Sushruta Samhita

siva.sh/sushruta-samhita/sutra-sthana/23/11

प्राप्ता क्रियां धारयति याप्यव्याधितमातुरम् | प्रपतिष्यदिवागारं विष्कम्भः साधुयोजितः ||११||

sanskrit

An ulcer that is to be managed (Yapya) should be treated with appropriate measures. If the patient adheres to the prescribed treatment, the ulcer will respond positively. However, if the treatment is not followed correctly or is interrupted, the ulcer will deteriorate, similar to how a building collapses if its support is removed.

english translation

hindi translation

prAptA kriyAM dhArayati yApyavyAdhitamAturam | prapatiSyadivAgAraM viSkambhaH sAdhuyojitaH ||11||

hk transliteration

siva.sh/sushruta-samhita/sutra-sthana/23/12

अत ऊर्ध्वमसाध्यान् वक्ष्यामः- मांसपिण्डवदुद्गताः प्रसेकिनोऽन्तःपूयवेदनावन्तोऽश्वापानवदुद्वृत्तौष्ठाः , केचित् कठिना गोशृङ्गवदुद्गतमृदुमांसप्ररोहाः, अपरे दुष्टरुधिरास्राविणस्तनुशीतपिच्छिलास्राविणो वा मध्योन्नताः, केचिदवसन्नशुषिरपर्यन्ताः शणतूलवत् स्नायुजालवन्तो दुर्दर्शनाः, वसामेदोमज्जमस्तुलुङ्गस्राविणश्च दोषसमुत्थाः, पीतासितमूत्रपुरीषवातवाहिनश्च कोष्ठस्थाः, त एवोभयतोभागव्रणमुखेषु पूयरक्तनिर्वाहिणः, (क्षीणमांसानां च ) सर्वतोगतयश्चाणुमुखा मांसबुद्बुदवन्तः, सशब्दवातवाहिनश्च शिरःकण्ठस्थाः, क्षीणमांसानां च पूयरक्तनिर्वाहिणोऽरोचकाविपाककासश्वासोपद्रवयुक्ताः, भिन्ने वा शिरःकपाले यत्र मस्तुलुङ्गदर्शनं त्रिदोषलिङ्गप्रादुर्भावः कासश्वासौ वा यस्येति ||१२||

sanskrit

Now, let's discuss the types of ulcers that are difficult to manage. These include: Ulcers that arise from the flesh and are accompanied by internal pus, pain, and have a condition similar to that of the intestines after a horse's death, or those that show hardened and protruded edges similar to a cow's horn, or those with severe blood loss and a delicate, thin appearance. Ulcers that have a texture resembling a worn-out cloth, with soft, translucent exudation, and are difficult to observe, or those that exude pus and marrow, having significant damage. Ulcers with a discharge of yellowish or blackish urine and stools, which are typically located in the abdominal region, or those associated with pain and swelling, and exhibit signs of an imbalance in bodily humors. Ulcers that are visible all over the body, have a bubbling appearance, or are associated with significant symptoms like cough and breathlessness, particularly when found in the head or throat area, or those showing a general weakness. Ulcers that are deep and show severe systemic symptoms, including signs of all three doshas (bodily humors), cough, and breathlessness. These types of ulcers are typically hard to treat and require careful management.

english translation

hindi translation

ata UrdhvamasAdhyAn vakSyAmaH- mAMsapiNDavadudgatAH prasekino'ntaHpUyavedanAvanto'zvApAnavadudvRttauSThAH , kecit kaThinA gozRGgavadudgatamRdumAMsaprarohAH, apare duSTarudhirAsrAviNastanuzItapicchilAsrAviNo vA madhyonnatAH, kecidavasannazuSiraparyantAH zaNatUlavat snAyujAlavanto durdarzanAH, vasAmedomajjamastuluGgasrAviNazca doSasamutthAH, pItAsitamUtrapurISavAtavAhinazca koSThasthAH, ta evobhayatobhAgavraNamukheSu pUyaraktanirvAhiNaH, (kSINamAMsAnAM ca ) sarvatogatayazcANumukhA mAMsabudbudavantaH, sazabdavAtavAhinazca ziraHkaNThasthAH, kSINamAMsAnAM ca pUyaraktanirvAhiNo'rocakAvipAkakAsazvAsopadravayuktAH, bhinne vA ziraHkapAle yatra mastuluGgadarzanaM tridoSaliGgaprAdurbhAvaH kAsazvAsau vA yasyeti ||12||

