The Sushruta Samhita — trans. Bhishagratna

On the evening of the seventeenth day no meal should be taken. On the following morning the oil should be taken.

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(which should be given to the patient in the morning) ; while a cold gruel, unseasoned* with salt and not mixed with any emollient substance (oil or clarified butter) should be given to him in the afternoon. The use of this oil should be repeated in the same manner for five days in succession, and the patient should avoid anger, etc., and live on Mudga soup (Yusha) and boiled rice for a fortnight. A five days' use of this oil would ensure the cure of every types of Kushtha (and Madhumeha). 8-9.

The foregoing (Tuvaraka) oil should be boiled and prepared with a decoction of Khadira weighing three times the quantity of the oil and taken internally with patience for a month for the same purpose. The patient should anoint his body with the same and then take his meals in the prescribed form. A Kushtha-patient (as well as a Meha-patient) suffering from hoarseness, redeyes and with worm-eaten and emaciated limbs should be speedily treated with this oil as an anointment and a drink. Regular potions of the above medicinal (Tuvaraka) oil taken with honey, clarified butter and a decoction of Khadira and a diet consisting of the soups of bird's flesh (during its course) would enable the user to live for a period of two hundred years. A use of this oil as errhines (Nasya) for a period of fifty consecutive days would enable the user to witness three hundred years on earth, in the full enjoyment of bodily vigour and a youthful glow of complexion, as well as with a very powerful retentive memory.

A regular use (in an adequate dose) of the pith of Tuvaraka cleanses the system of the patient and is a most potent remedy in cases of Kushtha and Meha. 10.

* A little quantily of sail and of oil or clarified butter may be given.

Chap. XIII.] CHIKITSA STHANAM. 39I

The pith (inner pulp of the seeds^ of the Tuvaraka burnt in a closed vessel (Antar-dhuma) should be mixed with Saindhava-salt, Anjano^ and Tuvaraka oil. This prepared compound, used as a coUyrium, is efficacious in cases of eye-diseases, such as night-blindness, Arman, Nili, Kdcha-roga (dimness of sight) and Timira. 11.

Thus ends the thirteenth Chapter of the Chikitsita Sthanam in the
Sus'ruta Samhita which deals with the treatment of Madhu-Meha.

* Dallana recommends the three thing?, viz., the pith of the Tuvaraka, the Saindhava-salt and the Rasanjana to be mixed and burnt together in a closed vessel.

* Dallana recommends the three thing?, viz., the pith of the Tuvaraka, the Saindhava-salt and the Rasanjana to be mixed and burnt together in a closed vessel.

CHAPTEE XIV.

Now we shall discourse on the medical treatment of dropsy with an abnormal condition of the abdomen

(Udara). i.

Of the eight different types of Udara, described before, those severally known as the Vaddha-guda and the Parisrdvi should be understood as incurable, the rest being equally hard to cure. Hence the medical treatment of all cases of Udara (abdominal dropsy) should be resorted to without holding out any positive hope of recovery. The first four types of the disease (as metioned in the list of enumeration), may prove amenable to medicine ; but the rest would require Surgical treatment. All the types of the disease, however, would, with the progress of time, require a surgical operation, or (attaining an incurable stage) they may have to be abondned. 2.

Diet of articles forbidden :— A patient, afflicted with an attack of Udara, should forego the use of heavy (indigestible), or emollient fare, of all kinds of meats and of those that produce a state of extreme dryness in the system, or produce a slimy secretion from the channels (of the Doshas and the vital principles) of the body, or give rise to a sort of digestionary acid reaction (acid transformation in the stomach) and refrain from bathing and using effusions. Meals consisting of well cooked S'dli rice, barley, wheat, or Nivdra seeds should be the daily diet of such a patient. 3.

Treatment of the Vsitaja type :-ln a case of Vdtaja Udara, the body of the patient should be anointed with clarified butter cooked with the drugs of t;he Viddri'gandhddi group, while the one cooked with

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Tilvaka should be used as purgatives (Anuloma), A compound made of a copious quantity of oil of Chitrd seeds, mixed with a decoction of the drugs of the Viddri-gandhddi group, should be used as Asthapana and Anuvasana measures. The Sailvana Upansiha (poultice) should be applied to the abdomen. Milk cooked with the drugs of the Viddri-gandhddi group, or the soup of the flesh of Jdngala animals should be given to the patient with his meal and the affected region should be frequently fomented. 4.

Treatment of the Pittaja Type :— In

Milk cooked with the drugs of the Viddri-gandhddi group, or the soup of the flesh of Jdngala animals should be given to the patient with his meal and the affected region should be frequently fomented. 4.

Treatment of the Pittaja Type :— In a case of Pittaja Udara, the patient should be anointed with clarified butter cooked with the drugs of the Madhura (Kdkoly^di) group. Similarly, clarified butter cooked with S'ydmd, Jriphald and Trivrit should be used as purgatives and the decoction of the drugs of the Nyagrodhddi group, mixed with a copious quantity of sugar, honey and clarified butter, should be used as Anuvasana and A'sthdpana measures. The abdomen should be poulticed with Payasa (porridge prepared with rice and milk) and the diet should consist of boiled rice and milk, cooked with the drugs of the Viddri-gandhddi group. 5.

Treatment of the'Kaphaja Type :— In

a case of Kaphaja Udara, the patient should be anointed with clarified butter, cooked with the decoction of the drugs of the Pippalyddi group. Likewise, clarified butter, cooked with the milky juice of Snuhi plants, should be used as purgatives ; and the decoction of the drugs of the Mushkakddi group, with a copious quantity of Trikatu^ cow's urine, Kshdra (Yava-kshara) and oil, should be applied as Anuvasana and Asthapana measures. A poultice (Upandha) prepared of S'ana seeds, Atasi seeds, DhdUiki (flower), mustard, Mulaka

p. 50

394 THE SySHRUTA SAMHITA. [Cbap. XIV.

seeds and Kinva should be applied (hot) to the abdomen. The diet should consist of (boiled rice well-mixed with) Kulattha soup (Yusha), profusely seasoned with powdered Trikatu, or of Payasa ; and the abdomen should be frequently fomented. 6.

Treatment of Dushyodara :— in a case