DOCTRINA

Also, that blood which flows much through the anus with much excrement indicates that some small intestine is ulcerated, but for this reason, pain around the navel precedes its excretion. But if it is discharged as a small amount with a small amount of excrement accompanied by a griping of the belly, it signifies that some part of the large intestines is affected by an ulcer. Of these, if it is the colon, a stabbing pain fatigues both sides of the belly, and the bowels are exonerated without great effort. But if it is the rectum, the excrement is not discharged without molestation and great effort, and they signify a tenesmus a constant need to defecate from a preceding dysentery bloody diarrhea. Furthermore, that which flows from hemorrhoids—that is, from dilated and varicose veins of the anus—is varied, according to the variety of the hemorrhoids themselves, since some are external and some internal. But that which flows from the external ones is thick and black, because it flows from the branches of the vena cava the large vein carrying blood to the heart, the flow of which greatly relieves those affected in the kidneys. But that which exits from the internal ones appears watery and imperfect, because it flows from the mesaraic veins. And because of these kinds of hemorrhoids, the patient, whenever he exonerates his bowels, feels something heavy around the anus and has difficulty admitting suppositories and enemas. Furthermore, if blood exits in small amounts after a crust is removed from the nostrils, it signifies that an ulcer is present here and is the beginning of elephantiasis a chronic condition characterized by skin thickening and swelling. But that which is vomited concreted comes from