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A03315 The noble experyence of the vertuous handy warke of surgeri, practysyd [and] compyled by the moost experte mayster Iherome of Bruynswyke, borne in Straesborowe in Almayne ... Item there after he hath authorysed and done it to vnderstande thrugh the trewe sentences of the olde doctours and maysters very experte in the scyence of surgery, as Galienus, Ipocras, Auicenna, Gwydo, Haly abbas, Lancfrancus of mylen, Iamericus, Rogerius, Albucasis, Place[n]tinus, Brunus, Gwilhelmus de saliceto, [and] by many other maysters whose names be wryten in this same boke. ... Item yf ye fynde ony names of herbes or of other thynges wherof ye haue no knowlege, yt shall ye knowe playnly by the potecarys. Item here shall you fynde also for to make salues, plasters, powders, oyles, and drynkes for woundes. Item who so desyreth of this science ye playne knowlege let hym oftentymes rede this boke, and than he shall gette perfyte vnderstandynge of the noble surgery; Buch der cirurgia. English Brunschwig, Hieronymus, ca. 1450-ca. 1512. 1525 (1525) STC 13434; ESTC S119422 165,988 151

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to moche than it is nedeful to stoppe it y t the pacyent leese not his myght ¶ As that bloode is stopt and the other syde is let blood on the vayne and the wounde is glystert with wyne than ha●●e you with the tentes and plastets that the bloode may melt and consume and ta●…ge away the payne as is these hera●… ¶ A salue ¶ Take Farina ordei xij ounces Farin●…●enigreci viij ounces Florum ●an oun●… Ab●inthei Calamenti and rubb● d●●anne of eche iiij ounces This is the best experyment drawynge out the blood of the groūde of the body ¶ As any ●lede inwa●de through the wounde than take of the vnder crust of a lofe as hoote as it comith out of an ouen and lay the crom of the breed vpon the wounde as hoote as he may ●uffer it ¶ And y e pacyent shall be layd vpon y e syde on y e woūde this do as often as he may suffer it tyll ther in is no more bloode and thā shal be gyue hym medsyns to ●ele hym ¶ A medsyne ¶ Take bolus armenus terra sigillata with water therin is soden roses sumach ballaustie granorum myrtillorum masticis sytrinorum or ye shall gyue hym medsyns consolidatyues as terra sigillata bolus arminus of eche ii oūces Mumie iij. ounces Sumach Sytrinorū Sorborū ●ōsolida ma●oris et medie of eche an handfull sethe this in rayne water or in water therin yron is quensyd in ¶ Gothe the woūde through to the inwarde membres and they is woundyd than maye ye yuge the wounde dedly neuertheles doth the best for the nature is somtyme stronger than ye wene Therfore shall ye take hede where y e wounde goothe in or touchyd And is the woūde in the hert than receyuyth the woūde of y e hert no helynge bycause ther is som vaynes by the hert as they is woūdyd thā comyth the haestely dethe and that bloode dystroyed y e naturall hette Or is y e woūde in y e lōgues it may not be well heelyd but w t great suttylte of an experient surgyan and the wounde comyth comenly to corrupcyon and rottynge for the matter may not be clensyd than with cowhynge for the cowhynge maketh the woūde wyder also it is nede that the wounded membres be in rest for the longues is altymes meurnge the longue hath also a sharp suttyll bloode that not alone dystroyeth the yll flesshe but corodyth and consumyth the good flesshe As Galienns sayd ¶ The medsyns that sholde hele the longues that can not come to the longues than through the longe way of the mawe and the lyuer and ther leesyth the helynge his myght therfore y e longues may not well be helyd therfore the pacyent gettyth Empeti●i that is that he matter spatyd therafter is he Ptisicꝭ and dyed ¶ As Diafragma is woundyd he may not be well curyd bycause it is altyme meuynge it is in the seruyse of the hert geuȳng wynde therfore is her workynge needly to the breeth than is that also hurte As y e partyes within be woundyd ther the senewes muscles flesshe tokyth hyr begynnyng of y e which woūdige takyth y e herte lyghtly great harme If y e woūde goth to y e inward mēbres and is y e aforsayde tokēs in the longues not great and is the woūde outwart small than must ye make y e woūde a lytell greter that ye may do therin the medsyns drynes and syccatyffes made of this alterfolowynge powder ¶ A syccatyffe powder Take Dragantum Mastike Olybanū Gūmi arabici Fenigreci of eche lyke moche And his meet shall be of Brāne water midled with penidium And comaunde the pacyent to be styll and to reste without meuynge If the wounde is in Dyafragma and the accydentes lytell than ordre hym suche meet drynke that dryueth away y e cowhe Also put in the woūde a small tente depped in oyle of roses and medled with y e yolk of egges lyke y e cure of other woūds ¶ If the woūde is inward ther y e synewes hath his begynnynge than it is good to gyue y e pacyēt to lyck or to sucke cleuyng medsyns as Dyaspermata that is moost vsyd to cōfortynge of y e brest or Dyacodion or Dyasymphicon And that yeshall laye about on y e wounde it shal be Embrationes with wyne or with dryenge plasters and with oyle in the somer with oyle of roses And in the wyntter with oleum Nardinū and plasters made of Calcantum as it stōde in primo cathagenorum named ●●yapalma ¶ If the longues or yf the inward membres is not helyd in iiij dayes so●… it not well to be holpen Neuertheles helpe hym with a good rule and let the pacyente lay on the wounde and bynde the woūde 〈◊〉 the blode and the matter altymes maye come