The Sushruta Samhita — trans. Bhishagratna

The same juice {i.e., of Putranjivaka) should be taken along with the juice of the bulbs of Kechuka with Pakima (vit) salt. 26.

The Alkaline Remedies :— An alkali

should be prepared from the ashes of Kdkddani, Kdkajanghd, Vrihati, Kantakdrikd, Kadamba-pushpa, Manddri, Lamhd Sukanasd in the usual way by filtering them (twenty one times) after dissolving them in cow's urine. \ The expressed juice of Kdkodumharikd, Sukanasd and the decoction of Madana fruit should be mixed with the above alkaline preparation fand duly cooked in the manner of Kshira-pdka). Diseases, such as Slipada

* Chakradatta reads "fq^cT ^"Iq ^%t" i" P^^ce of ^'fqtrT ^^^ §^' 1^" which shows that the expressed juice of Puti-Karanja leaves should be taken with mistard oil an! not separately. Ddlana evidently supports this in his commentary. That Chakradatta's reading is the correct one is also evident from the next copulet which says that the expressed juice of Putranjivaka should be taken in the preceding manner. This ''preceding manner" evidently means "with mustard oil", and unless' we accept Chakradatta's reading, the expression would be unmeaning. — Ed.

t It evidently means that the expressed juice of Putranjivaka should be taken with mustard oil — see last note. — Ed.

p. 449

(Elephantiasis), Apachi (ScrofuIa\ Gala-ganda Goitre), Grahani (chronic diarrhoea), aversion to food and the affections of all kinds of poison, yield to the iiiteriialuse of this alkaline preparation. An oil cooked with the aforesaid drugs, if used as errhines and anointments, will cure all the foregoing maladies as well as malignant ulcers (Dushta-vrana). 27.

The ashes of the Dravariti^ Trivrit, Danti, Nili, Syamdy Saptald and S'amkhini should be filtered in the way of preparing alkalies after dissolving them in cow's urine. The solution, thus prepared, should be boiled with a decoction of Triphala. Taken internally it tends to act in the lower part of the body {ie , it moves the bowels). This medicine produces the same effect as the preceding ones. 28.

Thus ends the nineteenth Chapter of the Chikitsita Sth^nam in the
Sus'ruta Samhita which deals with the medical treatment of Vriddhi,
Upadams'a and S'lipada.

5;

CHAPTER XX.

Now we shall discourse on the medical treatment of the minor ailments or diseases (Kshudra-rog'al i.

Treatment of Aja-gallika : -Leeches *

5;

CHAPTER XX.

Now we shall discourse on the medical treatment of the minor ailments or diseases (Kshudra-rog'al i.

Treatment of Aja-gallika : -Leeches *

should be applied to the affected part in a case of non-suppurated Aji-gallikai ; it should be subsequently plastered with the alkalies (Kshara) of oyster-shells, vSV/^!^)^;// (Svarjika), f and of Yava ; as an alternative, it should be plastered with the paste compound (Kalka) of S'ydmi, Langalaki and Pdthd. When suppurated it should b3 treated in the manner of an ulcer (Vrana). 2

Treatment of Yava-prakhya, etc. :—

Fomentation (Sveda) should be the first remedy to be resorted to in cases of Antrailaji, Yava-prakhya^, Panisi, Kachchhapi and Patsha^na-^ardabha (in their non-suppurated stages). They should then be plastered with the pastes (Kalka ' of Manahs'ild, Haritdla, Kushtha and Devaddrii An incision should be made as soon as suppuration would set in ; and the treatment shou'.d hi siaiUir t3 thxt of an ulcer. 3-4.

Treatment of Vivrita, etc. : -The

rem3dies mentioned in connection with the treatment of the Pittaja type of Erysipelas (Visarpa) should bi employed in casas of Vivritat, Indra-vriddha', Gardabhi, Jatla-gardabha, Irivelli, Kaksha(, Gandhanatmni and Visphotaka. Clarified butter cooked with

* Gayadasa explains that a non-suppurated Aja-gallikSb should be first plastered with Yava-kshara, oyster-shells and Saurashtri. Leeches should be next applied to it.

t Chakradatta reads * 'Tif^-^TTT^^WTT &c." in place of **^%gfltm-^K &c.", evidently, after the commentary of Gayaddsap. 451 the drugs of the Mad/mm (K^kolyadi) group should be applied in healing up the ulcers in the suppurated stages. 5 .

Treatment of Chipya, etc :— in a case of Chipya, the affected part should be first washed* with hot water and (the incarcerated pus, etc.) drained (Visrava) by cutting it away (with a knife). Then after anointing it with (the oil known as) the Chakra-taili it should be dusted over with the powders of Sarja (resin) and duly bandaged. If this process of treatment fail, the affected part should be cauterised with fire and an oil cojked with (a decoction of) the drugs of the Madhura (KdkolyddiJ group should be applied to heal (the incidental ulcer). The same course of treatment should also be adopted in a case of Ku-nakha (bad nail). 6-y.

Treatment of Vidarika :— in a cae of

The same course of treatment should also be adopted in a case of Ku-nakha (bad nail). 6-y.

Treatment of Vidarika :— in a cae of

Vida'rikat, the affected part shou'd be first anointed (with oleaginous substances) and then fomented. It should then be rubbed (with the fingers) ; and a piaster composed of Naga-Vrittika, Varshdbhu and Vilvaroots, well pasted together, should be applied to it. Purifying and disinfecting (Sams'odhana) remedies .should b3 employed as soon as the affected part would be found to have been changed into the state of an ulcer (Vrana\ and it should then be healed up with the application of an oil cooked with the decoction of (the drugs of the Kashdya (Nyagrodhadi) and Madhura (Kakolyadi) groups, In the n^n suppurated stage of Vidarika, the vitiated blood therein should be let out by means of Prachchhana (scarification), or by applying leeches. The affected part should then be plastered with

■* Vrinda and Chakradalta prescribe fomentalion (Sveda), and not washing, with hot water and they do not prescribe secretion (Visrava).

p. 452

the roots of the Aja-karna and of the Paldsa pasted together. A case of fully suppurated Vidsirikai should be lanced and plastered with a paste compound oi Patola^ Pichumarda and sesamum, mixed with clarified butter and should then be duly band-iged. The incidental ulcer should then be washed with a decoction (of the barks > of the Kshiri trees and Khadira, Healing remedies should be applied after it has been properly purified (disinfected) 8-9.

Treatment of ^arkar^rvuda, etc. :— A

case of Sarkarairvuda should be treated like that of an Arvuda (tumour) of the fat-origined type. Cases of Kachchhu, Vicharchikai and Pa^mai should be treated in the manner of a Kushtha. A medicinal plaster composed of Siktha (wax), S'atdhvd and white mustard seeds, or of Vachd, Ddrn-haridrd and musta»'d seeds, pasted together, should be applied (to the seat of the disease). As an alternative, Naktamdla (Karanja) oil, or Sdra-taila * boiled with (the drugs of) the Katuka (PippalyAdi) group should be applied for anointing purposes. lo-ii.

Treatment of Pstda-d^tri :— In a case of

Ps^da-datn, the prescribed vein should be opened, and the affected part should be treated with fomentations a'ld unguents, t The affected part should be plastered with (an ointment composed of) wax, lard, marrow, powder of Sarja (resin),t clarified butter, Yava-Kshdra and Galrika, 12.