Astanga Hrudaya

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मणिं प्रपीड्य शनकैः प्रविष्टे चोपनाहनम् । मणौ पुनः पुनः स्निग्धं भोजनं चात्र शस्यते ॥१६॥

pressing the glans and gradually pushing it back, the glans should be given warmth with poultice again and again; fatty foods are ideal during treatment

english translation

maNiM prapIDya zanakaiH praviSTe copanAhanam । maNau punaH punaH snigdhaM bhojanaM cAtra zasyate ॥16॥

hk transliteration by Sanscript

अयमेव प्रयोज्यः स्यादवपाट्यामपि क्रमः । नाडीमुभयतोद्वारां निरुद्धे जतुना सृताम् ॥ १७ ॥

The same treatment should be adopted even for Avapatika. In Niruddha, a tube which has openings at both ends,

english translation

ayameva prayojyaH syAdavapATyAmapi kramaH । nADImubhayatodvArAM niruddhe jatunA sRtAm ॥ 17 ॥

hk transliteration by Sanscript

स्नेहाक्तां स्रोतसि न्यस्य सिञ्चेत्स्नेहैश्चलापहैः । त्र्यहात्त्र्यहात्स्थूलतरां न्यस्य नाडीं विवर्धयेत् ॥ १८ ॥

smeared with lac and lubricated with fat is inserted into the urethra and bathed with oil which mitigate Vata. Every three days, big sized tubes should be inserted and dilated.

english translation

snehAktAM srotasi nyasya siJcetsnehaizcalApahaiH । tryahAttryahAtsthUlatarAM nyasya nADIM vivardhayet ॥ 18 ॥

hk transliteration by Sanscript

स्रोतोद्वारमसिद्धौ तु विद्वान् शस्त्रेण पाटयेत् । सेवनीं वर्जयन् युञ्ज्यात्सद्यःक्षतविधिं ततः ॥ १९ ॥

If by this method the passage does not get formed (dilated), then the physician should make the opening with the knife, avoiding the site of the Sevani (raphae) and then adopt the treatment of fresh wounds.

english translation

srotodvAramasiddhau tu vidvAn zastreNa pATayet । sevanIM varjayan yuJjyAtsadyaHkSatavidhiM tataH ॥ 19 ॥

hk transliteration by Sanscript

ग्रन्थितं स्वेदितं नाड्या स्निग्धोष्णैरुपनाहयेत् । लिम्पेत्कषायैः सक्षौद्रैर्लिखित्वा शतपोनकम् ॥ २० ॥

Granthita should be exposed to steam through pipes and unctuous warm poultice applied over. Shataponaka should be scrapped well and powder of herbs of astringent taste added with honey applied on.

english translation

granthitaM sveditaM nADyA snigdhoSNairupanAhayet । limpetkaSAyaiH sakSaudrairlikhitvA zataponakam ॥ 20 ॥

hk transliteration by Sanscript