❧ What sowinge is, and the vse therof, and in what impedimentes she is necessarye, and in what partes. Chap. 1.
* 1.1THe Chyrurgiane ought to con¦sider sixe especialle thinges, vvhich concerne the sovvinge of vvoundes: First the vse ther∣of, that is, in vvhat impedimēts it is necessarye, & in vvhat par∣tes: vvhat vve must therin consider: vvhat ther is vvantinge to effecte the foresayed sovvinge: after vvhat manner vve ought to doe it, & ho∣vve manye fashions, & differences ther are of the same.* 1.2 Therfore sovvinge of a vvounde is nothinge els, but a vnitinge, and couplinge to¦gether of the dissevered partes: vvhich vveare contrarye to nature, separated and parted one frō the other, vvhich fore sayed vnitinge must be effected vvithe a threded needle.
* 1.3The occasione, vvhy vve in anye vvounde, or separated parte, vse this sovvinge, is to vni∣te agayne, & ioyne them together, vvherof the convenientest meanes is, this sovvinge, & the vse of this combinatione, and that especiallye in all such partes, vvhich vve can not conve∣niently oraptlye binde together, even as vve may playnlye see, in the greate vvoundes of the armes, & legges, vvhich are overthvvart∣lye vvounded, in like manner alsoe in the bo∣dye vvvich happen in the length therof, for the lippes or edges of the same, are soe much separated one from the other and causeth the vvoūde soe to gape, that shee coulde not vvit∣hout great daunger be cured, vnlesse that in anye place vve sovved it, to bring them toge∣ther and vnition: because that all incarnate, or fleshye partes of the bodye, are dravvne throughe vvith certayne sinnuishe fibers or filamētes, the vvhich beinge overthvvartlye, or contradictorylye separated the one, from the other, the one lippe of the vvoūde is dra∣vven opvvarde, & the other dovvnevvard or the one on the right syde, & the other one the left, all accordinge as the vvoūde or the sepa∣ratione is more or lesse, overthvvarte, cōtra∣dictorye, lōge, deepe, or vndeepe. In like sorte is the sovvinge, verye necessarye in a vvoūde, vvherin a peece or parcell of fleshe hangeth one the one syde, and one the other end as yet connexed, even as it commonlye chaunceth most commonlye, in a great hevve or slashe, throughe the vvhich the eare, hangeth by the heade, or in any other parte, as in the nose, the vvhich helde fast but at one end onlye.
It happeneth alsoe some times,* 1.4 that the vvhole parte is cleane cut of, vvherin the sovv¦inge is nothinge profitable, vvherfore therin vve must not vse anye sovvinge at all, to cure thē agayne, for then in the separated par∣te is noe more life, & therfore can noe more be nourished of the bodye, by the vvhich the curinge ought to come.
And althoughe that all those partes, vvhich agaynst the course of nature are separated frō the other, might behove to be healed agayne, cā not beare or suffer to be vnited or coalited, even as are the synnues, Tendones, & Cartila∣ges or grissells, because after the opinione of aunciente professors, and as alsoe the vse and practise teacheth vs, ther must consequentlye follovve of one pricke, or thrust vvith a nedle, in the synnues, or tendones, great payne of all sortes, inflāmatione, convulsione of synnues, and some times alsoe death it selfe, throughe the sympathye, or compassione, vvhich they have vvith there firste originalle, the vvhich Galenus, hath shevved vnto vs, in a vvoūde, be∣lovve the Hockes in the vvhich,* 1.5 consideringe the greatnes therof, it vvas verye needefull that there shoulde be a profounde suture, & that not onlye to bringe the supersituated places, together, but alsoe the profoūde lyin∣ge partes of the vvounde: the vvhich he ende∣vourīge to effecte, hath separated the tēdones frō the muscles: for because ther is great daū∣ger consisteth in the hurtinge of the synnues, even in like sorte is ther daunger in hurtinge