,transcrib]'s ,notes     #a4            
,typographical errors h be5 sil5tly     
correct$4     #b4 ,v>iations ( spell+ & 
hyph5ation are z 9 ! orig9al4     #c4 ,!
 text v]sion is cod$ = italics & ! l    
m>k-ups i4e41      a7 italics are       
indicat$ ?us italic2      b7 bold text  
is indicat$ ?us /rong                   
,,rules ,,& ,,directions        ,,= ,,! 
,,employm5t ,,( ,,injections        ,,9 
,,v>i\s ,,diseases2        ,,)          
,,quotations ,,f ,,di/+ui%$             
,,m$ical ,,au?ors4        ,illu/ration3 
,,trade-,,m>k-,,logo        ,,pr9t$ ,,to
 ,,accompany        ,,lewis',s ,,improv$
 ,,portable ,,syr+es1        ,,or       
,,dome/ic ,,inject+ ,,app>atus4         
,,bo/on      #aheg4              ,ent]$ 
accord+ to ,act ( ,congress 9 ! ye>     
#ahef1        ,,by ,,?omas ,,lewis1     
,9 ! ,cl]k's ,(fice ( ! ,di/rict ,c\rt (
 ,massa*usetts4          ,,pr9t$ ,,by   
,,alfr$ ,,mudge  ,,son1 #ba ,,s*ool ,,/4
           ,,injections4                
,,preface4       ,h]et(ore "o ( !       

greate/ objections to ! free use (      
,injections1 z a dome/ic rem$y1 has be5 
! inconv5i5ce & clumsy   size ( !       
in/rum5ts employ$ = ! purpose1 & ! mann]
 (   _! con/ruction1 su* z to r5d] !m   
liable 9 a %ort "t to   get out (       
repair1 & become wor?less4 ,x _h !re=e  
become a   matt] ( necessity t a new    
in/rum5t %\ld be introduc$1 t   c\ld be 
us$ ) ease ei!r = inject+ ! b[els (     
*ildr51   = female uses1 or =           
self-adm9i/ration4 ,! new in/rum5t :i*  
is h]e) (f]$ to ! public1 t]m$ !        
,improv$ ,portable   ,syr+e1 or ,dome/ic
 ,inject+ ,app>atus1 we h tak5 great    
pa9s   ) to p]fect1 s z to ov]come ! _m 
s]i\s objections   ent]ta9$ aga9/ ! old 
ones1 & :i* we flatt] ourselves we   h  
succe$$ 9 do+1 by con/ruct+ x 9 su* a   
mann] z to   r5d] x impossible = x to   
get out ( repair1 unless by ! abuse   ( 
! us]4 ,its size makes x extremely      
portable1 s mu* s t   x c be c>ri$ 9 !  
pocket )\t ! lea/ inconv5i5ce2 &   be+  
made on ! pr9ciple ( ! pump1 is capable 

( inject+ any   giv5 quantity ( fluid   
)\t be+ tak5 to pieces1 or alt]$   9 !  
lea/1 & ) any degree ( =ce or rapidity t
 may be   necess>y2 & 9 connection ) !  
crook$ or angul> tube1 c be   us$ by an 
invalid )\t any assi/ance or difficulty1
 !re=e   mak+ x a v sup]ior & conv5i5t  
in/rum5t = self use4   ,also1 9         
connection ) ! vag9al tube1 z a female  
syr+e1 &   ) ! small tube = inject+ !   
b[els ( *ildr51 :i* is a   v difficult  
matt] ) ! common in/rum5ts =m]ly us$ =  
! purpose4 ,"o v important feature 9 ?is
 in/rum5t is1 t   an injection ( :i*    
gruel =ms a "p w be f\nd to be z easily 
adm9i/]$ z "o m fluid1 !re=e r5d]+ x    
invaluable   to physicians & o!rs :o h  
frequ5tly to resort to su* an           
,in/rum5t1 & are annoy$ to f9d !        
in/rum5ts ) :i* mo/   families are      
suppli$ w n answ] ! purpose4     ,?is   
little book ( rules & directions1 :i*   
has be5 c>efully   prep>$ by an exp]i5c$
 physician1 & :i* is h]e) pres5t$   to  
our read]s z an accompanim5t to !       

,improv$ ,portable ,syr+e1   is n int5d$
 z a m$ical "w or treatise on ! human   
sy/em1   :i* are (t5 pr9t$ to accompany 
in/rum5ts ( ! k9d1 &   :i* few p ev]    
read or c>e ab\t1 b is int5d$ m]ely z a 
guide 9 ! adm9i/ration ( ! m simple     
rem$ies 9 ! =m (   injections1 well kn[+
 t ! majority ( ! p _h r   rely on !    
advice ( an exp]i5c$ physician 9 all    
critical cases   ?an _! own judgm5t1 =m$
 f read+ books ( ! k9d4       ,,bo/on1  
,janu>y1 #ahef4           ,! ,uses (    
,injections4       ,injections1 or      
,cly/]s1 are liquid sub/ances or m$ic9es
 inject$   into ! l[] inte/9es by       
me*anical means1 = ! purpose (   promot+
 alv9e dis*>ges1 reliev+ co/iv5ess &    
cleans+ !   b[els4 ,!y are also         
sometimes adm9i/]$ to n\ri% & support   
pati5ts :o _c swall[ alim5t1 to evacuate
 ! b[els )\t   purg+1 to affect ! sy/em 
?r\gh ! inte/9es1 to remove worms   f ! 
rectum1 to cure o!r disord]s ( ! rectum1
 to less5   di>rha or dys5t]y1 to       
alleviate spasms 9 ! /oma* &   inte/9es1

 to produce o!r m$ic9al effects 9 !     
/oma*1 :5   all o!r curative means are  
too irritat+4 ,prompt 9 op]ation1   !y  
are v useful 9 inflammatory affections (
 ! bladd]1 womb1   liv]1 kidneys1 &     
lungs2 & = ! relief ( hy/]ics1 cr\p1    
det]m9ation ( blood to ! head1 &        
convulsions2 also 9 ure?ral   /rictures1
 ur9al ret5tion1 flood+ aft] *ild-bir?1 
& 9   remov+ ! aft]-bir?1 :5 nature     
fails to d s4 ,:5 w>m1 !y   are ( !     
greate/ s]vice 9 cases ( susp5d$        
animation2 & =   ! purpose ( nutrition  
!y alone h prolong$ life = ov] t5       
weeks4 ,c>efully adm9i/]$1 !y are always
 safe4           ,au?orities ^u         
,injections4       ,x is n necess>y to  
accumulate ! evid5ce ( physicians       
conc]n+   _! utility4 ,e practition] (  
m$ic9e c recall ! cases1 9   :i* a      
p]fect syr+e w\ld h sav$ h\rs ( pa91 & 9
 :i*   he c\ld f9d only ! mo/ ineffici5t
 aid f a leaky b>rel & a   loose pi/on4 
,dr4 ,p]eira1 ( ,london1 au?or ( "o ( ! 
be/ treatises on   ,!rapeutics1 says3   

,w>m wat] is inject$ into ! rectum to   
excite   alv9e dis*>ges1 to promote !   
hmorrhoidal flux1 to dim9i%   irritation
 9 ! l>ge inte/9e1 or 9 "s neighbor+    
organ1 z !   ut]us1 bladd]1 pro/ate gl&1
 c42 & to br+ on ! m5/rual   action4    
,?r[n into ! vag9a1 x is us$ to allay   
ut]9e irritation   & pa91 & to promote !
 ut]9e dis*>ge4 ,& aga93     ,cold wat] 
is ?r[n into ! rectum to *eck hmorrhage1
 to expel   worms1 to allay local pa91  
to r\se ! pati5t 9 poison+ by opium4    
,dr4 ,?ompson1 also ( ,london1 speaks   
favorably ( ! effects ( cold   wat]     
introduc$ into ! vag9a1 9 ut]9e         
hmorrhage4     ,dr4 ,copl&1 ! editor ( !
 ,m$ical ,diction>y1 says1 t 9 cases   (
 inte/9al spasm or colic1 ! _s (        
turp5t9e ?us employ$   is an efficaci\s 
rem$y1 especially :5 mu* flatul5t       
di/5tion is   associat$ ) spasm4        
,dr4 ,copl& also says3 ,9 "s cases (    
lead colic1 ,i h f\nd !   colon s       
enorm\sly di/5d$1 f flatus & loss (     
contractile   p[]1 t ,i c\ld di/+ui% its

 =m & c\rse1 9 ! diff]5t   abdom9al     
regions1 by ! eye1 :5 /&+ at a          
consid]able di/ance   f ! pati5t2 & yet 
! b[el has be5 re/or$ to its heal?y     
/ate by repeat$ injections conta9+      
turp5t9e1 ca/or oil1 c41   aid$ by      
/imulat+ friction on ! sp9e4     ,9 !   
colic ( ! "y & ple?oric1 ,dr4 ,*>les ,a4
 ,lee1 ( ,new   ,york1 says3 ,a v       
successful mode ( treatm5t 9 ^! cases1  
is   t ( gradually =c+ up1 by injection1
 a l>ge quantity ( "s   bl& fluid until 
x rea*es ! seat ( ob/ruction or ( spasm1
 :5   a spe$y evacuation & relief w     
g5]ally foll[4 ,9 _m in/ances   x w be  
requir$ to repeat x1 be=e ?is result    
takes place2 b1   9 all curable cases1  
if reasonably appli$1 m spe$y relief may
 be   expect$ f ?is means ?an almo/ any 
o!r4     ,! foll[+ extract f an oration 
deliv]$ by ,dr4 ,burne1 be=e   ! ,london
 ,m$ical ,society1 w %[ ! importance &  
ext5sive   utility ( injections z a     
means ( re/or+ ! alim5t>y sy/em to   its
 natural /ate ( activity4     ,an undue 

ret5tion ( ! inte/9al excretions is     
ano!r s\rce (   disord] & ( disease     
aris+ out ( civiliz$ life4 ,x is produc$
   by affections ( ! m9d1 by indige/ion1
 by inatt5tion to ! calls   ( nature1 & 
me*anical ob/ruction f organic disease1 
:i* la/   is frequ5tly excit$ by !      
reta9$ excretions !mselves4     ,! undue
 ret5tion ( ! excretions takes place 9 !
 l>g] 7or   l[]7 inte/9es1 = until !    
excrem5titi\s matt] arrives "h1   !re is
 no reason to believe t its propulsion  
is arre/$1 al?\gh   x may be less at "o 
"t ?an at ano!r4     ,! undue ret5tion (
 ! excrem5titi\s matt] all[s ( !        
absorption ( its m liquid p>ts1 :i* is a
 s\rce ( great   impurity to ! blood2 & 
! excretions1 ?us r5d]$ h>d &   knotty1 
act m or less z extrane\s sub/ances1 &  
by _!   irritation induce a det]m9ation 
( blood to ! inte/9es & to !   neighbor+
 visc]a1 :i* ultimately ends 9          
inflammation & organic   *ange ( !      
b[els4     ,x has also a great effect on
 ! :ole sy/em2 x causes a   det]m9ation 

