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Table of contents
PREFACE
TOUCH-1
TOUCH-2
TOUCH-3 (begin)
TOUCH-3 (end)
TOUCH-4 (begin)
TOUCH-4 (end)
SMELL-1
SMELL-2
SMELL-3.1
SMELL-3.2
SMELL-3.3
SMELL-3.4
SMELL-3.5
SMELL-4 (begin)
SMELL-4 (end)
SMELL-5
HEARING-1
HEARING-2
HEARING-3
VISION-1.1
VISION-1.2
VISION-1.3
VISION-2.1
VISION-2.2
VISION-2.3
VISION-2.4
VISION-3
VISION-4
VISION-5
APPENDIX A
APPENDIX B HISTORY-1
APPENDIX B HISTORY-2.1
APPENDIX B HISTORY-2.2
APPENDIX B HISTORY-2.3
APPENDIX B HISTORY-3.1
APPENDIX B HISTORY-3.2
INDEX OF AUTHORS

sexual organs at puberty, there is correlated excitement of the 

whole pilo-sebaceous apparatus. In the regions where this 

apparatus is vestigial, and notably in the face, this abortive 

attempt of the hair-follicles and their sebaceous appendages to 

produce hairs tends only to disorganization, and simple 

_comedones_ or pustular acne pimples are liable to occur. As a 

rule, acne appears about puberty and dies out slowly during 

adolescence. While fairly common in young women, it is usually 

much less severe, but tends to be exacerbated at the menstrual 

periods; it is also apt to appear at the change of life. (Stephen 

Mackenzie, "The Etiology and Treatment of Acne Vulgaris," 

_British Medical Journal_, September 29, 1894. Laycock [_Nervous 

Diseases of Women_, 1840, p. 23] pointed out that acne occurs 

chiefly in those parts of the surface covered by sexual hair. A 

lucid account of the origin of acne will be found in Woods 

Hutchinson's _Studies in Human and Comparative Pathology_, pp. 

179-184. G.J. Engelmann ["The Hystero-neuroses," _Gynaecological 

Transactions_, 1887, pp. 124 et seq.] discusses various 

pathological disorders of the skin as reflex disturbances 

originating in the sexual sphere.) 

 

The influence of menstruation in exacerbating acne has been 

called in question, but it seems to be well established. Thus, 

Bulkley ("Relation between Certain Diseases of the Skin and the 

Menstrual Function," _Transactions of the Medical Society of New 

York_, 1901, p. 328) found that, in 510 cases of acne in women, 

145, or nearly one-third, were worse about the monthly period. 

Sometimes it only appeared during menstruation. The exacerbation 

occurred much more frequently just before than just after the 

period. There was usually some disturbance of menstruation. 

Various other disorders of the skin show a similar relationship 

to menstruation. 

 

It has been asserted that masturbation is a frequent or constant 

cause of acne at puberty. (See, e.g., discussion in _British 

Medical Journal_, July, 1882.) This cannot be accepted. Acne very 

frequently occurs without masturbation, and masturbation is very 

frequently practiced without producing acne. At the same time we 

may well believe that at the period of puberty, when the 

pilo-sebaceous system is already in sensitive touch with the 

sexual system, the shock of frequently repeated masturbation may 

(in the same way as disordered menstruation) have its 

repercussion on the skin. Thus, a lady has informed me that at 

about the age of 18 she found that frequently repeated 

masturbation was followed by the appearance of _comedones_. 

 

 

FOOTNOTES: 

 

[2] A. Franklin, _Les Soins de Toilette_, p. 81. 

 

[3] W. James, _Principles of Psychology_, vol. ii. p. 347. 

 

[4] Numerous passages from the theologians bearing on this point are 


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