The Sushruta Samhita — trans. Bhishagratna

* By "Sdra-taila" is meant the oil pressed from the Sdra (essential parts) of S'ims'ap^, Aguru, Sarala, Deva-d^ru and such other treef. Some, however, read "Sarala-laila" in place of "Sdra-taila."— Dallana.

t According to Dallana and S'ivadasa, fomentations and unguents should be first applied, and the vein should be next opened.

X Chakradatta also prescribes a similar remedy, but there he does not read "Sarja" ^nd <• Gairika."— Ed.

p. 453

Treatment of Alasa and Kadara :— in a case of Alasa, the legs should be sprinkled With Arandla (a kind of Kdnjika) ; and a plaster compused of stsamum, Nimba leaves, sulphate of iron {Kdsisa), Haritdla and Saindhava, or of Haritaki pasted with the decoction of Ldkshd (Ldkshd-rasa) * should be applied to the affected parts. Blood-letting should also be resorted to. As an alternative, mustard oil boiled with the expressed juice o{ Kantakdri should be applied to them or the affected localities should be rubbed or chafed (Piatisdrana) with a pulverised compound of sulphate of iron (Kdsisa^, Gorochand and Manah-s'ild. In a case of Kadara, the seat of the disease should be scraped off (with the aid of a knife) and cauterised with (the application of) heated oil f 13-14.

Treatment of Indra-lupta :- in a case of Indra-lupta (baldness or Alopecia), the bald part or seat should be anointed and fomented, and then bleeding (by venesection) should be resorted to, after which a plaster composed of Manah-s'ild, Kdsisd, Tuttha and Maricha^ or of Kutanfiatd and Deva-ddru pasted together, should be applied to it. As an alternative, it should be deeply scraped and constantly kept covered with a paste of Gu7ijd-SQQds. As an alternative, Rasaiyana medicines should be administered for its cure. An oil cooked with Mdlati, Karavira, Chitraka and Naktamdla is highly efficacious in curing a case of Alopecia, if used as an unguent. 15.

Treatment of Arumshika : Blood-let-

* Chakrapani reads ''^^grm^rr.^T^q:''' '" P'ace of "^l^j^^VRH iplfq". Sivad^sa explains <»^:^;" as * jyj^T^; "—Ed.

t Chakradatta prescribes caulerisalion with fire as well, in such j» case.-— Ed.

p. 454

Sivad^sa explains <»^:^;" as * jyj^T^; "—Ed.

t Chakradatta prescribes caulerisalion with fire as well, in such j» case.-— Ed.

p. 454

ting* from the affected patt should be first resorted to in a case of Arumsliikafc ; and it should then be affused with the decoction of Nimba Medicinal plasters prepared with the R >sa (liquid) pressed from horse-dung, mixed with Saindhava, should be applied to it. ^s an alternative, it should be plastered with the paste compound (Kalka) of Haritdla Haridrd., Nimba and Patola, or with that of Yasthi-madhu^ Nilotpala, Eranda, and Mdrkava. l (\

Treatment of Darunaka, etc.:— Anointment and fomentation of the diseased patches are the (preliminary, remedies in a case of Dairunaka, after which bleeding should be effected by opening the vein in the forehead Remedial measures such as, Avapida-Sirovasti and Abhyanga (anointment) should be employed as well ; and the affected parts should be washed with the alkaline solution of burnt Kodi'ava weeds. Measures for arresting the premature greyness of hair (Palita) will be described later on (in the Mis'raka Chapter XXV). Curative plasters and remedies, etc , mentioned in connection with the treatment of Kushtha should be employed in cases of Masurikat; or those, laid down under the treatment of Erysipelas iVisarpa) originated through the concerted action of the deranged Pitta and Kapha should as well be u-ed. 17-19.

Treatment of Jatu-mani, etc. :— The

seats of affection should be scraped (with a knife) and gradually and judiciously cauterised*)* by applying an alkali or fire in cases of Jatu mani (congenital moles), Mas'aka and Tila-kailaka t The cauterisation should be effected with an alkrili, when the disease is superficial and with fire when it is deep-seated,

* According to Chakradaila blood-letling should be resorted to in such cases only by means of venesection, or with leeches.

Chap. XX.] CHIKITSA STHANAM. 45 J

t The cauterisation should be effected with an alkrili, when the disease is superficial and with fire when it is deep-seated,

Chap. XX.] CHIKITSA STHANAM. 45 J

(freckles) An opening of the local veins in the temporal region, etc., should be effected in cases of Nyachchha, Vyanga and Nilikai, in accordance with the prescribed rules. The aff'ected parts should be rubbed (^with Samudra-phena, etc.) and plastered with the barks of A'^V/m trees.pasted with milk ; or with Vald, Ati-valdy Yashtimadhu and Rajani^ pasted together. As an alternative, plasters composed of Payasyd^ Aguru and Kdliya pasted together with Gairikay or of a tooth of a boar pasted with clarified butter and honey, or of Kapittha and Rdjddana pasted together, may also be used with benefit 2021.

Trcatmcntof Yuvana-Pidaka, etc:.—

Emetics are specially efficacious in cases of YuvaknapidakaL i pimples) which disfigure the face in youth. The application of medicinal plasters composed of Vachd, Lodhra^ Saindhava and (white mustard seeds or of Kicstumburu, Vachd, Lodhra and Kushtha pasted together is also recommended. In a case of Padmini-Kantaka, a decoction of Nimba bark should be given as an emetic, and the patient should be made to drink a potion of clarified butter cooked with a decoction of Nimba and mixed with honey. A decoction * of Nimba and Aragvadha should be used for chafing (Utsadana) the diseased locality. 22-23.

Treatment of Parivartika, etc.:— in a

case of Parivartikai ^retroflexion of the prepuce) the glans penis should be rubbed with clarified butter and duly fomented, and Sailvana and such other V^yusubduing plasters (Upan^ha) should be applied for three

* Chakrapani prescribes the powders (^j^eff) in place of the decoction (in^) of Nimba and Aragvadha. He also reads *'^^^" in place of '*^(5T^t"> but here they mean the same thing. — Ed.

p. 456

or five days. Then having lubricated the part (with Ghrita), the glans penis should be gently pressed and the prepuce should be smoothly drawn over the glans penis^ so as to cover it entirely within its fold. The prepuce, being so drawn, should be fomented with warm poultices. Vayu-subduing Vastis (Clysters) should be employed and emollient diet should be prescribed (during the course of the treatment;. A case of Avapatikab should be similarly treated, after a due consideration of the nature and intensity of the Doshas involved in the case. 24-25.

Treatment of Niruddha-Prakas'a :—