The Sushruta Samhita — trans. Bhishagratna

These remedies speedily applied tend to alleviate the pain and make the foetus steady in the womb. 48.

After the foetus has been steadied by the aforesaid mesaures, a diet consisting of (boiled rice and) cow's milk, boiled with the dried tender fruits of Udmnvara, should be prescribed for the patient. In the event of miscarriage, the patient should be made to drink a Yavigu (gruel) of the Udddlaka rice, &c., cooked with the decoction of the Pachaniya group (Pippalyddi) and devoid of all saline and fatty matter, for a number of days corresponding to that of the month of gestation. Old treacle mixed with the powdered drugs of the Dipaniya group (Pancha-kola), or simply some Arishta (Abhay^rishta, etc.), should be given, in the event of there being pain in the pelvis, bladder and abdomen. 49.

The internal ducts and channels (Srotas) stuffed with aggravated Vdyu lead to the weakening (Laya) of the foetus and, if the state continues, it leads even to its death. Hence the case should be treated with mild anointing measures, etc., (Sneha-karma, etc.,) and gruels made of the flesh of the birds of the Utkros'a species and mixed with a sufficient quantity of clarified butter, should be given to her. As an alternative, Kulmasha * boiled with .Masha, sesamum and pieces of dried (tender) Vilva fruit should be given her, after which she should be made to drink, for a week, honey and Mdddhvika (a kind of weak wine). At the non-delivery of the child

* **Kulmdsha" may mean either Kulattha pulse or half boiled wheat, barley, etc.

p. 236

•even after the lapse of the full term of gestation, the eaciente should be made to thrash corn with a pestle in 9,;n Udukhala or mortar (husking apparatus) or should he il9,de -to sit or move (on legs or by conveyance), on an juneven ground. 50.

Atrophy of a foetus in the womb should be ascribed to the action of the deranged Vdyu. This is detected by the comparatively lesser fulness of the abdomen of the enciente and slow movement of the foetus in tiie womb. In such a case, the enciente should be treated with milk, with Jhe Vrimhaniya (of restorative a.^d construQtive properties) drugs, and with meatsoup.* 51.

In such a case, the enciente should be treated with milk, with Jhe Vrimhaniya (of restorative a.^d construQtive properties) drugs, and with meatsoup.* 51.

A combination of ovum and semen affected by the deranged Vayu in the womb, may not give rise to a SjUccessful fecundation (living impregnated matter), but leads to a distention of the abdomen (as in pregnancy), which again, at any time, may disappear of itself. And this is ascribed by the ignorant to the malignant influence of Naigamesha (spirits). Such an impregnated matter, sometimes lying concealed in the uterus, is called Nagodara, which should be treated with the remedies laid down under the head of Lina-Garbha (weak foetus). 52.

Now we shall discourse on the management of
pregnancy according to the months (period) of gestation.
Metrical Texts:— The following receipes, such as,
(i) Madhuka (Yashtimadhu), S'dkavija, Payasyi, and
Devadiru ; (2) As'mantaka, black sesamum, pippali,
Manjishth^, Tcimra-valli and Satcivari ; (3) Vrikshddani,
Payasya, Latd. (Durvi), Utpala and Sdriv^ ; (4) Ananta,
Siriya, RdsnA, Padma, and Madhuka (Yashtimadhu) ;

* The panicle "chA" in the text signifies the use of any other consiructive tonic.

p. 237

(5) Vrihati, Kantakdri, Kas'mari, sprouts (Sunga) and barks of milk-exuding trees (as, Vata, etc.), and clariiied butteri* ; (6) Pris'ni-parni, Vald, Sigru, S'vadanshtra and Madhuparnika ; and (7) S'ring'taka, Visa (stalks of lotus), Draksha, Kasaru, Madhuka (Yashtimadhu), and sugar ; should successively be given with milk* to an enciente, from the first to the seventh month of her gestation, in the case of a threatened miscarraige or abortion. 53.

An enciente should be made to drink milk boiled with the roots of Kapittha, Vrihati, Vilva, Patola, Ikshu and Kantakari, (in case of impending or threatened miscarraige) in the eighth month of her pregnancy. In the ninth month (and under similai* conditions), the potion should be made up of Madhuka (Yashtimadhu), Ananta-mula, Payasha and Sariva. In the tenth month (and under similar conditions), a potion consisting of milk boiled with Sunthi and Payasyd is beneficial, or, in the alternative, may be given a potion made up of milk with Sunthi, Madhuka (Liquorice, and Devadaru. The severe pain would vanish and the fcetus would continue to develop safely in the womb, under the aforesaid mode of treatment. 54-57'

The severe pain would vanish and the fcetus would continue to develop safely in the womb, under the aforesaid mode of treatment. 54-57'

A child born of a woman, who had remained sterile (not-conceived) for a period of six years (Niviittaprasava)* after a previous child-birth, becomes a shortlived one. 58.

* ChakradaUa reads "Visam" (stalks of lotus) instead of "Ghritara" (clarified butter).

t If a conception does not occur in a woman for a period of more than five years a''ter a child-birth, she is called Nivritta-prasaVSl.

* Sivadasa also says that powders of these drugs should be given with boiled milk, but he adds that some authorities recommend theaQ drugs to be boiled in milk according to Kshira-paka-vidhi.

p. 238

Application of mild emetic medicines, (though forbidden in the case of a pregnant woman), may be resorted to, in the case of a fatal disease, (even in that stage). A diet consisting of sweet and acid things should be prescribed for her, so as to bring the deranged Doshas to the normal state ; mild Sams'amaniya (soothing and pacifying) medicines should be applied and food and drink consisting of articles mild in their potency, predominently sweet-tasting and not injurious to the foetus, should be advised and mild (external) measures not baneful to the foetus should be resorted to, according to the requirements of the case. 59.

IVIemorable Verses :— The growth, memory, strength and intellect of a child are improved by the use of the four following medicinal compounds, used as linctus (Prds'a), viz., (i) well-powdered gold, Kushtha, honey, clarified butter and Vacha ; (2) Matsyakshaka* (Brdhmi), Sankha-puspi, powdered gold, clarified butter and honey ; (3) Arkapuspi, honey, clarified butter powdered gold and Vacha ; and (4) powdered gold, Kaitaryyah (Maha-Nimba), white Durba,t clarified butter and honey. 60.

Thus ends the tenth Chapter of the S'arira Sthanam in the Sus'rula Samhita, which treats of the nursing and management etc. of pregnant women.

* Some, however, explain Matsyakshaka to be Dkuslura; others again say it is a kind of red-flowered shrub grown in the Anupa country.

t The word "S'veta," in the Text, may either be adjective to "DurvgC" and mean "white" or it may mean white Vacha or white Aparajita or white Durv£t.

Here ends the ^arira Sthanam.

THE

SUSRUTA SAMHITA

CHIKITSA-STHANAM.

(Section of Therapeutics).

CHAPTER I.

Now we shall discourse on the medical treatment of the two kinds of inflamed ulcers (Dvivraniya

Chikitsitam). i.