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On Ulcers   

is to be done with the sharpest and most slender instruments of iron.
When you have removed the blood, you must not press hard upon the
part with the specillum, lest you produce contusion. Bathe with vinegar,
and do not allow a clot of blood to remain between the lips of the
wounds, and having spread greasy wool with a medicine for bloody wounds,
and having carded the woof and made it soft, bind it on, having wetted
it with wine and oil. And let the scarified part be so placed that
the determination of the blood may be upward and not downward; and
do not wet the part at all, and let the patient be put upon a restricted
diet and drink water. If upon loosing the bandages you find the scarifications
inflamed, apply a cataplasm of the fruit of the chaste-tree and linseed.
But if the scarifications become ulcerated and break into one another,
we must be regulated by circumstances, and otherwise apply whatever
else appears to be proper.


When a varix is on the fore part of the leg, and is very superficial,
or below the flesh, and the leg is black, and seems to stand in need
of having the blood evacuated from it, such swellings are not, by
any means, to be cut open; for, generally, large ulcers are the consequence
of the incisions, owing to the influx from the varix. But the varix
itself is to be punctured in many places, as circumstances may indicate.


When you have opened a vein and abstracted blood, and although the
fillet be loosed the bleeding does not stop, the member, whether the
arm or leg, is to be put into the reverse position to that from which
the blood flows; so that the blood may flow backward, and it is to
be allowed to remain in this position for a greater or less space
of time. Then bind up the part while matters are so, no clots of blood
being allowed to remain in the opening. Then having applied a double
compress, and wetted it with wine, apply above it clean wool which
has been smeared with oil. For, although the flow of blood be violent,
it will be stopped in this way. If a thrombus be formed in the opening,
it will inflame and suppurate. Venesection is to be practiced when
the person has dined more or less freely and drunk, and when somewhat
heated, and rather in hot weather than in cold.


When in cupping, the blood continues to flow after the cupping-instrument
has been removed, and if the flow of blood, or serum be copious, the
instrument is to be applied again before the part is healed up, so
as to abstract what is left behind. Otherwise coagula of blood will
be retained in the incisions and inflammatory ulcers will arise from
them. In all such cases the parts are to be bathed with vinegar, after
which they are not to be wetted; neither must the person lie upon
the scarifications, but they are to be anointed with some of the medicines
for bloody wounds. When the cupping instrument is to be applied below
the knee, or at the knee, it should be done, if possible, while the
man stands erect.


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