The most simple form, however form, however, in which fistula comes before one is where the subjects are seemingly in good health and in whom the whole thing can be cured by medicines in two or three months. Thus a gentleman of some forty- six years of age, hale and hearty to all appearance, consulted me for fistula – in- ano that had plagued him for a number of months. An operation had been decided upon, and assented to by the gentleman, but as he was not exactly ill and was, moreover, It never occured to him even that medicines were any good in such cases; his own surgeon said they were not, enough. The fouling discharge was the only thing that really inconvenienced him, with a certain amount of local irritation, and a little blood once in a way. But it did not heal, and one day he met with a gentleman, an old friend of his own, and whom I had cured of severe fistula several years previously; there result was he came to me Under Hydrastis canadensis he got quite well in a little less than two months. No local application of any kind was use. He was the more pleased at his rapid cure as he was about to marry at the time, and a fistula is not desirable under such circumstances.
I am in a little doubt as to the origin of the primary morbid element in the case. It was certainly not constitutional to him, and I am inclined to think it local affair acquired in der wilden Ehe, and in this particular case. no doubt, an operation with antiseptic dressings would have cured him quite as well as my treatment, thought not so pleasantly. Surgeons seem to think there is of spartan virtue in having one’s fistula operated upon. I cannot quite see it that light myself.