( blood to ! head1 :i* oppresses ! bra9 
&   dejects ! m9d2 x d]anges ! functions
 ( ! /oma*1 causes   flatul5cy1 &       
produces a g5]al /ate ( discom=t4     ,9
 civiliz$ life1 !n1 ! causes :i* are mo/
 g5]ally &   cont9ually op]at+ 9 !      
production ( disord] & ( disease   are1 
affections ( ! m9d1 improp] diet1 &     
ret5tion ( inte/9al   excretions4       
,dr4 ,j4 ,g4 ,gunn1 9 8 int]e/+ m$ical  
"w1 entitl$ ,gunn's   ,dome/ic ,m$ic9e1 
publi%$ 9 #ahej1 = ! b5efit ( ! p1      
speak+ ( injections z a dome/ic rem$y1  
says3     ,language almo/ fails to      
express ! great value ( ?is innoc5t   & 
p[]ful rem$y 9 v _m ( ! diseases to :i* 
mank9d are   daily & ev5 h\rly subject2 
& ,i mo/ s]i\sly regret to say t   x is 
a rem$y n only too little kn[n b too    
seldom us$1 bo? by   physicians & 9     
families4 ,?is disreg>d = ! great       
virtues (   injections mu/ ei!r arise f 
! supposition t ! op]ation is   too     
tr\blesome1 or f a false & fooli%       
delicacy1 :i* =bids   ! use ( an        

in/rum5t by :i* ! lives ( ?\s&s h be5   
pres]v$ 9 extremely critical            
circum/ances1 & ) :i* e   mi/ress ( a   
family %\ld be p]fectly acqua9t$1 s z to
 be able   to use :5 requir$ 9 sickness4
 ,& ,i d "h mo/ positively ass]t1   & t1
 too1 f my own exp]i5ce1 t hundr$s to   
:om ,i h   be5 call$ 9 cases ( *olic mu/
 h di$ _h x n be5 =   ! imm$iate relief 
giv5 by injections4 ,i w m5tion "o /rong
   in/ance to prove ! correctness ( my  
ass]tion4 ,:ile practis+   9 ! ,/ate (  
,virg9ia1 ,i 0 call$ on1 at midnight1 to
 att5d a   /rang]1 :o _h arriv$ b a few 
mom5ts be=e 9 ! mail /age4   ,?is       
g5tleman 0 "o ( ! judges ( ! supreme    
c\rt 9 ! ,/ate   ( ,new ,york4 ,he /at$ 
to me t ! *olic _h be5 com+ on him =   a
 consid]able "t be=e ! /age /opp$4 ,by !
 "t ,i arriv$ 8   mis]y 0 s extreme t he
 repeat$ly exclaim$1 ,i mu/ die unless  
imm$iate relief is giv5 me4 ,aft]       
adm9i/]+ all ! rem$ies   :i* are usually
 giv5 9 su* cases1 )\t any relief1 ,i   
comm5c$   adm9i/]+ injections ( wat]1   

pleasantly w>m4 ,on ! fir/ be+   ?r[n up
 ! b[els he exp]i5c$ m relief ?an _h be5
 produc$   by all ! o!r rem$ies ,i _h   
tri$4 ,he felt an imm$iate exemption   f
 pa91 & aft] two or ?ree m _h be5 giv51 
a copi\s   dis*>ge by ! /ool foll[$1 &  
he 0 entirely re/or$4     ,injections   
pr9cipally act by excit+ ! l[] portion (
 !   inte/9al tube1 & sometimes f !     
effects ( sympa?y4 ,9 !   latt] case !  
dis*>ges are g5]ally copi\s1 or 9 o!r   
words1   ( l>ge quantity2 & to produce  
^! full dis*>ges by /ool1   ! injections
 ( w>m wat]1 temp]$ s z to be pleasant  
to !   feel+s ( ! pati5t1 may be        
frequ5tly adm9i/]$1 & 9 su*   quantities
 z ! b[els w be>4 ,i h cont9u$ to give  
^!   injections ( w>m wat] = an h\r or  
m1 9 _m in/ances1   be=e ,i c\ld ov]come
 or subdue spasm or *olic1 & 9 cases (  
great con/ipation4 ,9 fev]s &           
inflammations1 injections made (        
slipp]y elm b>k1 :i* ,i h frequ5tly     
direct$ & adm9i/]$1   t5d to cool ! :ole
 sy/em1 allay ! heat & irritation ( !   

b[els1 & g5tly assi/ ! op]ation ( !     
m$ic9e :i* has   be5 giv54 ,!y w also   
produce a det]m9ation to ! sk91 :i*     
means a g5tle moi/ure or sweat4 ,tepid  
or w>m wat] always op5s !   b[els1 b ! v
 rev]se ( ?is practice is sometimes     
resort$ to   9 desp]ate circum/ances & )
 great advantages by "s ( !   mo/       
di/+ui%$ physicians4 ,9 cases ( v       
ob/9ate con/ipation   relief has        
frequ5tly be5 obta9$ :5 all o!r rem$ies 
_h fail$1   by an injection ( ! colde/  
wat]1 ev5 ( ic$ wat]4 ,!re are   _m     
p]sons :o are con/itutionally subject to
 co/iv5ess4 ,?is   co/iv5ess arises f a 
v>iety ( causes1 su* z diseas$ liv]1    
indige/ion1 torpor ( ! b[els1 & f       
improp] food be+ tak5   into ! /oma* &  
b[els1 :i* w g5]ally produce spasms or  
*olic pa9s1 depression ( spirits1 c4    
,all ^! c be easily   rem$i$ by a simple
 injection ( wat] ?r[n up ! b[els1 :i*  
relieves !m ( _! load1 & ! m9d & feel+s 
soon exp]i5ce   an agreeable *ange4 ,y  
:o are always tak+ m$ic9es to keep y\r  

b[els op5 & ^: /oma*s are becom+ exhau/$
 & worn out   by m$ical drugs1 let me   
entreat y1 z a fri5d & physician1 :o    
has witness$ ?r\gh\t ,france ! great &  
surpris+ b5efits   aris+ f ?is simple   
op]ation1 to ab&on ! idea ( con/antly   
tak+ m$ic9es = ! purpose4 ,9 ,france !re
 is sc>cely a family   unprovid$ ) an   
inject+ app>atus1 :i* is always us$ :5  
!re   is ! slighte/ ob/ruction or       
co/iv5ess ( ! b[els4 ,^! p   mo/ly use a
 simple cly/] ( milk & wat]1 & sometimes
 wat]   alone2 9 summ] !y use cold wat]1
 & 9 w9t]1 wat] pleasantly   w>m4 ,x is 
to ! w>m ba? & ! common use ( injections
 t   are to be attribut$1 9 a great     
degree1 ! *e]ful dispositions1   ! uni=m
 heal?1 & ! practical philosophy ) :i*  
^!   p be> ! h>d%ips & mis=tunes ( life4
 ,9 fact1 if y   take f a ,fr5*         
physician ! w>m ba? & ! inject+ pipe1   
he _c practise m$ic9e ) any k9d (       
success4 ,! importance   ( injections1  
bo? 9 ! h&s ( physicians & families1 has
   become s well kn[n1 & is n[ s highly 

valu$1 z to call =?   ! comm5dations ( !
 mo/ em95t physicians ( bo? ,europe &   
,am]ica4 ,injections con/itute "o ( !   
mo/ p[]ful1 innoc5t1   mild1 & b5eficial
 rem$ies kn[n 9 ! sci5ce & practice (   
m$ic9e4     ,illu/ration3 ,,view ,,(    
,,lewis',s ,,improv$ ,,portable ,,syr+e1
     ,,or     ,,dome/ic ,,inject+       
,,app>atus4           ,,description4    
,a--,base ( ,in/rum5t1 connect$ by a    
screw1 conta9+ a cavity &    valve1     
?r\gh :i* ! fluid is drawn into !       
,b>rel4      ,b--,b>rel1 conta9+ !      
,pi/on or ,plung]4      ,c--,cap1       
connect$ ) ! ,b>rel by a screw4         
,d--,pi/on ,rod1 surm\nt$ by a metallic 
h&le1 t]m9at+ )9    ! ,b>rel by ! ,pi/on
 or ,plung]4      ,e--,metallic ,*amb]1 
conta9+ a valve1 to :i* is connect$1 by 
a    screw1 ! flexible ,tube4           
,f--,flexible ,tube1 to ! end ( :i* are 
atta*$1 z !y may be    ne$$1 ! diff]5t  
pipes4      ,g--,/raight ,pipe1 =       
inject+ ! b[els ( adults1 to be atta*$  
to ! flexible ,tube1 :5 us$ ) an        

