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विपाट्यान्त्रं ततः पश्चाद्वीक्ष्य बद्धक्षतान्त्रयोः। सर्पिषाऽभ्यज्य केशादीनवमृज्य विमोक्षयेत् ॥१८६॥
Ghee is applied on the affected loop of the intestines. Then the foreign substances like hair and others are then removed from the intestinal loop. Any torsion or intussusception of the loops of intestines if present is opened.
english translation
मूर्च्छनाद्यच्च सम्मूढमन्त्रं तच्च विमोक्षयेत्। छिद्राण्यन्त्रस्य तु स्थूलैर्दंशयित्वा पिपीलिकैः ॥१८७॥
By the surgical procedure if large rend happens in the intestines then edges of rend is anchored by making the small ants to bite and hold the edges together.
english translation
बहुशः सङ्गृहीतानि ज्ञात्वा च्छित्वा पिपीलिकान्। प्रतियोगैः [२] प्रवेश्यान्त्रं प्रेयैः [३] सीव्येद्व्रणं ततः ॥१८८॥
Once the ants properly anchor the opposing edges of rend, the body of the ants is separated and thrown. Intestinal loops are then properly inserted into the abdomen and the incised area is sutured. Then wound management is done
english translation
तथा जातोदकं सर्वमुदरं व्यधयेद्भिषक्। वामपार्श्वे त्वधो नाभेर्नाडीं दत्त्वा च गालयेत् ॥१८९॥
[Surgical Intervention in jalodara] In all conditions of udara with accumulation of fluid, the fluid should be aspirated by inserting a cannula into the abdomen just below the umbilicus on the left side. While aspirating, compress the abdomen and after the aspiration the abdomen is tightly wrapped with a cloth.
english translation
विस्राव्य च विमृद्यैतद्वेष्टयेद्वाससोदरम्। तथा बस्तिविरेकाद्यैर्म्लानं सर्वं च वेष्टयेत् ॥१९०॥
This wrapping should also be done in cases where reduction of the abdomen is achieved by other methods like niruha basti (decoction enema) and virechana (therapeutic purgation).
english translation