Charak Samhita

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दाहशूलार्तिसङ्क्षोभस्वप्ननाशारतिज्वरैः| विदह्यमानं जानीयाद्गुल्मं तमुपनाहयेत् ||४१||

sanskrit

[Symptoms of suppurating (vidahamana) gulma] The gulma with symptoms of burning sensation, much pain, very much irritation and discomfort, loss of sleep and fever indicates that it is about to suppurate. In this condition upanaha (poultice) is indicated.

english translation

dAhazUlArtisaGkSobhasvapnanAzAratijvaraiH| vidahyamAnaM jAnIyAdgulmaM tamupanAhayet ||41||

hk transliteration by Sanscript

विदाहलक्षणे गुल्मे बहिस्तुङ्गे समुन्नते| श्यावे सरक्तपर्यन्ते संस्पर्शे बस्तिसन्निभे ||४२||

sanskrit

[Symptoms of suppurated gulma] If gulma protrudes pointing toward outside and skin over the lesion becomes stiff and numb and its color changes to dusky with red margins.

english translation

vidAhalakSaNe gulme bahistuGge samunnate| zyAve saraktaparyante saMsparze bastisannibhe ||42||

hk transliteration by Sanscript

निपीडितोन्नते स्तब्धे सुप्ते [४] तत्पार्श्वपीडनात्| तत्रैव पिण्डिते शूले सम्पक्वं गुल्ममादिशेत् ||४३||

sanskrit

On palpation, the lump resembles as bladder filled with water, pitting on pressure, but on pressing from side the mass becomes tense with mild pain, otherwise it feels compressed mass with acute pain; all these signs and symptoms indicate that the gulma has suppurated

english translation

nipIDitonnate stabdhe supte [4] tatpArzvapIDanAt| tatraiva piNDite zUle sampakvaM gulmamAdizet ||43||

hk transliteration by Sanscript

तत्र धान्वन्तरीयाणामधिकारः क्रियाविधौ| वैद्यानां कृतयोग्यानां व्यधशोधनरोपणे ||४४||

sanskrit

The suppurated gulma requires surgical intervention such as incision, cleansing and healing therefore it should be treated by a surgeon

english translation

tatra dhAnvantarIyANAmadhikAraH kriyAvidhau| vaidyAnAM kRtayogyAnAM vyadhazodhanaropaNe ||44||

hk transliteration by Sanscript

अन्तर्भागस्य चाप्येतत् पच्यमानस्य लक्षणम्| हृत्क्रोडशूनताऽन्तःस्थे [५] बहिःस्थे पार्श्वनिर्गतिः ||४५||

sanskrit

The above mentioned symptoms also occur in suppurating (pachyamana) internal gulma. Only difference is that in the internal gulma there is swelling in cardiac region of the abdomen while exterior gulma protrudes towards sides of abdomen

english translation

antarbhAgasya cApyetat pacyamAnasya lakSaNam| hRtkroDazUnatA'ntaHsthe [5] bahiHsthe pArzvanirgatiH ||45||

hk transliteration by Sanscript