Ulcers & Fistulas

Ulcer
An Ulcer is an open sore on the skin or mucosa which fails to heal. Ulcers are often associated with bacteria which hinders normal healing. Poor nutrition or chronic diseases may predispose to Ulcers.  In elderly and diabetic patients, Ulcers of the lower limbs are often caused by poor circulation.
Fistula
A Fistula is an abnormal passage formed between two organs, or between an organ and the exterior of the body. They can come after an inflammation or infection, or may be caused by Surgery or Trauma.
Both conditions require similar approaches. Heat (redness, inflammation) indicating infection, requires medicines with antibacterial effects. Medicines to promote healing may then be applied.


Western Tradition

TCM Classification

Ulcers

  1. Make an infusion of Willow root and drink often.
  2. Beat Artichoke root, boil i water and use as a wash.
  3. Willow leaf, Walnut leaf, Plantain leaf, decoct and drink.
  4. China root (1 oz.), Raisins (½ pound), Licorice, Aniseed (6 drams each).. Steep overnight, then boil to half. On the second day use 1 ½ oz. of China root, on the third day 2 oz., fourth day 2 ½ oz., fifth day 3 oz. Continue at that dose for 21 days cures all Ulcers. If the bowels are bound, Use Prunes instead of Raisins. Also take a purge of Rhubarb before starting, at 10 days, and at the end. (Natura exenterata, Philiatros, 1655)
  5. Bull Bile mixed with Vinegar is applied to all types of Ulcers of the Head
    Ulceribus malis conferunt – Evil ulcers
    Wine Decoction of Centaury

    Potion for Virulent and Corrosive Ulcers
    Pilulae Aggregative minor
    Hiera Logadii
    Ointment of Centaury

    Plaster of Calamine
    Plaster of Red Clover
    Chronic Ulcers
    Kaisor Guggulu
    Apostles Plaster
    Cerate Diadictamnus
    Plaster Barbarum Majus
    Plaster of Calamine
    Plaster of the Jew of Steten’
    Tincture of Alum
    Ointment of Tutty
    Ointment of Ceruse
    Oil of Juniper berries
    Oil of Mezereon
    Oil of Ash tree
    Ulcers, Stubborn and Difficult to Cure
    Kaisor Guggulu
    Oil of Mezereon
    Oil of Ash tree
    Oil of Juniper Berries
    Ointment of Lead
    Ointment of Ceruse
    Apostles Plaster
    Plaster of Calamine
    Plaster of the Jew of Steten’
    Plaster of Red Clover
    Malignant Ulcers
    Potion for Virulent and Corrosive Ulcers
    Electuary for Internal Bruising
    Ointment of Lead
    Ointment of Tutty
    Egyptian Ointment
    Oil of Sulphur
    Plaster of Calamine
    Plaster of Red Clover
    To Purge Foul Ulcers
    Hiera Logadii
    Pil. Aggregative Minores (Mesue)
    Fill Ulcers with Flesh
    Ointment Basilicum Majus
    Ointment of Tutty Galen
    Apostles Ointment
    Graita Dei
    Ointment of Litharge
    Oil of Fir

Special Formulas

LEG ULCER
Long Birthwort
Aloe
Myrrh
Powder and mix with Honey of Roses and apply.
DEEP SORES OR ULCERS OF THE LEGS
Chicken Bile
Turpentine
Ceruse
Mix to form an Ointment, apply often.
FISTULA IN THE BREAST
Wash it daily with Wine decocted with Myrrh.
Then take:
Sarcocolla
Aloes
Chicken Bile
Powder, mix with Honey, put in a little bag and place into the Fistulas. (Secrets of Alexis)


Fistula

  1. Standard practice was the application of Egyptian Ointment topically while taking Hiera Logadii internally.
  2. Take 1 dram of Myrobalan powder every morning; either Chebula, Black (if from melancholy) or Yellow (if from Bile)
  3. Plantain juice can be put into a Fistula to help heal it.
  4. Distilled Water or Spirit of Black Nightshade is good to wash Fistulas.
    Hiera Logadii
    Syrup of Dodder

Apostles Plaster
Arabian Plaster
Egyptian Ointment
Alphesericum Ointment

DECOCTION OF MADDER AND RED CABBAGE
  Madder
  Red Cabbage with seed
Take equal parts of each; boil until three-quarters has been consumed, strain, add Honey and boil until thick. Give 2 spoonfuls twice daily. (The Secrets of Alexis, 1615)

POWDER FOR FISTULA & ULCERS
  Plantain
  Ribwort Plantain
  Primrose
  Daisy  eqal parts
Powder, take a dram 3 times daily

DECOCTION FOR FISTULA
  Cloves
  Pimpernel
  Valerian
  Mousear
  Herb Robert
  Tansy  equal parts
Seeth it all in white Wine, and give it to the Patient to drink twice or thrice a day’. (Natura exenterata, Philiatros, 1655)

FISTULA OF THE BREAST:
Wash it daily with Wine in which Myrrh has been boiled. Then mix Sarcocolla and Aloe with Honey, adding a little Bile and put into a linen bag and insert in the Fistula ‘and with this most certainly you shall have your purpose’. (The Secrets of Alexis, 1615)

POWDER FOR FISTULA
  Alum
  Green Copperas  2 lb. each
boil in water, then add Verdigris powder (4 oz.) and boil until the water has evaporated and it becomes a hard mass. Powder, add Armenian (Red) Earth (4 oz.). To be applied topically. (Natura exenterata, Philiatros, 1655)

SALVE FOR FISTULAS AND OLD, FOUL ULCERS
  Verdigris   1 oz.
  Sarcocolla  ½ oz.
  Gum Ammoniac.   ½ oz.
Pound them with vinegar, then mix with Honey to a salve.
  “good for fistulas, to cleanse any filthy, dirty ulcer, and to eat the dead flesh”.  (Formulary of al Samarqandi)

CAUSTIC FOR FISTULAS (1)
  Cantharides   4 drams
  Unslaked Lime   5 drams
Powder, make into a paste with Alkali Water and keep as a paste. To be applied only to unhealthy tissue, avoiding healthy tissues. (Syrian ‘Book of Medicine‘, Budge, 1913)

CAUSTIC FOR FISTULAS (2)
  Unslaked Lime
  Vegetable Alkali
  Cantharides
  Orpiment
  Realgar
  Sal Ammoniac   equal parts
Powder, form a paste with Alkali Water, then apply to the affected parts, being careful to avoid healthy tissue. (Syrian ‘Book of Medicine‘, Budge, 1913)

In the former 2 recipes the surrounding healthy tissues can be protected weith this: Mix Sarcocolla in water and dip strips of wool in the mixture and apply around the Fistula.
After the Fistulas have been burned with one of the above caustic medicines, apply roasted Sesame seed powder mixed with Sheep oil (lanolin?). Use this as a palkster until the Fistulas are removed. (Syrian ‘Book of Medicine’, Budge, 1913)