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

Rhinoplastic operations : -Now I shall deal with the process of affixing an artificial nose.

cribed for the patient. The physician who is well familiar with the actions of the deranged bodily humours as described above, should be looked upon as alone entitled to take in hand a case, which falls under the head of one of the preceding types.

Now I shall enumerate the names of the several diseases which affect a severed lobe of the ear and describe the sjTnptoms which each of them develops in succession. They are known as UtpStaka, Utputuka, Shyava, Bhrisam-kanduj^ta, Avamantha, Sakanduka, Akundaka, Granthika, J5mvala, SrAvi and Dihavdna. Now hear me discourse on the nature of medicinal treatment to be adopted in each of them.

Remedies : — A plaster composed of the drugs known as Apam£rga, Sarjarasa, Patala bark and Lakucha bark pasted togather, or a medicated oil prepared and boiled with the preceding substances should be applied in a case of the Utpataka type, wherea' a case of the Utputuka type would prove amenable to a medicinal plaster consisting of Shampâka, Shigru, Putika, the fat and marrow of a GodhS and the milk and bile of a she-deer, she-buffalo or sow, pasted togather ; ^r to a medicated unguent composed of the abovesaid substanees duly Lioiled with oil. Similarly, a medicinal plaster composed of the drugs known as Gauri, Sugandhd, ShydmS, Anantd, Tanduliyakam, or an oil prepared and boiled with the extract of the preceding drugs, would prove beneficial in a case of the Shyiva type of the desease. In a case of the Vrisham-Sakundakam type, the affected part should be rubbed or lubricated with an unguent or medicated oil prepared with the boiled extract of PathA, Rasanjanam, Kshoudram, and warm Kdnjik5m. or a plaster composed of the same drugs and substances should be applied over the diseased locality.

In a case of ulceration, the ulcerated ear-lobe should be rubbed with the oil prepared and boiled with the drugs known as Madhukam and KshirakSkoli, or with those which form the group known as the Jivakddi-Varga ; while in a case where Vringhanam measures are to be adopted, lard prepared from the fat of a Godhd, boar, or snake might be used with advantage. In the Avamanthaka type the diseased ear-lobe should be washed and covered with a plaster composed of the drugs known as Prapaundarikam, Madhukam, Samanga and Dhavam, or rubbed with oil prepared and boiled with the same drugs. Similarly, a case of Kandu-Juta (accompanied with itching) would yield to a plaster composed of the drugs known as SahadevA, Vishvadevd, and Saindhava salt pasted with goat's milk, or to the medicated oil boiled and prepared with the same drugs and substances.

Chap. XVI.] SUTRASTHANAM. 1 1;^

First the leaf of a creeper, long and broad enough to fully cover the whole of the severed or clipped off part, should be gathered ; and a patch of li\ing flesh, equal in dimension to the preceding leaf, should be sliced off ;from down upward) from the region of the cheek and, after scarifying it with a knife, swiftly adhered to the severed nose. Then the coolheaded physician should steadily tie it up with a bandage decent to look at and perfectly suited to the end for which it has been employed (Sadhu Vandha). The physician should make sure that the adhesion of the severed parts has been fully effected and then insert two small pipes into the nostrils to facilitate respiration, and to prevent the adhesioned flesh from hanging down. After that, the adhesioned part should be dusted with the powders of Pattanga, Yashtimadhukam and Rasanjana pulverised together ; and