The answer at the end of your book does not seem correct. The correct one is $y^2 + x^2 - Cx + 1 = 0$.
The equation is solved most easily with the substitution (all derivatives in Lagrange notation are with respect to $x$):
$$ (y^2 + x^2 + 2Cy)' = (1)' \quad \Rightarrow \quad 2yy' + 2x + 2Cy' = 0 $$
Express $2C$ with the help of the initial equation:
$$y^2 + x^2 + 2Cy = 1 \quad \Rightarrow \quad 2C = \frac{1 - x^2 - y^2}{y}$$
Substitute this into the derivative equation:
$$2yy' + 2x + \frac{1 - x^2 - y^2}{y}y' = 0 \quad \Rightarrow \quad 2y^2y' + 2xy + y' -x^2y' - y^2y' = 0, y \neq 0$$
where we removed the $y$ in the denominator, by restricting the sought function $y$ to be nonzero. Now grouping the terms:
$$2xy + (y^2 - x^2 + 1)y' = 0 \quad \Rightarrow \quad y' = \frac{-2xy}{y^2 - x^2 + 1}$$
The family of orthogonal curves would have their direction field as a reciprocal of the direction field we found above^. Thus it can be expressed as $y_0$:
$$y_0' = \frac{y_0^2 - x^2 + 1}{2xy_0} \quad \Rightarrow \quad 2xy_0y_0' = y_0^2 - x^2 + 1$$
It is easy to notice now, that if we take $v = y_0^2$. then this expression is equivalent to:
$$xv' = v - x^2 + 1 \quad \Rightarrow \quad v' - \frac{1}{x}v =
\frac{1}{x} - x$$
But this is the first order differential equation for which we have an existence uniqueness theorem, and a formula, where $P(x) = -\frac{1}{x}$, and $Q(x) = \frac{1}{x} - x$, and $A(x) = \int_1^x P(t)dt = -\log(x)$. The point $x = 1$ is selected as an initial value point for simplicity, since the logarithm which appears in the integration becomes 0 there. Moreover, the fact that the term $1/x$ is integrated from 1 means that the integral is not defined at $x = 0$, so if the initial value is taken positive, the solution will be only defined for $x > 0$. This allows to remove the absolute value from the logarithm when after integration. The solution is then given by:
$$v = v(1)e^{-A(x)} + e^{-A(x)} \int_{1}^x e^{A(t)}Q(t)dt$$
or
$$v = v(1)e^{\log(x)} + e^{\log(x)}\int_1^x (\frac{1}{t^2} - 1)dt = v(1)x + x(-\frac{1}{x} + 1 - x + 1) = v(1)x - 1 + 2x - x^2$$
Now, $v(1)$ is the initial condition of the equation, which we assume to be some constant $C$. We group it with other similar terms:
$$v = (v(1) + 2)x - x^2 - 1 = -x^2 + Cx - 1$$
However, we remember that we substituted $v = y_0^2$. Thus:
$$y_0^2 = -x^2 + Cx - 1 \quad \Rightarrow \quad y_0^2 + x^2 - Cx + 1 = 0$$
which is the required answer.
PS. I do not know if this linear ODE solution formula is common knowledge, but it directly follows from the proof of uniqueness/existence theorem and sure is defined as such in Apostol calculus 1 page 310.