Astanga Hrudaya
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रेकार्थं तैल्वकं सर्पिर्वस्तिकर्म च शीलयेत् । विशेषादुत्तरान् वस्तीञ्छुक्राश्मर्यां तु शोधिते ॥४१॥
Tailvaka ghrta (chapter 3 of cikitsa sthana) should be used for purgation, enema therapy especially the enema to the urinary bladder should be administered for elimination of seminal calculi
english translation
rekArthaM tailvakaM sarpirvastikarma ca zIlayet । vizeSAduttarAn vastIJchukrAzmaryAM tu zodhite ॥41॥
hk transliteration by Sanscriptतैर्मूत्रमार्गे बलवान् शुक्राशयविशुद्धये । पुमान् सुतृप्तो वृष्याणां मांसानां कुक्कुटस्य च ॥ ४२ ॥
In case of śukrāśmarī (seminal calculus), a strong enema (uttara basti) should be administered into the urinary tract to purify the receptacle of semen. Then, the man should partake of meats that are highly aphrodisiac, or specifically the meat of a cock.
english translation
tairmUtramArge balavAn zukrAzayavizuddhaye । pumAn sutRpto vRSyANAM mAMsAnAM kukkuTasya ca ॥ 42 ॥
hk transliteration by Sanscriptकामं सकामः सेवेत प्रमदा मददायिनीः । सिद्धैरुपक्रमैरेभिर्न चेच्छान्तिस्तदा भिषक् ॥ ४३ ॥
Getting fully contented in this manner, he should, full of desire, copulate with women who exhilarate and intoxicate his mind. If by these proven methods of treatment, the disease (urinary calculus) does not subside, the physician should then
english translation
kAmaM sakAmaH seveta pramadA madadAyinIH । siddhairupakramairebhirna cecchAntistadA bhiSak ॥ 43 ॥
hk transliteration by Sanscriptइति राजानमापृच्छ्य शस्त्रं साध्ववचारयेत् । अक्रियायां ध्रुवो मृत्युः क्रियायां संशयो भवेत् ॥ ४४ ॥
resort to the use of the sharp instrument (surgical operation) appropriately, after obtaining permission from the king (or administrative authority), explaining that death is certain if the operation is not performed, whereas even if performed, there is a doubt regarding survival.
english translation
iti rAjAnamApRcchya zastraM sAdhvavacArayet । akriyAyAM dhruvo mRtyuH kriyAyAM saMzayo bhavet ॥ 44 ॥
hk transliteration by Sanscriptनिश्चितस्यापि वैद्यस्य बहुशः सिद्धकर्मणः । अथातुरमुपस्निग्धशुद्धमीषच्च कर्शितम् ॥ ४५ ॥
This holds true even for a highly determined physician who has been successful in many previous operations. Next, the patient who has been given mild oleation (upasnigdha) and purificatory therapies (śuddha), and made slightly thin or debilitated (īṣat karśitam) by fasting,
english translation
nizcitasyApi vaidyasya bahuzaH siddhakarmaNaH । athAturamupasnigdhazuddhamISacca karzitam ॥ 45 ॥
hk transliteration by Sanscript