assi/ant4      ,h--,crook$ or ,angul>   
,tube1 to be us$ = self-adm9i/ration4   
,i--,small ,pipe1 = inject+ ! b[els (   
*ildr54      ,j--,female or ,vag9al     
,tube4           ,,directions ,,= ,,use4
       ,= ,self-adm9i/ration4     ,atta*
 ! crook$ or angul> tube1 ,h1 to ! end (
 ! flexible tube1   ,f2 place ! fluid   
int5d$ = use 9 a bas9 opposite y2       
introduce   ! pipe1 & sit d[n ^u x1     
hold+ ! in/rum5t upright 9 !   bas9 ) "o
 h&1 & work+ ! pi/on ) ! o!r4       ,=  
use ) an ,assi/ant4     ,if ! in/rum5t  
is to be us$ by an assi/ant1 7z is (t5 !
 case   9 sickness by a nurse17 !       
/raight pipe1 ,g1 %\ld be us$ in/ead   (
 ! crook$ or angul> "o4       ,=        
,*ildr54     ,= inject+ ! b[els (       
*ildr51 use ! small pipe1 ,i4       ,=  
,female or ,vag9al ,uses4     ,atta* !  
long pipe1 ,j4 7,see ,vag9al            
,injections47       ,! ,pi/on1 or       
,plung]1 & ! ,c>e ( ! same4     ,if !   
in/rum5t has /ood "s "t )\t use1 or has 
be5 kept   9 a dry or w>m place1 ! lea!r

 ( :i* x is compos$ may h   become dry2 
x %\ld !re=e be )drawn f ! b>rel &      
imm]s$ 9 w>m wat]1 7n hot47 ,x %\ld !n1 
aft] rema9+ a   %ort "t1 be saturat$ )  
melt$ tall[ or sweet oil1 :i* w   re/ore
 ! suppl5ess to ! lea!r & cause x to "w 
easily   )9 ! b>rel4 ,if ! in/rum5t has 
/ood 9 a v cold place1   ! lea!r ( c\rse
 w\ld become *ill$4 ,?is c be easily set
   "r by m]ely imm]s+ ! b>rel ( ! syr+e 
9 a bas9 ( w>m   wat]4 ,! int]ior ( !   
b>rel may sometimes become r\gh by means
   ( matt] adh]+ to x t has be5 us$ 9 ! 
in/rum5t1 su* z   gruel1 or o!r ?ick    
injections1 & may cause an ob/ruction to
 !   work+ ( ! plung]4 ,! b>rel %\ld1   
!re=e1 9 su* cases1 be   ?or\ghly wa%$  
out ) w>m soapsuds be=e return+ ! plung]
   to its place4 ,! lea!r ) :i* ?is is  
con/ruct$ is prep>$   9 a peculi> mann]1
 expressly = ! proprietor1 s t x w   n  
dry h>d1 & c be us$ = a long "t )\t p>t+
 ) its   oily matt]4     ,n4 ,b4--,extra
 lea!rs = ! plung] c be obta9$ ( !      
proprietor1 or 8 ag5ts1 & s5t to any    

place by mail4 ,price #ab   c5ts4       
,! ,valves4     ,^! consi/ ( small m9]al
 balls1 & are op]at$ 9 an improv$       
*amb] or cavity1 :i* all[s !m to always 
"w well1 & are n   liable to /ick or    
become w$g$1 z has be5 ! case )         
in/rum5ts   =m]ly made ) ?is k9d ( a    
valve4 ,!y are greatly sup]ior to       
,india-rubb] valves1 :i* soon1 by !     
action ( ! fluid1 become   unfit = use4 
,%\ld ! valves by any means be lo/1 a   
common m>ble1   if r\nd1 w answ] !      
purpose4  ,aft] ! in/rum5t has be5   us$
 = adm9i/]+ any ?ick injection1 x %\ld  
be ?or\ghly   cleans$ by pump+ "s cle>  
wat] ?r\gh x1 & all s$im5t :i*   may    
rema9 9 ! valve *amb]s1 ,a & ,e1 %\ld be
 remov$1 or x may   cause an ob/ruction 
to ! work+ ( ! valves4     ,n4 ,b4--,be 
c>eful n to put ! in/rum5t away wet1 or 
x w   injure ! box4       ,! ,flexible  
,tube4     ,! read] w obs]ve t ! c\pl+s 
to :i* ! flexible tube   is atta*$ are  
made ) a neck1 :i* is ins]t$ into !     
orifice   ( ! tube1 ! compression ( :i*1

 :5 on1 holds x firmly 9   its place4   
,if at any "t ! flexible tube %\ld be   
injur$   s z to be unfit = use1 a new "o
 c be =w>d$ by mail to any   place1 on  
application to ei!r ( ! proprietor's    
ag5ts1 & x c   be readily atta*$ )\t !  
lea/ tr\ble by any p]son4 ,price (      
,flexible ,tube1 #be c5ts4              
,)drawal ( ! ,pi/on4     ,p]sons may    
sometimes )draw ! pi/on or plung] f !   
b>rel1   & on acc\nt ( its peculi>      
con/ruction be unable to return x       
aga94 ,!re=e1 please obs]ve t x is      
compos$ ( two r\nd   pieces ( lea!r1 :i*
 are turn$ 9 opposite directions ov] !  
metallic plates--! upp] "o turn+ up1 !  
l[] "o turn+   d[n4 ,) ! lea!rs ?us     
arrang$1 x is to be introduc$ sideways  
into ! b>rel1 & ! portion ( ! l[] lea!r 
:i* rema9s   outside ( ! b>rel gradually
 & c>efully press$ 9 ) ! ?umb   nail4   
,b 9 s do+ be v c>eful n to cut or      
injure !   lea!r4 ,n4 ,b4--,silv] ,plat$
 ,syr+es1 suitable = us+ nitrate (      
silv]1 furni%$ to ord] at %ort notice4  

7,see ,nitrate ( ,silv]   ,injections47 
,peculi>ities ( ! ,improv$ ,portable    
,syr+e4     ,! peculi>ity ( ?is         
in/rum5t1 :i* r5d]s x sup]ior to o!rs   
h]et(ore us$1 consi/s 9 ! mode (        
con/ruct+ ! valves   & valve *amb]s4 ,_m
 ( ! celebrat$ in/rum5ts ) :i*   ! m>ket
 has be5 h]et(ore suppli$ h be5         
con/ruct$ )   cyl9drical valve *amb]s1  
hav+ a flat seat = ! valve to re/   ^u1 
?r\gh :i* is an orifice = ! passage ( ! 
fluid4 ,!   valve itself consi/s ( a    
circul> piece ( ,india-rubb]1 ! diamet] 
( :i* is some:at less ?an t ( ! *amb]1 9
 ord] to all[   ! fluid to fl[ by x :5 !
 valve is rais$4 ,!re are sev]al   s]i\s
 objections to ^! valves4 ,!            
,india-rubb] 9 a %ort "t   enl>ges :5 9 
use s z entirely to ob/ruct ! passage ( 
!   fluid1 especially :5 a w>m injection
 is us$1 :i* quickly s(t5s   & moi/5s ! 
rubb]4 ,! valve1 too1 9 su* cases1 if   
made s   small & light z to avoid ?is   
evil1 is liable to d\ble or fold up1   &
 is drawn ?r\gh ! orifice 9 ! valve neck

 into ! b>rel (   ! in/rum5t1 & !reby   
entirely /ops its work+4     ,9 !       
in/rum5t n[ (f]$ to ! public1 ^!        
objections are   entirely obviat$ by us+
 = a valve a small m9]al ball1 :i*      
re/s ^u a concave seat1 to :i* x is     
nicely adju/$4 ,! ball1   be+ ( a       
mat]ial :i* does n absorb wat]1 nev]    
becomes enl>g$   by use2 & x is obvi\s t
 x c nev] be drawn ?r\gh !   orifice    
into ! body ( ! in/rum5t4 ,x is also a  
self-adju/+   valve1 ! friction ( ! ball
 on its seat hav+ a con/ant t5d5cy   to 
make !m fit toge!r m accurately4 ,!     
m9]al balls are   ackn[l$g$ to be mu* m 
durable ?an ! ,india-rubb] disks2 &   z 
an in/rum5t is s]viceable only :ile all 
its p>ts are fit =   use1 x is app>5t t 
! new in/rum5t w la/ mu* long] ?an   ^? 
:i* h be5 con/ruct$ 9 ! mann] describ$4 
,c>e & ,pres]vation ( ! ,in/rum5t4      
,9 all cases1 aft] ! in/rum5t has be5   
us$ = inject+ any   m$ic9al prep>ation1 
gruel1 or 9 fact any?+ except cle> wat]1
   c>e %\ld be tak5 to ?or\ghly cleanse 

x be=e lay+ x aside1   or x w become    
f\l4 ,?is c be easily effect$ by pump+  
?r\gh   x "s pure wat]1 :i* w g5]ally   
remove all s$im5t t may   be left 9 !   
in/rum5t4 ,if an injection conta9+ oil  
has be5   us$1 /rong soapsuds w be      
requir$ to remove ! oily matt]4 ,if   9 
cleans+ ! syr+e ! plung] is )drawn f !  
b>rel1   great c>e %\ld be tak5 t !     
lea!r is n injur$ 9 return+   x aga94   
7,see ,directions = ,use47     ,z ?is   
in/rum5t is compos$ :olly ( ! be/ (     
,britannia1 &   n ( "p lead1 l mo/ ( !  
in/rum5ts ( ! k9d1 x c   be easily kept 
clean & bright z :5 new1 by rubb+ x     
sm>tly   = a mom5t ) a piece ( s(t      
flannel or wa%-lea!r4 ,! little   tr\ble
 occasion$ by ?is process w be amply    
repaid by ! h&some   appe>ance ( !      
app>atus4       ,common ,injections4    
,take ( cold or w>m wat] ab\t ?ree      
qu>t]s ( a p9t4 ,^! are   ! mo/ simple  
injections = co/iv5ess1 & are g5]ally v 
effective 9 _! action4 ,cold wat] is    
highly recomm5d$ by ,dr4   ,jackson1 (  

