the hippe Hovv vve ought to dravve forth a deade Childe then discide cut of the same in the foresayed ioncte And if so be the heade did first repraesent it selfe vve must then thrust both our fingers into the mouth therof in place of a hoocke tovvardes the roofe and so as gentlye as is possible dravve the same tovvardes you If soe be the belly therof be svvollene or hath to greate a heade and the same fulle of vvater vve must then vvith our finger a little crush theron because the aquosity might soacke therout and the svvollen partes by this meanes be diminished and vnsvvollen if soe be that our handes vveare not sufficient to dravve out the Childe or to finde the belly to let out the sayed Aquosity vvhich ether is retayned in the heade in the Brest or in the bellye vve must then gently vvith our right hande bringe therin a little curved and croocked knife vvhich vvithin the curvednes therof is sharpe and cutttinge the acuitye or povncte therof being closely inclosed betvvixt his fingers After vvhat fort vve may dravve forth the aquositye out of a deade Childes bodye vvhich he must houlde verye close together vvhervvith vve must make an inscisione ether in the Heade in the Breste or els in the Belly by this meanes to dravve forth the vvater vvhich is therin cōtayned And then vve must take a hook vvhich on the same fashon as is afore sayed vve must bring therin vvherof vve must fasten the poyncte ether in the eyes or in the mouth or in the Clavicles vvheron vve must then dravve as violentlye as the cause reqvireth to be done dilligentlye cōsideringe that the hooke breack not through let his houlde goe through the violente pluckinge of the same doe not chaūce to hāge take houlde in the VVombe to the vvhich intēt vve must vvith as much iudgemēt cōsideration dravve the same as is possible onlye vvith one hande vvhich muste be vvithin the VVombe Novv if the Childe be so thick so grosse A monstruouse Childe that vvholy to dravv it out is impossible for vs or els if it be a Monster or tvvo Childrene faste together vve must as then by parcels dravve them out cuttinge the Heade thereof in peeces then plucke out first the the one peece then the other then the Brest the Armes and the legges allvvayes makinge that it be cut in the ioynctes vvithout breakinge any bones for although they be tender yet the splinters therof might chaunce to hurte the vvombe soe that it is allvvayes the surest vvay vve cutt of the Armes and legges in their ioynctes It chaūceth also sōtimes that vve dravvinge forthe the Childe by the legges that onlye the head tarrieth therin vvhich therafter vvithout great difficulty vve cā not get it out thē vvith extreame daunger because the same rovvleth vp and dovvne in the concavitye of the vvōbe this therfor being happened ther must as then a servant or one of the standērs bye vvhich is experimented in such affayers sittīg one the left syde of the vvoman crushe vvith both his handes one the bellye of the vvomā beinge covered vvith a vvarme cloth on this manner to depresse dovvnevvardes the heade of the childe and ther in that place to contayne and keepe the same Hovv vve may dravve forth the heade of the deade childe as yet remayninge in the vvōbe And the Chyrurgiane vvhich sitteth on the right syde of the vvoman must vvith his light hande bringe the hoocke therin as is already sayed vvhich he must faftē in the heade ether in the eyes in the mouth or in the apertione of the heade dravve the same by little little therout as if as yet the vvhole bodye remayend therin If soe be the foresayed head vveare to great vve must then in like sorte alsoe cutt the same in peeces and dravv therout the peeces first the one then the other The Childe beinge dravven therout vve must dilligentlye consider that vve doe not breake a sunder the navell because it may serve for a conductor leader vvhich vve must allvvayes feelinge the same and suffering it to glide throughe our right hande must follovve vntill vve be come to the matrice vvhervvith the Childe vvas covered in the foresayed vvōbe hauinge found the same vve must gentlye rovvnde about separate her vvher vve finde her to befastened then dravve her forth vvith al the cōgregrated blood therī if therbe anye least that there it might chaunce to putrifye havinge thus finished all this the vvoman as then shall ioyne and shutt her hippes together agayne and must then circumligate the bellye as is required and necessarye In this forerehearsed daunger is oftentimes incident vnto the vvoman a farre more lamentable and pitiful accident to vvitt a discendinge and sinckinge do vvnvvardes of the vvombe vvhich betvveen the hippes sincketh out throughe the vvhich the vvoman can not goe The māner to elevate agayn the suncke discēded Matrice If soe be therfore this chaunced vve must gentlye and easilye by degrees thrust in agayn the same as vve have sayed of the guttes or entralles being sunck out vvherof vve must cause the disseased and sicke vvoman to keepe her bedde some certayn cōtinuance of time vvith her buttockes a little exalted and if soe be the Matrice in her