The Sushruta Samhita — trans. Bhishagratna

The first consists of pulverised turmeric mixed with the milky exudation of the Snuhi tree. The second contains of the cockevacuations and pulverised Gunjd, turmeric SLnd-Ptppa/tp. 41p. 322 pasted with the urine and bile of a cow. The third is compounded of Danti^ Chitraka, Suvarchikd and Ldngali pounded together and made into a paste with cow's bile. The fourth consists of Pippali^ rock-salt, S'irisha-SQQds and Kushtha pasted with the milky juice of an Arka^ or Snuhi plant. An oil cooked in combination with Kdsisa (sulphate of iron), Haritdla (yellow orpiment), rock-salt, As'vamdraka, Vidanga, Putika, Kritavedhana, Jamhu, Arka, Uttatndrani, Danti^ Chitraka, Alarka and Snuhi-m\\V, and used as an unguent, leads to the falling off of the polypus, ii.

Internal piles :— Now we shall describe the remedial measures which bring about the falling off of the invisible (internal) haemorrhoids. The patient should take Haritakl with treacle every morning ; or a hundred Haritakis should be boiled in a Drona measure of cow's urine and the patient, observing a strict continence, should take with honey every morning as many of them as suit his constitution ; or he should be made to take every day a paste made of the roots of Apdmdrga with the washings of rice and with honey. S'atdvari pasted with an adequate quantity of milk or ;a Karsha measure of) the powders of Chitraka mixed with a copious quantity of good Sidhu wine, or a gruel (Mantha) (neither extremely thick nor thin), or powdered barley or wheat mixed with Takra and Bhalldtaka powder, should be administered without any salt. A quantity of Takra should be kept in an earthen pitcher, plastered inside with a paste of Chitraka roots, and given to the patient in food and drinks whether fermented or not, A Takra should also be separately prepared as in the preceding manner with Bhdrgi^ Asphotd, barley, Amalaka and Guduchi and administered similarly ;. this is called the Takra-kalpa (butter-milk compound). 12.

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this is called the Takra-kalpa (butter-milk compound). 12.

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A medicated Takra should also be prepared with Pippali^ Pippali-mula, Chavya^ ChiU'aka^ Vidanga, S'unthi and Haritaki^ in the manner described above, (and given to the patient), who should abstain from taking any solid food, but live only on (this) Takra for a period of one full month ; or he should be given milk boiled with a decoction of S'ringavera, Punarnavd and Chitraka, or a condensed decoction (Phdnita) of the bark of Kutaja roots mixed with an after-throw of the powdered drugs of the Pippalyddi group and honey. The patient should be made to partake of the medicinal compound known as the Hingvadi-churua,* described in the chapter on Maha-Vdta-vyddhi, and be made to live either on milk, or on Takra. As an alternative, he should take Kulmdsha boiled in Kshdrodaka (alkaline water) prepared from Chitraka-voois and made saline with a liberal after-throw of Yava-kshdra ; or he should take milk boiled with the Kshdrodaka (alkaline water) prepared from Chitraka-roots, or Kulmasha boiled with the alkaline water prepared from the ashes of burnt P aids a ; or he should drink frequent potions of clarified butter mixed with the alkali made of the ashes of either Patola, Apdmdrga, Vrihati, or Paldsd wood ; or drink Takra mixed with the Kalka of the roots of Kutaja and of Vanddka ; or take the alkaline water of Putika mixed with a Kalka of Chitraka, Putika and Ndgara ; or use the clarified butter boiled in an alkaline solution-fwith the powdered drugs of the Pippalyddi group, t During the period when the above mentioned alkaline preparations are used, the diet of the patient should consist of clarified butter, milk and meat-soup for fear of the loss of the Ojo-Dhatu,p. 324 added to it by way of an after-throw ; or he should take every morning one or two Palas of black sesamum (according as required), with cold water. These measures prove remedial in cases of haemorrhoids and tend to improve the digestion. 13.

* In a preponderance of Vayu and Kapha, Takra should be taken as diet ; whereas milk should be taken in a case of the preponderance of vitiated blood.

Dantyarishta : — A Tula weight* (twelve seers and a half) of the following drugs, ziz., Das'a-mula,

Danti, Chitraka and Hai'itaki should be boiled with four Drona measures of water till reduced to one quarter part (one Drona). The decoction, thus prepared, should be cooled down, filtered, mixed with a Tuld measure of

The decoction, thus prepared, should

be cooled down, filtered, mixed with a Tuld measure of treacle and preserved into a receptacle which formerly contained clarified butter, which should then be kept buried for a month in a heap of unthrashed barley At the close of this period an adequate dose of this preparation should be given to the patient every morning. This medicine proves beneficial \n cases of haemorrhoids, chronic diarrhoea (Grahani), jaundice, obstinate constipation of the bowels (Udavartta)

and in an aversion to food. It is also a good stomachic agent.

AbhayariShtat :— Two Pala weight of each of the following drugs, viz., Pippali^ Maricha, Vidanga, Elavdlukd and Lodhra, five J Pala weight of Indravdruni, ten Pala weight of the inner pulps of the Kapittha fruit, half a Prastha measure (one Prastha is equal to two seers) of Haritaki and one Prastha weight of Amalaki, boiled together with four Drona measures of

* Some are of opinion that one Tula weight of each of the drugs should be taken ; but Gayaddsa does not say so.

t Charaka also reads this under the name of Abhaydrishta.

X Experienced physicians recommend two and a half Pala weight of
Indra-Vdruni in lieu of five Palas for its astringent taste. Charaka,
liowever, recommends oply "half a Pala."

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water until reduced to one quarter of its quantity. This decoction should be filtered (through a piece of linen) and cooled down, after which two Tula weight of treacle should be added to it. The whole preparation should be then kept in a receptacle which formerly contained clarified butter, and be kept buried half a month in a heap of unthrashed barley. After the lapse of the said period, the patient should be made to drink (an adequate quantity of) this preparation every morning according to his strength. This Arishta proves curative in cases of an enlarged spleen, impaired digestion, chronic diarrhoea (Grahani), Ars'as, heart-disease, jaundice, cutaneous affection, ascites, Gulma, oedema (Sopha), and worms in the intestines, and improves the strength and complexion of the body. 14