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Astanga Hrudaya

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भवन्त्येतानि रूपाणि सम्प्राप्ते जीवितक्षये । न नस्यैश्चेतना तीक्ष्णैर्न क्षतात्क्षतजागमः ॥ ३६ ॥

are the symptoms just before death in persons who have consumed poison by mouth, bitten by snakes or injured by poisoned arrow. He who does not regain consciousness by strong nasal medication,

english translation

दण्डाहतस्य नो राजी प्रयातस्य यमान्तिकम् । अतोऽन्यथा तु त्वरया प्रदीप्तागारवद्भिषक् ॥ ३७ ॥

who does not bleed from the wound (specially made) and who does not develop linear marks when hit by the baton are all going near the lord of death. The remaining kinds of persons should be treated expeditiously by the physician, just as saving a house on fire (which is burning),

english translation

रक्षन् कण्ठगतान् प्राणान् विषमाशु शमं नयेत् । मात्राशतं विषं स्थित्वा दंशे दष्टस्य देहिनः ॥ ३८ ॥

protecting the life reaching the throat, quickly the poison should be mitigated by all efforts. The poison remains for a period of one hundred matra (~100 seconds) at the site of the bite in the body of the person bitten by the snake and then spreads throughout the body vitiating the blood etc. tissues.

english translation

देहं प्रक्रमते धातून् रुधिरादीन् प्रदूषयन् । एतस्मिन्नन्तरे कर्म दंशस्योत्कर्तनादिकम् ॥ ३९ ॥

Within this period itself, karma utkartana ādikam – incising and other treatments should be done at the site of the bite

english translation

कुर्याच्छीघ्रं यथा देहे विषवल्ली न रोहति । दष्टमात्रो दशेदाशु तमेव पवनाशिनम् ॥ ४० ॥

quickly so that creeper of poison does not grow in the body. The person bitten should immediately bite the same snake or a stone or ball of mud by his teeth,

english translation