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A59191 The Art of chirurgery explained in six parts part I. Of tumors, in forty six chapters, part II. Of ulcers, in nineteen chapters, part III. Of the skin, hair and nails, in two sections and nineteen chapters, part IV. Of wounds, in twenty four chapters, part V, Of fractures, in twenty two chapters, Part VI. Of luxations, in thirteen chapters : being the whole Fifth book of practical physick / by Daniel Sennertus ... R.W., Nicholas Culpepper ... Abdiah Cole ... Sennert, Daniel, 1572-1637. 1663 (1663) Wing S2531; ESTC R31190 817,116 474

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condense_a juice_n of_o hypocistis_n or_o the_o excrescence_n of_o the_o plant_n cystus_n and_o last_o i_o have_v sometime_o make_v use_n of_o a_o more_o mild_a and_o yet_o more_o gentle_a kind_n of_o chirurgery_n and_o especial_o when_o the_o varix_fw-la have_v be_v but_o small_a and_o inconsiderable_a for_o lay_v aside_o the_o ligament_n and_o the_o compunction_n or_o pricking_n of_o hypocrates_n i_o make_v use_v only_o of_o the_o medicament_n before_o mention_v according_a to_o the_o length_n of_o the_o varix_fw-la and_o bind_v it_o down_o with_o a_o part_n of_o the_o reed_n tie_v fast_o thereupon_o or_o else_o a_o sponge_n somewhat_o long_o and_o writhe_v and_o of_o the_o thickness_n of_o the_o varix_fw-la bound_v about_o with_o a_o thread_n and_o moisten_v in_o the_o juice_n of_o pomegranate_n or_o of_o hypocistis_n and_o then_o right_o tie_v and_o bind_v on_o with_o a_o narrow_a swathband_n and_o for_o this_o purpose_n very_o beneficial_a likewise_o be_v the_o unripe_a fruit_n of_o the_o wood_n guajacum_fw-la well_o bruise_v and_o impose_v all_o which_o by_o their_o astriction_n do_v intercept_v the_o blood_n and_o bind_v the_o vein_n together_o and_o by_o their_o much_o die_v they_o likewise_o evacuate_v and_o last_o for_o preservation_n of_o the_o part_n i_o make_v use_v of_o a_o hose_n or_o buskin_n make_v of_o a_o dog_n skin_n which_o be_v to_o be_v put_v on_o and_o exact_o fasten_v on_o about_o the_o thigh_n thus_o fabricius_n gulielmus_fw-la fabricius_n in_o his_o four_o cent._n observe_v 85._o relate_v a_o history_n as_o also_o the_o cure_n of_o a_o monstrous_a varix_fw-la the_o story_n be_v this_o there_o be_v say_v he_o a_o certain_a extraordinary_a strong_a man_n who_o have_v in_o his_o left_a leg_n a_o malignant_a and_o inveterate_a great_a ulcer_n together_o with_o a_o varix_fw-la of_o a_o vast_a magnitude_n for_o in_o thickness_n it_o be_v equal_a unto_o that_o part_n of_o the_o arm_n that_o be_v next_o unto_o the_o wrist_n and_o it_o be_v wellnigh_o a_o span_n long_o now_o it_o begin_v in_o the_o very_a ham_n and_o descend_v towards_o the_o foot_n it_o make_v a_o ring_n and_o two_o circumvolution_n but_o that_o which_o be_v here_o worthy_a of_o observation_n be_v this_o that_o so_o soon_o as_o ever_o the_o man_n lift_v up_o his_o leg_n any_o thing_n high_a forthwith_o the_o blood_n draw_v back_o and_o no_o soon_o do_v he_o put_v it_o again_o upon_o the_o ground_n but_o it_o again_o descend_v and_o that_o in_o a_o instant_n and_o moment_n and_o in_o short_a the_o blood_n do_v ebb_v and_o flow_v no_o otherwise_o than_o as_o if_o it_o have_v out_o of_o some_o narrow_a pipe_n be_v cast_v forth_o sometime_o into_o this_o and_o sometime_o into_o that_o part_n as_o for_o the_o cure_n he_o thus_o proceed_v in_o it_o have_v appoint_v unto_o the_o patient_a a_o fit_a course_n of_o diet_n and_o several_a time_n likewise_o purge_v his_o body_n and_o have_v also_o open_v a_o vein_n in_o the_o arm_n of_o the_o same_o side_n he_o place_v the_o sick_a person_n upon_o a_o bench_n and_o then_o in_o the_o very_a ham_n he_o gentle_o separate_v the_o skin_n from_o the_o vein_n itself_o then_o with_o a_o thread_n twice_o double_v and_o put_v into_o the_o eye_n of_o a_o crooked_a needle_n he_o wind_v about_o the_o varix_fw-la and_o in_o the_o low_a part_n of_o the_o varix_fw-la he_o proceed_v in_o the_o very_a same_o manner_n but_o before_o he_o tie_v the_o thread_n and_o make_v fast_o the_o knot_n he_o cause_v his_o leg_n to_o be_v take_v off_o the_o bench_n and_o set_v upon_o the_o ground_n and_o this_o he_o do_v to_o the_o end_n that_o the_o blood_n according_a to_o its_o custom_n may_v flow_v downward_o at_o length_n he_o first_o of_o all_o tie_v the_o thread_n hard_o in_o the_o upper_a part_n of_o the_o varix_fw-la and_o then_o he_o fasten_v it_o with_o a_o knot_n thus_o he_o do_v afterward_o likewise_o in_o the_o low_a part_n this_o be_v do_v with_o a_o penknife_n he_o make_v a_o incision_n in_o the_o almost_o uppermost_a part_n of_o the_o varix_fw-la that_o so_o the_o blood_n that_o be_v contain_v in_o the_o varix_fw-la as_o in_o a_o long_a and_o little_a bag_n may_v the_o better_a flow_n unto_o it_o but_o when_o the_o flux_n of_o blood_n prove_v to_o be_v great_a than_o what_o be_v proportionable_a unto_o the_o greatness_n of_o the_o varix_fw-la and_o that_o he_o attentive_o and_o exact_o view_v the_o place_n there_o be_v find_v a_o blind_a passage_n which_o from_o out_o of_o the_o low_a part_n of_o the_o ligature_n enter_v into_o the_o varix_fw-la this_o passage_n whenas_o it_o can_v not_o be_v tie_v with_o a_o thread_n he_o first_o apply_v unto_o the_o entrance_n thereof_o some_o of_o the_o escharotick_a unguent_n and_o after_o that_o he_o apply_v in_o great_a abundance_n his_o own_o powder_n together_o with_o the_o white_a of_o a_o egg_n for_o the_o staunch_a of_o the_o blood_n flow_v from_o it_o and_o all_o these_o thing_n he_o bind_v fast_o on_o with_o a_o swathband_n thorough_o moisten_v and_o wet_a in_o oxycrate_n and_o thus_o he_o leave_v it_o even_o until_o the_o day_n follow_v at_o length_n he_o cure_v the_o wound_n that_o himself_o have_v make_v after_o the_o manner_n of_o other_o and_o so_o this_o man_n by_o god_n gracious_a assistance_n become_v perfect_o whole_a and_o sound_a chap._n 45._o of_o the_o elephantiasis_n of_o the_o arabian_n what_o kind_n of_o affect_n elephantiasis_n and_o elephantia_n of_o the_o greek_n be_v as_o likewise_z lepra_fw-la of_o the_o arabian_n we_o have_v tell_v you_o before_o in_o the_o 40._o chapter_n to_o wit_n that_o it_o be_v a_o malignant_a tumour_n of_o the_o whole_a body_n and_o as_o it_o be_v a_o universal_a cancer_n and_o of_o that_o tumour_n avicen_n in_o his_o three_o book_n fen._n 3._o tract_n 3._o chap._n 1._o and_o rhase_v in_o his_o six_o book_n to_o almansor_n and_o chap._n 35._o have_v discourse_v at_o large_a but_o as_o for_o the_o elephantia_n of_o which_o the_o greek_n speak_v not_o one_o word_n the_o arabian_a physician_n make_v frequent_a mention_n thereof_o arabian_n elephantia_n of_o the_o arabian_n as_o be_v near_o ally_v unto_o the_o aforesaid_a varices_fw-la and_o have_v its_o original_n from_o they_o and_o be_v only_o a_o tumour_n of_o the_o foot_n of_o this_o elephantia_n avicen_n treat_v in_o his_o three_o book_n fen._n 22._o tract_n 1._o chap._n 18._o where_o he_o likewise_o handle_v varices_fw-la rhase_v in_o his_o nine_o book_n to_o almansor_n chap._n 93._o yet_o notwithstanding_o haly_n abbas_n dissent_v from_o these_o and_o follow_v the_o greek_a physician_n in_o the_o eight_o book_n of_o his_o theoric_n chap._n 15._o and_o in_o the_o four_o book_n of_o his_o practice_n chap._n 3._o which_o last_o say_v that_o elephas_n be_v a_o disease_n corrupt_v all_o the_o member_n of_o the_o body_n and_o as_o it_o be_v a_o universal_a cancer_n but_o neither_o do_v we_o find_v this_o author_n always_o in_o one_o and_o the_o same_o opinion_n for_o in_o the_o eight_o of_o his_o theoric_n chap._n 18._o we_o have_v he_o write_v thus_o those_o ulcer_n say_v he_o that_o arise_v in_o the_o foot_n and_o in_o the_o thigh_n be_v call_v elephas_n and_o the_o elephantiack_a disease_n be_v a_o melancholy_a apostem_fw-la that_o appear_v in_o the_o thigh_n and_o in_o the_o foot_n and_o the_o sign_n thereof_o be_v this_o that_o the_o shape_n and_o figure_n of_o the_o foot_n be_v like_a unto_o and_o much_o resemble_v the_o figure_n of_o a_o elephant_n foot_n all_o the_o rest_n of_o they_o treat_v of_o lepra_fw-la and_o elephantia_fw-la apart_o and_o several_o and_o they_o say_v that_o elephantia_n be_v a_o tumour_n of_o the_o foot_n arise_v from_o melancholy_a and_o flegmy_a blood_n and_o from_o varices_fw-la by_o reason_n of_o which_o blood_n the_o foot_n of_o the_o sick_a person_n be_v in_o their_o figure_n and_o thickness_n very_o like_a unto_o the_o foot_n of_o a_o elephant_n and_o this_o kind_n of_o tumour_n be_v oftentimes_o to_o be_v see_v in_o the_o highway_n beggar_n that_o get_v their_o livelihood_n by_o ask_v relief_n in_o those_o public_a and_o common_a place_n sign_n the_o affect_v itself_o be_v manifest_a enough_o whenas_o the_o thigh_n of_o the_o sick_a person_n be_v tumid_a and_o much_o swell_v very_o red_a and_o sometime_o wan_a and_o leaden_a colour_a and_o oftentimes_o black_a and_o for_o the_o most_o part_n full_a and_o abound_a with_o ulcer_n prognostic_n but_o it_o be_v very_o rare_o cure_v not_o only_o because_o such_o as_o be_v herewith_o affect_v be_v for_o the_o most_o part_n of_o the_o mean_a sort_n and_o condition_n and_o therefore_o be_v not_o able_a to_o allow_v themselves_o physic_n but_o also_o because_o that_o from_o all_o part_n of_o the_o body_n there_o be_v abundance_n of_o humour_n thrust_v forth_o thither_o viz._n unto_o the_o foot_n the_o cure_n and_o