risinge chaunced agayn to sincke out vve must then agayn thrust in the same And to praevent her that she doe not agayne sincke out of the bodye vve must thē thrust in the Matrice a Pessarium like a rovvnde Apple vvhich must have a hole in the middle therofe as heer before amongest the instrumentes vve may see it defigured vnto vs vvher vve shall alsoe finde the forme the figure the manner of vsinge the same ⧠VPpon what occasione the externall partes as Armes and legges are and must be extirpated or cutt of and in what place it must be done Chap. 4. When vvhye the externall part must be saved of THe externalle membres of mās bodye as are Armes legges are cutt or savved of vvhen as they are sqvised plettered and brokē the Vaynes Arteryes Synues vvholy be lacerated cutt of Or els vvhen they concerninge any externalle occasione are hurte or indammaged vvherby they sōtimes vvholy come to be mortifyed that suddaynlye or els somtimes alsoe by degrees so that somtimes ther ensueth such a Gangraena or mortification that not only the fleshe all the other mollifyed partes of the foresayed ioyncte doe mortify corrupte but alsoe the Bones themselves soe that ther is noe hope at all of any health then onlye throughe the extirpatione of the same fearinge least that the foresayed Gangraena shoulde farther infect pollute all the circumiacent partes vvherethroughe the patient might suddaynlye chaūce to dye Notvvithstandinge the Chyrurgiane may not in anye forte aproch vnto his exstreame last remedye before he have tryed all other remedyes to ease
vvhich is made on the other syde but there is most certayntye in the ligatione to avoyde the effluxion of bloode vvhenas ther is sufficient flosh enough betvveene Ther have binne certayn auntient Chyrurgianes vvhich coulde not agree vnto the Speculum Ani but have onlye thrust there finger into the fundament to dilate the same and besydes the same a thinne and pusille privett vvhervvith they have soe longe felt thervvith this vvay and that vvay vp and dovvne till such time as they have fovvnde the Orificium of the fistle vvhich is felt as if it vveare a thinge rent or torne and novv hauinge fovvnde the foresayed Orificium An other practice or inventione they then close to ther finger thrust in the privett conducinge the same alonge the finger supernallye or vpvvardes or thether vvher they suppose the bottome or ground of the fistle to desiste and end vvhich throughe feelinge of the finger of the other hand vve may easylye discerne and havinge fovvnde the end therof and perceavinge the skinne or the fleshe not to be verye thicke in stede of ligatione vve violentlye thrust the privett ther throughe vpvvardes the privett beinge passed therthroughe they then cutt open all that vvhich is situated betvveen the tvvo Orificia of the Vlceration or els they thrust a threde ther throughe and soe binde it throughe Amongst those vvhich are of opinione that vve ought to cure the fistle throughe an actuall Cauterye Albucasis discribeth vnto vs the meanes Albucasis vvillinge vs to vse a Cauterye of iron thervnto vvhich must be verye subtile and glovvinge or redhott and that it be proportioned accordinge to the greatnes of the fistle thrustinge the same tvvice or thrice therin vntill such time as all the callositye is taken avvay ther from laudinge the fervent glovvinge Cauterye above the cuttinge or rescindent Cauterye because the glovvinge Cautery as he sayeth correcteth and amendeth the vntēperatnes of that parte ther follovveth noe effluxione of blood the callosity therof is burned avvay the superfluouse humidity is exsiccated vvhich vvas concursed and assembled together vnto that patte ⧠How we ought to extracte drawe forthe little infantes out of theire mothers bodye which of themselves can not be borne Chap. 3. Admonition for the Chyrurgiane BEfore vve offer to imploy our hādes on such on operatione it seemed expediēt vnto me to admonishe the Chyrurgiane vvhat vvoemē may escape this daūger because vve should obtayne great blame and discredite vnto our selves if so be the vvoman being in childebearth should chaunce vnder our handes to dye she supposinge by our helpe councell to be released out of this daunger The signes vvher throughe the Chyrurgian is hindered to dravve forth the child out of his mothers bodye vvhic of it selfe cā not be borne VVherefore those vvhich vve suppose to be in daunger of death vve must not in any sorte laye hādes on them because the countenance and cheare of those vvoemen vvhich are in laboure or childebearthe and also ther face administreth sufficient knovvledge vnto vs vvhat event or successe the matter shall have for those vvhich are in any great daūger of their lives have a straūge vvonderfull behaviour over them to vvitt that shee troubleth or molesteth her self vvith nothing hath a fearfull sight vvhich is cleane contrarye to her naturalle beinge is debilitated hath hollovve eyes a sharpe nose a feeble Puls vvhich beateth obscurely and vvithout time Shee is vvholy cōvicted as if she hadde the soporiferouse dissease vvith out all strēgth cleane layed