The parts were cocainized. No pain
was experienced in the operation except at one point at the lower
posterior portion near the floor of the nose. A profound shock to
the general system followed. The reflex influence of the pain
upon the genital organs caused semen to flow continually for
three weeks. Treatment of general motor irritability with camphor
monobromate and conium, on consultation with Dr. Kiernan, checked
the flow. The discharge produced spinal neurasthenia. The legs
and feet felt heavy. Erythromelalgia caused uneasiness. The
patient walked with difficulty. The tired feeling in the feet and
limbs was quite noticeable four months after the operation,
although the pain had, to a great extent diminished." (Chicago
Academy of Medicine, January, 1904, and private letter.)
J.N. Mackenzie has brought together a great many original
observations, together with interesting quotations from old
medical literature, in his two papers: "The Pathological Nasal
Reflex" (_New York Medical Journal_, August 20, 1887) and "The
Physiological and Pathological Relations between the Nose and the
Sexual Apparatus of Man" (_Johns Hopkins Hospital Bulletin_,
January 1, 1898).
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