When you cough or strain, your abdomen naturally expands, pushing upper end of pad (where finger points in illustration at right) outward, thus forcing the lower part of pad (where arrow points) in against rupture opening. Because of this automatic action of the Holding Pad, your rupture can never come out. [Illustration] The simple mechanism shown on the inside of this pad-- a device so small it would almost go in a watch case-- is what makes the Cluthe Holding or Rupture Pad automatic in its action (self-adjusting, self-regulating). And at the same time, this little device causes the Holding or Rupture Pad to give the strengthening _massage_ to the weak ruptured parts-- all _automatically_ or _mechanically_, like the running of a watch. But-- unlike a watch-- this massaging device doesn't need to be wound up-- never needs any attention whatever; and also unlike a watch, so strong and simple that it can never get out of order-- never fail to work properly. _+Forms and Conditions of Rupture+_ The illustrations on following pages show various stages of the four common varieties of abdominal Rupture. Groin Rupture (Inguinal) is the most common form. Scrotal Rupture (Inguinal) is simply a worse stage of Groin Rupture. The intestines have descended into the scrotum. Navel Rupture (Umbilical) is that form in which the opening occurs at or near the navel. Thigh Rupture (Femoral) is that form of rupture which appears at the upper part of the thigh. Any of these forms of rupture may appear on the right or left side or on both. Our experience has taught us that out of one hundred cases of rupture about eighty-six are Groin or Scrotal Rupture. Thirteen out of each hundred are about evenly divided between Thigh and Navel Rupture. And the remaining one may be one of several uncommon forms not mentioned here because they are usually the result of accident. About half of the cases of rupture occur in childhood. But there are many cases which occur between the ages of 30 and 40. And it is a well known fact that two-fifths of such cases become Scrotal because of neglect, or because a truss is worn that does not keep the rupture from coming down. All ruptures at the start are usually very mild in form. But if the ruptured parts are not held in place, the sac will gradually grow larger because of the failure to seal the originally small opening through which the intestines at first escape. [Sidenote: Warn Those Recently Ruptured] This is something about which you who have been ruptured any length of time, you who know how rupture gets worse if not properly taken care of, should warn any one you may know who has only recently been ruptured. You can save them years of suffering by telling them about the Cluthe Truss.