alonge although vve speake vnto her yet vve can not avvakē her if vve doe lōg trouble plucke her shee speaketh verye feeblelye vvith noe strength and then agayne lyeth as it vveare in a great sleep the ayre alsoe flyeth out of her throte Those in the vvhich is anye strength left they fall into Spasmo or convulsion of synnues Others after they haye continued a long time in theire labors as are those vvhich have bin troubled molested thervvith the space of five or sixe monethes they are vvholye decayed grovvē leane vvholy consumed for vvant of foode because alsoe that vvhich shee hath eaten is not chaūged into any nouriture the vvhol boodye beinge thorough soacked vvith humidity especiallye the face vvherof her svveat most commonlye is fattye axungiouse and smearye But those vvhich can suffer the manuall operatione are fitt to have the child dravven out of their bodye have none of these fore rehearsed accidentes vvherfore vvithall festinatiō alsoe they must be opitulated helped on this māner as heerafter follovveth notvvitstānding vvithout rashlye or temorously to beginne the same vvithout beinge certifyede of the Midvvyfe vvhat the reason or occasione might be vvhye the vvoman can not be delivered or bringe forth her childe Ther are thre thinges vvhich make Childe birth difficulte beinge certifyed heereof as vvell of the parturinge vvomā as of the Midvvyfe in as much as is possible dilliggētly considering the same having vvell perpēded it therout to knovve the iust occasione of this heavines sorrovv considering vvhether it taketh his occasion of the parturiēt vvomen or els out of the childe because therby vve might knovv hovv to rule govern our selves If so be this daūger consisteth in the mother The mother it happeneth then ether because of her mistruste or smalle hope or because shee is fearfulle and fayntharted havinge the vvombe and the necke or entrance of the sam small anguste because shee is yonge small of body tender and delicate Or els because the entrance of the foresayed VVombe lyeth recurved or is occluded vvith some tumor or els there is som Apostematione vlceration or any Carnositye ther in vvhich oppugne themselves agaynst the bearth of the infant Ether because that the mother hath a stone in her Bladder vvhich therin alsoe beinge oppressed seeketh by all meanes possible to come therout and beinge come into the mouth or entrance of the Bladder crusheth there the entrance of the VVombe vvher throughe she is angust or els because therin is som cicatrice vvher through she is narrovver then she ought to be vvher through she cā not in any sorte stretch forth her selfe Childe bearth alsoe in some vvoemē is hindered above all these foresayed accidentes because they ar to fearfull are to much affrighted of the parture or Childbirth as yet not beinge vsed vnto the labouring of childe doe not yet knovve therafter to governe thēselves as vveare condecent and needfulle Others are grovvne impotent throughe anye praecedente sicknesses and having noe strength at all to deliver the conceptione or fruicte from them The childe alsoe may be occasion heerof The childe because it is to feeble and cā not helpe it selfe in the deliverance of his mothers labors and that especiallye vvhen it is deade and svvollē in like sorte also the same beinge to grosse and greate ether in any
parte of his body as havinge tvvo heades four armes beinge dubble or els if ther be moe then one to vvitt tvvo three or four vvherof the one might praesent his arme an other his legge or anye other part all at one time Afther the infāt praesenteth himselfe the childebirth falleth easye or difficulte because that follovvinge the naturall Childebirth the childe allvvayes praesenteth first his heade havinge his armes stretched out alōgest both his sydes or vvhē it praesēteth it selfe vvith both the legges forvvarde vvherby it may easylye be plucked dravven out vvhen it praesenteth him one anye other manner it is as then not naturall but verye daungerouse vvherin vve must vse our remedyes as herafter shal be shevved The externall occasions Touchinge the externall occasiones they are violēt heate vvherthrough the strengthe forces of our bodyes are convicted contrarilye ther is great could vvherthrough all the conduictes are stopped as allsoe are those persons vvhich vve feare or hate The childe alsoe as longe as it lyeth drye the vvater as yet is not brokē out vvherthroughe it can have no passage because the vvayes passages are drye not slippery not smoothe as in the vvater streames vve may see that the stones through the slipperishenesse of the vvater The operatione are carryed avvay In like sort alsoe all sorrovve tribulatiō stoppeth occludeth the entrance of the vvombe as cōtrarilye the meane reasonable iucunditye openeth the same All these foresayed occasions must be cōpared vnto ther cōtraryes as if soe be that throughe the imbicilitye of the mother it be occasioned she must thē be conforted givinge her a little vvyne or Hipocras conforting ioyinge her in her necessitye as much as is possible if soe farr forth as the passage be to