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

The above remedial measures, viz., plasters, sprinkling (Parisheka), blood-letting and Sams'odhana (z>., application of purgatives, emetics, etc.) as well as those

* According to S'ivadasa the Sneha to be used in the plaster should be clarified butter washed a hundred times.

Chap. XIX.3 CHIKITSA STHANAM, 44$

described in the Sutra Sthanam (and the first Chapter of the Chikitsita Sthanam), should be resorted to in a case of (non suppurated) Upadams'a. The physician should try his best to arrest the setting in of suppuration [m a case of Upadams'a) inasmuch as suppuration in (and consequent putrefaction of) the (local) veins, ligaments, skin and flesh would lead to tha destruction of the organ (Dhvaja). An incision should be made as soon as suppuration would set in, and the pus and other putrid matters being drawn out, the incised part should be plastered with the paste of sesamum mixed with honey and clarified butter. The incidental ulcer should be washed with a decoction * of the leaves of Karavira, of /dtz and A'ragvadha, or of Vaijayanti and Arka. 18.

The use of a medicinal plaster composed of the fine powders of Saurdshtra-mrittikd, Gairika^ Ttittka, Pushpa-Kdsisa, Saindhava, Rodhra, Rasdfij'ana, DaneHaridrd, Haritdla, Manahs Ud, Harenukd and Eld, mixed with honey is highly recommended in all cases of Upadams'a. 19.

A decoction of the tender leaves of Jambu, A'mra, Sumanas, Nimba, S'vetd, and of Kdmboji f and the barks of S'allaki^ Vadara, Vilva, Palds'a, Jinis'a and of the Kshiri trees, as well as TripJiald should be used by the physician for constantly washing the ulcer. Oil cooked with the preceding decoction, with the Kalkas of Goji, Vidanga and Yashti-madhu, as well as with the different spices (Eladi group) should be used as the best remedy for the purpose of the healing up (Ropatia) of

* According to Chakradatta the five kinds of leaves should be separately used in the preparations of the decoctions for washing, t "Mashaparni" according to Gayadasa.

44^ THE SUSHRUTA SAMHITA. [Chap. XIX.

an Upadams'a-ulcer of whatsoever type. The use of a pulverised compound composed of Svarjikd, Tuttha, Kdsisa, S'aileya, Rasdnjana, and Manahs'Ud taken in equal parts arrests the extension of an ulcer and Visarpa. C ises of Upadams'a and Visarpa readily yield to the application of a pulverised compound of the ashes of Gundrd, Haritdla and Manahs'Ud. An (external) application of Bhrimgardja^ Triphald and Danti mixed with th2 powders of copper and iron, destroys Upadams'a just as the thunder bolt of Indra (completely) destroys a tree. 20.

Treatment of Tridoshaja and Raktaja Upadams'a: —The medical treatment of the two kinds of Upadams'a due to the concerted action of the three Doshas as well as that due to the vitiated blood (Riktaja) should be taken in hand without holding out any definite hope of recovery. The above-mentioned medicines specific to the different Doshas should be combinedly applied in these cases in consideration of the nature and intensity of the Doshas specifically involved in them. Now hear me discourse on the special treatment of Tridoshaja Upadams'a. It should be the same as in the case of a malignant ulcer (Dushta-Vrana). The putrid portion of the male organ should be cut off and the remaining portion should be fully cauterized (in the incised part) with a Jambvoshtha instrument, made red-hot in fire. Honey, and clarified butter should then b3 applied to the cauterized part^ and medicinal plasters and oils possessed of haaling properties should be applied to the incidental ulcer when it would be cleansed (disinfected). 21-22.

Treatment of ^lipada :— in a case of

Elephantiasis (Slipada) due to the action of the deranged and aggravated Vayu, the vein (Sird) at a distance

p. 447