,transcriber's ,notes     #a4           
,typographical errors have been silently
 corrected4     #b4 ,variations of      
spelling and hyphenation are as in the  
original4     #c4 ,the text version is  
coded for italics and the like mark-ups 
i4e41      a7 italics are indicated thus
 italic2      b7 bold text is indicated 
thus strong              ,,rules ,,and  
,,directions        ,,for ,,the         
,,employment ,,of ,,injections          
,,in ,,various ,,diseases2        ,,with
 ,,quotations ,,from ,,distinguished    
,,medical ,,authors4                    
,illustration3 ,,trade-,,mark-,,logo    
,,printed ,,to ,,accompany              
,,lewis',s ,,improved ,,portable        
,,syringes1        ,,or ,,domestic      
,,injecting ,,apparatus4        ,,boston
      #aheg4              ,entered      
according to ,act of ,congress in the   
year #ahef1        ,,by ,,thomas        
,,lewis1        ,in the ,clerk's ,office
 of the ,district ,court of             
,massachusetts4          ,,printed ,,by 

,,alfred ,,mudge  ,,son1 #ba ,,school   
,,st4           ,,injections4           
,,preface4       ,heretofore one of the 
greatest objections to the free use of  
,injections1 as a domestic remedy1 has  
been the inconvenience and clumsy   size
 of the instruments employed for the    
purpose1 and the manner of   their      
construction1 such as to render them    
liable in a short time to   get out of  
repair1 and become worthless4 ,it had   
therefore become a   matter of necessity
 that a new instrument should be        
introduced1 that   could be used with   
ease either for injecting the bowels of 
children1   for female uses1 or for     
self-administration4 ,the new instrument
 which   is herewith offered to the     
public1 termed the ,improved ,portable  
,syringe1 or ,domestic ,injecting       
,apparatus1 we have taken great pains   
with to perfect1 so as to overcome the  
many serious objections   entertained   
against the old ones1 and which we      
flatter ourselves we   have succeeded in

 doing1 by constructing it in such a    
manner as to   render it impossible for 
it to get out of repair1 unless by the  
abuse   of the user4 ,its size makes it 
extremely portable1 so much so that   it
 can be carried in the pocket without   
the least inconvenience2 and   being    
made on the principle of the pump1 is   
capable of injecting any   given        
quantity of fluid without being taken to
 pieces1 or altered   in the least1 and 
with any degree of force or rapidity    
that may be   necessary2 and in         
connection with the crooked or angular  
tube1 can be   used by an invalid       
without any assistance or difficulty1   
therefore   making it a very superior   
and convenient instrument for self use4 
,also1 in connection with the vaginal   
tube1 as a female syringe1 and   with   
the small tube for injecting the bowels 
of children1 which is a   very difficult
 matter with the common instruments     
formerly used for   the purpose4 ,one   
very important feature in this          

instrument is1 that   an injection of   
which gruel forms a part will be found  
to be as easily   administered as one   
more fluid1 therefore rendering it      
invaluable   to physicians and others   
who have frequently to resort to such an
   ,instrument1 and are annoyed to find 
the instruments with which most         
families are supplied will not answer   
the purpose4     ,this little book of   
rules and directions1 which has been    
carefully   prepared by an experienced  
physician1 and which is herewith        
presented   to our readers as an        
accompaniment to the ,improved ,portable
 ,syringe1   is not intended as a       
medical work or treatise on the human   
system1   which are often printed to    
accompany instruments of the kind1 and  
which few people ever read or care      
about1 but is intended merely as a      
guide in the administration of the more 
simple remedies in the form of          
injections1 well knowing that the       
majority of the people had rather   rely

 on the advice of an experienced        
physician in all critical cases   than  
their own judgment1 formed from reading 
books of the kind4       ,,boston1      
,january1 #ahef4           ,the ,uses of
 ,injections4       ,injections1 or     
,clysters1 are liquid substances or     
medicines injected   into the lower     
intestines by mechanical means1 for the 
purpose of   promoting alvine           
discharges1 relieving costiveness and   
cleansing the   bowels4 ,they are also  
sometimes administered to nourish and   
support   patients who cannot swallow   
aliment1 to evacuate the bowels without 
purging1 to affect the system through   
the intestines1 to remove worms   from  
the rectum1 to cure other disorders of  
the rectum1 to lessen   diarrha or      
dysentery1 to alleviate spasms in the   
stomach and   intestines1 to produce    
other medicinal effects in the stomach1 
when   all other curative means are too 
irritating4 ,prompt in operation1   they
 are very useful in inflammatory        

affections of the bladder1 womb1        
liver1 kidneys1 and lungs2 and for the  
relief of hysterics1 croup1             
determination of blood to the head1 and 
convulsions2 also in urethral           
strictures1 urinal retention1 flooding  
after child-birth1 and in   removing the
 after-birth1 when nature fails to do   
so4 ,when warm1 they   are of the       
greatest service in cases of suspended  
animation2 and for   the purpose of     
nutrition they alone have prolonged life
 for over ten   weeks4 ,carefully       
administered1 they are always safe4     
,authorities upon ,injections4       ,it
 is not necessary to accumulate the     
evidence of physicians concerning       
their utility4 ,every practitioner of   
medicine can recall the cases1 in       
which a perfect syringe would have saved
 hours of pain1 and in which   he could 
find only the most inefficient aid from 
a leaky barrel and a   loose piston4    
,dr4 ,pereira1 of ,london1 author of one
 of the best treatises on               

,therapeutics1 says3 ,warm water is     
injected into the rectum to excite      
alvine discharges1 to promote the       
hmorrhoidal flux1 to diminish           
irritation in the large intestine1 or in
 some neighboring organ1 as the         
uterus1 bladder1 prostate gland1 c42 and
 to bring on the menstrual   action4    
,thrown into the vagina1 it is used to  
allay uterine irritation   and pain1 and
 to promote the uterine discharge4 ,and 
again3     ,cold water is thrown into   
the rectum to check hmorrhage1 to expel 
worms1 to allay local pain1 to rouse the
 patient in poisoning by opium4     ,dr4
 ,thompson1 also of ,london1 speaks     
favorably of the effects of cold   water
 introduced into the vagina1 in uterine 
hmorrhage4     ,dr4 ,copland1 the editor
 of the ,medical ,dictionary1 says1 that
 in cases   of intestinal spasm or      
colic1 the spirit of turpentine thus    
employed   is an efficacious remedy1    
especially when much flatulent          
distention is   associated with spasm4  

,dr4 ,copland also says3 ,in some cases 
of lead colic1 ,i have found the   colon
 so enormously distended1 from flatus   
and loss of contractile   power1 that ,i
 could distinguish its form and course1 
in the different   abdominal regions1 by
 the eye1 when standing at a            
considerable distance   from the        
patient2 and yet the bowel has been     
restored to its healthy   state by      
repeated injections containing          
turpentine1 castor oil1 c41   aided by  
stimulating friction on the spine4      
,in the colic of the young and          
plethoric1 ,dr4 ,charles ,a4 ,lee1 of   
,new   ,york1 says3 ,a very successful  
mode of treatment in these cases1 is    
that of gradually forcing up1 by        
injection1 a large quantity of some     
bland fluid until it reaches the seat of
 obstruction or of spasm1 when   a      
speedy evacuation and relief will       
generally follow4 ,in many instances    
it will be required to repeat it1 before
 this result takes place2 but1   in all 