narrovve or anguste to exsiccate or dry or els to much shrūcke vve must then endevore vvith decoctiones vvith vvarme infusions vvith pingvefactiōs to soften moystē make supple the same If then ther be anye carnositye vvhich in terrupteth the passage therofe vve must depose detrude the same one the one syde or if ther be a stone in the entrāce of the bladder vve must thrust the same on highe if soe be the Childe othervvise praesent it selfe thē it should as first vvith the heade vve must then turne it in the best sorte vve maye or if it thrust one arme or legge out vve must not thervvith dravve it out but must gentlelye retrude it backe agayne agayne bringe it into his place or if ther be more thē one child vve must dilligently consider hovve vve ought to take hould therone notinge that vve doe not take the one by the foote and the other by the foote soe both at once plucke thē vvherfore vve must thrust one foote on highe dravve tovvardes him the foote of that vvhich is next Hovv vve ought to situate the vvoman most rediest vnto the passage But before vve come to the manuall operatiō vve must first of al situate the vvomā convenientlye although ther be divers māners of situationes for some sett thē in a stoole others set thē leanīge on a table or one the edge of a bedd vvith the legges separated the one from the other others set them one theire knees yet the best fittest vvay is one a bedde causinge the vvomā to lye one her backe thvvarte over the bedde close to the edge ther of vvith cushēs or pillovves vnder her backe to rest her heade therō layinge her heeles close to her buttockes vvhich must lye alsoe somvvhat exalted and the hippes spanned the one frō the other vvhich of tvvo vvoemē must so in that sorte be helde least that she doe not chaūce to dravve shutt them together the vvomā lyinge in this sorte the Chirurgian as then may the easyer obtayn his vvill and com close vnto her to drive detrud the child tovvarde the entrance of the vvombe The vvomā beinge thus setled or layed the Chyrurgiā must lay one the knees one the belly of the vvomā a cleane linnē clothe partly to be an opercle or coveringe to the vvoman partlye ther through to be freed from the externall ayre thē he must gentlely thrust his hande being annoyncted vvith freshe butter vvith Sallatoyle or vvith hogges suct in to the entrance of the vvombe first of all cōsideringe vvhether the childe be alive or deade hovv it is thereī disposed or turned vvhether also ther be more thē one tvvo or thre children a fore hādes hovve soever it be situated The child must vvith his heade be dravvne out or vvith the feete if it be possible or disposed ether alive or deade curved or croocked if it be possible vve must dravve the heade first out but if not vvith both the legges dravvinge the same aeqvally dovvnevvardes cause one of the armes to be stretched out alōgest the syde of the heade because ther throughe may be hindered that the bodye beinge therout the vvombe doe not chaunce to shutt the necke of the Childe be not therin inclosed vvhich through the arme vvhich lyeth stretched out by his heade shal be praevented hindered If so be the one foote praesenteth it selfe the other tarrye therī vve must tye the foresayed foote vvith a ribbon gentlye thrust in agayn the foresayed foote sufferinge the end of the ribbon to hange out and inqvire seeke after the other foot thrustinge the hande alongst by the foresayed foote legge vntill such time as vve feele the buttocke of the other foote then reducinge your hande close to the buttok shall immediatlye finde the other foote vvhich gētlely you must bring forevvardes dravvinge by the ribbō the other foote vvil come forth agayn vvhich having thē both aeqvally together must gētly dravvē thē out vvith the rest of the vvhole bodye of the child by this means vve may knovv vvhether they be both the legges of one child on this māner dravving out the same first the one then the other Signes of a deade Childe in his mothers bodye But if so be the Childe be deade it vvill not as then stirre it selfe in the feelinge also therof it vvill be coulde vvhenas vve thrust the fīger in the mouth therof it stirreth nether lippes nor tunge to suck The mother as then hath a stinckinge breath hollovve eyes and a svvollen bellye vve therfore out of all these foresayed tokens perceavinge the Childe to be dead vve must then dravve it out as already vve have sayed vvith the feet forvvardes As farre forth therfore as if the Childe had one arme or one Legge hanging forth of the vvōbe it vveare impossibleto reduce the same agayne into his former sitvation because that throughe the bodye of the Childe the entrance of the vvombe is stopped vve must then plucke the foresayed arme or legge dravve it to the ioyncte of the shoulder or of