,bo/on1 9 cases ( habitual co/iv5ess1 & 
may be us$   daily = _m ye>s1 )\t       
injury4       ,laxative ,injections4    
,,=m ,i4     ,take "o half p9t ( /rong  
soapsuds1 made f ! yell[ b>2 or   common
 s(t soap is (t5 us$1 9 two gills ( w>m 
wat]4 ,?is w   be f\nd v active1 & is   
mu* us$ 9 bad cases ( con/ipation1 or   
to ha/5 ! op]ation ( ca?>tics tak5 by ! 
m\?4       ,,=m ,,ii4     ,take ( common
 salt1 molasses1 & l>d1 "o table        
spoonful ea*1 to   :i* add "o p9t ( w>m 
wat]4 ,if ?is d n op]ate z effectually  
z may be desir$1 ! effect may be        
increas$ by ! addition ( a   table      
spoonful ( olive oil1 or infusion (     
s5na4       ,purgative ,injections4     
,,=m ,i4     ,take ( s(t soap "o table  
spoonful1 ( olive oil "o half a p9t1 to 
:i* add a p9t & a half ( w>m wat]4 ,?is 
is recomm5d$ by ,dr4   ,jackson 9 cases 
( ob/9ate con/ipation4       ,,=m ,,ii4 
,to "o p9t ( wat] gruel or ?9 />* add a 
table spoonful (   ca/or oil1 or ! same 
quantity ( common l>d1 & a table        

spoonful   ( salt4 ,?is is an excell5t  
ca?>tic4       ,,=m ,,iii4     ,take (  
p[d]$ s5na two scruples1 ( s(t soap "o  
ounce1 to :i*   add a p9t ( boil+ wat]4 
,?is is a v effici5t ca?>tic   enema 9  
ob/9ate con/ipation1 aris+ f colic1 or  
o!r m   inflammatory conditions ( !     
b[els4       ,,=m ,,iv4     ,to "o p9t (
 w>m wat] add "o ounce ( ca/or oil &    
half an ounce   ( salt ( t>t>4 ,or take 
( ,epsom salts "o ounce1 ( s5na leaves  
half an ounce1 to :i* add "o p9t ( boil+
 wat]4 ,p\r ! boil+   wat] ^u ! s5na &  
let x /& = a qu>t] ( an h\r2 !n   /ra9 &
 add ! ,epsom salts4     ,ei!r ( ^! w be
 f\nd to be v effectual 9 _! op]ation4  
,emolli5t ,injections4     ,,=m ,i4     
,take ( molasses & wat] "o p9t1 to :i*  
add "o ounce ( common   l>d4 ,?is has   
be5 f\nd v effectual 9 cases ( dys5t]y4 
,,=m ,,ii4     ,to "o p9t ( wat] add "o 
ounce ( common dri$ mall[s1 & "o   half 
an ounce ( dri$ *amomile4 ,boil toge!r  
fifte5 m9utes1 &   /ra94       ,/>*     
,injection4     ,to "o p9t ( wat] add f 

f\r to six dra*ms ( />*4 ,rub !m   well 
toge!r & boil a %ort "t4 ,?is is us$ z  
an excell5t   emolli5t enema 9 an       
inflammatory condition ( ! l>ge         
inte/9es1   or 9 irritation ( ! rectum1 
b *iefly 9 inflammatory cases4          
,flaxse$ or slipp]y elm may be sub/itut$
 9 mo/ cases1 if m   conv5i5t4          
,injection = ,piles4#a     ,to "o p9t ( 
wat] add half an ounce ( bruis$ galls & 
two l>ge   poppy heads4 ,boil toge!r    
tw5ty m9utes1 & /ra94 ,?is w be   f\nd  
to be a valuable rem$y 9 sev]e cases (  
piles1 :]e !   rectum is mu* inflam$1 x 
be+ v soo?+ 9 its nature4     ,footnote 
#a3 ,,piles4--,!re are two k9ds ( piles1
 orig9at+ f   v ne>ly ! same causes4 ,"o
 is call$ ! ble$+ piles1 !   o!r ! bl9d 
piles4 ,! piles are small swell$ tumors 
( r a   d>k appe>ance1 usually situat$  
on ! edge ( ! anus or fundam5t4   ,:5   
!re is a dis*>ge ( blood f ^! tumors !  
disease is   call$ ble$+ piles2 b :5 !re
 is only a swell+ on ! edge (   ! anus1 
& no ble$+ :5 ! b[els are evacuat$1 !   

disease is   call$ ! bl9d piles4 ,bo? m5
 & wom5 are subject to piles2 b   wom5 m
 p>ticul>ly dur+ ! la/ /ages (          
pregnancy1 9 :i*   ! womb presses on !  
rectum 9 reliev+ ! b[els by /ool4 ,^!   
tumors c pla9ly be felt1 z !y ext5d up !
 rectum an in* or   m 9 sev]e cases4 ,:5
 ^! tumors bur/ & ble$1 ! pati5t is     
mu* reliev$2 b :5 ! pa9 is sev]e1 x is  
apt to produce fev]4   ,_m p]sons are   
con/itutionally subject to ?is disease  
?r\gh life4   ,x is g5]ally1 h[ev]1     
br\ght on by co/iv5ess1 or irregul>ity  
9 reliev+ ! b[els4 ,piles are also      
produc$ by s$5t>y habits1   by ! use (  
highly season$ food1 by rid+ a great    
deal on horseback   9 hot wea!r1 by want
 ( ex]cise1 & la/ly by ! use (          
spiritu\s liquors to excess4 ,injections
 are mu* prescrib$ = _!   relief1 & are 
f\nd to be highly effective4            
,turp5t9e ,injection4     ,take (       
spirits ( turp5t9e "o half an ounce1 to 
:i* add ! yolk   ( an egg & ?ree qu>t]s 
( a p9t ( w>m wat]4 ,! injection is   to

 be repeat$ z (t5 z ! case may require4 
,a/r+5t ,injections4     ,,=m ,i4       
,take ( p[d]$ nutgalls two & a half     
dra*ms1 to :i* add half an   ounce (    
walnut leaves & "o qu>t ( wat]4 ,boil   
d[n to a p9t &   a half1 & /ra94 ,?is is
 us$ 9 cases ( leucorrha1 or :ites1   & 
is e/eem$ a useful rem$y4       ,,=m    
,,ii4     ,take ( :ite oak b>k "o ounce1
 to :i* add two p9ts ( wat]4   ,boil to 
a p9t1 & /ra94 ,?is is reg>d$ z an      
excell5t rem$y   by _m em95t physicians 
9 cases ( leucorrha4 7,see ,vag9al      
,injections47       ,,=m ,,iii4         
,take ( alum two & a half dra*ms1 &     
dissolve 9 "o p9t ( wat]4   ,?is is     
frequ5tly us$ 9 dys5t]y4       ,,=m     
,,iv4     ,take ( alum two dra*ms1 & (  
decoction ( walnut leaves "o qu>t4      
,dissolve & mix well toge!r4 ,?is       
comp\nd is f\nd s]viceable z a   vag9al 
injection 9 leucorrha4       ,,=m ,v4   
,take ( p[d]$ galls "o dra*m1 to :i* add
 "o p9t ( wat]4 ,boil   d[n to ?ree     
qu>t]s ( a p9t1 & /ra94 ,?is prep>ation 

has be5   f\nd v useful 9 *ronic di>rha 
& excessive hemorrhage f   piles4       
,,=m ,,vi4     ,take ( s(t extract (    
rhatany sev5ty-five gra9s1 to :i* add "o
   dra*m ( t9cture ( rhatany1 & a half a
 p9t ( wat]4 ,dissolve   ! extract 9 !  
wat]1 & /ra92 !n add ! t9cture4 ,?is has
   be5 successfully prescrib$ by _m     
physicians = ble$+ piles1   fissures 9 !
 anus1 & *ronic dys5t]y4                
,anti-,dys5t]ic ,injection4     ,take ( 
solution ( acetate ( lead f two & a half
 dra*ms to f\r   dra*ms1 to :i* add "o  
p9t ( wat]4     ,= *ildr51 f "o half to 
two & a half dra*ms w be   suffici5t 9 a
 prop] proportion ( wat]4 ,?is is an    
effectual   injection 9 acute dys5t]y4  
,injection ( ,sug> ( ,lead4     ,take ( 
sug> ( lead "o scruple1 & ( laudanum =ty
 drops1 to   :i* add half a p9t ( w>m   
wat]4 ,?is is recomm5d$ by !   celebrat$
 ,dr4 ,davis z a sure rem$y 9 cases (   
ut]9e hemorrhage4       ,opiate or      
,anodyne ,injections4     ,,=m ,i4      
,take ( laudanum fifty drops1 to :i* add

 five ounces ( />*   mucilage1 & mix    
well toge!r4 ,! ,,unit$ ,,/ates         
,,disp5satory1   speak+ ( ?is invaluable
 rem$y1 says t = ob/9ate vomit+1        
/rangu>y affections ( ! kidneys1 bladd]1
 c41 x is ! mo/   admirable rem$y n[ 9  
use4       ,,=m ,,ii4     ,take (       
laudanum "o half a teaspoonful1 to :i*  
add two ounces (   />* mucilage1 & mix  
?or\ghly4 ,9 dys5t]y & o!r pa9ful       
affections ( ! inte/9es1 ?is is consid]$
 by ! be/ m$ical   au?ority to be a     
c]ta9 relief4 ,dr4 ,druit directs f "o  
hundr$ to   "o hundr$ & tw5ty drops to  
be adm9i/]$4 ,a :ole teaspoonful   has  
be5 (t5 us$ 9 sev]e cases4 ,! less      
mucilage us$1 ! m   likely is !         
injection to rema9 9 ! rectum4 ,an      
opiate injection   = a *ild n ov] a ye> 
old may consi/ ( two or ?ree drops   (  
laudanum mix$ 9 ?ree qu>t]s ( an ounce (
 mucilage4 ,opiate   injections %\ld n  
be adm9i/]$ (t51 )\t ! advice ( a       
physician4       ,,=m ,,iii4     ,take (
 p[d]$ opium f\r gra9s1 to :i* add "o   

