Astanga Hrudaya
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निर्वापयेद्भृशं शीतैः पित्तरक्तविषोल्बणान् । शुष्काल्पमांसे गम्भीरे व्रण उत्सादनं हितम् ॥ ४६ ॥
Those which are predominant with Pitta, blood and poison should be bathed with cold things (decoction, oils etc.). [Treatment of ulcers having dried out muscles] In those ulcers which are deep-seated (gambhīre vraṇe) and have dried, scanty muscle tissue (śuṣka-alpa-māṃse), the Utsādana therapy (promoting granulation tissue/growth of muscle) is beneficial (utsādanaṃ hitam).
english translation
nirvApayedbhRzaM zItaiH pittaraktaviSolbaNAn । zuSkAlpamAMse gambhIre vraNa utsAdanaM hitam ॥ 46 ॥
hk transliteration by Sanscriptन्यग्रोधपद्मकादिभ्यामश्वगन्धाबलातिलैः । अद्यान्मांसादमांसानि विधिनोपहितानि च ॥ ४७ ॥
This is done using pastes of the herbs from Nyagrodhādi Gaṇa and Padmakādi Gaṇa, along with aśvagandhā (Withania somnifera), balā (Sida cordifolia), and tila (Sesamum indicum); and the patient should eat the flesh of carnivorous animals (māṃsāda-māṃsāni), properly prepared according to regulations (vidhinā upahitāni ca).
english translation
nyagrodhapadmakAdibhyAmazvagandhAbalAtilaiH । adyAnmAMsAdamAMsAni vidhinopahitAni ca ॥ 47 ॥
hk transliteration by Sanscriptमांसं मांसादमांसेन वर्धते शुद्धचेतसः । उत्सन्नमृदुमांसानां व्रणानामवसादनम् ॥ ४८ ॥
Muscle tissue grows (māṃsaṃ vardhate) by the intake of flesh from carnivorous animals (māṃsāda-māṃsena) in a person who maintains a pure and cheerful mind (śuddha-cetasaḥ). For ulcers that have an overgrowth of soft muscle tissue/excessive granulations (utsanna-mṛdu-māṃsānāṃ vraṇānām), Avasādana therapy (depressing or reducing the excess tissue) is recommended (avasādanam);
english translation
mAMsaM mAMsAdamAMsena vardhate zuddhacetasaH । utsannamRdumAMsAnAM vraNAnAmavasAdanam ॥ 48 ॥
hk transliteration by Sanscriptजातीमुकुलकासीसमनोह्वालपुराग्निकैः । उत्सन्नमांसान् कठिनान् कण्डूयुक्तांश्चिरोत्थितान् ॥ ४९ ॥
This is achieved by applying a paste made from the buds of jātī (Jasminum grandiflorum), kāsīsa (ferrous sulphate), manohvā / manohilā (realgar), āla (orpiment), pura (Commiphora mukul / guggulu), and agnika (Plumbago zeylanica). Furthermore, ulcers with elevated tissue (utsanna-māṃsān), hardness (kaṭhinān), associated with itching (kaṇḍū-yuktāṃś), and those that are chronic/long-standing (cirotthitān);
english translation
jAtImukulakAsIsamanohvAlapurAgnikaiH । utsannamAMsAn kaThinAn kaNDUyuktAMzcirotthitAn ॥ 49 ॥
hk transliteration by Sanscriptव्रणान् सुदुःखशोध्यांश्च शोधयेत्क्षारकर्मणा । स्रवन्तोऽश्मरीजा मूत्रं ये चान्ये रक्तवाहिनः ॥५०॥
and ulcers that are exceedingly difficult to purify or cleanse (vraṇān su-duḥkha-śodhyāṃś ca) should be cleansed and treated using Kṣāra karma (application of alkaline cautery) (śodhayet kṣāra-karmaṇā). Ulcers arising due to renal calculi/urinary stones (aśmarījāḥ) that exude urine (sravanto mūtraṃ), and other ulcers that bleed/exude blood (ye ca anye raktavāhinaḥ);
english translation
vraNAn suduHkhazodhyAMzca zodhayetkSArakarmaNA । sravanto'zmarIjA mUtraM ye cAnye raktavAhinaH ॥50॥
hk transliteration by Sanscript