medicament_n either_o the_o tent_n may_v be_v dip_v in_o it_o or_o else_o it_o may_v in_o some_o other_o manner_n be_v administer_v unto_o the_o fistula_n there_o be_v extant_a in_o st._n augustine_n 22._o book_n of_o the_o city_n of_o god_n and_o chap._n 8._o a_o most_o miraculous_a cure_n and_o such_o as_o be_v well_o worth_a the_o read_n of_o a_o fistula_n by_o devout_a prayer_n chap._n 11._o of_o a_o ulcer_n with_o vermin_n or_o worm_n breed_v therein_o and_o sometime_o likewise_o worm_n be_v generate_v in_o ulcer_n but_o now_o what_o the_o cause_n be_v of_o the_o breed_n of_o these_o worm_n we_o have_v already_o tell_v you_o in_o the_o second_o book_n of_o our_o institution_n chap._n 9_o and_o in_o the_o three_o book_n of_o our_o practice_n part_v 2._o sect._n 1_o chap._n 5._o what_o be_v there_o speak_v have_v here_o place_n likewise_o for_o worm_n be_v generate_v in_o ulcer_n that_o be_v sordid_a and_o foul_a and_o which_o be_v not_o cleanse_v as_o they_o ought_v to_o have_v be_v neither_o purge_v from_o their_o pus_fw-la and_o sanies_fw-la and_o this_o especial_o if_o it_o be_v in_o the_o summer_n time_n and_o the_o air_n be_v hot_a and_o moist_a sign_n diagnostic_n if_o the_o ulcer_n be_v open_a than_o the_o worm_n appear_v unto_o the_o sight_n but_o if_o by_o reason_n of_o the_o straightness_n and_o narrowness_n of_o the_o ulcer_n the_o worm_n can_v be_v see_v they_o may_v yet_o be_v know_v by_o other_o sign_n by_o a_o certain_a bite_n both_o of_o prick_v and_o pain_n and_o by_o the_o sense_n of_o motion_n and_o there_o be_v most_o common_o likewise_o a_o certain_a stink_n perceive_v in_o those_o ulcer_n the_o cure_n the_o whole_a business_n and_o substance_n of_o the_o cure_n consist_v in_o this_o to_o wit_n that_o the_o worm_n be_v take_v away_o and_o the_o putridness_n of_o the_o ulcer_n be_v hinder_v and_o prevent_v if_o therefore_o the_o worm_n lie_v open_a and_o may_v be_v discern_v they_o be_v then_o to_o be_v draw_v forth_o with_o instrument_n sit_v for_o the_o same_o purpose_n but_o if_o they_o lie_v hide_v or_o stick_v so_o close_a and_o fast_o unto_o the_o part_n that_o they_o can_v be_v draw_v forth_o they_o be_v then_o to_o be_v kill_v with_o medicament_n that_o may_v likewise_o withal_o take_v away_o the_o putridness_n and_o the_o overgreat_a humidity_n of_o the_o part_n and_o this_o be_v do_v by_o medicament_n make_v of_o wormwood_n horehound_n dittany_n fern_n scordium_n or_o water_n germander_n featherfew_n centaury_n the_o less_o the_o leave_n of_o peach_n lupin_n gentian_n the_o gall_n of_o a_o bull_n aloe_n and_o mirth_n as_o take_v wormwood_n centaury_n the_o less_o horehound_n of_o each_o half_n a_o handful_n boil_v they_o in_o ordinary_a spring_n water_n and_o strain_v they_o take_v of_o the_o strain_n half_o a_o pint_n honey_n two_o ounce_n aloe_n two_o dram_n mingle_v they_o etc._n etc._n or_o take_v gentian_n root_n half_a a_o ounce_n white_a hellebore_n two_o dram_n dittany_n of_o candy_n wormwood_n centaury_n the_o less_o of_o each_o half_n a_o handful_n boil_v they_o in_o a_o sufficient_a quantity_n of_o water_n then_o take_v of_o the_o strain_v six_o ounce_n the_o elixir_n of_o propriety_n two_o dram_n mingle_v etc._n etc._n or_o take_v vnslake_v lime_n a_o sufficient_a quantity_n extinguish_v it_o with_o wine_n vinegar_n and_o afterward_o let_v it_o be_v stir_v well_o about_o with_o oil_n of_o rose_n that_o so_o a_o cataplasm_n may_v be_v make_v hereof_o or_o take_v aloe_n two_o dram_n myrrh_n powder_v one_o dram_n the_o meal_n of_o lupin_n two_o dram_n bull_n gall_v half_a a_o ounce_n flour_n of_o brass_n one_o dram_n honey_n as_o much_o as_o will_v suffice_v and_o make_v a_o lineament_n or_o take_v meal_n or_o flour_n of_o lupin_n three_o dram_n elixir_n propriet_fw-la two_o dram_n bull_n gal_n three_o dram_n honey_n a_o sufficient_a quantity_n and_o make_v hereof_o a_o lineament_n chap._n 12._o of_o a_o varicose_v ulcer_n touch_v varices_fw-la we_o have_v indeed_o speak_v above_o in_o the_o first_o part_n chap._n 44._o yet_o notwithstanding_o it_o sometime_o so_o happen_v that_o a_o ulcer_n may_v be_v join_v with_o and_o accompany_v these_o varices_fw-la and_o this_o ulcer_n they_o call_v a_o varicose_v ulcer_n which_o malady_n be_v easy_o know_v from_o the_o sign_n of_o a_o varix_fw-la and_o from_o ulcer_n now_o this_o varicose_v ulcer_n can_v be_v heal_v unless_o the_o varices_fw-la be_v first_o of_o all_o heal_v as_o galen_n teach_v we_o in_o his_o four_o book_n of_o the_o method_n of_o physic_n chap._n 2._o and_o therefore_o whensoever_o at_o any_o time_n we_o be_v mind_v to_o take_v in_o hand_n the_o cure_n of_o such_o a_o ulcer_n in_o the_o first_o place_n the_o cure_n must_v be_v direct_v unto_o and_o look_v towards_o the_o say_v varices_fw-la which_o how_o it_o may_v be_v accomplish_v we_o have_v tell_v you_o in_o the_o place_n before_o allege_v now_o there_o be_v extant_a in_o gulielmus_fw-la fabricius_n his_o four_o century_n and_o observat_fw-la 85._o a_o history_n of_o this_o varicose_v ulcer_n how_o it_o be_v cure_v the_o history_n he_o relate_v in_o these_o very_a word_n in_o the_o year_n 1589._o say_v he_o when_o i_o return_v home_o unto_o my_o father_n house_n out_o of_o france_n i_o be_v call_v unto_o a_o certain_a patient_n here_o in_o the_o neighbourhood_n ulcer_n the_o history_n of_o a_o monstrous_a ulcer_n a_o man_n about_o forty_o year_n old_a very_o strong_a and_o able_a of_o body_n and_o of_o the_o best_a constitution_n adolphus_n auff_fw-ge dem_fw-ge brooch_n by_o name_n this_o man_n be_v sore_o trouble_v with_o a_o malignant_a and_o inveterate_a ulcer_n in_o his_o left_a leg_n together_o with_o a_o varix_fw-la of_o a_o extraordinary_a great_a bigness_n for_o it_o be_v as_o thick_a as_o my_o arm_n near_o unto_o the_o hand-wrist_n and_o almost_o a_o span_n long_o but_o it_o begin_v in_o his_o ham_n and_o thence_o descend_v downward_o towards_o the_o foot_n it_o fetch_v a_o ring_n and_o make_v two_o circumvolution_n but_o it_o be_v notable_a to_o observe_v that_o so_o soon_o as_o ever_o he_o lift_v up_o his_o leg_n on_o high_a the_o blood_n immediate_o retire_v but_o the_o leg_n be_v set_v again_o upon_o the_o ground_n the_o blood_n again_o descend_v and_o that_o in_o a_o very_a moment_n and_o that_o i_o may_v tell_v you_o in_o a_o word_n the_o blood_n ebb_v and_o flow_v no_o otherwise_o then_o as_o if_o in_o some_o hollow_a pipe_n or_o conduit_n it_o have_v be_v cast_v first_o into_o this_o and_o then_o into_o that_o part_n thereof_o moreover_o it_o be_v so_o that_o varicose_v ulcer_n can_v by_o no_o mean_n be_v consolidate_v unless_o the_o varix_fw-la be_v first_o cut_v forth_o i_o therefore_o thus_o set_v upon_o the_o cure_n have_v appoint_v my_o patient_n a_o good_a and_o wholesome_a course_n of_o diet_n and_o now_o and_o then_o also_o thorough_o purge_v his_o body_n and_o open_v the_o arm-vein_n of_o the_o same_o side_n and_o put_v the_o sick_a person_n upon_o a_o bench_n i_o then_o easy_o and_o gentle_o separate_v the_o skin_n in_o the_o ham_n from_o the_o vein_n itself_o and_o then_o with_o a_o thread_n twice_o double_v which_o i_o convey_v in_o by_o a_o needle_n that_o i_o crooked_a on_o purpose_n i_o lay_v hold_v on_o the_o varix_fw-la and_o in_o the_o low_a part_n of_o the_o varix_fw-la i_o proceed_v in_o the_o very_a same_o manner_n but_o before_o ever_o i_o will_v draw_v the_o thread_n close_o and_o tie_v the_o knot_n i_o command_v that_o his_o leg_n shall_v be_v again_o set_v upon_o the_o ground_n from_o off_o the_o bench_n and_o this_o i_o do_v to_o this_o end_n that_o the_o blood_n may_v in_o manner_n as_o aforesaid_a flow_v downward_o for_o i_o much_o fear_v lest_o that_o the_o blood_n by_o reason_n of_o its_o ebb_a and_o flow_v be_v make_v very_o thin_a and_o subtle_a shall_v here_o cause_v some_o inconvenience_n or_o other_o etc._n etc._n see_v what_o further_o follow_v in_o this_o history_n in_o the_o first_o part_n of_o this_o five_o book_n chap._n 44._o in_o the_o conclusion_n of_o the_o say_a chapter_n in_o which_o we_o treat_v of_o varices_fw-la chap._n 13._o of_o a_o ulcer_n with_o the_o rottenness_n of_o a_o bone_n it_o happen_v likewise_o sometime_o that_o a_o rot_a and_o corrupt_a bone_n lie_v under_o the_o ulcer_n now_o bone_n be_v corrupt_v and_o contract_v a_o rottenness_n either_o from_o internal_a cause_n to_o wit_n the_o long_a afflux_n of_o the_o excrementious_a humour_n unto_o the_o bone_n or_o else_o the_o venomous_a quality_n and_o acrimony_n of_o the_o sanies_fw-la or_o else_o by_o some_o hide_a propriety_n like_v as_o it_o often_o happen_v in_o the_o french_a disease_n that_o the_o very_a bone_n become_v rot_v the_o skin_n in_o the_o mean_a time_n remain_v whole_a and_o sound_a the_o external_a cause_n be_v
by_o stiching_a and_o soder_v it_o together_o per_fw-la glutinum_fw-la as_o they_o term_v it_o which_o what_o be_v mean_v thereby_o we_o shall_v anon_o show_v you_o and_o first_o as_o for_o swath_a this_o suit_v very_o fit_o unto_o wound_n that_o be_v make_v according_a to_o the_o length_n of_o the_o member_n swath_a swath_a and_o which_o be_v not_o very_o deep_a and_o where_o we_o have_v hope_n that_o by_o swath_a alone_o the_o lip_n of_o the_o wound_n may_v be_v join_v together_o there_o stitch_v and_o sew_v be_v not_o rash_o to_o be_v practise_v but_o now_o let_v the_o linen_n swath_n be_v neither_o too_o hard_a nor_o over_o soft_a the_o breadth_n whereof_o ought_v to_o be_v such_o that_o be_v once_o cast_v upon_o the_o wound_n it_o may_v not_o only_o comprehend_v &_o contain_v the_o say_a wound_n but_o may_v likewise_o comprehend_v something_o on_o either_o side_n even_o unto_o the_o very_a confine_n of_o the_o say_a wound_n but_o if_o the_o wound_n shall_v chance_v to_o be_v longe●_n the_o bind_v up_o of_o the_o wound_n be_v then_o better_o perform_v by_o a_o narrow_a &_o straight_a swath_n than_o be_v one_o of_o about_o three_o finger_n breadth_n now_o this_o bind_n be_v accomplish_v with_o a_o swath_n of_o two_o head_n as_o i_o may_v so_o say_v or_o that_o have_v a_o double_a beginning_n and_o in_o wound_n that_o be_v not_o very_o long_a the_o middle_n of_o the_o swath_n be_v first_o of_o all_o impose_v upon_o the_o opposite_a part_n of_o the_o wound_n and_o the_o roll_a of_o it_o about_o be_v begin_v from_o it_o and_o draw_v towards_o the_o