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

and Bhallataka* prove as much curative in cases of all kinds of haemorrhoids, as Kshadira and Vijaka are effective in cases of cutaneous affections (Kushtha). Cauterization with fire, or with an alkali, proves as much palliative in cases of external haemorrhoids as turmeric proves soothing in those of Prameha. 18-19.

Medicated Ghritas, appetising drugs, electuaries, medicinal wines, Ayaskriti and Asava should be prescribed in cases ol haemorrhoids, according to the nature and intensity of the Doshas involved

Boiled with sixteen times of water in the event of the Bhallataka being d»y, otherwise with eight times of water only.

p. 328

therein. Voluntary suppression of any natural urgings of the body, sexual intercourse, riding on horse-back, etc., sitting on the legs and such diets as would aggravate the Doshas, should be avoided in cases of haemorrhoids. 20-21.

Thus ends the sixth Chapter in the Chikitsita Sthanam of the Sus'ruta Sanihita which deals with the medical treatment of Ars'as.

CHAPTER VII.

Now we shall discourse on the medical treatment of urinary calculus, etc. (AsiTiari). r.

Metrical Texts : —Asmari (urinary calculus, etc ) is a dangerous disease and is as fatal as death itself. A case of recent origin (acute) proves amenable to medicines, while an enlarged or chronic one requires surgical operations. The remedial measures, in the order of anointing, etc, should be employed in the first or incipient stage of the disease, whereby the entire defects with their causes [i.e., roots of the disease) would be radically cured. 2,

Treatment of Vataja Asmari ".—Clarified

butter cooked with a decoction of Pdshdnabheda, Vasiika, Vas'ira, As'mantaka, S'atdvari, S'vadamstrd, Vrihati, Kantakdrikd, Kapotavamka, A'rtagala, Kakubha*^ Us'ira, Kubjaka, Vrikshddani, Bhalluka, Vanina, S' dka-pJiala^ barley, Ktilattha, Kola and Kataka fruits and with the Kalka of the drugs constituting the group of Ushakddi, speedily brings about the disintergration of As'mari (urinary calculi, etc.) due to the action of the deranged V£bya. Milk, Yavagu (gruel), a decoction, soup, or an alkali, properly prepared with the above Vayu-subduing drugs should also be administered as food and drink in the above cases. 3.

Treatment of Pittaja Asmari :— Similarly a medicated clarified butter cooked with the

■■■ Chakradatta reads "Kopotavaktra" in place of "Kapotavamka" "Kanchana" in place of 'Kakubha" ; and ''Gulmaka" in place of "Kubjaka." From an examination of Dallana it appears that "Kachchhaka" is also a reading of ''Kakubha."

p. 42

p. 330

THE SUSHRUTA SAMHITA. [Chap. VII.

decoction of Kus'a, Kds'a, S'ara, Gtmdrd, Itkata^ Morata, As'mabhid, S'atdvari, Viddri, Vdrdhi, S'dli-mula, Trikantaka, Bhalluka, Pdtald, Pdthd, Pnttura, Kuruntikd, Punamavd*, S'irisha, with the paste (Kalka) consisting of S'ildfatii, Madliiika (flower) and the seeds o{ Indivara\ , Trapusha and Ervdruka, would speedily bring about the disintegration of Pittaja As'mari (calculi, etc.). An alkali, Yavagu (gruel), soup, a decoction, or milk, properly prepared with the above Pitta-subduing drugs, should also be prescribed as food and drink in these cases. 4.

Treatment of Kaphaja Asmari :—

The use of medicated clarified butter prepared from the milk of a she-goat-j* and cooked with the paste (Kalka) of the drugs constituting the Vanmddi group^, Guggulu, Eld, Haretiu, Ktishtha, the Bhadrddi group, MaricJm. Chitraka, Surdhvd and the Ushakddi group, •leads to the speedy disintegration and expulsion of the As'mari (stone, etc.) due to the action of the deranged Kapha. So also the use of an alkali, Yavagu (gruel), soup, milk, or a decoction, properly prepared with the above Kapha-subduing drugs, is recommended as food and drink in such cases. 5.

A potion consisting of the powdered fruit of the Pichuka, Atnkola, Kataka, S'dka and hidivara mixed with treacle§ t Jejjata explains "Indivara" as 'Nilotpala.' But Gayadasa does not support this.

* Chakradatta reads "Punarnave" i.e., both the kinds of Punarnava.

X Some say that "Aja-sarpih" is superfluous. Chakradatta reads "3T%^^1t^r^^ ipTJJnrfI^T^m:" in place of "JTiff ^'U^f^^ IJTJp^tJTrfT^T^ *•" meaning thereby that the decoction of the Varunadi-gana is to be used. Chakradatta's reading seems to be the correct one and is observed in practice with good results. — Ed.

§ The quantity of treacle, to be taken, should be equal to the entire quantity of the powders : and hot water should be used — Dallana.

Chap. VII.] CHIKITSA STHANAM. 33 1

and water proves beneficial in cases of Gravel (Sarkara). The bones of the Krauncha, camel and ass, as well as the drugs known as S'vadamshtrd,^ Tdlamuli, Ajamodd^ Kadamha-xoo^s and Ndgara pounded together and administered through the vehicle of wine (Sura) or hot water, leads to the disintegration of Sarkara (gravel). The milk of an ewe mixed with powdered Trikantakaseeds and honey should be used for seven days for the disintegration and separation of an As'mari. ^-J.