,transcrib]'s notes3 ,! text ( ?is book has be5 pres]v$ 9 its orig9al =m ap>t f correction ( two typographic errors3 incid5tly incid5tally1 fl\roscopic fluoroscopic4 ,inconsi/5t hyph5ation has n be5 alt]$4 ,9 ?is transcription italic text is d5ot$ by und]scores4 ,a c>et 77 indicates t ! foll[+ bracket$ *>act]s are sup]script$4 ,footnotes h be5 numb]$ & position$ bel[ ! relevant p>agraphs1 & "s illu/ration captions h be5 mov$ clos] to ! relevant text4 ,numb]+ & labell+ ( illu/rations is some:at flaw$1 al?\gh x is h>dly noticeable 9 ?is pla9 text v]sion4 ,figure #bj does n exi/ & figures #ah-bd are n 9 correct num]ical sequ5ce4 ,! text has sev]al ref]5ces to figures #be1 #bf1 #bg & #bi b ^! d n exi/ z figures 9 _! own "r - ! numb]s actually id5tify labell$ items 9 figure #ah4 ,illu/ration3 ,h>grave #e? ,ave4 #cg? ,/41 ,new ,york4 ,,inte/9al ,,irrigation ,,or ,,:y1 ,,h[1 ,,& ,,:5 ,,to ,,flu% ,,! ,,colon ,,treat$ ,,9 ,,connection ,,) ,,o!r ,,matt]s ,,( ,,physiological ,,int]e/ ,,& ,,importance ,,by ,,alc9\s ,b4 ,,jamison1 ,m4,d4 ,,au?or ,,( 8,,inte/9al ,,ills10 8,,h[ ,,to ,,become ,,/rong10 ,,etc4 ,publi%$ by ! ,au?or ,,?ird ,,edition ,,new ,,york ,,city #dc ,we/ ,=ty-fif? ,/reet #aiad ,,copyright1 #aiad ,,by ,,alc9\s ,b4 ,,jamison 8,ev5 f ! ,body's ,purity1 ! ,m9d ,receives a secret sympa!tic aid40 --,?omson4 ,,preface4 ,)9 ! la/ ?ree decades ! diagnosis & treatm5t ( b[el tr\bles h be5 greatly *ang$ ?r\gh improv$ in/rum5ts1 te*nique1 hygi5ic measures1 & v>i\s rem$ial ag5ts4 ,! doma9 ( surg]y ( ! anus1 rectum1 etc41 has be5 surpris+ly limit$1 & t ( ga/ro-inte/9al hygi5e enl>g$1 toge!r ) k ( man's assimilative & elim9ative organs4 ,sy/emic & local hygi5e has supplant$ drugs & surg]y 9 ! treatm5t ( diseases ( ! anus1 rectum1 sigmoid flexure1 & v]mi=m app5dix4 ,inde$1 ! doma9 ( surg]y w be re/rict$ to :at are /ill consid]$ incurable diseases if ! sugge/ions ( ?is volume are widely adopt$4 ,f a cl9ical exp]i5ce ext5d+ ov] a p]iod ( ?irty-?ree ye>s1 h[ev]1--z a speciali/ 9 diseases ( ! anus1 rectum1 & inte/9al ma*9]y g5]ally1--! au?or feels w>rant$ 9 ma9ta9+ t1 if hygio-!rapic measures 7 tak5 by bo? physicians & laym51 surgical cl9ics & hospitals = 8op]at+0 on anal & rectal diseases & ! adm9i/]+ ( c\ntless m$ic9al rem$ies w\ld ent] ! /age ( !rapeutic oblivion4 ,! pres5t "w is m compreh5sive 9 its scope ?an its title1 ,inte/9al ,irrigation1 w\ld at fir/ ?\ght seem to indicate4 ,x is a practical book on home relief = all ! symptoms ( t =m ( int]nal inflammation kn[n z proctitis & colitis4 ,! measures t may safely be tak5 by ! victim himself1 )\t consult+ a physician1 are m9utely expla9$2 &1 t he may und]/& 8 own case1 e *apt] goes m or less ext5sively into anatomical1 physiological1 & pa?ological details4 ,! au?or has kept abrea/ ( ! advancem5t ( sci5ce 9 relation to 8 special bran* ( ! heal+ art1 & z ! outcome ( 8 l>ge daily exp]i5ce 9 ?is l9e he feels qualifi$ to speak ) au?ority4 ,victims ( any ( ! symptoms describ$ 9 ?is book may !re=e h confid5ce 9 its /atem5ts4 ,x conveys a message ( common s5se to ! _w at l>ge & to ! victims ( inte/9al ills 9 p>ticul>4 ,x is a compilation ( cl9ical talks to ! au?or's pati5ts1 mak+ pla9 a v>iety ( symptoms aris+ f a s+le prim>y cause4 ,z ! purpose ( ! book is pre-em95tly practical1 ! au?or felt w>rant$ 9 describ+ m9utely 8 own cl9ics1 s f> z any pati5t c\ld apply ! results to 8 individual ne$s4 ,?is1 !re=e1 is ! au?or's excuse = introduc+ 8 own appliances & describ+ _! features & uses4 ,c]ta9 "w mu/ be done by ! suff]] himself1 & no o!r inv5tion 9 ! m>ket w aid him s mat]ially 9 do+ ?is "w sci5tifically & effici5tly4 ,fur!rmore1 x 0 f\nd impossible = ! au?or to describe :at he himself 0 do+ z a rectal speciali/1 or to direct suff]]s on ! road to relief1 unless he /at$ h[ c]ta9 appliances %\ld be employ$4 ,9 ! foll[+ pages1 consequ5tly1 ! read] w le>n j :at to d1 = ! "w is above all ?+s simple & direct1 & 9 ! writ]'s judgm5t has ! /]l+ quality ( common s5se4 ,"s ( ! *apt]s h already appe>$1 9 abridg$ =m1 9 ! magaz9e ,heal?1 z contribut$ essays2 b ! text has be5 elaborat$ 9 ! foll[+ pages & mu* new matt] add$1 9 ord] t ! "w %\ld pres5t ! mo/ mature in=mation conc]n+ ! subjects discuss$4 ,a4 ,b4 ,j4 ,new ,york1 ,m>* #b1 #aiad4 ,,cont5ts4 ,,*apt] ,i4 ,,page ,ef=ts to ,ov]come ,con/ipation )\t ,seek+ its ,cause #a ,,*apt] ,,ii4 ,pa?ology ( ! ,anus & ,rectum2 or1 ,! ,g5esis ( ,con/ipation #h ,,*apt] ,,iii4 ,! ,=mation ( ,*annels1 ,piles1 & ,fi/ulas #ai ,,*apt] ,,iv4 ,undue ,ret5tion ( ,gas & ,feces 9 ! ,sigmoid ,flexure #bh ,,*apt] ,v4 ,rebellion ( our ,outrag$ ,int]nal ,economy #ce ,,*apt] ,,vi4 ,gase\s ,obesity & our ,roly-polies #df ,,*apt] ,,vii4 ,irrigation ( ! ,assimilative & ,elim9ative ,organs #eg ,,*apt] ,,viii4 ,me?ods ( ,/oma* ,cleans+ #fe ,,*apt] ,,ix4 ,:5 ,enemas %\ld be ,tak5 #gb ,,*apt] ,x4 ,h[ ,enemas %\ld be ,tak5 #hd ,,*apt] ,,xi4 ,! ,int]nal ,f\nta9 ,ba? #ij ,,*apt] ,,xii4 ,b5efits ( ! ,inn] ,ba? #aja ,,*apt] ,,xiii4 ,objections to ! ,use ( ! ,enema ,answ]$ #ajh ,,*apt] ,,xiv4 ,lame ,back #aba ,,*apt] ,,xv4 ,uric ,acid #abf ,,*apt] ,,xvi4 ,rational ,sanitation & ,hygi5e #acf ,,*apt] ,,xvii4 ,p]sonal ,cleanl9ess #ade ,,*apt] ,,xviii4 ,hot ,wat] 9 ! ,treatm5t ( ,proctitis & ,colitis #aeb ,,*apt] ,,xix4 ,hot ,wat] 9 ! ,treatm5t ( ,ext]nal ,symptoms #afb ,,*apt] ,,xx4 ,! ,heal? ( ,s*ool ,*ildr5 #afe ,,*apt] ,,xxi4 ,int]nal ,hemorrhoids or ,piles v]sus ,muc\s ,sac1 ,recto-,anal ,muc\s ,sac #aga ,,*apt] ,,xxii4 ,ext]nal & ,?rombotic ,piles v]sus ,muco-,cutane\s ,sac & ,?rombus #aha ,,*apt] ,,xxiii4 ,abscess & ,fi/ula ,involv+ ,anus1 ,rectum & ,neighbor+ ,regions #aij ,,*apt] ,,xxiv4 ,n9e ,radiograph ,illu/rations ,%[+ ,mucus ,*annels & ,cavities #bjj ,,*apt] ,,xxv4 ,*ronic ,muc\s ,proctitis & ,sigmoiditis--,usually ,diagnos$ z ,*ronic ,muc\s ,colitis #bjb ,,*apt] ,,xxvi4 ,antiseptic ,employm5t ( ,p[d]s & ,oils #bjh ,,inte/9al ,,irrigation4 ,,*apt] ,i4 ,,ef=ts ,,to ,,ov]come ,,con/ipation ,,)\t ,,seek+ ,,its ,,cause4 ,9 ! ye> #adif an ,italian1 ,gat5>ia1 inv5t$ an appliance = tak+ an enema2 s9ce t "t depuratory in/rum5ts h _h m or less vogue 9 all civiliz$ c\ntries4 ,( late ye>s inv5tive p[]s h be5 tax$ to con/ruct m conv5i5t & effective appliances1 & n[ p]fection has be5 almo/ rea*$1 & ! poor civilizee1 ^: habits are really v bad f ! savage po9t ( view1 may enjoy ! delici\s privilege ( an int]nal ba? :5ev] he feels ! ne$ ( x4 ,by any o!r "n ?is ba? is j z purify+3 call x irrigation1 injection1 lavem5t1 cly/]1 enema--its _m names & :at !y mean te/ify to ! fact t x is = ! disease ( civilization4 ,! m$ical pr(ession is really beh9d ! layman 9 g5u9e !rapeutic measures4 ,x /ill c>es m = ! pill-&-p[d]-prescription-e>n+ fee ?an = ! real heal? ( ! pati5t4 ,:5 x %all wean itself f its sordid comm]cialism1 x w make ! use ( ! enema a fundam5tal factor 9 mo/ =ms ( !rapeutic treatm5t1 & !n ! enema w become univ]sal4 ,f ! orig9 ( ! enema to ! pres5t day1 ! layman has n be5 unm9dful ( ?is valuable res\rce = remov+ morbid matt] f 8 physiological sew]4 ,! great relief he ?us obta9$1 & ! inv>iably good results t foll[$ its use1 e/abli%$ z a necess>y toilet article "s =m ( depuratory app>atus 9 _m homes = all "t to come4 ,b ( ! nature ( ! disease t _h occasion$ its use1 bo? layman & physician 71 & = ! mo/ "p are1 ignorant4 ,local ob/ruction & discom=t 7 suffici5t to sugge/ ?is mode ( relief2 yet no truly sci5tific inquiry seems to h be5 in/itut$ to discov] ! cause ( ! ob/ruction4 ,! au?or1 dur+ an exp]i5ce ( ov] tw5ty-?ree ye>s z a speciali/ 9 diseases ( ! b[els1 rectum1 & anus1 has f\nd ! true cause1 namely1 ,,proctitis2 t is1 ! *ronic inflammation 7dat+ (t5 f infancy & *ildhood7 ( ! anus1 rectum1 & frequ5tly ( a portion ( ! sigmoid flexure & colon4 ,proctitis is practically ! univ]sal cause ( *ronic con/ipation4 ,victims ( con/ipation h m or less haphaz>dly resort$ to ! enema z a ready means ( relief--a rec\rse t 0 (t51 nay g5]ally1 aga9/ ! advice ( _! m$ical c\nselor3 a pr(essional opposition t indicates ei!r ignorance1 mi/ak5 judgm5t1 or fe> ( los+ a pr(itable pati5t4 ,b ! layman has n be5 uni=mly wise4 ,he is an exp]im5t] on 8 own hook--enc\rag$ 9 8 exp]im5ts by ! mo/ promis+ & s$uctive ( adv]tisem5ts 9 ! :ole gamut ( adv]tis+4 ,he exp]im5t$ on 8 organism1 t9k]+ x n[ ) ca?>tics or purgatives ( multi=m nature1 & aga9 ) dige/ive & o!r ag5ts4 ,?is t9k]+ habit seems to h become all b univ]sal ) civiliz$ man4 ,con/ipation--:i* is caus$ by proctitis--w1 ( c\rse1 br+ indige/ion & bili\sness & di>rhea & n]v\sness & heada*e & a ho/ ( o!r maladies 9 its tra92 all ( ^! induce ! civilizee to increase 8 t9k]+ ) 8 div9e abode until x ev5tually falls 9 ru9s4 ,! t9k]] loses sight ( ! fact t 8 abode is n a body l ! bodies ( wood1 /one1 & iron t he h&les & putt]s ) daily2 he =gets or ignores ! fact t x is a vital organic ma*9e1 :i*1 :5 t9k]$ too mu*1 w /op1 8nev] to g aga940 ,x is poor consolation :5 y h rea*$ y\r la/ gasp1 aft] a *ronic invalidism1 to feel t y h done ! be/ y knew h[4 ,y h n s\ght ! cause1 nor1 hav+ le>n$ x someh[1 s\ght to remove or avoid x4 ,= ! la/ f\r hundr$ ye>s ?is t9k]+1 ?is futile m$ication1 has be5 kept up at a furi\s pace )\t ev5 a hope ( p]man5t cure4 ,poor1 outrag$ human nature dimly knew t x 0 simply doctor+ a symptom1 a consequ5ce ( some?+ or o!r--= t is all t con/ipation & its ho/ ( symptoms really are4 ,! writ] is ( ! op9ion t con/ipation is ! fundam5tal disease t afflicts mank9d2 t1 at all ev5ts1 !re are m cases ( proctitis ?an ( any o!r disease2 t v few 8civiliz$0 p]sons are free f x2 t s preval5t a disease mu/ h a common orig91 :i* he traces "r back to babyhood1 to ! we>+ ( soil$ diap]s1 a practice t _c b result 9 inflammation ( ! buttocks & muc\s membrane ( ! anus & rectum2 & t ?is inflammation cont9ues & f9ally becomes deep5$ & e/abli%$1 produc+ 9 aft] ye>s *ronic con/ipation & its tra9 ( evils4 ,( c\rse1 !re are o!r causes t br+ on proctitis among *ildr5 & adults2 b c>eful exam9ation %[s t ! sev]ity ( ! malady ) its tra9 indicates long duration 9 ! tissues compris+ ! wall ( ! anal & rectal canals & ! adjo9+ tissues ( ! b[els4 ,proctitis1 ) its ext5sion1 colitis1 is by no means a slight disease1 z x is suppos$ to be by a few memb]s ( ! m$ical frat]nity :o are beg9n+ to appreh5d its exi/5ce2 on ! contr>y1 x is s s]i\s t its gravity _c be impress$ too =cibly ^u bo? laym5 & physicians4 ,dur+ ! _m ye>s ( special att5tion ! writ] has giv5 to diseases ( ! anus1 rectum1 colon1 etc41 he has n ceas$ to wond] h[ x 0 possible t ! victim ( deep-seat$ proctitis c\ld h s dreadful a disease & n be greatly al>m$ at its ravages & dang]s4 ,! anatomy1 physiology1 & hygi5e ( ! p>ts involv$ 9 ?is inflammation cont9ue 9 "s mann] to p]mit ! passage ( excrem5t along ! diseas$ canal2 & ! victim cont9ues to swall[ drugs & t9k] ) ^!--8 irreplaceable 8in>ds40#a #a ,= num]\s illu/rations ( ! v>i\s morbid conditions ( ! anus & rectum1 see ! au?or's #fd-page booklet1 entitl$ ,h[ to ,become ,/rong4 ,x is n my purpose at pres5t to g into a detail$ description ( ! organs involv$ 9 ?is inflammatory process1 b to make pla9 :y ! enema is sup]ior to all o!r means ( secur+ cleanl9ess4 ,:5 we "k :y we d a ?+1 ! task is n s difficult & annoy+ z :5 we g x bl9d or simply obey ! behe/ ( a physician4 ,ignorance has no bus9ess bo!r+ ) any?+2 exp]i5ce1 h[ev]1 is usually a pa9ful if n a fatal in/ructor4 ,! human race at l>ge is ignorant conc]n+ ! normal & abnormal processes ( its int]nal organs4 8,out ( sight1 out ( m9d0 seems to be ! maxim ( almo/ e "o z to our vital organs & ! conditions = _! hygi5ic function+4 ,! purpose ( ! writ] w be a*iev$ if he succe$ 9 s\nd+ a note ( w>n+ t w be he>d & he$$ by ^? ^: influ5ce w ext5d ! e*oes till ! _w li/5s & le>ns ! claims ( ! inn] physiological economy4 ,^? t possess ev5 a modicum ( s5se w easily und]/& h[ a muscul> tube l ! anus1 rectum1 sigmoid flexure1 etc41 :5 invad$ & trav]s$ = eight to t5 or m in*es by disease1 w (f] ob/ruction to ! desc5t & escape ( gases & feces4 ,all are famili> ) ! contraction t occurs :5 a f+]1 h&1 or limb is inflam$2 h[ little we c !n use ! diseas$ "p until all ( ! inflammation has left ! muscul> tissue4 ,:y d we give s mu* att5tion to an inflam$ ext]nal "p & none at all to ! all-important int]nal organ = ! expulsion ( ! sewage ( ! body8 ,! p>ts are n 8weak0 :5 contract$ ) inflammation3 weakness is n :at is ! matt] ) !m4 ,! tr\ble is t ! muscul> fib] is !n too active1 made s by ! excessive irritation ( ! local disord]4 ,irritation ( muscul> tissue always causes contraction ( its fib]4 ,su* contraction well acc\nts = con/ipation4 ,we are a nation ( con/ipat$ p1 s con/ipat$ inde$ t we h develop$ dyspepsia & neura/h5ia4 ,z ,i h already /at$1 ! *ief ill ( 8civiliz$0 p is proctitis2 ! *ief symptom ( proctitis is con/ipation2 ! *ief symptom ( con/ipation is dyspepsia2 & ! *ief symptom ( dyspepsia is neura/h5ia1 & s on & on--all ( !m ! outcome ( imp]fect elim9ation ( morbid matt] f ! inte/9al canal4 ,! common s5se le>n$ 9 ! treatm5t ( ext]nal p>ts %\ld be appli$ to su* diseas$ portions ( ! body z ! anus1 rectum1 etc4 ,common s5se decl>es t an enema ought to be us$ on all occasions ( undue ret5tion ( ! cont5ts ( ! b[els4 ,x is ! only s5sible ?+ "u ! circum/ances4 ,yet1 = ! la/ f\r hundr$ ye>s1 only indep5d5t m5 & wom5 h _h ! c\rage to proclaim its m]its1 s9ce ! subject 0 "u ! ban ( bo? laym5 & physicians4 ,n[ t we h le>n$ ! absolute necessity ( su* a device1 x is to be hop$ t ! taboo w be remov$1 & t ! num]\s victims ( proctitis w be in/ruct$ 9 ! wisdom ( avail+ !mselves ( ! valuable aid ( ! enema 9 ei!r cur+ proctitis or prev5t+ x f gr[+ worse1 :ile !y are at ! same "t secur+ relief ?r\gh its use by ! removal ( feces & gases sev]al times daily1 ?us prev5t+ ! absorption ( poison1 :i* ! ret5tion ( wa/e inv>iably facilitates4 ,,*apt] ,,ii4 ,,pa?ology ,,( ,,! ,,anus ,,& ,,rectum2 ,,or1 ,,! ,,g5esis ,,( ,,con/ipation4 ,:5 an affliction is seem+ly univ]sal x is reasonable to conclude t x spr+s f univ]sal conditions4 ,proctitis1 ! mo/ widespread disease ( civiliz$ man1 orig9ates v e>ly 9 life1 & develops 9 aft] ye>s num]\s pa9ful symptoms--su* z piles or hemorrhoids1 con/ipation1 etc4 ,n[1 :at is ! mo/ common excit] ( proctitis1 :i*1 z has be5 said1 is an inflammation ( ! muc\s membrane ( ! anus & rectum8 ,9 my e>li] "w1 ,inte/9al ,ills1 ,i h %[n t inatt5tion to ! soil$ diap] is g5]ally ! orig9al cause ( ?is mo/ griev\s ( ills1 ) its tra9 ( malign consequ5ces cont9u+ ?r\gh\t ! victim's life on e>?4 ,unnotic$ by nurse or "m1 ! inflammation ( ! anus & rectum makes headway ) ea* subsequ5t soil+2 & !reaft]1 :5 ! use ( ! diap] is disp5s$ )1 inatt5tion to ! normal action ( ! b[els1 improp] food1 ! resort to purgatives1 /imulants1 & opiates1 play no small "p 9 aggravat+ ! exi/+ malady4 ,illu/ration3 ,fig4 #a4 ,a portion ( ! wall ( ! rectum has be5 remov$ expos+ v>i\s lay]s3 #a1 s]\s lay]2 #b1 muscul> lay]s2 #c1 #c1 submuc\s lay]s2 #d1 #d1 muc\s membrane2 #e1 int]nal sph9ct] muscle2 #f1 ext]nal sph9ct] muscle2 #g1 circul> muscul> b&s =m+ ! rectum2 #h1 rectum2 #i1 sigmoid flexure4 7,see ,fig4 #g1 %[+ ! longitud9al muscul> b&s47 ,! fir/ c>e-tak] ( ! infant is !re=e responsible = ! initial process1 :i* progresses to a *ronic condition by subsequ5t inatt5tion4 ,%e is inde$ solicit\s ov] ! inflam$ buttocks ( h] *>ge1 b ov]looks ! f> m dang]\s inflammation ( ! muc\s membrane ( ! anus & rectum1 or %e does n realize its insidi\s & subtly progressive "*4 ,c&idates = mo!rhood %\ld be in/ruct$ on ?is mom5t\s subject4 ,illu/ration3 ,fig4 #b4 a1 ,ulc] on sph9ct] ani4 b1 ,filam5ts ( two n]ves are expos$ on ! ulc]1 ! "o a n]ve ( s5sation1 ! o!r ( motion1 bo? atta*$ to ! sp9al m>r[1 ?us con/itut+ an excito-motory app>atus4 c1 ,levator ani4 d1 ,transv]sus p]9ei4 7,hilton47 ,!re are o!r excit+ causes ( proctitis1 b1 s9ce !y are exceptional :5 comp>$ ) ! neglect$ diap]1 we ne$ n conc]n ourselves ) !m at pres5t4 ,! muscul> coat ( ! rectum consi/s ( two lay]s3 an inn] circul> & an out] longitud9al b&4 ,! inn] circul> lay] ( muscul> tissue ( ! rectum =ms ! int]nal sph9ct] muscle2 & ! out] longitud9al b&s m]ge ) ^? ( ! ext]nal sph9ct]4 ,! anal orifice is clos$ or gu>d$ by two /rong sph9ct] muscles1 z %[n 9 ,figs4 #a1 #b1 & #c4 ,^! muscles are abundantly suppli$ ) n]ves1 ( :i* bran*es are di/ribut$ to ! bladd] & o!r adjac5t organs1 :i* acc\nts = ! sympa?y ( ^! organs & _! grave di/urbance :5 disease inh]es 9 ! anus & rectum4 ,illu/ration3 ,fig4 #c4 a1 ,sacrum4 b1 ,coccyx4 c1 ,tub]osity ( is*ium4 d1 ,po/]ior or l>g] sacro-sciatic ligam5t4 e1 ,ant]ior or small sacro-sciatic ligam5t1 ) ! pudic n]ve pass+ ov] its po/]ior aspect1 & proce$+ to ! rectum & p5is4 f1 ,sph9ct] ani receiv+ its n]v\s supply f ! pudic n]ve4 ,portions ( ! muscles h be5 cut away1 9 ord] to %[ n]ve filam5ts go+ to ! muc\s membrane1 ?r\gh ! muscul> fib]s4 g1 ,levator ani4 h1 ,fat & areol> tissue occupy+ ! is*iorectal fossa & cov]+ ! levator ani4 i1 ,transv]se muscles ( p]9eum4 k1 ,erector p5is4 l1 ,accel]ator ur94 #a1 ,pudic n]ve4 #b1 ,po/]ior sacral n]ves proce$+ to po/]ior "p ( ! coccyx & to ! sph9ct] ani4 #c1 ,ant]ior sacral n]ve 7#d?7 supply+ ! sph9ct] ani4 7,hilton47 ,! orifice us$ = ! elim9ation ( undige/$ food & wa/e matt] plays q z important a "p 9 ! organic economy z ! orifice t is employ$ = receiv+ food4 ,normal elim9ation1 physiological & psy*ological1 is ! correlative process to preh5sion 7seizure or appropriation71 & ! concord ( ! two =ms ! key-note ( ! organism4 ,! muscles & tissues con/itut+ ! anal v5t %\ld be z flexible & responsive to ! w or desire ( ! rectum = relief ( its cont5ts z ! lips are 9 p]mitt+ ! saliva to escape4 ,9 l mann] ! upp] portion ( ! rectum 7,figs4 #f & #h7 %\ld respond ) in/ant read9ess to ! ef=t ( ! sigmoid flexure to expel its cont5ts4 ,b an abnormal condition l inflammation root$ 9 ! anus & l[] "p ( ! rectum 7,fig4 #a1 #d-d7 w inhibit ! passage ( ! press+ burd5 above !m1 :i* inhibition w cause ! inflammation to ext5d to ! sigmoid flexure1 & !nce on to ! colon prop]2 & soon] or lat] ! inflammation w p5etrate ! submuc\s coat 7,fig4 #a1 #c-c71 :i* is compos$ ( fatty or areol> connective tissue 9 :i* trunks ( n]ves & blood-vessels are imb$d$4 ,! fir/ symptom ( inflammation is undue r$ness1 foll[$ by slight puff9ess ( ! anal & rectal muc\s membrane 7,fig4 #a1 #d-d71 ) m or less s5sitiv5ess ( ! tissues involv$2 & z its irritability increases !re is m or less contraction ( ! muscul> tissue =m+ ! anus & rectum1 :i* less5s ! diamet] ( _! bore4 ,& ! consequ5ce ( ?is contraction is ( physiological conc]n to ! victim1 = 9 proportion to ! contraction ! normal dem& ( ! victim = relief ( ! imp5d+ feces & gas is modifi$ & less5$4 ,9 heal?1 ! anal canal is f two to ?ree in*es 9 l5g?1 & x w di/5d ab\t two in*es--an ela/icity q equal to t ( any o!r orifice ( ! body4 ,z ! anal tissues are usually ! fir/ to be invad$ by disease1 x is b natural t ! ob/ipation or con/ipation %\ld occur "r above x--namely1 9 ! rectum4 ,! av]age l5g? ( ! rectum is ab\t six in*es1 & :5 ! disease invades its :ole l5g? ! con/ipation occurs 9 ! sigmoid flexure & may !nce ext5d to ! colon4 ,! fill+ ( ! inte/9e ) feces & gases usually occurs j above ! diseas$ portion ( ! gut2 b at ! same "t ! walls ( ! affect$ "p ( ! canal are m or less coat$ ) feces1 & its abnormal p\*es "h & !re conta9 m or less liquefi$ or dri$ feces4 ,a diseas$ canal _c expel all ( its cont5ts1 s9ce its normal expulsive p[] is gone4 ,"s ( ! feces someh[ or o!r gets d[n & out1 b a l>g] portion inevitably rema9s4 ,x is = ?is reason t a diseas$ inte/9e always rem9ds "o ( ! ,augean /able4 ,x is simply m>vel\s t ! human body cont9ues z a liv+ organism ) s mu* fil? & bact]ial poison /or$ 9 its alim5t>y canal1 & ! vaults t result f abnormal pressure dur+ p]iods ( fecal impaction 7,fig4 #d74 ,:5 ! inflammatory process ext5ds up ! rectum & at ! same "t into ! spongy1 fatty1 or areol> tissue "u ! muc\s membrane 7,fig4 #a1 #c-c71 !nce to ! muscul> & s]\s lay]s 7,fig4 #a1 #b-a71 or ?r\gh ! f\r lay]s ( tissue compris+ its wall1 we h a m m>k$ & s]i\s occlusion 7clos+7 ( ! organ ?an :5 only ! muc\s membrane 0 affect$4 ,:5 muscul> tissue is inflam$1 its t5d5cy is to contract & become solidifi$ by an adhesive inflammatory product secret$ betwe5 ! circul> & longitud9al muscul> fibres 7,fig4 #a1 #g1 & ,fig4 #g74 ,(t5 ! circul> or sph9ct] muscles =m+ ! anal canal h to be di/5d$ to br+ ab\t a m normal v5t4 ,! same pa?ological conditions t occasion contraction ( ! anal bore or calib] occur1 m or less1 z f> up ! gut z ! disease has advanc$4 ,9 a normal /ate ( ! l[] b[el ! sigmoid flexure passes its cont5ts into ! rectum1 & ! desire to defecate is report$--t is1 ! impulse to /ool becomes m or less urg5t until x is p]=m$4 ,b :5 all f\r coats ( ! anus & rectum are diseas$1 ) p]haps a portion ( ! sigmoid flexure also1 x is v difficult = ! heal?y portion ( ! sigmoid flexure & ! colon to dis*>ge _! cont5ts into ! rectum2 consequ5tly no call1 impulse1 or desire rea*es ! m9d4 ,con/ipation w !n ensue1 = ! /ool1 n be+ call$ =1 is n p]=m$4 ,e dem& ( a heal?y portion ( ! inte/9e is answ]$ by increas$ contraction ( ! muscles ( ! diseas$ portion ( ! rectum4 ,:ile ! w> betwe5 ! heal?y & ! diseas$ sections ( ! b[els goes on1 ! victim naturally concludes t !re is no occasion or dem& = defecation1 & he att5ds to o!r affairs1 ignorant ( ! fact t he is ?us mak+ a fatal mi/ake4 ,! fir/ condition t ensues is ! t5d5cy ( ! rectum to fill unduly ) feces & gases1 impell+ ! victim to 8/ra90 9 ord] to =ce ! feces ?r\gh ! con/rict$ anal canal4 ,aft] a :ile ! sigmoid flexure & colon w fill unduly1 & !n ! victim w =m ! habit ( wait+ = ! feces to desc5d1 & ( /ra9+ to expel :at little manages to escape ?r\gh ! diseas$ gut4 ,a portion ( ! imprison$ feces 9 ! heal?y section ( ! inte/9e sometimes1 at an ungu>d$ mom5t1 manages to di/ribute itself along ! l5g? ( ! diseas$ & con/rict$ canal1 :]e x is reta9$ indef9itely1 increas+ ! local irritation4 ,& :5 ! fecal mass accumulates suffici5tly 9 bo? ! heal?y & ! diseas$ portions ( ! inte/9es to set up a vigor\s excitem5t1 ! victim may1 by ! aid ( 8 wait+ & /ra9+ habit 7:i* habit1 by ! way1 only torm5ts & bruises ! *ronically diseas$ organs71 br+ on "s sort ( evacuation4 ,9 ! e>ly hi/ory ( ! disease ?is habit may s]ve = a "t2 b1 z ! disease progresses1 ! 8laxative0 habit is =m$1 :i*1 9 turn1 settles into a *ronic 8drug0 habit = all sorts & conditions ( ga/ro-inte/9al & o!r ills1 :i* inevitably ensue4 ,z ! ravages ( *ronic inflammation ( ! anus & rectum increase1 ! symptoms rapidly multiply1 till f9ally ! victim1 9 desp]ation1 feels t he mu/ f9d additional s\rces ( relief--&1 among o!r habits1 he =ms ! 8diet0 habit4 ,! ord] ( abnormal habits br\ght into exi/5ce by ulc]ative inflammation ( ! anus1 rectum1 & colon is ab\t z foll[s3 7#a7 ! habit ( unduly reta9+ ! feces 9 ! rectum2 7#b7 ! habit ( /ra9+ at /ool2 7#c7 ! habit ( unduly reta9+ ! feces 9 ! sigmoid flexure2 7#d7 ! habit ( resort+ to ! use ( purgatives1 peps91 & o!r drugs2 7#e7 ! *ronic 8physic0 habit2 7#f7 ! fooli% 8diet0 habit2 7#g7 ! ga/ro-inte/9al neura/h5ic habit2 7#h7 ! heal?-resort habit2 7#i7 ! habit ( try+ desp]ately to appe> agreeable :ile feel+ really ill2 7#aj7 ! habit ( blam+ ! liv] = all direful feel+s1 physical & m5tal4 ,x is b natural t ! l[] portion ( ! rectal & anal /ructures %\ld be affect$ m sev]ely ?an any o!r portion ( ! inte/9es by ! ulc]ative1 inflammatory process4 ,! sph9ct] muscles are v /rong1 z a rule1 & fill _! (fice only too well :5 ! anal & rectal canals are 9 a diseas$ /ate1 = !y effectually prev5t ! cont5ts f escap+4 ,(t5 _! contraction or /ricture is s great t _! expansion is limit$ to f "o-f\r? to "o-half an in*4 ,?is virtually p]man5t closure ( ! anal v5t naturally results 9 an accumulation ( feces j above x1 or 9 ! l[] portion ( ! rectum1 :i* acc\nts = ! dilatation1 /ret*+1 or balloon+ ( ! anal & rectal tissues imm$iately above ^! muscles1 z %[n 9 ,fig4 #d4 ,illu/ration3 ,fig4 #d4 #a1 ,! dott$ l9es indicate ! normal direction ( ! anus & rectum2 #b1 #d1 ! cavities or p\* =m$ by dilatation or balloon+ f ! /orage ( impact$ feces2 #c1 a probe b5t at "r angles1 & introduc$ ?r\gh a speculum1 to asc]ta9 ! dep? ( ! p\*1 :i* is frequ5tly f\nd to be two & a half in*es4 ,9 n a few cases :]e dilatation ( ! rectum exi/s1 ! upp] half or m ( ! anal canal is also dilat$1 leav+ an anal canal only an eigh? ( an in* 9 l5g? 9 "s cases2 9 o!r cases1 p]haps half an in* to an in*4 ,simil> dilatation ( ! sigmoid flexure occurs z ! result ( ! sev]e contraction ( ! upp] half ( ! rectum1 & especially at ! b5d %[n by ,fig4 #f & ,fig4 #ab4 ,?is b5d =ms q a sph9ct] = ! normal receptacle--! sigmoid flexure4 ,"h also prolapse1 di/5tion1 & dislocation ( ! sigmoid flexure may occur1 some:at simil> to ! anal prolapse f disease & abuse4 ,piles & it*+ ( ! anus are symptoms ( proctitis1 or inflammation ( ! anus & rectum4 ,:y %\ld we f9d su* dissimil> symptoms proce$+ f ! same cause8 ,! reason is pla9 :5 we consid] ! results foll[+ *ronic inflammation ( ! muc\s membrane ( ! anus & rectum & ! deep] tissues4 ,^? :o suff] f cat>rh ( ?is membrane are famili> ) ! dis*>ge ( mucus t appe>s f "t to "t dur+ ! progress ( ! inflammation4 ,b1 z ! inflammation p5etrates ! muc\s membrane & ! und]ly+ tissues ( ! anus & rectum1 ! escape ( ! inflammatory product is prev5t$2 & ?is imprison$ fluid mu/ ei!r be absorb$ by ! sy/em or reta9$ 9 res]voirs or 9 *annels :]ev] ! lea/ resi/ance is (f]$ to its invasion4 ,! muc\s membrane ( ! anus & rectum is loosely atta*$ to ! subjac5t p>ts by areol> tissue 7,fig4 #a1 #c-c71 :i* is suffici5tly lax to all[ an expansion ( two in*es2 & 9 a puck]$ or contract$ /ate ! membrane is ?r[n into folds1 or into %all[ or deep wr9kles4 ,! loose areol> atta*m5t & folds ( v>i\s dep?s af=d space = lodgm5t ( ! inflammatory dis*>ge1 :i* *annels its way d[n along ! folds ?r\gh ! areol> tissue "u ! muc\s membrane to t ( ! integum5t1 & s on = a di/ance ( a foot or m f ! anus 9 "s cases4 ,,*apt] ,,iii4 ,,! ,,=mation ,,( ,,*annels1 ,,piles1 ,,& ,,fi/ulas4 ,%\ld *annels1 ( v>y+ l5g? & numb]s1 =m e>ly 9 ! developm5t ( proctitis1 ! suff]] is usually f\nd to be free f piles1 or hemorrhoids1 = ! reason t ! *annels h af=d$ an outlet to ! inflammatory product4 ,! =mation ( l5g?y *annels also prev5ts to a great ext5t ! developm5t ( sk9ny tabs r\nd ab\t ! integum5t ( ! anus4 ,?is is "s comp5sation to ! suff]] = ! labor ( scrat*+ & = endur+ ! pa9ful it*+ s (t5 pres5t4 ,"s suff] only f pa9 along ! *annels !mselves1 :ile o!rs exp]i5ce a slight di/urbance ( ! n]v\s sy/em2 yet all mu/ be m or less poison$ f ! absorption ( s l>ge an am\nt ( ! cont5ts ( ! *annels & cavities4 ,9 ! cavities & along ! *annels ! areol> tissue is ( a mahogany color1 & no *annel is trac$ to its end s long z ! tissues pres5t a bruis$1 inflam$ appe>ance4 ,9 "s cases ! inflammatory product has de/roy$ ! areol> tissue atta*$ to ! integum5t at & ne> ! anus1 frequ5tly to ! ext5t ( leav+ a holl[ space or cavity ( surpris+ dim5sions4 ,i h met only a few cases 9 :i* ! *annels 7 op5$ by pus =m+ 9 !m4 ,^? t are v %all[1 ! walls be+ friable1 may break & =m a fissure ( ! anus2 or a little anal fi/ula may arise f a slight suppuration at its end 9 ! integum5t ne> ! anus4 ,9 cases :]e ! *annels are few & %ort1 :e!r it*+ be pres5t or n1 ! pile tumors are likewise few & ( mod]ate size1 demon/rat+ ! intimate relation ( ! aggravation ( ei!r ( ! symptoms or ! mod]ation ( bo? 9 ! same case4 ,v frequ5tly pile tumors h *annels ext5d+ f !m to ! junction ( ! muc\s membrane & integum5t ( ! anus1 or ev5 "u ! integum5t ab\t ! anus1 =m+ rug1 or tabs4 ,! numb] & size ( pile tumors w\ld seem to dep5d on h[ completely ! inflammatory product is imprison$ 9 ! tissues 9 :at is t]m$ ! 8pile-be>+0 region4 ,(t5 ! treatm5t ( piles1 or hemorrhoids1 aids v mu* 9 ! cure ( it*+ at ! anus--by de/roy+ a "p ( ! *annels involv$ 9 ! pile /ructures 9 ! muc\s membrane ( ! l[] end ( ! rectum & ext5d+ along "u ! anal membrane & ! integum5t ( ! anus4 ,! me%es & lay]s ( ! muc\s membrane1 z well z ! space occupi$ by ! areol> tissue1 are /ret*$ or p\*$ by ! inflammatory product4 ,my obs]vation =ces me to conclude t ! inflammatory product imprison$ 9 ! areol> me%es1 betwe5 ! muc\s membrane & ! muscul> lay]s1 is ! pr9cipal factor 9 =m+ piles & ! *annels s (t5 f\nd 9 ! same region4 ,( c\rse1 ob/ruct$ circulation1 conge/$ ve9s1 capill>ies1 & art]ioles1 & a m or less app>5t v>icose condition1 increase ! size ( ! pile tumors & ! g5]al ?ickness ( ! muc\s membrane ov] ! region affect$ by ! disease4 ,! process occasion+ ! sep>ation ( ! muc\s membrane f its areol> atta*m5t or b$ (t5 ext5ds ! :ole l5g? ( ! rectum1 giv+ ! muc\s membrane ! loose & rais$ appe>ance t a piece ( ?9 silk w\ld h if laid on ov] t surface4 ,! fatty or areol> tissue "u ! sk9 ab\t ! anus suff]s likewise by be+ de/roy$1 leav+ a holl[ cavity or a l>ge *annel ( great l5g? "u ! sk94 ,! sep>ation ( ! muc\s membrane & integum5t ab\t ! anus f _! areol> atta*m5t p]mits ( prolapse ( ! muc\s membrane & integum5t t =m ! anal canal & sk9 ar\nd ! orifice4 ,x w\ld seem t ! *annels1 pile sacs1 & cavities s]ve z tempor>y res]voirs = ! inflammatory product1 a portion ( :i* ! sy/em absorbs & ano!r portion ( :i* escapes ?r\gh ! muc\s membrane & integum5t4 ,9 escap+ 9 ?is way x occasions it*+ & pa94 ,! it*+ or sor5ess does n 9 all cases ext5d ?r\gh\t ! :ole l5g? ( ! *annel4 ,a few in*es ( ! *annel f>!/ f its orig9 may be ! seat ( ! greate/ di/urbance1 & ! suff]] & physician alike are usually unaw>e t ! s\rce ( ! tr\ble is 9 ! tissues ( ! anus & rectum4 ,! m>k$ improvem5t 9 ! heal? ( ^? t h be5 cur$ ( bo? ! morbid condition produc$ by ! inflammatory product & ! cause ( t condition is evid5ce t ! g5]al vitality ( ! sy/em _h be5 greatly l[]$1 ev5 ?