THE MECHANISM OF DETUMESCENCE. — часть 3

The facial expression when tumescence is completed is marked by a high degree of energy in men and of loveliness in women. At this moment, when the culminating act of life is about to be accomplished, the individual thus reaches his supreme state of radiant beauty. The color is heightened, the eyes are larger and brighter, the facial muscles are more tense, so that in mature individuals any wrinkles disappear and youthfulness returns.

At the beginning of detumescence the features are frequently more discomposed. There is a general expression of eager receptivity to sensory impressions. The dilatation of the pupils, the expansion of the nostrils, the tendency to salivation and to movements of the tongue, all go to make up a picture which indicates an approaching gratification of sensory desires; it is significant that in some animals there is at this moment erection of the ears.^[122] There is sometimes a tendency to utter broken and meaningless words, and it is noted that sometimes women have called out on their mothers.^[123] The dilatation of the pupils produces photophobia, and in the course of detumescence the eyes are frequently closed from this cause. At the beginning of sexual excitement, Vaschide and Vurpas have observed, tonicity of the eye-muscles seems to increase; the elevators of the upper lids contract, so that the eyes look larger and their mobility and brightness are heightened; with the increase of muscular tonicity strabismus occurs, owing to the greater strength of the muscles that carry the eyes inward.^[124]

The facial expression which marks the culmination of tumescence, and the approach of detumescence is that which is generally expressive of joy. In an interesting psycho-physical study of the emotion of joy, Dearborn thus summarizes its characteristics: "The eyes are brighter and the upper eyelid elevated, as also are the brows, the skin over the glabella, the upper lip and the corners of the mouth, while the skin at the outer canthi of the eye is puckered. The nostrils are moderately dilated, the tongue slightly extended and the cheeks somewhat expanded, while in persons with largely developed pinnal muscles the ears tend somewhat to incline forwards. The whole arterial system is dilated, with consequent blushing from this effect on the dermal capillaries of the face, neck, scalp and hands, and sometimes more extensively even; from the same cause the eyes slightly bulge. The whole glandular system likewise is stimulated, causing the secretions,—gastric, salivary, lachrymal, sudoral, mammary, genital, etc.—to be increased, with the resulting rise of temperature and increase in the katobolism generally. Volubility is almost regularly increased, and is, indeed, one of the most sensitive and constant of the correlations in emotional delight.... Pleasantness is correlated in living organisms by vascular, muscular and glandular extension or expansion, both literal and figurative." (G. Dearborn, "The Emotion of Joy," Psychological Review Monograph Supplements, vol. ii, No. 5, p. 62.) All these signs of joy appear to occur at some stage of the process of sexual excitement.

In some monkeys it would seem that the muscular movement which in man has become the smile is the characteristic facial expression of sexual tumescence or courtship. Discussing the facial expression of pleasure in children, S. S. Buckman has the following remarks: "There is one point in such expression which has not received due consideration, namely, the raising of lumps of flesh each side of the nose as an indication of pleasure. Accompanying this may be seen small furrows, both in children and adults, running from the eyes somewhat obliquely towards the nose. What these characters indicate may be learned from the male mandril, whose face, particularly in the breeding season, shows colored fleshy prominences each side of the nose, with conspicuous furrows and ridges. In the male mandril these characters have been developed because, being an unmistakable sign of sexual ardor, they gave the female particular evidence of sexual feelings. Thus such characters would come to be recognized as habitually symptomatic of pleasurable feelings. Finding similar features in human beings, and particularly in children, though not developed in the same degree, we may assume that in our monkey-like ancestors facial characters similar to those of the mandril were developed, though to a less extent, and that they were symptomatic of pleasure, because connected with the period of courtship. Then they became conventionalized as pleasurable symptoms." (S. S. Buckmann, "Human Babies: What They Teach," Nature, July 5, 1900.) If this view is accepted, it may be said that the smile, having in man become a generalized sign of amiability, has no longer any special sexual significance. It is true that a faint and involuntary smile is often associated with the later stages of tumescence, but this is usually lost during detumescence, and may even give place to an expression of ferocity.

When we have realized how profound is the organic convulsion involved by the process of detumescence, and how great the general motor excitement involved, we can understand how it is that very serious effects may follow coitus. Even in animals this is sometimes the case. Young bulls and stallions have fallen in a faint after the first congress; boars may be seriously affected in a similar way; mares have been known even to fall dead.^[125] In the human species, and especially in men—probably, as Bryan Robinson remarks, because women are protected by the greater slowness with which detumescence occurs in them—not only death itself, but innumerable disorders and accidents have been known to follow immediately after coitus, these results being mainly due to the vascular and muscular excitement involved by the processes of detumescence. Fainting, vomiting, urination, defæcation have been noted as occurring in young men after a first coitus. Epilepsy has been not infrequently recorded. Lesions of various organs, even rupture of the spleen, have sometimes taken place. In men of mature age the arteries have at times been unable to resist the high blood-pressure, and cerebral hæmorrhage with paralysis has occurred. In elderly men the excitement of intercourse with strange women has sometimes caused death, and various cases are known of eminent persons who have thus died in the arms of young wives or of prostitutes.^[126]

These morbid results, are, however, very exceptional. They usually occur in persons who are abnormally sensitive, or who have imprudently transgressed the obvious rules of sexual hygiene. Detumescence is so profoundly natural a process; it is so deeply and intimately a function of the organism, that it is frequently harmless even when the bodily condition is far from absolutely sound. Its usual results, under favorable circumstances, are entirely beneficial. In men there normally supervenes, together with the relief from the prolonged tension of tumescence, with the muscular repose and falling blood-pressure,^[127] a sense of profound satisfaction, a glow of diffused well-being,^[128] perhaps an agreeable lassitude, occasionally also a sense of mental liberation from an overmastering obsession. Under reasonably happy circumstances there is no pain, or exhaustion, or sadness, or emotional revulsion. The happy lover's attitude toward his partner is not expressed by the well-known Sonnet (CXXIX) of Shakespeare:—

He feels rather with Boccaccio that the kissed mouth loses not its charm,

In women the results of detumescence are the same, except that the tendency to lassitude is not marked unless the act has been several times repeated; there is a sensation of repose and self-assurance, and often an accession of free and joyous energy. After completely satisfactory detumescence she may experience a feeling as of intoxication, lasting for several hours, an intoxication that is followed by no evil reaction.

