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

p. 417

(anointments, etc.) and fomentations should be first resorted to, after which blood-letting should be made ; and the remedial measures of the present chapter should be then employed When it reaches the suppurating stage, the bone should be operated upon, and after the full elimination of the pus and the putrid matter from the incised ulcer, purifying remedies should be employed. The incidental ulcer should be washed with the decoction of the bitter drugs and the TiktaSarpis* should be u>ed. An intelligent physician should apply the decoction of the drugs of the Sams'odhaniya group, if the oozing out of the marrow is not arrested. A medicated oil cooked with Priyangu, Dhdtaki^ Rodhra, Katphala, Nemi\ and Saindhava salt should be used in healing up an ulcer incidental to an opened up Vidradhi. 24-25.

Thus ends the sixteenth Chapter of the Chikilsita Slhanam in the Sus'rula Samhita which deals with the treatment of abscess.

* This medicated Ghrita (Chikitsifa Slhanam, Ch. IX) may be used both internally and externally with good results. Ed.

t Dallana reads "Tini" in place of "Nemi," both of which, however, mean "TinisV. Chakradatfa does not include "Saindhava" in the list, but reads "Tini^'a-twacham" in place of "Nemi-Saindhavam". S'ivcdasa, however, adds another reading 'Tinis 'am Dhavam" on the authoiity of Chandrala.

p. 53

CHAPTER XVII.

Now we shall discourse on the medical treatment of erysipelas, etc., (Visarpa), sinus, etc., (NadlVrana) and diseases of the mammary glands

(Stana-roga). i.

Of the types of erysipelas (Visarpa) the first three (viz., the Vdtaja, Pittaja and Kaphaja ones) are curable ; the two remaining types, viz., those caused by the concerted action of the three Doshas (of the body) and those originating from wounds (Kshataja) should be considered as incurable. In cases of the curable types, medicated Ghritas, plasters (Upadehas) and affusions (Seka) prepared with the drugs (antidotal to the specific aggravated Dosha or Doshas (involved in the case) should be prescribed. 2 .

Treatment of VsCtaja Visarpa :— in

cases of the Va^taja type of the disease, Must a, S'atdhvd, Sura-ddru, Kushtha, Vdrdhi, Kustiimburu (DhanyAka) Krishna-gandhd , and the drugs of a heat-making potency (Ushna-gana)* should be used in preparing the medicinal washings (Seka), plasters and Ghritas. The drugs respectively included within the groups of the VrihatPancha-tmila and the Svalpa-Pancha-mula, the KantakaPancha-mtila and the Valli-Pancha-mula should be ^separately) used to prepare the medicinal plasters, affusions, medicated Ghritas and as well as the necessary oils. 3.

* Chakradatta reaJs "Arka", Vams'a and Artagala instead of the drugs of a heat-making potency. Dallana explains the drugs of a heat-making potency to be the drugs of the Bhadra-darvadi and the Pippalyadi groups.

Chap. XVII.] CHIKITSA STHANAM. 419;

Treatment of Pittaja Visarpa :— in

cases of Pittaja Visarpa, a plaster consisting of Kas'eruka, S'ringdtaka, Padma, Gwidrd i^Guduchi), S'aivdla, Utpala and clay pasted together and mixed with clarified butter, should be wrapped* in a piece. of linen, and applied cool to the affected part. A paste composed of Hrivera, Ldmajjaka (Us'ira-mula), Chandana, Srotoja (R.asanjana\ Muktd, Mani and Gairika, pasted together with milk and mixed with clarified butter should be applied thin and cool to the affected part to alleviate the pain. Pittaja erysipelas readily yields to the application of a medicinal plaster composed of Prapaundarika, Yashti-rnadhu^ Payasyd, "f* Manjishthd, Padmaka, Chandana and SugandJiikd pasted togetner. Decoctions of the drugs of tha Nyagrodhddi group should be used in washing (the affected part; ; or clarified butter should be cooked with the expressed juice of the above drugs and employed in the case. The; part may be affused (Seka) with cold milk (or water), or with water mixed with honey or sugar, or with the expressed juice of the sugarcane. 4-5. Gauryadi Ghrita :— A Prastha measure of clarified butter should be cooked with the Kalka of Gauri, \ Yashti-niadhu, Aravinda, Rodhra, Ambu, Rdjddana, Gairika, Rishabhaka, Padtnaka, Sdrivd, KdkoH, Medd, Kumtida, Utpala, Chandana, MadhuS'arkard, Drdkshd, Sthird, Pris'ni-parni, and S'atdhvd taken in equal parts (and weighing one seer § in all)

* In order to facilitate its removal.

t It means "Kshira-vidari". Jejjata explains it as "Arka-pushpi".

% Some explain it as "Haridra", while others explain it as "Gorochana".

§ Dallana, however, says that these drugs will weigh four Palas i. e., half a seer in all.

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