hernīe īteſtini ⁊ vētoſitat̉ ītelligat̉ ī prima ap̄hēſiōe qꝛ q̄libꝫ illaꝝ ē leuis tactꝰ ſꝫ ſupple tm̄ ī alijsdiſtīguūt̉ īteſtīalis ⁊ zirbal̓ īter ſe vt ſtatī videbit̉⁊ vtreqꝫ diſtīguūtur a vētoſa ī reditiōe vt iacet littera. Sꝫ ſi littera ſtet affirmatiua. vt credo ſtaredꝫ tūc ſic legatur littera qꝛ ſupra dicebat̉ ꝙ zirbalis cōicat cū īteſtinali qn̄qꝫ vt cū egreditur totaliter ⁊ tūc hꝫ qͣꝫtitatē magnā ſicut īteſtīalis ⁊ ē difficilis ſanatiōis ſicut illa ⁊c. tamē diſtinguūt̉ quoniā tactus eius .ſ. zirbalis ē diuerſus ab īteſtinalidebite cōprehēdēti. qꝛ ī īteſtinali maior percipit̉diuerſitas ī leuitate tactus qͣꝫ ī zirbali ēt maior vl̓minor elleuatio ſecundū diuerſas partes eminentie qͣꝫī zirbali ⁊ hoc ꝓpter maiorē īequalitateꝫ inpartibus īteſtini qͣꝫ zirbi. in hoc tamē requirit medicus diligenter exercitatus diſtinguit̉ etiā ſecūdum quoſdā qꝛ que ē ex zirbo ē ſine dolore in inteſtinali aūt aſſociat̉ dolor quidā. hoc ītelligatur niſi ſit dolor ex ſolutione paniculi qui etiā in zirbalieē poſſet differet etiā ex facili reditu ad interioramagis ī zirbali qͣꝫ ī īteſtinali cuꝫ ꝯprimitur manucā patet ꝯſiderāti. Differūt aūt he due ſpēs a vētoſa cū qua apparenter cōicare vident̉. qꝛ diſtincte īprimenti nulla ꝑcipitur ī tactu īequalitas ſiuediuerſitas ſicut ī illis ēt vt dixit textus facilior eſtreditio ventoſe qͣꝫ illarū ēt ſepe cū ſacellatiōibustantū ⁊ euaporationibꝰ diſſoluit̉ vētoſa nō ſic illeēt qꝛ he due magnificātur ꝑ balneuꝫ ⁊ humectationē ⁊ motū non ſic vētoſa imo cū eis ſepe minoratur. ⁊ ſic pꝫ quomō clare diſtinguātur. Lego litteram que clara eſt.Et rame xquidem ⁊cͣ. po. A. pePoſtqͣꝫſuit ſigna diſtinctiua herniarū eueniētiū ex deſcēſu mēbrorū deorſum in burſam teſticulorū. Iamꝯn̄ter ipſe ponit ſigna herniarū per viā paulatinecōgeſtionis ꝓductarū indifferēter ⁊ ꝑ viā deſcenſus determinat igitur hic de tertia ſpe hernie ut d̓aquoſa dicit ergo circa litterā ꝙ ramex aque cognoſcitur ꝑ tactum ⁊ tenſionē oſſei ⁊ per ſplendorē ⁊ leuitatē ⁊ ipſa iteruꝫ nō redit nꝫ ingredit̉ ⁊c.Pro intellectu littere primo ītelligen̄ qd̓ ꝑticulasin littera poſitas manifeſte diſtingui pōt īter taleberniā aquoſam ⁊ alias ſpēs primo quidē dixit qd̓cognoſcit̉ per tactū quoniā ī tactu ē leuis propterſubſtantiā aquoſam ⁊ equalis ⁊ per hoc diſtinguitur ab īteſtinali ⁊ zirbali quarū tactus ē īequalisvt dictū ē in tactu etiā faciliter cedit tāgenti ⁊ ſicdiſtinguit̉ ab apoſtemoſa vel carnoſa. In tactuetiā ſi premat̉ cū duobus digitis duarū manuumſentietur inūdatio aque nō ſic aūt in vētoſa diſtinguit̉ etiā ex ſplēdore ab ipſa vētoſa carnoſa ⁊ aliis precipue ſi ī obſcuro cū candella lateraliter īſpiciatur licet etiam ī vētoſa aliqualis luciditas apparet ſed ab ea potiſſimū diſtinguet̉ ex ponderoſitat̉ ab eadeꝫ ēt diſtinguitur per hoc qd̓ non facileredit cū eſt reſolutanꝫ faciliter diſſoluit̉ ſicutventoſa per hāc etiā ꝑticulam diſtinguit̉ ab inteſtinali ī qua aliquādo cōiūgitur aquoſitas ī īteſtinis qꝛ talis inteſtinalis per elleuat cruriū cuꝫ aliquali cōpreſſione