the bodye but also it is a meane of all the substaunce generatiue and corruptiue The membres simple hote and moyst ben spirites fleshe as Auerroys sayeth The mary flegme and fatte are colde and moyste ¶ The seconde Chaptre Compounde membres NOwe that we haue spoken of symple membres it is coÌ„uenient that we traicte of membres compounde The membres compounde ben those which ben coÌ„posed or set together of the foresayd symple membres And they bene called properly Membra heterogenia that is membres made of other that may be diuided into another kynde or membres instrumentall because they ben the instrumentes of the soule as the face the handes the fete the herte the lyuer And of these membres compounde some ben called membres principall some not principall Principall membres The principal membres ben foure the herte the brayne the lyuer and the stones The membres compounde not principall ben all the other excepte the symple Membres not principal as the eyes the nose the eares the head the face the necke the armes the legges and semblable whose complection shal be declared in the chaptre folowynge ¶ The thyrde chaptre of the Anatomie of the heade and of the membres conteyned in the same WE haue traicted sufficientlye of the Anatomie of membres compouÌ„de and that it behoueth to consyder nyne thynges touchynge euery membre of mans bodye but Auicenna sayeth that in the Anatomie of the heade The situatioÌ„ of the heade we muste coÌ„sydre aleuen thinges and fyrst the situation of the same The heade was not set in the hyghest parte of the bodye for the nastrelles nor for the brayne nor for any other sens but cheifly for the eyes as Auicenna sayth and for the vertue of seynge And the reason is thys bycause the eyes haue the garde kepynge of the body so that men maye se theyr enemyes afarre of auoyde that that is noysome to the bodye They were ordeyned of nature in the former part that they might receaue the visible spirite by the synnowe called Optique and that they might carye visible thinges to the coÌ„mune sens for the synnowe Optique beyng diuided into two brauÌ„ches entreth into the composition of the eye as we shall declare here after An other reason is thys bycause the eyes receaue mouynge of the seconde payre of synnowes whych procede from the brayne And for these causes nature hath set the heade in the hyghest parte of the bodye The parte couered wyth heere The brayne panne and conteynynge the brayne and the interiour partes of the same and the Animal spirites is called after the philosophers the vessell or panne It foloweth consequently that we consyder the ioynynges of the partes of the same For froÌ„ the heade the muscles procede and Lacertes whyche go to the necke and to the face ben moued throughe all the partes of the heed The brayne panne of a man is greater then of any other lyuyng thynge bycause the braine is of greater quantite in man then in other beestes The fourme of the heed is rounde as a boole and as Galene sayeth a rounde fygure amonge all other is moost noble and in lest dauÌ„ger of noysome thynges It is also bossie and bouncheth out in the fore and in the hynder partes The composition of the same is partly bonye partly ful of mary and is of a colde complexion also the partes therof and the dyseases whyche chaunce in it as the tothache dysease of the eyes Catarrhes lyke thynges as it shal be declared in a chapter for the same purpose The noÌ„bre of the partes is knoweÌ„ by the partes conteynynge and coÌ„teyned Basilare and by the bone called Basilare vpon whych all the bones of the heade haue theyr seate and fouÌ„dation The partes conteynynge ben fyue the heere the skyn the musculous fleshe the pannicle whyche is called pericranium or gingiua mater bycause it procedeth from dura mater by the commissures of the bones of the heade after thys is the bone named Cranium or the fyrst table of the bones of the heade The partes conteyned ben fyue The fyrst is the bone called the seconde table The seconde is a grosse pannicle called Dura mater The thyrde couereth the substauÌ„ce of the brayne and is called Pia mater or the Teye The fourth is Rhete