तत्र धात्र्याः पयः शोध्यं पित्तश्लेष्महरौषधैः । शृतशीतं च शीताम्बुयुक्तमन्तरपानकम् ॥ ७१ ॥
In this disease, breast milk of the mother should be purified by use of herbs which mitigate Pitta and Kapha. Water boiled and cooled, and made still colder with addition of Emerald mixed with honey should be used as a drink
सक्षौद्रतार्क्ष्यशैलेन व्रणं तेन च लेपयेत् । त्रिफलाबदरीप्लक्षत्वक्क्वाथपरिषेचितम् ॥ ७२ ॥
and also for application to the rectal ulcer. The rectum should be bathed by pouring the decoction of triphala (Haritaki – Terminalia chebula, Vibhitaki – Terminalia bellerica & Amalaki – Emblica officinalis), tvak – barks of badarī – Ziziphus mauritiana plakṣa – and Ficus lacor,
kāsīsa – then either the paste of ferrous sulphate, rocanā – Cow bezoar, Purified Copper Sulphate, Realgar, āla – Arsenii trisulphidum and extract of Berberis aristate macerated with any sour liquid should be applied or the fine powder of these should be sprinkled over the ulcer;
or the powder of Glycyrrhia glabra, Convolvulus pluricaulis, Sauvirakanjana – collyrium is prepared with Antimony Sulphide or of Hemidesmus indicus, Conch shell or of bark of Pterocarpus marsupium (may be sprinkled).
When redness and itching are severe, blood should be let out by using leeches. All treatments prescribed for the cure of ulcer of Pitta origin are beneficial in Gudakutta.