or a little Masticke vvhite Coralle and preparede pearles ther of a paste beinge made of the vvhich vve may forme as manye teethe as vve please This paste is also verye commodiouse to replenish thervvith a hollovve toothe because ther might noe viandes remayne therin through vvhich the teethe doe more corrupte and more intollerable payne is heer bye suscitatede 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The Speculum of the Mouthte and Wombe Declaratiō of the Characters which are contaynede in the figures of the Hoockes and Knives which are necessarye and conveniente to drawe forth a deade Child out of the Mothers bellye also of the Pessaryes Plates and of other thinges necessarye to the Ligatione of the fistles of the fundament Demonstrateth the Crochet vvith a dubble hoocke vvhich must not be sharp but blunte leaste that internallye they chaunce to vulnerate the Wombe by vvhich meanes the vvoeman might be in greate perille and daunger of her lyfe The hole throughe the vvhich must be thruste some certayne string to tye thervnto a Naptkinne because there might tvvo at once pulle vvhen it is nedefull The seconde hoocke vvhich is flatte and blunte C A little croockede knife vvhich is verye acute sharpe conveniente to inscide the Heade and bellye of a deade Childe internally in the Wombe because the vvater aqvositye might heerbye have his issue I have divers and sundrye times binne sente for to divers Woemē vvhich vveare in difficulte laboure Childebearth notvvithstandinge I never vsede any hoockes or other ferrealle Instrumentes therto for vvhich occasion I also councell all Chyrurgianes to vse none of them then in extreame necessitye for if soe be there happen anye other accidente there vnto as excoriatione or anye effluxione of blood vve muste then attribute the same vnto the Instrumente vvhich the Chyrurgiane vsede thervnto Neverthelesse I have heere causede them to be set dovvne vnto you to vse them in the extreameste necessitye and heere is to be notede that the Insculptor or Ingravere to adorne imbellishe his laboures hath participatede some propre and perpolite fashone to the handle vvhich indeede is thereon invtile and needeles because it is better that they be playne smoothe becaus they fastē themselves on nothinge The Pessarye in forme of an Apple vvhich is made of Corke and is circumvestede vvith vvhyte vvaxe this pessarye preventeth the descendinge and sinckinge out of the Matrix The Greeckes calle it Pesson and the Latinistes Pessarium There are some also made after an Ovale figure rovvnde and somvvhat prologatinge like an Egge and of divers magnitudes but quotidiane experience hath taught vs that they are not so necessarye and commodious as those vvhich are of this forme because they are to slipperye and cannot be hilde so faste in the entrance or necke of the vvombe so that oftentimes they sincke theroute and in like sorte also the vvombe vvhich notvvithstandinge reqvireth to be continuallye therin contaynede The firste vvhich I have seene vse such manner of Pessaryes vvas the right vvorshipfulle Mr. Rousset on of the Kinges Chyrurgians and of the Ladye of Nemours vvhich hath learnedlye and excellentlye vvritten of divers sortes of the Woomens parturiō vvhere this forme of Pissaryes are defigurede and the manner also of his vse The hole vvhich is in the middeste vvhich serveth to dravve therbye the pessarye out of the vvombe vve thrustinge our finger in the hole * The linte vvherone the Pessarye is fastenede rounde aboute the bodye of the vvoman An argentealle plate being semilunare somvvhat reflectinge invvardelye tovvarde the internalle part beinge notede vvith G. This plate or this invention hath oftentimes binne vsede of Mr. Girart Raber Chyrurgiā at Paris vvhich vvas a verye inventive perquiringe man in searchinge out of Chyrurgicalle Instrumentes and also the most experteste practitionere of his time the Knott vvhich is layede above the silver barre H The argentealle or silver barre or pegge I I The little ringles vvhervvith the little barre is fastenede vvhen shee passeth therthroughe this barre may be turnede as much and as little as vve please The Privet or Needle to religate the fistles Hippocrates calleth it Scorodou Physinga vve may allsoe make theire poyncte blunte to vse the same the fistle beinge vvholye apparent and may easylye be seene but if she lye occulte and invisible and that vve must necessarily perforate any membrane she must then conseqventlye be acute and sharpe She muste also be of silver and verye vveake because she may be suple to bende at our pleasure Explanation of the Characters contaynede in the figures of the Instrumētes to drawe breake and cut of teeth L Demonstrate the tonges vvhich are verye conveniente to cut of all superfluouse teethe or at the least those vvhich are to longe they are internally inflectede by that meanes the better to fasten on the teeth A superfluouse tooth vvhich is halfe of The Polycampe L Polycampus G Odontagra and Odontagegon It is an Instrument vvith divers brāches vvhich are all of them intrudede in one handle throughe a little serve The scrue vvhich is on the Instrumente One of the braunches of the Polycampe An other extendede braunche The thirde braunche The vise beinge taken out S Demonstrate the Instrumente callede the Patretesbille L Denticeps Dentiducum Celsus calleth it Forfex G Rhixan The tooth vvhich is