The Sushruta Samhita — trans. Bhishagratna

p. 14

Treatment of internal Vidradhi :— A

case of an unsuppurated internal abscess yields to the use of a potion consisting of a decoction of the drugs of the Varunddi group saturated with the powders (Kalka) of those of the Ushakddi group. Clarified butter cooked with the decoction of the drugs of the two preceding groups, as well as clarified butter cooked with purgative |drugs, taken every morning, will cure an internal abscess in a very short time. The decoctions of the above groups should be mixed with Sneha (oil or clarified butter) and speedily used as an Asthdpana as well as an Anuvasana measure. The hsirk o{ Mad/m-s'tgru mixed with the powders of the drugs antidotal to the Doshas involved in the case, being administered in food and drink and used as a plaster, proves curative in a case of an internal abscess in its unsuppurated stage. As an alternative, the said drug (i.e., Madhu-s'igru) should be taken with water, Dhdnydmla, cow's rine, or Surd (wine). Purified S'ildjatu, Guggulu^ S'unthi, or Deva- ^«V«, dissolved in the decoction of the drugs antidotal to

4l6 THE SUSHRUTA SAMHITA. [Chap. XVI.

the aggravated Doshas involved in the case, should be administered. Applications of poultices, Sneha-Karma (emollient measures), as well as Anulomana (Vayu-subduing) measures should be frequently resorted to in such cases. 15-20.

The veins (S'ira) should be opened in a case of the Kaphaja type of abscess as directed before ; while some authorities advise to open the veins at the arms in cases of Raktaja, Vataja and Pittaja types. 21.

Treatment of Suppurated internal

Vidradhi :— A suppurated internal Vidradhi having bulged up (above the surface of the body) should be opened with a knife and treated in the manner of an (incidental) ulcer. Whether the pus drains through the lower or the upper channel of the body (rectum or mouth) the patient should be made to take the drugs of the Varunddi group or Madhu-s'igru mixed with (a copious quantity of) Maireyay Sura, Asava, or Kanjika. The diet should consist of rice boiled and cooked with white mustard seed in the decoction of Madhu-s'igru and taken with the soup of barley, Kola and Kulalttha pulse. The Tilvaka Ghrita (Chikitsa Sthdna, ch. IV.), or clarified butter cooked with the decoction of the Trivritddi group, should be taken every morning in adequate doses for the purpose. Particular care should be taken by the phsyician to guard against the suppuration of an internal abscess, since suppuration in such cases leads but to a slender hope of success. 22-23.

Particular care should be taken by the phsyician to guard against the suppuration of an internal abscess, since suppuration in such cases leads but to a slender hope of success. 22-23.

Treatment of IVIajja-Jata Vidradhi :

— The medical treatment of a patient, afflicated with a Majja-jata abscess (abscess affecting the marrow), should be taken in hand without holding out any definite hope of recovery fas a proper course of treatment in such cases does not invariably prove successful). Sneha-karma

Chap. XVI. J CHIKITSA STHANAM. 417

(anointments, etc.) and fomentations should be first resorted to, after which blood-letting should be made ; and the remedial measures of the present chapter should be then employed. When it reaches the suppurating stage, the bone should be operated upon, and after the full elimination of the pus and the putrid matter from the incised ulcer, purifying remedies should be employed. The incidental ulcer should be washed with the decoction of the bitter drugs and the Tikta- Sarpis* should be ujed. An intelligent physician should apply the decoction of the drugs of the Samsodhaniya group, if the oozing out of the marrow is not arrested. A medicated oil cooked with Priyangu, Dhdtaki, Rodhra, Katphala, Nemi\ and Saindhava salt should be used in healing up an ulcer incidental to an opened up Vidradhi. 24-25.

Thus ends the sixteenth Chapter of the Chikitsita Sthanam in the
Sub'ruta Samhila which deals with the treatment of abscess.

* This medicated Ghrita (Chikitsita Sthdnam, Ch. IX) may be used both internally and externally with good results. Ed.

t Dallana reads "Tini" in place of "Nemi," both of which, however, mean "Tinib'a". Chakradatta does not include "Saindhava" in the list, but reads "Tinio'a-twacham" in place of "Nemi-Saindhavam". S'ivad^sa, however, adds another reading 'Tinis 'am Dhavam" on the authority of Chandrala.

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p. 53

CHAPTEE XVII.

Now we shall discourse on the medical treatment of erysipelas, etc., (Visarpa), sinus, etc., (Nadl- Vrana) and diseases of the mammary glands

(Stana-roga). i.

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p. 53

CHAPTEE XVII.

Now we shall discourse on the medical treatment of erysipelas, etc., (Visarpa), sinus, etc., (Nadl- Vrana) and diseases of the mammary glands

(Stana-roga). i.

Of the types of erysipelas (Visarpa) the first three (viz., the Vdtaja, Pittaja and Kaphaja ones) are curable ; the two remaining types, viz., those caused by the concerted action of the three Doshas (of the body) and those originating from wounds (Kshataja) should be considered as incurable. In cases of the curable types, medicated Ghritas, plasters (Upadehas) and affusions (Seka) prepared with the drugs (antidotal to the specific aggravated Dosha or Doshas (involved in the case) should be prescribed. 2.

Treatment of Vataja Visarpa :~ln

cases of the Vsitaja type of the disease, Mustd, S'atdhvd, Sura-ddru, Kushtha, Vdrdhi, Kustumhuru (Dhanyaka) Krishna-gandhd, and the drugs of a heat-making potency (Ushna-gana)* should be used in preparing the medicinal washings (Seka), plasters and Ghritas. The drugs respectively included within the groups of the Vrihat- Pancha-mula and the Svalpa-Pancha-mula, the Kantaka- Pancha-mula and the Valli-Pancha-mula should be (separately) used to prepare the medicinal plasters, affusions, medicated Ghritas and as well as the necessary oils. 3.

* Chakradatta reads "Arka", Vams'a and Artagala instead of the drugs of a heat-making potency. Dallana explains the drugs of a heat-making potency to be the drugs of the Bhadra-darvadi and the Pippalyddi groups.

Chap. XVII.] CHIKITSA STHANAM. 419-

Treatment of Pittaja Visarpa :— In