Such, so far as our present vague and imperfect knowledge extends, are the main features in the process of detumescence. In the future, without doubt, we shall learn to know more precisely a process which has been so supremely important in the life of man and of his ancestors.

The elements furnished by the sense of touch in sexual selection have been discussed in the first section of the previous volume of these Studies.

See Appendix A. "The Origins of the Kiss," in the previous volume.

See, e.g., Art. "Erection," by Retterer, in Richet's Dictionnaire de Physiologie, vol. v.

Guibaut, Traité Clinique des Maladies des Femmes, p. 242. Adler discusses the sexual secretions in women and their significance, Die Mangelhafte Geschlechtsempfindung des Weibes, pp. 19-26.

In some parts of the world this is further aided by artificial means. Thus it is stated by Riedel (as quoted by Ploss and Bartels) that in the Gorong Archipelago the bridegroom, before the first coitus, anoints the bride's pudenda with an ointment containing opium, musk, etc. I have been told of an English bride who was instructed by her mother to use a candle for the same purpose.

Parthenologia, pp. 302, et seq.

The connection of this mucous flow with sexual emotion was discussed early in the eighteenth century by Schurig in his Gynæcologia, pp. 8-11; it is frequently passed over by more modern writers.

The drawing is reproduced by Ploss and Bartels, Das Weib, vol. i, Chapter XVII; many facts bearing on the ethnography of coitus are brought together in this chapter.

Onanoff (Paris Société de Biologie, May 3, 1890) proposed the name of bulbo-cavernous reflex for the smart contraction of the ischio-and bulbo-cavernosus muscles (erector penis and accelerator urinæ) produced by mechanical excitation of the glans. This reflex is clinically elicited by placing the index-finger of the left hand on the region of the bulb while the right hand rapidly rubs the dorsal surface of the glands with the edge of a piece of paper or lightly pinches the mucous membrane; a twitching of the region of the bulb is then perceived. This reflex is always present in healthy adult subjects and indicates the integrity of the physical mechanism of detumescence. It has been described by Hughes. (C. H. Hughes, "The Virile or Bulbo-cavernous Reflex," Alienist and Neurologist, January, 1898.)

Roubaud, Traité de l'Impuissance, 1855, p. 39.

Das Weib, seventh edition, vol. i, p. 510.

The influence of impeded respiration in exciting more or less perverted forms of sexual gratification has been discussed in a section of "Love and Pain" in the third volume of these Studies.

See, e.g., the experiments of Obici on this point, Revista Sperimentale di Freniatria, 1903, pp. 689, et seq.

Summarized in Archives d'Anthropologie Criminelle, March, 1903, p. 188. The tendency to closure of the eyes noted by Roubaud, to avoid contact of the light, indicates dilatation of the pupils, for which we need not seek other explanation than the general tendency of all peripheral stimulation, according to Schiff's law, to produce such dilatation.

Vaschide and Vurpas, "Du Coefficient Sexuel de l'Impulsion Musicale," Archives de Neurologie, May, 1904.

In the Priapeia is an inscription which has thus been translated:—

The translator supposes that semen is referred to, but without doubt the allusion is to the theologians' distillatio.

A woman of 30, normal and intelligent, after conversing on love and passion, and then listening to the music of Grieg and Schumann, felt real and strong sexual excitement, increased by memories recalled by the presence of a sympathetic person. When then tested by the dynamometer the average of ten efforts with the right hand was found to be 28.2 (her normal average being 31.1) and with the left hand 28.0 (the normal being 30.0). There was, however, great variability in the individual pressures which sometimes equaled and even exceeded the subject's normal efforts. The voluntary muscles are thus in harmony with the approaching general sexual avalanche. (Vaschide and Vurpas, "Quelques Données Expérimentales sur l'Influence de l'Excitation Sexuelle," Archivio di Psichiatria, 1903, fasc. v-vi.)

Cf. MacGillicuddy, Functional Disorders of the Nervous System in Women, p. 110; Féré, L'Instinct Sexuel, second edition, p. 238; id., "Note sur une Anomalie de l'instinct Sexuel," Belgique Médicale, 1905; also "Analysis of the Sexual Impulse," in an earlier volume of these Studies.

J. P. West, "Masturbation in Early Childhood," Medical Standard, November, 1895.

Cf. the discussion of hysteria in "Auto-Erotism," vol. i of these Studies.

Hirst, Text-Book of Obstetrics, 1899, p. 67.

The earliest story of the kind with which I am acquainted, that of a widow who was thus impregnated by a married friend, is quoted in Schurig's Spermatologia (p. 224) from Amatus Lusitanus, Curationum Centuriæ Septum, 1629.

Janke, Die Willkürliche Hervorbringen des Geschlechts, p. 238.

Cf. Adler, Die Mangelhafte Geschlechtsempfindung des Weibes, pp. 29-38.

Féré, Pathologie des Emotions, p. 51.

This is an instinctive impulse under all strong emotion in primitive persons. "The Australian Dieri," says A. W. Howitt (Journal Anthropological Institute, August, 1890), "when in pain or grief cry out for their father or mother."

Vaschide and Vurpas, Archives de Neurologie, May, 1904.

F. B. Robinson, New York Medical Journal, March 11, 1893.

Féré deals fully with the various morbid results which may follow coitus, L' Instinct Sexuel, Chapter X; id., Pathologie des Emotions, p. 99.

With regard to the relationship of detumescence to the blood-pressure Haig remarks: "I think that as the sexual act produces low and falling blood-pressure, it will of necessity relieve conditions which are due to high and rising blood-pressure, such, for instance, as mental depression and bad temper; and, unless my observation deceives me, we have here a connection between conditions of high blood-pressure, with mental and bodily depression, and the act of masturbation, for this act will relieve those conditions, and will tend to be practiced for this purpose." (A. Haig, Uric Acid, sixth edition, p. 154.)

A medical correspondent speaks of subjective feelings of temperature coming over the body from 20 to 24 hours after congress, and marked by sensations of cooling of body and glow of cheeks. In another case, though lassitude appears on the second day after congress, the first day after is marked by a notable increase in mental and physical activity.

