The Sushruta Samhita — trans. Bhishagratna
The text is shown on its own: no facing layer is held for this issue.
Hence it should be destroyed in its entirety. 32-33.
Treatment of Vataja Gala-ganda : —
A case of the Vaitaja type of Gala-ganda (goitre) should
Chap, XVIIL] CHIKITSA STHANAM. 437
be treated with fomentations of the vapours of the decoctions of tender leaves of the Vayu-subduing drugs prepared by boiling them with Kanjika, various kinds of urine and milk as well as with minced meat and oil, and should be applied in the manner of a Nadisveda. After this fomentation, the contents should be carefully drained ^from inside the goitre). Then after having duly purified (the incidental ulcer), it should be plastered with a medicinal compound composed of (the seeds ofj the S'ana^ Atasi, Mulaka, S'igru and sesamum and Kmva and the piths of the Piydla^ or with that composed of Kdld, Amritd, S'igru, Pufzamavd, Arka, Gaja-pippali, Kara/idta {Ma.da.na.) a.nd Kus/it/ia, or with that composed of Ekazs/nkd, Vrikshaka and Tilvaka. All of them should be pasted with Sura and Kanjika and applied hot to the affected part. The internal u^e of a medicated oil, cooked* with Ainritd, Nimba, Hamsdhvd, Vrikshaka, Pippali, Vald, Ati-vald, and Deva-ddru, always proves efficacious in a case of goitre. 34-36.
Treatment of Kaphaja Cala-ganda :
— A case of the Kaphaja type of goitre should be treated with applications of fomentation and poultice and should be duly drained (Visrava). Then a medicinal plaster composed of Aja-gandhd, Ati-vishd, Vis'afyd, Vishdnikd, Kushtha, S'ukdhvayd, Gunjd (taken in equal parts) and pasted with the alkaline water prepared from the ashes of the Palds'a wood should be applied hot to the affected part. A medicated oil cooked with the drugs of the Pippalyddi group and mixed with the five officinal kinds of salt should
* Some say that the oil should be prepared with the decoction as well as with Kalka of the said drugs. Others, however, hold that water should be used in the preparation of the oil and the said drugs should be used only as a Kalka.
438 THE SUSHRUtA SAMHiTA. CChap. XVIII.
be taken by the patient. Emetics, errhines and inhalations of Vairechanika-dhuma are beneficial in such cases. In the Va'taja and the Kaphaja types of goitre (Gala-ganda), the skilful physician should employ suppurating measures in partially suppurated cases. The patient*s diet should consist of rice, barley and Mudga soup and should be taken with honey, Trikatu, cow's urine, fresh ginger, Patola and Nimba. 37-39.
Treatment of Medoja Gala-ganda :—
The patient*s diet should consist of rice, barley and
Mudga soup and should be taken with honey, Trikatu,
cow's urine, fresh ginger, Patola and Nimba. 37-39.
Treatment of Medoja Gala-ganda :—
In a case of a Medoja goitre (due to the deranged fat\ the patient should be first made to use oleaginous substances (internally and externally) and venesection should then be resorted to, as advised before (Sarira-Sthdna. Ch VIII). A hot plaster composed of S'ydmd (Trivrit), Sudhd, Manduray Danti and Rasdnjana pasted together should be applied to the seat of the disease. Powders of the essential parts (Sara) of a S'dla tree mixed with cow's urine may be given every morning with advantage.
As an alternative, the Goitre (Gala ganda) should be opened, its fatty contents fully removed and the wound then sutured. Or it should be cauterised with the application of heated animal marrow, clarified butter, lard, or honey ; after which it should be lubricated with clarified butter and honey (mixed together), and a pulverised compound of Kdsisa, Tuttha, and Gorochandy should be applied to it ; or after lubricating it with oil, it should be dusted with the ashes of cowdung and of S'dla-sdra. Daily washings with the decoction of Triphald, hard bandaging and a diet of barley, prove efficacious (in cases of goitre). 40.
Thus ends the Eighteenth Chapter of the Chikitsita Sthdnam in the
Sus'ruta Samhitd, which deals with the medical treatment of Glands,
Scrofula, Tumour and Goitre.
CHAPTER XIX.
Now we shall discourse on the medical treatment of hernia, hydrocele, scrotal tumour, etc. (Vriddhi), diseases of the genital organ (UpadamS'a) and elephantiasis (Slipada). i.
In the six types of Vriddhi other than the one known as the Antra- Vriddhi (Hernia), riding on horse back, etc., excessive physical labour, fastings, sitting in an unnatural position, constant walking, voluntary restraint of any natural urging (for stool and urine, etc.), sexual intercourse and eating of food difficult of digestion should be avoided. 2.
Treatment of Vataja Vriddhi :— In
2.
Treatment of Vataja Vriddhi :— In
the VaLtaja type of Vriddhi, the patient should be first soothed (Snigdha) with the application of Traivrita Ghrita (vide, Chap. V. Chikitsita Sthana). He should then be duly fomented and subjected to a proper course of purgatives. As an alternative, he should be made to drink the expressed oil of the Kos'dmra^ Tilvaka, or Eranda {cdiStor) oil (as a purgative) with milk for a month. A decoction of the Vayu subduing drugs mixed with the powders of the same drugs should then be employed by an experienced physician at a proper time * in the manner of a Niruha Vasti. The patient should then be made to take a meal (of boiled rice'; along with meat soup ; and oil cooked with Yashti 7nadhti should be applied (in the manner of an Anuvasana measure).
* After a period of one week from the time of the application of purgatives and in case the patient is strong enough to undergo the Niruha. Vast! measure,
p. 440
Applications of Sneha (oil, etc.), poultices (Upandha), and plasters (Pradeha) of the Vdyu-subduing drugs should be applied to the affected part. If the tumour (Vriddhi) begins to suppurate, it should be made to do so fully. It should be then opened with an incision avoiding the median line (Sevani) of the perineum and the proper purifying (i.e., antiseptic and healing) measures should be resorted to in the usual way laid down (in the treatment of Dvi-vrana*). 3.
Treatment of Pittaja Vriddhi :-^A
case of the non-suppurated stage of Pittaja Vriddhi may be beneficially treated with the remedies laid down in connection with a case of the same type of glandular swelling (Pittaja Granthi). In the case of it being suppurated, the surgeon should open it with a knife and purify it with the application of honey and clarified butter. The incidental ulcer should then be healed up with oils and pastes of healing virtues. 4.
Treatment Of Raktaja Vriddhi :-ln a
case of Raktaja Vriddhi (originated through the vitiated condition of the blood), the (vitiated) blood should be drawn out by the application of leeches. As an alternative, purgatives should be administered through the medium of honey and sugar. Remedial measures described in connection with the Pittaja type of the disease should be employed both in the suppurated and the non-suppurated stages (of this type). 5.
Treatment of Kaphaja Vriddhi :— In
a case of the Kaphaja type of the disease, poultices with the heat-making f drugs (i.e , Vachadi, Pipp^lyadi