Astanga Hrudaya
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करञ्जो बस्तमूत्रं च लेपनं श्रेष्ठमर्शसाम्। आनुवासनिकैर्लेपः पिप्पल्याद्यैश्च पूजितः॥२६॥
and karañja – Pongamia pinnata and goat urine is best for piles. Application of paste of herbs such as Piper longum etc. meant for Anuvasana (oil enema) (vide verses 89 to 92) is considered best;
english translation
एभिरेवौषधैः कुर्यात्तैलान्यभ्यञ्जनाय च। धूपनालेपनाभ्यङ्गैः प्रस्रवन्ति गुदाङ्कराः॥२७॥
oil prepared from these herbs is good for anointing on the piles. The pile masses eliminate the vitiated blood accumulated inside them by the use of fumigation, topical application and anointing;
english translation
सञ्चितं दुष्टरुधिरं, ततः सम्पद्यते सुख़ी। अवर्तमानमुच्छूनकठिनेभ्यो हरेदसृक्॥२८॥
after that the patient obtains comfort. For the hemorrhoid pile masses which are coiled, swollen and hard, blood should be removed
english translation
अर्शोभ्यो जलजाशस्त्रसूचीकूर्चैः पुनः पुनः । शीतोष्णस्निग्धरूक्षैर्हि न व्याधिरुपशाम्यति ॥ २९ ॥
again and again by the use of either leeches, knife or brush of needles. When the blood is vitiated, the disease (piles) does not get relieved by treatments such as cold and hot, unctuous and dry treatments.
english translation
रक्ते दुष्टे भिषक् तस्माद्रक्तमेवावसेचयेत् । यो जातो गोरसः क्षीराद्वह्निचूर्णावचूर्णितात् ॥ ३० ॥
Hence the physician should remove the blood itself. He who drinks milk boiled with the powder of Plumbago zeylanica and eats food along with it only, gets cured of piles.
english translation