mirabile The fyfth is the substauÌ„ce of the brayne Vnder thies is the bone called Basilare whych susteyneth the head And it is called Basilare of Basis whych sygnifyeth a fouÌ„dation There ben in the composition of the heade seuen principall bones of whych the fyrst is called Coronale Coronale and begynneth after the opinion of Haliabas in the fore parte aboute the eye browes endeth at the Coronale coÌ„missure And in that bone there is some tymes a strayte coÌ„missure or seame goynge dyrectly to the myddest of the heade chiefly of womeÌ„ And it is called the bone coronale bycause kynges beare theyr crownes vppoÌ„n that bone In the nether partes of thys bone ben two holes whyche are called Colatories or strayners of the nastrelles and betwene the concauite or hollownes of the two eyes there is a lytle bonye addition in the facyon of a cokescombe vpon the whyche nature hathe planted the grystelles of the nastrelles to diuide the nastrelles After this ben the two Laterall or syde bones ioyned to the bone coronal on both sydes Syde bones Os Laude and in the hynder parte they ben ioyned to the bone called Laude or occipitall in the hynder parte And in the toppe of the heade they ben closed together lyke a sawe And they make the commissure called sagittalis For they come dyrectly from the coronall bone to the coÌ„missure called Lauda and thys is the commyssure called Transuersalis Transuersalis in thys fygure of ciffre 7. and the bone called Lauda is of harder substaunce theÌ„ the other in whych there is an hole and through that hole the marye called Nuka descendethe from the brayne to the ende of the backe by Spondiles After this ben the bones called Petrosa or stonye Pâ—trosa whych are false coÌ„missures or seames touchyng the two Laterall or syde bones in the ryghte and the left syde And they ben called false coÌ„missures bycause they ben skalie stonye and harder theÌ„ other And they are bored through for the necessitie of hearynge And these bones begynne at the commissure called Lauda and ende in the myddest of the temples The last bone is called Basilare whyche susteyneth the heade as it is aforesayde And thys bone hathe manye holes and spongiositees whych serue to purge the superfluities of the brayne of these seuen bones procede fyue commyssures where of thre ben trewe and the other false as we haue sayde The fyrste of the thre commyssures is called the commyssure Coronall The seconde Sagittall The thyrde Laudale Nature hath produced the bones of the heede spongious and full of pores or priuye holes in the myddes of two
maye chauÌ„ce thorough sondrye causes Some tymes through a cause primitiue and some tymes thorough a cause antecedent It commeth of the cause primitiue thoroughe brusynge or breakyng In brusyng it chauÌ„seth bycause the chirurgieÌ„ procedeth with thynges to colde whyche engrosse the matter and so cause putrefaction Sometymes the pores or passages ben stopped by whych nature sendeth the nourishement and lyfe to the membre And by reason of that stoppynge the vytale spirites can not come to the meÌ„bres So the membres beynge destitute of the vytale spirites do corrupte and rotte It chaunseth moreouer some tymes to them that go in the snowe Some tymes thoroughe to strayte tyenge of the membre For by reason there of the spirites can not come to the membre As we haue sene often thoroughe the strayte tyenge of a broken bone of the thyghe the legges or the armes We haue sene also Esthiomenos to haue chaunsed throughe vndiscrete application of sharpe medicines in whych arsenike realgar lyke entre And lykewyse thorough applicatioÌ„ of thynges stupefactiue and coolynge Of the cause antecedent Esthiomenos chaunseth often as of some venimous pustle not wel cured at the fyrst of the chirurgieÌ„ as we haue ofteÌ„ sene to haue chauÌ„sed in Anthrax carbo We haue sene moreouer thys prohibition of spirites to haue chaunsed through the corruption of some particuler meÌ„bre procedynge of greate Apostemes flegmonike froncles Foruneâ—â— In whiche oftentymes grosse and harde matter is engendred lyke a synnowe halfe rotteÌ„ In whyche apostemes the wayes and pores bene