curable cases1 if reasonably applied1   
more speedy relief may be   expected    
from this means than almost any other4  
,the following extract from an oration  
delivered by ,dr4 ,burne1 before   the  
,london ,medical ,society1 will show the
 importance and extensive   utility of  
injections as a means of restoring the  
alimentary system to   its natural state
 of activity4     ,an undue retention of
 the intestinal excretions is another   
source of   disorder and of disease     
arising out of civilized life4 ,it is   
produced   by affections of the mind1 by
 indigestion1 by inattention to the     
calls   of nature1 and mechanical       
obstruction from organic disease1 which 
last   is frequently excited by the     
retained excretions themselves4     ,the
 undue retention of the excretions takes
 place in the larger 7or   lower7       
intestines1 for until the               
excrementitious matter arrives here1    
there is no reason to believe that its  
propulsion is arrested1 although   it   

may be less at one time than at another4
     ,the undue retention of the        
excrementitious matter allows of the    
absorption of its more liquid parts1    
which is a source of great   impurity to
 the blood2 and the excretions1 thus    
rendered hard and   knotty1 act more or 
less as extraneous substances1 and by   
their   irritation induce a             
determination of blood to the intestines
 and to the   neighboring viscera1 which
 ultimately ends in inflammation and    
organic   change of the bowels4     ,it 
has also a great effect on the whole    
system2 it causes a   determination of  
blood to the head1 which oppresses the  
brain and   dejects the mind2 it        
deranges the functions of the stomach1  
causes   flatulency1 and produces a     
general state of discomfort4     ,in    
civilized life1 then1 the causes which  
are most generally and   continually    
operating in the production of disorder 
and of disease   are1 affections of the 
mind1 improper diet1 and retention of   

intestinal   excretions4     ,dr4 ,j4   
,g4 ,gunn1 in his interesting medical   
work1 entitled ,gunn's   ,domestic      
,medicine1 published in #ahej1 for the  
benefit of the people1   speaking of    
injections as a domestic remedy1 says3  
,language almost fails to express the   
great value of this innocent   and      
powerful remedy in very many of the     
diseases to which mankind are   daily   
and even hourly subject2 and ,i most    
seriously regret to say that   it is a  
remedy not only too little known but too
 seldom used1 both by   physicians and  
in families4 ,this disregard for the    
great virtues of   injections must      
either arise from the supposition that  
the operation is   too troublesome1 or  
from a false and foolish delicacy1 which
 forbids   the use of an instrument by  
which the lives of thousands have been  
preserved in extremely critical         
circumstances1 and with which every     
mistress of a family should be perfectly
 acquainted1 so as to be able   to use  

when required in sickness4 ,and ,i do   
here most positively assert1   and that1
 too1 from my own experience1 that      
hundreds to whom ,i have   been called  
in cases of cholic must have died had it
 not been for   the immediate relief    
given by injections4 ,i will mention one
 strong   instance to prove the         
correctness of my assertion4 ,while     
practising   in the ,state of ,virginia1
 ,i was called on1 at midnight1 to      
attend a   stranger1 who had arrived but
 a few moments before in the mail stage4
   ,this gentleman was one of the judges
 of the supreme court in the ,state   of
 ,new ,york4 ,he stated to me that the  
cholic had been coming on him for   a   
considerable time before the stage      
stopped4 ,by the time ,i arrived his    
misery was so extreme that he repeatedly
 exclaimed1 ,i must die unless          
immediate relief is given me4 ,after    
administering all the remedies   which  
are usually given in such cases1 without
 any relief1 ,i commenced               

administering injections of water1      
pleasantly warm4 ,on the first being    
thrown up the bowels he experienced more
 relief than had been produced   by all 
the other remedies ,i had tried4 ,he    
felt an immediate exemption   from pain1
 and after two or three more had been   
given1 a copious   discharge by the     
stool followed1 and he was entirely     
restored4     ,injections principally   
act by exciting the lower portion of the
   intestinal tube1 and sometimes from  
the effects of sympathy4 ,in the        
latter case the discharges are generally
 copious1 or in other words1   of large 
quantity2 and to produce these full     
discharges by stool1   the injections of
 warm water1 tempered so as to be       
pleasant to the   feelings of the       
patient1 may be frequently administered1
 and in such   quantities as the bowels 
will bear4 ,i have continued to give    
these   injections of warm water for an 
hour or more1 in many instances1        
before ,i could overcome or subdue spasm

 or cholic1 and in cases of   great     
constipation4 ,in fevers and            
inflammations1 injections made of       
slippery elm bark1 which ,i have        
frequently directed and administered1   
tend to cool the whole system1 allay the
 heat and irritation of the   bowels1   
and gently assist the operation of the  
medicine which has   been given4 ,they  
will also produce a determination to the
 skin1 which   means a gentle moisture  
or sweat4 ,tepid or warm water always   
opens the   bowels1 but the very reverse
 of this practice is sometimes resorted 
to   in desperate circumstances and with
 great advantages by some of the   most 
distinguished physicians4 ,in cases of  
very obstinate constipation   relief has
 frequently been obtained when all other
 remedies had failed1   by an injection 
of the coldest water1 even of iced      
water4 ,there are   many persons who are
 constitutionally subject to            
costiveness4 ,this   costiveness arises 
from a variety of causes1 such as       

diseased liver1   indigestion1 torpor of
 the bowels1 and from improper food     
being taken   into the stomach and      
bowels1 which will generally produce    
spasms or   cholic pains1 depression of 
spirits1 c4 ,all these can be easily    
remedied by a simple injection of water 
thrown up the bowels1 which   relieves  
them of their load1 and the mind and    
feelings soon experience   an agreeable 
change4 ,you who are always taking      
medicines to keep your   bowels open and
 whose stomachs are becoming exhausted  
and worn out   by medical drugs1 let me 
entreat you1 as a friend and physician1 
who   has witnessed throughout ,france  
the great and surprising benefits       
arising from this simple operation1 to  
abandon the idea of constantly   taking 
medicines for the purpose4 ,in ,france  
there is scarcely a family   unprovided 
with an injecting apparatus1 which is   
always used when there   is the         
slightest obstruction or costiveness of 
the bowels4 ,these people   mostly use a

 simple clyster of milk and water1 and  
sometimes water   alone2 in summer they 
use cold water1 and in winter1 water    
pleasantly   warm4 ,it is to the warm   
bath and the common use of injections   
that   are to be attributed1 in a great 
degree1 the cheerful dispositions1   the
 uniform health1 and the practical      
philosophy with which these   people    
bear the hardships and misfortunes of   
life4 ,in fact1 if you   take from a    
,french physician the warm bath and the 
injecting pipe1   he cannot practise    
medicine with any kind of success4 ,the 
importance   of injections1 both in the 
hands of physicians and families1 has   
become so well known1 and is now so     
highly valued1 as to call forth   the   
commendations of the most eminent       
physicians of both ,europe and          
,america4 ,injections constitute one of 
the most powerful1 innocent1   mild1 and
 beneficial remedies known in the       
science and practice of   medicine4     
,illustration3 ,,view ,,of              

,,lewis',s ,,improved ,,portable        
,,syringe1     ,,or     ,,domestic      
,,injecting ,,apparatus4                
,,description4        ,a--,base of      
,instrument1 connected by a screw1      
containing a cavity and    valve1       
through which the fluid is drawn into   
the ,barrel4      ,b--,barrel1          
containing the ,piston or ,plunger4     
,c--,cap1 connected with the ,barrel by 
a screw4      ,d--,piston ,rod1         
surmounted by a metallic handle1        
terminating within    the ,barrel by the
 ,piston or ,plunger4      ,e--,metallic
 ,chamber1 containing a valve1 to which 
is connected1 by a    screw1 the        
flexible ,tube4      ,f--,flexible      
,tube1 to the end of which are attached1
 as they may be    needed1 the different
 pipes4      ,g--,straight ,pipe1 for   
injecting the bowels of adults1 to be   
attached    to the flexible ,tube1 when 
used with an assistant4                 
,h--,crooked or ,angular ,tube1 to be   
used for self-administration4           

