If the bleeding hemorrhoids do not heal (na ced evaṃ śamas tasya) by these methods, then the patient should be nourished with unctuous and hot (snigdhoṣṇaiḥ) therapies; using lukewarm meat soups (rasaiḥ koṣṇaiḥ) and medicated ghee administered in the Avapīḍaka manner (in maximum doses at the end of the digestion of meals).
If the bleeding hemorrhoids do not heal (na ced evaṃ śamas tasya) by these methods, then the patient should be nourished with unctuous and hot (snigdhoṣṇaiḥ) therapies; using lukewarm meat soups (rasaiḥ koṣṇaiḥ) and medicated ghee administered in the Avapīḍaka manner (in maximum doses at the end of the digestion of meals).