ounce ( l>d4   ,melt ) g5tle heat1 mix  
?or\ghly1 & inject w>m4     ,lime ,wat] 
& ,cate*u ,injection4     ,take (       
electu>y ( cate*u half an ounce1 to :i* 
add t5 ounces (   lime wat]4 ,?is has   
be5 adm9i/]$ ) mo/ b5eficial results 9  
di>rha4       ,*loride ( ,soda          
,injection4     ,take ( *loride ( soda  
"o ounce1 to :i* add f a half p9t to   a
 p9t ( wat]1 & mix well4 ,?is is us$ 9  
vag9al injections   9 cases ( infections
 produc$ by ! decomposition ( a reta9$  
aft]-bir?2 also to de/roy ! (f5sive odor
 ( /ools1 & to   relieve pa9s 9 w\nds ( 
an unheal?y "*4       ,irritant         
,injection4     ,take ( hot ,port w9e "o
 p9t1 & ( alcohol five dra*ms4 ,9 cases 
( colic1 :]e an active & spe$y relief ( 
! b[els is desir$1   ?is rem$y has be5  
highly b5eficial4       ,anti-,neuralgic
 ,injection4     ,take ( ,v5ice turp5t9e
 "o half an ounce1 & add ! yolk ( an    
egg1 ?ree f\r?s ( a gra9 ( extract (    
opium1 & half a p9t (   wat]4 ,make !   
turp5t9e & egg into an emulsion1 & by   

degrees   add ! wat]1 9 :i* ! extract   
mu/ previ\sly be dissolv$4 ,an          
injection ( simple wat] is to be fir/   
tak5 & reta9$1 & !n   ! above adm9i/]$1 
:i* ! pati5t mu/ endeavor to reta94 ,to 
be tak5 at fir/ at b$time1 & aft] a few 
days twice a day1 9   cases ( ob/9ate   
rheumatic affections4                   
,anti-,spasmodic ,injections4     ,,=m  
,i4     ,take ( ca/or 7n ! oil7 "o      
dra*m1 & beat x well ) ! yolk   ( an    
egg2 !n add a half p9t ( wat]4 ,?is is  
frequ5tly giv5   ) ! be/ results to wom5
 suff]+ f spasms ( ! womb1   accompani$ 
) hy/]ics4       ,,=m ,,ii4     ,take ( 
assaftida two dra*ms1 to :i* add f "o   
half to   ?ree-qu>t]s ( a p9t ( ?9 wat] 
gruel1 & mix well toge!r4   ,?is is     
consid]$ v useful 9 hy/]ia1 colic1      
convulsions (   *ildr51 c41 & = relief (
 sev]e pa9 9 ! b[els4       ,injections 
= ,worms4#b     ,,=m ,i4     ,take (    
p[d]$ aloes f t5 to fifte5 gra9s1 & (   
/>*   mucilage "o gill4 ,/eep well      
toge!r1 & /ra94 ,! same quantity   ( w>m

 sweet oil or ev5 lamp oil is v useful 9
 ^! cases1   & is kn[n to be a p[]ful   
ext]m9ator ( p9 worms4 ,x may be        
inject$ twice a day1 if deem$ necess>y4 
,= ?is purpose alone1   ! ,improv$      
,inject+ ,app>atus becomes1 9 ! h&s (   
p>5ts1 a   valuable means ( remov+ "o ( 
! mo/ frightful s\rces ( disease   9    
*ildr54     ,footnote #b3 ,,worms ,,&   
,,_! ,,symptoms4--,! worms :i* mo/ly    
infe/   ! human body are ! long r\nd    
worm1 ! maw or p9 worm1 ! tape   worm1 &
 ! fluke worm4 ,! long r\nd worm is f   
f\r to twelve   in*es 9 l5g?1 & ab\t z  
l>ge r\nd z a common pipe /em4 ,?is     
worm is q common 9 *ildr51 & n          
unfrequ5tly crawls out at   ! m\?4 ,x is
 ( a br[ni% or a% color4 ,! maw or p9   
worm is   g5]ally f two to f\r in*es 9  
l5g?1 & ( a :ite color4   ,?is worm is  
mo/ common to *ildr51 b is n unfrequ5tly
 met )   9 gr[n p]sons also4 ,!y are    
frequ5tly f\nd 9 ! inte/9es 9   ! =m ( a
 ball1 9 su* quantities z to prev5t !   
m$ic9es   :i* are usually adm9i/]$ f    

op]at+4 ,z a g5]al ?+1 !   symptoms are 
a bad fetor or smell to ! brea?1        
frightful dreams1   it*+ ab\t ! navel1  
pa9 9 ! belly1 & gnaw+ ab\t !   /oma*1  
it*+ 9 ! nose1 frequ5t dry c\gh1 )      
tickl+ 9 !   ?roat1 con/ant hung]1 & yet
 ! sy/em becomes weak1 ! head   g5]ally 
becomes affect$1 face pale & ( a yell[i%
 ca/4 ,^!   symptoms1 ei!r s+ly or      
toge!r1 d5ote worms4 ,injections are    
consid]$ a mo/ effici5t mode (          
expulsion1 & are mu* recomm5d$   by     
physicians4       ,,=m ,,ii4     ,take (
 sift$ wood soot six dra*ms2 to :i* add 
half a p9t (   wat]4 ,boil & /ra94 ,?is 
injection is useful 9 de/roy+ ?read     
worms 9 *ildr54 ,x %\ld be giv5 half an 
h\r be=e ! *ild   goes to b$1 & %\ld be 
adm9i/]$ sev]al days 9 succession4      
,,=m ,,iii4     ,take ( *amomile fl[]s  
half an ounce1 ( aloes "o dra*m1 (      
common   salt "o ounce1 & boil+ wat] "o 
p9t4 ,/eep ! *amomile &   aloes = t5    
m9utes2 !n /ra91 & add ! salt4          
,aromatic ,injection4     ,/eep$ anise  

se$ or c>raway1 s commonly giv5 by ! m\?
 to   infants1 9 flatul5cy1 may be us$ 9
 ! =m ( injections = !   same purpose1  
by mak+ an infusion ( ! se$s4 ,take1 ( !
 se$s   ( ei!r "o half an ounce1 & (    
boil+ wat] a p9t4 ,/eep =   fifte5      
m9utes & /ra94 ,?is may be (t5 repeat$1 
if requir$4       ,yea/ ,injection4     
,take ( b>ley gruel "o gill1 to :i* add 
"o gill ( yea/4 ,?is   injection is f\nd
 extremely effici5t 9 typhoid fev]1 &   
useful 9   prev5t+ ! (f5sive odor (     
/ools 9 v>i\s compla9ts4       ,tobacco 
,injection4     ,take ( tobacco leaves f
 fifte5 to tw5ty gra9s2 to :i* add "o   
p9t ( boil+ wat]4 ,/eep = an h\r & /ra94
 ,?is injection   is recomm5d$ 9 cases (
 /rangulat$ h]nia by _m di/+ui%$   ,fr5*
 & ,engli% physicians2 & also = ob/9ate 
con/ipation1   ret5tion ( ur9e1 flood+  
aft] *ild-bir?1 c4 ,?is injection   %\ld
 be us$ ) ! utmo/ caution1 & nev] )\t ! 
sanction1   or1 p]haps1 ev5 "u ! eye ( a
 physician4 ,lobelia1 :i* is   sometimes
 sub/itut$ = tobacco1 is liable to !    

same or m   /r+5t objections1 & %\ld be 
us$ ) ! same c>e4       ,qu99e          
,injections4     ,,=m ,i4     ,take (   
flaxse$ tea "o gill1 to :i* add f twelve
 to fifte5   gra9s ( qu99e4 ,inject$    
w>m1 ?is enema is f\nd to h a   p[]ful &
 imm$iate effect 9 int]mitt5t fev]s4 ,x 
may be   repeat$ e f\r or six h\rs1 z ! 
case may require4       ,,=m ,,ii4      
,take ( qu99e five or six gra9s1 & (    
sulphuric acid eight drops2   to :i* add
 half a p9t ( wat]4 ,?is enema is       
sometimes us$ =   expulsion ( worms f ! 
rectum1 & is consid]$ v effective by    
physicians g5]ally4       ,camphor      
,injection4     ,take ( p[d]$ camphor   
five gra9s1 & "o gill ( gum arabic      
mucilage1 or flaxse$ tea4 ,mix well &   
adm9i/] w>m4 ,?is is highly   e/eem$ 9  
cases ( dys5t]y4       ,ox ,gall        
,injection4     ,take ( ox gall fle% "o 
ounce1 to :i* add "o p9t ( w>m wat]4    
,?is has be5 /rongly recomm5d$ by       
,doctors ,clay & ,alnatt1 (   ,engl&1 = 
cases ( ob/9ate con/ipation & h>d5$     

fces4 ,cases   are on record 9 ,engl&   
:]e num]\s o!r injections _h be5   us$1 
all ( :i* fail$2 ^u :i* an injection (  
ox-gall 0   adm9i/]$1 & success 0 !     
in/antane\s result4       ,nutriti\s    
,injections4     ,,=m ,i4     ,9 cases  
:]e n\ri%m5t _c be tak5 by ! m\?1       
injections (   /rong beef tea or bro?   
may be ?r[n up ! rectum1 to ! ext5t (   
f half a p9t to a p9t at a "t4 ,a case  
is cit$ :]e life 0   prolong$ 9 ?is     
mann] alone = t5 weeks or m4       ,,=m 
,,ii4     ,take ( />* or tapioca "o     
dra*m4 ,boil 9 half a p9t ( veal   bro?1
 )\t salt1 & ?ree yolks ( eggs4 ,beat   
well toge!r &   /ra94 ,adm9i/] tepid4   
,?is is an admirable support to nature  
:]e   food is n easily borne ^u ! /oma*4
       ,nitrate ( ,silv] ,injection4#c  
,take ( nitrate ( silv] half a gra91 to 
:i* add half a p9t (   wat]2 to be      
reta9$ aft] injection sev]al h\rs1 if   
possible4 ,!   /r5g? may be increas$ to 
?ree gra9s = ea* injection4 ,dr4        
,trask1 9 8 ,notes on ,hospital ,cases1 

