Manual of British Rural Sports

456 GEKEEAL TRAINING OF MAN. attendant to advise h m, and this Ismore especially necessary in the country, but if in London he cannot d better than submit himself to Mr. Cole, of Charing-cross, whose trusses are at once the simpiestand the most efficient by far of all those with which I am acquainted. They have all the advan­ tages of those so long patented by Salmon and Ody, without their disadvantages, and the only drawback is their price. Howev r, I would strongly advise all those who suffer from thisaccident to apply tohim, ifthey can muster the necessary sum, as the tru s Is exceedingly well adapted for all manly exercises, being light and yielding, yet strong enough to bear the most violent strain. Many plans have been propounded for trusses without springs, but they are very inefficient in all cases, and wholly unsuited to our present purpose—viz., that of retaining a rupture in its position during violent action of the body, yet without Impeding that action. 307. H CEMOKKHOIDS ,or, as they are com­ monly called, piles, arevery often exceed­ ingly troublesome in training; they are generally symptomatic of congestion of he liver, and arerelieved by those measures which remove that condition. The reason for tins is obvious—the veins which return the blood to the heart fl-om the lower bowels pass through the liver intheir way, and, consequently, whatever impedes the passage of the blood through them as atendency to producethe effect on the hcemorrhoidal veins. Hoemorrhoids are, infact, varicose veins in the rectum, sometimes bleeding, in consequence of their walls giving way; they are also divided into external and internal piles, the distinction, however, being only one of situation. It will be unnecessary for me to describe the appear­ ance of these troublesome little swellings, as they are so exceedingly common as to be well known to almost every one.In their treatment three points are to be attended to— first, to unload the liver; secondly, to prevent mechanical irritation by the pre­ sence and passage of solid foeces; and, thirdly, to allay the inflammationalready existing by local remedies. The first and second of these objects may generallybe combined, but in very badly congestive states of the liver a dose or two of blue pill must be given inaddition to this remedy. It shouldbe avoided, however, if possible, as its immediate ffect is rather to aggravate than allay the local irritation. Generally speaking, the following remedy will be the best, acting in the double capacity which I have alluded toTake of powdered brim­ stone half anounce; cream of tartar and powdered jalap of each two drachms; powdered ginger, one drachm; electuary of senna, three ounces ; syrup of buckthorn, enough to make an electuary, of which one teaspoonftil may be taken every night This quantity should be increased or diminished, so as to keep the bowel moved every day. When the bowelsare usually sufficiently relaxed, but the pile« are still painful, then give five grains of the co fection of black pepper, with anequal quantity of common pitch, night an ing, made into two pills. As a local remedy, when the irritation is great and recently come on, the use ofvery hot water with t sponge to the part, two or three tinus a-day, will afford great relief. This should be followed by the application of a little of the following ointmentTake of gallic acid and finely-powdered opium, ofeach, one drachm; ointment of acetate ounce and a-half. When the pilesare t'( long standing these remedies may used; but, in addition, four ounces of cold water should be thrown up into the rectum immediately before each time that the bowels act. By these methods 01 treat­ ment piles may almost always be relieved, and generally cured; but on the recurrence of disordered liver they will be sure to re-appear, and, therefore, that condition must be guarded against. 308. A CUTE R HEUMATISM is quite incom­ patible with training, and its treatment need not therefore enter into our present inquiry. Chronic rheumatism, on the hand, is constantly interfering with severe work, and its attacks are anxiouslyto ds avoided. It maybe divided into muscuU. rheumatism and the rheumatism ot jo the former shows itself by the occurrciit of pain, often very severe, on the sli-"-;~ movement or attempt at movemen . i of the particular muscle or muscles atta' which again are generally quite free fiv- pain while quiescent On pressins the muscle attacked great P al " alu ' ness occur, and the seat of the di-ea in this way generallybe d '^ ov " i t ' ' n!J the other hand, when in the H- f around the joints, it requires the j i- to be moved, either actively or P _ b e f o r e p a i n i s e x p e r i e n c e d . T J I U 3 ' t 9 there to be rheumatism of tl '^ 1 ". ' >1 upper and lower arms are Ann. ^ so as to fix the elbow, and he panenM told toattempt to bend the elbo*.^ cular rheumatism is present h® t|lIt jf himself more pain eventhan us. , the joint only is affected, no PJ^ trai „. less than usual, will be felt D" 8 veM in g, whenever the r umatism di5ease as to require internal medicine, bu{ is of such a nature as to deroan •^ it often happens that local rem ^ suffice, and this is particularly