Sushruta Samhita

Progress:22.1%

तत्र भगन्दरपिडकोपद्रुतमातुरमपतर्पणादिविरेचनान्तेनैकादशविधेनोपक्रमेणोपक्रमेतापक्वपिडकं, पक्वेषु चोपस्निग्धमवगाहस्विन्नं शय्यायां सन्निवेश्यार्शसमिव यन्त्रयित्वा, भगन्दरं समीक्ष्य पराचीनमवाचीनं वा, ततः प्रणिधायैषणीमुन्नम्य साशयमुद्धरेच्छस्त्रेण; अन्तर्मुखे चैवं सम्यग्यन्त्रं प्रणिधाय प्रवाहमाणस्य भगन्दरमुखमासाद्यैषणीं दत्त्वा शस्त्रं पातयेत्; आसाद्य वाऽग्निं क्षारं चेति; एतत् सामान्यं सर्वेषु ||४||

sanskrit

The general treatment involves the use of eleven kinds of remedial measures, starting with Apatarpana and including purgatives. When a fistulous ulcer is still in the insuppurated stage, the patient should be prepared by placing him on a bed, applying medicated oil, and immersing him in warm water, similar to the treatment for hemorrhoids. After carefully examining the Bhagandara, whether ancient or modern, the surgeon should raise the Eshani (indicator) to identify the fistula's opening, and then use a surgical instrument to make an incision. In cases where the mouth of the fistula is directed inward, the instrument should be properly placed to address the flow of pus. The surgery may involve cauterization with fire or an alkali; this is a general approach applicable to all types of this condition.

english translation

hindi translation

tatra bhagandarapiDakopadrutamAturamapatarpaNAdivirecanAntenaikAdazavidhenopakrameNopakrametApakvapiDakaM, pakveSu copasnigdhamavagAhasvinnaM zayyAyAM sannivezyArzasamiva yantrayitvA, bhagandaraM samIkSya parAcInamavAcInaM vA, tataH praNidhAyaiSaNImunnamya sAzayamuddharecchastreNa; antarmukhe caivaM samyagyantraM praNidhAya pravAhamANasya bhagandaramukhamAsAdyaiSaNIM dattvA zastraM pAtayet; AsAdya vA'gniM kSAraM ceti; etat sAmAnyaM sarveSu ||4||

hk transliteration