it, would be obviated. A large proportion of the cases will
yield to the foregoing hygienic treatment without the employment of
medicines. Should it be necessary, however, to employ an aperient to
relieve the constipation, Dr. Pierce's Golden Medical Discovery will act
most congenially, and will be followed by no constipating reaction,
which invariably occurs when drastic cathartics are employed. Its
operation is mild, bringing about a healthy action by promoting the
biliary and other secretions, thus aiding nature in establishing normal
functional activity in the bowels. Recourse should be had to it before
employing any thing more strongly cathartic. However, should it prove
too mild in its aperient effects, small doses of Dr. Pierce's Pleasant
Pellets may be employed daily to assist it. Unlike other cathartics,
they produce a secondary tonic effect upon the bowels, which renders
their influence more lasting than that of other purgatives. We cannot
too strongly discourage the injurious custom which many people have of
frequently _scouring_ out their bowels with strong cathartics. It is a
bad practice, and cannot fail to do injury. The greatest benefit is
derived, not from cathartic doses, but from taking only one or two of
the "Pellets" per day, or enough to keep the bowels regular, and
continuing their use for several weeks, in connection with Dr. Pierce's
Golden Medical Discovery, strictly carrying out the hygienic treatment
heretofore advised.

The medical treatment of individual cases sometimes involves many
considerations relative to the particular circumstances and
complications presented. The peculiar susceptibility of the
constitution, as well as the diseases incident to constipation, must be
taken into account. Symptomatic derangement should not be treated as
primary, although it is by inexperienced physicians. If the patient be
afflicted with uterine disease, piles, nervous affections, falling of
the lower bowel, or fistula, they should be treated in connection with
this disease. For these reasons, we would advise our readers to submit
all complicated cases, or those that do not yield to the course
heretofore advised, to a physician of large experience in the management
of chronic diseases, and not assume the great responsibility and the
dire consequences which are very liable to arise from the improper
treatment of such cases. We have been called upon to treat thousands of
cases of this troublesome affection