on ulcers-第3章

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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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