293. _To Painful Piles_, where there is much swelling and heat, a very soothing application is a soft rice poultice, the surface of which has been sprinkled with Laudanum, or smeared over with simple Opium Liniment. 294. +Papaw Tree.+ Carica Papaya, _Linn._ Popaiyáh (_Hind._), Popáí (_Duk._), Papaiyá (_Beng._), Pappáyi (_Tam._), Boppáyí (_Tel._, _Can._), Pappáya (_Mal._), Pópayá (_Mah._), Papáyi (_Guz._), Pepolká (_Cing._), Pimbo-si (_Burm._), Papaya (_Malay_). 295. The fresh milky juice of the Papaw has been successfully employed in the treatment of _Worms, especially the common Round Worm or Lumbricus_. The juice should be collected as it flows out from incisions made in the unripe fruit; a table-spoonful suffices for a dose for an adult. It should, whilst quite fresh, be mixed with an equal quantity of honey and two ounces of boiling water, and the whole well stirred. When cool, this should be taken as a draught, and two hours subsequently, one ounce of Castor Oil, with half a table-spoonful of Lime Juice. This process should be repeated two days in succession. Half the above dose is sufficient for a child between three and seven years old, and a third, or about a teaspoonful, for a child under three years of age. Should colic follow its use, draughts of sugar and water, or sugar and milk, should be freely given. _In Ringworm_ the unripe Papaw fruit, cut in slices and rubbed on the spots, is said by Dr. H. H. Goodeve to be a very simple and efficient remedy. 296. _In Enlargements of the Spleen and Liver_ Mr. Evers (_Indian Med. Gazette_, February 1875) reports highly of the value of the milky juice of the unripe Papaw fruit. Of sixty cases treated with it, thirty-nine were cured. He administered it as follows: About a teaspoonful of the fresh juice was thoroughly mixed with an equal quantity of sugar, and the mass made into three boluses, one to be taken morning, noon, and evening. For children a single drop of the juice with sugar was found sufficient. A poultice of the pulp of the unripe fruit was placed in each case over the enlarged organ; but on this Dr. Evers places little reliance. From 20 to 25 days was the longest period a patient was under treatment. A nutritious and liberal diet to be enforced. It was found notably useful in recent cases. No ill effects—nothing beyond a feeling of heat in the stomach—followed its use. Should there be gastric or intestinal irritation, a small dose of Opium or Henbane may be combined with the juice. 296_b_. +Pedalium Murex+, _Linn._ Bará-ghókrú (_Hind._, _Dak._, _Beng._), Ánai-nerunji, Peru-neranji (_Tam._), Enuga-palléru-mullu, Káítu-nerinjil (_Tel._), Ána-nerinnil, Káttu-nerinnil (_Mal._), Ánne-galu-gidá (_Can._), Hattí-charátté (_Mah._), Motte-ghókru (_Guz._), Ati-naranchi (_Cing._), Sulegí (_Burm._).