CHAPTER XV.
Now we shall discourse on the curative treatment of eye-diseases, which should be cured with excisions (Chhedya-Roga-Pratishedha). 1.
Treatment of Armas;— The patient should be first treated with a Sneha-predominating food before being surgically operated upon in a case of Arman marked by the manifest vegetation or polypus (on the affected eye). The patient should then be made carefully to sit at ease and the affected eye should then be irritated by casting powdered Samdhava-salt into its cavity after which the eye-ball, without any loss of time, should be duly fomented and rubbed with the hand. The intelligent physician will then ask the patient to look at his Apánga (the interior corner of his own affected eye) and the cyst or the polypus (thus turned up), should be carefully secured with a hook (Vadiśa) and held with a Muchundi instrument or with a thread-needle. It is dangerous to suddenly uplift the eye-lid under the circumstances. The two eye-lids should be firmly drawn asunder so as to guard against their being anywise hurt during the operation. The polypus, thus made flabby and pendent with the means of the three aforesaid accessories, should be fully got rid of by scraping it with a sharp Mandalágra instrument. The root of the polypus should be pushed asunder from the Krishna-mandala (Sclerotic region) and the Śukla-mandala (region of the cornea), to the extremity of the Kaninaka (pupil) and then removed. The Kaninaka (pupil) should be duly guarded so as not to be hurt. A quarter layer of the flesh (of the polypus) should be left back and then the operation would not in any way hurt or injure the eye. An operation at
