Astanga Hrudaya
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गम्भीरेषु प्रदेशेषु मांसलेष्वचलेषु च। न तु वङ्क्षणकक्षादावल्पमांसे चले व्रणान्॥५१॥
which are situated on important and deep, fleshy and immovable parts should be sutured. Wounds that should not be sutured immediately: The ulcers / wounds which are located on groins, axilla etc.
english translation
वायुनिर्वाहिणाः शल्यगर्भान् क्षारविषाग्निजान्। सीव्येच्चलास्थिशुष्कास्रतृणरोमापनीय तु॥५२॥
which are less muscular and movable, ulcers which emit air (gas), which have foreign bodies inside them, which are produced by alkalis, poisons and fire should not be sutured. Method of proper suturing of wounds and materials used therein: Suturing should be done only after removing loose pieces of bones, dried blood clots, grass, hairs, etc.
english translation
प्रलम्बि मांसं विच्छिन्नं निवेश्य स्वनिवेशने। सन्ध्यस्थि च स्थिते रक्ते स्नाय्वा सूत्रेण वल्कलैः॥५३॥
by placing the torn and hanging pieces of muscles in their proper places and also by keeping the joints of the bones and bones fractured in their normal positions and after the stoppage of bleeding, by making use of tendons of animals, threads (of cotton, silk, flax etc) or inner fibers of bark of trees,
english translation
सीव्येन्न दूरे नासन्ने गृह्णन्नाल्पं न वा बहु। सान्त्वयित्वा ततश्चार्तं व्रणे मधुघृतद्रुतैः॥५४॥
suturing being done neither very far apart nor very close, holding neither very much of the tissues nor very little. Measures to be taken after suturing the wounds: After suturing, having comforted the patient (with encouraging words, cold water, fanning etc.),
english translation
अञ्जनक्षौ मजमषीफलिनीशल्लकीफलैः। सरोध्रमधुकैर्दिग्धे युञ्ज्याद्बन्धादि पूर्ववत्॥५५॥
the ulcer should be covered with cotton swab soaked in a mixture of honey, melted ghee, collyrium, ash of flax, Callicarpa macrophylla, fruits of Boswellia serrata, Symplocos racemosa, Madhuka longifolia. Then bandaging and other measures should be done as described previously.
english translation