Sushruta Samhita · Chapter 4.2

athātaḥ sadyovraṇacikitsitaṃ vyākhyāsyāmaḥ//

yathovāca bhagavān dhanvantariḥ//

dhanvantarirdharmabhṛtāṃ variṣṭho vāgviśāradaḥ/ viśvāmitrasutaṃ śiṣyamṛṣiṃ suśrutamanvaśāt//

nānādhārāmukhaiḥ śastrairnānāsthānanipātitaiḥ/ nānārūpā vraṇā ye syusteṣāṃ vakṣyāmi lakṣaṇam//

āyatāścaturasrāśca tryasrā maṇḍalinastathā/ ardhacandrapratīkāśā viśālāḥ kuṭilāstathā//

śarāvanimnamadhyāśca yavamadhyāstathāpare/ evaṃprakārākṛtayo bhavantyāgantavo vraṇāḥ//

doṣajā vā svayaṃ bhinnā na tu vaidyanimittajāḥ/ bhiṣagvraṇākṛtijño hi na mohamadhigacchati//

bhṛśaṃ durdarśarūpeṣu vraṇeṣu vikṛteṣvapi/ anantākṛtirāgantuḥ sa bhiṣagbhiḥ purātanaiḥ//

samāsato lakṣaṇataḥ ṣaṅvidhaḥ parikīrtitaḥ/ chinnaṃ bhinnaṃ tathā viddhaṃ kṣataṃ piccitameva ca//

ghṛṣṭamāhustathā ṣaṣṭhaṃ teṣāṃ vakṣyāmi lakṣaṇam/ tiraścīna ṛjurvāpi yo vraṇaścāyato bhavet//

gātrasya pātanaṃ cāpi chinnamityupadiśyate/ kuntaśaktyṛṣṭikhaṅgāgraviṣāṇādibhirāśayaḥ//

hataḥ kiñcit sravettaddhi bhinnalakṣaṇamucyate/ sthānānyāmāgnipakvānāṃ mūtrasya rudhirasya ca//

hṛduṇḍukaḥ phupphusaśca koṣṭha ityabhidhīyate/ tasmin bhinne raktapūrṇe jvaro dāhaśca jāyate//

mūtramārgagudāsyebhyo raktaṃ ghrāṇācca gacchati/ mūrcchāśvāsatṛḍādhmānamabhaktacchanda eva ca//

viṇmūtravātasaṅgaśca svedāsrāvo'kṣiraktatā/ lohagandhitvamāsyasya gātradaurgandhyameva ca//

hṛcchūlaṃ pārśvayoścāpi viśeṣaṃ cātra me śṛṇu/ āmāśayasthe rudhire rudhiraṃ chardayet punaḥ//

ādhmānamatimātraṃ ca śūlaṃ ca bhṛśadāruṇam/ pakvāśayagate cāpi rujo gauravameva ca//

śītatā cāpyadho nāmeḥ khebhyo raktasya cāgamaḥ/ abhinne'pyāśaye'ntrāṇāṃ khaiḥ sūkṣmairantrapūraṇam//

pihitāsye ghaṭe yadvallakṣyate tasya gauravam/ sūkṣmāsyaśalyābhihataṃ yadaṅgaṃ tvāśayādvinā//

uttuṇḍitaṃ nirgataṃ vā tadviddhamiti nirdiśet/ nāticchinnaṃ nātibhinnamubhayorlakṣaṇānvitam//

viṣamaṃ vraṇamaṅge yattat kṣataṃ tvabhinirdiśet/ prahārapīḍanābhyāṃ tu yadaṅgaṃ pṛthutāṃ gatam//

sāsthi tat piccitaṃ vidyānmajjaraktapariplutam/ vigatatvagyadaṅgaṃ hi saṃgharṣādanyathāpi vā//

uṣāsrāvānvitaṃ tattu ghṛṣṭamityupadiśyate/ chinne bhinne tathā viddhe kṣate vāsṛgatisravet//

raktakṣayādrujastatra karoti pavano bhṛśam/ snehapānaṃ hitaṃ tatra tatseko vihitastathā//

veśavāraiḥ sakṛśaraiḥ susnigdhaiścopanāhanam/ dhānyasvedāṃśca kurvīta snigdhānyālepanāni ca//

vātaghnauṣadhasiddhaiśca snehairbastirvidhīyate/ piccite ca vighṛṣṭe ca nātisravapi śoṇitam//

agacchati bhṛśaṃ tasmin dāhaḥ pākaśca jāyate/ tatroṣmaṇo nigrahārthaṃ tathā dāhaprapākayoḥ//

