the part with oiled silk. Extirpation.
Electric shocks through the tumour. An issue into the substance of the wen.
Opium. Ether externally.

23. _Schirrus recti intestini._ Schirrus of the rectum. A schirrus
frequently affects a canal, and by contracting its diameter becomes a
painful and deplorable disease. The canals thus obstructed are the rectum,
the urethra, the throat, the gall-ducts, and probably the excretory ducts
of the lymphatics, and of other glands.

The schirrus of the rectum is known by the patient having pain in the part,
and being only able to part with liquid feces, and by the introduction of
the finger; the swelled part of the intestine is sometimes protruded
downwards, and hangs like a valve, smooth and hard to the touch, with an
aperture in the centre of it. See a paper on this subject by J. Sherwin.
Memoirs of a London Medical Society, Vol. II. p. 9.

M. M. To take but little solid food. Aperient medicines. Introduce a candle
smeared with mercurial ointment. Sponge-tent. Clysters with forty drops of
laudanum. Introduce a leathern canula, or gut, and then either a wooden
maundril, or blow it up with air, so as to distend the contracted part as
much as the patient can bear. Or spread mercurial plaster on thick soft
leather, and roll it up with the plaster outwards to any thickness and
length, which can be easily introduced and worn; or two or three such
pieces may be introduced after each other. The same may be used to compress
bleeding internal piles. See Class I. 2. 1. 6.

24. _Schirrus urethrae._ Schirrus of the urethra. The passage becomes
contracted by the thickened membrane, and the urine is forced through with
great difficulty, and is thence liable to distend the canal behind the
stricture; till at length an aperture is made, and the urine forces its way
into the cellular membrane, making large sinuses. This situation sometimes
continues many months, or even years, and so much matter is evacuated after
making water, or at the same time, by the action of the muscles in the
vicinity of the sinuses, that it has been mistaken for an increased
secretion from the bladder, and has been erroneously termed a catarrh of
the bladder. See a paper by Dr. R. W. Darwin in the Medical Memoirs.

M. M. Distend the part gradually by catgut bougies, which by their
compression will at the same time diminish the thickness of the membrane,
or by bougies of elastic gum, or of horn boiled soft. The patient should