wound_n and_o above_o the_o wound_v it_o be_v strain_v and_o in_o this_o manner_n the_o lip_n of_o the_o wound_n be_v right_o draw_v together_o and_o then_o after_o this_o both_o head_n or_o the_o swath_n be_v roll_v this_o way_n and_o that_o way_n that_o so_o the_o low_a part_n thereof_o may_v be_v draw_v about_o by_o the_o low_a part_n of_o the_o member_n but_o the_o superior_a by_o the_o high_a part_n of_o the_o member_n and_o all_o to_o this_o end_n that_o so_o the_o humour_n may_v the_o better_o be_v press_v forth_o of_o the_o part_n affect_v let_v this_o ligature_n be_v straight_a and_o hard_a above_o upon_o the_o place_n affect_v then_o in_o the_o part_n that_o lie_v near_o unto_o it_o and_o let_v it_o be_v such_o as_o be_v neither_o overloose_o nor_o too_o straight_o for_o if_o it_o shall_v be_v too_o loose_a it_o will_v not_o contain_v nor_o keep_v in_o the_o lip_n of_o the_o wound_n be_v draw_v together_o and_o if_o it_o be_v overmuch_o strain_v it_o will_v then_o cause_v pain_n a_o afflux_n of_o the_o humour_n and_o a_o inflammation_n and_o therefore_o let_v the_o term_n or_o time_n of_o the_o strain_n be_v as_o long_o as_o the_o sick_a person_n can_v well_o endure_v it_o and_o in_o the_o winter_n by_o reason_n of_o the_o cold_a the_o rolling_n and_o swathing_n about_o may_v be_v the_o more_o but_o in_o the_o summer_n the_o few_o the_o better_a lest_o that_o by_o reason_n of_o the_o many_o wind_n about_o of_o the_o swath_n the_o part_n affect_v grow_v over_o hot_a the_o knot_n be_v to_o be_v knit_v a_o good_a way_n distant_a from_o the_o wound_n or_o rather_o the_o head_n of_o the_o swath_n be_v to_o be_v few_v together_o but_o now_o that_o in_o the_o great_a sort_n of_o wound_n the_o draw_v together_o of_o the_o lip_n may_v be_v make_v the_o easy_a the_o plumaceolus_fw-la or_o little_a pillow_n or_o linen_n clothes_n many_o time_n double_v but_o most_o common_o four_o double_a of_o all_o which_o we_o speak_v before_o be_v to_o be_v administer_v but_o according_a to_o the_o judgement_n and_o opinion_n of_o avicen_n in_o the_o four_o sect_n of_o his_o four_o book_n tr_fw-la 1._o chapt._n 8_o the_o triangular_a pillow_n be_v far_o more_o commodious_a which_o two_o of_o they_o together_o on_o either_o side_n one_o be_v put_v unto_o the_o wound_n so_o that_o the_o side_n of_o both_o of_o they_o be_v dispose_v and_o place_v according_a to_o the_o length_n of_o the_o wound_n and_o therefore_o those_o aforesaid_a pillow_n etc._n etc._n aught_o to_o exceed_v the_o length_n of_o the_o wound_n may_v have_v respect_n each_o to_o other_o for_o the_o swath_n be_v draw_v upon_o the_o angle_n of_o the_o triangular_a pillow_n force_v forward_o the_o pillow_n together_o with_o the_o lip_n lie_v underneath_o unto_o the_o contrary_a part_n and_o as_o avicen_n speak_v strain_v together_o only_o upon_o the_o fissure_n or_o cleave_v of_o the_o wound_n which_o will_v not_o so_o be_v if_o those_o pillow_n be_v four_o square_a of_o the_o stitch_n or_o sew_v of_o wound_n with_o glew_v but_o now_o whereas_o in_o transverse_a and_o long_o wound_v swath_a alone_a will_v not_o suffice_v for_o the_o draw_v together_o of_o the_o lip_n of_o the_o wound_n and_o so_o keep_v and_o preserve_v they_o in_o this_o respect_n therefore_o there_o will_v be_v need_n of_o stitch_v but_o see_v that_o in_o the_o wound_n of_o the_o face_n stitching_n cause_v a_o great_a deformity_n and_o in_o other_o long_a and_o great_a wound_n the_o stitch_n be_v oftentimes_o break_v before_o the_o agglutination_n of_o the_o wound_n and_o because_o likewise_o that_o tender_a body_n will_v by_o no_o mean_n away_o with_o sew_v which_o be_v do_v with_o the_o needle_n therefore_o a_o certain_a glutination_n or_o stitch_v with_o glue_v have_v be_v invent_v which_o draw_v together_o the_o lip_n of_o the_o wound_n without_o any_o the_o least_o mangle_v of_o the_o wound_a part_n or_o prick_v of_o it_o with_o the_o needle_n now_o this_o be_v the_o provision_n that_o be_v to_o be_v make_v strong_a linen_n clothes_n be_v prepare_v that_o be_v equal_a soft_a quadrangular_a or_o triangular_a or_o of_o some_o other_o figure_n according_a as_o the_o nature_n of_o the_o situation_n of_o the_o wound_n and_o member_n unto_o which_o they_o ought_v to_o be_v apply_v do_v require_v let_v these_o be_v either_o fold_a together_o or_o sew_v so_o as_o that_o the_o stitch_n may_v be_v no_o great_a eyesore_n in_o that_o part_n wherein_o they_o have_v respect_n unto_o the_o wound_n and_o let_v thread_n now_o and_o then_o be_v pass_v through_o they_o in_o the_o broad_a place_n of_o they_o unto_o these_o linen_n clothes_n be_v to_o be_v fasten_v little_a handle_n or_o loop_n of_o thread_n many_o double_a and_o twist_v and_o then_o wax_v at_o the_o same_o distance_n that_o the_o stitch_n be_v wont_a to_o be_v make_v or_o if_o you_o please_v somewhat_o a_o less_o distance_n upon_o this_o linen_n let_v the_o aforesaid_a glutinum_fw-la be_v spread_v that_o be_v make_v of_o a_o stringent_a and_o viscous_a clammy_a medicament_n such_o as_o be_v the_o white_a of_o a_o egg_n bolearmenick_n frankincense_n mastic_n sarcocol_n fine_a flour_n parget_n tragacanth_n coral_n and_o fat_a rosin_n as_o for_o instance_n take_v bolearmenick_a sarcocol_n mastic_n dragon_n blood_n of_o each_o two_o dram_n let_v they_o be_v mingle_v with_o the_o white_a of_o a_o egg._n or_o take_v of_o the_o fine_a flour_n and_o mastic_n of_o each_o half_n a_o dram_n bolearmenick_a coral_n sarcocol_n of_o each_o one_o dram_n dragon_n blood_n two_o scruple_n mingle_v all_o these_o with_o the_o white_a of_o a_o egg._n and_o if_o we_o fear_v that_o the_o say_v glutinum_fw-la may_v be_v separate_v which_o be_v chief_o cause_v by_o the_o sanies_fw-la or_o thin_a excrement_n that_o flow_v forth_o of_o the_o wound_n than_o the_o rosin_n of_o the_o pine_n or_o of_o the_o pitch_n tree_n be_v to_o be_v mingle_v together_o with_o the_o rest_n these_o not_o admit_v of_o any_o humidity_n as_o take_v dragon_n blood_n frankincense_n mastic_n bolearmenick_a rosin_n of_o the_o pine_n tree_n of_o each_o as_o much_o as_o you_o think_v fit_a and_o let_v they_o be_v mingle_v together_o with_o the_o white_a of_o a_o egg._n the_o linen_n be_v in_o this_o manner_n spread_v over_o with_o the_o say_v glue_v and_o furnish_v with_o their_o little_a handle_n two_o on_o both_o side_n at_o the_o side_n of_o the_o wound_n the_o distance_n of_o a_o thumb_n one_o from_o the_o other_o be_v so_o to_o be_v fasten_v thereunto_o that_o the_o handle_n may_v right_o answer_v the_o one_o to_o the_o other_o and_o they_o be_v there_o to_o be_v leave_v so_o long_o until_o that_o the_o glue_v be_v dry_v up_o the_o linen_n stick_v fast_o unto_o the_o skin_n which_o common_o be_v wont_a to_o be_v do_v in_o the_o space_n of_o four_o or_o five_o hour_n the_o linen_n now_o stick_v fast_o unto_o the_o skin_n the_o handle_n or_o thread_n aforesaid_a be_v to_o be_v draw_v close_o together_o and_o then_o tie_v fast_o one_o to_o the_o other_o that_o so_o the_o lip_n of_o the_o wound_n may_v be_v right_o unite_v and_o in_o this_o manner_n without_o any_o pain_n at_o all_o and_o
patient_n let_v he_o apply_v his_o right_a heel_n if_o the_o right_a shoulder_n be_v luxate_v or_o his_o left_a heel_n if_o the_o left_a upon_o the_o bal_n put_v under_o the_o armpit_n and_o with_o both_o hand_n let_v he_o draw_v the_o shoulder_n downward_o when_o the_o head_n of_o it_o be_v rapt_v upward_o by_o the_o strength_n of_o the_o muscle_n but_o with_o his_o heel_n let_v he_o drive_v the_o shoulder_n at_o once_o to_o the_o before_o part_n and_o upward_o and_o at_o last_o let_v he_o force_v backward_o the_o head_n of_o the_o shoulder_n into_o the_o cavity_n of_o the_o blade_n the_o which_o he_o may_v easy_o do_v whenas_o the_o muscle_n do_v not_o only_o much_o help_n this_o motion_n but_o oftentimes_o alone_o do_v whole_o perfect_v it_o two_o servant_n may_v make_v this_o way_n of_o reduce_v easy_a the_o one_o of_o which_o with_o a_o swath_n or_o rein_n may_v draw_v the_o shoulderblade_n upward_o towards_o the_o head_n of_o the_o patient_n and_o by_o this_o mean_n facilitate_v the_o motion_n downward_o but_o let_v he_o press_v with_o his_o foot_n the_o top_n of_o the_o shoulder_n and_o so_o he_o will_v hinder_v the_o shoulderblade_n from_o follow_v while_o the_o chirurgeon_n draw_v the_o shoulder_n downward_o but_o let_v the_o other_o hold_v the_o opposite_a sound_a arm_n and_o by_o this_o mean_v he_o shall_v hinder_v that_o the_o whole_a body_n do_v not_o follow_v upon_o the_o extension_n make_v by_o the_o chirurgeon_n on_o the_o affect_a side_n and_o this_o way_n because_o it_o be_v do_v by_o a_o way_n contrary_a to_o the_o fall_v forth_o of_o the_o bone_n and_o with_o extension_n too_o be_v almost_o natural_a safe_a and_o not_o so_o laborious_a yet_o because_o it_o want_v a_o impulse_n galen_n think_v it_o recede_v from_o a_o convenient_a manner_n the_o three_o way_n be_v by_o a_o ladder_n and_o it_o be_v also_o safe_a and_o commodious_a enough_o way_n the_o three_o way_n to_o wit_v a_o ladder_n be_v raise_v up_o firm_a and_o fast_o upon_o who_o uppermost_a step_n there_o must_v be_v bind_v some_o round_a body_n which_o must_v be_v fit_v to_o the_o armpit_n of_o the_o patient_n and_o may_v drive_v forth_o the_o head_n of_o the_o shoulder_n at_o the_o bottom_n of_o the_o ladder_n a_o footstep_n be_v place_v which_o the_o patient_n get_v upon_o afterward_o his_o armpit_n be_v place_v over_o that_o round_a body_n the_o luxated_a arm_n be_v draw_v downward_o by_o the_o chirurgeon_n and_o the_o shoulder_n be_v move_v up_o and_o down_o in_o the_o interim_n the_o sound_a arm_n be_v most_o strong_o draw_v downward_o at_o the_o same_o time_n by_o a_o servant_n on_o the_o opposite_a side_n and_o the_o footstool_n together_o be_v draw_v from_o under_o the_o foot_n of_o the_o patient_n that_o he_o remain_v hang_v on_o the_o