Cakradatta (Cikitsasangraha) 40: Adhikāra 40

Barley, mudga beans, paṭola, and pungent and unctuous-free food, / vomiting, and blood-letting should be employed in goitre. (1)

Anointed with the root of hastikarṇapalāśa / ground with rice-water, a goitre subsides. (2)

Mustard seeds, śigru seeds, hemp seeds, linseed, and barley, / and seeds of radish, should be ground with sour buttermilk. (3)

Glandular swellings, nodules, and very severe goitres / subside by ointment thereof, and quickly dissolve. (4)

Juice of an old karkāruka cucumber mixed with viḍa salt and rock salt, / administered as errhine, undoubtedly cures acute goitre. (5)

One should drink ash of water-hyacinth boiled and strained through cow's urine, / while eating a diet of kodrava grain, for the relief of goitre. (6)

When poulticing a goitre with sūryāvarta and garlic, / the goitre undoubtedly resolves through eruption and discharge. (7)

Water kept for a week in a mature bitter gourd, / or river water, cures goitre through drinking by one who follows wholesome regimens. (8)

Powder of kaṭphala sprinkled into the throat / removes goitre, / as does the root of white girikarṇikā / drunk mixed with clarified butter. (9)

Iron slag mixed with buffalo's urine and kept in a pot for a month, / roasted in a closed pot, / should then be licked with honey in case of goitre. (10)

Twelve vessels are declared to be on the sides beneath the tongue; / of them, one should cut the two thick vessels below, slowly, slowly. (11)

The wise physician, seizing [them] with a hook and [cutting] with a kuśa blade, / when the blood has flowed, should place ginger with jaggery on that wound. (12)

Food that does not cause obstruction of channels and soup of kulattha is recommended. / And that which is located close to the middle of the external joint of the two ears, (13)

above and above, one should cut those three vessels in goitre. / With viḍaṅga, alkali, rock salt, vacā, rāsnā, citraka, the three pungents, and devadāru, (14)

along with the juice of bitter bottle-gourd fruit, one should cook mustard oil; / administered as errhine, it removes even long-standing goitre. (15)

A patient suffering from goitre should constantly drink / oil prepared with amṛtavallī, nimba, / hiṃsrā, kuṭaja, pippalī, / both balās, and devadāru, for his benefit. (16)

A decoction made of varuṇa root, rich in honey, drunk once, / quickly cures cervical lymphadenitis persisting for a long time. (17)

Fine bark of kāñcanāra ground with water of liquorice should be drunk / combined with dry ginger; it is an excellent remover of cervical lymphadenitis. (18)

Having quickly ground the root of āragvadha with rice-water, / one should completely eradicate cervical lymphadenitis through proper errhine and ointment. (19)

For those afflicted with the disease of cervical lymphadenitis, in the errhine therapy / one should employ the root of nirguṇḍī thoroughly ground with water. (20)

One should administer an errhine with the fresh juice of koṣātakī, / or of bitter bottle-gourd combined with pippalī, / or with oil made from nimba seeds, / or vacā and pippalī along with honey. (21)

The root of either aindrī or girikarṇī drunk with cow's urine / removes cervical lymphadenitis, even one that arose long ago. (22)

One should drink two palas of the fresh juice obtained from the leaves of alambuṣā; / it is a destroyer of scrofula, cervical lymphadenitis, and jaundice. (23)

The root of brāhmaṇayaṣṭikā ground with water of liquorice / applied as an ointment destroys goitre, cervical lymphadenitis, and hydrocele. (24)

By massage, it destroys severe gaṇḍamālā in humans; / indeed, this supreme oil cooked with a musk-shrew [acts] instantaneously. (25)

Oil prepared with the bark of śākhoṭaka removes galagaṇḍa, / as does nasal therapy prepared with bimbā, aśvamāra, and nirguṇḍī. (26)

And oil [cooked] in the fresh juice of nirguṇḍī with a paste of lāṅgalī root, / applied as nasal medication, quickly destroys severe gaṇḍamālā. (27)

Root of vanakārpāsikā combined with rice grains / should be cooked into a small cake and eaten to destroy apacī. (28)

Śobhāñjana and devadāru ground with sour fermented gruel, / applied lukewarm as an unguent, destroys even most intractable apacī. (29)

Having burnt mustard seeds and neem leaves along with bhallātaka, / ground with goat's urine, this plaster destroys apacī. (30)

One should burn wood of aśvattha, nicula, and bovine teeth; / this ash combined with marrow of a boar cures the ulcers of apacī. (31)

Having measured twelve finger-breadths from the heel, / strictly avoiding the indrabasti [vital spot], / the physician should incise [the tumours] resembling fish-eggs, / extract the networks, and apply cautery. (32)

Or the physician should make three lines above the wrist, / separated each by one finger-breadth, for the complete pacification of apacī. (33)