III.

The Constituents of Semen—Function of the Prostate—The Properties of Semen—Aphrodisiacs—Alcohol, Opium, etc.—Anaphrodisiacs—The Stimulant Influence of Semen in Coitus—The Internal Effects of Testicular Secretions—The Influence of Ovarian Secretion.

The germ cell never comes into the sphere of consciousness and cannot therefore concern us in the psychological study of the phenomena of the sexual instinct. But it is otherwise with the sperm cell, and the seminal fluid has a relationship, both direct and indirect, to psychic phenomena which it is now necessary to discuss.

While the spermatozoa are formed in the glandular tissue of the testes, the seminal fluid as finally emitted in detumescence is not a purely testicular product, but is formed by mixture with the fluids poured out at or before detumescence by various glands which open into the urethra, and notably the prostate.^[129] This is a purely sexual gland, which in animals only becomes large and active during the breeding season, and may even be hardly distinguishable at other times; moreover, if the testes are removed in infancy, the prostate remains rudimentary, so that during recent years removal of the testes has been widely advocated and practiced for that hypertrophy of the prostate which is sometimes a distressing ailment of old age. It is the prostatic fluid, according to Fürbringer, which imparts its characteristic odor to semen. It appears, however, to be the main function of the prostatic fluid to arouse and maintain the motility of the spermatozoa; before meeting the prostatic fluid the spermatozoa are motionless; that fluid seems to furnish a thinner medium in which they for the first time gain their full vitality.^[130]

When at length the semen is ejaculated, it contains various substances which may be separated from it,^[131] and possesses various qualities, some of which have only lately been investigated, while others have evidently been known to mankind from a very early period. "When held for some time in the mouth," remarked John Hunter, "it produces a warmth similar to spices, which lasts some time."^[132] Possibly this fact first suggested that semen might, when ingested, possess valuable stimulant qualities, a discovery which has been made by various savages, notably by the Australian aborigines, who, in many parts of Australia, administer a potion of semen to dying or feeble members of the tribe.^[133] It is perhaps noteworthy that in Central Africa the testes of the goat are consumed as an aphrodisiac.^[134] In eighteenth century Europe, Schurig, in his Spermatologia, still found it necessary to discuss at considerable length the possible medical properties of human semen, giving many prescriptions which contained it.^[135] The stimulation produced by the ingestion of semen would appear to form in some cases a part of the attraction exerted by fellatio; De Sade emphasized this point; and in a case recorded by Howard semen appears to have acted as a stimulant for which the craving was as irresistible as is that for alcohol in dipsomania.^[136]

It must be remembered that the early history of this subject is more or less inextricably commingled with folk-lore practices of magical origin, not necessarily founded on actual observation of the physiological effects of consuming the semen or testes. Thus, according to W. H. Pearse (Scalpel, December, 1897), it is the custom in Cornwall for country maids to eat the testicles of the young male lambs when they are castrated in the spring, the survival, probably, of a very ancient religious cult. (I have not myself been able to hear of this custom in Cornwall.) In Burchard's Penitential (Cap. CLIV, Wasserschleben, op. cit., p. 660) seven years' penance is assigned to the woman who swallows her husband's semen to make him love her more. In the seventeenth century (as shown in William Salmon's London Dispensatory, 1678) semen was still considered to be good against witchcraft and also valuable as a love-philter, in which latter capacity its use still survives. (Bourke, Scatalogic Rites, pp. 343, 355.) In an earlier age (Picart, quoted by Crawley, The Mystic Rose, p. 109) the Manichæans, it is said, sprinkled their eucharistic bread with human semen, a custom followed by the Albigenses.

The belief, perhaps founded in experience, that semen possesses medical and stimulant virtues was doubtless fortified by the ancient opinion that the spinal cord is the source of this fluid. This was not only held by the highest medical authorities in Greece, but also in India and Persia.

The semen is thus a natural stimulant, a physiological aphrodisiac, the type of a class of drugs which have been known and cultivated in all parts of the world from time immemorial. (Dufour has discussed the aphrodisiacs used in ancient Rome, Histoire de la Prostitution, vol. II, ch. 21.) It would be vain to attempt to enumerate all the foods and medicaments to which has been ascribed an influence in heightening the sexual impulse. (Thus, in the sixteenth century, aphrodisiacal virtues were attributed to an immense variety of foods by Liébault in his Thresor des Remèdes Secrets pour les Maladies des Femmes, 1585, pp. 104, et seq.) A large number of them certainly have no such effect at all, but have obtained this credit either on some magical ground or from a mistaken association. Thus the potato, when first introduced from America, had the reputation of being a powerful aphrodisiac, and the Elizabethan dramatists contain many references to this supposed virtue. As we know, potatoes, even when taken in the largest doses, have not the slightest aphrodisiac effect, and the Irish peasantry, whose diet consists very largely of potatoes, are even regarded as possessing an unusually small measure of sexual feeling. It is probable that the mistake arose from the fact that potatoes were originally a luxury, and luxuries frequently tend to be regarded as aphrodisiacs, since they are consumed under circumstances which tend to arouse the sexual desires. It is possible also that, as has been plausibly suggested, the misunderstanding may have been due to sailors—the first to be familiar with the potato—who attributed to this particular element of their diet ashore the generally stimulating qualities of their life in port. The eryngo (Eryngium maritimum), or sea holly, which also had an erotic reputation in Elizabethan times, may well have acquired it in the same way. Many other vegetables have a similar reputation, which they still retain. Thus onions are regarded as aphrodisiacal, and were so regarded by the Greeks, as we learn from Aristophanes. It is noteworthy that Marro, a reliable observer, has found that in Italy, both in prisons and asylums, lascivious people are fond of onions (La Pubertà, p. 297), and it may perhaps be worth while to recall the observation of Sérieux that in a woman in whom the sexual instinct only awoke in middle age there was a horror of leeks. In some countries, and especially in Belgium, celery is popularly looked upon as a sexual stimulant. Various condiments, again, have the same reputation, perhaps because they are hot and because sexual desire is regarded, rightly enough, as a kind of heat. Fish—skate, for instance, and notably oysters and other shellfish—are very widely regarded as aphrodisiacs, and Kisch attributes this property to caviar. It is probable that all these and other foods which have obtained this reputation, in so far as they have any action whatever on the sexual appetite, only possess it by virtue of their generally nutritious and stimulating qualities, and not by the presence of any special principle having a selective action on the sexual sphere. A beefsteak is probably as powerful a sexual stimulant as any food; a nutritious food, however, which is at the same time easily digestible, and thus requiring less expenditure of energy for its absorption, may well exert a specially rapid and conspicuous stimulant effect. But it is not possible to draw a line, and, as Aquinas long since said, if we wish to maintain ourselves in a state of purity we shall fear even an immoderate use of bread and water.