\gh ! mo/ annoy+ ( ! symptoms1 su* z piles1 it*+1 or acute pa91 _h n be5 pres5t4 ,! lack ( annoyance along ! *annel = a c]ta9 p]iod may be due to a limit$ production1 or to a rapid absorption ( ! inflammatory product by ! sy/em4 ,proctitis & ! att5dant symptoms j describ$ h be5 ov]look$ by ! m$ical pr(ession4 ,physicians h conf9$ _! att5tion to two symptoms--piles & fi/ula4 ,aft] und]go+ a surgical op]ation = ^!1 ! pati5t is consid]$ cur$4 ,:at ignorance1 or r %ort-sight$ness1 to remove only ! annoy+ symptom1 & !n to pron\nce ! pati5t heal$6 ,let me ask my pr(essional bre?r5 :y !y d n conc]n !mselves ) ! und]ly+ cause ( ! symptom or symptoms1 & :e!r !y suppose ?is cause is go+ out ( bus9ess4 ,surely x is a grave mi/ake to conc]n "o's self ) ! lead+ symptom m]ely--to remove t1 & to leave its cause intact4 ,:5 ! disease-produc+ cause rema9s to g5]ate its poison\s effects 9 ! sy/em1 opportunities exi/ = fur!r symptoms to develop4 ,! sy/em may be already deplet$ ( vitality1 & ! h>% treatm5t = ! purpose ( remov+ a m]e symptom may only make ! suff]]'s condition m deplorable--if x does n inde$ cause dea?4 ,!re are o!r symptoms ( proctitis ?an piles & fi/ula1 :i* rema9 aft] ! conv5tional surgical op]ation = _! removal4 ,ob/ipation & con/ipation are usually symptoms ( proctitis1 & w p]si/ until ! inflammation 9 ! upp] half ( ! rectum & sometimes 9 a portion ( ! sigmoid flexure is cur$4 ,! victim ( proctitis has two m>k$ s\rces ( poison+ ( ! sy/em3 "o proce$+ f ! absorption ( ! inflammatory product1 & ! o!r f undue ret5tion ( ! wa/e matt] ( ! body t %\ld pass out by ! l[] b[el4 ,inflammation ( a muc\s membrane causes /ructural *anges 9 ! tissues involv$ 9 ! morbid process1 & n infrequ5tly x becomes ! seat ( a malignant disease4 ,! read] may be famili> ) ! :ite1 loose1 alveol> 7honeycomb-l7 network ( ela/ic tissue 7call$ fat7 j "u ! sk9 & muc\s membrane4 ,consult 9 ?is connection ! cut on page #bd4 ,illu/ration3 ,fig4 #e4 ,male pelvic organs view$ f ! "r side 7! "r ilium & a portion ( ! is*ium & ! pubic bone1 toge!r ) _! s(t p>ts1 h be5 remov$74 #a1 auricul> surface ( ! sacrum2 #b1 tub]osity ( ! sacrum2 #c1 is*ium2 #d1 pubic bone2 #e1 psoas muscle2 #f1 erector sp9al muscle2 #g1 glutei muscles2 #h1 obdurator muscles2 #i1 ext]nal sph9ct] ( anus2 #aj1 rectum2 #aa1 sigmoid flexure2 #ab1 bladd]2 #ac1 uret]2 #ad1 vas def]5s2 #ae1 sem9al vesicles2 #af1 pro/ate2 #bj1 lat]al vesicle ligam5ts2 #ba1 hypo-ga/ric art]y2 #bb1 hypo-ga/ric ve92 #bc1 ext]nal iliac art]y2 #bd1 abdom9al aorta4 7,boas47 ,! abdom9al & pelvic organs are cu%ion$ or held 9 place some:at by ! network ( fatty tissue t surr\nds !m1 & ! rectum is no exception to ! rule4 ,! out] or s]\s wall is surr\nd$ by an abundance ( loose areol> tissue1 :i* is divid$ into cellul> spaces4 ,:5 ?is tissue also is invad$ by inflammation1 ! condition is spok5 ( z p]iproctitis2 & we h a result some:at simil> to t :i* occurs 9 ! areol> tissue j "u ! muc\s membrane & integum5t1 z previ\sly describ$4 ,z ! inflammatory product is dis*>g$ into ?is spongy or fatty connective tissue x is sl[ly =c$ 9 "s direction1 :i* is naturally d[nw>d1 if n too mu* ob/ruct$ by firm tissue2 at all ev5ts1 x foll[s ! l9e ( lea/ resi/ance & =ms usually q a l>ge *annel & sev]al cavities along its c\rse4 ,! *annel may beg9 at an elevation ( f\r or m in*es on ! outside ( ! rectum 7,fig4 #e74 ,%\ld x =m 9 front ( ! rectum1 ! sem9al vesicles 7#ae7 & ! pro/ate gl& 7#af7 w\ld suff] greatly by its pres5ce4 ,z ! inflammatory process burr[s its way d[nw>d1 x f9ally rea*es ! s(t fatty connective tissue "u ! sk94 ,x !n cont9ues along ?is 9 "o or m directions = a di/ance ( two or m in*es4 ,sev]al ( ^! long1 l>ge pus-less *annels may exi/ = _m ye>s1 or = a lifetime1 )\t suffici5t evid5ce ( _! exi/5ce along _! r\te accurately to locate !m4 ,it*+1 pa91 & color ( ! sk9 (t5 indicate ! pres5ce ( su* a *annel "u ! integum5t4 ,! au?or has frequ5tly f\nd l>ge *annels ext5d+ up along ! out] rectal wall = f\r in*es1 & ext5d+ out into ! deep tissues ( ! buttocks 9 v>i\s directions1 )\t mak+ _! pres5ce & ravages kn[n to ! victim4 ,su* num]\s pa?ological conditions h l$ ! au?or to conclude t an abscess j "u ! sk9 & ! dis*>ge ( pus are m]ely incid5ts 9 ! hi/ory ( su* maladies4 ,?9k ( x3 y\r body may be bor$ ) *annels or holes ( v>y+ diamet]s & l5g?s1 :ile y y\rself may be ignorant ( :at is occurr+6 ,! muc\s membrane may be lift$ f ! connective tissue = ! :ole l5g? ( ! rectum1 & ! sk9 ab\t ! anus may also be 9 ?is condition4 ,y "k t y\r heal? is n good1 b y are ignorant ( ! cause4 ,! =mation ( pus at "s p]iod ( ! *annel's inroads1 or ( an abscess1 w\ld seem a k9dly act ( ,nature1 = ! pres5ce ( s s]i\s a di/urb] to heal? w\ld ?us become kn[n4 ,i h n ov]drawn ?is picture ( p]iproctitis & ( submuc\s tissue *annels4 ,! victims c\ld sc>cely be worse (f ?an !y are4 ,i want boys & girls1 "y m5 & "y wom51 to le>n ! facts conc]n+ ! local dang]s ( proctitis2 =1 :5 !y once realize ! s]i\sness ( ?is disease because ( its _m grave symptoms1 !y w give x prop] att5tion be=e ^! effects manife/ !mselves4 ,y _c neglect s important a portion ( y\r body z ! anus & rectum & n s]i\sly endang] ! organs t lie close to !m4 ,no wond] s _m m5 are tr\bl$ ) inflammation & induration ( ! pro/ate gl&4 ,! p]c5tage ( su* cases w\ld be greatly r$uc$ 7 proctitis & p]iproctitis d5i$ ! exi/5ce !y n[ enjoy = ye>s1 & (t5 = a lifetime4 ,9 view ( all t has be5 advanc$ conc]n+ ^! local pa?ological conditions1 is x /range t almo/ ev]ybody is con/ipat$1 & t we ne$ "s simple sov]eign aid to fur!r ! sci5tific treatm5t ( ! physician--an aid su* z ! enema has prov$ to be8 ,,*apt] ,,iv4 ,,undue ,,ret5tion ,,( ,,gas ,,& ,,feces ,,9 ,,! ,,sigmoid ,,flexure4 ,9 ! previ\s *apt]s att5tion 0 call$ especially to ! l[] portion ( ! rectum & ! anus4 ,9 ?is *apt] we w consid] ! sigmoid flexure1 :i*1 :5 diseas$1 is (t5 dilat$1 dislocat$1 & depress$1 a pa?ological condition some:at simil> to t f\nd 9 ! l[] portion ( ! rectum & ! anus4 ,! illu/ration on page #bi %[s ! normal relations ( ! rectum & ! sigmoid flexure2 also ! :ole colon4 #g m>ks ! beg9n+ ( ! sigmoid flexure1 & #f its upp] end4 ,! read] w note ! f\r %>p curves or flexures ( ?is organ1--f #f to #g1--:i* =ms 9 heal? a normal & mo/ conv5i5t receptacle = feces1 & :i*1 l ! bladd]1 c be empti$ at regul> int]vals4 ,unless ! sy/em 7 able 9 "s way to elim9ate ! wa/e & poison\s matt] x _h g5]at$ )9 six h\rs1 x w\ld fatally poison itself4 ,^? int]nal v5tilators1 ! lungs1 & ^? ext]nal ducts1 ! pores1 are con/antly at "w purify+ ! body2 & !y are actively assi/$ by ! kidneys & ! bladd]4 ,obs]vation ext5d+ ov] _m ye>s ( practice induces me to believe t among ^? :o suff] f *ronic con/ipation two-?irds to ?ree-f\r?s ( ! fecal mass is tak5 into ! sy/em & elim9at$ by ! kidneys1 muc\s membrane1 & sk94 ,diseases ( ! above organs are num]\s & seem+ly incurable f ! fact t _! common cause has n be5 discov]$ & treat$ prop]ly4 ,7 x n = ^! organs /eadily at "w1 ! labor ( ! b[els w\ld be ( little avail4 ,b :ile ! importance ( ! =m] _c be ignor$1 x mu/ be conc$$ t ! mo/ important ( all ! elim9at+ organs are ! b[els1 = _! function is to dis*>ge n only ! wa/e solids b also a great am\nt ( wa/e liquids & gases z well4 ,illu/ration3 ,fig4 #f4 #i4 ,! anus4 ,levator ani muscle se5 on ea* side4 #h1 #h4 ,! rectum4 #g4 ,beg9n+ ( ! rectum4 #f4 ,! sigmoid flexure4 #e4 ,! desc5d+ colon4 #d4 ,! transv]se colon4 #c4 ,! ccum1 or caput coli4 #b4 ,app5dicula v]mi=mis4 #a4 ,! end ( ! ileum4 ,undue f]m5tation ( ! +e/a 7! alim5t tak5 into ! sy/em7 g5]ates poisons ( m or less virul5ce2 x mu/ !re=e be obvi\s t a clean inte/9al canal is necess>y aft] e meal to fur!r ! normal dige/ive process4 ,v (t5 ! outlet ( ! sigmoid flexure is ob/ruct$4 ,figures #f & #g are %[n to make ! cause ( ?is ob/ruction m cle>4 ,9 ,figure #g we see ! longitud9al & transv]se fib]s t =m ! wall ( ! rectum4 ,9 all cases ( *ronic ob/ipation1 ! muscul> /ructure ( ! anus1 rectum1 & frequ5tly ( a portion ( ! sigmoid flexure is invad$ ) *ronic inflammation ( a v sev]e & s]i\s "*4 ,illu/ration3 ,fig4 #g4 ,a view ( ! longitud9al muscul> fib]s ( a section ( ! rectum3 #b1 upp] portion ( ! rectum2 #c1 #d1 #e1 ! ?ree b&s ( longitud9al fib]s ( ! colon cont9u$ ^u ! rectum2 #f1 ! longitud9al muscul> fib]s ( ! rectum =m$ by ! expansion ( ^? ( ! colon4 ,a view ( ! muscul> coat ( ! colon3 #a1 #a1 "o ( ! b&s ( longitud9al muscul> fib]s2 #b1b1 ! circul> fib]s ( ! muscul> coat4 ,:at is ! result ( ?is inflammation8 ,self-evid5tly contraction ( ! muscul> /ructure1 z y w\ld quickly en\gh discov] 7 "o ( y\r h&s or arms inflam$4 ,?\gh con/ant att5tion %\ld be giv5 to ! mu* m important organ1 ! rectum1 practically none is giv5 x4 8,out ( sight1 out ( m9d40 ,aga91 no doctor w\ld diagnose an inflam$ limb z p>alysis1 atony1 etc41 & dose ! victim ) nux vomica1 tonics1 physic1 etc41 9 ! hope ( !reby heal+ x4 ,yet1 ) s+ul> fatuity1 ?is absurd diagnosis & treatm5t is giv5 :5 ! l[] b[el is invad$ ) *ronic inflammation4 ,let ! common-s5se read] in=m himself conc]n+ 8 organism4 ,let him rememb] t he has )9 muscul> organs t dem& exactly ! same att5tion :5 diseas$ z ^? )\t4 ,?is fact is especially important = ! suff]] f con/ipation or semi-con/ipation to "k4 ,7 ! anus1 rectum1 & sigmoid flexure "o cont9u\s /raight tube1 ! muscul> action 9 ! process ( defecation w\ld n be z complex z x is1 s9ce !n ! feces w\ld drop "r d[n & out4 ,b ^! p>ts h s _m curves & angles t :5 disease invades _! int]ior !y acc5tuate _! folds & valves by contract+ & d n readily respond to ! n]ve dem& = complex1 muscul>1 snakelike movem5ts1 :5 evacuation is desir$4 ,9 ?is unread9ess to respond !y ca/ into confusion all ! functions ( ! :ole complicat$ organism1 all p>ts ( :i* are necess>ily int]dep5d5t4 ,a wise provision ( ,"m ,nature are ^! curves1 angles1 & valves1 = !y prev5t ! sudd5 dropp+ ( ! cont5ts ( ! colon d[n to ! anal orifice--a possibility t w\ld greatly emb>rass u dur+ social & bus9ess h\rs4 ,! accompany+ figure %[s ! rectum dissect$ at its upp] end f ! sigmoid flexure4 ,?is portion ( ! rectum is small] ?an ! l[] two-?irds ( ! organ4 ,n[1 x is ?is less5$ diamet] ( ! gut t is an aid to ! sigmoid flexure 9 its capacity z a receptacle1 b a mo/ decid$ h9drance :5 x is diseas$--s9ce x w positively inhibit ! passage ( feces & gases1 !reby occasion+ a di/5tion ( ! sigmoid flexure 7ob/ipation7 because ( a det5tion ( ! cont5ts1 :i* !n weights ! flexure d[n ^u ! rectum4 ,?us we see exemplifi$ h[ an aid may turn into a h9drance1 z we already h obs]v$1 9 an unduly contract$ anal v5t4 ,! rectum is n /raight1 z ! ^w itself w\ld indicate1 b curves to ! "r1 !n back well on to ! sp9e1 & !n =w>d to ! anus1 :i* turns slightly backw>d f ! l[] ant]ior portion ( ! rectum4 ,illu/ration3 ,fig4 #h4 ,:5 ^! muscul>-tube organs are invad$ by disease1 ^! v curves1 valves1 & b5ds ( anus1 rectum1 & sigmoid flexure are responsible = at lea/ n9e-t5?s ( ! ills t affect humanity f ! cradle to ! grave--ills directly due to self-poison+1 te*nically kn[n z auto-infection & auto-intoxication1 ! fa%ionable "n ( :i* is neura/h5ia3 a weak5+ ( involunt>y & volunt>y n]v\s sy/ems ?r\gh lack ( v5t f irritat+ poisons1 flatul5cy1 & ( c\rse defective metabolism or nutrition4 ,a bett] "n w\ld be vaso-motor neura/h5ia4 ,aft] ^! anatomical & physiological po9ts h be5 not$1 x is to be hop$ t ! read] has grasp$ ! idea ( h[ easily ?is portion ( ! b[els1 :5 diseas$1 c prev5t ! normal desc5t ( ! feces & gases accumulat$ j above ! diseas$ portion ( ! gut4 ,x %\ld also be easy to und]/& h[ a portion ( ! unduly reta9$ feces may pass out1 b 9 s do+ be ! cause ( increas$ irritation & consequ5t contraction ( ! muscul> tube1 prev5t+ ?us any fur!r passage ( feces f its receptacle4 ,usually a portion ( ! escap+ feces is caught & held 9 ! rectum itself1 conv]t+ ! rectum into a receptacle4 ,x is j "h t ! practical application ( ! pr9ciples d$uc$ mu/ come 94 ,let my pr(essional bre?r5 z well z all victims ( b[el disease consid] ! foll[+ "q1 & !n all w be cle>3 ,s9ce normal feces conta9 ab\t #ge p] c5t4 wat]1 is !re any h>m1 nay1 is !re n decid$ b5efit1 9 sudd5ly liquefy+ ! imprison$ mass to1 say1 #ii p] c5t4--:e!r disease exi/ or n8 ,:5 disease exi/s we simply desire to op5 ! contract$ or ob/ruct$ canal4 ,:at c be bett]1 9 a !rapeutic l9e1 ?an ! k9dly di/5d+ influ5ce ( w>m wat] to ov]come ! spasmodic closure ( ! diseas$ tube8 ,9 addition to ! g5tle dilatation ! inject$ wat] occasions1 ! wat] creates or calls into activity ! lo/ n]v\s impulse to evacuate1 :i* impulse is a /ep t[>d ! re/oration ( ! lo/ normality4 ,"u ! b5ignant influ5ce ( ! wat] inject$ 9 ! l>ge inte/9e !re comes a desire to expel x1 :i*1 :5 respond$ to1 c>ries ) x ! feces s long imprison$1 & at ! same "t dive/s ! walls ( ! inte/9e ( ! inevitable incru/ations4 ,?us1 ) purify+ wat]1 ! f\l pool is empti$1 & ! p>ts are cleans$ s ?or\ghly t no?+ is left to vex ! inflam$ tissue4 ,is !re any sane p]son t c (f] "o valid objection to ! use ( depuratory enemas 9 cases 9 :i* ! normal function ( ! b[els is lo/ ?r\gh abnormal *anges br\ght ab\t by *ronic disease8 ,,*apt] ,v4 ,,rebellion ,,( ,,our ,,outrag$ ,,int]nal ,,economy4 ,! small inte/9e is t portion ( ! alim5t>y canal :i* beg9s at ! /oma* & ends at ! l>ge inte/9e4 ,its usual l5g? is tw5ty feet4 ,! diamet]1 :i* at ! upp] portion 7duod5um7 is two in*es1 gradually becomes less1 until at ! l[] end x is b "o in*4 ,n[1 ! l5g? ( ! inn] coat ( ?is small inte/9e--! muc\s membrane--is ab\t d\ble t ( ! inte/9e itself4 ,?9k ( we>+ a coat twice z long z y\rself6 ,h[ d y ?9k ?is is accompli%$ 9 ! case ( ! muscul> tube "u consid]ation8 ,well1 ,nature1 hav+ a mo/ peculi> function to p]=m1 has ?r[n ?is muc\s coat or tube into a ?\s& folds 7valvul conniv5tes1 or 8w9k+ valves074 ,^! folds =m valves1 occupy+ f "o-?ird to "o-half ! circumf]5ce ( ! b[el4 ,! greate/ wid? ( ea* fold is at ! c5t]1 :]e x measures f a qu>t] to half an in*4 ,ov] ?is great expanse ( muc\s membrane we f9d /udd$ t5 million five hundr$ ?\s& inte/9al villi1 ^: (fice x is to absorb ! food sub/ances 9 _! passage ?r\gh ! canal4 ,illu/ration3 ,fig4 #i4 ,/oma*1 liv]1 small inte/9e1 etc4 7,fl9t47 #a1 inf]ior surface ( ! liv]2 #b1 r\nd ligam5t ( ! liv]2 #c1 gall-bladd]2 #d1 sup]ior surface ( ! "r lobe ( ! liv]2 #e1 diaphragm2 #f1 l[] portion ( ! sophagus2 #g1 /oma*2 #h1 ga/ro-hepatic om5tum2 #i1 sple52 #aj1 ga/ro-spl5ic om5tum2 #aa1 duod5um2 #ab1 #ab1 small inte/9e2 #ac1 ccum2 #ad1 app5dix v]mi=mis2 #ae1 #ae1 transv]se colon2 #af1 sigmoid flexure ( ! colon2 #ag1 ur9>y bladd]4 ,^? t h obs]v$ ! anatomical illu/rations ( ! small inte/9es mu/ h be5 /ruck by _! app>5tly inextricably tangl$ convolutions4 ,9 life1 ^! convolutions are con/antly *ang+ _! locations1 z ?\gh !y 7 a mass ( worms4 ,! l>ge inte/9e beg9s at ! ccum & ext5ds to ! anus1 or v5t ( ! inte/9al sew]4 ,x is call$ ! colon--! asc5d+1 transv]se1 & desc5d+ colon4 ,x is ab\t five feet 9 l5g?4 ,its diamet] is ! greate/ at ! ccum1 :]e x measures1 :5 mod]ately di/5d$1 two & a half to ?ree & a half in*es4 ,beyond ! ccum ! diamet] is "o & two-?irds to two & two-?irds in*es1 ! smalle/ "p be+ at ! upp] end ( ! rectum4 ,! muscul> movem5ts ( ! l>ge inte/9e are mu* m limit$ 9 numb] & range ?an ^? ( ! small inte/9es4 ,! area ( its muc\s membrane is also mu* less1 not)/&+ ! fact t x is ?r[n into sacculat$ p\*es1 or sacculi1 by ! contraction ( ! longitud9al muscul> b&s ( ! b[el4 ,illu/ration3 ,fig4 #aj4 ,! ccum1 dorso-mesial view1 %[+ ! ileum-side ( ! ileo-ccal valve1 & ! beg9n+ ( ! ?ree muscul> ribbons4 7,g]ri%47 ,consid] ?is tube1 = x is really unique4 ,note ! longitud9al muscul> b&s 7,figs4 #ab & #ac74 ,we f9d ?is tube to be five feet long :5 ! surface made by ! circul> b&s is measur$1 & f\r feet long :5 t made by ! longitud9al b&s is measur$4 ,n[1 ! f\r feet ( surface mu/ ( c\rse contract ! five feet4 ,well1 9 ! tube "u consid]ation1 ! musculo-areolo muc\s tube is ?r[n into circul> puck]+s 9 %ort sections1 betwe5 :i* are deep transv]se creases1 ea* b\nd$ by prom95t bulges4 7,fig4 #ac47 ,an inspection ( ! bore ( ! tube %[s a %>p ridge correspond+ to ea* depression ( ! out] surface1 & a l>ge recess collocat$ ) ea* ext]nal protrusion4 ,?is ext]nal & int]nal appe>ance ( ! l>ge inte/9e rem9ds "o some:at ( ! flexible h>d-rubb] tub+ us$ z a conduit = electric wire 9 h\ses4 ,illu/ration3 ,fig4 #aa4 ,cavity ( ! ccum1 its front wall hav+ be5 cut away4 ,! ileoccal valve & ! op5+ ( ! app5dix are %[n4 7,g]ri%47 ,illu/ration3 ,fig4 #ab4 ,a view ( ! position & curvatures ( ! l>ge inte/9e4 #cb1 end ( ! ileum2 #ca1 app5dix v]mi=mis2 #d1 ccum2 #c1 asc5d+1 #b1 transv]se1 #h1 desc5d+ colon2 #i1 #i1 #i1 sigmoid flexure2 #aj1 #aj1 rectum2 #ab1 anus2 #ac1 #ac1 bladd]2 #aa1 #aa1 #aa1 p]itoneum--l5g? f #d to #f feet1 & a mean diamet] ( ab\t #a-b_/c to #b-b_/c in*es4 ,! sigmoid flexure is a receptacle = ! feces1 & ea* end is ! highe/ & b5t on itself2 ?is arrangem5t sp>es ! rectum & sph9ct]s ( pressure & weight until ! prop] "t to /ool4 ,! sacculat$ p\*es ?us =m$ by ! %ort5+ ( ! b[el may become abnormally di/5d$1 & resemble ! prop] receptacle = feces--! sigmoid flexure4 ,ev5 ! rectum1 9 cases ( *ronic con/ipation1 is usually enorm\sly di/5d$1 ow+ to ! ov]load+ or fill+ up ( ! b[el ) feces4 ,i h giv5 ?is some:at l5g?y rsum 9 ord] to enable ! read] to appreciate a mo/ p]t95t "q4 ,let u see :at we h f\nd3 ,! small inte/9e1 ) its manifold folds & its num]\s pockets1 made by ! =ty feet ( muc\s membrane2 ! b5ds & curves 9 ! five feet ( ! l>ge inte/9e1 ) its num]\s dams & pools2 &1 la/ly1 ! abnormal res]voirs = feces1 liquids1 & gases4 ,illu/ration3 ,fig4 #ac4 ,segm5t ( l>ge inte/9e1 %[+ ! *>act]i/ic features ( its /ructure4 7,g]ri%47 ,f9d+ ?is1 ! "q inevitably is1 ,:at is ! be/ ag5t = cleans+ ?is m>vel\sly s5sitive canal1 tw5ty-five feet long1 ^: muc\s membrane ext5ds =ty-five feet8 ,no "o w\ld ?9k ( tak+1 if he c\ld1 ! f\l sew] 9 8 h&s1 & %ak+ x1 fold ^u fold1 ) ! fa9t yet fond hope ( /]iliz+ x4 ,h[ c any mode ( physical culture meet ! requirem5ts = effect+ a cure ( ulc]ative proctitis & colitis1 to say no?+ ab\t keep+ ! b[els sweet & clean8 ,*ronic1 subacute1 & acute inflammation1 accompani$ ) ulc]ation1 locat$ 9 any "p ( ! body1 requires re/ to ov]come ! fev] & conge/ion4 ,muscul> ex]cise irritates & inflames ! diseas$ p>ts4 ,ano!r =m ( 8physical culture0 w\ld put into ! b[els all sorts ( /uff t _c be dige/$1 su* z bran1 cru%$ se$s1 %ells1 raw food1 etc41 t set up excessive muscul> action & secretion ( mucus z ! improp] /uff passes d[n & out4 ,9 ! sacr$ "n ( hygi5e1 ?is new ca?>tic rem$y is prescrib$ & tak54 ,seek+ relief f ! pa9ful effects1 ! pati5t f9ds t ^! 8rem$ies0 make ! disease & its symptoms worse4 ,hygi5ic fool-kill]s are1 l ! poor1 always ) u4 ,illu/ration3 ,fig4 #ad4 ,a longitud9al section ( ! end ( ! small inte/9es1 or ileum1 & ( ! beg9n+ ( ! l>ge inte/9es1 or colon4 #a1 #a1 a portion ( ! asc5d+ colon2 #b1 #b1 ! ccum1 or caput coli2 #c1 #c1 l[] portion ( ! ileum2 #d1 #d1 ! muscul> coat1 cov]$ by ! p]itoneum2 #e1 #e1 ! cellul> & muc\s coats2 #f1 #f1 folds ( ! muc\s coat at ?is end ( ! colon2 #g1 #g1 prolongations ( ! cellul> coat into ^! folds2 #h1 #h1 ileo colic valve2 #i1 #i1 ! union ( ! coats ( ! ileum & colon4 ,y are aw>e ( ! irritation t a gra9 ( s& w set up :5 x comes 9 contact ) ! muc\s membrane ( ! eye4 ,!n c y n realize t y w torm5t ! =ty-five feet ( inte/9al muc\s membrane ) l indige/ible /uff8 ,x is e/imat$ t t5 p] c5t4 ( ! really suitable food is residue matt] ) :i* ! dige/ive tract has to deal & get rid ( ) z mu* economy & z little friction z possible4 ,!n :y increase ?is residue tw5ty or fifty p] c5t48 ,m ?an n9e-t5?s ( ! human race h be5 cont5t to dep5d on comp>atively viol5t excitants1 su* z drugs1 co>se food1 & muscul> ex]cise1 etc41 to relieve ! b[els ( ! feces1 liquids1 & gases ( a mo/ f\l "*--! f\lness due to putrid f]m5tation & undue ret5tion4 ,:5 w ^! prescrib]s & p>tak]s ev] le>n t bile b\nc]s & p]i/altic p]suad]s h an imm5se j\rney be=e !m :5 !y />t to remove ! f\l accumulation ( feces f ! sigmoid flexure & balloon$ rectum8 ,=1 be x rememb]$1 ! normal receptacle = feces is tw5ty-f\r feet f\r in*es f ! /oma*1 & ! abnormal receptacle tw5ty-f\r feet elev5 in*es--)9 two in*es ( ! v5t ( ! body6 ,surely q a degree ( m5tal con/ipation mu/ h exi/$ 9 bo? ! prescrib]s & ! p>tak]s to ?9k su* ?ick & d5se ?\ghts z are repres5t$ by ^! b\nc]s & p]suad]s4 ,s y w\ld cleanse ! b[els ) su* unclean1 poison\s1 & irritat+ ?+s6 ,:at amaz+ hope born ( ignorance6 ,outrag$ ,nature cries3 8,h[ long6 h[ long6 h[ long w my #8in>ds' be s abus$ 9 ! "n ( cleanl9ess & yet rema9 s unclean8 ,ye b5ight$ mortals1 if ye w\ld li/5 to me1 y\r ,"m1 ,i w\ld give ye a pure & :olesome prescription1 = ,i w\ld prescribe equal p>ts ( enlight5m5t & wat] well mix$1 & advise ye to take a portion ( x =e & a portion ( x aft1 p] os 7m\?7 & p] anus4 ,?us & ?us alone w\ld ,i prescribe = ye2 su* & su* alone is ! way = ye to d2 purify to cure1 or cure by purify+40 ,con/ipation mu/ n cont9ue1 = x means n only ! clogg+ up ( ! l>ge inte/9e ) ! f\l sewage ( ! sy/em1 b also ! dry+ ( t sewage1 :i* latt] process implies ! absorption ( poison4 ,n[ t y are 9 ?is condition1 ,m$icus /eps up & prescribes a ca?>tic mix$ ) belladonna or opium1 or bo?4 ,^! latt] are meant to quiet ! m\rnful cry ( outrag$ ,nature :5 ! ca?>tic invades its sacr$ prec9cts4 ,& x may be not$1 by ! way1 t ?\gh belladonna1 atrop9e1 morphia1 etc41 t5d to dry up ! secretions ( ! muc\s membrane & make matt]s worse by mak+ !m /ill m arid1 /ill ! action ( ! ca?>tic is usually s p[]ful t aft] ! free fight ) ! pa9 soo!rs x triumphs1 & produces a free fl[ ( wat]y secretion into ! dri$1 impact$ mass ( ! b[el4 ,does x n /& to reason t ! great] portion ( ! liquid 9 :i* ! feces 7 dissolv$ & _h f]m5t$ is re-absorb$ into ! sy/em8 ,:y %\ld ! poor victim ( proctitis & ca?>tics wond] :y he has g\t1 rheumatism1 & disease ( ! kidneys1 bladd]1 lungs1 liv]1 /oma*1 n]ves2 :y he has neura/h5ia1 debility1 feebl5ess1 loss ( memory1 inability to fix & hold ! att5tion ^u a s+le l9e ( ?\ght1 appreh5sions1 etc48 ,8 wond] is *ildi%1 = deep 9 8 he>t he kn[s t he poison$ himself4 ,he kn[s ?is1 b x seems t he mu/ be rem9d$ ( ! fact t !re is a bett] way to remove ! accumulat$ mass f ! l>ge inte/9e1 & to prev5t 9 future ! undue ret5tion ( feces1 liquids1 & gases 9 abnormal sacs or p\*es4 ,! way t ,nature prescribes is ! resort daily1 two or ?ree times1 to ! enema4 ,:5 ! inject$ wat] rea*es ! imprison$ & dri$ feces1 ! cru/ is loos5$ f its hold+s & ! mass is mov$ t[>d ! exit by ! expulsive ef=t ( ! b[els4 ,previ\sly ! b[els 7 helpless ) _! load4 ,z ! sudd5 flood ( wat] is expell$ x c>ries ) x ! inspissat$ feces2 :]eupon ! subconsci\s p]sonal ,ego1 :o is ! sup]9t5d5t ( ! dige/ive app>atus & functions1 congratulates himself on ! delightfully refre%+ mann] 9 :i* ! local di/urb] has be5 ou/$4 ,su* is ! satisfactory decision ( ! arbitrator--,enlight5$ ,nature4 ,no long] ne$ we b[ to ,m$icus or to any o!r k9d ( 8cuss10 :e!r /yl$ hygi5e or physical culture4 ,arbitration ( ?is sort makes life wor? liv+4 ,n[ = ,nature's b5$iction3 8,may t feel+ ( fre$om f uncleanl9ess1 int]nal & ext]nal1 be ) y con/antly1 & ?is d\ble bless+ make y\r joys fl[ s fa/ t 9 _! rapidity !y bl5d into a sun & radiate f y\r rejuv5at$ physical be+40 ,,*apt] ,,vi4 ,,gase\s ,,obesity ,,& ,,our ,,roly-,,polies4 ,is !re any human be+ s ignorant t he _c und]/& t :5 food /uffs 9 ! ga/ro-inte/9al canal f]m5t & putrefy !y !reby g5]ate toxic 7poison\s7 gase\s matt]1 volatile fatty acids1 & putrid feces2 t su* matt]1 acids1 & feces are rapidly absorb$ by ! sy/em1 & t1 if ! sy/em does n readily elim9ate !m by way ( ! b[els1 kidneys1 & muc\s membrane1 !y w t5d to br+ on "o or m =ms ( acute or *ronic disease8 ,gas is matt] 9 its mo/ r>efi$ /ate--a /ate t p]mits its easy entrance into all ! tissues ( ! body1 :]e x p]v]ts by its pres5ce & toxic effect ! normal function ( all ! organs4 ,besides its poison\s infection1 x di/5ds or bloats ! /oma*1 b[els1 & tissues--a fact especially noticeable 9 ! abdom9al region1 giv+ ! appe>ance ( corpul5cy or obesity to _m1 :5 really x is only abdom9al balloon+ or gase\s obes5ess4 ,roly-polies--& !re are a great _m ( !m--w h _! pride greatly hurt by acc\nt+ = _! condition 9 ?is way1 b ! tru? mu/ be told & !y might z well face ! facts fir/ z la/4 ,gase\s obesity1 or borborygmus1 is spok5 ( popul>ly z w9d 9 ! /oma* & b[els4 ,no wond] ! roly-poly is s5sitive on ! subject1 = ?is 8w9d0 occasions rumbl+ s\nds1 eructations1 & (f5sive odors--all ( :i* are a great annoyance to ! suff]] f dilat$1 displac$1 & unclean dige/ive app>atus4 ,besides be+ g5]at$ 9 ! sy/em1 gases may be swall[$ dur+ ! act ( eat+1 9 ! =m ( air 7oxyg5 & nitrog571 & 9 liquids conta9+ c>bonic acid1 sulphurett$ hydrog51 etc4 ,micro-organisms swall[$ ) ! food w occasion f]m5tation ( ! cont5ts ( ! /oma* & b[els1 :i* if unduly reta9$ become excessive1 f\l1 & toxic--!re=e extremely h>mful to ! sy/em4 ,! gases g5]at$ 9 ! /oma* are ! foll[+3 c>bonic acid1 hydrog51 hydro*loric1 ammonia1 sulphurett$ hydrog51 m>% gas1 etc4 ,!y are p>tly absorb$ or ?r[n (f by eructations1 or !y pass into ! duod5um or small inte/9e4 ,gases are f\nd ?r\gh\t ! small & ! l>ge inte/9e4 ,^! are ! result ( bo? ! normal & ! abnormal dige/ive f]m5tation & bact]ial decomposition ( ! +e/a or food /uffs4 ,"s ( ! gases are pass$ into ! inte/9es f ! blood by diffusion4 ,! production ( gas is m copi\s 9 ! upp] portion ( ! small inte/9e & becomes less rapid & abundant z ! l>ge inte/9e is rea*$4 ,z =m$ or f\nd 9 ! inte/9es1 ! gases are3 c>bonic acid1 hydrog51 m>%1 ammonia1 nitrog51 sulphurett$ hydrog51 & sulphate ( ammonia4 ,consid]+ ! l>ge am\nt ( abnormal gases g5]at$ 9 ! b[els & :i* abnormally di/5d ! abdom9al walls = sev]al in*es & press ^u ! he>t & lungs1 & consid]+ ! small am\nt pass$ out z flatus1 _! entrance into ! tissues ( ! body mu/ be v rapid & h>mful4 ,/op ! habitual putrefaction & mal-dige/ion1 & !n ! =mation ( toxic feces1 gases1 & volatile acid w spe$ily cease4 ,!n ! er/:ile roly-polies w %r9k 9 circumf]5ce f\r or m in*es1 necessitat+ ! refitt+ ( _! g>m5ts to ! new & bett] ord] ( ?+s4 ,mu* has be5 writt5 ab\t ! di/5tion ( ! rectum1 sigmoid flexure1 & colon f ! undue accumulation ( feces4 ,! fecal di/5tion ( ! gut may ext5d along ! inte/9e = f ?ree to n9e in*es or m1 :i* is a v grave matt] inde$4 ,b :y is s mu* att5tion giv5 to a few in*es ( impact$ feces dilat+ a portion ( ! b[el1 & none :atev] to ! prev5tion or elim9ation ( gase\s matt] t di/5ds ! :ole ga/ro-inte/9al canal to su* an ext5t t ! body is tightly inflat$ & ! m$ian p>ts ( ! belly bulge out l a balloon8 ,cattle rais]s are conv]sant ) ! gase\s inflation ( _! animals1 & h to resort to ! knife to puncture ! /oma* to p]mit ! gas to escape2 o!rwise fatal results w\ld soon foll[4 ,"s animals1 ev51 l mo/ human be+s1 are intemp]ate 9 eat+4 ,:5 !y consume too mu* grass !y suff] f flatul5cy & colic1 & require dra/ic treatm5t4 ,r ?an let "s wor?y m5 & wom5 die1 ought we n at times to adopt ! ran*man's treatm5t = flatus8 ,?is h>% means1 h[ev]1 might be avoid$ by inv5tive sci5ce4 ,ov]f$1 con/ipat$1 inflat$ man1 victim ( habitual flatul5cy1 c\ld easily h small gas valves ins]t$ "h & !re along 8 ga/ro-inte/9al canal--"o1 say1 to relieve ! /oma* ( toxic gas1 ano!r = ! app5dix region1 & /ill ano!r 9 ! h]nial region ( ! abdom54 ,suppose ov]fe$]s 7 to adopt ! gas-valve fad1 & discont9ue ! habit ( us+ ca?>tics1 soda1 *>coal1 pepp]m9t1 peps91 :iskey1 etc41 z means ( relief6 ,h[ 9 ! _w c a drug aid dige/ion :5 tak5 into a f\l1 gase\s1 & feces-clogg$ canal8 ,a *emi/ _c get ! def9ite results he seeks unless he h ! "r *emicals & prop] vessels4 ,j s ) ! spiritual ,ego & 8 sy/emic *emi/ry ( food3 he ne$s a clean & heal?y dige/ive app>atus = prop] assimilation & elim9ation4 ,b he gets c>eless1 all[s x to get f\l1 & !n ins9c]ely expresses a/oni%m5t t ! *emical comb9ations are n su* z "o c\ld wi% or expect4 ,o!r *emi/s1 call$ doctors or druggi/s1 come along & dose ! poor victim ( 8 own c>elessness until !y h ru9$ 8 app>atus completely4 ,!y h got to live1 ( c\rse2 & x is _! bus9ess to see t he does n escape s long z !y c help x4 ,sometimes !re is a reass]tion ( common s5se2 ! poor victim becomes disgu/$ ) himself & 8 cr$ul\s acceptance ( ! doctor's dictation & 8 fatu\s swill+ ( ! druggi/'s decoctions4 ,he gets tir$ ( *ronic ill-heal? & b[el tr\bles1 &1 lo & behold6 he does ! simple/ & mo/ s5sible ?+ 9 ! _w--a ?+ he ought to h done at ! v />t1 or be=e he ev] _h ! lea/ tr\ble3 ,he ?or\ghly wa%es out 8 alim5t>y canal ) pure or antiseptic wat]4 ,he dr9ks a lot ( pure spr+ wat]1 & he flu%es 8 b[els ) two or ?ree enemas4 ,doctors & drugs are h5ce=? bani%$2 he gets well6 ,:at a bless+ to lose "o's fai? 9 ! magic ( drugs & ! maje/y ( doctors6 ,few compreh5d ! baneful effects ( flatul5cy on ! sy/em1 ! mo/ usual ( :i* are fatigue1 depression1 heada*e1 buzz+ 9 ! e>s1 deafness1 v]tigo1 loss ( memory1 inability to fix ! att5tion1 di/urbance ( sight1 dr[s9ess1 etc4 ,a cont9u\s /ream ( c>bonic acid or ( hydrog5 direct$ aga9/ muscul> tissue w cause p>alysis ( ! "p4 ,physicians admit t 9 c]ta9 portions ( ! alim5t>y canal ext5sive dilatation may occur1 indep5d5t ( any p]man5t ob/ruction1 9 ! lum51 or bore1 ( ! gut4 ,z a rule1 h[ev]1 victims ( proctitis & colitis suff] f m or less occlusion ( ! lum5 9 ! region invad$ by ! ulc]ative inflammatory process4 ,consid]+ t ! wall ( ! abdom5 is (t5 greatly ext5d$ by gas )9 ! dige/ive app>atus1 x is n amiss to assume t ?is gas may cause local di/5tion ( segm5ts ( ! ga/ro-inte/9al canal1 suffici5t to p>alyze or r5d] inop]ative ! p>ts4 ,suppose we make a rubb] duplicate ( ! abdom9al walls ( ! av]age man1 & place !re9 rubb] duplicates ( all ! int]nal vital organs--pelvic & abdom9al4 ,to hold ! /oma*1 b[els1 & o!r organs 9 place1 we fa/5 !m ) ela/ic b&s "h & !re1 & make a g5]\s use ( cotton to support ! v>i\s p>ts1 :i* are all connect$ ) _m little circulat+ tubes1 ) /r+s = ! great] n]ves1 etc4 ,n[ let u di/5d our ?9 artificial dige/ive app>atus ) air or gas--snugly fill+ ! abdom9al space ( our model1 )\t t5sion1 h[ev]1 or slackness ( ! v>i\s p>ts1 :i* are happily adju/$ & at re/4 ,n[1 be x rememb]$1 p]sons suff]+ f flatul5cy are m or less 9 ! pr$icam5t ( ! glutton\s animal ref]r$ to above3 ! gas w n escape at ei!r end1 h[ev] mu* ( an ef=t x makes1 or ! victim may make to help x4 ,illu/ration3 ,fig4 #ae4 ,! /oma* & inte/9es1 front view1 ! great om5tum hav+ be5 remov$ & ! liv] turn$ up & to ! "r4 ,! dott$ l9e %[s ! normal position ( ! ant]ior bord] ( ! liv]4 ,! arr[ po9ts to ! =am5 ( ,w9sl[4 7,g]ri%47 ,9 fill+ v sl[ly our ?9 artificial alim5t>y canal1 note ! di/5tion along ! canal z ! gas accumulates4 ,!n note t ! ela/ic b&s /ret* z ! v>i\s segm5ts ( ! canal *ange location1 especially ! /oma* & portions ( ! small inte/9e & ( ! colon1 etc4 ,! /oma*1 small inte/9e1 & colon1 z !y dilate1 %ift ab\t = room4 ,! abdom5 is se5 to bulge out "s f\r or m in*es :ile ! turmoil is he>d go+ on inside4 ,cont9ue ?is inflation & our rubb] inte/9al tract w display "h & !re a displacem5t & p]man5t abnormal enl>gem5t ( ! lum5 or bore4 ,suppose1 fur!r1 t our complete model ( ! abdom9al visc]a & wall _h tightly ar\nd its out] surface unela/ic corsets1 skirt b&s1 tr\s] b&s1 ve/s1 etc41 all or any ( :i* held 9 or compress$ its bulg+ wall--:at w\ld happ58 ,:y1 some?