Astanga Hrudaya

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ग्रन्थिष्वामेषु कर्तव्या यथास्वं शोफवत्क्रिया । बृहतीचित्रकव्याघ्रीकणासिद्धेन सर्पिषा ॥ १ ॥

For Granthi (benign tumor) which is unripe, the treatment is like that of any Shopha (swelling). The patient requiring purificatory therapies, should be given oleation therapy first with ghee prepared with bṛhatī – Solanum indicum, citraka – Plumbago zeylanica, vyāghrī – Solanum xanthocarpum and kaṇā – Piper longum;

english translation

granthiSvAmeSu kartavyA yathAsvaM zophavatkriyA । bRhatIcitrakavyAghrIkaNAsiddhena sarpiSA ॥ 1 ॥

hk transliteration by Sanscript

स्नेहयेच्छुद्धिकामं च तीक्ष्णैः शुद्धस्य लेपनम् । संस्वेद्य बहुशो ग्रन्थिं विमृद्नीयात्पुनः पुनः ॥ २ ॥

after he gets purified, application of paste of herbs of penetrating action should be done (on the tumor); tumor should be given fomentation many times and squeezed (by the hands) again and again.

english translation

snehayecchuddhikAmaM ca tIkSNaiH zuddhasya lepanam । saMsvedya bahuzo granthiM vimRdnIyAtpunaH punaH ॥ 2 ॥

hk transliteration by Sanscript

एष वाते विशेषेण क्रमः पित्तास्रजे पुनः । जलौकसो हिमं सर्वं कफजे वातिको विधिः ॥ ३ ॥

This is the method of treatment especially for tumor of Vata origin; for those arising from Pitta and asrik (blood), application of leeches (to suck blood) and all cold therapies are beneficial; for Kapha origin, the treatment prescribed for that of Vata origin itself is suitable.

english translation

eSa vAte vizeSeNa kramaH pittAsraje punaH । jalaukaso himaM sarvaM kaphaje vAtiko vidhiH ॥ 3 ॥

hk transliteration by Sanscript

तथाऽप्यपक्वं छित्त्वैनं स्थिते रक्तेऽग्निना दहेत् । साध्वशेषं सशेषो हि पुनराप्यायते ध्रुवम् ॥ ४ ॥

That which has not become ripe, in spite of all should be cut (excised) and when bleeding stops it should be burnt by fire (thermal cautery), leaving no residue/remnant, because such a residue/ remnant is sure to develop again into a tumor.

english translation

tathA'pyapakvaM chittvainaM sthite rakte'gninA dahet । sAdhvazeSaM sazeSo hi punarApyAyate dhruvam ॥ 4 ॥

hk transliteration by Sanscript

मांसव्रणोद्भवौ ग्रन्थी यापयेदेवमेव च । कार्यं मेदोभवेऽप्येतत्तप्तैः फलादिभिश्च तम् ॥ ५ ॥

Both Mamsa Granthi (tumor of muscle tissue) and Vrana Granthi (tumor sequel to an ulcer) should also be treated in the same (above) way. Even in Medoja Granthi (tumor of fat tissue), the same treatment should be done.

english translation

mAMsavraNodbhavau granthI yApayedevameva ca । kAryaM medobhave'pyetattaptaiH phalAdibhizca tam ॥ 5 ॥

hk transliteration by Sanscript