PILES —RECTAL ULCER —FISTULA IN ANO —FISSURE- 
PRURITUS—POLYPUS RECTI—CANCER—STRICTURE, &a 
Wonderful Discoveries! 
Hereditary Consumption a Myth! 
BY— 
DR. A. W. BRINKERHOFF, 
EEOTAI SPECIALIST, 
Of Upper Sandusky, 0. 
Catered according to Act of Congress, in the year 1883, by Dr. Alkxandbr W. 
in the Office of the Librarian of Congress, at Washington. 
SECOND EDITION—REVISED. 
COLUMBUS, OHIO: 
Hann & Adair, Book and Job Printers, 
1884. RECTAL TREATMENT. 
The Brinkerhoff System. 
No Territory Sold—but Leased. 
This is a system of treating chronic diseases by means of rectal 
injections and rectal medication, and direct applications to located 
in the rectum, and named at the head of outside of this cover leaf. Also, 
for the treatment and cure—positive and almost painless cure—of 
every case of Piles or Hemorrhoids, of no matter how long standing. 
Also for cure of rectal ulcer—fistula in ano—fissure in ano— 
Prurtrs, or Itching Piles, as often called—for removal of polypus Recti 
CATARRH OF RECTUM, &C., &C. 
This system is secured to Dr. Brinkerhoff, of Upper Sandusky, 
Ohi> by several United States Patents, and, therefore the rights of pur- 
chase. are protected, and their locality, if desired, secured to them by 
sole right of use, 
Safety and success to all purchasers is guaranteed through use of this 
sysU \ as the remedies are all carefully prepared of uniform strength 
and pu rity, for use by physicians and patients, and properly labeled. 
After six years of daily use of remedies, by Dr. Brinkerhoff and 
i .s patients, and the performance by him of more than sixty thousand 
operations, and at least a like number by those using this system—all 
without a single bad result or death from the treatment, the system is 
now placed in the hands of many, and ready for thousands more, who can 
rely upon its success and accuracy, and soon know of the victories over 
disease achieved by it through those who never before were benefitted 
nor cured by drugging the stomach, whereby its membrane is often ruined Some Astonishing Discoveries! 
HEREDITARY CONSUMPTION A MYTH! 
Diseases of the Regtum. 
BBOTTG-HT TO XjIG-SIT ! 
ALL WHO COME AND SEE AT ONCE BELIEVEl 
“BLIND PILES, "ITCHING PILES,” “ULCERATED PILES,” WILL DO 
TO TALK ABOUT, BUT DO NOT EXIST. 
DR. A. W. BRINKERHOFF, 
RECTAL SPECIALIST, 
OF UPPER SANDUSKY, OHIO, 
AUTHOR OF 
Diseases of the Rectum and Physicians’ Monitor. 
266 pages. Containing cuts of many forms of Rectal Diseases, curable and 
incurable, finely bound, and of real merit. Every physician and family should 
have it. Until further notice—although at a sacrifice—we will mail it, on receipt 
of one dollar, to any person ordering it, so that the truth majr take the place ol 
error and darkness. “Know thyself,” poor sufferer, and be made well. For it, 
address, DR. A. W. BRINKERHUFF, Upper Sandusky, Ohio, 
Man, born of woman, is of few days and fall of trouble, 
His days are dark with sorrow—darkness veils to-morrow— 
But read these pages o’er—they are no empty bubble, 
But cheering beams of sunshine, to heal the cause of sorrow. 
SECOND EDITION—REVISED. 
COLUMBUS, OHIO: 
IIann & Adair, Book and Job Printers, 
A^4- INTRODUCTORY. 
This little work, in the mind of the writer, is not intended for the physician 
alone, but, as well, for every human sufferer. True, its aim is to attract the atten- 
tion of the whole medical fraternity, for, from the members of that profession must 
come t e help desired. 
Until within the past five years—throughout all the ages of the past, like the 
great deserts of Africa, and the much voiced North Pole—the Rectum remained 
comparatively an unexplored organ of the human system. It had been entered 
by many a physician’s finger and its hidden maladies touched thereby, but still, 
to the eye, it was as midnight darkness. 
To the writer, after suffering with rectal trouble for twenty-five years, was left 
the task of discovering and inventing the means of bringing its hidden maladies 
to light aud showing their character, and of studying for years, in combination 
with the various phases of those maladies, the train of the symptoms and effects 
resulting from, and directing the mind to their origin or cause, and, finally, to the 
remedies necessary to cure, or remove the cause and blot out the sympathetic suf- 
ferings resulting from the local cause. 
Having succeeded in all these, he now, in this way, after seeing for years the 
causes of suffering and results of treatment and rectal medication, desires to enlist 
in his discoveries the eye of every member of the medical fraternity, and through it 
reach the understanding of the enlightened mind behind and above it, so that his dis- 
coveries may be fully investigated and their value known! The writer is not vain 
enough to assume that he has reached perfection, in this advance step, in the cure of 
rectal maladies, but he does claim that it is so far in advance of any method before 
known, that it treads closely upon the heels of perfection, and is worthy of the most 
careful consideration on the part of the medical profession, in whose hands it should 
be and from whom has come so little in that direction, from the earliest days of 
medical skill or knowledge, as the other methods of to-day fully prove. Indeed there 
has been no system in use for the cure of rectal maladies, generally, and, therefore, 
symptoms and effects of rectal maladies, have been doctored as disease, in place of 
the malady or disease itself! 
Because of such being the fact, and because of the vast amount of misery and 
suffering and the many deaths resulting from rectal maladies, the writer appeals to 
the profession—to every member of it—professors of medical colleges, especially, to 
make such investigation of the matters herein treated upon, and written of, as will re- 
veal the facts to all, who, through them, will, in time, receive into their hands and 
care, humanity’s suffering ones. Iq his practice he has never used the knife, ligature—except for polypus— 
clamp, ecraseur, caustics, hot iron, nor any of the old and severe methods—his treat- 
ment being almost entirely painless and free from all danger. 
Such being the fact, he now invites you to follow him through this little work, 
■which is more hastily prepared than the importance of the maladies demand, but can 
not be avoided. Previous to the days of the introduction of what is known as the 
“ Carbolic" treatment, the number of surgeons were few where persons suffering with 
Piles and Fistula could have operations performed, and they, generally, in distant 
cities, and then only by the most severe, dangerous and barbarous methods, general- 
ly by the use of the knife! From such treatment sufferers often shrank, and often 
died, and few cared to accept the pain and risk. While in some cases the “Carbolic" 
treatment was and is dreadfully severe, In others the reverse was and is the case, and 
some physicians, but many more who were not, performed many, supposed, cures. 
With the “Carbolic” treatment the process was and is to extrude, inject and 
return the sac. No speculum was, nor is, used. In this system, which followed the 
“Carbolic” treatment, the method of treatment was and is reversed! If the saca 
protrude they are pressed back, and followed by the Speculum, (which is secured by 
United States Letters Patent,) and treated within the rectum. Many are now 
using this system—and others are trying to escape the law, though infringers of hia 
rights. They will not long do so. 
Never before the invention and use of this Speculum did we hear of Rectal 
Ulcers amongst the profession, generally, nor could any of its members show such 
malady! Now many know and talk of them, and hundreds have seen them. Hia 
discoveries fully cover the treatment of maladies within the rectum, where all are 
seen ! 
While he does not claim that he first knew of such malady as rectal ulcer—be- 
cause aware that Mr. Allingham, of England, and men of our own country, had writ- 
ten of them long before he saw them, yet he does claim to have been the first to 
produce a Speculum by which they can be seen and fully examined ! He thinks 
that the great majority of our physicians never saw one, and when he says to them 
that they are located from one and a half to three inches above the anal orifice, eaoh 
reader of this can answer for himself and to himself. Reader, what say you ? 
To fully set forth this terrible malady is the greatest object of this little work. 
By doing so he hopes to shed some light upon the profession, and thereby do some 
good to suffering humanity. 
If successful, the sufferer will again wear the crown of health, and the laggard 
in medicine will tread the weary ways of disappointment! 
If the local practice would open its doors to reason, and blot out every rule in 
medical associations, which blocks the wheels of progress, the world would be the 
gainer, and quackery would wither and die I The enemy of progress is the enemy of 
man! 
Liberty’s march is onward, while the slavery of mind is decay and death! Let 
us shun that which destroys, and embrace he growing—the life-giving, in all things, 
and all will be well l " 
4 DISEASES OF THE RECTUM. 
RECTAL ULCERS. 
In nearly every treatise or work written upon diseases of the rectum, in the aiv 
rangement of maladies, Piles, or Hemorrhoids, occupy the first and more 
prominent place. 
The writer is well aware that Piles are very annoying and produce worlds of 
suffering, and, sometimes, result in total inability to labor and earn bread for a do- 
pendent family. He speaks thus from personal knowledge—long and sad experi- 
ence I And yet in view of this fact how many physicians in our country, outside of 
those now using this system of treatment, can rise up and say, “I can cure them ? ” 
Echo answers “ how many ? ” „ 
But observation in practice, of which he has now had almost six years, and 
from ten tojifty patients daily during that entire time, enables him to state that 
there are fully twenty-five cases of rectal ulcer to one case of Piles I Man cannot 
suffer from piles without knowing the cause of suffering, but such is not the case 
with rectal ulcers. When suffering from a malady of this kind you may ascribe the 
cause to your kidneys, liver, stomach, and to any other one or more of the effects 
herein given, produced by Ulcer, as the exciting cause of all your trouble 1 In that 
Very fact lies your danger, and you never suspect it! 
For several years past he, alone, has been fighting this battle on paper, and hag 
labored, even in this part of his work, until “weary in well doing, but within 
the past year, and since he has offered his system to the profession, many able 
physicians, of different schools, have adopted the new methods of treating chronic 
diseases, resulting from rectal maladies, and they, too, or some of them, have be- 
come so much interested in this great matter as to give the world, in book form, 
some of their experience, from practice, which will aid him greatly in the prepara- 
tion of these pages, and save him from much of his past labor, in matters of this 
kind, and enable others to see what others, now fully educated in this practice, say 
•fit. He will quote, freely, from their work or works. In doing this he thanks the 
authors for what he has the privilege of doing. 
In the work of F. H. Rorick, M. D., who controls the city of St. Louis, Mo., for 
his system of Rectal Treatment, he finds so much on this subject to approve and ap- 
plaud—coming, too, as it does, from a gentleman of the Allopathic school, and a 
graduate of two colleges, that he cannot help but draw liberally from the rich harvest 
•fthought, which, plainly and forcibly, he has given us on this important subject. 
This work is not intended to reveal methods of cure, but to show to the world 
that such a system exists—can be secured by the profession—and reveals to all what 
it will accomplish when properly used as a system. It also sets forth the symptoms 
and effects produced by rectal maladies, fully, so that physicians oan easily see how 
they have been misled in the general practice, and why good did not attend their 
efforts to cure. 
He will now present some of the views of Dr. Rorick, of St Louis, on this 
terrible malady, and trust that they may enter deeply into, what we seek to reach, 
your honest thoughts. We quote as follows: 
“This chapter we ask you to carefully read, for it shows the way to the preven- 
tion and cure of a very large majority of the chronic diseases that have heretofore 
baffled the skill of physicians, and «aused untold human misery and death. The 
very word “chronic” implies inability to cure. A multitude of human beings suf- 
fering year after year, trying doctor after doctor, and still finding themselves near- 
ing death’s door, form a large class from which charlatans and quacks daily secure 
easy victims. Being shorn of all hope of help from the source from which they 
should reasonably expect it, they, like the drowning man in the throes of death, 
ecgerly clutch at a Boating straw, amd flock in great numbers to the unprtnnrph«i 6 
DISEASES OF THE RECTUM. 
who claim supernatural power. The country is flooded with proprietary medicines 
ninety per cent, of which are for chronic diseases, and ninety per cent, profess t« 
eure the same symptoms—the symptoms of a poison lurking in the system, which 
eventually destroys the weakest organ, and death comes to the rescue. 
“The medical profession is deserving of credit in its researches in chemistry, 
physiology, in many branches of the art and science of surgery, as well as in the 
cause, prevention and cure of the great bulk of the acute diseases, for which it is re- 
warded by the confidence of its patients, and charlatans and quacks have to seek 
other quarters. That it has utterly failed to cope with the so-called role of chronic 
diseases is not only painfully apparent to the great army of sufferers, but the pro- 
fession itself bewails its ignorance. Dr. James Thatcher, author of “The American 
Modern Practice,’’ the “Biography of American Medical Men,’’ etc., says: 
“ ‘ The melancholy triumph of disease over its victims, and the numerous re- 
proachful examples of medical impotency, clearlj evince that the combined stock of 
ancient and modern learning is greatly insufficient to perfect our science. Far, 
Indeed, beneath the standard of perfection, it is stid fraught with deficiencies, and 
altogether inadequate to our desires.’—[Med. Prac., p. 8. 
“ This saying of Dr. Thatcher is the truth; therefore it is but a reflection of the 
great medical mind upon this subject. We are loath to attribute to the medical 
profession a lack of ardor for not having long since made the grand discoveries we 
are about to relate, for we deem its aims the noblest among the noble professions, 
although its code and claims contain many anomalies. 
“Millions upon millious of human beings have suffered and died; countless 
numbers of wise men have vainly sought for the cause, and it remained for one 
man to bring to light the greatest disease-generating fountain of poison. Dr. A. 
W. Brinkerhoff, of Upper Sandusky, Ohio, through his ingenuity invented a specu- 
lum, whereby a portion of the rectum that had been heretofore practically unex- 
plored could be successfully examined. At this time he was treating piles as a 
specialty, and upon making a large number of examinations, he was astonished to 
find a peculiar form of indolent ulcer, such as had never been described. Upon 
the application of proper remedies, it began to heal and a long train of symptoms 
to disappear. Those who obtained relief apprised their friends of the joyful news, 
and soon a throng of sufferers flocked about him for cure, as he aptly says, like, 
“ thirsty doves to a spring for drink.’’ The result was he had to obtain assistants, 
he being unable to minister to the constantly increasing numbers who called upon 
him for the relief they had before vainly sought, until to-day the old man’s eyes 
cannot help but moisten at the ardent expressions of gratitude of many of his 
patients who think they (and they do) owe to him their lives. About one year 
ago, having completed and thoroughly tested his wonderful system, he placed it 
within the reach of the general medical profession. An army of physicians have 
already adopted it, and the day is not far distant when it will be at the door of every 
sufferer in the land. 
SYMPTOMS OF RECTAL ULCER. 
“ An ulcer located in the curve of the rectum above the sphincter musele rarely 
attracts the attention of the patient or physician. Even when it does, it is consider- 
ed a mild case of piles; the physican will prescribe an ointment and dose the un- 
fortunate being with drugs, until the little monster so poisons the system, that the 
doctor pronounces the cause of death inanition, consumption, inflammation of 
the liver, inflammation of the stomach and bowels, inflammation of the kidneys and 
bladder, inflammation of the spinal cord, inflammation of the brain, softening of 
the brain, heart disease, or a general playing out of the nervous system, etc. No 
doubt some of those conditions exist at the time of death, but the cause lays behind 
these in the subtle little monster in the rectum, that has, no doubt, been coiled there 
and for some time has evaded the scrutiny of the attending physician, (as he has done 
for many centuries,) slowly, but surely and continually loading the blood with a 
poison that works misery amd death. The sufferer from this malady may for a 
lime obtain apparent relief by the administration of cathartics and alteratives^for 
the natural tendency of the system is to expel effete and poisonous matters from 
Ike blood, hence a medicine that rouses up the weakened and inactive excretory DISEASES OF THE RECTUM. 
7 
organs, forms an outlet for a time. Therefore the sufferer takes some pills and un- 
loads the blood of a quantity of its poison, and imagines he is well, but the source 
still remains, and soon again he finds himself suffering from languor and a general 
lack of innervation. He repeats his previous remedy with less effect, and finally 
calls upon his family physician and says: “Doctor, I would like to have you fix 
me up a good tonic; I am generally out of kilter; my stomach doesn’t feel right.’’ 
Out goes his tongue. “Yes, I’m costive.” The doctor fixes up the tonic, preceded 
b7 a cathartic, and relief is again obtained, but for a shorter time. So he becomes 
a chronio8ufferer and medicine taker, and finally dies a premature death, neither 
he non his physician ever dreaming that the cause of the wasted life was an ulcer orj 
sore, located above the sphincter muscles in the rectum, where nerves of sensation 
are very few in number and not acute. This accounts for its slow increase in size 
and failure to give local warning of its existence. 
“ There is a form of Rectal Ulcer that runs a more rapid course, involves a 
greater extent of substance, eats its way quickly to tissues liberally supplied with 
nerves, and brings death to the relief of its victim with more speed. This form has 
been recognized by a very few who have made rectal diseases a specialty. 
“Dr. William Allingham, of London, whose work upon “Diseases of the 
Rectum,” is conceded by the medical profession to be the best ever produced, on 
pages 171-2-3-4, says of this form of ulcer: 
*“This disease is not at all an uncommon one; it inflicts great misery upon 
the patient, and if neglected leads to conditions quite incurable by all ordinary 
means. * * * * It is of the utmost importance that the disease should 
be recognized early. Unfortunately it rarely is so; the symptoms are obscure 
and insidious, the suffering at first but slight, and so the patient deceives both him- 
self and his medical attendant * * * * The ulceration may be con- 
fined to a part of the circumference of the bowels or it may extend all around, and 
for some distance, but not usually for more than four inches up the rectum. It 
also will have traveled downward close to the anus, and then the pain will be 
severe. When you have arrived at this condition, stricture and fistula will be 
present; and occasionally perforation into the bladder, into the vagina or the per- 
itoneal cavity may occur. The state of the patient is now most lamentable. You 
may relieve these patients, but nothing more than very temporary improvement 
lakes place. I have seen ulceration utterly destroy the anal spinchters, so that the 
anus was but a deep ragged hole.’ ~ 4 
“ Since the invention of Dr. Brinkerhoff’s Speculum some five years ago, there 
has been more of this form of ulcer recognized and cured in the State of Ohio, (and 
it is rare in comparison with the other forms,) than were supposed to have existed 
in that State since it was founded. This may appear to the reader’s mind as be- 
ing overdrawn, but let us see: During these five years some 75,000 treatments for 
rectal ulcer in its various forms were performed by this system in that State. Now 
we say without fear of contradiction that previous to that time not one in 1,000 of 
the great array of doctors ever saw a rectal ulcer. Not one of that number ever 
mistrusted that any of their incurable patients had such a malady. Not one in five 
hundred outside ofthe larger places ever even removed a pile tumor. In the first place,! 
the patients would rather suffer on with their trouble than submit to the operation. I 
Secondly, the physician was loath to perform the operation, for he knew it was 
fraught with danger to life. Not one in fifty of all classes of doctors even possessed 
the then existing rude and unsatisfactory means of examining the rectum. The 
writer has attended lour different courses of lectures at three of the principal medi- 
cal colleges ofthe United States, and is free to confess that he never heard one 
lecture upon diseases of the rectum, for they were never given; and in the clinics of 
these three colleges, as well as in a special clinical course in a post graduate institution 
»a New York City, he never saw a rectal malady treated, except piles and fistula, 
although operations for fissure and polypus may be said to be not altogether un- 
common. Still it was not his fortune to see such, and his experience in this partic- 
ular is but a repetition of that of nearly every physician in the land. • 
“ Cases have come under my personal observation in which good physicians 
differed about the cause of the death of a patient, when a post mortem revealed 
the tact that the real, though unsuspected, cause of all the trouble was a rectal 
ulcer, which produced all the other symptojicj.. Now in the face of these facta. 8 
DISEASES OF THE RECTUM. 
is it strange that this thing has existed undiscovered for so long a time? In 
the vast majority of cases it gives little or no pain at its point of location. Its 
symptoms have been considered separate and distinct diseases. When it has 
taken on an active form and eaten its way into the peritoneal cavity, the patient 
has died from peritonitis or inflammation of the bowels; or when it has made 
its way to the bladder, then he has died from the same cause, or from inflamma- 
tion of the bladder, the ulcer never being suspected. The sufferers cannot tell 
whether they are afflicted with this dreaded malady or not from local pain, (except 
in the almost incurable stages of the form described by Dr. Allingham,) which we 
i are of the opinion is of the same origin, but owing to a peculiarity in the constitu- 
tion of certain individuals it runs a rapid and destructive course. None have ever 
'attained that condition who have applied to ns before it already existed, and we 
have found them in all stages, from a mere abrasion of the mucous membrane to 
the condition Dr. Allingham describes. But the vast majority of cases represent a 
hole eaten through the wall of the rectum, forming a cavity, which from indica- 
tions in many cases has existed there for years. 
“ Having given an idea of the discovery, the great frequency and importance 
of rectal ulcer, we will now consider its symptoms, so that no sufferer in whose 
hands this may fall, need further hazard his health and life from this source of 
poison. 
“Direct Symptoms :—Constipation; diarrhoea; desire to remain long at stool; 
continued moisture about the anus; continued itching about the anus: lower end 
of the stool streaked with blood and matter; fissure in the anus, whicn causes in- 
tense pain on going to stool; sore and inflamed lumps surrounding the anus, called 
external piles; they are not piles at all, but result from inflammation, and disap- 
pear when the cause of inflammation is removed; a dull, heavy sensation in 
the lower part of the rectum and fistula. I have enumerated the above symptoms 
as Direct, as they are local and do not require the medium of the blood or reflex 
nervous action for their production. However, the poisoned condition of the 
blood and consequent lowering of vitality must of necessity aggravate them. 
“Indirect Symptoms, or those depending upon blood poisoning and nerve irri- 
tation, may be enumerated as follows: Morning diarrhoea resembling coffee- 
grounds; pain in the abdomen; continually coated tongue; very lame back and 
hips, called lumbago; irritable stomach; indigestion; heart affections; cough, 
either hacking or accompanied with great expectoration, more from the stomach 
than lungs; ash-colored complexion; pain between the shoulder blades; numbness 
of hands and limbs; painful burning in soles of feet; choking sensations from 
functional trouble of the heart; weak or lame knees and thighs; back and hips 
get sore in bed; liver, kidney, urinary and womb troubles; sore nerves, muscles 
and joints, called rheumatism; impairment of generative functions and certain 
forms of neuralgia. 
" If the sufferer does not succomb to the failure of some vital organ to with- 
stand the strain, which it comparatively rarely does, the system will have attained 
a point favoring rapid destruction of tissue, and the ulcer will arouse from its 
lethargy and utterly destroy both sphincters and anal membrane. Then the condi- 
tion is truly a pitiable one—constant diarrhoea, with involuntary evacuations, poor, 
feeble, weakly, broken-down bodies and minds, severe bleeding from bowels, misery, 
despondency, insanity and vertigo. Then death comes mercifully to the rescue. 
“I have been thus explicit in detailing the symptoms of this disease, for they 
feof a nature to mislead both physician and patient. Some of the indirect 
ptoms enumerated may arise from blood poisoning from other sources. But 
direct symptoms result invariably from Rectal Ulcer, or inflammation of the 
rectum. Were a physican to read to this point and stop, the last sentence would 
cause him to at least say, ‘‘There is something wrong here." But if the reader will 
kindly follow us in our further consideration of some of these symptoms, we trust 
everything will be made clear. 