shutte oftentymes and by reason there of nouryshement and lyfe can not come to the membre and so the membre rotteth and dyeth We haue sene thys putrefaction in the handes and fete of them whyche haue ben longe in sharpe fieuers so that theyr bodies beyng destitute of natural heat became leane drye the extremitees of theyr bodyes cheflye theyr legges were reduced to suche colde and congelation or stupefaction cheflye in the wynter that it semed that the membres were altogether depriued of naturall heate Neuertheles though the membres semed colde the patient complayned of great payne and heate and inflammation as yf actuall fyer hadde bene there Also we haue sene it chaunse wythout payne goynge before wythout inflammation wythout inflatioÌ„ wythout liuidite or bleunes wythout blacke coloure of the place as it chauÌ„sed in Cancrena ☞ in a noble woman of the cytie of Genue called Saluagina de Grimaldis whyche fell in to thys corruption after a loÌ„ge dysease Thus it is euidente to euerye bodye what esthiomenos is Of the cause antecedent Estiomenos chaunseth not often but by the corruption and putrefactioÌ„ aboue named And it maye come by one of these thre causes as Auicenne sayeth that is to saye thoroughe the cause that corrupteth the complection of the membre and the spirite animall whyche is in the same membre or by some other cause defendynge the vitall spirite to come to the membre or by some thinge that gathereth together the two intentions as we haue declared in thys present chapitre and as it chauÌ„seth often by applyenge some locall medicine that is not conuenient and lykewyse by some venimous pustle corrumping the naturall complextion of the membre and dystroyenge the animall spirite whyche is in the membre so that the vytall spirites sente of nature to conserue the naturall heate of the meÌ„bre can not come to the membre bycause the place is mortifyed and eschared And thus necessarelye foloweth prohibition of the vytall spirites that they can not come to the places and also there foloweth mortifycation and corruption of the complection of the membres and of the vytall spirite remaygnynge therin Yf Esthiomenos maye come by one of the three causes aforesayde it maye much more come by two knytte together c. ¶ The seuententh chapitre of the cure of Cancrena Ascachilos and Esthiomenos AFter that we haue sufficientlye declared what Cancrena Ascachilos The â—ure of Cancrena and Esthiomenos is and the dyffereÌ„ce of the same in thys presente chapitre we wyll make mention of the cure of them The curation of these three dyseases dyfferre not but in the greater or smaller corruption for the one is a waye to the other We wyl declare after oure power the cure of these three dyseases whych is accomplyshed by three intentions The fyrste is the ordynaunce of lyfe The seconde to purge the mater antecedent The thyrde is to take awaye the matter conioyncte and corrupte and to kepe the hole partes from corruption The fyrste intention that is to saye the dyaete is accomplyshed accordynge to that that is spoken in the chapitre of Herisipelas Thys one thynge I saye that in thys case the brothe of a chekyn wyth herbes as beetes laictuce borage buglosse cicoree is verye good The seconde intention shal be accomplyshed wyth cut tynge a veyne called commune or the lyuer vayne or some part ouer against the hurted place so that the strength and the age of the patient be consydered Digestiue Afterwarde the mater shal be digested wyth this syrupe taken warme in the mornynge â„ž of syrupe of vyneaygre called acetosus symplex of syrupe of the iuyce of endiuiae and of fumiterre ana â„¥ ss of water of fumiterre buglosse and hoppes ana â„¥ i. when the patient hath vsed this syrupe the space of foure dayes Purgation let hym take thys purgation minoratiue â„ž of cassia of diacatholichon ana â„¥ i. make a smale potion wyth a decoction of cordiall floures and frutes and put there vnto syrupe of violettes â„¥ i. and. ss Thys I I saye yf the dysease make truce wyth the patieÌ„t giue time to euacuat the mater After that he hath takeÌ„ the sayd minoratiue two dayes after it shall be good to