A Karsha measure of each of the following drugs, viz., the tender leaves and fruits of the Naktamála, the leaves of the Sumana (Játi flower), Patola and of Arishta, Hariárá, Daru-Haridrá, wax, Yashti-Madhu, Tikta-Rohini, Priyangu * Kus'a-roots, Nichula-bark, Manjishthá, sandal wood, Us'ira, Utpala, Sárivá and Trivrit should be cooked with a Prastha measure of clarified butter. This medicated Ghrita is called the Karanjádya Ghrita, and it will cure malignant ulcers (Dushta-Vrana) and act as a purifier in sinus and recent ulcers, etc., burns and scalds, deep sores and even deep-seated sinuses. 11.
In a case of Kaphaja Vidradhi, the seat of affection should be fomented with a heated brick, sand, iron, cow-dung, husks, ashes and cow's urine. † The Doshas involved in such a case should be curbed down by a constant use of medicinal decoctions, emetics, plasters (Alepa) and poultices (Upanáha). The vitiated blood of the locality should be cuffed out with an Alávu-yantra (gourd). The abscess when suppurated should be (lanced and) washed with a decoction of Aragvadha. The sore of such an ulcer should be filled up (healed) with a medicinal compound consisting of the paste of Haridrá Trivrit, S'aktu, sesamum and honey and bandaged in the manner described before. After that, a medicated oil properly cooked with a paste of Kilatthiká, Danti, Irivrit S'yámá, Arka, Tilvaka, cow's urine and rock-salt should be applied in such a case. 12-13.
* Chakrapáni Datta in his compilation does not include Priyangu, Kus'a-roots add Nichula-bark in the list but he reads both the kinds of sárivá, i. e., Anantamula and S'yámá-latá.
† In Chakradatta, the reading is i.e., pasted in cow's urine, instead ofS'ivadása, the commentator, however, holds that this reading is not authoritative, though he says that some commentators have accepted it.
In a case of abscess of traumatic (Agantuja) origin, or due to the vitiated condition of the blood (Raktaja), all the measures and remedies laid down in connection with those of the Pittaja type should be employed by a skilled surgeon. 14
A case of an unsuppurated internal abscess yields to the use of a potion consisting of a decoction of the drugs of the Varunádi group saturated with the powders (Kalka) of those of the Ushakádi group. Clarified butter cooked with the decoction of the drugs of the two preceding groups, as well as clarified butter cooked with purgative drugs, taken every morning, will cure an internal abscess in a very short time. The decoctions of the above groups should be mixed with Sneha (oil or clarified butter) and speedily used as an Asthápana as well as an Anuvásana measure. The bark of Madhu-s'igru mixed with the powders of the drugs antidotal to the Doshas involved in the case, being administered in food and drink and used as a plaster, proves curative in a case of an internal abscess in its unsuppurated stage. As an alternative, the said drug (i.e., Madhu-s'igru) should be taken with water, Dhanyamla, cow's rine, or Sura (wine). Purified S'ilájatu, Guggulu, S'unthi, or Deva-dáru, dissolved in the decoction of the drugs antidotal to the aggravated Doshas involved in the case, should be administered. Applications of poultices, Sneha-Karma (emollient measures), as well as Anulomana (Váyu-sub-duing) measures should be frequently resorted to in such cases. 15-20.
The veins (S'irá) should be opened in a case of the Kaphaja type of abscess as directed before; while some authorities advise to open the veins at the arms in cases of Raktaja, Vátaja and Pittaja types. 21.