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 Woūdes in the ioynts shul¦ders elbowes / hyppis / knees / and of the glyttynge water. Ca. xlv. (Book 45)

WHan suche a wounde co∣meth to you / yf it be in the shulders / elbow / hyppys handes / fyngers / knees / anclowes / and toes / and you feare for the superflue moystnes or accydētes that may come ther to. Than at the fyrst ye must marke yf the paciēt be full of fles••he and superflue moyst¦nes / or full of blode. Than ye must marke yf the woūde be grete or small / deep or not or hewē / or stytcheth w^t a dagger / or w^t a sworde / or w^t shot / or y^e stytchyng be opē or closyd. And ye must marke yf the wounde hath bleded moche or lytell. Ilso ye must marke yf the wounde is in a place there as the synewes / vaynes / arteries / or muscles be. And also ye must marke yf the wounde is in y^e length / or ouertwhart / or in a ioynt or membre that is moche occupyed / as the elbowe / or knees / to the whyche ioynte co∣meth the moost gretest payne of the greate moystnes that ther be soundē of the nature.

Also ye must marke or y^e pacyēt is obedyent or nat / and yf ye must take hede of hym or nat / and out of this poyntes ye must take y^e cure of this sykenes / & the cure is to be done in iiij. maners / The fyrst through good ru¦le of meet and drynke / and of slepynge and wakynge and of good rest / wherby the na∣ture may be strengthe for to put awaye all suche sykenes. The seconde is / through ta∣kynge away y^e moystnes and the bloode / & that muste be done with purgacyōs glyster lettynge of blood / or with settynge with boxces / and goynge to the draught / and y^e contrary deele rubbynge or byndyng. The iij. is with dryuynge backwart / & restryn∣gynge y^e curse of the bloode / & moystnes / & to strengthe the mēbre. The iiij. is with y^e consumynge of y^e matter. And this is to be done with softe makynge of the wounde / & of the helynge of the vaynes / or synewes or the mēbre / through suche defēdynge slaked the su{per}flue moystnes. ¶ Af any bo∣dy be woūdyd in a ioynt or nyghe by a ioyn¦te / that you fere that the glyttynge water shulde come out / If than the pacyent be yō ge / and full of bloode and full of flesshe & of moystnes / than ye must preserue hym of moche eethynge & drynkynge / and let hym eete no fles••he nor egges nor of no slymynge fysshe / nor meet made with spicery / & let hym drynke no wyne / but he shalbe content w^t pap of otes / or barly / or ryse / or of almō mylke made w^t brenne water / & therof ma∣de soppys / but lytell / he may eete small byr¦des / & of yonge gootes / of all this a lytell / If he be syke / gyue hym yonge chekēs / but a lytell / his drynke shalbe barly water / or a lytel Agros medled w^t water / & therof he shal drynke but lytell two tymes in a daye yf he can do it / he shall wake on the daye for that he may sleep the better in the nyght / he shall the membre bynethe the wounde lay hyer than the wounde / werby he may y^e bet¦ter rest / and yf that he may not well sleepe / than stryke on the place vnder the eere / and on the betynge vayne / and the handes and on the nose thrylles with this salue.

¶ A salue.

¶ Take vnguentū populeū halfe an oūce / olei mādragore one dragma / opei thebai∣ci halta dragma / Corticis mādragore one scrupyll / croci / cassie ligne / of eche half a scrupyll / cere. modicū aceri quod sufficit. fiat vnguentum secondū artein. The other shall ye marke yf he haue course & vnclene bloode / than medle his drynke w^t burrage water / with water of fumus terre / & with ••nscute water / or syde water growynge in the flexce / If he hathe moche bloode / and y^e woūdyd vayne hathe blooded a lytel / than let hym bloode on y^e other syde that y^e b•…•… de may be takyn from the other wo•…•… membre / and wolde the pa••y••••t ••o 〈◊〉〈◊〉 let / than set hym neuertheles 〈◊〉〈◊〉 〈◊〉〈◊〉 boxys without flemynge / yf the 〈◊〉〈◊〉 may not be set than in a bathe than ••ube & bynde on the other syde / as I shall saye in the nexte chaptre ¶ Item ye shall also take hede that he euery day gothe to the draught onys a day at leest / and yf he 〈◊〉〈◊〉 〈◊〉〈◊〉 of hymselfe / so make it hym w^t suppositories.