+ inside w\ld slip out ( place or bur/ & let all ! w9d escape1 relegat+ our creation to ! rubbi% heap4 ,n[1 :5 a man loses 8 w9d by ! rupture ( a tube1 he is said to h expir$1 & 8 body is s5t to ! crematory--or ought to be s5t !re = sanit>y reasons4 ,x w\ld be mu* m satisfactory1 by ! way1 to our fri5ds1 aft] our demise1 7 our bodies /]iliz$ :ile !y 8live40 ,i hope ,i h made x cle> t x is a mo/ s]i\s pa?ological condition--inasmu* z x prev5ts ! normal onw>d progress ( +e/a & feces--to p]mit ( ! cont9u$ exi/5ce ( an excessively dilat$ ga/ro-inte/9al canal1 ) "o or m ( its segm5ts p]man5tly enl>g$--segm5ts l ! /oma*1 duod5um1 ccum1 transv]se colon1 sigmoid flexure1 rectum1 etc4--& ) p5dul\s abdom51 sall[ & muddy complexion1 etc4 ,:5 to ?is condition is add$ a g5]al displacem5t ( ! abdom9al visc]a1 or ( "o or m ( ! organs ( ! abdom9al & pelvic cavities1 y h an objective picture ( *ronic ill heal? 9 all its sev]ity4 ,are y s9c]ely desir\s to "k h[ y\r fri5ds feel :5 y greet !m8 ,don't ask !m ! /]eotyp$ "q1 8,h[ d y d80 or1 if y are a ,g]man1 8,h[ d y g x80 or1 if y are a ,fr5*man1 8,h[ d y c>ry y\rself80 ,b ask !m ! specific & s5sible "q appropriate to our civiliz$ habits3 8,h[ are y & y\r b[els to-day80 ,& at p>t+ x 7 well to say3 8,may peace be ) y bo?--y & y\r b[els60 ,! _s ( man c torm5t 8 p]sonality1 & 8 p]sonality 9 turn c vex 8 _s4 ,few p are aw>e ( ! fact t ! /oma* & inte/9es c und]go alt]ation 9 position4 ,_m are famili> ) ! fact t ! kidneys may be displac$1 & are !n call$ 8float+ kidneys02 t ! liv]1 pancreas1 sple51 & ut]us occasionally g on excursions1 caus+ !reby consid]able & num]\s di/urbances4 ,& x is n at all /range t !y %\ld1 s9ce !re is s mu* pressure f )91 s mu* pressure d[nw>d1 & s mu* pressure f )\t--all ?r\gh ! requirem5ts ( fa%ion1 indulg5ce1 & ignorance4 ,b ! /oma*1 upp] portion ( ! duod5um1 & small inte/9e1 ccum1 ! asc5d+ colon1 & especially ! transv]se colon & sigmoid flexure1 are susceptible to v>i\s =ms ( displacem5t1 inhibit+ ! ready fl[ or passage ( food /uffs1 gases1 & feces f "o segm5t ( ! dige/ive app>atus to ano!r1 until ! v5t is rea*$4 ,review+ ! gr\nd already gone ov]1 we h f\nd t proctitis1 z a rule1 is ! prim>y cause ( sigmoiditis & colitis2 t ^! comb9$ are ! cause ( con/ipation2 t ?is is ! cause ( indige/ion1 flatul5cy1 & di/5d$ alim5t>y canal1 &1 z matt]s g f bad to worse1 ( p]man5t di/5tions & displacem5t4 ,is x any wond] !n t !re are s _m t suff] f ga/ro-inte/9al neura/h5ia8 ,surely our dige/ive app>atus ought to h z mu* att5tion z a well-regulat$ h\se furnace4 ,9 ! morn+ ! a%es are dump$ & fre% coal is put on4 ,a simil> process is gone ?r\gh ) at noon & night4 ,"s may run _! furnaces on two meals a day & two dump+s ( ! wa/e mat]ial4 ,:5 a boy puts a p5ny into a slot ma*9e he gets :at he expects & is pleas$4 ,! ma*9e has done its "w 9 deliv]+ ! goods4 ,:y %\ld he give a ?\ght :]e 8 p5ny lodg$8 ,9 l mann] man is always ready to put food /uff1 & o!r /uff z well1 into ! upp] slot ( 8 ma*9e1 = he gets imm$iately satisfaction !reby4 ,b he is l ! boy2 he doesn't c>e a fig :at becomes ( ! /uff s long z x doesn't annoy him too mu*4 ,ev5tually ! ma*9e refuses to "w1 & seems unable to deliv] ! goods at ! o!r end2 some?+ has become clogg$ or out ( ge>4 ,let me advise ! read] at lea/ to keep ! passage cle> by dump+ ! sy/emic furnace twice or ?rice daily--us+ ! enema to effect ! result4 ,,*apt] ,,vii4 ,,irrigation ,,( ,,! ,,assimilative ,,& ,,elim9ative ,,organs4 ,! habits ( p 9 g5]al d n seem s bad :5 "o consid]s ! av]age individual's limitations z to k & ?\ght4 ,! fact is t mo/ p don't "k1 don't ?9k1 & h5ce don't c>e4 ,let !m read m sci5ce1 ?9k m s5sibly1 & act m s]i\sly2 !n _! habits w be m satisfactory4 ,! alim5t>y receptacle--! /oma* or vat 9 :i* foods & liquids are receiv$ & mix$--is habitually conv]t$ by _m p]sons into a *emical retort = all sorts ( drugs & rem$ies1 ) ! view ( rea*+ & reliev+ ! ills ( ! v>i\s organs ( ! body1 f d&ruff to corns4 ,! writ] believes t he c give m & bett] reasons = 8 confid5ce 9 ! !rapeutic value ( rem$ies ?an mo/ o!r physicians1 b he wi%es to emphasize "h ! transc5d5t importance ( common s5se 9 _! adm9i/ration4 ,be=e & above all else1 h[ev]1 :at is want$ is a clean ga/ro-inte/9al canal2 & 8 claim is t wat]1 prop]ly us$1 is ! be/ ag5t to effect t cleans+4 ,on a p> ) ?is canal 9 importance are ! elim9ative tissues & organs ( ! sy/em3 ! kidneys1 muc\s membrane1 & sk94 ,:at !rapeutic ag5t1 prop]ly us$1 is bett] ?an wat]8 ,aft] all ! assimilative & elim9ative organs & tissues h be5 ?or\ghly r9s$ ) pure1 s(t wat]1 !n1 if x be /ill necess>y to adm9i/] a *emical ag5t1 "o may be select$ t w1 ) ^! organs & tissues 9 bett] condition1 "w wond]s4 ,if y are s fooli% z to all[ y\rself to become f\l f head to foot1 cleanse y\rself ) wat] be=e resort+ to *emical aids4 ,someh[ or o!r ! mass ( ev5 intellig5t p1 n to speak ( ! great mass ( ! ignorant1 & ,i may add ev5 my co-work]s 9 ! heal+ art1 are n aw>e ( ! supreme want & wor? ( wat] = int]nal & ext]nal !rapeutic purposes2 !y d n realize h[ ! /oma*1 ! b[els1 & ! kidneys cry = x 9 _! neglect$ & infect$ condition4 ,! /oma* s]ves z a conv5i5t receptacle to dump ?+s into aft] ! palate has be5 ent]ta9$ & pleas$--& ab\t ev]y?+ is swall[$ b pure1 s(t wat]4 ,z a rule ! /oma* takes v k9dly to wat]4 ,x is1 moreov]1 n s piggi% z to absorb x all & leave its surface 9 a f\l condition1 cov]$ ) ropy1 slimy products ( imp]fect dige/ion4 ,imm$iately aft] deglutition ( wat]1 ! /oma* does j :at x ought to d3 its muscles contract & dump ! cont5ts ( ! /oma* into ! duod5um1 :]e ! pr9cipal act ( dige/ion is accompli%$4 ,z its "n implies1 ! /oma* 7/[-make7 is a receptacle made = ! purpose ( /or+ /uffs = nutrition4 ,"h !y are mix$ & brok5 up some:at1 & !n deposit$ 9 ! second or real dige/ive app>atus--! duod5um4 ,?is latt] organ requires wat] & organic fluids 9 lib]al quantities = its dige/ive op]ations4 ,bo? organs ne$ cleans+ aft] !y h f9i%$ _! "w1 & ! dige/ive & assimilative vessels require wat]1 n only to convey ! build+ mat]ial to _! h>bors1 b also to elim9ate effectually ! worn-out tissues & ! residuals ( ! dige/ive process4 ,x has be5 said t 7 man to discov] heav5 7a clean & heal?y locality7 he w\ld at once conv]t x into a hell 7a vile & fil?y "o74 ,man is possess$ ( an organism ( ^: con/itu5t elem5ts wat] =ms ov] eighty p] c5t4 ,! alv9e dis*>ges ought to conta9 ! same p]c5tage ( wat]1 if n m4 ,! muc\s membrane & sk91 to be kept clean1 s(t1 fre%1 plump1 moi/1 & free f odors1 require _! appropriate irrigation4 ,man may keep himself clean1 bo? inside & out1 by irrigat+ himself be=e ea* meal daily4 ,! well-wat]$ & well-wa%$ body & bra9 con/itute a heav5 on e>? = ! indwell+ _s t ne$s ^! = its manife/ation4 ,x does seem sometimes t man 9 8 ignorance gets no?+ "r except to walk =w>d in/ead ( backw>d4 ,ev5 s1 mo/ likely he walk$ on all f\rs = ages1 judg+ f 8 progress to date1 be=e he le>n$ to walk on 8 h9d legs4 ,to-day we f9d him self-poison$1 auto-intoxicat$1 a ga/ro-inte/9al neura/h5ic4 ,8 b[els are fill$ & /ret*$ ) anci5t feces & gases1 & 8 /oma* is burd5$ ) undige/$ food & t5aci\s mucus4 ,! av]age man's scanty excreta f ! b[els are dry1 h>d1 lumpy1 & f\l1 exhal+ a noxi\s odor2 & ^! excretions may be pass$ once a day1 or once 9 two or ?ree days1 or ) "s p]sons too (t51 %\ld di>rhea sup]v5e4 ,two-?irds to ?ree-f\r?s ( ! fecal mass is absorb$ by ! sy/em e day2 & ?is absorption is accompani$ m or less con/antly by symptoms ( indige/ion1 bili\sness1 uric acid1 & _m o!r di/ressful conditions4 ,8 brea? & ! exhalations ( a g>bage-c are mu* alike2 9 fact !y are tw9s1 ! only diff]5ce betwe5 ! human & metallic receptacles be+ t "o is capable ( walk+ & ! o!r is n4 ,bo? manife/ ! same conditions4 ,8 muc\s membrane is cov]$ m or less ) cat>rhal dis*>ges1 :i* result 9 granulat$ deposits1 especially ne> ! orifices4 ,! sk9 is (t5 sall[1 dry1 yell[1 scaly1 flabby4 ,! hair is dry1 non-oily1 ) a scaly scalp1 & (t5 !re is a loss or total lack ( hair4 ,! tee? are decay$1 ! gums are f\nd to rec$e1 & ! eyes1 muscles1 jo9ts1 etc41 are m or less affect$ by calc>e\s deposits4 ,man is seldom or nev] 9 a normal physiological condition4 ,he is ei!r obese or emaciat$ & lean4 ,mo/ bodies are anemic & ill-condition$1 a prey to sev]al ailm5ts4 ,( c\rse1 civiliz$ man uses drugs2 he w\ld n be civiliz$ 7 he n to use on occasion a /imulant1 tonic1 s$ative1 n>cotic1 etc41 & he has to keep 9 cont9ual t\* ) a doctor1 to take c>e ( him by prescrib+ special diet1 fa/s1 ex]cise1 & :at n = 8 num]\s bodily infirmities4 ,g5]ally ^! prescriptions are ineffective & leave him physically weak] & f9ancially poor]1 ) ! b>r5 consolation t he has really tri$ ev]y?+ "u heav5 t ! wise/ knew or t money c\ld buy4 ,yes1 inde$1 he tries ev]y?+3 ev]y?+ b wat]--pure1 s(t1 spr+ or di/ill$ wat]4 ,he nev]--l ! flirt--8?\ght ( su* a ?+06 ,v few 8humanals0 ?9k x wor? :ile to irrigate !mselves inside & out4 ,victims ( semi-ignorance1 too1 get ?+s mo/ abom9ably mix$4 ,!y are (t5 half wrong & half "r2 h5ce !y nev] enjoy good1 s\nd1 robu/ heal? & its bless+s4 ,physiologically1 ^! p are :at old-"t pa/ors us$ to describe z lukew>m--nei!r hot nor cold1 nei!r good nor bad1 nei!r dirty nor clean1 nei!r fi% nor f[l1 nei!r "o ?+ nor ano!r4 ,s we f9d !m also compla9+ & look+ = ! f\nta9 ( heal? & /r5g?1 b n look+ v anxi\sly--!y are n int]e/$ en\gh 9 ! matt]4 ,:5ev] !y possess an equal mixture ( ignorance & laz9ess1 !re is n mu* hope = !m4 ,illu/ration3 ,fig4 #af4 sophagus & /oma* 9 _! natural relation to ! v]tebral column & aorta4 7,g]ri%47 ,note ! position ( ! /oma* 9 heal?1 & h[1 by slight muscul> action1 x c free itself ( its cont5ts4 ,:5 dilatation or displacem5t1 or bo?1 occur1 ! p[] ( rapidly expell+ its cont5ts is dim9i%$ to ! ext5t 9 :i* ! *ange f ! normal position & size takes place4 ,i h f\nd t1 if !re is a normal pass+ d[n ( ! +e/a & also ( ! feces1 ! /oma* w p]=m its functions p]fectly4 ,fe> ( 8/oma* tr\ble0 is gr\ndless if y keep ! dige/ive & elim9ative app>atus 9 good work+ ord]4 ,b ?is requires t y mu/ keep !m clean1 & to d s y mu/ dr9k pl5ty ( wat] be=e ea* meal4 ,illu/ration3 ,fig4 #ag4 ,/oma* & duod5um--! liv] & mo/ ( ! inte/9es hav+ be5 remov$4 7,g]ri%47 ,%[s ! anatomical relation ( ! /oma*1 duod5um1 kidneys1 diaphragm1 & ! l>ge art]y & ve94 ,! organs are held 9 position by a ligam5t\s atta*m5t & abundant fatty tissue1 :i* s]ve z a connective cu%ion t furni%es aid 9 support+ ! organs 9 _! prop] place4 ,9 *ronic cases ( self-poison+1 ! victim1 z a rule1 becomes anemic & emaciat$1 & loses !reby ! fatty support requir$ by ! organs4 ,!y are consequ5tly apt to become displac$ & ! muscul> tissue weak5$1 ) ! consequ5t p5dul\s condition ( ! abdom5 (t5 obs]v$ 9 bo? *ildr5 & adults4 ,! clay-color$1 flabby1 obese1 anemic victims may reta9 _! wor?less adipose tissue2 b !y suff] q z ke5ly z if !y _h lo/ x--f ! fact t ?is tissue is impregnat$ ) poison & fill$ ) gas1 & f ! fur!r fact t ?is abnormal tissue presses on ! vital organs "h & !re z ! victim :eezes or puffs along on 8 road ?r\gh exi/5ce4 ,!re is n ! slighte/ d\bt t n9e-t5?s ( ga/ro-inte/9al ills & _! effects c be prev5t$ or cur$ by ?or\gh irrigation ( ! canal1 f m\? to anus1 if x does n itself p]=m ! cleans+ process ?ree times 9 tw5ty-f\r h\rs4 ,,*apt] ,,viii4 ,,me?ods ,,( ,,/oma* ,,cleans+4 ,lavage is a t]m re/rict$ to irrigation ( ! /oma*--a t]m t has become m or less popul> ( late ) physicians1 b is n s popul> ) ^? :o h to swall[ a rubb] /oma* tube1 or ) ! anxi\s "m or fri5ds :o are usually n p]mitt$ to be pres5t on su* occasions because ( ! di/urb$ & cyanotic appe>ance ( ! pati5t--an appe>ance produc$ by ! introduction ( ! ca!t]4 ,mu* c be said1 h[ev]1 ( ! good results foll[+ irrigation ( ! /oma* by ! employm5t ( ! /oma* rubb] tube1 & 9 a special class ( cases its use is imp]ative4 ,b my purpose 9 ?is *apt] is to advocate ! dr9k+ ( wat] z ! means p> excell5ce = effective irrigation ( ! assimilative & elim9ative organs1 & to make x pla9 t ?is =m ( irrigation is ess5tial = ! pres]vation ( heal? & ! relief & cure ( *ronic inactivity ( ! pr9cipal organs ( ! sy/em4 ,usually ! dr9k+ ( wat] at regul> int]vals is suffici5t2 b 9 exceptional cases a g5]\s dr9k+ w result 9 a complete unload+1 :i* c be accompli%$ ) ease & ) little loss ( "t4 ,%\ld y\r /oma* be actually p]=m+ its (fice1 ! sugge/ions ,i am ab\t to give w1 if foll[$1 keep x sweet1 clean1 & 9 good condition1 & w also flu% all ! tissues ( ! body z well4 ,! fir/ duty on ris+ 9 ! morn+ %\ld be t ( flu%+ ! colon1 z previ\sly recomm5d$1 & flu%+ ! /oma*1 z n[ recomm5d$4 ,take "o or two goblets ( wat] 7ab\t eight ounces ea*7 at a temp]ature mo/ agreeable1 :i*1 h[ev]1 %\ld n be ice cold4 ,an h\r or half an h\r lat]1 dur+ ! breakfa/1 take "o goblet ( milk & wat] or two ( wat] alone1 :5 ! m\? is free f food4 ,ab\t elev5 o'clock 9 ! =5oon1 "o or two goblets ( spr+ or di/ill$ wat]1 at its natural temp]ature1 %\ld be drunk to cleanse ! /oma*1 duod5um1 kidneys1 etc41 & to flu% ! tissues ( ! body4 ,at ! noon meal "o or two goblets1 & at f\r or five 9 ! aft]noon a simil> am\nt1 %\ld be drunk--! latt] z a cleans] be=e ! ev5+ meal1 at :i* ab\t a p9t or m is drunk to aid 9 emulsify+ ! food1 z at ! breakfa/ & noon repa/s4 ,z a rule1 besides ! am\nts drunk at meal-"t1 !re %\ld be consum$ z mu* z two qu>ts daily1 & ! be/ "t = ?is is :5 ! /oma* is empty1 or :5 x ought to be empty4 ,at b$time1 "o or m glasses may be drunk if "o does n suff] f inconv5i5ce f a full bladd] dur+ ! sleep+ h\rs4 ,"o %\ld make wat]-dr9k+ a habit1 l eat+1 sleep+1 defecat+1 etc4 ,wat]-dr9k+ %\ld be p]=m$ at regul> p]iods dur+ ! day4 ,sy/em is z ess5tial = ! h>moni\s work+ ( ! organs z x is = ! relations ( ! dep>tm5ts 9 a bus9ess1 or ( ! details ( any p>ticul> dep>tm5t4 ,! guide to ! ord] & temp]ature to be adopt$ is agreeabl5ess4 ,f9d out by exp]im5t :at is mo/ agreeable & b5eficial to y1 & cont9ue ! practice ) slight v>iations adapt$ to ! *anges ( ! seasons & ! conditions ( ! sy/em4 ,!re mu/1 h[ev]1 be "s tra9+ done 9 mo/ cases1 & :at is n agreeable at fir/ may become s4 ,all p]sons suff]+ f proctitis & colitis & _! symptoms1 z describ$ 9 ! previ\s *apt]s ( ?is "w & 9 ,inte/9al ,ills1 w require1 n[ & !n1 if n "u treatm5t1 special irrigation ( ! /oma* to remove f]m5tative matt]1 p>ticles ( undige/$ food1 & t5aci\s1 ropy mucus be=e ! next meal is tak54 ,o!rwise ! condition w be made d\bly bad1 = ! fre% mat]ial is pil$ on top ( ! unduly reta9$ cont5ts ( ! /oma*4 ,z evid5ce ( our civilization1 we clean pots & kettles be=e ! next meal4 ,we ev5 clean our f+]s be=e1 dur+1 & aft] ! meal4 ,tee?1 m\?1 & face get _! prop] cleans+4 ,:y %\ld we suppose t /oma*1 duod5um1 & kidneys1 :i* receive all sorts ( /uff1 %\ld rema9 clean )\t an occasional flu%+8 ,!y ne$ r9s+ out aft] brew+ ! w9e ( life4 ,! wat] drunk betwe5 meals n only cleanses ! organs ?r\gh :i* x passes b irrigates ! :ole sy/em1 keep+ a normal am\nt ( wat] 9 all ! tissues1 :i* is z necess>y = ! ma9t5ance ( heal? z is ! due supply ( wat] to ! plant 9 y\r cons]vatory4 ,obs]ve ! l>ge p]c5tage ( human be+s t are anemic1 sall[1 clay-color$1 or :ite--a few obese1 b ! _m sp>e1 lean1 gaunt--all ( !m express+ ! disgu/ ( ! s\l 9 hav+ su* an abid+-place4 ,if all ! organs & tissues ( ! body 7 kept flu%$1 :at a fre% & invit+ spot ! s\l w\ld h = ! cultivation "h on e>? ( ! arts ( life6 ,wat] is ! :olesome/ ( all dr9ks4 ,x quick5s ! appetite & /r5g!ns ! dige/ion4 ,x is ! mo/ effective ag5t 9 ! "w ( elim9ation--9 ridd+ ! sy/em ( wa/e mat]ial4 ,prop]ly tak51 x prev5ts ! undue clogg+ ( ! organs & tissues1 & t5ds to cure or relieve ^? t _h become clogg$1 & x does ?is by wa%+ away ! sub/ances = :i* ! sy/em has no fur!r use1 & :i* if !y rema9$ w\ld poison x4 ,x is said t if wat] be drunk freely dur+ a meal ! ga/ric juice w become dilut$ or wa%$ away4 ,a simil> objection is (f]$ conc]n+ ! use ( ! enema4 ,! horse1 x is alleg$1 %\ld h m s5se ?an to dr9k f ?ree to six gallons ( wat] & almo/ imm$iately !reaft] eat a peck or m ( oats & a quantity ( hay1 = x ought to "k t !re is no room = food ) su* an am\nt ( wat] 9 ! /oma*4 ,if su* objectors c\ld b see ! horse smile at su* argum5ts--= x secretly kn[s t ! wat] does n rema9 9 its /oma*1 & t its ga/ric juice is naturally /rong & ne$s dilution--!y w\ld /& agha/4 ,w\ld we n be bett] (f if we 7 n influ5c$ by fool talk l ! above advice to ! horse1 especially z reg>ds our int]nal economy8 ,! /oma*1 l ! freight /ation1 c accommodate only a limit$ am\nt4 ,its cont5ts mu/ be rapidly disp]s$1 & e muscul> contraction & e respiration gives x an impulse4 ,disease & lack ( irrigation w occasion an accumulation or conge/ion ( ! cont5ts 9 ! ga/ro-inte/9al canal1 & !n ! victim ( sl[ transit compla9s ( indige/ion1 bili\sness1 flatul5cy1 uric acid1 & ( _m o!r ills4 ,y\r f\l1 furr$ tongue is a v good indication ( ! tr\ble bel[1 s x is wise to exam9e x 9 ! morn+ to le>n y\r int]ior condition4 ,_m p]sons scrape _! tongue ) a knife because ( heavy coat+ & (f5sive odor & ta/e4 ,dyspeptics ( ?is ord] ne$ a ?or\gh int]nal ba? f above 7p] os7 & f bel[ 7p] anus74 ,"s t suff] f undue ga/ric ret5tion & indige/ion w f9d relief by flu%+ ! colon & ! /oma*1 z h]e9 specifically direct$4 ,o!rs may f9d x desirable to />t ) a mild laxative & an inte/9al wa%-out ) hot wat] 9 :i* "s antiseptic or /imulant has be5 dissolv$4 ,! special /oma* cleans+ is accompli%$ by ! rapid dr9k+ ( "o tumbl] ( hot wat] aft] ano!r1 until a p9t or m is tak5 into ! /oma*1 or until a s5sation ( vomit+ is felt1 :i* may be enc\rag$ by putt+ ! end ( ! f+] d[n ! ?roat z f> z possible or ! end ( a long lead-p5cil wrapp$ 9 a little musl94 ,aft] z mu* ( ! cont5ts ( ! /oma* z is desir$ is ?us ca/ =?1 dr9k freely ( wat] aga91 z mu* z y may ?9k prop]1 :i* w be dis*>g$ into ! duod5um4 ,if ?is ga/ro-cleans+ has occurr$ ne> meal-"t omit ! meal altoge!r1 & 9 an h\r or two dr9k z mu* wat] z is agreeable1 to make sure ( a ?or\gh wa%+ out ( ! er/:ile neglect$ receptacle--! /oma*4 ,?is special wa%+ out ( ! /oma* may be repeat$ z (t5 z occasion dem&s x4 ,x frequ5tly happ5s ) "s p]sons t an h\r aft] a meal !re is a h9t t all is n well4 ,?is may be conceal$ or correct$ by dr9k+ a goblet or two ( wat]1 :i* practice w p]mit ! brew to g on )\t fur!r att5tion to ! vat4 ,wat] may be tak5 at all times ( ! day or night if occasion arises = its !rapeutic effect 9 addition to its regul> p]iod ( use4 ,usually physic1 peps91 soda1 *>coal1 :iskey1 etc41 are kept )9 rea*1 & are resort$ to on su* occasions ) ! ?\ght t "o or m ( !m w d ! "w4 ,!y w n1 h[ev]1 any m ?an r$ pa9t w act z an antidote to poor heal? by pa9t+ ! *eeks ) x4 ,wat]1 hot wat]1 especially :5 us$ pl5tifully1 is ! only solv5t ( dirt4 ,v few realize h[ ess5tial wat] is to dige/ion & to ! dige/ive canal aft] ! process ( dige/ion is complet$2 & t x has physiological effects on ! sy/em g5]ally is less widely kn[n4 ,!re exi/s a great natural dem& = wat] to c>ry on ! normal functions ( ! sy/em2 = bo? atmosph]e & heat draw moi/ure f ! body1 & a consid]able am\nt is utiliz$ 9 ! processes ( our daily "w & 9 unexpect$ ef=ts4 ,an organism compos$ ( almo/ eighty p] c5t4 ( wat] requires a g5]\s supply = subsi/5ce--a supply equal to ! exp5diture ( vitality involv$ 9 c>ry+ on ! num]\s functions ( body & bra94 ,"s day x w be discov]$ t wat] is ma9ly ! elem5t employ$ 9 psy*o-physiological processes4 ,wat] is easily *ang$ to air1 & atmosph]ic air to wat]1 9 ! sy/em4 ,! g5]\s consum] ( air & wat] w h a good /ock ( vital or ( psy*ical =ce on :i* to draw = ! process ( ?9k+4 ,a ?9k] is a creator1 & he mu/ be successful if 8 ?\ghts be rightly direct$ & he h an ample supply ( liquid food--wat]4 ,,*apt] ,,ix4 ,,:5 ,,enemas ,,%\ld ,,be ,,tak54 ,me?od is imp]ative 9 ?is /r5u\s life ( ours4 ,nature 9 h] univ]sal op]ations seems to sanction a uni=m sy/em 9 our daily conduct4 ,_h we a regul> "t = do+ ?+s1 p]iodicity w\ld be e/abli%$ 9 our sleep+1 eat+1 ba?+1 defecat+1 "w1 recreation1 etc4 ,un=tunately1 we are prone to ignorance1 self-indulg5ce1 procra/9ation1 :i* r5d] u c>eless & reckless 9 reg>d to ! common-s5se conditions ( normal liv+2 & be=e we are fairly out ( our 'te5s we beg9 to be> a crop ( proctitis1 colitis1 con/ipation1 etc4 ,x is 9 ?is way t p]iodicity z to /ool+ is lo/1 & :im1 conv5i5ce1 or necessity takes its place4 ,z a result1 we dribble or /ra9 "u ! fecal & gase\s burd54 ,?is happy-g-lucky me?od acc\nts = mu* ( ! ga/ro-inte/9al disord] compla9$ ( by s _m1 :o 8want to die0 :5 ! pa9ful neura/h5ic blues hov] ar\nd & p]vade _! bodies l a d5se fog4 ,! insidi\s mann] 9 :i* proctitis1 colitis1 con/ipation1 & self-poison+ progress f mild ?r\gh m$ium to sev]e /ages does n1 g5]ally1 al>m ! victim ( inte/9al neura/h5ia until _m ye>s h elaps$1 & "o or m ( ! vital organs h become diseas$1 & ! :ole sy/em is ?or\ghly "u its toxic effects4 ,?us1 sl[ly1 are ! v>i\s segm5ts ( ! ga/ro-inte/9al canal *ang$ to an abnormal condition4 ,suppose ! tissues ( "o ( y\r arms & h&s 7 inflam$1 con/rict$1 or swoll51 & t ! n]ves ( motion 7 unc]ta91 %aky1 & 8k9ky10--all ( :i* conditions we (t5 f9d 9 ! dige/ive app>atus1--& t f9ally recov]y takes place "u p]sev]+ & pati5t treatm5t2 h[ soon1 ?9k y1 c\ld a s5sible p]son expect ! limb ?us affect$ to become z useful z its companion t _h nev] be5 di/urb$ by disease8 ,un=tunately1 we h n two sets ( b[els4 ,ocean /eam]s are equipp$ ) two sets ( motion-produc+ eng9es1 s t ! disability ( "o w result 9 no loss ( spe$4 ,:5 man places z mu* comm]cial value on himself z he does on 8 ma*9es or on a boat1 he w ei!r induce ,nature to furni% him ) an extra set ( en]gy-produc+ organs1 or he w take ! be/ possible c>e ( ! only "o %e v\*safes to him--a c>e t ext5ds f os to anus4 ,civiliz$ man does1 inde$1 take a little notice ( a sore m\? 7al?\gh indiff]5t ab\t an unclean "o71 & w ev5 try h>d to h x heal1 because a sore m\? may be se51 & is likely to disfigure him4 ,b a sore anus & rectum may1 = all he s]i\sly c>es1 play _! pa9ful & poison\s pranks until he is put to b$ disabl$ or is s5t to an asylum--or to ! f9al inn :]e all diseases ( ! body cease f tr\bl+ & ! we>y organs are at re/4 ,to re-e/abli% t normal rgime ( physiological relations call$ heal?1 aft] _m ye>s ( p]v]se relations & disord]ly practices1 obvi\sly requires "t & intellig5t1 fai?ful att5tion to prescrib$ conditions4 ,! factors or causes t militate aga9/ ! removal ( curable diseases are3 7#a7 ,! neglect ( a local disord] until x has _h "t to exhau/ ! g5]al vitality ( ! sy/em4 7#b7 ,inatt5tion on ! "p ( ! pati5t aft] he has obta9$ tempor>y or p>tial relief4 7#c7 ,! victim arbitr>ily sett+ 8 own "t limit = ! cure ( ! disease4 7#d7 ,8 wilful disob$i5ce ( prescrib$ rules4 7#e7 ,inability to realize ! importance ( hav+ ! cause remov$1 z well z ! local symptoms4 ,conf9+ att5tion = ! pres5t to proctitis & colitis1 ,i wi% to impress ! pati5t1 z well z ! physician1 ) ! fact t no bett] measure = reliev+ or remov+ ^! und]m9+ disord]s c be adopt$ ?an ! regul> practice1 twice or ?rice daily1 ( inte/9al irrigation by means ( enemas4 ,! p]si/5t use ( ! enema is directly influ5tial 9 reliev+ & remov+ ! symptoms ( su* disord]s4 ,^! symptoms may be piles1 prolapse1 sk9ny tabs1 fissure1 dull pa9s1 sor5ess1 it*+ *annels1 /ricture ( ! anus & rectum1 ulc]ation1 abscess1 fi/ula1 canc]1 etc4 ,9 ! e>ly hi/ory ( ulc]ative proctitis & colitis1 ! local symptoms at ! anal v5t may n be noticeable2 yet ! disease may be q well develop$ = six or n9e in*es along ! b[els4 ,! e>ly or m obscure symptoms are mild & unnoticeable2 !n !y progress into notice1 sometimes mo/ %>ply2 f9ally we h sev]e & *ronic con/ipation1 indige/ion1 flatul5cy1 di>rhea1 etc41 &1 keep+ pace ) ^!1 we h ! /ages ( self-poison+1 :i* is kn[n z auto-infection or auto-intoxication4 ,) o!r measures1 ! mo/ effective = reliev+ & remov+ ^! symptoms ( proctitis & colitis is ! enema night & morn+4 ,dur+ ! long p]iod ( relaxation at night1 ! functions ( elim9ation & repair are1 ) ! great majority ( u1 go+ on "u abnormal conditions--su*1 = in/ance1 z excessive f]m5tation & bact]ial putrefaction1 :i* g5]ate poison\s gases t are absorb$ by ! n]ves & br+ ab\t ! condition ( malaise we compla9 ( :5 we rise 9 ! morn+4 ,we !n f9d our b[els di/5d$ & ready = relief--& also1 /rangely1 8n ready06 ,be=e dress+1 !re=e1 is ! "t to relieve ! excessive pressure f gases & feces1 & a slight enema is accord+ly advisable1 say f half a p9t to a p9t ( wat]1 :i* %\ld be expell$ at once4 ,?is removal ( ! cont5ts ( ! rectum & p]haps ( ! sigmoid flexure w p]mit ! cont5ts ( ! asc5d+ & transv]se colon to pass m readily t[>d & into ! sigmoid flexure1 z ?\gh !y _h be5 invit$ to come2 &1 inde$1 su* passage is r5d]$ inevitable by ! removal ( ! local gas & feces 9 _! pa?4 ,:5 half an h\r or m has pass$ & breakfa/ is ov]1 x is "t = ! regul> & complete evacuation ( ! b[els1 by ! aid ( ! int]nal ba?1 or1 z "s describe x1 by a full flu%+ ( ! colon4 ,9 our e>ly ef=ts to e/abli% h>mony & p]iodicity ) ! enema1 x is advisable to resort to a mild vegetal laxative1 9 "s cases1 r ?an to let ! tongue indicate s mu* f\lness & all[ ! feel+s to become s int5sely blue t !y _c be hidd5 by ev5 ! utmo/ ef=t at pleasantry4 ,extreme cases may call = diff]5t aids t[>d relief1 until1 "o by "o1 ^! aids may be dropp$--! la/ "o to be discont9u$ be+ ! enema4 ,= a %ort "t at ! />t x is1 p]haps1 be/ to conf9e "o's self to two enemas1 especially if fairly successful ) ! attempt at a ?or\gh cleans+ aft] breakfa/ & be=e retir+ at night4 ,! sleep w be s\nd] & ! pati5t w be m apt to rise refre%$ ) a clean tongue & *e]ful spirits4 ,s mu* w ?is be=e-b$ enema d = him t he may soon f9d x unnecess>y to take ! prelim9>y injection on ris+1 inasmu* z f]m5tation & gas w no long] tr\ble him4 ,b individual exp]i5ce & intellig5ce mu/ dictate ! c\rse 9 ?is respect4 ,let ! pati5t /udy himself & note ! dem&s ( 8 sy/em4 ,x may ev5 be1 inde$ x is frequ5tly ! case1 t a pati5t requires sev]al enemas dur+ ! day4 ,:5 abnormality has set 91 x gives rise to all sorts ( freak requirem5ts1 & ! victim mu/1 = a "t1 acc$e to its :ims4 ,q frequ5tly1 ow+ to v>i\s causes1 ! feces w desc5d into ! rectum1 :i* is prop]ly a conduit1 n a receptacle4 ,:ile !re x occasions mu* n]v\s irritation ( ! :ole sy/em & makes its victim desp]ate4 ,x is wise1 "u su* a condition1 to take slight injections = relief4 ,nev] all[ any f\lness to accumulate4 ,e/abli% ! habit ( int]nal cleanl9ess4 ,! new s5se ( bodily purity w be s great t x c nev] be outgr[n4 ,nature easily accommodates h]self to habits1 :atev] !y be--normal or abnormal1 :olesome or un:olesome1 cleanly or uncleanly2 & ! tra9 ( consequ5ces w be accord+ly good or evil4 ,my po9t may be easily illu/rat$ by ! habits ( 8civiliz$0 man 9 reg>d to ba?+4 ,_m p]sons nev] take an ext]nal ba?1 & are n consci\s ( any bodily discom=t aris+ f ! omission ( ?is presumably necess>y practice4 ,z ! summ] approa*es1 ano!r bat* ( 8civilizees10 s =tunate z to be )9 conv5i5t di/ance ( a pond1 lake1 riv]1 or ocean1 beg9 to feel ! real ne$ ( a 8dip10 & are uncom=table until !y get x4 ,?is is surely a sign t ! _s ( cleanl9ess is beg9n+ to /ir 9 ! brea/ ( humanity4 ,!n !re is ano!r cont+5t t ba! once a week1 & %\ld _! regul> r\t9e 9 ?is respect be int]f]$ ) !y w\ld at once feel unclean--nay1 ev5 dirty1 &1 sometimes1 8na/y40 ,o!rs1 aga91 ba! twice or ?rice weekly1 & ?is quota ( ! human race feels v uncom=table & f\l :5 h9d]$ = a week f foll[+ ?is r\t9e2 inde$1 su* ba!rs (t5 imag9e t a dire illness is imp5d+4 ,f9ally1 ! 