Charak Samhita

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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

krimyasthisUkSmakSaNanavyavAyapravAhaNAnyutkaTakAzvapRSThaiH । gudasya pArzve piDakA bhRzArtiH pakvaprabhinnA tu bhagandaraH syAt ॥96॥

hk transliteration by Sanscript

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

virecanaM caiSaNapATanaM ca vizuddhamArgasya ca tailadAhaH। syAt kSArasUtreNa supAcitena chinnasya cAsya vraNavaccikitsA ॥97॥

hk transliteration by Sanscript

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

jaGghAsu piNDIprapadopariSTAt [35] syAcchlIpadaM mAMsakaphAsradoSAt। sirAkaphaghnazca vidhiH samagrastatreSyate sarSapalepanaM ca ॥98॥

hk transliteration by Sanscript

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

mandAstu pittaprabalAH praduSTA doSAH sutIvraM tanuraktapAkam। kurvanti zothaM jvaratarSayuktaM visarpaNaM jAlakagardabhAkhyam ॥99॥

hk transliteration by Sanscript

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

vilaGghanaM raktavimokSaNaM ca virUkSaNaM kAyavizodhanaM ca। dhAtrIprayogAJ zizirAn pradehAn kuryAt sadA jAlakagardabhasya ॥100॥

hk transliteration by Sanscript