Astanga Hrudaya
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सीव्येद्गण्डं ततः सूच्या सेविन्या पिचुयुक्तया । नासाच्छेदेऽथ लिखिते परिवर्त्योपरि त्वचम् ॥ ६१ ॥
Later, with the help of needle and suturing thread, along with the swab, the cheek is sutured keeping (the proximal) edge intact on cheek, the other (distal) edge of the skin and muscle is pulled up, rolled over and placed on the nose, which has been scraped (to cause bleeding);
english translation
sIvyedgaNDaM tataH sUcyA sevinyA picuyuktayA । nAsAcchede'tha likhite parivartyopari tvacam ॥ 61 ॥
hk transliteration by Sanscriptकपोलवध्रं सन्दध्यात्सीव्येन्नासां च यत्नतः । नाडीभ्यामुत्क्षिपेदन्तः सुखोच्छ्वासप्रवृत्तये ॥ ६२ ॥
The new flap from the cheek joined by suturing on the nose with caution; two tubes (of reeds or metal) are inserted into the nostrils to facilitate easy breathing.
english translation
kapolavadhraM sandadhyAtsIvyennAsAM ca yatnataH । nADIbhyAmutkSipedantaH sukhocchvAsapravRttaye ॥ 62 ॥
hk transliteration by Sanscriptआमतैलेन सिक्त्वाऽनु पत्तङ्गमधुकाञ्जनैः । शोणितस्थापनैश्चान्यैः सुश्लक्ष्णैरवचूर्णयेत् ॥ ६३ ॥
The place is then anointed with raw oil and dusted with the fine powder of herbs which stop bleeding such as pattaṅga – Caesalpinia sappan, madhuka – Glycyrrhiza glabra and antimony sulphide, and similar others.
english translation
Amatailena siktvA'nu pattaGgamadhukAJjanaiH । zoNitasthApanaizcAnyaiH suzlakSNairavacUrNayet ॥ 63 ॥
hk transliteration by Sanscriptततो मधुघृताभ्यक्तं बद्ध्वाऽऽचारिकमादिशेत् । ज्ञात्वाऽवस्थान्तरं कुर्यात्सद्योव्रणविधिं ततः ॥ ६४ ॥
Next the area should be bathed with honey and ghee, bandaged and the patient advised to follow the regimen (prescribed in the oleation therapy) (chapter 16 of Sutrasthana). The treatment prescribed for Sadyovrana (Accidental wound) should be adopted suitably stage after stage;
english translation
tato madhughRtAbhyaktaM baddhvA''cArikamAdizet । jJAtvA'vasthAntaraM kuryAtsadyovraNavidhiM tataH ॥ 64 ॥
hk transliteration by Sanscriptछिन्द्याद्रूढेऽधिकं मांसं नासोपान्ताच्च चर्म तत् । सीव्येत्ततश्च सुश्लक्ष्णं हीनं संवर्धयेत्पुनः ॥ ६५ ॥
any extra growth of muscle should be cut off, the skin (of the cheek) nearer to the flap (grafted on the nose) which is smooth and not grown properly, should be cut and the site sutured, afterwards it should be cut again and made to grow.
english translation
chindyAdrUDhe'dhikaM mAMsaM nAsopAntAcca carma tat । sIvyettatazca suzlakSNaM hInaM saMvardhayetpunaH ॥ 65 ॥
hk transliteration by Sanscript