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general opinion prevails that chicken is more easy of digestion than beef and mutton, but the converse is in fact the case; pastry must not be allowed, but there is no objection to light farinaceous puddings, or the Italian pastes, as macaroni, vermicelli, &c., which are highly nutritious and easy of assimilation. According to circumstances, wine may or may not be taken; though a different opinion formerly prevailed, the French and Rhenish wines are more wholesome than port and sherry. Spain and Portugal grow many excellent light wines, but, from the little encouragement given to commerce by the governments of these countries, and the heavy import duties, they seldom find their way to England. If any reason exist that wine cannot be taken, weak cold brandy and water may be substituted. In the evening, a cup of coffee, tea, or cocoa, and a biscuit, may be permitted; but the habit of taking wine or spirits before going to bed is to be entirely discountenanced. By the adoption of the plan suggested, and implicit obedience on the part of the patient to the rules laid down, we shall not often be defeated in our attempts to restore him to health and comfort.

INDEX.

ABSCESS near the anus, 219

character of pus in subacute,

222

gangrenous, near the anus, 223
observations on the manner of
opening an, 229

near the rectum, fluctuation
not always easy of detection
in, 227

near the rectum, a free open-
ing preferable to several
small ones, 231

near the rectum, causes of, 219
near the rectum, diagnosis of,
227

subacute, near the rectum, 221
near the rectum, symptoms of
acute, 221

near the rectum, symptoms of,
226

near the rectum, traumatic,
223

near the rectum, treatment of
acute, 227

Absence of rectum, 352

of the rectum, treatment in, 353
Anal region, excrescences of the, 19
greater frequency in women

of excrescences of the, 20
treatment of excrescences of,
22

Anus, itching of the, 7

causes of itching and irritation of
the, 9

eruptions in itching of the, 10
itching of the, a symptom of dis-
ease, 9

treatment of itching, 12
warm-baths in itching of, 14
neuralgia of rectum and, 56
causes of neuralgia of the extre-
mity of the rectum and 57

Anus, character of pain in neuralgia of
the rectum and, 57

Mr. Mayo's case of neuralgia of
the rectum and, 60
treatment of neuralgia of the ex-

tremity of the rectum and, 58
artificial, for the relief of perma-
nent obstruction from stricture
of the anus, 301
contraction of, 29

causes of contraction of the, 30
congenital contraction of, 32
laceration of mucous membrane in
contraction of the, 33
contraction of, mistaken for stric-
ture of the rectum, 33
syphilitic contraction of the, 31
treatment of contraction of, 34
symptoms of contraction of the,
32

contraction and occlusion of, 346

contraction and occlusion of, treat-
ment of, 349
excoriation of, 16
fissure of the, 38

belladonna in fissure of the, 44
causes of fissure of the, 42
incision in fissure of the, 45
precautions in making incisions in
fissure of the, 47

relative frequency in the sex of
fissure of the, 41

symptoms of fissure of the, 40
treatment of fissure of the, 43

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Cancer of the rectum, 303

Carcinoma of the rectum, 303

Climate, influence of, in hæmorrhoidal
affections, 108

Cooper, Sir Astley, on the extent of the

incision in fistula,
256

on excision of inter-
nal hæmorrhoids,
137

remarks on the liga-
ture in the treat-
ment of fistula in
ano, 252

on polypi of the rec-
tum, 279

Copeland, Mr., on prolapsus recti, 203
on hæmorrhage following
the operation for fis-
tula, 256

Constipation, habitual, 381

habitual, treatment of, 383
a cause of hæmorrhoids, 110
a cause of stricture of the
rectum, 285

Contraction of the anus, 29

of the anus, causes of, 30

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of the anus, symptoms of, 40
of the anus, treatment of, 43

Fistula in ano, 233

blind, external method of ope-
rating, 263

blind, internal, method of ope-
rating in, 263

in ano coexisting with stricture
of the rectum, 268

in ano complicated by urethral
fistula, 267

Fistula in ano connected with disease of
hip-joint, 270

in ano, connected with disease of
the ilium, sacrum, or pubes,
269

in ano, constitutional treatment,
259

in ano, the formation of the in-
ternal opening in, 235

knife, 265

in ano, method of examination,
242

in ano, nitrate of silver and in-
jections in, 249

in ano, operation for, 260

in ano, reasons for not operating
in, 266

in ano, removal of foreign body
from, 267

in ano, symptoms, 239
suppression of bleeding after
operating for, 262

in ano, track of, 241

in ano, treatment after operation,
261

liability of knife breaking in ope-
rating on, 265

Fluctuation in abscess near the rectum
not always easy of detection, 227
Forceps, hæmorrhoidal, 146
Foreign bodies in the rectum, 327

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constitutional origin, 123
diagnosis, 119

discharge of mucus from,
101

disease in other organs
causing, 113

excision of external, 134
external, 88

fissure of the anus oc-

curring with, 103

heat or cold causing, 115
hæmorrhage after exci-
sion of, 140
hereditary predisposition,
106

incision of external, 133
internal, 90
inflammation attending,
93

internal ligature of, 143
medicines producing, 114
mental emotions causing,
113

method of removing in-
ternal, 136

internal, nature of, 90
number and size, 91
internal, operation of ex-
cision, 137

period of accession of,
106

pressure useless in treat-
ment of, 154
plethora a cause of, 110
relative frequency of, 108
scarifying inflamed, 128
sympathetic affections of,
118

treatment of complica-
tions of, 126

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