All the more recent observations agree in one thing, viz. that in Southern countries the gonorrhoeal forms predominate, and speaking generally, almost always run a mild course that hardly calls for medical interference. There is no doubt Climatic conditions in Antiquity differed but little from those of to-day; so that we may safely assume that equally in Ancient times blennorrhoea showed the same general characteristics, a fact which existing traditions moreover prove beyond question. The frequency of blennorrhoea of the genital organs in Antiquity is shown at once by the just quoted passage from the Mosaic Books, while its mildness of character may be gathered amongst other things from the remedies employed by the old Physicians, who almost without exception followed the principle laid down by _Celsus_ (VI. 18.), to treat gonorrhoea _levibus medicamentis_ (with gentle remedial measures), if they were called upon to apply treatment at all. At least this is true of acute blennorrhoea; the chronic form of the complaint, with which alone as a general rule they had to do, of course required astringents. No doubt each failure of arterial reaction afforded yet another reason for the belief on the part of the Ancients that gonorrhoea was a result of weakness of the seed-secreting vessels, and their idea that the discharge was merely badly prepared semen. Supposing, as must have happened, that marks of increased activity appeared, these proceeded not so much from the circulatory system at all as from the nerves, and _Galen_[162] was correct in referring Priapism under these conditions to spasmodic convulsion.
So much for mucous discharge. It was the same also with the various forms of ulceration of the genitals. The conditions to be enumerated presently in the next Section were already present to counteract their rise in any considerable proportion. Further, if they did appear in the high lands of Asia and in Upper Egypt more frequently than did blennorhoea,—this much is shown plainly at any rate by present-day experience,—still they lasted but a short time, as the preponderant activity of vegetative growth, seconded by extraneous assistance, soon mastered the disease, and quickly restored again the loss of tissue. The course of events was otherwise indeed on lower levels, as in Syria and Lower Egypt, districts which besides their high temperature also showed a considerable degree of moisture in the atmosphere and soil. Here accordingly the different forms of ulceration, unless careful precautions were taken, assumed a malignant character, and readily passed over into gangrene (ἄνθραξ), as we saw a little above happened in the cases of Apion and Hero. By this means it is true every specific characteristic of the morbid alteration was annihilated; _but_ this only made the risk to the individual so much the greater, the patient being at best only too apt to lose the organ attacked