helde fast betvveene the teeth of the Instrumente An Instrument vvhich loosenethe the gummes frō the teeth callede in Latine Dentiscalpium G Pericharacter The expulser or thruster out L Pulsatorium G Oterion X The Roote dravver G Rixagra It is an Instrumēte verye necessary to dravve out any roote of a toothe vvhich remaynethe in the Chavve vvhen the tooth is broken or corruptede and rotten 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Diuers Instrumentes to drawe and cutt of Teeth Haeckes to drane forth a Childe The Declaration of the Characters which are contaynede in the table of the actualle Cauteryes Defigurate the a Cauterye vnto vs vvhich hath a poyncte like vnto a Raper and is callede in Latine Ensis vvhich is partlye on both sydes rescindente The poynct vvhich must be of the crassitude of this lettre because it might the longher Keepe hott Is the handle vvhich is smaller then it is needefull and must be foure or five inches longe and in like sorte also all the other handles of the other Cauteryes vvhich are heere notede vnto you It is a backede Cauterye vvhich hath a backe like vnto a knife vvhich cutteth but one the one syde and for that occasione hath a thicke backe because it shoulde continue the longer hott and effectuate his operatione so much the better The rescindente syde ΠThe backe vvhich must be verye thicke The poyncte vvhich must be foure goode fingers breadth longe This Cauterye is rotunde concavouse rescindente vve vse it to cauterize the skinne of the Heade vvhen as suddaynly vve vvoulde trepane the same as beinge in anye compagnye and in cuttinge vve feare anye
vnder lye dispearsed But before vve proceede unto this operatione vve must consider The canckerouse almondes may not be tyed not cut of vvhether they be not of some canckerouse nature because those vvhich are canckerouse may not by the manualle operation of Chyrurgerye be cured they are most easyest knovvne vvhen as they are harde of a purple coloure rugged full of payne and have a great roote But if they be pale rovvnde tender smoothe and belovve thinne vve may as then vvithout daūger tye and cutt them of And in as much as concerneth this operatione Historye of Albucasis the historye of Albucasis shall at this time suffice to instructe the yonger Chyrurgian to imitate the same vvhich affirmethe to have had a vvoman in handes vvith such an vlceratione vvherbye her throate vvas allmost occluded and stopped that vvith great difficultlye shee respired breathed nether coulde shee anye more eate or drincke beinge in greate perill daunger of death if soe be that in that estate she had continued but one day longer in vvhome this vlceratione vvas soe extreamlye svvollen that it had yet spreade it selfe abroade into tvvo branches more into the nostrelles In vvhich greate necessitye and perplexitye vvith al expeditione he tooke a little hooke vvhervvith he layed houlde one the one branche therof vvhich vvas come into the nostrelles vvhervvith he drevve forth therof a reasonable qvātitye and then as deepe as he coulde he cutt it of havinge done the same in the other nostrell allsoe he hath aperted and opened her mouth depressinge the tunge dovvnevvardes hath taken houlde on the svvellinge and tumefactione vvith a hooke allsoe cutt a great qvantitye therofe vvithout anye greate store of bloode issuinge out of it This beinge finished the miserable poore vvomā hath immediatlye opened her mouthe beganne to eate drincke vvater At other seasons alsoe therafter he hath cut avvay ther frō other peeces but yet notvvithstādinge as oftē as much as he descided cut therof is increased agayne grovvne thervnto vvhich vvhē he had marked he cauterised the same by this meanes in the end hath praevented the excrescence of this tumefactione but beinge constrayned to take his iourny to some other place coulde never heare or by any man vnderstande hovv it happened therafter vvith her it may right vvell be thought that the cauterisinge of this dissease vnto his roote could not in anye sorte increase agayne as before it had done It happeneth allsoe sometimes that the Almondes soe chaūce to svvelle that ther is noe hope left that vve shoulde perforate or thrust them throughe or to binde tye thē because somtimes it is impossible for the patient to open his mouthe not beīge able in any sorte to respire must of necessitye dye vvhich perceavinge to be in such an estate vve are then constrayned in our extreame necessitye to take our last refuge vnto the makīge of an inscisione in the throte or Trachea arteria rather thē vvith our eyes behoulde the patiēt to smother choake VVhen as therfore vve vvoulde effect this vve must cause the patient to lye leane on his backe and hange his heade backvvardes because the throte or Trachea arteria may evidentlye shevve it selfe then vve must vvith our fingers take hould on the skinn of the third or fourth ringle of the throat vvher vvith the foresayed circles or rovvndes of the throate are covered lifted vp novv this beinge soe heaved vp vve must accordinge vnto the lōgitude therof make the inscisiō vvhiche beinge