First the leaf of a creeper, long and broad enough to fully cover the whole of the severed or clipped off part, should be gathered; and a patch of living flesh, equal in dimension to the preceding leaf, should be sliced off (from down upward) from the region of the cheek and, after scarifying it with a knife, swiftly adhered to the severed nose. Then the cool-headed physician should steadily tie it up with a bandage decent to look at and perfectly suited to the end for which it has been employed (Sadhu Vandha). The physician should make sure that the adhesion of the severed parts has been fully effected and then insert two small pipes into the nostrils to facilitate respiration, and to prevent the adhesioned flesh from hanging down. After that, the adhesioned part should be dusted with the powders of Pattanga, Yashti-madhukam and Rasanjana pulverised together; and
In a case of the Granthika type (accompanied by the formation of knotty growths in its inside) the knotty growths or glandular formations should be first removed, and the affected locality should be bled with a surgical instrument and dusted with powdered Saindhava salt. Likewise, in a case of Jamvala type, blood-letting should be resorted to by scarifying the seat of the disease, which should be then washed with a spray of milk. The ulcer should be healed after the perfect purification of its internal morbid contents. A case of the Sravi (secreting) type would readily yield to a medicinal plaster composed of the drugs known as Madhuparni, and Madhukam, or of Madhukam pasted with honey, or to the medicinal oil prepared and boiled with the same drugs and substances. A case of the Dahyamana (burning) type should be treated with a plaster composed of the drugs known as the five Kalkas and Madhukam pasted together and mixed with clarified butter, or with a pasted compound of the drugs which form the group of the Jivakadi Varga with a quantity of clarified butter added to it.
