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

Constant use of (cow's) urine or (any kind of) Asava, Arishta or wine, cooked with the milky exudation of Mahd-vrikshd, -f" is recommended. A decoction of purgative drugs, thickened with an admixture, in copious quantity, of powdered S'unthi and Deva-ddru, may be used with advantage in this desease.

Anaha Varti;— APala weight of the emetic and purgative drugs and the same weight of the fine powders of the drugs of each of the Vachddi^. Pippalyddi and the Haridrddi group, and all the officinal kinds of salt should be mixed (with four or eight times that of) the urine (of a cow, buffalo, etc.). Then this immixture) compound should be boiled and cooked over a gentle fire with a Prastha measure of the milky juice of Mahd-vriksha

* In ihe absence of any mention about the quantity of water to be added, four times as much of water should be added for the completion of the preparation according to the general maxim. — Ed.

+ Dallana explains the sentence as follows : —

Asavas, Arishtas and Suras should be prepared with urine (instead of the liquid i.e., water) and the milky exudation of Maha-vriksha (as an after-throw), and should be constantly used.

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by constantly stirring it with a ladle Precaution should be taken so that the Kalkas may not be scorched or burnt. This medicinal compound, when properly prepared, should be removed from the fire and when cooled should then be made into pills (Gutikd), each being an Aksha (two Tolds) in weight. These pills should be given once, twice or thrice daily according to the exigency of the case and the capacity of the patient for a period of three or four consecutive months. The medicine is known as the Ana^ha-varti, and is specially beneficial in cases of Mahd-vyadhi, and is equally efficacious in destroying intestinal worms. These pills, if regularly used, prove beneficial in cases of cough, asthma, Kushtha, parasites, catarrh, indigestion, aversion to food and Uddvarta. 15.

Second Anaha-Varti : —The inner pulp of the seeds of Madana fruits with Kutaja, Jhnutaka, Ikshvdku (bitter gourd), Dhdmdrgava, Trivrit, Trikatu, mustard seed and rock-salt, should be pasted together with either the milky juice of Mahd-vriksha or with the urine of a cow ; and the paste should be made into thumb-shaped plugs (Varti). In a case of Anaha of the patient already suffering from Udara, the outer end of his rectum should be lubricated with oil and salt and one or two of the plugs should be inserted therein. The application of this Anaha-varti should as well be applied in cases of Udavarta, due to a suppression or retention of stool, urine, and Vata (flatus) and in cases of tympanites (Adhmdna) and distention of the abdomen (An Aha) 16.

Treatment of Plihodara :— in a case of

Plihodara, * applications of Sneha (oil, etc.) and Sveda

* Dropsical swelling of the abdomen owing to an enlargement of the spleen.

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( fomentations ) should be made and the patient should be fed on boiled rice mixed with milk-curd. Then the vein (Sira) inside the elbow of his left hand, should be duly opened. The spleen should be rubbed with the hand for the proper out-flow of its deranged blood (^for the relief of that enlarged organ). Then having properly cleansed his system, the physician should advise the patient to take the alkali of marine oyster-shells thrDUgh the medium of milk. As an alternative, Yava-kshdra should be given to \\\vi\\\\t\iSauvarchikd and Hingu, or with filtered alkali (made with the ashes) of Paldsa wood. As an alternative, the alkali of Pdrijdtaka, Ikshvdku and Apdmdtga^ mixed with oil, should be prescribed ; or the decoction of S'obhdnjana, mixed with Chitraka^Saindhava 3.ndPippali,or the alkali of Puti-karanja, filtered with Kdnjika and mixed with a copious quantity of Vid salt (black salt) and powdered Pippali should be administerd, 17.

Shat-palaka Ghrita :— One pala weight of each of the following drugs, viz,. Pippali, Pippali-roots, Chiiraka, S'unthi, Yava-kshdra and Saindhava should be cooked with one Prastha measure of clarified butter and the same quantity of milk*. The medicated Ghrita thus prepared is called the Shat-palaka-Ghrita. It is highly efficacious in cases of an enlargement of the spleen, impaired digestion, Gulma, dropsy, Udavarta, swelling (Svayathu), jaundice, cough, asthma, catarrh, UrdhvaVata and Vishama-Jvara. In cases of Udara attended with impaired digestion, the Hingva'di Churna should be prescribed. These measures should be as well employed in a case of an enlargement of the liver (Yakrit), but the speciality is that the vein (inside the elbow) of