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 the dyntes of the brayne pāne lyke as a kettyll is dynted whan they fall vpon a hardestone. Ca. xxxvi. (Book 36)

IF ony come to you that is ••••yten with aclu••be / or with a stone / or is fallen ••om some hyghe place / y^t the brayne panne is brokē that may you knowe by y^e ••oken aforesayde. If the ••kyn̄e and y^e flesihe be hole then cut the skyune t••e square / that ye maye se the brekynge of the heed or brayne panne Then take whyte lynnen clothe and dere it in oyle of roses / and medle it with the yolke of an egge. and yf it be nede to stop y^e blood so do to the foresayde oyle this powder here after folowynge.

A powder

Take Mumie / half an ounce. Boly arme 〈◊〉〈◊〉 / Aluminis / zuccarini / of eche a dragma and therof make a powder. And yf it wyll not stop with this powder / set ventoses or bo••es without flemynge on the backe of the necke / and that stoppeth also the bloode / & then bynde the wounde. And whā you dres¦se them the seconde tyme marke the nature of the pacyent / and of the wounde / an yf he be stronge or feble / or yf the fracture be cro∣ked or ryght / hoked or roūde. Then stoppe his eeres sorheryng of the strokes / and thā lose out the croked bones. And take hede al wayes of the seme of the heed or brayne pan¦ne / and for the pannycle that lyeth vnder y^e brayne panne. If the brayne panne be dy•…•… ted in without departynge thā drawe out that dynte with your instrument / and yf it wyll not come out / soften the same place ••o oyle of roses / so that it may come out with∣out payne. If the one dele of the bone fyt vnder the other bone of the brayne panne / weken it with oyle of roses / and then lyste the bone out with one of the instrumentes standynge in picture after this chaptre.

Marke pryncypally the wekenes / or feble nes / of strength of the syke pacyent / yf he be yonge or olde / and what you wyll worke on a day in a stronge parson / that do in a fe∣ble parson iii. ii. or. iii. dayes. and wasshed euery daye with oyle of roses medled with rose hony / and with bolo armend. If the stroke be on the place there as the heed and the brayne panne is bounde togyder / then is the wounde in peryll to cutte / for in that place the syne wes / the brayne / and the brayne panne is bounde to gyder / and that the wounde chaungeth often tymes with payne / and that cometh by the heuenes os y^e brayne / and it is the causes of dethe. The wounde in suche a place is peryllous to he∣le / therfore take not lyghtly vpon you to ta¦ke out bones / pryncypally with wekenge with oyle as is aforesayd. And when that you haue taken out that bone then lay in y^e wounde lynnen clothe depte. in the oyle of roses medled with rose hony / after that the woūde is grete and small / and laye one clo¦the vpon another tyll the wounde befull /

after that lay vpon the wounde cottō depte in oyle of roses / and a lytell boly armeni / and therwith dresse it / and lay thervpon a couerture made of shepes skynne / and byn de it fast thervpon. Or helpe them thus Whā that you haue shorne of the heer / thā dresse the heed with oyle of roses warmed. The seconde day cut the skyn open / and fyll the wounde with lynnen clothe depte in oy le of roses medled with the yolke of egges made warme a lytell / and dresse it therw^t tyll the broken bones departe / and euer do your dylygence and dresse the heed often ty mes with defensysse vnto y^e tyme the woū∣de be hole. Than take he de that the pacyent may do his easement / & that he at the fyrste be let blood on the vayne. ¶ These afore sayde thynges you must take for all dyseas of the heed from the begyn̄ynge tyll you be sure that no impostume come therto / for yf impostumacyon come therto it is deedly.

Therfore ye shall knowe that this salue made of oyle of roses and hony clenseth all the impostumacyons of the brayne / and yf it be not dryuen away therwith / than is y^e wounde deedly. ¶ And as the wounde is clenseth / and the pānycle aboue to the bray ne panne groweth / than put the powd ther in / for it strength to y^e brayne / and maketh the wounde hole / & gadereth therin fresshe flesshe / & it is very good to laye thervpō a grene wounded plaster / or the plaster of mayster Ancelmus of Genes.

A powder.

And the powder aforesayde is made thus. Take Olthan•• Cyperi / nucis Cypressy / Myrtillorum / Myrre / of eche an ounce. ••arina Orobi. ii. ounces. all this made in powder / & ye shall occopy it in this maner. Take a cloth and depe it in wyne / & wryn¦ge than the wyne somwhat out of the cloth than take the powder and skatter it vpon y^e clothe / and lay it vpon the wounde.

Another maner to make powder.

Take Mumia / Dragantum / gommi Arabici / of eche an ounce / sanguis Draco nis / farina Orobi / Myrtillorum / of eche halfe an ounce / and hereof make a powder for that is good in the somer / and the other aforesayd is good in winter. And therof ye may make also a salue with Rosy•• / waxe / and oyle / as you make other salue / to kno∣we / to. xxiiij. ounces of oyle / ye shall take iiij. ounces of waxe / vi. ounces of rosyn, & medle therwith ouer the fyre. iij. ounces. of that powder. And yf you wyll haue the flesshe to growe put therto this powder of nucis Ciprssi / Galle / sarine Orobi / of eche an ounce. sanguis Draconis / Mastitis / of eche halfe an ounce. and make therof powd

