Leeches * should be applied to the affected part in a case of non-suppurated Aja-galliká; it should be subsequently plastered with the alkalies (Kshára) of oyster-shells, S'rughni (Svarjiká), † and of Yava; as an alternative, it should be plastered with the paste compound (Kalka) of S'yámá, Lángalaki and Páthá. When suppurated it should be treated in the manner of an ulcer (Vrana). 2
Fomentation (Sveda) should be the first remedy to be resorted to in cases of Antrálaji, Yava-prakhyá, Panasi, Kachchhapi and Páshána-gardabha (in their non-suppurated stages). They should then be plastered with the pastes (Kalka) of Manahs'ila, Haritála, Kushtha and Deva-daru An incision should be made as soon as suppuration would set in; and the treatment should be similar to that of an ulcer. 3-4.
The remedies mentioned in connection with the treatment of the Pittaja type of Erysipelas (Visarpa) should be employed in cases of Vivritá, Indra-vriddhá, Gardabhi, Jála-gardabha, Irivelli, Kakshá, Gandha-námni and Vispliotaka. Clarified butter cooked with
* Gayadasa explains that a non-suppurated Aja-galliká should be first plastered with Vava-kshára, oysler-shells and Sauráshtri. Leeches should be next applied to it.
† Chakradatta reads etc." in place of
&c", evidently, after the commentary of Gayadasa the drugs of the Madhura (Kákolyádi) group should be applied in healing up the ulcers in the suppurated stages. 5.
In a case of Chipya, the affected part should be first washed * with hot water and (the incarcerated pus, etc.) drained (Visrava) by cutting it away (with a knife). Then after anointing it with (the oil known as) the Chakra-taill it should be dusted over with the powders of Sarja (resin) and duly bandaged. If this process of treatment fail, the affected part should be cauterised with fire and an oil cooked with (a decoction of) the drugs of the Madhura (Kákolyádi) group should be applied to heal (the incidental ulcer). The same course of treatment should also be adopted in a case of Ku-nakha (bad nail). 6-7.
In a case of Vidáriká, the affected part should be first anointed (with oleaginous substances) and then fomented. It should then be rubbed (with the fingers); and a plaster composed of Naga-Vriitika, Varshábhu and Vilva-roots, well pasted together, should be applied to it. Purifying and disinfecting (Sams'odhana) remedies should be employed as soon as the affected part would be found to have been changed into the state of an ulcer (Vrana') and it should then be healed up with the application of an oil cooked with the decoction of (the drugs of the Kasháya (Nyagrodhádi) and Madhura (Kákolyádi) groups In the non suppurated stage of Vidarika, the vitiated blood therein should be let out by means of Prachchhana (scarification), or by applying leeches. The affected part should then be plastered with the roots of the Aja-karna and of the Palása pasted together. A case of fully suppurated Vidáriká should be lanced and plastered with a paste compound of Patola, Pichumarda and sesamum, mixed with clarified butter and should then be duly bandaged. The incidental ulcer should then be washed with a decoction (of the barks . of the Kshiri trees and Khadira. Healing remedies should be applied after it has been properly purified (disinfected) 8-9.
* Vrinda and Chakradatta prescribe fomentation (Sveda), and not washing) with hot water and they do not prescribe secretion (Visráva).