3So] PI L of highly-seasoned food, and of sweet wines : the indulgence in violent passions ; and lastly, sitih;g on flntnp o round. Haemorrhoicial patients ought to attend to tlitir habits of body, their strength, age, and mode of living; because such discharges as may prove hurtful to some, may he very beneficial to others. One ounce of rich conserve of roses, mixed with new milk, and taken tliree or four times in the day, lias been found of considerable service, if (oritiiuied tor several weeks, or moutJjs, till its effedj become evi- dent. I'evuvinn bark has also proved useful, on account of its in- vigorating iuid astringent proper- ties; but, where tl,e piles have ori- ginated from obstinate diarrhoeas, small doseN of ipecacuanha, or other gentle emetics, have been admini- stered with the greatest success. — If cobtiveness occasion this com- plaint, proj)er aUenti(*n to that cir- cumstance will be requisite ; but, if the disorder originate from weak- ness, or want of tone in the rcftuni (see Abdomen'), strong purgatives must be avoided ; the part afteeled sliould be bathed twice a-daj' w ith a sponge dipped in cold water, and the bowels regulated by the mildest laxatives. In the Hind piles, blood-letting Las occasionnlly been of essential service ; though we arc no auvo- cates for artijicia! evacuations. — Emollient injetftions may be em- ployed with advantage ; but, where the disea-^ed part is obstructed to such a degree as to render the ap- plication ot clysters impracticable, gentle emetics have of ten been emi- nently useful. If the tubercles be very painlul, and no discharge en- sue, the patient should sit over ti.e bteamofwaim water : and, incase PIL no relief be thus obtained,, leeches must he applied to the lum^-rs themselves, or the adjacent p.-rts : if, however, these in.secls do liOt adhere, it will often be necessary to employ ihe lancet. Amoiig I e nui.ierous remedies devised for ti:e cure o> this ma- lady, none appears to -be more effi- cacious in the mostiriveterate cases, than the internal Use of sulphur. Persons of a costive Iwliit may take of this mil. era! live grains, with halt liiequantity of rhubarb, twrt or three times every day, either in pills, or mixed m ith conserve ot roses : which do.'-es should, according to circuuisiances, be continued for se- veral weeks, or longer, in ple- thoric constitutions, a few grains of nitre may be added to each dose; the propriety or safety of which, however, ought to be decided by professional advice. Various external applicatiotis have been recommended for the piles ; but, as they are either too stimulant and hazardous, or de- signed only to cc ol and ke. p the parts in a moist state, this objeift n^iay be elfeded by means ot emol- lient poultices. — Where the p;nn is extremely acute, the application of common or fresh liubeed-oil, or of juniper-oil, has frt quentlj- mitigated the sutilrings uf the patient. During the prevalence of this complaint, the ciet shouid be cool and nutritious, consisting princi- pally ot m.lk, bread, vegetable jel- lies, broths, &:c. Fermented and spirituous Hquors will be hurtful : hence the j)atient ought to drink deco6tions of the niarsh-mahuw roots, and oihet mucilaginous ve- getables ; orange whey, &ic. lie should, tartlier, studiously avoid llie influence ef the depressing passionsj and ■whateer n;ay tend to