hk transliteration

siva.sh/sushruta-samhita/sutra-sthana/23/13

भवति चात्र- वसां मेदोऽथ मज्जानं मस्तुलुङ्गं च यः स्रवेत् | आगन्तुस्तु व्रणः सिध्येन्न सिध्येद्दोषसम्भवः ||१३||

sanskrit

An ulcer that discharges fat, marrow, or bone marrow, or any of these substances, is considered an external ulcer. If it does not heal, it is likely due to an underlying imbalance of the doshas (bodily humors).

english translation

hindi translation

bhavati cAtra- vasAM medo'tha majjAnaM mastuluGgaM ca yaH sravet | Agantustu vraNaH sidhyenna sidhyeddoSasambhavaH ||13||

hk transliteration

siva.sh/sushruta-samhita/sutra-sthana/23/14

अमर्मोपहिते देशे सिरासन्ध्यस्थिवर्जिते | विकारोयोऽनुपर्येति तदसाध्यस्य लक्षणम् ||१४||

sanskrit

In a location without any vital parts (such as joints or bones) and where there are no underlying issues, if a condition persists and does not improve, it indicates an incurable nature of the ulcer.

english translation

hindi translation

amarmopahite deze sirAsandhyasthivarjite | vikAroyo'nuparyeti tadasAdhyasya lakSaNam ||14||

hk transliteration

siva.sh/sushruta-samhita/sutra-sthana/23/15

क्रमेणोपचयं प्राप्य ; धातूननुगतः शनैः | न शक्य उन्मूलयितुं वृद्धो वृक्ष इवामयः ||१५||

sanskrit

Gradually accumulating and following the course of the tissues, an old ulcer becomes like an aged tree, which cannot be easily uprooted.

english translation

hindi translation

krameNopacayaM prApya ; dhAtUnanugataH zanaiH | na zakya unmUlayituM vRddho vRkSa ivAmayaH ||15||

hk transliteration

siva.sh/sushruta-samhita/sutra-sthana/23/11

प्राप्ता क्रियां धारयति याप्यव्याधितमातुरम् | प्रपतिष्यदिवागारं विष्कम्भः साधुयोजितः ||११||

sanskrit

An ulcer that is to be managed (Yapya) should be treated with appropriate measures. If the patient adheres to the prescribed treatment, the ulcer will respond positively. However, if the treatment is not followed correctly or is interrupted, the ulcer will deteriorate, similar to how a building collapses if its support is removed.

english translation

hindi translation

prAptA kriyAM dhArayati yApyavyAdhitamAturam | prapatiSyadivAgAraM viSkambhaH sAdhuyojitaH ||11||

hk transliteration

siva.sh/sushruta-samhita/sutra-sthana/23/12

अत ऊर्ध्वमसाध्यान् वक्ष्यामः- मांसपिण्डवदुद्गताः प्रसेकिनोऽन्तःपूयवेदनावन्तोऽश्वापानवदुद्वृत्तौष्ठाः , केचित् कठिना गोशृङ्गवदुद्गतमृदुमांसप्ररोहाः, अपरे दुष्टरुधिरास्राविणस्तनुशीतपिच्छिलास्राविणो वा मध्योन्नताः, केचिदवसन्नशुषिरपर्यन्ताः शणतूलवत् स्नायुजालवन्तो दुर्दर्शनाः, वसामेदोमज्जमस्तुलुङ्गस्राविणश्च दोषसमुत्थाः, पीतासितमूत्रपुरीषवातवाहिनश्च कोष्ठस्थाः, त एवोभयतोभागव्रणमुखेषु पूयरक्तनिर्वाहिणः, (क्षीणमांसानां च ) सर्वतोगतयश्चाणुमुखा मांसबुद्बुदवन्तः, सशब्दवातवाहिनश्च शिरःकण्ठस्थाः, क्षीणमांसानां च पूयरक्तनिर्वाहिणोऽरोचकाविपाककासश्वासोपद्रवयुक्ताः, भिन्ने वा शिरःकपाले यत्र मस्तुलुङ्गदर्शनं त्रिदोषलिङ्गप्रादुर्भावः कासश्वासौ वा यस्येति ||१२||

