Astanga Hrudaya
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शिरोविरेकद्रव्यैर्वा वर्जयन् फलसेवनीम् । दारयेद्वृद्धिपत्रेण सम्यङ्मेदसि सूद्धृते ॥ ३६ ॥
or herbs for Nasya (chapter 15 of sutrasthana), macerated with cows urine; Next, avoiding the scrotal raphae, the scrotum should be incised with the vrddhipatra (lancet) till the fat is removed out completely.
english translation
zirovirekadravyairvA varjayan phalasevanIm । dArayedvRddhipatreNa samyaGmedasi sUddhRte ॥ 36 ॥
hk transliteration by Sanscriptव्रणं माक्षिककासीससैन्धवप्रतिसारितम् । सीव्येदभ्यञ्जनं चास्य योज्यं मेदोविशुद्धये ॥ ३७ ॥
The ulcer should be covered with paste of – honey, green vitriol, and rock salt. After removing it and suturing, it should be anointed with oil
english translation
vraNaM mAkSikakAsIsasaindhavapratisAritam । sIvyedabhyaJjanaM cAsya yojyaM medovizuddhaye ॥ 37 ॥
hk transliteration by Sanscriptमनःशिलैलासुमनोग्रन्थिभल्लातकैः कृतम् । तैलमाव्रणसन्धानात् स्नेहस्वेदौ च शीलयेत्॥३८॥
prepared with realgar, elā – Elettaria cardamomum, sumana – Mesua ferrea, granthi – Root of Piper longum, bhallātaka – Semecarpus anacardium should be arranged for cleansing the morbid fat till the ulcer heels, anointing it with oil and fomentation should be done.
english translation
manaHzilailAsumanogranthibhallAtakaiH kRtam । tailamAvraNasandhAnAt snehasvedau ca zIlayet॥38॥
hk transliteration by Sanscriptमूत्रजं स्वेदितं स्निग्धैर्वस्त्रपट्टेन वेष्टितम् । विध्येदधस्तात् सेवन्याः स्रावयेच्च यथोदरम्॥३९॥
Mutraja vrddhi (scrotal enlargement due to accumulation of urine/ fluid/ hydrocele) should be given fomentation, wrapped with cloth, soaked in oil, punctured below, near the suture (raphea) with the help of a vrihimukha sastra (trocar and canula) and the fluid drained out just similar to udara (enlargement of the abdomen due to accumulation of fluid described in chapter 15).
english translation
mUtrajaM sveditaM snigdhairvastrapaTTena veSTitam । vidhyedadhastAt sevanyAH srAvayecca yathodaram॥39॥
hk transliteration by Sanscriptव्रणम् च स्थगिकाबद्धं रोपयेदन्त्रहेतुके । अन्त्रहेतुके। फलकोशमसम्प्राप्ते चिकित्सा वातवृद्धिवत् ॥४०॥
The wound should be tied with sthagika bandha (a type of bandage vide chapter 29 of sutrasthana) and made to heal. For antra vrddhi (scrotal enlargement due to descent of the small intestine/ scrotal hernia) when the intestine has not descended into the scrotum, treatment is similar to that of vatavrddhi (scrotal enlargement arising from vata).
english translation
vraNam ca sthagikAbaddhaM ropayedantrahetuke । antrahetuke। phalakozamasamprApte cikitsA vAtavRddhivat ॥40॥
hk transliteration by Sanscript