The Sushruta Samhita — trans. Bhishagratna

The bulged out intestines should be rinsed with grass, blood and dust, washed with milk and lubricated with clarified butter and gently re-introduced into the cavity of

Chap. II.] CHIKiTSA StHANAM. ^^^

■ the abdomen with the hand with its finger nails cleanly paired. The dried intestines should be washed with milk and lubricated with clarified butter before introducing it into their former and natural place in the abdomen. 39-41.

In a case where the intestines could be but partially introduced, the three following measures should be adopted. The interior of the throat of the patient should be gently rubbed with a finger [and the urging for vomiting thus engendered, would help the full introduction of the intestines into the abdominal cavity]. As an alternative, he should be enlivened with sprays of cold water ; or he should be caught hold of by his hands and lifted up into the air with the help of strong attendants and shaken in a manner that would bring about a complete introduction of the intestines into the natural position in the abdominal cavity. They should be so introduced as to press upon their specific (Maladhara) Kald (facia). 42-43.

In a case where the re-introduction of the intestines into the abdominal cavity would be found to be difficult owing to the narrowness or largeness of the orifice of the wound, it should be extended or widened with a small or slight incisiona ccording to requirements, and the intestines re-introduced into their proper place. The orifice or mouth of the wound should be forthwith carefully sutured as soon as the intestines would be found to have been introduced into their right place. Intestines dislodged from their proper seat, or not introduced into their correct position, or coiled up into a lump bring on death. 44-46.

Subsequent Treatment : -[After the full

and correct introduction of the intestines] the wound should be bandaged with a piece of silk-cloth saturated

p. 35

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44-46.

Subsequent Treatment : -[After the full

and correct introduction of the intestines] the wound should be bandaged with a piece of silk-cloth saturatedp. 35p. 274 with clarified butter, and the patient should be given a draught of tepid clarified butter (D. R. tepid milk) with castor oil for an easy passage of the stool and downward coursing of the Vdyu (spontaneous emission of the flatus). Then, for its healing up (Ropana), a medicated oil, prepared with the bark of the Asvakarnay Dhava, S'dlmali, Mesha'S'ringi, S'allaki^ Arjuna^ Viddri, and Kshiri trees and Vald roots should be applied to the wound. For a year the patient should live a life of strictest conticence and forego all kinds of physical exercise. 47 — 48.

The legs and the eyes of the patient should be washed and sprinkled with water in the event of the bursting out of the testicles which should be introduced into their proper place within the scrotum, and sewn up in the manner of a Tunna-sevani (raised seam). The scrotum should be bandaged in the shape of a Grophansb-Vandha and a restraining apparatus (Ghatta- Yantra) placed round the waist of the patient (to guard it against its oscillations or hanging down). The wound should not be lubricated with any kind of oil or Ghrita inasmuch as it would make the wound moist and slimy. The wound should be healed with a medicated oil prepared with Kdldmisdri, Aguru^ Eld, Jdti flower, Chandana, Padmaka, Manahs'ild, Devaddru, Amrita and sulphate of copper (pounded together). 49-50.

A plug of hair should be inserted into a wound on the head, after having extracted the foreign matter therefrom, with a view to arrest the exuding of the brain matter (Mastulunga) which invariably proves fatal to the patient through the aggravation of the deranged Vayii in consequence thereof. The hairs of the plug should be taken out one by one as the healing process progresses (granulation). An oleaginous medicated plug or lint should be inserted into a wound on any other ip. 275 part of the body, which should be treated with the measures and remedial agents laid down in connection with a traumatic ulcer after having first allowed the vitiated blood to escape. 51-52.

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part of the body, which should be treated with the measures and remedial agents laid down in connection with a traumatic ulcer after having first allowed the vitiated blood to escape. 51-52.

The medicated oil known as the Chakra-taila* should be poured (frequently applied) by means of a slender pipe into an ulcer (wound) which is deep-seated but narrow-mouthed, after first letting out the vitiated bloodf. An oil duly prepared and boiled with Samangd, Haridtd, Padmdy TriiargaX Tuttha, Vidanga, Katuka, Pathydy Guduchi and Karanja acts as a good healing (Ropana) agent (in these cases). The use of an oil prepared with Tdlis'a, Padmaka, Mdnsi, Harenu^ Aguru^ Chandana^ and the two kinds of Haridrd, Padma-vijuy Us'ira and Yashti-madhu acts as a good healing remedy in cases of traumatic ulcers. 53-55-

A cut wound (Kshata) should be treated with its own specific measures and remedies, while a bruised one (Pichchita) should be treated (to all intents and purposes) as a case of Bhagna (bone-fracture). The first treatment of a mangled or contused wound (G-hrishta) is to extinguish pain, after which it should be dusted with the powder of proper medicinal drugs (such as S'dla, Sarja, Arjuna, etc.). 56' 57.

In the case of a dislocation of any part of the body, caused by a fall (from a tree), or in the event of having been run over or trampled down (Mathita — by a carriage or by a beast), or of being wounded (by a blow, etc.), t The vitiated blood should first be lei out for fear of putrefaction of the ulcer.

* The oil just pressed out of an old oil-miil or squeezed out of the chips of wood belonging to an old one, in the manner of the Anutaila to be described hereafter, is called the Ohakra-taxla

:;: Triphala, Trikatu and Trimada are called Trivarga.

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the patient should be kept immersed in a large tank (Droni) of oil and the diet should consist of the soup or essence (Rasa) of meat. A man fatigued (from the labours of a journey), or hurt at any of the Marmas, should be likewise treated with the preceding measures. 58.