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Treatment of breast ulcers and treatment of consumption

As for the ulcer, if it is in the respiratory tube, the medicine quickly [reaches] it. The patient should lie on his back, hold the medicine in his mouth and swallow the saliva little by little, without sending it to the throat a lot at once, as this will cause a cough. One needs to relax the throat muscles so that the [medicine] goes down into it without causing a cough. Bonding and drying agents, which are also mentioned in the [consumption] paragraph, serve as medicines. And with ulcers in the chest and lungs, which we have already talked about, there should be injected flushing and cleansing. The patient is told to lie on the sick side, cough and sway, or carefully swing him. Sometimes pus is removed by first injecting water sweetened with honey into the ulcer with an instrument that draws pus. When we cleaned the ulcer of pus and there is a hope that it does not remain there at all, we use healing medicines. Among the cleaning and cleansing drugs for such a disease, there is nothing [better] honey: [it is] a cleanser, and food, kind to nature, which does not harm ulcers.

As for the ulcers in the lungs, the measures for it [are] twofold. Some of them are true treatment, while others are [ulcer] care. True treatment is only possible if the disease is treatable, as we have already described, and consists in cleansing the ulcer, drying it, removing material from it, retaining the catarrh and helping to close the [ulcer]. You have already been told about measures that prevent catarrh, and this should be the basis for you in treating this [disease]. Their essence is to cleanse the body, divert matter from the head to the lower extremities and strengthen the head so that the excess does not multiply in it; [should] also hold back matter poured from the head into the lungs and distract it to the other side. Cleansing should be done by bloodletting and with the help of medicines that remove various excesses, such as, for example, [pills] kukaya, especially if you add to them bdellia and gums. Sometimes [medicines] are needed that remove black gel juices, for example, dodder and the like.

It is often necessary to re-empty to reduce the amount of surplus. It should be emptied with the help of drugs and by bloodletting, after which the incision is bandaged and then bloodletting is repeated, especially [in patients] with a strong body.

Among the things that are useful for eliminating the harm from catarrh include the use of diyakuza, especially the one that is [prepared] from poppy, as mentioned in the Pharmacopoeia, as well as any other [diyakuza]. One of the means to help bring nature to this method of treatment is to move to a place where the air is dry. The patient is treated and given milk. It is necessary that for the most part he [sits] straight, with his neck stretched up and forward, so that the parts of the lung lie one above the other and the parts of the ulcer are constantly adjacent to each other and stay in their natural position. [The doctor] should not insistently calm the cough and [delay] spitting with the help of drugs that prevent expectoration of sputum, because it is very dangerous, although it seems to the [patient] that it has become easier.

As for the treatment of [ulcers], measures are taken to promote its hardening and drying so that it does not spread and expand. If this does not give hope for the [complete] closure and healing of the ulcer, then we can hope to extend the life of the patient, although this is not a pleasant life, and the patient suffers at the slightest mistake [in the mode]. Such drying agents tighten and dry the lungs and close the ulcer, although they do not heal it [completely. The doctor] who goes this way should absolutely not use [for treatment] milk, and honey is, so to speak, a chariot for consumptive medicine, and there is no harm to ulcers in it.

The cleansing of ulcers [is made] by the mentioned cleansing agents and hyssop broth, which is mentioned in the Pharmacopoeia [among the remedies] for consumption. Stronger [acts] a medicine for licking from a vetch shaped lentils with cotton seeds, [also] mentioned in the Pharmacopoeia, and even more powerful [means] is a medicine for licking from onions with donkey milk. Sometimes it is necessary to add to these medicines blinding and sticking [substances]; often resort also to the help of numbing agents to stop coughing and enable the medicine to act; in this case, a supportive, firming regime is required. We listed you such cleansing medicines at the beginning of the [previous] paragraphs and also mentioned them in the festering paragraph. Common among them are potato stews from vetch lentils and stews made from chickpea and spelled flour, into which the Syrian leek is placed, as well as this leek in the form of a decoction and honey water, in which cleaning and healing [medicines] were cooked; All this has already been told to you before. [This includes] drying medicinal cereals, for example, kammuni and atanasiya, as well as medicines for licking from flaxseed; as for mitridate and teryak, if you use them from time to time, especially at the beginning of the disease and when there is no severe emaciation, as well as if there is no fever leading to severe exhaustion, this is beneficial. Printed clay is the most useful thing [for consumption] at all times, as well as Armenian clay and all medicinal dressings, compresses and cleansing rubbing we mentioned.

