The Sushruta Samhita — trans. Bhishagratna

The preceding remedies should be administered in a case of Vaita-Rakta maiked by a preponderance of the aggravated Vayu. 8.

Vata-Rakta with a preponderance

of Pitta : — In cases of Vdta-Rakta where the Pitta preponderates, the patient should be made to drink a potion consisting of a decoction of Drdkshd, Aragvadha^ Katphala, Kshira-viddri, Yashti-madhu, Chandana and Kds w^r^'<3! sweetened with a quantity of sugar and honey.

* Such as sesamum, castor-seed, linseed, Vibhitaka-seeds, etc. t Some say that a paste of sesamum only should be used as a i separate plaster.

Chap, v.] CHIKITSA STHANAM. 3OI

As an alternative, a decoction of S'atdvari, Yashtimadhu, Patola, Triphald, and Katu-rohini^ or a decoction of Guduchi^ or a decoction of the drugs belonging to the Chandanadi group, which are possessed of virtues for allaying pittaja fever, should be administered to the patient, sweetened with sugar and honey. Clarified butter, cooked and prepared with a decoction of bitter and astringent drugs* also proves beneficial in such cases. 9.

The affected part should be washed (Parisheka) with a decoction of Visa-mrindla, Chandana and Pad?naka (taken in equal parts and) mixed with half its quantity of milk. As an alternative, the affected part should be sprinkled with a compound composed of milk, the expressed juice of Ikshu (sugar-cane), honey, sugar, and washings of rice (taken in equal parts) ; or with curdcream, honey, and Dhanydmla (fermented paddy-gruel), mixed with a decoction of grapes and Ikshu ; or the affected part should be anointed with clarified butter cooked with the drugs of the Jivaniya group, or with the clarified butter washed a hundred times in water, or with clarified butter cooked with the Kalka of the Kdkolyddi group. 10.

Pradeha (plaster) composed of S'dli, Shashtika, Nala^ Vanjula, Tdlis'a, S'rigdtaka^ Galodya, Haridrd, Gairika^ S'aivala, Padma-kashtha, leaves of padma (lotus), pasted with Dhdnydmla and mixed with clarified butter, should be applied to the affected part. This plaster (Pradeha) may be applied lukewarm even in cases of Vdta-Rakta, marked by a preponderance of the aggravated Vayu. All the remedial measures (laid down above) may also

* D. R.— Sweet, bitter, and astringent drugs.

Bitter drugs— Patoladi group ; Kashdya drugs— Triphaladi group ; sweet drugs— Kakolyadi group.

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All the remedial measures (laid down above) may also

* D. R.— Sweet, bitter, and astringent drugs.

Bitter drugs— Patoladi group ; Kashdya drugs— Triphaladi group ; sweet drugs— Kakolyadi group.

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be advantageously applied in cases marked by a preponderance of the vitiated blood, with this exception that cold plasters and repeated blood-lettings should be resorted to in the- latter (Raktaja-Vata-Rakta). ii.

Vata-Rakta with a preponderance

of Kapha:— Incases where the Kapha preponderates, the patient should be made to drink a potion consisting of a decoction of Haridrd and Amalaka, sweetened with honey ; or a decoction of Triphald, or a Kalka of Madhuka, S'ringavera, Haritaki -ax^A Tikta-rohini m.x'K.Q.d with honey. As an alternative, Haritaki and treacle with either cow's urine or water, should be given to him. The affected part or limb should be sprinkled or washed with cow's urine, oil, alkaline water, Sura, Sukta, or with a decoction of Kapha-destroying drugs. A hot decoction of the drugs constituting the Aragvadhadi group may be used with benefit in sprinkling the affected part. The body of the patient should be lubricated or anointed with clarified butter, boiled with the cream of milk-curd, cow's urine, wine, S'ukta'd.nA with the Kalka of Yashti-madhu, Sdrivd and Padmakdshtha. A plaster (Pradeha), composed of pounded sesamum, mustard seed, linseed and barley (taken jn equal parts) and mixed and pasted with S'leshmdtaka, Kapittka,Madhu-s'{grudLXid.covj's urine, and Yava-kshdra should be applied (hot to the seat of the disease). 12-13.

The Five Pradehas :--(i)Apaste of white

mustard seed, (2, that of sesamum and As'vagandha,

(3) a similar paste of Piydla, S'elu and Kapittha bark,

(4) that of Madhu-ii'gxw, Punarnavd and (5^ a paste of Vyosha, Tiktd, Prithakparni and VriJiati, these five kinds of Pradehas should be separately pasted with alkaline water and (any of them) applied lukewarm to the affected locality. 14.

Chap, v.] CIIIKITSA STHANAM. 303

As an alternative, a plaster composed S'dlaparni, Pris'niparni, Vrihati and Kantakdri, pasted together with milk and mixed with Tarpana * should be applied (to the seat of the disease). In cases of Vata-Rakta involving the concerted action of two or three of the Doshas, the remedy consists in applying such drugs in combination as are possessed of the efficacy of subduing the action of each of them. 15.

Guda-Haritaki and Pippali-Vardha-

15.

Guda-Haritaki and Pippali-Vardha-

mana Yogas : — Haritaki with treacle may be used in all types of Vata-Rakta. As an alternative, the patient should be enjoined to use Pippali, pasted with miik or water, every day (in the following way).+ The number of Pippali should be increased by five or ten respectively on each successive day till the tenth day of its use ; after which period the number of Pippali should be decreased (by a similar number) on each successive day till it is reduced to the original five or ten. The patient should live on a diet of milk and rice only (during the entire course of this treatement). This medicine which is known as the Pippali-Vardhamana,:|: proves efficacious in cases of Vata-Rakta, chronic fever (Vishama-Jvara), aversion to food, jaundice, enlarged spleen, piles, cough, asthma, cedema, phthysis, loss of appetite, heart-disease and ascitis. 16.

Clarified butter, cooked in milk with the paste of the drugs of the Jivaniya group, should be used in

* Flour of barley or fried grain, dissolved in water, is known as Tarpana.

tThe dosage should begin originally with five or ten Pippalis according to the strength of the patient.

X Maharshi Charaka mentions this Yoga in the chapter on Rasayana and prescribes it also in the treatement of Udara. Chakradatta mentions the use of this medicine in the treatment of liver and spleen and of fever.

p. 304

anointing (the body of the patient). A plaster, composed of Sahd, Sahadevd, Chandana, Murvd, Mustd, Piydla, S'atdvari^ Kas'eru , Padma-kdstha Yashti-madhu, S'atapushpd (A. D. Vidari) and Kushtha, pasted together with milk and mixed with the cream of clarified butter, should be applied (hot) to the affected locality. A plaster composed of Saireyaka, Atarushaka, Vald, Ati-vald Jivanti and Sushazi^ pasted together with the milk of a she-goat, should be likewise applied (to the seat of the disease). As an alternative, the diseased locality should be plastered with the pastes of Kds'marya^ Yashtimadhu and Tarpana mixed together ; or it should be treated with Pinda-Taila, prepared by cooking Madhuchchhishta (bee's wax), Manjishthd, resin, and Anantamula in milk* (and oil taken together). 17-20.