out And yf the pacyēt may not suffre to lay all tymes on the wounde than maye ye torne hym on the other syde but moost parte on the wounde ¶ Item the comune medsyns or drynes to all innermoost membres shal be taken the medsyns they moost makyth softnes swetnes and that takyth away that is moost cōtrary to the wounde as herafter standyd Take Erugo eris Pomphiligos Lytargirum Cerusa Al is that these aforesayde medsyn makyth fast and hole the membres without Neuertheles they openyd the innermoost membres ¶ A plaster Take strayned Rose hony xxiii● oūces Myrre Frankēsence Sarcocolle of eche an oūce faryna Fenigreci farina Ordei of eche a lyke moche that it be Inowghe to make as thycke as hony and do therto aly teil turpentyn that is very good ¶ After y e coūseyile of Guydo gyue hym to drynke Dē torye Castorie Nepida Eariophyiata Pipineile Piloselle the toppes of Nemp Reedcowles Athāsis or Tanacetū Lycorys of eche v. dragma and sethe this w t hony wyne gyue hym herof to drynke a goblet full at euery mornynge And can ye not perceyue the thorough goynge of the wounde with tētes depped in oyle of roses nor with no other thynges nor the pacyent may not suffer we sihynge nor out pullyng of the matter and the pacyēt hath heuynes and vpblowynge in the syde and other tokens that is a knowlege that y e matter is gadered vp Dyafragma Is than the pacyent stronge and well contēt than coūsay led Wilhelmus that ye make a newe woū de with a zesour in the neder parte of the sy de of the pacyēt agaynst the backe bone bytwene the. iii. and. v. rybbe or bytwene y e iii. and. iiii rybbes for the Dyafragma is bowen with the rybbes and with the back bone to the. iii. and. iiii rybbe and the bowynge myght leue the out comynge of the matter than wolde the Snrgean thyncke he hadnot cut deep Inough therfore it is the better to cutte bytwene the. iiii and. v. rybbes And as y e cuttynge is done than̄e lay therin a tente depped in warme oyle of roses vnto the grounde tyll the matter com me and in
deuyded in twayne other braunches where of the one braūche is deuyded through the arme on the vtter syde in dyuers placys is named funis brachii whiche is the rope of the arme The other braūche comyth vp through the vpper parte of the arme and is openyd shewed through y e bendynge of y e elbowe is namyd Cephalica or the chef vayne From thens it comyth for the on the hande betwene y e thombe the fore fynger and is namyd cephalica ocularis ¶ The other vaynes frome the oxcellis that come to the vnder parte of the arme shewe them selfe in y e bought of y e arme and is namyd basilica which is the vayne of the lyuer from thens it descendyth downe betwene y e golde fynger and the lytell fynger and is namyd saluatella whan the ii fornamyd vaynys be in the bought of the arme than is there another vayne sene betwene them bothe and is namyd mediana corporalis and thus there be in the arme v. great vaynes and so many strynges the whiche be very ieopardus to staunche yf they were woundyd or cut ¶ Of Nucha through y e spondiles of the neck descendynge to euery arme iiii pryncypall senowes that meue and stere the aduitory or lytell arme and out of it cōmeth v. senowes into the hand that meue the fyngers and they shewe thē selfe openly on the thre fyngers towardes the ioyntys whiche is daungerous to be woūded ¶ In y e armes be great stryngys stryngys the come from the bonys goyng through y e ioyntys and kepe them ioyned the which were very ieopardus to be cut ¶ The bone namyd vlna or adiutoriū is a great bone full of mary roūde at bothe endys but aboue it hath but one roūdnes and beneth it hath ii the vppermost goth into the holowe of y e gābone maketh the ioynt of the sholders and the nether ende whiche hath ii roūdnes is deuyded in ii and goth into y e holownes of the. ii bonys that be namyd focilium and they make the ioyntys of the elbowes where as the lytell arme begyn̄eth in whiche lytell arme be ii focill bonys that be namyd ossa focilia and the grettest is benethe and that goth towarde y e lytell fynger shewe a rownde knot outwarde the small focille bone goth aboue from the bought of the arme to the hande toward the thombe and in bothe y e vpper parte of these ii bonys be pyttes or holys by y e elbowe receyue the roundnes namyd graduales of the bone callyd aduitorii by the handys they haue pyttys also whiche receyue the roundne of y e ioyntys of the hande and be festenyd iust vnto the bonys of y e hande makynge y e ioyntys the which ioyntys be iii. hepys of bonys and y e vppermost be gadered with a round nes in the pyttes of the nethermost In the fyrst hepe be iii. bonys for the addycion of focilles kepeth aboue the place of a bone In the seconde hepe be iiii bonys there aboue is a lytell boxe wherin is festenyd y e fyrst bone of the thombe The bonys of the ii fornamyd hepys be short The fyrst hepe is namyd rafeta or corpꝭ The other hepe is named Pectenor Metacorpus In the iii. hepe be iiii bonys longer than the fyrst ¶ In euery fynger be iii. bonys and the fyngers be in nombre v. therefore there be xv bonys in the fyngers And in the 〈◊〉 xi ii in the lytell arme i. in the vpper 〈◊〉 And thus ther be in the hole arme and hāde xxix bonys and these must be cut for to becurydall longe ways lyke as the sacerres and musclus gothe ¶ The Anothomie of the brest and his partyes a mēbres Ca. vi THe partyes in the brest be som holden som that be holdē ¶ The pappys or brestys be made as it were a cornelly whyt flesshe lyke a sponge made with vaines stryngys and senowes and ther fore