A History of Indian Medical Literature v1.c24.67

v1.c24.67

The subjects dealt with are: the five ways of entry (gati) of a śalya (28.1ab);⁴⁰¹ the general characteristics of a wound (vraṇa) containing a foreign body (28.1cd–2);⁴⁰² the signs indicating that a foreign body is present in a particular tissue, type of vessel, or other bodily structure (28.3–10ab);⁴⁰³ a wound caused by a foreign body lodged somewhere in the direction of the hair (anuloma) heals when the patient is healthy, though problems may arise later (28.10cd–11ab);⁴⁰⁴ the determination of the site of a foreign body (28.11cd–17);⁴⁰⁵ the shape of the foreign body determines the shape of the wound (28.18); foreign bodies may be removed in the direction of entry or in the opposite direction (28.19);⁴⁰⁶ those śalyas which have entered sideways may be removed by cutting (28.20ab); types of śalyas that should not be removed (28.20cd–21); foreign bodies which may be removed with the hand or particular instruments (28.22–24);⁴⁰⁷ foreign bodies to be removed by cutting with sharp instruments (28.25); the removal of śalyas lodged in sirās or snāyus (28.26ab); the removal of a śalya lodged in the cardiac region (28.26cd–27)⁴⁰⁸ and the bones (28.28–31);⁴⁰⁹ the removal of arrows (28.32–34ab);⁴¹⁰ the removal of a foreign body lodged in the gastro-intestinal tract (28.34cd–35ab),⁴¹¹ throat (28.35cd–38ab),⁴¹² oral cavity or nose (28.38cd); the treatment of a food bolus (grāsaśalya) that has become arrested in the throat (28.39ab);⁴¹³ the removal of śalyas from the eyes or wounds (28.39cd);⁴¹⁴ the treatment of persons who nearly drowned and are full of water (28.40);⁴¹⁵ the treatment of persons into whose ears a small animal (kīṭa) has entered (28.42); foreign bodies that get dissolved by the bodily heat (28.43); those that do not dissolve may cause suppuration (28.44–45ab); suppuration, if not occurring spontaneously, should be induced; afterwards, the foreign body should be removed surgically (28.45cd–47ab).⁴¹⁶