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on ulcers-第3章

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corrosive powder:…Of the most finely…levigated misy; sprinkle upon the
moist and gangrenous parts; and a little of the flower of copper;
not altogether levigated。 Another powder equally corrosive:…Having
sponged the ulcer; burn the most greasy wool upon a shell placed on
the fire until the whole be consumed; having reduced this to a fine
powder; and sprinkled it on the sore; apply the bandage in the same
manner。 Another powder for the same ulcers:…The black chamaeleon; when
prepared with the juice of the fig。 It is to be prepared roasted;
and alkanet mixed with it。 Or; pimpernel; and Egyptian alum roasted;
and sprinkle on them the Orchomenian powder。 For spreading
ulcers:…Alum; both the Egyptian roasted; and the Melian; but the
part is to be first cleansed with roasted natron and sponged; and
the species of alum called chalcitis roasted。 It is to be roasted
until it catch fire。

  11。 For old ulcers which occur on the fore part of the legs; they
become bloody and black:…Having pounded the flower of the melilot
and mixed it with honey; use as a plaster。 For nerves (tendons?) which
have been cut asunder:…Having pounded; sifted; and mixed with oil
the roots of the wild myrtle; bind on the part; and the herb
cinquefoil (it is white and downy; and more raised above the ground
than the black cinquefoil); having pounded this herb in oil bind it on
the part; and then remove it on the third day。

  12。 Emollients (?):…These medicines are to be used in winter
rather than in summer。 Emollient medicines which make the cicatrices
fair:…Pound the inner mucous part of the squill and pitch; with
fresh swine's seam; and a little oil; and a little resin; and
ceruse。 And the grease of a goose; fresh swine's seam; and squill; and
a little oil。 The whitest wax; fresh clean grease; or squill and white
oil; and a little resin。 Wax; swine's seam (old and fresh); and oil;
and verdigris; and squill and resin。 Let there be two parts of the old
grease to the fresh; and of the other things; q。 s。 Having melted
the grease that is fresh; pour it into another pot; having levigated
plumbago finely and sifted it; and mixed them together; boil and
stir at first; boil until when poured upon the ground it concretes;
then taking it off the fire; pour it all into another vessel; with the
exception of the stony sediment; and add resin and stir; and mix a
little oil of juniper; and what has been taken off。 In all the
emollient medicines to which you add the resin; when you remove the
medicine from the fire; pour in and mix the resin while it is still
warm。 Another:…Old swine's seam; wax; and oil; the dried shavings of
the lotus; frankincense; plumbago;…namely; of the frankincense one
part; and of the other one part; and of the shavings of the lotus
one part; but let there be two parts of the old grease; one of wax;
and of fresh swine's seam one part。 Another:…Or old swine's seam along
with the fresh grease of a goat; when cleaned; let it retain as little
as possible of its membrane: having triturated or pounded it smooth;
pour in oil; and sprinkle the lead with the spodium and half the
shavings of the lotus。 Another:…Swine's seam; spodium; blue chalcitis;
oil。

  13。 For Burns:…You must boil the tender roots of the ilex; and if
their bark be very thick and green; it must be cut into small parts;
and having poured in white wine; boil upon a gentle fire; until it
appear to you to be of the proper consistence; so as to be used for
a liniment。 And it may be prepared in water after the same manner。
Another; not corrosive:…Old swine's seam is to be rubbed in by itself;
and it is to be melted along with squill; the root of which is to be
divided and applied with a bandage。 Next day it is to be fomented; and
having melted old swine's seam and wax; and mixed with them oil;
frankincense; and the shavings of lotus and vermilion; this is to be
used as a liniment。 Having boiled the leaves of the wakerobin in
wine and oil; apply a bandage。 Another:…When you have smeared the
parts with old swine's seam let the roots of asphodel be pounded in
wine and triturated; and rubbed in。 Another:…Having melted old swine's
seam; and mixed with resin and bitumen; and having spread it on a
piece of cloth and warmed it at the fire; apply a bandage。 When an
ulcer has formed on the back from stripes or otherwise; let squill;
twice boiled; be pounded and spread upon a linen cloth and bound on
the place。 Afterward the grease of a goat; and fresh swine's seam;
spodium; oil; and frankincense are to be rubbed in。

  14。 Swellings which arise on the feet; either spontaneously or
otherwise; when neither the swellings nor the inflammation subside
under the use of cataplasms; and although sponges or wool; or anything
else be bound upon the sound part; but the swelling and inflammation
return of themselves again; an influx of blood into the veins is the
cause; when not occasioned by a bruise。 And the same story applies
if this happen in any other part of the body。 But blood is to be
abstracted; especially the from the veins; which are the seat of the
influx; if they be conspicuous; but if not; deeper and more numerous
scarifications are to be made in the swellings; and whatever part
you scarify; this 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。

  15。 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。

  16。 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。

  17。 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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