they haue a festenynge of the lyuer of the herte ¶ The lacertes or musclus be many dyuers som with the skynne named Dyafragma som do be longe only to the brest som to y e rybbes som to the backe ¶ Therbe iii. maners of bonys in the brest In the fyrste parte be vii bonys namyd ossa thoracis Therby on the syde of gula is receyuyd the holowes of Fircula vnder fircula by the ●roppe of the mawe or stomacke is a grystly addytamente namyd Cusifornū On the hynder parte be xii spondiles where as nucha passeth through wherof waxe or growe xii cowple of senowes y e whyche brynge sterynge and me nynge to y e musclus or flesshe of that parte On euery syde be xii rybbes vii ryghtewys rybbes v. mendosa rybbes or faynt rybbes be cause they be nat hole as y e other ryghtwys rybbes ●e ¶ For to do the Anothomia well of the lymmes that be holden ye must cut the brest towardys the lyde put away the fyrst parte for mediastum than may y e inner parte be sene of y e whych the herte is the fyrste in the myddest of the brest descendynge a lytell towarde y e lefte syde for the place of the lyuer and to th entent that it sholde gyue rome or place to y e stryngys The forme or shape of the herte is lyke a pyne aple for the poynt of y e herte gothe towarde the neder lymmys or membrys of the body the brede of the whych is y e root gothe vpwardys The substance of the herte is harde hauyng on euery syde a vētrycle or holownes and in y e myddyst a pytt as Galienꝭ sayth in whyche is cōsumed the grose fedynge blode that commeth from the lyuer and is made pure is sent by the vaynes throughout all the partys of the body Fyrste to the braynes ther it conceyueth another nature and becōmeth animalis or vnderstādinge to the lyuer where as it becōmeth naturall fedynge to the stonys or coddys for generacyon so forth to all other membrys or lymmes maketh them quycke or gyueth them lyf ¶ The herte is an instrumēt of al powers and myghte of the body a fulcomē bonde or festener of y e sowle in it be ii orificias or mowthes and through the ryght orifice rōneth a braūche of y e ascendynge vaynes bryngynge vp the blode frome the lyuer descendith frome thens downwarde agayne to vena arterialis for to fede y e longues ¶ Of the lyft orifice gothe y e betynge vayne namyd vena pulsatilis wherof one parte gothe to y e longues and it is namyd vena venalis berynge the vapours capinosos to the lōgues and ledynge the ayre in for to cole the hart with all vpon this orifice be iii. pānycles or skyn̄es opynyng and closynge the passage of y e blode ¶ By this orifice be ii lytell eerys ioyned to the harte
where as the ayre or breth goth out and in towarde the longues Also ther is a lytell grystell bone in it for to strength the harte wt. ¶ The harte is coueryd w t a strōge pānicle namyd precordiū where as the senowes cōme to be boūde w t y e longues festenyd and subportynge through mediastinū ¶ Upon y e harte cōmeth y e longues fleing wauynge for to cole it whose substance is spongye whyt soft in y t whiche be iii. holownessis The fyrst is y e vaynes whiche growe out of y e ryght ventrycle of the harte the vayne that groweth out of the lyft ventrycle the braūches y t cōmeth from the throthe brynge wynde or breth to y e harte The longues hath v. lobos or feders iii. in the right syde and. ii in those ft syde ¶ Behynd the longues after the. v. spondyle goth mery y e vayne tracea ascēdynge bothe these passe through dyafragma Also ther passe through it mater adorthi that dothe ascende frō the herte all these with the veyne Trachea make a hepe fyllyd with pānycles and stronge bondys with caruelly flesshe to gula ¶ After this be in the brest iii. pānycles Fyrst the pānycle that frō within doth couere the rybbys named Pleura The other is mediastinū departyth the hole carkes in bothe sydes The thyrde is dyafragma and y t deuideth y e spyrytuall lymmys or mēbrys from y e fedynge mēbrys and is made out of pleura and syphac of the short pānycle that growyth of the senowes betwene y e spondyles is most by y e rybbes whose operacyon is for to drawe the ayre to her for to withdryue y e superfluyte as Galienꝭ testyfyeth ¶ Of y e bely his mēbrys Ca. vii MEry is y e croppe of y e necke goyng inwardly thrugh y e necke tyll y t he makyth a hole through dyafragma wher vn to he is fast boūd dyafragma goth into y e last ꝑte of y e brest there as y e mouthe of the mawe or stomake dothe sprede hym The worke of the stomake is dysgestyon for it hath y e lyuer on the ryghte syde warnynge herselfe w t the lōbys or lymmes y e myst thwart on y e lyft syde w t her fat vaynes for to dryue away melācoly or heuynes for to lyghtē releue y e apetite Aboue it is 〈◊〉 gyuyng her quyknes vnto y e braynes lo●… haue y e vndstādyng of felyng Also it hath of y e backe ꝑte y e senowes namyd chylym adorthi wher as it is boūd w t vnto y e spōdiles of y t kydnes Unto y e vndmost mouth of y e stomak begyn̄eth the guttys and they be in nōbre vi y e fyrst is namyd duodenū for he is xii inches lōge and is also namyd portenareꝭ for he is y e vndmost ꝑ●e of y e stomake lyke as meri is vpꝑmost The. ii is yliō is lōge small is woūdē vp by y e backe by y e lyskes The. iii. is ieiuniū for he is euer emptye because he is so nygh the gall ther come to hi y e smal vaynes mise raice he receyueth y e colera y t cōmeth betwene hi portenariū The. iiii is cecꝭ or saccꝭ is y e blynde gut or secōde mawe or moke is about y e length of a shaftmēt hath i. orificiū to receyue y e hole fylthynes y t cōmyth of y e fyrst dysgestyō of y e bowels The. v. is