Whenever pain is present during the treatment it is usually due to one of two things: either the water has not been sufficiently hot, or the reservoir has not been completely filled, but, if in spite of these precautions, pain should be present, it will be found advisable, after a small quantity of water has been injected (say from a pint to a quart) to shut off the faucet, rise from the “Cascade” and expel it; then, upon returning to the “Cascade,” it will usually be found that the cleansing of the lower portions of the bowel has removed the trouble. The same method of procedure holds good when there is any difficulty in injecting the water. In cases where pain is persistent, even although all precautions are taken (although such are extremely rare), a decoction of anise seed, made by steeping a tablespoonful of the seed in a pint of boiling water, added to the water used for flushing (omitting the antiseptic tonic), will act as an anodyne on the intestine, and completely subdue the pain.

The frequency with which the treatment is used will depend upon the nature of the trouble and the length of time it has existed. In the great majority of cases it is recommended to be used as follows when commencing the treatment: The first week use it every night; the second week every alternate night; after that use it twice a week, or as occasion seems to demand it. For the simple preservation of health, twice a week will be found amply sufficient. After using the “Cascade” it will be found extremely beneficial to inject from a half pint to a pint of cool water and retain it. This will be found not only a valuable rectal tonic, but an excellent diuretic as well, as it will pass off by way of the kidneys, cleansing and purifying those organs.

The “Cascade” should not be used within three hours after eating a full meal, as, if both the stomach and transverse colon are distended at the same time they press upon each other, and the stomach, being the more sensitive of the two, nausea is likely to be produced; but although (with the above proviso) the treatment can be used with benefit at any period during the twenty-four hours, yet, just before retiring at night is by far the best time to take it, for several reasons. Firstly, it is usually the most convenient time for the majority of people. Secondly, it invariably induces a good night’s rest; for no sleeping potion can equal its effects in that direction. Thirdly, night is Nature’s repairing season, when she is busy making good the ravages of the day—replacing the waste by building fresh tissue and by putting the system into a cleanly condition and purifying the blood current; at that season you are co-operating with Nature and may confidently expect, and will undoubtedly secure, the best results.

After using the “Cascade” it is quite possible that there may not be a movement of the bowels until late the following day. This must not be considered as evidence of constipation, but simply a lack of matter to discharge. In a perfectly natural condition of existence there should be at least two movements of the bowels during the day, but it must be remembered that the human system has acquired bad habits, and it will require some time before perfect conditions are re-established. If, however, from a half pint to a pint of hot water is sipped in the morning, certainly not less than half an hour before breakfast, it will stimulate the bowels to action, even though the “Cascade” had been used the night before, while its cleansing effect upon the stomach will assist the digestive functions in a marked degree.

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It may be accepted as a truism that success invariably excites envy, therefore, it is but reasonable that the astounding results that have attended this method of treatment should have aroused a certain amount of antagonism. The hardy individual who dares to propose a new departure in the method of treating disease must be prepared to hear his theories ridiculed, his system denounced, and, possibly, his motives impugned. Consequently, it is not surprising that the “Cascade Treatment” has some objections urged against it.

The first objection I am confronted with is, “it is not natural.” I willingly concede that point, and will add that neither is an obstructed and engorged colon natural.