Sushruta Samhita

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तत्र वातानुलोम्यमन्नरुचिरग्निदीप्तिर्लाघवं बलवर्णोत्पत्तिर्मनस्तुष्टिरिति सम्यग्दग्धलिङ्गानि, अतिदग्धे तु गुदावदरणं दाहो मूर्च्छा ज्वरः पिपासा शोणितातिप्रवृत्तिस्तन्निमित्ताश्चोपद्रवा भवन्ति, ध्यामाल्पव्रणता कण्डूरनिलवैगुण्यमिन्द्रियाणामप्रसादो विकारस्य चाशान्तिर्हीनदग्धे ||६||

sanskrit

There, the signs of proper digestion include the regularity of appetite, the warmth of digestion, lightness in the body, the emergence of strength and color, and a sense of mental satisfaction. In cases of excessive burning, there may be swelling of the anus, burning sensation, fainting, fever, thirst, and excessive bleeding, leading to various complications. The presence of minor wounds, irritation, and the dysfunction of the senses, along with a lack of satisfaction, indicate an imbalance and restlessness in the body of someone severely burned.

english translation

hindi translation

tatra vAtAnulomyamannaruciragnidIptirlAghavaM balavarNotpattirmanastuSTiriti samyagdagdhaliGgAni, atidagdhe tu gudAvadaraNaM dAho mUrcchA jvaraH pipAsA zoNitAtipravRttistannimittAzcopadravA bhavanti, dhyAmAlpavraNatA kaNDUranilavaiguNyamindriyANAmaprasAdo vikArasya cAzAntirhInadagdhe ||6||

hk transliteration

महान्ति च प्राणवतश्छित्त्वा दहेत्, निर्गतानि चात्यर्थं दोषपूर्णानि यन्त्राद्विना स्वेदाभ्यङ्गस्नेहावगाहोपनाहविस्रावणालेपक्षाराग्निशस्त्रैरुपाचरेत्; प्रवृत्तरक्तानि च रक्तपित्तविधानेन, भिन्नपुरीषाणिचातीसारविधानेन, बद्धवर्चांसि स्नेहपानविधानेनोदावर्तविधानेन वा; एष सर्वस्थानगतानामर्शसां दहनकल्पः ||७||

sanskrit

Those who are severely affected by the doshas, and who are burning excessively, should be treated with methods that involve sweating, massage, oil application, and the use of instruments. If they exhibit blood-related issues, it should be addressed with treatments for blood disorders. For those with severe diarrhea, treatment should involve methods for rectifying excreta. For those with binding problems, oil intake and remedies for constipation should be prescribed. This is the procedure for burning treatment applicable in all cases of hemorrhoids.

english translation

hindi translation

mahAnti ca prANavatazchittvA dahet, nirgatAni cAtyarthaM doSapUrNAni yantrAdvinA svedAbhyaGgasnehAvagAhopanAhavisrAvaNAlepakSArAgnizastrairupAcaret; pravRttaraktAni ca raktapittavidhAnena, bhinnapurISANicAtIsAravidhAnena, baddhavarcAMsi snehapAnavidhAnenodAvartavidhAnena vA; eSa sarvasthAnagatAnAmarzasAM dahanakalpaH ||7||

hk transliteration

आसाद्य च दर्वीकूर्चकशलाकानामन्यतमेन क्षारं पातयेत् | भ्रष्टगुदस्य तु विना यन्त्रेण क्षारादिकर्म प्रयुञ्जीत | सर्वेषु च शालिषष्टिकयवगोधूमान्नं सर्पिःस्निग्धमुपसेवेत पयसा निम्बयूषेण पटोलयूषेण वा, यथादोषं शाकैर्वास्तूकतण्डुलीयकजीवन्त्युपोदिकाश्वबलाबालमूलकपालङ्क्यसनचिल्लीचुच्चूकलायवल्लीभिरन्यैर्वा | यच्चान्यदपि स्निग्धमग्निदीपनमर्शोघ्नं सृष्टमूत्रपुरीषं च तदुपसेवेत ||८||

sanskrit

Using any of the varieties of Dervi-Kurcha, one should apply alkaline substances. In cases of prolapsed rectum, without using any instruments, alkaline treatments should be employed. In all situations, one should consume wholesome food such as rice, barley, and wheat, along with clarified butter, and use decoctions of nimba, patola, and similar herbs, depending on the dosha. They may include various vegetables like vāstu, kathal, ashvabala, and others. Additionally, any other nourishing, digestive, and hemorrhoid-reducing food that is rich in excreta and urine should also be consumed.

