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

should be first anointed with any of the oils (of Nikumbha, Ingudi, Sarshapa, Atasi, etc.); or with the medicated clarified butter* cooked with the drugs of the Priyangvddi group and should also be treated with strong emetics and purgatives-f*. After the application of purgatives, an Asthapana measure with a decoction of the drugs of the Siirasddi group, mixed with honey and Saindhava salt and with the powders of S'unthi, Bhadraddru and Musta by way of an after-throw, should be resorted to. (On the eighth day) in a case attended with a burning sensation, a decoction of the Nyagrodhddl group without {i.e , mixed with a little quantity of) Sneha (oil or clarified butter) should be used (in the manner of an Asthapana).

The five lYIedicinal remedies ;— After

cleansing the system, the expressed juice{: of Amalaka mixed with//rt:nVrrt (powder) and honey should t Emetics in cases of Kaphaja-melia and purgatives in those of Pittaja-meha, should be applied.

* The patient should be anointed with the medicated clarified butter in a case of Piltaja-meha.

X This is also found in Chaiaka and has been quoted by Chakradatta in his compilation.

p. 374

be administered. As an alternative, a decoction* of Triphald, Vis' did, Deva-ddru and Musta or an Aksha (two Told) measure of the Kalka (powders)i- of S'dla, KainpiUaka and Mushkaka (^both of them) sweetened with honey and the expressed juice of Amalaka should be taken ; or powders]: of the flowers of Kutaja^Kapitthay Rohitat VibJiitaka and Saptaparna (should be taken with honey, Haridrd and the expressed juice of Amalaka), or a decoction of the roots, leaves, barks, flowers and fruits of Nimha, Aragvadha, Saptaparna, Murvd, Kutaja^ Soma-vriksha, P aids' a should be given to the patient. All cases of Meha are often found to yield to the use of any of these five medicinal preparations. 5.

Specific Treatments : —Now we shall specifically describe the course of treatment to be adopted in each particular type of the disease (Prameha). A decoction of Pdrijdta should be given in a case of Udaka-meha ; a decoction of Vaijayanti in that of Ikshu-meha ; a decoction of Nimba in a case of Suraimeha ; a decoction of Chitraka in a case of S'ikataimeha; a decoction of Khadira in a case of S'anairmeha ; a decoction of Pdthd and Aguru in a case of Lavana-meha ; a decoction of Haridrd t The third Yoga of the text is also quoted by Chakradatla but no addition of Haridra powder is prescribed there. Chakradatla is more generally followed in the case.

* This is quoted by Chakradatta but he reads " ^y;i7f3T?iT " in place of " ^ejfjn;" and does not mention the use of the expressed juice of Amalaka. The practice, however, is to follow the recipe of Chakradatta.

J The fourth Yoga of the text is found also in Charaka although with some variation. Charaka adds the flowers of Kampilla and S'ala in the list, but does rot recommend the use of Haridra powder nor of the expressed juice of Amalaki as the medium of taking the medicine. Charaka, however, is quoted verbatim by Chakradatta and is followed in practical use,

Chap. XI.] CHIKITSA STHANAM. 375

and Ddni-haridrd in a case of Pishta-meha ; a decoction of S' aptapama in a case of Sandrameha ; a decoction of Durvd, S'aivdla, Plava, Hathakaranja and Kas'enika, or that of Kakubha and redsandal wood in a case of Sukra-meha ; and a decoction of TripJiald, Aragvadha and Drdkshd mixed with honey in a case of a Phena-meha. All decoctions, to be employed in the foregoing ten types of Kaphaja-meha, should be sweetened with honey (slightly sweetened with honey — D. R ).

Treatment of Pittaja Prameha : - In the Pittaja types of the disease, a decoction of the drugs of the S'dla-sdrddi group or that of As'vattha should be administered in a case of Nila-meha ; similarly a decoction of Rdja-vriksha should be given in a case of Haridra-meha ; a decoction of the Nyagrodhddi group, mixed with honey, in a case of Amla-meha ; a decoction of Triphld in a case of Ksha'ra-meha ; a decoction of Manjishthd and (red) Chandana in a case of Manjishtha-meha ; and a decoction of Gudtichi, seeds of Tinduka, Kds'marya and Kharfura, mixed with honey, in a case of Sonita-meha*. 6.