8salt ( ! e>?0 take an ext]nal ba? once or twice a day1 &1 %\ld _! r\t9e be susp5d$ = tw5ty-f\r h\rs1 visions ( madness or suicide beg9 to haunt !m until reliev$ by soap & hot wat]1 or ! cold plunge1 z _! habits require4 ,( c\rse1 ! same rule applies to ! r\t9e conc]n+ ! tee?1 facial ablutions1 etc4 ,nature is /or$ habit1 & %e feels outrag$ :5 h] proprieties are disreg>d$4 ,let u pray1 !re=e1 t ! habit ( cleanl9ess may become contagi\s6 ,n[1 ! p>allel betwe5 ext]nal & int]nal cleanl9ess is q obvi\s4 ,^? ^: b[els move b once 9 two or ?ree days d n realize h[ f\l !y are4 ,o!rs h a scant evacuation once 9 tw5ty-f\r h\rs1 & !y imag9e t !y are z clean z ^? t take an ext]nal ba? once a week ?9k !mselves to be4 ,/ill o!rs h two /ools daily1 & !y feel z clean int]nally z ^? t take ?ree ext]nal ba?s weekly4 ,&1 f9ally1 !re are a few :o1 defecat+ ?rice daily1 feel q z clean z does ! mo/ p]si/5t ext]nal ba!r4 ,?us we see t cleanl9ess1 ext]nal & int]nal1 is a habit1 a new nature1 att5d$ ) exquisite com=t & pleasure--a quality t may lead to ! goal ( div9e purity 9 realiz+ ! joys ( hydropa?y4 ,! wild woodl& fl[] grew & blossom$ )\t att5tion1 attract+ b little int]e/4 ,aft]1 h[ev]1 ! flori/ has cultivat$ x to ! high /age ( developm5t 9 :i* we f9d x to-day1 ) its /alk1 /em1 leaf1 & fragrant petals display+ _! m>vel\s symmetry & beauty1 we beg9 to appreciate ! value ( labor1 pa9s1 cultivation4 ,9 l mann]1 x is our imp]ative duty to give prop] c>e to e requisite detail 9 ! trans=mation ( our body into a human fl[] ( heal?1 grace1 joy1 & h>mony4 ,! great majority ( ^? t d me ! honor to read :at ,i h to say on int]nal & ext]nal cleanl9ess w1 d\btless1 n agree ) me z to ! frequ5cy ( ! ablutions 9 tw5ty-f\r h\rs4 ,yet ,i h a suspicion t if my objectors 7 to try an ext]nal & an int]nal ba?1 on bo? ris+ & retir+1 !y w\ld soon consid] ! practice too delightful to be =egone2 !y w\ld soon develop m sweetness ( "* & be m p>ticul> z to ! purity ( _! ne!r g>m5ts1 &1 f9ally1 w\ld seem ensph]$ by an atmosph]e peopl$ ) angels4 ,my proposition is ?is3 ,fir/ make a man clean1 int]nally & ext]nally1 & ?us y may make him good2 aft] y h made him good y c make him heal?y 9 bo? body & m9d2 aft] y h made him heal?y y c make him full ( joy4 ,to recapitulate3 ,a good "t to take y\r int]nal ba? is ab\t half an h\r aft] ea* meal4 ,cultivate regul>ity 9 ?is1 & ,nature w second y\r ef=ts & e/abli% a p]iodicity = y by h] sugge/ive impulse & call4 ,our int]nal economy %\ld n be slight$ z x has be54 ,! inte/9es are good1 fai?ful1 pati5t s]vitors1 ready to p]=m _! l[ly (fice ev5 :5 we are inatt5tive & he$less4 ,sometimes1 h[ev]1 !y become rebelli\s1 aft] !y h /ood m abuse ?an "o w\ld ?9k !m capable ( /&+4 ,let u re=m our bad habits2 our s]vitors are will+ to ent] ) u into bett] habits1 & co-op]ate ) u 9 a truly human life4 ,c y n sp>e a few m9utes1 ?ree times a day1 at regul> p]iods1 = inn] purification8 ,y w f9d x v easy :5 once y make x a matt] ( r\t9e4 ,n[ note ?is po9t3 ,! "w ( y\r bra9 dep5ds on ! p[] s5t to x by ! ga/ro-inte/9al canal4 ,a motor c> goes no fa/] ?an ! p[] furni%$ enables x to g4 ,s y\r bra9 activity is ev] on a p> ) ! en]gy suppli$ f ?is usually despis$ inte/9al s\rce2 t is1 x c nev] rise high] ?an ! supply ( ?is en]gy w>rants1 & x always falls to ! level ( ?is supply1 = x dep5ds on x absolutely = su/a9+ p[]4 ,x w\ld seem1 !re=e1 t common s5se w\ld be suffici5t to %ame u into keep+ clean1 scrupul\sly clean1 ! canal t supplies u ) work+ =ce--! canal t ext5ds )\t a break f m\? to anus4 ,yet my exp]i5ce %[s t almo/ ev]ybody c>es m = 8 outsides ?an = 8 insides--m = squ&]+ 8 /or$ en]gy ?an = look+ out = its con/ant r5ewal--& t mo/ pati5ts are f\l all ! way d[n4 ,well-f$ animals t h ! range ( ,nature are plump1 & h heal?y hair1 sk91 tee?1 etc41 because _! inte/9al organs p]=m _! functions frequ5tly & fully4 ,:5 animals become dome/icat$ & 8civiliz$10 !y become con/ipat$ & cat* v>i\s human illnesses or gr[ a crop ( _! own4 ,well-f$ 8humanals0 gr[ ?9 & puny1 or bloat$ ) gas1 look+ l corpul5t clay m51 )\t natural tee?1 )\t natural hair1 _! sk9 dry & ( a sickly hue1 bloodless1 fad+ away because ( an e>ly blight be=e !y h complet$ _! e>ly gr[?4 ,h]$ity is blam$ = ! bloodless1 n]veless1 bra9less body1 :51 z a matt] ( fact1 its deg5]ation is due to f\lness )94 ,birds1 bea/s1 & savages 7m =tunate ?an civiliz$ man7 h ! wide e>? on :i* to /ool :5 ,nature calls4 ,_! h&y wat]-closet enables !m to enjoy good heal?4 ,z civilization advances1 & bus9ess & social cu/oms become m complex1 wat]-closets get few] & less accessible4 ,z a consequ5ce1 man has to use 8 l>ge inte/9e = a /oreh\se4 ,he has done ?is s long t x seems impossible to break him ( ! f\l habit4 ,b he is pay+ ! p5alty4 ,_m h abus$ ! bladd] 9 ! same way1 & _h ?is be5 a l>ge organ l its bro!r1 ! colon1 we w\ld long ago h he>d ! /]eotyp$ excuse 9 reg>d to ?is function1 8,oh1 any "t to ur9ate t ,i c f9d w d40 ,^? :o object to ! new ord] ( b[el relief %\ld1 on ! same pr9ciple1 object to frequ5t bladd] relief4 ,i submit ?is proposition to ! judgm5t ( unprejudic$ m9ds3 ,is x n reasonable t s h>mless & effici5t a rem$y z ! int]nal ba? %\ld be adopt$ by all intellig5t p]sons8 ,inasmu* z neglect--due to social1 bus9ess1 & o!r cu/oms1 & to lack ( conv5i5ces = ready relief--has br\ght ^u u s mu* fecal poison+ & local disord]s & s _m abnormal & p]nici\s sy/emic results1 x %\ld n be consid]$ too great a task to take an int]nal ba? ?ree times a day to am5d our outrage on ,nature--an outrage t involves our heal? & g5]al well-be+1 "h & h]eaft]4 ,we owe x1 n only to our possibilities1 b also to po/]ity1 t fecal poison+ be bani%$4 ,we h no "r to communicate su* a ta9t to our *ildr54 ,!y h a "r to be free f su* poison4 ,d we ev] ?9k ( _! claims 9 ?is reg>d8 ,let u leave !m a bett] legacy1 by adopt+ ! ?rice-a-day use ( ! enema = ! purification ( ! alim5t>y canal6 ,,*apt] ,x4 ,,h[ ,,enemas ,,%\ld ,,be ,,tak54 ,,me?ods ,,( ,,inte/9al ,,irrigation4 ,a satisfactory appliance = tak+ an enema %\ld possess ! foll[+ features3 capacity1 adaptability1 conv5i5ce1 cleanl9ess1 durability1 & suffici5t ext]nal anal & wat] pressure to effect a ?or\gh flu%+ or an agreeable vag9al injection :ile "o is 9 a sitt+ position ov] a wat]-closet b[l4 ,!re are sev]al po/ures 9 :i* an enema may be tak54 ,= ^? physically able1 ! mo/ conv5i5t1 cleanly1 & com=table mann] 9 :i* ! ?rice-daily inn] ba? may be _h is ! usual upright position on a wat]-closet seat4 ,= ^? n physically able to sit upright1 or = ^? t are n up-to-date & /ill adh]e to ! use ( ! f\nta9 or ! bulb syr+e1 ! be/ me?od is n ! usual sitt+ position1 b ! recumb5t "o4 ,!y are advis$ to lie on ! "r side1 or on ! back ) hips rais$4 ,z a rule1 a wat]-closet room is too small = recl9+ purposes1 &1 besides1 ! necess>y rubb] %eet & t[el+ conv5i5ce may be abs5t4 ,ano!r drawback to ly+ full l5g? = ! purpose ( flu%+ ! colon is t ) %ort arms & ! lack ( ext]nal anal pressure !re is apt to be an escape ( wat] & feces ar\nd ! anal po9t1 necessitat+ mu* cleans+1 consid]able annoyance f na/y odors1 & an irritat+ wa/e ( "t4 ,v>i\s devices1 adv]tis$ z great inv5tions1 h be5 resort$ to = ! purpose ( ov]com+ su* malodor\s & uncleanly incid5ts4 ,among !m is "o t may be describ$ z a colon tube1 rang+ f n9e to eighte5 in*es 9 l5g?1 :i* c be atta*$ to a f\nta9 or a bulb syr+e4 ,! tube is usually ( flexible rubb]1 color$ r$ to hide z mu* z possible ! cumulative evid5ce ( saturat$ fil? & bact]ial poison1 ! pres5ce ( :i* a :ite tube w\ld betray too readily4 ,i fail to see ! necessity ( introduc+ a rubb] canal ( su* l5g? into an inte/9al *annel five feet long = ! purpose ( 8cleans+0 ! latt]4 ,! project lacks common s5se4 ,:at a ridicul\s practice--to worm or bore a hole ?r\gh ! impact$ feces z y "w y\r tube upw>d1 !n to squirt a little wat] into ! middle ( ?+s1 or z ne> to ! middle z y h manag$ to get ) a tube t w p]si/ 9 b5d+ on itself1 & !n to )draw x cov]$ ) liquid fil?6 ,:at folly to put a canal into a canal--! "o ins]t$ be+ "o-fif? ! l5g? ( ! "o to be cleans$6 ,is n ! orig9al physiological *annel good en\gh to convey ! antiseptic wat] or oil1 or bo?8 ,:y n h ! rubb] canal five or six feet long if "o foot is s ess5tial8 ,we %\ld rememb] t ulc]ative proctitis & colitis h made ! use ( ! enema a necessity2 t1 accord+ly1 ! diseas$1 con/rict$ gut or canal mu/ be treat$ v g5tly & n irritat$ 9 any avoidable way4 ,! lea/ irritation w result 9 /ill great] muscul> contraction4 ,x /&s to reason t ! ef=t to rea* ! heal?y portion ( ! b[el ) a slightly flexible colon tube fru/rates its own purpose1 & t x is besides a s\rce ( s]i\s & unnecess>y irritation4 ,:ile ?is rubb] tube is be+ =c$ up "o's b[els x (t5 becomes lodg$ "h & !re 9 ! valves & folds ( ! muc\s membrane4 ,x has be5 f\nd t ! ef=t us$ to dislodge x sometimes results 9 a d\bl+ ( ! tube on itself 9 ! =m ( a knot1 & t ! end fir/ introduc$ comes back to ! anus wait+ to escape ) ! next pu%6 ,we ne$ n argue t ?is =c$ loop+ & knott+ ( ! tube is v injuri\s to ! diseas$ inte/9al region1 & t no "o w\ld c>e to introduce x two or ?ree times a day4 ,does n common s5se sugge/ t ! rational way is to op5 ! bore ( ! alim5t>y canal by beg9n+ at its end2 t liquid %\ld be appli$ directly to ! fir/ feces enc\nt]$1 & t z ?is impact$ mass is remov$ ! progress %\ld be successfully upw>d8 ,! liquid z x ent]s dilates ! *annel1 & z x passes on & up x ev5tually gets beyond ! diseas$ section ( ! b[els4 ,"h1 by a g5tle & soo?+ dilatation1 we create at once an impulse 9 ! imprison$ feces & gases to desc5d & escape4 ,:at o!r me?od is s k9dly1 & yet s effectual8 ,we avoid1 by ?is means1 irritat+ ! diseas$ & con/rict$ muscul> canal2 :]eas by ! tube me?od we occasion /ill great] contraction1 ! inflam$ surface hav+ a t5d5cy to contract & close tightly ov] ! tube4 ,! flood ( liquid dilates ! canal2 :]eas ! =c$ rubb] tube1 by irritation1 contracts x4 ,besides1 z has be5 po9t$ out1 ! conduct ( ! tube work+ 9 ! d>k is mo/ unc]ta94 ,suppose ! rubb] tube does f9ally rea* ! section ( ! colon free f inflammation2 t its passage ?i!r has greatly increas$ ! spasmodic contraction ( ! diseas$ portion ( ! gut1 & t1 ( c\rse1 x _h great difficulty 9 circumv5t+ ! resi/ance (f]$ by ! valves1 curves1 & %ort b5ds--suppose all ?is1 & an idea ( h[ ! cont5ts ( ! b[el above ! diseas$ zone are imprison$ w dawn ^u y4 ,=1 aft] ! tube has rea*$ ?is po9t ( impaction1 ! di/5tion !re is mo/ unduly increas$ by ! sudd5 gu% ( wat]1 &1 :at is ( /ill grav] import1 ! pres5ce ( ! tube prev5ts its return fl[4 ,!n z ! object is be+ remov$ ! wat]y feces foll[+ closely aft] are imp$$ by ! increas$ irritative contraction set up by ! tube4 ,9 %ort1 ?is greatly extoll$ colon tube subjects ! region ( proctitis & colitis1 z well z ! heal?y section1 to j su* objectionable proc$ure until ! am\nt ( wat] inject$ becomes s extremely l>ge t a means ( escape is irresi/ibly produc$ by ! great pressure above4 ,is x wise treatm5t to irritate ! diseas$ portion ( ! b[els1 & to di/5d /ill fur!r ! heal?y portion above1 9 ord] to get rid ( di/5tion due to feces & gases8 ,)\t increas+ ! dang] by inject+ wat] into ! already unduly di/5d$ colon by ! use ( ! tube1 ! imprison$ feces & gases ( !mselves alone h be5 kn[n to ex]t suffici5t pressure to occasion prolapse ( ! sigmoid flexure into ! rectum or undue displacem5t ( ! organ4 ,surely x 7 bett] to get rid ( ! imprison$ cont5ts by remov+ !m f ne> ! v5t & work+ "o's way gradually upw>d ?an to add m to ! /ore & burd51 :i* only causes un5durable excitem5t & fi]ce dem&s = relief4 ,! rectal enema1 tak5 9 ! rational way1 simply dilates ! portion ( ! gut t is morbidly contract$--a proc$ure t is v b5eficial & %\ld be cont9u$ j s long z any remnant ( ! inflammation rema9s 9 ! tissues4 ,k9dly treatm5t is ess5tial1 because ulc]ative inflammation is an irritable condition & t5ds to contract ! muscul> tissue at ! slighte/ t\* ( a =eign sub/ance4 ,:at1 ,i repeat1 is m k9d & soo?+ ?an antiseptic wat] mix$ ) oil8 ,advocates ( ! colon tube ass]t t wat] ent]+ ! l[] portion ( ! rectum w occasion balloon+ ( ?is portion ( ! gut4 ,aft] an exp]i5ce cov]+ tw5ty or m ye>s1 ,i am 9 a position to say t !re is absolutely no?+ 9 ?is objection--t wat] us$ 9 ?is way _c produce su* a pa?ological condition4 ,balloon+ ( ! l[] portion ( ! rectum is occasion$ by impaction ( feces1 :i* rema9 lodg$ (t5 = weeks or mon?s at a "t 9 ?is locality4 ,:atev] dilatation ! use ( ! enema may transi5tly produce w\ld be only heal?y ex]cise = ! diseas$ organ4 ,an in/rum5t is frequ5tly us$ prop]ly to dilate ! m or less contract$ canal above & bel[ ! di/5d$ p\* = a di/ance ( f six to t5 or m in*es4 ,no?+ b good results c foll[ ! prop] use ( ! enema two or ?ree times a day 9 all =ms ( local disease ( ! anus1 rectum1 & colon4 ,,*apt] ,,xi4 ,,! ,,int]nal ,,f\nta9 ,,ba?4 ,,! ,,au?or',s ,,unique ,,inv5tion4 ,! au?or has se>*$ ! m>kets ( ! _w = suitable app>atus = inte/9al irrigation1 s t he1 z a speciali/ 9 ?is l9e & 9 anal & rectal diseases1 c\ld recomm5d x to 8 pati5ts4 ,none ( ! appliances to be _h1 h[ev]1 q answ]$ ! purpose he _h 9 view4 ,all ( !m _h "s drawbacks4 ,ow+ to ?is fact1 aft] mu* exp]im5tation he has inv5t$ an in/rum5t t is h]e9 fully describ$ to %[ its s]viceabl5ess4 ,7 ?is volume to be issu$ )\t ?is description1 ! au?or w\ld be inundat$ ) int]rogatories conc]n+ ! be/ in/rum5t to be employ$ by its read]s1 or :e!r ! appliances !y h on h& w\ld answ] ! purpose4 ,z ! object ( ?is book is practical1 n lit]>y1 x is n out ( place1 ! au?or ?9ks1 to describe ! inv5tion & its unique s]viceabl5ess1 z well z its special adaptability = ! tri-daily employm5t ( enemas4 ,! in/rum5t is kn[n z 8,! ,int]nal ,f\nta9 ,ba? = ,home ,treatm5t40 ,! foll[+ illu/ration gives a v good idea ( its con/ruction & m]its3 ,illu/ration3 ,pat5t$ ,dec4 #ca1 #aija2 ,nov4 #ad1 #aije4 ,figures #ah1 #ba1 #bb1 & #bc4 #ah1 ,res]voir2 #ba1 h>d rubb] h&le2 #bb1 metal h&le2 #bc1 metal h&le1 h>d rubb] cone1 & enema po9t2 #ai1 lamp support2 #bj1 lamp2 #cc1 rubb] tube & %ut-(f2 #bd1 glass bottle2 #bg1 h>d rubb] anal cone2 #bi1 valve2 #bh1 enema po9t2 #be & #bf1 recurr5t d\*e po9ts2 #cj1 glass bottle2 #ca1 h>d rubb] cone2 #cb1 enema po9t4 ,figure #bd1 ,page #abj1 illu/rates ! au?or's rubb] enema appliance1 ,! ,niag>a ,f\nta9 ,syr+e1 hold+ ab\t two gallons ( wat]4 ,! ,int]nal & ,ext]nal ,f\nta9 ,ba? is an appliance t ,i h devis$ & suppli$ to my pati5ts = _m ye>s ) mo/ satisfactory results 9 e p>ticul>4 ,sev]al o!r enemata & recurr5t d\*e in/rum5ts :i* ,i h us$ did n :olly meet ! requirem5ts 9 capacity or aseptic features2 b long use ( ?is app>atus 9 all ! v>i\s b[el tr\bles has demon/rat$1 to me z well z to my /ud5ts & pati5ts1 t ! in/rum5t is ! be/ t c be made1 p]fectly meet+ all ! requirem5ts ess5tial = sci5tific results4 ,features & ,uses4 ,! ,f\nta9 ,ba? is ! product ( necessity1 ef=t1 & long exp]i5ce 9 accompli%+ a def9ite purpose fully & prop]ly4 ,figure #ah illu/rates a l>ge enamell$ metal res]voir = wat]4 ,figure #ba %[s a h>d rubb] comb9$ enema & recurr5t d\*e appliance = ! application ( wat] to ! muc\s membrane ( ! l>ge inte/9e1 ! temp]ature ( :i* %\ld range f n9ety to "o hundr$ & ?irty-five degrees or m4 ,to "o end ( ! h&le is atta*$ a h>d rubb] anal cone 7,figure #bg71 inside ( :i* is a valve 7,figure #bi71 :i* is op5$ & clos$ by turn+ ! h&le1 p]mitt+ ! wat] to pass ?r\gh ! rectal po9t 7,figure #be71 or 7,figure #bf7 into ! b[els & return into ! toilet bas9 )\t remov+ ! po9t4 ,at ! o!r end ( ! h&le is atta*$ a glass res]voir = ! use ( oils4 ,figure #bb is a metal h&le ) a glass res]voir & a h>d rubb] anal cone4 ,figure #bc is a metal h&le )\t glass res]voir1 & bo? are int5d$ = ! use ( wat] at a temp]ature ( f n9ety to "o hundr$ & five or "o hundr$ & t5 degrees4 ,a !rmomet] is absolutely necess>y to det]m9e ! temp]ature ( ! wat] dur+ its use z a depur5t & antiphlogi/ic rem$y4 ,! heat+ appliance w keep ! wat] at a desir$ temp]ature dur+ its application1 :i* is a v ess5tial feature inde$4 ,wat] ,capacity4 ,! ,f\nta9 ,ba? res]voir holds ?ree gallons ( wat]1 :i* is q suffici5t to meet all requirem5ts ( ! v>i\s complicat$ cases ( b[el & ut]9e tr\bles :i* require a g5]\s supply ( tepid or v hot wat]4 ,?is obviates any int]ruption 9 ! use ( ! enema or ! recurr5t d\*e treatm5t until "o or bo? are satisfactorily complet$1 & )\t *ang+ "o's position on ! toilet seat4 ,x requires a quantity ( wat] to irrigate ! l>ge inte/9e1 :i* is "s five feet long & two & a half in*es 9 diamet]4 ,x is fooli% to attempt to irrigate "o end ( a long1 tortu\s1 f\l sew] ) "o or two qu>ts ( wat] & hope = good results4 ,wat] is *eap1 !n :y n clean out & keep clean8 ,adaptability4 ,= ! fir/ "t 9 ! hi/ory ( enemata appliances c an enema1 recurr5t d\*e1 or vag9al injection be tak5 ) wat] at any desir$ temp]ature & at ! same "t be m$icat$ ) any rem$y desir$4 ,ext]nal pressure aga9/ ! anal orifice is regulat$ at w2 also ! flu%+ ( ! integum5t ab\t ! anus & buttocks is easily accompli%$ be=e leav+ ! toilet seat4 ,conv5i5ce4 ,?is sci5tific device c be us$ )\t assi/ance4 ,x has "o feature moreov]1 t r5d]s x unique among rectal appliances1 namely t y may take a numb] ( rapid injections )\t *ang+ y\r seat4 ,y may inject a small quantity ( wat] 7f eight to twelve ounces71 & expel x imm$iately2 !n y may foll[ ) a l>g] am\nt 7f "o to ?ree p9ts71 & expel t also1 !n 9 ! same mann] flu% ! colon4 ,a complete int]nal ba? may be effect$ 9 ! same way by us+ ?ree1 f\r or m qu>ts ( wat]4 ,9 ?is way1 ?or\gh depurat+ results may be obta9$4 ,! sev]al prelim9>y injections ( gradually increas+ quantities ( wat] free ! l[] b[el ( feces1 g]ms1 & gases :i* o!rwise might be =c$ by ! flu%+ process backw>d into & along ! colon4 ,) ! ,int]nal ,f\nta9 ,ba?1 unlike o!r syr+es1 x is n inconv5i5t to take prelim9>y injections be=e flu%+ ! b[els4 ,aft] ! flu%+ ! rectal & anal canals ! b[els c be easily clean$ _! entire l5g?1 z c also ! integum5t ab\t ! anus & buttocks by lett+ ! jet ( wat] play on ^! p>ts to wa% away any g]ms & o!r poison\s dis*>ges4 ,all ! necess>y movem5ts ( ! anal po9t are easily made ) ! h&le :i* projects betwe5 ! limbs 9 front ( ! toilet seat4 ,cleanl9ess4 ,! wat] res]voir is enamel$ :ite1 bo? inside & out & free f poison\s sub/ances4 ,! enamel is n injur$ by ! use ( any g]micidal rem$ies t may be plac$ 9 ! wat]1 or by ! wat] be+ br\ght to a v high temp]ature to de/roy bact]ial poisons4 ,fur!rmore ?is enamel$ surface is easily clean$1 ?us avoid+ f\lness ( ! res]voir f cont9u$ use4 ,! glass m$ic9e case & anal cone atta*$ to ! h&le1 z well z ! anal po9t1 are all deta*able & easily clean$1 & ! h&le is ( suffici5t l5g? to obviate soil+ ! h&s & impregnat+ !m ) odors4 ,to br+ away a quantity ( feces does n exhau/ ! purpose ( ! enema4 ,! inte/9al sew] requires fur!r clean+ f end to end1 & ! ext]nal p>ts ar\nd ! anus z well4 ,by play+ a jet ( wat] on ! ext]nal anal region y f9i% ! enema & avoid ! v uncleanly practice ( us+ 8toilet pap]0 z a means ( ext]nal cleans+4 ,x is /range t o!rwise cleanly p are cont5t ) su* uncleanly treatm5t ( ^! p>ts4 ,!y imag9e t 8toilet pap]0 w effectually remove ! excrem5t & its att5d+ odors4 ,!y w\ld n ?9k x suffici5t ?us to clean _! h&s if soil$ by excrem5titi\s matt]4 ,x is ! old /ory1 8out ( sight1 out ( m9d10 & ( lett+ any make-%ift 9 su* cases answ]2 b ! _s ( cleanl9ess is abroad 9 ! l&1 & ! ,sil5t ,club ( ! ,cleanly is be+ =m$ ?r\gh j su* ag5cies z ! ,int]nal ,f\nta9 ,ba?4 ,_m h d\btless long$ = a bett] practice b did n "k :at to d4 ,! 8toilet pap]0 habit w pass ) ! once-a-day habit ( /ool+1 ! con/ipation habit1 & ! physic habit1 = all f\r are uncleanly 9 ! extreme4 ,durability4 ,! enamel$ metal res]voir & ! metal & h>d-rubb] p>ts ( ! h&le ought1 ) c>e1 to la/ a lifetime2 ! s(t-rubb] tube1 if prop]ly c>$ =1 w be ( s]vice = a long "t4 ,ext]nal ,anal ,pressure4 ,?is is ( v important assi/ance 9 flu%+ ! colon1 z x aids 9 prev5t+ ! return ( ! inject$ wat]1 & !reby promotes its conveyance along ! colon until x arrives at ! surgically fam\s v]mi=m app5dix4 ,x is n /range t bo? ends ( ! l>ge inte/9e--! anus & rectum & ! app5dix region--h kept ! surgeons busy1 & ,i may add ! und]tak] likewise4 ,^! two ends are ( extraord9>y conc]n1 because !y manife/ int5se symptoms & pa?ological consequ5ces4 ,mod]n m$ical practice is ! h]oic treatm5t ( symptoms & consequ5ces & n pati5t se>* = causes ( disease & s5sible treatm5t ( x1 z expla9$ 9 my treatise deal+ ) 8,inte/9al ,ills10 z well z 9 ! pres5t volume4 ,wat] ,pressure4 ,two or ?ree gallons ( wat]1 susp5d$ at ! usual height ( enemata appliance1 af=ds q en\gh pressure1 especially :5 ! outlet & tub+ are amply l>ge4 ,! %ut-(f on ! rubb] tube enables ! us] to gauge ! fl[ ( wat] to a nicety4 ,"t ,requir$4 ,! "t requir$ = tak+ an int]nal ba?--t is1 = a complete flu%+ ( ! b[els--w v>y 9 individual cases4 ,aft] remov+ ! local deposits 9 & ne> ! rectum by "o or two rapid injections ( v small quantities ( wat]1 two to f\r qu>ts are tak5 into ! inte/9al canal at "o "t1 & ?is con/itutes ! enema prop]4 ,n[1 _m p]sons w f9d x advantage\s to let ! flu%+ wat] ent] v sl[ly1 tak+ f two to five m9utes1 or ev5 m4 ,) "s1 if ! wat] is all[$ to fl[ 9 v rapidly1 ! v>i\s segm5ts ( ! rectum & colon may n readily accommodate !mselves to ! infl[1 & w too soon make an expulsive ef=t1 return+ ! wat] be=e x has dissolv$ ! feces or unit$ ) !m1 ?us defeat+ ! object s\ght ?r\gh ! enema4 ,) o!r p]sons1 h[ev]1 ! fl[ may be z rapid z desir$4 ,! spe$ mu/ be left to individual judgm5t & exp]i5ce4 ,temp]ature ( ,wat] = an ,enema4 ,! *ief purpose ( an enema is to produce depuratory results2 t is1 to remove morbid matt] f ! b[els & !n to cleanse !m4 ,to accompli% ?is effectively & at ! same "t to avoid excit+ an increas$ fl[ ( blood to ! diseas$ gut1 ! wat] %\ld be ab\t ! normal temp]ature ( ! body1 :i* is ab\t #ih-a_/b degrees4 ,wat] too hot or too cold w aggravate ! s5sitive1 inflam$ surface2 &1 z x is ?is v inflammation t causes ! abnormal action ( ! b[els = ! relief ( :i* ! enema is tak51 ! temp]ature ( ! wat] is mo/ important4 ,if x range betwe5 #ij & #aje degrees x w d1 = )9 ^? extremes x w n be likely to increase ! exi/+ *ronic engorgem5t ( ! tissues4 ,"u no circum/ances %\ld v hot or v cold wat] be us$ = ! removal ( fecal accumulation4 ,physicians s incompet5t z to make a wrong diagnosis ( ! cause ( *ronic con/ipation & its num]\s symptoms (t5 prescribe a wrong treatm5t 9 ! use ( wat]4 ,f two to t5 m9utes' use ( v hot or v cold wat] 9 cases ( proctitis & colitis w only increase ! *ronic engorgem5t ( ! blood-vessels & tissues & increase ! morbid symptoms4 ,:5 wat] is appli$ to ! muc\s membrane any:]e ?r\gh\t ! body1 ,i use x hot exclusively1 z t temp]ature has !n c]ta9 advantages ov] cold4 ,9 ! *apt]s treat+ ^u ! diff]5t uses ( hot wat]1 ,i give ! hydro-!rapeutic action ( su* liquid on ! tissues ( ! body4 ,quantity ( ,wat] to be ,us$4 ,! quantity ( wat] to be inject$ into ! colon at "o "t mu/ v>y 9 ea* case & also on ea* occasion4 ,9 ! beg9n+ ( its use & = "s "t foll[+1 a great] am\nt may be requir$ ?an w be necess>y :51 ) its cont9u$ use1 a bett] action ( ! b[els becomes e/abli%$4 ,9 cases ( *ronic con/ipation & semi-con/ipation1 ! kidneys1 lungs1 muc\s membrane1 & sk9 elim9ate a daily accumulation ( feces f ! sy/em equal to two-?irds or ?ree-f\r?s ( ! am\nt ( normal feces4 ,?is acc\nts = ! frequ5cy ( *ronic disease ( ^! organs4 ,to e/abli% a new rgime 9 ! mode ( fecal & gase\s elim9ation requires mu* "t & pati5ce 9 ! use ( ! enema4 ,ne>ly all p]sons c take ! enema ) com=t & satisfaction4 ,n[ & !n1 h[ev]1 !re is a p]son :o f9ds x a little tr\blesome to inject ov] a qu>t ( wat] at "o "t1 :ile mo/ p]sons c inject ov] f\r qu>ts )\t inconv5i5ce4 ,i w\ld advise pati5ce & p]sev]ance on ! "p ( ^? :o f9d x irksome to inject a suffici5t am\nt ?or\ghly to cleanse ! colon1 or ! portion !re( involv$ 9 undue accumulation4 ,en\gh wat] %\ld be inject$ to br+ away :at w\ld con/itute ! normal am\nt ( feces to be pass$ at a regul> /ool4 ,gradually1 z ! practice is e/abli%$ by ! use ( ! enema twice or ?rice daily1 x w be easy to det]m9e ! prop] am\nt ( feces to pass4 ,& note ?is fact3 x is j z easy to e/abli% ! habit ( ?ree evacuations 9 tw5ty-f\r h\rs z ( two or "o4 ,:5ev] ! am\nt ( wat] inject$ proves suffici5t at any "t to br+ away all ! feces t %\ld pass1 x is n necess>y at t sitt+ to repeat ! dose1 except x be = subsequ5t cleans+1 z a sort ( g>gle4 ,no possible h>m c come f ! g5]\s use ( ! enema dur+ a lifetime2 inde$1 its con/ant use w prolong life & make x m com=table4 ,,*apt] ,,xii4 ,,b5efits ,,( ,,! ,,inn] ,,ba?4 ,i speak f cl9ical obs]vation ) ! use ( v>i\s rectal & colon specula1 ( :i* ,i h ov] fifty4 ,i h wat*$ ! progress ( cases t 7 us+ ! enema twice or ?rice daily1 & ( cases t 7 also us+ ! inte/9al recurr5t d\*e1 :i* latt] requir$ an h\r's cont9u\s application ( hot wat]1 & ,i "k1 !re=e1 :]e( ,i speak :5 ,i affirm its salut>y effect bo? on ! local organs & on ! g5]al sy/em4 ,_m t write ab\t ! use or abuse ( ! enema h nev] se5 ! muc\s membrane ( ! rectum & colon4 ,mo/ ( :at is writt5 on ! subject is wor?less4 ,! au?or ( ?is book writes f ! accumulat$ exp]i5ce ( daily exam9ations ) specula = a p]iod ( ov] tw5ty-?ree ye>s4 ,_h he m]ely us$ 8 f+]s or h& = mak+ rectal exam9ations1 or _h he cont5t$ himself ) prescrib+ = symptoms report$ by ! suff]]1 8 views & op9ions z to ! use & b5efits ( ! int]nal ba? w\ld h be5 on a p> ) ^? t1 by ! old me?ods1 make futile ef=ts 9 diagnosis & treatm5t4 ,"s good s\ls n[ & !n become ov]solicit\s z to ! matt] !y %\ld pass :5 _! b[els are already empty1 & !y feel al>m$ if ! enema fails to produce an evacuation4 ,su* timid ones %\ld rememb] t :at !y _c accompli% at "o "t & ) "o attempt !y may at ! next1 & t ?us sl[ly ! new ord] ( fecal elim9ation w become e/abli%$4 ,x takes "t & pati5ce2 b is ?is cause = appreh5sion :5 diagnosis1 treatm5t1 & means ( relief are "r8 ,i claim t flu%+ ( ! colon is ! be/ means = removal ( ! consequ5ces ( proctitis & colitis1 & t x %\ld be employ$ by all t h ^! *ronic ailm5ts4 ,let !m get relief = ! symptoms at once & 9 ?is rational way1 aft] :i* let !m seek sci5tific treatm5t = ! ailm5ts !mselves2 =1 soon] or lat]1 !y w be compell$ to seek x by ! sev]e complications t w inevitably set 94 ,,try ,,sci5tific ,,& ,,practical ,,measures4 ,"s p]sons f9d difficulty 9 e/imat+--or ?9k !y d1 :i* 9 mo/ cases is ne>] ! tru?--! am\nt ( wat] !y c inject at "o "t1 :5 x w\ld "w a great relief to _! b[els 7 !y able to inject f two to f\r qu>ts4 ,x is half ! battle to "k y\r ef=ts are rightly direct$2 =1 :5 y are defeat$1 y w try a ?\s& & "o *anges--an exp]im5t fir/ ) "o elem5t ( ! difficulty & !n ) ano!r4 ,y w exp]im5t ) ! temp]ature1 ) ! spe$ ( fl[ into ! rectum & colon1 ) int]mitt5t fl[1 etc4 ,be a little sci5tific & orig9al 9 ?is matt]1 ,i pray y1 & "k no defeat6 ,z to ! int]mitt5t fl[1 ! foll[+ way may be f\nd judici\s 9 "s cases3 ,take 9 j suffici5t wat]--a few ounces p]haps--to provoke an evacuation1 & proce$ till y h tak5 half a doz5 or m4 ,aft] ?is y c take a great] quantity = a wa%\t4 ,b ?is is n exactly :at is meant by ! t]m 8int]mitt5t fl[40 ,x means t y may make ! exp]im5t--if y f9d x difficult to fill up aft] ridd+ y\rself ( ! local accumulation--( turn+ (f ! /op-cock = a mom5t1 ?us giv+ y\r b[els a slight re/1 & !n turn+ x on aga91 alt]nat+ 9 ?is way = "s m9utes4 ,_m little devices ( simil> utility w sugge/ !mselves to ^? :o "k no defeat4 ,rememb] t1 n[ t y are 9 s]i\s tr\ble1 x is n ! easie/ ?+ 9 ! _w to get out ( x4 ,%\ld y\r /oma* raise objections to ! enema1 *ange ! "t4 ,if abdom9al pa9s are sev]e1 *ange ! temp]ature ( ! wat] & ! "t & mann] ( inject+ x4 ,9 o!r words1 d some?+ diff]5t1 b be det]m9$ to conqu] & take ! int]nal ba? at prop] p]iods e day4 ,,lib]at+ ,,! ,,wat]4 ,"s p]sons :o f9d no tr\ble at all 9 tak+ a l>ge quantity ( wat] h mu* difficulty 9 expell+ x1 or r 9 expell+ all ( x at once4 ,v>i\s me?ods may be resort$ to to lib]ate ! reta9$ wat]4 ,"o is to inject a little m1 z a provok]1 :5 all w escape )\t fur!r difficulty4 ,ano!r me?od is to resort to v>i\s motions ( ! arms & body4 ,"s f9d relief by rais+ & project+ bo? arms toge!r sl[ly1 & !n /ret*+ & hold+ !m al(t = a few mom5ts4 ,o!r me?ods are3 to twi/ ! trunk a few times1 to walk up & d[n a little1 to b5d =w>d & backw>d1 etc4 ,/ill ano!r me?od is to massage ! abdom9al walls1 beg9n+ at ! asc5d+ colon 7see ,fig4 #ab71 pass+ upw>d to ! left along ! transv]se colon1 & !n d[nw>d until ! l[] portion ( ! sigmoid flexure is rea*$4 ,:5 beg9n+ ! massage1 "o %\ld use /rok+ movem5ts f "r to left ov] ! entire surface1 & !n g ov] x aga9 ) rot>y /rokes4 ,"s may f9d x advantage\s to knead ! abdom9al muscles1 gradually rea*+ ! deep] p>ts z ! air is expell$ f ! lungs1 :i* expulsion may *ange ! position ( ! v>i\s segm5ts ( ! inte/9e & ?us af=d an opportunity = ! feces1 gases1 & wat] to escape4 ,be=e ris+ 9 ! morn+ & retir+ at night1 x w be f\nd advantage\s by "s p]sons to sp5d ab\t t5 m9utes 9 mak+ ! ?ree k9ds ( manipulations describ$4 ,x is an excell5t practice = e "o to lie flat on ! *e/ & abdom5 & draw 9 sev]al deep brea?s j be=e ris+4 ,?is ex]cise w /r5g!n ! muscles ( ^? p>ts & b5efit ! int]nal organs z well4 ,,! ,,enema ,,z ,a ,,p]man5t ,,practice4 ,9 ! ef=t to re/ore ! long-abus$ b[el to its normal function+ by ! use ( ! enema & massage1 !re may be1 9 ! beg9n+ ( su* treatm5t1 an exceptional case 9 :i* a mild laxative is indicat$ z ! desirable ?+1 r ?an t a furr$ tongue & base bodily feel+s %all evid5ce too mu* f\lness all ! way up to ! m\?4 ,! enema1 ( c\rse1 con/itutes ! *ief means & ma9/ay ( relief f ob/ipation ( ! b[els1 & "o by "o ! o!r aids are to be omitt$4 ,moreov]1 :5 ! "t comes t ! b[el is fre$ f ! disease t occasion$ ! occlusion & ob/ipation1--t is to say1 :5 ! b[els evacuate !mselves naturally ?ree times a day1--!n ! enema itself may be omitt$1 or x may be cont9u$ )\t h>m by ^? ^: s5se ( cleanl9ess w\ld induce !m to keep up ! practice 9 pref]5ce to ! uncleanly habit ( us+ toilet pap] z a p>tial means t[>d cleanl9ess4 ,surely !re is no h>m 9 sub/itut+ a bett] habit = a worse "o--"o1 moreov]1 t we %\ld be a%am$ to cont9ue6 ,z no "o w\ld ?9k ( clean+ 8 soil$ f+]s ) toilet pap]1 z already said1 s no "o ) any real s5se ( dec5cy w cont9ue ! attempt to clean 8 anal orifice ) su* mat]ial :5 he has le>n$ a bett] & m effective way4 ,likewise1 aft] hav+ le>n$ ! rational mode ( reliev+ ! sur*>g$ b[els1 no wise p]son w cont9ue ! use ( physic1 co>se food1 gymna/ic ex]cises1 & o!r futile & fooli% practices z rem$ial measures = inte/9al ailm5ts4 ,no "o suff]+ f proctitis & colitis c h a clean & heal?y sigmoid flexure & rectum unless ^! be kept clean by ! regul> use1 ?ree times a day1 ( ! enema4 ,f ! day :5 ! disease invades ^! p>ts !re is & w cont9ue to be a clogg$1 pla/]$1 or incru/$ passage = m or less ( ! entire l5g? ( ! colon4 ,?is mu/ be s 9 ! nature ( ?+s1 s9ce ^! organs are unable to p]=m _! functions :ile ! disease is pres5t4 ,j ?9k ( possess+ a fil?y1 conge/$ inte/9al canal1 )\t "o day ( real cleanl9ess = tw5ty1 =ty1 sixty1 or m ye>s6 ,x is n ! easie/ ?