ladder_n and_o by_o this_o mean_v the_o shoulder_n be_v restore_v the_o four_o way_n differ_v not_o much_o from_o this_o way_n the_o four_o way_n which_o be_v perform_v by_o a_o pestle_n to_o wit_n the_o pestle_n be_v wrap_v up_o with_o some_o soft_a swath_n and_o be_v thrust_v between_o the_o side_n and_o the_o head_n of_o the_o shoulder_n but_o it_o must_v be_v of_o that_o length_n that_o the_o man_n stand_v may_v almost_o hang_v upon_o it_o but_o if_o it_o be_v short_a let_v the_o man_n sit_v so_o that_o he_o can_v scarce_o cast_v his_o shoulder_n over_o the_o pestle_n then_o let_v the_o shoulder_n and_o arm_n be_v extend_v along_o the_o pestle_n but_o let_v another_o force_v his_o body_n the_o other_o way_n fling_v his_o hand_n about_o his_o neck_n near_o the_o throat_n but_o this_o way_n be_v not_o so_o safe_a whenas_o the_o pestle_n under_o the_o arm_n may_v easy_o give_v way_n and_o there_o be_v danger_n lest_o that_o the_o body_n slide_v to_o this_o or_o that_o part_n upon_o extension_n make_v on_o both_o side_n the_o five_o way_n seem_v more_o commodious_a way_n the_o five_o way_n which_o be_v do_v by_o put_v under_o a_o shoulder_n they_o call_v it_o subhumeration_n or_o under-shouldering_a after_o this_o manner_n let_v a_o strong_a servant_n and_o of_o ●al_a stature_n put_v the_o pit_n of_o the_o patient_n arm_v over_o the_o sharp_a part_n of_o his_o shoulder_n and_o let_v he_o draw_v the_o luxated_a shoulder_n towards_o his_o breast_n most_o quick_o and_o strong_o that_o the_o patient_n may_v as_o it_o be_v hang_v on_o his_o shoulder_n by_o which_o mean_v both_o the_o arm_n will_v be_v extend_v and_o the_o head_n of_o the_o shoulder_n move_v to_o the_o before_o part_n in_o the_o interim_n let_v another_o servant_n stand_v at_o the_o back_n of_o the_o patient_n press_v the_o top_n of_o the_o shoulder_n that_o the_o shoulderblade_n follow_v not_o with_o it_o let_v he_o shake_v it_o and_o so_o rule_v those_o violent_a motion_n with_o his_o hand_n that_o the_o luxated_a shoulder_n be_v reduce_v into_o its_o cavity_n ingrave_v in_o the_o shoulderblade_n if_o the_o patient_n be_v light_n let_v a_o boy_n or_o some_o other_o heavy_a weight_n be_v hang_v at_o his_o back_n lest_o upon_o the_o extension_n of_o the_o shoulder_n the_o whole_a body_n do_v follow_v and_o all_o the_o operation_n of_o the_o chirurgeon_n be_v hinder_v the_o six_o way_n which_o by_o hypocrates_n be_v count_v the_o most_o commodious_a be_v describe_v by_o he_o 1._o shoulder_n the_o six_o way_n a_o new_a way_n of_o reduce_v the_o shoulder_n de_fw-fr artic_a tex_fw-la 19_o which_o ambrose_n parry_n make_v yet_o more_o commodious_a l._n 15._o c_o 27._o which_o may_v be_v see_v there_o to_o which_o way_n yet_o some_o art_n may_v be_v add_v if_o the_o patient_n sit_v immovable_a on_o a_o bench_n and_o there_o be_v two_o piece_n of_o wood_n four_o or_o five_o finger_n broad_a two_o finger_n thick_a one_o be_v erect_v perpendicular_a must_v be_v fasten_v to_o its_o basis_n which_o must_v be_v fashion_v to_o the_o form_n of_o a_o cross_n of_o that_o length_n that_o if_o it_o be_v set_v on_o the_o bench_n on_o which_o he_o sit_v it_o may_v almost_o reach_v under_o his_o armpit_n which_o in_o the_o upper_a part_n must_v have_v a_o point_n according_a to_o its_o longitude_n into_o which_o the_o other_o may_v be_v put_v but_o let_v the_o other_o be_v almost_o three_o ell_n long_o and_o at_o one_o end_n let_v it_o have_v another_o piece_n of_o wood_n prefix_v across_o almost_o half_a a_o ell_n long_o let_v this_o wood_n be_v a_o little_a hollow_v a_o ell_n long_o from_o its_o end_n to_o which_o the_o other_o wood_n be_v prefix_v that_o it_o may_v be_v insert_v to_o the_o other_o piece_n of_o wood_n that_o be_v erect_v but_o with_o the_o other_o end_n touch_v the_o bench_n now_o let_v the_o patient_n sit_v unmoved_a on_o the_o bench_n and_o let_v that_o long_a piece_n of_o wood_n rest_v on_o the_o other_o erect_v perpendicular_a be_v so_o move_v to_o he_o that_o that_o cross_a piece_n of_o wood_n may_v be_v straight_o set_v under_o the_o armpit_n of_o the_o patient_n in_o which_o part_n the_o luxation_n be_v let_v the_o patient_n extend_v the_o arm_n that_o be_v hurt_v upon_o that_o cross_a piece_n of_o wood_n towards_o the_o bench_n then_o let_v a_o swath_n or_o rope_n be_v cast_v about_o the_o affect_a arm_n about_o the_o elbow_n a_o long_a towel_n be_v most_o commodious_o use_v and_o let_v the_o arm_n be_v wrap_v with_o it_o till_o below_o the_o elbow_n so_o that_o the_o swath_n end_n in_o two_o handle_n on_o each_o side_n of_o the_o arm_n and_o cross_v piece_n of_o wood_n now_o let_v the_o draw_v engine_n which_o rest_v on_o the_o bench_n such_o as_o be_v use_v to_o draw_v up_o cross_a bone_n he_o apply_v to_o the_o end_n of_o the_o cross_a piece_n of_o wood_n for_o which_o cause_n let_v that_o cross_a piece_n of_o wood_n with_o a_o wooden_a stake_n be_v drive_v in_o a_o cross_n not_o far_o from_o the_o end_n and_o the_o two_o book_n of_o that_o draw_a instrument_n in_o its_o upper_a part_n be_v lay_v hold_v on_o with_o the_o two_o handle_n of_o the_o rope_n or_o towel_n which_o when_o '_o it_o be_v do_v that_o engine_n must_v be_v bring_v about_o as_o be_v wont_a to_o be_v do_v in_o bind_v of_o a_o bone_n for_o so_o the_o arm_n be_v extend_v by_o degree_n and_o be_v draw_v downward_o and_o the_o joint_n fall_v forth_o be_v promote_v into_o its_o place_n into_o which_o it_o be_v draw_v and_o slip_n either_o of_o its_o own_o accord_n by_o the_o motion_n of_o its_o muscle_n or_o by_o help_n of_o the_o chirurgeon_n it_o must_v be_v force_v thither_o with_o his_o hand_n which_o way_n differ_v from_o the_o draft_n of_o the_o ambi_fw-la describe_v by_o parry_n in_o this_o first_o of_o all_o that_o instead_o of_o the_o pillar_n b._n make_v with_o two_o piece_n of_o wood_n here_o be_v a_o pillar_n of_o one_o piece_n which_o
bend_v and_o move_v prognostic_n whenas_o this_o articulation_n be_v more_o loose_a the_o patel_n bone_n may_v easy_o be_v restore_v to_o its_o seat_n the_o cure_n that_o the_o patel_n bone_n may_v be_v reduce_v into_o its_o seat_n let_v the_o patient_n stand_v firm_o upright_a upon_o a_o place_n but_o let_v the_o chirurgeon_n with_o his_o hand_n force_v the_o patel_n bone_n from_o that_o part_n into_o which_o it_o be_v fall_v to_o that_o from_o whence_o it_o be_v fall_v when_o the_o bone_n be_v restore_v to_o its_o place_n fit_a medicine_n must_v be_v lay_v upon_o it_o and_o the_o hollow_a of_o the_o knee_n must_v be_v fill_v up_o with_o bolster_n that_o the_o thigh_n can_v be_v bend_v then_o a_o hollow_a piece_n of_o the_o figure_n of_o the_o patel_n bone_n must_v be_v place_v about_o it_o especial_o on_o the_o side_n to_o which_o it_o fall_v that_o the_o patient_n may_v not_o bend_v his_o knee_n when_o there_o be_v no_o more_o danger_n lest_o the_o parel_n bone_n fall_v out_o again_o let_v the_o patient_n by_o degree_n accustom_v to_o bend_v his_o knee_n again_o chap._n 11._o of_o the_o knee_n luxate_v the_o knee_n may_v not_o only_o be_v subluxate_v but_o it_o may_v suffer_v a_o perfect_a luxation_n and_o true_o oftentimes_o fall_v to_o the_o inward_a and_o outward_a part_n seldom_o to_o the_o hinder_a part_n but_o seldome_v of_o all_o to_o the_o before_o part_n and_o not_o unless_o from_o a_o most_o violent_a cause_n in_o regard_n that_o the_o opposition_n of_o the_o patel_n bone_n do_v hinder_v it_o the_o cause_n this_o luxation_n also_o happen_v from_o blow_n fall_v jump_v vehement_a run_v and_o a_o uncomely_a extension_n or_o contraction_n and_o distorsion_n of_o the_o leg_n sign_n diagnostic_n to_o what_o part_n the_o knee_n be_v luxate_v be_v easy_o know_v for_o in_o the_o side_n to_o which_o the_o joint_n be_v break_v forth_o a_o bunch_v out_o but_o a_o cavity_n in_o the_o side_n from_o which_o it_o be_v depart_v be_v discoverable_a both_o by_o the_o sight_n and_o touch_v its_o figure_n be_v deprave_v the_o thigh_n be_v extend_v and_o can_v be_v bend_v whence_o the_o motion_n be_v necessary_o deprave_v or_o whole_o lose_v prognostic_n 1._o the_o knee_n if_o it_o be_v compare_v with_o the_o elbow_n the_o joint_n in_o the_o knee_n by_o reason_n of_o its_o manner_n of_o juncture_n often_o fall_v out_o and_o be_v easy_a reduce_v for_o the_o structure_n of_o the_o bone_n with_o which_o both_o joint_n be_v contain_v be_v more_o straight_o in_o the_o elbow_n more_o loose_a in_o the_o knee_n beside_o many_o process_n and_o many_o bosom_n join_v to_o one_o another_o do_v every_o where_o bound_v up_o the_o joint_v of_o the_o elbow_n but_o in_o the_o knee_n the_o bunching_n forth_o of_o the_o thigh_n be_v cast_v into_o the_o small_a bosom_n of_o the_o leg._n 2._o for_o the_o same_o cause_n a_o luxation_n of_o the_o knee_n be_v less_o dangerous_a nor_o do_v a_o inflammation_n easy_o happen_v for_o whenas_o a_o inflammation_n arise_v from_o the_o force_n with_o which_o the_o bone_n be_v expel_v and_o reduce_v again_o and_o the_o pain_n arise_v from_o hence_o because_o in_o the_o knee_n the_o joint_n may_v fall_v forth_o and_o be_v reduce_v without_o any_o great_a force_n there_o be_v no_o fear_n of_o a_o inflammation_n the_o cure_n the_o knee_n luxate_v to_o the_o inward_a and_o outward_a part_n be_v not_o hard_a to_o be_v restore_v by_o moderate_a extension_n make_v either_o with_o the_o hand_n in_o a_o new_a luxation_n and_o child_n body_n or_o with_o reins_o in_o a_o luxation_n not_o so_o late_o and_o strong_a body_n and_o with_o force_v the_o bone_n with_o the_o hand_n into_o the_o contrary_a part_n from_o which_o they_o sell_v but_o a_o luxation_n make_v backward_o be_v commodious_o restore_v if_o the_o patient_n be_v place_v with_o his_o face_n on_o a_o bench_n and_o some_o servant_n put_v a_o linen_n globe_n into_o the_o hollow_a of_o the_o ham_n at_o what_o part_n the_o bone_n stick_v forth_o and_o strong_o force_v the_o bone_n fall_v forth_o