śītamālepanaṃ kāryaṃ pariṣekaśca śītalaḥ/ ṣaṭsveteṣu yathokteṣu chinnādiṣu samāsataḥ//

jñeyaṃ samarpitaṃ sarvaṃ sadyovraṇacikitsitam/ ata ūrdhvaṃ pravakṣyāmi chinnānāṃ tu cikitsitam//

ye vraṇā vivṛtāḥ kecicchiraḥpārśvāvalambinaḥ/ tān sīvyedvidhinoktena badhnīyādgāḍhameva ca//

karṇaṃ sthānādapahṛtaṃ sthāpayitvā yathāsthitam/ sīvyedyathoktaṃ tailena srotaścābhipratarpayet//

kṛkāṭikānte chinne tu gacchatyapi samīraṇe/ samyaṅniveśya badhnīyāt sīvyeccāpi nirantaram//

ājena sapiṣā caivaṃ pariṣekaṃ tu kārayet/ uttāno'nnaṃ samaśnīyācchayīta ca suyantritaḥ//

śākhāsu patitāṃstiryak prahārān vivṛtān bhṛśam/ sīvyet samyaṅniveśyāśu sandhyasthīnyanupūrvaśaḥ//

baddhvā vellitakenāśu tatastailena secayet/ carmaṇā gophaṇābandhaḥ kāryo yo vā hito bhavet//

pṛṣṭhe vraṇo yasya bhaveduttānaṃ śāyayettu tam/ ato'nyathā corasije śāyayet puruṣaṃ vraṇe//

chinnāṃ niḥśeṣataḥ śākhāṃ dagdhvā tailena buddhimān/ badhnīyāt kośabandhena prāptaṃ kāryaṃ ca ropaṇam//

candanaṃ padmakaṃ rodhramutpalāni priyaṅgavaḥ/ haridrā madhukaṃ caiva payaḥ syādatra cāṣṭamam//

tailamebhirvipakvaṃ tu pradhānaṃ vraṇaropaṇam/ candanaṃ karkaṭākhyā ca sahe māṃsyāhvayāmṛtā//

hareṇavo mṛṇālaṃ ca triphalā padmakotpale/ trayodaśāṅgaṃ trivṛtametadvā payasānvitam//

tailaṃ vipakvaṃ sekārthe hitaṃ tu vraṇaropaṇe/ ata ūrdhvaṃ pravakṣyāmi bhinnānāṃ tu cikitsitam//

bhinnaṃ netramakarmaṇyamabhinnaṃ lambate tu yat/ tanniveśya yathāsthānamavyāviddhasiraṃ śanaiḥ//

pīḍayet pāṇinā samyak padmapattrāntareṇa tu/ tato'sya tarpaṇaṃ kāryaṃ nasyaṃ cānena sarpiṣā//

ājaṃ ghṛtaṃ kṣīrapātraṃ madhukaṃ cotpalāni ca/ jīvakarṣabhakau caiva piṣṭvā sarpirvipācayet//

sarvanetrābhighāte tu sarpiretat praśasyate/ udarānmedaso vartirnirgatā yasya dehinaḥ//

kaṣāyabhasmamṛtkīrṇāṃ baddhvā sūtreṇa sūtravit/ agnitaptena śastreṇa chindyānmadhusamāyutam//

baddhvā vraṇaṃ sujīrṇe'nne sarpiṣaḥ pānamiṣyate/ snehapānādṛte cāpi payaḥpānaṃ vidhīyate//

śarkarāmadhuyaṣṭibhyāṃ lākṣayā vā śvadaṃṣṭrayā/ citrāsamanvitaṃ caiva rujādāhavināśanam//

