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क्रिम्यस्थिसूक्ष्मक्षणनव्यवायप्रवाहणान्युत्कटकाश्वपृष्ठैः । गुदस्य पार्श्वे पिडका भृशार्तिः पक्वप्रभिन्ना तु भगन्दरः स्यात् ॥९६॥
[Bhagandara (fistula-in-ano) and its management] On the lateral side of anus, a very painful pustule (pidika) occurs which suppurates and opens up; it is known as bhagandara (fistula-in-ano). It is caused by infection (krimi), injury with pointed object like bone leading to minute erosion, excessive sex, straining at defecation and friction due to sitting on hard seat of a horse or moving object.
english translation
विरेचनं चैषणपाटनं च विशुद्धमार्गस्य च तैलदाहः। स्यात् क्षारसूत्रेण सुपाचितेन छिन्नस्य चास्य व्रणवच्चिकित्सा ॥९७॥
Its treatment is virechana, probing, cutting and after cleansing cauterization with hot oil. If surgery is contraindicated then kshara-sutra should be applied and during and after cutting the track, routine line of management of ulcer is adopted
english translation
जङ्घासु पिण्डीप्रपदोपरिष्टात् [३५] स्याच्छ्लीपदं मांसकफास्रदोषात्। सिराकफघ्नश्च विधिः समग्रस्तत्रेष्यते सर्षपलेपनं च ॥९८॥
[Shlipada (elephantiasis) and its management] The provoked kapha and rakta by involving flesh causes edema which begins from the upper part of the foot and spreads up to calf-muscle or shank; it is known as shlipada (elephantiasis). Its treatment is vene-section and local application of paste of mustard-seed as well as all other anti-kapha treatment
english translation
मन्दास्तु पित्तप्रबलाः प्रदुष्टा दोषाः सुतीव्रं तनुरक्तपाकम्। कुर्वन्ति शोथं ज्वरतर्षयुक्तं विसर्पणं जालकगर्दभाख्यम् ॥९९॥
[Jalakagardabha and its management] Mildly provoked dosha with dominance of pitta causes very acute inflammation which slightly bleeds and suppurates, has a tendency of quick spreading and is accompanied by fever and thirst is known as jalakagardabha.
english translation
विलङ्घनं रक्तविमोक्षणं च विरूक्षणं कायविशोधनं च। धात्रीप्रयोगाञ् शिशिरान् प्रदेहान् कुर्यात् सदा जालकगर्दभस्य ॥१००॥
Its treatment is langhana (lightening therapy), blood-letting, un-unctuous therapy, virechana, use of amalaki and application of paste of drugs having cold potency
english translation