hemorrhoidal affections, 106
hemorrhoidal needle, 128

Cancer of the rectum, 234
Carcinoma of the rectum, 234

Climate, influence of, in hemorrhoidal affec-
tions, 106

Cooper, Sir Astley, on the extent of the in-
cision in fistula, 203

on excision of internal hemorrhoids,
123

remarks on the ligature in the treat-
ment of fistula in ano, 201

on polypi of the rectum, 219
Copeland, Mr., on prolapsus recti, 171

on hemorrhage following the operation
for fistula, 204

Constipation, habitual, 282

habitual, treatment of, 284

a cause of hemorrhoids, 107

a cause of stricture of the rectum, 223

Contraction of the anus, 55

of the anus, causes of, 55

of the anus, mistaken for stricture of
the rectum, 57

of the anus, treatment of, 58
and occlusion of the anus, 259
and occlusion of the anus, treatment,
259

Destendau, case of traumatic abscess, 185
Diarrhoea and dysentery causes of prolapsus
recti, 171

Diet in habitual constipation, 287
Dionis' account of Louis XIV, 198

Habitual constipation, 282

constipation, causes of, 283
constipation, diet in, 287

constipation, sympathetic effects, 283
constipation, treatment of, 284

Hemorrhoidal affections, 92

affections, cases of, 135

affections, causes of, 104

complaints, classification of, 93

affections, early opinions of the nature
of, 92

affections, influence of climate, 106
affections, liable to be overlooked, 112
affections, necessity of examination in,
114

affections, pain extending to other parts
in, 98

tumors, nature and structure of, 93
veins, enlargement of, 168

veins, causes of enlargement of, 168
veins, symptoms of enlargement, 168
veins, treatment of enlargement, 169
Hemorrhoids, amount of blood lost from,
100

bleeding from, 99

a concomitant of pregnancy, 107
contiguous organs affected by, 104
constipation producing, 107
constitutional origin, 115

Hemorrhoids, diagnosis, 113

discharge of mucous from, 102
disease in other organs causing, 109
excision of external, 121
external, 94

fissure of the anus occurring with, 103
heat or cold causing, 110
hemorrhage after excision of, 125
hereditary predisposition, 105
incision of external, 121
internal, 95

inflammation attending, 97
internal, ligature of, 126
medicines producing, 110
mental emotions causing, 109
method of removing internal, 123
internal, nature of, 95
number and size, 96

internal, operation of excision, 123
period of accession of, 105

pressure useless in treatment of, 133
plethora a cause of, 107
relative frequency of, 105
scarifying inflamed, 118
sympathetic affections of, 112

treatment of complications of, 117
general treatment of, 115

external treatment of, 121

treated by nitric acid, 130
treatment of ulceration of, 132
symptoms of, 111

ulceration of surface of, 102
Hemorrhage from piles, 99

Hip-joint, fistula in ano connected with dis-
ease of, 212

Howship, Mr., on a form of external pile,
94

Imperforate rectum, 261

treatment of, 261

Laceration of mucous membrane in contrac-
tion of the anus, 57

of rectum, symptoms of, 242
of the rectum, treatment of, 243
Ligature of internal hemorrhoids, 126
polypi of the rectum, 220

Ligatures in the treatment of fistulæ, 201
Liston, Mr., on division of sinuses in fistulæ,
205

Louis XIV, experiments instituted for the
cure of fistulæ, 198

Luke, Mr., on the use of ligature in the
treatment of fistula, 201

Malformations of the rectum and anus, 258
Malignant disease of the rectum, 234

disease of the rectum, diagnosis of, 238
disease of the rectum, symptoms of, 236
disease of the rectum, treatment of, 238
Mental emotions causing hemorrhoids, 109
Miller, Professor, on fissure of the anus, 61
Montegre's classification of hemorrhoidal
complaints, 93

Mucous membrane, alterations in structure
from prolapsus, 174

Mucus, discharge of, from hemorrhoids, 102

Neuralgia of anus, and extremity of rec-
tum, 73

Nitric acid, treatment of hemorrhoids by,
130

Paget, Mr., on fatty degeneration of the
vessels of the brain, 41

Petit, case of abscess, from which a needle
was extracted, 185

Piles, 92

external, 94

internal, 95

Pott's fistula-knife, 209

172

Incision of external hemorrhoids, 121

stricture of the rectum, 232

Inflammation of the anus, 44

of the anus, causes of, 44

of the rectum, 77

of the rectum, causes of, 77

of the rectum, complications in, 79
of the rectum, symptoms of acute, 78
of the rectum, treatment of, 80

Injuries of the rectum, 241
Injury of the rectum during parturition, 244

of the rectum during parturition, treat-
ment of, 245

Instruments formerly used in operating for
fistula, 203

Internal hemorrhoids, 95

hemorrhoids, number and size of, 96
hemorrhoids, operation of excision, 123
Irritation and itching of the anus, 39
Itching of the anus, 39

of the anus, a symptom of disease, 30
of the anus, treatment of, 41

Laceration of the rectum, 242
of the rectum, causes of, 241

fissure of the lower part of the, 61
incision in fissure of the lower part of
the, 65

treatment of fissure of the lower part
of the, 64

foreign bodies in the, 248
injuries of the, 241

injury of the, during parturition, 244
imperforate, 261

inflammation of the, 77

enemata not to be used in specific in-
flammations of the, 82

symptoms of acute inflammation of the,
78

treatment of inflammation of the, 80
laceration of the, 246

malignant disease of the, 234
neuralgia of extremity of the, 73
polypi of the, 218
prolapsus of the, 170
stricture of the, 222

stricture of the, not frequent, 225
malignant stricture of the, 234

Rectum, stricture of the, artificial anus in
permanent obstruction from, 233
terminating in the bladder and urethra,
274

ulceration of, 83

venereal ulceration of the, 87

unnatural terminations of the, 274
wounded accidentally in surgical ope-

rations, 241

Ribes, M., on the cause of fistula in ano,

192

on the situation of the internal opening
in fistula in ano, 193

Savigny's fistula-bistoury, 208

South, Mr., on the situation of stricture of
the rectum, 226

Stricture of the rectum, 222

of rectum coexisting with fistula in ano,
211

of the rectum not frequent, 225

Syme, Mr., on the extent of the incision in
the operation for fistula, 203

on the formation of the internal open-
ing in fistula in ano, 192

on the operation in fistula, 202

plan of making incision in fissure of
ano, 66

on removal of internal piles, 124
on the relative frequency of hemor-
rhoidal affections, 105

on the varieties of polypi of the rectum,
218
Sympathetic effects of habitual constipa-
tion, 282

Ulceration of the rectum, 83

of the rectum, frequently a complica-
tion of other diseases, 83
of the rectum, venereal, 87

Veins, enlargement of hemorrhoidal, 168
Venereal ulceration of the rectum, 87

White, Mr., on contraction of the anus from
venereal disease, 56

on the situation of stricture of the rec-
tum, 226