"We take the broad grotmd that this very common trouble results almost invar 
riably from inflammation of the rectum, and we are borne out in it, not only by 
CHRONIC CONSTIPATION—A RESULT.^ DISEASES OF THE RECTUM. 
9 
theory, but by a much more potent factor, viz: clinical observation. Inflamma- 
tion of the rectum may be caused by, 1st, rectal ulcer; 2d, catarrh of the bowels; 
3d, presence of fecal matters, resulting from failure to attend promptly to nature's 
calls; 4th, piles; 5th, polypus and the different forms of cancer, <o which the 
rectum is very liable. Inflammation once formed, there is increased heat and 
congestion. This checks the natural secretions of the rectum and causes the ab- 
sorption of moisture present; hence hard stools and constipation. The lining 
membrane of the rectum, aside from containing secretory glands, forms a means of 
ready access to the blood, as known by the fact that persons who could not take 
into their stomachs a particle of food or moisture, have been kept alive for a great 
while by injection of liquid food into the rectum. Hence, the great importance of 
keeping that organ free from poisonous substances. 
Rectal Ulcer by its presence and ichorous discharge, irritates the delicate 
membrane, which causes an increased flow of blood to the part, and inflammation 
results. The rectum, like all other cavities communicating with the air, is lined 
with mucous membrane, and mucous membrane, wherever found, is liable to at- 
tacks of catarrh. 
“Retained excrement causes irritation, and irritation produces inflammation 
wherever applied, on or in the body. Hence, the irritating presence of piles, 
polypus, cancerous growths, etc., causes inflammation of the rectum. 
“ Cathartics never cured Chronic Constipation. All mineral and harsh ca- 
thartics increase the trouble, for they are irritating and aggravate the inflammation. 
Do not take them, for they are productive of great mischief. Inflammation can- 
not exist long without so weakening the membrane that the passage of a hardened 
stool, or any indigestable, sharp or hard object swallowed, (such as fragments of 
bone, pieces of oyster shell, apple cores, various kinds of fruit pits, vegetable 
seeds, etc.,) will cause an abrasion, which, from the very nature of things, cannot 
heal, but slowly eats its way through the membrane, becomes impacted with 
passing excrement and there remains, gradually increasing in size for years, giving 
as signs of its existence the symptoms enumerated. 
“Having thus briefly and concisely considered the theory of our position, we 
will pass to that which proves its correctness beyond controversy. 
“ 1st. No person suffering from chronic constipation who has adhered to the 
Brinkerlioff system of treatment has failed to obtain a cure, and they are counted 
by hundreds. 
“2d. As soon as the inflammation and its cause were removed, a cure was 
obtained, and this, the reader will bear in mind, without taking medicine into the 
stomach. Constipation being disposed of as a symptom of rectal ulcer, we will 
next give attention to 
ITCHING ABOUT THE ANUS—A RESULT, 
called pruritus ani, itching piles, etc. The symptom of rectal ulcer is a very com- 
mon one, and often causes intense suffering. It is usually aggravated on becom- 
ing warm in bed. An uncontrollable desire to scratch gives momentary relief, but 
in reality aggravates the trouble. In certain cases the annoyance and pain be- 
come so severe that it is indeed intolerable. The causes of this distressing trouble 
have been called, free eating, the use of alcohol and tobacco, disorders of the 
stomach, errors in diet, latent gout, uterine diseases, vegetable growths, parasites, 
etc. This is very clever indeed, for it is hard to imagine a person who is not pos- 
sessed of one of these causes, or of pin worms. There is but one cause. The 
ichorous, watery discharge from rectal ulcer, irritating and poisoning the delicate 
membrane and skin of the parts. There is but one absolute cure, which is the 
cure of rectal ulcer. The application of alcohol, turpentine, and various oint- 
ments and washes, may so toughen the parts that for a time the poison does not 
find its way to the nerves, but this does not last. Again the ulcer may become 
cavernous, (a cui of this kind of ulcer may be seen on a following page,) in which 
ease the products of the ulcer may be forced out aud evacuated only at stool. 
Under such circumstances a spontaneous cure might take place, until the ulcer 
again forms a continuous discharge into the rectum. 10 
DISEASES OF THE RECTUM. 
“ Continued Moisture about the vlnusis, like itching, caused by the continuous 
discharge from the ulcer through its irritating presence producing an unnatural in- 
crease of the natural secretions of the parts. 
“The other direct symptoms given are too suggestive of their origin to require 
further consideration in this connection. 
INDIRECT SYMPTOMS. 
“That blood poisoning should be an inevitable result from an ulcer in the 
rectum, presents itself as unavoidably true, after having made a very few observa- 
tions upon the organ itself. As we have already noted, sufficient nourishment 
may pass through the walls of the rectum to the blood te sustain life for many 
weeks. Such being the fact, it is not hard to conceive that the products of an 
ulcer continually bathing its surface should find ready access to the blood. 
“Again, an ulcerated or abraded surface is a well-known avenue to the blood. 
Thus, the deadly products of decomposing animal tissues may be handled with 
impunity if the skin is intact, but if from any cause it should be broken, though 
the injury be very slight, death may result in an incredibly short time from blood 
poisoning. Not infrequently, where the stomach will retain nothing, medicine is 
given for its constitutional effect, by first blistering the surface, then applying it, 
from whence it is found to be readily absorbed. Thus it will be seen that the sur- 
face of the ulcer itself must continually load the blood with its own products. 
Once there they cannot go to the building up of healthy tissue, but must find their 
way out or cause a discord in the harmonious working of the great human machine. 
Accordingly nature makes a great effort to free herself of its presence. Excretory 
glands are called upon to do extra work, consequently they are engorged witn 
blood, which is the first step toward inflammation. Soon they become deranged 
and fail to longer respond to nature’s unnatural demands, and succomb to func- 
tional derangements and structural change. The blood becomes so charged that it 
can no longer carry on its work of healthy tissue making, and deposits the poison 
throughout the whole system, poisons the great nerve centres of the brain and 
spinal cord, that have the workings of the whole machinery under their charge, 
and owing to conditions and circumstances, produces an endless variety of derange- 
ments and diseases. 
| “Again, Rectal Ulcer may cause any amount of constitutional trouble and 
disease by its local contacts with the sympathetic nerves. 
I . “As this is written for the general reader and not for the medical profession, 
I have endeavered to make everything so plain that it could be readily understood 
without a knowledge of anatomy or physiology. This is very difficult to do in re- 
ferring to the effects produced by rectal ulcer through the sympathetic nervous 
system. Some knowledge of this system is of paramount importance to impart a 
clear understanding of how the results come about; and as it plays a very impor- 
tant part in the cause of consumption, I am quite desirous that the reader should 
at least be familiar with some of its main physiological and anatomical features. 
Therefore I deem it necessary to describe them in as brief a manner as possible. 
“The name sympathetic nerve is given this system from the fact that by it a 
sympathy between the affection of distant organs is produced. Thus an affection 
of one organ, through sympathy produces an affection of a distant organ. It is 
l composed of two gangliated cords passing from the base of the skull through the 
t thoracic and abdominal cavities, one on either side of the back bone, to its termi- 
* nation. These two cords end below in a ganglion, formed by the two just in front 
of the coccyx or lower end of the spinal column, between it and the rectum; it is 
again connected in the brain. From these ganglia, (twenty-nine in number) pass 
filaments of nerves that accompany the arterial system throughout. They are 
abundantly supplied to the viscera of the thorax and abdomen. In the thorax, we 
have the heart and lungs. In the abdomen, stomach, liver, spleen, kidneys, pan- 
creas, bladder, womb, intestines, etc. The function of these nerves is not to pro- 
duce the sensation of pain, but they exert an involuntary influence over the parts 
they are distributed to. Although physiologists have not as yet obtained a thorough 
knowlege of this system—the positive data already obtained, forms one of the 
most interesting chapters in Physiology, By dividing the sympathetic nerve on one DISEASES OF THE RECTUM. 
11 
side of the neck, the corresponding side of the head becomes engorged with blood. 
The temperature of one ear raises 7 to 11° above that of the other. In young ani- 
mals the ear on the affected side has been observed to grow much faster than that 
of the other. The application of electricity to a sympathetic nerve greatly in- 
creases the action of the kidneys, and urine is produced in greatly increased 
quantity. Irritation of these ganglia produces wonderful results. Engorgement 
of certain organs with blood, great increase in temperature—paralysis of the walls 
of the arteries and great functional disturbance. Experiments have proven that 
it exerts its greatest influence over the digestion and the assimilation ot food. 
“Thus it will be seen from this brief reference to the anatomy and physiology 
of this system of nerves, how readily ulceration or any other rectal malady may be 
productive of diseases of distant organs. The rectum is covered by a dense net- 
work of filaments from these sympathetic ganglia. An ulcer located in the pos- 
terior wall of the rectum may soon find its way to and involve the terminal ganglion 
(ganglion impar) itself of this great system, which is almost invariably the case 
with consumptives. 
“The fact that an affection of these nerves in one place causes a sympathetic 
trouble in a distant organ, prepares the mind to comprehend how the many dis- 
eases named may result from rectal ulcer. This being accomplished, we will next 
consider that most important and interesting symptom, Consumption. 
CONSUMPTION—A RESULT. 
“An astonishingly large percentage of deaths result from tubercular consump- 
tion. It is one of the most common of the fatal diseases. The sufferer is full of 
hope to the last, and rarely expects to die of this malady—although hope, combined 
with the best medical attention, has been proven wholly inadequate to cope with 
its ravages. Tubercular consumption has been called hereditary. This is a well 
known misnomer, for the disease does not exist at birth, but is developed in after 
years; hence, only a tendency or liability to the disease is hereditary. Innumera- 
ble theories of the cause of consumption have been invented. In fact its whole 
history is but a succession of theories that have for a time gained credence and 
have then been cast by the wayside, proven untrue. The same may be said of its 
treatment. The most absurd method seems to be that practiced quite extensively 
some years ago in Philadelphia, in which the patient was kept continually under 
the influence of calomel and antimony, claiming that if he survived the treatment 
he would be cured of the disease. None, however, survived the treatment, and 
this theory, like the rest, passed into discredit. 
“Past theories are merely historical, and are of no particular moment in ihis 
connection, so wo will pass them and further on consider only the latest ideas that 
have occupied the medical mind, as they are in direct harmony with our discoveries. 
That through the Brinkerhoff system of examination and treatment of rectal dis- 
eases, the true cause of tubercular consumption has been found is a fact. But the 
bare statement that such is the fact, is not sufficient to satisfy the minds of think- 
ing people at the present day. Therefore we give you the reasons why and tell 
you how tubercular consumption may be caused by rectal ulcer; and the fact once 
known, it requires no stretch of imagination to see why it is so. Thousands of 
pages have been written in the effort to prove that different results than rectal ulcer 
were the cause of so-called hereditary Consumption. Thus the lastest theory to 
which the profession has given attention is that it is caused by a defect in the as- 
similation of food. This condition is a symptom of rectal ulcer, and is invariably 
present with ulceration. After the food is acted upon by the gastric juice in the 
stomach, it passes into the small intestines and is there mixed with fluids which 
prepare it for assimilation, or finding its way to the blood, from whence it goes to 
repair the waste and build up the tissues of the body. 
“We have already seen that the sympathetic nervous system is most liberally 
supplied to all of the abdominal organs. It stands sentinel overall the glands that 
secrete and excrete. We have seen that when it is irritated at one point it causes 
an affection of a distant organ. Vre have seen that when its function is impaired 
the walls of the arteries become paralyzed and there is greatly increased heat. We 
have seen that a rectal ulcer not only comes in contact with nerves from this great 12 
DISEASES OF THE RECTUM. 
system, but, that it finds its way to one of its brain centres. In the face of these 
fkcts, the reader may answer whether healthy digestion and assimilation of food 
could go on under such sir*umstances. The theory that consumption was caused 
by a derangement of assimilation is the most reasonable and scientific of any the 
profession has ever taken under consideration, and I have but little doubt, were the 
treatment this theory would suggest to be properly carried out, in connection with 
suitable attention to the skin, the disease might, in exceptional instances, be cut 
short for at least a time. But were you to ask an advocate of this theory what 
causes the difficulty with assimilation, he would no doubt present an aspect similar 
to the Sunday school teacher, who upon breaking the news to his class of begin- 
ners that God made the world, and was asked by an unreasonable little elf the 
question, “who made God?’’ The one is at as great a loss for a reasonable answer 
as the other; however, the Doctor has the advantage, for the cause is now known, 
and he has but to investigate, and he will find it in every instance to be rectal 
ulcer. It has long been observed that rectal diseases are very common among con- 
sumptives, more especially the direct symptoms of rectal ulcer, such as fistula, 
fissure, external piles, so-called, constipation and diarrhoea. Dr. William Alliug- 
ham, of London, in his work on diseases of the rectum, page 35, says: “For my 
own part, I am quite convinced that a very considerable percentage of fistulous 
patients have more or less of tubercular lung affection. I have endeavored to find 
out what the percentage is, and I have carefully gone over a period of seven years 
in private practice, from 1871 to 1877 inclusive, and I find that out of 792 cases of 
fistula seen by me during that period, 124 had phthisis (consumption) either active 
or latent, or such symptoms as foreshadowed the appearance of phthisis.” Thus 
it will be seen that about every seventh case of fistula was accompanied with tu- 
bercular consumption or symptoms of its speedy development. Under the head 
of fistula we will show that it does not form in a healthy rectum—that ulcer must 
be present- 
“We have seen consumptives in the latter stages of the disease who had never 
a thought of anything being wrong with the rectum, but, upon examination, that 
organ presented a terrible sight, not only a large hole eaten through its wall but 
such a destruction of tissue as to almost expose the backbone. A case of this 
kind occurred in the person of a physician’s son near Toledo, Ohio, not many 
months back. He was put under treatment for the ulcer, and at once began to im- 
prove in health; the eonsumptive symptoms rapidly disappearing. The father 
was so delighted upon seeing a new lease of life granted to his son, whom he had 
given up to die, that, although an old man, he immediately procured the Brinker- 
hoff system of rectal treatment, and now travels from town to town, making other 
happy fathers. 
“We feel like making a special appeal to those suffering from consumption to 
not delay but immediately apply to some one who can make the proper examina- 
tion and apply remedies to cure. Do not say “I haven’t any signs of an ulcer.” 
Tubercular consumption is a sure sign. Rectal ulcer precedes and causes it. 
Come, and bring your family physician, or a friend, and we will prove to them that 
what we say is true. It costs nothing for an examination, and treatment need not 
be taken unless desired, but we beg of you, do not die in ignorance of the cause of 
your disease. Do not wait until it is too late, until the ulcer becomes so large that it 
cannot be healed, until the lungs become so extensively affected that nature can- 
cot heal them after the cause is removed. In any but the very last stages we can 
♦cure you, and that by shutting off the source of the poison, and the derangement of 
digestion and assimilation of food, thereby creating a healthy action of the vari- 
ous organs of the body, and consequently pure blood is the result, and nature heals 
the lungs. Why a distinct form of ulcer should show a tendency to develop in suc- 
cessive generations of some families is a matter of fact that at the best could only 
be explained by a system of abstract reasoning, as is the case in all troubles that 
show an hereditary tendency. Also why its poison should be deposited in the 
lungs and throughout the bowels, and causing a destruction of those parts in pre- 
ference to other portions of the system, is another fact that in the present state of 
our knowledge we are unable to give clear reasons for. However, that such is 
true has been proven by close observation in over 100,000 treatments of diseases of 
the rectum. We have not simply presented a theory, but have started with proven 
facts and endeavored to show that they were reasonable facts. DISEASES OF THE RECTUM. 
13 
“Fistula is a very common and indeed very loathsome diseased It is of most 
frequent occurrence among Consumptives—about every seventh case being ac- 
companied with tubercular lung trouble. ‘*+"***$*4*^ 
Fistulce have been divided into three forms, viz: Internal imperfect, exter- 
nal imperfect, and perfect. The internal imperfect variety has an internal opening 
into the rectum. In other words, a pipe or sinus is formed from the rectum, which 
ends in the flesh. This form is seldom recognized by the person afflicted or the 
physician either, as it, like its cause, (rectal ulcer,) rarely gives local warning of 
its existence until it gives rise to an abscess, when a complete fistula results. 
The internal incomplete is the most difficult of the three forms to cure. External 
incomplete fistulce have only an external opening. This form is the easiest of the 
three to cure. It may exist for a considerable time without the sufferer being 
aware of the character of his malady. Complete fistulce have both an internal 
and external opening. This variety is exceedingly annoying and in many in- 
stances requires a long time to heal. It may have any number of external open- 
ings. The matter from the rectal ulcer may burrow through the flesh for many 
inches in any direction, but wherever the openings may occur, there is a communi- 
cation through their sinuses to the ulcer within the rectum. In some cases, gases and 
fecal matters pass through them from the rectum. When such occurs a more an- 
noying and loathsome condition can hardly be imagined. Fistula, Yike pruritus 
or itching about the anus, has been assigned a multiplicity of causes, from which 
the surgeon might select one or more that would apply to every individual in the 
land, whether afflicted with fistula or not. Thus the cause given upon which the 
most stress is laid, is sitting upon cold stone steps, damp boards, etc., which pro- 
duce a chilling of the parts, a cold settles there and an abscess forms, leaving a 
sinus or pipe that continually discharges pus. This is no doubt an exciting cause 
of the malady, but were a person who had a healthy rectum and tissues surround- 
ing it to sit upon a damp board or cold stone,we imagine he would be no more liable 
to an abscess in the immediate vicinity of the rectum, than in tissues more exposed 
some distance from it And furthermore, should one occur, there is no reason why 
it should not heal up without leaving a sinus discharging pus, as is the case in 
other portions of the body. The facts are, when the Brinkerhoff discoveries brought 
to light hidden portions of the rectum, a cause was found which produces an in- 
flammation and congestion of the surrounding tissues. This condition being pie- 
sent, a slight exciting cause produces an abscess, which leaves an outlet for the 
poisonous products of the unhealthy tissues. It is but nature's efforts to free her- 
self of a poison. _ ‘ 1 
“The prevailing belief among physicians that to use the knife for the cure (?) 
of this disease, which is so common among Consumptives, was to Lasten the death 
of the patient suffering from the two maladies, was not groundless, but based upon 
fact. Had they known the cause of the fistula (retcal ulcer) and had they had the 
means to have reached and cured it, they would have not only found a rational 
cure tor the fistula, but would have cured the Consumption besides. • 
“In the absence of a knowledge of the real cause of this disease, its treatment 
has been barbaric, unsatisfactory and productive of great misery and death. The 
treatment has consisted in cutting all the tissues from the whole length of the sinus 
through into the rectum, severing in many instances both of the sphincter muscles. 
In many of these cases, where the ulceration is extensive, the muscles fail to again 
unite, the ulcer spreads over the fresh cut surfaces, and involuntary passages from 
the bowels continually take place, a most deplorable condition. In cases where 
the fistula opens just within the anus, a cure may result from this severe and un- 
necessary operation by the wound healing by granulation from the bottom. But 
the rectal ulcer still remains high up, and sooner or later the system must suc- 
comb. Never allow the knife or ligature to be used in the treatment of this 
malady, for this plan of treatment originated from a false notion of the cause of 
the disease. It is cruel and dangerous. We cure you without cutting or ligating, 
we cure its cause, the rectal ulcer, at the same time. Cases having from nine to 
sixteen openings have been cured by the Brinkerhoff system, that it would have 
been utterly impossible to have cured by any other known means. Read the testi- 
FISTULA—A RESULT. 14 
DISEASES OF THE RECTUM. 
monial of Mr. Orchard, who had sixteen fistula? running from the rectum, opening 
as far away as the hip joint To-day he is practically cured, there being but an- 
other treatment necessary to close the last one, and this has been accomplished 
without undergoing any tedious operations and without interference with his daily 
business. Mr. Orchard is a groceryman in the Opera House Block, Toledo, Ohio, 
and a letter of inquiry sent to him will be gladly answered, for a more grateful 
man it is hard to find. 
“The Brinkerhoff system of cure is easy of application and cannot leave any 
bad results, for it is scientific and reaches the true cause of the malady. The length 
of time to produce a cure is governed almost wholly by the extent of the rectal ul- 
ceration. It must be borne in mind that ulceration may attain a point beyond 
jcure, and when such a condition is once reached, no power on earth can cure the fis- 
tula. If we can impress upon the minds of the laity the importance of recognizing 
the existence of rectal ulcer in its earlier stages, we will have accomplished a great 
good.” 
In connection with Dr. Rorick’s remarks upon fistula—one of the results of 
rectal ulcer—we will say that no greater error in surgery can be found than of 
using the knife to cure fistula! We are fully aware that many physicians, as 
well as other persons, think that to heal up any opening, running sore, or even to 
cure piles, is wrong and dangerous ! Under some circumstances such would be 
the fact, and unwise. Yet, how anxious most physicians are to slash into ajistula 
with the knife ! Up in the rectum is a deep cavity; from this extends the siuus 
as an outlet, or discharge-pipe for the constantly accumulating pus. Suppose 
that the sinus should he plugged—closed—which is just what the use of the knife 
results in, if it heals at all—then where ould the pus escape ? It is then absorbed 
—much of it at least—taken into the blood, and then evil will result, and the 
patient may die ! Such treatment is the worst kind of quackery, and should never 
be countenanced, and, yet, that is the treatment of our great surgeons ! The 
ligerature is its twin brother, and the effect the same, and of the two the most bar- 
barous l 
Our method differs, greatly, from both of the foregoing, and, in our opinion, is 
the only safe, sure and rational cure to be found I It is impossible to cure fistula 
or any other disease or affliction, so long as the tissue of the locality is congested 
and inflammed I To produce a cure we put the rectum in a healthy and sound con- 
dition—remove the congestion and inflammation from the tissue through which the 
sinus passes, and when the flesh is healthy, can any physician tell us how a fistula 
can continue, or exist? But, remember, the ulcer too must be made well, or a re- 
turn must be looked for. While doing this, the blood becomes pure, all poison elim- 
inated, and the patient lives and grows fat! Does not die! 
When we speak of “Rectal Ulcer," most physicians understand us to mean 
painful ulcer or fissure. The malady of which we now write is not painful, being 
where the air never reaches it, and, therefore dangerous beyond measure. As a 
rule it is located between two and four inches up the rectum, and nearly always 
commences in the concavity, just above, or on the curve of that organ. It is pro- 
duced or caused by the passage of fish-bones, splinters of beef, or other animal 
bones, fruit seeds, scales of oyster shells, indigestible apple skins, or the tough and 
bony parts of cores of apples, pears, etc. Either of these hard, sharp-edged sub- 
stances, are liable to do great injury to the rectum, at or near the point named, be- 
cause of the particular curve at that point. Some bleeding, generally, takes place 
at the time of such injury, but often not enough to create any notice. If the incision 
or injury, however, should be deep enough to open a vein of any importance, then 
the bleeding may be so profuse as to produce death l It is no uncommon thing to 
hear of death from hemorrhage of the bowels! After such injury it is an easy mat- 
ter to see how readily the injury may produce a bad ulcer. 
