proper time are the two prime requisites; and the third and final requisite is, of course, a sensible patient. Before home treatment is to be thought of it is accordingly advisable to have an examination and a prescription for the specific local treatment necessary for a trouble like piles, fissure, polypus, tabs, itching, fistula, varicose veins, abscess, ulcer, granulation, hypertrophy, or atrophy as the case may be. The local treatment can best be aided by a combination of remedies with suitable instruments for their use between the periods of local attention by the physician. The writer of this has no cure-all to send the sufferers, although it might be to his financial advantage to have one; he is, however, always ready to advise and relieve those who cannot visit him immediately. The relief afforded often facilitates the cure by permitting a more extensive local treatment at the first visit. _The Use of Instruments for Injecting Water._ To do something at home for one's self for relief from soreness and pain due to anal and rectal diseases, a few suitable instruments are required with which specific remedies may be used, especially that excellent remedy--water. It is unfortunate that the anal and rectal canals cannot be given rest when invaded by disease. Daily elimination of feces is a very important factor to health and to treatment. To accomplish this the very best means is water in various quantities as the case demands. It does not irritate the diseased canals--as cathartics do--but aids in the escape of imprisoned feces and gases which lodge above the region of the morbid process. Evacuation should be accomplished twice a day, by the injection at first of three or four quarts of water--thus obtaining a good daily flushing of one's sewer--and then, if advisable, gradually lessening the quantity at subsequent injections to one or two pints at a time. The temperature should be 100° to 105° or more. Some people have an idea that water at the temperature named has a remedial effect on an inflamed anus and rectum. It has none whatever; all it does is to wash away the deposits which might irritate the inflamed surface. Water at a temperature of 100° to 105° is not an especially good antiseptic; and its intestinal use should not be continued longer than to bring away the effete and fetid material which may be lodged in the colon, sigmoid flexure and rectum. In the majority of cases its use should be limited to aiding the feces to escape from their normal receptacle--the sigmoid flexure--whenever proctitis does not extend beyond the rectum. But many persons are deceived by the conduct of proctitis and are thus likely to omit the regular irrigation twice a day. They believe themselves to be in pretty good condition and do not realize that their old, implacable enemy may be excited into riot any day; in which case the insurrection may last for months and then slowly settle down to