The Sushruta Samhita — trans. Bhishagratna

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

cases of Pittaja Visarpa^ a plaster consisting of Kaseruka, S'ringd-taka, Padma, Gundrd ^Guduchi), S'aivdla, Utpala diX\d clay pasted together and mixed, with clarified butter, should be wrapped* in a piece of linen, and applied cool to the affected part. A paste composed of Hrivera, Ldmajjaka (Us'ira-mula), Chandana^ Srotoja (Rasanjana\ Muktd, Mani and Gairika, pasted together with milk and mixed with clarified butter should be applied thin and cool to the affected part to alleviate the pain. Pittaja erysipelas readily yields to the application of a medicinal plaster composed of Prapaundarika, Yashti-niAdhu, Payasyd, f Manjishthd, Padmaka^ Chandana and Sugandhikd pasted together. Decoctions of the drugs of the Nyagrodhddi group should be used in washing (the affected part) ; or clarified butter should be cooked with the expressed juice of the above drugs and employed in the case. The part may be affused (Seka) with cold milk (or water), or with water mixed with honey or sugar, or with the expressed juice of the sugarcane. 4-5. Gauryadi Ghrita:— A Prastha measure of clarified butter should be cooked with the Kalka of Gauri, \ Yashti-madhu, Aravmda, Rodhra, Ambu, Rdjddanay Gairika, Rishahhaka^ Padmaka^ Sdrivdy KdkoH, Medd, Kumuda, Utpala, Chandana, Madhu- S'arkard, Drdkshd, Stkird, Prts'ni-parni, and S'atdhvd taken in equal parts (and weighing one seer § in all)

* In order to facilitate its removal.

t It means "Kshira-vid^ri". Jejjata explains it as "Arka-pushpi'*.

X Some explain it as "Haridra", while others explain it as
"Gorochand".

§ Dallana, however, says that these drugs will weigh four Pains i. e., half a seer in all.

'420 THE SUSHRUtA SAMHITA. [Chap. XVII.

and with the decoctions, weighing four times that of the Ghrita, of the drugs of the Nyagrodhddi, Sthirddi (minor Pancha-mula) and Vilvddi (major Pancha-mula) groups together with the same weight (sixteen seers) of milk. The washing (of the affected part) with this medicated Ghrita proves curative in Pittaja erysipelas and sinus. Visphota (boils\ head diseases, malignant sores and inflammatory affections of the mouth, yield to the internal use of this Ghrita. It is called the Giuryyaidi Ghrita and is highly efficacious in the derangements to which children are liable, (commonly) attributed to the malignant influences of evil stars, as well as in cases of emaciated ones. 6.

It is called the Giuryyaidi Ghrita and is highly efficacious in the derangements to which children are liable, (commonly) attributed to the malignant influences of evil stars, as well as in cases of emaciated ones. 6.

Treatment of Kaphaja Visarpa :—

Cases of the Kaphaja type of Visarpa readily yield to a proper application of a medicinal plaster (Pradeha) composed of Aja-gandkd, As'va-gandhd, Sarald^ Kdld, Ekaishikd^ and Aja-s'ringiX pasted with the urine of a cow. Drugs, such as Kdldnusdryd, Aguru^ Chocha (cardamom), Gunjd, Rdsnd, Vachd^ S'ita-s'iva, Indra-parni^ Pdlindi, Munjdta and Mahi-Kadamba ^applied similarly) are also efficacious in the present type. Drugs of the Varunddi group may be used in any form (such as plasters, washes, etc*\ for erysipelas. Blood-letting (by means of leeches) and Samsodhana (purifying) measures are the principal remedies in all cases of this disease (Visarpa^. Suppurated erysipelas should be first purified and then treated with the remedies described in the treatment of Vrana (ulcer), 7-8.

* «'SaraU" here means '«Trivrit''. Chakradatta reads *'^[TW" which also means *'Trivrii",

t 'Ekaishika," according to Uallana, would mean S'atdvari but S'ivadasa explains it as Pdlha.