This is liable to occur at any age, but more especially between the ages of eight 
(when children become meat eaters and little care is taken with them) and twenty. 
After twenty the organ becomes stronger, if not injured before then, and the danger 
is not so great. 
It must not be supposed that we can pass through the bowels, safely all that we 
can force into the stomach, through the throat. If we were now, as were our ancestors, 
mush and milk eaters, there would be less ol this trouble; but, unfortunately for DISEASES OF THE RECTUM. 
15 
the race, we are yearly becoming more dainty and choice in our tastes. Such being 
the fact, we should be very careful about what our children eat; careful to see that 
their food contains no bones, seeds, etc., from which injury may result. 
After the ulcer has commenced, veins may be exposed or destroyed from the de- 
duction of tissue, and persons then bleed to death. 
When the rectum is once injured, and the sore established, inflammation and 
congestion soon extend, and the mucous membrane soon becomes weak and tender, 
and the more liable to further injury from the causes named, as well as from consti- 
pation. When this inflammation extends to and over the sphincter ani, fissure is 
easily produced, and then it is that the physician sees what he calls rectal ulcer! 
Even if that is cured, the cause which produced it is left untouched to worry and 
wear away the life of the sufferer! After a time the inflammation will entirely dry 
up the mucous or slimy coating on the membrane, as well as the fluid in descending 
fteces, causing the lower end of the stool to become hard, dry and lumpy, leaving 
a dry mass of solids from the transverse colon to be forced through a dry, sore tube 
below it, producing constipation or costive condition of the bowels, as we say. Al- 
lowing this condition to remain, the danger of further injury is greatly increased; 
and thus we pass from one step to another, until the system is prepared to yield to 
many other troubles resulting from the first cause named. Now, let us consider 
what may and does actually result from rectal ulcers. After fissure and constipa- 
tion, readily appears pruritus, caused by a watery discharge from the ulcer, which 
permeates and poisons the skin, producing almost insufferable itching about the 
anus. Another and direct result of ulcer, is Fistula in Ano. 
What good can result when a large, deep ulcer or sore exists in the rectum, 
about two or three inches above the anus, and which is the direet cause of fistula, to 
cut a great gash through the flesh below it ? Making a new sore below will not cure 
the old one, filled with matter above it—far above the upper end of the gash cut by 
the surgeon ! Will any sensible man claim that it will ? As well might the farmer, 
having a large marshy piece of ground, elevated and higher than his surrounding 
lands, which were constantly saturated from the elevated marsh, attempt to make 
his low lands dry, and the marsh productive, by cutting drains half way up the hill- 
side, but not into the lower portions of the marsh, so that the waters of the marsh 
would readily run out! What a degree of folly and lack of wisdom would there not 
be in such an act? And yet, just this, no more nor less, is the act of cutting or 
ligating the sinus of the fistula! 
Many persons who have been thus operated upon by eminent sturgeons, have 
afterward called upon us to heal the incision and cure the fistula ! If there were no 
nicer above which produced the fistula, then there might be some excuse for such 
act, but even then our method of treatment would cure the fistula before the sur- 
geon’s cut would heal up! 
Why then should any man advocate so painful, useless and fruitless an opera- 
tion with the knife, when one so painless, certain and valuable to the sufferer, as is 
ours, can be so readily substituted, unless alone for the money that may be in the 
case ? All the cutting that may be done, in bad cases, will never cure, and the cut 
will never heal, and if the sphincter ani is severed, the chance is that the patient 
will be ruined for life ! Our advice, then, after all we have seen of the old method, 
and know of the new, to sufferers, is this: Never allow the knife to be used to op- 
erate where fistula is present. 
The most important results are yet to be treated upon. We claim that without 
this malady there would be few invalids to draw out our sympathies—few cases of 
dyspepsia, few cases of distressing sick headache, few cases of heart disease, few 
cases of lumbago, of rheumatism, of urinary trouble, of kidney affection, of inflam- 
mation of the bowels, of vaginal and womb troubles, of liver affections, of catarrh 
of the head and nose, of that monster consumption, compared with those cases of 
to-day! 
We are aware of the feelings with which our opinions may be received by the 
profession, and by Professors of Medical Colleges, especially, who have long been 
making doctors on the false basis of how to cure disease by treating effects in- 
of* causes 
We are not ashamed to be, i i this, a JOHN THE BAPTIST—even ‘‘in the 
wilderness,” for as certain as he was the fore-runner ot the true Messiah, so certain- 16 
DISEASES OF TEE RECTUM. 
ly is the day coming—and not so distant as even the most astute doctors now think— 
when the cry of “ HUMBUG’’ will be changed to that of “EUREKA,” by those most 
eminent in the art and science of medicine! We may not live to seerfhat day, but 
we have seen enough to satisfy us, that facts will come to the light of day when once 
discovered, though long hidden from view. 
We feel it to be our duty to “cry aloud and spare not” until heed is given, by 
the great men of medicine, to what we say 1 Professors of Medical Colleges, great 
responsibility rests upon you ! As you teach so will the practice be, so far as you 
can direct, hold and control it. You do not teach, because you do not understand 
the terrible character of this malady! Will you continue in darkness and teach 
error rather than embrace truth and spread it before your students ? Awake to duty 
—investigate what we say—separate the gold from the dross, and tell the world, hon- 
estly, what kills and how to cure! 
CONSUMPTION HEREDITARY? If so, what is it? Can you tell? No, 
you cannot! We can show you what it is, and we can cure every case if not too far 
gone ! There is time enough to meet the monster when first observed ! 
The true physician should be the guardian of the families employing him ; and 
he should watch and point out, in each member, the evidences of coming affliction 
and prevent it! Not wait until the storm, in all its fury, has burst upon them I 
Nearly every family has in it one or more suffering from this malady, never suspect- 
ed by the physician, and treated—until they die—not to cure the cause, but to re- 
move the effects! All the time pinching off the ends of the weeds to keep the corn 
clean, instead of pulling them out by the roots! And when a stranger begins at the 
roots to destroy a destroyer, then it is that the cry is heard, “behold the fool!” The 
cry now comes too late I The harvest is ripe and the laborers are gathering the 
golden grain, under the frowning faces of those who will not act for the welfare of 
♦heir patients ! Columbus gained an imperishable name, acting from the belief that 
ihe earth was round, while the flat-earthed fellows, and those who laughed at him, 
sleep the sleep that is oblivion. 
But our object is Rectal Ulcer—to show to others what it is, and what it will 
do—and to try to make others believe what we say ! |k 
We tell you, Mr. Professor, that in the United States are millions of persons suf- 
fering from rectal trouble—even unto death! You do not know or believe! We 
do know and believe it. We have seen hundreds and thousands of them! We do 
not mean piles. Even piles have disarmed you, while they are but infants compared 
with the giants, beside rectal ulcers ! They come to view. Ulcers are hidden from 
view ! We uncovered them and compassed their magnitude, and have measured the 
degree of their destructiveness. 
We direct your attention to a large, cavernous ulcer in the rectum, filled with 
yellow pus, mucous, or blood and matter, while the rectum is highly inflamed or con- 
gested, and then we point to the lame back, affected kidneys, urinary troubles, heart 
stomach, liver and head troubles, to rheumatism, and benumbed limbs and bloatea 
abdomen, and dyspepsia, and we ask you to investigate and find the cause. 
Some families have weak bones, and they are easily broken; some thin skin, 
and bleed easily from scratches; some poor teeth, which soon decay; some soft 
flesh, and can stand but little; some veins with very weak wall, and rupture easily: 
some tender throats, and always troublesome; some with weak rectal membrane and 
sub-tissue, and easily injured! Men are like trees, and plants, and vegetables— 
some tender, while others are tough and strong. 
The more tender, the more readily do all perish from injury. At very early 
Tears do many begin to fail, and soon die. Rectal ulcer comes from injury; that 
injury soon depletes the system of life-saving fluids, by discharges, daily, in the form 
of mucous, through the ulcer and rectum, while the inflammation and poisoned matter 
■carried from the ulcer through the circulation, poisons the blood, inflames the mu- 
cous membrane throughout its length, causes a deep, hollow stomach-cough, finally 
attacks the lungs, liver, kidneys, heart, and the whole man becomes sick,, and soon 
the patient dies! It is like cremation to the whole man! The breath is very of 
fensive, and the person little more than a mass of inflamed and congested matter. 
It really is consumption of the worst character, but produced by injury, succeeded 
by ulceration, and not innate. If inherent, is it not astonishing that it does not 
make its appearance until after many years of health ? Is it not strange that you DISEASES OF THE RECTUM. 
17 
will see the healthy, rosy-cheeked child, the robust youth, and then soon after, the 
enfeebled, haggard, helpless invalid ? If inherent, such would not be the tact, and the 
■ame leaven would leaven the whole lump—every child would be affected alike, with- 
out exception. Some seasons nearly all apples drop from the trees prematurely ! 
The fault is not in the tree, but in the worm, and the injury it has done to the ap- 
ple 1 Some years the wheat crop is a failure ! It is not in the ground, but in the 
insect that injures and destroys! If consumption is hereditary in man, why is it 
not so in the animal creation? Carnivorous animals alone, of all animals, suffer 
from rectal troubes! The poor dog—see him gulp great bones; and again, see him 
suffer in trying to expel them, until exhausted, and we call him a “lazy dog.” 
Who ever saw such results with grass-eating animals ? No one! If consump- 
tion were hereditary, inherent, innate, the child would be born an invalid, becom- 
ing weaker and weaker, until death ended its days! Let such persons as are sup- 
posed to belong to such families, become mush-eaters—eat no meat with bones in 
it, nor fish, nor fruit with cores and seeds included, nor peelings of apples, and con- 
sumption will vanish from such home ! 
Again, in every case where the sufferer seems to have passed into the consump- 
tive state, an examination with our speculum will show a deep cavernous, indolent 
ulcer, dark-red, and dry as a chip, except where fistula is present, allowing the air 
to pass through the sinus, and then we will find the same cavernous ulcer, but ac- 
tive—generating and discharging pus freely! 
And here let us remark, that many of those consistent local physicians and pro- 
fessors, generally, when we attempt to cure such malady by our modern and scien- 
tific system, will say to the sufferers, “If you heal up that sore or weeping sinus, the 
disease will go to the lungs!” And yet, with blade in hand, they stand waiting and 
wooing anxiously, an opportunity to cut the tissue, as the “only method of healing 
it!” Jewels are they, but crownless ! 
But another thought: Catarrh of the head is a severe affliction! To Professors 
of Medical Colleges, we say that after close observation for six years of constant 
practice, we have never found a case of catarrh of head or nose without severe rec- 
tal ulcer! We do not say that every case of ulcer is accompanied,with catarrh, 
but we do say that catarrh of the head will not produce rectal ulcer ! We have our 
opinion of the vice versa of the case. Our conclusions are resonable and logical, j 
Ye men who make doctors to kill or cure the millions, what say you r To you, is 
this thought worth consideration ? If so, give it the attention it deserves. 
Some persons may suppose that it is absolutely necessary that pus, or 
be present as evidence of ulceration; but such is not the fact, v Within the rectum,* 
where the temperature is always the same, and where air cannot come, the discharge 
may bloody matter, ichorous, mucous, etc., or the ulcer may be large, cav-J 
ernous and indolent—looking like a rough piece of dried beef—the latter is the 
appearance, generally, when the patient is fast passing into the consumptive stage 
of the malady. ' ' ' 
But we have given this matter more time and space than we should in a work 
of this kind, and must here drop it—interesting as it is to us—and pass on to other 
matters of importance—but not without first saying to physicians, individually,' 
THIS MALADY IS WHAT BAFFLES YOU IN ALL YOUR jCHKONIC CASES) 18 
BISEASES OF TITE RECTUM. 
PILES OR HEMORRHOIDS. 
i And now we come to a malady simple and easy to effectually cure by this 
method; without pain, danger or detention from business. Which has baffled the 
skill of nearly evert physician and surgeon in the land, from the beginning of 
medical science, until to-day 1 
We will not refer to any of the old and barbarous methods in language of our 
own, for. after suffering through all the best tears of life, without being able to 
secure relief only with danger to life, coupled with the operation by which many 
have been killed by great surgeons, patience and reason succumb to the ever 
Eresent words which cut like the surgeon's knife when we look back over our 
fe of suffering, with no medical eye to pity, nor medical hand to save, amongst 
the vast army which even yet, with honorable exceptions, condemn this system 
without knowing anything about it, and does what most physicians cannot do ! 
Gentlemen physicians, when will you cure the suffering? Will you always, as a 
body, do as many of you do now? Will prou always say to those suffering with 
chronic maladies, “Patient, heal thyself, rather than investigate, and find too 
true all that we herein tell you, and still reject the system, as we are ready to 
give it to you? 
Dr. E. P. Miller, of 41 West 26th street, New York, who secured the control of 
that city, in his work on “Diseases of the Rectum," after presenting the various 
methods practiced by surgeons of the present and past ages in the treatment of 
piles, says of this system as follows: 
“the new treatment for hemorrhoids." 
.“Although we live in an age of steam locomotives, electric lights, telephones, 
lightning presses, sewing machines, power looms, spinning-jennies, reapers and 
mowers, when every department of science, of architecture and business is moving 
forward with great rapidity, it seems, from Dr. Gay’s statement, that, in the treat- 
ment of hemorrhoids and other diseases of the rectum, the surgeons of the present 
day have made bat little if any advance on that pursued by Hippocrates, the great 
founder of medicine, who flourished 460 years before Christ. The new method of 
treatment to which we have referred, however, is fully in accord with the advanced 
spirit of the age, and is an infinite improvement on that employed by either Hip- 
pocrates or Galen, or that now used by the most distinguished surgeons of modern 
times. 
“We have elsewhere indicated the prevailing treatment for hemorrhoids and 
other diseases *f the rectum. We now assert that there is no necessity whatever 
for resorting to those torturing methods for treating diseases. Every case can be 
treated without such operations, and by a process that is almost entirely painless; 
that does not require ether, chloroform, or any other anaesthetic; does not detain 
the patient from business; is not dangerous; is certain in its results, and the ad- 
ministration of which is neither difficult nor dangerous for physician or patient. 
“This new method of treatment has been developed through the discoveries 
and inventions of Dr A. W. Brinkerhoff, of Upper Sandusky, Ohio, and consists in 
treating pile-tumors entirely through a speculum invented for that purpose. 
“ The application of the hemorrhoidal compound is not attended with pain, and 
usually little or no pain follows. We have known a single treatment to cure a case 
of forty years’ standing, that had been operated upon eighteen times, without relief, 
by some of the most distinguished surgeons of the country, and ever since this one 
treatment, some years ago, the patient has remained well. We have seen patients, 
who had worn pile supporters from ten to fifteen years, effectually cured, having DISEASES OF T1IE RECTUM. 
19 
laid them aside after two or three treatments. And others, who could not walk two 
blocks without the piles protruding, bleeding, and causing such suffering as to mako 
life a burden, have been similarly cured. 
“After thoroughly investigating and testing Dr. Brinkerhoff’s system of treat- 
ing hemorrhoids and other diseases of the rectum, we believe it to be in every re- 
spect the safest and most successful method of treating these maladies yet discovered. 
“ It is infinitely superior to any of the torturing operations now employed; and 
if the testimony of those who have been cured by it, as given in extracts from letters 
published on other pages of this pamphlet, is to be relied upon, no person suffering 
from diseases of the rectum should refrain from treatment through dread of the 
operation, for it is shown to be both harmless and painless. 
“ Persons who have suffered for years from hemorrhoids can hardly conceive 
the relief and comfort they experience after having them removed by this treat- 
ment. One patient, a physician, says he would not again be as he was before treat- 
ment for ten thousand dollars. Another says, ‘A million dollars would be no 
temptation. " 
Few persons ever suffered more than we did, and yet we were more than fifty- 
eight years old before we knew what piles were ! 
For this ignorance we are not sure that any one was, or is, to be blamed, or cen- 
sured I Professors in medical colleges surely do not knoto, or they would teach 
their students; but they do not do that! If they do not know, what can their 
students know of Piles? 
We once asked our family physician if there was no cure in our case. His 
cheering reply was, “Piles are a weakening of the wall of the rectum and we can do 
nothing but cut away the protruding part, and that is very dangerous ! ” “No 
hope there then,” thought we. Soon after we saw a family physician of earlier 
years—of our young manhood—a man of extensive practice and fine reputation— 
and, although we were then very weak from the loss of blood, we asked him, 
“Doctor, can nothing be done to cure us of piles; we almost bleed to death ?” Hia 
consoling and comforting (?) reply was, “You might go to Philadelphia and have 
them cut out, but piles are nature's outlet for the surplus blood, and if you have 
that checked you will die of apoplexy!" Surplus blood ! Where was mine then 1 
We hardly had enough blood to keep the heart at work ! Comforting, again, 
wasn't it? Well, we supposed piles to be incurable, unless “cut out,” and conclud- 
ed that ours must continue to be the lot of the confirmed invalid ! Life had, for 
us, few pleasures then, and we looked forward to the time, as near at hand, when 
we would go where there were no piles ! At last, when hope was gone, a “travel- 
ing quack" called on us and said, modestly, “I think I can cure you. ’ That 
“think'' was too much, and we declined treatment. Afterward we secured that 
treatment—the old “ Carbolic —from the “quack,'' for our family physician who, 
after operating on us twice said, “You are well ! ” Had he understood what piles 
were he could then have cured us; but, for that, failed to cure, but gave great re- 
lief. For many, many days we suffered, 0, how much, after treatment1 
After this we secured the remedy for our own use, and that was the corner-stone 
upon which we builded after rejecting both the remedy and method, and making of 
them, or aside from them, a full and complete system of rectal treatment—painless, 
safe and perfect l 
What do the Old School Doctors sat that piles are ? We have given 
you the opinion of one. We will now refer to others. Dr. Bodenhamer, of New 
York a celebrated author, says: A pile tumor is o. foreign growth upoa the wall1 
of the rectum! Mr. Allingham, of England, another author of note, leaves the same 
impression upon the reader’s mind. The generally accepted opinion, in the ab- 
sence of knowledge, of American practitioners is, that piles are tumors-growths, 
within the rectum, and must be cut away! If their theory were true, then would 
their practice be correct; but the theory is not true, and the practice falls, and is 
entirely wrong ! 
Because piles come down and out, the impression prevails that they are lumps 
—tumors. And yet Bodenhamer says, by inserting the finger no hard Lase can b« 
felt! That, of itself, gives away the whole claim to their being tumors or growths I 
Any abnormal growth is hard, and can be felt! Intelligent men should not mak« 
such mistakes. 20 
DISEASES OF THE RECTUM. 
IF NOT TUMORS, THEN WHAT ARE PILES? We are ready to answer 
that question. Under the mucous membrane in the tissue of the rectum are both 
arteries and veins The blood comes down through the arteries, and returns 
through the veins. The walls of these ducts are much weaker in some persons, and 
in some families than in others. Any exercise, such as jumping, lifting, straining 
and great mental efforts will force the blood through these canals, from and to tha 
heart, with great power and in great volume, hence, like the breaking of a levee, or 
canal bank, the wall of these arteries or veins will give way to the great strain, and 
at that point, which is always in the lower third part of the rectum, will be found a 
pile sac, a cavity filled with blood—just like a blister from a burn filled with water, 
put no foreign growth I Passing feces constantly tend to increase the size of sac, 
uy stretching its outer covering or wall. As there are several canals, there may be 
several sacs, and each canal may be ruptured at several places. 
IT MUST BE REMEMBERED that the lower third of the rectum is quite 
elastic, because of the folds which are essential there. A polypus located three 
inches up the rectum, will, by the stool, be forced entirely outside of the rectum; 
and, with piles, the result is the same. The sacs may be three inches up the rectum, 
yet, at stool, as soon as the blood, by straining, is forced into the arteries, and 
through them to the sac, and the sac or sacs fill and expand, and fill the rectum, and 
the stool behind forces them, filled with blood, entirely outside the rectum—below the 
Sphincter Ani—and being extruded, these sacs cannot get back without help. 
Nature, within, desires to get back to its normal condition, and draws heavily upon 
the extruded sacs, which at last burst, and that is bleeding piles ! 
The pain and suffering connected with piles come entirely from the filling of 
those sacs, and when above the Sphincter Ani, and filled with blood, they produce 
great bearing down, and make constant desire to stool! When they are left out- 
side at stool, strangulated, the suffering and swelling will soon become intense I 
Piles will never kill any person, unless from profuse bleeding, or from ex- 
trusion. They should always be returned into the rectum, after stool, but in time 
will not remain there. They never ulcerate I There is no such thing as an "ulcerated 
pile tumor! ” Salves, fluids, and internal stomach treatment will never cure them! 
All advertised pile remedies are entirely worthless! While fir fissure they 
may have some virtue, they never can, never have nor never will heal up a ruptured 
vein I We will give $1,000 for any case that this system fails to cure in the 
hands of any average physician ! 
One of the great dangers, to those who suffer from piles, comes from the con- 
gested condition produced by piles, which weakens the membrane and enables hard 
substances, while passing, to lacerate amd wound the posterior wall of the rectum, 
and thereby produce ulceration, of that part where piles seldom appear. In such 
case comfort, peace and ability to work will soon be gone, and death (if not prompt- 
ly cured) will not be far distant. 
By this system of treatment, which is without pain or danger, there can be no 
failure to cure, and that man or woman, who desires health, and strength, and 
life; and that physician who desires the welfare of his patients, alike, will not act 
wisely unless they investigate this system of treatment! 
By this method the operations are all performed within the rectum, and there 
is, generally, not one drop of bleeding, and at any time but very few drops, 
while by the old method—cutting and tying—sufferers often bleed to death, or 
die from inflammation after the operation. 
But say some physicians, when speaking to patients treated in this way by us, 
to bring discredit upon this or any system not practiced by them, “Oh, yes, they’ll 
come back again”—holding to the ancient theory, still, that piles are abnormal 
growths, and will return like warts or corns! “Come back”—never! The sacs 
destroyed will remain destroyed! But it must not be forgotten that like causes will 
produce like effects, and as there may be veins in the rectum not yet ruptured, they 
may rupture and new sacs may be produced, which must, in time, be removed, and, 
hence the great importance that the general practice should control this malady, 
also! After the age of twenty-five years few veins will ever rupture; few cases or 
piles ever originate, for use and duty have made the walls of the veins strong, and 
able to resist the strain upon them and as age creeps upon us blood is not manu- 
factured so rapidly, and labor demands different diet, the strength of which goes to DISEASES OF THE RECTUM. 
21 
supply the waste of tissue and muscle, instead of producing so much blood. After 
that age men also become more tame and careful—not doing the unreasonable 
things generally done in earlier life. As well might wo say to one suffering from 
fever, "Why, doctor, it will come back again!" What nonsense l If afflicted, be 
exade well, and keep as well as you canl There is no malady to which fiesh ia 
heir that can be cured so that it cannot return I Not that same, of which you were 
cured, but its counterpart I Like causes will like effects, all else being 
equal. 
FISSURE IN ANO. 
Any and every Malady that may come in or near the anus is called Piles. 
This is not only the case with patients, but the same with physicians, generally. 
