The accumulation of waste matter, retained in the large intestine for considerable periods, becomes a nidus for microbes which produce fermentations and putrefaction harmful to the organism. Although our knowledge of the subject is far from complete, it is certain that the intestinal flora contains some microbes which damage health, either by multiplying in the organism, or by poisoning it with their secretions. Most of our knowledge on this matter has come from the study of human patients. Persons have been known who do not defæcate except at intervals of several days, and who, none the less, do not seem to suffer in health. But the opposite result is more common. The retention of fæcal matter for several days very often brings harmful consequences. Organisms which are in a feeble state from some other cause are specially susceptible to damage of the kind referred to. Infants are frequently seriously ill as the result of constipation. Dr. du Pasquier[51] describes such cases in the following words:—“The infant is leaden in hue, with sunken eyes, dilated pupils, and pinched nostrils. The temperature may reach nearly 104° Fahr.; the pulse is rapid, feeble, and often irregular. Restlessness, insomnia, sometimes convulsions, stiffness of the neck and strabism show that the nervous system is being poisoned by toxins, and even collapse may be reached. The foul and dry tongue, the vomiting and fetid discharges show the disturbance of the digestive tract. Very often an eruption appears, as described by Hutinel, chiefly on the back and buttocks, the front of the thighs and fore-arms.” The illness may lead to death but is generally cured by simple purging. Women in pregnancy and child-birth frequently suffer much as the result of retention of fæcal matter, and physicians are familiar with the symptoms, which have been described as follows by M. Bouchet[52]:—“After normal parturition, in the course of which the usual antiseptic precautions have been fully pursued, and where delivery has been complete and natural, occasionally the patient is seized with chill and headache. The breath is fetid and the tongue foul. The temperature, taken in the axilla, is nearly 101° Fahr. The abdomen is inflated and painful in the umbilical region. Palpation in the iliac fossæ reveals lumps or consolidations along the colon. Thirst is intense, and there is complete anorexy. On questioning, it is found that there has not been defæcation for several days. The treatment consists of purgatives, enemas, and milk diet. In the next few days the bowels are emptied freely, the abdominal pain ceases, the temperature becomes lower, appetite is restored, and the patient recovers.” Those who suffer from affections of the heart, liver, or kidneys are specially susceptible to the evil results of retained fæcal matter. In such patients an error of diet or constipation may bring about most serious consequences.