A History of Indian Medical Literature v1.c23.332

v1.c23.332

Its subjects are: the śambūkavarta type and the one caused by a foreign body (śalya) are incurable; the remaining ones are curable with difficulty (8.3);⁹³ a bhagandarapidākā should, when not suppurating, be treated by means of the eleven procedures beginning with apatarpaṇa and ending with virecana;⁹⁴ suppuration makes surgical treatment necessary; the surgical intervention: excision of the fistular track; alternative treatments: cauterization or the application of caustics (8.4); particulars with regard to the surgical interventions in a fistula of the śataponaka type (8.5–9ab); the shapes of the incisions to be made in fistulas with many openings (i.e., the śataponaka type): lāṅgalaka,⁹⁵ ardhalāṅgalaka,⁹⁶ sarvatobhadraka,⁹⁷ and gotīrthaka⁹⁸ (8.9cd–10); passages with a discharge (srāvamārga) should be cauterized (8.11); after-treatment by means of sudation (sveda) (8.12–16ab); medicines to be taken after sudation (8.16cd–17ab); fluids for irrigation of the wound(s) and the anal region (8.17cd–19); particulars with regard to the treatment of the uṣṭragrīva (8.20–23ab) and the parisrāvin types of bhagandara (8.23cd–25); the shapes of the incisions to be made when the fistula is of the parisrāvin type; the subsequent measures (8.26–28ab); the treatment of fistulas in children (8.28cd–29); a recipe for local application (8.30–31ab); particulars with regard to the treatment of the exogenous (= unmārgin) type (8.31cd–33ab); complete recovery should not be expected in the exogenous type; the type caused by all three doṣas should not be accepted for treatment (8.33cd–34ab); local application of aṇutaila⁹⁹ is beneficial for relieving the pain after surgery (8.34cd–35ab); other measures for relieving the pain: particular types of sudation and a sitz bath (8.35cd–36), poultices with the skins of particular animals or poultices of the sālvaṇa type (8.37); a series of recipes for the treatment of fistulas (8.38–52);¹⁰⁰ the adaptation of the rectal speculum (arśoyantra) for use in cases of ano-rectal fistula (8.53); things to be avoided for a year after healing of a fistula (8.54).