The Sushruta Samhita — trans. Bhishagratna
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It adds to the growth of flesh, creates fresh semen and Ojas, improves the digestive capacity and the strengthp. 639 of the body, imparts longevity and cures and conquers the following diseases, viz., Gulma, Menorrhagia, Erysipelas (Visarpa), Strangury, Kshata-kshaya, Vishama-jvara, Haemorrhoids, Diarrhoea (Grahani), Vdta-kundali, catching pain due to the incarceration of the V^yu in the regions of the thighs, knee-joints, head and bladder (Vasti), obstinate constipation of the bowels, (Uddvarta) and the other distempers of the bodily Vayu, Vata-rakta, Sarkard (gravels in the bladder), AshthilcL, cramp in the groins, Udara, aversion to food, Rakta-pitta (Haemorrhage), affections of the deranged Kapha, Insanity, Prameha, distension of the abdomen (Adhmdna), catching pain at the heart (Hrid-graha). 20. A Vasti composed of the decoction of the V^yusubdulng drugs mixed with Trivrit*^ Saindhava and Kdnjika (or the expressed juice of acid fruits) should be applied lukewarm in cases due to the aggravation of the bodily Va'yu. Similarly, a Vasti composed of the decoctions of the drugs included within the Nyagrodhddi group mixed with sugar, clarified butter, powders of those included within the Kdkolyddi group should be applied in diseases due to the aggravation of the Pitta. A Vasti composed of the decoction of the drugs of the Ara^adhddi group saturated with the pulverised compound of those included within the Pippalyddi group, should be employed with (an adequate quantity of) cow's urine, added thereto in a case of the aggravation of Kapha. A Vasti composed of a copious quantity of the decoction of Kshira-Vrikshas mixed with (an adequate quantity of) the expressed juice of the sugar-cane, milk,p. 640 sugar, and clarified butter should be applied in a cold state in cases marked by a vitiated condition of the blood of the system. 21 — 24.
* According to Dallana, *'Trivrit" should be understood to mean the same as •• Traivrita" mentioned in the treatment of Maha-vata-vyadhJ (see Chapter V., Para. 25, Chikitsita Slhanam).
^odhana (corrective) Vastis :— The drugs of the S'odhana group 'possessed of corrective therapeutic properties) should be pounded together and mixed with an admixture of their own decoction. The solution thus formed should be mixed with Saindhava and Sneha and stirred with ladle. It should then be injected into the bowels of the patient. This is called the S'odhana-Vasti*. 25.
The solution thus formed should be mixed with Saindhava and Sneha and stirred with ladle. It should then be injected into the bowels of the patient. This is called the S'odhana-Vasti*. 25.
Lekhana- Vast! : —The powders of the drugs of the UsJiakddi group should be mixed with the decoction of Triphald and with cow's urine, honey and Yava-kshdra. The whole solution should be applied as a Vasti and is called the Lekhana- Vasti. 26.
Vrimhana-Vasti :— A paste composed of
the drugs of the Madhurai^-kVQ>\y^^\) group mixed with the decoction of the drugs possessed of tonic and constructive properties (Vrimhana drugs) should be injected into the bowels with clarified butter and the extract of meat added thereto. It is called the Vrimhana-Vasti. 27.
Vaji-karana- Vasti :— The seeds of the
Atmaguptd should be pounded and mixed with the decoction of (the roots of) the Uchchatd together with (the contents of) the egg of a sparrow (Chataka) and an adequate quantity of milk, clarified butter and sugar. The solution should be injected into the bowels in the manner of a Vasti and is called the VaLJi-karana- Vasti (aphrodisiac). 28.
* According to Dallana, four Pala weights of\honey, one Pala of milk, one Pala and a half of cow's urine, and four Pala and a half of Kanjika, should be added to this solution.
Chap. XXXVIII.] cilIKITSA STHANAM. 64I
Pichchhila-Vasti :— Milk cooked with
Viddri* Ainivati, S'clu, S'dhnali and the tender sprouts of D/ianvana should be used as a Vasti with the blood and honey (added to it) ;t it is called the Pichchhila- Vasti. The fresh blood of a buffalo, hog, sheep, or of a cat, or the contents of a newly laid (hen's) eggj may be used for the purpose. 29-30.
Gr^Chi-Vasti :— A paste of the drugs of the Ambashthddi group, dissolved in a decoction of those of the Priyangvddi group and mixed with honey and clarified butter, may be used as a Vasti and is called the Gr^i- Vasti. 31.
Sneha-Vasti :— A Sneha-Vasti should be prepared by duly cooking the drugs of one or two of the above groups with a Sneha. 32.
Sterile women should be treated with a Vasti consisting of the S'ata-pAka-Val4-Taila or the Traivrita- Ghrita (as described before)§ after being cleansed (S'odhaiia) in due succession. 33.
Strong enemas (possessed of keen medicinal potency) should be employed in respect of extremely strong t Vrinda does not recommend the addition of honey ; he reads "^^(fl*. ^." (<-^M ^bc Vasti should be in a cold state), in place of "^*t^^dl!". ^"^ '' 's evident from the reading of Dallana's commentary, as quoted by S'rikantha Datta, that honey should be added.
* Both Vrinda and Chakrapdni read •• Vadaii " in place of " Vid^ri", and their annotators mean to say that the tender sprouts of all trees, viz.^ Vadari, etc., should be used.
X Both Vrinda and Chakrap^ni read "^jsj*' >" place of "^<g ' which means that the newly spilt blood of a goat should be added to the list and hen's egg should be eliminated therefrom.
§ Vala-Taila has been mentioned in the treatment of Mudha-garbha (Chapter XV, Chikitaita Sthdnam) and the Traivrita-Ghtila has been described in the treatment of Maha-Vattvyadhi (Chapter V, Chikilsita Slhiinam).
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642 THE SUSHRUTA SAMHlTA. [Chap. XXXV patients, and those of moderate potency should employed in respect of persons possessed of a middl sort of bodily strength, while weak persons should treated with Vastis (enemas) of mild potency, experienced physician should thus apply Vastis (enen with due regard to the nature of the season, the stren of the patient, the nature and intensity of the disc under treatment and of the Doshas involved the: and to the nature of the potency of the ingredit to be used in charging the Vasti (enema),^ 34.
Loosening or disintegrating (Utkles'ana — lit. tating) enemas {j,e., those possessed of the virtue of lodging and disintegrating the accumulated Doshas in system) should be employed at the outset and correc ones (Dosha-hara) should then be employed, while tl exerting a soothing influence on the organism (S s'amana) should be employed last of all towards close of the treatment. 35.
Different Vastis :— An Utkles'ana (disi
grating) Vasti consists of castor seeds, Yashti-mat Pippali^ Saindhavay Vacha^ Hahushd and Phala (Tripl — Madana-phala, according to others) pasted toget A Dosha-hara-vasti (corrective enema) consists (( solution) of Yashti-madhu, Kutaja seeds and Made phala with Kdnjika and cow's urine. A Sams'odha Vasti |(soothing enema) consists of Priyangu^ Yas mad/iUj Musta and Rasdnjana with cow's milk. 36— lYIadhu-Tailika Vasti :— Now we shall scribe in short the process of applying a Ma(dhu-Tai
* S'ivaddsa, the commentator of Chakradatta, quotes two addil lines as being incorporated in Sus'ruta's text which, when trans! would be as follows -.—Better use a Vasti of milder potency but nevt on of strong potency than what is necessary and this is recomnK especially in cases of delicate persons.— ^of.
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