towards_o the_o fore_a part_n but_o let_v the_o chirurgeon_n take_v hold_v of_o the_o lame_a leg_n with_o both_o hand_n and_o of_o a_o sudden_a so_o bend_v and_o bow_v it_o that_o his_o heel_n touch_v his_o buttock_n a_o knee_n subluxate_v by_o none_o or_o very_o little_a extension_n make_v and_o force_v it_o to_o the_o contrary_a part_n be_v reduce_v into_o its_o place_n when_o the_o bone_n be_v reduce_v which_o be_v know_v by_o the_o free_a exten_n sion_fw-la of_o the_o leg_n and_o compare_v it_o with_o the_o other_o knee_n convenient_a medicine_n must_v be_v lay_v upon_o it_o and_o bind_v up_o must_v be_v order_v and_o the_o patient_n must_v forbear_v go_v till_o there_o be_v no_o more_o fear_n of_o a_o new_a luxation_n chap._n 12_o of_o the_o distraction_n of_o the_o bracer_n the_o bracer_n adhere_v to_o the_o great_a bone_n of_o the_o leg_n and_o as_o it_o be_v say_v in_o the_o former_a chapter_n above_o to_o the_o knee_n below_o the_o ankle_n but_o it_o be_v draw_v from_o the_o great_a bone_n three_o way_n to_o wit_n to_o the_o before_o part_n and_o both_o side_n the_o cause_n but_o this_o divulsion_n come_v from_o those_o cause_n from_o which_o we_o say_v the_o knee_n be_v luxate_v especial_o when_o late-walking_a in_o a_o slippery_a place_n the_o foot_n be_v not_o firm_a but_o dubious_o be_v wrinch_a inward_o or_o outward_o the_o same_o may_v be_v by_o a_o fall_n from_o on_o high_a or_o by_o a_o blow_n sign_n diagnostic_n a_o tumour_n appear_v in_o the_o part_n to_o which_o the_o bracer_n be_v distract_v and_o be_v discover_v by_o the_o sight_n and_o touch_v and_o motion_n be_v hurt_v the_o prognostic_n the_o reduce_n of_o the_o bracer_n be_v easy_a the_o cure_n for_o by_o the_o hand_n of_o the_o chirurgeon_n it_o may_v easy_o be_v compel_v and_o bring_v back_o into_o its_o seat_n by_o force_v it_o into_o that_o part_n contrary_a to_o its_o fall_n afterward_o convenient_a bind_v up_o must_v be_v order_v put_v bolster_n to_o that_o part_n to_o which_o the_o bracer_n be_v fall_v and_o rest_n for_o some_o week_n must_v be_v command_v the_o patient_n till_o the_o ligament_n be_v confirm_v again_o chap._n 13_o of_o a_o luxation_n of_o the_o foot_n and_o its_o bone_n and_o of_o the_o toe_n by_o the_o word_n foot_n we_o understand_v all_o that_o part_n of_o man_n body_n reach_v out_o from_o the_o low_a part_n of_o the_o leg_n to_o the_o very_a end_n of_o the_o toe_n which_o contain_v divers_a bone_n after_o divers_a manner_n joint_v together_o and_o unite_v by_o membranous_a ligament_n to_o wit_n the_o ankle_n the_o heel_n the_o ship-like_a bone_n the_o tarsus_n metatarsus_fw-la and_o bone_n of_o the_o toe_n of_o the_o luxation_n of_o all_o which_o we_o shall_v now_o speak_v but_o because_o the_o bone_n of_o the_o tarsus_n metatarsus_fw-la and_o toe_n be_v here_o unite_v almost_o after_o the_o same_o manner_n as_o the_o bone_n of_o the_o wrist_n after-wrist_n and_o finger_n be_v to_o one_o another_o they_o be_v subject_a also_o to_o the_o same_o luxation_n have_v the_o same_o cause_n be_v know_v by_o the_o same_o sign_n and_o be_v reduce_v the_o same_o way_n but_o the_o ship-like_a bone_n may_v suffer_v the_o same_o thing_n as_o the_o bone_n of_o the_o tarsus_n it_o be_v not_o worth_a our_o labour_n to_o add_v much_o of_o these_o but_o those_o thing_n which_o be_v say_v of_o the_o bone_n of_o the_o hand_n may_v also_o be_v apply_v to_o these_o heel_n luxation_n of_o the_o ankle_n and_o heel_n some_o thing_n only_o we_o shall_v add_v of_o the_o luxation_n of_o the_o ankle_n and_o heel_n whenas_o no_o bone_n in_o the_o hand_n do_v answer_v unto_o these_o the_o difference_n the_o ankle_n join_v with_o the_o great_a and_o lesser_a focil_n by_o a_o ginglymus_n may_v be_v luxate_v perfect_o and_o imperfect_o to_o every_o part_n to_o wit_n the_o outward_a inward_a fore_n and_o back_o part_n but_o the_o heel_n lie_v under_o the_o ankle_n be_v often_o move_v indeed_o more_o forward_o and_o backward_o but_o seldom_o to_o the_o side_n the_o cause_n the_o luxation_n of_o these_o part_n be_v from_o a_o violent_a fall_n a_o blow_n or_o some_o other_o inconvenient_a distorsion_n of_o the_o forth_o but_o in_o particular_a the_o heel_n be_v luxate_v and_o pull_v from_o the_o ankle_n if_o one_o leap_v from_o on_o high_a do_v fall_v and_o stick_v heavy_o upon_o the_o heel_n or_o in_o dance_v do_v insist_v much_o upon_o the_o heel_n the_o sign_n diagnostic_n the_o ankle_n if_o it_o be_v fall_v to_o the_o outward_a part_n the_o low_a part_n of_o the_o foot_n be_v turn_v inward_o if_o to_o the_o inward_a part_n there_o be_v contrary_a sign_n if_o it_o be_v luxate_v to_o the_o before_o part_n the_o broad_a tendon_n
it_o may_v thus_o be_v know_v if_o that_o which_o be_v touch_v by_o the_o instrument_n be_v soft_a and_o the_o pus_fw-la that_o flow_v forth_o be_v white_a and_o in_o great_a abundance_n it_o than_o show_v that_o the_o fistula_n stick_v in_o the_o skin_n alone_o but_o if_o it_o penetrate_v and_o reach_v even_o unto_o the_o nerve_n than_o there_o will_v be_v great_a pain_n perceive_v when_o the_o depth_n of_o the_o sinus_n be_v search_v unto_o and_o the_o pus_fw-la that_o be_v evacuate_v be_v indeed_o white_a but_o than_o it_o be_v very_o thin_a and_o in_o less_o plenty_n and_o the_o action_n of_o that_o member_n unto_o which_o the_o nerve_n tend_v be_v render_v more_o difficult_a if_o it_o penetrate_v unto_o a_o bone_n there_o be_v then_o present_a a_o pain_n in_o the_o very_a time_n of_o make_v the_o trial_n and_o discovery_n and_o that_o unto_o which_o the_o low_a end_n of_o the_o search_a instrument_n reach_v be_v hard_a and_o make_v resistance_n and_o the_o bone_n be_v then_o indeed_o find_v and_o perceive_v to_o be_v equal_a and_o smooth_a if_o it_o be_v not_o as_o yet_o become_v rot_v and_o corrupt_v but_o if_o putridness_n have_v seize_v even_o upon_o the_o bone_n itself_o also_o it_o than_o appear_v rough_a and_o unequal_a unto_o the_o touch_n and_o the_o pus_fw-la flow_v forth_o wax_v black_a and_o be_v of_o a_o very_a ill_a savour_n but_o if_o the_o sinus_n reach_v unto_o a_o vein_n or_o a_o artery_n and_o this_o vein_n or_o artery_n be_v not_o indeed_o corrode_v and_o eat_v through_o then_o there_o be_v something_o issue_v forth_o that_o be_v like_a unto_o fece_n or_o dregs_n for_o the_o blood_n sweat_v through_o by_o the_o pore_n of_o a_o vein_n or_o a_o artery_n be_v mingle_v together_o with_o the_o humidity_n of_o the_o ulcer_n and_o thence_o it_o be_v that_o what_o flow_v forth_o appear_v feculent_a or_o dreggy_a but_o if_o the_o vein_n or_o the_o artery_n be_v eat_v through_o then_o sometime_o there_o will_v blood_n break_v out_o and_o flow_v forth_o and_o this_o will_v be_v very_o red_a and_o with_o a_o kind_n of_o leap_v or_o dance_v motion_n and_o with_o a_o tickle_a if_o it_o come_v from_o a_o artery_n but_o more_o thick_a and_o dark_a if_o it_o issue_v forth_o from_o a_o vein_n prognostic_n 1._o simple_n or_o single_a fistula_n that_o be_v yet_o but_o new_o begin_v which_o be_v in_o the_o fleshy_a part_n alone_o not_o deep_a in_o young_a vigorous_a body_n and_o such_o as_o be_v of_o a_o good_a constitution_n be_v easy_o cure_v but_o more_o difficult_o those_o wherein_o many_o part_n be_v corrode_v and_o eat_v quite_o through_o such_o as_o be_v old_a and_o inveterate_a without_o any_o sense_n and_o feeling_n deep_a full_o of_o turn_n and_o have_v divers_a and_o different_a hollow_a nook_n such_o as_o be_v near_o situate_a unto_o noble_a and_o principal_a member_n and_o when_o they_o be_v in_o old_a and_o decay_a body_n and_o such_o as_o abound_v with_o ill_a humour_n 2._o and_o so_o be_v those_o in_o like_a manner_n very_o dangerous_a and_o hardly_o cure_v or_o rather_o indeed_o altogether_o incurable_a that_o reach_v even_o unto_o the_o head_n of_o the_o muscle_n unto_o the_o vein_n unto_o the_o artery_n unto_o the_o nerve_n the_o bone_n the_o joint_n and_o the_o very_a vertebra_n of_o the_o back_n that_o reach_n and_o extend_v unto_o the_o cavity_n of_o the_o belly_n as_o the_o thorax_n or_o the_o abdomen_fw-la or_o paunch_n or_o even_o such_o as_o penetrate_v likewise_o unto_o the_o very_a bowel_n themselves_o as_o the_o lung_n womb_n intestine_n and_o also_o unto_o the_o very_a bladder_n itself_o for_o why_o such_o like_o fistula_n as_o these_o either_o they_o will_v not_o bear_v nor_o admit_v of_o any_o medicament_n or_o it_o may_v happen_v likewise_o that_o the_o medicament_n can_v possible_o attain_v and_o reach_v unto_o they_o 3._o yea_o some_o certain_a fistula_n there_o be_v that_o indeed_o ought_v not_o to_o be_v cure_v to_o wit_n such_o as_o be_v old_a and_o inveterate_a as_o have_v be_v of_o long_a continuance_n and_o such_o as_o be_v remove_v from_o the_o noble_a part_n and_o such_o as_o by_o the_o superfluous_a and_o vicious_a humour_n have_v now_o of_o a_o long_a time_n be_v accustom_v to_o be_v purge_v and_o empty_v forth_o for_o such_o like_o fistula_n as_o these_o in_o regard_n that_o they_o preserve_v man_n from_o divers_a disease_n be_v by_o no_o mean_n to_o be_v close_v up_o because_o that_o when_o they_o be_v shut_v up_o they_o cause_n and_o procure_v very_o many_o disease_n as_o hypocrates_n have_v it_o in_o his_o six_o book_n of_o epidem_fw-la comment_fw-fr 3._o text_n 39_o but_o on_o the_o contrary_a if_o they_o shall_v at_o any_o time_n chance_n to_o be_v close_v and_o shut_v up_o they_o be_v then_o again_o to_o be_v open_v the_o cure_n now_o the_o cure_n of_o these_o fistula_n be_v twofold_n one_o the_o true_a and_o perfect_a cure_n the_o other_o only_o palliative_a as_o they_o call_v it_o or_o imperfect_a to_o wit_n such_o as_o wherein_o the_o fistula_n be_v dry_v up_o within_o and_o consolidate_v without_o the_o sinus_n nevertheless_o still_o remain_v which_o kind_n of_o cure_n galen_n seem_v to_o hint_n unto_o we_o in_o his_o book_n of_o tumour_n chap._n 4._o where_o he_o have_v