Astanga Hrudaya
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अन्यत्र मूढगर्भाश्ममुख़रोगोदरातुरात्। अथाहृतोपकरणं वैद्यः प्राङ्मुख़मातुरम्॥१६॥
Being sedated by consumption of strong wine, he doesn’t have sense of the sharp instrument being operated over him (on the swelling) with exception of those patients suffering from obstructed delivery (impacted fetus), renal stones, those suffering from diseases of mouth and abdominal disorders (these patients should not be given food or wine before surgery). Next, keeping ready all the surgical equipment required, the physician should make the patient sit facing east.
english translation
सम्मुख़ो यन्त्रयित्वाऽऽशु न्यस्येन्मर्मादि वर्जयन्। अनुलोमं सुनिशितं शस्त्रमापूयदर्शनात्॥१७॥
Sitting in front of the patient facing him, the physician should incise the swelling quickly with a well sharpened instrument. Incision should be made in the direction of the hairs (from above downward), avoiding vulnerable parts, deep enough till the pus is seen and then removing the instrument quickly.
english translation
सकृदेवाहरेत्तच्च पाके तु सुमहत्यपि। पाटयेत् द्व्यङ्गुलं सम्यद्व्यङ्गुलत्र्यङ्गुलान्तरम्॥१८॥
If the area of suppuration is large, the incisions of 2 angula dimension shall be made properly either two or three angulas (1 angula = 1 finger breadth) apart (the incisions should not be made too close to each other).
english translation
एषित्वा सम्यगेषिण्या परितः सुनिरूपितम्। अङ्गुलीनालवालैर्वा यथादेशं यथाशयम्॥१९॥
After properly considering the entire interior of the swelling, suppurated area should then be thoroughly excavated / probed with either a probe, finger, tube or hairs of animals, as suitable to the site and area of the swelling
english translation
यतो गतां गतिं विद्यादुत्सङ्गो यत्र यत्र च। तत्र तत्र व्रणं कुर्यात्सुविभक्तं निराशयम्॥२०॥
The pus path is determined, wherever the bulge (of the suppurated swelling) is found, therein the cut is done (cutting through the bulge of the wounds), creating a well cut, well cleaned, long and deep,
english translation