attempted. Another common method
of treatment is to crush the base of the pile with a clamp, and then cut
off the tumors with scissors. After this it is also necessary to apply
the hot iron to prevent hemorrhage. Formerly, applications of nitric
acid were in common use by physicians as a means of cure, but it was
found that while this treatment would give temporary relief, yet in no
severe case would it effect a cure. By what we term palliative treatment
alone more cures are effected than by the old process of treatment with
nitric acid. Still another form of treatment is strangulation of the
pile by means of a ligature, and this is often more painful than the
application of hot irons, inasmuch as in cutting off the return flow of
blood from the piles, a large tumor is left for days fully distended and
extremely painful. It does not slough off for a considerable time, and
we have seen the strongest men suffer intensely, to whom the use of
scissors in removing the tumors was a positive relief in comparison with
the torture of the ligature. A treatment that has been highly
recommended by some physicians and condemned by others, is the process
of injection with carbolic acid. This method of treatment is not very
painful but, unfortunately, it is dangerous. The injection of the tumors
with a fluid which causes coagulation of the blood, and which does not
completely shut off the return current of the circulation through the
tumors, has proved fatal in a small percentage of cases. The clots which
are formed by this treatment become detached and are carried into the
general circulation and conveyed to the liver, lungs and even to the
brain, where, by plugging up the vessels of those organs, they cause
abscesses which terminate life. Serious inflammation of the veins is
another accident which often follows the injection of carbolic acid.
This treatment is, therefore, now seldom resorted to except by
physicians who do not appreciate its dangers.

A MORE SUCCESSFUL METHOD. Fortunately for suffering humanity, a method
of treatment has been perfected and thoroughly tested in our
institution, in which all such trouble and danger as above described are
avoided. This consists in bringing down the tumors, cleansing them and
making application, of certain chemical preparations, that cause the
tumors to speedily shrivel up, and in a very short time, say ten to
fourteen days, disappear entirely. These treatments and applications
cause _n