euacuate the naughtye matter wyth thys potion â„ž of cassia fistula of diacatholicon ana Ê’ vi of an electuarye of roses after Mesue Ê’ ij make a small potion wyth the coÌ„mune decoction adde of tamarindes â„¥ i. ss of syrupe of violettes â„¥ i. The thyrde inteÌ„tion whych is to take awaye the matter antecedente and to kepe the place from rottynge is accomplyshed in this maner At the begynnynge when the place waxeth blacke then there is no better remedy then to scarifie the blacke place Leeches wyth sondrye scarifications and depe layenge leeches or bloodsuckers aboute the place corrupted And then to washe the place wyth lye wherin Lupines haue ben soddeÌ„ in good quaÌ„rite For as Galene Auicenne saye the vertue of them taketh away rooteth vp all cancrous vlceres And we haue often proued thys decoction in thys case and haue founde it good for the patientes wyth the application of vngueÌ„tuÌ„ Egyptiacum of our description washynge the vlceres wyth the sayd decoctioÌ„ The descriptioÌ„ of vnguentuÌ„ EgyptiacuÌ„ is after this sort â„ž of verde griece of roche alume of honye ana â„¥ .ij. of whyte vinaygre Vnguentum Egyptiacum of the
the body ben shutte in the nyght But when the pores ben open in the daye tyme the matter passeth and breatheth out wherfore Rasis sayeth that this dysease payneth the patient more in the nyght then in the daye And therfore a bayne of thynges aperitiue or openynge aydeth thē whyche bene troubled wyth thys dysease Note that when the matter is sanguine and occupyeth a greate parte of the body yf thē ye procure not a veyne to be cutte it is no merueyle yf a fyeuer tertiane ensue Wherfore at the begynnynge yf the strength and the age of the patient wyll suffre it auayleth muche to cutte the lyuer veyne or the cōmune veyne ¶ The .xv. Chapitre of the cure of Essara THe cure of thys dysease is accōplyshed by two intentions The fyrste The cure of Essara is to order dyete The seconde to purge the matter antecedent that causeth the Essara The fyrste is accomplyshed by those thynges that ben sayde in formica touchyng dyete The seconde is accomplyshed by euacuatiō of the naughtye humour And yf the matter be sanguine Digestiue let it be dygested with thys syru ℞ of syru of fumiter of the iuice of ēdine of a siru called acetosus sīplex ana ℥ ss of water of endiue of hoppes of fumiterre ana ℥ i. After that he hath takē of thys syrupe iiij dayes Purgation purge him with this purgatiō ℞ of Cassia ʒ x. of an electuarie of roses after Mesue ʒ ij ss vnto ʒ iij. accordynge to the strength of the patient wyth the cōmune decoctiō make a potion addynge of syrupe of violettes ℥ .i. and. ss Also it is very good to take of thys wyne vnder wrytten euery daye ℥ iiij ss whych is of Auicennes dyscription in thys forme Take two poūdes of aygre pomegranades swete with the skynnes that diuide one part from another and of fyne suggre ℥ vi stampe them together and presse thē myghtelye and vse thys wyne as we haue declared It is a ryght good medicine in thys case And yf it be sette abrode in fayre dayes wyth suggre it wyll haue a more laxatiue vertue A bayne The bayne conuenient in thys case cōpouned of thynges aperitiue is this ℞ of the leaues of mallowes and violettes of brāne ana m̄ .iij. of cleane barley m̄ .ij. ss of sower apples in nōbre xx of beanes m̄ .i. of suggre ℥ iiij Let them boyle all in sufficiēt water vnto the consumption of the thyrde parte washe all the bodye therewyth in a warme bath Thys bayne is synguler for the sayd pustles and for many other kyndes of pustles Purgation Here foloweth a purgation verye good in thys case ℞ of the floures of violets of the floures buglosse borage ana m̄ ss of hoppes of endiuie of the croppes of vynes of maydē heere ana m̄ ss of sebesten of iuiubes of clene barley ana ℥ i. let them seeth al in the decoctiō dissolue of cassia ℥ ss of diacatholicō ℥ i. of tamarindes ʒ ij of an electuarie of psilliū ʒ i. ss dissolue them al adde thervnto of syrupe of violets by infution ℥ i. Thys medicine is of good operation in essare whē the matter is sanguine And yf the mater be mēgled with grosse fleame salte the patient muste be purged with