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

Oils pressed out of black sesamum and Bhalldtaka, clarified butter, the expressed juice of Amalaka and the decoction of the drugs of the S'dla-sdrddi group, each weighing a Drona measure, and a Pala weight of each of the following drugs, viz., Triphald, Trikatu, the pith or marrow of Parusha fruit, Vidanga seed, Chitraka, Arka, Avalguja, Haridrd, Ddru-haridrd, Trivrit, Danti, Indra-yava, Yashti-madku, Ativishd, Rasdnjana and Priyangu, should be boiled together in the manner of cooking medicated oil, etc. (Snehapaka Vidh^na). When well cooked, this medicated compound should be strained (through a piece of clean linen) and carefully preserved (in an earthen pitcher with its mouth well closed with a lid). The system of the patient should be well cleansed (with appropriate emetics and purgatives) and a Pala weight of this preparation, mixed with honey, should be given to him every morning. After the digestion of this medicine, he should be made to take a light meal of rice well cooked with a decoction of the Khadira-wood and mixed with clarified butter, and the soup (Yusha) of Amalaka or Mudga unseasoned with salt. A Drona measure (of this compound), gradually taken in the aforesaid manner by a patient taking a (light) decoction* of Khadira (instead of water), would ensure a speedy recovery from all types of Kushtha and enable the patient to witness a hundred summers (on earth) in the full enjoyment of sound health and intellect. 18.

* The decoction of Khadira-wood for drink should be prepared after the manner of Shadanga-paniya preparation. — Ed.

Chap. X.] CHIKITSA STHANAM. 3/1

Memorable Verse :— An intelligent physician may prepare a thousand varieties of medicated remedies, such as Suras, Asavas, Arishtas, Lehas (lambatives), powders and Ayaskritis (metal-preparations) with the aforesaid drugs and in the manner described above. 19.

Thus ends the tenth Chapter of Chikitsita Sthanam in the Sus'ruta Sanahita which deals with the medical treatment of Maha-Kushtha.

so

CHAPTER XL

Now we shall discourse on the medical treatment of the diseases of the urinary tracts (Pramcha). i.

This disease may be ascribed to two causes, such as the congenital (Sahaja) and that attributable to the use of injudicious diet. The first type (Sahaja) is due to a defect in the seeds of one's parents and the second is originated from the use of unwholesome food. The symptoms, which mark the first of these two types, are emaciation and a dryness (of the body), diminished capacity of eating, too much thirst and restlessness; while the symptoms, which usually attend the latter type of the disease, are obesity, voracity, gloss of the body, increased soporific tendency and inclination for lounging in bed or on cushions. A case of emaciation, etc., (viz., the first kind of Prameha) should be remedied with nutritious food and drink, etc., whereas Apatarpana, etc., (fasting, physical exercise, depletory measures etc.), should be adopted in cases of obesity viz., the second kind of (Prameha). 2.

Forbidden Articles of Food & Drink :

— All patients suffering from Prameha should forego the use of (the different species of wine and fermented liquor known as) Sauviraka, Tushodaka, Sukta, Maireya, Sura, and Asava, water, oil, clarified butter, milk, any modification of the expressed juice of sugarcane, cakes, milk-curd, acid, Panaka*, the flesh of domestic and aquatic animals and of those which frequent swamps or marshy places 3.

^ Made of sugar, lemon-juice, or fermented rice-gruel boiled together.

p. 373

Articles of diet: — The use of sufficiently old and matured, S'dli and Shashtika rice, barley, wheat, Kodrava, Udddlaka, with the different preparations of Chanaka, Adhaki, KulattJia or Mudga pulse is recommended ; or the meal should be taken with the S'dkas (potherbs) of bitter or astringent taste cooked with the oils of Nikumhha, Ingudi, mustard or linseed oil ; or with the soup of the lean flesh of Jangala animals which are possessed of anti-diuretic properties cooked without any clarified butter and unseasoned with any acid juice. 4.

Preliminary Treatment :— The patient