āṭopo maraṇaṃ vā syācchūlo vācchidyamānayā/ medogranthau tu yattailaṃ vakṣyate tacca yojayet//

tvaco'tītya sirādīni bhittvā vā parihṛtya vā/ koṣṭhe pratiṣṭhitaṃ śalyaṃ kuryāduktānupadravān//

tatrāntarlohitaṃ pāṇḍuṃ śītapādakarānanam/ śītocchvāsaṃ raktanetramānaddhaṃ ca vivarjayet//

āmāśayasthe rudhire vamanaṃ pathyamucyate/ pakvāśayasthe deyaṃ ca virecanamasaṃśayam//

āsthāpanaṃ ca niḥshehaṃ kāryamuṣṇairviśodhanaiḥ/ yavakolakulatthānāṃ niḥsnehena rasena ca//

bhuñjītānnaṃ yavāgūṃ vā pibet saindhavasaṃyutām/ atiniḥsrutarakto vā bhinnakoṣṭhaḥ pibedasṛk//

svamārgapratipannāstu yasya viṇmūtramārutāḥ/ vyupadravaḥ sa bhinne'pi koṣṭhe jīvati mānavaḥ//

abhinnamantraṃ niṣkrāntaṃ praveśyaṃ nānyathā bhavet/ pipīlikāśirograstaṃ tadapyeke vadanti tu//

prakṣālya payasā digdhaṃ tṛṇśoṇitapāṃśubhiḥ/ praveśayet kṛttanakho ghṛtenāktaṃ śanaiḥ śanaiḥ//

praveśayet kṣīrasiktaṃ śuṣkamatraṃ ghṛtāplutam/ aṅgulyābhimṛśet kaṇṭhaṃ jalenodvejayedapi//

hastapādeṣu saṃgṛhya samutthāpya mahābalāḥ/ bhavatyantaḥpraveśastu yathā nirdhunuyustathā//

tathāntrāṇi viśantyantaḥ svāṃ kalāṃ pīḍayanti ca/ vraṇālpatvādbahutvādvā duṣpraveśaṃ bhavettu yat//

tadāpāṭhya pramāṇena bhiṣagantraṃ parveśayet/ yathāsthānaṃ niveṣṭe ca vraṇaṃ sīvyedatandriyaḥ//

sthānādapetamādatte prāṇān gupitameva vā/ veṣṭayitvā tu paṭṭena ghṛtasekaṃ pradāpayet//

ghṛtaṃ pibet sukhoṣṇaṃ ca citrātailasamanvitam/ mṛdukriyārthaṃ śakṛto vāyoścādhaḥpravṛttaye//

tatastailamidaṃ kuryādropaṇārthaṃ cikitsakaḥ/ tvaco'śvakarṇadhavayormocakīmeṣaśṛṅgayoḥ//

śallakyarjunayoścāpi vidāryāḥ kṣīriṇāṃ tathā/ balāmūlāni cāhṛtya tailametairvipācayet//

vraṇaṃ saṃropayettena varṣamātraṃ yateta ca/ pādau nirastamuṣkasya jalena prokṣya cākṣiṇī//

praveśya tunnasevanyā muṣkau sīvyettataḥ param/ kāryo gophaṇikābandhaḥ kaṭhyāmāveśya yantrakam//

na kuryāt snehasekaṃ ca tena klidyati hi vraṇaḥ/ kālānusāryāgurvelājātīcandanapadmakaiḥ//

śilādārvyamṛtātutthaistailaṃ kurvīta ropaṇam/ śiraso'pahṛte śalye bālavartiṃ niveśayet//

bālavartyāmadattāyāṃ mastuluṅgaṃ vraṇāt sravet/ hanyādenaṃ tato vāyustasmādevamupācaret//

vraṇe rohati caikaikaṃ śanairbālamapakṣipet/ gātrādapahṛte'nyasmāt snehavartiṃ praveśayet//

kṛte niḥśoṇite cāpi vidhiḥ sadyaḥkṣate hitaḥ/ dūrābagāḍhāḥ sūkṣmāḥ syurye vraṇāstān viśoṇitān//

kṛtvā sūkṣmeṇa netreṇa cakratailena tarpayet/ samaṅgāṃ rajanīṃ padmāṃ trivargaṃ tutthameva ca//