More definitely aphrodisiacal effects are produced by drugs, and especially by drugs which in large doses are poisons. The aphrodisiac with the widest popular reputation is cantharides, but its sexually exciting effects are merely an accidental result of its action in causing inflammation of the genito-urinary passage, and it is both an uncertain and a dangerous result, except in skillful hands and when administered in small doses. Nux vomica (with its alkaloid strychnia), by virtue of its special action on the spinal cord, has a notably pronounced effect in heightening the irritability of the spinal ejaculatory center, though it by no means necessarily exerts any strengthening influence. Alcohol exerts a sexually exciting effect, but in a different manner; it produces little stimulation of the cord and, indeed, even paralyzes the lumbar sexual center in large doses, but it has an influence on the peripheral nerve-endings and on the skin, and also on the cerebral centers, tending to arouse desire and to diminish inhibition. In this latter way, as Adler remarks, it may, in small doses, under some circumstances, be beneficial in men with an excessive nervousness or dread of coitus, and women, in whom orgasm has been difficult to reach, have frequently found this facilitated by some previous indulgence in alcohol. The aphrodisiac effect of alcohol seems specially marked on women. But against the use of alcohol as an aphrodisiac it must be remembered that it is far from being a tonic to detumescence, at all events in men, and that there is much evidence tending to show that not only chronic alcoholism, but even procreation during intoxication is perilous to the offspring (see, e.g., Andriezen, Journal of Mental Science, January, 1905, and cf. W. C. Sullivan, "Alcoholism and Suicidal Impulses," ib., April, 1898, p. 268); it may be added that Bunge has found a very high proportion of cases of immoderate use of alcohol in the fathers of women unable to suckle their infants (G. von Bunge, Die Zunehmende Unfähigkeit der Frauen ihre Kinder zu Stillen, 1903) while even an approximation to the drunken state is far from being a desirable prelude to the creation of a new human being. It is obvious that those who wish, for any reason, to cultivate a strict chastity of thought and feeling would do well to avoid alcohol altogether, or only in its lightest forms and in moderation. The aphrodisiacal effects of wine have long been known; Ovid refers to them (e.g., Ars Am., Bk. III, 765). Clement of Alexandria, who was something of a man of science as well as a Christian moralist, points out the influence of wine in producing lasciviousness and sexual precocity. (Pædagogus, Bk. II, Chapter II). Chaucer makes the Wife of Bath say in the Wife of Bath's Prologue:—

Alcohol, as Chaucer pointed out, comes to the aid of the man, who is unscrupulous in his efforts to overcome a woman, and this not merely by virtue of its aphrodisiacal effects, and the apparently special influence which it seems to exert on women, but also because it lulls the mental and emotional characteristics which are the guardians of personality. A correspondent who has questioned on this point a number of prostitutes he has known, writes: "Their accounts of the first fall were nearly always the same. They got to know a 'gentleman,' and on one occasion they drank too much; before they quite realized what was happening they were no longer virgins." "In the mental areas, under the influence of alcohol," Schmiedeberg remarks (in his Elements of Pharmacology), "the finer degrees of observation, judgment, and reflection are the first to disappear, while the remaining mental functions remain in a normal condition. The soldier acts more boldly because he notices dangers less and reflects over them less; the orator does not allow himself to be influenced by any disturbing side-considerations as to his audience, hence he speaks more freely and spiritedly; self-consciousness is lost to a very great extent, and many are astounded at the ease with which they can express their thoughts, and at the acuteness of their judgment in matters which, when they are perfectly sober, with difficulty reach their minds; and then afterwards they are ashamed at their mistakes."

The action of opium in small doses is also to some extent aphrodisiacal; it slightly stimulates both the brain and the spinal cord, and has sensory effects on the skin like alcohol; these effects are favored by the state of agreeable dreaminess it produces. In the seventeenth century Venette (La Génération de l'Homme, Part II, Chapter V) strongly recommended small doses of opium, then little known, for this purpose; he had himself, he says, in illness experienced its joys, "a shadow of those of heaven." In India opium (as well as cannabis indica) has long been a not uncommon aphrodisiac; it is specially used to diminish local sensibility, delaying the orgasm and thus prolonging the sexual act. (W. D. Sutherland, "De Impotentia," Indian Medical Gazette, January, 1900). Its more direct and stimulating influence on the sexual emotions seems indicated by the statement that prostitutes are found standing outside the opium-smoking dens of Bombay, but not outside the neighboring liquor shops. (G. C. Lucas, Lancet, February 2, 1884.) Like alcohol, opium seems to have a marked aphrodisiacal effect on women. The case is recorded of a mentally deranged girl, with no nymphomania though she masturbated, who on taking small doses of opium at once showed signs of nymphomania, following men about, etc. (American Journal Obstetrics, May, 1901, p. 74.) It may well be believed that opium acts beneficially in men when the ejaculatory centers are weak but irritable; but its actions are too widespread over the organism to make it in any degree a valuable aphrodisiac. Various other drugs have more or less reputation as aphrodisiacs; thus bromide of gold, a nervous and glandular stimulant, is said to have as one of its effects a heightening of sexual feeling. Yohimbin, an alkaloid derived from the West African Yohimbehe tree, has obtained considerable repute during recent years in the treatment of impotence; in some cases (see, e.g., Toff's results, summarized in British Medical Journal, February 18, 1905) it has produced good results, apparently by increasing the blood supply to the sexual organs, but has not been successful in all cases or in all hands. It must always be remembered that in cases of psychical impotence suggestion necessarily exerts a beneficial influence, and this may work through any drug or merely with the aid of bread pills. All exercise, often even walking, may be a sexual stimulant, and it is scarcely necessary to add that powerful stimulation of the skin in the sexual sphere, and more especially of the nates, is often a more effective aphrodisiac than any drug, whether the irritation is purely mechanical, as by flogging, or mechanico-chemical, as by urtication or the application of nettles. Among the Malays (with whom both men and women often use a variety of plants as aphrodisiacs, according to Vaughan Stevens) Breitenstein states (21 Jahre in India, Theil I, p. 228) that both massage and gymnastics are used to increase sexual powers. The local application of electricity is one of the most powerful of aphrodisiacs, and McMordie found on applying one pole to a uterine sound in the uterus and the other to the abdominal wall that in the majority of healthy women the orgasm occurred.