,i--,small ,pipe1 for injecting the     
bowels of children4      ,j--,female or 
,vaginal ,tube4           ,,directions  
,,for ,,use4       ,for                 
,self-administration4     ,attach the   
crooked or angular tube1 ,h1 to the end 
of the flexible tube1   ,f2 place the   
fluid intended for use in a basin       
opposite you2 introduce   the pipe1 and 
sit down upon it1 holding the instrument
 upright in the   basin with one hand1  
and working the piston with the other4  
,for use with an ,assistant4     ,if the
 instrument is to be used by an         
assistant1 7as is often the case   in   
sickness by a nurse17 the straight pipe1
 ,g1 should be used instead   of the    
crooked or angular one4       ,for      
,children4     ,for injecting the bowels
 of children1 use the small pipe1 ,i4   
,for ,female or ,vaginal ,uses4         
,attach the long pipe1 ,j4 7,see        
,vaginal ,injections47       ,the       
,piston1 or ,plunger1 and the ,care of  
the same4     ,if the instrument has    

stood some time without use1 or has been
 kept   in a dry or warm place1 the     
leather of which it is composed may have
   become dry2 it should therefore be   
withdrawn from the barrel and   immersed
 in warm water1 7not hot47 ,it should   
then1 after remaining a   short time1 be
 saturated with melted tallow or sweet  
oil1 which will   restore the suppleness
 to the leather and cause it to work    
easily   within the barrel4 ,if the     
instrument has stood in a very cold     
place1   the leather of course would    
become chilled4 ,this can be easily set 
right by merely immersing the barrel of 
the syringe in a basin of warm   water4 
,the interior of the barrel may         
sometimes become rough by means   of    
matter adhering to it that has been used
 in the instrument1 such as   gruel1 or 
other thick injections1 and may cause an
 obstruction to the   working of the    
plunger4 ,the barrel should1 therefore1 
in such cases1 be   thoroughly washed   
out with warm soapsuds before returning 

the plunger   to its place4 ,the leather
 with which this is constructed is      
prepared   in a peculiar manner1        
expressly for the proprietor1 so that it
 will   not dry hard1 and can be used   
for a long time without parting with its
   oily matter4     ,n4 ,b4--,extra     
leathers for the plunger can be obtained
 of the   proprietor1 or his agents1 and
 sent to any place by mail4 ,price #ab  
cents4       ,the ,valves4     ,these   
consist of small mineral balls1 and are 
operated in an improved   chamber or    
cavity1 which allows them to always work
 well1 and are not   liable to stick or 
become wedged1 as has been the case with
 instruments   formerly made with this  
kind of a valve4 ,they are greatly      
superior to   ,india-rubber valves1     
which soon1 by the action of the fluid1 
become   unfit for use4 ,should the     
valves by any means be lost1 a common   
marble1   if round1 will answer the     
purpose4  ,after the instrument has been
   used for administering any thick     

injection1 it should be thoroughly      
cleansed by pumping some clear water    
through it1 and all sediment which   may
 remain in the valve chambers1 ,a and   
,e1 should be removed1 or it may   cause
 an obstruction to the working of the   
valves4     ,n4 ,b4--,be careful not to 
put the instrument away wet1 or it will 
injure the box4       ,the ,flexible    
,tube4     ,the reader will observe that
 the couplings to which the flexible    
tube   is attached are made with a neck1
 which is inserted into the orifice   of
 the tube1 the compression of which1    
when on1 holds it firmly in   its place4
  ,if at any time the flexible tube     
should be injured   so as to be unfit   
for use1 a new one can be forwarded by  
mail to any   place1 on application to  
either of the proprietor's agents1 and  
it can   be readily attached without the
 least trouble by any person4 ,price of 
,flexible ,tube1 #be cents4             
,withdrawal of the ,piston4     ,persons
 may sometimes withdraw the piston or   

plunger from the barrel1   and on       
account of its peculiar construction be 
unable to return it   again4 ,therefore1
 please observe that it is composed of  
two round   pieces of leather1 which are
 turned in opposite directions over the 
metallic plates--the upper one turning  
up1 the lower one turning   down4 ,with 
the leathers thus arranged1 it is to be 
introduced sideways   into the barrel1  
and the portion of the lower leather    
which remains   outside of the barrel   
gradually and carefully pressed in with 
the thumb   nail4  ,but in so doing be  
very careful not to cut or injure the   
leather4 ,n4 ,b4--,silver ,plated       
,syringes1 suitable for using nitrate of
   silver1 furnished to order at short  
notice4 7,see ,nitrate of ,silver       
,injections47       ,peculiarities of   
the ,improved ,portable ,syringe4       
,the peculiarity of this instrument1    
which renders it superior to others     
heretofore used1 consists in the mode of
 constructing the valves   and valve    

chambers4 ,many of the celebrated       
instruments with which   the market has 
been heretofore supplied have been      
constructed with   cylindrical valve    
chambers1 having a flat seat for the    
valve to rest   upon1 through which is  
an orifice for the passage of the fluid4
 ,the   valve itself consists of a      
circular piece of ,india-rubber1 the    
diameter   of which is somewhat less    
than that of the chamber1 in order to   
allow   the fluid to flow by it when the
 valve is raised4 ,there are several    
serious objections to these valves4 ,the
 ,india-rubber in a short time          
enlarges when in use so as entirely to  
obstruct the passage of the   fluid1    
especially when a warm injection is     
used1 which quickly softens   and       
moistens the rubber4 ,the valve1 too1 in
 such cases1 if made so   small and     
light as to avoid this evil1 is liable  
to double or fold up1   and is drawn    
through the orifice in the valve neck   
into the barrel of   the instrument1 and

 thereby entirely stops its working4    
,in the instrument now offered to the   
public1 these objections are   entirely 
obviated by using for a valve a small   
mineral ball1 which   rests upon a      
concave seat1 to which it is nicely     
adjusted4 ,the ball1   being of a       
material which does not absorb water1   
never becomes enlarged   by use2 and it 
is obvious that it can never be drawn   
through the   orifice into the body of  
the instrument4 ,it is also a           
self-adjusting   valve1 the friction of 
the ball on its seat having a constant  
tendency   to make them fit together    
more accurately4 ,the mineral balls are 
acknowledged to be much more durable    
than the ,india-rubber disks2 and   as  
an instrument is serviceable only while 
all its parts are fit for   use1 it is  
apparent that the new instrument will   
last much longer than   those which have
 been constructed in the manner         
described4       ,care and ,preservation
 of the ,instrument4     ,in all cases1 

after the instrument has been used for  
injecting any   medicinal preparation1  
gruel1 or in fact anything except clear 
water1   care should be taken to        
thoroughly cleanse it before laying it  
aside1   or it will become foul4 ,this  
can be easily effected by pumping       
through   it some pure water1 which will
 generally remove all sediment that may 
be left in the instrument4 ,if an       
injection containing oil has been       
used1 strong soapsuds will be required  
to remove the oily matter4 ,if   in     
cleansing the syringe the plunger is    
withdrawn from the barrel1   great care 
should be taken that the leather is not 
injured in returning   it again4 7,see  
,directions for ,use47     ,as this     
instrument is composed wholly of the    
best of ,britannia1 and   not of part   
lead1 like most of the instruments of   
the kind1 it can   be easily kept clean 
and bright as when new1 by rubbing it   
smartly   for a moment with a piece of  
soft flannel or wash-leather4 ,the      

little   trouble occasioned by this     
process will be amply repaid by the     
handsome   appearance of the apparatus4 
,common ,injections4     ,take of cold  
or warm water about three quarters of a 
pint4 ,these are   the most simple      
injections for costiveness1 and are     
generally very   effective in their     
action4 ,cold water is highly           
recommended by ,dr4   ,jackson1 of      
,boston1 in cases of habitual           
costiveness1 and may be used   daily for
 many years1 without injury4            
,laxative ,injections4     ,,form ,i4   
,take one half pint of strong soapsuds1 
made from the yellow bar2 or   common   
soft soap is often used1 in two gills of
 warm water4 ,this will   be found very 
active1 and is much used in bad cases of
 constipation1 or   to hasten the       
operation of cathartics taken by the    
mouth4       ,,form ,,ii4     ,take of  
common salt1 molasses1 and lard1 one    
table spoonful each1 to   which add one 
pint of warm water4 ,if this do not     

