Vienna, May 14, 1893

Dear friend,

The bearer of this letter, Mr. F. from Budweis, suffers from left-sided neuralgiform headaches, is intolerant of alcohol, has pain in the sternum, some dizziness, cannot breathe through the nose when reclining, has a dried-out mouth upon awakening, restless sleep, a suspicious shape to his nose — in brief, I do not doubt that it will be a simple matter for you to free him from his troubles.1

In another respect he suffered a great deal from pollutions2 (without masturbation); until recently had very good potency; for the past four years has practiced coitus interruptus because of his wife's stubbornness, without so far suffering any ill effects as a result (precisely because he was not a masturbator), but is very excited, does not feel well after intercourse, and easily develops hysterical choking. For the last ten years has complained about pressure in the