these_o word_n yet_o nevertheless_o say_v he_o the_o sinus_n be_v straighten_v and_o close_v together_o as_o be_v thorough_o dry_v by_o the_o medicament_n insomuch_o that_o the_o part_n may_v seem_v to_o have_v attain_v unto_o a_o soundness_n no_o way_n to_o be_v find_v fault_n with_o for_o evermore_o indeed_o if_o any_o one_o continual_o use_v a_o exact_a and_o accurate_a diet_n come_v by_o this_o mean_n to_o have_v his_o body_n very_o healthful_a and_o sound_a and_o very_o free_a from_o superfluity_n the_o sinus_n then_o remain_v restrain_v and_o keep_v in_o but_o so_o soon_o as_o any_o superfluity_n be_v collect_v and_o get_v together_o it_o be_v again_o fill_v up_o and_o so_o there_o appear_v to_o be_v again_o the_o same_o impostume_n that_o there_o be_v from_o the_o very_a first_o and_o so_o again_o it_o be_v evacuate_v as_o be_v fit_v with_o medicament_n and_o then_o it_o be_v dry_v and_o by_o these_o mean_v it_o be_v restrain_v and_o keep_v in_o and_o all_o this_o be_v evermore_o do_v with_o much_o more_o ease_n unto_o the_o sick_a party_n then_o in_o those_o that_o have_v the_o impostume_n new_o begin_v in_o they_o for_o neither_o do_v the_o part_n that_o be_v so_o far_o divide_v and_o separate_v yet_o feel_v or_o be_v in_o the_o least_o sensible_a of_o pain_n for_o now_o although_o they_o be_v far_o distant_a one_o from_o another_o yet_o nevertheless_o they_o be_v very_o speedy_o fill_v up_o the_o sinus_n easy_o and_o soon_o receive_v that_o that_o flow_v unto_o it_o and_o the_o truth_n be_v hieronymus_n fabricius_n ab_fw-la aquapendente_fw-la be_v of_o opinion_n that_o this_o kind_n of_o cure_n be_v not_o altogether_o to_o be_v despise_v and_o contemn_v for_o sometime_o as_o he_o write_v this_o succeed_v well_o unto_o he_o although_o not_o always_o now_o the_o cure_n be_v perform_v the_o body_n be_v first_o of_o all_o purge_v and_o a_o fit_a course_n of_o diet_n ordain_v and_o afterward_o the_o tent_n and_o fistula_n be_v take_v away_o and_o a_o new_a sponge_n thorough_o soak_v in_o a_o liquor_n that_o be_v strong_o dry_v be_v apply_v and_o fast_o bind_v upon_o the_o place_n such_o as_o be_v the_o water_n of_o hot_a bath_n ley_n limewater_n and_o the_o like_a for_o by_o this_o mean_v the_o mouth_n of_o the_o fistula_n shut_v again_o together_o so_o that_o the_o fistula_n may_v seem_v whole_a and_o sound_a which_o indeed_o sometime_o by_o the_o benefit_n only_o and_o operation_n of_o the_o native_a heat_n do_v altogether_o coalesce_v and_o grow_v together_o again_o but_o for_o the_o most_o part_n it_o remain_v close_v up_o only_o so_o long_o as_o there_o be_v no_o superfluous_a humour_n collect_v and_o get_v together_o in_o the_o body_n for_o after_o that_o there_o be_v any_o humour_n again_o get_v together_o in_o the_o sinus_n the_o fistula_n be_v likewise_o again_o open_v but_o now_o the_o true_a and_o genuine_a cure_n of_o a_o fistula_n be_v thus_o accomplish_v universals_z in_o the_o first_o place_n be_v not_o to_o be_v omit_v but_o a_o diet_n be_v right_o to_o be_v institute_v and_o the_o body_n thorough_o purge_v from_o all_o superfluous_a humour_n and_o especial_a care_n be_v to_o be_v take_v that_o there_o may_v no_o more_o of_o the_o humour_n flow_v in_o unto_o the_o part_n affect_v which_o be_v do_v before_o we_o descend_v unto_o topical_a remedy_n there_o be_v some_o that_o administer_v certain_a potion_n that_o may_v dry_v the_o interior_n part_n and_o strengthen_v they_o and_o that_o may_v prepare_v the_o fistula_n for_o consolidation_n and_o
the_o ambient_fw-la air_n especial_o that_o that_o be_v cold_a a_o contusion_n of_o bruise_n a_o incision_n and_o tart_a or_o sharp_a medicament_n sign_n diagnostic_n if_o the_o bone_n be_v in_o the_o open_a view_n the_o corruption_n thereof_o do_v then_o easy_o appear_v because_o as_o celsus_n write_v in_o his_o eight_o book_n and_o chap._n 2._o that_o that_o be_v vitiate_a at_o the_o first_o appear_v almost_o as_o if_o it_o be_v fat_a and_o afterward_o either_o black_a or_o rot_v but_o although_o the_o bone_n lie_v hide_v and_o do_v not_o in_o the_o least_o appear_v yet_o nevertheless_o its_o corruption_n discover_v itself_o by_o certain_a sign_n and_o if_o a_o fistula_n go_v before_o or_o that_o there_o be_v a_o ulcer_n of_o a_o long_a continuance_n than_o the_o bone_n be_v corrupt_v by_o the_o touch_n of_o the_o pus_fw-la and_o the_o sanies_fw-la touch_v which_o hypocrates_n thus_o write_v in_o the_o six_o of_o his_o aphotism_n aphorism_n 45._o if_o the_o ulcer_n say_v he_o be_v annual_a and_o such_o as_o return_v year_n after_o year_n or_o if_o likewise_o they_o be_v of_o a_o long_a continuance_n than_o there_o will_v necessary_o follow_v a_o impostumate_v and_o putrefying_a of_o the_o bone_n and_o the_o make_n of_o hollow_a cicatrice_n moreover_o he_o say_v that_o such_o like_a ulcer_n be_v indeed_o sometime_o bring_v unto_o a_o cicatrice_n but_o that_o they_o be_v soon_o after_o again_o renew_v the_o cicatrice_n be_v break_v for_o the_o humour_n and_o the_o sanies_fw-la that_o sweat_v out_o of_o the_o corrupt_a bone_n eat_v through_o the_o cicactrice_n and_o renew_v the_o ulcer_n and_o therefore_o if_o there_o be_v any_o ulcer_n often_o renew_v it_o evermore_o give_v we_o great_a cause_n to_o suspect_v that_o there_o be_v one_o or_o more_o bone_n corrupt_v as_o galen_n tell_v we_o in_o his_o comment_n upon_o the_o six_o book_n of_o the_o aphorism_n aphor._n 45._o and_o paulus_n aegineta_n in_o his_o four_o book_n and_o chap._n 10._o and_o this_o be_v oftentimes_o to_o be_v see_v in_o the_o rottenness_n of_o the_o tooth_n out_o of_o which_o there_o still_v forth_o a_o sanies_fw-la through_o the_o hole_n of_o the_o cheek_n or_o jawbone_n and_o there_o in_o the_o external_a part_n of_o the_o jaw_n it_o excit_v and_o cause_v a_o ulcer_n which_o although_o it_o may_v be_v and_o oftentimes_o be_v heal_v yet_o notwithstanding_o after_o a_o very_a short_a time_n the_o cicatrix_fw-la be_v again_o break_a if_o such_o a_o ulcer_n therefore_o appear_v in_o the_o cheek_n and_o be_v there_o often_o renew_v the_o tooth_n be_v then_o to_o be_v look_v into_o and_o if_o there_o be_v any_o one_o of_o they_o rot_a it_o be_v forthwith_o to_o be_v brawn_n for_o the_o ulcer_n can_v possible_o be_v perfect_o and_o whole_o heal_v before_o the_o tooth_n that_o supply_v the_o material_a cause_n unto_o the_o ulcer_n be_v draw_v forth_o three_o the_o flesh_n that_o lie_v above_o upon_o the_o ulcer_n be_v soft_a and_o flaggy_a for_o it_o be_v make_v thus_o soft_a by_o the_o sanies_fw-la that_o sweat_v as_o it_o be_v out_o from_o the_o bone_n and_o sometime_o likewise_o it_o become_v wan_a and_o leaden-coloured_n by_o reason_n of_o the_o vicious_a humour_n that_o flow_v forth_o from_o the_o bone_n in_o the_o seven_o book_n of_o the_o aphorism_n aphor._n 2._o four_o the_o sanies_fw-la that_o flow_v forth_o of_o the_o ulcer_n be_v more_o abundant_a than_o what_o be_v usual_a consider_v the_o bigness_n of_o the_o ulcer_n it_o be_v likewise_o thin_a stink_a and_o of_o very_o ill_a consequence_n as_o galen_n tell_v we_o in_o his_o three_o book_n of_o fracture_n tit._n 18._o and_o if_o there_o be_v a_o dry_a lineament_n put_v into_o the_o ulcer_n so_o that_o it_o may_v teach_v even_o unto_o the_o very_a bone_n and_o the_o next_o day_n draw_v forth_o again_o it_o will_v stink_v loathsome_o and_o last_o if_o the_o probe_n or_o search_a instrument_n be_v convey_v into_o the_o ulcer_n even_o unto_o the_o very_a bone_n than_o the_o say_a ulcer_n be_v not_o find_v to_o be_v smooth_a and_o slippery_a and_o hard_a but_o unequal_a rough_a and_o soft_a but_o whether_o this_o rottenness_n be_v deep_a or_o only_o superficial_a celsus_n in_o his_o eight_o book_n and_o chap._n 2._o teach_v we_o how_o we_o may_v discover_v it_o in_o this_o manner_n if_o say_v he_o a_o slender_a and_o small_a probe_n be_v thrust_v into_o the_o hole_n of_o the_o ulcer_n it_o will_v by_o its_o more_o or_o less_o enter_v thereinto_o give_v we_o sufficient_a notice_n whether_o the_o rottenness_n be_v in_o the_o top_n and_o superficies_n only_o or_o whether_o it_o have_v descend_v deep_a the_o blackness_n likewise_o of_o this_o sanies_fw-la and_o rottenness_n may_v right_o be_v gather_v from_o the_o pain_n and_o from_o the_o fever_n which_o if_o they_o be_v mild_a and_o moderate_a it_o be_v then_o a_o argument_n that_o the_o say_a rottenness_n have_v not_o descend_v very_o deep_a but_o when_o the_o aforesaid_a symptom_n be_v great_a than_o the_o rottenness_n have_v get_v down_o very_o low_a and_o deep_a but_o it_o will_v appear_v yet_o more_o manifest_o by_o turn_v about_o the_o wimble_n in_o it_o for_o there_o be_v then_o a_o end_n of_o what_o be_v amiss_o when_o there_o cease_v to_o come_v forth_o any_o more_o of_o the_o black_a scursiness_n thus_o celsus_n prognostic_n 1._o all_o rottenness_n in_o the_o bone_n hinder_v the_o cure_n of_o the_o ulcer_n neither_o can_v any_o ulcer_n be_v perfect_o heal_v under_o which_o there_o lie_v a_o bone_n that_o be_v corrupt_v 2._o if_o by_o reason_n of_o the_o disease_a and_o rot_a bone_n the_o flesh_n be_v become_v blackish_a and_o of_o a_o leaden_a colour_n it_o than_o betoken_v much_o evil_n 7._o sect._n aphor._n 2._o for_o as_o galen_n comment_n upon_o the_o aforesaid_a aphorism_n it_o signify_v no_o mean_a and_o small_a distemper_n of_o the_o bone_n but_o a_o extraordinary_a corruption_n of_o they_o 3._o if_o the_o rottenness_n of_o the_o bone_n be_v near_o unto_o the_o nervous_a part_n as_o in_o the_o hand_n or_o foot_n or_o else_o in_o the_o joint_n and_o head_n of_o the_o great_a bone_n or_o otherwise_o about_o the_o head_n of_o the_o muscle_n and_o the_o nerve_n and_o the_o tendon_n it_o be_v not_o in_o any_o of_o these_o case_n easy_o cure_v in_o regard_n that_o we_o can_v with_o any_o safety_n make_v use_v of_o or_o appoint_v any_o chirurgical_a operation_n 4._o the_o cure_n