Astanga Hrudaya

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गात्रं बद्धोपरि दृढं रज्ज्वा पट्टेन वा समम्। स्नायुसन्ध्यस्थिमर्माणि त्यजन् प्रच्छानमाचरेत्॥५१॥

Pracchana – incising to produce bleeding:- The part of the body above the site, selected for bleeding should be tied tightly with a rope of leather scrap;

english translation

gAtraM baddhopari dRDhaM rajjvA paTTena vA samam। snAyusandhyasthimarmANi tyajan pracchAnamAcaret॥51॥

hk transliteration by Sanscript

अधोदेशप्रविसृतैः पदैरुपरिगामिभिः। न गाढघनतिर्यग्भिर्न पदे पदमाचरन्॥५२॥

Tendons, joints, bones and vital spots are avoided and Prachanna karma (scratching, incision) by sharp scalpel done from below upwards. It should not be done in horizontal direction.

english translation

adhodezapravisRtaiH padairuparigAmibhiH। na gADhaghanatiryagbhirna pade padamAcaran॥52॥

hk transliteration by Sanscript

प्रच्छानेनैकदेशस्थं ग्रथितं जलजन्मभिः। हरेच्छृङ्गादिभिः सुप्तमसृग्व्यापि शिराव्यधैः॥५३॥

Blood accumulated in any localized area- small area can be removed by Pracchana (scratching- incisions); Blood accumulated in tumors, abscess can be removed by using leeches; Blood that has produced loss of sensation- at the site of accumulation by using the sucking horn (shrunga) etc gourds or pot (Ghata) and that which is soared all over the body by venesection

english translation

pracchAnenaikadezasthaM grathitaM jalajanmabhiH। harecchRGgAdibhiH suptamasRgvyApi zirAvyadhaiH॥53॥

hk transliteration by Sanscript

प्रच्छानं पिण्डिते वा अवगाढे जलौकसः। त्वक्स्थेऽलाबुघटीशृङ्गम् शिरैव व्यापकेऽसृजि॥५४॥

Or removal of blood by incisions is done when the blood is solidified; by Leeches when it is deep seated; by gourd, pot or horn when it is localized in the skin and by venesection when it is pervading the entire body;

english translation

pracchAnaM piNDite vA avagADhe jalaukasaH। tvaksthe'lAbughaTIzRGgam ziraiva vyApake'sRji॥54॥

hk transliteration by Sanscript

वातादिधाम वा शृङ्गजलौकोलाबुभिः क्रमात्। स्त्रतासृजः प्रदेहाद्यैः शीतैः स्याद्वायुकोपतः॥५५॥ सतोदकण्डूः शोफस्तं सर्पिषोष्णेन सेचयेत्। ५५ १/२।

by using horn, Leeches, gourd for the seats of Vata and others- Doshas respectively. After the bleeding procedure, the site of bleeding should be covered with cooling paste. This will reduce the pain, itching and oedeme at the site. The area should be bathed with warm ghee

english translation

vAtAdidhAma vA zRGgajalaukolAbubhiH kramAt। stratAsRjaH pradehAdyaiH zItaiH syAdvAyukopataH॥55॥ satodakaNDUH zophastaM sarpiSoSNena secayet। 55 1/2।

hk transliteration by Sanscript