thys laxatiue medicine that foloweth Digestiue But fyrst the mater must be digested with this syrupe ℞ of the greater sirupe of fumiterre of hoppes of vinegre called acetosus an ℥ ss of waters of fumiterre of mayden heere of endiuie ana ℥ i. mengle them And whē he hath vsed thys syrupe the space of syxe dayes Purgation let hym be purged with thys purgatiō ℞ of cassia of diacatholicō ana ʒ vi of the cōfectiō hamech ʒ ij ss vnto iij. make a small potion with the decoctiō of maydē heere of gallitricū politrichū of polipodie of cordiall floures frutes addyng of syrupe of violets ℥ i. ss This later purgatiō purgeth the subtyle humour the grosse the salte the adust or burnt Pylles Another purgatiō cōmēdable in thys case ℞ of pilles aggregatiue of agarike in trociskes ana ʒ i. ss of turbit preparat ℈ i. make pilles with the wine of pomegranades lyke pease The dose of geuynge of these pillules is frō ʒ i. vnto ʒ i. ss according to the strēgth of the patient they must by gyuē in the morning Here ye shal vnderstāde that the doctours make no mētiō of locale medicines in these diseases The cause is that whē the matter antecedēt is euacuated the mater cōioyncte is easy to be resolued we wyl folowe the aūcientes touchyng the curatiō of the sayd dyseases Neuertheles we wyl shewe one remedye which auaileth to take away the itching of the pustles ℞ of vnguentū Galem freshe buttyre .x. tymes washed with water of barley ana ℥ ij of the iuyce of limmons or citrons ʒ ij of water of roses ℥ ss of litarge of golde ʒ vi of oyle of roses ʒ iij. mēgle thē make an oyntmēt accordinge to arte in a morter of leade styrryng it aboute halfe an houre with a pestel Thē adde of the substāce of rosted strained apples ℥ ij of freshe hennes grece melted of gose grece ana ʒ vi agayne stirre thē aboute altogether in the forsaid morter the third part of an houre ¶ The .xvi. Chapitre of Cancrena and of the dyfference betwene Cācrena Ascachillos Esthiomenos Cancrena CAncrena is not takē for fleshe deade altogether but for that whyche begynneth to putrifye by lytle and lytle hauyng yet some felynge wyth blacke coloure and intolerable payne and burnynge The skynne rounde aboute is bluishe And it is called Cancrena bycause it is like a canker For as a redde canker gnaweth byteth corrupteth the places aboute Ascachissios euē so doth Cancrena Ascachillos is an entiere priuation of felyng whych was in Cācrena and it is called Ascachillos of Asca whyche sygnifyeth in the Arabike tonge corruption and chilos a Greke worde sygnifyeng iuyce Thys Ascha is a corruption of the fleshe and synnowes vnto the bones Estiomenos Estiomenos is a confyrmed adustion or burnyng of the nouryshynge humours and of the spirites and of the symple and cōpounde membres in whyc it is And it is called Esthiomenos of Heste in Arabie an enemye It commeth of a greke worde Esthiomai to eate and menos a man so Esthiomenos then is the enemye of man And the corruption of Esthiomenos spreadeth it self vpon the membre gnawynge it and corruptynge it as fyer consumeth drye woode And thys corruptiō is engēdred of one of these thre causes The fyrst is bycause the vytall spirites bene prohibited to come to the hurted place The seconde is by reason of the corruption of the payned mēbre The thyrde by reason of these two causes both together alledged before Thys corruption and prohibitiō of vytale spirites
the begynnynge ye shall retayne the bloode and the quytture whyche thynge myghte encrease difficultie of breathynge a daungerous thynge in thys case wherfore at the begynnyng ye shal not applye stiptike and clammyshe thynges nether wythin nor wythout Furthermore you maye vse flebotomie in the contrarye parte and scarifycation vpon the botockes and rubbynges and byndynges of the extreme partes to kepe of apostemation at the begynnynge Item it is commendable to vse a clyster hauynge vertue to dyssolue wyndynes and bloode The thyrde intention whych consysteth in purgation of bloode in the inner parte by the mouth of the wouÌ„de shal be accomplyshed as it foloweth Fyrste when the chirurgien commeth to the patiente he muste consyder the sygnes And when