operate as effectually   as may be      
desired1 the effect may be increased by 
the addition of a   table spoonful of   
olive oil1 or infusion of senna4        
,purgative ,injections4     ,,form ,i4  
,take of soft soap one table spoonful1  
of olive oil one half a pint1 to   which
 add a pint and a half of warm water4   
,this is recommended by ,dr4   ,jackson 
in cases of obstinate constipation4     
,,form ,,ii4     ,to one pint of water  
gruel or thin starch add a table        
spoonful of   castor oil1 or the same   
quantity of common lard1 and a table    
spoonful   of salt4 ,this is an         
excellent cathartic4       ,,form ,,iii4
     ,take of powdered senna two        
scruples1 of soft soap one ounce1 to    
which   add a pint of boiling water4    
,this is a very efficient cathartic     
enema in obstinate constipation1 arising
 from colic1 or other more              
inflammatory conditions of the bowels4  
,,form ,,iv4     ,to one pint of warm   
water add one ounce of castor oil and   

half an ounce   of salt of tartar4 ,or  
take of ,epsom salts one ounce1 of senna
 leaves   half an ounce1 to which add   
one pint of boiling water4 ,pour the    
boiling   water upon the senna and let  
it stand for a quarter of an hour2 then 
strain and add the ,epsom salts4        
,either of these will be found to be    
very effectual in their operation4      
,emollient ,injections4     ,,form ,i4  
,take of molasses and water one pint1 to
 which add one ounce of common   lard4  
,this has been found very effectual in  
cases of dysentery4       ,,form ,,ii4  
,to one pint of water add one ounce of  
common dried mallows1 and one   half an 
ounce of dried chamomile4 ,boil together
 fifteen minutes1 and   strain4         
,starch ,injection4     ,to one pint of 
water add from four to six drachms of   
starch4 ,rub them   well together and   
boil a short time4 ,this is used as an  
excellent   emollient enema in an       
inflammatory condition of the large     
intestines1   or in irritation of the   

rectum1 but chiefly in inflammatory     
cases4   ,flaxseed or slippery elm may  
be substituted in most cases1 if more   
convenient4       ,injection for        
,piles4#a     ,to one pint of water add 
half an ounce of bruised galls and two  
large   poppy heads4 ,boil together     
twenty minutes1 and strain4 ,this will  
be   found to be a valuable remedy in   
severe cases of piles1 where the        
rectum is much inflamed1 it being very  
soothing in its nature4     ,footnote   
#a3 ,,piles4--,there are two kinds of   
piles1 originating from   very nearly   
the same causes4 ,one is called the     
bleeding piles1 the   other the blind   
piles4 ,the piles are small swelled     
tumors of rather a   dark appearance1   
usually situated on the edge of the anus
 or fundament4   ,when there is a       
discharge of blood from these tumors the
 disease is   called bleeding piles2 but
 when there is only a swelling on the   
edge of   the anus1 and no bleeding when
 the bowels are evacuated1 the disease  

is   called the blind piles4 ,both men  
and women are subject to piles2 but     
women more particularly during the last 
stages of pregnancy1 in which   the womb
 presses on the rectum in relieving the 
bowels by stool4 ,these   tumors can    
plainly be felt1 as they extend up the  
rectum an inch or   more in severe      
cases4 ,when these tumors burst and     
bleed1 the patient is   much relieved2  
but when the pain is severe1 it is apt  
to produce fever4   ,many persons are   
constitutionally subject to this disease
 through life4   ,it is generally1      
however1 brought on by costiveness1 or  
irregularity   in relieving the bowels4 
,piles are also produced by sedentary   
habits1   by the use of highly seasoned 
food1 by riding a great deal on         
horseback   in hot weather1 by want of  
exercise1 and lastly by the use of      
spirituous liquors to excess4           
,injections are much prescribed for     
their   relief1 and are found to be     
highly effective4       ,turpentine     

,injection4     ,take of spirits of     
turpentine one half an ounce1 to which  
add the yolk   of an egg and three      
quarters of a pint of warm water4 ,the  
injection is   to be repeated as often  
as the case may require4                
,astringent ,injections4     ,,form ,i4 
,take of powdered nutgalls two and a    
half drachms1 to which add half an      
ounce of walnut leaves and one quart of 
water4 ,boil down to a pint and   a     
half1 and strain4 ,this is used in cases
 of leucorrha1 or whites1   and is      
esteemed a useful remedy4       ,,form  
,,ii4     ,take of white oak bark one   
ounce1 to which add two pints of water4 
,boil to a pint1 and strain4 ,this is   
regarded as an excellent remedy   by    
many eminent physicians in cases of     
leucorrha4 7,see ,vaginal               
,injections47       ,,form ,,iii4       
,take of alum two and a half drachms1   
and dissolve in one pint of water4      
,this is frequently used in dysentery4  
,,form ,,iv4     ,take of alum two      

drachms1 and of decoction of walnut     
leaves one quart4   ,dissolve and mix   
well together4 ,this compound is found  
serviceable as a   vaginal injection in 
leucorrha4       ,,form ,v4     ,take of
 powdered galls one drachm1 to which add
 one pint of water4 ,boil   down to     
three quarters of a pint1 and strain4   
,this preparation has been   found very 
useful in chronic diarrha and excessive 
hemorrhage from   piles4       ,,form   
,,vi4     ,take of soft extract of      
rhatany seventy-five grains1 to which   
add one   drachm of tincture of rhatany1
 and a half a pint of water4 ,dissolve  
the extract in the water1 and strain2   
then add the tincture4 ,this has   been 
successfully prescribed by many         
physicians for bleeding piles1          
fissures in the anus1 and chronic       
dysentery4       ,anti-,dysenteric      
,injection4     ,take of solution of    
acetate of lead from two and a half     
drachms to four   drachms1 to which add 
one pint of water4     ,for children1   

from one half to two and a half drachms 
will be   sufficient in a proper        
proportion of water4 ,this is an        
effectual   injection in acute          
dysentery4       ,injection of ,sugar of
 ,lead4     ,take of sugar of lead one  
scruple1 and of laudanum forty drops1 to
   which add half a pint of warm water4 
,this is recommended by the   celebrated
 ,dr4 ,davis as a sure remedy in cases  
of uterine hemorrhage4       ,opiate or 
,anodyne ,injections4     ,,form ,i4    
,take of laudanum fifty drops1 to which 
add five ounces of starch   mucilage1   
and mix well together4 ,the ,,united    
,,states ,,dispensatory1   speaking of  
this invaluable remedy1 says that for   
obstinate vomiting1   stranguary        
affections of the kidneys1 bladder1 c41 
it is the most   admirable remedy now in
 use4       ,,form ,,ii4     ,take of   
laudanum one half a teaspoonful1 to     
which add two ounces of   starch        
mucilage1 and mix thoroughly4 ,in       
dysentery and other painful   affections

 of the intestines1 this is considered  
by the best medical   authority to be a 
certain relief4 ,dr4 ,druit directs from
 one hundred to   one hundred and twenty
 drops to be administered4 ,a whole     
teaspoonful   has been often used in    
severe cases4 ,the less mucilage used1  
the more   likely is the injection to   
remain in the rectum4 ,an opiate        
injection   for a child not over a year 
old may consist of two or three drops   
of laudanum mixed in three quarters of  
an ounce of mucilage4 ,opiate           
injections should not be administered   
often1 without the advice of a          
physician4       ,,form ,,iii4     ,take
 of powdered opium four grains1 to which
 add one ounce of lard4   ,melt with    
gentle heat1 mix thoroughly1 and inject 
warm4     ,lime ,water and ,catechu     
,injection4     ,take of electuary of   
catechu half an ounce1 to which add ten 
ounces of   lime water4 ,this has been  
administered with most beneficial       
results in   diarrha4       ,chloride of

