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A few years ago I learned and published the secret method of treating piles employed by certain itinerants. The secret was sold from one quack to another at a high price, and consists generally in the hypodermic injection of various mixtures of carbolic acid. The hopes of many physicians that the method might prove a useful one, were greatly dampened by the discovery of about eighteen deaths out of some 3000 reported cases, and of very alarming symptoms in other instances; in short, it was the same fatal experience as that which previously put a stop to the injection of venous enlargements in other parts of the body.
Of late the Lake States are being treated to a new development; the little itinerant hypodermic syringe has budded and blossomed like Aaron's rod, and evolved little boxes of instruments and little books full of secret instructions, in short, little "systems" of
ANDREWS E. RECTAL SURGERY MADE SAFE FOR FOOLS. JAMA. 1887;VIII(6):148–149. doi:10.1001/jama.1887.02391310008001c
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