english translation

hindi translation

AsAdya ca darvIkUrcakazalAkAnAmanyatamena kSAraM pAtayet | bhraSTagudasya tu vinA yantreNa kSArAdikarma prayuJjIta | sarveSu ca zAliSaSTikayavagodhUmAnnaM sarpiHsnigdhamupaseveta payasA nimbayUSeNa paTolayUSeNa vA, yathAdoSaM zAkairvAstUkataNDulIyakajIvantyupodikAzvabalAbAlamUlakapAlaGkyasanacillIcuccUkalAyavallIbhiranyairvA | yaccAnyadapi snigdhamagnidIpanamarzoghnaM sRSTamUtrapurISaM ca tadupaseveta ||8||

hk transliteration

दग्धेषु चार्शःस्वभ्यक्तोऽनलसन्धुक्षणार्थमनिलप्रकोपसंरक्षणार्थं च स्नेहादीनां सामान्यतः क्रियापथमुपसेवेत | विशेषतस्तु वातार्शःसु सर्पींषि च वातहरदीपनीयसिद्धानि हिङ्ग्वादिभिश्चूर्णैः प्रतिसंसृज्य पिबेत्, पित्तार्शःसु पृथक्पर्ण्यादीनां कषायेण दीपनीयप्रतीवापं सर्पिः , शोणितार्शःसु मञ्जिष्ठामुरुङ्ग्यादीनां कषाये पाचयेत्, श्लेष्मार्शःसु सुरसादीनां कषाये | उपद्रवांश्च यथास्वमुपाचरेत् ||९||

sanskrit

For patients suffering from burns, one should generally adopt methods involving unctuous substances for the purpose of alleviating pain, protecting against the aggravation of Vata, and maintaining the balance of the doshas. Specifically, for Vata-related hemorrhoids, one should prepare and drink ghee that is fortified with ingredients like hing (asafoetida) and others, which are known to alleviate Vata. For Pitta-related hemorrhoids, one should use decoctions of specific herbs such as pomegranate leaves for their heating properties, and for blood-related hemorrhoids, one should prepare decoctions of herbs like manjistha and others. For Kapha-related hemorrhoids, decoctions of herbs like surasa should be used. In cases of complications, one should treat them accordingly.

english translation

hindi translation

dagdheSu cArzaHsvabhyakto'nalasandhukSaNArthamanilaprakopasaMrakSaNArthaM ca snehAdInAM sAmAnyataH kriyApathamupaseveta | vizeSatastu vAtArzaHsu sarpIMSi ca vAtaharadIpanIyasiddhAni hiGgvAdibhizcUrNaiH pratisaMsRjya pibet, pittArzaHsu pRthakparNyAdInAM kaSAyeNa dIpanIyapratIvApaM sarpiH , zoNitArzaHsu maJjiSThAmuruGgyAdInAM kaSAye pAcayet, zleSmArzaHsu surasAdInAM kaSAye | upadravAMzca yathAsvamupAcaret ||9||

hk transliteration

परं च यत्नमास्थाय गुदे क्षाराग्निशस्त्राण्यवचारयेत्, तद्विभ्रमाद्धि षाण्ढ्यशोफदाहमदमूर्च्छाटोपानाहातीसारप्रवाहणानि भवन्ति मरणं वा ||१०||

sanskrit

Moreover, one should carefully consider the use of caustic agents, fire, and surgical instruments in the rectum, for neglecting this may lead to serious complications such as excessive pain, swelling, burning sensation, loss of consciousness, paralysis, diarrhea, and potentially death.

english translation

hindi translation

paraM ca yatnamAsthAya gude kSArAgnizastrANyavacArayet, tadvibhramAddhi SANDhyazophadAhamadamUrcchATopAnAhAtIsArapravAhaNAni bhavanti maraNaM vA ||10||

hk transliteration