Persons will tell you that they once had a severe attack of Piles and cured 
themselves with " Trask's Ointment," “ DeBing's pile remedy." '* Williams Indian 
remedy,'—"Mother Jones made me a salve that cured me, etc. Such persons 
had no piles at all! Others will say, "I have used everything I could hear of, but 
received no benefit I ’’ Such persons had piles and no mistake! 
There is no malady productive of more intense suffering than Fissure in Ano! 
When the fissure or crack is directly over, or below, the Sphincter Ani, the suffer- 
ing will continue for hours after evacuation; when above the sphincter, and where 
it may be called fissure recti, the pain will not be so severe, but sharp pains and 
burning will long continue in the rectum. • When just above and across the 
Sphincter Ani, the suffering at stool is almost indescribable—so bad is it! Fis- 
sure may occur, but does not often, in a healthy rectum. When it does so occur, it 
comes from some sharp substance, such as a bone, fruit-seeds, oyster-shell scales, 
etc., passing and cutting the membrane..The flesh being healthy, the injury will 
soon heal and the pain end. 
As yet, in all examinations, I have never seen a fissure in ano without ulcera- 
tion of the rectum ! When, in such case, a fissure is cured, it will soon return, be- 
cause the ulcer will continue the inflamed and congested condition of the rectum, if 
not cured also, producing severe constipation and greatly weakening the mem- 
brane and tissue, so that hard passages will tear or crack the membrane ot the rec- 
tum, expose the nerves, swell and stricture the tissue and Sphincter Ani, as a 
result, and thereby produce most intense suffering. The parts will become so 
swollen, and sphincter so strictured, that the bowels can hardly move at all! A 
fissure is simply a crack in the anal membrane, or lower end ot the rectum, caused 
by hard passages, or some hard passing substance, the pain of which is greatly in- 
creased by expansion of the tissue and sphincter ani, and more especially so, after 
the wall of the fissure becomes hard and swollen, and the nerves bare and much in- 
flamed. 
If suffered to remain to annoy and worry, it will completely break doum the 
nervous system, and at last result in death ! 
Mr. Allingham, of London, England, says of the treatment offissure—and his 
practice is also the American practice for the cure of this malady—that there are 
two ways by which this malady can be cured—one by cutting deeply into the bed 
of the Assure, through its length, and making a new sore, and then using ordinary 
dressing for the cure. Another: put your patient under the influence of chloroform 
and then enter the thumbs, with the backs toward each other, into the rectum, and 
expand the rectum, or sphincter ani, by pressing apart until it cracks I This, he 
says, will prevent contraction of the sphincter, and let the sore have time to heal! 
Either of these methods are very severe—the latter most terribly so—and hence, 
very reluctantly submitted to. There is a much more humane and rational 
treatment of this malady, and one that persons accept with pleasure when thus 
afflicted; and which, since its discovery, has never failed to cure even the worst 
case, and that is the Brinkerhoff method. 
This is accomplished by the application of a single drop of medicine—fissure 
compound—from the end of a probe, once a week, for two or three times, and the 
«se of a salve every morning and evening, and the fissure will very soon be welL 22 
DISEASES OF THE RECTUM. 
The pain generally ends in a moment after treatment, leaving simply a burning sen- 
sation for a few days, when all will disappear, and the patient will be well and 
happy! 
But to make the cure permanent, the ulcer, which is from two to three inches 
above, in the rectum, must be treated and cured as soon as the fissure will admit 
of the entrance of the Speculum. If this is not done, a return of the fissure may 
be expected, and at no distant day. 
When the fissure is low down in the rectum, right at the Orifice, almost, it will 
produce a very sore lump, or papilla, and always supposed by sufferers to be a pile 
tumor ! Indeed, many physicians are deceived by such appearance of the anus, 
yet if they would, with thumb and finger, draw the sides of the lump in opposite 
directions, they would at once see the lower end of tho fissure, a deep red gash, 
extending almost to its end, and, when the lump is apparently solid, it is hidden 
between the swollen sides! 
When the fissure is very sore to the touch, so much so that the patient will 
hardly allow the physician to touch it at all, then the inflammation is intense in the 
rectum, the fluids of the stool dried up and fasces hard and lumpy, and the patient 
dreads a movement of the bowels and defers nature’s call until evacuation is al- 
most impossible! When such is the situation, the loss of blood is often quite pro- 
fuse, or great, at stool, and hence piles again are blamed with the alarm and suf- 
fering produced by fissure ! It is no uncommon occurrence for fissure to bleed 
alarmingly at every stool for days and weeks—even producing death from the loss 
of blood! 
Persons suffering, should never suffer the knife or thumbs to be used in the 
treatment of this malady, nor should any physician, in our opinion, use such severe 
treatment, when one so simple and certain as ours is at hand, or can be so easily 
secured. 
We know that it is very hard to induce men schooled in any system to even 
examine another, no matter how great the improvement, and how much the reduc- 
tion of suffering; but their rejection of the new method is no evidence of the su- 
periority of the old, nor condemnation of the new. 
Physicians should not be mistaken in this malady; and yet, in our own town, 
the case of J. H. may be referred to as evidence of the general ignorance of the 
profession in relation to it. In the case referred to, the sufferer had a terrible fissure, 
and yet, a physician who claims skill in this direction, tried at different times to 
passover and above this malady to hunt piles, when no piles were there! He 
also failed in his efforts to see ! When physicians know not what they should 
know, then it is the sufferer who pays for such lack of knowledge ! 
No class ot sufferers feel more grateful to those who vive relief, than do those 
who suffer with fissure. Patients thus suffering, and who come to us after the 
family physician has long been doctoring for piles, without relief, by administer- 
ing pills, oil and other cathartics, to cure the piles—what the patient never had— 
are astonished to find the complete cure of their “piles" so easily and quickly ac- 
complished 1 
Under our treatment the sufferer is soon made happy. 
PRURITUS— WHAT IS IT? 
This malady is external, yet entirely connected with diseases of the rectum. 
It is generally found in the anal membrane, and extends but a short distance from 
the orifice; yet in cases of long standing, it extends up and back to the coccyx, two 
or three inches latterally of the anus, and forward to the groins—entirely over the 
prostate gland, scrotum, and down the thighs, covering, in all, a large surface. 
The anal membrane becomes hard, tough and inelastic, giving the orifice the ap- 
pearance of stricture, or of being tanneb; while outside of the orifice, with the in- 
ner ends centering around it, the skin and tissues immediately under it, is drawn 
into large, hard corrugations. Cracks will often come in grooves between the hard 
ribs, and the itching is so intense that the sufferer, when warm in bed, will scratch DISEASES OF THE RECTUM. 
23 
tkyse grooves until they become raw. As far as the malady extends, the cuticle 
dry and white, and will rub off in thin scales, and the itching is intense. 
The sufferer cannot avoid scratching, and the result, in time, is a large raw sore, or 
at least half the surface is raw, when instead of itching only, there is also smarting 
and burning, and real suffering ! We have seen cases of this malady so severe, 
that from the terrible annoyance, sleep was a stranger to the sufferer, and the con- 
stant worry so great, and the anxiety of mind so intense, that even reason beeame 
partially dethroned and the sufferer an invalid! Local medical skill had failed in 
many cases to give any relief even, and the sufferer was told that the malady was 
incurable. No wonder that death is often preferred to such an existence, and that 
suicides are so common! In many of these cases, we have been told that physic) 
had been given until they could stand no more—that the blood had been doctored 
for months without any favorable results—that then they were told by their 
physicians that pin worms caused all the trouble! Then, injections were pre- 
scribed, and still thq pin worms continued their work! 
Our patients say that it is very common for physicians to lay all this trouble 
to pin worms! We ask, seriously, why such physicians do not destroy pin worms, 
by removing the cause that produces them ? They do not come without cause I 
ktaggots are never seen in sound flesh! Mosquitos never breed in pure, fresh 
water! Pin worms are never seen in sound healthy rectums ! 
If, then, this malady is not produced, as doctors say it is, from blood disease, or 
from pin worms, what does produce it—what does cause it—where is its origin— 
“what is it T’ We will tell you! It is caused by ulceration of the rectum I 
From the ulcer flows an ichorous discharge, in some cases very poisonous in char- 
acter—and if enough to moisten the cuticle (and sometimes it is so profuse as to 
extend over all the parts named) it will soon produce the itching, and by the aid of 
scratching it soon extends far and wide, and produces the results hereinbefore 
named. The reason why the itching does not extend up the back more is because 
water never runs up hill, and as humanity stands upon teet, this discharge tends 
downward and forward, and ceases when the sufferer is in a horizontal position. 
The itching is always worse in summer and when in bed, and the parts affected, in 
hot weather gald badly. 
Can it be Cured ? We answer, most emphatically, tes ! And, further, that 
it cannot be cured by any remedy withouf curing the cause—the ulcer! By 
treating the ulcer and pruritus—one of the effects or results of the ulcer at the 
game time—applying external treatment to the pruritus, and internal to the ulcer 
to change the character of the poisonous discharge, and to heal the ulcer, the 
malady will soon be well! 
To effect this result took us nearly two years of constant study and trial, and 
finally we secured the desired remedies, and result! 
\Ve no longer dread to meet this annoying malady—no longer have any doubts 
as to the result, and are greatly amused to hear patients say that their physicians 
still persist that pin worms cause all this trouble ! 
We pity the man whose boasted strength is but humiliating weakness, and who 
seeks to destroy and dethrone by ridicule, and establish his own quackery upon the 
ruins of those his superior, to the injury of those who suffer on, because of his 
ignorance and malice! Such there are, and their shafts are hurled with venom 
at those who can do what they cannot do, and who hear what they say I 
Any and every practicing physician will tell you how difficult with the profes- 
sion has been the cure of this malady! Mr. Allixgham, the noted English author, 
of London, England, gives a number of formulas to be used successively, when 
each failed to do the work, and really gives no certain remedy. Our hemorrhoidal 
compound, used in combination with our ulcer speciffc, has, thus far, in our hands, 
never failed to cure the worst case—and we have had many of the very worst char- 
acter. A few cases have taken months to secure the desired result, where the cor- 
rugations were very large and hard, and indeed it cannot be otherwise in some cases, 
where the ulcer is of long standing. 
Why is it that the general practice has not mastered even this malady ? To 
whom are sufferers to go for relief, when thus afflicted, when their family physicians 
cannot cure? There should be some change, in some way, to give honor to whom 
honor is due, or teach the physician how to cure such maladies. 24 
DISEASES OF THE RECTUM. 
This malady, if suffered to continue its terrible work, in time, becomes one of 
the most loathsome diseases to which human flesh is heir, as well as one of the 
most distressing. 
Mr. Allingham, of London, in speaking of its prevalence and cause, says, in 
many cases it results from sitting on cold and wet seats, and to prove this refers to 
the many cases among the cab and bus drivers, who are often compelled to occupy 
such positions. Bus and cab drivers will come for treatment when many a gentle- 
man will not! Query? 
There is no truth in the position taken above, although the authority should be 
accepted as good. Healthy flesh will never become thus affected, merely from be- 
coming chilled—if it did, then the end of the nose of every man, woman and child 
—which is often almost frozen by being stuck into winter's frosty blasts—would 
be filled \riih fistulous sinuses I 
This article treats on the last one of the maladies, coming under the head of 
'* Diseases of the Rectum," which appear at times outside, and can be seen with 
the naked eye, without manipulation of the parts. 
Fistula s, in ano, have been classed as of three kinds, viz.: internal imperfect 
—having no external opening; external imperfect—having no internal opening; 
and perfect—having both internal and external openings. 
Of these the external imperfect is much the easiest to cure; and the internal 
imperfect the most difficult. Sometimes the perfect will take months—more thaw 
A year—to make entirely well. Persons who know nothing about this malady 
can have no conception of its character, nor of the condition into which it often 
puts the sufferer. We have seen them with 1, 2, 3, 6, 9 and 16 openings, out of 
which was a constant flow of matter—thick and often bloody! When a person has 
fistula in ano, and thinks he is as bad as any other person having it, he may be 
greatly mistaken! He may have but one opening from which the matter flows, 
while the other may have more than a dozen, and these scattered inches apart, but 
all running to the rectum, like so many tunneled roads starting from one place, run- 
ning to or from a city or town! It is evident that the drain upon the system from 
sixteen running sores must be much greater than from one, and the suffering is 
incomparably greater! When there are so many openings, and some of them four 
to eight inches away from the anus—as was the case in our patient having sixteen— 
then from the anal orifice, throughout the whole of the parts involved, the skin and 
flesh is the color of liver, and of not much better strength. To use the blade in 
such a case would be malpractice of the worst kind! The wound would never heal, 
and the effect would be but to increase the suffering! 
Seldom do these sinuses or canals pass through the flesh in straight lines, but 
are as sinuous as the veins. Our opinion is—and, we think, covers the true theory 
of fistula—that the sinuses follow the veins, making a duct filled with matter instead 
of blood, which very soon, from obstruction, (and such causes as Mr. Allingham 
thinks originate fistula) become swollen and inflamed—an abcess is the result— and 
what was before an internal imperfect fistula, after the opening of the abcess, at 
once becomes a perfect fistula. Whether I am correct in this theory, or not, the 
facts are that the flesb, from that which causes the fistula, (the ulcer within the 
rectum) has become thoroughly diseased in the vicinity of the ulcer, and, hence, 
anything that will add to the inflammation, whether sitting on cold, wet seats, 
stones, logs or boards, or from getting wet, and taking cold from the ordinary ways 
of taking cold, will and must result in serious trouble somewhere, and the truth is 
that the weakest point generally suffers most. 
Persons suffering from such abcess must not be deceived, and think they are 
suffering only from an ordinary boil which will, in time, quit discharging, for such 
abcess is notice, at once, of serious rectal trouble! Its eoctemal presence is only the 
word of warning as to a serpent coiled within the rectum, ready to poison the blood 
of its victim, and finally to produce death. 
Sometimes the sinus will pass down from the ulcer to near the point of the 
coccyx, and then curve, abruptly, forward, and horizontally, around the anus, and 
open near the center, lengthwise, of the prostate gland. When this is its course, 
the sinus passes far under the surface, and the tissue is made hard throughout it» 
“FISTULA IN ANO.” DISEASES OF THE RECTUM. 
25 
mntire length, and fully the size of a child’s wrist. In such a case the knife would 
do ravage, work! 
If some young sprig from the City of New York were visiting in the “ back- 
woods,” as Ohio used to be called by people in the East, and were to cut down a 
sapling four inches through, he would have wonderful stories to tell on his return 
home of his skill as a woodchoppr! And if some young sprig of Medicine were to 
operate on a fistula, the sinus of which was less than half an inch long, as there are 
many such, he would, probably, as many do who dare not advertise, slip up to the 
editor of his county paper, and whisper in his ear, what a wonderfully successful 
surgical operation he performed upon John Jones, and thereby get an advertisement 
of the case, through his own act, free of cost ! And yet, when that fellow sees in 
the paper our advertisement, honorably paid for, and hears of our cure of one of 
those terrible cases, one like a giant oak when compared with the “four inch sap- 
ling,”—and that, too, without the knife—he cries “quack, quack,” because we tell 
people in and through papers and circulars what we can do! We are compelled, 
too, to take such cases as physicians do not cure, and still, after we cure them, by 
our new system, that fellow still “quacks! ” 
Most physicians, we presume, have had some experience with fistula in ano, 
and know how difficult it is to cure. Our experience is that it is impossible to cure 
it until the rectal ulcer, which caused it is also cured ! There never was— 
there never will—there NEVER CAN BE, fistula in ano, without a rectal 
ulcer! 
The extent of the ulcer, which is hidden from view, without the means to reveal 
It, is truly indicated by the discharge of pus, through the sinus, from it. If in the 
dense forests you come upon a large stream of crystal water, you may rest assured 
that it flows from some large reservoir, or lake—though not seen—such as Detroit, 
Niagara or St. Lawrence Rivers. So if the discharge of pus has long continued, 
and still flows freely, you may expect to see a verv large cav.mous ulcer, to cure 
which, if at all curable—for you must remember that there are many cases too far 
advanced, through the negligence, sometimes, of both patients and physician, and 
often the physician alone, to cure—will take months—more than twelve—to make 
well; and while we and our assistants are curing such cases, there often stand be- 
hind, and far away from us, men who never saw us nor our system of treatment— 
nor an ulcer in the rectum—Regular Professional QUACKS and LEECHES, 
quartered upon suffering humanity, under the name of M. D’s, yet without 
knowledge enough to even try to cure this malady, calling us “ quacks, and trying 
to defeat our efforts to cure what they can not, by dissuading patients all they can, 
and getting them to turn away from us, lest their lack of skill as M. D’s may be 
seared into their foreheads! The curse of Cain should be indelibly stamped upon 
the brows of such brazen imps, and the meaning of the letters M. D. on their diplo- 
mas should be written “Medical Deformalities.” We except from those justly 
entitled to the above appellation many noble, grand, sincere and earnest physicians. 
The old style treatment offistula in ano, and as still practiced in old Medical 
Schools, is cutting! Often the sphincter muscle is severed and never again 
unites! Then cloths must ever after be worn to catch the dripping faeces! And 
that is called science ! 1st Give your patient chloroform to quiet him. 2d. Cut 
him so as to put him to bed one or more months. 3d. Make a baby of him again 
by compelling him to wear cloths while he lives. 4th. Make a sore that will never 
heal up because of the ulcer, unknown to the surgeon! 5th. If it does not heal, 
so stricture the sphincter that the bowels can hardly be unloaded! 6th. Charge 
$100 to $200 for this, in the name of science, and never know what caused the 
fistula, or why it soon breaks out afresh, nor why the cut will not heal up! If 
this is science in medicine, then the boy who attempts to fight a battle with a corn- 
stalk gun, as fully understands the “science in war,” and does less harm to his 
fellow-man! 
Our system of treatment never puts a man in worse condition than he was 
fbtind. Under it the patient gradually improves until entirely well, if curable at 
all—no injury is done him whatever! And, although, in bad cases, much time 
may be required to cure, still not a day is lost from labor. The most important fea- 
ture is that while we are curing the Fistulajup also cure its cause—the ulcer. 26 
DISEASES OF THE RECTUM. 
CONS TIP A TION 
Constipation is one of the hidden troubles connected with the rectum, and a 
very important factor in creating suffering and disease. 
How much of its cause is chargeable to the liver and other organs we are not 
yet prepared to say. but we are rather inclined to the opinion that there is but little 
to be charged to that account. 
We are aware that pills are freely prescribed by physicians as ready relief, and 
because convenient, more than for cure, but it is a question in our mind whether 
they do not do more harm than good in the final result. 
! We do not consider constipation, in itself, a disease, or in any way produced by 
conditions of the liver, &c., when chronic in character. There may be conditions 
of the liver and stomach in which acute constipation might exist, but even then we 
think it improbable, unless there should be much fever. 
As a rule constipation seems to be confined to the rectum, and more especially 
to the middle third portion of that organ—just above the curve forward of the 
coccyx. The unpleasant sensations attending constipation are seldom, or ever, 
complained of by sufferers as being above the sigmoid flexures, or as affecting the 
transverse colon. If we are correct, from all we have been able to learn from 
many, many patients—from practice and from our own experience in every other 
way, then how much has the liver to do with it ? 
Our experience leads us tc believe that constipation is produced by inflamnut- 
tion of the rectum, resulting in absence of all mucous, as in a healthy rectum, which 
is necessary in the easy evacuation of the bowels. If correct in this theory, then 
the conclusion can be further reached that the same cause—inflammation—pro* 
duces hard, dry, baked lumps in the lower end of the stool. If correct in this, then 
it is easy to see the effect resulting from the conditions of the mucous membrane 
and dry conditions of the stool, viz: that when the dry, hard stool reaches that 
portion of the rectum where mucous is absent, and the rectum but a dry tube, ex- 
tending downward and forward below the point of dry contact, how is it possible 
but that constipation should exist ? Indeed, how can the bowels be made to move 
at all without something to supply the place of the absent mucous ? 
The question arises now as to the cause of that condition of the rectum and 
stool. We think it an easy problem to solve. We have never yet, in all our 
practice, found a case of constipation without ulceration, or a very active condition 
of chronic inflammation or congestion. Where ulceration is not visible through 
the means we use below the curve in the rectum, we are satisfied that it is present 
further up, thus producing the condition of inflammation before referred to, and 
therefore, undoubtedly, the difficulty in evacuating the bowels. If such is the fact, 
and the reasoning appears to us logical, then the conclusion we arrive at is just this, 
viz: That all active cathartics are injurious and calculated to intensify the inflam- 
mation, and hence, increase the necessity for more and more and more cathartics, 
without any but immediate results or benefits for the time! 
The results reached with ninety per cent, of our patients—keeping in view the 
opinions before advanced—sustain us fully in our view of this affliction. 
Where persons are suffering with this affliction—we can’t call it disease, for 
we consider it but the direct result of disease—there is but one true course to be 
followed, and that promptly; and that course is: Apply somewhere at once for 
treatment; have the ulcer cured, the inflammation removed, and the trouble will 
be ended; while, if left to torment and worry, it may not be long until fissure, or 
even fistula with pruritus may be amongst the maladies to be cured, and from 
which to suffer ! If constipation is present, attention cannot be given it any too 
soon. To be healthy, the bowels should move once every day ! Anything short of 
that soon loads the system down with irregularities, which result in suffering and 
sorrow. Let nothing stand in the way of your attention to the house in which your 
spirit lives and has its being, for affliction’s seasons and storms will come, when the 
feeble and impaired braces will yield, and “Earth to earth, and dust to dust” may 
be your lot ere all is fast ! DISEASES OF THE RECTUM. 
27 
CHRONIC INFLAMMATION; OR, CATARRH OF RECTUM. 
It is well known, by many sufferers and by most doctors, how annoying, pain- 
fill and even dangerous to health and life is chronic inflammation of the throat, 
and how dangerous to sight is the same of the eyes, and how painful the same is, 
no matter where located. 
Amongst the diseases of the rectum is one—very common too—of a catarrhal 
character. Indeed it seems as proper to call it by that name as to apply to the 
disease of the head and nose the terms of nasal catarrh, and catarrh of the head, 
the latter two affecting the other extreme of the mucous membrane. 
There are many cases of rectal trouble where we find the mucous membrane 
and subtissue in a very high state of chronic inflammation and congestion, even to 
an extent that the least touch will produce bleeding, and in many of these cases we 
cannot detect any open sores or ulceration of the membrane, while in many of 
them there is visible many small abrasions of the membrane, some of which are 
very tender and painful when touched with the point of a probe. In connection 
with this condition we often find several small polypi about the size of an apple- 
seed, and nearly the same shape, the base large and the growth ending in a small, 
white point, while the base is congested in appearance, and where connected to the 
mucous membrane, at their upper sides, very sore to the touch, because often, from 
hard passages, partially separated from the membrane. These small growths, as 
well as the abrasions of the membrane, are general, just above the sphincter ani, 
and cause much suffering and pain, often, after movement of the bowels, and es- 
pecially do they cause severe burning and smarting. 