If the ulcers in the chest and lungs are old, it is useful to give the patient to swallow in the morning a small spoonful of Kitran - either with honey or with a small amount of liquid may and honey. If [the patient] has fever and you are afraid of hot cleansers, and cold ones do not help, then take a light fox, fennel seeds, clean, boiled licorice juice and squeezed juice of venereal hair with the addition of condensed sugar water. This is an excellent tool. Sometimes, with this disease, various kinds of drying and cleaning fumigations are used, which are produced through a funnel. Arsenic with pepper belongs to the same [means], from which nuts are made by [adding] egg white; this also includes sweet olive leaves with feces of a mountain cow and goat kidney fat, as well as arsenic with rabbit feces in equal parts, or eggshell with arsenic and fat; Kidney kid or arsenic with sheep oil. One of these [means] is arsenic with aristolochia and the bark of the roots of caper plants. [All this is taken] equally and added to honey and melted cow butter. Still [apply] pine nuts with galban and ground quitran, as well as an auripigment with sesame oil. Whenever the nature of the [patient] becomes too hot, they use it for several days with camphor cakes, and then again resort to drying [the ulcers].

As for nutrition, then [the patient is given] turuch, seasoned with spices and odorous herbs, and at the beginning of the [illness] they do not prohibit pure white wine. [He should] constantly smell the flowers and lie all the time, being at rest and stillness, and avoid anger and irritation. He should not be given sad news.

Here is one of the means that I have repeatedly tested on [people] with different physiques and in different countries. The patient must constantly take as much as fresh sugar julanjubin every day throughout the year, at least a lot, and even with bread. Then you should observe him: if his breathing became constrained by the drying effect of roses, then he will be given enough hyssop syrup in the right amount, and if he has a fever, he will be given to drink camphor cakes. Such treatment does not change, and the sick person recovers.

If it were not for the fear of being accused of lying, I would tell miracles about it and would certainly name the amount of [julanjubin] that one consumptive woman took. The matter with her went so far that her illness dragged on and put her to bed, and they even called [a woman] to prepare her the vestments of death.
But then one of her brothers took up her and for a long time used this method of treatment, and she survived, recovered and gained weight. I [even] cannot say how much she ate julanjubin.

Sometimes drying and losing weight of a patient forces him to consume milk and arcs - this nourishes, moisturizes, balances the spoiled juice and glues an ulcer with a curd, and also cleanses it of pus and matter due to the cleaning properties of the watery part of milk. Such a regime often [leads] even to healing from malignant ulcers in the lungs, unless they are used to cause hardening when used. The most suitable milk is the milk of a woman who sucks [directly] from the breast, then donkey milk and goat milk, mainly due to the astringent action of goat milk. Mare's milk also belongs to the remedies that cleanse ulcers and facilitate expectoration, but it does not, as I believe, have the nutritional value of [goat's milk]. As for cow and sheep milk, it is somewhat rude; if you can suck it [directly] from the udder, it's better. Animals that are milked should be fed with grass that needs action [to treat the ulcer]. As for the healing herbs, this is, for example, a bindweed, a “shepherd’s staff”, buckthorn, a “verve of the poor” and the like. Thyme, "bee saliva", meadow clover, and [even] yattu, for example, include cleansers and expectorants. The one who started drinking milk should follow his rest regimen: if he is mistaken in something, [milk] often turns into trouble for him.

One doctor, a medical science researcher, describes how it is appropriate to drink milk. This is the meaning of what he said with our corrections. You must choose the donkey that brought the [foal] four months or five months ago. Then they take a vessel for milk and wash it with water; if it has already been milked before, then it is washed with hot water, hot water is poured into it and then it is left to stand, so that what was in it before - if anything was - dissolved in water. After that, it is washed again with hot and cold water. Then the vessel is placed in hot water and half-cuiraj of milk is dispensed into it, that is, the amount that is allowed to be drunk on the first day if the disease [proceeds] safely. Otherwise, give more, in the quantity that you consider and consider necessary. And on the second day, give the patient a double amount of milk, milked in the same way. If nature strengthens on the first day, then put in [milk], which you give to drink on the second day, a little sugar, and on the third day do the same as you did on the first day. If nature didn’t soften on the second day, and especially if it didn’t soften by the third day, let the patient drink two accelerated milk with two Danaka of Indian salt and with starch - from half a dirham to one and a half dirhams.

