Medical instruments (continued)  Book III, Chapter 12, Section 1b
 



Scissors
 XIII. This is a Paire of Cissers, or Barbers Sizzars, or Sissers. The Scissers as they are diversly written so diversly used by the Barber-Chyrurgions, as namely for cuting of haire, emplasters, loose Skins &c.


Remora
 XIV. This is a Remora, which is an Instrument used for the helping of a dislocated Shoulder, or that is out of Ioynt, by puting it under the Arm-pit, that the knot of the Shoulder may be answerable to the head; the Instrument being made fast by the bottom Screws. Although some do much commend this Instrument, for the foresaid purpose; yet others affirme, that the laxation of the Shoulder is far more happily reduced by the Spatha of Hippocrates, if in case it cannot be set with the hand.


Polypus pincers
 XV. This is the Bowed or Crooked Instrument used for the Polypus, called the Polypus pincers, wherewith the Polypus a disease of the nose, of a fleshy substance, and like the Sea Polypus; is cut away and drawn forth, which otherwise by the holes of the nostrils hangs in the Palate to the Throat; and there threatens to stifle and choake a man. It is used also to cut off the Clitoris. See chap.11 numb.37.


Screw pelican
 XVI. This is an Instrument called a Screw Pelican which are a kinde of pincers to draw out the gum or grinding teeth withall. Mr Woodall terms them Pullicans, with these kind of Draughts the teeth are drawn out with far more ease, then with any of their other Instruments. See chap.11 numb.36.


Stitching quill
 That in the base is the Stitching Quill, by the help of which Instrument, and the Needle, and Waxed silk, gaping wounds are sowed up; it is for no other use, but to keep needles in the hollow part thereof, and therefore shall say no more of it, See numb.30 & cha.11. numb.41 42.


Piercer
 XVII. This is an Instrument called a Piercer, which is a fit toole for the takeing of Bullets proceeding from great or small gun shot; by Screwing the Piercer into the bullet, and so to draw it out of the wound. The Instrument consists of three parts, namely of a piercer, which is most sharp, and screwed at the end, and longer then the pipes it goes through. The next to the piercer is an Inward pipe, which at the end divideth into two Spoons of Iron, which openeth of its one accord; over it is thrust an Outward pipe, which is shorter then the other, and shuts and opens the Spoon of the inner pipe, as it is drawn neere or further from them, upon the pipe within (which some term the Stile of the Instrument) on the head of the inner pipe, is Screwed an Hilt and Button, through all which the Piercer goeth, and is turned, to be screwed into the Bullet, while the spoons with their teeth hold it, that it cannot turn or move.


Alphonsin
 The other Instrument is termed an Alphonsine, a thing made fit to take a Bullet out of a wound. It is a Paire of Pincers set in an Handle, whose opening is broad and Hooked in the tips, like a Goose bill; consisting of three points or ends, all falling into the side teeth of one another, and opening againe as the Ringe is thrust neerer or further off, from the end of the beake. This Alphonsine hath a Bullet in it.


Syringotomus
 XVIII. Is called a Syringotomus, which is no other but a Crooked Knife, which on the inside is very sharp and on the outside is blunt, and rising like the back of a Sythe, which at one end is sharp pointed, and will both prick and cut; the other blunt, and (as it were) broken off. With this Instrument Fistula's haveing but one passage, by having a ball of white wax fastned on the point; that being put into a Fistula to the bottom, it doth not hurt, but the sore may be perforated, and afterwards the space between one hole and another may be cut asunder. There are the like of Pen Knives to this, which are blunt at one end, and a Bullet of Iron well polished at the other: with these the whole passage of deep Fistulaes are to be cut.


Nipple pipe
 In the dexter base is a Nipple pipe, or Sucking bottle, it is an hollow, long, narrow glass, haveing an hole or mouth at one end, which is as larg as to receive the nipple of a Womans brest; from the bottom, or other end of the glass is a smal hole with a Long pipe at it: with this the Patient her selfe (being put on her brest) may by sucking at the small pipe, draw forth her nipples that ly secret: so that an Infant may lay hold on them with its mouth, and draw out the mothers milk.


Breast cap
 On the sinister side is a Brest Cap, or Nipple Cap, it is made of silver in shape like an Hat, and full of holes on the top or head, which thing is applyed to the Ulcerated nipples of a Nurses brest, so that they may suckle their Infants without any trouble. This Cap is also used for wounds in the Thorax: being put upon it that the matter and corruption almost every moment, may sweat through the holes of it by degrees, and without any lose of strength.


Clister pipe
 XIX. On the dexter side of this Square, is an Instrument called an Enter-enchyta, or Clister pipe, (vulgarly a Glister pipe) with a lock, or screw. By means of this Crooked pipe made of Latten, a man or woman (who out of modestie will not admit off others to give the Clisters) may inject Clisters into their own selves. The parts of this, is the Pipe to be thrust into the Fundement which hath holes at the end of it. The Lock and Key, that turns round in it, haveing an hole through the middle, to let the Clister proceed from the Bladder tyed on the mouth of the pipe (as in common Clisters) when the Patient pleaseth to turn the Key. The Nayl with a broad Head which is screwd into the other end of the key, is both to hold it in the lock, and to keep that no liquor come out of the lock that way. See numb.33.