In many of these cases, where of sufficiently long standing, we will find ex- 
tending upward from the sphincter ani a hard cord or ridge, more than an inch in 
length, often, at each side of which, and about the same length of the cord, is a very 
sore and painful fissure, which might properly be called, even at this stage, ulcera- 
tion. It is the destruction of the tissue and subtissue here that causes, in time, the 
large, cavernous, indolent ulcers which so rapidly break down the whole system, 
and cause death from what is always called consumption. With this condition of 
the rectum we have never found pruritus, but where that is present we have al- 
ways found the ichorous discharge came from a point at or above the curve of the 
organ, and in many cases the anal corrugation extend well up into the rectum, de- 
stroying the elasticity or flexibility of the parts. 
In the early stages of this inflamed or catarrhal condition of the rectum the 
malady yields readily to local medication, but when suffered to continue until it 
becomes severely chronic, patience and long attention becomes necessary to effect 
a thorough cure. 
We are not yet satisfied, from all the examinations we have been able to make, 
that there is not actual ulceration in the rectum at a point above that which we are 
able to reach and examine with the speculum, to produce this condition of affairs ; 
but feel very strongly inclined to the opinion that there is, and hence we prefer to 
call all diseases of this character by the common name of ulceration, as physicians 
do all diseases of the rectum—piles. But be that as it may, one thing is certain, 
that this diseased condition gives the patient much suffering and anxiety, but is en- 
tirely curable by the use of remedies, by our system of treatment. 
It must not be supposed that the rectum can be greatly inflamed and the mu- 
cous membrane be injured, appearing like the bark, in patches, scraped from a 
tender tree or plant, and man not feel suffering from the injury I Sometimes a 
very small spot on the surface of the body is productive of great pain—even the 
bite of a mosquito on some persons will swell and become very sore. What is true 
of the outside of humanity, is, to a very great extent, true of the inside, and there 
is no reason why injury may not occur in the middle third, where, to man, all is yet 
night, as well as in the lower third part of the rectum, which we can fully examine; 
and, therefore, we base our opinion as to ulceration, of some character, and to some 
extent, being in the rectum, in all cases of chronic inflammation. 
Possibly the time will come when even that uncertainty may be removed, and 
the correctness of our opinion be fully established, as we think is the case. 28 
DISEASES OF THE RECTUM. 
RECTAL STRICTURE, 
This is too important a matter to pass unnoticed even in these pages! 
It is not unknown to physicians, and yet not much, by them, is known OF IT. 
In the use of this system many cases come to our notice. We regret to say that it 
is no easy malady to deal with—in many cases incurable. In many other cases 
relief comes to the sufferer, slowly, through the use of this system. As a rule dila- 
tion does but little good unless attended with the use of remedies to cure its cause 1 
We have seen stricture where it only extended around one-half of the rectum—a 
good cause for “ribbon-shaped stools!” We have seen it where less than half and 
where the entire circle of the rectum had become like a hard gristle—almost bone, 
and yet in no case have we seen stricture without ulceration, and that bad, too! 
Stricture generally occurs near the curve in the rectum, and, therefore, is gen- 
erally from two to four inches above the anal orifice. When the ulcer is low down 
—just above the sphincter ani—then the stricture will be below it, involving the 
sphincter. As a rule it is simply hardening of the tissue, because of the sore, pre- 
cisely as the pipe of a fistula is formed. Such being the fact, it is plainly evident that 
time and attention is necessary to its removal or cure, and that dilating will not 
result in benefit unless the cause producing it is removed or cured. 
In this is a fine field for the surgeon's knife—if it could get there, and the re- 
sult would be the same as carving a bad fistula! Sometimes stricture will entirely 
close the rectum at the point of location, and then it is that the surgeon performs the 
operation of colotomy, which finishes the earthly career of the sufferer—but some- 
thing must be cut ! 
Patients, or persons suffering with stricture, have much trouble in evacuating 
the bowels. They seldom feel fully emptied of faeces—they must go to stool often, 
and always come from the closet feeling as if they must very soon return to it again. 
The cause of this feeling comes not from the stricture—that desire to go to the closet 
—but from the ulcer. The same desire, and the same necessity to go, many times 
a day and night, is often the case where stricture is not, but bad ulceration is 
present. 
Indeed, what is commonly called chronic diarrhoea has its origin, in nearly 
every case, in bad ulceration of the rectum! 
After the writer’s great experience in rectal treatment, he has no hesitation 
whatever in asserting that he is entirely satisfied that stricture, constipation, 
CHRONIC DIARRHCEA, NASAL CATARRH, SICK HEADACHE, DYSPEPSIA, CHRONIC SORE 
throat, bronchitis and “ hereditary consumption," with many other chronic dis- 
eases, or affections, result almost entirely from rectal ulcers, and ulcers from 
injury as hereinbefore stated. 
But, says the skeptic, “ look at the cases of chronic diarrhoea produced by army 
life—this the writer has not thought of! ” Yes, he has, and he holds to the opinion 
that if, when men enter the army, they were not thus afflicted they would have no 
such diarrhoea, with all the hardships of such life! The great change of habits and 
exposure of many kinds, greatly tends to such results. 
Why are not all soldiers thus afflicted ? Simply because all are not thus 
afflicted when they enter the service. 
Stricture, the subject of this paragraph can only be cured by curing its cause, 
and this system secures the only way. 
HAY FEVER AND CATARRH, 
We are aware that many persons who have long been engaged in the practice 
of medicine may differ very widely with us regarding what we may state under the 
above heading, but we cannot help saying what we do, even if they should differ 
widely or think us “ riding a hobby.’’ We have been a verv close observer of the 
maladies of the mucous membrane for many years past, and cannot withhold from 
the eve of the reader what has made lasting impressions upon the mind. 
If a sore toe produces the kernel in the groin, or the sore finger the kernel 
under the arm; if injury to the foot produces lock jaw, as they surely do, we can DISEASES OF THE RECTUM. 
29 
■ee no reason why ulceration or catarrh of the rectum may not have like effeo* 
upon the mucous membrane throughout its length! So far as we are individually 
impressed, we are more strongly inclined to this view than that man is an out- 
growth FROM THE monkey! 
For the purpose of arousing investigation upon this subject, we will say, most 
emphatically, that we have never yet seen a bad case of catarrh of the head or nose 
or of hat fever, without a bad case of rectal ulcer accompanying it in the 
gams person ! And another thing, we have never seen a bad case of catarrh that 
did not grow better as the ulcer improved ! So much were we impressed with this 
that we were induced to use one of our remedies for the head and nose trouble in 
conjunction with the ulcer treatment, and have been astonished at the results! 
We adopted the theory that a remedy good for the mucous membrane of the 
rectum would, surely, act well for the same membrane in the nose, head or throat, 
so we began its use for sore throat, and catarrh. Soon after we had pretty fully 
satisfied ourself as to favorable results, we were not surprised to hear Dr. Smith, of 
Ft. Wayne, Ind., state that “the dark compound I have found to be specific for 
Bore throat.” 
If correct as to rectal ulcer being the cause of catarrh and chronic sore throat, 
and we cannot see why we are not correct—after long and careful observation in 
practice—then may we not claim to have discovered another and most notablk 
symptom, as an index pointing to that unsuspected monster that is robbing so 
many homes of the loved ones, and landing them in the narrow tomb, just as they 
are blooming into manhood and womanhood. 
But, says the family physician, “we want better authority than this—the mere 
say-so of a man outside of our medical association.” Yes, and you could have 
•that evidence if you dare come and see tor yourself, as you should do ! But, 
while you offer your services to suffering humanity, and should embrace truth 
wherever you find it, you fetter your feet—shackle your hands, and bandage your 
eyes, and then call this “quackery,” and send your failing patients off to Colorado, 
or some sunny clime, to Me ! 
Thereby you admit your skill and remedies are failures, and that the 
maladies we treat and cure, with this new method of medication, are too much 
for you, and your pride induces you to make many—every effort to keep your 
chronic cases away from us! 
But, gentlemen, and such you are, our voice and pen will reach the suffering and 
they will come to us for life—for health! 
Not all physicians are sleeping—many of them are now at work, and others 
will soon wake up to find themselves surrounded, and their patients whispering to 
each other “come and be made well, we have found the balm in gilead, and the 
true physician there—there is yet hope for you.” So it is now in many places— 
soon it will be everywhere ! 
“SOFT WORDS TURN AWAY WRATH.” 
Every reader, be he physician or not, knows that the general practitioner of 
medicine knows almost absolutely nothing of rectal maladies, their cause, effects, 
or results! We know of one who says—while he trembles for the safety of hisl 
brethren in practice, as well as himself—“If this thing—our treatment—continues 
the country will be full of chronic disease!" He means this treatment. Others say, 
“All Toleao have ulcers on the brain.” No wonder! For years they dosed the 
stomach and got no relief— they then were pill-fed—now they knoic what cures! 
No wonder they have waked up as did men when the gold of California first glit- 
tered in the sand before the eyes of man! Health is better than gold ! They find 
it in the Brinkerhoff system of treatment of disease, as hundreds can testify! 
Others say, “It will soon blow over," and still others say to doctors coming to see 
us from a distance, “Get all the facts you can, from seeing, hearing, &c., and when 
you come back, report.” All these men are allopathic gentlemen who have heard 
of but never seen this system nor method of treatment! The country is full of 
such gentlemen—men who will misrepresent but not investigate. For such men 30 
DISEASES OF TIIE RECTUM. 
we have no “ soft words /” This system should not and does not invite their en- 
mity or opposition! Its author, for the good of suffering humanity, desires their 
co-operation—its adoption by them, but they will not! 
Allopathy, with all its modern changes and abandonment of past practice, be- 
cause of its age and medical associations, as a body, refuses to recognize the later 
and more liberal schools of medicine, but in it are liberal gentlemen. Its code of 
ethics is aggressive and vindictive—illiberal. To meet a power so great—so ex- 
tended—so great in numbers, and once almost without opposition, and to defeat its 
opposition and build in its midst a castle whose shadows bring sunshine where was 
its gloom, demands more than soft words! Facts, presented so as to convince of 
error and establish truth where error ruled, must be presented to the eve of the 
people, plain and strong, so as to secure attention and get them to see, if those in- 
terested in crushing truth will not see, what has been, as well as what now is, and 
if what “has been” was wrong, and what now is is right, and the fact proven by 
works, then must what lihas been" pass away and be buried with the old blood-letting 
lancet—calomel with water denied—salivation to cure fever and kill the patient 
after the teeth have fallen out and the gums destroyed! 
To win victories over scheming enemies we must “CHARGE BAYONET” and 
then “ hold the fort ! ” Organized hosts feel safe behind their ramparts! Kindly 
words make them none the less enemies; and this system of medication and rectal 
treatment, When successfully used where other medication has failed—because 
effects and not causes were treated—will be attacked from behind medical ramparts, 
because of its success, and no kindly words will cause the enemy to withhold his 
destructive and venomous shafts ! Until the victory is won, and the guns of the en- 
emy spiked, every man in this medical army must expect to win by the justness of 
his cause, and by the most determined effort! To win, he must secure volunteers, 
so that he can show the world what this system will do! To do this, sufferers must 
be convinced—to do this, past error must be presented, with truth by its side! 
This system represents TRUTH! “ Truth is mighty and will prevail,” but it 
must be presented—that hurts those who have claimed perfection, and the bat- 
tle lines will be formed! But one response should come from rectopathists, viz.: 
We are right! We are honorable ! We represent Truth ! Rectopathy fears 
not investigation ! Seeing is believing! We see what we do ! Rectopathists. 
by fearless effort, must convince the people—the masses—and when that is don* 
the victory is complete. Then let him who refuses to read and investigate stand, 
as he should, amazed and idle! 
TO PHYSICIANS USING THIS SYSTEM. 
The man who makes his mark in life is the one who fearlessly advocates the 
RIGHT! The truckler, cringer, policy-man, seldom wins. If he uses that which has 
merit—which is based upon truth and science—which is in advance of all other 
things for the purpose intended, then stand by what you have, manfully! You 
must expect combined opposition where there is against it a community of selfish 
interests, but truth will win if you stand by it. If you and your business is attacked 
without cause—only for the purpose of keeping it out of the way of a combination 
or community of persons fearing its success, strike hack, in self defense, vigorously, 
manfully l Never let such persons make an iron hotter than you do! Unfurl 
your flag as fully as they do theirs, but never be the aggressor. You should use no 
policy-work whatever. Clods did not bring the urchin from the apple tree! Some- 
times virtue is found in stones! 
Other physicians, as a rule, will not help you in this matter, but you will find 
some manly exceptions. Your patients andpractice must come from proper and 
wise effort, and from your success in convincing sufferers as to the truth of what 
you say as to their suffering, and by showing them that error in treatment of their 
eases was the cause of failure to cure them ! When this is done, then will success 
attend your efforts. Until then failure will and should be yours. 
In presenting this system of treatment, we have been compelled to refer to 
tile practice of treating disease by other methods in a not very agreeable way to DISEASES OF THE RECTUM. 
31 
the advocates of such methods, because we know them to be wrong, and can not 
endorse the error / The fault there is not in the men, but in the method. In thii 
system the fault may be in the men, but is not in the system. 
No man living, conversant with the Brinkerhoff system of rectal treatment, 
or medication, for the cure of chronic diseases, can ever again defend the old 
met hod, after seeing the results of both! If any of you—any Rectopath—is 
attacked by error, then give back to the enemy the truth in such doses as will sat- 
isfy the most skeptical! 
Rectopathy has passed the budding period—the small fruit has been seen— 
the same, full grown has met the eye—and the ripe and golden is now all around 
us! It needs no props to brace it, for it can now stand alone! It has represent- 
atives and defenders in many parts of the United States—it is no more confined to 
one mind and one pair of hands—it is advocated and defended by more than one 
pen—it no longer creeps but walks forth in its strength, at noon-day, and fears 
not destruction by the assassin’s hand, in darkness. It will soon be at " high-tide,” 
and there its friends and patrons will keep it, and little, then, will be the use for 
knife, sanitariums, pills and patent medicines, for they who used them will need 
them no more! In the rectum long have been hidden the seeds of nearly all chronic 
disease—by this system they have been brought to light, and by the same removed 
—CURED! 
Whether the writer lives to see that day or not, the day will come—is not now 
distant—when the stomach will be saved from the nauseous drugs heretofore and 
yet taken into it, and the systems of medication, in days past, be entirely abandoned 
m all chronic cases, and such cases will become phenominal ! Who is the man 
or where can he be found, who would hesitate to advocate and defend such a system 
of treatment and cure! 
When this is attacked you can point to those cured by it, and to the work of 
its enemy or enemies, and no more will be necessary in defense! 
DUTY OF PHYSICIANS. 
Railroads, telegraphy, electric lights, telephones, and all other important di»- 
coveries, when first declared to be amongst the things that would be useful, and 
could and must be successfully used throughout the country, were looked upon as 
results of visionary minds, and their inventors and advocates almost sneered at and 
derided for pretending to introduce them as matters of public value! Where are 
they now ? Without them our great country—made such by them—through the 
aid of investigating minds and expanding genius—would occupy a place still 
amongst the uncivilized countries of the earth. These great aids to civilization and 
advanced intelligence did not grow unaided, and come without thought, but resulted 
from the exercise of mind, from investigation, and from many experimental tests 
and combinations worthy of American genius and manly effort! True, they were 
not met, when first presented, by interested and united opposition, for there was 
none, such as must be expected in the matter of this system of medication, for they 
brought no other plans nor system into disgrace or bad repute, nor reflected in any 
way upon the skill and intelligence of communities of interest, as does this, and, 
therefore, when once successful the end of opposition had come, and helping hands! 
were ready to push forward the grand work of Mouse's brain! This fact was and : 
is important to success! No contemptuous remarks, in those matters, were heard 
from intelligent gentlemen, as we hear in regard to this system of rectal treatment! 
In the face of burning facts and unquestioned success of this system, some intelli- 
f;ent physicians are losing patient after patient because of its success, without the 
east investigation of the system—without seeing a single operation performed— 
contemptuously and sneeringly- remark, “everybody has ulcers now!" Not so 
fast gentlemen! Many who come for the benefits secured from this treatment 
have ulcers; some h&ve fissure; some have piles; some have fistula; some have 
stricture; some have pruritus ; some have chronic inflammation ; some catarrh, 
and we find some without any rectal trouble ! Many of them have long visited 
you, and you have doctored the liver, kidneys, heart, stomach, lungs, &c., &c., and 32 
DISEASES OF THE RECTUM. 
told them “malaria” was at the bottom of all, and they improved nof,"while with 
our treatment, if not too far gone, they all get well, and not one dose of medicine 
enters their almost ruined stomachs l To them you never once said rectal trouble ! 
Why? Simply because you know nothing about it—sneer at those who do—al- 
most deny the existence of such malady, while many of your patients die annually 
from the malady. You even forgot if you ever know, that one of your allopathic 
brethren, ir England, Dr. Allingham, devotes his whole time to rectal work, and 
has written teveral works on rectal diseases, while you in America, enlightened 
America, seek to disgrace men engaged in the work of trying to save the lives of 
your deceived patients because of your ignorance of this matter! We take no 
(pleasure in writing thus plainly, except in so far as the words may save the lives of 
sufferers, and would not do so only in reply to your attacks, and in defense of a 
system which, after being fully tested, has proved to be all we say of it, as 
scores upon scores and hundreds upon hundreds can and will attest l 
As physicians—guardians of the health and lives of your patrons, who are suf- 
ferers—what is your duty in this matter? Is it to condemn or to investigatef 
You hear the words of those restored to health by it; you see the invalid and suf- 
ferer restored to health and now able to meet the duties of active life, all around 
you, if you live where this system is used; and you try to prevent your patients 
From embracing it! You refuse to investigate it; when asked about it you say* “2 
know nothing about it.” You condemn "quacks,” and thus suffer them to come 
in your midst and secure your patients, because you will not investigate or se- 
cure it! Investigation will lead you to adopt it; and your adoption of it will 
drive away the "quacks,” because that you can then cure your invalids! 
Amongst physicians are many noble exceptions to the course of many as herein 
indicated, and such deserve the thanks of all who have or may become rectopaths, 
as well as other paths, in their practice. Many have done so, and others are stifl 
entering the field to reap laurels in this great work! 
May every one do what duty demands, and condemn not—censure not—speak 
contemptuously not, until he or she is able to speak advisedly, truhtfully, justly 
of what'so touch interests suffering humanity, which has not, never can, nor never 
will receive benefit by making a drug store of the stomach, in efforts to cure rectal 
maladies or their many effects! Time will soon decide who is right. If the 
Brinkerhoff eyetem should hereafter fail—which it has not yet done—it will be 
condemned, as it should be; but if it still continues, as in the past—and it will if 
adhered to in method—all the other pathies in the world, advocated by all who 
refuse to investigate it, cannot crush what so completely meets the demands of suf- 
fering humanity! Victory will soon be inscribed, THROUGHOUT the world, 
on its banner I 
A FEW QUESTIONS. 
But before we reach our “Concluding Remarks," we desire to ask a few vert 
proper questions: 
Me. Physician, old, young, renowned or otherwise, when one of your patients 
comes to you suffering with piles, and wants relief, as he shouid have, too, for you 
know he suffers greatly, do you cure him ? If not, what do you do f Salve !! 
With this system we can cure him, or will give hiia ONE THOUSAND DOL- 
LARS! 
If he has fissure, what do you do t 
If he has fistula, what do you do t 
If he has rectal ulcer, what do you do t 
If he has polypus recti, what do you dot 
Most of you do, po, DO—NOTHING! 
Yes, you do something—generally a physio! 
Every one using this system cures him! 
What is a pretender ? See Dictionary ! DISEASES OF THE RECTUM. 
33 
CONCLUDING REMARKS. 
PROFESSORS OF MEDICAL COLLEGES and persons engaged in the gen- 
eral practice of medicine, our words in conclusion are addressed directly to your 
judgment, and we ask you to investigate this matter I After many years of con- 
stant, daily practice, we are able to speak advisedly in regard to rectal maladies. 
This system of treatment should be in the hands of the local practice generally. 
When there, as it should be, the office of the itinerant, who goes abroad to treat 
chronic diseases will be empty, for the very cases that support him, are they which 
this practice covers! Like the local practitioner, the itinerant is constantly treat- 
ing effects produced by the foregoing causes in nearly every person he doses 
through the mouth and stomach ! Good may and will result for a time, but the 
sufferer will soon find his condition more aggravated and distressing than before, 
because of the effect of medicine upon the stomach. 
The rectum is full of disease, causing worlds of sorrow, and when a cure is 
known—one so certain and painless as the “Brinkerhoff System of Rectal Treat- 
mentx’ then will the surgeon be as much surprised as was the writer when he made 
his discoveries and saw the result of this system of treatment! 
It is said that a “prophet is not without honor, save in his own country.” Not 
ao with this treatment. Many come hundreds of miles—even from Vermont! He 
has had patients from Wisconsin, Michigan, Chicago, Iowa, Kansas, Tennessee, 
Vermont, and from many other places! There should be no necessity for such ex- 
pense, on the part of sufferers, if physicians would do the.r duty, now, since all can 
be secured for use in every county in the United States, to cure sufferers at hornet 
“WILL IT PAY,” ask some who desire the system ? My rep1- is, if money 
is the only object, and the surgeon or physician controls his own county, only, the 
financial results will far surpass the results from the general practice, and the phy- 
sician still has his old practice, as before! Then when we consider smiles resulting 
from returning health, and from freedom from suffering, we need not ask, "will it 
pay!” 
PHYSICIANS, do you wish to save life—to cure the suffering? If so, for 
humanity’s sake, investigate the wonders of this system! Its merits can not be de- 
scribed by the pen ! The once sufferer, alone, can do it justice, by words from his 
or her own lips ! The smiles that play like sunbeams on the surface of the rip- 
pling brook, mingled with words of thanks and joy) say, plainly 0, yes, it pays! 
Physicians, will you bring the joys of this system to your homes—to those 
who depend upon your skill—to the suffering and dying around you ? 
Cull it not quackery without full investigation ! There is nothing of that in it! 
Duty demands that you secure it! Will you heed her demands ? If not say no 
unkind words against those who may be compelled to come where you are, to cure 
the suffering 1 
Fear not that you will be called “ pile doctors,” for that is not the important 
part of this treatment—piles are but as a drop in the bucket compared with all the 
maladies in the rectum! Piles alone, except from bleeding, never take life; but 
rectal ulcers are truly death’s harvest field! There can be no excuse offered by 
physicians for neglecting a matter so important to mankind as this! He who does 
reject in the face of now established facts, stands on the broad road of criminality! 
Must your suffering patients die because of your indifference? If you will not ac- 
cept a matter so important as this to them, then, better would it be for them if you 
would cease all efforts in their behalf, and plainly tell them to go elsewhere for life 
and health. In England they have hospitals where physicians make rectal dis- 
eases a specialty under the old, barbarous system of treatment! Why not do the 
same now in this country, in every county, with this painless, safe, rational, com- 
mon-sense system of treatment ? 
HEREAFTER, IF NOT SO DONE, the fault will lie at the door of Profes- 
sors of Medical Colleges, and there should rest the odium!We alone have per- 
formed nearly 60,000 operations, and more than 100,000 operations have been per- 
formed with this system, and not one death has yet resulted from the treatment.! 
What can be more safe to the patient and more satisfactory to the surgeon? 
