ſiphac. vel ad dillatationē ipſiꝰ didimi vel vt vnoverbo dicatur ſolum illas eminentias ⁊ maximeburſales appellant ſpēties hernie. que fiunt talesper cauſam de ſurſum deſcendentem. Cuius ſuntquinqꝫ partes dicte vt patet conſideranti. non ſicauteꝫ eueniunt apoſtemoſſa vel carnoſa. vel etiāhumoralis quia tales vt multum generantur perviaꝫ paulatine congeſtionis in ipſa burſa teſticulorum vel circa teſticulos propter debilitateꝫ naturalis cōplexionis illorum membrorum vel malitiam complexionis eorūdem nō eſt tamen negādum quin etiam ventoſa vel aquoſa generenturhoc modo ſed vt plurimum per viam rupture veldilatationis producuntur iccirco dicuntur ſpecieshernie vel rupture que ſunt nomina ſynonima vtſupra dictum eſt. Et ex hoc apparet cauſa diuerſitatis in dictis antiquorum circa hoc. tertio principaliter aduertendū ꝙ huiuſmodi eminētia buiſalis de qua hic eſt principalis ſermo. quia de vmblicali vel inguīali fere eandem faciant apparentiam. inferius erit ſermo aliquo trium modorum.cātur. aūt .ſ. ruptura ex ruptura paniculi ſiphacper quam rupturaꝫ penetrat corpus quod fuit cōprehenſum in eo paniculo. ante ſciſuram .ſ. inteſtinuꝫ vel zirbus. qui vt ſupra in alio capitulo viſuꝫeſt iacet cum ſua ſubſtantia ſupra ſiphac ī fundovel ambo exeunt. ⁊ exinde fit tumor magnus. Ettalis ſciſuraᵇ a duabus cauſis in genere contingere poteſt ſ vel a cauſa ītrinſeca qualis eēt ventoſitas vel a cauſa extrinſeca qualis eſſet ſaltusmagnus vel aliqua alia de cauſis tangendis. velſecundo euenire poteſt talis eminentia per aperitionem ⁊ dillatationem didimorum. qꝛ ſi eſtisbene memores dictorū ſuperius. non ſunt niſi duoforamina facta in ſiphac. per que pertranſeruntvaſſa ſeminaria teſticulis. que duo foramina videntur adequate ⁊ preciſſe continere dicta vaſſane inferius aliꝗd deſcendat. ꝗ ꝗdeꝫ meatus tranſerūt ſupra oſſa femoris ⁊ īferius dillatātur. ad cōtinendū nō ſolū vaſſa dicta. ſed ēt teſticulos vndetandē ex eis fit pellicula interior burſe teſticuloꝝSi igitur contingat tales meatus vel didimos dillatari ⁊ ampliari tunc poterūt deorſum penetrareꝑ eos īteſtina. vel zirbus vel aquoſitas ⁊c. ⁊ vſcad teſticulos ꝑuenire. ſicut ēt ex ruptura ipſius ſiphac. Sꝫ ex ruptura ſiphac̄ deſcēdūt īferiꝰ decurendo ſupra os femoris inter ipſum .ſ. ⁊ mirach indeſcenſu aūt ex aperitione meatus vel meatuumdeſcēdūt ꝑ ītra dictos didimos vel meatus dilatatos. quorum notitia tradita eſt ſuperius. pōt etiātertio īferius aliqd̓ ītra burſaꝫ teſticulorū deſcendere facta ſola rellaſſatione ⁊ molificatione ⁊ cōſequenter amplificat̉ ipſius ſiphac vnde ſic molificatus paniculus ⁊ amplificatus nō tamē ruptuspoterit tāqͣꝫ ſachus deſcēdere decurrēdo ſupra osfemoris ī burſam. ⁊ ſic eniꝫ cōſequēter zirbus velīteſtina vel alie humiditates que tamē ſic defluxenō ꝑtingēt ipſos teſticulos ymo ſemꝑ ꝯtinebūturin ipſo paniculo ſiphac ſic dilatato ⁊ mollificatoymo nec etiā ipſe paniculus ꝯtāget dictos teſticulos ſed ipſe recipitur ī cōcauitate