cut throughe agayn let fall vve shal as then perceave the throte bared if soe be therone vve espyed any vayn vve must detrude it one the one syde eschevve or avoyde the same VVhich beinge effected vve must vvith the poyncte of a croocked lancet make our inscisione thvvarte over betvveē the thirde or fourth rotūditye or circle qvite through the mēbrane vvhervvith both the foresayed cartilages or circles are the one vvith in other vnited holden together of vvhich betvveen thē both is situated vvithout touchinge ether of both these cartilages or rovvndes into the concavitye of the foresayed Trachea arteria or throate vvhich easyly vve may perceave vvhē as the breath issueth forth of the vvounde in the vvhich vvound immediatlye therone vve must impose a silvern or gouldē pipe because ther throughe duringe some shorte space the patient may breathe This sayed pipe must in the one end be somvvhat broade vvith a threde theron fastened because that through the dravvinge of breath it doe not chaunce to be dravvne into the throate Novve the daunger of choakinge beinge passed vve must as then take it therout agayne because that the vvoūde vvith convēnient remedyes may be cured Howe we ought to drawe thrust out and cut of the teeth Chap. 7. Divers Chyrurgicall operations THere are divers disseases inscidente vnto the teeth vvhich throughe the manuall operation of Chyrurgerye must be cured as by cauterisinge of the same by dissipation of the gūmes frō the toeth by filinge by cuttinge of by dravvinge by settinge by cuttinge in therofe by allegation bindinge together of the teeth Those teeth vvhich are slimye therō a blacke yellovve or vvhyte tough matter sōtimes like vnslissed lime or as it vveare some putaminous substāce chaunced to be therō obdurated hardened vve must vvith a little scraper or instrument for that purpose make thē cleane purifye thē vvithout hurtinge of the gūmes looseninge of the same because that such teeth vvhich are heervvith polluted are not most cōmonlye very fast the aged poeple the rheumaticke they vvhich are trovbled in the lūges or vvhich have anye dissease in the stomack vvhich in times passed have binne infected vvithe the poxe are commōly subiect vnto disseases of ther teeth vvhē as this increscēs is not as yet obdurate or hard vve may then vvith more facilitye remove the same in the first vve must vvashe the gūmes as vvell of the one as the other vvith a little alume vvater vvherby the increasinge of this matter is sōvvhat praevented retarded Practise inventione of the aucthore it fasteneth allsoe the gummes vnto the teethe vvhē as they hāge looselye therō Some there are vvhich esteeme this a greate secrete vvhich heertofore I my selfe have vsed to vvitt that vve take a little Aquafortis and a little sticke as thicke as a quille the one end therof beinge dipped in this vvater vvith vvhich end of the foresayed sticke vve must vvel rubb the tooth thervvith dilligētly observīge that noe droppe therof chaūce to falle one the lippes or gūmes immediatly the tooth being heervvith rubbed vve must as then vvith a linnē cloute vvipe the toothe the linnē clothe beinge madefied in could vvater therbye to dissipate frō the tooth the tartenes therof vvhich the Aqua-fortis hath left behinde it causinge the patient immediatly to spitte therby the toothe vvil be
28 Hovv vve shoulde stench bloode Fol. 29 Hovv vve shoulde open the vaynes of the handes and feete Fol. 29 Hovv vve shoulde open an Arterye Fol. 30 Hovv to cut avvay a bursten vayne Fol. 31 Hovv vve shoulde cause a horseleech to fall of Fol. 32 Hovv vve shoulde restraygne the blood after the horseleech hath sucked Fol. 32 Hovv vve shoulde binde a patent fistle of the fundament Fol. 34 Hovv vve shoulde situate the vvoman in dravinge a childe out of her bodye Fol. 36 Hovv vve shoulde convenientlye extirpate a ioyncte 38 Hovv vve should tye the ligature to stoppe blood Fol. 28 Hovv vve shoulde gentlelye take of a ligament from a fracture Fol. 45 Hurtes of the blather Fol. 4 Hydrocele Fol. 22 I Inanimate thinges feele effectes of the moone Fol. 51 Incarnative suture and her fiye manner of vvayes Fol. 15 Incarnative ligature Fol. 44 Indication hovv vve may easilye or difficultlye attayne to the bloodye flixe Fol. 48 Infusione of Rhubarbe Fol. 49 Inscisione must be done before inflammatione Fol. 11 Instructione hovv to vvorke vvyselye Fol. 7 Inscision of the Scrotum Fol. 21 Instructione to knovve vvhether the extirpatede mēbre must be stenchede or lett bleede Fol. 38 Intent of the Aucthor Fol. 5 Intentione of the Aucthor concerninge the fistles of the fundament Fol. 24 Intent of the Aucthor of Phlebotomye Fol. 27 Inventione of sciences Fol. 1 Inventione of the Cauteryes is throughe nature shevvede vnto vs. Fol. 40 In phlebotomising of those vvhich are phrensye vve ought to make but a smalle apertione Fol. 28 In vvhat persons the dravving of vvater must be vsed and in vvhat it must be left Fol. 20 In vvhat places the scarifications may be made Fol. 21 In vvhat persons the operatione of the haremouthes is daungerous Fol. 23 In vvhat partes the