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

* D. R. — Sweet, bitter, and astringent drugs.

Bitter drugs — Patoladi group ; Kashdya drugs — Triphaladi group ; sweet drugs — Kakolyadi group.

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be advantageously applied in cases marked by a preponderance of th'3 vitiated blood, with this exception that co!d plasters and repeated blood-lettings should be resorted to in the latter (Raktaja-Vata-Rakta). ii.

Vata-Rakta with a preponderance

of Kapha: —Incases where the Kapha preponderates, the patient should be made to drink a potion consisting of a decoction of Haridrd 2i\\d Amalaka, sweetened with honey ; or a decoction of Triphald, or a Kalka of Mad/iiikn, S'ringavcra, Haritaki and Tikta-rohini m\-ii.Q6. with honey. As an alternative, Haritaki and treacle with either cow's urine or water, should be given to him, The affected part or limb should be sprinkled or washed with cow's urine, oil, alkaline water, Sura, Sukta, or with a decoction of Kapha-destroying drugs, A hot decoction of the drugs constituting the Aragvadhadi group may be used with benefit in sprinkling the affected part. The body of the patient should be lubricated or anointed with clarified butter, boiled with the cream of milk-curd, cow's urine, wine, S'ukta d.r\d with the Kalka of Yashti-madJm, Sdrivd and PadmakdsJitJia. A plaster (Pradeha), composed of pounded sesamum, mustard seed, linseed and barley (taken in equal parts) and mixed and pasted with S'leshmdtaka, Kapittha,Madhu-s'igru d^nd cow's urine, and Yava-kshdra should be applied (hot to the seat of the disease). 12-13.

The Five Pradehas :— (i) A paste of white mustard seed, (2i that of sesamum and As'vagandha,

(3) a similar paste of Piydla, S'elu and Kapittha bark,

(4) that of Madhu-i'x'gwx, Punarnavd and (51 a paste of Vyosha, Tiktd, Prithakparni and Vrihati, these five kinds of Pradehas should be separately pasted with alkaline water and (any of them) applied lukewarm to the affected locality, 14.

Chap, v.] CHIKITSA STHANAM. 3O3

As an alternativ^e, a plaster composed S' dlaparni, Pris'niparni, Vrihati and Kantakdri, pasted together with milk and mixed with Tarpana * should be applied (to the seat of the disease). In cases of Vata-Rakta involving the concerted action of two or three of the Doshas, the remedy consists in applying such drugs in combination as are possessed of the efficacy of subduing the action of each of them. 15.

Guda-Haritaki and Pippali-Vardhatnana Yogas : — HaritaH with treacle may be used in all types of Vata-Rakta. As an alternative, the patient should be enjoined to use Pippali, pasted with milk or water, every day (in the following way).^ The number of Pippali should be increased by five or ten respectively on each successive day till the tenth day of its use ; after which period the number of Pippali should be decreased (by a similar number) on each successive day till it is reduced to the original five or ten. The patient should live on a diet of milk and rice only (during the entire course of this treatement). This medicine which is known as the Pippali-Vardhamaiia.t proves efficacious in cases of Vata-Rakta, chronic fever (Vishama-Jvara), aversion to food, jaundice, enlarged spleen, piles, cough, asthma, cedema, phthysis, loss of appetite, heart-disease and ascitis. 16.

Clarified butter, cooked in milk with the paste of the drugs of the Jivaniya group, should be used in

* Flour of barley or fried grain, dissolved in water, is known as Tarpana.

i The dosage should begin originally with five or ten Pippalis according to the strength of the patient.

X Maharshi Charaka mentions this Yoga in the chapter on Rasayana and prescribes it also in the treatement of Udara. Chakradatta mentions the use of this medicine in the treatment of liver and spleen and of fever.

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anointing (the body of the patient). A plaster, composed of Sahd, Sahadevd, C/iandana, Murvd, Mtistd, Piydla, S'atdvari, Kas'eru, Padma-kdstha YasJiti-madhu, S'atapushpd (A. D. Vidiri) and Kushtha, pasted together with milk and mixed with the cream of clarified butter, should be applied (hot) to the affected locality. A plaster composed of Saireyaka, Atarushaka, Vald, Ati-vald Jivanti and Susha^i, pasted together with the milk of a she-goat, should be likewise applied (to the seat of the disease). As an alternative, the diseased locality should be plastered with the pastes of Kds'fnarya, Yashtimadhu and Tarpana mixed together ; or it should be treated with Pinda-Taila, prepared by cooking Madhuchchhishta (bee's wax), Manjishthd, resin, and Anantamula in milk* (and oil taken together). 17-20.

In all cases of Vata-Rakta, old and matured clarified butter boiled with the expressed juice of Amalaka should be prescribed as drinks. The affected part should be washed or sprinkled with old and matured clarified butter, boiled with a decoction and paste (Kalka) of the drugs belonging to the Kdkolyddi group, or with those of the Jivaniya group, or with the decoction of Sushavi, or of Karavellaka, The Vala-Tailat should be used for sprinkling and immersing purposes, and as drink and Vasti-karma (enemas).