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Accordingly hernia, with Gilbert, includes not only scrotal hernia, but also hydrocele, orchitis, tumors of the testicles, etc. This is apparent, too, in his treatment of hernia, which consists usually in the employment of various poultices and ointments, bleeding from the saphena, cups over the kidneys, etc., though hydrocele is tapped and a seton inserted.
He includes among the results of sexual abstinence orchitis, frequent involuntary seminal emissions, impotence, neurasthenia, depression, and a great variety of nervous disturbances of vaguer character, involving diminished power of work, limited enjoyment of life, sleeplessness, nervousness, and pre-occupation with sexual desires and imaginations.
In some I have had complaints of swelling and stiffness in the legs, and of pains in the joints, particularly in the knees;" he gives the case of a man who suffered after prolonged chastity from inflammatory conditions of knees and was only cured by marriage. Pearce Gould, it may be added, finds that "excessive ungratified sexual desire" is one of the causes of acute orchitis.
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