Among anaphrodisiacs, or sexual sedatives, bromide of potassium, by virtue of its antidotal relationship to strychnia, is one of the drugs whose action is most definite, though, while it dulls sexual desire, it also dulls all the nervous and cerebral activities. Camphor has an ancient reputation as an anaphrodisiac, and its use in this respect was known to the Arabs (as may be seen by a reference to it in the Perfumed Garden), while, as Hyrtl mentions (loc. cit. ii, p. 94), rue (Ruta graveolens) was considered a sexual sedative by the monks of old, who on this account assiduously cultivated it in their cloister gardens to make vinum rutæ. Recently heroin in large doses (see, e.g., Becker, Berliner Klinische Wochenschrift, November 23, 1903) has been found to have a useful effect in this direction. It may be doubted, however, whether there is any satisfactory and reliable anaphrodisiac. Charcot, indeed, it is said, used to declare that the only anaphrodisiac in which he had any confidence was that used by the uncle of Heloïse in the case of Abelard. "Cela (he would add with a grim smile) tranche la difficulte."

If semen is a stimulant when ingested, it is easy to suppose that it may exert a similar action on the woman who receives it into the vagina in normal sexual congress. It is by no means improbable that, as Mattei argued in 1878, this is actually the case. It is known that the vagina possesses considerable absorptive power. Thus Coen and Levi, among others, have shown that if a tampon soaked in a solution of iodine is introduced into the vagina, iodine will be found in the urine within an hour. And the same is true of various other substances.^[137] If the vagina absorbs drugs it probably absorbs semen. Toff, of Braila (Roumania), who attaches much importance to such absorption, considers that it must be analogous to the ingestion of organic extractives. It is due to this influence, he believes, that weak and anæmic girls so often become full-blooded and robust after marriage, and lose their nervous tendencies and shyness.^[138]

It is, however, most certainly a mistake to suppose that the beneficial influence of coitus on women is exclusively, or even mainly, dependent upon the absorption of semen. This is conclusively demonstrated by the fact that such beneficial influence is exerted, and in full measure, even when all precautions have been taken to avoid any contact with the semen. In so far as coitus reservatus or interruptus may lead to haste or discomfort which prevents satisfactory orgasm on the part of the woman, it is without doubt a cause of defective detumescence and incomplete satisfaction. But if orgasm is complete the beneficial effects of coitus follow even if there has been no possibility of the absorption of semen. Even after coitus interruptus, if it can be prolonged for a period long enough for the woman to attain full and complete satisfaction, she is enabled to experience what she may describe as a feeling of intoxication, lasting for several hours. It is in the action of the orgasm itself, and the vascular, secretory, and metabolic activities set up by the psychic and nervous influence of coitus with a beloved person, that we must seek the chief key to the effects produced by coitus on women, however these effects may possibly be still further heightened by the actual absorption of semen.^[139]

The positive action of semen, or rather of the testicular products, has been much investigated during recent years, and appears on the whole to be demonstrated. The notable discovery by Brown-Séquard, a quarter of a century ago, that the ingestion of the testicular juices in states of debility and senility acted as a beneficial stimulant and tonic, opened the way to a new field of therapeutics. Many investigators in various countries have found that testicular extracts, and more especially the spermin as studied by Poehl,^[140] and by him regarded as a positive katalysator or accelerator of metabolic processes, exert a real influence in giving tone to the heart and other muscles, and in improving the metabolism of the tissues even when all influences of mental suggestion have been excluded.^[141]

As the ovaries are strictly analogous to the testes, it was surmised that ovarian extract might prove a drug equally valuable with testicular products. As a matter of fact, ovarian extract, in the form of ovarin, etc., would seem to have proved beneficial in various disorders, more especially in anæmia and in troubles due to the artificial menopause. In most conditions, however, in which it has been employed the results are doubtful or uncertain, and some authorities believe that the influence of suggestion plays a considerable part here.

There is, however, another use which is subserved by the testicular products, a use which may indeed be said to be implied in those uses to which reference has already been made, but is yet historically the latest to be realized and studied. It was not until 1869 that Brown-Séquard first suggested that an important secretion was elaborated by the ductless glands and received into the circulation, but that suggestion proved to be epoch-making. If these glandular secretions are so valuable when administered as drugs to other persons, must they not be of far greater value when naturally secreted and poured out into the circulation in the living body? It is now generally believed, on the basis of a large and various body of evidence, that this is undoubtedly so. In a very crude form, indeed, this belief is by no means modern. In opposition to the old writers who were inclined to regard the semen as an excretion which it was beneficial to expel, there were other ancient authorities who argued that it was beneficial to retain it as being a vital fluid which, if reabsorbed, served to invigorate the body. The great physiologist, Haller, in the middle of the eighteenth century, came very near to the modern doctrine when he stated in his Elements of Physiology that the sperm accumulated in the seminical vesicles is pumped back into the blood, and thus produces the beard and the hair together with the other surprising changes of puberty which are absent in the eunuch. The reabsorption of semen can scarcely be said to be a part of the modern physiological doctrine, but it is at least now generally held that the testes secrete substances which pass into the circulation and are of immense importance in the development of the organism.

