A History of Indian Medical Literature v1.c24.204

Language: English

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The subjects dealt with are: fresh wounds, which are of traumatic (abhighāta) origin and occur suddenly (sadyas), are of eight types: ghṛṣṭa, avakṛtta, vicchinna, pravilambita, pātita, viddha, bhinna, and vidalita (26.1–2c);708 the characteristics of these eight types (26.2d–5);709 the treatment of severe pain (26.6)710 and heat (kṣatoṣman) in an (already) extending wound (26.7); 711 preparations promoting the closing up (samdhāna) of long wounds (26.8); 712 the treatment of swelling (samrambha) (26.9); the same treatment is useful in the ghṛṣṭa and vidalita types, which are characterized by slight bleeding and a tendency to inflammation (pāka) (26.10); 713 the other types bleed more, which leads to excitement of vāta, resulting in its turn in severe pain; the treatment of this condition (26.11–12); 714 this treatment has to continue for seven days; when, after this period, the initial symptoms have lost their intensity (gatavega), one should go on with the treatment described in the preceding chapter (26.13); 715 this is the general line of treatment; particular cases will be discussed now (26.14ab); treatment procedures in wounds of the ghṛṣṭa, 716 avakṛtta, vicchinna and pravilambin types (26.14cd–15); 717 an eye that has burst (sphuṭita) is incurable; the replacement of an intact eye that has come out; after-treatment (26.16–18); 718 the treatment of a depressed (avasanna) eye (26.19); the after-treatment to be applied when a cut-off ear has been sewn on again (26.20ab);

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719 the surgical procedure to be applied when the kṛkāṭikā has been cut and air escapes; after-treatment (26.20cd–22ab); 720 the surgical treatment of large wounds of the extremities; a vellita or goṣphaṇā bandage should then be applied (26.22cd–23); 721 the surgical treatment of testicles hanging out of the scrotum; a goṣphaṇā bandage should be applied; after-treatment (26.24–26); 722 the treatment of patients with a cut-off limb (26.27); 723 the treatment to be practised after removal of a foreign body in general (26.28ab) and after its removal from the head (26.28cd–29); 724 the consumption of brain tissue (mastiṣka) of animals is to be recommended after loss of this tissue (mastuluṅgasruti) in a patient (26.30ab); the treatment to be applied after removal of a foreign body from some other part of the body (26.30cd); 725 the treatment of bleeding and of deep wounds with a narrow opening (26.31); 726 the symptoms of patients with a perforating injury to the viscera (26.32–33); 727 the symptoms of accumulation of blood in the āmāśaya (26.34) 728 or pakvāśaya (26.35); 729 the symptoms of non-perforating injuries to one of the āśayas (receptacles) (26.36); 730 signs of incurability (26.37); 731 the treatment of the accumulation of blood (antarlohita) in āmāśaya or pakvāśaya (26.38–39); 732 drinking of blood is advisable when much blood has been lost (26.40ab);

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733 injury to the bowels (koṣṭhabheda) is of two types: kliṣṭāntra (without perforation) and chinnāntra (with perforation); the symptoms of the latter type are more severe than those of the former; the life of a kliṣṭāntra patient is endangered, but a chinnāntra patient does not survive (26.40cd–41); a patient with injured bowels will survive when urine, faeces and flatus are passed along their normal pathways, and when complications do not appear (26.42); 734 non-injured bowels which have come out should be placed back, but not so when injured; some say that these too should be put back after having been bitten by the heads of ants (utpaṅgilaśirograsta) (26.43); 735 the technique of replacing the bowels (26.44–46ab); 736 when this replacement proves to be difficult, because the opening in the abdominal wall is too small or the bowels are too large, the wound should be enlarged (26.46cd–47ab); 737 closure of the wound with a suture (26.47cd–48ab); 738 after-treatment (26.48cd–50ab); 739 a piece of fatty tissue that has come out of the abdomen may be cut off; the technique of this procedure; after-treatment (26.50cd–54); 740 a medicated oil promoting wound healing (26.55–56ab); 741 the treatment of injuries caused by blows, falls, etc. (26.56cd–57ab) and of patients whose bodies are bruised, wasted, and damaged in the areas of vital spots (26.57cd–58).742