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Astanga Hrudaya

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अत्यर्थमस्रं स्रवति प्रायशोऽन्यत्र विक्षते । ततो रक्तक्षयाद्वायौ कुपितेऽतिरुजाकरे ॥ ११ ॥

In others (Avakrtta and Vicchinna), there is copious discharge of blood generally, by loss of blood Vata undergoes aggravation and causes severe pain.

english translation

स्नेहपानपरीषेकस्वेदलेपोपनाहनम् । स्नेहवस्तिं च कुर्वीत वातघ्नौषधसाधितम् ॥ १२ ॥

For this condition drinking of fats, washing the wound, fomentation, external application of paste, warm poultice and fat enema therapy prepared from the herbs which mitigate Vata should be administered.

english translation

इति साप्ताहिकः प्रोक्तः सद्योव्रणहितो विधिः । सप्ताहाद्गतवेगे तु पूर्वोक्तं विधिमाचरेत् ॥ १३ ॥

Thus, were described the methods of treatment for the first seven days beneficial to traumatic wounds; after seven days when the severity has subsided, the treatments described previously (in previous chapter) should be adopted.

english translation

प्रायः सामान्यकर्मेदं वक्ष्यते तु पृथक् पृथक् । घृष्टे रुजं निगृह्याशु व्रणे चूर्णानि योजयेत् ॥ १४ ॥

This is the general line of treatment; further on will be described treatment, special to each, separately. In Ghrista kind of ulcer, the pain should be controlled first and then the wound dusted with the powder (of herbs);

english translation

कल्कादीन्यवकृत्ते तु विच्छिन्नप्रविलम्बिनोः । सीवनं विधिनोक्तेन बन्धनं चानु पीडनम् ॥ १५ ॥

in Avakrtta, paste (of herbs) etc. should be applied. In Vicchina and Pravilambi suturing, bandaging and squeezing should be done one after the other, as per procedure described previously.

english translation