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Astanga Hrudaya

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अलज्यां स्रुतरक्तायामयमेव क्रियाक्रमः । उत्तमाख्यां तु पिटिकां सञ्छिद्य बडिशोद्धृताम् ॥११॥

In Alaji, blood should be let out and then the same treatment adopted. The eruption of Uttama, should be pulled out holding it with the forceps

english translation

कल्कैश्चूर्णैः कषायाणां क्षौद्रयुक्तैरुपाचरेत् । क्रमः पित्तविसर्पोक्तः पुष्करव्यूढयोर्हितः ॥ १२ ॥

and then treated with application of paste and powder of herbs used for decoction added with honey. The treatment advocated for Pittaja Visarpa (chapter 18 of Chikitsasthana) is beneficial for Pushkarika and Samvyudha Pitika.

english translation

त्वक्पाके स्पर्शहान्यां च सेचयेद्मृदितं पुनः । बलातैलेन कोष्णेन मधुरैश्चोपनाहयेत् ॥ १३ ॥

In Tvakpaka and Sparshahani, the penis should be bathed and rubbed with warm Balataila (described in Verse no- 42-44a) and poultice with sweet herbs.

english translation

अष्ठीलिकां हृते रक्ते श्लेष्मग्रन्थिवदाचरेत् । निवृत्तं सर्पिषाऽभ्यज्य स्वेदयित्वोपनाहयेत् ॥१४॥

In Ashtilika, after bloodletting it should be treated like shleshma granthi. In Nivritta, the penis should be anointed with ghee, given fomentation and warm poultice

english translation

त्रिरात्रं पञ्चरात्रं वा सुस्निग्धैः शाल्वणादिभिः । स्वेदयित्वा ततो भूयः स्निग्धं चर्म समानयेत् ॥१५॥

of Salvana etc. after proper oleation for three days or five days, it is again given fomentation and the lubricated skin pulled forward slowly,

english translation