A most excellent and learned vvoorke of chirurgerie, called Chirurgia parua Lanfranci Lanfranke of Mylayne his briefe: reduced from dyuers translations to our vulgar or vsuall frase, and now first published in the Englyshe prynte by Iohn Halle chirurgien. Who hath thervnto necessarily annexed. A table, as wel of the names of diseases and simples with their vertues, as also of all other termes of the arte opened. ... And in the ende a compendious worke of anatomie ... An historiall expostulation also against the beastly abusers, both of chyrurgerie and phisicke in our tyme: with a goodly doctrine, and instruction, necessary to be marked and folowed of all true chirurgie[n]s. All these faithfully gathered, and diligently set forth, by the sayde Iohn Halle.

The .vi. Chapiter.

¶Of the bladder, the kidneis, the water pypes, and the wayes gene∣rallye of vryne.

VPon the gutte Longaon, or betwene Longaon, and the share in a man, and betwene the matrixe and the share in a woman, is set y^e blader, called in latine Ve∣sica,* 1.1 and in Greke Physe: The whyche is the vessell of vrine, beynge of a sinewye substance, and the necke therof is fle∣shye or musculye. And it is made of .ii. coates, the whych be ii. skinnes: and in the bladder are manye small veynes and arteries, of whyche it purchaseth nurishmente and lyfe. The necke of it passeth for the vnder the bone of the share, whiche in his goinge forthe vnto the outmoste partes, is made small: and the waye of vrine that cometh from it, is made in the maner of a greate veine, and it entereth the substance of the yarde, passynge forthe throughe the fleshe, in the lower partes of the bladder: and parteth in a maner the fleshe of the yarde in the middest, and by that parte go∣eth oute the vrine.

In the yard there are* 1.2 .ii. holes, though both not through persing the same. One passing through, by the which vrine is cast out, and that is fastened wyth the necke of the blad∣der: The other cominge from the stones entereth the afore¦said, by the which the sede of man is cast out. And this is fa∣stened

wyth the vessels of sperme,* 1.3 and is called Eiaculatorium Vas, wherof also aboue. And in the beginning of the yardes holownesse, these two are made one.

And in the necke of a womans blader, there is nothyng soughte, nor purchased, concernyng knowledge: for it is ve∣ry shorte and strayte, and the nature of hir is not caste oute in this maner: but commeth à fundo Vteri per ceruicem eius: nether dothe the vrine passage helpe anye thynge thereto but serueth onlye for the expulsion of vrine: wherein yet both great and small stones, are often sene.

In the ende of the .xii. spondils of the rybbes, and vnder the firste spondill of the reines,* 1.4 are set the reines or kyd∣neis, called in Latine Renes, in Greeke Nephroi, wythin the holownesse of the bodye: the righte kydney beinge euer pla∣ced hygher then the lefte. Whose offyce is to conuerte the aforesayde whayey substance of bloude, conueyed into them by the meanes a lyttle before in the .iiii. chapiter mencyo∣ned into perfecte vryne. In echo of the whyche kidneis is a certeine fyne straiuynge waye implanted, called of Galen Porus Vreticus,* 1.5 throughe whyche the whey of bloude, sucked in by Vasa Emulgentia, from the holowe veine and greate ar∣terye,* 1.6 is conueyed oute of the kidneis into the water pipes, called in Greeke Vretheres, and in Latine Meatus Vrinarii: whyche from thence descende,* 1.7 passynge crokedlye downe, tyll they be ioyned by the nether endes, wyth the vtter skyn (nyghe the necke) of the bladder: percynge also immediat∣lye the inner skyn thereof. Wherof it obteyneth a certayne lyttle couerynge like a flappe,* 1.8 resembling bothe in forme and function suche as we see in pumpes and sluces: whyche by the fallynge course of vrine, is driuen o∣pen at the entrance therof into the bladder: but after war∣des fallynge to agayne, it so closelye shutteth the entrance, that (as Galen saythe) not onlye vrine, but also ayer is prohibyted to goe backe agayne into the sayde water pype.

And it is manifest that the synewes of those places, come from the spondilles of that parte, and the veines and arte∣ries of those members, goe as doe the veines of the bellye and the flanke: That is to saye, after and accordinge to the riuels, wrinckles, graines and the growinge of heare in those partes.

And therefore it is good, that the incisyons of those pla∣ces, be done after the procedinge of the graines: and also o∣peninge of apostemes, and workinge wyth cauteryes, ou∣ghte to be doone in these places in the forsayde maner, that we commit none error.

Notes

• * 1.1

  〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. i. uesica
• * 1.2

  Two holes in the yarde.
• * 1.3

  Vas Fiacula∣torium.
• * 1.4

  The teynes. 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. i. Ren.
• * 1.5

  Porus Vreti∣cus.
• * 1.6

  Vasa Emulgē∣tia.
• * 1.7

  〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. i. Vrinarii me∣atus 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉
• * 1.8

  〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. i. uri••••••.