 ,soda ,injection4     ,take of chloride
 of soda one ounce1 to which add from a 
half pint to   a pint of water1 and mix 
well4 ,this is used in vaginal          
injections   in cases of infections     
produced by the decomposition of a      
retained   after-birth2 also to destroy 
the offensive odor of stools1 and to    
relieve pains in wounds of an unhealthy 
character4       ,irritant ,injection4  
,take of hot ,port wine one pint1 and of
 alcohol five drachms4 ,in cases   of   
colic1 where an active and speedy relief
 of the bowels is desired1   this remedy
 has been highly beneficial4            
,anti-,neuralgic ,injection4     ,take  
of ,venice turpentine one half an ounce1
 and add the yolk of an   egg1 three    
fourths of a grain of extract of opium1 
and half a pint of   water4 ,make the   
turpentine and egg into an emulsion1 and
 by degrees   add the water1 in which   
the extract must previously be          
dissolved4 ,an   injection of simple    
water is to be first taken and retained1

 and then   the above administered1     
which the patient must endeavor to      
retain4 ,to   be taken at first at      
bedtime1 and after a few days twice a   
day1 in   cases of obstinate rheumatic  
affections4       ,anti-,spasmodic      
,injections4     ,,form ,i4     ,take of
 castor 7not the oil7 one drachm1 and   
beat it well with the yolk   of an egg2 
then add a half pint of water4 ,this is 
frequently given   with the best results
 to women suffering from spasms of the  
womb1   accompanied with hysterics4     
,,form ,,ii4     ,take of assaftida two 
drachms1 to which add from one half to  
three-quarters of a pint of thin water  
gruel1 and mix well together4   ,this is
 considered very useful in hysteria1    
colic1 convulsions of   children1 c41   
and for relief of severe pain in the    
bowels4       ,injections for ,worms4#b 
,,form ,i4     ,take of powdered aloes  
from ten to fifteen grains1 and of      
starch   mucilage one gill4 ,steep well 
together1 and strain4 ,the same quantity

   of warm sweet oil or even lamp oil is
 very useful in these cases1   and is   
known to be a powerful exterminator of  
pin worms4 ,it may be   injected twice a
 day1 if deemed necessary4 ,for this    
purpose alone1   the ,improved          
,injecting ,apparatus becomes1 in the   
hands of parents1 a   valuable means of 
removing one of the most frightful      
sources of disease   in children4       
,footnote #b3 ,,worms ,,and ,,their     
,,symptoms4--,the worms which mostly    
infest   the human body are the long    
round worm1 the maw or pin worm1 the    
tape   worm1 and the fluke worm4 ,the   
long round worm is from four to twelve  
inches in length1 and about as large    
round as a common pipe stem4 ,this      
worm is quite common in children1 and   
not unfrequently crawls out at   the    
mouth4 ,it is of a brownish or ash      
color4 ,the maw or pin worm is          
generally from two to four inches in    
length1 and of a white color4   ,this   
worm is most common to children1 but is 

not unfrequently met with   in grown    
persons also4 ,they are frequently found
 in the intestines in   the form of a   
ball1 in such quantities as to prevent  
the medicines   which are usually       
administered from operating4 ,as a      
general thing1 the   symptoms are a bad 
fetor or smell to the breath1 frightful 
dreams1   itching about the navel1 pain 
in the belly1 and gnawing about the     
stomach1 itching in the nose1 frequent  
dry cough1 with tickling in the         
throat1 constant hunger1 and yet the    
system becomes weak1 the head           
generally becomes affected1 face pale   
and of a yellowish cast4 ,these         
symptoms1 either singly or together1    
denote worms4 ,injections are           
considered a most efficient mode of     
expulsion1 and are much recommended   by
 physicians4       ,,form ,,ii4         
,take of sifted wood soot six drachms2  
to which add half a pint of   water4    
,boil and strain4 ,this injection is    
useful in destroying thread   worms in  

children4 ,it should be given half an   
hour before the child   goes to bed1 and
 should be administered several days in 
succession4       ,,form ,,iii4         
,take of chamomile flowers half an      
ounce1 of aloes one drachm1 of common   
salt one ounce1 and boiling water one   
pint4 ,steep the chamomile and   aloes  
for ten minutes2 then strain1 and add   
the salt4       ,aromatic ,injection4   
,steeped anise seed or carraway1 so     
commonly given by the mouth to          
infants1 in flatulency1 may be used in  
the form of injections for the   same   
purpose1 by making an infusion of the   
seeds4 ,take1 of the seeds   of either  
one half an ounce1 and of boiling water 
a pint4 ,steep for   fifteen minutes and
 strain4 ,this may be often repeated1 if
 required4       ,yeast ,injection4     
,take of barley gruel one gill1 to which
 add one gill of yeast4 ,this           
injection is found extremely efficient  
in typhoid fever1 and useful in         
preventing the offensive odor of stools 

in various complaints4       ,tobacco   
,injection4     ,take of tobacco leaves 
from fifteen to twenty grains2 to which 
add one   pint of boiling water4 ,steep 
for an hour and strain4 ,this injection 
is recommended in cases of strangulated 
hernia by many distinguished   ,french  
and ,english physicians2 and also for   
obstinate constipation1   retention of  
urine1 flooding after child-birth1 c4   
,this injection   should be used with   
the utmost caution1 and never without   
the sanction1   or1 perhaps1 even under 
the eye of a physician4 ,lobelia1 which 
is   sometimes substituted for tobacco1 
is liable to the same or more           
stringent objections1 and should be used
 with the same care4       ,quinine     
,injections4     ,,form ,i4     ,take of
 flaxseed tea one gill1 to which add    
from twelve to fifteen   grains of      
quinine4 ,injected warm1 this enema is  
found to have a   powerful and immediate
 effect in intermittent fevers4 ,it may 
be   repeated every four or six hours1  

as the case may require4       ,,form   
,,ii4     ,take of quinine five or six  
grains1 and of sulphuric acid eight     
drops2   to which add half a pint of    
water4 ,this enema is sometimes used for
   expulsion of worms from the rectum1  
and is considered very effective by     
physicians generally4       ,camphor    
,injection4     ,take of powdered       
camphor five grains1 and one gill of gum
 arabic   mucilage1 or flaxseed tea4    
,mix well and administer warm4 ,this is 
highly   esteemed in cases of dysentery4
       ,ox ,gall ,injection4     ,take  
of ox gall flesh one ounce1 to which add
 one pint of warm water4   ,this has    
been strongly recommended by ,doctors   
,clay and ,alnatt1 of   ,england1 for   
cases of obstinate constipation and     
hardened fces4 ,cases   are on record in
 ,england where numerous other          
injections had been   used1 all of which
 failed2 upon which an injection of     
ox-gall was   administered1 and success 
was the instantaneous result4           

