Cakradatta (Cikitsasangraha) 44: Adhikāra 44

Having investigated the tract of sinuses and split them open with a knife, the knower of the scriptures / should perform the entire procedure for wounds: purification, healing, and so forth.

The physician should plaster a sinus caused by vāta that has been well split open; / he should plaster it with ground sesame seeds along with the fruit of pratyakpuṣpī; / one caused by pitta, with sesame, mañjiṣṭhā, nāgadantī, and the two turmerics;

one caused by kapha, with sesame, yaṣṭyāhva, nikumbha, ariṣṭa, and rock salt; / one born of a foreign body, he should plaster with sesame, honey, and clarified butter once it is excised and purified.

Combined with powders of āragvadha, turmeric, and kālā, along with clarified butter and honey, / a medicated wick made with urine should be applied to the wound; it is cleansing and destroys the tract.

Fruit rind of ghoṇṭā, fruits of madana, / bark of pūga, and prime salt— / this paste, along with the latex of snuhī and arka, / made into a wick, destroys a sinus without delay.

Made into a wick combined with honey, / or prime salt is declared to destroy sinuses; / and the oil that is prescribed for foul ulcers, / when used, quickly destroys the tract.

A wick made of jātī, arka, sampāka, karañja, dantī, / rock salt, black salt, and barley alkali, / ground with the latex of snuhī together with honey, / destroys a sinus without delay.

Eaten mixed with buffalo yoghurt and kodrava grain, / the root powder of kaṅgunikā / removes even a long-standing, / very severe sinus.

For the emaciated, the weak, the fearful, and when the sinus tract is situated in a vital spot, / one should cut it with a caustic thread, never with a knife.

Having traced the tract with a probe, one should apply inside / a needle carrying the caustic thread, and having raised it up, quickly draw it out.

Bringing the end of the thread [forward], one should tie a firm knot; / then, observing the thread to have lost its strength, one should insert another

smeared with caustic alkali, the intelligent physician, until the tract is cut through. / Even in fistula-in-ano, this procedure should be carried out by a knowledgeable physician.

And on tumours and the like, having lifted [them] up, one should place a thread at the base; / [the tumour] pierced all around with barley-pointed needles,

one should tie at the base with a thread, and when it is cut off, treat the wound. / [A compound] of guggulu, triphalā, and the three pungents in equal parts, combined with clarified butter, / destroys sinuses, foul ulcers, pain, and fistula-in-ano.

Sarjikā alkali, rock salt, dantī, agni, rūpikā, anala, nīlikā, / and svaramañjarī seeds: oil cooked [with these] and cow's urine / calms foul ulcers and removes kapha sinuses and wounds.

Having made a decoction of the group of unripe fruits / of kumbhīka, dates, kavittha, bilva, and trees [of the fig family], / one should cook oil, adding musta, sarala, priyaṅgu,

saugandhikā, mocarasa, ahipuṣpa, / lodhra, and indeed dhātakī; / by this indeed a sinus originating from a foreign body / and the wound will heal, and its opening quickly [close].

Prepared with bhallātaka, arka, black pepper, prime salt, / viḍaṅga, the two turmerics, and citraka, / and with the juice of mārkava, this oil / destroys sinuses caused by kapha and vāta, scrofula, and ulcers.

Having pressed out the juice of nirguṇḍī including roots and leaves, / oil prepared with an equal amount of that [juice] removes sinuses and foul ulcers.

It is beneficial for scabies and scrofula by way of drinking, inunction, and nasal errhines, / and in various eruptive boils, as well as in all ulcers.

One should cook oil with the juices and pastes of haṃsapādī, / neem leaves, and jātī leaves; / it heals sinuses and ulcers.