Cakradatta (Cikitsasangraha) 45: Adhikāra 45

Recognising swelling of the anus, one should dry it up and then cleanse it; / blood-letting should be performed so that it does not undergo suppuration.

Banyan leaves, brick [powder], dry ginger, and guḍūcī with punarnavā, / finely ground, are recommended as a plaster at the onset of a boil in fistula-in-ano.

For unripened boils, one should carry out treatments / beginning with depleting therapy and ending with purgation; the management for burst ones will be explained.

Performing the sequence of probing, splitting open, cautery with caustic alkali, fire, and so forth, / one should treat it like a wound, according to the doṣa and according to the proper order.

Trivṛt, sesame, nāgadantī, and mañjiṣṭhā along with clarified butter: / this, combined with rock salt and honey, serves to stimulate granulations.

Rasāñjana, the two turmerics, mañjiṣṭhā, and neem leaves: / the paste of trivṛt, tejovatī, and dantī removes sinus ulcers.

Kuṣṭha, trivṛt, sesamum seeds, dantī, māgadhī, rock salt, honey, / turmeric, triphalā, and blue vitriol are beneficial for cleansing wounds. // 7

Having prepared a wick with the milky juices of snuhī and arka together with dāruharidrā, the discerning [physician], / having determined the tract of the fistula-in-ano, should carefully fill it [with it]. // 8

This will destroy a sinus situated anywhere in the entire body; of this there is no doubt. // 9

Sesamum seeds, abhayā, lodhra, leaves of nimba, / turmeric, vacā, lodhra, and soot from the eaves: / this [formula] cleanses and heals in fistula-in-ano, / sinus, venereal sore, and malignant ulcers. // 10

A paste made of earthworm powder cooked in the blood of an ass destroys a fistula-in-ano; / likewise, a paste of dantī, citraka, and ativiṣā, or a dog's bone [cures it]. // 11

A paste of a cat's bone combined with the juice of triphalā / quickly destroys fistula-in-ano and is pre-eminent in eliminating malignant ulcers. // 12

A pill prepared with triphalā, guggulu, and pippalī in proportions of three, five, and one parts / is beneficial for those suffering from oedema, abdominal lump, haemorrhoids, and fistula-in-ano. // 13

Trikaṭu, triphalā, mustā, viḍaṅga, amṛtā, citraka, / śaṭhī, cardamom, pippalī root, hapuṣā, and devadāru; // 14

Tumburu, puṣkaramūla, cavya, indravāruṇī, the two turmerics, / viḍa salt, sauvarcala salt, the two alkalis, rock salt, and gajapippalī; // 15

As much powder as there is of these, twice that amount of guggulu should be added. / One should eat a pill of the size of a jujube fruit with honey. // 16

It cures cough, dyspnoea, oedema, haemorrhoids together with fistula-in-ano, / cardiac pain, pain in the flanks, and pain in the abdomen, bladder, and rectum; // 17

Urinary calculus, dysuria, inguinal hernia, and worms; / for those afflicted with chronic fever, whose minds are impaired by consumption; // 18

Constipation, insanity, skin diseases, and abdominal diseases, / all sinus-wounds and malignant ulcers, urinary diseases, and elephantiasis. / This [formulation] containing twenty-seven [ingredients] indeed destroys all diseases. // 19

And one should eat the flesh of a jackal with seasoned dishes and the like; / avoiding indigestion, a man is freed from fistula-in-ano in a month. // 20

Pañcatikta clarified butter is recommended, as well as Pañcatikta-guggulu; / while the Nyagrodhādi group is beneficial for cleansing and healing. // 21

Oil or clarified butter cooked with that [group] destroys fistula-in-ano. / Citraka, arka, trivṛt, pāṭhā, malapū, hayamāraka, // 22

Sudhā, vacā, lāṅgalikī, orpiment, suvarcikā, / and combining jyotiṣmatī, the wise physician should cook an oil. // 23

One should apply this oil named Viṣyandana in fistula-in-ano; / it is cleansing, healing, and restores normal skin colour. // 24

One should cook an oil with karavīra, turmeric, dantī, lāṅgalī, salt, and citraka, / along with citron, arka, and indrayava, for fistula-in-ano. // 25

Oil prepared with turmeric, milky juice of arka, rock salt, citraka, guggulu, karavīra, and indrayava, / used for inunction, destroys fistula-in-ano. // 26

Exercise, sexual intercourse, fighting, riding on mounts, and heavy foods: / a man whose wound has healed should avoid these for a year. // 27