An English Translation of the Sushruta Samhita, Vol. I: Sutrasthanam — trans. Kaviraj Kunja Lal Bhishagratna (1907)
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The translator’s English as printed (Kunja Lal Bhishagratna). The original-language text is not held; names are romanised as the translator printed them.
All the preceding symptoms, with the exception of swelling and sucking pain fthirst according to others), manifest themselves in a case where the arrow (Shalyam) has penetrated into a muscle. Similarly, the distension, aching and swelhng of a vein mark a case of an arrow-lodged vein. An upheaval and swelling of its fibres together with intense pain characterise a case where the shaft (Shalyam) has lodged in a ligament. The internal passages or channels (Srota) of
* According to certain authorities the patient is tormented with a sort of unquenchable thirst.
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250 THE SUSHRUT.A SAMHITA'. [ Chap, xxvi, the body are choked up and become inoperative, when the shaft is lodged in any one of them. A flow of red and frothy blood with a gurghng sound, accompanied by thirst, nausea, and aching of the limbs, sets in when the arrow is lodged in an artery (Dhamani). Similarly, pain and swelling of diverse kinds mark a case where the shaft is embedded in a bone. The appearance of goose flesh on the skin, a stuffed sensation inside the cavity of the affected bone, and a violent piercing bone-ache, mark a case where the shaft has found a lodgment inside the cavity of a bone. A pierced joint exhibits the same symptoms as described in connection with an arrow-lodged bone, with the exception that the patient is incapable of flexing and expanding the affected joint. In a case where the shaft (Shalyam) has lodged in the abdomen (Koshtha), the bowels become constipated ; the abdomen becomes distended with a rumbling in the intestines and the suppression of flatus and urine ; and ingested food matter, as well as urine and feces are found to ooze out of the fissure or mouth of the ulcer. Symptoms, similar to those above described, manifest themselves when the arrow is lodged in any of the vital parts (Marmas'i of the body. The preceding symptoms are but faintly exhibited in a case of superficial penetration.
An ulcer incidental to the penetration of an arrow
Chap. XXVI.] SUTRASTHANAM. 25 1
(Shalyam"), along the direction of the local hair, in* the throat, in any internal channel of the body, or in a vein, the skin, or a muscle, or into a cavity of the bone, and not in any way affected by the action of the deranged bodily humours, may speedily and spontaneously heal ; but it may break open and become painful afresh if the bodily humours become deranged and aggravated by a blow or physical exercise.
Localisation :— The exact position of a shaft (Shalyam) embedded in the skin should be ascertained by applying a plaster composed of clay, Masha-pulse, Yava, Godhuma and cow-dung over the injured limb or part. The part (hmb) should be duly lubricated with oil, and diaphorised (by fomenting or applying heat to its surface) before the plaster is applied. The shaft (Shalyam) should be considered as lodged in that part which would be marked by pain, redness, or swelling (Samrambha) after such application. x\s an alternative, the affected part should be plastered with clarified butter, common clay and sandal paste. The embedded shaft (Shalyam) is then exactly located at the spot where, owing to the heat of the affected part, the clarified butter, or earth, or sandal paste would be found to have melted, or dried up.
Similarly, the mode of localising a shaft (Shalyam),
* So as not to obstruct the coursing of the blood or serum in the locality.
252 THE SUSHRUTA SAMHITA. ; Chap. XXVI.
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