Where this system is unknown, physicians suppose rectal sufferers to be few. 
but after a few cases are cured, the number coming for cure is astonishingly great! 34 
DISEASES OF THE RECTUM. 
Unlike other diseases, rectal maladies, coming from injury to the rectum, sea- 
sons of the year and atmospheric changes make no difference in the number of 
patients. Rectal diseases are like the births of children—occurring all the time! 
The end will never be, while humanity exists I Physicians need not fear lack of 
business. Sufferers must and will come, when they know relief can be had, and he 
who enters this field of practice, and adheres to its rules strictly, will gain such 
reputation as can be secured in no other way. 
Thus far we have hardly been able to meet the demands for Instruments, etc., 
and we sell only to physicians, so that soon it may be in the hands of the general 
practice in every county in the United States, and in reach of all sufferers. 
We have now said all that we deem necessary to say upon this important sub- 
i'ect. We leave it with those who hold in their hands the lives of millions of the 
mman race, and ask them to read carefully all we have said, and then ask them- 
selves “what is my duty to myself and to those in my care,’’ and act justly to both. 
PLEASE READ WHAT FOLLOWS. 
As a resident of and near Upper Sandusky, Ohio, for nearly fifty years, we 
submit the following as evidence of the sincerity of purpose, and truthfulness of 
what we say. 
TO THE PUBLIC:—We, the undersigned residents of Upper Sandusky, 0,, 
have been intimately acquainted with Dr. A. W. Brinkerhoff, of our town, for many 
years, and can truthfully say that he is a person of honor and integrity, and that his 
statements are worthy of full credit elsewhere, as well as here at his home. 
(Signed) R. 0. Dumm, Clerk of Common Pleas Court; John Agerter, County 
Auditor; Joel W. Gibson, Probate Judge; Moses H. Kirby, Prosecuting Attorney 
and State Senator-elect; Simeon Inman, County Recorder; John M. Houston, 
Sheriff; John M. Thompson, Postmaster. 
We also refer you to S. Watson, President, and Jas. G. Roberts, Cashier, First 
National Bank, Upper Sandusky, and any other respectable citizen of Upper 
Sandusky. 
OPINIONS OF PHYSICIANS WHO ABE USING THIS SYSTEM. 
DR. A. B. JAMISON, ALLOPATHIST, SAYS; 
Detroit, Mich., September 25. 1883. 
Dr. A. W. Brinkfrhoff, Upper Sandusky, 0. 
Dear Sir:—I have carefully perused the foregoing pages and fully endorse 
what you say. I am not astonished to know that so many desire your instruments, 
medicine, etc., for use in their practice, and the only wonder to me is that any rep- 
utable and investigating physician should think of continuing in the practice of 
medicine after knowing of your System of Rectal Treatment, without promptly 
making it part of his practice. It should be in the hands of every physician of note, 
or who offers his medical services to any community. 
Your remarks apply well to the profession in every medical college.'Vr Lectures 
on disease of the rectum, so far as my knowledge goes, is no part of the instruction 
E’ven in such colleges! I graduated five years agp at'one of t’he Allopathic Col- 
ges of Medicine in Indiana, and after,practicing at Decatur, Ind., for some years, 
was induced by my father, who had suffered dreadfully with*piles for thirty-fi^ DISEASES OF THE RECTUM. 
35 
years, and whom you cured at Fort Wayne, Ind., to call on yon and see your system 
of practice. Being “Old School,’’ I was hard to convince that it was my duty to 
call on a traveling doctor. At last I went, and after seeing what I then and tnere 
saw, had some of the starch taken out of me, even to the extent of becoming your 
patient, when my old Professors were residents of the same city! More than that, 
I was only too glad when I ascertained from you that I could secure your system of 
practice, for use in my practice. I did secure it, and have used it for three years, 
with the finest results to myself and patients ! But while I added to my knowledge 
and ability, greatly in the diagnosis, treatment and cure of diseases, I lost my place 
in the hearts of those of the Medical College which graduated me—yes, my mother 
rebelled against her offspring, and shook her petticoats at my disobedience ! My j 
clanieh brethern turned upon me the cold shoulder, but suffering humanity—those 
long patients of other doctors—now grasp me by the hand, and their hearts warm 
blood mingles with their words of thanks, for the blessing of returning health and 
joys of other years—all the result of your discoveries and my determination to fol- 
low where duty points the way, regardless of the ruts and mishaps of those who 
will not investigate! 
I feel it to be my duty to serve the suffering, in the light which enters through 
the great door opened by you, whether it be called Allopathy, Homcepathy, Eclectic, 
Physio Medical, or any other name, only so I can bring joy and health to the 
afflicted—and never before have I found so grand and broad a field for the true 
physician’s efforts, as since I secured your system of Rectal Treatment I It makes 
me master (if not too far on thejroad to death,) of the cause producing our great 
crop of invalids, and that, too, without drugging my patients and giving medicines 
which injure the delicate membrane of the stomach as is the present, and has been 
the practice of the profession without knowing what causes the suffering and sor- 
rows of the patient 1 With your system the malady is fully exposed to view, and I 
now know what I am doing, and my patients now say, better, better, better, at every 
visit I How different the results now are from the time before I used or knew of 
your system of treatment! And it all comes from knowing how to treat rectal dis- 
eases, as well as being able to see them, so as to know what they are! 
When we are dead this system will live! 
Respectfully, etc., A. B. JAMISON, M. D. 
DB. SMITH, OF FORT WAYNE, INI), SAYS*. 
Da. Bbinkerhoff, Upper Sandusky, Ohio. 
Dear Sir:—For more than twenty-nine years I have been engaged in the gen- 
eral practice of medicine in the city of Ft. Wayne, Ind., as an Allopathist, and 
oocupied a place and standing in the Ft Wayne Allopathic Medical Association. 
When you first visited Ft Wayne, three or more years ago, I, like others who 
had never seen your system of rectal treatment, supposed it to be, like most oflier 
advertised matters in medicine are, sheer quackery. 
Through the urgent solicitations of a personal friend, and prominent citizen of 
Ft Wavne, then your patient, I was induced to embrace your generous invitation 
to ail physicians to visit your room, and must say that I was surprised to see what I 
then did 1 No second sight was necessary to convince me that there was no quack- 
ery in your system of treatment, but that it was full of common sense and genuine 
merit I So much so really, was it, that I, with two other physicians in general 
practice, in this city, and another from Decatur, Ind., also then present, promptly 
secured all for use in our general practice. After using it, with vour remedies, for 
more than two years, in piles, fistula in ano, rectal ulcers and other diseases of the 
rectum, I say truthfully and with pleasure, that it far surpasses my expectations! 
Knowing what I do now, I will further say that twice its cost would not stand 
in the way, one moment, in securing it! 
You can say none too much in its praise, nor have I ever seen one word re- 
garding it, written by you, that I cannot fully endorse, and that the system, itself, 
will not sustain you in. No physician should be without your system of rectal 
treatment in his or her practice. Without it there is darkness and guess-work, such 
as need notbeq * such os should not On l - - - 36 
DISEASES OF THE RECTUM. 
Curing piles with your system of treatment is mere amusement, not only to the 
surgeon, but to the patient 1 
Before securing your system, to me, as to others, the rectum was shrouded in 
mystery; now it is made -clear as day I All its maladies are exposed to view, and I 
know jus f what I am doing t 
I have cured some by your system, who, before this, would have been in early 
graves! 
Your instruments are perfection for the use intended, and your remedies act 
specifically and charmingly I 
Never before did I suppose that rectal diseases caused so much suffering and 
so many deaths, and that the cases were so numerous! I am astonished now that 
the profession did not, long ago, make the discoveries made by you, and I rejoice, 
for the sake of suffering humanity, that even now, after the long night of darkness, 
the light haB come! 
That rectal ulcers are the greatest enemy to health and happiness, there seems 
to be no question! I have seen enough to satisfy me of this fact! Nothing should 
stand in the way of the general adoption of this system of treatment by those en- 
gaged in the general practice of medicine, if the welfare of the suffering is any part 
of the object of the physician in his practice. 
I have treated successfully, by your system of treatment, nearly all kinds of 
rectal maladies. Many persons have come to me to be relieved of head, kidney, 
liver, back, heart and other troubles, when, though not thinking of the rectum as the 
seat of all the trouble, upon examination, they were surprised to hear that such was 
the fact! In every case, thus far, has relief and cure, in such cases, come from the 
use of your remedies and system of treatment! I am as much astonished as are 
my patients! 
My general practice has been much increased by the addition of families out- 
side of my former practice, because of my possession of vour system of rectal treat- 
ment, and only the suffering in my old practice can tell now much I have done for 
them that I could not do before! 
I consider your system far superior to anything I have ever before seen or read 
of, and my cured patients are about all the advertising medium I need. 
Through them come many new persons for treatment. The number of cases of 
hemorrhoids is, as you well say, but a “drop in the bucket,” compared with other 
rectal maladies, and every physician who ever engages in this practice, will be as- 
tonished at the great number of applicants for cure 1 I am glad that the profession 
is accepting this system so freely, and that you are so ready to supply its members 
with your complete system, at rates so reasonable that nearly every physician can 
secure the treatment for local practice, where, as you well say, it should be, as I 
well know from its use. You have done much to shed light in the pathway of lie 
physician, and to relieve suffering humanity, and I trust that all who can, will 
secure the system of treatment, which, when once secured, with your work on “ Dis- 
eases of the Rectum,” and “ Directions for Treatment,” make all so plain that any 
physician can use it, and make no mistakes, and cure his patients! If great good 
M not done, now, the fault will not be yours! 
Truly, C. S. SMITH, M. D. 
Fort Wayne, Sept 10,1883. 
DR. R P. MILLER, OP NEW YORK, FURNISHES THE FOLLOWING:;' 
, 
There is no ether or chloroform used; there is no cutting or ligaturing; M 
clamps, no ecrasure, or cautery-irons; and no dangerous caustics, such as are now 
employed by the regular surgeons; neither is it the old painful oarbolic acid treat* 
ment, now so extensively advertised. It does not even detain patients from their 
ordinary business while undergoing treatment, and it is so absolutely certain in its 
results that those who use it do not hesitate to guarantee a cure in every case or 
make no charges for treatment In fact Dr- Brinkerhoff offers $1,000 to any phys- 
ician, or other person, who will bring to him a case of piles or hemorrhoids that 
cannot be cured by his system of treatment 
We have been using his instruments and remedies in our Institntiofa, lli!$fow DISEASES OF THE RECTUM. 
37 
York, for some time, and our experience thus far has convinced us that the system 
will do just what is claimed for it. It is an infinite improvement upon any other 
known system for treating rectal disease. The surgeon who uses the knife, or liga- 
ture, or any of the torturing methods of treatment common to general practice, is 
as far behind the age as is the man who would use the lancet in treating fevers. 
Persons who have suffered with blind, bleeding, protruding or itching piles for 
forty or fifty years, are readily cured by this new method, and without suffering or 
danger. 
Long standing cases of ulcer, and fistula with numerous openings, are readily 
cured by the Brinkerhoff system, without cutting. The remedies used are not only 
harmless, but are often of actual benefit to the general health, aside from their in- 
fluence in curing rectal disease, and there is practically no suffering attending the 
application to piles or hemorrhoids. 
The following testimonials from patients whom we have recently treated, coa* 
tain the evidences of good results attending this system of treatment •* 
New York, May 6, 1883. 
Dr. E. P. Miller, No. 41 W. 26th St, N. Y. City. 
My Dear Sir:—Until I placed myself under your care I had been a sufferer 
from external and internal piles or hemorrhoids for more than thirty years. Twen- 
S years ago the hemorrhages became very free, and were of daily occurrence until 
ecember last Although I had exercised unusual care in my diet, at the same 
time avoiding the me of all stimulants, my trouble developed into an exceedingly 
painful and aggravating affliction. So much so was this the ease that in February, 
1873, when I had been unable to sit in a natural position for ten days, I visited a 
noted specialist in this city, who, upon examination, turned from me with the ex- 
clamation, “0, my God! 1 can do nothing for you." From that date constantly 
increasing pains in my forehead, neck, shoulders, elbows, knees and small of 
my back, caused a corresponding degree of suffering for nearly seven years, or until 
no longer bearable. I submitted myself to your treatment That you might relieve 
me I thought probable; but to cure me I did not believe possible. How thankfully 
disappointed I have been, words cannot express; nor can I ever forget, when upon 
a second application, how to my great astonishment, but still greater relief, the con- 
stant pains of the previous seven years were instantaneously remitted as if by 
magie. Under yonr practically painless treatment, the hemorrhoids (seven or eight 
tumors) have been removed or cured, and the ulcers are progressing so satisfactor- 
ily that their cure is a matter of short time. After the sufferings I have undergone, 
I take this opportunity to thank you for the relief experienced, and, besides, do 
hereby most cordially and sincerely recommend you and your practice to all per* 
sons suffering from rectal disorders of whatever nature; confident that in submit- 
ting themselves thereto, and in following your directions, with the desire to become 
restored to health, success is sure, and protracted only by the age and aggravatioif 
of the troubles. It is but proper to state that my case was a very obstinate one, yet' 
without a moment’s interruption from business duties, I have obtained a degree of 
relief beyond measure of pecuniary considt ration. It is of importance to a«d, that 
in common with many others, I was firm in the belief that the stoppage of rectal 
hemorrhages would be productive of head troubles, such as dizziness, vertigo, etc. 
I am happy to state that my experience establishes the absolute falsity of such an 
opinion; for, when suffering most from bleeding, vertigo was very frequent, espe- 
cially in the summer months, yet after a stoppage of more than five months I have 
had no such results as were anticipated, except upon one occasion when I had 
remained in a stooping position unnecessarily long; while on the contranr my head 
has been entirely free from dizziness; in fact more so than since I was fifteen years 
of age. To those laboring under such a delusion my advice is—“try the effect of 
Dr. Miller’s treatment, and your minds will soon become disaffected of a theory 
that is wanting of every element of truth.” 
Wishing for your practice, Doctor, the success it merits, I am yours very truly,1 
JOSHUA REECE, Jr., 
Dry Goods Editor N. Y. Journal of Commerce. 38 
DISEASES OF THE RECTUM. 
New York, April 10, 1883. 
Dr. E. P. Miller. 
Dear Sir:—It is with great pleasure that I am enabled to inform vou that sinoe 
you treated me for the piles there has been no return whatever of the complaint, 
and no symptom, so far as I am able to discover, has appeared, to excite any doubt 
in my mind but that the cure is complete and permanent. 
I had been a constant sufferer for twenty years when I applied to you for treaU 
ment I had four very obstinate tumors, which protruded from the rectum on tak- 
ing the slightest exercise, causing me much pain and inconvenience, and I could 
never rely on more than a moment’s comfort, except when, by lying or sitting, I 
could possibly keep the tumors in place. I had tried most of the remedies recom- 
mended before consulting you (including a rubber rectal supporter) but none of them 
did me the slightest good. In three days after your first treatment two of the 
tUmors disappeared, and within about the same time after the third treatment the 
ether two vanished also. Thus I was suddenly released from the grasp of an*enemy 
which for twenty years had never once relaxed his merciless, pitiless gripe upon me. 
All this was accomplished with scarcely any pain, and without disabling me 
from doing anything that I was able to do before the treatment commenced. I con- 
sider your method o>f treatment for the piles one of the greatest discoveries that has 
ever been brought to light tor the relief of suffering humanity. I shall ever be grate- 
ful to you fbr what you have done for me. Yours sincerely, 
EDWARD E. HOUSE, 
34 Thomas St., New York. 
FROM DB. BENNETT. 
Morenoi, Mich., June 20,1883. 
Da P. H. Rorick, St. Louis, Mo.: 
Your letter of the 15th received. Will say in reply that my practioe of the 
Brinkerhoff system of rectal treatment has been entirely satisfactory. The results 
obtained have been in many cases surprising, and prove to my satisfaction that the 
system is an advance step, greater than was ever before taken in medicine or sur- 
gery. Hemorrhoids can be cured without a failure, and without torture or incon- 
venience to the patient; but of still greater importance is the discovery that rectal 
nicer is the cause of a large per cent, of chronic diseases, which are cured by cur- 
ing the ulcer. I submit a brief statement of a few cases treated by myself, giving 
the names and addresses of each, who can be written to for particulars by any one 
interested in the subject. 
No. 1. 
Jacob Farwell, of Morenci, Mich., age 62 years, supposed to have Bright’s Dis- 
ease of the Kidneys. Three physicians said he could not live three days. Ex- 
amination revealed rectal ulceration, a corrugation of which pressed upon the 
urethra. The ulceration is now very nearly healed. The Brights disease has en- 
tirely disappeared, and he is as robust a man as is often found of his age. 
No. 2. 
Mrs. VanValkenburg, Fayette, Ohio, was an invalid for three years, troubled 
with bloating of the bowels, chronic dyspepsia, pain in the back and right hip. 
Said to be affected with female trouble and chronic rheumatism. She had rectal 
ulcer, which was promptly cured and gave entire relief from, all of the above named 
symptoms. 
No. 3. 
Stephen Stucker, Fayette, Ohio, ten years ago was operated on for fistula with 
the knife. It had never healed, and compelled him to wear bandages to catch the 
discharges. After the second treatment the discharge entirely ceased, and he is 
now on the rapid road to recovery- DISEASES OF THE RECTUM. 
39 
No. 4. 
• William Hardenburg, Fayette, Ohio, aged 62 years, had been confined to his 
bed for nine weeks with Bright’s Disease, and considered incurable. I found upon 
examination (as I believe will be found in all such cases) a rectal ulcer. One 
week after first treatment he was able to be around, and now, instead of being in 
his grave, is a well man doing hard labor. 
No. 5. 
Norman Stahl, Fayette, Ohio, aged 30 years. Seven years ago he was taken 
down with pains in the back and confined to bed ever since. Was treated bv able 
physicians. Nine fistulse opened in the lumbar region and over the hips, which were 
continually discharging matter. I found extensive ulceration of the rectum, and 
that injected water passed out of the fistulous openings. The case seemed to bt 
incurable, but after four months’ treatment, the water no longer passes out of the 
fistulse when injected, his general health has greatly improved, and there is every 
indication of a recovery. 
Yours Truly, 
C. T. BENNETT, M. D. 
FROM DR. E. P. miller’s WORK—REMARKABLE TESTIMONY FROM PATIENTS. 
“In answer to letters of inquiry sent to different persons who have received the 
new treatment for diseases of the rectum, we have received a large number of let- 
ters, extracts from which we publish herewith. We advise a careful perusal of 
them by those suffering from any form of rectal disease. They cover a wide range 
of cases, many of which were of the severest type, and all of which have either fuHy 
recovered, or are now under treatment, and in a fair way to do so. Stronger en- 
dorsement could hardly be found or desired. These letters are all genuine, and 
are open for inspection, or, should any sufferer desire more immediate testimony, 
the parties themselves may be addressed. They are from all classes—bankers, 
lawyers, judges, congressmen, merchants, farmers, and others, and the testimony 
of one and all is, “Sure, safe, painless.” 
Dr. Miller, Yonkers, N. Y., Dec. 22, 1882. 
Dear Sir:—Saturday will be ten days since you treated me; I have felt like 
another person since. I no longer have those severe pains that lasted for hours. 
Have not felt as well in ten months. 
Respectfully Yours, I. T. K. 
Dr. E. P. Miller, Delaware, 0., Dec. 23,1882. 
I had piles for twelve years; six of those years I suffered intensely at intervals. 
I have been 0. K. for five years. Dr. Brinkerhoff treated me five or six times. 
I was never in better health than I have been for the past three years. Some 
doctors say the piles will return, but five years of relief is worth more than I can 
estimate. J. G. Curben. 
Db. E. P. Miller, [ex-sheriff.] Ottawa, Jan. 9 1883. 
Dr. Brinkerhoff treated me for piles two years ago while I was sheriff of Putnam 
oounty, Ohio, and his treatment made me a sound man. I can recommend it to 
all afflicted with that dreadful disease. His treatment is not painful, and I think 
perfectly safe. I was afflicted with piles for twenty years and for five years 
very bad at times. The rectum would come out, and I could not get it back, and 
would have to get a doctor to replace it. The rectum was nearly full of lumps, 
which the doctor called piles or tumors, which he removed in a few months. 
Josiah Markley. 40 
DISEASES OF THE RECTUM. 
E. P. Miller, [shoemaker.] Delaware, 0., Jan. 5, 1883. 
Dear Sir :—I was treated in 1878 for outward piles by Dr. Brinkerhoff; I was 
suffering greatly, being hardly able to attend to business. I think I received from 
six to a dozen treatments. I was cured, so that for several years I have been per- 
fectly free. I highly recommend Dr. Brinkerhoff’s treatment to all suffering with 
piles or disease of the rectum. 
Yours Respectfully, P. Randall 
E. P. Miller, [farmer.] Hooker’s Station, O. 
Dear Sir:—I was treated by Dr. Brinkerhoff for ulcer of the rectum, fr-otw 
which I had been a sufferer for ten or twelve years. I have been entirely cured. I 
think he is a responsible man, and does all he claims. 
Yours Respectfully, Silas Peters. 
E. P. Miller [merchant.] Piqua, 0., Jan. 6, 1883. 
Dear Sir:—I believe in Dr. Brinkerhoff, and don’t believe he claims anything 
that he is not entitled to. What I know certainly and personally of his system ha 
that I had a very bad case of piles, and had been treated by physicians here and at 
Philadelphia; also tried every remedy I could hear of—all without any .good results. 
I had thirteen tumors, and all of them were removed by Dr. Brinkerhoff. 
Respectfully, John D. Shannon. 
Dr. E. P. Miller, [p. o. clerk.] Portsmouth, 0., JaB. 7,1883. 
Dear Sir:—I was treated by Dr. Brinkerhoff, as were also two other members 
of the family, besides many acquaintances, and was cured by him. His treatment 
is not painful. My disease was protruding piles. He used to stay here but one 
day. I understand that he now has so many patients that it takes him two days. 
Very Respectfully Yours, &c., 
Chas. L. Dunham. 
E. P. Miller, [gentleman.] Ft. Wayne, Ind., Jan. 6,1883. 
Dear Sir :—The case you refer to was a very bad case of over twenty years’ 
suffering, and was tumors and an ulcer and fistula. The patient was weak, ner- 
vous, and when Dr. Brinkerhoff commenced his treatment, was using a cane. 
Many doctors had been tried, but no relief given. I know of very many he hag 
cured, and many were personal friends of mine. The doctor’s treatment is the 
only rational one I know of, and I think all he has treated will say he has not been 
paid for the suffering he has removed. Some fourteen tumors were treated in the 
above case. 
0. C. Hill. 
Dr. Miller, [bank director.] Lancaster, 0., Jan. 6, 1883. 
Dear Sir:—I take pleasure in recommending Dr. Brinkerlioff’s treatment of 
piles. After suffering for more than thirty years with the worst kind of piles and using 
all kinds of salves and ointments, the doctor came here and treated me, together 
with a number of others in this vicinity, all of whom were cured, as far as I know. I 
have been well now for about three years. Am now eighty-two years old, and feel 
better than when I was fifty. There is no pain attending the operation. There is 
some little when sloughing off". He operated on me three times, and I think that 
it was between two and three months from the first to the last operation. It is the 
only treatment I know of that will cure the disease. 
