Leech bloodletting and strong purgation for prameha boils

For prameha boils, leeches are first applied over the boils to let blood, and then strong purgation is given; the text warns that the madhumeha patient is hard to purge.

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Names and synonyms

Hindi: प्रमेहपिटिका में जोंक से रक्तमोक्षण व विरेचन
English: Leech bloodletting and strong purgation for prameha boils

Ingredients and preparation

External applicationChapter 11 · p. 166 · v. 44

How it is used

Leeches are applied over the boils; purgation follows.

इसलिए सबसे पहले हितकर है कि उन पिटकों के ऊपर जोंक लगाकर रक्रमो़ाण करना चाहिए उसके बाद ती़ण विरेचन कराना चाहिए।

Indicated for, as the text says

Prameha boils(तासां / उन पिटकों)

Therapies involvedLeech therapy (jalauka)जलौका (जोंक) चिकित्सा Bloodletting (raktamokshana)रक्तमोक्षण Therapeutic purgation (virechana)विरेचन (जुलाब)

Organs mentionedSkinत्वचा

अतस्तु तासां प्रथमं जलायुका-निपातनाच्छोणितमो़ाणं हितम्।Source wording as converted, Chapter 11 · p. 166 · v. 44.

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 madhumeha patient is said to be purged only with difficulty.

Pregnancy, breastfeeding, children, older adults, kidney or liver disease and other medicines all call for professional advice before any traditional remedy is used.

Therapies involved3

Bloodletting (raktamokshana)रक्तमोक्षण Leech therapy (jalauka)जलौका (जोंक) चिकित्सा Therapeutic purgation (virechana)विरेचन (जुलाब)

Indicated for2

Madhumeha (sweet-urine disorder, diabetes-like)मधुमेह Prameha boilsप्रमेह पिटिका

Questions2

What does the commentary say happens if prameha is not treated quickly?टीका के अनुसार प्रमेह की शीघ्र चिकित्सा न हो तो क्या होता है?Which ten boils (pidaka) are said to occur in prameha patients, and how are they treated?प्रमेह के रोगियों में कौन-सी दस पिटिकाएँ बताई गई हैं और उनकी चिकित्सा कैसे होती है?

Organs mentioned1

Skinत्वचा

Discussed in topics1

Treatment of prameha boilsप्रमेहपिटिका की चिकित्सा

Sessions1

Treatment of the major diseases, part oneमहाव्याधिचिकित्सित

Questions and answers

What does the commentary say happens if prameha is not treated quickly?

It turns in time into madhumeha; the patient is then called madhumehi and develops prameha boils.

Detailed answer and sources

Which ten boils (pidaka) are said to occur in prameha patients, and how are they treated?

Sharavika, sarshapika, jalini, putrini, kacchapika, masurika, vidarika, vidradhika, alaji and vinata; they are treated with leeches and strong purgation, ripening applications, incision, cleansing and healing.