❧Howe we ought to tye the Ligament & agayne make loose the same. Chap. 4.
* 1.1THe Chyrurgiane must cōsider, & note, that ther be no seames knottes, or anye vnevennes, in the Ligament, vvhich might chaūce to crushe the vvound: and the Ligatione alsoe being finished, consideringe that the end of the Liga∣ture, be not fastened, one the vvounde, nether one anye place vvher ther is any payne, for vn∣les vvith a pinne, vve fasten it, or els vvith a Needle sovve it, it allvvayes inferreth payne vvith it: vvherfore vve must fastē the sayed Li∣gature, ether higher, or lovver, or one the syde of the same, one the end of the rovvler, & one such a place of the Ligature, vvherone the Pa∣tient doth not lye, as behinde one the Heade, in the Temples of the Heade, one the Backe, & on the Buttockes, nether one the Flanckes, or Ar∣mepittes,
And concerninge the dissolutione, or vn∣tyinge, therine vve must cōsider tvvo thinges:* 1.2 Namelye one the time, vvhen the Patient must be dressed, & one the cōvenience of doinge the same: and heerin disagreethe the practise of the aunciente Chyrurgianes, from vs: For touching the dressinge of vvoundes (Celsus vvilleth) that vve ought not to dresse the vvoūde, but in thre dayes once, suffering it tvvo dayes▪* 1.3 to continue vvithout dressing: And then vvilleth he vs, that vve dresse it but once in five dayes. And as tou∣chinge the simple fractures,* 1.4 Hippocrates coun∣celleth vs, that in thre dayes once vve dresse thē But novve adayes, vve doe not observe this mā∣nes, for vve dresse the Patiēt after the first dres∣singe 24, hovvres, vnles vve feared anye greate fluxione of bloode, vvherfore vve suffered the Patient to lye lōger vvith out dressing, to vvitt, tvvo, three, foure, or five dayes longe: It is right true, that vve sometimes make loose the liga∣mēt in tvvo, or three dayes once, vvithout tou∣chinge of the playster, onlye to give ayre to the parte, & to note, vvhether there be nether In∣flāmatione, nor any other Accident come ther vnto: But vvhen as the vvounde is come to ve∣rye great suppuratiō, & that ther is much mat∣ter, payne, or Inflammatione at hande, vve as then dresse the vvounde tvvo, or three times in the space of 24 houres, to vvitt, all eight hovve∣res once, if it be possible.
And touching the simple Fractures,* 1.5 vve keep thē sometimes, sixe, or seaven dayes vndressed, vnles that ther vveare anye Accidentes, at hād, but allvvayes vve tarrye as longe as is possible: for hovv little soever vve touch a brokē legge, the endes of the bones, of the fracture are ne∣verthelesse, stirred, & dislocated, & the on rub∣bed agaynst the other, vvherthroughe is caused payne, and the combinatione, or together hea∣linge is hindered, because that all conglutina∣tione, can not be vvith out cōtinuall coniunc∣tione of the one parte vvith the other.
The redressinge, or dressinge,* 1.6 must be done one this manner: to vvitt, that vve easilye make loose the bande, or rovvler, novv vvith the one hande and then vvith the other looseninge of the same, alvvayes houldinge the vvhole Liga∣ment in the hande. But because most commō∣lye the first dressinge of the vvounde, cleaveth soe fast, as if vvith glevve it vveare theron faste∣ned, because of the bloode & matter, vvhich is therone dryed, and baked, vve must first of all therfore, madefye, & moysten the same vvith a little vvarmed vvyne, and thervvith soacke the same because the ligament may be taken, & re∣volved therof vvithout payne, yea or els also in the vvindinge of, of the same comming on the vvounde, vve might ther everye time cutt it of, because in soe doing, vve might by peecemeale take avvay the same, vvithout in any sorte hur∣tinge