Boe any farther trouble ;- but it frequently happens, notwithstanding every | 
98 BOTANIC PHYSICIAN: 
has in some instances answered, when every other means have been 
‘tied in vain. = 9°") ~ : ; oo 
The surgeon should, in the meantime, endeavor to assist the return — 
of the protruded parts by gentle pressure with his hands and fingers. 
If the swelling is large he may grasp the bottom of it with one hand, 
crowding upwards, while with the fingers of the other he may work 
‘the contents through the ‘stricture: however, this must be managed 
by the judgment of the’practitioner, taking care, at the same time, fo 
* avoid ereating pain, and use no force. 
 =© If these means fail, others ‘must immediately be resorted to; of 
which blood letting should, perhaps, be the first, and ina large quant — 
ty, thereby relaxing the mtuscles. Injections oftobacco smoke are oltel 
“beneficial. “We should continue to throw them up till they produce — 
the desired effect, or till sickness is induced, and the abdomen @or ~ 
siderably distended. If tobacco smoke does not prove useful as® — 
_purgative, it ’@oes as an anodyne, so itecannot be given amiss in this — 
“ease. Opiates are useful, by relieving pain and relaxing the com — 
“stricted parts: The vomiting, however, svinetimes prevents thei — 
being used. Immersion of the whole body in a warm bath, is also _ 
_ very useful, by relaxing the whole system. Cold applications to the — 
tumor, as snow, ice, or salt, and in particular, my ‘ anodyne wash” t 
are advantageous. 
_. By these remedies we sometimes succeed in the reduction without 
~ 
it, that the protruded parts cannot be returned ; the symptoms, 
instead ‘of abating become more violent ; and the event of the disor 
‘der more doubtful 
mptoms grow tore 
tation. 
mr 
