it more useful, illustrations have been added of the appearances presented in the several diseases. The wood engravings are admirably executed by Mr. Bagg, from original drawings by Mr. Tuson, taken from cases occurring in my practice, and from pathological specimens in my possession.

31 CAVENDISH SQUARE, 1860.

a. Large tumor of a fibrous nature excised from the anus of a man,.

b. Condylomata in a female occasioning great suffering for several

48

48

years,.

c. Large warty growth surrounding the anus,

50

d. Condylomata from leucorrhoea occasioned by ulceration of the os

uteri,.

e. Condylomata from vaginal leucorrhoea, .

f. Condylomata from irritation, by contact of opposed cutaneous sur-
faces,.

g. Condylomata resulting from the folds of integument left by the

collapsing of external hemorrhoids,

h. Condylomata of large size attended by severe symptoms,

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50

50

51

51

53

anus, complicated with fissure,

a. Congenital contraction of the anus of a child,

b. Contraction of the anus following removal of external hemorrhoids,

c. Removal of external hemorrhoids, followed by contraction of the

d. Contraction of the anus from syphilis,

e. Contraction of the anus from infiltration of lymph,

60

CHAPTER V.

FISSURE OF THE ANUS AND LOWER PART OF THE RECTUM.

a. Fissure of the anus from constipation; cured without operation, 67

b. Fissure of the anus; intense suffering for four months; cured by

incision,

67

c. Fissure of the anus cured by local appliances,

68

d. Fissure and hemorrhoids inducing the idea of stricture of the rectum,

e. Fissure of the posterior part of the rectum, with an external hemor-

rhoid,.

69

70

f. Fissure leading to the formation of an ulcer; sympathetic affection

of the urinary organs,

71

g. Fissure degenerating into an ulcer; treated by incision; implica-

tion of the urinary organs, .

CHAPTER VI.

NEURALGIA OF THE ANUS AND EXTREMITY OF THE RECTUM.

a. Neuralgia of the rectum caused by mercurialization,

b. Neuralgia of the rectum relieved by pressure,

75

76

a. Syphilitic ulceration of the rectum,

b. Superficial ulceration of the rectum treated with nitrate of silver, .

c. Superficial ulceration of the rectum treated with nitric acid lotion,

d. Ulceration of the mucous membrane of the rectum; incision of the

sphincter,

e. Phagedenic ulceration of the rectum arrested by the application of

nitric acid; subsequent division of the sphincter,

CHAPTER IX.

HEMORRHOIDAL AFFECTIONS.

Classification of hemorrhoidal complaints,

External hemorrhoids,

CASES:-

a. Internal hemorrhoids, pain in the foot the prominent effect,

b. Horne Tooke's case; strangulation of internal hemorrhoids, .

c. External hemorrhoid, constitutional treatment,

d. External hemorrhoid, division of the tumor,

e. External hemorrhoid, tumor incised,

f. External hemorrhoid and fissure of the anus,

g. External hemorrhoids after bilious fever,

h. External hemorrhoids, ulceration of their surfaces, and fissure of

the anus,

i. Internal hemorrhoids in an early stage,

k. Congestion of the mucous membrane of the rectum attended by

great pain,

7. Internal hemorrhoids relieved by medical treatment,

98

137

138

139

m. External and internal hemorrhoids; considerable bleeding, palpita-

tion of the heart, relieved by constitutional treatment,

n. Strangulated internal hemorrhoids, preceded by excessive hemor-

rhage,

o. Internal hemorrhoids; much loss of blood; giddiness and drowsi-
ness; oxaluria; constitutional treatment,

p. Internal hemorrhoids; loss of blood, cessation of the catamenia,

health restored without operation,

q. Hemorrhoids induced by stricture of the urethra,
r. Internal hemorrhoids treated with nitric acid,

s. Internal hemorrhoids; patient upwards of eighty years of age;
treated with nitric acid,

t. Internal hemorrhoids, excessive pain; treated with nitric acid,

u. Internal hemorrhoids; stricture of the urethra, hemorrhoids treated

with nitric acid, .

v. Internal hemorrhoids, medical treatment not succeeding, the tumors

removed by ligature,

156

w. Internal hemorrhoids, great loss of blood, removal of tumors by

ligature,

x. Internal hemorrhoids; catamenial and hemorrhoidal flux alterna-
ting; tumors removed by ligature,

y. Internal hemorrhoids: operation by ligature,