History of Technology in India, Vol. I: From Antiquity to c. 1200 A.D. v1.c21.s4.t4.7

v1.c21.s4.t4.7

The umbilical region (abdomen) of the patient should be well rubbed with oil or with clarified butter (ghṛta), pressure should be applied by a fist below the navel until the stone comes down within the reach of the operator. The surgeon should then introduce into the rectum, the second and third fingers of his left hand duly anointed and with the nails well pared. Then the fingers should be carried upward towards the perineal raphe i.e. in the middle line, so as to bring the stone between the rectum and the penis, when it should be so firmly and strongly pressed as to look like an elevated tumour, keeping the bladder tense and distended so as to obliterate the folds.