he is certayne he muste diligeÌ„tly serche meanes to cause the blood whych is in the inner parte to issue out by the orifyce of the wouÌ„d whych thyng may be brought to passe by conuenient situation of the bodye that is to saye that the heade be layed downewarde the feete beynge raysed vp or that the patientlye vpon a bedde hys heade hangynge downeward leanynge vpon some fourme or stoole lower then the bedde that the blood wyth in maye easely issue out He muste lye thus the fyrst daye For it is good for two causes Fyrst to purge the bloode that is wythin Secondly that bloode other humours the communly chauÌ„ce in woundes fall not into the bodye And the patient muste lye grouelynge asmuche as he can vpon the wounde Some gyue certayne thynges by the mouth to cause the blood to come forth whyche thinge is very commendable so that the medicines be not to sharpe and to stronge Furthermore it is to be noted that if the wouÌ„de be very large so that the spirites come forthe aboundauntly then you muste sewe the sondred partes leauynge an hole beneth that the bloode and quytture maye easelye issue out And after that the bloode is issued and the wounde mundifyed you must begynne to applye tentes of lynte dypped in the whyte of an egge or in wyne And lette the sayde tentes be greate in the outwarde parte that they fall not in or els tye them to a threde that yf they fall in they maye be drawen out agayne Here it is to be noted that ye must not in any wyse laye vpon the wouÌ„de poudre restrictiue as Albucasis sayeth ☜ for it wolde dryue matter towarde the herte or deriue bloode whyche myghte sone choke the patient Item yf ye be sure that there is no bloode entred in by the waye of the wounde then it shall be conuenient that ye sewe the wounde and procede wyth thynges incarnatiue in the fyrst dayes But bycause a man can not haue trewe knowlege at the begynnynge whether the bloode be entred or no it is the surest waye to kepe the orifyce of the wounde open at the begynnynge howe be it the seconde daye ye shall putte in a tente dypped in oyle of roses hote and in a digestiue of terebentyne and a yolke of an egge and a lytle saffran vnto the seuenth daye layenge aboute the wounde a defensiue of oyle of roses of bole armenie and a lytle whyte waxe And for as muche as in the fyrste dayes there happen euell accidentes as payne in the syde Accidentes dyfficultie of breathynge and a greate coughe it is good to applye thys playster folowynge vpoÌ„ the sore syde â„ž of camon il Plâ—yster melilote dille wormewoode ana mÌ„ i. of dryed branne and cersed mÌ„ ij ss of the floure of barley beanes and leÌ„tiles ana .li. ss of roses mÌ„ ss stampe them all and wyth sufficient sodden wyne and a lytle odoriferous wyne by arte and fyer make a styffe playster addynge of oyle of roses â„¥ iiij of camomill dille of euery one â„¥ ij of whyte waxe â„¥ ij and. ss Set the foresayd thynges agayne on the fyer wyth the oyles and the waxe melted and put to in the ende of saffran Ê’ ss This playster as ye may knowe by the symples hath vertue to swage payne and is resolutiue and coÌ„fortatiue and prepareth the bloode the matter to yssue out WheÌ„ the patient is come to the thyrd or fourth daye no euel accident happenynge vnto hym as a spasme tremblynge of the herte and difficultie of breathynge and other lyke and when the patient fyndeth hym selfe in good dysposition a maÌ„ may iudge knowe that the wounde is not mortal Wherfore at the begynnynge vnto the seuenth daye for resolution and purgation of bloode thys poudre wyth hys waters hereafter prepared Poudre maye well be gyuen to the patient â„ž of reubarbe Ê’ ss of madder of mumie of euery one ℈ .i. of terra sigillata ℈ ss of the water of stabious the water of buglosse of the wyne of granades of euery one â„¥ i. Some doctours gyue at the begynnynge potions or drynkes made wyth wyne and hote thinges as cloues and madder whyche thynges maye greatlye hurte the patientes For they cause fieuers and dyfficultie of breathynge Wherfore at the begynnynge pectoral decoctions are better as diadragantum and diapenidium or as thys description A pectoral decoction â„ž