Connected tracts are cut at one sitting; separate tracts are opened one at a time, each after the previous has healed, so the wound stays small. After judging the kind of swelling, the incision is shaped like a half-plough (ardhalangala) or a cow's trail (gotirtha). Footnotes explain that langala is a plough and ardhalangala resembles half a plough, and that gotirtha is described either as the winding line left by a walking cow's urine or as a cow's vulva.
Names and synonyms
- Sanskrit
- भगन्दर छेदन
- Hindi
- भगंदर छेदन का क्रम और आकृति
- English
- Order and shape of incisions in bhagandara
Ingredients and preparation
Preparation as described
Cut connected tracts at once; open separate tracts in turn after each heals; shape the incision as ardhalangala or gotirtha according to the swelling.
जिनकी गति पृथक्-पृथक् है, परस्पर मिली नहीं है उनको क्रम-क्रम से विदारण करें
How it is used
Performed by the surgeon on the fistula tracts.
भगंदर के छेदन (की आकृति) या तो अर्धलांगल1 के सदृश अथवा गोतीर्थ2 के समान करें।
Indicated for, as the text says
- Fistula-in-ano (bhagandara)(भगंदर)
यदैवमन्योन्यगतागतिर्भवेत्। तदैकदा छेदनामिष्टमन्यथा॥Source wording as converted, Chapter 13 · p. 233 · v. 56-59.Safety
- Needs a trained practitioner. This procedure or preparation is of a kind that should only be carried out under qualified supervision.
- Caution in the text: The wound must never be made large: faeces, urine and semen then escape through it, the tract worsens, the anus is torn and wind escaping from it causes colic and flatulent distension.
Pregnancy, breastfeeding, children, older adults, kidney or liver disease and other medicines all call for professional advice before any traditional remedy is used.
Questions and answers
Why must the surgeon avoid making a large wound in bhagandara?
Through a large wound faeces, urine and semen escape and the tract worsens; the anus can be torn, and wind escaping from it causes colic and distension.
Detailed answer and sourcesAll references
Every page and verse of the source that this entry draws on.
Quick facts
- Content type
- Procedure
- Source pages with records
- 1
- Pages naming it
- 0
- Chapters
- Chapter 13
- Extraction tasks
- T11
- Record id
- method_bhagandara_chhedana_p305