An English Translation of the Sushruta Samhita, Vol. II — trans. Kaviraj Kunja Lal Bhishagratna (1911)

In a case w^hers the intestines could be but partially introduced, the three following measures should be adopted. The interior of the throat of the patient should be gently rubbed with a finger [and the urging for vomiting thus engendered, would help the full introduction of the intestines into the abdominal cavity]. As an alternative, he should be enlivened with sprays of cold water ; or he should be caught hold of by his hands and lifted up into the air with the help of strong attendants and shaken in a manner that would bring about a complete introduction of the intestines into the natural position in the abdominal cavity. They should be so introduced as to press upon their specific (Maladhara) Kala (facia). 42-43.

In a ca.se where the re-introduction of the intestines into the abdominal cavity would be found to be difficult owing to the narrowness or largeness of the orifice of the wound, it should be extended or widened with a small or slight incisiona ccording to requirements, and the intestines re-introduced into their proper place. The orifice or mouth of the wound should be forthwith carefully sutured as soon as the intestines would be found to have been introduced into their right place. Intestines dislodged from their proper seat, or not introduced into their correct position, or coiled up into a lump bring on death. 44-46.

Subsequent Treatment : -[After the full

and correct introduction of the intestines] the wound should be bandaged with a piece of silk-cloth saturated

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p. 274

with clarified butter, and the patient should be given a draught of tepid clarified butter (D. R. tepid milk) with castor oil for an easy passage of the stool and downward coursing of the Vdyu (spontaneous emission of the flatus). Then, for its healing up (Ropana), a medicated oil, prepared with the bark of the Asvakarna, Dhava, S'dlmali, Mesha-s'ringi, S'allaki, Arjima, Viddri, and Kshiri trees and Vald roots should be applied to the wound. For a year the patient should live a life of strictest conticence and forego all kinds of physical exercise. 47 — 48.

The legs and the eyes of the patient should be washed and sprinkled with water in the event of the barsting" out of the testicles which should be introduced into their proper place within the scrotum, and sewn up in the manner of a Tunna-sevani (raised seam;. The scrotum should be bandaged in the shape of a Gophana-Vandha and a restraining apparatus (GhattaYantra) placed round the waist of the patient (to guard it against its oscillations or hanging down). The wound should not be lubricated with any kind of oil or Ghrita inasmuch as it would make the wound moist and slimy. The wound should be healed with a medicated oil prepared with Kdldnusdri, Aguru, Eld, Jdtl flower, Chanda?ia, Padtnaka, Manahs'ild, Devaddru, Amrita and sulphate of copper (pounded together). 49-50.

A plug of hair should be inserted into a wound on the head, after having extracted the foreign matter therefrom, with a view to arrest the exuding of the brain matter (Mastulunga) which invariably proves fatal to the patient through the aggravation of the deranged Vayu in consequence thereof. The hairs of the plug should b3 taken out one by one as the healing process progresses ; granulation). An oleaginous medicated plug or lint should be inserted into a wound on any otherChap. II ] CHIKITSA STHANAM. 2/5 part of the body, which should be treated with the measures and remedial agents laid down in connection with a traumatic ulcer after having first allowed the vitiated blood to escape. 51-52.

The medicated oil known as the Chakra-taila* should be poured (frequently applied) by means of a slender pipe into an ulcer (wound) which is deep-seated but narrow-mouthed, after first letting out the vitiated blood"!-, -^ri oil duly prepared and boiled with Samangd, Haridtd, Padmd^ Trharga\ Tuttha, Vidang-a, Katuka, Patkyd, Gtiduchi and Karanja acts as a good healing (Ropana) agent (in these cases). The use of an oil prepared with Tdlis'a,Padmaka, Mdnsi, Harenu, Agufu, Chandana, and the two kinds of Haridrd, Padma-vija, Us'ira and Yashti-madhu acts as a good healing remedy in cases of traumatic ulcers. 53"55A cut wound (Kshata) should be treated with its own specific measures and remedies, while a bruised one (Pichchita) should be treated (to all intents and purposes) as a case of Bhagna (bone-fracture). The first treatment of a mangled or contused wound (Ghrishta) is to extinguish pain, after which it should be dusted with the powder of proper medicinal drugs (such as S'dla^ Sarja, Arjima, etc.). 56-57.