Intended for healthcare professionals

Rapid response to:

Clinical Review

Management of venous ulcer disease

BMJ 2010; 341 doi: (Published 12 November 2010) Cite this as: BMJ 2010;341:c6045

Rapid Response:

Ulcus Cruris Venosum - An Old Treatment

A perhaps forgotten treatment for ulcus cruris was first used over 70
years ago by the German doctor who "discovered" the usefulness of a
natural substance called carbo coffeae.
His name was August Heisler.

He found many uses for this substance which is derived from the
coffee bean, made into extremely fine powder.
Similar but much superior in action to animal charcoal, it "cleans" up and
it drastically increases local circulation.

Dusted on to inflamed tonsils, he would often eliminate the need for
other intervention as the tonsils would become fiery red and soon return
to a normal status.
Similar action was observed with all kinds of intestinal problems, the
carbo would simply do a wonderful job of housecleaning.

I have witnessed countless venous ulcers reluctant to heal yield to
the application of carbo, no other assistance (eg massage) was necessary.
A toe (diabetic dry gangrene) scheduled for amputation with the appearance
of a "goner" was restored within 2 days by this substance.

For decades the German company MADAUS sold this, it is still
available through WELEDA I believe.

Such a simple, harmless, inexpensive and highly rewarding treatment.

The technique for ulcus cruris venosum is as follows:
Clean the wound with hydrogen peroxide. Flush with saline solution. When
dry, apply carbo powder and finish with Varihesive bandage (Made by

The success rate is about 90 %.

Competing interests: No competing interests

22 November 2010
Dr. Herbert H. Nehrlich
Private Practice