+ 9 ! _w to cleanse ?is *annel ev5 by ! use ( ! enema2 = ! anci5t cont5ts refuse dislodgm5t ev5 aft] repeat$ flu%+s1 & x is only aft] _m days ( p]si/5t & pati5t irrigation t ! inte/9es are fre$4 ,"s p]sons are appreh5sive z to ! quantity ( wat] ! l>ge inte/9e w hold ) safety4 ,let me reassure !m4 ,x is capable ( hold+ ab\t ?ree gallons )\t too great di/5tion4 ,"o-?ird ( ?is am\nt1 h[ev]1 is q suffici5t to br+ away ! accumulat$ fecal mass1 & 9 _m cases a mu* small] am\nt w answ] ! purpose--especially :51 z advis$1 x is us$ two or ?ree times )9 tw5ty-f\r h\rs4 ,aft] a ?or\gh evacuation1 wat] %\ld be inject$ "o or m times until x returns cle> & free f fragm5ts ( feces4 ,if ,i 7 ask$ to "n ! greate/ curse p>5ts c\ld inflict ^u _! helpless (fspr+1 ,i w\ld say fecal auto-intoxication4 ,a l>ge volume c\ld be writt5 on ! subject1 & ,i tru/ ! h9ts "h giv5 w lead to discussion ( ?is grave matt]4 ,,*apt] ,,xiii4 ,,objections ,,to ,,! ,,use ,,( ,,! ,,enema ,,answ]$4 ,! privilege ( rais+ objections belongs to ! ignorant z well z to ! intellig5t4 ,b ! objector is "u z great obligations to /ate 8 reasons z ! advocate4 ,! fir/ plausible objection to ! use ( ! enema is t x is n natural4 ,admitt+ ?is *>ge1 ,i w\ld say t1 inasmu* z proctitis1 colitis1 & con/ipation are unnatural1 ! use ( a pret]natural or1 9 o!r words1 a rational means to ov]come ! consequ5ces ( ^! diseases is imp]ative4 ,! enema is su* a means4 ,c any "o t suff]s f proctitis1 etc41 h a natural /ool8 ,unnatural conditions require pret]natural aids1 z we all "k4 ,! inject$ wat] dilates ! con/rict$ portion ( ! gut & ar\ses a revulsive impulse to expel ! invad+ wat]4 ,9 obey+ ?is impulse1 ! imprison$ feces1 gases1 etc41 are eject$ ) ! wat]4 ,x may be unnatural to put wat] into ! rectum1 etc41 b once !re its expulsion f heal?y b[els w\ld be q natural4 ,no natural action c be expect$ f unheal?y b[els2 !y d ! be/ !y c "u ! circum/ances4 ,eyeglasses1 false tee?1 crut*es1 etc41 are unnatural b invaluable aids1 b no m s ?an is ! enema z a means ( relief f ov]load$ b[els4 ,! enema1 moreov]1 be x not$1 n only aids ! sy/em by reliev+ x ( its load3 x cleanses & soo!s an organ t mu/ keep at "w & p]=m its function ev5 :5 invad$ by disease4 ,surely x is unhygi5ic & irrational to ignore ! valuable s]vice ( ! enema 9 cases 9 :i* ! b[els are 9 an unnatural condition4 ,! second objection is t ! wat] w wa% away ! mucus f ! muc\s membrane ( ! b[els & leave !m dry & p>*$ & ?us apt to crack & break 9 two4 ,i w\ld rem9d ! objector t1 s9ce ab\t sev5ty-five p] c5t4 ( ! normal feces is wat]1 x seems /range t s great a quantity ( wat] 9 contact ) ! muc\s surface ( ! b[els %\ld n also cause dryness4 ,! integum5t ( ! body & t ( ! muc\s membrane are simil> 9 /ructure1 yet :o ev] _h a fe> ( produc+ dryness ( ! sk9 by mu* application ( wat]8 ,! muc\s membrane is simply ! sk9 turn$ inw>d2 & s9ce x is mu* m vascul> x is less apt to become dry--if1 inde$1 its dryness 7 at all possible4 ,! objector %\ld also rememb] t ! body is compos$ ( ov] eighty p] c5t4 ( wat]--an organism n to be made dry or p>*$ by ! application ( wat] to ! sk9 or to ! muc\s membrane two or ?ree times a day4 ,! muc\s membrane ( ! l[] b[el is n unlike t ( ! m\?1 ?roat1 or /oma*4 ,d y realize h[ (t5 ! upp] end ( ! inte/9al canal is wa%$ or ba!d daily ) liquids1--s(t & h>d dr9ks1 hot & cold1--especially by ^? :o h =m$ ! dr9k habit in/ead ( ! enema habit8 ,!y h no fe> ( dry+ ! muc\s membrane !reby2 b1 if y c in/ill ?is fe>1 !y w increase ! quantity ) pleasure6 ,?is second objection1 be+ ! result ( too vivid an imag9ation & too little reflection1 is a v nons5sical objection inde$4 ,a ?ird objection is t if y beg9 ! use ( ! enema y w h to cont9ue its use2 y c't /op1 &1 lo & behold6 ! enema habit is =m$1--a new habit 9 addition to ! _m habits civiliz$ man is already c>ry+3 ! con/ipat$ habit1 ! physic habit1 ! s&1 bran1 sawdu/-food habit1 ! muscul> p]i/altic habit1 etc41--& ) all ^! habits ! poor victim ( proctitis & inte/9al f\lness wond]s t he is alive4 ,usually ! fir/ symptom ( proctitis is con/ipation1 & = relief ! enema habit %\ld be =m$ & cont9u$ :ile ! con/ipation rema9s4 ,:5 ! prop] means are f\nd to remove ! inte/9al inflammation--proctitis & colitis--!n ! con/ipation w disappe>1 & ) its disappe>ance ! enema habit c be discont9u$4 ,b let x be well not$ t ! enema is itself an aid 9 cur+ ! cause1 an aid sup]ior to any o!r at our comm&4 ,a cleanly habit ought n to be an objectionable "o1 especially 9 cases 9 :i* x is mo/ ne$$ to prev5t toxic sub/ances f ent]+ ! sy/em4 ,a f\r? objection is t aft] tak+ ! fir/ enema ! con/ipation is worse4 ,) _m p]sons a c]ta9 am\nt ( undue accumulation ( feces w excite a suffici5t muscul> ef=t ( ! gut to =ce ! dri$ mass ?r\gh ! proctitis- & colitis-/rictur$ b[els4 ,?is unnatural ef=t may occur once a day or once 9 two or ?ree days1 & has d\btless be5 a habit ( _m ye>s' duration4 ,to introduce a new ord] ( conduct on ! "p ( ! b[els requires "t4 ,if ! b[els h be5 9 ! habit ( expell+ feces 9 ! morn+1 & an enema 7 tak5 ! night be=e1 !re might be no desire to /ool ! next morn+ because ( ! fact t ! bulk or accumulat$ mass ( excrem5t 0 no long] !re to create a vigor\s call or impulse = defecation4 ,b we h f\nd ! ext5t ( local damage & reflex injury to ! organs1 & m especially we h f\nd ! con/ant absorption ( poisons into ! sy/em1 due to ! pres5ce ( feces4 ,x is = ?is reason t ! elim9ation ( feces twice or ?rice 9 tw5ty-f\r h\rs is advis$4 ,! condition = :i* an enema is us$ is di/urb+ & poison+ to ! sy/em4 ,x is1 !re=e1 a mo/ unnatural condition4 ,:at is m rational1 !n1 ?an to employ an 8unnatural0 yet n h>mful means to br+ ab\t a m normal condition1 "o free f poison+ & irritat+ consequ5ces8 ,a fif? objection is made by ^? :o h z a symptom ( proctitis a l>ge developm5t ( pile tumors or hemorrhoids 7di/5d$ muc\s membrane74 ,! objection is t at times ^! tumors or sacs prolapse v freely dur+ ! act ( expell+ ! inject$ wat]4 ,b ?is prolapse occurs 9 _m cases :e!r wat] is us$ or n4 ,a c]ta9 am\nt ( anal irritation caus$ by ! passage ( feces occurs1 caus+ contraction ( ! circul> muscul> tissue t =ms ! anal & rectal canal1 also ( ! longitud9al muscul> b&s & ! levator muscles ( ! organs4 ,! enema less5s or entirely dim9i%es ! irritation ( pass+ feces1 & ! natural result is t ! s]um-fill$ sacs call$ piles & ! tissue loos5$ by ! inflammatory product w\ld m readily prolapse dur+ ! act ( defecat+4 ,x is simply a *oice betwe5 irritation ( ! /ool keep+ ! tissue up & no irritation p]mitt+ a prolapse4 ,( c\rse1 if !re be no expulsion ( feces & wat] ! /ret*$ or dilat$ sacs may keep _! places 9 ! rectum4 ,& !n aga9 ! enema may be us$ = q a p]iod1 :5 all at once a l>ge prolapse ( sacculat$ muc\s membrane occurs1 & ! enema is ?\ght to be ! cause ( x4 ,t ?is is n ! cause1 let x be rememb]$ t 9 all cases ( proctitis ! *ronic inflammation is apt to become subacute or acute1 & t ?is int5se engorgem5t & enl>gem5t ( ! tissue ) blood & ! increas$ fev] 9 ! p>ts (t5 result 9 prolapse at any "t1 especially at times ( convulsive ef=t at evacuation4 ,:atev] foll[s ! prop] use ( an enema1 ev5 ?\gh :at foll[s be annoy+1 %\ld n be blam$ on ! enema1 = its action is mo/ k9dly1 less5+1 z x does1 ! irritation t o!rwise w\ld be m sev]e :5 ! feces pass ?r\gh a disease-con/rict$ canal4 ,! six? objection is t ! use ( ! enema w weak5 ! b[els1 :i* are already too 8weak0 to expel _! cont5ts4 8,atony1 p>alysis1 fatty deg5]ation ( ! gut1 are bad en\gh10 say ^! objectors1 8)\t hav+ an enema increase _! uselessness40 ,diagnosis wrong & objection gr\ndless6 ,di/5d & contract an organ = a %ort "t two or ?ree times a day1 & x w ga9 9 /r5g? f ! ex]cise4 ,e "o kn[s t ?is is ! case4 ,:at m g5tle means ( ex]cis+ ! l>ge inte/9e ?an by ! enema8 ,b ! tru? ( ! matt] is1 t 9 all cases ( proctitis & con/ipation ! diseas$ portion ( ! gut is too active 9 its muscul> movem5ts1 contract+ spasmodically1 z x does1 at ev5 ! sugge/ion or suspicion ( feces ne> x4 ,e impulse ( ! b[els above ! con/rict$ section to =ce ! feces d[n ?r\gh ! clos$ bore only int5sifies ! spasmodic action & increases ! muscul> ob/ruction1 compell+ ! victim to resort to "s "o ( ! _m dra/ic means ( relief4 ,! enema does no m ?an k9dly to dilate ! con/rict$ region1 :i*1 :5 dilat$1 evokes a h>moni\s conc]t$ action ( all ! n]ves & muscles to pass along & d[n ! burd5 ( feces1 :i*1 )\t ! aid ( a flood ( wat]1 !y _h be5 incapable ( mov+1 & w\ld h _h to leave to poison ! sy/em4 ,! sev5? objection is q nave3 8,inasmu* z ! ,indians ( ?is c\ntry _h no use = ! enema1 :y %\ld we resort to x80 ,! all-suffici5t answ] to ?is objection is t ! ,indians liv$ a natural life1 :ile ours is artificial4 ,mu* c be said on ?is po9t1 b ! read] is surely rational en\gh to foll[ out ! di/9ction sugge/$4 ,our lives are mu* m important ?an 7 ! lives ( ! aborig9es ( ?is c\ntry1 & our 8dem&s ( ,nature0 are m exig5t4 ,if y\r life is ( no great] value ?an !irs1 = leisure's sake don't use ! enema6 ,y w be tak+ too mu* tr\ble4 ,x really %\ld seem t ! cleanl9ess ( ! sk9 & muc\s membrane1 ! c>e we take ( our bodies1 is an indication & measure ( our s5se ( ref9em5t4 ,an anci5t ,scripture ha? x3 8,let ^? t are fil?y1 be fil?y /ill40 ,x all dep5ds ^u h[ y wi% to be class$--) ! fil?y or ! cleanly4 ,! eigh? objection to be not$ is ! fe> ( 8pok+ ?+s0 7po9ts ( in/rum5ts7 8into ! rectum40 ,?is looks l a real objection4 ,no heal?y1 nor ev5 unheal?y1 organ1 = t matt]1 %\ld be 8abus$40 ,& :at seems m likely to cause x tr\ble ?an to poke a h>d- or s(t-rubb] po9t or tube ?r\gh its v5t 9 opposition to its b5t or incl9ation8 ,/ill1 ! muscles ( ! v5t are /rong1 & !y soon accommodate !mselves to ! practice4 ,_! slight dis9cl9ation is n to be consid]$ alongside ( ! relief & cure y effectuate by ! use ( ! enema4 ,h no fe> t ! po9t w occasion disease :5 intellig5tly us$4 ,always see to x t ! po9t is scrupul\sly clean4 ,^? made ( h>d rubb] or metal c be kept s )\t ef=t4 ,s(t-rubb] po9ts are always f\l & dang]\s1 especially aft] !y are us$ a few times4 ,a good rule is nev] to put a po9t high] 9 ! b[el ?an is absolutely necess>y4 ,! n9? objection seems s]i\s4 ,x is t 9 tak+ an enema ! wat] escap+ f ! syr+e po9t w injure ! muc\s membrane :]e ! jet /rikes4 ,b on exam9ation ?is objection falls to ! gr\nd2 = x /&s to reason ! jet _c directly hit ! surface = m ?an a mom5t4 ,imm$iately !reaft] ! accumulation ( wat] w =ce ! jet to sp5d its en]gy on ! increas+ volume1 to lift x out ( ! way s t ! cont9u\s infl[ may f9d room4 ,b ev5 7 x possible = ! jet to /rike a def9ite section ( ! muc\s membrane dur+ ! tak+ ( ! enema1 x c\ld d no h>m provid$ ! wat] be at ! prop] temp]ature4 ,& ?is is true ev5 if a hydrant pressure be us$4 ,n a few p]sons use ! hydrant pressure ( _! h\ses 9 tak+ an enema4 ,= a really successful flu%+ ( ! colon a consid]able pressure is requisite to =ce ! volume up & along a di/ance ( five feet1 especially :5 sitt+ upright4 ,b x is folly to use a long syr+e po9t1 s9ce x is l introduc+ "o canal into ano!r = ! purpose ( cleans+ x4 ,!re=e1 h no fe> f ! use ( prop] syr+e po9ts2 ! jet ( wat] w n hurt ! muc\s membrane4 ,my pr(essional bre?r5 at lea/ ought to "k t ! idea ( su* h>m is %e] nons5se4 ,! t5? objection to us+ an enema is 9 be+ oblig$ to use x f ! fact ( hav+ su* a disease z *ronic inflammation ( ! rectum & colon4 ,e victim hates to be compell$ to d a ?+2 & ! victim ( proctitis & colitis is no exception to ! rule4 ,9 fact1 he is beg9n+ to realize t unless he uses x 8 sy/em w be poison$ by ! absorption ( ! sewage wa/e4 ,let ! victim object to ! disease t necessitates ! use ( ! enema1 & all w %ortly be well4 ,!n ?is objection to ! use ( ! enema w inde$ be ! mo/ important ( all4 ,! elev5? objection1 & ! mo/ ridicul\s ( all1 is t x requires too mu* "t to take ! enema twice or ?rice daily4 ,i lose all pati5ce ) p]sons urg+ ?is objection4 ,^? t h little or no sy/em ) _! daily duties seldom h "t to d any?+ ( importance4 ,!y suff] f 8haphaz>ditis10 a v difficult disease to cure1 & !y are 9 _m cases hopeless4 ,usually !y are an uncleanly lot ( p1 full ( good int5tions1 b _! int5tions1 ?\gh tak5 (t51 seldom op]ate z an antidote to f\lness4 ,_! "o sigh ! livelong day is3 8,oh1 c\ld we be l birds t c /ool :ile on ! w+ or on foot60 ,?is feat ( "t-sav+ be+ h>dly possible 9 ! pres5t inc>nation & ord] ( society1 !y cont5t !mselves ) mak+ a /oreh\se out ( ! inte/9al canal = an indef9ite l5g? ( "t z !y conc]n !mselves ) ext]nal affairs ( "w or sport4 ,a sorry lot !y are1 inde$1 :5 !y are laid up = repairs6 ,_m doctors1 ,i am sorry to say1 enc\rage1 ) a *uckle1 ?is fooli% practice4 8,any "t to /ool y c manage to get1 s t y /ool at lea/ once a day1 or once 9 e two or ?ree days2 /ool :5 x is normal = y to d s40 ,?is crim9al advice j suits ! sleepy1 ! lazy1 or ! 8awfully busy40 ,! ,am]ican habit ( do+ ?+s en masse1 ( h&l+ ?+s 9 l>ge quantities or 9 bulk1 has some?+ to d ) _! don't-c>e con/ipat$ habit4 ,small evacuations two or ?ree times a day seem too mu* l small bus9ess1 :i* ( c\rse is a wa/e ( preci\s "t4 ,:olesal+1 laz9ess1 lack ( sy/em1 hurry1 are ! cause ( good-=-no?+ness ( body & m9d4 ,x %\ld nev] be too mu* tr\ble to re/ore ! lo/ impulse = /ool+ twice or ?rice daily4 ,is x a small matt] to h ! ma9 sew] ( a city p>tly or entirely clos$1 or ! ma9 sew] pipe ( a dwell+ /opp$ up8 ,?9k ( ! dire results1 not)/&+ t ! w9d[s & doors rema9 wide op56 ,! ,bo>d ( ,heal? w\ld soon deal ) ! neglig5t (ficial or l&lord4 ,) v few exceptions1 8civiliz$0 m51 wom51 & *ildr5 are neglig5t & nigg>dly c>etak]s ( ! human dwell+-place--! m>vel\s body ( man4 8,lack ( "t10 8hav5't ! "t10 or 8no "t10 is ! excuse !y give !mselves & o!rs4 ,not)/&+ ! numb]less victims ar\nd !m1 none ( ^! neglig5t & nigg>dly ones seem to get al>m$ until ! second>y symptoms--su* z indige/ion1 g\t1 rheumatism1 or disease ( "s vital organ--are suffici5tly annoy+ to dem& att5tion4 ,b ,i h full fai? 9 humanity4 ,man does ! be/ he kn[s h[--z a g5]al rule4 ,b (t5 he doesn't "k h[2 he ne$s enlight5+4 ,! h9ts ,i h giv5 w1 ,i am confid5t1 be consid]$ & act$ ^u by all to ^: att5tion !y are br\ght1 =1 by act+ ^u !m1 normal bodies & m9ds w result1 & bless+s atta9$ h]et(ore consid]$ impossible4 ,normal heal? dep5ds on "r do+ & be+4 ,et]nal vigilance is ! price to be paid = ! atta9m5t & ma9t5ance ( ! goal ( normal life & progress4 ,elim9ate all wa/e mat]ial f ! body & all %ifty v]m9 f ! m9d1 & ! mill5nium = all ?+s 9 ! univ]se w soon dawn4 ,illu/ration3 ,fig4 #bd4 ,,niag>a ,,f\nta9 ,,syr+e4 7,pat5t$ ,nov4 #ad1 #aije47 ,! above illu/ration repres5ts ! ,niag>a ,f\nta9 ,syr+e1 to :i* c be atta*$ ! enema h&le1 ,fig4 #bb1 ,fig4 #bc1 or ! comb9$ enema & recurr5t d\*e h&le1 ,fig4 #ba1 page #ia4 ,! ,niag>a ,f\nta9 ,syr+e is made ( s(t rubb] & holds ab\t two gallons ( wat]1 & is v h&y :5 travel+ or 9 ne$ ( a hot-wat] bottle4 ,,*apt] ,,xiv4 ,,lame ,,back4 ,! manufactur]s ( v>i\s comp\nds adv]tis$ 9 our daily newspap]s & on ! billbo>ds usually select v common ailm5ts or symptoms on :i* to exploit ! m]its ( _! product4 ,!y make no di/9ction betwe5 a disease & its symptoms2 & :y %\ld !y1 :5 _! sole object is to sell _! goods8 ,lame back is a common weakness ( t portion ( ! sp9e usually spok5 ( z ! 8small ( ! back40 ,z a g5]al rule1 x is an indication ( "s pelvic disease involv+ ! anus1 rectum1 colon1 bladd]1 or ut]us4 ,^? :o suff] f disease ( "o or m ( ! pelvic organs w h at times rem9d]s t !y h a lame1 weak1 or 8dead0 spot at ! 8small ( ! back0 or a little l[] d[n on ! sp9e4 ,z an illu/ration1 a curr5t adv]tisem5t reads z foll[s3 8,weak ,backs6 ,if y happ5 to be "o ( ^? un=tunate p ) a weak1 lame1 tir$1 a*+ back1 x is "t y 7 f9d+ out ab\t ----40 ,!n ! adv]tisem5t proce$s to tell h[ to put on a pla/] or a l9im5t1 or rub ! back = a week or two ) ! h&s4 ,ano!r ent]pris+ wond]-work] asks3 8,d y get up ) a lame back8 ,?\s&s ( wom5 h kidney tr\ble & nev] suspect x40 8,lift$ f ! dep?s ( despair by----0 etc4 ,n[1 ?is may be s]i\sly al>m+ to actual suff]]s f lame back4 ,illu/ration3 ,fig4 #ai4 ,%[+ ! di/ribution ( ! sympa!tic n]ve ab\t ! rectum4 #bb1 ! rectum2 #bc1 ! bladd]2 #bf1 ! kidney2 #bj1 ! rectal plexus2 #ai1 ! vesicle plexus2 #ah1 ! sacral ganglia2 #ba1 ! lumb> plexus2 ! lumb> ganglia2 #af1 ! mes5t]ic plexus2 #ae1 ! sol> plexus2 #bg1 ! aorta4 ,! kidneys are locat$ sev]al in*es above ! region call$ ! 8small ( ! back02 !re=e1 a difficulty 9 ?is region does n necess>ily indicate disease ( ! kidneys4 ,^? :o suff] f ! symptoms describ$--lame1 weak1 hot1 dead spots1 lumbago1 rheumatism1 etc4--at ?is portion ( ! sp9e may suspect t "s ( ! organs 9 :at is call$ ! pelvic cavity are caus+ !m4 ,! sp9al n]ves 7lumb> n]ves7 on leav+ ! 8small ( ! back0 & proce$+ l[] d[n are di/ribut$ to ! anus1 rectum1 bladd]1 ut]us1 etc41 & :5 "o or m ( ^! organs are diseas$ ! victim w h "s ( ! symptoms 9 ! portion ( ! back m5tion$ above4 ,! e>li] indications ( a disease are usually localiz$1 b1 z ! malady itself p]si/s indef9itely1 bo? ! suff]] & 8 physician are (t5 deceiv$ z to ! produc+ cause ( ! v>y+ symptoms manife/+ ?r\gh\t ! body4 ,9 ?is brief *apt] ,i w conf9e myself to ! diseases ( ! anus1 rectum1 & colon1 z caus+ s mu* annoyance f ! symptoms enum]at$ at or bel[ ! 8small ( ! back40 ,! mo/ common ailm5t t afflicts mank9d is *ronic cat>rhal inflammation ( ! anus1 rectum1 & colon4 ,! disease invades n only ! muc\s membrane b ! :ole b[el /ructure1 & ! n]ves report f ! seat ( ! tr\ble up to :]e !y ent] ! sp9al column--a region t %\ld be call$ ! por\s-pla/] region r ?an ! 8small ( ! back40 ,! *ronic inflammation involv+ eight to t5 in*es ( ! l[] portion ( ! inte/9al canal1 l all o!r diseases1 has its alt]nat+ p]iods ( quietude & excitem5t2 & ! neglig5t suff]] mu/ c\nt on hav+ 8/it*es 9 ! back10--cold 9 ! back1 lumbago1 rheumatism1 sciatica1 etc41 z !y are usually call$ = want ( a def9ite idea z to ! cause ( ! annoy+ symptoms4 ,! physician consult$ usually agrees ) ! suff]]'s diagnosis1 & co9cides ) ! application ( b&s1 por\s pla/]s1 l9im5ts1 etc4--:i* may allay ! neuralgic symptoms to "s ext5t4 ,! read] is s famili> ) illu/rations 9 ! newspap]s & on bill-bo>ds ( a man ) a weak or lame back t x is unnecess>y "h to take up space ) a p5 picture descriptive ( ! symptoms & attitudes ( a suff]]4 ,^? :o h _h occasion to acquire ! w>m-b&1 ! rubb+ ) l9im5t1 & ! pla/] habits1 _h bett] direct _! att5tion & rem$ies to ! cause ( ! symptoms4 ,"o frequ5t s\rce ( all ^! back symptoms is *ronic inflammation ( ! anus1 rectum1 & colon1 ) m or less ulc]ation accompany+ x4 ,9 ! female1 disease ( ! ut]us complicates ! pa9ful symptoms4 ,usually among ! fir/ indications ( ?is disease is "s degree ( con/ipation1 :i* 9 "t is foll[$ by local symptoms kn[n z piles1 fissure1 it*+ tabs1 clot ( blood 9 a ve91 abscess1 etc4 ,con/ipation is a prolific cause ( indige/ion1 bili\sness1 flatul5cy1 loss ( appetite1 self-poison+1 anemia1 emaciation1 uric acid1 neuralgia 9 v>i\s p>ts ( ! sy/em1 cat>rhal inflammation ( ! muc\s membrane ( "o or m organs1 & _m o!r symptoms4 ,a diseas$ organ is a con/ant s\rce ( unconsci\s & consci\s irritation to ! suff]]4 ,if ! victim c tol]ate ! tr\ble he seldom seeks treatm5t4 8,i w n bo!r ) x z long z x is no worse10 he says4 ,at times1 h[ev]1 ! symptoms become v annoy+1 & measures are tak5 to allay !m4 ,dur+ ! long int]val ( 8bett] & worse0 effects ! malady is becom+ m deeply seat$1 & ! symptoms ev5tually appe> 9 all p>ts ( ! body4 ,z a rule1 ! majority ( victims put (f treatm5t until a protract$ p]iod ( extreme suff]+ or ! fe> ( a fatal end+ compels !m to consult a physician--:o labors at a great disadvantage 9 seek+ to effect a cure on acc\nt ( ! long neglect4 ,sev]e symptoms locat$ at ! por\s-pla/] region ( ! sp9e1 :5 br\ght on by disease ( ! l[] b[el1 usually indicate an acute /age ( *ronic inflammation & ret5tion ( feces & gases 9 ! sigmoid flexure & colon4 ,acute or subacute inflammation & fev] & pressure ( ! feces are m ?an ! long-abus$ n]ves c endure1 & sev]e pa9 is ! result4 ,!n ! suff]] has some?+ to say ab\t 8 back1 & :at is be/ to d = x4 ,! logical c\rse is to unload ! b[els ( feces & gases by a g5]\s use ( ! enema & to treat ! diseas$ tissues k9dly4 ,! symptoms w soon disappe> :5 ! cause is remov$4 ,,*apt] ,,xv4 ,,uric ,,acid4 ,a society lead]1 9 speak+ ( h] ills to a woman fri5d1 said3 8,i am #8l\sy' ) uric acid40 ,f infancy to old age1 mank9d is m or less fill$ ) uric acid & o!r poisons--! result ( a f\l inte/9al canal4 ,poison$ blood is a common symptom1 & x arises f an almo/ univ]sal cause--*ronic con/ipation4 ,s univ]sal is con/ipation ( ! b[els 9 illness t x is ! fir/ duty ( a physician to prescribe "s rem$y to unload !m4 ,x is said t a ,bo/on doctor1 ^: practice 0 l>gely among ! weal?y classes1 us$ to say3 8,!re is no use 9 physicians pret5d+ to be any?+ else--!y always smell ( rhub>b40 ,& 9 an address to a class ( m$ical /ud5ts an old doctor once said t he & 8 associate practition]s _h f\nd t calomel & opium fill$ e want 9 ! ills !y 7 call$ ^u to treat4 ,= ages all mank9d has /riv5 to f9d a rem$y effectively to clean ! inte/9al tract4 ,pills1 p[d]s1 tablets1 waf]s1 suppositories1 salts1 teas1 c&ies1 & syrups h be5 adm9i/]$--all ) t sole purpose4 ,ef=ts h be5 made to accompli% ?is object by utiliz+ e possible device & contrivance kn[n to human +5uity4 ,cali/h5ics1 massage1 physical-culture ex]cise1 m5tal !rapy1 horseback rid+1 8diet+10 fa/+--^! are "s ( ! _m means resort$ to 9 ord] to 8/]ilize0 ! f\l1 con/ipat$ inte/9al canal4 ,albeit t ! clean+ ( ! dige/ive app>atus 9 ! case ( a sick p]son is reg>d$ z a necess>y fir/ help ! _w ov]1 few p]sons realize t x is ( equal importance 9 ! case ( a seem+ly heal?y p]son4 ,is x n a fair inf]5ce1 !re=e1 t :]e a purgative--su* z calomel1 or "o ( ! innum]able simil>ly-act+ m$ic9es--tempor>ily relieves a pati5t's symptoms1 ! timely precaution ( keep+ ! inte/9al canal & sy/em clean w\ld prev5t a p]son f gett+ ill8 ,! read] may ?9k t1 9 ^! obs]vations1 ,i h w&]$ away f my text1 b1 z uric acid is ! symptom ( a comb9ation & complication ( disord]s ( :i* con/ipation is ! second>y cause1 ! connection & sequ5ce ( my rem>ks are evid5t4 ,x is safe = a layman to assume t1 :]e s _m div]se s*emes are employ$ to relieve symptoms1 ! diagnosis is wrong--also ! treatm5t4 ,a few ( ! _m prim>y symptoms ( proctitis & colitis are con/ipation1 di>rhea1 indige/ion1 bili\sness1 flatul5cy1 putrefaction1 & gase\s & bact]ial poisons--a f\l ga/ro-inte/9al canal1 ?r\gh :i* !re are daily absorb$ f ! b[els two-?irds to ?ree-f\r?s ( ! excrem5titi\s matt] into ! sy/em4 ,) ^! facts be=e u we ne$ n be a/oni%$ at ! /atem5t t n9e-t5?s ( human ills h _! orig9 9 ! dige/ive app>atus4 ,among ! second>y symptoms ( proctitis & colitis is poison$ blood--anemia1 :i* is usually foll[$ by impair$ nutrition & emaciation or obesity4 ,along ) ! *anges 9 ! blood & nutrition !re occurs lodgm5t or deposit ( salts1 acids1 etc41 9 ! v>i\s organs & tissues ( ! body4 ,almo/ e "o is famili> ) g\ty deposits 9 ! f+] jo9ts & o!r jo9ts ( ! body4 ,if ! deposits occur 9 ! muscul> tissue x is call$ rheumatism4 ,if 9 ! ur9>y organs we h gravel1 ,bright's disease1 diabetes1 cy/itis1 irritation ( ! neck ( ! bladd]1 frequ5t calls to ur9ate2 & ! ur9e1 scanty & high-color$1 on cool+ reveals a cry/all9e deposit4 ,! pr9cipal m9]al sub/ances ( ! ur9e are z foll[s--( :i* "o or m may become poison\s3 *loride ( potassium1 *loride ( calcium1 *loride ( magnesium1 *loride ( sodium1 sulphate ( potassium1 sulphate ( soda1 sulphate ( magnesia1 phosphate ( soda1 & phosphate ( potassium4 ,! liv] gets its %>e ( ! f\l sub/ances g5]at$ 9 ! inte/9al canal1 :i* cause conge/ion ( ! organ4 ,toxic bili>y salts & acids are pres5t4 ,! deposit may =m gall-/ones1 & jaundice & _m o!r annoy+ symptoms may occur4 ,! sy/em is simply a filt]1 or blott]1 t lets ! poison\s cont5ts ( ! inte/9al canal pass ?r\gh & out2 b all ! organs & tissues1 dur+ ! process1 reta9 _m ( ! =eign toxic sub/ances1 :i* ov]tax 7& frequ5tly de/roy7 _! functions ) "w t ,nature nev] int5d$ !y %\ld d4 ,?9k ( x--all ! organs & tissues ar\nd ! inte/9al canal s]v+ z fecal v5ts6 ,deposits cause irritation ( n]ve c5t]s & n]ve cells precisely z 9 fibr\s & c>tilag9\s tissues2 & we speak ( ! symptoms z sp9al irritation1 hy/]ia1 *orea1 lumbago1 sciatica1 n]v\s t5sion1 heada*e1 irritability1 despond5cy1 melan*olia1 insomnia1 dem5tia1 etc4 ,f ! di/urbance ( ! volunt>y & involunt>y n]ves we h irregul> circulation ( ! blood f di/urb$ he>t action1 cold h&s & feet1 & flu%+ ( ! face alt]nat+ ) pallor1 v]tigo1 & dizz9ess4 ,! capill>y circulation becomes ob/ruct$ ) cry/alliz$ bodies1 z *unks ( ice ob/ruct a /ream ( wat]4 ,cat>rhal inflammation ( ! muc\s membrane is set up 9 v>i\s p>ts ( ! body by ! deposits 9 ! membrane & ! abnormal means ( _! elim9ation ?r\gh x4 ,! sk9 ( ! body1 :i* is ! muc\s membrane turn$ outw>d1 suff]s likewise f diseases hav+ num]\s names4 ,doctors h always express$ a poor op9ion ( ! liv] because x did n keep ! b[els sweet & clean1 & !y mi/ak5ly ?\gh hone/ly call$ x 8! lazy liv]10 8! torpid liv]10 8hepatic insuffici5cy10 8atony ( ! liv]10 8sluggi% liv]10 8hepatic torpor10 8fatty liv]10 etc42 & ! poor victim ( proctitis & colitis 0 glad he _h consult$ ! doctor & le>n$ 8j ! cause0 ( 8 int]nal tr\bles--& c\ld suff] on m reconcil$ to 8 malady s9ce he knew its exact "n & c\ld cont9ue to take ) regul>ity "o or m ( ! _m p[]ful liv] excit]s1 to /imulate activity 9 ! liv] & b[els once e day or two1 if possible4 ,by "s /range psy*ological or o!r influ5ce ( late ye>s1 h[ev]1 physicians h turn$ _! att5tion to ! 8lazy kidneys10 & n[ x is difficult to decide :i* !y are purg+ ! mo/--! liv] or ! kidneys4 ,at any rate1 !y bo? mu/ be viol5tly excit$ at ! same "t1 & we he> 8li?ia0 m5tion$1 or 8laxative salts ( li?ia10 e "t uric acid is ?\ght (4 ,/imulate ! lazy liv] & kidneys1 & ) abundant salts dissolve out ( ! tissues & blood ! precipitat$ deposits2 ?is is ! fa%ion ( ! times4 ,diagnosis wrong & treatm5t h>mful6 ,wat] is by f> ! be/ ag5t to dissolve salt comp\nds1 to dilute acids1 or to remove fil?4 ,x is also ! be/ means ( soo?+ & reliev+ ! long irritat$ & inflam$ tissues & organs1 t h _h f two-?irds to ?ree-f\r?s ( ! daily fecal mass ?ru/ ^u !m & collect$ 9 !m1 :5 !y are call$ torpid1 lazy1 & :ipp$ up unm]cifully by bile & ur9e b\nc]s4 ,we ourselves w\ld be v torpid1 sluggi%1 or 8lazy0 if call$ ^u to d ! "w ( two p]sons "u su* emb>rass+ physiological circum/ances z be+ fill$ ) toxic sub/ances1 or ?or\ghly auto-intoxicat$4 ,:5 w common s5se take ! place ( !ories f\nd$ on guesswork1 & "s ?or\gh wa%+ out by pla9 or di/ill$ wat] be done1 int]nally z well z ext]nally8 ,aft] su* an op]ation "s specific rem$y may be tak51 if dem&$1 ) ! c]ta9ty ( p]man5t good result+4 ,b rememb]1 y\r aque\s body1 held 9 its =m by ! sk9 & muc\s membrane1 ne$s a well-nigh con/ant /ream ( pure wat] fl[+ ?r\gh x to keep x fre% & clean4 ,! diagno/ic error ( mi/ak+ effect = cause1 h[ev]1 is frequ5tly made4 ,pati5ts are treat$ = "o ( ! second>y symptoms--say uric acid--) a view to abate t disord] & re/ore heal?1 :5 treatm5t = ! specific cause ( con/ipation--proctitis 7inflammation ( ! anus & rectum7--w\ld re/ore ! pati5t to 8 normal vigor4 ,pale1 anemic suff]]s f con/ipation are (t5 told t ! re/oration ( _! blood to its normal /ate w effect a complete cure4 ,no idea c\ld be fur!r amiss1 = if ! poison$ victims take coal oil1 fi% oil1 malt comp\nds1 iron1 etc41 z tonics1 into a disord]$ /oma* & unclean b[els1 h[ c any?+ m ?an imag9>y relief be obta9$8 ,is x n evid5t t ! *ief disord]1 proctitis1 ! ma9 cause ( ! tr\ble1 has 9 no way be5 rea*$8 ,9 o!r complications aris+ f con/ipation1 a favorite diagnosis is "o ( ! second>y symptoms--8atony0 ( ! b[els1 liv]1 or kidneys4 ,9 ^! cases nux vomica & v>i\s poison\s comp\nds are giv51 b "h also x /&s to reason t ! adm9i/]+ ( rem$ies = symptoms _c effect a cure ( a *ronic local disease ( ! anus1 rectum1 or colon4 ,!n1 aga91 by way ( v>iety1 a diagnosis ( 8uric acid0 is made = :i* irritant drugs are adm9i/]$ to increase ! elim9at+ or excretory action ( ! b[els & kidneys4 ,x is utt] folly & absurdity to attempt ! cleans+ ( ! inte/9al tract by laxatives1 ca?>tics1 purgatives1 ex]cise1 etc41 & to make ! kidneys & liv]1 ov]tax$ f f\l b[el products1 d /ill m "w by giv+ m$ic9es to increase ! ur9al & bili>y secretions4 ,x does n require a k ( ! pr9ciples ( physiology & pa?ology to "k t no suff]] f *ronic con/ipation c be p]man5tly b5efit$ if any or all ( ! second>y symptoms already not$ be treat$ ) ! usual li/ ( drugs & ! cause ignor$4 ,mu* /ress is laid ^u ! quantity & quality ( food consum$ by mo/ p1 & _m g5]aliz]s attribute *ronic con/ipation1 uric acid1 etc41 to ?is v ?+4 ,surely ! av]age p]son kn[s t too mu* or too little food tak5 at regul> int]vals is n conducive to good heal?--a view t ,i h f\nd borne out by a l>ge majority ( my pati5ts1 :o r>ely ov]/epp$ ! limits & knew :5 a dim9ution 9 ! supply ( n\ri%m5t 0 advisable4 ,9 ! la/ analysis1 ! pr9cipal cause ( ill heal? is lack ( elim9ation ( ! excretory organs4 ,:5 ! b[els fail to d _! prop] "w1 ! functions ( ! o!r organs ( ! body become correspond+ly affect$ & impair$1 & g5]al debility ensues4 ,9 previ\s *apt]s1 also 9 my book1 ,inte/9al ,ills1 ,i h made pla9 ! causes contribut+ to *ronic con/ipation & ! use ( enemas & _! orig94 ,preh5sion & elim9ation are two subjects t are vital to ! welf>e ( man4 ,if ! elim9at+ p[] ( ! inte/9al canal is normally active1 ! =tunate individual may eat abundantly1 or really 9 excess ( ! requirem5ts ( ! sy/em1 & /ill escape any ill effects1 su* z indige/ion1 bili\sness1 acid 9 ! ur9e1 etc4 ,! he>ty consum] ( food ^: b[els elim9ate prop]ly may suff] a loss ( appetite1 b x w n be accompani$ ) f\lness ( ! dige/ive app>atus4 ,:5 all ! organs ( ! body p]=m _! functions 9 a normal mann]1 no "p ( ! /ructure is 9 imm$iate ne$ ( repair4 ,e organ ^: function consi/s 9 build+ tissues1 muscles1 or "s o!r "p ( ! body1 hav+ a suffici5t supply ( res]ve nutrim5t on h&1 makes kn[n ?is /ate ?r\gh\t ! organism2 h5ce !re is no crav+ = food1 no appetite1 al?\gh ! tongue1 /oma*1 & inte/9es are 9 a normal condition4 ,9 ?is /ate ( surplus ( n\ri%m5t ! p]son may omit a few meals or p>take sp>+ly until ! exp5diture is equal to ! income4 ,b su* physiological happ9ess is n = ! p]son ^: inte/9al canal & sy/em are clogg$ & f\l f undue ret5tion ( excrem5titi\s mat]ial1 caus+ no desire = food1 :ile all ! atomic build]s ( ! body are want+ n\ri%m5t & prote/+ ?r\gh ! n]v\s sy/em aga9/ _! impov]i%$ condition4 ,suff]]s f self-poison+1 z describ$ 9 ?is *apt]1 %\ld irrigate ! sy/em ?or\ghly by frequ5t dr9k+ & by copi\s injections ( wat] into ! b[els4 ,! action ( ! enema if prop]ly giv5 & ! dr9k+ ( wat] t is pure or di/ill$ increase ! quantity ( ur9e & dim9i% ! r5al conge/ion1 :ile increas+ ! elim9ative action ( ! sk94 ,irrigation ( ! b[els = fifty m9utes or m ) hot wat] 7#abj to #abe degrees7 increases ! action ( ! kidneys4 ,hot irrigation 7#abe to #ace degrees7 is especially recomm5d$ to increase ! dis*>ge ( ur9e & ! action ( ! sk91 & %\ld be cont9u$ = sixty m9utes or m4 ,! ,inte/9al ,recurr5t ,d\*e1 describ$ 9 a subsequ5t *apt]1 is an excell5t in/rum5t = ! employm5t ( hot wat] to produce diuresis & diaphoresis4 ,! ,*emung ,spr+ ,wat] & ,clynta ,d\ble-,di/ill$ ,wat]1 sold 9 ,new ,york1 are excell5t dr9k+ wat]s & c be obta9$ at a mod]ate price4 ,,*apt] ,,xvi4 ,,rational ,,sanitation ,,& ,,hygi5e4 ,we1 all ( u1 l to use ?+s2 indulg5ce is enjoyable1 b x g5]ally ends ) ! day4 ,few ( u 8take ?