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प्रलेपः स्यादलं कोष्णं वासन्तकवसायुतम्। शूलश्वयथुहृद्युक्तं चुलूकीवसयाऽथवा॥५६॥
7. The luke¬warm paste prepared of hartala mixed with the fat of camel should be applied. It cures pain and edema in the hemorrhoids mass
english translation
आर्कं पयः सुधाकाण्डं कटुकालाबुपल्लवाः। करञ्जो बस्तमूत्रं च लेपनं श्रेष्ठमर्शसाम्॥५७॥
8. The paste of the latex of arka (Calotropis procera Ait.), stem of snuhi (Euphorbia nerifolia), leaf of bitter variety of alabu (bottle guard), karanja (Pongamia pinnata) and urine of goat is excellent in treatment of hemorrhoids.
english translation
अभ्यङ्गाद्याः प्रदेहान्ता य एते परिकीर्तिताः। स्तम्भ श्वयथु कण्ड्वर्ति शमनास्तेऽर्शसां मताः॥५८॥
All above mentioned recipes started with abhyanga (recipes for smearing) and ending with pradeha (local application of ointment) are useful in management of hemorrhoids associated with stiffness, edema, itching and pain.
english translation
प्रदेहान्तैरुपक्रान्तान्यर्शांसि प्रस्रवन्ति हि। सञ्चितं दुष्टरुधिरं ततः सम्पद्यते सुखी॥५९॥
The vitiated blood which is accumulated in the hemorrhoids mass, oozes out by local application of the above mentioned recipes and ointments which ultimately give relief to the patients of hemorrhoids.
english translation
शीतोष्णा स्निग्ध रूक्षैर्हि न व्याधि रुपशाम्यति। रक्ते दुष्टे भिषक् तस्माद्रक्तमेवावसेचयेत्॥६०॥
[Raktamokshana (bloodletting)] If the disease is not relieved by the application of cold, hot, unctuous and ununctuous types of treatment then such disease is likely to be caused by vitiation of rakta (blood). In such condition raktamokshana (bloodletting) procedure should be administered.
english translation