ls regular. Much can be done for this purpose by diet and regimen.
On rising from bed in the morning drink freely, from a gill to half a
pint of cold water, at least half an hour before breakfast; use such
diet as is easily digested, and drink no alcoholic beverages. To relieve
the bowels when costive, take a dose of _Nux Vomica_ at night, and
_Podophyllin_ in the morning. This may be repeated from day to day until
the proper effect is produced.

To relieve from a severe attack of Piles, use _Bell._ and _Podophyllin_
in alternation every four hours, and apply to the tumors when inflamed,
cloths wrung out of hot water, or sit in hot water for a time.

A poultice made of fine-cut _Tobacco_ wet in hot water and crowded
firmly up against the pile-tumors, secured by a T bandage, will relieve
the most desperate cases for the time, and is attended with no danger or
disagreeable symptoms except in rare cases, when it produces sickness at
the stomach, which soon subsides on the poultice being removed. _Oil of
Arnica_ is an excellent application for inflamed Piles.

A most important point in the management of Piles, and one often
neglected, is to replace the prolapsed tumors. The tumors will be
protruded from within the anus by the act of evacuating, and if left in
that condition, will be pressed upon by the external parts, chafed and
inflamed. In all such cases, the patient should take particular pains to
return the tumors into the rectum; and to aid in that process a little
oil may be applied when they will be easily pushed back, and the
sphincter of the bowel will close below them, preventing any chafing,
and the consequent inflammation.

For _Bleeding Piles_, _Ipecac_ and _Bell_. are very efficient remedies.
They may be alternated every half hour, or oftener if the bleeding is
severe, or at longer intervals when it is only slight.

_Hamamelis V._, (Witch Hazel,) will in nearly all cases arrest the
bleeding at once. It should be applied to the parts and taken internally
at the same time. Drop doses to be put on the tongue once in fifteen or
twenty minutes.

An infusion of the _Hamamelis_ may be taken internally in doses of half
a teaspoonful, and the same injected into the bowel with excellent
effect.

The most effectual way, and the best for obtaining permanent relief from
Piles when the tumors have become hard, and remain all the time so as to
pass out of the anus at every evacuation, being constantly more or less
te