A History of Indian Medical Literature v1.c23.320

Language: English

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The subjects dealt with are: the various shapes (ākṛti) of sores in various parts of the body, caused by weapons with diverse edges (dhārā) and tips (mukha); sores caused by the doṣas may assume the same shapes when bursting spontaneously (2.4–8ab); the six main types of traumatic wounds: chinna (cut), bhinna (stabbed), viddha (pierced), kṣata (contused), piccita (crushed), and ghṛṣṭa (abrased) (2.8cd–10ab);29 the characteristics of the chinna and bhinna types (2.10cd–12ab); the organs collectively called koṣṭha: āmāśaya, agnyāśaya, pakvāśaya, mūtrāśaya (urinary bladder), rudhirāśraya (the receptacle of blood), hṛd (heart), uṇḍuka, and phupphusa (2.12cd–13ab); the general symptoms of the bhinna type when the koṣṭha is affected (2.13cd–16ab); the symptoms of bleeding into the āmāśaya (2.16cd–17ab) and pakvāśaya (2.17cd–18ab);30 the intestines become filled with blood even when (the walls of) the receptacles have remained intact (abhinna), for blood oozes through the subtle pores (kha), in the same way as water oozes through the pores of a closed pitcher (dipped in water) (2.18cd–19ab); the characteristics of the viddha, kṣata, piccita and ghṛṣṭa types (2.23cd–29ab); the treatment of the six types of sadyovraṇa (2.23cd–29ab); the treatment of chinna wounds of the head and the lateral parts of the chest31 (2.29cd–30); a severed ear should be repaired in the way described (2.31);32 the treatment of a chinna wound in the region of the kṛkāṭikā (2.32–33);

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the treatment of chinna wounds of the extremities (2.34–35), back, and anterior part of the chest (2.36); the treatment of patients with a whole arm or leg torn off (2.37); recipes promoting wound healing (2.38–41ab); the treatment of bhinna injuries to the eyes (2.42–45ab); the treatment of bhinna injuries to the abdomen that result in the extrusion of lumps (varti) of fatty tissue (medas) (2.45cd–49); a foreign body (śalya) that has penetrated into the koṣṭha and got stuck there gives rise to the complications already described33 (2.50); characteristics of incurable patients (2.51); the treatment of bleeding into the āmāśaya and pakvāśaya (2.52–54); signs indicating that a patient with a bhinna type of injury to his koṣṭha will survive (2.55); the replacement of extruded intestines which have remained intact (abhinna);34 the repair of torn intestines, before replacing them, by joining the torn parts by means of the bites of ants35 (2.56–60ab);36 enlargement of the wound if replacement would be too difficult otherwise; suturing of the abdominal wall (2.60cd–62ab); after-treatment (2.62cd–66ab); the treatment of extruded testicles (2.66cd–69ab); injuries to the skull;37 the insertion of a plug (varti), made of hair, is necessary, after the removal of a foreign body, in order to prevent the discharge of brain tissue (mastuluṅga) (2.69cd–71ab); a plug soaked in oil (snehavarti) should be inserted after the removal of a foreign body from any other part of the body (2.71cd–72ab);

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deep wounds with small openings should be filled with cakrataila by means of a thin tube,38 after removal of all the blood (2.72cd–73ab);39 medicated oils which promote wound healing (2.73cd–76ab); the treatment of the kṣata, piccita and ghṛṣṭa types of sadyovraṇa (2.76cd–77ab); the treatment of patients with multiple injuries due to a fall or other causes; these patients should be placed in a tub (droṇī) filled with oil (2.77cd–78); the external and internal use of oils and ghee in the treatment of patients with recent wounds (sadyovraṇa) (2.79–81); the recipe of a wound-healing oil (2.82–85ab); some rules for the treatment of recent wounds in general (2.85cd–86ab); the treatment of corrupted wounds (duṣṭavraṇa) (2.86cd–92); the treatment of wounds corrupted by vāta, pitta, or kapha (2.93–94ab); the rules for the treatment of corrupted wounds also apply to the sores occurring in meha and kuṣṭha (2.94cd); the defense of the distinction of six types of sadyovraṇa, and the rejection of the views of those admitting a larger number (2.95–97).