Hippocrates - On Ulcers

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On Ulcers Hippocratesby Francis Adams———————————————————

———————————————-1must avoid wetting all sorts of ulcers except with

wine, unlessulcer be situated in a joint. For, the dry is nearer to the sound,the wet to the

unsound, since an ulcer is wet, but a sound partdry. And it is better to leave the part

without a bandage unlessunless a cataplasm be applied. Neither do certain ulcers admit of,

and this is the case with the recent rather than the old,with those situated in joints. A spare

diet and water agree withulcers, and with the more recent rather than the older; and

withulcer which either is inflamed or is about to be so; and whereis danger of gangrene;

and with the ulcers an inflammation in; and where there is danger of convulsion; and in

wounds ofbelly; but most especially in fractures of the head and thigh,any other member in

which a fracture may have occurred. In theof an ulcer, it is not expedient to stand; more

especially ifulcer be situated in the leg; but neither, also, is it propersit or walk. But quiet

and rest are particularly expedient. Recent, both the ulcers themselves and the surrounding

parts, willleast exposed to inflammation, if one shall bring them to a

suppurationexpeditiously as possible, and if the matter is not prevented fromby the mouth

of the sore; or, if one should restrain the, so that only a small and necessary quantity of

pus mayformed, and the sore may be kept dry by a medicine which does notirritation. For

the part becomes inflamed when rigor and throbbing; for ulcers then get inflamed when

suppuration is aboutform. A sore suppurates when the blood is changed and becomes

heated;that becoming putrid, it constitutes the pus of such ulcers. Whenseem to require a

cataplasm, it is not the ulcer itself to whichmust apply the cataplasm, but to the

surrounding parts, so thatpus may escape and the hardened parts may become soft.

Ulcerseither from the parts having been cut through by a sharp instrument,excised, admit

of medicaments for bloody wounds ('enaima), andwill prevent suppuration by being

desiccant to a certain degree., when the flesh has been contused and roughly cut by the

weapon,is to be so treated that it may suppurate as quickly as possible;thus the

inflammation is less, and it is necessary that the piecesflesh which are bruised and cut

should melt away by becoming putrid,converted into pus, and that new flesh should then

grow up.every recent ulcer, except in the belly, it is expedient to causeto flow from it

abundantly, and as may seem seasonable; forwill the wound and the adjacent parts be less

attacked with inflammation., in like manner, from old ulcers, especially if situated in the, in

a toe or finger, more than in any other part of the body.when the blood flows they become

drier and less in size, as beingdried up. It is this (the blood?) especially which prevents

suchfrom healing, by getting into a state of putrefaction and corruption., it is expedient,

after the flow of the blood, to bind over thea thick and soft piece of sponge, rather dry

than wet, and toabove the sponge some slender leaves. Oil, and all things ofemollient and

oily nature, disagree with such ulcers, unless theygetting nearly well. Neither does oil

agree with wounds whichbeen recently inflicted, nor yet do medicines formed with oilsuet,

more especially if the ulcer stands in need of more cleansing., in a word, it is in summer

and in winter that we are to smearoil these sores that require such medicines. —————

—————————————————————————————-2purging of the

bowels agrees with most ulcers, and in woundsthe head, belly, or joints, where there is

danger of gangrene,such as require sutures, in phagedaenic, spreading and in

otherwiseulcers. And when you want to apply a bandage, no plastersto be used until you

have rendered the sore dry, and then indeedmay apply them. The ulcer is to be frequently

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cleaned with a sponge,then a dry and clean piece of cloth is to be frequently appliedit, and

in this way the medicine which it is supposed will agreeit is to be applied, either with or

without a bandage. The hotagrees better than winter with most ulcers, except those

situatedthe head and belly; but the equinoctial season agrees still betterthem. Ulcers which

have been properly cleansed and dried as theybe, do not usually get into a the state. When

a bone has exfoliated,has been burned, or sawed, or removed in any other way, the

cicatricessuch ulcers become deeper than usual. Ulcers which are not cleansed,not

disposed to unite if brought together, nor do the lips thereofof their own accord. When the

points adjoining to an ulcerinflamed, the ulcer is not disposed to heal until the

inflammation, nor when the surrounding parts are blackened by mortification,when a varix

occasions an overflow of blood in the part, is thedisposed to heal, unless you bring the

surrounding parts intohealthy condition. ———————————————————

———————————————-3ulcers, if somewhat hollow, you must scarify all

along their, or to the extent of half the circle, according to the naturalof the man. When

erysipelas supervenes upon any sore, youpurge the body, in the way most suitable to the

ulcer, eitheror downward. When swelling arises around an. ulcer, and ifulcer remain free

from inflammation, there will be a deposit ofin process of time. And whatever ulcer gets

swelled along withand does not subside as the other parts subside whichinflamed and

swelled at the same time, there is a danger thatan ulcer may not unite. When from a fall, or

in any other way,part has been torn or bruised, and the parts surrounding the ulcerbecome

swelled, and, having suppurated, matter flows from theby the ulcer, if in such cases a

cataplasm be required, itnot be applied to the sore itself, but to the surrounding parts,that

the pus may have free exit, and the indurated parts may be. But when the parts are

softened as the inflammation ceases,the parts which are separated are to be brought

toward one another,on sponges and applying them, beginning from the sound

partsadvancing to the ulcer by degrees. But plenty of leaves are tobound above the

sponge. When the parts are prevented from comingby a piece of flesh full of humors, it is

to be removed.the ulcer is deep seated in the flesh, it is swelled up, boththe bandaging and

the compression. Such an ulcer should be cutupon a director (specillum) if possible, at the

proper time, soto admit a free discharge of the matter, and then the proper treatmentto be

applied as may be needed. For the most part, in every hollowwhich can be seen into which

can be seen into direct withoutany swelling present, if there be putrefaction in it, or ifflesh

be flabby and putrid, such an ulcer, and the parts whichit, will be seen to be black and

somewhat livid. And of corroding, those which are phagedaenic, spread and corrode most

powerfully,, in this case, the parts surrounding the sore will have a blacksub-livid

appearance. ———————————————————————————————

———-4for swellings and inflammation in the surrounding parts.mullein, the raw leaves

of the trefoil, and the boiled leavesthe epipetrum, and the poley, and if the ulcer stand in

need of, all these things also cleanse; and likewise the leavesthe fig-tree, and of the olive,

and the horehound, all these arebe boiled; and more especially the chaste-tree, and the fig,

andolive, and the leaves of the pomegranate are to be boiled in like. These are to be used

raw: and the leaves of the mallow poundedwine, and the leaves of rue, and those of the

green origany.all these, linseed is to be boiled up and mixed by pounding ita very fine

powder. When there is danger of erysipelas seizingulcers, the leaves of woad are to be

pounded and applied raw incataplasm along with linseed, or the linseed is to be

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AUniversalDownloadEditionWWW.UDownloadBooks.Com1OnUlcersHippocratesbyFrancisAdams————————————————22727——22722—2722—27—27—227—227—-1mustavoidwettingallsortsofulcersexceptwithwine,unlessulcerbesituatedinajoint.For,thedryisnearertothesound,thewettotheunsound,sinceanulceriswet,butasoundpartdry.And...

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Hippocrates - On Ulcers

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