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_ a.s.sociated 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 Inst.i.tute; 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, a.n.a.lytical and Experimental Chemist, Licentiate of the School of Pharmacy of Heidelberg and Berlin, Germany. (This accomplished chemist has full charge of all a.n.a.lyses of urine, the preparation of our various formulae, 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 Civiale 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 t.e.s.t.i.c.l.e, OR VARICOCELE.

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

Varicocele (from the Greek, p.r.o.nounced Var-i-ko-seal, accent on either Var or seal) is a condition of bagging, bunching, bulging or twisting of the veins in the s.c.r.o.t.u.m (bag or t.e.s.t.i.c.l.e sac.) It is most commonly found on the left side of the bag, but sometimes is to be seen on both sides. Usually the s.c.r.o.t.u.m 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.

{Ill.u.s.tration: Fig. 9.

A VARICOCELE.

Showing how the veins are affected and how they press upon the nerve, duct and artery, and waste the t.e.s.t.i.c.l.e.

1. Spermatic Artery.

2, 3. Spermatic Veins.

4. Spermatic Nerve.

5. Vas Deferens or Seminal Duct.

6. t.e.s.t.i.c.l.e.

7. Converging Tubes.

8. Wormy bunch of Veins.}

{Ill.u.s.tration: 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 s.c.r.o.t.u.m, 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 ca.n.a.l 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 t.e.s.t.i.c.l.es, 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 ca.n.a.l, gnawing at their vitals, and slowly but surely undermining and destroying their s.e.xual 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.

{Ill.u.s.tration: Fig. 11.

COMPLETE INSTRUMENT.

Showing mobility at points so that it will fit any individual.}

{Ill.u.s.tration: 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 t.e.s.t.i.c.l.es, 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 t.e.s.t.i.c.l.es, 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 t.e.s.t.i.c.l.es may be entirely wasted away, and that it may cause Spermatorrhoea, Lost Manhood, Total Impotence, &c., &c., const.i.tute its greatest gravity.

TREATMENT.--Cutting and tying operations are exceedingly dangerous, having frequently caused death; and even if successful, the t.e.s.t.i.c.l.es, having their blood supply thus entirely cut off, waste away, and Impotence certainly results. Prof. Chevillot, the great French surgeon, was a.s.sa.s.sinated 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 s.c.r.o.t.u.m._

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