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Susruta Samhita - Mandhata Global

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Chap, VIII.] ^ SARIRA STHANAM. 1 99<br />

blood-poisoning (such as snake-bite etc.) and in fatal<br />

diseases (Vidradhi etc.). 3-4.<br />

Preliminary rules :—The patient should be<br />

duly fomented i,Sveda) and anointed (Sneha) with oily<br />

preparations, A liquid* food or diet consisting of articles<br />

which are antidotal to the bodily principles iDoshas)<br />

which engendered the disease or Yavagu (gruelj should<br />

be given to him at first. Then at the proper season (i.e.,<br />

not in the rainy or winter season etc.) the patient should<br />

be brought near the surgeon and made to sit or lie down<br />

and the part to be incised upon should be bound, neither<br />

too loosely {eg ,<br />

in<br />

the extremities etc.) nor too tightly<br />

{e.g.^ in the head etc.), with any of the accessories, such as<br />

cloth, linen, skin, the inner fibres of a bark, creepers etc.,<br />

so as not to create any pain or agitation in his mind.<br />

Then the vein should be duly opened with proper instru-<br />

ment (and with a careful regard to the situation of any<br />

local Marma\ 5<br />

Metrical text :— Venesection should not be<br />

performed in an extremely cold or hot, cloudy or windy<br />

day. It is forbidden to open a vein without necessity<br />

or in a healthy person, or in a disease in which such as a<br />

proceeding is absolutely prohibited. 6,<br />

The Yantra-Vidhi :— The patient whose<br />

vein is to be operated upon should be seated on a stool<br />

to the height of an Aratni (distance of the elbow from<br />

the tip of the small finger) with his face turned towards<br />

the sun. He should keep his legs in a drawn up or<br />

contracted posture resting his elbows (Kurpara) on his<br />

knee-joints and the hands with his two thumbs closed<br />

in his fists placed on (the upper ends ofy his Manyds<br />

(sterno mastoid muscles), Then having cast the binding<br />

* A liquid food is recommended for the purpose o( liquefying the<br />

blood so as to bleed easily. ....

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