namyd Colon is grosse fullof holownes wher as y e fyshynes receyueth her forme The. vi is namyd Longaon and that is the ars gutte ¶ The Lyuer is a place an organ of the seconde dysgest yō engendryng blode set in the ryght syde vnder the short rybbes and is formed lyke a mone hath v. lytell pānys in the maner of a hāde wherwith passeth aboue the stomake ¶ The Lyuer with her pānycle is boūde on Dyafragma w t the backe stomake gutte and hath collygacyō with the herte kydney coddys with all mēbrys Her substaūce is redflesshy lyke blode that is stollydor rōne is full of synewes Of the holownes of the lyuer cometh a vayne named the gate is deuyded in many smal vaynes that be namyd miseraice y t be plātyd in y e stomake in the guttys drawe out all the moysture of the vayne Chyli is deuyded with her rotys through all y e lyuer and of the hyll of the lyuer cōmeth the vayne Chylis draweth from the lyuer all the blode that is in it engendred beryn ge that blode for to fede y e hole body In the myddys of y e lyuer wher it is holow dothe lay a lytel bladder y t is namyd the gall or deyned to receyue y e suꝑfluyte of Colera it hath ii oryfyces one in the myddest of y e lyuer for to receyue the colera The other gothe alōge downe by the bothom of y e sto make for to puryfye the guttys to dryue out the colera ¶ The mylt is ordeyned in the lefte syde ouerthwartly enbrasynge y e stomake is bounde with her pānycle to iii. eybbys w t her backe with her holow nes to y e stomake The kydners be twayne the one is ordernid for to purysy the blode the watery suꝑfluyte in them is a holownes wherin they receyue suche as they drawe to them In eche of them be ii entrees through the one they drawe y e wate ●y humour of the vayne Chyli also from the lyuer Through the other they sende vryn̄ water to the bladder and the kydnes be ioyned to the backe be fat roūde aboute ¶ Behynde the kydnes by the spōdyles be the lymmes or nether rydge bones ther on restrynge as on a quylt or matrys ¶ Betwene y t kydnes passeth y e vaynes Chyli A dorthi to the netherm●…mmes by the whiche vaynes very ny●he groweth the semynall vessellys ¶ Of the flankes herpartyes Ca. viii Of the flankes ye shall und stande the nether parte of y e bely frome the lappe to the secrete membrys be of ui maners somholde as myrach Siphae Sir bus the bonys som be holden as y e semy nall vessellys the moder or matrix in a wo mā the fūdament gutt the senowes vay nes y e cōmeth downwarde ¶ In euery of them is a gryat bone they be ordeyned togyder with a great spōdyle namyd ossis sacris on the backe syde and on the for parte makyng of y e genytour bone namyd os pectinis Thus these bonys go abrode ouer bothe y e sydes of y e lymmes of the hyppes wher through hauyng in thē great holys dothe go bothe senowes vaynes strynges they be also but small by y e syde of pectinis by the secrete membres In the myddest of thēm y t nether parte by the boxys or holownes
frākensens a halfe ounce myrra i. dragne ●ryos i. oūce Frensshe wyne or soden elsate wyne ii poūde weyght water of plātayne small and great water of rede rosys that growyth in the coorne water of caprifolium water of peruinca agrestis water of oken leuys of eche a pounde Wyll you haue a stronger to dryut the matter more out take alume i. oūce Balausti Pessidie Nucis cypressi Orobi curscely stamped of eche a drane wyll you that the flesshe grow put therto Sercocolle an ounce is the wounde hart so put therto camfere a drane and a halfe The drynes is made thus take consolida maior viii ounces pensedanum iiij ounces alum ii oūces smithes water dystuled per filtrū iij. pyntes soddētyll the thryde patre be consumed and that water shall be made warme and y e bonde shal be depttherin wherwith ye shall bynde the membre lyke as is afore sayde If ye wyll make a stronger mūdificatiuum that more clensyth caused the matter to rest One mūdificatyfe ¶ Take vnguentum egypciacum ii ounces Alum one oūce whyte frākensence an halfe oūce myrra one drane Reed wyne ii poūde all togyder sodden a lytell than spowte this in the hole of this sore For I haue done great cures therwyth ¶ Of woundes com by venymous stynges or of wode doggys bytynges or of snakes adders scorpyons or of other suche lyke Ca. xxij WYll you beholpen of the venym bytynges of beestes So it is good that ye folowe y e lernynge of master Auicenna Rasys Rabbi moyses and Heuricus For they haue spokē of all venym And the cure therof whiche belongeth more to the phesycon than to the surgyon And all suche bytynge woundes it is in ii maners The one is done of a venymous beest y e other is done of no vem mobeest In lykenys as the bytynge of a man or womā or of a dogge of an hogge horse or a katte or there lykenes ¶ The venymous bytynge of mad dogges y e styngynge of a snake or adder or y e poysonynge of a ●oode or of a spyder or ony other lyke venymous beest ¶ It is in two maners to haue in cure The one is to take away the venymous matter by the ▪ he●…cyon within defenddynge the body from hurte through the whiche hurte the racyente may be in ieopardy of his lyfe ¶ The other maner is the venyme without shal be taken away by the Surgean and shall be caused to growe flesshe and than heled kepe the hole of the woūde some dayes opēer ye begynne to cure the wounde ¶ The knowledge of the bytynge of a venymous beest ye may knowe by the compleynynge of the pacyent for he shall haue grete payne and brennynge in his body wherby ye may knowe it is to hym greate harme and greffe for the venym or poysone desyreth none