Yours Respectfully, 
Wesley Peters. DISEASES OF THE RECTUM. 
41 
E. P. Miller, 39 W. 26th Street, New York: Springfield, 0., Jan. 8, 1883. 
Dear Sir :—I must say, that although not quite well, there has been a very deci- 
ded improvement in my case at least one hundred per cent. The case was a very bad 
one of tumors of the rectum of long standing, at least fifteen years. I know of 
many cures the doctor has made among our acquaintances, and would advise any 
one afflicted with the piles or diseases of the rectum, by all means to see the doctor, 
or some one whom he has given permission to use his instruments, as he has more 
than he can possibly attend to personally. My opinion in regard to his method of 
treatment is, that it is invaluable. 
Yours Truly, J. McElwain. 
[manufacturer. ] 
Dr. E. P. Miller, Greenville, 0., Jan. 23, 1883. 
Dear Sir :—Dr. Brinkerhoff, about three years ago, did treat me for ulcer of 
the rectum, and I must give him the highest praise for what he has done for me. I 
had been complaining for three or four years, before he treated me, and I could not 
tell what was the matter; neither could I get any relief from my physicians. I was 
to all appearance fast sinking into consumption. Dr. Brinkerhoff treated me six 
or eight times, and, 'to my surprise, I began to feel better in two or three days 
lifter the first treatment, and continued getting better, and at the end of six 
months was well and hearty. If it had not been for Dr. Brinkerhoff I believe I 
would at this time be a living skeleton, or in my grave. 
Yours Truly, 
L A. Kerb. 
E. P. Miller, [ex-judge.] Wildwood, Fla., Jan. 20, 1883. 
Dear Sir:—I was cured of piles by Dr. Brinkerhoff, and his treatment was entire- 
ly satisfactory to me. I had suffered more or less for twenty years. I received six 
treatments. He operated on one tumor at a time. No pain of consequence in the 
treatment. Received one treatment each month. It was two years ago, and so far 
as I can tell the cure is complete, and my opinion now is that his treatment is safe 
and will cure any ordinary case of piles. He was at Winchester every month for 
two years or more, and treated many for the same trouble, and, so far as I know, 
with uniform success. Yours, J. J. Chenev. 
E. P. Miller, [bookkeeper.] Richmond, Ind., Jan. 13, 1883. 
Dear Sir:—I am happy to inform you that Dr. A. W. Brinkerhoff has in my 
ease performed a complete cure—ulcer of the rectum being my trouble. My ulcer 
was large and deep, and took about twelve or fifteen treatments to effect a complete 
healing of the parts. Cure was performed without the slightest pain or annoyance 
to me. Was under his care over a year. My first symptoms were itching around 
the anus with corrugated hard ridges, which at times became very sore and annoy- 
ing, but had no idea of my having any such thing as an ulcer in the rectum. Ij 
think his method of treatment A No. 1. Don’t believe it could be improved upon. | 
Yours very respt’y, Joseph B. Craighead. 
E. P. Miller, [merchant tailor.] Kenton, 0., Jan 5,1883. 
Dear Sir:—My trouble was piles and nlcers both together I had been suf- 
fering for at least twelve years, when I met Dr Brinkerhoff. He said he could cur* 
me. “Well, doctor, commence now,1' was my answer. On the first examination he 
said I had four large pile tumors and two small ones. He eured the six in four 
operations, and I did not feel pain or lose any time from my business. The ulcer, 
I think, caused him to make six operations. To-day I regard myself as sound as I 42 
DISEASES OF THE RECTUM. 
ever was in my life. I have not seen Dr. Brinkerhoff for over a year, but I say thin- 
His treatment is painless and sure, which others here can testify to. I witnessed 
the treatment of several very bad cases, on# in particular. The gentleman’s name 
was Hicks. I believed when I saw the doctor first operate on him that no mortal 
man could ever cure him. He had ulcer and fistula which made three distinct 
discharges direct from the bowels. He claims now to be as sound as I am. My 
candid belief is that this treatment should be better known among the doctors, and I 
regard it safe and sure. I am, sir, respectfully, S. B. DeTray. 
t [merchant.] 
E P. Miller, 26th Street, New York, Richmond, Ind., Jan. 5, 1883. 
Dear Sir:—To Dr. Brinkerhoff I owe my present robust health, and virtually 
my life. I had suffered with piles and rectal ulcer for more than fifteen years, and 
could get no relief i* anyway, and was despairing of ever getting any better, when 
1 heard of Dr. Brinkerhoff, and met him by appointment in Greenville, Ohio, where 
he gave me my first treatment. It was almost painless, sore as I was, and in a few 
davsthe two tumors treated were gone, giving me great relief; from that time on I 
was treated when I felt the most pain, until he had successfully treated thirteen 
tumors, when an ulcer was discovered which had sapped and drained my energies 
far years. I am now entirely well, have no trouble, enjoy good health, weigh one 
hundred and sixtv-five pounds, instead of one hundred and twenty-seven as be- 
foretreatment, and am truly thankful that such a man as Dr. Brinkerhoff exists to 
render suffering humanity such great benefits. I have known over one hundred of 
mv friends and acquaintances to be treated by him at my suggestion, and they aU 
pronounce his treatment harmless, painless, effective and sure; he has never lost a 
case to my knowledge. Respectfully, W. S. Iliff. 
E. P. Miller, [coal dealer.] Piqua, 0., Jan. 6, 1883. 
Bear Sir:—Dr. A. W. Brinkerhoff cured me of the piles. I feel under many 
obligations to him for removing a local obstruction of nature’s pathway, brought on 
by indigestion, and at little pain or inconvenience. Although he is an “Ohio man,” 
I have found him a truthful gentleman and worthy of being encouraged in the pro- 
fession he has adopted for the benefit of suffering humanity, and I cordially recom- 
mend him to all who are suffering from one of the most painful and distressing 
maladies with which the human body is afflicted. I have recommended Dr. Brink- 
erhoff to several of my personal friends in Columbus, and all of them bear testimony 
that his manner of treatment is satisfactory in every respect to them. 
Very respectfully, E. Thos. Dudley. 
[farmer.] 
Mr. E. P. Miller, ; , North Berne, Fairfield Co., Jan. 6, 1883. 
Bear Sir:—Dr. Brinkerhoff is no quack, but I regard him as a gentleman ia 
every respect. He treated me once a month for about one year for piles and ulcers 
of the rectum. The pile tumors were soon cured, but the ulcer was a bad one. I 
am enjoying good health at present and think I am well of that painful disease. 
The treatment is not painful in the least, but gives relief almost instantly. I 
can only say to every one who suffers from that disease that he is doing himself an 
injury not to avail himself of the opportunity to be cured. I say so from the fact of 
myself having suffered so long and so much. I am now fifty-four years of age; the 
disease commenced when I was only eighteen—that is, the pile tumors; but the 
ulcer I cannot tell when it commenced, as I did not know such a thing was troubling 
me until the doctor made an examination. He showed every part of the disease to 
witnesses, who were standing by for that purpose, so that I could not be humbugged. 
Yours truly, Rvbolph Kagoy. DISEASES OF THE RECTUM. 
43 
Mr. E. P. Miller, [druggist.] Delaware, Ohio, Jan. 6,1883. 
Dear Sir:—I feel like a sound man in comparison to what I did about one and 
half years ago, when I first placed myself under Dr. Brinkerhoff’s treatment. I 
think that he has the true method, and in my case it was not very painful. I suppose 
no man ever suffered much more than I did in the same length of time, six or sevea 
years, as I could not be on my feet without the most excruciating pain, which made 
me extremely nervous and prostrated, so that I had to give up business. From the 
time that I commenced to be treated to the present, I have slowly regained health 
and strength. When I first heard of the doctor it was hard to convince me that a 
traveling doctor was anything else than a humbug; but after hearing others say that 
he had cured them, I hesitatingly concluded to try him, and feel very glad that I 
did so. My case was that of tumors in the rectum, which became filled with blood 
and would then burst, causing at times great loss of blood. I had a very large n lm- 
ber of them, and I was only treated for one at a time, once a month. My opin on 
is that the doctor ean cure any case that is curable. Yours truly; 
N. U. Stare. 
[lady.] 
State Mills, Chillicothe, Ross Co., 0., Jan. 11,1888. 
& P. Mills a, 
I am twenty-eight years old, have been married six years, and before I was 
grown I had poor health, which continued till after I was married. 
Backache, about three inches above the terminus of the spine, which at times was 
almost unbearable; suffered greatly from constipation of the bowels, not being ab'a 
to have them move more than once or twice a week; I had sallow complexion, 
whites of my eyes had a jaundiced appearance most of the time; complexioa and 
•yes both changed in appearance, so that my mother often told me I reminded her 
of a chameleon. I felt a weary sensation, more or less depressed, indifferent la 
parsing events, especially during the warm season, so that I had to take preparations 
of iron and other tonics to keep up my strength until the bracing frosts returned. 
A dry, hacking cough; every year in August I had what I supposed to be an attack 
of dysentery or flux, and was treated for the same. I afterward found that my diet 
did not affect the disease, and that it was only the result of a long standing case of 
ulcer. 
You need not be afraid to trust Dr. Brinkerhoff’s mode of treatment, for I am a 
living testimony of the efficacy of it, and I can testify to the same. I never had bet- 
ter health in my life than I’ve had in the past year and a half. He gives treatment 
with medicines, to use according to his directions, which, if you strictly follow, can 
•carcely fail to effect a cure. I am most respectfully, 
Mrs. R. E. Biszantz. 
E. P. Miller, [lady.] Portsmouth, 0., Jan. 30, 1883. 
I have been under the Brinkerhoff treatment, and I think it capable of doing 
wonders in the way of treating piles and diseases of the rectum. I had suffered for 
over twenty years with piles. Think I received eight or nine treatment* for piles 
and ulcers, and now have not had a treatment for over a year. Am cured of that,' 
and have better health than for five years before. I feel that I owe much, if not all, 
to Dr. Brinkerhoff’s method of treatment, and would recommend him as understand- 
ing what he undertakes. He has had much success here in this place. 
Yours, Mrs. C. T. Kehoe. 
Mr. E. P. Miller, [merchant.] Ottawa, 0., Jan. 6, 1883. 
Dear Sir:—Dr. Brinkerhoff came to our town, a stranger to me and others, 
and he came to me and wanted to know if I was not afflicted with piles, and I told 
him I w .8 badly. He said he could cure me; but I was skeptical, and my family 
doctor kept me away for three months; he said he would poison me and kill m*- 44 
DISEASES OF THE RECTUM. 
Bat at last I thought I would as soon be dead as be in the condition I was. I had 
the pile* for thirty years, and four years I did not walk half a mile at one time, I 
was so bad. I was operated on and was better in two hours. The pain stopped. I 
was operated on three times, and was cured sound four years last spring, and have 
never had a symptom since. I cannot write half enough in regard to this cure. 
Here in our vicinity he cured everything he undertook, and I never paid money to 
any on earth that I paid as free as the money I paid to Dr. Brinkerhoff, and I have 
a receipt for the money I paid him right in the flesh. I am as sound as any man 
on earth, and I was as bad as a man could be. His theory is a genuine sure cure. 
He cured a great many here, in our place, of piles and other afflictions of the rec- 
tum. I wish I could talk to you; I could tell you more than I can write. The ope- 
ration is not painful; it did not hurt me any more than a mosquito bite. I had three 
large tumors, and they are all gone clean, and I am happy. 
Respectfully, J. Coutright. 
WHA T PHYSICIANS SA F. 
Dr. E. P. Mtt.t.br, Lambertville, N. J., Jan. 12,1883. 
Dear Sir:—Your letter asking my opinion of Dr. A. W. Brinkerhoff’s system 
of rectal treatment is before me. After treating several hundred cases of hemorr- 
hoids and other diseases of the rectum, I must say it more than meets my expect- 
ations. Previous to adopting the treatment, I had used Dr. Hoyt’s (of N. Y.) 
treatment for piles, but found it very painful and unsatisfactory. It is only a 
pleasant pastime for physician and patient to cure piles with Dr. Brinkerhoff’s 
method. Yours respectfully, R. Rebd, M. D. 
Dr. Miller, Wattseon, 0., Jan. 11,1883. 
Sir:—Yours at hand. Would say, in reply, the system of Dr. Brinkerhoff i# 
all he claims for it. In over a year’s observation I do not know of a failure. 1 
expect to devote my whole time to it in the future. 
Yours respectfully, J. H. Waddell, M. D. 
Dr. E. P. Miller, Fort Wayne, Ind., Jan. 4, 1883. 
Dear Sir:—In replying to your inquiries, I will say that, after two year’s ex- 
perience in the practice, by the aid of the Brinkerhoff system of treatment for rectal 
diseases, I have had great success; in fact, all who came at or near the stated time 
for treatment, and followed the directions faithfully, are now well, or in a fair way 
to be cured; in fact, as regards hemorrhoids, I am willing to insure a cure to any 
one who is willing to be treated. I have treated over one hundred cases of rectal 
troubles, and still others are coming, all of our city and its vicinity, notwithstanding 
Dr. Brinkerhoff’s monthly visits. Yours truly, 
C. S. Smith, M. D. 
E. P. Miller, M. D., Detroit, Mich., Dec. 4, 1882. 
Dear Sir:—For four years I have devoted the greater portion of my time and 
attention to the treatment of rectal diseases by Dr. Brinkerhoff’s system of treat- 
ment. The last seven months I have devoted all my time to it. With Dr. Brinb- 
erhoff’s speculum one can treat just where a pile ought to be treated, high or low, 
little or much, which is invaluable to a proper treatment. Dr. Brinkerhoflf's hem- 
orrhoidal, fistula, fissure and ulcer compounds are equally admirable as the speo- 
ulum. 
Any one who will take the time to study the anatomy, physiology, and espe- 
cially the sympathetic and spinal system of nerve distribution to the rectum caa DISEASES OF THE RECTUM. 
45 
readily account for so much urinary, vaginal, uterine, kidney, liver, etc., troubles, 
which those who have rectal diseases suffer from. Such troubles as are usually 
"doctored," are but symptoms, as a rule, of ulceration or other diseage of the rectum. 
I feel that I cannot say too much in praise of Dr. Brinkerhoff’s system. Every 
day comes some new patient who has been the victim to the old barbaric treatment 
—a treatment that ought to be stopped by legislation. 
Very truly, A. B. Jamison, M. D. 
Dr. B. P. Miller, Upper Sandusky, Ohio, Feb. 15, 1883. 
Dear Sir:—I cheerfully comply with your request to give you my opinion of 
Dr. Brinkerhoff's system of treating rectal diseases. 
I have practiced this system for nearly four years as an itinerant physician. 
For nearly two years past I have traveled as Dr. Brinkerhoff’s assistant, and have 
had ample opportunities to test the success of his remedies and plans of treatment 
in nearly every form this class of diseases presents. My experience warrants the 
assertion that it is a success in all curable cases. I have yet to find the first case 
of hemorrhoids I have failed to cure with it. It is undoubtedly the best, safest, least 
painful and most successful of any system or method of treating rectal diseases ever 
devised. I give it my hearty endorsement. 
Very respectfully yours, 
James Cress, M. D. 
FROM DR. RORICk’s WORK—TESTIMONIALS. 
The following testimonials and statements are genuine in every particular. The 
full name and P. O. address being given, and an invitation extended to all 
who may be interested to address any of the writers for further information, by en- 
closing return postage. They are in the main extracts from a large number of let- 
ters received by practitioners of the new system, and cover a wide range of cases; 
a careful perusal of them will be of deep interest to those who may be suffering front 
rectal disease of any form. City references given on application at the offiock 
Patients referred to only by special permission: 
Portsmouth, Ohio, June 6, 1883. 
Dr. F. H. Rorick, St. Louis, Mo.: 
Dear Sir :—My age is twenty-nine years. Occupation, dry goods and carpet 
merchant. When I was fourteen years old, and still attending school, I became a£ 
fected with what was called common diarrhoea, which a home remedy would check 
for the time being, but it would soon return again. This state of affairs lasted on 
and on. I showed no particular failing in my health until about the year 1880. 
Then I began to run down rapidly. I consulted several of the best physicians in 
this city, and they pronounced my disease chronic diarrhoea or catarrh of the 
bowels, and treated me accordingly. I took medicine as often as nine times a day, 
and finally got so weak that I had to quit business. This point was reached in 1881. 
My friends became very much alarmed, and desired me to go to Cincinnati to be 
treated there, which I (fid, and took treatment from Dr. King, one of Cincinnati’s 
best doctors, for five months, but, despite his efforts, I continually grew worse and 
worse, and finally became satisfied that death was staring me in the face, and gave 
mp all hope of ever getting well. I could not swallow a mouthful of food or water 
without its causing intense pain in my stomach and bowels, and at times it would 
pass.through me in less than ten minutes. My nervous system became affected so that 
1 eould not sleep. I would go for five or six days without one moment of unconscious 
sleep. I wanted to die. I actually prayed to die. On May 16,1882, I sent for Dr. 
Brinkerhoff, who came to my room from the hotel. Upon examination he found an 
impacted ulcer in the rectum. He removed the impaction and has treated ma 
twelve times. I have been back in the store for three months, and am on the royal 
road to health. That I am thankful beyond measure for what the Brinnerhoff 46 
DISEASES OF THE RECTUM. 
system has done for me is useless to say. Sir, I believe the Brinkerhoff system ia 
destined to do more for the relief of suffering and saving from death than anything 
ever yet discovered. 
Yours Truly, 
Henry A. Broadbeok, 
Portsmouth, Ohio. 
[a grocertman.] 
Dr. F. H. Rorick, Si Louis, Mo.: Toledo, Ohio, June 8,1883. 
Dear Sir:—Your letter of inquiry of the 4th inst. received, and in reply I am 
happy to state that I have received treatment by the Brinkerhoff system for fistula 
and am very much pleased with the results, for I consider that my case was one of 
the worst cases that any one could be afflicted, with. When I commenced treatment 
I had from 14 to 16 open fistulas, and had suffered a great amount of pain, so much 
that I was almost unfit for business. Now I can attend to my business regularly, 
and am doing so well that I expect a permanent cure, and would recommend any 
one afflicted with fistula to go under the same treatment. I shall be happy to give 
any information for the benefit of any one afflicted with fistula, for I have perfect 
confidence in the treatment. 
Yours Truly, 
R. R. Orchard, 
135 Si Clair Street, Toledo, 0. 
Dr. F. H. Rorick, St. Louis, Mo., Watxshon, 0., June 4,1883. 
Your inquiry regarding my knowledge and opinion of the Brinkerhoff System 
of Rectal Treatment this day received. I have had hemorrhoids for twenty yean 
in its worst form, the best treatment that I could employ giving me no relief. I 
have been entirely cured by the Brinkerhoff painless process, ana feel that I cannot 
say too much In Its favor. I am well aequainted with a large number who have 
been treated for rectal ulcer, have given the subject a thorough investigation, and 
feel justified in saying that Dr. Brinkerhoff's discovery of the system of curing reo- 
tal ulcers, and thereby many chronic diseases heretofore considered incurable, is far 
in advance of anything known in the practice of medicine. The system is scieo* 
tific, safe and certain. lours very truly, 
Prof. R. 0. Barrett. 
[a merchant.] 
Dr. F. H. Rorick, St. Lonis, Mo., Elmore, Ohio, May 28, 1883. 
I have been a great sufferer from fistula and rectal ulcer for over two yeara 
which was fast running me into consumption. Life was a burden to me and I had 
despaired of ever getting well or receiving any relief whatever. But on the •on- 
trary, about one year ago I commenced treatment under the Brinkerhoff system, 
and have ever since steadily improved in health, and feel confident that the day is 
not far distant when I will be entirely well. I believe it affords the consumptive 
the only hope of cure, and too much cannot be said in its favor. 
Respectfully, Plumb Jaeabr. 
[drain commissioner.] 
Dr. F. H. RoRfCK: Canandaigua, Mich., June 10,1888. 
I was afflicted with piles for nearly twenty-one years, and had tried a great 
many remedies,-but without any relief whatever. They would burst at times and 
cause great loss of blood. My health finally completely failed me, and about one 
year ago I was supposed to be dying with Bright’s disease of the kidneys. I then 
placed myself under the Brinkerhoff system of treatment, and was then found to be 
ering from an ulcer as well as piles. Although I was extremely nervous and DISEASES OF THE RECTUM. 
47 
very much prostrated, I immediately began to regain my health and strength, and 
have so continued until the present time. My opinion is that the Brinkerhoff sys- 
tem will cure any case of piles, and that without danger. None need be afraid to 
trust it, for I am a living witness of its efficacy, and ready to testify to the same. 
Joseph Bennbtt. 
[a bank president says.] 
Dr. Rorick, Winchester, Ind., Jan. 12, 1883. 
Dear SirI was afflicted with piles for a number of years, and had tried a 
great many remedies, but without any relief whatever. There were two or three 
urge lumps near the lower part of the rectum, and whenever I had to attend to the 
wants of nature, or lift and exert myself, those lumps came out, and then I could 
not sit or walk until they were forced back. They bled frequently, and so I lived 
in misery for a number of years. 
When Dr. Brinkerhoff came here he cited me to persons that he had cured, 
and they all spoke favorable and said they were cured. I then concluded I 
would try his treatment. He operated on me only four times, and I am cured and 
entirely well of piles. It has been about four years and no sign of returning again, 
and the treatment caused me but very little pain; I attended to my business every 
day. I think it was about three months that I was under treatment. There are 
quite a number of persons here that Dr. Brinkerhoff has cured of piles. 
Yours very truly, Nathan Reed. 
[grain dealer.] 
Leipsic, Ohio, June 4,1888. 
Db. F. H. Rorick, St. James Hotel, St. Louis, Mo.: 
I will say that I have been under the Brinkerhoff treatment, and that it 1mm 
been of exceeding great benefit to me; and would recommend it to any one suffer- 
ing from rectal maladies or any of the diseases that have been found to result there- 
from. 0. F. Cole. 
Abram Garb, of Garr, Scott & Co., manufacturers of farm machinery, Richmond, 
Ind., says: 
Dr. Brinkerhoff said my trouble was a slotted ulcer in the rectum, which had 
troubled me for some twenty-five years. It came from habitual costiveness. Qe 
commenced treating me in March, 1880, and it was about one year before he pro- 
nounced me cured. He came once a month, examined me, and gave me some med- 
icine. I would not be where I was before he commenced treating me for one thousand 
dollars. I think his treatment far superior to any other that I ever saw. 
Abram Garb. 
[a brass workman says:] 
Dr. F. H. Rorick, St. Louis, Mo., Fort Wayne, Ind., Jan. 7,1883. 
Dear Sir:—My disease was piles, ulcers and polypus. It was a very sever© 
case. Had it not been for Dr. Brinkerhoff, I surely would now already lie moul- 
dering in the grave. For twenty years I had the above named disease. Indeed, 
during that long time I often saw the shadow of death approaching. Often I lost 
so much blood that I thought, “Thou must die now.” Dark clouds of pain, grief 
and sorrow surrounded me as my disease grew from bad to worse and worst. Before 
I heard of Dr. Brinkerhoff, I had employed many a doctor, but no one could give 
me any relief for my bad sickness. But when my disease had ascended its highest 
degree, thank God, I heard of Dr. Brinkerhoff, and went to him. He is indeed ft 
“bright star.” This was the star which destroyed all the dark clouds before me. 
