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

diet and regimen and who can afford to pay for the necessary accessories. The affected part should be first anointed and then fomented. Mild emetics and purgatives should be subsequently employed for the purpose of cleansing the system. Medicated Anuvasana and Asthapana measures should then be employed, after which the general directions and remedial measures, laid down under the treatment of Akshepaka, should be followed and employed at the proper time Applications of the Mastikya-Siro-vasti with the Anu-taila for anointing the body, of the articles of Salvana-Sveda for the purpose of poulticing, and of the Vala-taila as an Anuvasana measure, are the marked features of the medical treatment of this disease, and should be followed carefully for a continuous period of three or four months. 28These preceding remedies as well as dr\' fomentations (Ruksha-sveda) and errhines, which possess the virtue of subduing the deranged Vayu and Kapha should be likewise employed in cases of Manyastambha. 29

Treatment of Apatantraka -.—Fasting

is prohibited in cases of patients suffering from Apatantraka (Apoplectic convulsions). Emetic, Asthapana and Anuvasana measures are likewise forbidden. The passage of respiration should be blown open by violent breathings in the event of its being choked up with an accumulation of the deranged Vayu and Kapha. The patient should be made to drink a potion consisting of Tumbtiru^ Pushkara, Hingii, Amla-vetasa, Haritaki and the three (officinal) kinds of salts, with a decoction of barley.* As an alternative, four seers of clarified

* Chakradatta quotes this in the chapter on the treatment of colic (s'ula), but does not read 'Amla-vetasa' there.

p. 310

butter, cooked in combination with sixteen seers of milk, two Pala weight of Sauvarchala salt and fifty of Haritakis should be prescribed for the use of the patient. All other remedial agents, possessing the virtue of subduing the deranged Vayu and Kapha should be likewise employed. 30.

Treatment of Ardita :— A patient suffering from Ardita (facial Paralysis) should be treated with the measures and remedies laid down under the head of Vata-vyadhi in the event of his being found to be sufficiently strong and capable of affording the necessary expenses for his treatment. Errhines, MastlkyaS'iro-vasti, inhalation of the smoke (Dhuma-pana) from medicated drugs, poulticing (Upanaha), unguents and Nddi-sveda, etc., are the special features of the medical treatment of this disease. After that, a decoction should be made of the drugs constituting the groups of- TrinaPa7icha-mula, Mahd-Pancha-mula, Kdkolyddizxid. ViddrigandJiddi groups, aquatic bulbs, and the flesh of animals which are aquatic in their habits (Audaka) and those which frequent swampy places (Anupa), by boiling them together with a Drona measure of milk and double the quantity of water. The decoction should be considered boiled when three quarter parts of its original weight of the liquid has been evaporated and should then be strained. The decoction thus prepared should be boiled with a Prastha measure of oil (four seers) and be removed from the fire when the oil is well mixed with the milk. The compound (oil and milk) thus prepared should be allowed to cool down and then churned. The churned off cream (Sneha) .should be again boiled with the drugs of the Madhura (Kdkolyddi) group, Masha-parni and milk (four times that of the original oil). This medicated oil is known as the KsMra-Taila and should

Chap, v.] CHIKITSA STHANAM. 31 1

be administered as potions and unguents, etc , to an Ardita-patient. The above preparation with clarified butter in the place of oil is known as the Kshirasarpih and it should be used as an Akshi-tarpana i^eyelotion). 31 — 32.

Venesection should be duly resorted to in the affect ed parts, according to the directions given before, in cases of Sciatica, Gridhrasi, Vis'vachi (Synovitis of the kneejoints), Kroshtuka-s'irah, Khanja (lameness), Pangula, Vata-kantaka, Pada-ddha, Pada-harsha, Ava-vahuka and Vadhiryya and in cases where the deranged Vayu would be found to be seated in a Dhamani. Measures and remedies laid down under the head of Vatavyadhi should be adopted, except in a case of Ava-vahuka. 33.

The expressed juice of green ginger, made lukewarm after mixing it with (equal quantities of) oil, honey and Saindhava salt, should be poured into the cavity of the ear in a case of (acute) ear-ache. As an alternative, the urine of a she-goat, or oil and honey, or oil with the urine (of a cow) mixed with the expressed juice of Mdtulunga, pomegranate and tamarind, or the oil boiled and prepared with Sura, Takra, Sukta, salt and the urine (of a cow), should be poured into the cavity of the ear ; fomentation should be given (to the interior of the affected organ) after the manner of Nadi-sveda. The remedial measures for Vata-vyd,dhi should be resorted to. We shall, however, revert to the subject in the Uttara-Tantra. 34.

The patient should be made to drink a potion of Sneha-Lavana* dissolved in an adequate quantity of water, or the powders of the Pippalyadi group (with an

* Sneha-Lavana has been described in Chap. 4. (treatment of Vata-vyadhi) para. 24.

p. 312