in_o like_a manner_n it_o altogether_o as_o difficult_a if_o the_o rottenness_n be_v about_o the_o great_a artery_n and_o the_o vein_n the_o cure_n beside_o the_o indication_n that_o the_o ulcer_n afford_v we_o the_o rottenness_n of_o the_o bone_n show_v we_o likewise_o that_o what_o be_v corrupt_v must_v be_v whole_o take_v away_o for_o neither_o can_v that_o that_o be_v dead_a be_v by_o any_o mean_v correct_v and_o amend_v for_o that_o which_o be_v in_o the_o flesh_n and_o soft_a part_n we_o call_v it_o sphacelus_n but_o if_o it_o be_v in_o the_o bone_n it_o be_v then_o rottenness_n but_o now_o that_o the_o corrupt_a bone_n may_v be_v take_v away_o it_o be_v first_o of_o all_o to_o be_v cleanse_v and_o then_o make_v bare_a if_o it_o be_v cover_v with_o flesh_n the_o ulcer_n be_v cut_v off_o but_o nevertheless_o as_o we_o tell_v you_o erewhile_o there_o can_v oftentimes_o any_o section_n or_o cut_v be_v administer_v by_o reason_n of_o the_o nerve_n muscle_n tendon_n artery_n and_o the_o great_a vein_n the_o bone_n be_v therefore_o then_o as_o much_o as_o may_v be_v to_o be_v cleanse_v with_o a_o gentian_a or_o rape_n root_n tender_o convey_v into_o the_o ulcer_n the_o flesh_n likewise_o that_o lie_v at_o the_o top_n of_o the_o bone_n may_v be_v consume_v by_o a_o caustick_a medicament_n or_o by_o any_o potential_a cautery_n and_o so_o the_o bone_n may_v be_v bare_v in_o the_o same_o manner_n as_o issue_n be_v wont_a to_o be_v excite_v the_o corrupt_a bone_n when_o it_o be_v make_v bare_a it_o be_v then_o to_o be_v take_v away_o either_o by_o chirurgery_n or_o by_o medicament_n we_o must_v of_o necessity_n make_v use_v of_o chirurgery_n when_o the_o corruption_n of_o the_o bone_n be_v more_o deep_a and_o not_o in_o the_o superficies_n or_o when_o we_o desire_v a_o quick_a and_o speedy_a cure_n as_o in_o the_o bone_n of_o the_o thorax_n for_o nature_n do_v but_o very_o slow_o separate_v the_o corrupt_a bone_n and_o scarce_o now_o and_o then_o in_o the_o space_n of_o thirty_o five_o or_o forty_o day_n and_o therefore_o this_o separation_n of_o the_o corrupt_a bone_n from_o the_o sound_n may_v otherwise_o be_v assay_v by_o medicament_n now_o those_o medicament_n that_o separate_v the_o corrupt_a bone_n from_o the_o sound_n ought_v to_o be_v very_o dry_v that_o so_o they_o may_v consume_v the_o superfluous_a humidity_n in_o the_o corrupt_a bone_n
part_n of_o their_o end_n on_o both_o side_n somewhat_o short_a than_o the_o swath_a lie_v under_o it_o lest_o that_o they_o press_v together_o the_o part_n beyond_o the_o swath_a now_o they_o be_v impose_v upon_o the_o fracture_n on_o every_o side_n round_o about_o so_o that_o they_o may_v not_o stand_v distant_a one_o from_o the_o other_o less_o than_o a_o finger_n breadth_n and_o they_o be_v so_o to_o be_v fit_v that_o the_o end_n of_o the_o say_v ferulae_fw-la be_v not_o place_v above_o the_o head_n of_o the_o joint_n that_o stick_v forth_o or_o the_o nerve_n nigh_o unto_o the_o joint_n or_o that_o they_o touch_v upon_o the_o naked_a skin_n see_v hypocrates_n touch_v those_o thing_n that_o be_v to_o be_v do_v in_o the_o cure_v of_o wound_n tit._n 11._o and_o in_o his_o 1_o b._n of_o fract_n text_n 40._o and_o in_o his_o 2_o b._n of_o fract_n text_n 5._o 7._o 11._o 64._o 69._o 71._o and_o galen_n in_o his_o comment_n and_o paulus_n aegineta_n in_o his_o sixth_z b._n chapter_n 99_o and_o unto_o the_o extreme_a part_n also_o that_o be_v grievous_o wound_v or_o break_v or_o disjoint_v the_o hand_n especial_o there_o be_v sometime_o apply_v little_a coffer_n or_o chest_n of_o smooth_a wood_n so_o wrought_v that_o they_o may_v answer_v unto_o the_o figure_n of_o the_o member_n or_o else_o such_o as_o be_v make_v of_o thin_a plate_n of_o iron_n or_o a_o hard_a skin_n or_o paper_n glue_v together_o that_o so_o they_o may_v hold_v together_o the_o part_n unite_v and_o conjoin_v that_o so_o they_o stir_v not_o neither_o move_v to_o and_o fro_o and_o so_o again_o start_v fort_n and_o fall_v out_o of_o their_o place_n of_o laquei_fw-la or_o binder_n unto_o the_o bind_n up_o of_o wound_n there_o likewise_o belong_v the_o injection_n of_o laquei_fw-la as_o they_o term_v they_o which_o we_o may_v fit_o call_v illaqueation_n now_o this_o laqueus_fw-la be_v proper_o a_o bond_n so_o knit_v and_o tie_v that_o what_o be_v draw_v together_o or_o press_v down_o by_o weight_n may_v be_v shut_v up_o and_o close_v and_o the_o use_n thereof_o be_v for_o the_o extend_v of_o bone_n break_v and_o out_o of_o joint_n for_o the_o keep_n of_o they_o in_o their_o place_n when_o they_o be_v set_v and_o for_o the_o streightening_n and_o close_o bind_v of_o the_o part_n the_o difference_n of_o these_o laquei_fw-la be_v very_o various_a take_v their_o name_n either_o from_o the_o inventor_n or_o from_o their_o use_n or_o from_o the_o similitude_n and_o figure_n of_o some_o thing_n or_o other_o or_o from_o their_o manner_n of_o knit_v or_o from_o then_o effect_v which_o since_o that_o they_o canno●_n well_o be_v perceive_v nor_o understand_v without_o a_o manifest_a delineation_n and_o very_o hardly_o from_o a_o bare_a description_n therefore_o touch_v this_o particular_a consult_v that_o b._n de_fw-la laqueis_fw-la that_o be_v common_o ascribe_v unto_o oribasius_n of_o the_o due_a place_n of_o the_o member_n after_o it_o be_v bind_v up_o after_o that_o the_o affect_a member_n be_v right_o bind_v up_o it_o remain_v that_o it_o be_v likewise_o fit_o place_v now_o the_o due_a and_o fit_a place_n of_o it_o consist_v in_o this_o that_o the_o part_n have_v that_o position_n which_o conserve_v the_o natural_a figure_n thereof_o such_o as_o be_v without_o pain_n and_o fit_a for_o the_o cure_n of_o the_o disease_n now_o the_o member_n shall_v thus_o be_v place_v if_o all_o its_o part_n bone_n muscle_n nerve_n vein_n and_o artery_n have_v that_o situation_n that_o they_o be_v neither_o distend_v nor_o press_v together_o if_o the_o member_n be_v soft_o and_o equal_o situate_v if_o in_o a_o hollow_a ulcer_n or_o wound_v the_o orifice_n as_o much_o as_o may_v be_v look_v downward_o that_o so_o the_o sanies_fw-la may_v be_v purge_v forth_o and_o last_o if_o in_o the_o place_n there_o be_v a_o mean_v keep_v in_o regard_n of_o the_o bind_n up_o and_o that_o the_o bind_n be_v neither_o too_o loose_a nor_o yet_o over_o straight_o and_o hard_o and_o indeed_o that_o there_o may_v in_o the_o place_n be_v a_o apt_a and_o meet_a figuration_n of_o the_o member_n we_o must_v especial_o have_v respect_n unto_o two_o thing_n unto_o the_o joint_n and_o unto_o the_o muscle_n to_o wit_n in_o respect_n of_o the_o joint_n that_o the_o member_n have_v a_o middle_a figure_n as_o galen_n very_o often_o call_v it_o which_o be_v without_o pain_n to_o wit_n that_o in_o which_o we_o be_v both_o bear_v and_o accustom_v to_o keep_v all_o our_o member_n when_o we_o be_v out_o of_o action_n and_o in_o which_o no_o muscle_n at_o all_o do_v act_n and_o such_o as_o be_v equal_o distant_a from_o the_o extreme_a motion_n of_o the_o joint_n or_o their_o extension_n and_o inflection_n and_o in_o regard_n of_o the_o muscle_n to_o wit_n that_o on_o one_o part_n it_o have_v muscle_n and_o the_o whole_a entir_fw-fr fibres_fw-fr thereof_o and_o that_o neither_o a_o whole_a muscle_n neither_o its_o fibre_n be_v distort_v now_o place_v consist_v either_o in_o reposition_n or_o suspension_n a_o member_n be_v then_o fit_o put_v back_o when_o by_o certain_a prop_n and_o stay_n as_o feather_n fleece_n of_o wool_n or_o soft_a clothes_n it_o be_v so_o bear_v up_o that_o it_o be_v make_v quiet_a and_o rise_v upward_o lie_v always_o equal_o and_o soft_o so_o that_o it_o be_v neither_o shake_v by_o any_o motion_n nor_o assault_v by_o any_o flux_n or_o that_o any_o sanies_fw-la or_o ichor_n be_v therein_o retain_v and_o from_o hence_o it_o be_v that_o if_o the_o thigh_n be_v break_v and_o bind_v up_o hypocrates_n support_v it_o with_o something_o like_o a_o counduit_n pipe_n the_o ham_n be_v stretch_v forth_o from_o the_o hip_n even_o unto_o the_o foot_n our_o surgeon_n use_v to_o apply_v some_o certain_a prop_n of_o straw_n or_o of_o paper_n roll_v together_o like_o a_o counduit_n pipe_n and_z within_z fill_v up_o with_o hurd_n and_o so_o involve_v and_o wrap_v up_o in_o the_o extreme_a part_n of_o the_o linen_n clothes_n by_o which_o the_o whole_a member_n be_v firm_o hold_v together_o lest_o that_o it_o shall_v unaware_o be_v move_v but_o the_o member_n be_v hang_v in_o a_o string_n and_o support_v thereby_o when_o the_o sick_a person_n either_o lie_v down_o or_o now_o begin_v to_o walk_v abroad_o for_o although_o that_o while_o the_o sick_a party_n lie_v in_o his_o bed_n it_o suffice_v if_o that_o while_o he_o be_v awake_a he_o have_v his_o hand_n soft_o incline_v upward_o yet_o lest_o that_o when_o he_o be_v asleep_a he_o shall_v unawaer_n move_v it_o therefore_o it_o be_v not_o amiss_o for_o he_o to_o have_v it_o hang_v in_o a_o sling_n of_o a_o swathband_n but_o it_o be_v especial_o requisite_a when_o the_o sick_a party_n begin_v now_o to_o walk_v that_o he_o carry_v his_o arm_n wrap_v up_o and_o hang_v in_o a_o swath_n which_o the_o greek_a physician_n call_v taenia_n and_o celsus_n mitella_fw-la the_o narrow_a head_n whereof_o let_v they_o be_v cast_v about_o the_o neck_n and_o for_o the_o breadth_n of_o it_o in_o that_o part_n wherein_o the_o arm_n be_v enwrap_v and_o bear_v up_o let_v it_o be_v so_o broad_a that_o it_o may_v contain_v the_o whole_a arm_n that_o so_o there_o may_v be_v no_o part_n thereof_o that_o be_v not_o equal_o support_v and_o here_o for_o the_o more_o fit_a underprop_n of_o the_o hand_n there_o be_v oftentimes_o great_a need_n of_o those_o little_a coffer_n or_o chest_n of_o which_o but_o even_o now_o mention_n be_v make_v upon_o which_o the_o hand_n when_o it_o be_v bind_v up_o be_v to_o be_v place_v and_o then_o which_o the_o say_v capsula_fw-la or_o little_a coffer_n it_o be_v to_o be_v put_v upon_o the_o swathband_n chap._n 8._o of_o the_o swath_a of_o wound_a part_n and_o that_o we_o may_v apply_v unto_o wound_n all_o that_o have_v hitherto_o be_v say_v of_o swath_a in_o general_a the_o chirurgeon_n when_o he_o be_v ready_a to_o bind_v up_o the_o wound_n must_v in_o the_o first_o place_n be_v very_o careful_a in_o staunch_a of_o the_o blood_n if_o it_o flow_v forth_o over_o abundant_o but_o since_o that_o there_o happen_v not_o unto_o all_o wound_v any_o such_o extraordinary_a and_o remarkable_a hemorrhage_n but_o only_o when_o the_o great_a vessel_n be_v wound_v of_o the_o stop_n and_o staunch_a of_o the_o hemorrhage_n we_o will_v speak_v more_o below_o in_o the_o fourt●enth_o chapter_n and_o now_o at_o the_o present_a as_o for_o what_o concern_v the_o very_a swath_a itself_o of_o wound_n the_o lip_n of_o wound_n when_o they_o be_v disjoin_v be_v to_o be_v draw_v together_o &_o conjoin_v &_o when_o they_o be_v thus_o bring_v together_o they_o be_v then_o to_o be_v keep_v conjoin_v which_o without_o the_o solution_n of_o continuity_n may_v be_v do_v two_o way_n either_o by_o swath_a or_o glue_v or_o
