Sushruta Samhita

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अथ रोगान्वितमुपस्निग्धमपकृष्टदोषमीषत्कर्शितमभ्यक्तस्विन्नशरीरं भुक्तवन्तं कृतबलिमङ्गलस्वस्तिवाचनमग्रोपहरणीयोक्तेन विधानेनोपकल्पितसम्भारमाश्वास्य, ततो बलवन्तमविक्लवमाजानुसमे फलके प्रागुपविष्टान्यपुरुषस्योत्सङ्गे निषण्णपूर्वकायमुत्तानमुन्नतकटीकं वस्त्राधारकोपविष्टं सङ्कुचितजानुकूर्परमितरेण सहावबद्धं सूत्रेण शाटकैर्वा, ततः स्वभ्यक्तनाभिप्रदेशस्य वामपार्श्वं विमृद्य मुष्टिनाऽवपीडयेदधोनाभेर्यावदश्मर्यधः प्रपन्नेति, ततः स्नेहाभ्यक्ते क्लृप्तनखे वामहस्तप्रदेशिनीमध्यमे अङ्गुल्यौ पायौ प्रणिधायानुसेवनीमासाद्य प्रयत्नबलाभ्यां पायुमेढ्रान्तरमानीय, निर्व्यलीकमनायतमविषमं च बस्तिं सन्निवेश्य, भृशमुत्पीडयेदङ्गुलिभ्यां यथा ग्रन्थिरिवोन्नतं शल्यं भवति ||३०||

sanskrit

Now, comforting the patient afflicted with disease, who has been weakened by the consumption of food, drained of doshas, and whose body is slightly emaciated, and who has a perspiring body, one should assure them by providing a well-prepared offering with a prayer for auspiciousness. After that, with strength and assurance, the patient should be seated firmly on a mat, with their body upright, knees bent, and clothing properly arranged. The limbs should be firmly bound with a thread or cloth. Then, with a firm grip, the physician should press the left side of the abdomen, below the navel, with their fist, while the patient is bending forward, until they feel the sensation of stones in the abdomen. Next, applying gentle pressure to the middle of the left foot with the left hand, one should take hold of the foot and pull it gradually, while applying steady force to the lower abdomen until it is filled and firm, as if creating a knot.

english translation

hindi translation

atha rogAnvitamupasnigdhamapakRSTadoSamISatkarzitamabhyaktasvinnazarIraM bhuktavantaM kRtabalimaGgalasvastivAcanamagropaharaNIyoktena vidhAnenopakalpitasambhAramAzvAsya, tato balavantamaviklavamAjAnusame phalake prAgupaviSTAnyapuruSasyotsaGge niSaNNapUrvakAyamuttAnamunnatakaTIkaM vastrAdhArakopaviSTaM saGkucitajAnukUrparamitareNa sahAvabaddhaM sUtreNa zATakairvA, tataH svabhyaktanAbhipradezasya vAmapArzvaM vimRdya muSTinA'vapIDayedadhonAbheryAvadazmaryadhaH prapanneti, tataH snehAbhyakte klRptanakhe vAmahastapradezinImadhyame aGgulyau pAyau praNidhAyAnusevanImAsAdya prayatnabalAbhyAM pAyumeDhrAntaramAnIya, nirvyalIkamanAyatamaviSamaM ca bastiM sannivezya, bhRzamutpIDayedaGgulibhyAM yathA granthirivonnataM zalyaM bhavati ||30||

hk transliteration