Excerpt from The Medical News, Vol. 86: A Weekly Medical Journal; January-June, 1905 This type of ulcer is easily overlooked; in fact, it is difficult to locate, except by the most ap proved method of anoscopy. I have a case on record, a male, who had an anterior fissure of this kind, forming a complete fistula without a history of abscess. Patients suffering from fis sure are usually very restless, high-strung and melancholic. The severe pain, though not com mensurate with the pathologic condition, renders the belief that they are suffering from cancer or incurable disease. The reflex phenomena become quite interest ing when we consider the anatomic distribution of nerves of the parts: the anal branch of the internal pudic nerve gives off numerous end or gans in the anal pilasters and Hilton's line, form ing the rectal sense of Stroud. These nerves are exceeding sensitive and, when exposed by a lace ration, become congested and swollen. By their intimate relationship to the spinal plexus and sympathetic systems, both local and remote re flexes are easily understood. The bladder, pros tate, urethra and testicles, ovaries, tubes and uterus are apt to bear the onus of direct disease, when, in fact, the pain of fissure is reflected to these organs. Again, we may mention such re mote reflexes as pain in thighs, legs and heel, back of neck, and flatulent dyspepsia. I recall a young man whom I cured of this form of dys pepsia by removing an irritable ulcer of the rectum. He had been limited to a milk diet for a year, and was receiving special treatment of the stomach when referred to me. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.