In the six types of Vriddhi other than the one known as the Antra-Vriddhi (Hernia), riding on horse back, etc., excessive physical labour, fastings, sitting in an unnatural position, constant walking, voluntary restraint of any natural urging (for stool and urine, etc.), sexual intercourse and eating of food difficult of digestion should be avoided. 2.
In the Vátaja type of Vriddhi, the patient should be first soothed (Snigdha) with the application of Traivrita Ghrita (vide, Chap. V. Chikitsita Sthána). He should then be duly fomented and subjected to a proper course of purgatives. As an alternative, he should be made to drink the expressed oil of the Kos'ámra, Tilvaka, or Eranda (castor) oil (as a purgative) with milk for a month. A decoction of the Váyu subduing drugs mixed with the powders of the same drugs should then be employed by an experienced physician at a proper time * in the manner of a Niruha Vasti. The patient should then be made to take a meal (of boiled rice along with meat soup; and oil cooked with Yashti madhu should be applied (in the manner of an Anuvásana measure).
* After a period of one week from the time of the application of purgatives and in case the patient is strong enough to undergo the Niruha Vasti measure.
Applications of Sneha (oil, etc.), poultices (Upanáha), and plasters (Pradeha) of the Váyu-subduing drugs should be applied to the affected part. If the tumour (Vriddhi) begins to suppurate, it should be made to do so fully. It should be then opened with an incision avoiding the median line (Sevani) of the perineum and the proper purifying (i.e., antiseptic and healing) measures should be resorted to in the usual way laid down (in the treatment of Dvi-vrana *). 3.
A case of the non-suppurated stage of Pittaja Vriddhi may be beneficially treated with the remedies laid down in connection with a case of the same type of glandular swelling (Pittaja Granthi). In the case of it being suppurated, the surgeon should open it with a knife and purify it with the application of honey and clarified butter. The incidental ulcer should then be healed up with oils and pastes of healing virtues. 4.
In a case of Raktaja Vriddhi (originated through the vitiated condition of the blood), the (vitiated) blood should be drawn out by the application of leeches. As an alternative, purgatives should be administered through the medium of honey and sugar Remedial measures described in connection with the Pittaja type of the disease should be employed both in the suppurated and the non-suppurated stages (of this type). 5.
In a case of the Kaphaja type of the disease, poultices with the heat-making † drugs (i.e, Vachádi, Pippályadi and Mushkakádi groups, etc.) pasted with cow's urine, should be applied. The patient should be made to drink a potion consisting of the decoction of Dáru-Haridrá mixed with the urine of a cow, and all the remedial measures with the exclusion of Vimlápana (resolution by pressure) laid down under the treatment of the Kaphaja Granthi should be employed. The tumour should be opened (with a knife) when suppurated and the oil cooked with Játi, Arushkara, Amkota and Sapta-parna should be used for the purification (disinfection) of the incidental ulcer. 6.
* According to Gayadása, the measures to be adopted should be those laid down in the Mis'raka chapter (Chap. XXV).
† Some say that the heat-producing drugs are those comprised in the Aja-gandhádi group mentioned in the Mis'raka chapter, Sutra Sthánam.