Nocturnal emission, also known as Night fall or wet dreams is the involuntary ejaculation of semen at night during sleep. This is observed in most of the males after attaining puberty. Very often nocturnal emission is related to the general debility or sexual weakness, but in most cases it is a normal symptom caused due to the functioning of the male sex hormones. The symptoms are generally observed in the teenager males when they are sexually inactive, and gradually decrease with the increase in their age or when they become sexually active. Some males may not experience this nocturnal emission throughout their life.


Treating Spermatorrhoea


Treating Spermatorrhoea With Bromine (Bromum)

In irritation of the male genitals in plethoric subjects, with undue erections or excessive seminal losses, the bromides are often highly useful. They have a local anaesthetic effect when applied to the urethra, and when taken internally their value is evident rather in cases when sexual excitement is connected with local irritation and congestion, as haemorrhoids, ascarides, etc., than when there is mental or central causation. They tend to lessen, also, spinal congestion and reflex irritation. Berger finds, perhaps, the best results from camphor bromide in such cases (Medical Times, i., 1877, p. 264). When there is marked debility with anaemia, or when spermatorrhoea is unaccompanied by erections or sensations, bromides are not the best remedies.


Treating Spermatorrhoea With Acetic Acid (Acidum Aceticum)

Compresses soaked with vinegar and applied to the perineum at bed-time often cure this affection. Should soreness be produced, treatment must be omitted for a time.


Treating Spermatorrhoea With Silver (Argentum)

The treatment by local application of a strong solution to the prostatic urethra in the neighborhood of the openings of the seminal ducts was strongly commended by Lallemand, but his statements are exaggerated; it is useful sometimes, but should not be employed without due consideration: I have seen serious consequences follow it.


Treating Spermatorrhoea With Iron (Ferrum)

For seminal losses occurring in the young and debilitated, tincture of iron is of great use; it should be given in full doses twice daily, and preferably not at night; plenty of outdoor exercise should be conjoined with its use.


Phosphoric acid

This remedy corresponds to the chronic effects of loss of seminal fluid, while Cinchona is more suitable for the acute effects, such as emissions on three or four consecutive nights, weakening the patient greatly. Under Phosphoric acid the whole system is weakened; the legs are weak, and there is burning in the spine worse at night, the genitals are relaxed, the scrotum and testicles are flabby, the penis has no power of erection, or the erection are imperfect and the semen escapes too soon during coitus.


Formication or a sensation of crawling on the scrotum is also sometimes present. Impotence when the sensibility of the part is excessive, and the semen is discharged shortly after or even before erection. There is a sudden relaxation of the penis during coitus due to exhaustion rather than to spasmodic action, as under Nux vomica. Hughes regards Phosphoric acid as probably the most useful remedy for spermatorrhoea in the materia medica, but much depends on the potency used, as the lower ones often fail. There is dragging in the testicles, and above all the mental condition is important; the patient is distressed on account of the culpability of his acts, and is anxious about the future of his health or else perfect indifference is present.


It is never to be used when general irritability is present,and probably many failures are owing to its misuse in this particular. Phosphorus has impotence preceded by over-excitation of the genital organs. It also has discharge of prostatic juice during a hard stool and frequently involuntary seminal emissions. Picric acid has disturbed sleep from erections and too frequent seminal emissions. Spermatorrhoea, with great desire, followed by great prostration. King, in his work on spermatorrhoea, advises the higher potencies as the lower ones are apt to aggravate.


Gelsemium

Characteristic of Gelsemium are frequent involuntary emissions at night (Nocturnal Emissions or Wet Dreams), with relaxation of the organs; the whole system is relaxed and emissions occur from the slightest exertion or excitation. There are no lascivious dreams, and it is particularly the remedy in cases arising from masturbation. Dioscorea has atonic seminal emissions; there is a passive state, and the patient will have two or three dreams a night, with emission of semen and the day following will feel very weak about the knees.


Farrington advises it first in the 12th and then in the 30th potency. Eryngium aquaticum. General debility, seminal emissions without erections. Digitalis has also involuntary emissions during sleep, without dreams, followed with great weakness. Baehr recommends Digitalis 3rd trituration in spermatorrhoea and claims that it usually suffices. It should be given early in the morning. Dickinson claims better results from this remedy than from any other.


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