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अशान्तावर्मवच्छस्त्रमजकाख्ये च योजयेत् । अजकायामसाध्यायां शुक्रेऽन्यत्र च तद्विधे ॥५१॥
If the disease does not subside, surgical treatment as prescribed for Arma should be done in Ajaka. In incurable Ajaka,
english translation
वेदनोपशमं स्नेहपानासृक्स्रावणादिभिः । कुर्याद्बीभत्सतां जेतुं शुक्रस्योत्सेधसाधनम् ॥५२॥
Shukra and other similar diseases, pain should be relieved by drinking of fat, bloodletting etc. And other drastic measures should be done to relieve the great swelling of Shukra.
english translation
नारिकेलास्थिभल्लाततालवंशकरीरजम् । भस्माद्भिः स्रावयेत्ताभिर्भावयेत्करभास्थिजम्॥५३॥
The ash of shell of Cocus nucifera; bhallāta – Semecarpus anacardium, tāla – Borassus flabellifer, vaṃśa – Bambusa arundinacea , karīrajam – Capparis decidua mixed with the ash of bones of camel, should be rinsed in water many times as indicated in the preparation of alkalies (chapter 30 of Sutrasthana)
english translation
चूर्णं शुक्रेष्वसाध्येषु तद्वैवर्ण्यघ्नमञ्जनम् । साध्येषु साधनायालमिदमेव च शीलितम् ॥५४॥
and then dried powdered and used as a collyrium in the incurable Sukra It removes the discoloration and in the curable kind, this alone is enough to cure the disease, if used habitually.
english translation
अजकां पार्श्वतो विद्ध्वा सूच्या विस्राव्य चोदकम् । समं प्रपीड्याङ्गुष्ठेन वसार्द्रेणानु पूरयेत् ॥५५॥
Ajaka should be pricked from the sides, by the needle, the watery fluid inside is squeezed out by kneading evenly with the thumb and moist cloth, then the ulcer should be filled
english translation