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.
— Guggulu is aromatic, light, penetrating into the minutest parts of the body, sharp, heat-making in potency, pungent in taste and digestion, laxative, emulsive, slimy, and wholesome to the heart (Hridya). New Guggulu is an aphrodisiac and a constructive tonic. Old Guggulu is anti-fat and hence reduces corpulency. It is owing to its sharpness and heat-making potency that Guggulu tends to reduce the Vdyu and the Kapha ; it is its laxativeness that destroys the Malas (refuge deposits in the Srotas) and the deranged Pitta ; its aroma removes the bad odours of the Koshtha ; and it is its subtle essence that improves the appetising faculty. Guggulu should be taken (?very morning with ci decoction of Triphald, Ddrvi and
Chap, V.J CHIKITSA STHANAjVT, 315
Patola or with that of Kus'a roots* ; it may also be taken with an adequate quantity of cow's urine, or with alkalinef or tepid water. The patient should take boiled rice with soup, milk, or extract of meat after the Guggulu has been digested. Diseases such as internal tumour (Gulma), urinary complaints (Meha), Udavarta, ascites, fistula-in-ano, worms in the intestines, itches, an aversion to food, leucoderma (Svitra), tumour and glands (Arvuda), sinus, Adhya-Vata, swelling (oedema), cutaneous affections (Kushtha) and malignant sores and ulcers readily yield to it, if used for a month (with the observance of the regimen of diet and conduct laid down previously). It also destroys the deranged Vayu incarcerated in the Koshtha, bones and joints, just as a thunderbolt will destroy trees, 44.
Thus ends the fifth Chapter of the Chikitsita Sthanam in the Sus'rutaSamhita which deals with the medical treatment of Maha-Vaia-Vyadhi.
* Some explain that a third decoction should be that of Triphala, Darvi, Patola and Kus'a grass taken together.— Dallana.
The decoctions may be prepared separately with Triphala, Darvi, Patola and Kus'a.— ^^.
t Some read "Kshira" (milk) in the place of "Kshara" (alkali).
liCHAPTER VI.
Now we shall discourse on the medical treatment of Haimorrhoids (Arsas). r.
The remedial measures in haemorrhoids may be grouped under four subheads ; namely, the employment of (active) medicinal remedies, the application of an alkali (into the seat of the disease), actual cauterization (of the polypii) and surgical operation. A case of recent origin involving the action of theDoshas to a slight degree and uncomplicated with any grave or dangerous symptom and complication may prove amenable to medicine alone. Deep-seated polypii, which are soft to the touch and markedly elevated and extended (external — D R), should be treated with alkaline applications, while those which are rough, firm, thick and hard should be cauterized with fire. Polypii which are raised, exuding and slender at the roots should be surgically treated. Hoemorrhoids which are held amenable to medicine and are not visible (to the naked eye) should be treated with the help of medicines alone. Now, listen to the procedure to be adopted in the treatment of Ars'as which would require alkaline applications, a cauterization, or a surgical operation. 2.
Application of Kshara : -The body of the patient suffering from haemorrhoids, in the event of possessing sufficient strength, should be anointed and duly fomented. He should be made to eat warm but demulcent food (Anna) in a fluid state (of a gruel-like consistency) to alleviate the excessive pain incidental to the action of the deranged Vayu. In a eeason neither too hot nor too cold, and when thep. 317 sky is cloudless, he should be placed in a raised up position in a clean and well -equipped place on a plain slab or on a clean bed with his head resting on the lap of an attendant and the anal region exposed to the sun. In this position the waist should be made to elevate a little and to rest on a cushion of cloths or blankets. The neck and the thighs of the patient should be drawn out, and then secured with trappings and held fast by the attendants so as not to allow him to move. Then a straight and slender-mouthed instrument (somewhat like the modern rectal speculum\ lubricated with clarified butter, should be gently inserted into the rectum and the patient should be asked to strain down gently at the time. After seeing the polypus (through the speculum\ it should be scraped with an indicator and cleansed with a piece of cotton or linen after which an alkali should be applied to it. The exterior orifice of the instrument should be closed with the palm of the hand after this application and kept in that manner for a period that would be required to utter a hundred words.
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