Root of daṇḍotpalā tied on [the body] under the Puṣya asterism conquers apacī, / or one should sever the two veins of apāmārga located beneath the tongue. (34)

Vyoṣa, viḍaṅga, madhuka, rock salt, and devadāru: / oil boiled with these, used as nasal therapy, conquers even difficult apacī. (35)

Sandalwood along with abhayā, lac, vacā, and kaṭukarohiṇī: / oil boiled with these and drunk conquers apacī together with its root. (36)

Oil prepared ten times with guñjā, hayāri, śyāmāka, and mustard seeds in cow's urine, / then combined with powdered kaṇā, the five salts, / and black pepper, (37)

conquers [the condition] in whatever stage it has reached: / by inunction it cures fierce apacī, valmīka, haemorrhoids, tumours, and ulcers. (38)

In unripened glandular swellings the physician should perform the treatment for oedema; / having opened the ripened ones and cleansed them, he should heal them with ulcer-healing medicaments. (39)

Hiṃsrā along with rohiṇī, amṛtā, bhārgī, / śyāmāka, bilva, aguru, and kṛṣṇagandhā, / ground with ox-bile together with tālaparṇī, / is the plaster to be applied to a vāta-born glandular swelling. (40)

[Remedies] of a cooling nature are beneficial for the pitta-born one, / along with sprinkling with milk and water; / and one should drink cool decoctions of the kākolyādi group / sweetened with sugar. (41)

Or one should drink the powder of harītakī with grape juice or sugarcane juice; / and one should apply poultices / made from the barks of madhūka, jambū, arjuna, and vetasa. (42)

When the doṣas have been managed in regular order, / on a glandular swelling arisen from kapha, / the physician, having fomented it, should perform softening alone / with the thumb, dust, and round stones. (43)

With roots of vikaṅkata, āragvadha, kākaṇantī, / kākādanī, and tāpasavṛkṣa, / the wise [physician] should plaster it, or with alābū, bhārgī, / karañja, kālā, and madana. (44)

Dantī, root-bark of citraka, the milky sap of sudhā and arka, jaggery, / bhallātaka stones, and green vitriol: this plaster can break even a stone. (45)

A plaster made from the mātṛvāhaka insect conquers glandular swellings, tumours, and the like; / alkali of sarjikā and radish combined with conch-shell powder, / applied as a sharp plaster, destroys glandular swellings, tumours, and the like. (46)

Glandular swellings not situated on vital spots which are unripened / the physician should excise, or apply cautery; / or he should rub them with caustic alkali, / scraping them repeatedly as instructed. (47)

Because tumours do not differ from glandular swellings / in location, cause, appearance, or the doṣas and tissues affected, / therefore the physician knowing the proper method should treat tumours / with the therapy for glandular swellings. (48)

And on a vāta tumour, poultices / [should be applied] with unctuous meats and spiced meat preparations; / the skilled [physician] should administer tubular fomentation, / and should repeatedly draw blood with a horn. (49)

Mild fomentations and poultices are wholesome / in a pitta tumour, as are body evacuations; / and after scraping it vigorously with leaves of udumbara, śāka, or gojī, / one should plaster it with honey combined with (50)

finely pulverized resin of sarja, priyaṅgu, / pataṅga, lodhra, arjuna, and yaṣṭimadhu. (51)

Plastering with conch-shell powder along with ash of radish / removes a kapha tumour, especially in glandular swellings and the like. (52)

With pastes of niṣpāva, oilcake, and kulattha, / rich in meat and ground with curd, / one should apply a plaster so that worms / or flies deposit their larvae there. (53)

When only a little remains, eaten away by worms, / one should scrape it and then apply fire cautery; / wrapping whatever has a narrow base with plates of tin, copper, or lead, / or with iron sheets, (54)

one should repeatedly apply caustic alkali, fire, and surgical instruments, / keeping the patient's strength in view; / and those which happen to undergo suppuration / one should treat according to the prescribed rules for suppuration. (55)

Anointed with juice of upodikā and wrapped in its leaves, / pimples and tumour types on human beings / soon disappear. (56)

Upodikā ground with sour fermented gruel and buttermilk: / a warm poultice made with this, mixed with salt, / has been observed by some to pacify tumours / day by day, or within three days, even when arising in vital parts. (57)

A plaster made from ash of plantain and banana, husk, and conch-shell powder conquers tumours; / or [one made] with blood of a lizard, ginger, sulphur, barley, viḍaṅga, and dry ginger. (58)

Fomentation with snuhī and gaṇḍīrikā destroys tumours, / as does [fomentation] with lead, salts, or piṇḍāraka fruit. (59)

Turmeric, lodhra, pattuṅga, soot from the chimney, and realgar: / this plaster, rich in honey, is excellent for removing fatty tumours. (60)

One should perform this very same complete procedure in a gravel tumour. (61)