X Gayadasa explains it as Karkata-S'ringi.

Chap. XVit] CHIKITSA STHANAM. 42 1

Treatment of Nadi-vrana :— A Case of

Naidi-Vrana (sinus) due to the concerted action of the three Doshas (Sannipatajaj baffles all cure, while the four remaining types are amenable to careful medical treatment. Poultices (Upandhiy* should be applied at the outset in the Vaitaja Nadi-Vrana and then the course of the pus-channels should be (ascertained and) fully opened (with a knife) and bandaged with a paste of sesamum, Apd^ndr^-a-SQeds and Saindhava salt. A decoction of (the drugs of) the Vrihat-Pancha-mula group should be constantly used in washing the ulcer. Oil f duly cooked with the following drugs, viz , Hinisrd, Haridrdy Katuka^ Vald, Gojihvikd and Viha-roots should be used for the purification, filling up and healing of the sores of the sinus. 9-1 r.

Treatment of Pittaja Nadi :— In a case

Oil f duly cooked with the following drugs, viz , Hinisrd, Haridrdy Katuka^ Vald, Gojihvikd and Viha-roots should be used for the purification, filling up and healing of the sores of the sinus. 9-1 r.

Treatment of Pittaja Nadi :— In a case of Pittaji sinus, an intelligent surgeon should employ a porridge (Utkarikaj mixed with milk and clarified butter as a poultice, Then having opened the sinus with a knife, a plaster composed of Tzla, Ndga-danti and Yashti-madhu should be applied to heal it. A decoction of Soma, Nimba and Haridrd should be used by a skillful surgeon in washing the ulcer daily. A medicated Ghrita cooked with S'ydmd^ Trivrit, Triphald, Haridrd^ Ddru-Haridrd^ Rodhra and Kiitaja and with milk should be used to lubricate (Tarpana) the sinus. This Ghrita will even heal a sinus affecting the Koshtha. 12-13.

* Poulticing with the drugs which induce suppuration is not approved of by Gayaddsa.

t Four seers of oil, the (Kalka) drugs combindely weighing one seer and sixteen seers of water are to be taken in its preparation. — Dallana.

422 tME ^USHRUTA SAMHITA. [Chap. XVIt

Treatment of Kaphaja Nstdi:— in a case of the Kaphaja type of the Nadi, the sinus should be duly poulticed i^Upanaha) with Kulattha, white mustard seeds, S'aktu and Kinva. When softened by its application, the direction of the sinus (with the help of a director) should be first ascertained ; and an expert surgeon should then open it fully with a knife and plaster it with a compound composed of Nimba, sesamum, Saindhava salt and Saurdshtra-mrittikd. A decoction (Sva-rasa-lit.— expressed juice") of the Karanja, Nimba, Jdti, Aksha and Pilu should be used in washing the incidental ulcer. Oil duly cooked with Suvarchikd, Saindhava, Chitraka, Nikumbha^ Tdli^ Nala, Rupikd and Apdmdrg-a-scQds and with cow's urine should be used for healing purposes. 14.

Treatment of ^alyaja Nadi :— in a case of Salyaja Ns^di (incidental to any foreign matter into the body), the Salya should be first extracted by an incision into the sinus. Then having fully cleansed the channel, the ulcer should be purified with a plaster of sesamum profusely saturated with honey and clarified butter. It should hz then healed up. Oil cooked with the decoction of the tender fruits of the Kumb/izka, K/iarj'ura, Kapitthay Vilva and the Vanaspatis (Vata, etc."*, and with the Kalkas of Mustd^ Sarald^ Priyangu. Sugandhikd, Mocharasa, f Ahi-pushpa (Ndgesvara), Rodhra and Dhdtaki flowers leads to a speedy healing up (granulation) of ulcers (Vrana) and traumatic sinuses. 15.