Sushruta Samhita

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अक्षिदन्तनासापाङ्गश्रोत्रनाभिजठरसेवनीनितम्बपार्श्वकुक्षिवक्षःकक्षास्तनसन्धिभागगताः सफेनपूयरक्तानिलवाहिनोऽन्तःशल्याश्च दुश्चिकित्स्याः; अधोभागाश्चोर्ध्वभागनिर्वाहिणो , रोमान्तोपनखमर्मजङ्घास्थिसंश्रिताश्च, भगन्दरमपि चान्तर्मुखं सेवनीकुटकास्थिसंश्रितम् ||६||

sanskrit

Ulcers or boils located in the nasal cavity, eyes, ears, navel, throat, buttocks, sides, abdomen, chest, armpits, breasts, joints, and those with internal foreign bodies, as well as those secreting frothy pus, blood, or vitiated doshas (humors), are difficult to treat. Similarly, ulcers situated in the lower parts or those affecting the upper parts of the body, or involving the scalp, nails, bones, and those associated with fistulas or abscesses in sensitive areas, are also challenging to treat.

english translation

hindi translation

akSidantanAsApAGgazrotranAbhijaTharasevanInitambapArzvakukSivakSaHkakSAstanasandhibhAgagatAH saphenapUyaraktAnilavAhino'ntaHzalyAzca duzcikitsyAH; adhobhAgAzcordhvabhAganirvAhiNo , romAntopanakhamarmajaGghAsthisaMzritAzca, bhagandaramapi cAntarmukhaM sevanIkuTakAsthisaMzritam ||6||

hk transliteration

कुष्ठिनां विषजुष्टानां शोषिणां मधुमेहिनाम् | व्रणाः कृच्छ्रेण सिध्यन्ति येषां चापि व्रणे व्रणाः ||७||

sanskrit

Ulcers occurring in lepers, those affected by poison, in individuals suffering from emaciation, diabetes, and those with pre-existing ulcers are very difficult to heal. Such ulcers are challenging to treat and require significant effort to address.

english translation

hindi translation

kuSThinAM viSajuSTAnAM zoSiNAM madhumehinAm | vraNAH kRcchreNa sidhyanti yeSAM cApi vraNe vraNAH ||7||

hk transliteration

अवपाटिकानिरुद्धप्रकशसन्निरुद्धगुदजठराणि, ग्रन्थिक्षतक्रिमयः प्रतिश्यायजाः कोष्ठजाश्च त्वग्दोषिणां प्रमेहिणां वा ये परिक्षतेषु दृश्यन्ते, शर्करा सिकतामेहो वातकुण्डलिकाऽष्ठीला दन्तशर्करोपकुशः कण्ठशालूकं निष्कोषणदूषिताश्च दन्तवेष्टा विसर्पास्थिक्षतोरःक्षतव्रणग्रन्थिप्रभृतयश्च याप्याः ||८||

sanskrit

Ulcers associated with conditions such as Avapathika (paraphimosis), Niruddha-Prakash (phimosis), Sanniruddha-guda (constriction of the anus), Jathara (abdominal dropsy), Granthi (glandular inflammation), and characterized by the presence of parasites, or those appearing in the abdominal cavity, or affecting the mucous linings of the intestines, or caused by corrosive secretions from nasal catarrh (Pratishyava) infested with parasites, are considered palliative. Similarly, ulcers that are associated with gravel (Sharkara) or urinary calculi (Shikata) resulting in sandy deposits in the urine, or those related to Vata-kundalika (joint pain), Asthila (masses), Upakusha (abscesses), Kantha-saluka (throat ulcers), Danta-sharkara (dental deposits), Danta-veshta (dental infections), Visarpa (erysipelas), Asthi-kshata (bone injuries), Uru-kshata (thigh injuries), or Vrana-Granthi (ulcerous glandular masses), may not be completely curable through medicine alone.

english translation

hindi translation

avapATikAniruddhaprakazasanniruddhagudajaTharANi, granthikSatakrimayaH pratizyAyajAH koSThajAzca tvagdoSiNAM pramehiNAM vA ye parikSateSu dRzyante, zarkarA sikatAmeho vAtakuNDalikA'SThIlA dantazarkaropakuzaH kaNThazAlUkaM niSkoSaNadUSitAzca dantaveSTA visarpAsthikSatoraHkSatavraNagranthiprabhRtayazca yApyAH ||8||

hk transliteration

साध्या याप्यत्वमायान्ति याप्याश्चासाध्यतां तथा | घ्नन्ति प्राणानसाध्यास्तु नराणामक्रियावताम् ||९||

sanskrit

Ulcers that are amenable to treatment (Sadhya) can be either fully curable or palliative, depending on their nature and response to treatment. Those that are amenable to palliative treatment (Yapya) can be managed but not entirely cured. In contrast, ulcers that are considered incurable (Asadhya) can result in the loss of life, especially in individuals who are unresponsive to treatment or lack proper care.

english translation

hindi translation

sAdhyA yApyatvamAyAnti yApyAzcAsAdhyatAM tathA | ghnanti prANAnasAdhyAstu narANAmakriyAvatAm ||9||

hk transliteration

यापनीयं विजानीयात् क्रिया धारयते तु यम् | क्रियायां तु निवृत्तायां सद्य एव विनश्यति ||१०||

sanskrit

An ulcer that is to be managed (Yapya) is one that responds to treatment and retains its stability while being under treatment. However, if the treatment is discontinued, such an ulcer tends to deteriorate and can quickly worsen.

english translation

hindi translation

yApanIyaM vijAnIyAt kriyA dhArayate tu yam | kriyAyAM tu nivRttAyAM sadya eva vinazyati ||10||

hk transliteration