The Sushruta Samhita — trans. Bhishagratna
The text is shown on its own: no facing layer is held for this issue.
Others, however, read it as "^t'HT^S^:" and explain it (^tWM^ + ^p^) as meaning "in a straight line with the Ghon^ (which may mean
p. 55
p. 434
The ashes (Masi) of the skins of a peacock, cow, h'zard (Godhd) and snake and of tortoise shells should be dusted (over an Apachi after lubricating it) with the (expressed) oil of the Ingudi. Medicated oils to be described under the treatment of Slipada (elephantiasis) and Vairechanika fumes should also be applied in a case of Apachi and the diet should consist of cooked barley and Mudga pulse. 20-21.
Treatment of Vataja Arvuda :~ln a
case of Vsitaja Arvuda, a poultice composed of Karkdruka, Ervdruka, cocoanut, Piydla and castor seeds, boiled with milk, water and clarified butter, and mixed with oil, should be applied lukewarm (to the tumour). As an alternative, a poultice made up of boiled meat or of Ves'a-vdra, should be applied to it. Fomentation of the part in the manner of aNaidi-sveda (application of medicated fumes through a pipe; should be applied by an experienced physician and the (vitiated) blood (of the locality) should be repeatedly cuffed off with a horn. S'atdhvd or Trivrit *, boiled with the decoction of the Vdyu-subduing drugs and with milk and Kanjika, should be given to the patient. 22-23.
Treatment of Pittaja Arvuda : —
Applications of mild fomentations and poultices (to the either the nose or the big vein (Kandara) at the heel looking like the nose (Ghona) of the ankle-joint and below the Indra-vasti".
Dallana says that the part to be excisioned, according to the first stanza, is bBlow the Indra-vasti and that, according to the second, is above theflndra-vasti. We also think that the seat of the Indra-vasti should be carefully avoided and an excision should be made both above and below the Indra-vasti, according to the requirements in each case.
* There is a different reading "^cTT^ 1%§fi" '" place of "gjcTfJ^J f(j(§c['". In that case, roots of whitfe Trivrit should be boiled with the d^pocilon, etc" ■ '
Chap. XVIIL] CHIKITSA STHANAM. 435
* There is a different reading "^cTT^ 1%§fi" '" place of "gjcTfJ^J f(j(§c['". In that case, roots of whitfe Trivrit should be boiled with the d^pocilon, etc" ■ '
Chap. XVIIL] CHIKITSA STHANAM. 435
affected part) and of purgatives are efficacious in Pittaja Arvuda. The tumour should be well rubbed with (the rough surface of) the leaves of the Udumbara, S'dka^ or of the Goji and it should be plastered over with the fine powders of Sarja-rasa, Priyangu, Pattanga (red sandal wood), Rodhra, Anjana * and Yashtimadhuy mixed with honey. As an alternative, a plaster composed of Aragvadha, Goji, Soma and S'ydntd, pasted together should be applied to it after the secretion Visrdva. Clarified butter, cooked with Klitaka (as a Kalka) and with the decoction of S'ydmd, Girihvd, Anjanaki, Drdkshd and Saptalikd should be prescribed for internal application in a case of Pittaja Arvuda and of abdominal dropsy (Jathara) of the Pittaja type. 24-26.
Treatment of Kaphaja Arvuda : — In cases of the Kaphaja type of Arvuda blood should be let out from the affected part after the system of the patient has been cleansed (by emetics and purgatives). Then a medicinal plaster composed of the drugs,-|* which are efficacious in correcting the Doshas, confined to the upper and lower parts of the organism, should be applied hot to the tumour. Or a plaster composed of Kdnsya-nila, S'uka^ Ldngaldkhya and Kdkddani roots, and the dung of a Kapota and of Pdrdvata pasted together with urine, or with alkaline water should be applied to it. The Kalkas (pastes) of Nishpdva{^'\m\A)^ Pinydka (oil-cakes of sesamum) and Kulattha pulse, pasted with curd-cream and an abundunt quantity of flesh, should be used in plastering the affected part so that worms and parasites may be produced in the ulcer
* Chakradatta reads **Arjuna" in place of "Anjana". t These are the drugs included in the emetic and purgative groups (see chap. XXXIX. Sutra Sthanam).
436 THE SUaHRUTA SAMHITA. [Chap. XVIIL and flies attracted to it (and so consume the ulcer). A small portion of the ulcer, left unconsumed (un-eaten) by worms and parasites, etc., should be scarified and the ulcer should then be cauterised with fire. 27-28.
[Chap. XVIIL and flies attracted to it (and so consume the ulcer). A small portion of the ulcer, left unconsumed (un-eaten) by worms and parasites, etc., should be scarified and the ulcer should then be cauterised with fire. 27-28.
A comparatively superficial tumour (Arvuda; should be covered with thin leaves of zinc, copper, lead, or of iron, and cauterization with fire or with an alkali as well as surgical operations should be carefully and repeatedly resorted to, so as not to hurt, nor in any way injure the body. The incidental ulcer should be washed with the decoction of the leaves of the Asphota, fdti, and Karavira for the purpose of purification. A medicated oil, cooked with Bhdrgi, Vidanga, Pdthd,^,x\d Triphald should then be used as a healing remedy. An experienced physician should treat a tumour, spontaneously suppurating, in the manner of a suppurated ulcer. 29-31.
Treatment of Medoja Arvuda :— A
Medoja Arvuda (fat origined tumour) should be first fomented and then incised. The blood in its inside having been cleansed it should be quickly sutured and then plastered over with a compound composed of Haridrd, Griha-dhuma (soot of a room), Rodhra, Pattanga, Manahs'Ud and Haritdla pounded together and mixed with a proper quantity of honey After its purification, thus produced, it should be treated with the application of Karanja-Taila (prescribed before in •cases of Vidradhi). Even the least particle of Doshas (pus, etc.) in a tumour, left unremoved, would lead to a fresh growth of the excrescence and bring on death just like the least particle of an unextinguished fire. Hence it should be destroyed in its entirety. 32-33.
Treatment of Vataja Gala-ganda : —
A case of the Vaitaja type of Gala-ganda (goitre) should
Chap, XVIIL] CHIKITSA STHANAM. 437