiezac, Auvergne, 1792, died in Paris, June 13, 1867. At a very early age, while a pupil of Dupuytren at the _Hotel Dieu_ hospital in Paris, his attention is said to have been attracted to the subject of his future discovery; and, after many years of perseverance, he succeeded in perfecting and introducing to the profession his new operation of lithotrity. Before that time the only means was the serious and often dangerous operation of lithotomy (SEE STONE). He was the teacher of several generations of lithotriptists, became a member of the MEDICAL ACADEMY, and an officer of the LEGION OF HONOR. His principal publications are: _De la Lithotritie, ou brolement de la pierre_, (_Paris_), 1827); _Lettres sur la Lithotritie, &c._ (1827); _Traite pratique et historique de la Lithotritie_ (1847); _Resultats Cliniques de la Lithotritie pendent les Annes_ 1860-64 (1865). --[_Appleton's Cyclopedia, vol. iv, p. 618._

We also take pleasure in referring--not as patients, but simply as to standing, probity, business capacity and the ability of our Consulting Staff--to the following firms or gentlemen in this city:

WEST SIDE PHARMACY, dealers in Drugs, Chemicals, &c., corner Hudson and Charlton streets.

COFFIN & ROGERS, 85 John street, New York.

AMERICAN DRUG COMPANY, Islip, Long Island.

Editor of the "NEW YORK TRIBUNE AND FARMER."

E. DUNCAN SNIFFEN, 3 Park Row.

A CHARACTERISTIC LETTER.

(For once we transgress our rule--never to put a debility patient's letter in print unless the patient urges us to do so--and do it at the request of our Medical Chief of Staff, and with the patient's full consent. The name, however, we omit, simply stating that should any intending patient desire to come and see or send some friend living in the city, to see and verify that letter and many more like it, we shall be most happy to oblige them.)

RODNEY, MISS., August 14, 1884.