Charak Samhita

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बाह्यायां तु वलौ जातान्येकदोषोल्बणानि च| अर्शांसि सुखसाध्यानि न चिरोत्पाततानि च||३१||

sanskrit

If the hemorrhoids are located in the external anal sphincter with vitiation of one dosha, and are not chronic then patient is said to be curable.

english translation

bAhyAyAM tu valau jAtAnyekadoSolbaNAni ca| arzAMsi sukhasAdhyAni na cirotpAtatAni ca||31||

hk transliteration

तेषां प्रशमने यत्नमाशु कुर्याद्विचक्षणः| तान्याशु हि गुदं बद्ध्वा कुर्युर्बद्धगुदोदरम्||३२||

sanskrit

A wise physician/surgeon should treat the patient early otherwise the enlarged hemorrhoids can obstruct the anal canal and lead to baddha-gudodara (obstruction in the passage of the ano-rectum).

english translation

teSAM prazamane yatnamAzu kuryAdvicakSaNaH| tAnyAzu hi gudaM baddhvA kuryurbaddhagudodaram||32||

hk transliteration

तत्राहुरेके शस्त्रेण कर्तनं हितमर्शसाम्| दाहं क्षारेण चाप्येके, दाहमेके तथाऽग्निना||३३||

sanskrit

[Treatment of hemorrhoids] In the management of arsha,some physicians/surgeons advise excision of the hemorrhoids by sharp instruments, while others recommend cauterization with ksharakarma (alkalies) and agnikarma (thermal cauterization).

english translation

tatrAhureke zastreNa kartanaM hitamarzasAm| dAhaM kSAreNa cApyeke, dAhameke tathA'gninA||33||

hk transliteration

अस्त्येतद्भूरितन्त्रेण धीमता दृष्टकर्मणा| क्रियते त्रिविधं कर्म भ्रंशस्तत्र सुदारुणः||३४||

sanskrit

These procedures should be administered only by a physician/surgeon who is well trained in the field.

english translation

astyetadbhUritantreNa dhImatA dRSTakarmaNA| kriyate trividhaM karma bhraMzastatra sudAruNaH||34||

hk transliteration

पुंस्त्वोपघातः श्वयथुर्गुदे वेगविनिग्रहः| आध्मानं दारुणं शूलं व्यथा रक्तातिवर्तनम्||३५||

sanskrit

Any mistake during these (surgical or para-surgical) procedures could result in serious consequences and complications, such as impotency, ano-rectal swelling, obstruction in defecation, abdominal distension, excruciating pain, excessive bleeding

english translation

puMstvopaghAtaH zvayathurgude vegavinigrahaH| AdhmAnaM dAruNaM zUlaM vyathA raktAtivartanam||35||

hk transliteration