An English Translation of the Sushruta Samhita, Vol. II — trans. Kaviraj Kunja Lal Bhishagratna (1911)
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The translator’s English as printed (Kunja Lal Bhishagratna). The original-language text is not held; names are romanised as the translator printed them.
and with the decoctions, weighing four times that of the Ghrita, of the drugs of the Nyagrodhddi, Sthirddi (minor Pancha-mula) and Vilvddi (major Pancha-mula) groups together with the same weight (sixteen seers) of milk. The washing (of the affected part) with this medicated Ghrita proves curative in Pittaja erysipelas and sinus. Visphota (boils\ head diseases, malignant sores and inflammatory affections of the mouth, yield to the internal use of this Ghrita. It is called the Giuryyaidi Ghrita and is highly efficacious in the derangements to which children are liable, (commonly) attributed to the malignant influences of evil stars, as well as in cases of emaciated ones. 6.
Treatment of Kaphaja Visarpa :—
Cases of the Kaphaja type of Visarpa readily yield to a proper application of a medicinal plaster (Pradeha) composed of Aj'a-gandhd, As'va-gandhd, Sarald^ Kdld, Ekaishikd ■}* and Aja-s'ringi \ pasted with the urine of a cow. Drugs, such as Kdldnusdryd, Aguru, Chocha ^cardamom), Gunjd, Rdsnd, Vachd, S'ita-s'iva, Indra-parni, Pdlmdi, Munjdta and Mahi-Kadamba Capplied similarly) are also efiicacious in the present type. Drugs of the Varimddi group may be used in any form (such as plasters, washes, etc.\ for erysipelas. Blood-letting (by means of leeches) and Sams'odhana (purifying) measures are the principal remedies in all cases of this disease (Visarpa^. Suppurated erysipelas should be first purified and then treated with the remedies described in the treatment of Vrana (ulcer). 7'S'
* "Sarala" here means "Trivril". Chakradatta reads "^T^" which also means "Trivril".
|- 'Ekaishika," according to Dallana, would mean S'atdvari but S'ivaddsa explains it as Patha.
X Gayadasa explains it as Karkata-S'ringi.
Chap. XVII.] CHIKITSA STHANAM. 42 1
Treatment of Nadi-vrana :— A Case of
Naidi-Vrana (sinus) due to the concerted action of the three Doshas (Sannipatajaj baffles all cure, while the four remaining types are amenable to careful medical treatment, Poultices (Upanah-i^* should be applied at the outset in the Vattaja Na'di-Vrana and then the course of the pus-channels should be (ascertained and) fully opened (with a knife) and bandaged with a paste of sesamum, Apdmdrg-a-seeds and SaindJiava salt. A decoction of (the drugs of) the Vrihat-Pancha-mula group should be constantly used in washing the ulcer. Oil i* duly cooked with the following drugs, viz , Himsrd, Haridrd, Katuka, Vald, GojiJivikd and Viha-xoois should be used for the purification, filling up and healing of the sores of the sinus. 9-1 1.
Treatment of Pittaja Nadl :— in a case of Pittaja sinus, an intelligent surgeon should employ a porridge (Utkarika) mixed with milk and clarified butter as a poultice. Then having opened the sinus with a knife, a plaster composed of Tila, Ndga-danti and Yashti-inadhu should be applied to heal it. A decoction of Soma, Nimha and Haridrd should be used by a skillful surgeon in washing the ulcer daily. A medicated Ghrita cooked with S'ydmd, Trivrit^ Triphald, Haridrd, Ddrii-Haridrd, RodJira and Kutaja and with milk should be used to lubricate (Tarpana) the sinus. This Ghrita will even heal a sinus affecting the Koshtha. 12-13.
* Poulticing with the drugs which induce suppuration is not approv* ed of by Gayaddsa.
t Four seers of oil, the (Kalka) drugs combindely weighing one seer and sixteen seers of water are to be taken in its preparation. — Dallana.
p. 422
Treatment of Kaphaja Nadi:— In a case of the Kaphaja type of the Nadi, the sinus should be duly poulticed Upanaha)with Kulaitha, white mustard seeds, S'aktu and Kinva. When softened by its application, the direction ©f the sinus (with the help of a director) should be first ascertained ; and an expert surgeon should then open it fully with a knife and plaster it with a compound composed of Nimba, sesamum, Samdhava salt and Saurdshtra-mrittikd. A decoction (Sva-rasa-lit. — expressed juice") of the Karanja- Nimba, Jdti, Aksha and Pilu should be used in washing the incidental ulcer. Oil duly cooked with Siivarchikd, Saifidhava, Cliitraka, Nikumbha, Tdli^ Nala, Riipikd and Apdindrga-sztds and with cow's urine should be used for healing purposes, 14.
Treatment of ^alyaja Nadi :— in a case of Salyaja Nadi (incidental to any foreign matter into the body», the Salya should be first extracted by an incision into the sinus. Then having fully cleansed the channel, the ulcer should be purified with a plaster of se'^amum profusely saturated with honey and clarified butter. It should b3 then healed up. Oil cook.d with the decoction of the tender fruits of the Kumbhika, Kharjura, KapittJia, Viha and the Vanaspatis iVata, etc.), and with the Kalkas of Mustd, Sarald, Priyangii. Sugandhikd, Mocharasa, i* Ahi-pushpa (Ndgesvara), Rodhra and Dkdtaki flowers leads to a speedy healing up (granulation) of ulcers (Vrana) and traumatic sinuses. 15.
* Dallana's reading evidently is "Tali-lala" and he explains it as the roots of "Bhumyiimalaki". Chakradatta also prescribes this oil but he takes "Nilika" instead of "Tali". S'ivadasa, again, in his commentary quotes from Sus'ruia but reads "Nili-Nala' in place of "Tala-Nala."
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