A plaster composed of the drugs known as Apamarga, Sarjarasa, Patala bark and Lakucha bark pasted togather, or a medicated oil prepared and boiled with the preceding substances should be applied in a case of the Utpataka type, wherea a case of the Utputuka type would prove amenable to a medicinal plaster consisting of Shampaka, Shigru, Putika, the fat and marrow of a Godha and the milk and bile of a she-deer, she-buffalo or sow, pasted togather;or to a medicated unguent composed of the abovesaid substanees duly boiled with oil. Similarly, a medicinal plaster composed of the drugs known as Gauri, Sugandha, Shyama, Ananta, Tanduliyakam, or an oil prepared and boiled with the extract of the preceding drugs, would prove beneficial in a case of the Shyava type of the desease. In a case of the Vrisham-Sakundakam type, the affected part should be rubbed or lubricated with an unguent or medicated oil prepared with the boiled extract of Patha, Rasanjanam, Kshoudram, and warm Kanjikam. or a plaster composed of the same drugs and substances should be applied over the diseased locality.

In a case of ulceration, the ulcerated ear-lobe should be rubbed with the oil prepared and boiled with the drugs known as Madhukam and Kshira-kakoli, or with those which form the group known as the Jivakadi-Varga; while in a case where Vringhanam measures are to be adopted, lard prepared from the fat of a Godha, boar, or snake might be used with advantage. In the Avamanthaka type the diseased ear-lobe should be washed and covered with a plaster composed of the drugs known as Prapaundarikam, Madhukam, Samanga and Dhavam, or rubbed with oil prepared and boiled with the same drugs. Similarly, a case of Kandu-Juta (accompanied with itching) would yield to a plaster composed of the drugs known as Sahadeva, Vishvadeva, and Saindhava salt pasted with goat's milk, or to the medicated oil boiled and prepared with the same drugs and substances.

First the leaf of a creeper, long and broad enough to fully cover the whole of the severed or clipped off part, should be gathered; and a patch of living flesh, equal in dimension to the preceding leaf, should be sliced off (from down upward) from the region of the cheek and, after scarifying it with a knife, swiftly adhered to the severed nose. Then the cool-headed physician should steadily tie it up with a bandage decent to look at and perfectly suited to the end for which it has been employed (Sadhu Vandha). The physician should make sure that the adhesion of the severed parts has been fully effected and then insert two small pipes into the nostrils to facilitate respiration, and to prevent the adhesioned flesh from hanging down. After that, the adhesioned part should be dusted with the powders of Pattanga, Yashti-madhukam and Rasanjana pulverised together; and In a case of the Granthika type (accompanied by the formation of knotty growths in its inside) the knotty growths or glandular formations should be first removed, and the affected locality should be bled with a surgical instrument and dusted with powdered Saindhava salt. Likewise, in a case of Jamvala type, blood-letting should be resorted to by scarifying the seat of the disease, which should be then washed with a spray of milk. The ulcer should be healed after the perfect purification of its internal morbid of. A case of the Sravi (secreting) type would readily yield to a inal plaster composed of the drugs known as Madhuparni, and Madhukam, or of Madhukam pasted with honey, or to the medicinal oil prepared and boiled with the same drugs and substances. A case of the Sahyamana (burning) type should be treated with a plaster composed of the drugs known as the five Kalkas and Madhukam pasted together and mixed with clarified butter, or with a pasted compound of the drugs which form the group of the Jivakadi Varga with a quantity of clarified butter added to it. 20 the nose should be enveloped in Karpasa cotton and several times sprinkled over with the refined oil of pure sesamum. Clarified butter should be given to the patient for drink, and he should be anointed with oil and treated with purgatives after the complete digestion of the meals he has taken, as advised (in the books of medicine). Adhesion should be deemed complete after the incidental ulcer had been perfectly healed up, while the nose should be again scarified and bandaged in the case of a semi or partial adhesion. The adhesioned nose should be tried to be elongated where it would fall short of its natural and previous length, or it should be surgically restored to its natural size in the case of the abnormal growth of its newly formed flesh. The mode of bringing about the adhesion of severed lips is identical with what has been described in connection with a severed nose with the exception of the insertion of pipes. The physician, who is well conversant with these matters, can be alone entrusted with the medical treatment of a King.

Thus ends the sixteenth chapter of the Sutra-Sthanam in the Sushruta Samhila which treats of the Piercing and Bandaging of lobes.