¶ If the body be full of materies and of heet / than pure it with purgacy on made by the pottykaryr / that the body may be pury∣fyed / and that the moystnes of the wounde be alteryd through another waye.

¶ A purgacyon.

¶ And that shal be geuen hym with sycore water / and with borage water / fenicle wa¦ter / & the aforsayd reecpte is made all thus. ¶ Take Cassie fistule electe nouiter extrac¦te. vi. oūces. Dyaprimis solute. iiij. oūces.

Syrupi violati / misces in forma liquida. or gyue hym this purgacyon that is a lytel strōger for comynge to soner to y^e laxacyon.

¶ A purgacyon.

Take Diacolycon. iij. ounces. electe de sue co rosarum. ii. ounces. and misce. If he be syke or feble / and so stopped / that you darre not gyue hym y^e purgacyō / or that he wyll take not the purgacyon / thā make this glys¦ter.

¶ A Glyster.

Take y^e erbe of Uyolette / herbam Mercu¦xialis / •…•…. malowe or pappyl / hye Malowe / Beta romana / of eche halfe an hādefull. water. vi. poūde. this letbe sod¦dē to gyder tyll y^e thyrde parte be cōsumed. than take of it. xii. ounces. and do therto Ho¦ny of vyolettes halfe an oūce. Oyle. iij. oū¦ces. small rubbyd salt. ii. ounces.

¶ The thyrde. defende the mēbre for y^e torō¦nynge blood and moystnes comynge to the wounde / and strengthe the membre that it may res••••ynge and enforcyd backewart y^e moystnes. And this shalbe done with re{per}∣cussyues and defensynes with saluynge in the mornynge and in the eueninge / as often as ye dresse the wounde. And in the begyn¦nynge of your dressynge that vpperparte of y^e woūded membre roundaboute almoost iij. palme in the length / aboue and benethe the woūde. iiij. twhartfyngers brode from the woūde. vpon the wounde and roundab¦out shalbe layd warme thynges as I shall saye. And that defensyffe ye shal haue euery tyme by you / for cause without that defen¦syuum may not good surgean be / whyche all lernydmen of this connynge occupyed in all causys for all other defensyues restri¦nynge the moystnes and other yll accidētes

¶ An excellent Defensyffe

Take oyle of Roses. iiij. oūces. Boli arme ni. ii. ounces. Terre sigillate / venegre / of eche an ounce. ••amfer a dragma. Nyght∣schawe / howsleke of eche an handfull / ther out stampe and presse the sappe / an with all this same make a salue / & occupye it as is aforesayd / and as I haue lerned.

¶ The fourthe. Ye shal on the wounde and about the wounde laye thynges softynge y^e wounde / and to brenge it to matter / and to take awaye the payne of the vaynes. The vaynes to hele and to dresse withtentes it is in twoo maners. the one is better than y^e other. The one is with warme and moyste makynge of the wounde. the other is with colde and dryenge and consumynge of the moystnes. but all the doctours occupye y^e fyrst with the warmynge / al be it also that the doctours whryten not of this sykenes / but alone of the discrasya / impostume / cut tynge / and stytchynge in the synewes / vay¦nes / arteries / as I haue lerned you. And this happened more in small woundes thā in grete woundes / and pryncypally in the woundes that be stytchyth / and for that y^e small woundes hath not bleded / and y^e blo∣de cometh to the wounde and maye not out wherfor the synewes / vaynes arteryes / co¦myth to the more payne / not onely bycause of the blode / but also of the smalnes of the wounde that the medesyne maye not come in it for the ••••akynge of y^e payne of the woū¦ded vaynes. Therfore it were very good to cut greter the small woundes that y^e dry¦nes may come in it. And it is also my coun∣sell / and I haue founde in it moche prolyte.

¶ One anoyntyng.

Take Oyle of roses. one ounce. small rub∣byd salt. halfe an ounce. and drye grounde wormes in powder. a dragma and a halfe this well hote mydled to gyder / and therin depe cotton / and lay that vpon the wounde so warme as he maye suffre it. and ouer the cotton laye a foure dowble olde lynnē clow¦te depeth in warme wyne of the beste that ye can gette to the waygthe of. ii. pounde & a halfe / therin is sodden these erbes / mows∣cere with the yelowe floures or Auricula muris in latyu / herba Candela stondynge in herbario / Arthemisia / Beta romana / of eche an handfull / and depe therin the boun¦de / byndynge therwith the mēbre / and ke¦pe y^e rule whyche often I haue lerned you.

