H^MORRHAGIES. 



without irritating the rectum. In most cases, it will be of ad- 

 vantage to acquire a habit with respect to time, and to observe 

 it exactly. 



DCCCCLI. Another cause of hsemorrhois to be espe- 

 cially attended to, is the prolapsus or protrusion of the anus, 

 which will readily happen on a person's having a stool 

 (DCCCCXXXVIL). If it shall occur to any considerable 

 degree, and at the same time be not easily and immediately re- 

 placed, it most certainly produces piles, or increases them when 

 otherwise produced. Persons, therefore, liable to this prolap- 

 sus, should, upon their having been at stool, take great pains to 

 have the gut immediately replaced, by lying down in a horizon- 

 tal posture, and pressing gently upon the anus, till the reduc- 

 tion shall be completely obtained. 



DCCCCLII. When the prolapsus, of which I speak, is 

 occasioned only by voiding hard and bulky faeces, it should be 

 obviated by the means mentioned in DCCCCL., and may 

 be thereby avoided. But in some persons it is owing to a laxity 

 of the rectum ; in which case it is often most considerable upon 

 occasion of a loose stool : and then t!:e disease is to be treated 

 by astringents, as well as by proper artifices for preventing the 

 falling down of the gut. 



" The GallSy finely powdered, and mixed with eight times their 

 quantity of hog's lard, are made into an ointment : which, when 

 applied to the anus, has been found to relieve haemorrhoidal af- 

 fections: and we have known some instances of its being 

 useful. M.M. 



DCCCCLIII. These are the means to be employed 

 upon the first approaches of the haemorrhoidal affection ; and 

 when from neglect it shall have frequently recurred, and has 

 become in some measure established, they are no less proper. 

 In the latter case, however, some other means are also neces- 

 sary. It is particularly proper to guard against a plethoric 

 state of the body ; consequently, to avoid a sedentary life, a full 

 diet, and particularly intemperance in the use of strong liquor, 

 which, as I should have observed before, is, in all cases of hae- 

 morrhagy, of the greatest influence in increasing the disposition 

 to the disease. 



DCCCCLIV I need hardly repeat here, that exercise 



s2 



