The Sushruta Samhita — trans. Bhishagratna

33-34.

Treatment of Talu-paka, etc- :—

Remedies which destroy the deranged Pitta should be employed in Ta^Lu-pakka (suppuration of the palate) ; while applications of Sneha (oil, etc.) and Sveda (fomentations), as well as Vi^yu-subduing measures should be the remedies in a case of a Tailu-oopha (swelling of the palate). The remedies to be employed in the diseases affecting the palate have been thus described above. Now hear me discourse on the remedial measures in Kantha-Roga (diseases of the throat). 35-36.

Treatment of Throat-diseases :- In

a curable type of RoMni, blood letting and the applications of emetics, gurgles, inhalations (of medicated fumes) and errhines (Nasya) are efficacious. In cases of Vaitaja Rohini, blood letting should be first effected, and the affected part should then be

* The alkaline water to be used in the Mudga-soup should be prepared from Yava-kshdra according to Dallana. But according to S iva* ddsa, alkaline water prepared from the ashes of Mushkaka, Apamarga, etc., should be used.

Chap. XXII.] CHIKITSA STHANAM. 4/1

rubbed with salts. Gurgles ^.Gandusha) of tepid Sneha (oil, clarified butter, etc.) should be constantly resorted to In cases of the Pittaja Rohini, the powdered Pattanga^ honey and sugar should be rubbed ^Prati-sjlrana) over (the affected part), and the decoctions* of Drdkshd and of Parushaka, should be used as gurgles (Kavala). In the Kaphaja type of Rohini, the affected part should be rubbed with Katuka and Agdra-dhuma (soot of a house — chimney-soot). An oil properly cooked with S'vetd Vidan^a, Danti and Saindhava should be employed as (Nasya) and employed as gurgles (Kavala). In a case of Riktaja Rohini, a physician shall employ the same measures of treatment as in the Pittaja type of the disease, ^y.

Treatment of Kantha-^aluka, etc.:

— In a case of Kantha-Saluka, it should be bled and treated as a case of Tundikeri, and the patient should be enjoined to take a single meal in the day consisting only of a small quantity of Yavdnna (barley-rice) with clarified butter. The treatment of a case of AdMjihvika^ should be the same as that of Upa-jihvika. In a case of Eka-vrinda, blood-letting of the affected part should be resorted to (by the application of leeches), and Sodhanaf (purifying) remedies should be employed. The medical treatment of a case of Gilayu (Silatyu.-D.R.) consists of a surgical operation (on the seat of thi disease). Incision should be made into a

The medical treatment of a case of Gilayu (Silatyu.-D.R.) consists of a surgical operation (on the seat of thi disease). Incision should be made into a

* According to Chakra-pani, Draksha and Parushaka should be combinedly used in preparing the decoction.

t The "purifying remedies" here means S'iro-virechana, fumigation, plasters and applications of alkali, etc,, for purifying the Doshas in the throat,

472 THE SUSHRUTA SAMHITA. [Chap. XXII.

G-ala-Vidradhi (throat-abscess Mn its suppurated stage and appearing at a part other than a Marma (vulnerable part). 38-42.

Treatment of Sarva-sara lYlukha-

Rog'a : — The affected part should be rubbed with powdered salts* in a case of Sarva-sara Mukha-roga (invading the entire cavity of the mouth) due to the aggravated Vaiya. Oil cooked with the (decoction and the pastes of) Vayu-subduing drugs (such as, the Bhadradarvddi group, etc.) and used as errhines (Nasya) and gurgles (Kavala) is efficacious in this disease. After the application of this oil, the patient should be treated with the Snaihika form of fumigation (Dhuma) in the following manner. Juntuka leaves smeared with honey should be plastered with a compound of the Sdra of S'dla, Piydla and castor wood, the marrow of In^udi and Madhuka, Guggulu, Dhydmaka CGandhatrina), Mdmsi, Kdldnu-sdrivd^ S'ri (Lavanga), Sarja-rasa, S'dileya and wax pounded together and mixed with an adequate quantity of clarified butter or oil. It should then be burnt, and the patient made to inhale the fumes. This medicinal fumigation (Dhuma) proves remedial in the disease. It destroys the deranged Va(yu and Kapha, and proves curative in all affections of the mouth. In the Pittaja type of the Sarva sara Mukha-roga, all the morbific principles (Doshas) should be eliminated from the patient^s body (with emetics and purgatives),

* Dallana and Nis'chala explain the term "^^'^^igf^*/' as the powders of the five officinal kinds of salt. S'iva-dasa, however, holds that powdered Saindhava salt only should bs used. Vrinda reads *' ^^^j^ :" and the commentator S'ri-kantha Datta explains it to mean either the powders of '^^f^qj]'', i.^., Jyotishmati or those of '%^f!j", i.e., the five officinal kinds qf salt.— Ed,

p. 473

Vrinda reads *' ^^^j^ :" and the commentator S'ri-kantha Datta explains it to mean either the powders of '^^f^qj]'', i.^., Jyotishmati or those of '%^f!j", i.e., the five officinal kinds qf salt.— Ed,p. 473 and all kinds of- sweet, soothing and Pitta-subduing drugs should be administered. Medicated gurgles (Gandusha), fumigation (Dhuma), Pratisdrana (rubbings) and purifying (S'odhana) measures as well as the Kapha-subduing remedies should be employed in the Kaphaja type of the Sarva-sara-Mukha-roga, and the patient should be made to take one Dharana measure (Twenty-four Ratis) of powdered Ati-vishd, Pdihd, Musta, Devaddru, Katuka and Kutaja seeds, with an adequate quantity of cow's urine. This medicine acts as a potent remedy for all the Kaphaja disorders of the body. Gurgles (Kavala) with milk, sugarcane juice, cow's urine, curd-cream, Kdnjika, oil, or clarified butter (Sneha) should be prescribed according to the nature of the aggravated Doshas involved in each case (of the Sarva-sara-Mukha-roga). We have described above the medical treatment of the affections of mouth which yield to medical remedies. 43-45.

incurable Types : — Now we shall enumerate the different incurable types of mouth-diseases. Of the types of Oshtha-p^ka, those due to the vitiated condition of the flesh, or of blood, and those due to the concerted action of the aggravated Doshas (Sannipdta) should be deemed as incurable. Of the diseases peculiar to the roots of the teeth, the affections known as the Sdnnipjitika Danta-ns^di (Sinus in the gums) and the Sdnnip^tika ^aushira (Mah^-Saushira) should be also deemed as incurable. Of the affections of the teeth, those known as the Syi^va-dantaka, Ds^lana and Bhanjana, and of the diseases which restrict themselves to the tongue, the one known as the Alstsa should be looked upon as incurable. Similarly, of the affections of the palate, the Arvuda should be deemed as incurable. Of those of the throat, the Svara-

p. 60

474 THE SUSHRUTA SAMHITA. [Chap. XXII ghna, Valaya, Brinda, Bals^sa, Bid^riks^, Galaugha, Miimsa-tsina, Sataghni and Rohini should be regarded as beyond the pale of medicine. The nineteen kinds of the disease mentioned above are incurable, and the medical treatment of these diseases should be taken in hand without holding out any definite hope of recovery. 46—49.

Thus ends the Twenty-second Chapter of the Chikitsita-Sthdnam in the I Sui'ruU Samhit^ which deals with the medical treatment of the diseases of the mouth.

CHAPTER XXm.