“_+Pains+ in the small of the +back+, a sense of +weight+ and +aching+ in the +loins+, around the +anus+, and in the +testes+_ is experienced. The +appetite is capricious+, the +digestion feeble, and the bowels+ are +constipated+, or constipation alternates with diarrhoea.
“The+ mind+ is +deficient+ in +power+ of +attention+, the +imagination is constantly pervaded with vague erotic dreams+, the +moral sense+ is +blunted+, and the +perceptions+ are +dull+ and +confused+. +Pains+ in the +head+, in the +occipital+ and +frontal regions+ (front and back of head), and a sense of fullness, and in serious cases alarming +Vertigo+ (dizziness and falling); +pains+ in the course of the +principal nerves+, and an extreme +nervous susceptibility+, are experienced. The +organic nervous system+ manifests a functional disturbance in harmony with the disorder of the nervous system of animal life. _+Gastralgia+ and +abdominal pain+ (pain in stomach and bowels)_ and +uneasiness+ are in some cases very distressing symptoms.
“The distinctiveness of the foregoing symptoms will be determined by the extent and duration of the habit, and by the constitutional peculiarities of the patient. +The more highly developed the nervous system, and the more it preponderates in activity over the muscular and digestive systems, the more serious the effects.+
“The most serious +mental effects+ are produced by +masturbation+. This vice, commenced at or before the period of puberty, interferes seriously with the development of the brain and the evolution of the mental faculties.
“That +spermatorrhoea+ will produce in one class of cases +mental disorders+, and not in another, indicates either that some predisposition to these disorders existed, or that the habit of +self-pollution+ was merely an expression of +mental alienation+ (insanity). The +images+ which pervade the minds of boys possessed of the highly-developed nervous organization of masturbators are those of +delusional insanity+.
“There is, however, a +cerebral+ (brain) +phase+ of spermatorrhoea which may be separated from the two preceding classes. It is characterized by _+indistinctness of vision+, +dilatation+ of the +pupil+, +amblyopia+ (near-sightedness), +diplopia+ (double sight); +diminution+ in the +sensitiveness+ of the +auditory apparatus+ (deafness); +feebleness+ of +voice+; +mental preoccupation+, +hebetude+ of +mind+, +confusion+ of +ideas+, and a +profound melancholy+._
“The termination of such cases is in _+suicidal monomania+, +delusional insanity+, etc._ In that variety of the cerebral form in which a decided predisposition must be admitted to exist, to disorder of the intellectual faculties, there are found various forms of mental alienation. The +chronic form+ is the most common, which corresponds to the _+melancholia+ of +Pinel+, or the +lypemania+ of +Esquirol+, terminating in +dementia+._ Several of the most characteristic cases which have happened under my observation correspond to the _+delusional insanity+ of +Bucknill and Tuke+_.”—[Manual of Psychological Medicine, Phila. ed., p. 103.]