breadth_n they_o differ_v in_o regard_n of_o their_o figure_n in_o that_o some_o of_o they_o be_v make_v so_o as_o to_o be_v woon_v up_o long_o and_o equal_o broad_a and_o roll_v round_o together_o other_o of_o they_o cut_v which_o indeed_o consist_v of_o one_o linen_n cloth_n but_o this_o be_v cut_v either_o in_o its_o extreme_a or_o middle_a part_n other_o that_o be_v sew_v together_o that_o consist_v of_o swath_n and_o string_n end_v in_o several_a head_n swath_n differ_v in_o their_o length_n in_o regard_n that_o some_o of_o they_o be_v long_o other_o short_a and_o so_o in_o their_o breadth_n likewise_o bind_v difference_n in_o the_o bind_v and_o then_o of_o the_o bind_n up_o that_o be_v do_v by_o the_o swath_n there_o be_v two_o difference_n one_o simple_a another_o compound_n or_o manifold_a the_o simple_a be_v either_o equal_a or_o unequal_a the_o simple_a equal_a be_v only_o round_a which_o on_o both_o side_n bind_v together_o the_o member_n affect_v in_o a_o circular_a fashion_n without_o any_o decline_a on_o one_o side_n more_o than_o another_o but_o the_o simple_a unequal_a be_v divide_v into_o ascia_fw-la and_o sima_n which_o yet_o differ_v only_o in_o regard_n of_o their_o being_n great_a or_o less_o because_o that_o ascia_fw-la decline_v but_o a_o little_a from_o that_o which_o be_v round_o but_o sima_n very_o much_o of_o various_a and_o several_a sort_n of_o swath_a there_n be_v many_o difference_n take_v from_o the_o similitude_n of_o the_o part_n that_o be_v bind_v or_o of_o certain_a live_a creature_n or_o of_o other_o thing_n touch_v which_o we_o may_v see_v sufficient_a in_o galen_n his_o b._n of_o swath_n and_o in_o his_o second_o comment_n upon_o the_o b._n of_o those_o thing_n that_o be_v to_o be_v do_v in_o cure_v of_o wound_n text_n 7._o institute_v the_o swath_a how_o to_o be_v institute_v but_o that_o the_o swath_a may_v be_v right_o perform_v it_o be_v first_o of_o all_o to_o be_v consider_v from_o whence_o the_o bind_n be_v to_o be_v begin_v for_o sometime_o the_o bind_n be_v to_o be_v begin_v from_o the_o part_n affect_v sometime_o from_o the_o find_a place_n nigh_o unto_o the_o part_n affect_v and_o at_o other_o time_n also_o from_o the_o opposite_a part_n and_o then_o next_o of_o all_o in_o what_o manner_n the_o swath_n be_v to_o be_v draw_v about_o for_o sometime_o the_o swath_a be_v to_o be_v begin_v from_o one_o end_n of_o the_o swath_n and_o sometime_o from_o the_o middle_n thereof_o and_o three_o we_o be_v to_o look_v well_o that_o the_o swath_n neither_o bind_v and_o press_v together_o the_o part_n too_o hard_o and_o likewise_o on_o the_o contrary_a that_o it_o be_v not_o over_o loose_a for_o if_o it_o be_v too_o loose_a it_o will_v not_o sufficient_o keep_v the_o part_n together_o and_o by_o it_o over_o great_a compression_n it_o will_v occasion_v both_o pain_n and_o a_o inflammation_n but_o now_o that_o all_o this_o may_v be_v right_o perform_v the_o use_n of_o swath_a will_v teach_v we_o now_o the_o use_n of_o swath_a be_v twofold_a one_o of_o itself_o swath_a the_o use_n of_o swath_a but_o the_o other_o only_o accidental_o conduce_v unto_o the_o cure_n swath_a consider_v in_o itself_o make_v much_o for_o the_o cure_n in_o regard_n that_o it_o bring_v together_o the_o part_n disjoin_v contract_v the_o part_n dilate_v and_o fet_v straight_o the_o distort_a and_o writhe_v part_n keep_v within_o due_a limit_n the_o member_n be_v set_v in_o its_o right_a frame_n as_o also_o the_o conjoin_v part_n repell_v the_o humour_n flow_v in_o and_o if_o it_o be_v already_o fly_v in_o it_o drive_v and_o press_v it_o forth_o again_o for_o in_o hollow_a wind_a impostumation_n the_o bind_n be_v begin_v from_o the_o very_a bottom_n and_o end_v at_o the_o orifice_n of_o the_o ulcer_n the_o extenuate_v part_n be_v so_o to_o be_v bind_v up_o that_o the_o sound_a part_n may_v be_v press_v together_o and_o that_o the_o blood_n may_v be_v force_v unto_o the_o part_n extenuate_v which_o will_v be_v do_v if_o the_o swath_a be_v begin_v from_o the_o sound_n or_o the_o opposite_a part_n from_o whence_o towards_o the_o extenuate_v part_n it_o may_v be_v a_o little_a loosen_a and_o at_o length_n roll_v about_o after_o the_o most_o loose_a manner_n upon_o or_o near_o the_o extenuate_v part_n but_o in_o the_o part_n dilate_v and_o when_o there_o be_v need_n of_o drive_v back_o the_o influx_n of_o humour_n the_o bind_n be_v to_o be_v begin_v in_o the_o place_n affect_v and_o the_o two_o or_o three_o first_o rolling_n about_o let_v they_o be_v close_o and_o hard_a then_o ordinary_o but_o by_o accident_n these_o swath_n conduce_v unto_o the_o cure_n when_o they_o be_v so_o administer_v that_o they_o may_v contain_v those_o medicament_n that_o be_v apply_v for_o the_o effect_n of_o the_o cure_n touch_v these_o see_n hypocrates_n in_o his_o b._n of_o fracture_n comment_n 1._o text_n 21._o and_o in_o his_o 2_o b._n touch_v those_o thing_n that_o be_v to_o be_v do_v in_o the_o way_n of_o cure_v text_n 30_o 31_o 32_o 33._o of_o splenia_n for_o the_o better_a bind_v up_o there_o be_v likewise_o administer_v those_o thing_n they_o call_v splenia_n which_o be_v linen_n clothes_n fold_v together_o and_o so_o term_v from_o the_o figure_n of_o the_o spleen_n they_o be_v by_o the_o ancient_n call_v plumaceoli_n because_o that_o they_o be_v make_v of_o feather_n sew_v up_o between_o two_o clothes_n they_o be_v likewise_o call_v pulvilli_n from_o the_o resemblance_n they_o have_v with_o a_o bolster_n now_o they_o differ_v in_o regard_n of_o their_o figure_n which_o be_v either_o long_a broad_a or_o thick_a their_o figure_n be_v threefold_a to_o wit_n according_a to_o the_o end_n for_o which_o they_o be_v propound_v and_o the_o manner_n of_o their_o be_v impose_v for_o sometime_o they_o be_v lay_v upon_o the_o part_n straight_o and_o long_a way_n sometime_o in_o a_o oblique_a manner_n and_o sometime_o transvers_o and_o indeed_o they_o be_v sometime_o lay_v on_o double_a sometime_o treble_a and_o now_o and_o then_o four_o double_a sometime_o single_a and_o sometime_o more_o of_o they_o according_a to_o their_o use_n and_o that_o which_o they_o ought_v to_o perform_v to_o wit_n the_o strengthen_n of_o the_o bind_n for_o member_n that_o be_v unequal_a in_o thickness_n or_o for_o the_o make_v equal_a and_o fill_v up_o of_o part_n that_o be_v lean_a and_o hollow_a that_o so_o by_o their_o mean_n the_o whole_a bind_n may_v become_v equal_a and_o also_o for_o the_o defence_n of_o the_o part_n from_o the_o weight_n and_o pressure_n of_o the_o swath-band_n and_o last_o for_o the_o press_v forth_o and_o drink_v up_o of_o the_o sanies_fw-la and_o ichorous_a excrement_n and_o they_o be_v sometime_o impose_v dry_a but_o most_o common_o they_o be_v soak_v and_o moisten_v in_o some_o kind_n of_o liquor_n that_o be_v sit_v and_o proper_a for_o the_o disease_n and_o the_o part_n affect_v touch_v which_o see_v hypocrates_n in_o his_o 3_o b._n of_o such_o thing_n as_o be_v to_o be_v do_v in_o the_o cure_v of_o wound_n text_n 1_o 2._o and_o in_o his_o 1_o b._n of_o fract_n text_n 32._o and_o in_o his_o 3_o b._n of_o fract_n text_n 21._o as_o likewise_o galen_n in_o his_o commentary_n of_o ferulae_fw-la or_o splinter_n sometime_o for_o the_o more_o convenient_a bind_n there_o be_v administer_v those_o thing_n they_o call_v ferulae_fw-la to_o wit_n smooth_a splinter_n that_o be_v wont_a to_o be_v fit_v unto_o bone_n that_o be_v break_v and_o out_o of_o joint_n after_o such_o time_n as_o they_o be_v set_v again_o and_o return_v unto_o their_o due_a and_o proper_a place_n hypocrates_n and_o other_o of_o the_o ancient_n make_v they_o of_o the_o woody_a bark_n of_o the_o ferula_fw-la shrub_n and_o from_o hence_o also_o they_o have_v their_o name_n now_o adays_o in_o the_o want_n of_o other_o these_o ferulae_fw-la be_v make_v of_o the_o thin_a shiver_n or_o long_a thin_a chip_n of_o wood_n or_o the_o bark_n of_o tree_n or_o paper_n glue_v together_o and_o piece_n of_o a_o hard_a and_o thick_o hide_v but_o yet_o we_o be_v here_o admonish_v by_o guilhel_n fabricius_n in_o his_o 4_o cent._n observat_fw-la 98._o that_o the_o bark_n of_o tree_n especial_o while_n they_o be_v new_a and_o green_a be_v by_o no_o mean_n to_o be_v administer_v in_o fracture_n instead_o of_o the_o aforesaid_a ferulae_fw-la for_o when_o they_o be_v thorough_o dry_v they_o be_v apt_a to_o be_v contract_v about_o the_o fracture_n and_o to_o excite_v pain_n and_o sometime_o again_o to_o move_v the_o bone_n out_o of_o their_o place_n hypocrates_n require_v such_o ferulae_fw-la as_o be_v smooth_a equal_a plain_a and_o a_o little_a hook_a and_o slope_v at_o the_o very_a end_n that_o be_v such_o as_o be_v shave_v smooth_a on_o the_o low_a