9 8 ,j\rnal ( ,octob]1   #ahej1 m5tions 
a case ( sev]e *ronic di>rha1 9 :i*1    
aft]   us+ sev]al /rong injections (    
sulph4 z9c1 sug> ( lead1 opium1   tann91
 etc41 ) no effect1 he inject$ a        
solution ( ?irty gra9s   ( nitrate (    
silv]1 ) a common glass syr+e4 ,x 0 n   
reta9$   a mom5t1 he says1 & caus$ a    
good deal ( t5esmus = "s "t4   ,aft] ?is
 injection1 ano!r ( />* & laudanum 0    
imm$iately   adm9i/]$1 & a v decid$     
dim9ution 9 ! numb] ( dis*>ges   foll[$4
 ,! next day b "o1 an injection ( fifte5
 gra9s (   nitrate ( silv] 0 giv51      
foll[$ by ! injection ( />* &           
laudanum1 & 9 eight days f ! fir/       
injection ( ! cau/ic1   ! pati5t 0 able 
to walk ab\t ! h\se4     ,footnote #c3  
,?is injection %\ld nev] be adm9i/]$1   
save by !   advice or "u ! eye ( a      
physician4       ,vag9al ,injections4   
,vag9al injections %\ld fir/ be giv5 9  
quantities suffici5t to   ?or\ghly      
cleanse ! vag9al canal2 & !n1 9         
quantities ( ab\t   a gill1 %\ld be     

adm9i/]$ & reta9$ z long z f t5 to      
tw5ty m9utes1 if possible4 ,! temp]ature
 ( ! injections may   v>y ) ! /ate ( !  
pati5t1 & be ei!r hot or cold4 ,w>m     
injections may af=d a spe$y relief to   
"s1 :ile ^u o!rs !y   h no effect4 ,9   
cases ( leucorrha1 if copi\s1 injections
   ( tepid wat]1 ?ree or f\r times a    
day1 w be f\nd to be v   b5eficial4 ,9  
fall+ ( ! womb1 injections ( cold wat] 9
   quantities ( a qu>t at a "t1 h be5   
adm9i/]$ ) good   results4 ,9 "s cases (
 leucorrha an a/r+5t injection may   be 
requir$4 ,! injection = ?is compla9t    
mo/ly recomm5d$   by physicians consi/s 
( a decoction ( :ite oak b>k1 7see      
,a/r+5t ,injections17 & c be us$ w>m or 
cold1 z be/ suits   ! pati5t4 ,h[ev]1 9 
all cases ( vag9al compla9ts1 unless    
!y are v mild1 legitimate m$ical advice 
%\ld always be _h2   physicians 9 regul>
 /&+ be+ ! mo/ reliable 9 all critical  
cases4 ,application to !m %\ld !re=e be 
made at once1 or evil   consequ5ces may 
be ! p5alty ( neglect4                  

,,te/imony ,,( ,,em95t ,,physicians4    
,f ! v5]able & di/+ui%$ ,dr4 ,james     
,jackson1 ,no4 #c ,hamilton   ,place1   
,bo/on4       ,,bo/on1 ,,decemb] #ba1   
#ahee4     ,i h se5 ,mr4 ,lewis's       
,improv$ ,portable ,syr+e1 & ,i ?9k x is
 a   v neatly made in/rum5t1 & t x is an
 excell5t app>atus =   family use4      
,,james ,,jackson4       ,f ,dr4        
,na?aniel ,b4 ,%urtleff4       ,,bo/on1 
,,decemb] #e1 #ahee4       ,,mr4 ,,?omas
 ,,lewis4     ,sir3 ,y\r ,portable      
,syr+e1 con/ruct$ = m$ical use1 comb9es 
s   mu* ( ! ne$ful ) ! conv5i5t1 t ,i h 
no d\bt ( its   prov+ invaluable 9 _m   
cases :]e o!rs1 f _! con/ruction1   w be
 entirely useless4       ,,na?aniel ,b4 
,,%urtleff4       ,f ,dr4 ,walt] ,*ann+4
       ,,bo/on1 ,,decemb] #ag1 #ahee4   
,,mr4 ,,?omas ,,lewis4     ,de> ,sir3 ,i
 h exam9$ y\r ,improv$ ,syr+e1 & f9d x w
   p]fectly answ] ! purpose = :i* x is  
design$1 ei!r = self   or family use4   
,,walt] ,,*ann+1 ,m4 ,d4        ,f ,h5ry
 ,g4 ,cl>k1 ,m4 ,d41 ,surgeon at !      

,massa*usetts ,g5]al    ,hospital1 &    
,city ,physician ( ,bo/on4              
,,bo/on1 ,,decemb] #aa1 #ahee4          
,,mr4 ,,?omas ,,lewis4     ,de> ,sir3 ,i
 h ?or\ghly exam9$ ! ,improv$ ,portable 
,syr+e   manufactur$ by y1 & ?9k x "o ( 
! v be/ ,i h se54       ,y\rs truly1    
,,h5ry ,g4 ,,cl>ke4       ,f ,dr4 ,m4   
,s4 ,p]ry1 ,no4 #af ,r[e ,/reet4        
,,bo/on1 ,,decemb] #ab1 #ahee4          
,,mr4 ,,?omas ,,lewis4     ,de> ,sir3 ,i
 receiv$ y\r ,improv$ ,syr+e1 & h exam9$
 x v   c>efully4 ,i ?9k x is all y      
recomm5d x to be4 ,simple & durable   9 
me*anism1 & conv5i5t 9 its =m1 x is     
c]ta9ly a good family   in/rum5t4       
,respectfully y\rs1       ,m4 ,s4       
,,p]ry4     ,also recomm5d$ by ! foll[+ 
di/+ui%$ physicians ( ?is   city3       
,,dr4 ,,h5ry ,j4 ,,bigel[1 ,surgeon to  
,mass4 ,g54 ,hospital4     ,,dr4 ,j4 ,v4
 ,c4 ,,smi?1 ,mayor ( ,bo/on4     ,,dr4 
,d4 ,h4 ,,/or]1 & _m o!rs4       ,f ,dr4
 ,!o4 ,kittr$ge1 ,wal?am1 ,mass4        
,,wal?am1 ,,decemb] #ba1 #ahee4         

,,mr4 ,,?omas ,,lewis4     ,de> ,sir3   
,y\r ,improv$ ,syr+e1 ( :i* ,i h made a 
?or\gh trial1   is ! mo/ simple &       
conv5i5t app>atus ,i h ev] se51 &   =   
durability x _c be excell$4 ,its        
simplicity ( con/ruction   is c]ta9ly ( 
! greate/ importance1 p>ticul>ly to     
c\ntry   physicians1 :o are frequ5tly "u
 ! necessity ( repair+ _!   own         
in/rum5ts1 & are greatly p]plex$ by !   
common app>atus   be+ s (t5 out ( ord]4 
,,!odore ,,kittr$ge1 ,m4 ,d4        ,f  
,joseph ,m4 ,wightman1 ,esq41 !         
celebrat$ ,philosophical    ,in/rum5t   
,manufactur]1 ,no4 #cc ,cornhill1 :o is 
well kn[n ?r\gh\t    ! ,unit$ ,/ates4   
,,bo/on1 ,,novemb] #h1 #ahee4           
,,mr4 ,,?omas ,,lewis4     ,de> ,sir3   
,aft] a ?or\gh trial ( y\r ',improv$    
,portable ,syr+e1'   dur+ sev]e sickness
 9 my family1 ,i am gratifi$ to give my 
decid$   op9ion 9 favor ( its           
con/ruction1 z admirably adapt$ to !    
purpose1 & also 9 reg>d to ! excell5t   
workman%ip & conv5i5t   arrangem5t ( !  