of penidies of suggre candye of syrupe of violettes of euerye one â„¥ i. of the nuttes of pyne apples of swete almandes of coÌ„mune seedes of euery one â„¥ iij. of diagragantum â„¥ ss meÌ„gle them and wyth syrupe of violettes make a loch addyng of the iuyce of lyquerice â„¥ ss After that the wounde is come to manyfeste quyture for the mundification and purgatioÌ„ of the same we say that ye muste often washe the wouÌ„de wyth conuenient lotions And though sondrye lotions ben wrytten of the doctours as of Guilhelmus placentinus and other whych are composed wyth wyne and with the decoction of floure delice lupines myrrhe and other hote simples myne opinion is that suche medicines are not coÌ„uenieÌ„t as I haue ofteÌ„ proued for two causes The fyrst is the inflammation of the foresayde thynges The seconde is bycause that when bloode putrefyeth greate heate alwaye happeneth Wherfore to muÌ„difie the quytture and to take awaye the euell complexioÌ„ of the place it is a more sure waye to procede wyth thys lotion A lotion â„ž of cleane barley of lentyles ana â„¥ ij of roses mÌ„ ss of the herbe called horsetayle mÌ„ i. let them boyle wyth water of plantayne and rayne water and a lytle wyne of granades vnto the consumption of the thyrde parte and adde of redde suggre â„¥ ij of syrupe of roses by infusion â„¥ iij. of saffran ℈ ss The quantitie of water muste be fyue pounde whyche muste boyle tyll it come to thre Ye shal wash the wounde here wyth all and bynde it coÌ„ueniently so procede vntyl there issue out matter lyke cleare water when the patient hath vsed the sayd lotion and hath no fieuer and when the wounde is rectifyed and the quytture mundifyed then ye maye adde to the former decoction of honye of roses â„¥ iij. And when the quytture
the eye a lytle more Then he muste take the pannicle and drawe it downeward so that he may touche the cataracte and ther holde it a lytle space for it is in the fourme of a pannicle and returneth to hys place therfore he muste drawe it downe agayne wyth the poynt of the nedle tyll it remayne beneth Neuerthelesse the mayster muste be ware that he dylate not the pannicle called Vuea ne touche the cristalline humoure And then when it is remoued oute of hys place the chirurgien muste shewe the patient some thynge that he may seme not to haue wrought in veyne And incontinentlye afterwarde ye muste put into the eye the whyte of an egge beten wyth water of roses water of myrtilles warme for colde myghte hurte the prycke caused by the nedle And vpon the eye in the outsyde ye shall applye the whyte of an egge mengled wyth the wyne of pomegranades to defende apostemations and to comforte the place And ye must bynde bothe the eyes with a duble bande and after put the paciēt in a bed hauyng the heade somewhat hie and lette hym continue with this medecine the space of .iii. dayes and kepe a slender dyete so that the fyrst daye he eate litle or nothyng whē these daies be passed remoue the medecyne procede with the sayd medecyne agayne without openyng of the eye onelye applieng it vpon the eyes and in the corners with moyst cloutes and this ye must do vnto the tenthe day And bycause that through the prickyng of the pannicle coniunctiua perturbation or opthalmia chaūceth in the eye ye shall resort to the chapter of opthalmia Note that as I haue declared handye operation in the ryght eye wyth the lefte hande so ye shal worke in the lefte eye wyth the ryght hande thus we ende ehys present chapter c. The .viij. chapter of the dilatation of the blacke of the eye The delatatiō of the apple of the eye THe dilatatiō of the apple of the eye is double That is to saye natural and accidental That that is natural cometh of natiuitie and is alwayes of an euyll nature hyndreth the syght the cure therof is impossible Neuertheles the colliries whych cōfort sharpen the syght written in the former chapter are expedient in thys case The accidentall dilatation is double For one procedeth of a matter antecedent the other of a primitiue cause That that procedeth of a cause antecedēt cōmeth alwayes of a reumatyke matter descendynge from the heade vpon the pannicles of the