An English Translation of the Sushruta Samhita, Vol. I: Sutrasthanam — trans. Kaviraj Kunja Lal Bhishagratna (1907)

ffums, and a general drvness of the body. Similarly, .

* The armpits look thin, narrow and contracledtp. 125 the loss or waste of marrow is characterised by the formation of a lesser quantity of semen, aching pain in the bones and breaking pain in the bone-joints which have become marrowless. The loss or waste of semen is marked by pain in the penis and the testes, and by incapacity for sexual intercourse. In such cases the emission of semen but rarely happens, and is then perceptibly deficient in its quantity, the emitted matter consisting of a small quantity of sehien marked with shreds of blood. The medical treatment under the preceding circumstances should consist of remedies of such medicinal virtues as are found to directly and immediately contribute to the formation of the bodily principle (thus wasted or lost).

The loss absence, suppression or scanty formation of fecal matter is attended with a sensation of pain at the sides and the region of the heart, and the upward coursing of (the incarcerated) wind or flatus, accompanied with a rumbling sound about the region of the liver and the intestines. Similarly, the loss, absence or scanty formation) of urine is marked by an aching pain in the bladder, causing it dribble or to come out in thin and scanty jets. Here, as in the foregoing instances, the remedial agents should consist of drugs which directly contribute to the formation of urine. Similarly the waste, absence or scanty formation of perspiration is followed by such symptoms as numbness about the pores of the hair, and

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dryness of the epidermis (skin\ The sense of touch is perceptibly affected, and perspiration is entirely stopped. The medical treatment in such a case consists in the application of medicated unguents, lubrications, diaphoretics, and adoption of measures (that tend to produce a copious perspiration\

In the case of loss or waste of the catamenial flow, the menses do not appear at the appointed time or are scant}'. The vagina seems stuffed and painful. The medical treatment in such cases consists in the adoption of alterative or cleansing measures, and in the administration of drugs of a heat-making (Agneya) potency or virtue.

The loss or waste of breast-milk is characterised by a shrunken condition of the mammae, and suppression or scanty secretion of the fluid. The medical treatment in such cases lies in the administration of drugs which generate Kapham.

The atrophy or wasting of the foetus in the womb (during the period of gestation) is marked by the absence of any movement in the uterus and the nondistended condition of the sides or walls of the abdomen. The treatment consists in the application of Kshira Vastis (enemas of medicated milk into the region of the utenis) in the eighth month of gestation, and prescribing courses of emollient fare for the patient mother)*

* Several editions read invigorating diets, egg, etc.

Chap. XV.] SUTRASTHANAM.

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Now we shall describe the symptoms which mark the excess (excessive accumulation in the body > of any of the fundamental humours, ]>rinciples and excrements of the body.

The quantities of these humours, principles and secretion, are abnormally increased through the use of substances that primarily contribute to their formation in the organism.*

An excess of Vayu in the body is marked by such symptoms as roughness of the skin, t emaciation of the body, darkness of complexion flit : blackness of hue), a little tremor or trembling of the limbs, longing for heat, or for hot things, insomnia, thickness or increased consistency of the fecal matter and decrease of bodily strength. (Similarly, an abnormal) increase of Pittam is characterised by a sallow complexion or a yellowish colour of the skin, a general burning sensation in the body as well as insomnia, a craving for cold contacts and cooling things, diminution of strength, weakness of the sense organs, fits of fainting and yellowness of the conjunctivae, stool and urine.

An excess of Kapham in the body is marked by such symptoms, as the whiteness, coldness and numbness of the body, heaviness of the limbs, a

* Several Editions read it as an additional text. + Several Editions read roughness of speech.

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sense of drowsiness and languor_, somnolence, and a feeling of looseness of the bone-joints.