digitorū facile īgreditur ī ſitū ꝓpriū poſtea ī motu vel ſaltu facilit̓ redit nō ſic aūtaquoſa qꝛ aquoſitas nō habet illā alligantiā cummēbris ſuꝑioribus etiā qꝛ quo ad magnā partemeius per paulatinam cōgeſtionē ibidē generatur⁊ nō deſcēdit per rupturam vel dillatat ſicut inteſtinalis. Et hoc notauit do. Aui. in vltimis verbistextus dicebat debent igit̉ magiſtri huius artisoīa hec ſigna ſimul colligere ⁊ ꝯn̄ter cōcludere ⁊non ex vno vel duobus tantū ⁊ etiam erit timorīiudicando. Et ego vidi in vno notabili ciue papienſido. Andrea de becharia qui patiebat̉ herniam aquoſaꝫ duobus vel tribus annis ⁊ fuit ſubregimine meo ⁊ vnius alterius doc. cirugici ⁊ credebamus nos firmiter qd̓ eſſet hernia carnoſa qꝛtanta erat extenſio oſſei vt materia tactui nō cederetnꝫ aparebat notabilis inūdatio propter magnam extenſionē ipſius oſſei tandē vnus emꝑicusmagiſter huius artificij euꝫ viſitauit ⁊ iudicauitibi eſſe īcluſam aquoſitatē tamē cū timore ⁊ debilibus euidētijs illud iudicabat vltimate facta infundo burſe leui ꝑforat̉ cū raſorio ſtricto exiuit.aquoſitas citrīa ī ſubſtātia ⁊ colore leſiuij ad quātitatē vnius bochalis ita vt fuerit impleta vna tazia magna ⁊ magna pars eſſꝫ ⁊ ſupra pānos ⁊ terram effuſa tandem cū cōſtrictiuis tantū totaꝫ burſam circūuoluentibus in decem diebus remanſitperfecte ſanus. Ho quem gratuꝫ mihi fuit vidiſſe iſtum caſum. debent igit̉ medici oīa ſigna diligenter cōtēplari ⁊ tunc iudicare ⁊ cuꝫ timore ſemper recoligen̄ mente dictum veteris iudiciuꝫ difficile. lego litterā. Et ramex quidem aque cognoſcitur per tactuꝫ .ſ. qꝛ tactus eſt leuis ⁊ equalis et exhoc diſtinguitur a zirbali inteſtinali et apoſtemoſa et tenſionē oſſei. ſupple cuꝫ grauitate et ex hocdiſtinguitur a ventoſa et ſplendore artificialitervt dictū eſt. et ex hoc diſtinguitur a carnoſa et leuitatem. et ex hoc diſtinguit̉ vt ſupra ab īteſtinali ⁊ zirbali ⁊ ipſa iterū nō redit. ⁊ ſcd̓m hoc diſtingui pōt a vētoſa q̄ facile reſoluit̉ ⁊ facile redit vl̓legat̉ lr̄a cōtinua. Et ip̄a iterū nō redit nꝫ īgredit̉vt ꝑ has ꝑticulas diſtinguat̉ ab inteſtinali ī quaaliqn̄ ꝯiūgit̉ aquoſitas ī īteſtinis qm̄ talis facile īgredit̉ reſupinato corpore ⁊cͣ. Et facile redit deorſuꝫ ꝑ motū vel ſaltū nō ſic aūt talis aquoſa qm̄ vtpl̓rimū quo ad magnā ꝑteꝫ ꝑ paulatinā ꝯgeſtiōeꝫibidē ē genita ⁊cͣ.⁊c. Nūc ꝯn̄t̉Et hernie uentole qeciarat perſigna quartā ſpēꝫ hernie vt vētoſe ⁊ duo facit qm̄ip̄e primo eā māifeſtat ex ſigno ſatis cōi ſcd̓o magis ſpēalit̓ declarat ꝑ ſigna magis apropriata hernijs ibi ſcd̓a. Et ventoſa. de prima ꝑte dixit. Ꝙherīe vētoſe cognitio ē ſupple māifeſta ⁊ adducitrōem ſatis cōem quoniā īflatio ventoſa māifeſtaē. vt arguat ſic. d. A. oīs īflatio vētoſa ſenſu ꝑceptibilis ē manifeſta ſꝫ hernia vētoſa ē īflatio vētoſaſēſu ꝑceptibil̓ igit̉ ē māifeſta aſſūptūſuppōit notūqꝛ accidētia īflatōis vētoſe ſūt ſatis clara vt dolorextēſiuꝰ ſi fuerit incluſa in membro ſenſitiuo ſinegrauitate cū facilitate diſſolutiōis niſi fuerit ml̓tacā fouēs ⁊ virtus nō ſit multū proſtrata ⁊ facilita