Porneiopathology : a popular treatise on venereal and other diseases of the male and female genital system : with remarks on impotence, onanism, sterility, piles, and gravel, and prescriptions for their treatment . 3. Internal Piles. Now piles are nothing more nor less than dilated veins,like varicose veins in the leg or any other part. The officeof veins is to receive the surplus blood of the arteries, aAerhaving parted with that necessary supply for the nourish-ment of every structure they are severally distributed to,and to convey it back to the circulating organ, the heart—and the mesenter


Porneiopathology : a popular treatise on venereal and other diseases of the male and female genital system : with remarks on impotence, onanism, sterility, piles, and gravel, and prescriptions for their treatment . 3. Internal Piles. Now piles are nothing more nor less than dilated veins,like varicose veins in the leg or any other part. The officeof veins is to receive the surplus blood of the arteries, aAerhaving parted with that necessary supply for the nourish-ment of every structure they are severally distributed to,and to convey it back to the circulating organ, the heart—and the mesenteric hosmorrhoidal veins, from their depend-ant and confined position, the circulation in and abovethem being liable to so many interruptions from the fre-quent hardened state of the feces in the rectum, becomedistended with blood, which acting really like a wedge, di-lates them in time to the size we meet them. On the re-moval of the cause, the blood flows on, and the swellingsubsides, and the patient feels no further inconvenienceuntil a recurrence of the pressure. After repeated attacks,the veins become inflamed, and lymph, a sort of defensive. ON PILES OK HOEMORRHOIDS. 193 mucus, is thrown out on the cellular membrane cover-ing the veins, and becomes organized into an induratedtexture, which increases with each attack of inflammation,and at last gives them that fleshy appearance which re-sembles a specific growth (see annexed cut). The dis-tinction between Externaland Internal Piles is as fol-lows : In both instancesthe same veins are dis-eased. In external piles,the lowermost portion ofthe hcemorrhoidal veinsare dilated, and are thrustby the outer side of therectum, carrying beforethem the common skin, which dilates and constitutes theexternal coat of the piles. The rectum is a portion of gutof four or five inches in length, and of nearly a uniformwidth; the lower end, constituting the orifice, is, as itwere, tied round with a contracting and yielding band ofmuscular fibre


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Keywords: ., bookcentury1800, bookdecade1840, booksubjectsexuallytransmittedd