sanskrit

Now, let's discuss the types of ulcers that are difficult to manage. These include: Ulcers that arise from the flesh and are accompanied by internal pus, pain, and have a condition similar to that of the intestines after a horse's death, or those that show hardened and protruded edges similar to a cow's horn, or those with severe blood loss and a delicate, thin appearance. Ulcers that have a texture resembling a worn-out cloth, with soft, translucent exudation, and are difficult to observe, or those that exude pus and marrow, having significant damage. Ulcers with a discharge of yellowish or blackish urine and stools, which are typically located in the abdominal region, or those associated with pain and swelling, and exhibit signs of an imbalance in bodily humors. Ulcers that are visible all over the body, have a bubbling appearance, or are associated with significant symptoms like cough and breathlessness, particularly when found in the head or throat area, or those showing a general weakness. Ulcers that are deep and show severe systemic symptoms, including signs of all three doshas (bodily humors), cough, and breathlessness. These types of ulcers are typically hard to treat and require careful management.

english translation

hindi translation

ata UrdhvamasAdhyAn vakSyAmaH- mAMsapiNDavadudgatAH prasekino'ntaHpUyavedanAvanto'zvApAnavadudvRttauSThAH , kecit kaThinA gozRGgavadudgatamRdumAMsaprarohAH, apare duSTarudhirAsrAviNastanuzItapicchilAsrAviNo vA madhyonnatAH, kecidavasannazuSiraparyantAH zaNatUlavat snAyujAlavanto durdarzanAH, vasAmedomajjamastuluGgasrAviNazca doSasamutthAH, pItAsitamUtrapurISavAtavAhinazca koSThasthAH, ta evobhayatobhAgavraNamukheSu pUyaraktanirvAhiNaH, (kSINamAMsAnAM ca ) sarvatogatayazcANumukhA mAMsabudbudavantaH, sazabdavAtavAhinazca ziraHkaNThasthAH, kSINamAMsAnAM ca pUyaraktanirvAhiNo'rocakAvipAkakAsazvAsopadravayuktAH, bhinne vA ziraHkapAle yatra mastuluGgadarzanaM tridoSaliGgaprAdurbhAvaH kAsazvAsau vA yasyeti ||12||

hk transliteration

siva.sh/sushruta-samhita/sutra-sthana/23/13

भवति चात्र- वसां मेदोऽथ मज्जानं मस्तुलुङ्गं च यः स्रवेत् | आगन्तुस्तु व्रणः सिध्येन्न सिध्येद्दोषसम्भवः ||१३||

sanskrit

An ulcer that discharges fat, marrow, or bone marrow, or any of these substances, is considered an external ulcer. If it does not heal, it is likely due to an underlying imbalance of the doshas (bodily humors).

english translation

hindi translation

bhavati cAtra- vasAM medo'tha majjAnaM mastuluGgaM ca yaH sravet | Agantustu vraNaH sidhyenna sidhyeddoSasambhavaH ||13||

hk transliteration

siva.sh/sushruta-samhita/sutra-sthana/23/14

अमर्मोपहिते देशे सिरासन्ध्यस्थिवर्जिते | विकारोयोऽनुपर्येति तदसाध्यस्य लक्षणम् ||१४||

sanskrit

In a location without any vital parts (such as joints or bones) and where there are no underlying issues, if a condition persists and does not improve, it indicates an incurable nature of the ulcer.

english translation

hindi translation

amarmopahite deze sirAsandhyasthivarjite | vikAroyo'nuparyeti tadasAdhyasya lakSaNam ||14||

hk transliteration

siva.sh/sushruta-samhita/sutra-sthana/23/15

क्रमेणोपचयं प्राप्य ; धातूननुगतः शनैः | न शक्य उन्मूलयितुं वृद्धो वृक्ष इवामयः ||१५||

sanskrit

Gradually accumulating and following the course of the tissues, an old ulcer becomes like an aged tree, which cannot be easily uprooted.

english translation

hindi translation

krameNopacayaM prApya ; dhAtUnanugataH zanaiH | na zakya unmUlayituM vRddho vRkSa ivAmayaH ||15||

hk transliteration