The experiments of Shattock and Seligmann indicate that the semen and its reabsorption in the seminal vesicles, or the nervous reactions produced by its presence, can have no part in the formation of secondary sexual characters. These investigators occluded the vas deferens in sheep by ligature, at an early age, rendering them later sterile though not impotent. The secondary sexual characters appeared as in ordinary sheep. Spermatogenesis, these inquirers conclude, may be the initial factor, but the results must be attributed to the elaboration by the testicles of an internal secretion and its absorption into the general circulation.^[142]

When animals are castrated there is enlargement of the ductless glands in the body, notably the thyroid and the suprarenal capsules.^[143] It is evident, therefore, that the secretions of these ductless glands are in some degree compensatory to those of the testes. But this compensatory action is inadequate to produce any sexual development in the absence of the testes.

We see, therefore, how extremely important is the function of the testis. Its significance is not alone for the race, it is not simply concerned with the formation of the spermatozoa which share equally with the ova the honor of making the mankind of the future. It also has a separate and distinct function which has reference to the individual. It elaborates those internal secretions which stimulate and maintain the physical and mental characters, constituting all that is most masculine in the male animal, all that makes the man in distinction from the eunuch. Among various primitive peoples, including those of the European race whence we ourselves spring, the most solemn form of oath was sworn by placing the hand on the testes, dimly recognized as the most sacred part of the body. A crude and passing phase of civilization has ignorantly cast ignominy upon the sexual organs; the more primitive belief is now justified by our advancing knowledge.

In these as in other respects the ovaries are precisely analogous to the testes. They not only form the ova, but they elaborate for internal use a secretion which develops and maintains the special physical and mental qualities of womanhood, as the testicular secretion those of manhood. Moreover, as Cecca and Zappi found, removal of the ovaries has exactly the same effect on the abnormal development of the other ductless glands as has removal of the testes. It is of interest to point out that the internal secretion of the ovaries and its important functions seem to have been suggested before any other secretion than the sperm was attributed to the testes. Early in the nineteenth century Cabanis argued ("De l'Influence des Sexes sur le Caractère des Idées et des Affections Morales," Rapport du Physique et du Moral de l'Homme, 1824, vol. ii, p. 18) that the ovaries are secreting glands, forming a "particular humor" which is reabsorbed into the blood and imparts excitations which are felt by the whole system and all its organs.

The composite character of the semen was recognized by various old authors, some of whom said, (e.g., Wharton) that it had three constituents, which they usually considered to be: (1) The noblest and most essential part, from the testicles; (2) a watery element from the vesiculæ; (3) an oily element from the prostate. Schurig, Spermatologia, 1720, p. 17.

See, e.g., C. Mansell Moulin, "A Contribution to the Morphology of the Prostate," Journal of Anatomy and Physiology, January, 1895; G. Walker, "A Contribution to the Anatomy and Physiology of the Prostate Gland, and a Few Observations on Ejaculation," Johns Hopkins Hospital Bulletin, October, 1900.

For a study of the semen and its constituents, see Florence, "Du Sperme," Archives d'Anthropologie Criminelle, 1895.

J. Hunter, Essays and Observations, vol. i, p. 189.

As regards one part of Australia, Walter Roth, Ethnological Studies Among the Queensland Aborigines, p. 174.

Sir H. H. Johnston, British Central Africa, p. 438.

Cap. VII, pp. 327-357, "De Spermaticis virilis usu Medico,"

W. L. Howard, "Sexual Perversion," Alienist and Neurologist, January, 1896.

Zentralblatt für Gynäkologie, 1894, No. 49.

E. Toff, "Uber Imprägnierung," Zentralblatt für Gynäkologie, April, 1903. In a similar but somewhat more precise manner Dufougère has argued ("La Chlorose, ses rapports avec le marriage, son traitement par le liquide orchitique," Thèse de Bordeaux, 1902) that semen when absorbed by the vagina stimulates the secretion of the ovaries and thus exerts an influence over the blood in anæmia; in this way he seeks to explain why it is that coitus is the best treatment for chlorosis.

In this connection I may refer to an interesting and suggestive paper by Harry Campbell on "The Craving for Stimulants" (Lancet, October 21, 1899). No reference is made to coitus, but the author discusses stimulants as normal and beneficial products of the organism, and deals with the nature of the "physiological intoxication" they produce.

Spermin was first discovered in the sperm by Schreiner in 1878; it has also been found in the thyroid, ovaries and various other glands. "The spermin secreting and elaborating organs," Howard Kelly remarks (British Medical Journal, January 29, 1898), "may be called the apothecaries' of the body, secreting many important medicaments, much more active and more accurately representing its true wants than artificially administered drugs."

See, e.g., a summary of Buschan's comprehensive discussion of the subject of organotherapy (Eulenburg's Real-Encyclopædie der Gesammten Heilkunde) in Journal of Mental Science, April, 1899, p. 355.

"Observations Upon the Acquirement of Secondary Sexual Characters, Indicating the Formation of an Internal Secretion by the Testicles," Proceedings Royal Society, vol. lxxiii, p. 49.

See, e.g., the experiments of Cecca and Zappi, summarized in British Medical Journal, July 2, 1904.

IV.

The Aptitude for Detumescence—Is There an Erotic Temperament?—The Available Standards of Comparison—Characteristics of the Castrated—Characteristics of Puberty—Characteristics of the State of Detumescence—Shortness of Stature—Development of the Secondary Sexual Characters—Deep Voice—Bright Eyes—Glandular Activity—Everted Lips—Pigmentation—Profuse Hair—Dubious Significance of Many of These Characters.

What, if any, are the indications which the body generally may furnish as to the individual's aptitude and vigor for the orgasm of detumescence? Is there an erotic temperament outwardly and visibly displayed? That is a question which has often occupied those who have sought to penetrate the more intimate mysteries of human nature, and since we are here concerned with human beings in their relationship to the process of detumescence, we cannot altogether pass over this question, difficult as it is to discuss it with precision.

The old physiognomists showed much confidence in dealing with the matter. Possibly they had more opportunities for observation than we have, since they often wrote in days when life was lived more nakedly than among ourselves, but their descriptions, while sometimes showing much insight, are inextricably mixed up with false science and superstition.

