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.
t "Mocha-rasa" is explained by Dallana to be "S'obh^njana," but it generally means "S'almali-veshta,"and S'ivada>a explains it as such. — Ed.
p. 423
Treatment with Kshara-Sutra :— An
erudite surgeon should open a i-inus, occurring in any of the Marmas, or in a weak, timid, or emaciated person with an alkalined string (Kshara-Sutra\, and not with a surgical knife. The course of the sinus should be first ascertained with a director ; and a needle, threaded with a string of alkalined thread should be passed from one end of the sinus and quickly drawn out through the other. Then the two ends of the thread should be firmly fastened together. An intelligent surgeon should likewise pass another alkalined thread in the event of the alkali of the first thread being comparatively weak. This should be repeated till the sinus completely bursts out. The surgeon should know that the same procedure may be as well adopted in cases of fistula-in-ano. Similarly in cases of tumours (Arvuda), etc. they should be lifted up (with the hand) and tied round at their base with an alkalined thread, or it should be punctured around with a kind of needle with their mouth resembling a barley corn and then tied again at their base with an alkalined thread. After their bursting (and falling ofi), they should be treated as common ulcers (Vrana\ 16,
The different kinds of Plug-Stick (Varti) described in the Dvi-Vraniya Chapter (Chikitsita — chap.-i.) may be similarly used with advantage in all cases of sinus. The use of a plug made of the following drugs, viz., the bark and fruit of the Ghonta, (the five officinal kinds of) salt,* LdksJid, Puga and the leaves of the Alavand -ft ''Alavana" has been explained by Dallana as "Kaka-mardanikd" and by S'ivadasa as "Jyotishmati". S'ivadasa is, however, followed in practice in this case.
* According to Chakradatta's reading and S'ivadas's commentary thereon, only the Saindhava (instead of the five oflicinal kinds of salt) should be taken. We, however, follow Dallana's interpretation with good results. -.Si/.
p. 424
pasted together with the milky juice of the Snuhi and Arka leads to the speedy healing up of a sinus. The powdered* stones of Vibhitaka , mangoe fruits, Vatasprouts, Harenu, S'amkhini-so^td, V drdhi-kanda mixed with oil can also be used in a case of sinus. 17-19.
The seeds of the Dhustura, Madana and Kodrava, Kos'dtaki, S'uka-nasd, Mriga-bhoj'ani and the seeds and flowers of thQAmkota should be pounded together and applied to a sinus (Nadi) after having washed it with a decoction of Ldkshd. Cases of sinus speedily yield to the curative efficacy of the application of these powders mixed with oil. The use of the oil cooked with cow's urine and with the preceding drugs (as Kalkas) brings about the healing up of a sinus in seven nights. 20-21.
The application of the oil cooked with the roots of the Pinditaka treated with the expressed juice of the Vardha-kanda in the manner of a Bhdvana saturation and with the bulbs of Suvahd brings about a speedy and effective remedy for a sinus. The same effect is produced by an application of the oil cooked with the bulbs of the the Vajra-kanda. 22.
Bhallatakadya Taila:— The use of the
oil cooked with the paste (Kalka) of Bhalldtaka, Arka, Maricha^ Saindhava salt, Vidanga, Haridrd, Ddni-Haridrd and Chitraka and with the expressed juice of the Bhringa-rdja. readily cures cases of sinus, Apachi and ulcer due to Vayu and Kapha. 23.
Treatment of Stana-rog"a : - in cases of a derangement of the milk (of the breast) a draught of clarified butter should be quickly given to the Dhatri
* According to some diffurent reading "burnt ashes" (instead of powders) of the drugs should be taken. In our humble opinion the reading in the text seems to be the correct one.
Chap. XVIL] CHIKITSA STHANaM. 425
(mother ov wet-nurse) by the physician ; and in the evening a draught composed of the decoction of Nimba, mixed with honey and Mdgadhikd, should be given lo her for emetic purposes. Next day she should take a meal (of boiled rice) with the soup (Yusha) of Mudga pulse. The use of emetics should be continued for three, four, or six days ; or she should be made to drink a potion of clarified butter (cooked) with Triphald. A decoction of Bhdrgi, Ativishd, Vachd, Sura-ddru, Pdthd, the drugs of the Mustddi Gana, Murvd and Katu-rohini, or that of the drugs of the Aragvadhddi group mixed with honey, should be given to the Dhatri ^wet-nurse) for the purification of her breast-milk. 26.
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