other but to ouercome the harte And to suche venymous bytynges or styngynges it behoned you to take good hede And yf so be that the parson in the begynnynge fele not the token it wyll afterward apere as paraduenture a moneth after a yere aftor vii yeres after so may it be For I haue sene a chylde bytē of a mad dogge y e woūde was heled and a yere after y e same woūde began the rotte and y e chylde was mad and dyed therof ¶ Wherfore yf there come ony parson to you dyten of any beest that is not venymous and no token on them ap●ie ye nede to do none other thynge than you do to another cure ¶ The cure of bytynge of all venymous beestes Galienus in tertio terapen sayth whan that y e payne cometh of a styngynge or bytynge of a beest you shall take away the payne and also the venyme by boxynge or lettynge out of wyn de or brennynge with a hote Iron or w t a warme bath and this maketh loose the hole substaunce of the wounde or lay ther to some drye thynge hote to take a waye the beny●e Therfore cōmaundeth Lanfrancus and other surgyons to set therto a ventous and take away the venymous bloode or that euyll bloode shall be se●ed or brent with a hote Iron or cauteries that the cōmon people brēneth w t a kaye of his chyrch ¶ Upon suche a wounde som layth a symple medecyne to drawe out the venyme y e whiche is done with garlyke and with on ●ons stamped with buter Also as Guido sayth dothe the common people for lacke of surgyan in lyke wyse they take a hynne plucketh the fethers from her arse and layeth y e hennes arse all quycke vpon y e woūde and the henne dyeth of the venyme that cometh out of y e woūde The wounde shal be open at the leest xl dayes Than the inwardly cure behoueth more for the phesycy on thā for y e surgyā Ye shall knowe howe to take away the venymous blode ¶ In the begynnynge you shall not let out the blode of the vayne bycause that y e venym sholde not be sprede through all y e mēbres and also gyue them nothynge laxatyue in the bely that y e venym go not w t in thrugh all the membres therfore must be set y e ven to●e aforesayd whyche strongly pulleth to hym the venymous blode after the thyrd daye it is good to be let blode on the vayne and so to cause the Melancoly with lyght medecynes as in dressynge Epitimy with gootes mylke and he must be in rest of his harte Also he must take and ●ethe the heed and fete of a yelded shepe and in the brothe therof often tymes was●he his feete And if it be so that the parson may not beholen w t the symple drynes thā shall ye make hym a composita ¶ A drye powder Make this composyta of licium assa dulcis bolus armenicus terra sigillata abscinthiū nigella genciana all these medled togeder so take it in Or take y e asshes of a crefysshe that is dryed in an ouen take therof iiii partes and frankēsence ii partes medied them to gyder make therof a powder and take therof euery daye ii dranes with wyne wherin is sodden Bybergeyl which is called portulaca in latyn and Rew or herbe of grace Or take vi partes of a sihes of a crefysshe of Genciana iii. partes Terra sigillata one parte and take this medecynes as is aforesayd ¶ If you in y e begynnynge of his grete nede had not come and the pacient hath taken euyll sykenes or yll accydentes of melancolye by heuynes of dremes wrath or trowble that he can gyue none answere ye nor nay it is the token ofmelancoly which weketh y e nature for that ye shall gyue thē this medecynes of Cantarides that dryueth oute through the vryne the melancolyous blode yfit be possyble And the medecyne ye must make after this maner Take Cantarides that is greate and olde and ther of cut away the heedes foote fatnes and take therof half anoūte lentes
This powder is made after the lernyng of Rogerius of Colofonie iij. oūces Conso 〈…〉 nor lapis Ematicis Masticis sāguis Draconis Olyha●● of eche halfe an oūce all this make in small powder and ●…pyt it as is aforesayd And yf it w t that wyll not be stopped thē pull y e vayne out dresse it as I haue sayd in the. xv chaptre of the stoppynge of the blood ¶ If y e woūde is behynde through the bone that y e back mary be woūded it is very yll therfore take not to cure suche a wounde ¶ If ye be desyred to suche a workynge sh●● tell the frendes that it is a deedly woūde Neuerthelesse do your beste And in the begynnynge put therin warme oyle of roses saye thervpon oyle of roses medlyd w t the yolke of an egge so it lesse the payne and as it begynne to matter so shall it be clensyd make flesshe with this plaster as wylhelmus lācirancus wrythyth and Guido sayth y e same ¶ A plaster ¶ Take rose hony vi oūces barly meell one oūce torpetyne ware rosyll of eche ii oūces frankensence mastyk of 〈…〉 myrra sercocolle mumye of eche halfe a dragma o●tū masticis iii. dragma of this make a salue stryke it on a clothe and say it on ye●ucha or backe mary it shal be better 〈…〉 y e mayster or surgyā thynke it un 〈…〉 but it is not īpossible to y e nature as she may be holpen w t the strengthe of y e good medysyne clensynge If the woūde be longe the bone woūded and ony peces be cut of so need you it to take out yf it be possyble than sow y e woūde lyke as I haue shewyd afore and clense it heele it lyke an other woūde yf the botton of the back bone is cut through or y e back bone by the necke so as he hathe lost his meuynge so it is in ꝑyll to helpe hym If it be not lost helpe hym with the strengthe and clensynge of the rose hony torpentyne fenigreke meel and therof make a plaster and lay it on the woūde and about the woūde shall ye stryke defēsurū