+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 +been indurated+ and can be felt to be +knotty+ and +hard+.  The spinal marrow is very sensitive throughout its whole extent; the cerebellum is the seat of a +dull+ and +heavy pain+, and there is a feeling of pressure upon the brain.  Cerebral congestion now and then occurs.  This stage of the disease is frequently accompanied by +Bronchitis+ or a continued +Catarrh+, also by disease of the +rectum+ and all the +tissues near the generative organs+.

It is hardly necessary to say that the functions of the nervous system are completely deranged, indeed, +nervous twitchings+ of the +eyelids+, +head+ and +limbs+ are the consequences of +Spermatorrhoea+.  He is finally either hurried to a premature grave by consumption, epilepsy or apoplexy; or insanity, taking the hopeless form of dementia, has removed him from his home to the madhouse.

It is safe to say that of all the cases of incurable insanity, a large majority are caused by Spermatorrhoea.

Many, owing to +sheer neglect+ or to +false notions of delicacy+, delay seeking for proper medical relief until they are almost destroyed, and body and mind are nearly in ruins.

Pitiable the picture of one who has +reached+ this stage of the disease.  The organs are still congested but +irritability+ has given away to +torpor+ and +sluggishness+.  Semen drains away by day and night without provocation, these constant losses dragging the person to the very +brink of the grave+, or +standing him+ within that +melancholy shade+ where +suicide+, +insanity+ or +idiocy+ almost certainly stares him in the face.  The organs are wasted almost totally away.  All +strength+, +vitality+, +erectile+ and +procreative power+ have left them, and the victim is at last totally +impotent+.  Of no use to themselves, a curse to their freinds, a disgrace to society, they sink from sight into an early grave or are lost to the world behind asylum doors.  It is a sad and terrible picture, but true—­too true—­to life.