\ght ( ! morr[40 ,neglect+1 z we d1 ! in/rum5ts ( use1 _! availability = p]man5t subs]vi5ce to our wants /eadily dim9i%es1 becom+ f9ally lo/4 ,is x t we d n "k any bett]1 or is x t we are really s intoxicat$ ) ! ,pres5t t we simply ignore ! well-kn[n claims ( ! ,p]man5t8 ,:atev] ! explanation may be1 x is nev]!less pass+ /range t little or no c>e is be/[$ on ei!r our ext]nal or int]nal s]vitors1 in/rum5ts1 or organs1 :i* o!rwise are ev] ready to keep u well fill$ ) ! pure w9e ( joy4 ,p]haps x is t _m ( u f9d ,nature s lavi% 9 supply+ u ) ! means ( joy t we are naturally equally lavi% 9 wa/+ !m4 ,true economy--t is1 ! cons]v+ ( means = _! effective use--is yet to be le>n$ by man4 ,especially is ?is ! case ) our int]ior means1 our fle%1 blood1 n]ves1 vital =ce1 etc4 ,nature seems s ready to rec\p & r5ew ! organic loss incurr$ by our use or indulg5ce--recup]ation seems s easy--t we simply gr[ c>eless1 reckless1 prodigal1 & be=e we are fairly aw>e ( x ! dis9tegrative process ga9s an asc5d5cy ov] ! re/orative1 & !nce=w>d our "t w be sp5t 9 endeavor+ to cure :at might h be5 kept :ole or well4 ,nor is x an organ ( ! body "h & !re t we neglect or abuse2 x is m especially ! entire sy/em ( organs call$ 8! body40 ,! body is ! organ ( man's _s4 ,we give no he$ to its tones2 p]haps we h nev] caught its rhy?m2 c]ta9 x is t :5 b a %ort "t 9 our p]v]t$ h&s its *ords are m or less jangl$1 & a m9or "p is play$ 9 ! gr& symphony ( life4 ,! organ ( man's _s6 ,h[ rational1 nay1 h[ necess>y1 x w\ld seem to be to keep t in/rum5t key$ to its p]fect "w6 ,b ! ord9>y d5iz5 ( civilization has a mo/ ridicul\s ideal ( physical capability1 namely1 t ! savage--a be+ altoge!r 8physical0--0 able to reta9 a heal?y body till ripe old age )\t att5tion ei!r to sanit>y surr\nd+s or to ! hygi5ic function+ ( 8 sy/em ( organs4 ,! 8civilizee's0 fancy picture ( ! noble savage is n bas$ ^u v]ifiable fact4 ,x is true t we h a few attractive my?s conc]n+ savages t _h surviv$ appall+ h>d%ip2 b we are j le>n+ ( ! innum]able ho/ t h p]i%$ p]iodically ( v>i\s contagi\s diseases1 & ( ! c\ntless numb] 7infants1 y\?s1 & adults7 t h suff]$ f all sorts ( ailm5ts4 ,alas6 h[ little we "k--or1 = t matt]1 h[ little we seem to c>e--( ! great multitude ( 8civiliz$0 fell[-creatures ^: lives are all jangl$ & out ( tune ?r\gh subjection to ! _m ills t fle% seems heir to2 ills t h aris5 ?r\gh ei!r ignorance or ! volunt>y ignor+ ( ! light ( accessible k6 ,9 ano!r aspect ! human race is l an army t conc]ns itself ) its imm$iate & imp]ative duties & has no "t or ?\ght to be/[ on ^? t fall out ( ! ranks4 ,b slaves to /]n duty (f5d aga9/ ,nature's normality z d slaves to desire2 & ! =m] little suspect t _! retirem5t also is ne> at h&4 ,9 heal? we seldom or nev] ?9k ( ! conditions = ! ma9t5ance ( heal?4 ,t ^! conditions %\ld receive our prime att5tion is obvi\s :5 we contemplate = a mom5t 7#a7 our race ( invalids1 & 7#b7 ! gr[+ unsanit>y condition ( mod]n indu/rialism1 involv+1 z indu/rialism p]=ce mu/1 ! unsanit>y life ( ! factory1 work%op1 (fice1 & ho?\se home4 ,aga91 ) ! advance ( high-pressure civilization & culture human be+s are develop+ a m highly s5sitive physical organism1 pit*$ to f9] issues4 ,h[ urg5t ! necessity = a great] safegu>d+ ( t organism6 ,if x be claim$ t _m ( u d live up to our k ( heal? conditions1 & t we are not)/&+ unwell1 ,i w\ld answ] t our k n[ is v disconnect$1 & t :5 ! "t %all come t our itemi/ic in=mation %all h coalesc$ & =m$ a sy/em ( pr9ciples1 we w !n h tru/wor?y rules = ! acquisition ( heal? habits & become completely normal physical be+s4 ,at pres5t mo/ ( u are intemp]ate 9 "o or m ways4 ,we eat too mu* or too little--too ri* or too poor food4 ,s x is ) our dr9k+1 our sleep+1 our sport+1 our enjoym5t ( ?is or t excitem5t--! quantity or ! quality ( ea* ( ^! is n well adapt$ or proportion$ to ! conditions ( normality4 ,let me (f] ! heal?-seek] a few indications ( ! sanit>y & hygi5ic requirem5ts dem&$ by ,nature's normality4 ,9 our family & h\sehold life1 to c>ry into execution daily hygi5ic measures1 x is ess5tial t we h ample1 accessible conv5i5ces = ! necess>y ablution ( ! body1 ext]nally & int]nally4 ,h[ extremely r>e x is1 h[ev]1 t ba?-tubs & wat]-closets are f\nd 9 suffici5t quantity & suitable quality 9 our ap>tm5ts4 ,z h\sehold fixtures !y are usually ab\t z sc>ce z h5s' tee?4 ,9 ,new ,york ,city a h\se ) f eight to sixte5 p]sons is re/rict$ to ! use ( "o wat]-closet & "o ba?-tub4 ,on ^! 7& a laundry & s]vants' privy 9 ! basem5t7 !re is ! tax ( t5 doll>s a ye>4 ,n[1 %\ld t r>e human product1 an enlight5$ & humane own]1 put 9 eight m ba?-tubs & wat]-closets = ! prop] accommodation ( 8 sixte5 gue/s1 s t ea* suite ( sleep+ ap>tm5ts %\ld h its appropriate conv5i5ces1 he w\ld h to pay an additional tax ( =ty doll>s a ye>4 ,is ?is tax levi$ ) ! connivance ( ! ,bo>d ( ,heal?8 ,x w\ld seem s1 s9ce no prote/ f t augu/ body has ev] be5 he>d )9 ! memory ( ! olde/ inhabitant4 ,inde$1 ! suspicion is n at all unw>rant$ t if ! masses 7 less con/ipat$ & bett] wa%$ !y w\ld h less use = ! doctors1 & t1 !re=e1 x is n well to enc\rage undue sanitation & hygi5e4 ,x mu/ be1 too1 t ! ,dep>tm5t ( ,wat] ,supply has figur$ x out q beautifully t a sav+ w be insur$ 9 ! am\nt ( wat] consum$ by sixte5 p]sons if !y be re/rict$ to "o ba?-tub & "o wat]-closet2 o!rwise =ty doll>s a ye> w\ld n be *>g$ = eight additional tubs & closets = ! use ( ! same numb] ( p]sons4 ,li/5 to a sample ( _! logic3 8,sixte5 p]sons ) eight additional ba?-tubs & wat]-closets w\ld use m wat] ?an if !y 7 re/rict$ to "o ( ea*--h5ce ! additional tax4 ,we don't c>e a cont95tal :e!r ^! human be+s are clean ext]nally or int]nally2 t's n our look\t4 ,b we d c>e t !y %\ldn't use m wat] ?an j s mu*1 see60 ,& does ! augu/ ,bo>d ( ,heal? raise ! lea/ objection to ?is sort ( logic8 ,none :atev]4 ,pr(essor ,c4 ,s4 ,smi? /ates t1 out ( #bee1jjj families 9 t5em5t-h\ses 9 ! city ( ,new ,york1 only #cjf _h access to ba?-tubs 9 _! own homes 9 #ahid4 ,9 #ahig "o city block conta9+ #ijd families did n h a s+le ba?-tub4 ,p>adoxical z x may seem1 !re is1 not)/&+ ! appropriation e ye> = ! ,new ,york ,city ,bo>d ( ,heal? ( ov] "o million doll>s1 a prohibitive tax on ba?-tubs & wat]-closets--t is1 on cleanl9ess--prohibitive on all homes except ^? ( ! weal?y4 ,is x to be wond]$ at t contagi\s diseases are preval5t1 especially dur+ ! w9t] mon?s1 & t we h s _m acute & *ronic maladies8 ,let me make a sugge/ion "h = ! s]i\s consid]ation ( our city fa!rs3 ,r$uce ! appropriation = ! ,bo>d ( ,heal? to two hundr$ ?\s& & give ! o!r eight hundr$ ?\s& to ! ,dep>tm5t ( ,wat] ,supply1 s z to aboli% ! tax on wat]-closets & ba?-tubs4 ,if e citiz5 ( ,new ,york c\ld h all ! wat] he ne$$ = cleanl9ess & com=t1 !re w\ld be little excuse = ! exi/5ce ( su* a body z ! ,bo>d ( ,heal?2 its exi/5ce w\ld !n be m honorable ?an on]\s4 ,fur!rmore1 ! city1 z a corporate body1 %\ld manufacture ba?-tubs & wat]-closets1 & furni% !m at co/4 ,?us w\ld x insure a great /ride t[>d ! heal? ( its own citiz5s4 ,:5 ! disease-produc+ microbe becomes sc>ce1 ! occupation ( ! ,heal? ,bo>d pa?ologi/ w be gone4 ,hold6 ,c\ld he n devote 8 "t pr(itably to /udy+ ! habits ( heal?-produc+ microbes--= !re are su*8 ,microbes are absolutely necess>y = high] =ms ( exi/5ce1 x be+ n[ well kn[n t "s microbes are de/ructive or pa?ological & t o!rs are con/ructive or physiological4 ,is x n mu* wis] to sp5d our millions ( doll>s = ! prev5tion ( disease ?an = qu>ant9+ x8 ,induc+1 & ev5 compell+1 p to be clean is a f> bett] policy ?an to compel !m to be vacc9at$4 ,n[1 we pay ! ,bo>d ( ,heal? _m ?\s&s ( doll>s a ye> simply = mak+ cultures ( disease-produc+ bact]ia s t antidotes may be f\nd4 ,! pictures & hi/ory ( ^! bact]ia are publi%$ 9 _m l>ge volumes1 co/+ ! city sev]al hundr$ ?\s& doll>s a ye>4 ,sci5tific z ?is practice und\bt$ly is1 x is v exp5sive--& ne$less4 ,e ye> ?\s&s ( *ildr5 & invalids ( ,new ,york receive improp] n\ri%m5t1 or are made positively sick1 on milk t is ei!r f\l1 /ale1 or ready to s\r2 & e summ] ?\s&s ( *ildr5 die f compla9ts traceable to ?is s\rce4 ,swill milk is "o ( ! great g5]ators ( disease-produc+ g]ms to :i* all sorts ( 8compla9ts0 are due4 ,does ! ,bo>d ( ,heal? c>e a fig = ! g5]ator8 ,no2 ! ,bo>d is absorb$ 9 wat*+ ! antics ( ! g]ms6 ,mighty intellects are se>*+ = malignant1 multitud9\s mites4 ,yet !re are j a few mites ( common s5se 9 exi/5ce1 :i* if enc\rag$ w bre$ q z fa/ z ! s9i/] ones4 ,inde$1 !re mu/ be "o or two at "w 9 myself1 = ,i seem to be urg$ to say t if our ,city & ,/ate ,bo>ds ( ,heal? %\ld see to x t our c[s are kept clean & heal?y1 our milk clean & pure1 our cans clean & well sc\r$1 & our %ops & ice-boxes clean & free f odor1 !re w\ld be no occasion = g]m cultures ( diseases br\ght on by swill milk4 ,our milk example w illu/rate :at g]ms ( common s5se w\ld d to w>d (f all k9ds ( disease-produc+ micro-organisms4 ,rigor\s regulations1 well en=c$1 z indicat$ above1 w\ld "w 9 o!r l9es z well4 ,& :5 ! s\rce is gone s9i/] microbes w n come into exi/5ce1 & diseases t h result$ f su* microbes w h gone into innocu\s desuetude4 ,!re %\ld be a ba?-tub & a wat]-closet 9 e suite ( sleep+ ap>tm5ts4 ,:5 ?is is ! case1 !re w be a l>g] numb] ( p]sons clean int]nally & ext]nally1 & ! doctors w be on a hunt = heal?-produc+ g]ms in/ead ( disease-produc+ ones4 ,let u />t an organiz$ movem5t 9 ?is direction4 ,la/ summ] ,m$ical ,sci5ce w5t ab\t kill+ mosquitoes on ,/at5 ,isl& ) a little spray+ app>atus1 & manag$ to di/urb ! pe/ = a day or two f its cu/om>y biv\ac4 ,*ri/ian ,sci5ce /ood alo( & smil$ sup]cili\sly1 claim+ t 8!re ar5't any su* ?+s z mosquitoes2 b if !y %\ld prove to exi/1 !re isn't any mal>ia anyh[40 ,good s5se might h sugge/$ to ,m$icus ! dra9+ ( ! ponds = g>d5+ purposes2 &1 if t 7 n possible1 ! fill+ 9 ( ! edges & ! mak+ ( deep-wat] lakes = ! sport-lov+ y\?1 :o might be dep5d$ on to keep ! wat] /irr$ up by boat+1 etc41 free ( *>ge1 & ?us conv]t a pe/ pond into a pleasure lake4 ,pleasure & cleanl9ess are tax$ to-day = disease & pe/s4 ,oh1 human imbecility6 ,z to public ba?s1 !re are s _m objections to !m t ,i _c t\* on ! subject 9 ?is *apt]4 ,b let me impress ^u ! heal?-seek]1 ! public-spirit$ citiz51 & our city (ficials t :at we urg5tly ne$ are ample conv5i5ces 9 our homes = int]nal & ext]nal cleanl9ess--conv5i5ces easily accessible sev]al times a day1 e day ( ! ye>4 ,,*apt] ,,xvii4 ,,p]sonal ,,cleanl9ess4 ,at ! close ( my la/ *apt] ,i ref]r$ to ! ev]-recurr+ problem ( public ba?s4 ,annually its agitation is r5ew$ 9 lectures & newspap]s2 public ba?+ is vot$ )\t disagreem5t ! ?+ ( ?+s ne$ful to r5d] ! laity--i4 e41 ! labor population--physically pure4 ,x is ! long-felt want2 b1 l ! long$-= walk ( ! annual ,sunday-s*ool p>ade1 x is soon done & gone4 ,/ill1 we mu/ h pati5ce ) ^? de> s\ls1 our e?ical tea*]s ( ! press & plat=m1 = tak+ su* a deep1 s5tim5tal1 ?\gh unsci5tific1 int]e/ 9 ! welf>e ( ! unclean4 ,ow+ to ! non-exi/5ce ( home facilities = cleanl9ess among ! work+ class1 ! accumulations ( soil & exudation dur+ ! long fall1 w9t]1 & spr+ mon?s are s great t _! bodies become too rank & malodor\s = ! no/rils ( ! ref9$4 ,consequ5tly1 z all animals seek ! tepid wat] ( ! summ]1 & z man is no exception to a capacity = lav+ 9 ! circumambi5t fluid1 to ?ree-f\r?s ( ! population ( ?is metropolis x mu/ be a glori\s p]5nial treat to dip 9 ! riv]1 bay1 or sea2 & x mu/ inde$ be a dire necessity to ^? t h manag$ to survive contagi\s & o!r diseases dur+ _! long immurem5t4 ,)\t ?is summ] cleans+ few animals1 be/ial or human1 w\ld run half _! av]age c>e]s4 ,x is accord+ly n /range t dur+ ! summ] a ba? 9 op5 wat] is a daily hygi5ic necessity & s\rce ( joy to ?\s&s ( creatures4 ,n[1 x is j because godl9ess appe>s 9 ! wake ( cleanl9ess t ,i made s /rong a plea 9 my la/ *apt] = ample ba?-tubs & wat]-closets4 ,= ,i d n approve1 nay1 ,i emphatically condemn1 ! sy/em ( public ba?s along ! %ores ( our riv]s & bay4 ,_! wat]s are contam9at$ by num]\s sew]s1 & ba!rs h contract$ _m contagi\s diseases t h become epidemic 9 neighborhoods4 ,note especially ! annoy+ eye tr\bles t foll[ 9 ! wake ( su* ba?+4 ,( c\rse1 ! sport & ex]cise involv$ 9 op5-wat] ba?+ are highly comm5dable2 b ! dang] ( contract+ contagi\s disease1 & ! outrage ( ! s5se ( ref9em5t :5 contemplat+ fell[-creatures 9 ! act ( /irr+ up pollut$ wat]s1 %\ld call a halt to our enc\ragem5t ( public ba?+ 9 & ar\nd our metropolitan wat] fronts4 ,^! wat]s are surely any?+ b a means ( cleanl9ess4 ,! wat]-closet1 h[ev]1 is ( f> great] importance ?an ! ba?-tub1 & especially ?an ! public wat]-gymnasium--:i* la/ is s mu* laud$ by "s ( our misguid$ philan?ropi/s4 ,inte/9al f\lness1 z a prolific s\rce ( disease1 is ( f> m s]i\s importance ?an surface f\lness4 ,h[ev]1 bo? ! ba?-tub & ! wat]-closet are indisp5sable to e suite ( rooms4 ,ano!r ne$ imp]atively dem&$ by ! exig5cies ( city life is ! e/abli%m5t ( public wat]-closets at sev]al ?\s& conv5i5t c5t]s ?r\gh\t ?is great city4 ,at pres5t ! male population1 :5 away f _! resid5ces1 are oblig$ to make use ( a ne>-by saloon--a mo/ unc]ta9 resort1 & "o 9 :i* c\rtesy w g5]ally con/ra9 !m to imbibe intoxicants nol5s vol5s4 ,! female population h n ev5 ! saloon z a resort1 & c relieve !mselves only :5 9 ! vic9ity ( dep>tm5t /ores4 ,am]ican ent]prise c improve 9 _m respects on ! sev]al ,european models ( public-relief /ations4 ,! public is becom+ consci\s ( its ne$s & rights 9 ?is respect2 & "o ( ! sanit>y evolutions ( city life--conge/$ z x is--w be ample & cleanly public accommodations = inte/9al relief4 ,am]icans 9 g5]al suff] f dyspepsia1 bili\sness1 con/ipation1 uric acid1 etc4--all ( :i* disord]s are symptoms ( t _w-wide disease1 proctitis3 inflammation ( ! anus1 rectum1 & (t5 ! colon4 ,nor is x any wond] t unwa%$ humanity suff]s f proctitis & its consequ5ces4 ,! unwa%$ h no ba?-tubs & practically no wat]-closets4 ,?is lack is due to ! tax on wat] facilities1 to exp5sive plumb+1 & to too mu* 8sci5ce0 & n en\gh common s5se among our city fa!rs4 ,z a consequ5ce ( ignorance & inconv5i5ce1 mo/ p defecate b once 9 tw5ty-f\r h\rs2 & v _m b once 9 two or ?ree days or a week4 ,! once-a-day /ool is frequ5tly scanty1 & z a consequ5ce ! kidneys1 lungs1 & sk9 are call$ ^u to p]=m ! vic>i\s function ( elim9at+ a portion ( ! daily excrem5t2 & ! colon & sigmoid flexure h to hold ! /or$ cont5ts unduly--until ! feces be expell$ by purgatives or by ! irritation t ! accumulat$ mass occasions4 ,c\ld ! memb]s ( ! ,bo>d ( ,heal? & ! p at l>ge be br\ght to a realiz+ s5se ( ! value ( p]sonal cleanl9ess1--int]nal z well z ext]nal1--ba?-tubs & wat]-closets w\ld ab\nd 9 our homes4 ,man's habits z to eat+1 dr9k+1 dress+1 ba?+1 & especially z to defecat+1 are clues to 8 gr[? 9 ref9em5t4 ,b we mu/ bew>e ( judg+ a p]son by "o or two good or bad habits2 he %\ld be e/imat$ by ! sum ( 8 habits & _! peculi> comb9ation4 ,ref9$ habits are n all ( !m acquir$ at once2 !y develop sl[ly1 "o aft] ano!r1 :5 opportunities are favorable1 especially ! habits z to ba?+ & defecat+4 ,opportunities = ^! latt] are w(ully lack+ at pres5t--! cause & consequ5ces ( :i* lack are po9t$ out 9 ! la/ *apt]4 ,a *ild w d]ive f> m good f a ready access to ba?-tub & wat]-closet ?an f a lifelong att5dance at ,sunday-s*ool & *ur* ) ! temple ( ! human s\l p]man5tly unclean4 ,only "o t has le>n$ to respect & c>e = ! abode ( ! s\l--! body--is wor?y ( be+ class$ among ! ref9$4 ,x is truly deplorable t ! great majority ( ! human race are creatures ( ! mom5t or ! h\r1 tol]ators ( abnormal function+1 sl[ suicides ( vital capacities4 ,claims ( ! p]man5t are con/antly ignor$2 mo/ ( u are bl9d to ! joy involv$ 9 ! h>moni\s function+ ( all ! organs--a function+ t always ensues ^u hygi5ic c>e4 ,our organs w = a "t be> neglect or unhygi5ic conditions )\t prote/+ _! annoyance4 ,_m p]sons nev] use hot wat] or soap2 o!rs f9d "o ba?1 9 riv] or sea1 q suffici5t = ! ye>2 o!rs1 aga91 feel ! ne$ ( a ba? once or ev5 twice a mon?1 or ev5 once a week4 ,b !re are v few ( u t seem to require a ba? daily4 ,_m1 alas6 h gr[n accu/om$ to a ba?less exi/5ce4 ,h y ev] /ood ne> an ,italian or ,greek /reet v5d]1 or h y ev] be5 )9 five feet ( a l[-class ,poli% ,jew8 ,if s1 ! /5* aris+ f 8 unwa%$ body mu/ h nauseat$ y4 ,x is no secret t su* p]sons nev] wa%--especially ! latt]1 :o live 9 rooms reek+ ) fil?4 ,contemplat+ su* conditions1 ,i feel impell$ to propose a great1 nay1 ! greate/ re=m--"o sugge/$ ye>s ago by ,samuel ,butl] 9 ,ere:on4 ,let u make ,heal? ! great civic virtue1 & ,disease1 z well z unsanit>y & unhygi5ic conditions1 ! crime4 ,our s-call$ crimes ( !ft1 murd]1 =g]y1 etc41 %\ld be treat$ z weaknesses & faults to be correct$ by ,moral ,rectifi]s--by ! prea*]s1 prie/s1 rabbis1 & e?ical culturi/s4 ,consid] h[ mu* is impli$ 9 develop+ & bre$+ a race ( heal?y m5 & wom54 ,all relations ( life w\ld feel ! vital *ange at once1 & moral weaknesses w\ld disappe>4 ,any human cesspool ent]+ a public conveyance1 or 9 any way m+l+ ) cleanly p1 %\ld be arre/$1 ?or\ghly cleans$1 int]nally & ext]nally1 & seque/]$ = a "t suffici5t to tea* him bett]4 ,!re is a local rule ( ! ,bo>d ( ,heal? aga9/ spitt+1 b x is r>ely en=c$4 ,!re are millions ( public expectorations to "o arre/4 ,= ! appe>ance 9 public ( consumptives1 & _! (f5sive hawk+1 c\gh+1 & spitt+1 no "o seems to h sugge/$ a rem$y4 ,all diseases %\ld be classifi$ z to grades ( puni%m5t2 & all moral weaknesses1 su* z defalcations1 adult]y1 burgl>y1 %\ld be treat$ at ! v>i\s hospitals1 :i* latt] %\ld be conduct$ solely by ,moral ,rectifi]s4 ,9 clos+1 ,i %all direct att5tion to a few o!r po9ts 9 p]sonal cleanl9ess--! m\?1 e>1 nose1 & ?roat4 ,x is important on hygi5ic gr\nds t ! m\? receive prop] c>e two or ?ree times daily4 ,! e> is commonly kept clean2 /ill !re are _m in/ances ( non-ref9em5t ( ?is organ1 & f its non-hygi5ic treatm5t deafness (t5 occurs4 ,! preval5t na/y1 ill-br$ habit ( hawk+ & spitt+ 9 public1 or 9 company1 ev5 by g5teel p]sons1 c be cur$ be/ by e>ly tra9+ 9 correct habits4 ,?is habit1 z well z ! evid5ces ( ?roat tr\bles1 is usually to be ascrib$ to inatt5tion to ! nose4 ,:5 cat>rhal conditions are avoid$ or prop]ly treat$ ! ?roat w n be s affect$ z to necessitate ?is repreh5sible practice4 ,tr\ble is invit$ = ! tonsils & s(t palate by our con/ant hawk+2 c]ta9ly ! t5d] s5sibility ( ! ?roat is de/roy$ !reby4 ,inasmu* z ! tobacco habit is s g5]al1 & spitt+ is a necess>y accompanim5t ( t habit1 /r+5t laws aga9/ hawk+ & spitt+ w\ld be unpopul> among ! mascul9e half ( ! race4 ,b %\ld public op9ion ev] become educat$ up to ! po9t 9 :i* disease becomes a crime1 opposition w\ld cease4 ,?is consummation is dev\tly to be wi%$1 = !n we w h adopt$ & foll[$ ,+]soll's injunction to 8make heal? cat*+1 n disease40 ,,*apt] ,,xviii4 ,,hot ,,wat] ,,9 ,,! ,,treatm5t ,,( ,,proctitis ,,& ,,colitis4 ,9 treat+ *ronic ulc]ative inflammation ( ! anus1 rectum1 sigmoid flexure1 etc41 x is well to take advantage ( e really practical device to :i* "o may h access1 s t valuable "t may be sav$ 9 obta9+ relief & effect+ a cure4 ,! capill>ies1 ve9s1 art]ies1 & art]ioles 9 an inflam$ organ become di/5d$ & ! tissues swoll51 indurat$1 & t5se by ! excess ( blood & ! inflammatory s]um deposit$ 9 ! tissues4 ,! vasomotor n]ves 9 ! diseas$ "p h lo/ _! contractile p[]1 :i* fact increases ! /asis1 or conge/ion1 ( ! blood4 ,circulation 9 diseas$ tissue dep5ds v mu* on ! g5]al tone ( ! sy/em1 & if ! circulation is bel[ ! normal ! ravage ( ! malady is increas$ proportionally4 ,h y ev] obs]v$ a little /ream ( wat] ent] a l>ge pond 9 :i* 7 grass1 %rubb]y1 logs1 decay+ vegetation1 & dbris ( all sorts--! accumulation ( ye>s8 ,& h y notic$ t "h & !re !re 7 /agnant pools1 )\t a p]ceptible motion f :]e y /ood1 b t z y rea*$ ! side opposite to ! entrance "s fa9t traces ( motion became visible1 & t z y foll[$ ! l9e x soon =m$ into a /ream q equal to ! infl[8 ,! pure wat]1 on ent]+ & m+l+ ) ! /agnant wat] & old deposits1 soon becomes corrupt$ & f\l4 ,some:at simil> unhygi5ic & toxic results take place 9 ponds ( /agnant blood & abnormal deposits su* z proctitis & colitis involve1 & :]e1 = six or eight in*es or m ( ! l>ge inte/9e1 inflammation is deeply seat$1 & blood /asis is ( c\rse 9 full sw+4 ,z ! dbris 9 a /agnant pond decays1 mak+ ! wat] impure1 s 9 an inflam$ organ ! tissues decay1 mak+ ! blood impure4 ,ulc]ation is an exhibition ( ?is process ( conge/ion1 induration1 & decay4 ,! rectum & sigmoid flexure are loosely hung 9 ! pelvic space & are surr\nd$ by fatty cu%ions ( connective tissue on all sides1 :i* fact all[s ! organ consid]able dilatation & motion 7,fig4 #e74 ,ow+ to ! anatomical /ructure & ! location ( ! l[] b[el1 x becomes a s]i\s matt] :5 x is invad$ by an ulc]ative inflammatory process--especially :5 all ! lay]s ( tissue =m+ its wall are invad$1 & /ill m s :5 ! connective tissue ar\nd ! organ is 9 ! same condition4 ,f> bett] 7 x = ! victim ( proctitis & p]iproctitis--fill$ z he is ) *annels & res]voirs--if pus 7 to =m 9 abundance at once & ?us betray ! de/ructive action 9 ! spongy areol> or connective tissue1 "u ! muc\s membrane1 ar\nd ! rectum1 & 9 ! tissue =m+ ! anus & buttocks4 ,! pa?ological condition br\ght ab\t by inflammation1 etc41 requires a rem$y t w empty ! ov]-dilat$ vessels & remove ! s]um deposit 9 ! tissues1 :i* is analog\s to ! rubbi% ( a pond4 ,our gr&mo!rs 7 famili> ) ! !rapeutic effects ( heat & moi/ure :5 !y appli$ hot p\ltices con/antly to an inflam$ organ or limb = "o or m h\rs until ! tissues pres5t$ a blan*$1 %rivel$1 & :ite appe>ance2 if !re 7 signs ( ! inflammation return+1 ! p\ltic+ 0 cont9u$ or repeat$4 ,!y knew v well :at ! p>boil$ condition ( a wa%]woman's h&s indicat$ aft] a day's "w 9 hot wat]4 ,!y 7 bloodless1 not)/&+ _! incessant muscul> ex]cise4 ,9 case ( inflammation1 !y reason$1 heat & moi/ure w\ld make ! conge/ion & fev] leave if appli$ long en\gh4 ,on beg9n+ ! use ( ! hot p\ltice1 ! tissues to :i* its heat & moi/ure 7 appli$ became relax$1 & ! p>ts = ! "t m conge/$ ?an be=e2 b our gr&mo!rs did n m9d t1 z ! f9al result w\ld ju/ify _! hydriatic proc$ure4 ,!y well knew t aft] t5 m9utes or m a rev]se action w\ld take place1 & if ! treatm5t 7 cont9u$ long en\gh ! blood-vessels & tissues w\ld %[ little or no evid5ce ( fev] or inflammation4 ,:]e *ronic inflammation exi/s1 ! blood-vessels & tissues lose _! normal tone or vitality2 consequ5tly1 !y w require repeat$ application ( hot wat] z well z o!r aids until a cure %all h be5 effect$4 ,ano!r great advantage 9 ! use ( hot wat] is t its application c be int]rupt$ & resum$ )\t detrim5t to ! diseas$ tissues or organs4 ,cold wat]1 on ! contr>y1 causes ! vessels quickly to contract & expel ! blood1 b1 on reaction tak+ place1 ! tissues become m conge/$ ?an be=e4 ,9 ! use ( wat] at a temp]ature ( #abj to #ace degrees1 or ev5 m1 we h "o ( ! mo/ valuable adjuvants 9 all /ages ( proctitis & colitis1 &1 if a prop]ly regulat$ plan be pursu$ 9 connection ) ! requisite local treatm5t1 m good c ?us be accompli%$ ?an by all o!r means comb9$4 ,! layman is m or less famili> ) ! condition ( a sore or ulc] 9 :i* s(t1 spongy1 or fung\s tissues appe>1 call$ 8pr\d fle%10 :i*1 on an inflam$ muc\s membrane1 is call$ granul> tissue4 ,7 x n = ! usual pres5ce ( granul> tissue on a *ronically inflam$ muc\s membrane & = ulc]at$ sections or pat*es1 *annels1 & /ret*$ or p\*$ muc\s membrane call$ piles1 ! prop] use ( hot wat] alone w\ld 9 "t effect a total cure 9 almo/ e case ( proctitis4 ,_m well-mean+ p]sons conceive ! idea t1 if hot wat] is s b5eficial1 !y may use x z hot z possible = ! purpose ( an enema likewise1 s9ce !y w !reby n only relieve ! b[els ( _! /or$ feces b simultane\sly d ! inflam$ tissues 8a :ole lot ( good40 ,_! _s is admirable1 = n all pati5ts are prompt$ to su* ?\ghtful attempts to d ev]y?+ 9 _! p[] to get well--ev5 ?\gh !y err ) ! be/ int5tions at he>t4 ,let !m rememb]1 h[ev]1 t ! fir/ effect ( hot wat] is to increase ! blood supply 9 ! tissues if x be appli$ = a %ort "t only4 ,9 ! majority ( cases1 ! enema does n require m ?an f five to t5 m9utes2 h5ce1 only h>m c result if really hot wat] be us$4 ,n[ & !n a p]son w become possess$ ) ! notion t a hot enema %\ld be foll[$ by a cold "o1 to br+ 8tone0 to ! l[] b[els4 ,b 9 all ^! misdirect$ ef=ts matt]s are made d\bly worse4 ,cold wat] w allay fev] & inflammation1 b :5 its use is once begun x %\ld be cont9u$ )\t int]mission until a cure is effect$4 ,= ?is reason x is n suitable :]e *ronic inflammation exi/s--especially on ! muc\s membrane ( ! b[els4 ,x is1 h[ev]1 excell5t = acute inflammation ( ! ext]nal p>ts ( ! body1 su* z ! h&s1 arms1 legs1 etc41 :]e x c be cont9u$ )\t int]ruption = "o1 two1 or ?ree days if necess>y4 ,9 beg9n+ ! treatm5t = con/ipation1 !re are a few cases 9 :i* ! pati5t has to fuss = an h\r or m ) ! enema be=e he c obta9 any sort ( a prop] fecal evacuation2 or !re may be inability to expel ! wat] f ! b[els :5 once inject$4 ,?is /oppage is mo/ likely to occur at ! recto-sigmoid juncture 7,o',beirne's sph9ct]74 ,a /rictur$ condition ( ! b[els causes ret5tion ( feces & gases & :y n wat] z well8 ,9 su* cases "t w\ld be sav$1 p]haps1 by comb9+ ! proc$ure = an enema ) t ( a recurr5t d\*e1 :i* involves a cont9u\s application ( wat] at a temp]ature ( f "o hundr$ & tw5ty to "o hundr$ & ?irty-five degrees = an h\r or m4 ,figure #ba illu/rates a successful device = apply+ m$icat$ wat] at a high temp]ature to ! anus1 rectum1 & colon4 ,?is app>atus c be us$ :ile sitt+ on a wat]-closet seat & ! treatm5t c be complet$ )\t *ang+ position or remov+ ! in/rum5t4 ,! in/rum5t is atta*$ to ! res]voir 7,figure #ah7 by a s(t-rubb] tube4 ,9 ! cone-%ap$ piece ( h>d rubb] 7,figure #bg7 is a h>d-rubb] /op-cock or valve 7,figure #bi71 & by turn+ ! h&le sidewise ! valve is op5$ to let ! wat] escape f ! b[els into ! toilet bas94 ,:5 suffici5t wat]1 at f "o hundr$ & tw5ty to "o hundr$ & ?irty-five degrees temp]ature1 has ent]$ ! b[els1 all[ x to rema9 = t5 m9utes1 !n p]mit x to escape by op5+ ! valve2 !n close x & all[ m hot wat] to fl[ 9 & rema9 = five or t5 m9utes & aga9 all[ x to escape ?r\gh ! rectal po9t1 repeat+ ! infl[ & outfl[ e five or t5 m9utes = an h\r or m )\t remov+ ! anal po9t f ! rectum dur+ ! :ole "t ( treatm5t4 ,aft] a few trials x w be f\nd t ! hot-wat] treatm5t c be accompli%$ )\t )draw+ ! po9t4 ,rectal ,po9ts = recurr5t d\*e are ( two sizes 7,nos4 #be & #bf74 ,! l>g] "o 7,no4 #be7 requires a plug to be introduc$ ?r\gh ! cone-%ap$ ext]nal anal support & rectal po9t1 to make its introduction into ! rectum easy1 aft] :i* ! plug is )drawn & ! hot-wat] treatm5t begun4 ,! bore ( ! rectal po9ts _c become clogg$ by ! pres5ce ( feces1 mucus or membran\s %r$s or ca/s1 :i* are usually br\ght away by ! hot-wat] treatm5t4 ,at no "t dur+ ! treatm5t c ! po9t become /opp$ up1 ! size be+ suffici5t to insure a prop] infl[ & outfl[4 ,& ! in/rum5t c be easily clean$4 ,ne> ! atta*m5t ( ! s(t-rubb] tube is a glass res]voir 7,figure #bd71 = ! use ( oils ) ! enema or ! hot-wat] treatm5t2 x is deta*able4 ,a valve regulates ! outfl[ ( oil f ! pressure ( wat] 9 ! res]voir1 z x passes into ! b[els4 ,we are enabl$ ?us to treat by d\ble m$ication z x 71 a *ronic disease ( ! inte/9es & its symptoms--t is1 inte/9es t h be5 long neglect$ or maltreat$ ?r\gh lack ( prop] diagnosis1 or by all sorts ( *emical comp\nds f above1 ?r\gh m\? & /oma*4 ,! au?or & inv5tor naturally enjoys n a little satisfaction 9 be+ able to pres5t to suff]]s z ne>ly p]fect an in/rum5t z c be devis$2 "o t1 9 conjunction ) o!r aids1 meets all requirem5ts involv$ 9 ! prop] treatm5t ( proctitis & colitis4 ,lavage or irrigation ( ! l>ge inte/9e ) wat] at a temp]ature at f "o hundr$ & tw5ty to "o hundr$ & =ty or "o hundr$ & fifty degrees1 n only accompli%es rapid & wond]ful clean+ & curative results1 b ov]comes1 :5 prop]ly appli$1 contract$1 conge/$1 engorg$1 & inflam$ tissues ( ! b[els4 ,!rapeutically1 x has a m>k$ effect on ! :ole sy/em1 be+ b5eficial beyond words to describe2 x relaxes n]v\s & muscul> t5sion ( ! body1 produc+ re/fulness & sleep2 x /imulates & equalizes ! circulation1 promotes p]spiration1 absorption1 & active elim9ation ( all delet]i\s sub/ances f all ! organs ( ! body4 ,m$ic9ally1 x is really a comb9$ int]nal ,russian & ,turki% ba?1 remov+ abdom9al corpul5cy & gase\s obesity1 result+ f *ronic auto-intoxication4 ,! ext]nal ,russian & ,turki% ba?s af=d a satisfaction sk9 deep to ! ba!r1 b ! comb9$ int]nal ,russian & ,turki% ba? is mo/ agreeably relax+ & re/ful to m9d & body1 br++ peace1 s9ce all ! organs ( ! sy/em are p]=m+ _! functions4 ,"s ( my pati5ts resort to int]nal hot-wat] lavage = all a*es & ills t m> _! happ9ess4 ,aft] an ext]nal ba? ! ba!r may desire an application ( oil1 alcohol1 or cocoanut butt] rubb$ on ! sk91 & 9 ! same way ! ba!r's int]nal muc\s membrane is n neglect$2 =1 ) ! au?or's appliance1 m$icat$ & p]fum$ oils1 extracts1 & p[d]s = rem$ial purposes are c>ri$ to e "p ( ! inte/9es t ! wat] rea*es1 ?us ex]t+ a cleans+1 heal+1 & soo?+ effect :]e mo/ ne$$4 ,a few suff]]s w object to ! "t requir$ = an enema twice a day1 al?\gh !y f9d "t to eat ?ree1 or ev5 f\r times a day1 )\t any objection :atev]2 !re is pl5ty ( "t = fill+ up ! dige/ive app>atus1 b no "t = its normal elim9ation4 ,& ^! mis]able1 g-lucky1 haphaz>d p are always sick & un=tunate4 ,! int]nal ,russian & ,turki% ba? is dem&$ only by ^? :o truly desire to be free f _! b[el tr\bles1 & f ! num]\s symptoms result+ f mucus absorption1 con/ipation1 & auto-intoxication4 ,a suff]]'s ef=ts to be well dep5d l>gely on h[ mu* he or %e e/imates ! wor? or value ( m9d & body4 ,a noble purpose 9 life is priceless2 are n "o's _s & body wor? ! "t requir$ = two enemata ea* day & an h\r = ! int]nal ba?1 if ne$$8 ,i ?9k s1 & y %\ld likewise4 ,! au?or tru/s ! read] w n inf] t all suff]]s f piles1 anal fissure1 pruritus ani & vulv1 mucus *annels & res]voirs1 abscess1 fi/ula1 & all simil> tr\bles1 require ! enema & recurr5t d\*e appliance2 ! "* ( ! disease & its symptoms mu/ det]m9e ! requirem5t ( ! treatm5t4 ,_m ( my pati5ts receive (fice treatm5t only1 omitt+ home att5tions1 al?