In the De Secretis Mulierum, wrongly attributed to Albertus Magnus, we find a chapter entitled "Signa mulieris calidæ naturæ et quæ coit libenter," which may be summarized here. "The signs," we are told, "of a woman of warm temperament, and one who willingly cohabits are these: youth, an age of over 12, or younger, if she has been seduced, small, high breasts, full and hard, hair in the usual positions; she is bold of speech, with a delicate and high voice, haughty and even cruel of disposition, of good complexion, lean rather than stout, inclined to like drinking. Such a woman always desires coitus, and receives satisfaction in the act. The menstrual flow is not abundant nor always regular. If she becomes pregnant the milk is not abundant. Her perspiration is less odorous than that of the woman of opposite temperament; she is fond of singing, and of moving about, and delights in adornments if she has any."

Polemon, in his Sulla Physionomia, has given among the signs of libidinous impulse: knees turned inwards, abundance of hairs on the legs, squint, bright eyes, a high and strident voice, and in women length of leg below the knee. Aristotle had mentioned among the signs of wantonness: paleness, abundance of hair on the body, thick and black hair, hairs covering the temples, and thick eyelids.

In the seventeenth century Bouchet, in his Serées (Troisième Serée), gave as the signs of virility which indicated that a man could have children: a great voice, a thick rough black beard, a large thick nose.

G. Tourdes (Art. "Aphrodisie," Dictionnaire Encyclopédique des Sciences Médicales) thus summarized the ancient beliefs on this subject: "The erotic temperament has been described as marked by a lean figure, white and well-ranged teeth, a developed hairy system, a characteristic voice, air, and expression, and even a special odor."

In approaching the question of the general physical indications of a special aptitude to the manifestation of vigorous detumescence, the most obvious preliminary would seem to be a study of the castrated. If we know the special peculiarities of those who by removal of the sexual glands at a very early age have been deprived of all ability to present the manifestations of detumescence, we shall probably be in possession of a type which is the reverse of that which we may expect in persons of a vigorously erotic temperament.

The most general characteristics of eunuchs would appear to be an unusual tendency to put on fat, a notably greater length of the legs, absence of hair in the sexual and secondary sexual regions, a less degree of pigmentation, as noted both in the castrated negro and the white man, a puerile larynx and puerile voice. In character they are usually described as gentle, conciliatory, and charitable.

There can be little doubt that castration in man tends to lead to lengthening of the legs (tibia and fibula) at puberty, from delayed ossification of the epiphyses. The hands and feet are also frequently longer and sometimes the forearms. At the same time the bones are more slender. The pelvis also is narrower. The eunuchs of Cairo are said to be easily seen in a crowd from their tall stature. (Collineau, quoting Lortet, Revue Mensuelle de l'Ecole d'Anthropologie, May, 1896.) The castrated Skoptzy show increased stature, and, it seems, large ears, with decreased chest and head (L. Pittard, Revue Scientifique, June 20, 1903.) Féré shows that in most of these respects the eunuch resembles beardless and infantile subjects. ("Les Proportions des Membres et les Caractères Sexuels," Journal de l'Anatomie et de la Physiologie, November-December, 1897.) Similar phenomena are found in animals generally. Sellheim, carefully investigating castrated horses, swine, oxen and fowls, found retardation of ossification, long and slender extremities, long, broad, but low skull, relatively smaller pelvis and small thorax. ("Zur Lehre von den Sekundären Geschlechtscharakteren," Beiträge zur Geburtshülfe und Gynäkologie, 1898, summarized in Centralblatt für Anthropologie, 1900, Heft IV.)

As regards the mental qualities and moral character of the castrated, Griffiths considers that there is an undue prejudice against eunuchs, and refers to Narses, who was not only one of the first generals of the Roman Empire, but a man of highly estimable character. (Lancet, March 30, 1895.) Matignon, who has carefully studied Chinese eunuchs, points out that they occupy positions of much responsibility, and, though regarded in many respects as social outcasts, possess very excellent and amiable moral qualities (Archives Cliniques de Bordeaux, May, 1896.) In America Everett Flood finds that epileptics and feeble-minded boys are mentally and morally benefited by castration. ("Notes on the Castration of Idiot Children," American Journal of Psychology, January, 1899.) It is often forgotten that the physical and psychic qualities associated with and largely dependent on the ability to experience the impulse of detumescence, while essential to the perfect man, involve many egoistic, aggressive and acquisitive characteristics which are of little intellectual value, and at the same time inimical to many moral virtues.

We have a further standard—positive this time rather than negative—to aid us in determining the erotic temperament: the phenomena of puberty. The efflorescence of puberty is essentially the manifestation of the ability to experience detumescence. It is therefore reasonable to suppose that the individuals in whom the special phenomena of puberty develop most markedly are those in whom detumescence is likely to be most vigorous. If such is the case we should expect to find the erotic temperament marked by developed larynx and deep voice, a considerable degree of pigmentary development in hair and skin, and a marked tendency to hairiness; while in women there should be a pronounced growth of the breasts and pelvis.^[144]

There is yet another standard by which we may measure the individual's aptitude for detumescence: the presence of those activities which are most prominently brought into play during the process of detumescence. The individual, that is to say, who is organically most apt to manifest the physiological activities which mainly make up the process of detumescence, is most likely to be of pronounced erotic temperament.

"Erotic persons are of motor type," remark Vaschide and Vurpas, "and we may say generally that nearly all persons of motor type are erotic." The state of detumescence is one of motor and muscular energy and of great vascular activity, so that habitual energy of motor response and an active circulation may reasonably be taken to indicate an aptitude for the manifestation of detumescence.

These three types may be said, therefore, to furnish us valuable though somewhat general indications. The individual who is farthest removed from the castrated type, who presents in fullest degree the characters which begin to emerge at the period of puberty, and who reveals a physiological aptitude for the vigorous manifestation of those activities which are called into action during detumescence, is most likely to be of erotic temperament. The most cautious description of the characteristics of this temperament given by modern scientific writers, unlike the more detailed and hazardous descriptions of the early physiognomists, will be found to be fairly true to the standards thus presented to us.

The man of sexual type, according to Biérent (La Puberté, p. 148), is hairy, dark and deep-voiced.

"The men most liable to satyriasis," Bouchereau states (art. "Satyriasis," Dictionnaire Encyclopédique des Sciences Médicales), "are those with vigorous nervous system, developed muscles, abundant hair on body, dark complexion, and white teeth."

