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On Hemorrhoids   


an envelope of flesh is adherent to it. Having placed the man over
two round stones upon his knees, examine, for you will find the parts
near the anus between the buttocks inflated, and blood proceeding
from within. If, then, the condyloma below the cover be of a soft
nature, bring it away with the finger, for there is no more difficulty
in this than in skinning a sheep, to pass the finger between the hide
and the flesh. And this should be accomplished without the patientís
knowledge, while he is kept in conversation. When the condyloma is
taken off, streaks of blood necessarily flow from the whole of the
torn part. It must be speedily washed with a decoction of galls, in
a dry wine, and the bleeding vein will disappear along with the condyloma,
and its cover will be replaced. The older it is, the more easy the
cure.

PART 5

But if the condyloma be higher up, you must examine it with the speculum,
and you should take care not to be deceived by the speculum; for when
expanded, it renders the condyloma level with the surrounding parts,
but when contracted, it shows the tumor right again. It is to be removed
by smearing it with black hellebore on the finger. Then, on the third
day, wash it out with a dry wine. You need not be surprised that there
is no discharge of blood when you remove the condyloma, for neither,
if you cut off the hands or legs at the articulations will there be
any flow of blood; but if you cut them off above or below the joints,
you will find there hollow veins which pour out blood, and you will
have difficulty in stopping the bleeding. In the same manner, the
bleeding vein in the anus, if you cut it above or below the point
of separation of the condyloma, will pour forth blood; but if you
take away the condyloma at its junction (with the natural parts?)
there will be no flow of blood. If matters then be thus put to rights,
it will be well; but otherwise burn it, taking care not to touch the
place with the iron, but bringing it close so as to dry it up, and
apply the flos aeris in the urine.

PART 6

Another method of curing hemorrhoids:-You must prepare a cautery like
the arundo phragmites, and an iron that exactly fits is to be adapted
to it; then the tube being introduced into the anus, the iron, red
hot, is to be passed down it, and frequently drawn out, so that the
part may bear the more heat, and no sore may result from the heating,
and the dried veins may heal up. But if you are neither disposed to
burn nor excise, having first fomented with plenty hot water and turned
out the anus, levigate myrrh, and having burnt galls and Egyptian
alum, in the proportion of one and a half to the other things, and
as much of melanteria; these things are all to be used in a dry state.
The hemorrhoid will separate under the use of these medicines, like
a piece of burnt hide. You are to proceed thus until the whole are
removed, and a half part of burnt chalcitis does the same thing. But
if you wish to effect the cure by suppositories, take the shell of
the part fish a third part of plumbago, bitumen, alum, a little of
the flos aeris, galls, a little verdigris; having poured a small quantity
of boiled honey on these, and formed an oblong suppository, apply
until you remove them.

PART 7

An hemorrhoid in a woman may be thus cured. Having fomented with plenty
of hot water, boil in the water certain of the fragrant medicines,
add pounded tamarisk, roasted litharge and galls, and pour on them
white wine, and oil, and the grease of a goose, pounding all together.
Give to use after fomenting. In fomenting the anus is to be made to
protrude as much as possible.

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