,nutritious ,injections4     ,,form ,i4 
,in cases where nourishment cannot be   
taken by the mouth1 injections of       
strong beef tea or broth may be thrown  
up the rectum1 to the extent of   from  
half a pint to a pint at a time4 ,a case
 is cited where life was   prolonged in 
this manner alone for ten weeks or more4
       ,,form ,,ii4     ,take of starch 
or tapioca one drachm4 ,boil in half a  
pint of veal   broth1 without salt1 and 
three yolks of eggs4 ,beat well together
 and   strain4 ,administer tepid4 ,this 
is an admirable support to nature where 
food is not easily borne upon the       
stomach4       ,nitrate of ,silver      
,injection4#c     ,take of nitrate of   
silver half a grain1 to which add half a
 pint of   water2 to be retained after  
injection several hours1 if possible4   
,the   strength may be increased to     
three grains for each injection4 ,dr4   
,trask1 in his ,notes on ,hospital      
,cases1 in his ,journal of ,october1    
#ahej1 mentions a case of severe chronic

 diarrha1 in which1 after   using       
several strong injections of sulph4     
zinc1 sugar of lead1 opium1   tannin1   
etc41 with no effect1 he injected a     
solution of thirty grains   of nitrate  
of silver1 with a common glass syringe4 
,it was not retained   a moment1 he     
says1 and caused a good deal of tenesmus
 for some time4   ,after this injection1
 another of starch and laudanum was     
immediately   administered1 and a very  
decided diminution in the number of     
discharges   followed4 ,the next day but
 one1 an injection of fifteen grains of 
nitrate of silver was given1 followed by
 the injection of starch and   laudanum1
 and in eight days from the first       
injection of the caustic1   the patient 
was able to walk about the house4       
,footnote #c3 ,this injection should    
never be administered1 save by the      
advice or under the eye of a physician4 
,vaginal ,injections4     ,vaginal      
injections should first be given in     
quantities sufficient to   thoroughly   

cleanse the vaginal canal2 and then1 in 
quantities of about   a gill1 should be 
administered and retained as long as    
from ten to   twenty minutes1 if        
possible4 ,the temperature of the       
injections may   vary with the state of 
the patient1 and be either hot or cold4 
,warm   injections may afford a speedy  
relief to some1 while upon others they  
have no effect4 ,in cases of leucorrha1 
if copious1 injections   of tepid water1
 three or four times a day1 will be     
found to be very   beneficial4 ,in      
falling of the womb1 injections of cold 
water in   quantities of a quart at a   
time1 have been administered with good  
results4 ,in some cases of leucorrha an 
astringent injection may   be required4 
,the injection for this complaint mostly
 recommended   by physicians consists of
 a decoction of white oak bark1 7see    
,astringent ,injections17 and can be    
used warm or cold1 as best suits   the  
patient4 ,however1 in all cases of      
vaginal complaints1 unless   they are   

very mild1 legitimate medical advice    
should always be had2   physicians in   
regular standing being the most reliable
 in all critical   cases4 ,application  
to them should therefore be made at     
once1 or evil   consequences may be the 
penalty of neglect4                     
,,testimony ,,of ,,eminent ,,physicians4
       ,from the venerable and          
distinguished ,dr4 ,james ,jackson1 ,no4
 #c ,hamilton   ,place1 ,boston4        
,,boston1 ,,december #ba1 #ahee4     ,i 
have seen ,mr4 ,lewis's ,improved       
,portable ,syringe1 and ,i think it is a
   very neatly made instrument1 and that
 it is an excellent apparatus for       
family use4       ,,james ,,jackson4    
,from ,dr4 ,nathaniel ,b4 ,shurtleff4   
,,boston1 ,,december #e1 #ahee4         
,,mr4 ,,thomas ,,lewis4     ,sir3 ,your 
,portable ,syringe1 constructed for     
medical use1 combines so   much of the  
needful with the convenient1 that ,i    
have no doubt of its   proving          
invaluable in many cases where others1  

from their construction1   will be      
entirely useless4       ,,nathaniel ,b4 
,,shurtleff4       ,from ,dr4 ,walter   
,channing4       ,,boston1 ,,december   
#ag1 #ahee4       ,,mr4 ,,thomas        
,,lewis4     ,dear ,sir3 ,i have        
examined your ,improved ,syringe1 and   
find it will   perfectly answer the     
purpose for which it is designed1 either
 for self   or family use4              
,,walter ,,channing1 ,m4 ,d4            
,from ,henry ,g4 ,clark1 ,m4 ,d41       
,surgeon at the ,massachusetts ,general 
,hospital1 and ,city ,physician of      
,boston4       ,,boston1 ,,december #aa1
 #ahee4       ,,mr4 ,,thomas ,,lewis4   
,dear ,sir3 ,i have thoroughly examined 
the ,improved ,portable ,syringe        
manufactured by you1 and think it one of
 the very best ,i have seen4            
,yours truly1       ,,henry ,g4         
,,clarke4       ,from ,dr4 ,m4 ,s4      
,perry1 ,no4 #af ,rowe ,street4         
,,boston1 ,,december #ab1 #ahee4        
,,mr4 ,,thomas ,,lewis4     ,dear ,sir3 

,i received your ,improved ,syringe1 and
 have examined it very   carefully4 ,i  
think it is all you recommend it to be4 
,simple and durable   in mechanism1 and 
convenient in its form1 it is certainly 
a good family   instrument4             
,respectfully yours1       ,m4 ,s4      
,,perry4     ,also recommended by the   
following distinguished physicians of   
this   city3       ,,dr4 ,,henry ,j4    
,,bigelow1 ,surgeon to ,mass4 ,gen4     
,hospital4     ,,dr4 ,j4 ,v4 ,c4        
,,smith1 ,mayor of ,boston4     ,,dr4   
,d4 ,h4 ,,storer1 and many others4      
,from ,dr4 ,theo4 ,kittredge1 ,waltham1 
,mass4       ,,waltham1 ,,december #ba1 
#ahee4       ,,mr4 ,,thomas ,,lewis4    
,dear ,sir3 ,your ,improved ,syringe1 of
 which ,i have made a thorough trial1   
is the most simple and convenient       
apparatus ,i have ever seen1 and   for  
durability it cannot be excelled4 ,its  
simplicity of construction   is         
certainly of the greatest importance1   
particularly to country   physicians1   

who are frequently under the necessity  
of repairing their   own instruments1   
and are greatly perplexed by the common 
apparatus   being so often out of order4
       ,,theodore ,,kittredge1 ,m4 ,d4  
,from ,joseph ,m4 ,wightman1 ,esq41 the 
celebrated ,philosophical    ,instrument
 ,manufacturer1 ,no4 #cc ,cornhill1 who 
is well known throughout    the ,united 
,states4       ,,boston1 ,,november #h1 
#ahee4       ,,mr4 ,,thomas ,,lewis4    
,dear ,sir3 ,after a thorough trial of  
your ',improved ,portable ,syringe1'    
during severe sickness in my family1 ,i 
am gratified to give my decided         
opinion in favor of its construction1 as
 admirably adapted to the   purpose1 and
 also in regard to the excellent        
workmanship and convenient   arrangement
 of the various parts4 ,these qualities 
combined with ',hard   ,ball ,valves1'  
which operate as well with those        
injections of which   gruel forms a     
part1 as with those more fluid1 render  
it invaluable   to those who are obliged

 to resort frequently to the use of such
 an   instrument for the purpose1 and   
have suffered from having those of      
other constructions so often out of     
order as to be a continual source   of  
annoyance and expense4       ,yours     
truly1       ,j4 ,m4 ,,wightman1 #cc    
,cornhill4           ,,opinions ,,of    
,,druggists4       ,from ,thomas        
,hollis1 an old and long-established    
,druggist1 ,no4 #bc ,union   ,street4   
,,boston1 ,,december #c1 #ahee4         
,,mr4 ,,thomas ,,lewis4     ,sir3 ,i    
have examined your ,improved ,portable  
,syringe1 and regard it as   a most     
admirable instrument4 ,compact and      
simple in its construction1   it is     
easily managed1 and not liable to get   
out of order1 and is well   adapted for 
all the purposes for which it is        
intended4       ,,thomas ,,hollis4      
,the following opinion1 expressed by the
 principal wholesale and retail         
,druggists of this city1 shows with what
 favor the new instrument has   been    

received by the trade generally3--      
,,boston1 ,,november #af1 #ahee4        
,the undersigned having carefully       
examined ,lewis's ,improved ,portable   
,syringe1 are satisfied as to its       
excellence1 and believe it to be        
superior to any instrument of the kind  
before offered to the attention   of the
 trade4       ,,henshaw1 ,,edmands      
,,co41        #cf ,india ,street4       
,,reed1 ,,cutler  ,,co41            #cc 
,india ,street4       ,,brown  ,,knapp1 
#di ,india ,street4       ,,brewers1    
,,stevens1  ,,cushing1   #ij and #ib    
,washington ,st4       ,,charles ,t4    
,,carney1             #ach ,washington  
,street4       ,,wilson1 ,,fairbank     
,,co41        #dc and #de ,hanover      
,street4       ,,reed1 ,,austin  ,,co41 
#cd ,india ,street4       ,,thayer1     
,,hovey  ,,co41           #f ,faneuil   
,hall ,square4       ,,carter1 ,,colcord
  ,,preston1     #hf ,hanover ,street4  
,,weeks  ,,potter1                #aed  
,washington ,street4       ,a4 ,l4      

