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There is a very close connection between the development of varicose ulcers and the condition of the veins, their activity and tone, which is also reflected in varicose veins. When the legs are not sufficiently drained of blood and tissue fluid—due to the factors described for varicose veins—the water-logging leads to the tissue breaking down and ulcers developing. They are notoriously difficult to heal. Here it is even more important that adequate exercise be taken and that the feet are elevated, to counteract the effect of gravity on the legs.

The herbs to be used here are the same as for varicose veins, but a higher proportion of diuretics and alteratives have to be used. External treatment is vital here. If there is any secondary infection, it can be treated by a compress made from Marigold, Marshmallow and Echinacea, which has to be changed often. When the infection has subsided, change the compress for a poultice of powdered Comfrey, Marigold and Marshmallow made into a thick paste and applied to the surrounding tissue of the ulcer and kept in place with the aid of an elastic bandage.