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

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page 185

The translator’s English as printed (Kunja Lal Bhishagratna). The original-language text is not held; names are romanised as the translator printed them.

should be applied to the affected part in a case of nonsuppurated Aja-gallika; it should be subsequently plastered with the alkalies (Kshara) of oyster-shells, 6"V//^^/^;// (Svarjika), -f" and of Yava ; as an alternative, it should be plastered with the paste compound (Kalka) of S'ydmd, Ldngalaki and Pdtkd. When suppurated it should b3 treated in the manner of an ulcer (Vrana). 2

Treatment of Yava-prakhya, etc. :—

Fomentation (Sveda^i should be the first remedy to be resorted to in cases of Antra^laji, Yava-prakhyai, Panasi, Kaclichhapi and Pashataa-^ardabha (in their non-suppurated stages). They should then be plastered with the pastes (Kalka ■ of Manahs'ild, Haritdla, Ktislitha and D^va-ddru An incision should be made as soon as suppuration would set in ; and the treatment shou'.d b: simUir to that of an ulcer. 3-4.

Treatment of Vivrita, etc. : -The

remedies mentioned in connection with the treatment of the Pittaja type of Erysipelas (Visarpa) should b3 employed in casas of Vivrita, Indra-vriddhai, Gardabhi, Jala-^^ardabha, Irivelli, Kaksha', Gandhaiiamui and Vispliotaka. Clarified butter cooked with

* Gayadasa expl.iins that a noii-suppurated Aja-gallika should be first plastered with Yava-kshara, oysier-shells and Saurashtri. Leeches should be next applied to it.

t Chakradatta reads "7(f=},-55TTT^^ tttT «-^c." in place of "Jlf^ ^- jf:^^-^ &c.", evidently, after the commentary of Gayadasa

Chap. XX. J CHIKITSA STHANAM. 45 1 the drugs of the MadJiura (Kakolyadi) group should be applied in healing up the ulcers in the suppurated stages. 5 .

Treatment of Chipya, etc :— in a case of Chipya, the affected part should be first washed* with hot water and (the incarcerated pus, etc.) drained (Visrava) by cutting it away (with a knife). Then after anointing it with (the oil known as) the Chakra-taili it should be dusted over with the powders of Sarja (resin) and duly bandaged. If this process of treatment fail, the affected part should be cauterised with fire and an oil cojked with (a decoction of) the drugs of ths Madhura (Kdkolyddij group should be applied to heal (the incidental ulcer). The same course of treatment should also be adopted in a case of Ku-nakha (bad nail). 6-^.

Treatment of Vidarika :— in a ca>e of

Vida'dka, the affected part shou'd be first anointed (with oleaginous substances) and then fomented. It should then be rubbed (with the fingers) ; and a piaster composed of Naga-Vrittika, Varshdbhu and Vilvaroots, well pasted together, should be applied to it. Purifying and disinfecting (Sams'odhana) remedies should b3 employed as soon as the affected part would be found to have been changed into the state of an ulcer (Vrana\ and it should then be healed up with the application of an oil cooked with the decoction of (the drugs of the Kashdya (Nyagrodhadi) and Madhura (Kakolyadi) groups In the mn suppurated stage of Vidarika, the vitiated blood therein should be let out by means of Prachchhana (scr\rification), or by applying leeches. The affected part should then be plastered with

■* Vrinda and Chakradalta prescribe forr.entaiion (Sveda), and not vv ashing) with hot water and they do not prescribe secretion (Visrava).

p. 452

the roots of the Aja-karna and of the P aids a pasted together. A case of fully suppurated Vidsirikai should be lanced and plastered with a paste compound o{ Patola, Pichumarda and sesamum, mixed with clarified butter and should then be duly bandaged. The incidental ulcer should then be washed with a decoction (of the barks . of the Kshiri trees and Khadira. Healing remedies should be applied after it has been properly purified (disinfected I 8-9Treatment Of ^arkararvuda, etc.:— A case of Saikararvuda should be treated like that of an Arvuda (tu nour) of the fat-origined type. Cases of Kachchhu, VicharcMkai and Paimat should be treated in the manner of a Kushtha. A medicinal plaster composed of Siktha (wax), S atdhvd and white mustard seeds, or of Vaclid, Ddrti-Jiaridrd and mustard seeds, pasted together, should be applied (to the seat of the disease). As an alternative, Naktamdla (Karanja) oil, or Sdra-taila * boiled with (the drugs of) the Katuka (Pippalyddi) group should be applied for anointing purposes. lO-ii.

Treatment of Pada-cl£tri :— In a case of

Psida-dari, the prescribed vein should be opened, and the affected part should be treated with fomentations and unguents, t The affected part should be plastered with (an ointmeit co np3 ed of) wax, lard, marrow, powder of Sarja resin),t clarified butler, Yava-Kshdra and Gairika. I2.

* By "S^ra-taila" is meant the oil pressed from the Sara (essential parts) o' S'ims'ap^, As^iuu, Sarala, Deva-di(ru and such other treer. Some, howevf-r, rear! "Sanla-laila" in place of "Sdra-taila." — Dallana.

t According to D.iilana and S'ivaddsa, fomentations and unguents should be first applied^ and the vein should be next opened.

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