The Sushruta Samhita — trans. Bhishagratna

p. 14

Anointing (Sneha-karma), fomentation, use of emetics and purgatives and the application of Anuv^sana and Asthcipana measures should be employed in cases of haemorrhoids due to the action of the deranged Vaiyu*. The use of purgatives is recommended in the Pittaja type ; soothing or pacifying (Samsamana) measures in the Raktaja type ; and S'ringavey-a and Kulattha in the type caused by the action of the deranged Kapha. All the preceding remedies should be combinedly employed when the concerted action of all the Doshas would be detected. As an alternative, milk boiled with the proper drugs may be administered in every case. 15.

Bhallataka-yogaf :~Now we shall describe the mode of using Bhallattaka in cases of haemorrhoids.

* Some are of opinion that the Rishis do not read this line. But as Gayadasa explains it, so Dallana, he tells us, also does the same.

t A physician should apply this medicine after a due consideration and according to the physical condition of the patient.

p. 326

A ripe and fresh Bhalldtaka should be cut into two, three or four pieces and a decoction should be made of them in the usual way. The patient should be made to drink four Tola weight of this cold every morning after lubricating or anointing his tongue, palate and lips with clarified butter, and should take his chief meal with milk and clarified butter in the afternoon. The number of Bhalldtakas in preparing the decoction should be increased by one every day till the fifth day, (and the quantity of the decoction to be drunk by the patient should be similarly increased). After that, the number of Bhalldtakas (and consequently the quantity of the decoction to be taken) should be increased by five every day. This method should be followed till the number of the Bhallatakas reaches seventy, after which it should be decreased every day by five until it is reduced to five Bhallatakas only (and five Sukti measures of the decoction). Subsequently the number of Bhallataka (and the dose) should be diminished by one (and one Sukti measure respectively) every day,until it is reduced to the original one (and one Sukti measure). By taking a thousand Bhallatakas in this manner, one may get rid of an attack of any kind of Kushtha and Ars'as, and, having become strong and healthy, may live for one hundred years. i6.

Other forms of Bhallataka-yoga : —

By taking a thousand Bhallatakas in this manner, one may get rid of an attack of any kind of Kushtha and Ars'as, and, having become strong and healthy, may live for one hundred years. i6.

Other forms of Bhallataka-yoga : —

The oil extracted from or pressed out of Bhallatakas, in the manner laid down in the chapter on Dvi-vrana, should be taken in a dose of one Sukti (four Tolas) every morning. The patient, as in the preceding case, should take his meal ( of boiled rice, milk and clarified butter) after the digestion of the oil with a similar good Qfifect. As ai) alternative, oil should be extracted fronip. 327 the marrow of Bhalldtakas and the patient, after cleansing his system with emetics and purgatives, etc., and regulating his diet in the order of Peya, etc. should enter into a spacious chamber, protected from the blasts of the winds and take two Palas, or one Pala weight of the oil according to his strength A meal of boiled rice, milk and clarified butter, etc., should be taken after the oil had been fully digested. The oil should be continued, in this way, for a month, the regimen of diet should be strictly observed for a period of three months and the patient should abstain from anger, etc, during this period. The use of this oil, in the above mentioned way, not only ensures a radical cure of the disease with all its complications, but would increase the duration of life to a hundred years with the glow of youth and health and with an increment in the powers of memory, retention and wisdom. The application of this oil for every one month will extend one's life for a period of one hundred years. In the same way a continuous use for ten months would enable him to live for a thousand years. 17.

IVlemorabie Verses :-Vrikshaka (Kutaja)

and Bhallattaka* prove as much curative in cases of all kinds of haemorrhoids, as Kshadira and Vijaka are effective in cases of cutaneous affections (Kushtha). Cauterization with fire, or with an alkali, proves as much palliative in cases of external haemorrhoids as turmeric proves soothing in those of Prameha. 18-19.

Medicated Ghritas, appetising drugs, electuaries, medicinal wines, Ayaskriti and Asava should be prescribed in cases ol haemorrhoids, according to the nature and intensity of the Doshas involved

Boiled with sixteen times of water in the event of the Bhallataka being dry, otherwise with eight times of water only.

p. 328

p. 328

therein. Voluntary suppression of any natural urgings of the body, sexual intercourse, riding on horse-back, etc., sitting on the legs and such diets as would aggravate the Doshas, should be avoided in cases of haemorrhoids. 20-21.

Thus ends the sixth Chapter in the Chikitsita Sthanam of the Sus'ruta
Samhita which deals with the medical treatment of Ars'as.

i

I

CHAPTER VII.

Now wc shall discourse on the medical treatment of urinary calculus, etc. (Asmari). i.

Metrical Texts :— Asmari (urinary calculus, etc) is a dangerous disease and is as fatal as death itself. A case of recent origin (acute) proves amenable to medicines, while an enlarged or chronic one requires surgical operations. The remedial measuies, in the order of anointing, etc, should be employed in the first or incipient stage of the disease, whereby the entire defects with their causes {i.e., roots of the disease) would be radically cured. 2.

Treatment of Vataja Asmari :— Clarified

butter cooked with a decoction of Pdshdnabkeda, Vasuka, Vas'ira, As'mantaka, S'atdvari^ S'vadamstrd^ Vrihati, Kantakdrikd, Kapotavamka, A'rtagala, Kakubha^^ Us'ira, Kubjaka, Vrikshddani^ Bhalluka, Varuna, S' dka-phala^ barley, Kulattha, Kola and Kataka fruits and with the Kalka of the drugs constituting the group of Ushakddi, speedily brings about the disintergration of As'mari (urinary calculi, etc.) due to the action of the deranged Vaiya. Milk, Yavagu (gruel), a decoction, soup, or an alkali, properly prepared with the above Vayu-subduing drugs should also be administered as food and drink in the above cases. 3.

Treatment of Pittaja Asmari : —Similarly a medicated clarified butter cooked with the

• * Chakradatta reads "Kopotavaklra" in place of "Kapotavamka" "Kanchana" in place of 'Kakubha" ; and ''Gulmaka" in place of "Kubjaka " From an examination of Dallana it appears that
• • 'Kachchhaka" is also a reading of "Ivakubha. "

p. 42

p. 330

decoction of Kus'a,Kds'a, S'ara, Gundrd, Itkata^ Morata, As'mabhid, S'atdvari^ Viddri, Vdrdhi^ S'dli-mula, Trikantaka, Bhalluka, Pdtald, Pdthd, Pattura, Kuruntikd, Punarnavd*, S'irisha, with the paste (Kalka) consisting of S'ildjatu, Madhuka (flower) and the seeds oi Indivara\ , Trapusha and Ervdruka, would speedily bring about the disintegration of Pittaja As'mari (calculi, etc.). An alkali, Yavagu (gruel), soup, a decoction, or milk, properly prepared with the above Pitta-subduing drugs, should also be prescribed as food and drink in these cases. 4.

Treatment of Kaphaja Asmari :—