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बाह्यायां तु वलौ जातान्येकदोषोल्बणानि च। अर्शांसि सुखसाध्यानि न चिरोत्पाततानि च॥३१॥
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
तेषां प्रशमने यत्नमाशु कुर्याद्विचक्षणः। तान्याशु हि गुदं बद्ध्वा कुर्युर्बद्धगुदोदरम्॥३२॥
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
तत्राहुरेके शस्त्रेण कर्तनं हितमर्शसाम्। दाहं क्षारेण चाप्येके, दाहमेके तथाऽग्निना॥३३॥
[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
अस्त्येतद्भूरितन्त्रेण धीमता दृष्टकर्मणा। क्रियते त्रिविधं कर्म भ्रंशस्तत्र सुदारुणः॥३४॥
These procedures should be administered only by a physician/surgeon who is well trained in the field.
english translation
पुंस्त्वोपघातः श्वयथुर्गुदे वेगविनिग्रहः। आध्मानं दारुणं शूलं व्यथा रक्तातिवर्तनम्॥३५॥
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