Cauteryes must be applyede Fol. 40 In vvhat partes vve ought to applye the Seton Fol. 43 Irregulated seasō of the yeare aultereth our bodyes Fol. 51 It is surer to make an inscision in the fistles of the fundament then to tye them Fol. 35 Iudgement must be providentlye given Fol. 4 Iugularis vena Fol. 29 K Knovvledge by sight of a corrupted bone Fol. 33 Knovvledge throughe tacture ibidem Knovvledge by the matter Fol. 33 L Legges of a difficult resanatione Fol. 50 Ligament must be broader then the dissease Fol. 44 Ligament for the dissease Fol. 44 Ligament for the parte Fol. 45 Ligamentes for shot vvoundes vvith crushinge of bones Fol. 46 Ligatione of Epoulis is more certayne thē inscisiō Fol. 23 Ligature or inscisione in the Almondes Fol. 26 Ligatione of the Elbovve after Phlebotomye Fol. 29 Lippes vvhich are cleft in tvvo places Fol. 23 Lippe vayne Fol. 29 Liqvefactinge fyer Fol. 41 Liver beinge hurte Fol. 3 M Magnitude of the putrefactione in bones Fol. 33 Malignant ayre polluteth the harte Fol. 51 Man is subiect to all influences Fol. 51 Manner to cure Epoulis Fol. 23 Manner hovv to trepane vnto the membrane Fol. 13 Manner of applicatione of the Cauterye on the corrupted bone Fol. 35 Manner to dravve forth a deade Childe Fol. 36 Māner to dravve out the aqvosity out of a deade Childes bodye ibidem Manner to elevate agayne the suncke and descendede Matrice Fol. 37 Manner to praeserve the Cauteryes Fol. 42 Manner to applye the transforatione in the necke Fol. 43 Manner of dressinge of all broken legges vvhich may be comparede vvith the māner of all auncient Chyrurgians Fol. 46 Manye men praeserve their lives agaynst the opinione of the Chyrurgiane Fol. 6 Manye ther are vvhich for vvant of succoure doe dye 53 Manye thinges are oftentimes vvantinge vnto the vvoundede ibidem Master Dvione an experte Physitione Fol. 49 Matter of the Vlceratione Ateroma lyeth inclosed in a little blather Fol. 19 Matter of the Potentialle Cauteryes vvhich are novv adayes in vse Fol. 41 Master Paré of Cauteryes ibidem Matter of the Ligamentes Fol. 44 Meanes hovv to knovve vvhether the bullet have takē any thinge vvith him Fol. 7 Meanes to dravve out the heade of a deade childe as yet remayninge in the vvombe Fol. 36 Meanes to finde the place in the heade to cauterize Fol. 42 Meanes to keepe open a Fontanelle Fol. 43 Meanes to make the expulsive Ligamente Fol. 44 Mediana Fol. 29 Medicamētes to be eschuede in the bloodyflixe Fol. 49 Membranouse Ligament or tungeryinge Fol. 24 Methode hovv to trepane Fol. 12 Mideler eefe beinge hurte Fol. 4 Milte beinge hurt Ibidem N Naturall situation vvhich of the aunciente professors is called the right situatione Fol. 47 Nature cureth all disseases Fol. 54 Nayle vvhich heaveth vp it selfe may be pricked throughe Fol. 21 Necessarye thinges to a goode curatione Fol. 53 Noe Polypus can throughe Chyrurgery be curede Fol. 22 Nose vayne Fol. 29 Note your forme of your trepane in the sculle Fol. 12 Note the circumstances of the blovve and the death vvill seeme more admitable Fol. 53 Nue inventede trepanes Fol. 13 O Observatione of the Aucthor Fol. 9 Observatione in seethinge of the saulte to the Cauterye Fol. 41 Occasione of corruptione of Bones Fol. 33 Occasione of the death of the kinge d'Ivetot Fol. 54 Occasiōe of the Dysenteria Fol. 28 On vvhat manner in dravving forth a bullet vve must collocate the patient Fol. 6 On vvhat sorte vve must dravve a bullet out of a ioyncte Fol. 7 On vvhat sorte the Aucthor tyed the arterye on the Aneurisma Fol. 31 One dissease follovvinge an other is very daungerouse Fol. 51 Opinione of Paulus Aegineta Fol. 5 Opinione of aunciēt professors touching inscision Fol. 9 Opinione of Hippoc. touchinge the curing of fractures Fol. 10 Opinione of Hippoc. concerninge trepanatione Fol. 10 Opinione of Avicenna touchinge trepanatione Fol. 11 Opinione of Celsus concreninge the apertioue of apostemations Fol. 17 Opinione of Hippocrates concerninge Empiema Fol. 29 Opinione of Gvido concerninge the fistles of the fundament Fol. 35 Organicke partes vvhich are cut of can not be cured agayne Fol. 2 Other considerations to be had in prognosticatione Fol. 3 P Paroulis and the meanes hovv to cure it Fol. 23 Partes of Physicke Fol. 1 Partes of Therapeutica ibidem Patesyede fistles of the fundament Fol. 34 Patient lyinge on his backe can verye vvel suffer phlebotomve Fol. 29 Paulus Aegineta Fol. 8 Penned suture Fol. 15 Perturbations of minde Fol. 52 Perturbationes are of greate effecte in our bodyes ibidem Phlebotomye vvhye it is difficulte Fol. 27 Phlebotomye must be done vvith discretion in the bloodyeflixe Fol. 49 Place of the apertione in the vlceration Empiema Fol. 19 Place vvher vve may cut the Varices Fol. 31 Places vvheron vve applye the Cauteryes Fol. 42 Playne and smooth situation of a brokē membre Fol. 45 Potentiall Cauteryes and matter therof Fol. 41 Practise of the Aucthor Fol. 13 Practise of the Mr. Floris Philips Fol. 20 Practise of the Aucthor concerninge teeth Fol. 26 Q Qvantitye of Ligamentes Fol. 44 R Ranularis vena Fol. 29 Ravv fruicte causeth the bloodyeflixe