hele it lyke an other woūde If the wounde be through the throte goll it is gret peryll bycause i● vaynes is in it the which vaynes comyth to the loungis and to the hert As they be woūdyd that is in gret peryll and dedly herof wrytheth wilhelnius de saliceto that he sawe a gret lorde was shotten in one of y e aforsayd vaynes by the throwte goll ther went out one drop of bloode in cōtynent the lorde dyed and the place of the wounde was blacke he rattylde so sore tyll he dyed therby vnderstoode wilhelmꝭ that the bloode ran to y e loūges to y e hert stoppynge his brethe wilhelmꝭ mynde was to leet hym bloode on bothe his armys but the tyme was to short for hym therfore it is good in suche a woūde the pacyent to be let bloode Also he sawe a knyght that was hurte in y e necke with a longe knyffe that the throwte goll was woūdyd he fyll downe lay styll and wilhelmus thoughte he had be dede bycause he felyd no wynde come from him and he halpe hym that he came to lyfe Also he sawe a presoner in the towne of Tremōde which of disꝑacyon cut his one throwte that his meet came out agayne through the wounde and his brethe than bounde he agayne the partes of the wounde well fast togyder and layd ther vpon this powder ¶ Take dragantum sanguis draconis gumy arabici of eche lyke moche in powder with this defensyffe powder and plumacyoles or small kussyus of clouthes or of roywe and with the byndynge therto at lenkth he was helyd in a moneth ¶ Is the woūde in this ꝑtys aforsayd w t a shote of an arowe or stytche with a dagger and the arowe in the wounde then take it out softly as is aforsayd in the xvi chaptre If the arowe be taken out bleded sore then stope it as I haue sayd in the xiiii chaptre ¶ And bled it but lytell or is there no payne thē heed th● w t 〈◊〉 ●nto 〈◊〉 〈◊〉 wounde upō y t ye may 〈◊〉 con● pai●● or not If there bene payne 〈◊〉 may ye 〈◊〉 wounde But is there pay●● 〈◊〉 〈◊〉 thē it is nedefull to fylle the hole woūde w t warme oyle of roses and put therin 〈◊〉 t●ll re●te deyed before in warme oyle of rofes medled w t the yolke of tyges and 〈◊〉 therwith 〈◊〉 woūde open vnto the tyme y t matter comeout Thē clēse it lyke another wounde and he le it with a grene woūded plaster or with bawme Som tyme the wounde is shoten through the necke towched the throwte goll callyd hysophagus and trachea but the synewes and vaynes be not towched then nede none other cure than the cure of another wounde ¶ Of the wounde ī the schulders or bytwene the schulder Ca. xlij IN this places to be woūded it is very ꝑyllous for the synewes whiche come frome the brayne therfore it is dedly after the woūde is depe or not depe Marke al so yf the wounde is in the length or ouerthwart And is the wounde wyde then sowe it and let in the nedermost ende a hool open wher through the matter may auoyde out y t the woūde may be clēse and lay vpon the seme this powder folowinge ¶ A powder Take dragōs blood gūme of arabie and dragantum and make it in powder If the woūde be not depethē hele it with y e grene woūded plaster or with bawme lyke another wounde If the wounde be deep you be fered for the payne of the synewes thēne lay fyrst in the woūde oyle of roses medled with yolke of egges Therafter lay on euery daye a clensynge plaster as I haue wry then in the a for sayde laste chaptre and is made o●rofe hony barly meel somtyme with turpētyne myrra sarcocole about the woūde stryke a defensyffe made of bolo armeno oyle of roses and w t a lytell venegre And as the wounde is well clensyd then do flesshe growe and therafter he le yt lyke another wounde If y e wounde be shot and that the pelleth or arowe hede is in it then make the wounde greter take out y e pelleth or arowe hede as I haue sayde in y e xvi chaptre whā y e arow hede or pelleth is pulledout then put in the wounde oyle of roses medled with the yolke of egges and all tymes stryke the wounde about with y e defensyffe as is aforesayd and the next day clense the wounde If in the wounde growed corrupte flesshe then clense it with vn guentū apostolicū scdm Auicennā And it is well clēseth then he le it And all tyme holde the rule w t lettynge of blood to the chambre goynge and with mete and drinke and with
y e woūde stoppyth Therfore take hede whā ye se such● a wounde than bynde the contrarye parte as I haue lernyd you in ye. xv chap. ¶ Another experymentall lernyng for to staunche the bloode ¶ Also was I callyd to a yonge man which was stytched through his legge aboue his knee to the whiche was callyd another mayster before whych therto dede a good staunchynge of blode neuerthelesse the wounde bleded styll and I desyre not to come ther for cause of y e mayster but I marke that the pacyent became febler and fayn thā I sette the aforsayde stone and in the mean tyme drede I stampe small netyll And I cause the other mayster to vnbynde the woūde anone cam ronnyng out of y e woūdyd vayne a fynger thicke blood Thā I layd on the vayne in the wounde y e blood stone and that powder of the same blood stone mydled with the whyte of egges and y e powder thus mydled layd I rounde about the bloodstone and thā I bounde ther vpō on the wounde the stamped small netylles and than I bounde it with a rollynge boūde that ther cam not out one dropell of blode All be it so that a mayster layde the afor sayd bloodestone on a woundid vayne neuerthelesse it wyll not stoppe nor staūche y e blode lyke wyse as it hath happeneth me And shor●ly I clene and shruped the stone and th●● I layd it on the wounde and thā he shewyd his powre as therto