\gh ?is is n always advisable4 ,! read] might conclude t ! recurr5t d\*e treatm5t 0 simply = ! cure ( a *ronic inflammatory invasion ( ! b[els & fecal auto-intoxication1 & n be aw>e ( ano!r great s\rce ( auto-intoxication--t is1 f ! absorption ( l>ge quantities ( s]\s1 fibr9\s1 or album9\s exudation f a l>ge area ( tissues invad$ by ! v insidi\s inflammatory process1 a condition :i*1 9 "t1 may rea* ! pus-=m+ /age4 ,?us we h ?ree v grave pa?ological conditions to meet & remove be=e ! pus-=mation /age is made manife/ ?r\gh ! developm5t ( abscesses4 ,i h f\nd five aids--p]haps m--to accompli% a cure 9 :i* ,i h be5 exceptionally successful1 z my /ud5ts & pati5ts w v]ify2 ^! are3 local treatm5t1 local m$ication1 ! prop] use ( ! enema1 ! use ( ! recurr5t d\*e1 & ! det]m9ation ( ! suff]] to get well4 ,,*apt] ,,xix4 ,,hot ,,wat] ,,9 ,,! ,,treatm5t ,,( ,,ext]nal ,,symptoms4 ,aft] proctitis has cont9u$ = _m ye>s x w give rise to pa9ful inflammatory & ulc]ative processes at ! ext]nal anal v5t & 9 ! adjo9+ tissues4 ,! anal muc\s membrane & ! integum5t ab\t ! anus become brittle1 loos5$1 & deta*$ f ! areol> connective tissue by ! ret5tion ( inflammatory s]um4 ,! engorg$1 indurat$1 & swoll5 muc\s membrane & integum5t s]ve z res]voirs1 especially :5 ! *ronic inflammation is excit$ to an acute /age1 :i* /age is (t5 accompani$ by a fissure1 abscess1 or anal ulc]4 ,sor5ess & pa9 9 ! p>ts may !n be s sev]e t ! suff]] is compell$ to /ay indoors or 9 b$4 ,:atev] ! symptoms may be--piles1 fissure1 pruritus1 abscess1 or fi/ula--! suff]] desires to r$uce ! local fev] & ! acute inflammation1 z well z to f9d relief f ! pa94 ,! cu/om>y treatm5t is to use p\ltices1 :i* are tr\blesome & ineffective4 ,9 ! foll[+ illu/ration ,i give a good idea ( a p]fect device = reliev+ quickly ! sor5ess1 pa91 acute inflammation1 & induration1 all ( :i* are s v pro/rat+2 &1 situat$ z !y are physiologically1 !y are exce$+ly inconv5i5t to treat prop]ly by ! ord9>y me?ods 9 use3 ,illu/ration3 7,pat5t$ ,novemb] #h1 #ahib47 ,fig4 #bc4 ,! ,sitz-ba? pan1 ?\gh small1 is yet ( suffici5t dep? & diamet] = all practical purposes1 & c be plac$ :]ev] is mo/ conv5i5t--on a l[ *air or a box4 ,! ba!r %\ld sit on ! in/rum5t ) ! limbs on ei!r side ( ! funnel ?r\gh :i* ! hot wat] ent]s ! pan4 ,j bel[ ! funnel is an ov]fl[ tube1 "u :i* a vessel %\ld be plac$ to cat* ! wat] z x fl[s out4 ,:ile sitt+ on ! pan ! elb[s may re/ on any conv5i5t support1 s z n to tire ! invalid too mu* dur+ ! ba?1 :i* %\ld consume f half an h\r to an h\r1 or long] if agreeable4 ,hot wat] may be add$ e few m9utes z ! ba!r f9ds t ! tissues w tol]ate x4 ,depurant p[d] may also be add$ to ! wat] 9 ! ,sitz-ba? pan4 ,:at has be5 said 9 a previ\s *apt] on ! !rapeutic effects ( hot wat] 9 ! treatm5t ( proctitis ne$ n be repeat$ "h4 ,! ?ree indisp5sable appliances = combat+ & effectually ov]com+ ! pa?ological conditions to :i* ?is book & my two previ\s books--,inte/9al ,ills & ,h[ to ,become ,/rong--are devot$1 are ,! ,int]nal ,f\nta9 ,ba?1 ,! ,inte/9al ,recurr5t ,d\*e1 & ,! ,%all[ ,sitz-ba? ,pan4 ,^! appliances are well-nigh p]fect = ! uses to :i* !y are adapt$4 ,,*apt] ,,xx4 ,,! ,,heal? ,,( ,,s*ool ,,*ildr54 8,cleanl9ess ( body 0 ev] e/eem$ to proce$ f a due rev]5ce to ,god1 to society1 & to ourselves40--,bacon4 ,! ,int]national ,congress on ,s*ool ,hygi5e end$ its f\r? meet+ at ,buffalo rec5tly to meet two ye>s h5ce 9 ,brussels4 ,9 ! int]im ! ,bo>d ( ,education 9 ?is city1 ! ,dep>tm5t ( ,heal?1 & ! ,new ,york ,s*ool ,lun*eon ,committee w cont9ue _! inve/igations z vigor\sly z 9 ! pa/1 & ! in=mation ?us ga9$ w be an important contribution to ! next ,congress4 ,too mu* att5tion _c be giv5 to ! "q ( hygi5e1 diet1 & excretion to meet ! psy*o-physical requirem5ts ( ! m9d & body 9 normal heal?4 ,z a rule1 diet is prescrib$ = ! purpose ( reliev+ ! v>i\s annoy+ & pa9ful symptoms caus$ by *ronic impairm5t ( ! functions ( ! /oma* & b[els1 b :5 we f9d ! cause ( ^! v>i\s symptoms aris+ f a di/urb$ ga/ro-inte/9al tract1 ! "q ( diet w receive less att5tion4 ,:y has n ! subject ( normal inte/9al excretion receiv$ z mu* att5tion z diet 9 heal? or ill-heal?8 ,z our k ( ! human psy*o-*emical laboratory increases1 we are able def9itely to locate a diseas$ organ & acc\nt = ! symptoms caus$ by ! pa?ological condition ( t organ2 & :5 ! diagnosis is prop]ly made ^! symptoms become a second>y matt] ( treatm5t4 ,! *ief enemy ( heal? among s*ool *ildr5 7& old] p]sons z well7 is ! accumulation & ret5tion ( wa/e matt] & gases 9 ! inte/9al canal1 :]e are g5]at$ ptoma9e1 toxic1 & o!r poisons :i* ent] into ! sy/em1 result+ 9 self-poison+ or auto-intoxication4 ,:at d we mean by s*ool hygi5e8 ,is x only ! s*ool build+1 or ! ext]nal appe>ance ( ! *ildr51 _! eyes1 tee?1 m\?1 nose1 h&s8 ,:at ab\t ! coat$ tongue1 f\l brea?1 f\l] /oma*1 & putrefaction ( ! cont5ts ( _! inte/9es8 ,a human be+ is only an ext5sion ( 8 ga/ro-inte/9al app>atus1 h5ce x is v ess5tial t su* app>atus %\ld be 9 a hygi5ic /ate to ensure 8 physical & m5tal resi/ance & effici5cy be+ at _! normal /r5g?4 ,!re is "o symptom t causes m sickness & suff]+ f infancy to old age ?an all o!rs comb9$--t is1 con/ipation ) its att5d+ putrefaction & f\lness ( dige/ive organs4 ,only a small p]c5tage ( p escape its baneful effects or ! second>y diseases induc$ by fecal & mucus auto-intoxication4 ,su* a common prim>y symptom mu/ h1 necess>ily1 a common excit+ cause or orig94 ,?r\gh _m ye>s ( cl9ical exp]i5ce z a ga/ro-ent]ologi/ & proctologi/1 we h f\nd t inflammation ( ! anus1 rectum1 & sigmoid flexure is ! frequ5t or common cause ( con/ipation4 ,obs]vation has demon/rat$ t a soil$ diap] is ! excit+ cause ( ,proctitis & ,sigmoiditis 9 ! beg9n+4 ,exam9ation ( "o hundr$ *ildr5 ( ! 8defective class0 w\ld %[ mo/ ( !m suff]+ f *ronic ,proctitis & ,sigmoiditis1 ) "s degree ( con/ipation & auto-intoxication1 & ev5 ( ^? class$ z 8heal?y s*ool *ildr50 a l>ge p]c5tage w\ld %[ ! same conditions4 ,! cont9u\s invasion ( ! neighbor+ tissues by ! disease1 ! increas+ auto-intoxication & con/ipation1 ! on-com+ malnutrition1 & anemia1 ! gradual emaciation1 are all ! :ile less5+ ! vitality & p[] ( bodily resi/ance ( _! victims4 ,! e>ly inception ( ! malady & its insidi\s progress1 ) ! symptoms & diseases result+1 easily deceives ! victim z well z ! p>5ts & m$ical advis]s1 until ! long-p5t-up virul5ce breaks =?1 %[+ itself 9 e "p ( ! tab]nacle ( ! _s ( man1 :5 ! removal ( ! prim>y cause does little or no good4 ,! ,dep>tm5t ( ,heal?1 9 exam9+ ! sanit>y or hygi5ic condition ( a s*ool build+1 w\ld n devote all its att5tion to ! top /ory to ov]come unhygi5ic conditions2 x w\ld probably direct its att5tion to ! trap & v5t ( ! sew] ( ! build+ to see t !re 0 no ret5tion & fill+ up ( ! pipe to bef\l ! atmosph]e ( ! /ructure4 ,:y !n s mu* att5tion to ! head or top /ory ( ! human temple1 & s little to ! trap & v5t ( its sew]8 ,are mode/y & ignorance to defeat ! progress ( hygi5ic measures deal+ ) ! /oma* & b[els ( our s*ool *ildr58 ,h[ long w ^? abdom9al incubators ( poison\s microbes & gases be all[$ to infect n only a s*ool build+ b all its occupants z well8 ,! absorption into ! sy/em ( s]\s1 fibr9\s or album9\s mucus exudations f ! invasion ( *ronic inflammation ?r\gh all ! lay]s ( ! tissues ( ! anus 7,figure #a71 rectum1 & sigmoid flexure1 z well z ?r\gh ! adjo9+ fatty tissue 9 ! pelvic space ar\nd ! organs 7,figure #e71 "u ! sk9 & betwe5 ! muscles ( ! buttocks1 goes on cont9u\sly1 creat+ an ext5sive inflammable area & s\rce ( exudation ( brok5-d[n tissues4 7,see ,*apt] ,,iii47 ,x is a grave pa?ological condition & ! s\rce ( mucus auto-intoxication1 & its symptoms ought to be diff]5tiat$ f ^? ( fecal auto-intoxication4 ,?is mucus exudate has an int5sely irritat+ effect on ! n]v\s sy/em1 especially :5 an acute inte/9al mucus /orm has develop$1 tortur+ its victims & unfitt+ !m m5tally to att5d to ! ord9>y duties ( ! day4 ,v (t5 ?is is accompani$ by m or less pa9 or muscul> sor5ess4 ,^! annoy+ symptoms occur v e>ly 9 ! hi/ory ( ,proctitis & ,sigmoiditis1 & cl9ical exp]i5ce has demon/rat$ to me & to my /ud5ts ! necessity = infants & *ildr5 be+ exam9$ 9 ord] to det]m9e :e!r inflammation exi/s 9 ! anus & rectum1 & ?us e>ly cut %ort ! progress ( ! disease & its num]\s & famili> symptoms1 :i* ,i may "h enum]ate1 to wit3 indige/ion1 flatul5cy1 coat$ tongue1 f\l brea?1 bad ta/e 9 ! m\?1 caprici\s appetite1 nausea1 inte/9al colic1 cramps & pa9s1 di>rhea1 heada*e or b& ( pa9 encircl+ ! head ) s5se ( con/riction1 neuralgia1 pa9 ab\t ! he>t1 cold h&s & feet1 malnutrition1 anemia1 emaciation1 dry sk91 seborrhea sicca1 c>bonic acid toxemia1 sall[ complexion1 liv] spots1 jaundice1 acute bili\s attacks1 dr[sy /ates1 m5tal torpor1 bad temp]1 night t]rors1 irritability1 melan*olia1 v]tigo1 dizz9ess1 loss ( memory1 insomnia1 drawn face1 tir$ feel+1 unre/ful sleep1 easily fatigu$1 subject to colds1 cat>rhal affections ( ! e>s1 eyes1 nose1 ?roat1 etc41 decay ( tee?1 dry c\gh1 loss ( hair1 impair$ vision1 /]ility1 impot5cy1 mucus & membran\s cords & ca/s f ! b[els1 s$im5t 9 ! ur9e1 irritability ( ! bladd]1 premature age1 r$uc$ physical & m5tal effici5cy1 inability to conc5trate ! m9d1 morbidity1 suicidal notions ) a view to end+ m5tal & physical suff]+4 ,i am pleas$ to in=m su* suff]]s t _! ills c be prop]ly diagnos$ & treat$2 & ! e>li] 9 life !y seek treatm5t1 ! soon] !y w escape ! accumulative ills t make exi/5ce s pa9ful to endure4 ,we h m5tion$ ,proctitis & ,sigmoiditis z ! prim>y cause ( inte/9al /asis 9 ! majority ( cases2 lat]1 o!r sections ( ! inte/9al canal may be invad$ by inflammatory process1 caus+ a m s]i\s inte/9al /asis1 n infrequ5tly br++ ab\t dislocation ( ! /oma*1 inte/9es1 & o!r abdom9al organs4 ,we h enum]at$ ! symptoms & maladies t are n[1 9 ! light ( late/ m$ical sci5ce1 traceable directly or indirectly1 to ?is prim>y cause2 9 %ort1 x may be said t1 ) ! exception ( a few diseases caus$ by toxic ag5ts1 mo/ ( ! illnesses t cause s mu* invalidism1 cutt+ %ort our lives1 c be trac$ to mucus & fecal auto-intoxication4 ,! purpose ( ?is book & o!rs ,i h publi%$ is to educate my fell[ be+s z to h[ to prev5t or avoid ! _m diseases & symptoms t afflict !m f ! cradle to ! grave2 already ,i feel t ,i h accompli%$ some?+ 9 help+ humanity1 & ,i tru/ o!rs w d _! "p to less5 ! ills t fle% is heir to ?r\gh neglect & ignorance4 ,,*apt] ,,xxi4#b ,,int]nal ,,hemorrhoids ,,or ,,piles ,,v]sus ,,rectal ,,muc\s ,,sac1 ,,recto-,,anal ,,muc\s ,,sac4 #b ,*apt]s ,,xxii1 ,,xxiii1 & ,,xxiv h be5 revis$ f ,pap]s contribut$ to ,albright's ,(fice ,practition]1 9 #aijh4 ,be=e ! hi/ory ( m$ic9e & surg]y began1 man suff]$ at 8 h9d] p>ts z well z at o!r p>ts ( 8 organism4 ,bodily ills are z old z ! human race1 & ! fl[+ ( blood f ! 8t]h9d]0 0 a signal ( di/ress or ( physical an>*y1 ( :i* ! ref]5ces to 8em]oids0 9 ! ,bible & 9 o!r anci5t writ+s be> witness4 ,! 8em]oid0 doctors ( ,egypt1 9 ! "t ( ,moses1 unque/ionably reg>d$ ! di/ress caus$ by ! 8em]oids0 z a disease4 ,& x came to pass t e subsequ5t ,moses t has writt5 on ! subject ( hemorrhoids up to ! pres5t "t has reg>d$ piles z a disease4 ,& !y likewise1 all ( !m )\t exception1 believe ! 8disease0 to be h]$it>y1 z is c]ta9ly _! in=mation on ! subject4 ,?is m5tal obsequi\sness ( ! proctologi/s ( our day is inde$ q a long-drawn-out complim5t to ! pile doctors ( ,egypt1 s9ce our proctologi/s /ill cont9ue to diagnose piles z a disease & 8to smite ! smitt5 ( em]oids40 ,i h always respect$ ! idea ( ance/ral wor%ip & ( rev]5ce = ! dead pa/1 b at ! same "t ,i h felt t "o %\ld n be :olly oblivi\s to _! egregi\s mi/akes4 ,if ,moses1 ,samuel1 ,h]odotus1 ,hippocrates1 ,gal51 & o!r illu/ri\s m5 _h said t 8em]oids0 is a symptom ( a disease1 :at a bless+ !y w\ld h conf]r$ ^u suff]+ humanity4 ,! simple use ( t "o ^w w\ld h be5 illum9at+1 & w\ld h set ! tide ( att5tion = ! prop] diagnosis & treatm5t 9 ! "r direction4 ,possibly "s "o m bold ?an ! s]vile bro!rhood did see & say t x 0 a m]e symptom1 b1 if s1 8 tem]ity 0 treat$ by 8! wise ones0 ( t day z simil> innovations are treat$ to-day1 ) a 8,tut1 tut1 tut2 pugh1 pugh1 pugh4 ,we "k bett]1 & we ref] y to ! foll[+ *apt]s 9 ,holy ,writ & to ! classical "w ( ! great ,m$i ,cusus on #8,pilus ,diseasicus4' ,& besides1 h y no respect = ! sup]ior cl9ical advantages we enjoy80 ,not)/&+ ! bad odor 9 :i* ,i %all be held1 ,i w n]ve myself to claim t1 :5 ! anci5ts consid]$ & call$ piles or hemorrhoids a disease1 !y made a v grave & palpable mi/ake1 & t1 hav+ made ?is mi/ake1 x 0 inevitable t num]\s errors %\ld foll[ logically 9 its tra9 :5 !y attempt$ to acc\nt = ! etiology1 "*1 & means ( cure ( ?is 8disease40 ,pruritus ani is also call$ a disease1 & a simil> b$lam ( reasons is (f]$ z causes & means ( cure1 all ( :i* acc\nts = ! _m1 _m pages ( a book fill$ to ov]fl[+ by a 8classical0 au?or1 ) compilations ( ! r$eem+ gospel tru?s on ?is subject f prehi/oric times till ! pres5t day1 includ+ 8 own comm5t>y1 guesses1 int]pretations1 & surmises4 ,ignorant z he is ( ! nature ( ?is symptom1 ! conjectures ( 8 p]f]vid imag9ation are 8to laugh40 ,! errors ( "o or m au?ors1 endors$ by ! mi/akes ( o!rs1 seem+ly make a tru? to m9ds t are vassals to au?ority1 :i* acc\nts = mu* ( ! useless m$ical lit]ature ( to-day & = ! mi/akes ( ^? t are misguid$ by x4 ,consid]+ ! pa?ological condition1 x w\ld be bett] if we 7 to give a m def9itive *>act]ization to x ?an 8piles0 or 8hemorrhoids40 ,9 accordance ) ! di/9ctive exhibit contemplat$1 we %\ld describe x z a rectal muc\s sac1 an ano-rectal muc\s sac1 or an ano-muco-cutane\s sac4 ,^! are m di/9ctive & suitable designations = ^! symptoms ( *ronic proctitis1 inasmu*1 by su* designations1 we call att5tion to ! fact t !y are simply con/rict$ mucus#c *annels & sacs1 ) engorg$ art]ies & ve9s1 =m$ by ! s]\s exudation t accompanies inflammation4 #c ,i f\nd x m conv5i5t to use ! words mucus *annel1 mucus fi/ula1 etc41 9 pref]5ce to s9us1 z !y bett] convey my ideas to ! av]age read]4 ,if a recto-anal mucus *annel1 "u "o or m lay]s ( ! muc\s membrane1 becomes con/rict$ or ob/ruct$ 7!y usually d71 its epi!lial wall w become sacculat$1 & !n we h a rectal muc\s sac1 or an ano-rectal muc\s sac1 or an ano-muco-cutane\s sac1 all ( :i* may be pres5t 9 ! same case4 ,! inflammatory exudation call$ s]um di/5ds & de/roys fatty tissue1 :i* makes space = its lodgm5t "u ! tissue t imprisons x1 & at ! same "t !re occurs m or less prolif]ation ( ! cells ( ! tissue involv$ 9 ! sev]e inflammation4 ,! int]nal sph9ct] muscle1 by its contraction1 aids 9 ! undue ret5tion ( ! mucus & blood above x1 h5ce ! s-call$ pile-be>+ region--t is1 ! sacculat$ mucosa region4 ,! s]\s exudation meets ) ob/ruction along ! anal canal & ! mucosa is sacculat$4 ,:5 ! integum5t ar\nd ! anus (f]s ob/ruction to ! fl[ ( s]um & blood1 we f9d t muco-cutane\s sacs are =m$ ar\nd ! anus4 ,if ! exudation occurs 9 ! areol> space "u ! ano-rectal mucosa1 x readily passes d[n into ! areol> space "u ! integum5t ar\nd ! anus1 & !nce to p>ts deep1 devi\s1 & f> away1 z describ$ 9 ,*apt] ,,iii4 ,*annels1 res]voirs1 sacs1 t w\ld hold f "o to eight or m ounces ( fluid1 no long] excite my wond] & amazem5t at ! ext5sive & s]i\s pa?ological condition ( :i* !y are exhibits1 a pa?ological condition t occasions symptoms (t5 diagnos$ z sciatica1 rheumatism1 myalgia1 c>ies ( ! coccyx1 coxitis1 pro/atitis1 pruritus ani1 scroti1 & vulv1 auto-intoxication1 anemia1 invalidism1 etc4 ,inasmu* z we h le>n$ ! cause ( sacculat$ mucosa at ! l[] end ( ! rectum & ov] ! anal canal & ( ! integum5t ar\nd x1 we _h bett] 9 future omit ! foll[+ designations & di/9ctions1 :i* are m]ely a ridicul\s display ( sciolism4 ,surely we c d )\t !m1 & ought to d s = ! sake ( tru? & simplicity4 ,) a sigh ( relief let u 9 future ignore3 ,safety-valve piles1 organiz$ piles1 it*+ piles1 bl9d piles1 ble$+ piles1 moon piles1 cutane\s piles1 ?rombotic piles1 ext]nal & int]nal pile tumors1 v5\s piles1 ulc]at$ piles1 capill>y piles1 mix$ hemorrhoids1 art]ial hemorrhoids1 :ite hemorrhoids1 acute hemorrhoids1 *e/nut hemorrhoids1 *ronic hemorrhoids1 inflammatory hemorrhoids1 hyp]trophic hemorrhoids1 atrophic hemorrhoids1 ,egyptian piles1 ,phili/9e it*+ hemorrhoids1 etc4 ,q naturally su* a v>iety ( 8diseases0 call$ =? _m sorts ( surgical op]ations = _! removal1 ( :i* ! foll[+ are ! ones mo/ 9 vogue3 ,clamp & caut]y1 ligature1 cru%+ electrolysis1 excision1 submuc\s ligation1 ! ,:itehead op]ation1 ! ,e>le op]ation1 ! ,am]ican op]ation1 etc4 ,=get !m all1 =get all ( ! s5seless t]ms t are employ$ to describe a suppos$ v>iety ( 8disease0 & all ( ! b>b>\s proc$ures = _! bani%m5t1 & ! bani%m5t1 alas6 too frequ5tly1 ( ! wret*$ suff]] likewise4 ,/udy c>efully ! v>ieties ( *ronic inflammation & ! "* & ext5t ( ! exudation 9 ea* case4 ,by s do+ y w asc]ta9 ! nature ( ! _m v>i$ symptoms ( proctitis1 ( :i* ! foll[+ are ! mo/ common3 ,sacculat$ mucosa & integum5t1 submuc\s & subtegum5t>y *annels1 res]voirs1 pockets1 fi/ula1 pruritus ani1 fissure- or ulc]-9-ano1 con/ipation1 di>rhea1 etc4 ,proctitis may pres5t a *ronic1 a subacute1 or an acute /age1 ) an atrophic or hyp]trophic condition1 or a less m>k$ /ructural *ange 9 ! tissue4 ,if proctitis 7 treat$ e>ly 9 its inception1 none ( ! above-m5tion$ symptoms w\ld h occasion to develop4 ,:5 mank9d becomes prop]ly enlight5$ on ! subject ( proctitis1 due att5tion w be giv5 to x long be=e s _m annoy+ symptoms occur4 ,ano-rectal muc\s sacs1 =m$ by ! s]\s exudation into ! connective tissue & /asis ( ! blood1 are ! slighte/ symptoms ( proctitis1 & by f> ! mo/ easily remov$4 ,s9ce we h f\nd out :at are ! symptoms & :at is ! disease1 x naturally foll[s t 9 treat+ a sacculat$ mucosa we %\ld be gov]n$ by ! "* ( ! proctitis1 :e!r x be 9 a *ronic1 subacute1 or acute /age4 ,if ! inflammation be acute1 no matt] :e!r or n !re is a g5]al prolapse ( ! sacculat$ tissue1 x may be well to delay ! treatm5t = removal ( "o or m muc\s sacs until we h 9 a degree ov]come ! acute inflammation by ! use ( a %all[ sitz ba?1 ,fig4 #bc1 & by ! use ( a soo?+ o9tm5t & liquid rem$y1 to meet ! depurant requirem5ts ( ! case4 ,! removal ( ! *ronic inflammation1 9 :atev] /ate x may be f\nd1 %\ld be a p>am\nt feature ( ! treatm5t f ! "t a case comes "u "o's c>e4 ,! cure ( ! disease ought to be ( m importance ?an ! removal ( a symptom or symptoms4 ,%\ld !re be ble$+ f a muc\s sac1 or %\ld !re be prolapse ( x1 or bo?1 imm$iate treatm5t w give relief at once1 & ! suff]] w ?9k y h p]=m$ a miracle1 especially if ! annoyance has exi/$ = _m ye>s4 ,aft] ! imm$iately annoy+ muc\s sacs are remov$ by ! hypod]mic me?od1 a physician c d\bly gu>d 8 reputation 9 ! pa9less treatm5t ( muc\s sacs by delay+ fur!r treatm5t ( ^? rema9+ sacs1 :i*1 if treat$1 might occasion special annoyance1 till su* a "t z ! g5]al inflammatory condition is mu* improv$2 b 9 ! int]im he may treat ! muc\s sacs t are locat$ above ! sph9ct] muscles1 & ! granul> & ulc]at$ regions4 ,= ! almo/ univ]sal success 9 ! pa9less removal ( muc\s sacs1 ! op]ator %\ld be 9 possession ( all ( 8 normal wits & s5ses1 s t 8 judgm5t w be at its be/ :5 ! foll[+ po9ts pres5t !mselves3 ,:at to treat4 ,:5 to treat x4 ,:]e to treat x4 ,h[ mu* to treat ( x4 ,! quantity ( rem$y to be inject$--all ( :i* require discretion & good te*nique4 ,by ! hypod]mic me?od ( treat+ muc\s sacs "s es*>otic is employ$ ) ! object ( caus+ ! absorption ( ! sacculat$ mucosa4 ,! object to be accompli%$ ought to det]m9e ! prop] /r5g? ( any es*>otic us$4 ,:atev] w absorb ! muc\s membrane involv$ 9 ! sac 9 ! sl[e/ & milde/ mann] is ! be/ rem$y or ! be/ way to employ any ( ! tissue absorb]s y might select4 ,& ano!r fact3 ! l[] ! p] c5t4 employ$ ! l>g] ! quantity t may be us$ at a "t1 & ?is is desirable if ! area ( a sac be l>ge & y wi% to absorb ! great] portion ( x4 ,a skillful op]ator w make sure to h ! es*>otic us$ cov] j ! am\nt ( ! muc\s sac desir$1 & no m4 ,physicians t are n aw>e ( ! *annel$ & sacculat$ "* ( ! mucosa 9 ! case ( 8piles0 or 8hemorrhoids0 are liable to introduce ! es*>otic into ! base or ! c5t] ( ! muc\s sac ) ! hypod]mic ne$le2 & 9 su* an ev5t ! rem$y (t5 ent]s a cavity or a *annel1 or bo?1 & naturally x f9ds its way along ! *annel to ! integum5t at ! anus1 :5ce1 z a consequ5ce1 a deep1 ugly fissure-9-ano is 9 a %ort "t to be reckon$ ) by ! pati5t & ! physician1 because ( ! de/ruction ( ! epi!lial wall ( ! *annel4 ,! pati5t !reupon is f> f be+ 9 a good humor1 & ! physician wond]s h[ ! ?+ happ5$1 & he feels l quitt+ practice altoge!r1 & d\btless _m h done s2 & c]ta9ly e "o %\ld d s if su* an error 7 to occur a second "t4 ,! object we wi% to accompli% is to absorb ! wall ( ! sacculat$ mucosa4 ,!re=e ! rem$y %\ld be inject$ at ! apex ( ! sac1 9 ! epi!lial lay]1 or slightly deep]1 if ! occasion dem&s x4 ,! area ( ! sac & ! ?ickness ( its walls mu/ be tak5 into consid]ation1 & w sugge/ ! am\nt ( ! es*>otic to be us$4 ,a prop] speculum is v ess5tial to ! successful treatm5t ( sacculat$ mucosa1 & ,i "k ( none equal to t devis$ "s ?irty ye>s ago by ,dr4 ,a4 ,w4 ,br9k]h(f4 ,! speculum is easy to introduce1 & by draw+ a slide ! tissue is prop]ly expos$ or %ut out to a nicety1 exhibit+ j ! am\nt y wi% to treat4 ,9 "s cases !re is a r l5g?y sacculat$ mucosa on ! side1 or on ! ant]ior wall ( ! anorectal tube1 & x is advisable to treat only ! upp] ?ird or half1 & at a subsequ5t visit or visits to treat ! rema9d]1 ?us avoid+ annoyance to ! pati5t4 ,! p>am\nt conc]n %\ld be to avoid caus+ pa9 bo? dur+ ! treatm5t ( a sacculat$ mucosa or its possible occurr5ce a few h\rs or days lat]4 ,i h (t5 rem>k$ t :5 pa9 or sor5ess foll[s ! treatm5t ( a muc\s sac ! fault is 9 ! application ( ! rem$y1 & n 9 ! rem$y itself4 ,n[ & !n !re may be conditions 9 :i* y w expect pa9 or sor5ess to foll[ ! treatm5t1 & y w prep>e y\r pati5t ) ! necess>y appliances & rem$ies to ov]come x promptly4 ,:]e !re are no possible means = avoid+ ! pa9 consequ5t ^u a treatm5t1 leave no?+ undone to make x z slight z possible4 ,all muc\s sacs ought to be treat$ )\t any aft]-annoyance to ! pati5t1 & !y c be if we only wait = ! prop] "t to treat !m4 ,i h n ?us f> consid]$ ! muco-cutane\s sacs ar\nd ! anus1 :i* are nei!r useful nor ornam5tal1 & :i* (t5 indicate ! volcanic action ( inflammation & ! am\nt ( muc\s lava ?r[n out ar\nd ! v5t4 ,,*apt] ,,xxii4 ,,ext]nal ,,& ,,?rombotic ,,piles ,,v]sus ,,muco-,,cutane\s ,,sacs ,,& ,,?rombus4 ,! v5t ( a crat] indicates ! convulsive & de/ructive *anges t h tak5 place )92 &1 v (t51 ! v5t ( ! ga/ro-ent]ic sew] gives l evid5ce ( long1 great1 & sev]e de/ructive *anges4 ,! fire ( inflammation has burn$ fi]cely = _m1 _m ye>s1 & s]\s lava has1 f "t to "t1 p\r$ =?1 leav+ a se>+1 inflammatory pa?4 ,z x 0 =c$ f ! recto-anal crat]1 ! acrid1 burn+ mucus1 t _h be5 imprison$1 made subcutane\s /reams1 cavities1 *annels1 sacs1 etc4 ,its c\rse is m>k$ ar\nd ! anus by peaks1 crags1 muco-sk9ny tabs1 small & l>ge bulg+ muco-cutane\s sacs1 dilat$ anal ve9s 9 :i* clots ( blood (t5 =m2 light gray1 brittle1 %9y sk9 ) small & l>ge r$ & sore oases1 ?ickly /udd$ ov] ! it*+ area1 :i* ! suff]] has scrat*$ 9 ! va9 hope ( appeas+ ! torture ( pruritus ani1 scroti1 vulv2 :ile cold drops ( p]spiration /& ov] 8 or h] face & body1 s]v+ to indicate ! physical & m5tal angui% inexpressible 9 words4 ,muco-s]\s exudations "u "o or m lay]s ( ! recto-anal muc\s membrane f9ds its way d[n to ! integum5t ar\nd ! anus1 & be+ ( a v irritat+ "*1 greatly increases ! inflammatory process 9 ! tissues x comes 9 contact )4 ,?us ! increas$ inflammation & blood /asis & ! augm5t$ s]um unite 9 hurry+ ! developm5t ( sk9ny tabs & ! m or less capaci\s muco-cutane\s rug & sacs4 ,:5 ! s]\s exudation takes place entirely "u ! recto-anal muc\s membrane1 !re may be =m$ a l>ge muco-cutane\s anal sac1 especially on ! "r or left side ( ! anus1 or ! s]um may pass "u ! integum5t ab\t ! anus ) little or no anatomical *ange 9 ! appe>ance ( ! sk9 at or ab\t ! anus4 ,9 ! latt] case1 an exp]i5c$ eye c detect suffici5t evid5ce to diagnose ! de/ructive *anges wr\ght by ! pres5ce ( s]um 9 ! connective tissue "u ! sk9 & ano-rectal muc\s membrane4 ,! sk9 is n1 z x %\ld be1 held fa/ by ! connective tissue1 b lies loose ov] ! cavity2 & a simil> pa?ological condition exi/s "u ! muc\s membrane ( ! anus1 rectum1 & sigmoid flexure1 :i* circum/ance might lead "o1 9 "s in/ances1 to conclude t !re 0 almo/ an entire sep>ation ( ! muc\s membrane f ! areol> tissue1 by ! ridges1 folds1 l>ge1 p\*$1 prolaps$1 sacculat$ regions ( muc\s membrane t has ! appe>ance ( hav+ be5 simply c>elessly laid ov] ! muscul> /ructure ( ! organs4 ,:5 we obs]ve su* de/ructive *anges by ! invasion ( s]\s exudation "u ! muc\s membrane1 we h e reason to expect p]iproctitis & p]isigmoiditis1 ) ! possibility ( ! =mation ( pus occurr+ ) ! usual consequ5ces4 ,s rem>kable & s]i\s are ! excursions ( ! muc\s curr5ts into heal?y neighbor+ tissue t we f9d a symptom ( a disease va/ly m annoy+ & s]i\s ?an ! disease itself4 ,is x any wond] we f9d /5osis 7n>r[+ ( ! passage7 ( eight1 t51 or m in*es ( ! l[] portion ( ! l>ge inte/9e1 :i* is usually diagnos$ atony ( ! b[els8 ,surely1 y mu/ by ?is "t appreciate ! reason ,i made s /rong an appeal = ! twice daily use ( ! enema z a means ( relief4 ,y ne$ ! comb9ation ( _m aids ov] a long p]iod ( "t to effect a cure ( proctitis1 etc41 & its num]\s symptoms4 ,proctitis & colitis is a s]i\s affliction1 & %\ld h y\r undivid$ att5tion ) ! he>ty co-op]ation ( ! pati5t 9 effect+ a cure4 ,h[ fooli% is ! practice ( remov+ "o or two annoy+ symptoms 7piles & fi/ula7 & leav+ ! suff]] untreat$1 ! disease itself & ! o!r symptoms n s app>5t at ! "t ( ! op]ation1 & !n dismiss ! case z cur$6 ,%ame on su* practice1 9 :i* ignorance & cupidity dom9ate6 ,humanity cries = a correct diagnosis & a humane treatm5t6 ,! pr(use s]\s exudation result+ f proctitis & sigmoiditis makes its way f ! diseas$ area into ! neighbor+ regions l lava f an active volcano1 c>ry+ ) x an int5se burn+ inflammation1 de/roy+ normal fatty tissue z x advances1 ow+ to its extremely acrid "*4 ,is x any wond] t we f9d dilat$ ve9s & art]ies 9 ! l[] rectal & ano-rectal canal & ar\nd ! anus :]e /asis ( ! blood has exi/$ = a great _m ye>s8 ,! real wond] is t ?rombus 9 ! ve9s ar\nd ! anus does n occur m frequ5tly ?an x does4 ,:at is ! necessity ( call+ su* a pa?ological *ange 9 ! calib] ( a ve9 & ! weak5+ ( its walls 8?rombotic pile08 ,?rombus is a clot ( blood 9 a ve91 & !re is no use 9 add+ ! ^w 8pile40 ,! aggravat$ "* ( ! inflammation acc\nts = ! hyp]trophi$ & ! cicatricial tissue s (t5 f\nd ar\nd ! anal v5t ( proctitis cases4 ,! ,biblical sugge/ion t sacculat$ mucosa1 commonly t]m$ piles or hemorrhoids1 is a disease1 acc\nts = ! num]\s names us$ to designate ! p>ticul> v>iety ( ! disease--:e!r x be an int]nal or an ext]nal pile tumor4 ,x is v wrong to s mislead 8sci5tific0 m$ical m54 ,_h !y only kn[n t ! num]\s sacs1 bags1 prolaps$ p\*es1 longitud9al & transv]se folds ( ! ano-rectal muc\s membrane1 & ! ragg$1 jagg$1 prolaps$1 p\*$ muco-cutane\s tissue ar\nd ! anus1 z well z ! fissure-9-ano1 pruritus ani1 fi/ula1 are only symptoms ( a disease1 all ( ! _m abnormal *anges & ! o!r symptoms c\ld h be5 prev5t$ _m g5]ations ago by simply treat+ _! excit+ cause4 ,b x is nev] too late to le>n ?+s t w b5efit mank9d4 ,don't = a mom5t ?9k t all ( ! /ructural *anges on ! muc\s membrane & ab\t ! anus m5tion$ above indicate an affliction only sk9 deep1 or ev5 ! dep? ( ! muc\s membrane4 ,!y are f> worse ?an t4 ,y w f9d all ! muscul> /ructure ( ! anal organ & t ( ! rectum sigmoid flexure sev]ely invad$ by ! inflammatory process & its fibr9\s exudation1 & also ! ext]nal tissues t surr\nd & support ! organs4 ,we h circul> & longitud9al muscul> tissue ent]+ into ! /ructure ( ! anus & rectum4 ,! sph9ct] muscles are two l>ge & /rong muscles t close ! anal orifice & gu>d its v5t v effectually if !y are n de/roy$ by a surgeon's knife4 ,! acrid burn+ s]um com+ 9 contact ) ! muscul> tissue excites an aggravat$ inflammation 9 its /ructure z else:]e4 ,! con/ant irritation results 9 m or less p]man5t contraction ( ! sph9ct] muscles 9 :i* fibr9\s exudation takes place1 b9d+ ! contract$ muscul> fib]s toge!r4 ,9 "t _! expansibility is lo/ 9 _m cases1 & 9 o!r cases p>tially s1 necessitat+ divulsion ( ! sph9ct]s 9 ord] to break up ! adhesions & e/abli% a some:at normal circulation ( ! blood 9 ! diseas$ p>ts1 also 9 ord] to relieve ! irritation to ! n]ves di/ribut$ to ! organs & _! m>k$ reflex excitem5t4 ,9 "s cases an expansion ( ! sph9ct]s = "o & a half in*es or two in*es is q suffici5t2 o!r cases may require a little m ?or\gh divulsion2 b nev] weak5 or p>alyze ! sph9ct]s1 z y\r pati5t ne$s _! normal use1 & y ne$ ! reputation ( nev] caus+ incont95ce ( feces4 ,gu>d ! usefulness ( ! sph9ct]s z y w\ld a valuable treasure4 ,z a rule1 ,i treat all ( ! ano-rectal sacculat$ mucosa 9 cases :]e divulsion is requir$ be=e p]=m+ ! dilatation to break up ! adhesions1 & v frequ5tly ! muco-cutane\s sacs & di/5d$ ve9s z well4 ,x may be well to delay ! divulsion--) :i* !re is usually no hurry--until y det]m9e h[ _m ,u-%ap$ 7or hairp9 %ap$7 mucus *annels & recto-anal mucus fi/ulas !re may be pres5t t h pass$ d[n "u ! recto-anal muc\s membrane1 d[n to ! integum5t ab\t ! anus1 & !n press$ imm$iately upw>d aga9 along ! out] wall ( ! anus & rectum1 to ! ext5t ( six in*es or m4 ,!re may be ?ree1 f\r1 six1 or m ( !m q prom95t z to l5g? & size4 ,= ! treatm5t ( ! recto-anal sacculat$ mucosa ! injection me?od is p> excell5t4 ,= ! removal ( ! muco-cutane\s sac a d\ble ,v-%ap$ incision1 ! prop] dep?1 l5g?1 & wid?1 w remove ! surplus or r$undant tissue1 aft] :i* ! edges are br\ght toge!r ) a catgut suture1--or omit ! suture if y ?9k be/1--foll[$ by ! home att5tion z prescrib$ = fissure-9-ano 9 a previ\s *apt]4 ,at ! "t ( remov+ ! sacculat$ tissue att5tion may also be giv5 to ! mucus *annel2 or y may1 if y wi%1 leave x s t at "s future treatm5t y c give x ! desir$ att5tion4 ,a "o or two p] c5t4 solution ( alyp91 coca91 or beta euca9 w produce ! necess>y local ane/hesia = a pa9less op]ation4 ,i remove only "o muco-cutane\s sac at a treatm5t1 :i* p]mits ! pati5t to g ab\t z usual )\t mu* inconv5i5ce4 ,if y h remov$ all ( ! ano-rectal sacculat$ mucosa 9 a case1 & h omitt$ to remove ! "o or m ano-muco-cutane\s sacs or dilat$ ve9s t are s (t5 pres5t ar\nd ! anus1 & h also neglect$ to cure ! *ronic proctitis1 !n ! sacculat$ mucosa may1 by "s hook or crook1 become excit$ aga9 into an acute inflammatory condition1 ! sph9ct] muscles may grip tight] ?an usual1 & lo1 ?rombus has tak5 place 9 a ve91 & ! wr9kl$1 %rivel$1 sk9ny tab or sac looks l a m9iature balloon1 & y\r dismiss$ pati5t is 9 a tr\bl$ /ate ( m9d to h ev]y?