An English Translation of the Sushruta Samhita, Vol. II — trans. Kaviraj Kunja Lal Bhishagratna (1911)
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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.
A Kalka or a levigated paste of sesamum and honey (mentioned in the Mis'raka Chapter) should be applied for the purpose of healing up .an ulcer situated in a muscular part from which all putrid flesh has been removed or sloughed off and which exhibited a clear cavity. This paste (of sesamum) tends to allay the deranged Vayu through its sweet taste, oleaginousness and heat-making potency ; subdues the deranged Pitta through its astringent, sweet and bitter taste and proves beneficial even in the case of the deranged Kapha through its heat-producing potency and bitter and astringent taste. An application of the levigated paste of sesamum mixed with the drugs of purifying and healing properties tends to purify and heal up an ulcer. An application of the levigated paste of sesamum mixed with honey and NzMda-lectves leads to the purification of sores ; whereas an application of the same paste (j'e , sesamum, honey and leaves of Nhnbd), mixed with clarified butter tends to heal up the ulcer. Several authorities atribute the same virtue to a barley-paste.* Levigated pastes of barley and of sesamum (or a paste of barley mixed with sesamum) contribute to the resolution or subsidence of a non-suppurated swelling, fully suppurate one which is partially suppurated, lead to the spontaneous bursting of a fully suppurated one, and purify as well as heal up one that has already burst out. 63-65.
An ulcer,which is due to the effects of poison, vitiated blood, or aggravated Pitta, and which is deep-seated oris of traumatic origin, should be healed up with a medicated clarified butter prepared with the drugs of healing virtues
(Ropaniya— enumerated before) and milk. An ulcer m.arked by an aggravated condition of the deranged
Jejjada and Gayadasa interpret the term to mean "barley-paste mixed with sesamum."
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Yiyu and Kapha should be healed up with the application of an oil, boiled and prepared with the proper purifying drugs mentioned before, 66 6y.
Rasa-kriya* with the two kinds of Haridrd should be resorted to for the purpose of healing up an ulcer, in which bandaging is forbidden (such as those due to the deranged Pitta or blood, or to blow, &c., or to the effects of poison), and an ulcer appearing on the moveable joints, which, though exhibiting all the features of a well-cleansed sore, has not been marked by any process of healthy granulation-f*. Healing medicinal powders should be used in the case of an ulcer which is confined to the skin, and is firm-fleshed and marked by the absence of any irregularity in its shape [i.e., not uneven in its margin). The mode of applying medicinal powders, as stated in the Sutra-sthana, should be adopted in the present instance. 68-69.
The healing and purifying measures described above should be deemed equally applicable to, and efficacious in cases of ulcers in general with regard to their Doshas (both idiopathic and traumatic). The success of these measures has been witnessed in thousands of cases and has been recorded in the Sastras (authorised works on medicine). Hence they should be used as incantations without any doubt as to their tested and infallible efficacy. An intelligent physician should employ the drugs, mentioned before, in any of the seven forms (either in the shape of a decoction, or a t Several editions read "though cleansed yet ungranulating ulcers,"
* The decoction of Iripkald and the drugs of the Nyagrodhadi group should be duly prepared, filtered and then condensed to the consistency of treacle. Powders of Haridrd and Daru-haridra should be then thrown into it. In the end, the whole preparation should be well-stirred, mixed with honey and applied. This is what is called Rasa-kriyiC.
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plug, or a paste, or through the medium of medicated oils and clarified butter, or in the shape of Rasa-kriyd, or as powders), according to the requirements of each case. 70.
The drugs which constitute the two groups ofPanchamulas (major and minor), as well as those of the Vayusubduing group, should be employed in the case of an ulcer due to the aggravated Vaiyu in any of the seven forms — decoction, etc. Similarly the drugs which are included within the groups of Nyagrodhadi or Kakolyadi should be used in any of those seven forms, in the case of an ulcer due to the aggravated Pitta (for the purification and healing thereof). Drugs which form the group of Aragvadhadi, as well as those which have been described as heat-making in their potency, should be used in any of those seven aforesaid forms, in the case of an ulcer due to the deranged Kapha. The drugs of two or three of those groups, should be combinedly used in any of those seven forms, in connection with an ulcer marked by the aggravated condition of any two or three of the deranged Doshas respectively. 71-74.
Fumig'atfon : — Vataja ulcers with severe pain and secretion should be fumigated with the fumes of Kshauma, barley, clarified butter and other proper fumigating substances [such as turpentine and resin (gum of S'ala tree)]. 75.
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