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

medicinal plaster composed of Himsrd, Rohini, Amritd, Bhdrgif S'yondka, Vilva, Aguru, Krishna-gandhd, Goji and Tdla-patri (Tdla-parni — D. R) pasted together, should be applied vto the inflamed gland) in the Vaitaja type of Granthi. Different kinds of fomentation (Sveda), poulticing (Upanahaj and medicinal plasters (^Lepa), possessed of the efficacy of subduing the deranged Vdyu, should be likewise resorted to. A suppurated swelling should be opened and the pus drained. Then the incised wound should be washed with a decoction of Vilva^- Arka and Narendra (Aragvadha) and purified (disinfected) with a plaster consisting of sesamum and the leaves of the Panchndgula (castor oil plants\ together with Saindhava salt. After the purification, it should be healed up by applying a medicated oil, mixed with the powders of Rdsnd and Sarald ; or by a medicated oil prepared by cooking it with Vidanga, Yashti-madhu and Amritd and cow's milk. 4.

Treatment of Pittaja Granthi: -In a

case of the Pittaja type of the disease, leeches should be applied to the affected part, which should be further affused with milk and water. The patient should be made to drink a cold decoction of the drugs of the Kdkolyddi group with the addition of sugar ; or he should take the powders of Haritaki through the medium of grape-juice, or of the expressed juice of sugarcane. Hot plasters, prepared by pasting together the bark of the Madlnika (flower) tree, and of the Jambu

* Some read ''f^-^^JTIiTl^^'ia!" and explain that the; decoclions of the Vilvadi and the Arkadi groups are to be taken for the purpose.

p. 429

tree, Arjuna tree, and Vetasa creeper. As an alternative, hot plasters compounded of the roots of the Trina-s'unya (Ketaki), or Muchukunda mixed with sugar, should be constantly applied to the affected part. The Granthi should be opened when fully suppurated, and the pus let out ; after which it should be washed with a decoction of the bark of the Vanaspati* The incidental ulcer should then be purified with a plaster composed of sesamum and Yashti madhu; and lastly it should be healed up with clarified butter cooked with the drugs of the Madhura iKakolyadi group 5-6.

Treatment of Kaphaja Granthi :— In a case of the Khaphaja type of the disease, the Doshas should be first eliminated from the system with the regular and successive measures. f The affected part (Granthi) should then be fomented and firmly pressed (Vimlapana) and rubbed with either the thumb, or a piece of iron rod, or stone, or" with a bamboo rod in order to bring about its resolution. A plaster composed of the roots of the Vikamkata, \ Aragvadka, Kdkananti (Gunja), Kdkddani vVayasa-tinduka), and Tdpasa- Vriksha (Ingudi) and with Pinda-phala (Tiktaldvu). Arka,^ Bhdrgi, Karanja, Kdld and Madana, pasted together, should be applied to it by an erudite physician. A glandular swelling Kaphaja Granthij on any part of the body other than a vital and vulnerable one (Marma) and t These are the applications of Snsha, fomentation, emetics, purgatives, Asthapana, S'iro-virechana and blood-letting.

* The Vanaspati class consists of Vata, Plaksha, As'vattha and Udumbara trees.

:;: Dallana explains "Vikamkata" as "Kanta-karika," but it means Sruva (called Vainch in Bengal) and S'ivadasa also explains it as

% Chakradatia does not read "Arka" in the list.

p. 430

not (otherwise) resolved and absorbed should be cut open even in its non-suppurated stage and the glands removed. The expert surgeon should then cauterize the incidental wound after the cessation of the bleeding and treat it in the manner * of the Sadyo-Vrana treatment. These remedies should be employed by the experienced physician, where the swelling would be found to have assumed a large, stiff, elevated and fleshy aspect (bulging from the deeper tissues of the flesh). A Kaphaja Granthi should be opened with an incision as soon as it becomes fully suppurated and should then be washed with a decoction of appropriate medicinal drugs. The incidental ulcer should be purified (disinfected) with a purifying remedy prepared with a profuse quantity of Yava-kshara, honey and clarified butter ; and finally it should be healed up by the application of an oil, cooked with Vidanga, PdtJid and RoJiiui. y-g.

Treatment of lYIedoja Granthi :~ln a

case of Medoja Granthi (originated from the vitiated condition of the bodily fat) a plaster of pasted sesamum, placed inside the folds of a piece of linen, should be applied to the seat of the affected part and fomentations with hot iron- rods should be frequently applied, inasmuch as application of heat (lit. — fire) is efiicacious in such cases. As an alternative, the affected part should be fomented with a ladle, pasted with heated shellac (Liksha). The Granthi (in its non-suppurated stage) should be opened by an incision and the fat removed ; the incidental ulcer should then be (actually) cauterized. On the other hand, the Granthi, when fully suppurated, should be incised and washed with the urine (of a cow). Then a paste, composed of

• Applications of honey, clarified butter, etc.

Chap. XVIII.] CHIKITSA STHANAM. 43 1