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Every practitioner laments the inefficiency of the treatment for pruritus ani. Only a few surgeons seem to know that very strong heat almost instantly quenches the torment of itching in any part of the body, and that the relief thus obtained generally lasts from one to several days, but the anatomic form of the anus is such that its verge, which is the principal seat of the pruritus, is situated high up between the nates or a little above the summit of a hollow cone, and so covered with folds of integument that it can hardly be reached by heat-bearing appliances. Sometimes hot douches and heated wet compresses prove effectual, but generally they do not reach the real spot whence the distress of the patient emanates. The surgeon's advice to apply heat is good in principle, but it does not enable the clumsy patient to make his applications reach the
ANDREWS E. PRURITUS ANI. STRONG HEAT ITS BEST REMEDY. NEW APPARATUS FOR ITS APPLICATION. JAMA. 1902;XXXIX(2):74–75. doi:10.1001/jama.1902.52480280016001b
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