¶ Another maner of powder

¶ Take Litargirum / Thutia of eche an ounce / Thuris / Masticis / of eche halfe an oūce / Mumie / Mirtilloy / Galle / Nuris cipressi / Farina orobi / of eche. iii. dragmas and therof make a powder / and yf y^e woū∣de growe ranke of flessche then clense it w^t vnguentum apostolicum secūdum Auecen nam / & thervpon lay oyle of roses / whyte rose hony. ¶ If the brayne be not broken / than you nede no more but dresse y^e heed w^t oyle of roses and boly armeny / and lay vpō the heed a plaster made of newe waxe and myrtyll powder that bryngeth strength to the brayne and defendeth the place that no moystnes nor swellynge come therto / also there is no better comfortynge to the heed / also yf the brayne pan be brokē or not / lay euery day y^e foresayd oyle rounde aboute y^e woūded place vnto the. x. day / and y^e wyn ter vnto the. viii. day / and the pacyent may drinke no wyne / but barly water or water

of lettuse / or of gordes. If he before syke gyue hym to ete hennes / chekens sodden w^t lettuse and w^t the sede of goordes / all after as he is hoot of cōplexyon / & he be in a hoot countre / than he maye drynke strōge wyne or garnappell wyne / and so rule thē. vii. or x. dayes / vnto the tyme ye se ye be sure of y^e impostumacyon / & gyue hym to ete moyst flesshe and motton / for the moystnes of the flesshe maketh y^e hardnes of the braynepan & ye may gyue hym rosted peres / patryces / & small byrdes / & he may drynke no wyne therfore gyue hym water to drynke with y^e cromes of breed / pryncypally the parsone that is hote of cōplexcyō / or be of hote coū∣tre. All these aforesayde thynges cōforteth the mawe. ¶ And yf there be ony parsone smyten vpon the heed w^t a clobbe or staffe / or by reason of a fall / wherby y^e braynpan is brused & indented & nothynge parceyued in the pannycle that it is towched / ye shal sheere of the heere / & take Aloepaticū / san∣guis Draconis / Myrra / Olybanū / reed Corall / of eche lyke moche / & make in pow¦der / & medle it w^t y^e whyte of an egge / and make a plaster therof / & lay it theron tyll it be hole. and yf it be sore woūded do to hym as I haue lerne you before. ¶ Thus haue I lyfted vp the braynpan of. ii. chyldren / & holpē them. The one was. iiij. yeres of age and was fallē from an howse. And y^e other was. vi. yeres of age / whyche was hurte w^t a stone vpon his heed / in so moche y^t ther myght haue ben halfe an egge layde in the dynte of the brayne pan / then dyde I shere of the heere / and bycause I cowlde not shee re of the heere in y^e holownes / I layde ther vpon a plaster of exicraciū. ii. strawe bre∣de thycke stryken vpon a lether / and let it lye theron / & in fewe dayes was the brayn pan euen as it was before / & that was not onely by the workynge of the plaster / but also by naturall heete and moystnes / why che heete and moystnes causeth the chyldes heede to growe greter / whyche wyll not happen so hastely in an olde parsone.

¶ Also yf one be smyten w^t a staffe or club∣be / sworde / or other wepē / wherof y^e {per}son is swownynge / & y^t he hath so greate payne y^t he loseth his wyt / & that his heed is swol lē / ye shall helpe them thus. Fyrst let hym blood out of y^e heed vayne vpō y^e hande on y^e same syde there as the moost payne is / that y^e euyll ylode may be taken out / or let hym be let blood w^t ventynge or boxynge about the necke behynde / or behynde the elbowe. Thā make a plaster for it / of malow leues & of where branne / of eche lyke moche sodē togyder w^t water / & medled w^t a lytel olde grece of a gelded bore / & make therof a pla¦ster / & lay it warme vpon the heed thre ty∣me a daye / & yf it helpe hym not hastely / it is in doubte y^t the braynpan is brokē / ther∣fore take hede to the tokēs in y^e. xxvij. chap∣tre. of the fracture of the braynpan. Than cut the skyn open & loke yf the braynpan be brokē / & yf it be brokē / worke after y^e. xxix. chaptre. Clense the wounde w^t vnguentū fuscum / or w^t vnguentū apostolicum & vn guentū fuscū of eche lyke moche / or w^t rose hony / oyle of roses / & the yolke of egges / of eche lyke moche medled togyder / & thereof make a falue / & then do flesshe growe in the woūde w^t vnguentū aureū scdm Mesuē. & stryke the salue on the lynte & lay it ouer y^e woūde a grene woūded plaster / lyke as in the anthidotario I shall set.

••Herbe. vi. capytall instrumentes & of eche other must be thre mance of sortes / grete / small / & mydle syse. Fyrst there ben trappanes to make small holes for lyftynge vp y^e bones / & ther is of dyne•…•…

••haners. ¶ Galien•• maketh y^e Trappancs lyke a pers•• shers on the ende & broder vp∣ward / bycause y^e instrumēt in downe pres∣synge / fall not vpō dura mater. as here she¦weth in pych••••e.

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¶ Also the maysters of Parys maketh theyre Trappanes in the maner here folo∣wynge in fygure.

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¶ They of Bonony maketh after another maner theyr instrumēt lyke a spere.

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¶ Ther is. ii maners of separatory es or de partynge instrumentes for to departe one hole from the other. the fyrste is Gallicana lyke as here standeth in fygure

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¶ The other maketh the of Bonony as her standeth in fygure.

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¶ Of that ende maybe made anclenato∣riū / or a lyftynge instrument.

¶ The thyrde be there eleuatoria for the de¦partynge bone to lyfte vp / as here sheweth

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¶ Ther is an instrument called ••ug•••• & maketh the cuttynge wyder. lyke he••e.

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¶ Ther be lentirulares / & is an instrumēt moost prayseth of Galieno / & maketh euen the sharpnes of the bones whyche be depar¦ted / & is made lyke a penneknyffe without lenticle / as here is fygured.

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¶ The. vi. is the hamer to stryke the lenti∣culare / which must be made of lede / for to be heuy & small / accordynge to this fygure

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