Changes

rugdAharAgatodaishca vidagdhaM shophamAdishet |  

rugdAharAgatodaishca vidagdhaM shophamAdishet |  

jalabastisamasparshaM sampakvaM pIDitonnatam ||52||  

jalabastisamasparshaM sampakvaM pIDitonnatam ||52||  

umA~atho gugguluH saudhaM payo dakShakapotayoH |  

umA~atho gugguluH saudhaM payo dakShakapotayoH |  

viT palAshabhavaH kShAro hemakShIrI mukUlakaH ||53||  

viT palAshabhavaH kShAro hemakShIrI mukUlakaH ||53||  

ityukto bheShajagaNaH pakvashothaprabhedanaH |  

ityukto bheShajagaNaH pakvashothaprabhedanaH |  

sukumArasya, kRucchrasya shastraM tu paramucyate ||54||

sukumArasya, kRucchrasya shastraM tu paramucyate ||54||

If swelling of ulcers treated in this way does not subside, poultice should be applied and when ripened should be incised. Warm poultice of the bolus of parched grain flour mixed with oil or ghee or both is useful for ripening of inflammation. The bolus of parched grain flour mixed with tila (Sesamum indicum Linn.), linseeds (Linum usitatissimum Linn.), sour curd, yeast, kustha (Saussurea lappa C. B. Clarke) and salt is recommended as poultice.  

 

Swelling is known as vidagdha (under ripening) by the symptoms such as pain, burning sensation, redness and piercing pain. The same should be known as ripened when it is like water-bag on palpation and rises on pressure. Linseed, guggulu (Commiphora mukul), latex of snuhi (Euphorbia neriifolia Linn.), faeces of cock and pigeon, alkali of palasha (Butea monosperma Linn.), svarnakhsiri (Argemone mexicana Linn.) and mukulaka (Pistacia vera Linn.). This is the group of drugs which helps in the tearing of ripened inflammation in delicate patients otherwise it should be operated upon surgically.(49-54)

If swelling of ulcers treated in this way does not subside, poultice should be applied and when ripened should be incised. Warm poultice of the bolus of parched grain flour mixed with oil or ghee or both is useful for ripening of inflammation. The bolus of parched grain flour mixed with ''tila'' (Sesamum indicum Linn.), linseeds (Linum usitatissimum Linn.), sour curd, yeast, ''kustha'' (Saussurea lappa C. B. Clarke) and salt is recommended as poultice.  

Six types of surgical procedures:

 

Swelling is known as ''vidagdha'' (under ripening) by the symptoms such as pain, burning sensation, redness and piercing pain. The same should be known as ripened when it is like water-bag on palpation and rises on pressure. Linseed, ''guggulu'' (Commiphora mukul), latex of ''snuhi'' (Euphorbia neriifolia Linn.), feces of chicken and pigeon, alkali of ''palasha'' (Butea monosperma Linn.), ''svarnakhsiri'' (Argemone mexicana Linn.) and ''mukulaka'' (Pistacia vera Linn.). This is the group of drugs which helps in the tearing of ripened inflammation in delicate patients otherwise it should be operated upon surgically.[49-54]

 

==== Six types of surgical procedures ====

 

पाटनं व्यधनं चैव छेदनं लेपनं तथा |  

पाटनं व्यधनं चैव छेदनं लेपनं तथा |  

प्रच्छनं सीवनं चैव षङ्विधं शस्त्रकर्म तत् ||५५||  

प्रच्छनं सीवनं चैव षङ्विधं शस्त्रकर्म तत् ||५५||  

pāṭanaṁ vyadhanaṁ caiva chēdanaṁ lēpanaṁ tathā|  

pāṭanaṁ vyadhanaṁ caiva chēdanaṁ lēpanaṁ tathā|  

pracchanaṁ sīvanaṁ caiva ṣaḍvidhaṁ śastrakarma tat||55||  

pracchanaṁ sīvanaṁ caiva ṣaḍvidhaṁ śastrakarma tat||55||  

pATanaM vyadhanaM caiva chedanaM lepanaM tathA |  

pATanaM vyadhanaM caiva chedanaM lepanaM tathA |  

pracchanaM sIvanaM caiva Sha~gvidhaM shastrakarma tat ||55||

pracchanaM sIvanaM caiva Sha~gvidhaM shastrakarma tat ||55||

Surgical treatment is of six types such as – incision, puncturing, excision, scrapping, scarification and suturing.(55)

 

Indications of various surgical procedures:

Surgical treatment is of six types such as – incision, puncturing, excision, scrapping, scarification and suturing.[55]

 

==== Indications of various surgical procedures ====

 

नाडीव्रणाः पक्वशोथास्तथा क्षतगुदोदरम् |  

नाडीव्रणाः पक्वशोथास्तथा क्षतगुदोदरम् |  

अन्तःशल्याश्च ये शोफाः [१] पाट्यास्ते तद्विधाश्च ये ||५६||  

अन्तःशल्याश्च ये शोफाः [१] पाट्यास्ते तद्विधाश्च ये ||५६||