viḍaṅgaṃ kaṭukāṃ pathyāṃ guḍūcīṃ sakarañjikām/ saṃhṛtya vipacet kāle tailaṃ ropaṇamuttamam//

tālīśaṃ padmakaṃ māṃsī hareṇvagurucandanam/ haridre padmabījāni sośīraṃ madhukaṃ ca taiḥ//

pakvaṃ sadyovraṇeṣūktaṃ tailaṃ ropaṇamuttamam/ kṣate kṣatavidhiḥ kāryaḥ piccite bhagnavadvidhiḥ//

ghṛṣṭe rujo nigṛhyāśu cūrṇairupacaredvraṇam/ viśliṣṭadehaṃ patitaṃ mathitaṃ hatameva ca//

vāsayettailapūrṇāyāṃ droṇyāṃ māṃsarasāśanam/ ayameva vidhiḥ kāryaḥ kṣīṇe marmahate tathā//

ropaṇe saparīṣeke pāne ca vraṇināṃ sadā/ tailaṃ ghṛtaṃ vā saṃyojyaṃ śarīrartūnavekṣya hi//

ghṛtāni yāni vakṣyāmi yatnataḥ pittavidradhau/ sadyovraṇeṣu deyāni tāni vaidyena jānatā//

sadyaḥkṣatavraṇaṃ vaidyaḥ saśūlaṃ pariṣecayet/ sarpiṣā nātiśītena balātailena vā punaḥ//

samaṅgāṃ rajanīṃ padmāṃ pathyāṃ tutthaṃ suvarcalām/ padmakaṃ rodhramadhukaṃ viḍaṅgāni hareṇukām//

tālīśapatraṃ naladaṃ candanaṃ padmakeśaram/ mañjiṣṭhośīralākṣāśca kṣīriṇāṃ cāpi pallavān//

priyālabījaṃ tindukyāstaruṇāni phalāni ca/ yathālābhaṃ samāhṛtya tailamebhirvipācayet//

sadyovraṇānāṃ sarveṣāmaduṣṭānāṃ tu ropaṇam/ kaṣāyamadhurāḥ śītāḥ kriyāḥ snigdhāśca yojayet//

sadyovraṇānāṃ saptāhaṃ paścāt pūrvoktamācaret/ duṣṭavraṇeṣu kartavyamūrdhvaṃ cādhaśca śodhanam//

viśoṣaṇaṃ tathāāhāraḥ śoṇitasya ca mokṣaṇam/ kaṣāyaṃ rājavṛkṣādau surasādau ca dhāvanam//

tayoreva kaṣāyeṇa tailaṃ śodhanamiṣyate/ kṣārakalpena vā tailaṃ kṣāradravyeṣu sādhitam//

dravantī cirabilvaśca dantī citrakameva ca/ pṛthvīkā nimbapatrāṇi kāsīsaṃ tutthameva ca//

trivṛttejovatī nīlī haridre saindhavaṃ tilāḥ/ bhūmikadambaḥ suvahā śukākhyā lāṅgalāhvayā//

naipālī jālinī caiva madayantī mṛgādanī/ sudhāmūrvārkakīṭāriharitālakarañjikāḥ//

yathopapatti kartavyaṃ tailametaistu śodhanam/ ghṛtaṃ vā yadi vā prāptaṃ kalkāḥ saṃśodhanāstathā//

saindhavatrivṛderaṇḍapatrakalkastu vātike/ trivṛddharidrāmadhukakalkaḥ paitte tilairyutaḥ//

kaphaje tilatejohvādantīsvarjikacitrakāḥ/ duṣṭavraṇavidhiḥ kāryo mehakuṣṭhavraṇeṣvapi//

ṣaḍvidhaḥ prāk pradiṣṭo yaḥ sadyovraṇaviniścayaḥ/ nātaḥ śakyaṃ paraṃ vaktumapi niścitavādibhiḥ//

upasargairnipātaiśca tattu paṇḍitamāninaḥ/ kecit saṃyojya bhāṣante bahudhā mānagarvitāḥ//

bahu tadbhāṣitaṃ teṣāṃ ṣaṭsveṣvevāvatiṣṭhate/ viśeṣā iva sāmānye ṣaṭtvaṃ tu paramaṃ matam//