Vaseline 1 ounce



Mix.



In protruding, itching and blind piles, this ointment will give you almost

instant relief. If kept up several days it will promote a cure."



3. Piles, Good Salve for. "Red precipitate two and one-half drams, oxide

of zinc one dram, best cosmoline three ounces, white wax one ounce,

camphor gum one dram." It is much better to have this salve made by a

druggist, as it is difficult to mix at home. This it a splendid salve and

very good for inflammation.



4. Piles, Smartweed Salve for. "Boil together two ounces of fresh lard

and half an ounce smartweed root. Apply this to the piles three or four

times a day." This is very healing, and has been known to cure in many

cases when taken in the early stages.



5. Piles, the Cold Water Cure for. "Take about a half pint of cold water

and use as an injection every morning before trying to have a movement of

the bowels." This simple treatment has cured many cases where the stronger

medicines did not help.



6. Piles, Simple Application and Relief from. "Mix together one

tablespoonful plain vaselin and one dram flower of sulphur. Apply three

times daily and you will get relief."



7. Piles, Steaming with Chamomile Tea for. "A tea made of chamomile

blossoms and used as a sitz bath is excellent; after using the sitz bath

use vaselin or cold cream and press rectum back gently."







PHYSICIANS' TREATMENT for Piles. What to do first. The palliative

treatment of both varieties of external piles is the same. In all cases

the patient should lie flat on his back in bed and remain there for a few

days. Highly seasoned foods and stimulants, tea, coffee, whisky, wine,

etc., must be discarded. Secure a daily half liquid stool by the use of

small doses of salts, Hunyadi or Abilena water. Cleansing the parts with

weak castile soap water is essential to allay the pain, reduce the

inflammation and soothe the sphincter muscle; cold, or if it is more

agreeable, hot applications may be kept constantly on the parts. Hot

fomentations of hops, smartweed, wormwood, or poultice of flaxseed, or

slippery elm, or bread and milk give almost instant relief in many cases;

while in others soothing lotions, and ointments or suppositories are

needed.



The lead and laudanum wash is always reliable.



Lead and Laudanum Wash.



Solution of Subacetate of Lead 4 drams

Laudanum 20 drams

Distilled water enough to make 4 ounces



Mix thoroughly and apply constantly ice cold on cotton to the sore parts.



The following ointments, lotions, and suppositories to be used freely

within the bowels and to the piles, are effective in relieving the pain,

reducing inflammation and diminishing pain and spasm in the sphincter.



1. Ointment of Stramomium 1-1/2 drams

Ointment of Belladonna 2-1/2 drams

Ointment of Tannic Acid 1/2 ounce



Mix thoroughly and apply inside and outside the anus.



2. Camphor Gum 1 dram

Calomel 12 grains

Vaselin 1 ounce



This must be thoroughly mixed. Apply freely within the anus and to the

piles. Good for the pain.



3. For External Piles cleanse them well with a sponge dipped in cold

water, and then bathe them with distilled extract of witch hazel.



4. If there is much itching with the piles use the following salve:--



Menthol 20 grains

Calomel 30 grains

Vaselin 1 ounce



Mix and apply to the piles.



5. I use quite frequently the following for sore external piles:



Chloroform and Sweet oil in equal parts



Apply freely with cotton or on to the piles. Ten cents will buy enough to

use.







Operation for Piles. When these measures do not relieve the pains or the

piles become inflamed from slight causes and often, it is best to operate.

This can be done in a few minutes with a local anesthetic and the patient

frequently goes to sleep afterward, almost free from pain. Inject a three

per cent solution of eucaine, or six per cent solution of cocaine.

Thoroughly cleanse the part and hold the buttocks apart, pierce the pile

at its base with a thin sharp-pointed curved knife, laying it open from

side to side. Remove the clot with a curette, cauterize the vessel and

pack the cavity with gauze to prevent bleeding and to secure drainage.



Cutaneous (skin) piles are operated upon as follows. Each one is grasped

in turn with a pair of strong forceps and snipped off with the scissors,

or removed with a knife. Close the wound with sutures, if necessary, and

dress it with gauze. Small ones need no sutures. Be careful not to remove

too much tissue. Much after-pain can be prevented by placing in the rectum

a suppository containing one-half grain of opium or cocaine before either

of the above operations are performed. The after treatment is quite

simple. Keep the patient quiet, cleanse the parts frequently, and secure a

soft daily stool. Cleanse with tepid boiled water with clean sterilized

gauze and give salts in small doses, one to two drams to produce a stool.