Procedure for removing piles

A strong patient is prepared with oleation, sudation, emesis, purgation and the like, fed a small light, unctuous, warm meal, and on a clear, mild day in a secluded place laid in an attendant's lap with the anus facing the sun and the hips raised; the anal region is bound with a cloth band and held firmly by friends. The anus is smeared with ghee and the ghee-smeared instrument inserted; the piles that enter its side opening are cleaned with cloth and swab, examined, seized with the balita instrument and cut with the kartari knife to let out the vitiated blood, or burnt, or smeared with cooked caustic alkali using a brush while the instrument's mouth is covered with the palm for the time of counting to a hundred. When the pile looks like a ripe jambu fruit, bluish and slightly sunken, it is washed repeatedly with cold milk, water, curd whey and kanji and a paste of licorice and sandalwood with ghee is applied to calm the burning. The instrument is removed, the patient bathed in cold water, kept in a draught-free house and fed shashtika rice, barley and suitable food with ghee, milk and vegetables. One pile is removed every seven days, and any remnant is burnt again in the same way.