The Sushruta Samhita — trans. Bhishagratna

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.

Oil or clarified butter should be always administered as drinks, washes or external healing applications for an ulcer-patient with a due regard to his temperament and the nature of the season. Medicated Ghritas, yet to be mentioned in connection with the medical treatment of a Pittaja abscess, should be used as well in the case of a traumatic ulcer (according to its respective indications). A physician should wash a traumatic ulcer attended with an aching pain either with a Vala-oil or tepid clarified butter (according to the nature of the season and the temperament of the patient).* 59 — 61.

An oil codk^dvilthSamangd^Rajani, Padmd{fih.-krg{), Pathyd, sulphate of copper, Suvarchald, Pad^naka, Lodhra, Yashti-madhuka, Vidanga, Harenuka, Tdlisapatra^ Nalada (fatdmdnsi), (red) Chandana, Padmakes'ara^ Manjishthd, Usira^ Ldkshd, and the tender leaves of Kshiri trees, Piydla seeds, raw and tender Tinduka fruit, or with as many of them as would be available, should be regarded as a good healing remedy in respect of all non- malignant traumatic sores or ulcers. Applications of astringent, sweet, cooling and oily medicines should be used for a week in a case of a traumatic ulcer (Sadyo-vrana), after which those mentioned before, in the Chapter of Divraniya, should be adopted. 62—63.

* With oil in autumn and in the case of a patient of Rakta-pitta temperament, and wi»h Vala-oil in winter and in the case of one of a Vatakapha temperament.

p. 277

Treatment of Dushta-Vrana:— In the

62—63.

* With oil in autumn and in the case of a patient of Rakta-pitta temperament, and wi»h Vala-oil in winter and in the case of one of a Vatakapha temperament.

p. 277

Treatment of Dushta-Vrana:— In the

case of a malignant ulcer (Dushta-Vrana) emetics, errhines, purgatives, Asthapana, fasting, specific sorts of diet (composed of bitter, pungent and astringent things) and blood-letting, should be prescribed (according to the requirements of each case). The ulcer or sore should be washed with the decoctions of the drugs of both the Aragvadhddi and the Surasddi ganas, and an oil cooked with a decoction of the said drugs should be applied to the wound for |the purification (Sodhana) thereof. As an alternative, an oil boiled and prepared in an alkaline water or solution (four times that of oil) with a Kalka of alkaline substances (such as Ghantdparuli, Palas'a, etc.) should be used for that end. Oil cooked with Dravanti (Satamuli, according to certain authorities, Mushikaparni according to others), Chiravilva^ Dantiy Chitraka, Prithvikd Nimba-leaves , Kdsisa^ Tuttha^ Trivrit, Tejovaii, Nili (indigo), the two kinds of Haridrd, Saindhava salt, Tila, Bhumi-Kadamba^ Suvahd, S'ukdkhyd, Ldngaldkvd, Naipdli^ Jdlini, Madayanti^ Mrigddani, Sudhd^ Murvd, Arka, Kitdri, Haritdla^ and Karanja, or with as many of them as would be available, should be used for the purification (of a malignant sore or ulcer). If found applicable, a medicated Ghrita prepared and cooked with the foregoing drugs and substances as Kalka should be used for the same purpose. In the case of a malignant ulcer, due to the aggravated Vayu, the purifying remedy should consist of a Kalka of Saindhava salt, Trivrit and castor leaves. In the case of a (malignant) Pittaja sore, the remedy should consist of a Kalka of Trivrit, Haridrd, Yashtimadhu and Tila. In the case of a malignant ulcer, caused by the aggravated Kapha, the purifying remedialp. 278 agent should consist of Tila, Tejohvd, Danti, Svarjikd and Chitraka roots. An ulcer brought on owing to the presence of the virus of Meha or Kushtha in the system, measures and remedies mentioned under the treatment of Dushta-vrana should be adopted and used. 64 — 68.

An ulcer brought on owing to the presence of the virus of Meha or Kushtha in the system, measures and remedies mentioned under the treatment of Dushta-vrana should be adopted and used. 64 — 68.

The recognised school of physicians, which recognises these six types of traumatic sores, does not add to the list, herein mentioned, other types of ulcers, whereas vain pedagogues try to swell it with a larger number of types by adding connotative prefixes and suffixes to the names of the aforesaid six. It is mere vain-gloriousness on their part to say so, since all the other types that they can devise are but single instances and can be made to fall under one of these six general heads. Hence there should be only six kinds (of traumatic sores) and not more. 69.

Thus ends the second Chapter of the Chikitsita Sthanam of the Sus'ruta
Samhita which deals with the treatment of Sadyo-vrana (traumatic sores).

CHAPTER III.

Now we shall discourse on the medical treatments of fractures and dislocations (BhagTiaS). i.

Metrical Texts :— A fracture or dislocation (Bhagna) occurring in a person of a Vatika temperament, or of intemperate habits, or in one who is sparing in his diet, or is affected with such supervening disorders (as fever, tympanites, suppression of the stool and urine, &c.) is hard to cure.* A fracture-patient must forego the use of salt, acid, pungent and alkaline substances and must live a life of strictest continence, avoid exposure to the sun and forego physical exercises andparchi-. fying (devoid of oleaginous) articles of food. A diet consisting of boiled rice, meat-soup, milk, f clarified butter, soup of Satina pulse and all other nutritive and constructive food and drink, should be discriminately given to a fracture-patient. The barks of Udumbara, Madhuka, As'vattha, Palds'a, Kakuhha^ Bamboo^ Vata or Sdla trees should be used as splints (Kusa). Manjishthd, Madhuka, red sandal wood and Sdli-ricQ mixed with S'ata-Dhauta clarified butter (i.e., clarified butter t As a general rule, milk should not be prescribed to a patient suffering from an ulcer (Vrana) in general ; but a case of fracture forms an exception thereto. Some authorities hold that tepid milk may be given to a fracture-patient, if there be no ulcer (Vrana). Others, on the contrary, are of opinion that milk should not, in any case, be given to a fracturc'patient for fear of suppuration and the setting in of pus.

* Jejjata does not read the first verse, but Gayi does.