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

Jyotishmati^ Ldngalaki, S'j'dmd, Danti, Trivrit, TUa, Kushtha, S'atdhzd,Golomi, Tilvaka, Giri-karnikd, Kdsisa and the two kinds of Kdnchana-kshiri, compose the group which is possessed of the virtue of purifying (afistular sore). (The decoction of these substances should be applied for the purification of the ulcer). The sore of a fistula may be filled (healed^ up by the application of (a compound of) Trivrit, TUa, NAgadanti, Manjishthd and rock-salt pasted together with milk and honey. A plaster (Kalka) consisting of Rasdnjana, turmeric. Ddru-haridrd, Manjishthd, Nimba leaves, Trivrit, Tejovati and Danti

344 THE SUSHKUTA SAMHITA. (Chap. VIII.

proves curative in a case of sinus The drugs known as KusJitha, Trivrit, Tila, Danti, Pippali, Saindhava, honey, turmeric, Triphala and sulphate of copper (Tuttha) arc efficacious in purifyini^ an ulcer 13-16.

Oil* cooked (slowly) with Pippali, Yashti-madhu, Lfldhra, Kusht/ia, Eld, Harenu, Samati^d (BarAha-krant^), Dlidtaki flower, Sdrivd, the two kinds of Haridrd, Priyaugu^ Sarja-rnsa, Padmaka, Padmd-ke/ara, Siidhd, V achd.Ldugalikd, wax. and Saindhava should be regarded as a potent remedy in healing up the ulcer and curing fistula-in-ano. This remedy proves beneficial in cases of scrofula (Ganda-mAlA), Meha, ulcers and in the Mandala type of cutaneous affections as well. The drugs which constitute the Nyagrodhddi group are efficacious in disinfecting (Sodhana) and healing up an ulcer. A medicated oil or Ghrita prepared with the pieceding drugs proves curative in a case of fistula in-ano Similarly a medicated oil duly cooked and prepared with the roots of Trivrit, Danti, Haridrd, and Arka, as well as with Vidanga, Triphala, milk of both Snuhi and A7-ka, honey and wax should be applied, as it is specifically efficacious in a case of Bhagandara 17-19

Syandana Taila:— Oil slowly cooked and

prepared (in the manner aforesaid) with Chitraka, Arka Trivrit, Pdthd, Malapu (Kakodumbara). Karavira, Sudhd (Snuhi), Vachd, Ldngalaki, Sapiaparna, Suvarchikd^wd fyotishmati, is called the Syandana-Taila and should be constantly applied in a case of Bhagandara. It is efficacious in purifying, healing and imparting a natural skin-colour to the cicatrix. A learned and experienced physician should adopt the remedial measures for this disease according to the procedure laidp. 345 down under the treatment of Dvi-Vrana, when there is any ulcer (vrana) in existence. 20.

* Four seers of oil, one seer of the drugs and sixteen seers of water should be taken at the lime of preparation.

The bulb-like protrusion above the hole of the instrument (speculum), mentioned in connection with the treatment of Ars'as, should be removed and the instrument, now in the shape of a half-moon, should be used by an experienced surgeon in the treatment of a case of fistula-in-ano. The patient should refrain from sexual intercourse, physical exercise, riding, anger, and the use of heavy and indigestible articles of food for a full period of one year even after the healing up of the ulcer in a Bhagandara. 21 — 22.

Thus ends the eighth Chapter of ihe Cbikitsita Sth.-inam of the Sub'ruta-Samhitd which deals with the treatment of Bhagandara.

p. 44

CHAPTER IX.

Now \vc shall discourse on the medical treatment of cutaneous affections in general (Kushtha). i.

A cutaneous disease (Twag-dosha) originates through injudicious conduct of life such as^ partaking of large quantities of unwholesome food, or taking it before the previously eaten one is digested {i. e , eating too often), indulgence in incompatible articles of fare, voluntary suppression of the natural urgings- of the body, and improper application of medicated oil, clarified butter, or other lardacious articles. It is attributed even to the dynamics of sinful acts done by a man in this or in some prior existence. 2.

Conduct of diet and regimen :~A

person afflicted with any kind of skin disease should refrain from taking meat, lard, milk, curd, oil, Kidattha pulse, Mdsha ^\A?>q, Nishpdva, preparations and modifications of sugarcane juice, acid substances, incompatible food, meals taken before the complete digestion of the preceding one, unwholesome and indigestible food, or food causing a burning sensation and some kind of internal secretion, day-sleep and sexual intercourse. 3.

Regulation of diet and conduct : —