eyes And to remoue the cause antecedent it is conuenient to procede accordynge to that that is wrytten in the former chapter But to auoyde many wordes we wyll onely speake of that that cometh of a cause primitiue Fyrst obseruatiō of vniuersal purgation presupposed ye shall put into the eye water of roses and water of myrtilles wyth the whyte of an egge shaken together vntyl the fourth day after the stroke For suche dilatation of the apple of the eye procedyng of a cause primitiue is caused by some stroke vpon or aboute the eye And therfore it is good at the begynnynge to procede as well wythin as wythout wyth thynges refrigeratiue and that comforte the sore place And bycause that often throughe a strype there is bloode dyspersed through out all the eye it is necessarie besyde the reducyng of the apple of the eye to resolue the sayde bloode Then when ye haue vsed the forsayde thynges the space of foure dayes it is ryght profytable A synguler playster to applye thys playster folowynge Recipe of beanfloure and barlye floure ana ℥ iij. of water of roses of water of myrtilles ana ℥ i. make a styffe playster wyth sufficient sodden wyne Thys playster hath vertue to resolue bloode and to reduce the apple of the eye into hys proper place A spetiall water Item to thys entention the water folowynge maye well be vsed R. of swete fenell ʒ i. of doues bloode ℥ i. of tucia of antimoniū ana ʒ ij of water of roses water of myrtilles ana ℥ i. ss of myrobalane citryne ʒ ss mēgle these forsayd thinges together stylle them in a lembyke of glasse applye them wythin the eye for thys water reduceth the apple of the eye into hys place and comforteth the syght Furthermore A decoction it is a synguler remedye to vse the decoction folowyng layenge it vpon the eye with a thynne sponge ℞ of roses of myrtilles ana m̄ i. of melilote of rosemary floures of euery one m̄ ss of the nuttes of cypres in nombre .ij. of redde and thycke wyne .li. i. ss of water of roses and water of myrtilles ana ℥ iij. braye the thynges that are to be braied let them seeth vntil halfe the wyne and the water be consumed and then strayne them and vse them as is aforesayde thus we ende thys present chapter ¶ The .ix. chapter of the weakenes of the syght and of the cure therof Of the weaknes of the syght THe weakenes of the syghte procedeeth of sondrye causes For sometymes it procedeth of outward thynges as by scabbes pustules and sebell growynge vpon the pannicles coniunctiua cornea sometyme it procedeth of an ynner cause as are humours grosse and slymy vapours ascendynge from the stomacke to the heade com̄yng to the synnowes called optici whyche vapours hynder theyr naturall operation and trouble the syght Itē somtymes it chaūceth through thynnes smal quātitie of the spirites sometyme through the great multitude grossenes of the same In lyke maner it chaūceth sometyme through defaute of the humour called albugineus or the whyte of the eye or because it is to grosse in substāce or to thinne and when it is altered in coloure And therfore foloweth oftē ymaginatiōs whych threatē that a cataract wyl ensue Also thys weaknes may come of the humour kristallyne bycause it is to grosse or to thinne or altered ī colour or transposed out of hys place Lykewyse it may procede of the glassye humour through the euyl dysposition of the same Therfore Galen sayeth that whē the spirites be thynne of greate quātitie a mā seeth dyscerneth smal thinges afarre of yf they be in small quātitie thinne a mā seeth afarre of but can not dyscerne And therfore the thynne spirites require not great clerenes nor great mouyng of the body Causes of the syght nor great subtiliation of medicines The spirites that ben rare in smal quantitie cause euyl syght for in thys case a mā seeth euyl both nye a farre of And whē a man seeth the sunne or other bryghtnes it hurteth him he reioyceth in the ayre of the mornynge the euentyde And of this last dysposition cōmeth alway an euyll syght Item when the spirites be in great quātitie grosse thē a man seeth better afarre of then nye and reioyceth in bryght ayer for it thinneth the spirites through exercisyng mouynge