A History of Indian Medical Literature v1.c24.204.3

v1.c24.204.3

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