Mantegazza, in his Fisiologia del Piacere, thus describes the sexual temperament: "Individuals of nervous temperament, those with fine and brown skins, rounded forms, large lips and very prominent larynx enjoy in general much more than those with opposite characteristics. A universal tradition," he adds, "describes as lascivious humpbacks, dwarfs, and in general persons of short stature and with long noses."

In a case of nymphomania in a young woman, described by Alibert (and quoted by Laycock, Nervous Diseases of Women, p. 28) the hips, thighs and legs were remarkably plump, while the chest and arms were completely emaciated. In a somewhat similar case described by Marc in his De la Folie a peasant woman, who from an early age had experienced sexual hyperæsthesia, so that she felt spasmodic voluptuous feelings at the sight of a man, and was thus the victim of solitary excesses and of spasmodic movements which she could not repress, the upper part of the body was very thin, the hips, legs and thighs highly developed.

In his work on Uterine and Ovarian Inflammation (1862, p. 37) Tilt observes: "The restless, bashful eye, and changing complexion, in presence of a person of the opposite sex, and a nervous restlessness of body, ever on the move, turning and twisting on sofa or chair, are the best indications of sexual temperament."

An extremely sensual little girl of 8, who was constantly masturbating when not watched, although brought up by nuns, was described by Busdraghi (Archivio di Psichiatria, fas. i, 1888, p. 53) as having chestnut hair, bright black eyes, an elevated nose, small mouth, pleasant round face, full colored cheeks, and plump and healthy aspect.

A highly intelligent young Italian woman with strong and somewhat perverted sexual impulses is described as of attractive appearance, with olive complexion, small black almond-shaped eyes, dilated pupils, oblique thin eyebrows, very thick black hair, rather prominent cheek-bones, largely developed jaw, and with abundant down on lower part of cheeks and on upper lip. (Archivio di Psichiatria, 1899, fasc. v-vi.)

As the type of the sensual woman in word and act, led by her passions to commit various sexual offenses, Ottolenghi describes (Archivio di Psichiatria, vol. xii, fasc. v-vi, p. 496) a woman of 32 who attempted to kill her lover. The daughter of parents who were neurotic and themselves very erotic, she was a highly intelligent and vivacious woman, with a pleasing and open face, very thick dark chestnut hair, large cheek-bones, adipose buttocks almost resembling those of a Hottentot, and very thick pubic hair. She was very fond of salt things. Sexual inclination began at the age of 7.

Adler and Moll remark, very truly, that, so far at least as women are concerned, sexual anæsthesia or sexual proclivity cannot be unfailingly read on the features. Every woman desires to please, and coquetry is the sign of a cold, rather than of an erotic temperament.^[145] It may be added that a considerable degree of congenital sexual anæsthesia by no means prevents a woman from being beautiful and attractive, though it must probably still always be said that, as Roubaud points out,^[146] the woman of cold and intellectual temperament, the "femme de tête," however beautiful and skillful she may be, cannot compete in the struggle for love with the woman whose qualities are of the heart and of the emotions. But it seems sufficiently clear that the practical observations of skilled and experienced observers agree in attributing to persons of erotic type certain general characteristics which accord with those negative and positive standards we may frame on the basis of castration, of puberty, and of detumescence. It may be worth while to note a few of these characteristics briefly.

The abnormal lengthening of the long bones at the age of puberty in the castrated is, as we have seen, very pronounced. There is little tendency to associate length of limb with an erotic temperament, and a certain amount of data as well as of more vague opinion points in the opposite direction. The Arabs would appear to believe that it is short rather than tall people in whom the sexual instinct is strongly developed, and we read in the Perfumed Garden: "Under all circumstances little women love coitus more and evince a stronger affection for the virile member than women of a large size." In his elaborate investigation of criminals Marro found that prostitutes and women guilty of sexual offenses, as also male sexual offenders, tend to be short and thick set.^[147] In European folk-lore the thick, bull neck is regarded as a sign of strong sexuality.^[148] Mantegazza refers to a strong sexual temperament as being associated with arrest or disorder of bony development, and Marro suggests that the proverbial salacity of rachitic individuals may be due to an increased activity of the sexual organs.^[149] It may be added that acromegaly, with its excessive bony growths, tends to be associated with premature sexual involution.

A further point which is frequently mentioned in the case of women is the development of the chief secondary sexual regions: the pelvis and the breasts. It is, indeed, almost inevitable that there should be some degree of correlation between the aptitude for bearing children and the aptitude for experiencing detumescence. The reality of such a connection is not only evidenced by medical observations, but receives further testimony in popular beliefs. In Italy women with large buttocks are considered wanton, and among the South Slavs they are regarded as especially fruitful.^[150] Blumenbach asserted that precocious venery will enlarge the breasts, and believed that he had found evidence of this among young London prostitutes.^[151]

The association of the aptitude for detumescence with a tendency to a deep rather than to a high voice, both in men and women, has frequently been noted and has seldom been denied. The onset of puberty always affects the voice; in general, Biérent states, the more bass the voice is the more marked is the development of the sexual apparatus; "a very robust man, with very developed sexual organs, and very dark and abundant hairy system, a man of strong puberty in a word, is nearly always a bass."^[152] The influence of sexual excitement in deepening the voice is shown by the rules of sexual hygiene prescribed to tenors, while a bass has less need to observe similar precautions. In women every phase of sexual life—puberty, menstruation, coitus, pregnancy—tends to affect the voice and always by giving it a deeper character. The deepening of the voice by sexual intercourse was an ancient Greek observation, and Martial refers to a woman's good or bad singing as an index to her recent sexual habits. Prostitutes tend to have a deep voice. Venturi points out that married women preserve a fresh voice to a more advanced age than spinsters, this being due to the precocious senility in the latter of an unused function. Such a phenomenon indicates that the relationship of detumescence to the deepening of the voice is not quite simple. This is further indicated by the fact that in robust men abstinence still further deepens the voice (the monk of melodrama always has a bass voice), while excessive or precocious sexual indulgence tends to be associated with the same kind of puerile voice as is found in those persons in whom pubertal development has not been carried very far, or who are of what Griffiths terms eunuchoid type. Idiot boys, who are often sexually undeveloped, tend to have a high voice, while idiot girls (who often manifest marked sexual proclivities) not infrequently have a deep voice.^[153]