The sexual
appetite, if present, is increased; if absent, it is often renewed,
sometimes in elderly men to an inconvenient extent. In one tabetic
subject who had lost desire and ability for more than three years both
returned in sufficient force to allow him to beget a child. This
patient, like most of the others, was ignorant of what drug was being
used and of what effects might be expected, so suggestion played no
part. Apart from this special effect, the solution acts only as a highly
stimulating tonic.
The full dose of forty minims or thereabouts is maintained for a
fortnight or less, and then gradually diminished in the same way that it
was increased. Sometimes, when the effect has been good, a second
"course" may be given after two or three weeks' interval.
During the treatment by hypodermic the masseur should be told to avoid
rubbing where the injections have been given. A few trials with the
fluid internally have produced so little result of any kind that I am
inclined to think the gastric juices must alter it so as to lessen or
wholly destroy its power.
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