Astanga Hrudaya
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प्रमृद्यात्तिलदिग्धेन छन्नं द्विगुणवाससा । शस्त्रेण पाटयित्वा वा दहेन्मेदसि सूद्धृते ॥ ६ ॥
It should be given a coating of the paste of tila – Sesamum indicum, channaṃ – covered with two layers of cloth and then touched with heated metal plates etc.; or it be cut (excised) completely using an instrument (knife), fat removed completely and burnt by fire (thermal cautery).
english translation
pramRdyAttiladigdhena channaM dviguNavAsasA । zastreNa pATayitvA vA dahenmedasi sUddhRte ॥ 6 ॥
hk transliteration by Sanscriptसिराग्रन्थौ नवे पेयं तैलं साहचरं तथा । उपनाहोऽनिलहरैर्बस्तिकर्म सिराव्यधः ॥ ७ ॥
In Siragranthi (tumor of veins), which is new, Sahachara Taila should be given to drink; warm poultice with herbs which mitigate Vata; enema therapy and venesection should be done.
english translation
sirAgranthau nave peyaM tailaM sAhacaraM tathA । upanAho'nilaharairbastikarma sirAvyadhaH ॥ 7 ॥
hk transliteration by Sanscriptअर्बुदे ग्रन्थिवत् कुर्यात् यथास्वं सुतरां हितम्। -----------------------------------------------------।८। । अजाशकृच्छिग्रूमूललाक्षासुरस(लवणक्षार)-काञ्जिकैः। वस्त्रबद्धैरुपस्वेद्य मर्दयित्वा प्रलेपयेत्॥१॥ उपोदकापत्रपिण्ड्या छदैराच्छादितं घनम्। निवेश्य पट्टं बध्नीयाच्छाम्यत्येवं नवार्बुदम्॥२॥ जीर्णे चार्कच्छदसुधासामुद्रगुडकाञ्जिकैः। प्रच्छाने पिण्डिका बद्धा ग्रन्थ्यर्बुदविलायनी]॥३॥ श्लीपदेऽनिलजे विध्येत् स्निग्धस्विन्नोपनाहिते॥८॥
For malignant tumors, also, the same treatment advocated for benign tumors are beneficial. Excreta of goat, root of Moringa oleifera, lākṣā – Laccifer lacca, surasa – Ocimum sanctum, kāñjikaiḥ – sour gruel should be tied in cloth and given with fomentation, rubbed and applied over the tumor and covered with thick bolus of leaves of upodakāb – Basella rubra and then bandaged with a cloth. By this, Arbuda of recent onset subsides after it ripens, arkacchada – Calotropis gigantea, sudhā – Euphorbia neriifolia, sea salt, jaggery and sour gruel; letting out the blood by making incisions on the skin, after tying at the calves for the sake of dissolving of tumors. In Shlipada caused by Vata, after administering oleation (anointing), sudation (fomentation) and poultice,
english translation
arbude granthivat kuryAt yathAsvaM sutarAM hitam। -----------------------------------------------------।8। । ajAzakRcchigrUmUlalAkSAsurasa(lavaNakSAra)-kAJjikaiH। vastrabaddhairupasvedya mardayitvA pralepayet॥1॥ upodakApatrapiNDyA chadairAcchAditaM ghanam। nivezya paTTaM badhnIyAcchAmyatyevaM navArbudam॥2॥ jIrNe cArkacchadasudhAsAmudraguDakAJjikaiH। pracchAne piNDikA baddhA granthyarbudavilAyanI]॥3॥ zlIpade'nilaje vidhyet snigdhasvinnopanAhite॥8॥
hk transliteration by Sanscriptसिरामुपरि गुल्फस्य द्व्यङ्गुले पाययेच्च तम् । मासमेरण्डजं तैलं गोमूत्रेण समन्वितम् ॥ ९ ॥
the vein situated at 2 finger breadth length above the heel should be cut (and blood let out); the patient should be asked to drink castor oil along with cow urine for one month,
english translation
sirAmupari gulphasya dvyaGgule pAyayecca tam । mAsameraNDajaM tailaM gomUtreNa samanvitam ॥ 9 ॥
hk transliteration by Sanscriptजीर्णे जीर्णान्नमश्नीयाच्छुण्ठीशृतपयोऽन्वितम् । त्रैवृतं वा पिबेदेवमशान्तावग्निना दहेत् ॥ १० ॥
after it is well digested, he should eat old rice boiled well along with decoction of śuṇṭhī – Zingiber officinale and milk or drink with milk the decoction of trivrit – Operculina turpethum. If by these methods the disease does not subside, then it should be burnt by fire (thermal cautery).
english translation
jIrNe jIrNAnnamaznIyAcchuNThIzRtapayo'nvitam । traivRtaM vA pibedevamazAntAvagninA dahet ॥ 10 ॥
hk transliteration by Sanscript