Astanga Hrudaya
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अपाङ्गमीक्षमाणस्य वृद्धेऽर्मणि कनीनकात् । वली स्याद्यत्र तत्रार्म बडिशेनावलम्बितम् ॥ १६ ॥
the patient is asked to look towards the Apanga (outer canthus). Then the fold of the Arma, which hangs loosely more towards the Kaninaka (inner canthus) wherever there are folds. Those regions of arma are held with the forceps and cut;
english translation
apAGgamIkSamANasya vRddhe'rmaNi kanInakAt । valI syAdyatra tatrArma baDizenAvalambitam ॥ 16 ॥
hk transliteration by Sanscriptनात्यायतं मुचुण्ड्या वा सूच्या सूत्रेण वा ततः । समन्तान् मण्डलाग्रेण मोचयेदथ मोक्षितम् ॥ १७ ॥
not too long, and later should be cut using mucundi (forceps), suchi (needle) and sutra (thread) all around with Mandalagra (Lancet).
english translation
nAtyAyataM mucuNDyA vA sUcyA sUtreNa vA tataH । samantAn maNDalAgreNa mocayedatha mokSitam ॥ 17 ॥
hk transliteration by Sanscriptकनीनकमुपानीय चतुर्भागावशेषितम् । छिन्द्यात्कनीनकं रक्षेद्वाहिनीश्चाश्रुवाहिनीः ॥ १८ ॥
The muscle should be released from below, and the cut end is pulled towards the inner canthus. Quarter of it (muscle) should be left to remain in its place, the inner canthus and tear ducts being protected (not injured during cutting).
english translation
kanInakamupAnIya caturbhAgAvazeSitam । chindyAtkanInakaM rakSedvAhinIzcAzruvAhinIH ॥ 18 ॥
hk transliteration by Sanscriptकनीनकव्यधादश्रु नाडी चाक्ष्णि प्रवर्तते । वृद्धेऽर्मणि तथाऽपाङ्गात्पश्यतोऽस्य कनीनकम् ॥ १९ ॥
Injury to the inner canthus leads to profuse flow of tears through the tear ducts. In case the Arma, that is more developed towards the outer canthus, the patient should be asked to look towards the inner canthus and then the cutting done suitably.
english translation
kanInakavyadhAdazru nADI cAkSNi pravartate । vRddhe'rmaNi tathA'pAGgAtpazyato'sya kanInakam ॥ 19 ॥
hk transliteration by Sanscriptमधुव्योषसैन्धवप्रतिसारितम् । उष्णेन सर्पिषा सिक्तमभ्यक्तं मधुसर्पिषा ॥ २० ॥
After the cutting has been done properly, the eye should be smeared with honey, Vyosa – Black pepper – Piper nigrum, long pepper fruit – Piper longum and Ginger – Zingiber officinale and rock salt. Next, warm ghee is put in, then the eye is anointed with honey and ghee mixed together
english translation
madhuvyoSasaindhavapratisAritam । uSNena sarpiSA siktamabhyaktaM madhusarpiSA ॥ 20 ॥
hk transliteration by Sanscript