Surgeon's Hand

Few spells origins can be traced to a creator, and even fewer to a group of people whose ideals are understood. Even fewer are modern creations, this spell however, created by a one Doctor-Professor Howard of the Surgeons Guild, is designed to help the modern physician in their daily duties. Only tought to those proven to the Guild, this spell is proof of the Doctors entrance and membership.

Your hand is covered in a hovering spectral glove, and is able to go through skin and other deep tissue. As apart of the spell you can fix wounds or cause injuries, though the latter is thought of as malpractice, and will cause a member to be cast out of the Guild. 

• Body Fixing - Choose one willing creature that you can touch. You fix a broken rib or other bone, or stitch a wound. The chosen creature regains 1d4 + your spellcasting modifier. 
• Organ Twisting - Choose one willing creature that you can touch. You break a bone, or tear a muscle, or squeeze an artery. On a successful hit the target takes 2d6 nectoric damage. 

At Higher Levels. When you cast this spell using a 2nd level spell slot, or higher, you add 1d4 (to Body Fixing) or 1d6 (to Organ Twisting), for each slot above first.