Astanga Hrudaya

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उपनाहं भिषक् स्विन्नं भिन्नं व्रीहिमुखेन च । लेखयेन्मण्डलाग्रेण ततश्च प्रतिसारयेत् ॥ १ ॥

The physician should give fomentation in the form of Upanaha (poultice). Then puncture it with Vrihimuka Shastra (trocar). Scrape it with Mandalagra (lancet) and then apply

english translation

upanAhaM bhiSak svinnaM bhinnaM vrIhimukhena ca । lekhayenmaNDalAgreNa tatazca pratisArayet ॥ 1 ॥

hk transliteration by Sanscript

पिप्पलीक्षौद्रसिन्धूत्थैर्बध्नीयात्पूर्ववत्ततः । पटोलपत्रामलकक्वाथेनाश्च्योतयेच्च तम् ॥ २ ॥

the paste of Pippali – Piper longum and rock salt mixed with honey, bind it as described earlier (vide, verses 3-9 of chapter 9). Later aschyotana (washing the eye) is performed with the decoction of leaves of paṭolapatra – Trichosanthes dioica and āmalaka – Emblica officinalis.

english translation

pippalIkSaudrasindhUtthairbadhnIyAtpUrvavattataH । paTolapatrAmalakakvAthenAzcyotayecca tam ॥ 2 ॥

hk transliteration by Sanscript

पर्वणी बडिशेनात्ता बाह्यसन्धित्रिभागतः । वृद्धिपत्रेण वर्ध्यार्धे स्यादश्रुगतिरन्यथा ॥ ३ ॥

Parvani should be lifted up with Badisa (forceps), then cut (excised) with Vriddhi Patra (lancet) at about three fourths from the external joint. The excision made at half the length. Otherwise, there will be a flow of tears.

english translation

parvaNI baDizenAttA bAhyasandhitribhAgataH । vRddhipatreNa vardhyArdhe syAdazrugatiranyathA ॥ 3 ॥

hk transliteration by Sanscript

चिकित्सा चार्मवत्क्षौद्रसैन्धवप्रतिसारिता । पूयालसे सिरां विध्येत्ततस्तमुपनाहयेत् ॥४॥

Further treatment is similar to Arma (verse- 20-22 further) and pratisarana (applying the paste) with honey and rock salt should be done. In Puyalasa, the vein should be cut (to let out blood). Then given fomentation

english translation

cikitsA cArmavatkSaudrasaindhavapratisAritA । pUyAlase sirAM vidhyettatastamupanAhayet ॥4॥

hk transliteration by Sanscript

कुर्वीत चाक्षिपाकोक्तं सर्वं कर्म यथाविधि । सैन्धवार्द्रककासीसलोहताम्रैः सुचूर्णितैः ॥ ५ ॥

and all the treatment prescribed for Akshipaka (Ch. 15/28-30) should be done as per procedure. Rock salt, ārdraka – Zingiber officinale, kāsīsa – ferrous sulphate, loha – iron and tāmraiḥ – copper filings all nicely powdered

english translation

kurvIta cAkSipAkoktaM sarvaM karma yathAvidhi । saindhavArdrakakAsIsalohatAmraiH sucUrNitaiH ॥ 5 ॥

hk transliteration by Sanscript