Charaka-Samhita — trans. Kaviraj Avinash Chandra Kaviratna

So long as no discharge of blood takes place milk and urine of the cow, with ‘kshara’ and a decoction of the ten roots, may also be ■administered as retentive injection per rectum with the object of bursting the gulma.

When a discharge of blood takes place, rice with meat-juice should form her regimen. She may also be rubbed with (medicated) oils and ghees and given newly-made wines for a drink. *75

If the discharge of blood be copious, the treatment which allevi¬ ates hsematemesis should be adopted.

If the patient suffers from pain "caused by excited wind, then all those processes which alleviate the wind should be adopted. 176

The patient’s body should also be anointed with ghee and oil and fat, She should also be given the meat-juice of Tittira (francoline partridge) and fowl ;* as well as wines mixed with ‘mandas.f She should first be given ghee mixed with sour juices (such as those of pomegranates and other fruits) for drink ; and afterwards ghee boiled in a decoction of the group of drugs called ‘Jivaniya’ should be injected through the urethra.^ J78

If the discharge of blood be copious, oily enema also may be administered, mixed with bitter ghee.

( Here are some verses containing a summary .)

Medicated oils, application of dry heat, ghee, powders, drugs that nourish, pills, emetics, purgatives, and blood-letting, for persons afflicted with wind-born ‘gulma ;’

» The word used in the original is ‘Charanayudhan,’ that is, cocks and hens which fight with their claws. — T.

t ‘Mand’ is a kind of barley gruel. For the preparation of ‘manda’ see ChakrapSni Datta on the treatment of fevers.— R. S.

t ‘Vasti’ means retentive injection per rectum, while ‘uttara vasti’ means urethral injection. — R. S.

p. 194

CHAR A KA-SAMHITA.

Ghee cooked with bitter drugs, milk, purgatives that expel the contents of the stomach before they are digested, dry enema, dis¬ charge of blood, diverse combinations for promotion of strength, combinations for cooling the system and promoting nutrition, poul¬ tices after use of the lancet, correctives and palliatives for the ‘gulma’ when it has burst after maturation, for persons afflicted with bileborn ‘gulma f

Medicated oils, application of dry heat, purgatives that expel the contents of the intestines without liquefying them, fasts, emetics, purgatives that expel the contents of the intestines after liquefying them, ghee, enema, pills, powders, fermented liquors, ‘ksharas’ blood¬ letting first and then cautery, of persons afflicted with phlegm-bom ‘gulma’ ;

After this has been declared the course of treatment of blood-born ‘Gulma’ which women only have.

Use of proper food and drink, and avoidance of the exciting causes, in respect of each variety of ‘Gulma’, continuous preservation of the digestive fire, all the acts which are proper for a patient who has been smeared with oil, the causes which produce the disease, the symptoms, the course of treatment, success of treatment, (curability), and remedies for supervening ailments ;

All these have been declared in brief hy^Agnivefa in this lesson on the treatment of ‘gulma.’

Thus ends Lesson V, called Treatment of ‘Gulma,’ in the Division called ‘Chikitsa’ of the treatise of Agniveca as revised by Charaka.

LESSON VI.

We shall now expound the Lesson called ‘Treatment of Pram eh a.” Thus said the illustrious son of Atri.* *

Punarvasu, who was absolutely free from delusion, pride, anger and desire (for any object), and who was great by reason of knowledge

* ‘Prameha’ is of twenty varieties. It is generally rendered ‘Gonorrhoea’, but the correct rendering seems to be ‘Polyuresis.’ But as some of the varieties fall under ‘diabetes.’ It has been thought proper to retain the word in the original throughout this Lesson.— T.

CHARA KA-SA MHITA .

p. 1195

and austerity, declared at the proper time, unto Agnivega, the diverse kinds of ‘Meha’ with their causes, symptoms, and the means of alleviation. 2

Enjoyment of indolent repose or of (excessive) sleep, curds, soup of the flesh of animals that are domestic or acquatic or that have marshes for their habitat, milk of different varieties, new rice and newly-made drinks, preparations of molasses and other articles that engender phlegm, are the causes of ‘Prameha.’* * * § 3

Phlegm, in the bladder, vitiating the fatty matter, the flesh, and the excretions of the body cause the different varieties of ‘Meha.’f

Bile also, greatly excited, by the use of things with heating properties, vitiating those very ingredients causes different varieties of ‘Meha.’ 4

When the ‘dosha’ {viz., phlegm and bile) become weakened, the wind also, drawing the (same) ingredients into the bladder, causes the different varieties of ‘Meha.’]

The vitiating elements {viz., wind, bile and phlegm) coming to the bladder, and vitiating the urine, generates the varieties of ‘Meha’ known by their respective symptoms. 5

The ten varieties of ‘Meha’ that are born of (excited) phlegm are curable ; the six varieties that are born of (excited) bile are suppressible ; the four that are born of (excited) wind are incurable.

This is so in consequence of the action of medicine in the first being uniform in its effects ; that in the second being unequal, and the third being productive of extensive mischief. § 6