The Sushruta Samhita — trans. Bhishagratna
The text is shown on its own: no facing layer is held for this issue.
Oihers, again, mean by the term "Pancha-varga" the five parts, viz., leaf, fruit, flower, bark and root, of the Vataghna drugs mentioned in the sentence.
We have, however, the authority of Vagbhata and Chakradatta in our side to accept the first view that the term "Audaka" is redundant, inasmuch as they have not read the word "Audaka" in their compilations. —Ed.
* According to Dallana, four seers of clarified butter, oil, lard and marrow (each weighing one seer), sixteen seers of Kanji, etc., sixtetn seers of milk, sixteen seers of the decoction and one seer of the Kalka (paste) should be taken in its preparation. But Gayadasa is of opinion that four seers of milk should be taken instead of sixteen seers.
Four seers of Ghrita, etc., four seers of milk, six seers of Kanji, six seers of the decoction and one seer of the Kalka (paste) are generally taken byexperienced physicians in its preparation.— Ed.
p. 308
juice oi Mulaka, Eranda, Sphurja, Arjaka, Arka^ Saptald and S'amkhini should be used in washing (Parisheka), etc., the body of an Apatdnaka-patient. Potions consisting of sour Dadhi (milk-curd) mixed with powdered pepper and Vachd, or of oil, clarified butter, lard, or honey, mixed with the same things and taken in an empty stomach, prove curative in cases of Apatanaka. 26.
These remedial measures are applicable in cases of Apatanaka when the action of the aggravated Vayu alone preponderates. In a case involving the concerted action of two or mere of the Doshas, drugs, remedial to each of them, should be combinedly employed. Medicinal liquid errhines {Avapida) should be employed after the subsidence of a severe attack. The fat or lard of a cock, crab, Krishna-fish, porpoise or of a boar should be taken* by the patient. As an alternative, he should be made to drink (a potion consisting of) milk boiled with Vdyu-subduing drugs (Das'a-mula, etc.), or a gruel (Yavdgu) composed of barley, Kola, Kulatthapulse and Mulaka, cooked with curd, oil and clarified butter. Oily purgatives, Asthapana and Anuvasana measures, should be employed if the paroxysm does not subside even in ten days. Medicines and remedial measures laid down under the head of Vata-vyddhi and the process of Raksha-karma, should be likewise adopted (in cases of Apatanaka). 27.
Treatment of Pakshaghata :— A physician is enjoined to take in hand the medical treatment of a patient laid up with Pakshaghata, unattended by a discolouring of the skin, but having pain in the affected part, and who habitually observes the rules of
Treatment of Pakshaghata :— A physician is enjoined to take in hand the medical treatment of a patient laid up with Pakshaghata, unattended by a discolouring of the skin, but having pain in the affected part, and who habitually observes the rules of
* Vriddha Vagbhata recommends external application with these lards.
p. 309
diet and regimen and who can afford to pay for the necessary accessories. The affected part should be first anointed and then fomented. Mild emetics and purgatives should be subsequently employed for the purpose of cleansing the system. Medicated Anuvdsana and Asthdpana measures should then be employed, after which the general directions and remedial measures, laid down under the treatment of Akshepaka^ should be followed and employed at the proper time Applications of the Mastikya-Siro-vasti with the Anu-taila for anointing the body, of the articles of Salvana-Sveda for the purpose of poulticing, and of the Vahi-taila as an Anuvdsana measure, are the marked features of the medical treatment of this disease, and should be followed carefully for a continuous period of three or four months. 2g.
These preceding remedies as well as dry fomentations (Ruksha-sveda) and errhines, which possess the virtue of subduing the deranged Vdyu and Kapha should be likewise employed in cases of Manyastambha. 29
Treatment of Apatantraka : —Fasting
is prohibited in cases of patients suffering from Apatantraka (Apoplectic convulsions). Emetic, Asthapana and Anuvdsana measures are likewise forbidden. The passage of respiration should be blown open by violent breathings in the event of its being choked up with an accumulation of the deranged Vayu and Kapha. The patient should be made to drink a potion consisting of Tumburu, Pushkara, Hingu, Amla-vetasa^ Haritaki and the three (ofilicinal) kinds of salts, with a decoction of barley.* As an alternative, four seers of clarifiedp. 310 butter, cooked in combination with sixteen seers of milk, two Pala weight of Sauvarchala salt and fifty of Haritakis should be prescribed for the use of the patient. All other remedial agents, possessing the virtue of subduing the deranged Vayu and Kapha should be likewise employed. 30.
* Chakradatta quotes this in the chapter on the treatment of colic (s'ula), but does not read *Amla-vetasa' there.
Treatment of Ardita :— A patient suffering
All other remedial agents, possessing the virtue of subduing the deranged Vayu and Kapha should be likewise employed. 30.
Treatment of Ardita :— A patient suffering from Ardita f/acial Paralysis) should be treated with the measures and remedies laid down under the head of Vata-vyadhi in the event of his being found to be sufficiently strong and capable of affording the necessary expenses for his treatment. Errhines, Mastlkya- Siro-vasti, inhalation of the smoke (Dhuma-pdna) from medicated drugs, poulticing (Upandha), unguents and Nddi-sveda, etc., are the special features of the medical treatment of this disease. After that, a decoction should be made of the drugs constituting the groups of Trina- Pancha-mula, Mahd-Pancha-mula, Kdkolyddid^nd Viddrigandhddi groups, aquatic bulbs, and the flesh of animals which are aquatic in their habits (Audaka) and those which frequent swampy places (Anupa), by boiling them together with a Drona measure of milk and double the quantity of water. The decoction should be considered boiled when three quarter parts of its original weight of the liquid has been evaporated and should then be strained. The decoction thus prepared should be boiled with a Prastha measure of oil (four seers) and be removed from the fire when the oil is well mixed with the milk. The compound (oil and milk) thus prepared should be allowed to cool down and then churned. The churned off cream (Sneha) should be again boiled wuth the drugs of the Madhura (Kdkolyddi) group, Mdsha-parni and milk (four times that of the original oil). This medicated oil is known as the Kshira-Taila and should
Chap, v.] CHIKITSA STHANAM. 3II
be administered as potions and unguents, etc, to an Ardita-patient The above preparation with clarified butter in the place of oil is known as the Kshirasarpih and it should be used as an Akshi-tarpana (eyelotion). 31—32.
Venesection should be duly resorted to in the affect ed parts, according to the directions given before, in cases of Sciatica, Gridhrasi, Vis'vachi (Synovitis of the kneejoints), Kroshtuka-sirah, Khanja (lameness), Pangula, Vata-kantaka, Pdda-ddha, Pada-harsha, Ava-vahuka and Vadhiryya and in cases where the deranged Vayu would be found to be seated in a Dhamani. Measures and remedies laid down under the head of Vatavyadhi should be adopted, except in a case of Ava-vahuka 33.