v>i\s p>ts4 ,^! qualities comb9$ ) ',h>d
   ,ball ,valves1' :i* op]ate z well )  
^? injections ( :i*   gruel =ms a "p1 z 
) ^? m fluid1 r5d] x invaluable   to ^? 
:o are oblig$ to resort frequ5tly to !  
use ( su* an   in/rum5t = ! purpose1 & h
 suff]$ f hav+ ^? (   o!r con/ructions s
 (t5 out ( ord] z to be a cont9ual s\rce
   ( annoyance & exp5se4       ,y\rs    
truly1       ,j4 ,m4 ,,wightman1 #cc    
,cornhill4           ,,op9ions ,,(      
,,druggi/s4       ,f ,?omas ,hollis1 an 
old & long-e/abli%$ ,druggi/1 ,no4 #bc  
,union   ,/reet4       ,,bo/on1         
,,decemb] #c1 #ahee4       ,,mr4 ,,?omas
 ,,lewis4     ,sir3 ,i h exam9$ y\r     
,improv$ ,portable ,syr+e1 & reg>d x z  
a mo/ admirable in/rum5t4 ,compact &    
simple 9 its con/ruction1   x is easily 
manag$1 & n liable to get out ( ord]1 & 
is well   adapt$ = all ! purposes = :i* 
x is int5d$4       ,,?omas ,,hollis4    
,! foll[+ op9ion1 express$ by ! pr9cipal
 :olesale & retail   ,druggi/s ( ?is    
city1 %[s ) :at favor ! new in/rum5t has

   be5 receiv$ by ! trade g5]ally3--    
,,bo/on1 ,,novemb] #af1 #ahee4     ,!   
und]sign$ hav+ c>efully exam9$ ,lewis's 
,improv$ ,portable   ,syr+e1 are        
satisfi$ z to its excell5ce1 & believe x
 to be   sup]ior to any in/rum5t ( ! k9d
 be=e (f]$ to ! att5tion   ( ! trade4   
,,h5%aw1 ,,edm&s  ,,co41        #cf     
,india ,/reet4       ,,re$1 ,,cutl]     
,,co41            #cc ,india ,/reet4    
,,br[n  ,,knapp1                 #di    
,india ,/reet4       ,,brew]s1 ,,/ev5s1 
,,cu%+1   #ij & #ib ,wa%+ton ,/4        
,,*>les ,t4 ,,c>ney1             #ach   
,wa%+ton ,/reet4       ,,wilson1        
,,fairbank  ,,co41        #dc & #de     
,hanov] ,/reet4       ,,re$1 ,,au/9     
,,co41            #cd ,india ,/reet4    
,,?ay]1 ,,hovey  ,,co41           #f    
,faneuil ,hall ,squ>e4       ,,c>t]1    
,,colcord  ,,pre/on1     #hf ,hanov]    
,/reet4       ,,weeks  ,,pott]1         
#aed ,wa%+ton ,/reet4       ,a4 ,l4     
,,cutl]  ,,co41            #dc ,india   
,/reet4       ,b4 ,o4  ,g4 ,c4          

,,willson1         #ah ,c5tral ,/reet4  
,,smi?  ,,melv91                #cbe    
,wa%+ton ,/reet4       ,,joseph ,t4     
,,br[n1               ,corn] ,b$=d &    
,wa%+ton                                
,/reets4       ,,?omas ,,re/ieaux1      
#bi ,tremont ,/reet4       ,j4 ,w4      
,,phelps1                  #fh ,tremont 
,/reet4       ,,h5ry ,d4 ,,f[le1        
#ga ,pr9ce ,/reet4           ,,op9ions  
,,( ,,! ,,press4       ,f ! ,bo/on      
,m$ical & ,surgical ,j\rnal4     ,!     
editor ( ! ,bo/on ,m$ical & ,surgical   
,j\rnal1 "u date (   ,dec4 #f1 #ahee1   
speak+ ( ,lewis's ,improv$ ,portable    
,syr+e1 says3--     ,portability1       
durability1 neatness1 & effici5cy are   
qualities :i*   r5d] any app>atus z     
ne>ly p]fect z possible1 & !y are       
c]ta9ly possess$ by ?is4 ,! pi/on moves 
admirably1 & its action   requires h>dly
 any m ex]tion f ! p]son work+ x ?an    
does   t ( ! ela/ic bottle atta*$ to    
c]ta9 ( ^! in/rum5ts4     ,!re is a     
great conv5i5ce1 x is true1 9 avoid+ !  

use ( !   pump1 z is effect$ by ,dr4    
,mattson 9 8 arrangem5t1 & ! /ream   (  
fluid is ?r[n 7or c be7 m cont9u\sly2 b 
! la/+   nature ( ! metallic *amb] &    
rod1 toge!r ) ! ease (   work+ ! latt]1 
are equival5t excell5ces4     ,?is      
app>atus is adapt$ to bo? rectal &      
vag9al uses1 & a   small pipe is add$ = 
use 9 ! case ( *ildr54     ,"o great    
advantage claim$ by ! proprietor1 & :i* 
comm5ds   itself at once to ! judgm5t1  
is ! simple con/ruction1 & m   ?an t1 ! 
la/+ nature ( ! valves4 ,a ball1        
accurately   fitt+1 supplies ! place ( !
 lea!r or ,india rubb] valves mo/       
commonly employ$4 ,x is evid5t t an     
important object is "h   atta9$2 !      
valves _c get out ( ord]4 ,if1 9 tak+ ! 
syr+e   ap>t1 ! ball %\ld accid5tally   
drop1 x tells its /ory z x   falls1 & is
 in/antly replac$2 no r5ewal is ne$$1   
except !re be   actual loss1 :5 a common
 m>ble1 if r\nd1 w answ] ! purpose4     
,!re are _m occasions :5 x is necess>y  
to use a ?ick1   t5aci\s fluid =        

injections2 = su* purposes1 ?is syr+e c 
h no rival4 ,) delicate flapp+ valves1  
^! sub/ances w\ld   decid$ly int]f]e1 & 
cont9ual *ange & repair be dem&$4   ,)  
?is simple & effici5t arrangem5t1 we c  
h>dly conceive x   possible = ! in/rum5t
 to get out ( work+ ord]4 ,9 cases :]e  
x is imp]ative to give n\ri%+ enemata1  
su* z gruel1 bro?s1   c41 ! above       
conditions are absolutely ess5tial to   
success1 & also   to ! f9al integrity ( 
! app>atus4     ,z a g5]al ?+1 ! m      
simple ! ma*9]y1 ! easi] its use1   & ! 
m univ]sal its application4 ,complicat$ 
arrangem5ts1   :ile !y are f> m readily 
disord]$1 puzzle ! unskilful1 &         
sometimes ev5 foil ! accu/om$ h&3 _!    
fate is1 commonly1 to be   ?r[n by 9    
disgu/4     ,^? :o ne$ su* aids 7& !re  
are few :o d n1 occasionally1   at      
lea/17 _c d bett] ?an to supply !mselves
 ) ?is   in/rum5t4 ,e family %\ld       
possess effectual artificial means (    
?is description1 to meet ^? exig5ces to 
:i* ! sluggi%ness (   nature or disord]$

 heal? may give rise4 ,7 enemata m us$ 9
   ?is c\ntry1 we c\ld safely disp5se ) 
mu* purgative m$ic9e   giv5 by ! m\?2 & 
:5 ?is c be done1 we are sure t         
physicians z well z pati5ts w gladly    
embrace ! opportunity4     ,pr9t$       
directions accompany ea* box :i* conta9s
 ! syr+e4   ,= travell]s x is p]fectly  
adapt$1 n only f its compactness1   b f 
! ease ( cleans+ x4 ,x is af=d$ at ! v  
reasonable price ( ?ree doll>s & fifty  
c5ts1 & x des]ves a   l>ge sale4     ,f 
! ,bo/on ,daily ,j\rnal1 ,dec4 #ah1     
#ahee4     ,,lewis',s ,,improv$         
,,portable ,,syr+e4--,?is is a new &    
beautiful   in/rum5t1 :i* is wor?y !    
att5tion ( ,physicians & families1   &  
:i* we are confid5t w come into g5]al   
use = ! purposes   = :i* x is int5d$4 ,x
 is p]fectly simple 9 its con/ruction1  
& v effici5t 9 its action1 & x c be us$ 
by an invalid   )\t any assi/ance or    
difficulty1 & is n 9 ! lea/ liable to   
get out ( ord]4       ,f ! ,bo/on ,daily
 ,*ronicle1 ,dec4 #e1 #ahee4            

,,valuable ,,m$ical ,,inv5tion4--,!     
att5tion ( physicians & o!rs   int]e/$1 
is call$ to an ,improv$ ,portable       
,syr+e1 inv5t$ &   sold by ,mr4 ,?omas  
,lewis1 ,no4 #aff ,wa%+ton /reet1 ( ?is 
city4 ,we   h se5 ! in/rum5t allud$ to1 
& al?\gh !re are _m n[   9 use = ! same 
objects1 yet we h ! au?ority ( sev]al ( 
our fir/ physicians = say+ t none       
approa* ?is inv5tion 9   p]fect$ness (  
plan or execution4 ,! syr+e is pla9ly & 
simply   con/ruct$1 n liable to get out 
( ord]1 & c be us$ ) !   utmo/ facility 
by ! invalid4 ,directions = its use are 
pla9ly &   amply set =? on ! case1 & ea*
 in/rum5t is fully w>rant$4       ,f !  
,bo/on ,daily ,ev5+ ,telegraph1 ,dec4   
#c1 #ahee4     ,,portable ,,syr+e4--,our
 att5tion 0 call$ a few days s9ce to an 
improv$ ,portable ,syr+e = dome/ic use1 
:i* is ( great value4   ,x is sup]ior to
 any o!r :i* has yet be5 inv5t$1 & mu/1 
we   ?9k1 be pref]r$ by physicians &    
o!rs :o are oblig$ to use   su* an      
in/rum5t4 ,:ile x is v simple 9 its     

con/ruction1 x is   p]fectly adapt$ = ! 
purposes = :i* x is design$4 ,its size  
is su* z to make x a v portable &       
conv5i5t app>atus =   travell]'s use4   
,f ! ,worce/] ,mass4 ,j\rnal ( ,m$ic9e1 
,april1 #ahef4     ,,lewis',s ,,improv$ 
,,portable ,,syr+e3 ,we take occasion to
 call !   att5tion ( our read]s to !    
,dome/ic ,inject+ ,app>atus             
manufactur$ by ,?omas ,lewis1 ,no4 #aff 
,wa%+ton ,/reet1 ,bo/on4 ,x is          
decid$ly ! be/ con/ruction ( metalic    
syr+e t we h ev]   se54 ,x has _m       
important advantages ov] any o!r =m (   
syr+e4   ,its con/ruction is su* t !    
valvul> app>atus seldom gets out (      
place4 ,x is small & conv5i5t1 enclos$ 9
 a neat box1 & may be   conv5i5tly c>ri$
 9 almo/ any way4 ,! objections commonly
 urg$   aga9/ ! metalic syr+e1 are 9 ?is
 improvem5t :olly obviat$4   ,its long  
flexible tube all[s a conv5i5t          
self-application4 ,p]sons   hav+ ! syr+e
 ne$ n ! aid ( an assi/ant4             
,connect$ ) ! syr+e are full directions 