media īter pelliculā īteriorē ipſius burſe ⁊ pelliculā exteriorē. Etex hoc etiā apparet ꝙ ſi zirbus vel īteſtina deſcendāt ī burſaꝫ ex ruptura ſiphacͣ decurrēdo ſupra: osfemoris ꝙ talia nō cōtangēt ipſos teſticulos ſꝫ ſolum īter duas burſe pelliculas recipientur. Et exhoc vlterius apparet ꝙ ſolū modo zirbus vel inteſtīa deſcēdētia ꝑ dilatationē meatuū vl̓ didimoꝝꝑtingere poſſunt ad ſubſtātiā teſticulorū. Et hocbene mēti tenete. quia ex hoc ſeꝗtur vnū vtiliſſimū ī practica cōtra cōmunes huiuſmodi miſterijmagiſtros. ꝙ īcurrēdo herniā zirbalē vel īteſtinalē ꝓuenientes ex ruptura ſiphacͣ vel ex relaſſatōeeiuſdē ēt cū ferro nō expedire extrahi teſticulumſecus aūt ē de ea que ꝑuenit ex dilatatione meatuū. ⁊ ꝓpter illa que ē varicalis ſi ſit longi tēporismale aliter curari pōt qꝛ tales varices quodāmodo īmediate teſticulos attingūt dico notāter quodāmodo ꝓpter aliqua dicta ſuperius cum ſermofuit de vaſſis ſeminarijs. In ſūma ergo cōcludendo dico ꝙ omnis talis hernia burſalis ꝓprie ſūptavel cauſatur ex aperitione meatuū vel didimoruꝫvel relaſſatione paniculi ſiphaē ⁊ amplificationeeius. vel ex ſolutione cōtinuitat̉ ī eo ⁊ hoc dupliciter vel ſolutione facta a cauſa ītrinſica vel a cāextrinſica nō apparēt alie cauſe ſi conſiderabis ⁊has omnes tetigit. ꝯn̄s Aui. ī textu. ⁊ ſic clarus ērextus lego litteraꝫ. Ruptura fit .i. crepatura velhernia ⁊ maxīe burſalis fit ꝑꝑ ſolutionē paniculiſiphac̄ a ſingularitate ſua .i. ſua cōtinuitate. ſupple a cā ītrinſica aut cāuꝫ ſciſure ī eo pāiculo ⁊ ſicīnuit ſolutionē a cā extrinſica. ꝑ hoc qd̓ dixit cāuꝫquā .ſ. ſciſurā. penetrat corpus qd̓ fuit cōp̄henſumī eo aut ſciſurā .ſ. zirbus vel īteſtina vel aliud corpus aut ſupple fuit hernia ꝑꝑ dilatatōm ſtrictureī meatu .i. didimꝰ ⁊ ſupple deſcēdit ⁊cͣ. aut tertiofit ꝑꝑ ſolutionē .i. relaſſat̉ ſupple ip̄iꝰ paniculi ⁊c̄.j. ⁊cͣ. Nūc ꝯn̄t̉ ip̄e approEl cum acclApriat aliquibꝰ iſtaruꝫherniarū nomē ſpeciale dices. ꝙ cū accidit id taliter ꝙ qn̄ īcedit penetrās ꝓuenit ad teſticulos nōminat̉ ramex ⁊ hernia. Ꝙ aūt ē p̄ter hoc uocat̉noīe cōitatis hernia teſticuli ⁊ uarices ⁊ duritiesip̄ius. Pro declaratōe huiuſmōi ē notādū. ꝙ ꝗdāauctores īproprie vtūtur hoc v̓bo ramex idē volētes denotari ꝑ iſtum terminū ramex ⁊ hernia itaꝙ ēt herniā īguinalē ramicē appellāt. ⁊ ex iſtorūnumero fuit Serapio. v. breuiarij capitulo ꝓprioAui. aūt volēs vti termīs ẜm eorū ꝓpriā ſignificationē poſuit iſtā differētiā īter herniā ⁊ ramicemvt ꝙ hernia ſit tāqͣꝫ genꝰ ⁊ ramex tāqͣꝫ ſpecies. vn̄oīs ramex ſit hernia ⁊ nō exōtra ita vt illa ſolumhernia dicat̉ ramex ẜm quā id qd̓ deſcendit penetrās ꝑueniat vſqꝫ ad teſticulos .i. ad cōtactū teſticulorū alie aūt hernie burſales cū ꝗbus ramex vera cōicare videt̉ dicit̉ abſolute ⁊ noīe cōitatis .i.cōi noīe hernia teſticuloꝝ vel duricies ip̄ius dixitigit̉ tria prīo īcedet. ⁊ ſic īnuit deſcēſum. ſecundopenetrans. tertio ꝑuenit ad teſticulos. Ex his pꝫprīo ꝙ nulla hernia fcā ꝑ viā paulatine cōgeſtiōis