A History of Indian Medical Literature v1.c25.607

v1.c25.607

18); 121 the general treatment of upaviṣṭaka and upaśuskaka (4.19); 122 the treatment of their doṣic varieties (4.20–21); the induction of abortion in case the foetus does not grow (4.22); the treatment of the disorder called līnagarbha; 123 the general treatment of udāvarta and vibandha in pregnant women (4.23); 124 their treatment in the eighth month, which is urgent, because of the danger of premature birth (4.24–25); 125 the processes leading to abortion (4.26); the symptoms arising when the foetus dies within the womb (mṛtagarbhā) (4.27); 126 the general features of mūḍhagarbha; its innumerable varieties (4.28); the position of the foetus may change in an upward, oblique or downward direction; eight varieties are known, 127 to be described both here and later (4.29); cases refractory to treatment (4.30); 128 in general, a garbhaśalya (foetus stuck within the womb) is very dangerous and needs immediate treatment (4.31); cutting up of a foetus still alive would kill its mother (4.32); 129 therefore, one should try first treatment with mantras and drugs; 130 the foetus may get stuck in three ways: with its head, shoulders or buttocks (4.33); three different opinions on the treatment of mūḍhagarbha are recorded: the treatment also employed in expulsion of the afterbirth (jarāyupātana), the employment of mantras, etc., found in the Atharvaveda, and the surgical removal of the foetus (4.34); surgical interventions are not difficult to perform, because one hand suffices to carry them out (4.35); these interventions are necessary in order to save the mother's life; the outcome is doubtful; the surgeon ought to ask for the king's permission, as in cases of operating patients with udara, aśmarī, etc. 131 (4.36); the general procedure of manual extraction (4.37); 132 instructions for the manual correction of various malpositions and for extraction of the foetus (4.38); 133 two malpositions that cannot be managed manually and need surgical intervention (4.39); 134 the techniques of cutting up a foetus in various malpositions (4.40). 135