Astanga Hrudaya
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मांसच्छेदोऽतिरुग्रौक्ष्याद्वरणं शोणितागमः। श्लथातिगाढदुर्न्यासैर्व्रणवर्त्मावघर्षणम्॥४६॥
Because unctuousness (excessively oily or fatty) increases moistness, dryness causes tears in the muscles, severe pain, lacerations and bleeding, flabby, hard and improperly placed wicks produces friction of the edges of the ulcers.
english translation
mAMsacchedo'tirugraukSyAdvaraNaM zoNitAgamaH। zlathAtigADhadurnyAsairvraNavartmAvagharSaNam॥46॥
hk transliteration by Sanscriptघ् सपूतिमांसं सोत्सङ्गं सगतिं पूयगर्भिणम्। व्रणं विशोधयेच्छीघ्रं स्थिता ह्यन्तर्विकेशिका॥४७॥
Management of ulcer inside which the wick remains for long duration: When the medicinal wick remains for a long duration inside the ulcer, it produces putrefaction of the muscles, elevated surface, loss of tissues and accumulation of pus inside (the ulcer). Then the ulcer should be cleared (cleaned) of its contents quickly.
english translation
gh sapUtimAMsaM sotsaGgaM sagatiM pUyagarbhiNam। vraNaM vizodhayecchIghraM sthitA hyantarvikezikA॥47॥
hk transliteration by Sanscriptव्यम्लं तु पाटितं शोफं पाचनैः समुपाचरेत्। भोजनैरुपनाहैश्च नातिव्रणविरोधिभिः॥४८॥
Management of ignorantly cut unripe swelling: When an unripe swelling has been cut open by ignorance, it should be treated with foods and poultices which bring about ripening of swelling. But which are, at the same time, not very much harmful to the ulcer.
english translation
vyamlaM tu pATitaM zophaM pAcanaiH samupAcaret। bhojanairupanAhaizca nAtivraNavirodhibhiH॥48॥
hk transliteration by Sanscriptसद्यः सद्योव्रणान् सीव्येद्विवृतानभिघातजान्। मेदोजाल्लिखितान् ग्रन्थीन् ह्रस्वाः पालीश्च कर्णयोः॥४९॥
Sadyovrana Chikitsa (Management of traumatic wounds): Traumatic wounds which are caused due to recent injury (recently occurred) and those which are wide, should be sutured immediately.
english translation
sadyaH sadyovraNAn sIvyedvivRtAnabhighAtajAn। medojAllikhitAn granthIn hrasvAH pAlIzca karNayoH॥49॥
hk transliteration by Sanscriptशिरोक्षिकूटनासौष्ठगण्डकर्णोरुबाहुषु। ग्रीवाललाटमुष्कस्फिङ्मेढ्रपायूदरादिषु॥५०॥
So also the ulcers which are made by scraping fatty tumors, pinna of the ears which are very thin, ulcers located on the head, eye-sockets, nose, lips, cheeks, ears, thighs, arms, neck, forehead, scrotum, buttocks, penis, rectum, abdomen etc.
english translation
zirokSikUTanAsauSThagaNDakarNorubAhuSu। grIvAlalATamuSkasphiGmeDhrapAyUdarAdiSu॥50॥
hk transliteration by Sanscript