,,cutler  ,,co41            #dc ,india  
,street4       ,b4 ,o4  ,g4 ,c4         
,,willson1         #ah ,central ,street4
       ,,smith  ,,melvin1               
#cbe ,washington ,street4       ,,joseph
 ,t4 ,,brown1               ,corner     
,bedford and ,washington                
,streets4       ,,thomas ,,restieaux1   
#bi ,tremont ,street4       ,j4 ,w4     
,,phelps1                  #fh ,tremont 
,street4       ,,henry ,d4 ,,fowle1     
#ga ,prince ,street4                    
,,opinions ,,of ,,the ,,press4          
,from the ,boston ,medical and ,surgical
 ,journal4     ,the editor of the       
,boston ,medical and ,surgical ,journal1
 under date of   ,dec4 #f1 #ahee1       
speaking of ,lewis's ,improved ,portable
 ,syringe1 says3--     ,portability1    
durability1 neatness1 and efficiency are
 qualities which   render any apparatus 
as nearly perfect as possible1 and they 
are   certainly possessed by this4 ,the 
piston moves admirably1 and its action  
requires hardly any more exertion from  

the person working it than does   that  
of the elastic bottle attached to       
certain of these instruments4     ,there
 is a great convenience1 it is true1 in 
avoiding the use of the   pump1 as is   
effected by ,dr4 ,mattson in his        
arrangement1 and the stream   of fluid  
is thrown 7or can be7 more continuously2
 but the lasting   nature of the        
metallic chamber and rod1 together with 
the ease of   working the latter1 are   
equivalent excellences4     ,this       
apparatus is adapted to both rectal and 
vaginal uses1 and a   small pipe is     
added for use in the case of children4  
,one great advantage claimed by the     
proprietor1 and which commends   itself 
at once to the judgment1 is the simple  
construction1 and more   than that1 the 
lasting nature of the valves4 ,a ball1  
accurately   fitting1 supplies the place
 of the leather or ,india rubber valves 
most   commonly employed4 ,it is evident
 that an important object is here       
attained2 the valves cannot get out of  

order4 ,if1 in taking the syringe       
apart1 the ball should accidentally     
drop1 it tells its story as it   falls1 
and is instantly replaced2 no renewal is
 needed1 except there be   actual loss1 
when a common marble1 if round1 will    
answer the purpose4     ,there are many 
occasions when it is necessary to use a 
thick1   tenacious fluid for injections2
 for such purposes1 this syringe can    
have no rival4 ,with delicate flapping  
valves1 these substances would          
decidedly interfere1 and continual      
change and repair be demanded4   ,with  
this simple and efficient arrangement1  
we can hardly conceive it   possible for
 the instrument to get out of working   
order4 ,in cases where   it is          
imperative to give nourishing enemata1  
such as gruel1 broths1   c41 the above  
conditions are absolutely essential to  
success1 and also   to the final        
integrity of the apparatus4     ,as a   
general thing1 the more simple the      
machinery1 the easier its use1   and the

 more universal its application4        
,complicated arrangements1   while they 
are far more readily disordered1 puzzle 
the unskilful1 and   sometimes even foil
 the accustomed hand3 their fate is1    
commonly1 to be   thrown by in disgust4 
,those who need such aids 7and there are
 few who do not1 occasionally1   at     
least17 cannot do better than to supply 
themselves with this   instrument4      
,every family should possess effectual  
artificial means of   this description1 
to meet those exigences to which the    
sluggishness of   nature or disordered  
health may give rise4 ,were enemata more
 used in   this country1 we could safely
 dispense with much purgative medicine  
given by the mouth2 and when this can be
 done1 we are sure that   physicians as 
well as patients will gladly embrace the
 opportunity4     ,printed directions   
accompany each box which contains the   
syringe4   ,for travellers it is        
perfectly adapted1 not only from its    
compactness1   but from the ease of     

cleansing it4 ,it is afforded at the    
very   reasonable price of three dollars
 and fifty cents1 and it deserves a     
large sale4     ,from the ,boston ,daily
 ,journal1 ,dec4 #ah1 #ahee4            
,,lewis',s ,,improved ,,portable        
,,syringe4--,this is a new and beautiful
   instrument1 which is worthy the      
attention of ,physicians and families1  
and which we are confident will come    
into general use for the purposes   for 
which it is intended4 ,it is perfectly  
simple in its construction1   and very  
efficient in its action1 and it can be  
used by an invalid   without any        
assistance or difficulty1 and is not in 
the least liable to   get out of order4 
,from the ,boston ,daily ,chronicle1    
,dec4 #e1 #ahee4     ,,valuable         
,,medical ,,invention4--,the attention  
of physicians and others   interested1  
is called to an ,improved ,portable     
,syringe1 invented and   sold by ,mr4   
,thomas ,lewis1 ,no4 #aff ,washington   
street1 of this city4 ,we   have seen   

the instrument alluded to1 and although 
there are many now   in use for the same
 objects1 yet we have the authority of  
several of   our first physicians for   
saying that none approach this invention
 in   perfectedness of plan or          
execution4 ,the syringe is plainly and  
simply   constructed1 not liable to get 
out of order1 and can be used with the  
utmost facility by the invalid4         
,directions for its use are plainly and 
amply set forth on the case1 and each   
instrument is fully warranted4          
,from the ,boston ,daily ,evening       
,telegraph1 ,dec4 #c1 #ahee4            
,,portable ,,syringe4--,our attention   
was called a few days since to an       
improved ,portable ,syringe for domestic
 use1 which is of great value4   ,it is 
superior to any other which has yet been
 invented1 and must1 we   think1 be     
preferred by physicians and others who  
are obliged to use   such an instrument4
 ,while it is very simple in its        
construction1 it is   perfectly adapted 

for the purposes for which it is        
designed4 ,its size   is such as to make
 it a very portable and convenient      
apparatus for   traveller's use4        
,from the ,worcester ,mass4 ,journal of 
,medicine1 ,april1 #ahef4     ,,lewis',s
 ,,improved ,,portable ,,syringe3 ,we   
take occasion to call the   attention of
 our readers to the ,domestic ,injecting
 ,apparatus   manufactured by ,thomas   
,lewis1 ,no4 #aff ,washington ,street1  
,boston4 ,it is   decidedly the best    
construction of metalic syringe that we 
have ever   seen4 ,it has many important
 advantages over any other form of      
syringe4   ,its construction is such    
that the valvular apparatus seldom gets 
out of   place4 ,it is small and        
convenient1 enclosed in a neat box1 and 
may be   conveniently carried in almost 
any way4 ,the objections commonly urged 
against the metalic syringe1 are in this
 improvement wholly obviated4   ,its    
long flexible tube allows a convenient  
self-application4 ,persons   having the 