Wyll you helpe y^e pacient well and hastly / than he must suffre the wounde greter to be cut / and than do as I haue aforesayde in y^e xvi. chaptre. If he wyll not suffre it / than worke with the medecynes aforsayd tyll he be hole. If ye haue made the woūde wyder or is it wyde Inowgh of hymself / thā put therin warme oyle of roses / therin is soddē the longe grounde wormes / and it strensed agayne through a clothe. And ther ouer ye shall lay cotton deped in this afterfolowyn¦ge recepte and anoyntemente made thus.

¶ A Recepte.

Take grounde wormes not dryed and gra¦fartysses / whyche is founde vnder the olde moysty stones / of eche an ounce / this stam∣pe to gyder medled with. ii. ounces oyle of roses made of lynseedoyle / that shall ye ma¦ke as hote as he maye suffer it. Ther ouer laye plumacyoles or small cusshyns made of towe or lynnen clothe and than bynde it. ¶ If the wounde be grete / wyde / and deep that ther ony vaynes or synewes be woun∣ded / thā shall you sowe it as I haue lerned you in the. xii. chaptre. and put in the woū¦de oyle of roses sodden with the groūd wor¦mes mydled with the yolke of egges / and ther ouer laye the recepte aforsayde of the gra••artysses. &. and do therto an ounce tur¦pentyne / and bynde it in all maners as I ryght now haue lerned you. This. iij. byndynges shall you do. viii. or x. dayes longe tyll ye be sure of the impostu macyon / swellynge / and of other yll accidē¦tes / & that shal ye know by y^e ronnynge out of the matter / & by the dysposycyon of that wounded membre / and holde al tymes the 〈◊〉〈◊〉 aforsayd / of etyng / drynkyng / slepyn •…•…nd to do his easament by hym selfe / or purgacyon And than hele the wounde lyke another wounde shall be helyd.

¶ The other maner

Whan that glydtynge water ronnyth out ye must drye and stoppe the moystnes. and wasshe the wounde with mannys water / Or put the ground wormes in a glas and stoppe it wel / and winde that glas rounde about in thowgh / and set it in an ouē with other breed / / and with that water that co∣myth of the ground wormes ye shall was∣she the wounde / and therto is better y^e wa∣ter that is founde betwene the shulders of an oxce. And as the woūde is wasshed put therin this powder herafter folowynge.

¶ A powder.

Take Bolus armeni / rede Myrre / whyte Frākēcense / Mastick / Dragōs blod / Gre∣kes pyche / of eche lyke moche / and this all togyder make in powder.

¶ A plaster.

And then make this recepte / Take bolo ar¦meni / an oūce. reed alom half an oūce. and whyte of egges as moche as is Inowgh & thycke as hony / and stryke it lyke a plaster and lay it therouer. Or take this recepte here after folowynge.

¶ A salue.

Take bolus armenus an oūce and a halfe. reed alom an oūce. stuf meel of a myll half an oūc. wheete meel a dragma. and whyte of egges so moche as is Inowgh / and thy••¦ke as hony / and kepe the rule as it is afore sayde. ¶ It happeneth somtyme y^t the woū¦de is helyd / and the seuerynge or glydtyng water layde about y^e ioyntes / and y^e ioynte waxed grete as a mānys heed / and the skyn abydeth hole as another skynne / and these moystnes must be consumed in this maner.

¶ A purgacyon.

Fyrst with the purgacyō of pillule hermo∣dactuly / or with pyllule fetidis. The secō∣de lay thervpon without that dryeth & con∣sumeth / & lay it plasterwyse ouer the ioynt at euenynge and mornynge / & it must well be bounde with a longe rollynge baūde. & shall be made in this maner.

¶ A plaster.

Take Oyle of olyue. xxiiij. oūces. Dragā tū / Mastick / Gōmi arabici / of eche. ij. oū. Boli armeni. iiij. oūces. rootes of ambra / or consolide maioris / all togyder stamped pure and fyne / & do therto whyte of egges well betyn / then occupye it as is afore say∣de. If ye wyll / do therto Licium / Accricia Alumen zuccarinum / ofeche halfe an oūce.