) ref]5ce to its   use1 & ! advantages  
to be d]iv$ f x4 ,! mass ( p are   b    
little aw>e ( ! great b5efits d]iv$ f ! 
frequ5t use   ( common wat] injections4 
,?is want ( practical k arises   m f !  
want ( a good in/rum5t ?an any o!r      
cause4 ,we   c /rongly recomm5d ,lewis's
 ,improv$ ,syr+e 9 ?is p>ticul>4        
,physicians !mselves w\ld always f9d x  
advantage\s to recomm5d a   good        
in/rum5t ( ! k9d to _! pati5ts4       ,f
 ! ,new ,hamp%ire ,j\rnal ( ,m$ic9e4    
,,lewis',s ,,improv$ ,,portable ,,syr+e1
 :i* is adv]tis$ 9 ?is numb]1   w be    
f\nd on exam9ation & 9 use to be "o ( ! 
mo/ p]fect   in/rum5ts 9 ! m>ket4 ,x is 
s simple & its sev]al p>ts fit   ) s mu*
 accuracy t !re is little *ance ( its   
gett+ out   ( repair1 & its price is s  
l[ z to place x )9 ! rea* (   e family  
:o desire an inject+ app>atus4       ,f 
! ,bo/on ,weekly ,dispat*4     ,,improv$
 ,,portable ,,syr+e1 ,,or ,,dome/ic     
,,inject+ ,,app>atus2   manufactur$ by  
,?omas ,lewis1 ,bo/on4--,!re has be5 a  

great v>iety   ( attempts to p]fect an  
in/rum5t ( ?is sort = ,dome/ic ,use4 ,! 
,fr5* h l$ ! way4 ,we rememb]1 :ile 9   
,p>is1 to h exam9$   a great v>iety (   
,syr+es1 & also :ile 9 ,engl&4 ,be=e    
leav+   ,liv]pool1 we paid #a = "o1 :i* 
we suppos$ w\ld nev] ne$   repair2 b x  
has fail$4 ,we h tak5 great pa9s to     
secure ! be/   article 9 ?is c\ntry2 =1 
to a dyspeptic su* z we h be5 =   tw5ty 
ye>s1 ! ,syr+e is invaluable4 ,9 pass+  
?r\gh ,wa%+ton   ,/reet1 we accid5tally 
met ) ! in/rum5t n[ on our table1   &   
:i* we h tri$ ) complete success4 ,we   
?9k we mu/ say   t ,mr4 ,lewis has      
really met ! want ( ! community 9       
produc+   a ,syr+e at once portable1    
simple1 & comb9+ all t w be   desir$4   
,we und]/& t ,dr4 ,jackson & o!r em95t  
physicians (   our city h recomm5d$ x = 
g5]al use4 ,we tru/ ,mr4 ,lewis w   be  
amply rew>d$ = 8 excell5t labor 9 !     
ext5sive sale ( 8   in/rum5t4 ,call at  
#aff ,wa%+ton ,/reet4       ,f ! ,bo/on 
,adv]tis]4     ,we 7 %[n to-day1 an     

in/rum5t manufactur$ by ,mr4 ,,?omas    
,,lewis1   #aff ,wa%+ton ,/reet1 :i* 9  
its op]ation is sup]ior to any   we h   
ev] se5 be=e4 ,x is simple & effective1 
disp5s+   altoge!r ) ,lea!r or ,rubb]   
valves1 7:i* are s liable to get   out (
 ord]17 & in/ead r\nd m9]al balls are   
us$1 ^!1 by !   peculi> con/ruction ( ! 
p>ts1 c nev] get out ( place1 or we>   s
 z to prev5t its p]fect op]ation at all 
times4     ,x is s con/ruct$ t x may be 
us$ )\t assi/ance1 & is   well adapt$ to
 *ildr51 z well z adults4 ,! importance 
( e   family hav+ "o ( ^! in/rum5ts is  
fully set =? by !   te/imony ( ! m$ical 
faculty ( ?is city1 :i* is furni%$ 9 a  
small book1 :i* conta9s full directions1
 receipts1 c4             ,,lewis',s    
,,improv$       ,,ela/ic ,,syr+e4       
,view ( ,lewis's ,improv$ ,ela/ic       
,syr+e4       ,illu/ration              
,,description4       ,a--,ela/ic ,bag4  
,b--,metallic c\pl+1 jo9$ to ,c by a    
screw4       ,c--,metallic ,valve       
,*amb]1 conta9+ a ,valve4               

,d--,metallic ,tube ?r\gh :i* ! fluid is
 drawn into !     ,in/rum5t4            
,e--,metallic ,valve ,*amb]1 7dis*>ge   
valve17 conta9+ a     ,valve to :i* is  
connect$ by a screw1 ! flexible tube4   
,f--,flexible ,tube to :i* is atta*$ z  
!y may be ne$$1     ! diff]5t ,pipes4   
,g--,pipe = ,inject+ ! ,b[els ( ,adults4
       ,h--,small ,pipe = ,inject+ !    
,b[els ( ,*ildr54       ,i--,vag9al     
,tube1 7= ,female ,uses47               
,,directions ,,= ,,use--,,=             
,,self-,,adm9i/ration4 ,! ,ela/ic ,bag  
,a %\ld   be clasp$ by ! "r h&1 ! end ( 
! metallic tube ,d re/+ 9   ! bas9      
conta9+ ! fluid int5d$ = use1 ! left h& 
be+   employ$ 9 direct+ ! t]m9al tube   
,g4 ,by compress+ ! ,bag )   ! h& & !n  
loos5+ ! grasp1 x w imm$iately fill     
itself   ) ! fluid4 ,by ! next          
compression ( ! h& ^u ! ,bag1   ! fluid 
?us drawn into ! ,in/rum5t w be =c$     
?r\gh !   ,flexible ,tube1 & out ( !    
t]m9al ,pipe4 ,by ?is means ei!r a      
l>ge or small quantity ( fluid c be us$ 

)\t any difficulty or   any alt]ation ( 
! ,in/rum5t :atev]4     ,,= ,,inject+   
,,! ,,b[els ,,( ,,*ildr54 ,use ! small  
,pipe ,h4     ,,= ,,female ,,uses4      
,atta* ! ,pipe ,i4 7,= fur!r p>ticul>s  
see ,pages   #bb to #cg inclusive47     
,,! ,,valves1 ,,& ,,! ,,c>e ,,( ,,!     
,,same4 ,^! consi/ ( small ,metallic    
,balls1 & are op]at$ 9 an ,improv$      
,*amb] or cavity1 :i* all[s   !m to     
always "w well 9 any position1 & )\t t  
liability to   /ick & become w$g$1 :i*  
is ! case ) all valves ( diff]5t   =m4  
,!y are pron\nc$ by ! mo/ em95t judges  
to be greatly   sup]ior to ! flat ,india
 ,rubb] or ,lea!r ,valves1 :i* are s    
soon act$ ^u by ! fluid z to become     
utt]ly useless z well z   be+ (t5 drawn 
into ! body ( ! ,in/rum5t1 !reby prev5t+
   its work+1 & caus+ great p]plexion4  
,n4 ,b4 ,aft] us+ any ?ick injection1   
all s$im5t :i* h   collect$ 9 ! ,valve  
,*amb]s1 ,c & ,e1 %\ld be ?or\ghly      
remov$1   z x may cause an ob/ruction to
 ! work+s ( ! ,valves4  ,be   c>eful & n

 put ! ,in/rum5t away wet1 or x w injure
 ! ,box4     ,,! ,,flexible ,,tube4 ,!  
read] w obs]ve t ! c\pl+s to :i*   !    
,flexible ,tube is atta*$ is made ) a   
neck :i* is ins]t$   into ! orifice ( ! 
tube1 ! compression ( :i*1 :5 on1 holds 
x firmly 9 its place4 ,if ! ,flexible   
,tube %\ld at any "t be   injur$ s z to 
be unfit = use1 a new "o c be obta9$ ( !
   ,proprietor1 or 8 ,ag5ts1 & =w>d$ to 
any place by ,express or   ,mail1 & x c 
be readily atta*$ by any p]son4     ,n4 
,b4 ,price ( ,flexible ,tube #be c5ts4  
,= ,=mulas = injections1 see pages #bb  
to #cg inclusive4             ,,bus9ess 
,,notice4       ,,lewis',s ,,improv$    
,,portable ,,syr+e1       ,or ,dome/ic  
,inject+ ,app>atus2       ,,is          
,,manufactur$ ,,& ,,= ,,sale ,,by ,,!   
,,proprietor1       ,,?omas ,,lewis1    
,no4 #aff ,,wa%+ton ,,/reet1            
,,bo/on4       ,,m>k ,,wor?ley1 #aff    
,wa%+ton ,/reet1  ,,ag5ts4     ,b4 ,s4  
,,codman  ,,co41 #eg ,tremont ,r[1      
,,bo/on1 ,,mass4       ,all ord]s       

direct$ z above w receive prompt        
att5tion4        ,also = sale by !      
,druggi/s g5]ally ?r\gh\t     ! ,unit$  
,/ates & ! ,canadas4        ,all        
,in/rum5ts manufactur$ by ! subscrib]   
are     put up ) great c>e & att5tion & 
w>rant$ p]fect     9 e respect2 !y are  
accompani$ by a ,book ( ,directions     
= use1 /amp$ ) ! ,proprietor's ,pat5t   
,trade     ,m>k4 ,none are g5u9e unless 
s /amp$1 & all p]sons     are h]eby     
caution$ aga9/ infr++ on ! same4        
,t4 ,,lewis4