+ come back on him s soon6 ,! cure 0 all "r s f> z x w5t1 b !re 0 ! disease & "s ( ! old ext]nal symptoms to tell ! tale ( an incomplet$ treatm5t4 ,^? muco-cutane\s sacs at ! ent]ic crat]'s m\? are j s _m !rmomet]s at its v5t to tell ! temp]ature occasion$ by ! fire ( inflammation )91 & !y w damage y\r reputation z a proctologi/ if !y be n remov$4 ,by all means get rid ( ^! symptoms & indicators ( tr\ble )92 & if !re %\ld by *ance be a little ( ! old proctitis rema9+ t wants to ass]t itself by mak+ tr\ble1 9 becom+ acute1 x w be surpris+ly h&icapp$ 9 its ef=ts1 & ! *ances are all 9 y\r favor2 & y w1 moreov]1 f "t to "t1 he> :at ,s-&-,s said ab\t ! v successful treatm5t ( 8 or h] case4 ,sacculat$ mucosa1 muco-cutane\s sacs1 submuc\s *annels1 etc41 hav+ _! s\rce 9 ! rectum & anus1 are all ( a simil> orig91 ! result ( s]\s exudation4 ,^! symptoms ( proctitis v>y 9 developm5t & numb] accord+ to ! nature & progress ( ! disease4 ,9 ^? cases t are q exempt f sacculat$ mucosa 7piles7 y may expect to f9d submuc\s *annels l>gely develop$1 & vice v]sa4 ,too mu* /ress _c be plac$ ^u ! s]i\s results ( auto-intoxication by ! absorption ( mucus f *annels & cavities t w hold f ?ree to eight or m ounces ( fluid at "o "t4 ,!y are no d\bt rapidly empti$ by ! process ( absorption into ! sy/em4 ,i h n ref]r$ to ! fatalities ( ! hypod]mic treatm5t ( sacculat$ mucosa 7piles or hemorrhoids7 because ( ! fact t none h ev] occurr$ )9 my k among ^? us+ ei!r ?is or a simil> me?od ( treatm5t4 ,,*apt] ,,xxiii4 ,,abscess ,,& ,,fi/ula ,,involv+ ,,anus1 ,,rectum1 ,,& ,,neighbor+ ,,regions4 ,hippocrates1 ! fa!r ( m$ic9e1 ,celsus1 ,gal51 & o!r writ]s 9 ! e>ly times1 describ$ fi/ula z a disease2 &1 naturally en\gh1 ?r\gh ! influ5ce ( h]$ity1 contagion1 imitation1 & auto-sugge/ion1 e au?or on ! subject to ! pres5t day has *im$ 9 mo/ complaisantly ) 8 8,ditto6 ditto6 ditto60 8,me too6 me too6 me too60 ,i am sure t ! rank & file ( my m$ical bre?r5 w agree ) me t mod]n au?ors are h>dly ju/ifi$ 9 ?is s]vility to ! ideas ( ! fa!rs ( m$ic9e 9 ?is recreance to _! duties t[>d suff]+ humanity4 ,is x t !y d n "k bett]1 or t !y are naturally s]vile & ?us too lazy to d _! own ?9k+8 ,let me 9 connection ) ?is po9t call y\r att5tion to a practice t _m ( u h be5 suspici\s ( = a long "t1 a suspicion t has be5 confirm$ = me by "o :o speaks f positive k2 o!rwise ,i %\ld n ref] to x "h4 ,! practice ,i am ab\t to describe w make x pla9 :y we h s _m 8,ditto & ,me-too0 au?ors on proctology & o!r m$ical subjects4 ,an em95t surgeon :o m5tally is z l>ge z ! human race1 & has room = all t is good 9 m$ic9e & surg]y1 n>rat$ ! foll[+ incid5t ( 8 c>e] to a le>n$ doctor f ,georgia & myself rec5tly4 ,snat*+ occasionally a few mom5ts f a busy practice1 he has prep>$ suffici5t mat]ial to make a book1 & desir$ "s compet5t p]son to edit x be=e publication4 ,s he consult$ an e?ical co-work] conc]n+ su* a p]son4 ,9 a few days a g5tleman call$ at ! doctor's h\se to inquire ab\t ! contemplat$ publication4 ,! call] ask$ ! title & size ( ! book1 & :5 told volunte]$ ! />tl+ in=mation t he c\ld h ! "w ready 9 a few weeks' "t1 b t 9 ! meantime he w\ld l to he> ! doctor lecture once or twice t he might cat* a few peculi> expressions to use 9 ! "w1 s t ! doctor's fri5ds1 :5 read+ ! book1 w\ld say1 8,t s\nds j l ! doctor2 t is 8 /yle ( talk+40 ,! w\ld-be scribe nev] ask$ = ! au?or's manuscript1 s accu/om$ 0 he to rely ^u ! m$ical lit]ature to be f\nd 9 ! libr>ies ( ! city = all ! in=mation ne$$4 ,x is h>dly necess>y to add t ! pr(essional bookmak] 0 summ>ily dismiss$4 ,! doctor's manuscript is /ill unpubli%$4 ,!re is a ?ird reason = s _m 8,ditto & ,me-too0 au?ors4 ,publi%]s ( m$ical books naturally desire to ext5d _! bus9ess1 & 9 ord] to d ?is !y mu/ issue new works ( m$ic9e 9 ! same way t lay publi%+ h\ses compete = new works ( fiction4 ,n[1 doctors usually obta9 pr(essor%ips 9 "s in/itution by pay+ five ?\s& doll>s or m = !m1 & 9 due "t a publi%] ( m$ical books w tempt ! pr(essor to become an au?or4 ,!y place be=e him _! great facilities = gett+ up a book1 argu+ t consequ5tly b little or no labor on ! pr(essor's "p is requir$4 ,!y po9t out to him ! fame & honor ! publication w br+ him1 & at ! same "t e/imate h[ mu* money !y w make out ( x4 ,9 due "t a 8,ditto & ,me-too0 m$ical brief1 rsum1 or treatise1 is publi%$ cov]+ ! :ole hi/ory ( ! subject1 f ,biblical m5tion ( x to ! pres5t day4 ,all ( u h obs]v$ :at a great am\nt ( /uff+ or padd+ x takes to make a book t is to sell = five or sev5 doll>s4 ,x occurs to me t x might be wise to get up a conf]5ce ( enlight5$ physicians to take "s practical /eps or to devise "s laws t w prev5t su* impositions on ! too confid+ m$ical bre?r5 by unscrupul\s publi%]s t rob !m ( _! h>d-e>n$ income ?r\gh delusive adv]tis+4 ,/ill1 be=e any action is tak5 t w\ld result 9 effectively clos+ ! door to ?is practice1 x may be z well t ! eyes ( m ( u %\ld be op5$ t we may n cont9ue to be dup$ & /ung aga9 & aga9 by 8,ditto & ,me-too0 scrapbooks ) hundr$s ( pictures4 ,:5 seek+ = new & bett] in=mation to help suff]+ humanity1 let u be s]v$ = a little :ile long] ) 8reha%$ rot40 ,p>don ?is digression4 ,we w n[ consid]1 at fir/ h&1 ! subject ( fi/ula4 ,z a rule1 pus 9 a fi/ula is a second>y symptom ( *ronic proctitis1 except ^? fi/ul t occur f traumatic injury to ! region ( ! rectum1 anus1 & buttocks4 ,e>ly 9 my practice ,i ent]ta9$ ! idea t ! =mation ( pus occurr$ at ! po9t ( dissolution ( ! tissue1 & t1 z ! volume ( pus increas$ x made its way 9 ! direction ( lea/ resi/ance ?r\gh x1 if ! abscess _h n be5 op5$ by an incision4 ,! idea 0 well f\nd$ :5 x 0 appli$ to ! traumatic orig9 ( an abscess & fi/ula1 b n :5 _! orig9 0 trac$ to *ronic proctitis4 ,x may seem incr$ible to all :o read ?is t a mucus *annel or a fi/ula c be =m$ = t51 tw5ty1 =ty1 or m ye>s be=e ! =mation ( pus takes place 9 x2 & t ! pus ex]ts no "p 9 produc+ ! diamet] or l5g? ( ! fi/ula1 :i* may h a capacity ( six1 eight1 or m ounces ( fluid4 ,z soon z ! *ronic inflammatory process has p5etrat$ "o or m lay]s ( ! muc\s membrane1 mucus *annel or fi/ula-=mation mu/ take place4 ,if ! sph9ct] muscles be r weak or lax ,i w\ld n expect sacculation ( ! rectal mucosa to occur to any ext5t4 ,9 ^! cases1 h[ev]1 ! muco-cutane\s *annels are usually f\nd q l>ge & num]\s4 ,( c\rse ! ext5t ( ! ano-rectal symptoms 9 ea* case dep5d ^u h[ sev]e ! *ronic inflammatory process has be51 & is1 at ! l[] portion ( ! ent]ic canal4 ,(t5 y w f9d t ! seat ( ! mo/ active *ronic inflammation is 9 ! middle & upp] portion ( ! rectum1 involv+ also ! sigmoid colon4 ,9 ^! cases ! ano-rectal symptoms are n num]\s1 if !re be any at all1 on ! muc\s membrane1 b "u x y may expect mucus *annels t s]ve z outlets = ! inflammatory product4 ,9 e case ( *ronic proctitis & sigmoiditis submuc\s & subtegum5t>y fi/ul c be f\nd1 & my exp]i5ce 9 trac+ !m w>rants me 9 /at+ t p]iproctitis & p]isigmoiditis is pres5t also2 ! latt] pa?ological condition be+ due to ! invasion ( submuc\s & subtegum5t>y *annels or fi/ul ar\nd ! outside ( ! /ructure ( ! anus & rectum1 ext5d+ f> up into ! neighbor+ tissues ( ! pelvic space t support ! rectum & sigmoid flexure4 ,! =mation ( pus 9 a submuc\s or subtegum5t>y *annel t has exi/$ = _m ye>s does n make x a disease2 x is only ano!r incid5tal phase add$ to an already exi/+ symptom ( *ronic proctitis4 ,mucus fi/ul %\ld be diagnos$ & treat$ e>ly 9 _! =mation1 or at lea/ be=e ! tissues involv$ became s det]iorat$ z to =m pus 9 quantity suffici5t to occasion ! usual p]iod ( suff]+1 fev]1 loss ( re/ & sleep be=e ! pus is fre$ f its enclosure4 ,! =mation ( pus 9 a muc\s fi/ula is only incid5tal & m>ks a /age 9 ! di/9ctive *anges t h be5 go+ on = _m1 _m ye>s 9 ! tissues involv$ 9 ! inflammatory exudation4 ,! num]\s small & l>ge submuc\s & subtegum5t>y fi/ul f\nd 9 e case ( *ronic proctitis & sigmoiditis 0 ! mo/ grave & f>-rea*+ ( ! num]\s symptoms1 b = ?ree decades ,i h fully realiz$ ! baneful effects f mucus irritation1 & ! self-poison+ by ! absorption ( l>ge quantities ( s]um & fibr9\s septic mat]ial f ! surface ( ! muc\s membrane involv$1 z well z t f num]\s long1 cav]n\s mucus fi/ul3 a fe>ful d\ble s\rce ( auto-intoxication1 = :i* x is useless to prescribe diet1 tonics1 & travel = build+ up ! sy/em & re/or+ ! heal?4 ,besides ! num]\s g5]al symptoms1 aris+ f self-poison+ by fecal & mucus absorption1 we h m or less m>k$ local symptoms 9 _m cases2 & if ^! be n pres5t1 ! diagnosis c be made out f ! g5]al debility ( ! sy/em & ! "* ( ! *ronic proctitis & sigmoiditis4 ,! local symptoms ( mucus fi/ul1 p]iproctitis1 & p]isigmoiditis are1 ea* ( !m1 univ]sally diagnos$ z a disease3 ,su* symptoms z pruritus ani1 scroti1 vulv1 lumbago1 sciatica1 myalgia1 rheumatism1 pro/atitis1 coxitis1 disease ( ! coccyx1 *af+ ab\t ! anus & along ! ?igh & scrotum1 difficulty 9 gett+ up aft] sitt+ = a :ile1 pa9 9 ! back ( ! neck1 lame back1 legs feel tir$1 & sometimes pa9 is v annoy+1 abnormal color ( ! sk91 pa9ful or sore spots at times1 conf9em5t 9 b$ = _m weeks f sev]e cont9u\s pa9 9 & ab\t ! rectum1 etc4 ,up to ! pres5t "t proctologi/s h paid little or no att5tion to proctitis & sigmoiditis1 :i* is a grave disease1 ) a f> m s]i\s symptom1 t ( mucus fi/ul ( great l5g? & diamet]1 ext5d+ 9 all directions 9 ! pelvic cavity & tissues ( ! buttocks1 ! l>ge area ( tissue f\nd s full ( holes1 might be lik5$ to a sponge occupy+ ! same space4 ,!y are v num]\s 9 e case ( *ronic proctitis & sigmoiditis4 ,?is w expla9 :y an incid5tal symptom l pus 9 a fi/ula is commonly call$ a disease by ! 8,ditto & ,me-too0 au?ors1 & :y x is s frequ5tly met ) 9 practice4 ,at "s hospitals "o-half ( ! cases treat$ suff] f fi/ula 9 :i* pus has =m$4 ,:y ! p] c5t4 is n mu* great] ,i am unable to expla91 except to give cr$it to ! def5sive & re/orative p[] ( ! human body4 ,if ! p]iproctitis & p]isigmoiditis1 br\ght on by ! mucus fi/ul1 is n treat$ at ! same "t z ! cause1 ! treatm5t w be ( no consequ5ce 9 effect+ a cure ( ! *ronic inflammation ( ! l[] b[els4 ,e mucus fi/ula %\ld be locat$ & heal$ at ! "t t ! disease itself is treat$2 !n ! "w w be well done4 ,e mucus fi/ula %\ld be diagnos$ & treat$ be=e ! break+ d[n ( ! tissues rea*es ! pus-=m+ /age1 & ?us obviate all suff]+1 annoyance1 & possible dea?4 ,att5tion to ?is c\rse w ensure y\r treatm5t ( ! disease1 & its symptoms1 to be tak5 9 "t4 ,! only h9drance to ! successful (fice treatm5t ( a fi/ula 9 :i* pus has incid5tally =m$ is ! fe> t y c n cure x1 or t y w fail1 or t at a hospital x c\ld be cur$ quick]1 bett]1 & *eap]4 ,^! ideas are born ( h]$ity1 timidity1 fe>-habit1 p[] ( auto-sugge/ion1 & too mu* caution on y\r "p4 ,!y are all falsehoods & %\ld n be he$$ = a mom5t4 ,dur+ ?irty ye>s ( practice 9 my specialty ,i h s5t sev5 ( my fi/ula pati5ts to a hospital = treatm5t1 & f\r ( t numb] ,i aft]w>ds v mu* regrett$ s5d+1 z ,i c\ld h accompli%$ ! cure 9 a saf] & bett] way by ! usual (fice me?od ( cure4 ,9 fact e fi/ula1 pus or no pus1--,i d n c>e h[ bad x may be1--c be cur$ by (fice treatm5t & at ! same "t aid$ by ! home att5tions ( ! pati5t4 ,!re may be p]iods ( a ye> or m :5 y\r en]gies are ov]tax$ ) num]\s pati5ts1 & y feel l divid+ ! labor ) "s fell[-practition]1 & ?is 9 a measure acc\nts = ^? ,i induc$ to g1 or 0 will+ to h g1 to ! hospital4 ,unless ov]work is ! excuse1 y ne$ nev] s5d a fi/ula pati5t to a hospital = treatm5t4 ,i h ev]y?+ to say 9 praise ( ! ambulant treatm5t ( ano-rectal fi/ula & ! mucus *annels1 s9ce my practice ?us f> has be5 devoid ( any unfavorable results1--a fact :i* %\ld h mu* weight 9 favor ( ! ambulant (fice treatm5t ( all ( ! _m symptoms ( *ronic proctitis1 sigmoiditis1 & colitis4 ,mucus fi/ula is v easily heal$ 9 all cases1 & ^? cases 9 :i* pus has incid5tally =m$ are likewise n difficult to cure4 ,all y ne$ to d is to in/ill intellig5ce 9 a /upid pati5t1 if y hav5't an intellig5t "o1 & induce him to utilize or improvise a few home conv5i5ces = cleans+ ! fi/ula night & morn+ betwe5 (fice visits4 ,dur+ ! treatm5t ( ! fi/ula pati5ts w be able to att5d to _! imp]ative duties4 ,to prop]ly explore a fi/ula & its bran*es1 if any1 z to :e!r pyog5esis 7pus7 has tak5 place or n1 x is ess5tial to h ! ext]nal op5+ ?r\gh ! sk9 ( suffici5t dep? & size to p]mit ( ! application ( rem$ies ov] all its surface4 ,= a mucus fi/ula antiseptic rem$ies c be appli$ aft] a ?or\gh irrigation by hot wat] at a temp]ature ( "o hundr$ & tw5ty degrees1 or m1 = half an h\r or less "t1 z ! case may dem&4 ,:]e pyog5esis 7pus7 has occurr$ 9 a mucus fi/ula !re may be m or less necrotic tissue =m$1 :i* w require ! use ( an es*>otic rem$y z well z v hot wat] irrigation1 foll[$ by an antiseptic rem$y1 if n already incorporat$ 9 ! hot wat] us$4 ,z a rule ,i see a fi/ula case once or twice a week1 z ! case may require4 ,!re is no pack+ ( ! fi/ula aft] ! morn+ & ev5+ home treatm5t--,i h nev] f\nd x ess5tial4 ,a ,t-b&age is worn1 ) absorb5t cotton1 ov] ! op5+ ( ! fi/ula1 prev5t+ soil+ ( ! clo!s :ile att5d+ to daily duties4 ,nev] m9d :at ! 8,ditto & ,me-too0 proctologi/s h copi$ or reha%$ ab\t ! cur+ ( a fi/ula1 :i* !y p]si/ 9 call+ a disease4 ,j be res\rceful1 safe1 & sane 9 all y d1 & e fi/ula w get well long be=e y h cur$ ! *ronic proctitis & sigmoiditis1 ( :i* ! fi/ula1 z a rule1 is a symptom4 ,,*apt] ,,xxiv4 ,,n9e ,,radiograph ,,illu/rations ,,( ,,mucus ,,*annels ,,& ,,cavities4 ,i am indebt$ to ,dr4 ,caldwell1 ( ,new ,york1 at ^: laboratory my pati5ts 7 radiograph$ = ! v excell5t illu/rations2 & also to ,dr4 ,albright ( ,philadelphia1 = 8 assi/ance 9 ! radiograph "w1 :ile att5d+ my cl9ic1 & :o1 lat]1 ) r>e skill & s*ol>ly ability1 pres5t$ my discov]ies 9 a l>ge volume1 entitl$2 ,a ,practical ,treatise on ,rectal ,diseases1 ,_! ,diagnosis & ,treatm5t4 ,! foll[+ illu/rations c only give a h9t ( ! pa?ological conditions t exi/$4 ,fig4 #a %[s sev51 & ,fig4 #b1 eight probes ins]t$1 :i* by no means indicate ! numb] ( *annels or size ( ! cavities2 tw5ty-five to fifty or m probes ins]t$ w\ld m accurately indicate ! excursions ( ! inflammatory exudate4 ,! sev5 foll[+ illu/rations1 9 :i* ,bismu? ,pa/e 0 inject$1 did n meet my expectations 9 %[+ ! pa?ological conditions t exi/$4 ,! disappo9tm5t 0 l>gely due to a desire n to cause annoyance to my pati5ts1 :o s k9dly cons5t$1 9 ! int]e/ ( sci5ce1 to be+ radiograph$4 ,9 all cases ! pa/e ext5d$ ov] a mu* great] area ?an a casual glance at ! illu/rations w\ld indicate4 ,! probes & pa/e 7 n ins]t$ ) ! idea ( mak+ a diagnosis1 b simply to sugge/ rese>* on ! subject by proctologi/s4 ,all ! cases radiograph$ suff]$ f proctitis1 sigmoiditis1 p]iproctitis1 & p]isigmoiditis4 ,illu/ration3 ,fig4 #a4 ,radiograph %[+ tube 7#a7 9 ! rectum2 #b1 probe ins]t$ #h-c_/d in*es2 probes #b & #d pass on left side ( rectum2 #c & #e pass on ! "r2 all pass into p]irectal spaces2 ?ree probes are se5 "u ! integum5t4 ,illu/ration3 ,fig4 #b4 ,radiograph %[+ tube 7#a7 9 ! rectum2 probes #b1 #d1 #f1 pass$ on ! left & front ( ! rectum2 #c pass$ =w>d2 #e "u ! integum5t along ! sp9e2 #g1 #h1 & #i probes pass$ to scrotum & ?igh4 ,illu/ration3 ,fig4 #c4 ,radiograph %[+ a l>ge region m or less fill$ ) bismu? f ! anal canal =w>d & upw>d1 z indicat$ by l9es #a & #b2 a sev]e case ( proctitis1 sigmoiditis1 p]iproctitis1 & p]isigmoiditis4 ,illu/ration3 ,fig4 #d4 ,radiograph %[+ a tube 9 ! rectum & probe pass$ to ! left ( ! rectum into ! space :]e bismu? 0 inject$2 a case ( acute proctitis1 sigmoiditis1 p]iproctitis1 & p]isigmoiditis at "t ( treatm5t4 ,illu/ration3 ,fig4 #e4 ,radiograph %[+ bismu? 9 a p]irectal *annel on ! left side ( ! anus & rectum1 :i* caus$ cont9u\s annoy+ pa9 = _m mon?s4 ,illu/ration3 ,fig4 #f4 ,radiograph %[+ a long muco-cutane\s sac & p]irectal *annel into :i* bismu? 0 inject$2 a case ( proctitis & p]iproctitis1 etc4 ,illu/ration3 ,fig4 #g4 ,radiograph %[+ a tube 9 ! rectum1 a long probe & bismu? 9 p]irectal space1 also a probe 9 a submuc\s *annel2 a case ( sigmoiditis1 proctitis1 p]iproctitis1 & p]isigmoiditis4 ,illu/ration3 ,fig4 #h4 ,radiograph %[+ bismu? inject$ 9 ! p]irectal space2 a case ( proctitis1 sigmoiditis1 p]iproctitis1 & p]isigmoiditis ) sev]e con/ipation & indige/ion4 ,illu/ration3 ,fig4 #i4 ,radiograph %[+ tube 9 ! rectum1 a probe & bismu? 9 p]irectal space1 & also a probe 9 a submuc\s *annel2 a case ( proctitis1 sigmoiditis1 p]iproctitis1 & p]isigmoiditis4 ,,*apt] ,,xxv4 ,,*ronic ,,muc\s ,,proctitis ,,& ,,sigmoiditis--,,usually ,,diagnos$ ,,z ,,*ronic ,,muc\s ,,colitis4 ,*ronic muc\s colitis ought to mean inflammation ( ! asc5d+1 transv]se1 or desc5d+ colon4 ,! l5g? ( ! rectum v>ies f five to eight in*es1 & ! av]age l5g? ( ! sigmoid flexure is ab\t n9ete5 in*es2 ! l5g? ( ! two organs is ?irty or m in*es4 ,*ronic follicul>1 ulc]ative proctitis & sigmoiditis1 ext5d+ half1 or ev5 ! :ole l5g? ( ! sigmoid flexure1 causes great suff]+1 & ! symptoms are simil> to ^? attribut$ to *ronic muc\s colitis4 ,= ab\t ?irty ye>s ,i h positively kn[n t _m ( my pati5ts suff]$ n only f *ronic muc\s proctitis1 b f sigmoiditis z well1 s9ce ,i 0 able to make positive diagnosis ( ! diseas$ condition = at lea/ t5 to fifte5 in*es up ! l[] b[els4 ,if ! anal canal is inflam$ f any cause & n cur$1 ! *ronic inflammation w gradually ext5d up ! :ole l5g? ( ! rectum & into ! tissues ( ! sigmoid flexure1 invad+ ! organ to a great] "p ( its l5g?1 if n all ( x4 ,! sigmoid flexure is ! normal receptacle = feces1 & gases1 & physiologically & hygi5ically ought to be empti$ ?ree times 9 tw5ty-f\r h\rs to keep x clean = ^? :o are 9 ! habit ( eat+ food ?ree times a day4 ,! hygi5ic condition ( ! sigmoid receptacle is entirely dep5d5t ^u a heal?y condition ( ! rectum & a s5sible t5ant ( ! body2 b :5 *ronic proctitis has tak5 possession ( ! rectum & neighbor+ tissues1 x s]ves no long] z a normal passageway = empty+ ! sigmoid flexure ( accumulat$ feces1 gases1 & liquids4 ,at fir/ inflammation causes spasmodic muscul> contraction ( ! anus & rectum1 :i* 9 "t becomes m & m p]man5t /ricture z ! progress ( disease advances1 less5+ ! bore ( ! organs until x becomes v difficult = any?+ to pass into & ?r\gh ! rectal & anal canals4 ,inflammation ext5d+ f ! rectum into ! sigmoid flexure = p]haps its :ole l5g?1 int]rupts its functions likewise1 ?us creat+ ano!r cause = undue accumulation ( feces & gases 9 ! organ2 ?is accumulation ( ! wa/e mat]ial ( ! body becomes v f\l1 g5]at+ toxic gases1 putrid sub/ances1 & poison\s g]ms :i* 9 turn irritate & excite ! diseas$ organ f _! con/ant contact ) ! follicul> ulc]at$ muc\s membrane ( ! sigmoid receptacle4 ,:y %\ld we n f9d 9 ^! cases all ! symptoms attribut$ by au?ors to *ronic muc\s colitis8 ,especially s :5 we h1 9 addition to ! enum]at$ symptoms ( colitis1 ^? caus$ by p]iproctitis & p]isigmoiditis1 :i* are always pres5t & q sev]e4 ,z a rule1 ! symptoms :i* h be5 diagnos$ z ^? ( *ronic muc\s colitis1 membran\s colitis1 or ulc]ative colitis are no?+ m ?an symptoms ( *ronic muc\s proctitis & sigmoiditis1 accompani$ by p]iproctitis & p]isigmoiditis4 ,proctologi/s :o h writt5 on ! subject ( muc\s colitis h not$ ! _m symptoms v accurately1 b h miss$ ! usual location ( a mo/ aggravat+ disease f :i* mank9d suff]s e>ly & late 9 life4 ,au?ors ( books on /oma* & inte/9al tr\bles are also grop+ v mu* 9 ! d>k & are unable to diagnose ! cause ( a v common functional di/urbance ( ! :ole dige/ive app>atus1 caus$ by proctitis & sigmoiditis1 br++ num]\s & sev]e prim>y & second>y symptoms to :i* o!r diseases may be trac$4 ,*ronic proctitis & sigmoiditis & _! local symptoms conv]t ! sigmoid receptacle into an ,augean /able1 f :i* f\l poison\s gases & g]ms are =c$ up & along ! b[els1 di/5d+ ! desc5d+ & transv]se colon & f9ally rea*+ ! asc5d+ colon & ! ccum1 caus+ undue ret5tion ( _! cont5ts2 h5ce s mu* att5tion to ! ccum & ! v]mi=m app5dix4 ,! ends ( a long rubb] tube di/5d$ ) gas w exhibit m /ra9 & di/urbance ?an ! int]m$iate p>ts1 & ! same is true ( ! colon1 ow+ to ! int]m$iate sections ( ! organ possess+ great] mobility4 ,! great volume ( gases conf9$ 9 ! colon prev5ts its normal p]i/altic action1 caus+ undue ret5tion ( cont5ts1 ) result+ inflammation ( ! ccum1 z well z dislocation ( ! /oma*1 colon1 etc41 & sugge/+ radiographic & fluoroscopic exam9ation & surgical op]ations to discov] ! cause ( all ! tr\ble1 :i* %\ld h be5 le>n$ ?r\gh use ( ! speculum be=e s _m complications occurr$4 ,9 all cases ( *ronic muc\s proctitis & sigmoiditis :]e !re is a great am\nt ( secretion ( mucus1 membran\s cords1 %r$s1 & ca/s 7call$ muc\s colitis71 ,i h f\nd ! m>k$ acute symptoms m or less p]iodic & accompani$ by increas$ inflammation 9 all ! tissues involv$ 9 ! disease1 :i* conv9c$ me t ! colitis we read ab\t _h become dislocat$ & 0 :]e ,i c\ld see its results )\t ! use ( a speculum4 ,?r\gh (t5 witness+ ! ph5om5a1 ,i h le>n$ :at a 8muc\s colitis0 /orm means f a pa?ological exhibit1 a p]sonal demon/ration1 & a v]bal description ( :at ! suff]] is endur+4 ,x requires ! /uff h]oes are made ( to endure *ronic muc\s proctitis & sigmoiditis = t51 ?irty1 or =ty ye>s )\t ! disease be+ accurately diagnos$1 & to be told t all treatm5t is useless & t ! tr\ble is 9 ! head ( ! suff]]1 t he is a hypo*ondriac1 & a neura/h5ic1 t]ms (t5 us$ by doctors :o are unable to make a prop] diagnosis ( a case4 ,! common symptoms ( muc\s colitis h be5 accept$ by writ]s on ! subject1 b z to ! real cause ( !m !re has be5 ?us f> only m]e conjecture1 j z ! writ]s h be5 do+ z to ! cause ( pruritus ani1 scroti1 & vulv4 ,dr4 ,george ,m4 ,niles1 ( ,atlanta1 ,ga41 says3 8,9 look+ up ! lit]ature1 "o is amaz$ at ! div]g5t views z to ! etiology & managem5t held by dilig5t /ud5ts & compet5t obs]v]s4 ,x is fairly well agre$ t mo/ cases occur 9 n]v\s1 neura/h5ic1 hypo*ondriac1 or hy/]ic individuals40 ,o!rs blame ! liv]1 hy/]ia1 con/ipation1 f]m5tative processes 9 ! inte/9es4 ,h[ fooli% to "n symptoms ( ! disease z a probable cause ( x6 ,x is n necess>y = me to aga9 enum]ate ! _m prim>y & second>y symptoms ( proctitis & sigmoiditis1 b ,i w m5tion briefly a few n]v\s symptoms :i* ,i ?9k are due to ! absorption ( mucus into ! sy/em4 ,!re is t int5se1 exasp]at+1 sore1 & re/less feel+1 ) inability to conc5trate ! m9d1 ) ! n]ves & muscles ( ! body p9*$ & contract$4 ,su* feel+s are at _! height dur+ an acute mucus /orm1 :i* is an indication ( increas$ inflammation 9 all ! inflam$ tissues1 caus+ secretion ( a great quantity ( mucus or membran\s ca/s4 ,no d\bt mu* ( ! inflammatory exudate f ! muc\s membrane1 f ! muscul> /ructure ( ! organs1 & ! connective tissue surr\nd+ & support+ ! organs1 passes into ! sigmoidal & rectal canals1 :ile a portion is absorb$ into ! sy/em4 ,9 a simil> mann]1 ! inflammatory exudate f a subtegum5t>y mucus *annel & cavity passes ?r\gh ! sk91 caus+ moi/ure ( ! sk91 pruritus ani1 scroti1 & vulv4 ,i "k ( no non-malignant disease1 :]e ! symptoms may truly be said to be a ?\s& times worse ?an ! disease t caus$ !m1 except 9 *ronic proctitis & sigmoiditis4 ,treatm5t ( su* cases has be5 v successful 9 my practice1 requir+ f\r pr9cipal aids3 7#a7 ,local treatm5t2 7#b7 m$icat$ enemata2 7#c7 local m$ication2 7#d7 ! recurr5t application ( m$icat$ hot wat] at a temp]ature ( #abe to #ace or m degrees4 ,a fur!r valuable aid is ! det]m9ation ( ! suff]] to get well by fai?fully c>ry+ out ! home treatm5t4 ,! m a pati5t /udies my diagnosis & treatm5t ( 8 case1 ! m he is enc\rag$ t ev5tually a cure w be effect$4 ,dr4 ,james ,moran ( ?is city has be5 a /ud5t & assi/ant at my (fice = m ?an ?ree ye>s1 & w be> te/imony to ! success ( my treatm5t 9 all cases obs]v$ by him4 ,,*apt] ,,xxvi4 ,,antiseptic ,,employm5t ,,( ,,p[d]s ,,& ,,oils4 ,,depurant ,,p[d]4 ,wat] at a temp]ature ( f #abj to #ace or m degrees is an excell5t antiseptic if prop]ly appli$ to diseas$ tissue4 ,its anti-toxic1 soo?+1 & heal+ prop]ties1 h[ev]1 c be va/ly increas$ by ! addition ( ,depurant rem$ies4 ,wat] ( ?is temp]ature1 if us$ 9 ! treatm5t ( proctitis or colitis1 %\ld be appli$ ) ! aid ( an ,inte/9al ,recurr5t ,d\*e4 ,wat] at a temp]ature ( f #ij to #aje degrees--:i* is recomm5d$ = tak+ an enema--is antiseptic or depuratory only to ! ext5t to :i* x wa%es away morbid matt] f ! inte/9al canal4 ,to increase its antiseptic & !rapeutic value1 z well z to meet o!r requirem5ts1 ,depurant rem$ies are adm9i/]$ ) ! wat] dur+ ! flu%+ ( ! l>ge inte/9e4 ,! ,depurant ,p[d]1 prep>$ by ! au?or1 readily dissolves 9 ! w>m wat] & is br\ght into contact ) e "p ( ! muc\s membrane z f> z ! antiseptic flu%+ ext5ds along ! inte/9e1 ?us leav+ ! wa%$ & /]iliz$ canal sweet & clean--a fit & prop] *annel & receptacle = ! on-com+ fecal mass4 ,"h x may rema9 ab\t f\r h\rs )\t dang] ( putrefaction1 :]eas1 7 ! passage-way & receptacle f\l1 ! feces w\ld putrefy & =m gases & toxic mat]ial 9 brief] "t4 ,?is ,depurant rem$y is n re/rict$ to inte/9al uses2 x is equally efficaci\s :5 appli$ to ! muc\s membrane ( any "p ( ! body or to ! sk94 ,x may be us$ effectively = wa%+ out ! bladd] or ! vag9a2 = syr++ ! e>2 = a m\? wa%1 too? wa%1 g>gle1 nasal d\*+ or spray2 = a ?roat spray2 = ba?+ infants2 & = int]nal use :]e f\lness ( ! /oma* & small inte/9es exi/s4 ,x is also a valuable adjuvant 9 ! use ( wat] = cleans+1 or = hygi5ic purposes1 on all ! tissues ( ! body4 ,,depurant ,,oil4 ,next to ! use ( wat] on ! muc\s membrane & sk9 z a hygi5ic & !rapeutic ag5t1 ,i am p>tial to "s ( our delightful oils1 :i* are bl&1 non-irritat+1 & ( a pleas+1 n\ri%+1 refre%+ effect & exquisite odor4 ,to ! oil select$ z ! base +r$i5t may be add$ o!r oils1 & f9ally att5uat$ p[d]$ sub/ances ( !rapeutic value 9 soo?+1 purify+1 heal+1 or any o!r purpose ! case may call =4 ,pure olive oil is an excell5t sub/ance 9 :i* to incorporate ,depurant rem$ies1 especially :5 design$ to be tak5 int]nally1 by way ( ! m\?1 or appli$ to ! integum5t ( ! body4 ,c]ta9 o!r oils are equally pleas+ ?\gh r exp5sive4 ,h[ev]1 an inexp5sive oil usually s]ves z a base 9 :i* to embody ! prop] m$ic9al rem$ies = ,depurant purposes 9 ! treatm5t ( proctitis & colitis4 ,by a prop] in/rum5t ! oil is c>ri$ into ! inte/9es ) ! wat] us$ 9 flu%+ ! colon1 or t us$ ) ! inte/9al recurr5t d\*e treatm5t4 ,! oil1 be+ light] ?an ! wat]1 is c>ri$ ahead or on top z ! wat] passes up ! b[els2 &1 z ! two liquids op5 ! crevices & folds ( ! muc\s membrane or canal1 e "p ( ! latt] is completely cov]$ ) ! m$icat$ oil1 z ) a cov]+ ( ?9 salve1 o9tm5t1 or a p\ltice--9 e nook & corn]1 j :]e x is mo/ ne$$ & :]e x %\ld rema9 = its hygi5ic & heal+ effect4 ,e k9dly aid %\ld be giv5 a diseas$ organ1 muc\s membrane1 or ! sk91 ev5 if "o kn[s x is = relief only2 = ! v aids t give relief are (t5 ess5tial :5 jo9$ ) m$ic9al or o!r treatm5t 9 effect+ a cure4 ,x is advantage\s 9 treat+ b[el tr\bles to use a r heavy1 t5aci\s oil = a base--"o t may n be s pleasant to swall[ or to use ext]nally z "s ( ! light] oils4 ,x is !re=e advisable to h two k9ds ( ,depurant ,oil3 "o = int]nal use 7by ! m\?7 & = ! sk91 ! o!r = *ronic disease ( ! l[] b[el4 ,,inte/9al ,,ills4 ,by ,alc9\s ,b4 ,jamison1 ,m4,d41 ,,speciali/ ,,9 ,,rectal1 ,,anal1 ,,& ,,b[el ,,diseases1 ,,& ,,au?or ,,( 8,,h[ ,,to ,,become ,,/rong40 ,clo?1 #bgg pages ,! above is ! title ( a "w = non-pr(essional read]s on ! cause & cure ( _m =ms ( b[el & /oma* tr\ble1 & _! consequ5ces1 & ! sci5tific treatm5t ( piles1 fi/ula1 pruritus ani 7it*+71 etc4 ,sci5ce is "h r$uc$ to common s5se2 & ! intellig5t layman1 foll[+ ! directions ( ?is book1 especially z to 8physiological irrigation10 w be able to prev5t ! usual daily f\l /ate ( ! /oma* & b[els4 ,"h is set =? 9 pla9 language ! accumulat$ exp]i5ce ( a ?\ghtful physician1 :o = ov] ?irty ye>s has /udi$ ! welf>e ( 8 pati5ts 9 ! treatm5t ( ^? diseases :i* are peculi> to civilization4 ,dur+ ?is long practise1 pati5ts f all p>ts ( ! ,unit$ ,/ates & o!r c\ntries h come to ,new ,york ,city to be "u ! humane & skilful c>e ( ,dr4 ,jamison1 :o has ! unique reputation ( nev] employ+ ! b>b>\s surgical & hospital me?ods 9 vogue ?r\gh\t ! _w4 ,no knife1 ligature1 clamp1 or caut]y has ev] be5 employ$ by him 9 ! treatm5t ( ev5 ! mo/ aggravat$ case ( piles1 or hemorrhoids2 & no det5tion f bus9ess is necess>y "u 8 treatm5t = ?is symptom ( proctitis4 ,dr4 ,jamison's discov]ies 9 ! l9e ( 8 specialty h add$ mu* to m$ical k conc]n+ ! etiology & pa?ology ( proctitis1 sigmoiditis1 & ( _! symptoms--hemorrhoids1 pruritus ani1 con/ipation1 etc4 ,8 diagnosis ( ^! afflictions is orig9al1 z well z 8 treatm5t ( su* ailm5ts--hi!rto neglect$ or improp]ly c>$ =4 ,physicians & surgeons ( conv5tional s*ools ( m$ic9e are n aw>e t ! common cause1 & inde$ ! key1 ( all =ms ( anal1 rectal1 & b[el tr\ble is proctitis 7inflammation ( ! l[] b[el & sometimes ( ! colon72 t proctitis is ! cause ( ne>ly all cases ( con/ipation1 di>rhea1 indige/ion1 & bili\sness2 & t1 f9ally1 proctitis is ! cause ( auto-infection 7self-poison+7 & its outcome--anemia1 emaciation1 etc4 ,no book to :i* physicians h access treats ?is subject s fully z 8,inte/9al ,ills10 & yet 9 ?is volume x is pres5t$ 9 a popul> mann] suit$ to ! common und]/&+4 ,! foll[+ enum]ation ( ! *apt] head+s w give an idea ( ! scope ( ! treatise3 #a4 ,man1 ,compos$ ,almo/ ,:olly ( ,wat]1 is ,con/ipat$4 ,:y8 #b4 ,! ,physics ( ,dige/ion & ,ege/ion4 #c4 ,! ,int]dep5d5ce ( ! ,anus1 ,rectum1 ,sigmoid ,flexure1 & ,colon4 #d4 ,indige/ion1 ,inte/9al ,gas1 & ,o!r ,matt]s4 #e4 ,key to ,auto-infection4 #f4 ,h[ ,auto-infection ,affects ! ,ga/ric ,dige/ion1 & ,vice ,v]sa4 #g4 ,h[ ,auto-infection ,affects ,inte/9al ,dige/ion1 & ,vice ,v]sa4 #h4 ,! ,cause ( ,con/ipation & ,h[ ,we ,ignorantly ,treat ,x4 #i4 ,cures = ,con/ipation 8,fe>fully & ,wond]fully ,made40 #aj4 ,bili\sness & ,bili\s ,attacks4 #aa4 ,k+ ,liv] & ,bile-b\nc]s4 #ab4 ,semi-con/ipation & ,its ,dang]s4 #ac4 ,! ,etiology ( ! ,mo/ ,common ,=m ( ,di>rhea1 i4 e41 ,excessive ,inte/9al ,p]i/alsis4 #ad4 ,balloon+ ( ! ,rectum4 #ae4 ,balloon+ ( ! ,rectum 7,cont9u$74 #af4 ,errone\s ,diagnoses & ,treatm5t ( ,b[el ,tr\bles4 #ag4 ,co/iv5ess4 #ah4 ,inflammation4 #ai4 ,proctitis & ,piles4 #bj4 ,pruritus1 or ,it*+ ( ! ,anus4 #ba4 ,abscess & ,fi/ula4 #bb4 ,! ,orig9 & ,use ( ! ,enema4 #bc4 ,h[ ,(t5 ,%\ld an ,enema be ,tak58 #bd4 ,physiological ,irrigation4 #be4 ,prop] ,treatm5t = ,diseases ( ! ,anus & ,rectum ,v ,ess5tial4 #bf4 ,! ,body's ,book-keep+4 #bg4 ,selection & ,prep>ation ( ,food4 #bh4 ,diet = ,indige/ion4 #bi4 ,diet = ,con/ipation4 #cj4 ,co/iv5ess1 ,diet1 etc4 #ca4 ,diet = ,di>rhea4 #cb4 ,a ,f9al ,^w4 ,y ne$ ?is book = y\rself & y\r fri5ds4 ,by mak+ a pres5t ( x to "s "o requir+ its light y w p]=m an act ( unselfi% k9dness4 ,price1 clo? b\nd1 lett]$ 9 gold1 #b4jj1 po/-paid to any address4 ,9 s5d+ = ! book please write "n & address pla9ly4 ,all ord]s %\ld be s5t to ! au?or3 ,a4 ,b4 ,,jamison1 ,m4,d41 #dc ,,we/ #de,,? ,,/reet1 ,,new ,,york ,,city4