belongthe Therfore it is good to haue y e stone in powdē th●● to lay thē vpon y e woūde vaynes ¶ Of the wounde of the hande and the fyngers Ca. xlvij THese woundes be not so deedly as the woūde in the elbow Neuertheles therto cometh often tymes impostumacyon and swellynge therfore take hede yf it neded to be sowed the wounde thā worke after the. xiij chaptre and bynde it lyke another wounde If the wounde is with shot than take out the pellet lyke as it shewed before in the. xvi chaptre If the wounde hath bled but lytell Than let hym blood as is sayd in the. xv chaptre If ther be grete payne of the wounde and the payne wyll not slake then make this after folowynge remedye ¶ A medecyne Take boli armeni ii ounces oyle of roses iiij ounces opium xl barly cornes heuy venegre half an ounce semē bisantie or by sant sede one dragma whyt popylyon sede or semē papaueris albt a drag nyghtshede or howleke sap iiij ounces medled to gyder and lay on the place so often tymes tyll the payne be slaked but not longe for the coldemakynge of the membre And he le the wounde lyke another wounde If after y e helynge of y e woūde come there small bollynge or knottes that y e ioynte maye not be vowen than shall ye lay●on the knotten euery daye this plaster folowynge ¶ A plaster Take powder of litargirii iii● oūc. oliū Olyue xx oūces mustilaginis seigreti mustilaginis seminis lini ofeche xvi ounces mustilaginis maluistici viij ofices resyne xxiiij oūces cere iiij oūces olfum ca momille a pounde and halfe a poūd farine fenigreci farine seminis link of eche iiij oūces masticis thuris of eche ii oūces hogges grece capons grece goose grece duckes grece of eche iiij ounces all this medled to gyder make therof a plaster laye it on y e knottys than shall it be euen Or make another salue to the same in this maner ¶ A salue Take hogges grece goose grece kapons grece duckes grece ofeche v● oūc. waxe il oūces litargirum ii oūces oyle olyus viij oūces farine fenigreci farine seminis lin● ofeche ii oūces bdellij oppoponati thuris masticis of eche an oūce of al this make a salue With this salue gothe away all the hardnes of the ioyntes and the knottes be euen ¶ If ony parsone is cut of y e hāde ther shall a quycke henne be opened puttynge the stumpe of y e arme therin that shall staūche the blood than shall you sow the skyn̄e crosse wyse ouer the stumpe and thervpon strawe the powder aspresayde as herafter folowed ¶ A powder This powder is made of whyte frankēsence dragons blode and medle of this powder a lytell in the whyt of an egge and depe therin towe and lay it on the wounde If a parsone is the arme or the hande cut of and ther is ony pecys of the bone in the stumpe that is a lytell lose or not that shall ye pretelly take out or is that bone not euen and ther apyre ony sharpnes of bonys out of the wounde than put the skyn back wart and than cut of the vneuen bone and sowe the wounde as is aforesayd and than he le the wounde with staunchynge of the bloode and with the rulynge aforesayd And occupye altymes the defensyffe whyche is nede full to this wounde ¶ If this woūde wyl not be staunchyd of the bledynge than lay thervpon this herafter folowyng powder ¶ A powder Take Boli armeni papyr brennyd wyne stone of eche lyke moche bynde the woūde faste that the blood be staunchyd ¶ Whan the fynger is cut through than sowe it clenely and bynde it lyke another wounde And ye shall lay the fynger in a pype of elder tree and than hele it as I before haue lerned you ¶ Of the wounde in the brest Ca xlviij OF the woundes in the brest howe they happened speketh Gwido y e meruaylyd him that he hath foūde whr yten so lytell of Galieno Haly abbate and Aniceu na of y e membres that be holden and moche is whryten of the mēbres whyche holden and in these happened the woundes in sondry maners and therfore ye must haue also sōdry cures therafter as they be It is somtyme done w t a sworde or with a dagger or with a shot or w t a spere through ronnyng Sōtyme is woū dyd the vttermoost skynne and the flesshe somtyme in the holnes of the brest somtyme through y e body Somtyme is woūded the membres within the body lyke as the harte the longues and dyafragma that is the pānicle that departeth the herte from the other membres And somtyme is not towched y e membrys within thā it is but a symple woūde And this is nedefull to be knowen of this particyon to the surgean that he may the better do her cure And bycause that the olde doctours in this cure accordyth not therfore I shall whryten som what for to knowe the maner of the woundes er ye take it in charge ¶ The fyrst is If any be wounded in the brest with a swoorde or other lyke wepen it is lyghtly to knowen yf the wounde wtin be cut through or not for the greatnes of the wounde But is it w t a dagger or arow it is yll to knowe yf it goth through or no● Therfore it is nedefull to haue to●…es fo● to knowe the same And that token that the wounde