Clister pipe
 That on the sinister side, is termed a Fistula, a pipe or a Clister pipe; of some written Glyster pipe. It is a Pipe by which Clisters are commonly given to Sick and diseased persons; that is Phisicall medicins through the Fundement as is before mentioned, cha.11 num.42.


Treploides
 20. Is an Instrument called a Treploides, from the three fold basis, or triple basis, or three feet. This is a thing by which the depression of the Skull is raised when it is so great, that the Levitors are too weak to serve the turn. That which perforates the Skull is termed the Piercer of the Treploides.


Levitor
  Image from published plate
In the sinister chief is the Levitor of the Treploides, which is used by Screwing it into the Socket of the Great Screw, which if there be room enough to put it between the depressions, it will raise the bone upright or perpendicularly, that was pressed down: but if there be no room for the Levitor, the middle depression must then be perforated with the streight Piercer in the Treploides.


Parrots bill pincers, spatula and taping pipe
 XXI. In this division are three Instruments, whereof that in the middle is termed the Parrats bill pincer, or Pincers with a Parrats beak, upon which outward beak, toward the sinister side, is fastned a screw with a broad Head at the end of it, which is by the said Screw drawn higher, or let down lower towards the end of the Beak as occasion requireth, which is to restraine & keep back the Bill that it go not so far as the Dura Mater. The said Bill hath a Long Screw at the end of it, which is put through a Socket with the other chap of the Bill, which coming through the Socket is screwed upon an Handle (like an Auger handle) which is to turn the Instrument about. This is used in Fractures of the Skull, by which any small peeces of bones in the cure of wounds of the head are taken forth, partly by breaking, and partly by cuting into them. Some say this may fitly be termed a Baptise.
Lying in the chief, is the Instrument called a Spatula with a Goose bill, this is always to be ready at the hand, and provided to receive, and to take forth smal bullets out of a wound.
In the base is an Instrument that consists of a Needle with a three square point, with a Pipe having a shoulder put over it; it is called Acus Hydropis, and of the vulgar a Taping pipe. With which needle thus fited is the navel of Hydropsicall persons, and the Scrotum in a watery Hernia, or Rupture are opened, to let out the water. This instrument is thrust in as far as the Asterism, or begining of the pipe, after that the needle is drawn out, and the smal pipe thrust into the Orifice (as the needle made) up to the Shoulder, and so is left in the Abdomen, or Belly without feare or danger. This is by some termed the Tapping of the Belly to draw out Dropsicall humours, from thence termed the Taping Needle and Quill.


Vultures bill pincers and key for a screw head
 XXII. Within this square is the Pincers, called the Vultures bill Pincers, which Bill hath a Long and strong screw at the contrary end, so that after it is thrust through it Pipe, is by the helpe of an Handle as is fixed on the end, the beak is moved or turned about.
In the base is the Key, or Handle of the foresaid Instrument, whereby both it, and others of the same nature are turned about. Also severall Instruments are divided into their parts, and put together againe with the helpe hereof. They generally term it, a Key for a screw Head


Toothed Levitor, throat pipe and incision ring
 XXIII. On the dexter side is a three Toothed Levitor, or a Levitor divided into three parts, with this commonly is thrust forwards, and taken out, the cutting teeth and the dog teeth, which are fastned in the holes of the gums with one root or tang only. See more chap.11 numb.29.
In the chief bending to the sinister side, is the Instrument called a Throat pipe, It is a Silver pipe, made crooked that it may be put into the throat; and is as thick as a Swans quill, and a foot and a halfe long, or there about: it is full of holes, and at the end of it is made fast a peece of Spong, as big as a smal nut. This is used to draw Thornes, or Bones, out of the middle of the Wesand pipe, or any thing that sticks in the throat.
In the base part of this square, is the Incision Ring, which is a smal crooked blade of a Pen Knife set in a Ring, to rise and fall according to pleasure; so that the patient cannot perceive it. With this Impostems are cut in the face, or cheeks of children, and in the breasts of timorous women; lest seeing the knife they should be afrighted, and so not suffer such Impostums to be opened.


Fundament pipe
 XXIV. This is an Instrument with its Handle to be screwed upon it, called a Fundament pipe, which is to burn an Ulcer. It is a long hollow pipe, close or shut up at the bottom with an hole on the side (according to the scituation of the Callous, or deep Ulcer, which will not yield to topicall medicament) haveing an handle screwed to it for to guid it accordingly. This Instrument is thrust into the Fundament to the shoulders, into which is thrust a red hot iron to burn the said distemper, the pipe securing the sound parts from the touch of the hot iron, that being only opposite to the hole, which is the Ulcered part, which is touched twice or thrice with the fire, and no other place.


Stile for the fundament pipe
 The Iron that is to be heated hot for the foresaid Pipe is termed the Stile, which is a round iron made fit to go into the Pipe, which is set in an Haft, or wooden Handle, the better to hold and use it.

Related text(s)   Solid fundament pipe

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