The Sushruta Samhita — trans. Bhishagratna

The measures and remedies mentioned above should be adopted in

Chap. VIII.] CHIKITSA STHANAM. 343

succession in all types of Bhagandara. In the event of there being any pain in it, owing to the insertion of a knife or to any other surgical operation, luke-warm Anu-taila should be applied. As an alternative, the drugs possessed of the virtue of subduing the deranged Vdyu (Bhadra-ddrvddi and Erandadi groups) should be boiled in a pot covered by a lid having a hole or aperture on its top ; then the patient with his rectum anointed with oil, etc., should be made to sit in such a way over the said covered pot that the seat of the disease may be fomented with the warm fumes escaping through that aperture ; or Nddi-sveda should be applied to the affected region through a pipe in a recumbent posture to alleviate the pain. As an alternative, a hot bath should be prescribed for the alleviation of the pain. Sailvana Upanaiha (described in connection with the treatment of Vata-vyadhi and that with the skins of the Kadali Mriga, Lopaka and Priyaka, should be applied to the affected locality to subdue the pain. A potion of the drugs or substances such as, Trikatu, Vachd^ Hingu, salt (five kinds of salt) and Dipyaka, should be administered with wine, Kdnjika, Sauviraka and Kulattha-Soup, etc. 11-12.

Jyotishmati^ Ldngalaki, S'ydmd^ Danti, Trivrit, Tila^ Kushtha, S'atdhvd,Golomi, Tilvaka^ Giri-karnikd^Kdsisa and the two kinds of Kdnchana-kshiri, compose the group which is possessed of the virtue of purifying (afistular sore). (The decoction of these substances should be applied for the purification of the ulcer). The sore of a fistula may be filled (healed^ up by the application of (a compound of) Trivrit, Tila, Ndgadanti, Manjishthd and rock-salt pasted together with milk and honey. A plaster (Kalka) consisting of Rasdnjana, turmeric, Ddru-kartdrd, Manjishthd^ Nimha leaves, Trivrit ^ Tejovati and Dantip. 344 proves curative in a case of sinus. The drugs known as Kuskthuy Trivrit^ Tila^ Danti, Pippaliy Saindhava^ honey, turmeric, Triphala and sulphate of copper (Tuttha) are efficacious in purifying an ulcer. 13-16.

[Chap. VIII.

proves curative in a case of sinus. The drugs known as Kuskthuy Trivrit^ Tila^ Danti, Pippaliy Saindhava^ honey, turmeric, Triphala and sulphate of copper (Tuttha) are efficacious in purifying an ulcer. 13-16.

Oil* cooked (slowly) with Pippali, Yashti-madhu^ Lodhra^ Kushtha, Eld^Harenu, Samangd (Bardha-krdnti), Dhdtaki flower, Sdrivd^ the two kinds of Haridrd, Priyangu^ Sarja-rasa^ Padmaka, P adrnd-kes^ ara^ Sudhd, Vachd.Ldngalikd, wax, and Saindhava should be regarded as a potent remedy in healing up the ulcer and curing fistula-in-ano. This remedy proves beneficial in cases of scrofula (Ganda-mald), Meha, ulcers and in the Mandala type of cutaneous affections as well. The drugs which constitute the Nyagrodhddi group are efficacious in disinfecting (Sodhana) and healing up an ulcer. A medicated oil or Ghrita prepared with the preceding drugs proves curative in a case of fistula in-ano. Similarly a medicated oil duly cooked and prepared with the roots of Trivrit, Dantiy Haridrd, and Arka, as well as with Vidanga, Triphala^ milk of both Snuhi and Arka, honey and wax should be applied, as it is specifically efficacious in a case of Bhagandara. 17-19.

Syandana Taila :— Oil slowly cooked and prepared (in the manner aforesaid) with Chitraka, Arka Trivrit, Pdthd, Malapu (Kakodumbara), Karavira, Sudhd (Snuhi), Vachd, Ldngalaki, Saptaparna^ Suvarchikd and fyotishmati, is called the Syandana-Taila and should be constantly applied in a case of Bhagandara. It is efficacious in purifying, healing and imparting a natural skin-colour to the cicatrix. A learned and experienced physician should adopt the remedial measures for this disease according to the procedure laid

* Four seers of oil, one seer of the drugs and sixteen seers of water should be taken at the time of preparation.

Chap. VIIL] CHIKITSA STHANAM. 345

down under the treatment of Dvi-Vrana, when there is any ulcer (vrana) in existence. 20,

The bulb-like protrusion above the hole of the instrument (speculum), mentioned in connection with the treatment of Ars'as, should be removed and the instrument, now in the shape of a half-moon, should be used by an experienced surgeon in the treatment of a case of fistula-in-ano. The patient should refrain from sexual intercourse, physical exercise, riding, anger, and the use of heavy and indigestible articles of food for a full period of one year even after the healing up of the ulcer in a Bhagandara. 21 — 22.

The patient should refrain from sexual intercourse, physical exercise, riding, anger, and the use of heavy and indigestible articles of food for a full period of one year even after the healing up of the ulcer in a Bhagandara. 21 — 22.

Thus ends the eighth Chapter of the Chikitsita Sthanam of the
Sub'ruta-Samhita which deals with the treatment of Bhagandara.

p. 44

CHAPTER IX.

Now we shall discourse on the medical treatment of cutaneous affections in general (Kushtha). i.

A cutaneous disease (Twag-dosha) originates through injudicious conduct of life such as^ partaking of large quantities of unwholesome food, or taking it before the previously eaten one is digested {i. e , eating too often), indulgence in incompatible articles of fare, voluntarysuppression of the natural urgings of the body, and improper application of medicated oil, clarified butter, or other lardacious articles. It is attributed even to the dynamics of sinful acts done by a man in this or in some prior existence. 2.

Conduct of diet and regimen :— A person afflicted with any kind of skin disease should refrain from taking meat, lard, milk, curd, oil, Kulattha pulse, Mdsha pulse, Nishpdva, preparations and modifications of sugarcane juice, acid substances, incompatible food, meals taken before the complete digestion of the preceding one, unwholesome and indigestible food, or food causing a burning sensation and some kind of internal secretion, day-sleep and sexual intercourse, 3.

Regulation of diet and conduct: —

The old and matured grain of S'dli, Shashtika, barley, wheat, Koradusha^ S'ydmdka, Udddlaka, etc., boiled and taken along with the soup(Supa) or a decoction* (Yusha)

* An unsalted decoction of any substance not seasoned with any spices whatever is called Yusha, while the one salted and seasoned with spices is called Supa- In preparing the soup of any pulse, all husks should be carefully thrashed out and the grain should be slightly fried before boiling*

p. 347