The Sushruta Samhita — trans. Bhishagratna

CHAPTER XXI.

Now we shall discourse on the medical treatment of the Sores on the penis produced by the Suka, a kind of poisonous insect (S'uka-Rog^a). r.

Treatment of Sarshapi, etc. :— In a case of the Sarshapi type of the disease, the affected (ulcerated) part should be scarified and dusted with the (powdered) dru^^s of an astringent taste (as described in the Mis'raka chapter), and an oil, cooked with (the Kalka and decoction of) the same drugs, should be applied for healing purposes. In a case of the Ashthilikai type of the disease, the skilful physician should apply leeches to the seat of affection. In case the swelling does not still subside, it should be removed and treated as a KaphajaGranthi (glandular swelling). A GrantM type of the disease should be constantly fomented in the manner of Naidi-Sveda, and should be poulticed with a lukewarm medicinal compound mixed with a profuse quantity of Sneha (oil). 2-4.

Treatment of KumbhiksC, etc. :— An

incision should be made into the suppurated seat of affection in a case of the Kumbhikai type of the disease, and the incidental ulcer should be purified (disinfected) and healed up with the application of the oil, cooked with Triphaldy Lod/tra, Tindtika and Amrdtaka^ In the Alaji type of the disease, the affected part should be bled by applying leeches to it and should then be affused with a decoction of th? astringent drugs. An

* S'lva-dasa in his commentary on Chikra-datta quotes this couplet from Sus'ruta, but there he reads '^fi^§f^^ in place of ^Tl?|flli'^? t^*^ is to say, he says that A'mra should be used in place of Amrataka. He further adds that the stones of Amra and Tinduka fruits should be taken,

460 THE SUSHRUTA SAMHITA. [Chap. XXI.

Oil, cooked with the decoction of the same drugs, should be used to heal up the (incidental) ulcer. 5-6.

Treatment of IVIridita, etc. :— in the

Mridita type of the disease, the affected part should be affused with tepid Valai oil and poulticed with a lukewarm plaster (Upanaha) of the drugs of the Madhura (Kdkolyddi) group, pasted and mixed with clarified butter. Leeches should be speedily applied to the condylomatous growths (Pidakai) in a case of Sammudha-

Pidakat. In cases of suppuration, they should be opened and plastered with honey and clarified butter. In a case of Avamantha, the growths (Pidakd) should be opened, when suppurated, and healed up with the application of an oil, cooked with Dhava, As va-Karna, Paitanga,

S'allaki and Tinduka. 7 — 9

In a case

of Avamantha, the growths (Pidakd) should be opened, when suppurated, and healed up with the application of an oil, cooked with Dhava, As va-Karna, Paitanga,

S'allaki and Tinduka. 7 — 9

Treatment of Pushkarika, etc. :— in a case of Pushkarikai, all kinds of cooling measures should be applied and the vitiated blood should be extracted by applying leeches. The affected part should be subsequently affused with clarified butter. In a case of the Sparsa-ha(ni type of the disease, blood should be let out and plasters (Pradeha) of Madhura (Kdkolyddi) drugs should be applied. The affected part should be affused with a very cold compound of milk, clarified butter and the expressed juice of sugar cane. In the type of the disease known as Uttama(, the Pidakis ^condylomatous growths) should be removed with the help of a Vadisa instrument, and powders of astringent drugs with honey should ba applied to the seat of affection. 10 — 12.

Treatment of Sata-ponaka, etc.: — in

a case of the Sa,ta-ponaka type of the disease, the affected part should be scarified and the measures laid down in coniection \yith Rasa-Kriyd should be resorted to.

Chap. XXI.] CHIKITSA STHANAM. 46 1

After this, an oil, cooked with the Prithak-pamyddi drugs* should be likewise applied to the seat of the disease.) The medicinal treatnnent, in a case of Tvakpaika, should be the same as described in connection with Erysipelas (Visarpa). The remedial measures, laid down under the head of Rakta-vidradhi, should be employed in a case of the SDnitairvuda type of the disease. 13-14.

General Treatment :— Remedies such as

medicinal decoctions, pastes (Kalka\ medicated clarified butter, powders, Rasa-Kriyd, etc., and the measures for purifying and healing (incidental sores or ulcers\ should be employed with due consideration to the nature and intensity of the aggravated Doshas involved in the case. The application of specifically prepared medicated clarified butter, purgatives, blood-letting and light diet should be similarly prescribed. f 15.

Prognosis : -The medical treatment of the patient affected with any of the following types of the disease, viz., Arvuda, Mdmsa-paka, Vidradhi and Tila- Kdlaka should be undertaken without holding out any definite prospect of recovery. 16.

Thus ends the twenty-first Chapter of the Chikitsita Sthdnam in the
Suslruta Samhit^ which deals with the treatment of S*uka-Roga.

* For Ra?a-kriya and the Prithak-pamyldi drugs, see Chapter XXXVI— Sulra-sthdna.

16.

Thus ends the twenty-first Chapter of the Chikitsita Sthdnam in the
Suslruta Samhit^ which deals with the treatment of S*uka-Roga.

* For Ra?a-kriya and the Prithak-pamyldi drugs, see Chapter XXXVI— Sulra-sthdna.

t This seems to be the general treatment of all the types of S uka- Roga.

CHAPTER XXII.

Now we shall discourse on the medical treatment of the affections of the mouth (IVIukha-Rog'a). i.

Treatment Of Vataja Oshtha-kopa:—

In a case of inflammation of the lips (Oshtha-Kopa) due to the action of the deranged Vaiyu, the affected part should be rubbed with (an ointment composed of) the four kinds of lardacious (Sneha) substances mixed with wax. Fomentations in the manner of Naidi-Sveda should also be resorted to by an intelligent physician. Applications of the Sativana poultices and those of the medicated oils, possessed of the virtue of subduing the deranged Vayu, as errhines and Mastikya (Siro-vasti) are also recommended. The lips should be treated with the powder composed of S'riveshtaka* Sarja rasa^ Sura-ddru, Guggulu and Yashti-madJiu. 2-4.

Treatment of Pittaja Oshtha-kopa, etc.:— In a case of Oshtha-kopa of traumatic origin, (AbhighsLtaja) or one due to the deranged action of the blood (Raktaja) or of the Pitta, bleeding of the affected part should be effected by the application of leeches and all the measures and remedies (Samsodhana and Samsamana) mentioned in connection with the treatment of the Pitta-Vidradhi should be likewise employed. 5-

Treatment of Kaphaja Oshthakopa :

— Theu^e of medicated Siro-virechana(errhines\ fumigations, (Vairechanika Dhuma), fomentation and (Sveda) Kavala (gurgles), prepared from the Kapha -subduing drugs should be recommended after blood-letting in the Kaphaja type of Oshtha-kopa. The swollen and inflamed lips should be treated (Pratisirana) with a compound conp. 463sisting of TrikatUf Sarjikd-kshdra, Yava Kshdra and Vid-lavana vblack-salt) * pounded together and made into a thin paste with the admixture of honey. 6.

* y^gbhata reads " ^^f^^ » i. e., wax, in place of tiflf^^pfT I

Treatment of lYIedoJa Oshtha-kopa :

— In a case of the fatty type of Oshtha-kopa, the affected part should be fomented and opened (when suppurated) ; and should then be purified and cauterised with fire, A paste compound of Priyangu, Triphald, Lodhra and honey should be rubbed over the affected part (Prati-sArana). These are the remedies for the curable types of Oshtha-kopa, 7-8.

Treatment of the Diseases of Danta