HEMORRHOIDS. 
It is 
of pregnancy. vity fre- 
quently leads to coftivenefs, in oe ‘cake the ene, inteitines 
are apt to remain diftended for days and days together with 
hard mafles - excrement, which mi have confiderable effet 
in obftruati 
veins, and sgt -quently in producing the dife may 
be another reafon of the frequency of ot in women, and all 
perfons of fedentary lives, or ofa coftive habit of bedy. We 
believe, alfo, that excefs in drinking tends very much to the 
produétion of the complaint, probably by firit occafioning 
urgical writers as an occalional caufe of hemorrhoids. When 
piles originate from the preflure made by the gravid a 
upon the hemorrhoidal veins, it is in vain to look fora 
ured, they arife from the preflure of the water of 
afcites, until the fluid is ie got rid of by proper medi- 
coftivenets. Gently 1 P 
tion of the body Wedd - 
the Seat: ; at the fame time, a falve, se of fe pisces 
powder of oak-galls, in equal parts, may be app 
to the tumours, together with linen wet with the lotio aque 
lithargyri acetati. This latter is more particularly necef- 
fary when the cafe is accompanied with confiderable pain 
and inflammation, in which circumftance leeches are highly 
proper. Thefe may be ufed without rifk of bringing on any 
dangero as manifold experience has 
convinced us; and we cannot help confidering the profufe 
hemorrhage, which Petit mentions having feen follow their 
empl nt, as altogether y sienai K: and undeferving of 
ferious apprehenfion. Some —_ punéture hemorrhoidal 
fwellings with a lancet, and the bleeding which is thus 
y fo 
attending certain ftates of the difea 
painful inflamed ftate, 
to apply wa 
_ make us confcious of the fuperiori 
which may occur may now be more 
‘when there are feveral hemorrhoids to be po ta the lofs 
of modern over ancient 
nly m w employ 
being the knife or {ciffors, and the res, with which the 
{wellings are either at once cut off, or tied fo as to fall into a 
{tate of mortificatio 
he common ceetht of removing piles with a knife or 
pair of {ciffors, has nothing peculiar in it, the tumours being 
sna cut through at their bafes.. With refpeét to f{ciffors, 
e to obferve, that though they are not apt todo any 
jena rial harm in the prefent cafe, yet it is better not to 
employ them, but always accuftom ourfelves to that. more 
truly furgical siftptancnt: the knife. we uf 
quence, we fhall perhaps contraét a habit of ufing them on 
wes occafions, Wie incalculable mifchief si be the effect 
the incifion not being cleanly performed. Some furgical 
whom m is aa ag tgp us to fave the fkin 
ecommended to raife 
are next to be remove 
siete acte as being of great secant 
i rd oy Being 
of fubftance about the anus will be lefs, and of courfe the 
irewag' will not be fo liable to a contraction of this part, 
which has fometimes proved a lafling grievance through 
Life. 
Some hemorrhoids are ie vifible juft after the patient 
has been at ftool. We need fcarcely remark, that in fuch 
cafes the praétitionr is iui to take this opportunity of. 
performing the oper 
efpeéting the extirpation of piles with a knife, and. their~ 
deftruction with a ligatur are obferves, that thefe 
, Mr. 
ied operations, though lefs dreadful thant thofe which have been 
re elinquifhed, are ftill formidable in no {mall degree. ‘The 
form th 
er, if 
extent, and rifks a hemorrha which has ries (eo 
very difficult to fupprefs. ages 
pain, which has continued man 
that are included within the ligatures have feparated and: 
come away. 
Before a recourfe is had to either of thefe operations, Mr: 
Ware thinks that it may be of ufe to recollect, that thoug va 
the number of hemorrhoidal copes staph Heewmaia 
anus is often confiderable, 
re ic patient 
ain fuffers 1 is not produced equall y by: all oft thefe.. If or accurate 
point to one, or at moft to two.ofithe tumours, from which . 
all the pain proceeds. When thefe e- are examined it will 
difcovered that the 
y 
the reft ; and that, senerally, they are alfo {maller and lefe . 
prominent, | but juit law.enough to, be.compreffed : 
by the fphinéter ani akon 
Ss this. account to be accurate, it follows .that 
the opeauen: of cutting. off the whole number of hemorrhoids | 
with: a knife. or fciffors, and that of fymig : a 2 niguane: around 
sence thi Inftead of having ote’ tot oe. 
ru 
the 5. roceedings, 
ey ents 5 Shere a tea eee! we fhould, according. to Mr. Ware, only direét our attention | 
Occupations ; and when P e@ means are ine - she beret ed tumour tere ary — of the pe 
ok nd which, js. not, quently fituated. in centre : 
Ces ty of the furgeon to oid the remoyal of the ai This often larger than een end. of a a 
We fhall not detain Soxibiss -how former and the removal of -1t almolt in: antly abates ain, and . 
satel fed. to sae sed cacoge say - potential in a fhort time caufes the reft of the tumours to collapfe and | 
which now only excite horror, and. ferve to. difappears RRR ROES A Shih Le eR ntleman has performed : 
‘cautery, plans w 
7: 
