The Sushruta Samhita — trans. Bhishagratna
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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 :—
In a case of Niruddha-Prakas'a (constriction or stricture of the urethra', a tube ^open at both ends) made of iron, wood, or shellac should be lubricated with clarified butter and gently introduced into the urethra. The marrow or lard of a boar, or of a porpoise, or the Chakra-taila, mixed with Vdyu-subduing drugs should be sprinkled over the affected part. Thicker and thicker tubes should be duly introduced into the urethra every third day. The passage should be made to dilate in the aforesaid manner, and emollient food should be given to the patient. As an alternative, an incision should be made (\x\\.o the lower part of the penis), avoiding the sevani (raphe of the perineum'\ and it should be treated as an incidental ulcer Sadyo-vrana\ 26.
Treatment of Sanniruddha-Guda, etc. ;- Cases of Saimiruddha-Guda (stricture of the anus), Valmika and Agni-Rohini should be duly treated with regard to the nature and intensity (of the Doshas engendering the disease , but without holding out any definite hope of recovery. The treatment of a case of Agni-Rohini should be like that of Visarpa (Erysipelas), while the remedial measures, mentioned in connecp. 457tion with Niruddha-prakas'a, should be employed in a case of Sanniruddha-Guda. 27.
Treatment of Valmika : -The diseased
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tion with Niruddha-prakas'a, should be employed in a case of Sanniruddha-Guda. 27.
Treatment of Valmika : -The diseased
patches should be scraped ofif in a case of Valmika and cauterised with fire or with an alkali ; while the purification and healing up (of the incidental ulcerj should be effected as in the treatment of an Arvuda (tumour;. A case of Valmika appearing in any part of the body other than a Marma, and not of a considerable growth should be duly treated with venesection after the application of Sams'odhana measures (purgative, emetic, etc.;. The affected part should be plastered (Pralepa) with a medicinal compound composed of the roots of {Vana-) Kulattha, Arevata, Danti and S'ydmd, pasted together with Guduchi^ rcck-salt, Palala (pastes of sesamum) and powdered barley. It should be poulticed (Upan^ha) with the same compound, well mixed with clarified butter and made lukewarm (in case suppuration be desired). When found to be fully suppurated, the course of the pus- channels should be ascertained by an experienced surgeon. The ulcer should then be opened (with a knifed and cauterised, and after being fully purified of the putrid flesh (\\\ its cavity), it should be again cauterised with an alkali. Healing (Ropana) remedies should be applied to it after it has been found to be thoroughly cleansed Nimbaoil cooked with Sumanas (Jdti leaves, Granthi, Bhalldtaka, Manah s'ild, Kdldnusdri, small Eld, Aguru and red Chandana should be applied with advantage to heal up the vincidental ulcer in a case of) Valmika. A patient suffering from an attack of Valmika appearing either on his hands or feet and attended with swelling and a large number of cavities should be abandoned by a wise physician. 28.
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Treatment of Ahi-putansi, etc.:— in
28.
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Treatment of Ahi-putansi, etc.:— in
the treatment of an infant laid up with an attack of Ahi putana( the breast-milk of its mother or nurse should be first purified. Cases of Ahi-putana yield to the use of a potion of clarified butter, cooked with Triphald^ Rasdnjana and Patola leaves, and a decoction of Triphaldy Kola and Khadira should be used (as a wash) to heal the ulcer. Plasters composed of sulphate of iron, Gorochandy sulphate of copper {Tutthd), Haritdla and Rasdnjana, pasted together with Kdnjika, or of Vadari bark and rock-salt, should be applied (to the diseased locality*. It should be dusted as well with the pulverised compound of a burnt earthen pot and sulphate of copper. The preceding measures should be adopted in cases of Vrishana-Kachchhu as well. 29-30.
Treatment of Guda-Bhramsa : -in a
case of Guda-Bhramsa, the protruded part should be fomented and lubricated with Sneha.* It should then be gently re-introduced. The region of the anus should then be bandaged with apiece of hide m the manner of a Gophana Bandha, with an opening in it (lying imme diately below the anus), so that it may not in any way interfere with the emission of Vayu. The affected part should then be constantly fomented. A quantity of milk, Mahd-pancha-mtila and the body (flesh) of a mouse, bereft of its entrails should be first boiled together (with water). An oil cooked with the milk thus prepared (with water) and the Vayu-subduing drugs should be administered as drink and unguents. By these measures the most difficult cases of prolapsus aui would be cured. 31-32.
* According to S'lva-dasa, cow's fat only should be used.
Thus ends the twentieth Chapter of the Chikitsita Sthanam in the
Sus'ruta Samhitji which deals with the treatment of minor ailments.
CHAPTER XXI.
Now we shall discourse on the medical treatment of the Sores on the penis produced by the Suka, a kind of poisonous insect (S'uka-Rog^a). r.
Treatment of Sarshapi, etc. :— In a