The predominance of musk as a sexual odor is associated with the fact that its actual nervous influence, apart from the presence of sexual association, is very considerable. Fere found it to be a powerful muscular stimulant. In former times musk enjoyed a high reputation as a cardiac stimulant; it fell into disuse, but in recent years its use in asthenic states has been revived, and excellent results, it has been claimed, have followed its administration in cases of collapse from Asiatic cholera. For sexual torpor in women it still has (like vanilla and sandal) a certain degree of reputation, though it is not often used, and some of the old Arabian physicians (especially Avicenna) recommended it, with castoreum and myrrh, for amenorrhoea. Its powerful action is indicated by the experience of Esquirol, who stated that he had seen cases in which sensory stimulation by musk in women during lactation had produced mania. It has always had the reputation, more especially in the Mohammedan East, of being a sexual stimulant to men; “the noblest of perfumes,” it is called in El Ktab, “and that which most provokes to venery.”
It is doubtless a fact significant of the special sexual effects of musk that, as Laycock remarked, in cases of special idiosyncrasy to odors, musk appears to be that odor which is most liked or disliked. Thus, the old English physician Whytt remarked that “several delicate women who could easily bear the stronger smell of tobacco have been thrown into fits by musk, ambergris, or a pale rose."[62] It may be remarked that in the Perfumed Garden of Sheik Nefzaoui it is stated that it is by their sexual effects that perfumes tend to throw women into a kind of swoon, and Lucretius remarks that a woman who smells castoreum, another animal sexual perfume, at the time of her menstrual period may swoon.[63]
Not only is musk the most cherished perfume of the Islamic world, and the special favorite of the Prophet himself, who greatly delighted in perfumes ("I love your world,” he is reported to have said in old age, “for its women and its perfumes"),[64] it is the only perfume generally used by the women of a land in which the refinements of life have been carried so far as Japan, and they received it from the Chinese.[65]