Treatises of fistula in ano, hæmorrhoids, and clysters / by John Arderne, from an early fifteenth-century manuscript translation. Ed., with introduction, notes, etc., by D'Arcy Power.
- John Arderne
- Date:
- 1910
Licence: Public Domain Mark
Credit: Treatises of fistula in ano, hæmorrhoids, and clysters / by John Arderne, from an early fifteenth-century manuscript translation. Ed., with introduction, notes, etc., by D'Arcy Power. Source: Wellcome Collection.
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![1 Sic igitur medicus in- geniosus in hac opera¬ tion e ut plura quain in scriptis inveniat agere sciat: quia omnia quae circa tale opus fieri debent non possunt litteris ex- primi. Et ideo oportet artificem ess< providen- tem, sub- tilia bene imaginan- tem, ut in his quae ad hujus operis perfectio- nem perti¬ nent super ea quae in hoc libello didicerit in¬ genii bene- ficio valeat prsevalere. Dicit enim Boecius “ de disciplina scholarium,” “ Miserrimi est ingenii qui tantum utitur in- ventis etin- veniendis. The Operation for the cure of Fistula. U If pat hole for-sope be no^t distant fro pe lure bot by a nynch al-one, fan schal kuttyng be pe moste kynde and sonest cure; pat if it be so, pan tak pe lech Acu??i 4 rostratam and putte he pe end hauyng pe ei} thui’3 pe hole next to pe lure pe lefte fynger yputte, as it is seid, in-to pe lure. And when he felep pe nedle wip his fynger, labor he warly pat he may bring out with his g fynger pe heued of pe instrument pui'3 pe lure appliyng and wryping. 5T Whiche ydo, be per taken a four¬ fold prede of silk white or of strong lyne or tuyne and it is called ffrenum Cesaris. And be it put in pe ei} of pe 12 nedle And with pat prede anoper single threde and at one} and to-gidre be pe nedle drawen pur} pe lure and pe hole of pe fistule. Afterward pe single prede be fest by itself no}t corcstreynyng, bot pat it go no}t out IQ pe lech no}t willyng, par-if parauentur frenum cesaris be kutte or brusten pan schal per anoper frenum cesaris mow be bro}t in with pe forseid prede with-out any anguisch. U Therfor be pe lech witty in pis wirchyng 20 pat he may do, and kon do, tuo things pan he fyndep in wrytyngs, *For al pings pat ow to be done about sich werk may no}t be expressed in lettre}, and perfor it by- liouep a crafty [lech] to be wise and sly3e wele ymagynyng 24 subtile pings, pat in pose pings pat pertenep to pe perfitenes of pis werk and aboue po pings pat he has } lerned in pis boke he may availe hym pur} benefice of his ovne witte 3 For Boecius seitli IT De disciplhia scolav- 9g ium, He is of moste wreclied witte pat euer more vsep pings yfounden and no}t things to be founden.1 ^T j}er- for pe frene and pe prede ydrawen, as it is seid, pan may pou chese wheper pou will kutte it or fret it with ^9 pe pred. II Iff thou will kutte it pan schalt pou take acum rostratam and] 2 putte it pur} pe midde} of pe lengpe of pe instrument pat is called tendicuhm, bygynnyng at pe gretter ende. After take hope pe endes of freni cesaris, gg drawen pui'3 pe middes of pe lure and of pe hole of pe fistule, and pur} pe middis of pe hole of pe instrument pat is called vertile—a wraiste—. Be pai drawen pui^, and be pai faste y-knettid in p?-oporcionyng pe lengpe of pe 2 MS. Sloane 6, leaf 147, continues. Incision to be preferred to the ecraseur. A pilot thread to be used in case the main ligature should break or be cut. The direc¬ tions here given are merely hints [* If. 67, bk., col. 1] which the leech may elaborate if he have the ability. [leaf 147] The cure of fistula by cutting. The use of the ligature,](https://iiif.wellcomecollection.org/image/b31350409_0071.jp2/full/800%2C/0/default.jpg)
