The Sushruta Samhita — trans. Bhishagratna

Decoctions of the drugs of the Nyagrodhddi gvou"^ should be given with food and drink. 13.

Jiva-^onita, how to be known :— A piece of a linen or cotton should be soaked in (and dyed with) the emitted blo?d where any doubt would arise whether it is a case of arterial blood (Jiva-s'onita') or one of Rakta pitta. The continuance of the dye or red stain on the linen even after being washed with hot water would conclusively establish its identity with the arterial blood or Jiva-sonita, As an alternative^ the discharged blood mixed with barley-powder or any other kind of food should be given to a dog to eat. If it is eaten by the dog, it would at once establish the identity of the emitted blood with the healthy arterial blood of the organism. 14.

AdhmaCna (flatulent distention of the abdomen):— If a person who is suffering from a plethora of the Doshas in his system and who has not previously been treated with a Sneha and whose bowels still contain the undigested residue of a previous meal and (consequently) an abundance of Vayu therein, takes a (purgative or an emetic) which is neither emollient nor hot, the medicine is likely to produce a flatulent distention of his abdop. 74p. 586men (Adhmana). It arrests the emission of flatus (Vayu), stool and urine, makes the abdomen distended, produces a breaking pain in the sides, a pricking pain in the anus (Guda) and in the urinary bladder (Vasti) 2ls well as a disrelish for food. This is called Adhmsina. rThe patient, in such a case^ should be treated with , Andha-varti, appetising medicines and with Vasti measures. 15.

Parikartika (cutting pain in the anus, etc.) :—

The Vayu and Pitta in the organism of an enfeebled

' person or of a person whose bowels can be easily moved

:or of one of a dry and arid temperament or afflicted with impaired digestive capacity, are deranged and

-aggravated by the use of any extremely sharp, hot,

^saline or dry (emetic or purgative) which give rise to

:a sort of cutting, sawing pain (Parikartikd) in the anus, penis, umbilical region and the neck of the bladder (Vasti). The emission of flatus is arrested,

-the Vdyu (wind) lies incarcerated in the abdomen and relish for food vanishes. The remedy consists in em*

'ploying a Pichchha'- Vasti with Yashti-madhu and black

'sesamum pasted together and dissolved in clarified butter and honey. The patient should be laved in cold water

The remedy consists in em*

'ploying a Pichchha'- Vasti with Yashti-madhu and black

'sesamum pasted together and dissolved in clarified butter and honey. The patient should be laved in cold water

■ and be given his food with milk. Anuvdsana-Vasti»

with the cream of clarified butter or with oil cooked with Yashti-madhu should be employed. 16.

Parisrava (^Dysenteric stools) : — The Doshas and the morbid matter accumulated in the system of a man of extremely constipated bowels and almost saturated •with a plethora of Doshas (morbific diathesis) are stirred up but are not fully emitted under the action of a mild

* In cases of a Pitta-predominance, the Vasti should be employed with the cream of clarified butler and in c^ses of a VsCyu predominancy, with oi^.

Chap. XXXIV.] CIIIKITSA STIIANAM. 587

(emetic or purgative) medicine. The Doshas (consequently) try to pass out of the body constantly but in small quantities and bring on weakness, numbness and rigidity of the abdomen, aversion to food and lassitude of the limbs. The deranged Pitta (bile) and Kapha (mucus) are constantly emitted with pain (through the anus) in such a case, and the disease is called ParisraVa. Asthapana-vasti with a decoction of Ajakafna, DJiava^ Tinis'a and P aids' a saturated with honey is recommended in such cases. After the subsidence of the bodily Doshas involved in the case, the patient should be treated with Sneha and Sams'odhana * (emetic or purgative) remedies should again be employed. 17.

Pravahika (Diarrhoea) : — A medicine (purgative )r emetic) administered to a person who has been xcessively treated with Sveda or with Sneha produes Pravathika^ in him by making him pass his stool md flatus without any straining or by restraining iltogether those natural urgings respectively. Constant )assing of slimy, black, white or red-coloured mucus Kapha) with cramps, loud flatus and burning sensation orm the chief characteristics of this disease. Its medical reatment should be similar to that of a case of 'arisr^va. 18.

Hridayopasarana (Overwhelming the heart): —Urgings towards vomiting or purging being injudiiously checked by a person from ignorance, causes downward or upward coursing of the Doshas of the )0dy to and in the heart, thus pressing the greatest of the larmas and giving rise to an excruciating pain in that reality. The patient, in such a case, drops down nconscious in a swoon with upturned eyes, violently

* Dallana recommends that a strong purgative or emelic should be n ployed.

The patient, in such a case, drops down nconscious in a swoon with upturned eyes, violently

* Dallana recommends that a strong purgative or emelic should be n ployed.

p. 588

gushing his teeth and biting his tongue. An inexperienced physician usually abandons such a patient as lost, whereas the remedy in such cases consists in anointing his body with a Sneha (oil or clarified butter) and fomenting it with half-boiled and unhusked paddy (Dhanya-Sveda). Gil cooked with Yashti-madhu should be employed in the manner of an Anuvdsana Vasti, and strong errhines (Nasya) should also be administered. After that the patient should be made to vomit with draughts of the washings of rice mixed with Yashti-madhu and Vastis* should be employed in consideration of the preponderance of the Dosha or Doshas involved in the case. 19.

Vlbandha (retention of flatus, stool and urine): — Use of cold water, exposure to cold winds and resorting to cool places and such other conduct during the action of an emetic or a purgative remedy in a person tend to thicken the Doshas loosened and dislodged from their seats by virtue of its potency, arrest their out-flow, make them adhere to the internal passages through which they pass and, by affecting the excretions, give rise to a suppression of stool, urine and Vayu (flatus), attended with rumbling in the intestines, fever, burning sensation and excruciating pain. The patient should in such a case f be made to speedily vomit the contents of his stomach, and the concomitant symptoms (such as fever, etc.) should be treated with appropriate medicinal remedies (as in the case of their actual and respective attacks). Drugs efficacious in subduing the Doshas confined in the lower cavity (abdomen) of the body {Adhohhdga-hara) \ should be employed for purgative purposes with the admixture of

' * Dallana recommends boih Niruha and Snaihika Vastis in such cases*
t This evidently refers to the case of an abuse of an emetic.
X See Chapter XXXIX., Sutra-Sthanam.

p. 589