HEMORRHOIDS. 
formance of venefection may be proper, the lofs of venous 
sci wee lefs hurtful to the conititution, than that of 
e flow lood into the wounded limb is 
pr ang to be decreafed by placing the part (if poffib a} in 
an elevated poftu Sometimes cold applications; in othe 
inftances, compreffion may be tried. A tourniquet, fo cake 
and applied, that it would neither ftop the circulation in too 
great a Sere nor hinder be return of blood thro — the 
veins, might b e of much utility. When, ho 
veffels muft be expofed, and tied with a ligature. John 
#30. 
A nap or oy Uterine, is a profufe difcharge of blood 
from the uterus. See Foo ING. 
HEMORRHOIDALIS, in Anatomy, a hemor- 
rhois, which is derived from ain, blood, and fooc, flua’, 
name applied to fome parts belonging to the inferior portion 
of the large inteftine, fuch as its arteries and veins. The 
internal hemorrhoidal artery is a branch of the inferior me- 
fenteric ; the external hemorrhoidal arteries come from the 
pudendal: the hemorrhoidal veins join the inferior ark 
See Artery and VEIn 
RHOIDS, or Pines, denote varicofe fwell- 
ings griginating about the anus, or termination of the 
and fo y a morbid dilatation 
veins, which belong to this inteftine. 
Hemorrhoids vary in number, fize, fhape, and fituation; 
fome are external, and others internal. 
f 
um, 
rectu 
and thickening of the 
acute pain ; or, y afluming a calgon charaét 
When thefe ious aah not int : 
now and then, atic writers, 
yftem 
sea ‘blood, they have 
bs a many refpeétable writers on 
larger that wales es which are not very troublefome, 
difcharge only moderate quantities = blood, are rather 
to the i 
ow and then see 
that are periodical difcharges afford ceca relief to the 
| tha’ 
pa- 
tient ; evacuations are almoft as neceffary to 
him - i menfes are with re to the female fex. e 
ftates, that when the ufual bleeding is fuppreffed, the pa- 
tient finds himfelf indifpofed, being troubled with laffitusle, 
heavinefs about the head, flatulence, lownefs of fpirits, &c. 
_ fituation, where the 
have. been the confequence of it, the parts bad returned 
within the rectum, an 
Fot water till the hemorrhoids were fufficiently fwollen. 
With refpe& to applying leeches to piles, fig fafety 7 is 
now fully etlablifhed a the practice of every 
this country, we may fay, 
- the a yelmay of leeches, or the lancet, in another 
, that it is approved as a general maxim 
3 take away blood as near as pollible to the feat of a: difeafe $ ; 
and to this method we alfo give our decided approbation 
It is for this reafon, that we a : aoe the application 
of leeches to oy anus, in cafes of inflamed protruded he- 
tit 
as ry as ofits to the ost of the difeafe, is not at all ob- 
ferved, as fome may fuppofe it is, in drawing blood from 
the Seed themfelves. 
rrhoids, fituated high up the re€tum, are in general 
not fo ase to be painful as when the {wellings occupy a lower 
liable to be comprefied by the 
{phinéter ani mufcle. Piles, — are far up the rome 
are furrounded by foft fubftances, and are not in danger 
fuffering any conitri@tion, fo = it pg happens the 
are Sadced Gickead | ead: indurated, while fi 
OF courfe, pragtiti o can bring their minds to be- has no fufpicion of the is alarmed by fome 
lieve, that the continuance of any difcharge, not ordained a and fudden bleeding rae the anus. 
by nature, is beneficial to the patient, will nat think ever much piles may put on the appearance of being 
y4 fome means to reproduce it when ie is ftopped. folid excrefcencea, bese’ Poe only dilatations of the hemorrhoi- 
Some, in cafe the bleeding from piles is fuppreffed, dire& s. The diftended se of the veffels 
sy that he 
is 
becaufe it is not taken from the over- 
diftended —- On the meets - is ur. = ae | 
method, that fome inftances of seiak hemorrha pee 
jacent cellular fubftance is harder than is meng Iti is from 
thefe circumftances that the fwellings often feem more 
firm flethy fubftances than hollow varices, —_ Page 
and bleed in a troublefome and dangerous mann 2 ihe 
are brought on by the fame fort of caufes, which, ge i. 
