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

The above are the general remedial measures which are to be adopted in the affections of breast-milk. Any other defect in the breast-milk should be corrected specially with an eye to the nature of the Dosha involved in the case. In cases of inflammatory swellings of the beasts, the physician shou'd remedy them by means of any one of the various measures laid down under the heai of Vidradhi with a due consideration to the requirements of each particular case. Medicinal remedies should only be internally employed and no poultices should be applied for the speedy suppuration of the swelling of the breast, even if found to have already commenced to suppurate ; since the breasts are of an extremely soft and fleshy growth, any tight bandaging about those parts may be followed by local sloughing or even bursting. In a case where suppuration had already taken place, an operation should be made in the affected part, avoiding the milk-carrying veins as well as the nipple with its black surroundings. In all the cases of Stan a-V id rad hi— whether

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426 THE SUSIIRUTA SAMUITA. [Chap. XVIl.

non-suppurated, suppurating, or suppurated— the milk should be pressed out from the breast of the Dhdtri* 27-29.

Thus ends the Seventeenth Chapter of the Chikitsita Sthanam in the Sub'ruta Samhita which deals with the treatment of erysipelas, sinus and the diseases of the mammary glands.

* The milk should be pressed out of the Dhatri's breasts in the non-suppurated stage, to alleviate the burning sensation therein, in the suppurating stage for the avoidance of further suppuration, and in the suppurated stage for the prevention of sores, sinus, etc.

CHAPTER XVIII.

Now we shall discourse on the medical treatment of Glandular Swellings, etc. (Granthi), Scurvy (Apachi), Tumour, etc. (Arvucla) and Goitre

(Gala-ganda). r

General treatment of Granthi :~ln

the non-suppurated or acute (inflammatory) stage of Granthi, an experienced physician should prescribe the measures * laid down in connection with (^inflammatory) swellings (Sopha) in general. As bodily strength arrests the progress of the disease, the strength of the patient should hence be always carefully guarded against suffering any diminution in that respect. The patient should be made to drink oil, or clarified butter, or both ; or he should be made to drink lard, oil and clarified butter, mixed together.f Apehivdtd (Prasarani) and Das'a-mula cooked with the four kinds of lardacious or emollient substances (oil, clarified

* Beginning with Apatarpana up to the purgative measures.

t Oil, clarified butter and lard mixed together is technically called the "Trivrita "— Dallana.

In the case of a Vataja Granthi, a potion of oil cooked with the decoction and paste (Kalka) of the Yayu-subduing drugs should be prescribed for the patient ; in the case of a Pittaja Granthi, clarified butter cooked with the decoction and Kalka of the Pitta-subduing drugs should be administered in the same manner ; while in the case of a Kaphaja Granthi, oil cooked with the decDCtion and Kalkx of the Kapha-subduing drugs should be taken by the patient. But in a case of Granthi due to the concerted action of the two, or three of the Doshas, any compound medicated oil, prepared by cooking any two, three, or four of the oily substances, viz., oil, clarified butter, lard and marrow, with the decoction and Kalka of those drugs which are antidotes to the said Doshas, should be prescribed for the patient as drinks.

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butter, lard and marrow), or with any two of them should be prescribed. 2-3.

Treatment of Vataja Granthi :— A