roduced wound) origin, diseases of
the anal and rectal canals are usually of fifteen, twenty or more
years' incubation before the annoying symptoms become apparent. This
accounts for the slight attention to the maturing trouble and for the
fact that such attention can afford nothing more than a palliation or
postponement. A real cure requires a combination of means, all working
harmoniously for the proper length of time. Proper treatment and the
proper time are the two prime requisites; and the third and final
requisite is, of course, a sensible patient.

Before home treatment is to be thought of it is accordingly advisable
to have an examination and a prescription for the specific local
treatment necessary for a trouble like piles, fissure, polypus, tabs,
itching, fistula, varicose veins, abscess, ulcer, granulation,
hypertrophy, or atrophy as the case may be. The local treatment can
best be aided by a combination of remedies with suitable instruments
for their use between the periods of local attention by the physician.
The writer of this has no cure-all to send the sufferers, although it
might be to his financial advantage to have one; he is, however, always
ready to advise and relieve those who cannot visit him immediately. The
relief afforded often facilitates the cure by permitting a more
extensive local treatment at the first visit.

_The Use of Instruments for Injecting Water._

To do something at home for one's self for relief from soreness and
pain due to anal and rectal diseases, a few suitable instruments are
required with which specific remedies may be used, especially that
excellent remedy--water.

It is unfortunate that the anal and rectal canals cannot be given rest
when invaded by disease. Daily elimination of feces is a very important
factor to health and to treatment. To accomplish this the very best
means is water in various quantities as the case demands. It does not
irritate the diseased canals--as cathartics do--but aids in the escape
of imprisoned feces and gases which lodge above the region of the
morbid process. Evacuation should be accomplished twice a day, by the
injection at first of three or four quarts of water--thus obtaining a
good daily flushing of one's sewer--and then, if advisable, gradually
lessening the quantity at subsequent injections to one or two pints at
a time. The temperature should be 100 deg. to 105 deg. or more. Some
people have an idea that water at the temperature