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 dysloca∣cyon or dysmenbrynge of euery ioynt in generall. Ca. lxxvij (Book 77)

[illustration]

AUicenna sayth / the dyssocacie or dys∣membryng is an outgoyng of y^e bo¦ne out his ryghte place ther it was set in before. And the settinge of the bone is in. iiij. maners. that also Lanfranc. Wilhelm{is} / and other maysters sayth. The one is after the maner of a saw w^t the tethes set in to gyder and so closynge / as be the. vi. bones of the braynpan. The other. as y^e one bone in the other standed and is there in set / as the tethes in the cheeke. The. iij. is one hangynge or lenynge bone on another bone as the. vii. bones of the brest. The. iiij. ma¦ner. the one bone is ioyned with another / & bounde to gyder with the synewes / where through the meuynge of the body cometh. This gaderyng of y^e bones is called a ioyn∣te or mēbre. In this laste maner is done y^e very dyslocacye / but in the other it is not be done / but ther happenyth a dysmembrynge ¶ This dysmēbringe is in iiij. maners. for¦ward / behyndeward / inward / & outward Also is som symple / som with a fracture / & payne and impostumacyon / and som with hardnes. After this dyuersyte be dyuers cu¦res. And the dysmembryng happeneth som¦tyme without / as with fallynge / smytyng or w^t vnreasonable pullynge. Som dysme¦brynge is inward•• / as the ••ymy humours in the ioynte be holden. The token of the dis¦membrynge of the ioyntes is knowen by y^e hyghnes / or holnes on the other parte. The dysmembrynge with a wounde / payne / or impostumacyon is heuy and peryllous / so y^e mēbre bydeth somtyme croked without tournynge agayn in his ryghte forme (as Galien{is} wrythet in quarto Therapentice) ¶ The olde and harde dismembring is for 〈◊〉〈◊〉 heuy and shantely to helpe / and ye must t•••• membre set in agayn with good maner / 〈◊〉〈◊〉 with the lest payne as hastely as it may be done Som dysmembringe is lyghtely to set in agayn / as the ioynt of the handes. Som dysmembrynge is heuy to set in agayne / as the elbow / the fote / and the fyngers.

Som is betwene bothe / as the shulder and hyppes. ¶ The incomynge of the membre is knowen by herynge of the crakynge in y^e

incomynge of the bones and as ye se that it is come in his ryght place in the other bone ¶ The comen cure of all dysmembrynge in the ioyntes is in. iiij. maners. besyde the ler¦ninge that I haue geuen you in the chaptre of the comen brekynge in the bonys. The fyrst maner / is the settyng in agayn y^e ioyn¦te. The •…•…de is fast makynge of the mem∣bre that ther is setin agayn. The. iii. is de∣fendynge of the payne and impostumacyon. The. iiij. is mendynge of the yll accydētes. ¶ The fyrst is done in. iij. maners. The fyrst. that ye haue all thynge redy by you y^t is nedefull to you as I haue lerned you in y^e lix. chaptre. of all fractures in the bouys in comen or ye begyn y^e membre to setin agayn The other / that ye y^e membre not bathe nor wasshe in warme water (as Auicen. sayth) that no impostumacyō come therto / nor let tynge to setin the membre agayn. Lancfrā¦cus and Wylhelmus de saliceto sayth / that som the dysmembryng as it is fresshe / than they lay that membre in warme water a lō¦ge tyme / and than they setin y^e mēbre agayn and this shall ye not do. but is the dysmem∣brynge som dayes past / than may ye bathe the ioynt in warme water therin is sodden Papple / Camomylle / Hye malowe / feny∣greke / and than shall it be setin agayne.

The. ii. maner is done in. ii. maners. The fyrst. as the settynge in of the ioynte is smal and lyght / than is Inough to lay theron a clothe depte in oyle of roses / and ther with salued the ioynte / and ouer the clothe tow dept in whyte of egges. than bynde it with a bande that therto belongeth. The other. is y^e membre grete and stronge / and the set tynge in is heuy / and ye fere the goynge out of the ioynt agayn / than ye must you proui∣de better / therfore anoynte the ioynte / and lay thervpon this plaster folowynge.

¶ A plaster.

Take Mylstur meell. vi. partes. Dragōs blood / Frankēsence / Masticke / Satcocol le / of eche one parte / all this made in po••••d and medled with the whyte of egges / and stryke it vpon a clothe / & laye it on y^e ioynte and plumacioles oft••w or clothes. If it be nedefull than splente it with lether / & byn∣de it with a bande of lynnen clothe after the greatnes of the membre / and bynde it stetly that it meile not in no syde / & that the bande holde it fast / but take hede therto that y^e fast byndynge make not yll accidence. ¶ The iii. maner. is the bloodie uyng and laxatyre yf it be nede / and a good diela in the begyn∣nyng to the tyme tyll the payn and imposin macyon is dryuen awaye / than shall y^e die∣ta be stronger / as I haue aforesay deu•• the lix. chap. and that therto come no yl•• accidē¦te / than shall the fyrst byndynge be styll vn to the. x. daye. And som other leue it to the v. or. vii. daye. and in the ende shall th•…•… bre be made stronge with sedynge or 〈◊〉〈◊〉 synge of roses / and worwood / and with a Chyreclothe / or with oxcierato / & y^e mēbre shalbe brought agayn in his fyrst strēgthe and workynge. ¶ The. iiij. maner is. as ther is euyll accidētes / payne / or i••ol••u macion / that it may be dryuen away or the dislocacie be set in agayne / for moche han∣delynge it is to fere comyng therto y^e cramp or other accydentes / and it shalbe done w^t woll depte in warme water / and lynseede oyle / than it be brought to his fyrst nature (as Albucasis sayth) ¶ Is the dyslocacyon with a wounde / than shall ye shortely it set in agayne / and cure y^e wounde / and yf it ••e dyth sowe the wounde / and ther shalbe let on the wounde a hole open for clensyng out the matter. ¶ Is the dyslocacie with a frac¦ture / than dresse fyrst the dyslocacie and thā

the fracture / is it possible. If it be not possi¦ble do the contrarye. ¶ Is the dismem∣brynge out / & is ther hardnes / than must ye bathe it as is aforesayd. and salue it 〈◊〉〈◊〉 dial thea / and plaster it with dyaquilō magno / kemdewolle deped in mustilaginibus / y^t is the slyme of papple / lynseed / fenigreke / roo¦tes of the papple sodden / and stamped with grese / and as the place is well wekyd than pulle the membre inagayn / and binde it as I haue sayd before.