The Sushruta Samhita — trans. Bhishagratna

Measures and remedies laid down under the head of Vatavyadhi should be adopted, except in a case of Ava-vahuka 33.

The expressed juice of green ginger, made lukewarm after mixing it with (equal quantities of) oil, honey and Saindhava salt, should be poured into the cavity of the ear in a case of (acute) ear-ache. As an alternative, the urine of a she-goat, or oil and honey, or oil with the urine (of a cow) mixed with the expressed juice of Mdtulunga, pomegranate and tamarind, or the oil boiled and prepared with Surd, Takra, Sukta, salt and the urine (of a cow), should be poured into the cavity of the ear ; fomentation should be given (to the interior of the affected organ) after the manner of Nddi-sveda. The remedial measures for Vdta-vy^dhi should be resorted to. We shall, however, revert to the subject in the Uttara-Tantra. 34.

The patient should be made to drink a potion of Sneha-Lavana* dissolved in an adequate quantity of water, or the powders of the Pippalyadi group (with anp. 312 adequate quantity of water), or clarified butter, thickened or saturated with pulverised asafoetida and Yava-kshdra (Carbonate of Potass), in cases of Tuni and Prati-tuni. Applications of Vastis should also be resorted to. 35.

* Sneha-Lavana has been described in Chap. 4. (treatment of Vata-vyadhi) para. 24.

In a case of Adhmaina (Tympanites), the remedy should consist in the applications of powders of the Dipaniya (appetising) group, of suppositories (Phala-varti), Vastis and digestive drugs (Pachaniya group). The patient should also be advised to observe a rigid fast and his abdomen should be fomented with hot palms. After that he should break his fast with boiled rice prepared with appetising (Dipana) drugs such as, Dhanyaka, Jiraka, etc. Similarly, a case of Pratyafcdhmaina should be treated with fasting, emetics and appetising drugs. Cases of Ashthilat or Pratyashthilai should be treated as a case of Gulma and internal abscess, to all intents and purposes. 36-38.

Similarly, a case of Pratyafcdhmaina should be treated with fasting, emetics and appetising drugs. Cases of Ashthilat or Pratyashthilai should be treated as a case of Gulma and internal abscess, to all intents and purposes. 36-38.

Hingvadi-Vati : — A compound consisting of asafoetida, Trikatu, Vachd, Ajamodd, Dhanyd, Ajagandhd, Dddimba, Tiniidi, Patha, Chitraka, Yava-kshara, Saindhava salt, Vid salt, Sauvarchala salt, Svarjikdkshdra^ Pippali-mula, Amla-vetasa, S'athi^ Pushkara-mula, Hapushd^ Chavyd, Ajdji and Pathyd, powdered together and treated many times with the expressed juice of Mdtulunga in the manner of Bhavana* saturation, should be made into boluses, each weighing an Aksha (two ToUs) in weight. One (such) pill should be taken (in an empty stomach) every morning in all diseases of the deranged V^yu. This compound proves curative in cough, asthma, internal tumour (Gulma), ascites, heart-disease,

* '* Bhavana" consists in soaking a powder or a pulverised compound with the expressed juice or decoction of any drugs or with any liquid and in getting it dry (generally). This process should be cotinued many times (generally seven times) in succesion.

Chap, v.] CHIKITSA STHANAM. 3x3

tympanites, aching pain at the sides, in the abdomen and in the bladder, in cases of an aversion to food, retention of stool, strangunary, enlarged spleen, piles, Tuni and Prati-tuni. 39.

IVIemorable Verses :— From the symptoms

or leading indications, exhibited in each case and from a close examination thereof, it should be inferred whether the Vayu alone has been deranged or whether it has combined with any other Dosha, or has affected any other fundamental principle (Dhdtu) of the organism as well ; and the medical treatment should follow a course, so as not to prove hostile to the Doshas or the Dha'tus (organic principles) implicated in the case, in its attempt to subdue the aggravated Vdyu. In a case of cold, compact and painful swelling (appearing in any part of the body) owing to the combination of the deranged Vdyu with fat, the treatment should be identical with that of a swelling in general. 40-41.

Uru-Stambha :— The deranged Vdyu, surcharged with the local fat and Kapha gives rise to a swelling in the region of the thigh which is known as Uru-stambha ; others designate it as Adhya-Vatta. This disease is marked by lassitude and an aching pain in the limbs, by the presence of fever, horripilation and somnolence and by a sensation of coldness, numbness, heaviness, and unsteadiness in the thighs, which seem foreign to the body. 42.

This disease is marked by lassitude and an aching pain in the limbs, by the presence of fever, horripilation and somnolence and by a sensation of coldness, numbness, heaviness, and unsteadiness in the thighs, which seem foreign to the body. 42.

Its Treatment :— The patient should be made to drink a potion consisting of the pulverised compound known as the Shad-dharana-yoga ; or of the drugs constituting the Pippallyadi group, dissolved in (an adequate quantity of) hot water without using any oleaginous substance ; or a lambative, composed of pulverised Triphald and Katuka mixed with honey, should bep. 40p. 314 used ; or a potion, consisting of Guggulu or S'ildjatu dissolved in cow's urine, should be administered. These compounds subdue the aggravated Vdyu surcharged with deranged fat and Kapha and prove curative in heart-disease, an aversion to food, Gulma and internal abscesses. A medicinal plaster composed of Karanja fruits and mustard seeds, pasted with a copious quantity of cow's urine should be applied hot to the affected part, which may be as well fomented with cow's urine mixed with alkali (Kshdra) ; or the locality should be shampooed with articles devoid of any oily substance. The diet of the patient should consist of old and matured Sydmaka, Kodrava, Udd^la and Sdli rice with the soup of dry Mulaka or Patola, or of the flesh of animals of the Jdngala group cooked without clarified butter or vegetables iS^dkd) cooked without salt. The use of oil and of lardaceous substances in general (Sneha-karma) should, however, be prescribed after the deranged fat and Kapha have (totally) subsided. 43.

Therapeutic properties of Guggulu :

— Guggulu is aromatic, light, penetrating into the minutest parts of the body, sharp, heat-making in potency, pungent in taste and digestion, laxative, emulsive, slimy, and wholesome to the heart (Hridya). New Guggulu is an aphrodisiac and a constructive tonic. Old GrUggulu is anti-fat and hence reduces corpulency. It is owing to its sharpness and heat-making potency that Guggulu tends to reduce the Vdyu and the Kapha ; it is its laxativeness that destroys the Malas (refuge deposits in the Srotas) and the deranged Pitta ; its aroma removes the bad odours of the Koshtha ; and it is its subtle essence that improves the appetising faculty. Guggulu should be taken every morning with a decoction of Triphald^ Ddrvi and

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