Astanga Hrudaya
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अश्वयुक्तं रथं ख़ण्डचक्रमारोप्य रोगिणम्। शीघ्रं नयेत्ततस्तस्य संरम्भाच्छल्यमादिशेत्॥१६॥
Sites of those concealed in tendons, veins, channels and arteries are recognized by appearance of pain in such places, in a horse chariot, with broken wheels.
english translation
मर्मनष्टं पृथङ्नोक्तं तेषां मांसादिसंश्रयात्। सामान्येन सशल्यं तु क्षोभिण्य क्रियया सरुक्॥१७॥
Features of those concealed, in vulnerable spots are not described separately because such spots are composed of muscles and other tissues only- the features of which have been described already. Generally the site of the foreign body is determined by the appearance of distressing symptoms, abnormal movements etc. during activity and by the presence of pain
english translation
वृत्तं पृथु चतुष्कोणं त्रिपुटं च समासतः। अदृश्यशल्यसंस्थानं व्रणाकृत्या विभावयेत्॥१८॥
The shape of the invisible foreign body is determined by the shape of the wound, such as round – circular wide, with four Angula, with 3 edges. Etc.
english translation
तेषामाहरणोपायौ प्रतिलोमानुलोमकौ। अर्वाचीनपराचीने निर्हरेत्ताद्विपर्ययात्॥१९॥
Shalyaharana- removal of foreign bodies:- Method of their removal are though upward and downward directions; those entering into the body from above and below should be taken out in the opposite directions respectively.
english translation
सुख़ाहार्यं यतश्छित्त्वा ततस्तिर्यग्गतं हरेत्। शल्यं न निर्घात्यमुरःकक्षावङ्क्षणपार्श्वगम्॥२०॥
Those which have entered from sideward – horizontally should be removed by cutting it conveniently. Foreign bodies, arrowheads which are lodged in the chest , axillae, groins and Flanks, which can be cut and which have board blades should be pulled out.
english translation