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

of each of the following drugs, viz., the tender leaves and fruits oi \h.t\Naktamdla^ the leaves of the Sumana (Jati flower), Patola and of Arishta, Haridrd, Daru-Haridrd, wax, Yashti-Madhu, Tikta-Rokini , Priyangu^ Kus'aroots, Nichula-hdiVk, Manjishthd^ sandal wood, Us'ira^ Utpala, Sdrivd and Trivrit should be cooked with a Prastha measure of clarified butter. This medicated Ghrita is called the Karanjaidya Ghrita, and it will cure malignant ulcers (Dushta-Vrana) and act as a purifier in sinus and recent ulcers, etc., burns and scalds, deep sores and even deep-seated sinuses. 11.

Treatment of Kaphaja Vidradhi :— In

a case of Kaphaja Vidradhi, the seat of affection should be fomented with a heated brick, sand, iron, cow-dung, husks, ashes and cow's urine.i* The Doshas involved in such a case should be curbed down by a constant use of medicinal decoctions, emetics, plasters (Alepa) and poultices (Upanaha). The vitiated blood of the locality should be cuffed out with an Aldvu-yantra (gourd). The abscess when suppurated should be (lanced t In Chakradatta, the reading is "bt^^:" i-e. , pasted in cow's urine, instead of "^r#»i'^;" | vS'ivadasa, the commentator, however, holds that this reading is not authoritative, though he says that some commentators have accepted it.

* Chakrapani Datta in his compilation does not include Priyangu, Kus'a-roots add Nichula-bark in the list but he reads both the kinds of sariv.-i, i. e., Anantamula and S'yamd-latd.

p. 415

and) washed with a decoction of hragvadJia. The sore of such an ulcer should be filled up (healed) with a medicinal compound consisting of the paste of Haridrd Trivrit, S'aktu, sesamum and honey and bandaged in the manner described before. After that, a medicated oil properly cooked with a paste of Ktilatthikd, Danii, Trivrit S'ydmd, Arka, Tilvaka, cow's urine and rocksalt should be applied in such a case. 12-13.

Treatment of Agantuja and Raktaja

Vldradhi ;— In a case of abscess of traumatic (Agantuja) origin, or due to the vitiated condition of the blood (Raktaja), all the measures and remedies laid down in connection with those of the Pittaja type should be employed by a skilled surgeon. 14

Treatment of internal Vidradhi :— A

case of an unsuppurated internal abscess yields to the use of a potion consisting of a decoction of the drugs of the Varunddi group saturated with the powders (Kalka) of those of the Ushakddi group. Clarified butter cooked with the decoction of the drugs of the two preceding groups, as well as clarified butter cooked with purgative |drugs, taken every morning, will cure an internal abscess in a very short time. The decoctions of the above groups should be mixed with Sneha (oil or clarified butter) and speedily used as an Asthapana as well as an Anuvasana measure. The \iz.xVo{ Madhu-s'igrii mixed with the powders of the drugs antidotal to the Doshas involved in the case, being administered in food and drink and used as a plaster, proves curative in a case of an internal abscess in its unsuppurated stage. As an alternative, the said drug (i.e., Madhu-s'igru) should be taken with water, Dhanyamla, cow's rine, or Sura (wine). Purified S'ildjatu, Giigguhi, S'unthi, or Devaddru, dissolved in the decoction of the drugs antidotal to

4l6 THE SUSHRUTA SAMHITA. [Chap. XVt.

the aggravated Doshas involved in the case, should be administered. Applications of poultices, Sneha-Karma (emollient measures), as well as Anulomana (Vayu-subduing) measures should be frequently resorted to in such cases. 15-20.

The veins (S'ira) should be opened in a case of the Kaphaja type of abscess as directed before ; while some authorities advise to open the veins at the arms in cases of Raktaja, Vataja and Pittaja types. 21.

Treatment of Suppurated internal

Vidradhi :— A suppurated internal Vidradhi having bulged up (above the surface of the body) should be opened with a knife and treated in the manner of an (incidental) ulcer. Whether the pus drains through the lower or the upper channel of the body (rectum or mouth) the patient should be made to take the drugs of the Varunddi group or Madhi-s'igni mixed with (a copious quantity of) Maireya, Sura, Asava, or Kdnjika. The diet should consist of rice boiled and cooked with white mustard seed in the decoction of Madhii-s'igru and taken with the soup of barley, Kola and Kulalttka pulse. The Tilvaka Ghrita (Chikitsa Sthdna, ch. IV.), or clarified butter cooked with the decoction of the Trivritddi group, should be taken every morning in adequate doses for the purpose. Particular care should be taken by the phsyician to guard against the suppuration of an internal abscess, since suppuration in such cases leads but to a slender hope of success. 22-23.

Treatment of IVIajja-jata Vidradhi :

— The medical treatment of a patient, afflicated with a Majja-jata abscess (abscess affecting the marrow), should be taken in hand without holding out any definite hope of recovery fas a proper course of treatment in such cases does not invariably prove successful). Sneha-karma