The [patient] is given milk all the time and is added half a hour every day; if you get to the sixth day and nature we will respond [indulgence], then take three milk acceleraj and mix sugar, salt, almond oil and starch into it. And if nature responds with more than three sittings, then do not mix anything with milk and reduce the amount of milk; it does not at all follow that the [relaxation] of nature in a day and in a night should exceed three times or be less than two times. If [such treatment] benefits the patient, then give him [milk] three weeks. One researcher says that when milked, whether it is donkey or other animal’s milk, it’s best to keep milk in a wooden jar. The best milk is the milk of an animal grazing in places where rarefying, cleansing, and at the same time astringent and dried herbs, for example, bitter wormwood and others [such herbs], wormwood, Santolin yarrow, Dubrovnik, blackberry, grow.

As for goat milk, it is best to add a little water to the fresh milk; [to boil it], it is necessary to heat the stones and lower them several times in milk until it boils and the watery part leaves it. Such [milk] is digested better than [milk] boiled over a fire. One should also bear in mind the softening of nature, unless, of course, there is no diarrhea — in this case, put a turcus in the milk — or a strong cough — then tragakite in the amount of one dirham is put in milk. And if the stomach is weak, then put cumin and carafes in milk. Boiled milk, if only its consumptive [good] digests it, is sufficient nutrition for it; if the patient with consumption by milk after fever, then [use] should be discontinued.

As for the arc, it must be [taken] with severe fever and diarrhea: it is very useful for such patients. The best [arc] is obtained if you leave sour milk [stand] overnight in a moderately [warm] room, having previously removed all the butter from the milk, and shake it well in the morning so that the parts of the milk are thoroughly mixed with each other. Then they take cakes made of good white wheat flour, perfectly baked, with holes punctured with shilits - such as those called Persian barazade. Ten dirhams [cakes] are filled with thirty dirhams of the arc and allowed to swallow from a spoon, and on the second day ten [dirhams] arcs are added and the amount of bread is reduced by one dirham. Do this all the time until only one sour milk remains, and then, if [the patient] no longer needs an arc and there are signs of health and the disease has subsided, turn [the procedure]; reduce the arc all the time and add cakes until there is absolutely no milk left. If any of these patients develop diarrhea, it’s not a bad idea to lower the hot iron several times; here we should turn to what is said about this in the Pharmacopoeia.

Food for such [patients] is gluing [substances], for example, white bread, noodles, millet gruel; Rice also cleanses and helps build meat. Good boiled barley gruel sticks and cleanses; it is suitable for severe fever, especially [if there is one] with cancers that have limbs cut off and which have been washed many times in water with ash. It is especially [good] with cold vegetables, as well as with lentils. Dishes made with starch and [used] with cucumber and melon sometimes make expectoration of sputum easier, and if the fever is mild, then there is nothing better than cabbage, asparagus and cleansers [substances]. As for salted fish, if you eat it once or twice, it is useful in relation to cleansing; if the ulcer is malignant, then avoid [salted fish], as well as all salted. And if you feed the [sick] meat, then let it be, for example, the meat of partridge, hens, larks and sparrows; all these birds are not [to be] well fed. It is best to feed fried [meat] so that it dries and heals more strongly. Cow's legs are also beautiful due to their stickiness, just like fish fried on charcoal. And if [the patient] wants the broth, then mix honey with it.

[Consumptive] can be taken to the bathhouse before meals or after meals, unless they have blockages in the liver: the bath makes them stronger and stronger. The water they drink, let it rain. As we said earlier, consumptive often have hemoptysis. Of the cakes in this case, cakes of this kind are good: Good cakes. They take printed dirham, three dirhams, starch, Armenian clay and a red rose - each four dirhams, amber, myrtle seeds - each six dirhams, burnt crayfish and purslane seeds - one and the other ten dirhams, coral, tragacanth, bamboo nodules, bloody - each of five dirhams, dudi gum and squeezed goat juice - both of these seven dirhams. [All of this] is mixed with the juice of garden purslane or with the juice of a fresh rose and turned into flat cakes that are drunk with the juice of kissa or rainwater.

Often, consumptives suffer from retention of the tongue and begin to snore and wheeze because of this, so sometimes you even have to cut the tongue
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Treatment of breast ulcers and treatment of consumption

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