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

¶ Of woundes in the bonys. Ca. xx. (Book 20)

WHan the bonys be broken without woundynge of y^e flesshe y^t is namyd a broke or breakynge / and as the flesshe wyth the bonys is woundyd and there with that is callyth a broken wounde / or a woū¦de with the brekinge. And suche woundes happeneth in. ii. maners. The fyrst. as the flesshe w^t the bone is woūdyd w^t a sherp w••¦pen / & that happenyth in sondry maners / somtyme the bone is ouerthwart hewyn of and somtyme is but a parte hewyn of / and som is but a pece cut of. And another man∣ner / whan the flessh of the bone is woūded somtyme whan one is beten with a clobbe / or with a staf / that the flessh and the bonys is brusyd & perysshed. sōtyme that one fal∣lyth from a heythe / or that one is hurt with the cast of a stone or w^t another thynge / not onely the skyne / but also the flesshe / and y^e synewes be hurte / wherwith the bone be wounded / neuertheles seldon it happeneth yet it happeneth somtyme that the bone is rent or splenttyd / somtyme in great peces / and somtyme in lytell pecys. ¶ All these a fore sayde poynttes must the surgyon haue in the remembraunce er he begynne any cu¦re te doo. The fyrst / yf any cometh to you with a membre therin that is brokē a bone and skyne / nor flesshe is not woundyd nor brusyd / than so do as I shall lerne you in y^e chaptre of brekynge of the bonys w^tout hurtynge of the flesshe /

Ifany body com to you he that is woūdyd through y^e skyne / flesshe / & bone / w^t a sherp knyf sword dagger or any other wepen / so be hold it well or y^t bone is a deell or holle cut thorow in l••ngth / or thwart / or pecys be cut of y^e bones or that y^e bone hāgyth on the vtter skynne or that ther be any small splyntis of a bone / y^t is ofnedefull to haue / as an arme pype / or alegpype / or a bray∣ne panne / or y^tis a bone of no great need / as rybbis or kneshyfes or ther lyknes. ••s ther a parte of the bone cut with a sharpe sworde / and that fleme next the bone is cut of therwith from the bone / so is that flesshe hard to grow on that bone wherfore must that bone be showen with an instrument wher w^t that the flesshe may grow agayne on the bone with vnguentum aureum secū¦dum Mesue / therafter shall you lay one mundificatiuum and consolat•…•… / that is a grene woundyd salue / lyke as it ston∣dyth in Antithodario / which salue takyth awaye the great currupcyon of matter / & helyth withall / as the woūde is before fyl¦lyd with flesshe / and if ther by any small lytyll pecis or splyntis of the bone / so it is nedefull that the pecys by subtylte with your instrumēt takyng the pecys a waye / and than shall you hele the woundys lyke as I haue sayd before / & yf ther be any pe∣cys aperynge out / that shall you cut of w^t your saw / also if any lytyll pecys of bonis be hāgyng on y^e flesshe for need must ye lose that from the flesshe / and the skynne sow to gydder agayn / & so bynd it lyke an other wounde / and yf that bone belongyth to a pype or to ioynt so nedyth to bestow it w^t your hand in his place agayne / and theron bynd it with your bonde in lyke wyse as I shall saye in y^e Chaptre of y^e brekynge of y^e bonis / and as in your byndynge / ye must leue a hole opēayenst y^e woūd so as ye may euery day dres y^e sayd woūd w^tout taking of y^e sayd boūde / & this woūde is to heel ly¦ke as another woūd w^t more mūdificatyfe

vp that the matter the lesser shall hurte the bone for y^e losynge of the bone / therfor nede you to laye adefensyuum aboue the woūde rounde about the ioynt / that the ioynt ha∣ue no combraunce with the moystnes or su¦perfluyte of the blode that y^e matter myght make the bone ••o••e / And y^e pacyent must ha¦ue goode rule in meet / in drynke / and laxa¦tyfe / for that letteth that no•…•…postumacyō cōmyth. But Rasys saythe in the vii. boke of his surgery / that the {per}sonys that hathe bonys brokē they shall eet but course meet whiche makyth course blode wherof y^e so∣••er may the bone be hole / y^t is as the skyn̄e and flesshe is nat woundyd / and that y^e bo∣nys be not pery••••hyd by the ayre / and incon¦tynent all suche woundys muste be sette in his place and than sowed / that there cōme none impostume therto / and dryue y^e flode or the impostume away / and bynde it so as I haue sayde before / and the wounde shall be made hole without losyng of the boūde. ¶ As a wounde is in any bone that nede∣full is to the body / ye shall hot take out one of them / as many as there be / as nye as ye can •…•…teuery pece by hym selfe in his place.