CHAP. XIII. Of an ƲLCER with WORMS.
I. WHAT the Greeks call 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. and the Latins Ul∣cus cum Verminibus; we in Eng∣lish call, An Ulcer with Worms.
II. The Causes. They are cau∣sed from great Putrifaction; and foreshew a great declension in the state of the Ulcer, from a healthful habit of the Flesh, and parts about it.
III. But in some nasty People, where Flesh-flies can come at the Sore, they may be caused from Fly∣blows, (which in the West Indies I have sometimes seen in Negroes Legs) if they proceed from this cause, the consequence is not so bad as the former.
IV. The Signs. As they are bred for the most part in Ʋlcers sordid, and foul; so if the Ulcer is large and wide, they are generally known by sight.
V. Or otherwise, if they cannot be seen, they are known by a biting pricking pain, and a sense of a kind of motion called motus undosus, a wave-like mo∣tion; with a certain filthy stink.
VI. The Prognosticks. If they proceed from Fly-blows, there is simply no danger in them; but if from Sanies or Sordes, by reason the Ulcer had not been purged or cleansed for a long time, as it shews a great corruption and putrifaction; so it also declares the Ulcer to be of difficult care; and that the Tone of the Part is much depraved.
VII. The Cure. The Indications of Cure are twofold: 1. To take away and destroy the Worms. 2. To prevent and hinder the putridity of the Ulcer.
VIII. If the Worms lye open, or in an open Ʋlcer, so as to be plainly seen, they may be taken forth with Instruments, fitted for the same purpose: but some Authors laugh at this, thinking the pain in doing it will be great, and the labour fruitless;