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CASES ILLUSTRATING TEE TREATMENT. 141
proceeded to try them, and in rather large doses. The conse-
quence was a violent diarrhoea, followed by an equally obstinate
constipation, with the disagreeable sequel of external piles. He
now went from Brighton to Hastings, where he became worse,
and had to lie in bed. The piles gradually began to inflame
and ulcerate. At last, Mr. S. was advised to return to London,
in order to undergo an operation. The idea of this rather
terrified him, and he came first to me on the 21st of February
1888.
There were no less than seven ulcers clustering all round the
anus, and the surrounding redness, which was very intense,
extended high up on the gluteal regions. Several of the ulcers
were three-quarters of an inch long and a quarter of an inch
broad. The edges were elevated.
I wished to make complete internal examination, but the
patient would not allow it, because of the pain it caused him at
Hastings. He suffered greatly on walking. The stools gave him
much pain, and this remained for a considerable time afterwards.
Progress. —I treated him at once for rather more than half an
hour, when I succeeded in relieving the pain and irritation. In
the evening I occupied the same length of time.
Feb. 22nd. He felt considerably easier, and the redness on the
gluteal regions had disappeared.
Feb. 2Uh. He had improved from day to day, and could now
walk about comfortably.
Feh. 2m. The ulcers had entirely lost their inflammatory
appearance, had sunken, and were diminished ; the stools gave
no pain.
Feb. 21th. The patient started on a six weeks’ travelling tour
on the Continent, the ulcers soon healed, and he had no dis-
comfort whatever.
Treatment.-^! first washed the ulcers with a solution of corro-
sive sublimate (1-2000). Then I placed a moist piece of lint
over the particular ulcers to be treated. Over this again I laid
gutta-percha, in order to prevent the heat of my hands being
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