syringe need not the aid of an          
assistant4     ,connected with the      
syringe are full directions with        
reference to its   use1 and the         
advantages to be derived from it4 ,the  
mass of people are   but little aware of
 the great benefits derived from the    
frequent use   of common water          
injections4 ,this want of practical     
knowledge arises   more from the want of
 a good instrument than any other cause4
 ,we   can strongly recommend ,lewis's  
,improved ,syringe in this particular4  
,physicians themselves would always find
 it advantageous to recommend a   good  
instrument of the kind to their         
patients4       ,from the ,new          
,hampshire ,journal of ,medicine4       
,,lewis',s ,,improved ,,portable        
,,syringe1 which is advertised in this  
number1   will be found on examination  
and in use to be one of the most perfect
   instruments in the market4 ,it is so 
simple and its several parts fit   with 
so much accuracy that there is little   

chance of its getting out   of repair1  
and its price is so low as to place it  
within the reach of   every family who  
desire an injecting apparatus4          
,from the ,boston ,weekly ,dispatch4    
,,improved ,,portable ,,syringe1 ,,or   
,,domestic ,,injecting ,,apparatus2     
manufactured by ,thomas ,lewis1         
,boston4--,there has been a great       
variety   of attempts to perfect an     
instrument of this sort for ,domestic   
,use4 ,the   ,french have led the way4  
,we remember1 while in ,paris1 to have  
examined   a great variety of ,syringes1
 and also while in ,england4 ,before    
leaving   ,liverpool1 we paid #a for    
one1 which we supposed would never need 
repair2 but it has failed4 ,we have     
taken great pains to secure the best    
article in this country2 for1 to a      
dyspeptic such as we have been for      
twenty years1 the ,syringe is           
invaluable4 ,in passing through         
,washington   ,street1 we accidentally  
met with the instrument now on our      

table1   and which we have tried with   
complete success4 ,we think we must say 
that ,mr4 ,lewis has really met the want
 of the community in producing   a      
,syringe at once portable1 simple1 and  
combining all that will be   desired4   
,we understand that ,dr4 ,jackson and   
other eminent physicians of   our city  
have recommended it for general use4 ,we
 trust ,mr4 ,lewis will   be amply      
rewarded for his excellent labor in the 
extensive sale of his   instrument4     
,call at #aff ,washington ,street4      
,from the ,boston ,advertiser4     ,we  
were shown to-day1 an instrument        
manufactured by ,mr4 ,,thomas ,,lewis1  
#aff ,washington ,street1 which in its  
operation is superior to any   we have  
ever seen before4 ,it is simple and     
effective1 dispensing   altogether with 
,leather or ,rubber valves1 7which are  
so liable to get   out of order17 and   
instead round mineral balls are used1   
these1 by the   peculiar construction of
 the parts1 can never get out of place1 

or wear   so as to prevent its perfect  
operation at all times4     ,it is so   
constructed that it may be used without 
assistance1 and is   well adapted to    
children1 as well as adults4 ,the       
importance of every   family having one 
of these instruments is fully set forth 
by the   testimony of the medical       
faculty of this city1 which is furnished
 in a   small book1 which contains full 
directions1 receipts1 c4                
,,lewis',s       ,,improved             
,,elastic ,,syringe4       ,view of     
,lewis's ,improved ,elastic ,syringe4   
,illustration       ,,description4      
,a--,elastic ,bag4       ,b--,metallic  
coupling1 joined to ,c by a screw4      
,c--,metallic ,valve ,chamber1          
containing a ,valve4       ,d--,metallic
 ,tube through which the fluid is drawn 
into the     ,instrument4               
,e--,metallic ,valve ,chamber1          
7discharge valve17 containing a         
,valve to which is connected by a screw1
 the flexible tube4       ,f--,flexible 

,tube to which is attached as they may  
be needed1     the different ,pipes4    
,g--,pipe for ,injecting the ,bowels of 
,adults4       ,h--,small ,pipe for     
,injecting the ,bowels of ,children4    
,i--,vaginal ,tube1 7for ,female ,uses47
       ,,directions ,,for ,,use--,,for  
,,self-,,administration4 ,the ,elastic  
,bag ,a should   be clasped by the right
 hand1 the end of the metallic tube ,d  
resting in   the basin containing the   
fluid intended for use1 the left hand   
being   employed in directing the       
terminal tube ,g4 ,by compressing the   
,bag with   the hand and then loosening 
the grasp1 it will immediately fill     
itself   with the fluid4 ,by the next   
compression of the hand upon the ,bag1  
the fluid thus drawn into the           
,instrument will be forced through the  
,flexible ,tube1 and out of the terminal
 ,pipe4 ,by this means either a   large 
or small quantity of fluid can be used  
without any difficulty or   any         
alteration of the ,instrument whatever4 

,,for ,,injecting ,,the ,,bowels ,,of   
,,children4 ,use the small ,pipe ,h4    
,,for ,,female ,,uses4 ,attach the ,pipe
 ,i4 7,for further particulars see      
,pages   #bb to #cg inclusive47         
,,the ,,valves1 ,,and ,,the ,,care ,,of 
,,the ,,same4 ,these consist of small   
,metallic   ,balls1 and are operated in 
an ,improved ,chamber or cavity1 which  
allows   them to always work well in any
 position1 and without that liability to
   stick and become wedged1 which is the
 case with all valves of different      
form4 ,they are pronounced by the most  
eminent judges to be greatly   superior 
to the flat ,india ,rubber or ,leather  
,valves1 which are so   soon acted upon 
by the fluid as to become utterly       
useless as well as   being often drawn  
into the body of the ,instrument1       
thereby preventing   its working1 and   
causing great perplexion4     ,n4 ,b4   
,after using any thick injection1 all   
sediment which have   collected in the  
,valve ,chambers1 ,c and ,e1 should be  

thoroughly removed1   as it may cause an
 obstruction to the workings of the     
,valves4  ,be   careful and not put the 
,instrument away wet1 or it will injure 
the ,box4     ,,the ,,flexible ,,tube4  
,the reader will observe that the       
couplings to which   the ,flexible ,tube
 is attached is made with a neck which  
is inserted   into the orifice of the   
tube1 the compression of which1 when on1
 holds   it firmly in its place4 ,if the
 ,flexible ,tube should at any time be  
injured so as to be unfit for use1 a new
 one can be obtained of the             
,proprietor1 or his ,agents1 and        
forwarded to any place by ,express or   
,mail1 and it can be readily attached by
 any person4     ,n4 ,b4 ,price of      
,flexible ,tube #be cents4      ,for    
,formulas for injections1 see pages #bb 
to #cg inclusive4             ,,business
 ,,notice4       ,,lewis',s ,,improved  
,,portable ,,syringe1       ,or         
,domestic ,injecting ,apparatus2        
,,is ,,manufactured ,,and ,,for ,,sale  

,,by ,,the ,,proprietor1       ,,thomas 
,,lewis1       ,no4 #aff ,,washington   
,,street1       ,,boston4       ,,mark  
,,worthley1 #aff ,washington ,street1   
,,agents4     ,b4 ,s4 ,,codman  ,,co41  
#eg ,tremont ,row1          ,,boston1   
,,mass4       ,all orders directed as   
above will receive prompt attention4    
,also for sale by the ,druggists        
generally throughout     the ,united    
,states and the ,canadas4        ,all   
,instruments manufactured by the        
subscriber are     put up with great    
care and attention and warranted perfect
     in every respect2 they are         
accompanied by a ,book of ,directions   
for use1 stamped with the ,proprietor's 
,patent ,trade     ,mark4 ,none are     
genuine unless so stamped1 and all      
persons     are hereby cautioned against
 infringing on the same4       ,t4      
,,lewis4