ions induced make the dog draw
its anus along the ground, thereby adding greatly to the evil it is the
intention of the application to remove. Therefore prudence will approve
what humanity suggests; and those who in kindly feeling can discover no
motive, will in the colder reason find every inducement for the adoption
of the gentler measure.

Protrusion of the rectum is also sometimes a consequence of gross feeding,
starting up piles in the first instance, and then, from more intense
digestive derangement, causing purgation, accompanied with violent
straining. The tone of the intestine is destroyed. It becomes lax, and its
muscular power is lost. The gut is at first only a little exposed during
the act, and when that is over, it is retracted; but after some time, the
limit of which is uncertain, it remains constantly protruded. It is not so
violently inflamed as might be expected, but it soon gets dry and harsh;
cracks appear upon its surface; and the pressure of the muscle which
closes the anus preventing the free circulation of the blood, renders it
black from congestion.

If taken early, the treatment recommended for piles will generally effect
a cure; but if nothing be done in the first instance, the disease when
established is apt to prove intractable. The intestine should be sopped
with cold water until every particle of dirt is removed. It should then be
dried with a soft cloth, and afterwards returned. There is never much
difficulty in replacing the gut; but there is always considerable
difficulty to get it to be retained. So soon as it is restored to its
situation, a human stomach pump should be inserted up the rectum, and a
full stream of the coldest spring water should be thrown into the bowel
for ten minutes. The fluid will be returned so fast as it enters, and it
must be allowed to do so, the fingers of one hand being employed against
the anus to prevent the disordered rectum being ejected with the water.
Cold injection in less quantity must be administered several times during
the day, and with each a little of the tincture of galls, or of nux
vomica, in the proportion of a drachm to a pint, may be united. The
ointment recommended for piles may also be employed, but without opium,
for no application of a sedative nature must be used. The constitutional
measures will consist of tonics into which nux vomica enters. The food
must be light and nourishing, and purgatives on no account must be
administered. Col