In the treatment of sudden prolapsis of the rectum, especially in those cases in children where, there is a great deal of tenesmus and perhaps with more or less bleeding I use a solution of adrenalin in full strength, locally. In a few moments that peculiar turgid and engorged appearance will disappear. The structures will contract and the prolapsed portion can be very easily replaced.
H. W. POWERS, M. D.
COMMENT: I have not had any experience with the use of this remedy in the condition named. It would undoubtedly be a valuable auxilliary to the treatment, provided proper measures be adopted for a permanent cure, but the sudden and extreme contraction of the capillaries will naturally be found to be followed by a correspondingly extreme relaxation unless proper measures be used, and this relaxation recurring from time to time would naturally increase the difficulty. It is certainly advisable that internal treatment, such as collinsonia hamamelis and hydrastis-the latter remedy locally-be used, to effect a permanent cure.
Ellingwood's Therapeutist, Vol. 2, 1908, was edited by Finley Ellingwood M.D.