Indian Medicine (Medicin), translated by C. G. Kashikar c12.38.3

c12.38.3

In *baddhaguda* and *chidrodara* the patient dies mostly after 14 days. Of the remaining *udara*s, those caused by *vāta*, *pitta*, *kapha*, spleen, all *dosa*s and water are in succession more dangerous than the former. Fatal symptoms are the encroachment of the disease complicating all the vital spots in the body, the skin gets wet and thin, there is pain in the sides, loss of strength, swollen eyes, diarrhoea and vomiting etc. If the light remedies are ineffective, then, in the case of *udara* caused by all *dosa*s, the patient should be given poison mixed with drink or food, or in a fruit in which an excited serpent has bitten. For this, however, the physician must secure permission of the friends, relatives or wife of the patient, or of the Brāhmaṇas or the king or the *guru*. In the case of *baddhaguda* or *chidrodara* the surgeon should, after obtaining permission, take an incision (laparotomy) in the belly with a correspondingly big knife, four *angula*s below the navel on the left side, should open the intestines four *angula*s broad and pull them out. He should then examine them, remove the hair, faeces, stone etc. stuck inside. In *chidrodara* he should likewise take out the foreign bodies, wipe off the excretion, and should cause black ants to bite the wounded place whereupon he should pull off their bodies, the heads being stuck inside.