In the non-suppurated or acute (inflammatory) stage of Granthi, an experienced physician should prescribe the measures * laid down in connection with (in-flammatory) swellings (Sopha) in general. As bodily strength arrests the progress of the disease, the strength of the patient should hence be always carefully guarded against suffering any diminution in that respect. The patient should be made to drink oil, or clarified butter, or both; or he should be made to drink lard, oil and clarified butter, mixed together. † Apehivátá (Prasárani) and Das'a-mula cooked with the four kinds of Iardacious or emollient substances (oil, clarified butter, lard and marrow), or with any two of them should be prescribed. 2-3.
* Beginning with Apatarpana up to the purgative measures.
† Oil, clarified butter and lard mixed together is technically called the "Trivrita " - Dallana.
In the case of a Vátaja Granthi, a potion of oil cooked with the decoction and paste (Kalka) of the Váyu-subduing drugs should be prescribed for the patient; in the case of a Pittaja Granthi, clarified butter cooked with the decoction and Kalka of the Pitta-subduing drugs should be administered in the same manner; while in the case of a Kaphaja Granthi, oil cooked with the decoction and Kalka of the Kapha-subduing drugs should be taken by the patient. But in a case of Granthi due to the concerted action of the two, or three of the Doshas, any compound medicated oil, prepared by cooking any two, three, or four of the oily substances, viz., oil, clarified butter, lard and marrow, with the decoction and Kalka of those drugs which are antidotes to the said Doshas, should be prescribed for the patient as drinks.
A medicinal plaster composed of Himsrá, Rohini, Amritá, Bhárgi, S'yonáka, Vilva, Aguru, Krishna-gandhá, Goji and Tála-patri (Tála-parni - D. R) pasted together, should be applied (to the inflamed gland) in the Vátaja type of Granthi. Different kinds of fomentation (Sveda), poulticing (Upanáha) and medicinal plasters (Lepa), possessed of the efficacy of subduing the deranged Váyu, should be likewise resorted to. A suppurated swelling should be opened and the pus drained. Then the incised wound should be washed with a decoction of Vilva * Arka and Narendra (Aragvadha) and purified (disinfected) with a plaster consisting of sesmnmn and the leaves of the Panchnágula (castor oil plants) together with Saindhava salt. After the purification, it should be healed up by applying a medicated oil, mixed with the powders of Rásná and Saralá; or by a medicated oil prepared by cooking it with Vidanga, Yashti-madhu and Amritá and cow's milk. 4.
In a case of the Pittaja type of the disease, leeches should be applied to the affected part, which should be further affused with milk and water. The patient should be made to drink a cold decoction of the drugs of the Kákolyádi group with the addition of sugar; or he should take the powders of Haritaki through the medium of grape-juice, or of the expressed juice of sugarcane. Hot plasters, prepared by pasting together the bark of the Madhuka (flower) tree, and of the Jambu
* Some read and explain that the\ decoctions of the Vilvádi and the Arkádi groups are to be taken for the purpose.
tree, Arjuna tree, and Vetasa creeper. As an alternative, hot plasters compounded of the roots of the Trina-s'unya (Ketaki), or Mtichukunda mixed with sugar, should be constantly applied to the affected part. The Granthi should be opened when fully suppurated, and the pus let out; after which it should be washed with a decoction of the bark of the Vanaspati * The incidental ulcer should then be purified with a plaster composed of sesamum and Yashtimadhu; and lastly it should be healed up with clarified butter cooked with the drugs of the Madhura (Kákolyádi group 5-6.