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

butter and oil, etc, and measures both general and specific (mentioned below and in accordance with the Dosha or Doshas involved) should be employed for the purpose of improving the digestive powers and to alleviate any aggravation of the Vaiyu. He should be made to drink a potion consisting of clarified butter cooked with the V.iyu-subduaig and appetising (Dipana) drugs* (Kalka and Kvatha) mixed with the powders of Hingu, etc., (described in the treatment of Maha-Vatavyddhi, chapter. V). In a case of Pitta,ja.-Ar8as, clarified butter prepared by cooking it with the drugs of the Pippallyddi and Bhadra-ddrvddi\ groups, should again be cooked with the decoction of Prithakparnyadi group and the Kalka of the Dipaniya (Pippallyadi) group, and given as a potion to the patient. In a case of haemorrhoid due to the action of the deranged blood \ (Raktcirs'as), the clarified butter should be cooked with a decoction of Maiijishthd, Miirungi, (D. R. Surangi), &c., while in a case of one due to the action of the deranged Kapha, the clarified butter should be cooked with a decoction of the drugs constituting the Suras ddi group. The supervening distresses should be alleviated by the remedial measures peculiar to each of them 7Cauterization with fire or with an alkali or any surgical

* Such as the decoction of the drugs of the Bhadra-darvadi (VayusubJuing) and Pippalyddi (Dipaniya) group?. This Ghrita should be prescribed in a Vataja Ars'aSt The epithet "Bhadra-darvadi-pippallyadi" in the phrase "Bhadradarvadi-pippallyadi-sarpih" seems to be included into the body of the text through an accident. In our opinion, it is only an annotation of the phrase *'Dipaniya-Vata-hara-siddha" occurring in the last sentence. — E i.

X The Kalkas of the Pippallyadi group should also be taken in the preparation of the two kinds of medicated clarified butter to be used in Raktars'as, and Pittars'as.— Z)a//a«a.

Chap. VI. J CHIKITSA STHANAM. 32 1

operation in the present disease should be effected by introducing the Yantra (speculum) into the rectum (with the utmost care, inasmuch as an error happening in any of these cases may bring on impotency, swelling (Sopha), a burning sensation, epilepsy, rumbling in the intestines, retention of stool and urine, dysenteiy, diarrhoea, or may ultimately end in death. 8.

Rectal Speculum :— Now we shall describe the dimensions of the Yantras (and the materials of which they are made of). The instrument may be made of iron, ivory, horn or wood. It should be made to resemble the teat of a cow. In the case of a male patient, it should be four fingers in length and five fingers in circumference ; whereas in the case of a female patient, the length should be commensurate with that of the palm of the hand (of the same length as before — D. R.) and six fingers in circumference. The instrument should be provided with two separate apertures in its inside, one for seeing the interior of the rectum and the other for applying an alkali, or actual cautery (Agni) to the polypus, since it is impossible to apply fire and alkali through the same aperture. The circumference of the aperture in the upper three fingers of the instrument should be like that of a thumb. There should be a bulb-like protrusion of the same width, at the bottom, and above it a space of half a finger's width. Thus we have briefly described the shape of the instrument. 9-10.

Ale pa (plasters) :— Now we shall describe the plasters to be applied to the haemorrhoids (to cause their spontaneous dropping off). The first consists of pulverised turmeric mixed with the milky exudation of the Snuhi tree. The second contains of the cockevacuations and pulverised Gunjd, turmeric and Pippalip. 41p. 322 pasted with the urine and bile of a cow. The third is compounded of Danti, Chitraka, Suvarchikd and Ldngali pounded together and made into a paste with cow's bile. The fourth consists of Pippali^ rock-salt, ^S'/m/w-seeds and Kiishtha pasted with the milky juice of an Arka, or Snuhi plant. An oil cooked in combination with Kdsisa (sulphate of iron), Haritdla (yellow orpiment\ rock-salt, As'vamdraka, Vidanga, Putika, Kritavedhana, Janibu, Arka, Uttatndrani, Danti, Chitraka, Alarka and SiiuJii-mxW, and used as an unguent, leads to the falling off of the polypus. 1 1.