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46) Uttarabastikarma (Douching/irrigation)

  • Uttarabasti (vaginal or urethral douching) is beneficial for cases of retention of urine, disorders, seminal disorders, lithotomy woundsand menstrual disorders. 

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47) Bandha (bandaging)
  • As bandaging keeps the wounds clean, soft and undoubtedly helps in it's healing, so bandaging should be done. 

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48) Patradana (Application of leaves)
  • Application of leaves should be done over the ulcers which are indolent, have little granulation tissue and which do not heal due to dryness, after due consideration about dosas and seasons. 
  • In a case of ulcers due to vata, leaves of castor oil plant, bhurja, putika and turmeric should be applied; while leaves of asvabala, kasmari, latex trees and aquatic plants should be applied by the wise over ulcers vitiated due to rakta-pitta. 
  • In ulcers due to kapha, the leaves of patra, muru, guduci, kakamaci, turmeric and also of suka- nasa should be used. 
  • The leaves, which are, not rough neither torn nor old, are delicate, are not worm-eaten and are soft, are said to be of good quality. 
  • If leaves are interposed (between the bandage and the paste), the fatty matter and the essential medicianal components (of the paste) do not get absorbed by the bandage; hence leaves should (first) be applied over the paste (before bandaging) apply leaves (over the paste so that the cooling or warming properties of the medicine applied may be effectively produced and their oiliness retained. 

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49) Krmighna (Disinfection)
  • When files flock to the wound and beget organism there, they (the organisms) feed upon (the wound) and produce very severe inflammation resulting in excessive pain and haemmorhage
  • Application of the pastes of the barks of Santarpana, karanja, arka, nimba and rajadana, ground in cow's urine or else irrigation with alkaline water is beneficial.
  • The wound should be covered with muscle pieces and the worms extracted form the wound. 

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50) Brmhana (Restorative measures)
  • All restorative measures should be undertaken in chronically ill patients, in the cachectic and in those who have become emaciated due to the wound, at the same time preserving 
  • · Their digestive power with care. 

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51) Visaghna (Neutralsation of poisons)
  • The (clinical) features of poisonings, identification (and diagnosis) of poisons and their respective management 

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52) Sirovirechana (Errhines) 
  • The expert surgeon should employ errhines for cleaning the head, for the wounds situated above the collarbones and which are associated with itching and inflammation.   

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53) Nasya (Snuffs)
  • Employ snuffs for the wounds above the clavicular region, which are caused by vata and are dry. 

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54) Kavaladharana (Gargling)
  • Hot or cold gargling is advisable to dislodge the dosas, to alleviate pain and burning sensation, to remove the mala accumulated on the teeth and the tongue and for cleaning and healing of ulcers is the mouth. 

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55) Dhuma (Smoking)
  • Smoking therapy should treat the diseases of the regions above the collarbones and the ulcers due to kapha and vata, when associated with inflammation, discharge and pain.  

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56) Madhu (Use of honey)
  • Honey should be used in recent and large traumatic wounds to bring down the heat of injury and to help their healing. 

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57) Sarpi (internal use of ghrta)
  • Ghrta should be used in recent and large traumatic wounds to bring down the heat of injury and to help their healing.

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58) Yantra (Use of Instruments)
  •  Instruments should be used in ulcerative lesions, which are deep, have small openings, and are afflicted by foreign body,which cannot be extracted manually. 

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59) Ahara (Dietary regimen)
  • All patients with ulcerative lesions should be given light demulcent, warm and appetizing diet in small quantities  

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60) Raksa-vidhana (Protective measures)
  • The ulcer patients should always be protected from any type of infection by any micro organisms

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