For two years I was under his care, taking treatment once every month, and now I 
am a "healthy wealthy” man. 48 
DISEASES OF THE RECTUM. 
I must be much obliged to Dr. BrinkerhofF as long as I live, as he cured my 
severe disease, with God’s help, who says, “I am the Lord that healeth thee,” (a 
xv: 26). I wish that the Lord may return to Dr. BrinkerhofF all the good he has 
done me here on earth, and at last in the life everlasting. My opinion of his meth- 
od is this: it is a very good one, the best on all the earth. Without it no cure, no 
life, but the cold, chill, icy hands of death for me. Yours truly, 
D. Schieffer. 
GEORGE TIEMANN & CO., SURGICAL INSTRUMENT MAKERS, 67 CHATHAM STREET. 
To whom this may come: New York, October 11th, 1882. 
For more than two years we have manufactured for Dr. A. W. Brinkerhoff A 
Son, of Upper Sandusky, Ohio, Dr. Brinkerhoff’s Instruments for use in his system 
of Rectal treatment. 
In making these instruments we exercise the same care and employ same ma> 
terials as we do in all other goods of our make. 
Judging by the quantities which we are called upon to make, the demand for 
Dr. Brinkerhoff’s instruments must be steadily increasing. 
Georgs Tiemann & Co. 
TESTIMONIALS—HO IV SECURED. 
The reader will observe that most of the letters from patients are addressed to 
other parties—not to us. For convenience, and to save labor, we use them here. 
They become the more satisfactory to the reader because of that fact, and we are 
pleased to use them for the assurance they give the public. 
We have never asked for a dozen letters on this subject—indeed we have no 
time to do so, as the inability of physicians to do what we do, crowds us wherever 
we go i 
Many other matters deserve a place in this little work, but we have already too 
much for the space we desired to occupy, and can only, before closing, refer briefly 
to our sets of Instruments for physicians use, and others for use by the patient, and 
remedies, also, for physicians and patients, closing with various cuts showing some 
of the maladies developed by this system. 
This kttle work will knock at the door of many sufferers and many physicians 
—will be anxiously read by the sufferers, and as likely be spurned by some, if not 
many of the profession, because many of them do not like to hear of their short• 
oominqs and lack of knowledge on any medical subject. But we hope some of the 
seed Herein sown may fall on good ground, and produce abundantly for the bene- 
fit of suffering humanity, as it should. 
It is'no disgrace to secure knowledge, but it is a disgrace to suffer bigotry and 
vanity to block the door to knowledge when it can be had, and when, for the lack 
of that knowledge, millions of suffering human beings must remain on the broad 
road to death who can be saved and made well I 
) The use of this system will make them well ! The evidence of that fact is in 
these pages ! Others tell it, and there is left no ground for unbelief or doubt 1 We 
do rot ask you to believe what we say, but we do ask you to believe what others 
say, for they state but truth ! 
We could fill hundreds of pages with the joyful words of others! If what we 
have said and presented, is not believed, there is no use for more! 
Our object in presenting what we have, in the form we have, is as much to 
show the people who suffer that there is a sure—a certain cure at home, if the 
family physician would but secure and use it, for them; and, that if he will not do 
so, then to point you to some of the many physicians who do use this system to 
whom you can go, if not too distant, to secure what is your physician's duty to give 
you—relief and health! DISEASES OF THE RECTUM 
49 
You will find in this work the names of many good physicians who are ready 
to cure you 1 Call on them and be made well 1 or demand it of your physican, for 
he can if he will l 
REMEDIES USED BY PHYSICIANS. 
These remedies are put up, and labeled with great care, in two ounoe bottles. 
They consist of: 
1st Hemorrhoidal Compound. 
2d. Ulcer Specific. 
3d. Fissure Compound. 
REMEDIES FOR PATIENTS DAILY USE. 
These remedies are put up in bottles and packages to last four weeks, and 
carefully labeled. They are compounded with great care, and guaranteed to be ex- 
actly as used by Dr. Brinkerhoff, in his own practice, and furnished to physicians 
at our lowest wholesale prices, at less than they can buy the ingredients of 
druggists—thereby saving to them retail profits and all trouble of compounding, 
and labeling, as well as the time and expense necessary to do so. These remedies 
consist of: 
1st, Ulcer Compound—two kinds. 
2d. Ulcer Salve. 
3d. Ulcer Powder. 
PATIENT'S INSTRUMENTS. 
To use above remedies, properly, hard rubber instruments are necessary—one 
for salve and one for compound and powder. These we have patented, and supply 
physicians for patients, as demanded. Every patient with ulcer must use them as 
per directions. 
Contains as follows, viz: 
1 Directions for Treating—Book. 
1 Brinkerhoff’s Rectal Speculum—Patented. 
1 do Vaginal do do 
2 Hypodermic Syringes—best. 
2 Brinkerhoff’s, Sheathed, Hypodermic Needles—Patented 
1 do Excavating Probe. 
1 Lentes Probe. 
1 Rectal Oiling Springe. 
2 Oz. Brinkerhoffs Hemorrhoidal Compound—Patented. 
2 do do Ulcer Specific. 
2 do do Fissure Compound. 
2 do Olive Oil. 
1 Brinkerhoff’s Patient’s Syringe—Patented. 
1 do Salve Injector—Patented. 
20 Bottles Brinkerhoff’s Ulcer Compound for Patients nit, 
20 Boxes do Ulcer Salve do do do 
20 Packs do Ulcer Powder, do do 4ft 
l Spool Ligature Silk. 
1 Sponge. 
1 Physician’s Account Book. 
OUR CASE OF SETS, 50 
DISEASES OF THE RECTUM. 
All in fine Walnut Case, except Couch, with set, when desired, and which is a 
positive necessity. Also, is sent Brinkerhoff's Surgeon's Couch, or bed, patented, 
price $25.00. This couch folds into a small space—weighs only 35 pounds, can be 
carried in a buggy, will bear 500 to 1000 pounds and is an essential in rectal or 
vaginal treatment. Takes very little room in an office, and in its use the operator 
sits on a chair. It can be placed just where desired for good light, can be set up 
or folded in one minute ! 
PRICE OF SETS. 
The price of sets is varied to suit population. The lowest being One Hundred 
and Fifty Dollars, where population is 2,000 or less, and for population of 100,000 
or more,' $300.00. Ten per cent, of the receipts of purchaser and user of this 
system, payable monthly, must be paid for sole control of locality the first year, 
after that, for sole control, a monthly payment named in list sent, or a continu- 
ation of the 10 per cent, without sole control, as the physician may determine. The 
monthly payment, after the first year, will, in most cases, be less than the 10 per 
cent., and is substituted to save keeping careful accounts. 
TERMS OF PA YMENT. 
Our terms of payment for sets are cash, but with paper pronounced good by 
your banker, we will fill orders for half cash and good note, with 6 per cent, inter- 
est, due in six months from date of purchase. 
We guarantee the system to do all we sag, when used as per directions con- 
tained in “ Directians to Phgsicions," which accompanies each set. 
WHAT WE HOPE FOR; 
We hope the day will come, and that before many years, when at least one 
doctor in every town in the entire country will secure this system of treatment, so 
that the suffering may be able to reach its benefits at or near their homes, whereby 
life may be saved. Evert physician should have it, but if only one in every town 
secures it, then sufferers may be able to secure its benefits! Not only that, but 
every physician of ordinary perception can very soon learn to tell at a glance 
who are and who are not sufferers from rectal trouble, and as healers, as their 
profession implies, it is their duty to be able to inform all such sufferers what their 
malady is, before death has fastened his iron grip and cold hands upon them! We 
say this is their duty. We hardly know what more we can say than we have 
already said. If censure would accomplish our greatest desire, much as we dis- 
like that, we would use censure; if shaming would do it, we would use that; if 
pleading would do, we would fall upon our knees and in the most pathetic strains 
would we appeal, in the name of justice and humanity, to the more reasonable of 
the medical fraternity to discharge their whole duty! Men have come to us from 
Vermont, Tennessee, Wisconsin, Iowa, California, and other distant states, after 
their home physicians have failed to help them, and have gone home well ! It is 
a disgrace to the great, grand and intelligent profession that such should be! 
And yet while some are able to come, thousands remain at home and suffer and 
DIE, because unable to come, and influenced to stay away by such men as should 
cure them! Can there be any excuse for such indifference? If so what can it 
be? We know of none ! Is it lack of interest in the welfare of suffering human- 
ity? 4If so, is such a man worthy of confidence? If lack of means to secure the 
necessary means, is such a man discharging his whole duty by professing to do 
that which he is unable to do? Is it because, financially, he thinks it may not 
pay?. Poes it not pay to be able to do that which others cannot DO? Does it 
not pay to be able to save life? It surely does h*Bry way! v DISEASES OF THE RECTUM. 
51 
The reader need not think that this is some patent humbug—some catchpenny 
device, advertised to build up its inventor and discoverer! It is no such thing! 
Honest and intelligent men do not invest without investigation, and yet, but 
little over one year has elapsed since we offered this system of treatment, for the 
cure of disease—covering, seemingly, nearly ALL maladies affecting the liver, 
kidney, heart, lungs, throat, stomach, nose—indeed all diseases of the mucous 
membrane throughout its entire lencth, and nearly eve feature of nerve de- 
rangement, as well as organic troubles, and already ar e great cities of New 
York, Philadelphia, Pittsburgh, Cincinnati, Cleveland, ] it, Toledo, Chicago, 
Grand Rapids, Madison, Minneapolis, Denver, St. Louis, Louisville, and many 
smaller ones leased, occupied and controlled by earnest and wide-awakephysicians 
of old as well as new school—yes, and so is Milwaukee—and orders are daily com- 
ing in for the sole control of other towns, where its great success has become 
known! 
While the sluggard dreams and the egotist think's or says quack or humbug, 
intelligence reaches out and secures that which will soon add to fame and fortune, 
for it is like seed sown upon good ground, yielding more than its hundred fold. 
With this system of treatment, we will give One Thousand Dollars to any 
Physician or person who will bring us a case of Piles that we fail to cure, and we 
will do it without pain, danger to life or rest from labor l Why should millions 
suffer or go hundreds of miles from home to be cut, carved and DIE—or even so 
far to secure this treatment? All cases of piles are curable! But not so with 
Rectal Ulcers! They are the root of consumption—of a “complication of diseases’’ 
—and the time will SURELY COME, in their course, when cure cannot be 
found, if neglected. From them proceed Fistula, Blood Poison, misery and 
death ! 
Gentlemen, we wish we could speak co you in words tnat would reach your 
understandings and your hearts—we wish every physician in the land could see but 
one day what we see every day—then, not one hour would your mind linger in 
doubt, and no more would you speak in derision of discoveries herein claimed to 
have been made so lately as 1879! We do not claim the discovery of rectal ulcers, 
as they have been known to exist, from digital examinations, and felt, when too 
late, generally, to cure—but we do claim the use of an instrument by which, in any 
and every form, they are brought to view, treated and cured! Having done this 
and provided all other necessary instruments and remedies for their cure, we plead 
with you, as men and physicians, to do your duty, secure this system, with the 
physicians guide in treatment—which no one sees but those who buy, or secure 
the system, and cure the sufferings—abandon the use of irritating drugs, and let the 
stomachs of your chronic sufferers rest! We, alone, have performed over sixty 
thousand operations in the past five years by this new—and wonderful in results— 
system of treatment, and, where curable, we have never lost a patient, and never 
saw one get worse after treatment! We now only ask you to consider and do your 
duty, and the world will be better for your having livecL On him who refuses this 
system rests a weight of responsibility greater than we desire to bear. On such let 
it rest. 
For full particulars regarding it, address A. W. Brinkerhoff Sl Sons, Upper 
Sandusky, Ohio, or any name below: 
Names of those controlling large cities: 
E. P. Miller, M. D., 39 West 26th St., New York. 
R. Reed, M. D., 133 South 13th St., Philadelphia. 
J. Dodge, M. D., 164 Lacock St, Alleghany, (Pittsburgh.) 
F. H. Rorick, M. D., St James Hotel, St Louis.. 
Drs. Tons & Kelley, 155 West Madison St, Chicago. 
L. E. Miley, M. D. 215 East Broadway, Louisville. 
H. S. Beebee, M. D. 502 Fourth Ave. !V>uth, Minneapolis. 
F. F. John, M. D., 283 Ninth Street, 'Milwaukee. 
J. W. Vance, M. D., First National Bank Building, Madison, Wig. 
* £ Jamison, M. D., Brunswick Hotel, Detroit, Mich. 
v-or one man in any town, when known there, it furnishes more practice than 
all other diseases. 52 
DISEASES OF THE RECTUM. 
PHYSICIANS—LOCAL VS. TRAVELING. 
The writer is fully aware of the opinions held by the local physician in regard 
to the “ traveling quask,” and he is also aware that there must be something abso- 
lutely wrong in the local practice or there would be no opening for itinerant prac- 
tice! We have the right to assume that educated, local practitioners should be 
able to do all that any traveling doctor can do. It is our right to expect it! If he 
caa do so, then, on what can the itinerant feed and live ? If the local physician 
ean not do all that the itinerant can it is our privilege to know why he cannot do 
so. It is his duty to make himself able, ox forever seal his lips against the use of 
words of condemnation as to such itinerants, and hang his head in shame ! 
It must not be understood that the writer condemns the local practice for what 
it does do—not at all—but for what it fails to do ! If the itinerant can cure certain 
maladies which the local can not do—and he can—then it becomes the duty of the 
local to make himself equal to his assumed position, or applaud the itinerant for 
the good he does, and not treat him as a fraud and an imposter l The world can 
not do without the local physician, and if he would only do his whole duty, then 
no itinerant could exist. But as it is the local is generally so very unwise as to as- 
sume to know everything, and, without investigation, to attack by words, and be- 
hind his back, the good work even, of the most successful itinerant—it matters not 
how great his cures—yet makes no effort to make himself master of that which he 
cannot do himself, but plainly sees can be, and is done by such men as he calls by 
the convenient name of "quack! ” This surely is not wise! It is not just to the 
itinerant. It does not succeed, as he hopes it will, in keeping away from the suc- 
cessful itinerant, even the most intelligent of his own suffering patients, for they 
will go where cure and health can be had. Even when they do that, in many cases 
the local family physician, in whose success they have trusted until all hope van- 
ished, insults such patron by sneeringly asking the sufferer, “have you gone to that 
quack ? " and he is met with the just reply, “Yes, and I am getting well too f[' A just 
rebuke! > 
To change rooted methods and long used systems—no matter how much error 
may be found in them, requires great and continued effort! The battle has to be 
fought by one or few men, at first, on one side, and myriads of organized opposers 
and interested veterans on the other side, and often the result is very uncertain or 
progress slow. But such has not been the case with the Brinkerhoff system of 
rectal medication for the cure of so-called chronic diseases. 
Three years ago, only, it had gone but little beyond the limits of Dr. Brinker- 
hoff’s own personal visits and individual efforts, while to-day it is known and en- 
dorsed from San Francisco to Boston, and from Texas to Canada, and orders for it 
are pouring in from physicians from all quarters of the United States, and in time, 
and that not remote, where will it not be ? 
The inventor and discoverer of this system, although himself an itinerant, is do- 
ing all he can to plant it where it rightly belongs—in the hands of the local practice. 
Dr. Brinkerhoff is no defender of itinerant quackery any more than he is of local 
quackery, and he believes there is a great deal too much of that article in both 
practices, and will so continue to be until the local practice embraces all the know- 
ledge it can get and thereby roots out all necessity for its despised itinerant com- 
petitor. 
If the local practice had filled its mission then the country would not be filled 
with persons who have long suffered, and doctored until all confidence in doctors 
had vanished and all hope of returning health gone, gone, forever! Nor would the 
room of Dr. Brinkerhoff and his assistants be filled daily with those who come to 
be made well! 
Reader, please remember that such is daily the case, in the very midst of 
clouds of the ablest physuians, in our large towns and cities, notwithstanding the 
combined opposition of tins great and small—of the short and tall—until complete 
victory crowns the nowtoell known and established Brinkerhoff system of treat- 
ing and curing chronic diseases l 
If physicians will continue to fight it, just give them line, for nothing will make 
the sufferer do more in its defense when cured, than such condemnation l 
Six years, in many towns in Objo and Indiana, where the Brinkerhoff system DISEASES OF THE RECTUM. 
53 
has been steadily used, has proved to be too much for the most determined opposi- 
tion of the “associated” profession, and so it will be in all time to come! 
Men may talk of Allopathy, Homcepathy, and all other pathies, for the cure 
of chronic diseases, but they all have failed, and, to-day. Dr Brinkerhoff's system 
of Rectopalhy shines overall like the noonday sun in comparison with the darkness 
of night! It has been tested in the balances and not found wanting ! 
We know that opposition will die in the “last ditch”—but be that where it 
may, it will die ! Truth is mighty and will prevail! 
Only to-day we once more heard of the stale and supposed to be unanswerable 
question, put by a. physician to & patient, in the city of Urbana, O., viz.: “If he 
can do so much, why does he not stay at home, where he can get all he can do?” 
The question is weak and foolish, but we will answer it: 
1st. We come to Urbana to prove what we say in this book! 
2d. We come to Urbana to advertise this system and such men as that one. 
3d. We come to Urbana because many of your patients can t come to us I 
4th. We come to Urbana because your old patients want us to come! 
5th. We come to Urbana because you cant cure those sufferers and we cant 
6th. We come to Urbana to show you that our practice is not quackery ! 
7th. We come to Urbana to save the lives of your afflicted. 
8th. We come to Urbana, and all other places visited by us, because the peo- 
ple want us to come! 
9th. We can stay at home and have plenty of work—we can settle in Toledo, 
where our many friends desire us to stay, and have more than we can do. Even the 
sufferers of St. Paris plead with us for one day only, but we can’t give them that, 
and they must come to Urbana to see us. We must come to Urbana because you 
will «ot do your duty! Our labor is almost more than we can bear—not only at 
one, but at all places visited by us! We give Toledo three days, while they ask for 
and six are demanded to do our work there. We have one day only in four weeks 
for rest, at home, and that day we are compelled to give to Toledo ! This system 
begs not I Where once known the office of those using it is seldom empty ! When 
there is one doctor in each town of 2,000 or more inhabitants using it, then, and 
not until then, will we feel that we have done our whole duty by staying “at 
home!” This is our answer! Is it satisfactory? We know that you do not 
want us, but the sufferers do! Wb must comb I Treatedby Dr. A. IV. Brinkerhoff,in i8ao 
Disease.—Piles and Ulcer, Ulcer just 
starting from a cut through membrane. 
Whole case easily cured. 
Treated by Dr. A. W. Brinkerhoff,in 1880. 
Disease. — End view—Piles. Easily 
sured. Six or seven treatments. 
Treated by Dr. A. IV. Brinkerhoff,in 1880. 
Disease.—Blotted Ulcer, with high red 
walls; not impacted. Discharges much 
white mucus. Not hard to heal, but takes 
much patience and time. 
Treatedby Dr. A. IV. Brinkerhoff in 1880, 
Disease.—Deep, ragged-walled, im- 
pacted Ulcer. Easily cured, with good 
attention. 
Treated by Dr. A. IV. Brinkerhoff,in 1880. 
Disease.—Ulcer, with blind internal 
and external fistulas, with partial strict- 
ure. Sinus and the cavity extending 
upward fully two inches, large, aa9 
Dili constantly discharging pus. ▲ 
dirtw string ctia 
Treated by Dr. A. IV. Brinkerhoff, in 1880. 
Disease. — Ulcer, a very peculiar 
case; caused much misary. StrictttM 
between poia|» below. Treated by Dr. A. IV. Brinkerhoff,in 1880. 
Disease.—Piles and Ulcer. Ulcer im- 
pacted as seen in Nos. 6 and to. View 
against back of rectum. One treatment 
will cure pile tumor ; nicer slow to cure. 
Treated by Dr. A. W. Brinkerhoff,in 1880. 
Disease.—Piles or hemorrhoids only. 
Seven treatments will cure this case 
completely. 
Treated by Dr. A. W. Brinkerhoff,in 1880. 
Disease.—Impacted Ulcer, inflamed, 
resulting in swollen glands around the 
anus. Lumps white, very painful, but 
not piles. Often mistaken for piles by 
physicians. 
Treated by Dr. A. IV. Brinkerhoff,in 1880. 
Disease —Ulcer, Polypus and Fissure, 
Ulcer deep, cavernous, and slow to cure. 
Polypus easily removed. Fissure easily 
cured. 
Treated by Dr. A. IV. Brinkerhoff,in rSSo 
Disease.—The king of Ulcers, almost 
death's door-keeper. Soon becomes in- 
curable. The suffering is intense. 
Thie Ulcer destroys the entire nervous 
Examined by Dr. A. IV. Brinkerhoff,in'80 
Hopeless—died soon after. In every 
censumptive patient you will find this 
form of Ulcer, with or with out fistula. 
When you see a consumptive, you may 
know that this form of Ulcer is present, 
and if the patient is bad, it is incurable 
•r • role Treated by Dr. A. IV. Brinkerhojf.ini 8 80. 
Disease.—Piles, Ulcer and Partial 
Procidentia. A terrible case, slow to 
cure, and much care must be exercised 
in treatment. Now well. 
Disease.-Procidentia. Protrude! 
as seen. Like piles, the folds are 
very red. Will return to its place 
without assistance. Very annoying. 
Is there a cure? 
Treated by Dr. A. W. Brinkerhoff,in 1880. 
Disease. —Ulcer greatly impacted 
Pressure against nerves of spinal column 
very severe. Three fistula sinuses pass- 
ing through the flesh. Curable, but takes 
time. 
Examined by Dr. A. IV. Brink- 
erhoff, in 1880 
Disease.—Severe Ulceration. 
Sphincters and anal-membrane, 
with much of the rectum de- 
stroyed. Incurable 
Treated by Dr. A. W. Brinkerhoff.in 1880. 
Disease.—Small Ulcer, Polypus and 
Fissure. All easily cured; but this fis- 
sure is a painful one, producing great 
distress 
Disease.—Ulcer shown in speculum, 
just above end of slide, with top of 
speculum cut out to show lower parts. 
A pile tumor shows the same, only rises 
up full inside and red. Treated by Dr. A. W. Brinkerkoff, 80 
Disease.—Bad Ulcer, with nine 
fistulous openings. Never saw an- 
other such case. Almost, now, and 
soon will be, well. An awful case. 
Since 1S80, I saw and treated a case 
in Toledo having sixteen openings, 
involving whole left buttock. Near- 
ly wett now. 
Treated by Dr. A. W. Brinkerkoff, 
in 1880. 
Disease.—Impacted Ulcer, shown 
between rectum and coccyx. Is it 
any wonder that persons complain 
of being “ sore at end ofbackbone T ’’ 
This cut—too indifferent to use—shows 
my method of treating Rectal Ulcers, 
nightly, by the sufferer, and to be used 
after every stool to keep the ulcer and 
rectum clean and healthy. Without this, 
NO ULCER CAN BE CURED.