gothe through the breest or in the holnes of the brest is as the wynde cometh out the wounde princypaly whan the nose and the mouth is stoppeth than shall yow hāge a lytell feder on a threde a fore y e woūde is the woūde through than shall meue the feder ¶ The token that the herte is wounded is the blacknes of y e blode and that the membres without be colde the superfluyte of the sweyt of swommynge or Sincopis minuta The place of suche a wounde is vnder the lyfte pappe and that is not good suche a woūde to take in hande therfore it is a cause for to refuse it for it is a deedly cure The tokens that the longue is wounded that y e blood comyng ther out is rede and shomynge and the pacyente is hoote and kowckyth and is pale an y e place of the wounde is on the ryght And as Galienus sayd whan moche bloo●…yth through the mouth without payne that is a token that the vaynes be hurt ¶ The token y e the diafragma is woūdyd that he cannot hale his winde to hym strongly cowghed with bloode slymy spattyll that the pacyent hath great payne in his fyde the place of this wounde is by the small rybbys if ●herto comythyll accedēte ●han it is dedly and yf the bloode rya in y e belly than it wyll corrupte for nede and rotte and the token of this is heuynes of the syde and of y e smal rybbys stynkynge spatyll with moche cowghe the pacyent hathe therwith the axcis and Jamer sayd also the wynde that comyth out of y e woūde and the mouthe styncketh so sore y t it may not be suffryd y t clowte stynckyth of the bloode thāt comyth from y e woūde and the woūde that gothe through y e backe is in more peryll than y e other for the vaynes synowes throte and stryngis of the hert and that is fastenyth to the backe and the wounde of the mary is also sore peryllous and the wounde of the backe bone that is not depe that is not peryllous and the wounde that towched not the backe bone is not so peryllons ¶ If the wounde be small without lesynge of the substaūce and that cometh not to noneyll accedence y t shal be drest with tow depped in the whyte of an egge therin mydle a letyll drogōs bloode with frankēsence lyme of egge shel les and on the. iij. day shall the wounde be drest agayne and than hele it with a gre●… woundyd plaster or with the Jewys plaster or with bawme but wyll you occupye the bawme so must you occupye it at y e begynnynge to the endynge without dressyng of the whyte of an egge doynge therto and also defende the wounde from hete and swellynge with that de●ensi●um ¶ A Defensyffe ¶ Take role armeno oyle of roses and a letyll venegre ¶ If the wounde be great y t it must be sowed than sowe it and bynde it so as I haue lerned you afore and ye shall hele it lyke another wounde with the grene woundyd plaster or with the Jewys plaster or with the bawme ¶ If the wounde be so greate and depe stytcheth or shotten that it gothe in the hole of the body of suche a wounde sayd Rogerius Brunus Wylhelmus de Saleceto Lancfrancus that it shall not be boūden for cause y e bloode shol de not abyde within suche a woūde shall be kepte vp with tentes depeth with oyle of roles and with salue and stryke about with defenstuum and whan ye be sure of y e yll accidence than shall ye clense the wounde with this ¶ A clensynge Take Frankēsence Myrra Farina lupinorum of eche an ounce straynyd rose hony vi ounces camomyll floures ij ounces wyne one poūde and a halfe all this togyder mydled and this in the wounde s●owttyd for to clense the wounde and take hede that ye spowtte no more in the woūde than he may suff●e and than rolle the pacyont on a table roundabout and tourne hym vpon the wounde that the clensynge may come-out agayne yf he may that suffre no more so do in y e woūde againe y e tētes clēse it w t this plaster Take rose hony frākencense myrra sarcocolle or take an other plaster ¶ A plaster ¶ Take strayned rose hony turpentyne vi oūces barly meell as moch as it neded thā shal y e woūde be clene w t this plaster with this plaster with the aforsayd spowtynge that takyth away y e yll matter and this is the counsell of y e aforsayd maysters bycause yf y e matter sholde abyde in y e woūde it wolde cometo y e hert and to al other gentyll mēbrys within y e body it wolde be the dethe of the pacyent Theodoricus Henricus sayd that the wounde sholde be closyd and yf it is of nede y t the pacyent is ●eble tha● shal yegyue hym strengthyng confortynge to the nature and yf the wounde be not hastely closen y e naturall het ●holde through the wounde come out and the colde ayre wolde go in whiche ayre dystroyeth the wounde but Guido makyth concorde bytwene the aforsayd maysters and sayd that the substaūce of the thynges that comyth in the wounde of the brest as well it is in the fyrst parte as in the other parte And to all the woūdes of y e brest belongth ●woo curis one win another without this woūdes is to be knowen by y e for sayd ●okēs ¶ As you knowe by the aforsayd tokens that there is no membre within woūded or that no matter comyth therin the wounde shall ye hele without tentes and w t plasters salue incarnati●ū with plu macyoles deppeth in wyne with byndynge that seldō be chaunged yf ye be called to a woūdyd ꝑson that ye ●ere y e woūde hathe bleded inwarde that shal ye know by y e ratlynge of the pacyēt hath he bleded a lytell that y e blood rynnynge is done than cōmaunde you y e pacyent to stupe on y e woūde that he may meue hym that the blode may come out and as that is done so let y e wounde be tentyd with medsynes or drynes that drawith outwarde as turpentyne or hony that is better that drawyth outwarde and dryeth and clensyth And bynde hym with plumacyoles of tow but not to styffe in this same day let hym bloode In ye. iij. day glyster the wounde w t the soden wyne as I shall say here after than tourne the pacyent on the woūde and ther in doo reasonable tentys and that it let not y e out comynge of y e engeled bloode or matter and the tentys shal be bounde with a lōge threde bycause that the tente ●all not in the ho●nes of the brest for the pacyent sholde suffer moche harme ¶ If ther be the rynnynge of the blood than ye shall not stoppe it but yf it rynnyd