In obedience to this idea her physician had examined the rectum, under anæsthesia, and found what he called a rectal ulcer at a point where the uterine cervix rests on the rectum. His diagnosis was, no doubt, founded upon her belief, and as an apology for the examination and treatment resorted to, which put her to bed for six weeks. There were no symptoms of rectal ulcer, other than pain, and no lesion found by a digital examination or seen through a speculum. She insisted on taking chloroform and a more thorough examination made. This was done without revealing anything more than what had already been ascertained, and the diagnosis of neuralgia confirmed. Pain continued, periodical or irregular, in the absence of mechanical pressure (uterine) or structural lesion, in the region of the sphincters, or higher up, is diagnostic. If in the sphincters alone, dilitation may be sufficient. When higher up, constitutional treatment with galvanism is advised. APPENDIX. Injection formula of:— Dr. Shuford. ℞ Sodæ Bibor. Acidi Salicyl. ā ā ʒ i Glycerinæ ℥ i Acidi Carbolici ℥ iii Misce. Dr. Yount. (5 per cent. sol.) ℞ Acidi Carbolici gr. xxiv Aquæ Destil. ℥ i Misce. (3 per cent. sol.) ℞ Acidi Carbolici gr. xviss Aquæ Destil. ℥ i Misce. Dr. Green. (A traveling pile doctor.) ℞ Acidi Carbolici ℥ i Creosoti gtt. x Acidi Hydrocyan. gtt. i Olei Olivæ ℥ i Mix and unite by heat in a water bath. Inject enough to turn the tumor an ashen grey color. Rorick. ℞ Acidi Carbolici 40 per cent. Fl. Ext. Ergotæ 15 ” Glycerinæ 15 ” Aquæ Dest. 30 ” Misce. Brinkerhoff. ℞ Acidi Carbolici ℥ i Olei Olivæ ℥ v Zinci Chloridi gr. viii Misce. Largest piles, 8 minims. Medium piles, 4 to 8 ” Small piles, 2 to 3 ” ERRATA. Page 5, 1st line, _there in_ for _there is_. ” 17, _Weaker solution_ for _Weaker solutions_. ” 22, _Bism. Subuit._ for _Bism. Subnit._ ” 22, _Iodoformis_ for _Iodoformi_. ” 23, _Resin Cirate_ for _Resin Cerate_. ” 52, _After the treatment_ for _The after-treatment_. ” 57, _Three inches_ for _Three and a half inches_. ” 64, _Incisions_ for _Incision_. Transcriber’s Note: The errata have been corrected. INDEX. Abscess, 47, 53 Allingham, 47, 50, 51, 57 Andrews, 31, 43, 52, 67 Brinkerhoff, 97 Condylomata, 93 Divulsion, 78 Dorland, 26 Errata, 97 Etheridge, 86 Fissure, 62 Fistula, 47 Flushing the Colon, 13, 36, 84 Hall, 58, 84