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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.