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

* Chakrapani prescribes the powders (gf^^) in place of the decoction (sffT^; of Nimba and Aragvadha. He also reads "^^rTtr" in place of "^<5T^t"> but here they mean the same thing. — Ed.

p. 456

or five days. Then having lubricated the part (with Ghrita), the glans penis should be gently pressed and the prepuce should be smoothly drawn over the glans penis, so as to cover it entirely within its fold. The prepuce, being so drawn, should be fomented with warm pDultices. Vayu-subduing Vastis ^Clysters) should be employed and emollient diet should be prescribed (during the course of the treatment/. A case of Avapaitika should be similarly treated, after a due consideration of the nature and intensity of the Doshas involved in the case, 24-25.

Treatment of Niruddha-Prakas'a :—

In a case of Niruddha-Prakas'a (constriction or stricture of the urethra", a tube (open at both ends) made of iron, wood, or shellac should be lubricated with clarified butter and gently introduced into the urethra. The marrow or lard of a boar, or of a porpoise, or the Chakra-taila, mixed with Vayu-subduing drugs should be sprinkled over the affected part. Thicker and thicker tubes should be duly introduced into the urethra every third day. The passage should be made to dilate in the aforesaid manner, and emollient food should be given to the patient. As an alternative, an incision should be made i^into the lower part of the penis), avoiding the sevani (raphe of the perineum\ and it should be treated as an incidental ulcer Sadyo-vrana\ 26.

Treatment of Sanniruddha-Guda, etc. :- Cases of Sauniruddha-Guda (stricture of the anus), Valmika and Agni-Rohini should be duly treated with regard to the nature and intensity (of the Doshas engendering the disease , but without holding out any definite hope of recovery. The treatment of a case of Agni-Rohini should be like that of Visarpa (Erysipelas), while the remedial measures, mentioned in connecChap. XX.]p. 457

tion with Niruddha-prakas'a, should be employed in a case of Sanniruddha-Guda. 27.

Treatment of Valmika : -The diseased

patches should be scraped off in a case of Valmika and cauterised with fire or with an alkali ; while the purification and healing up (of the incidental ulcerj should be effected as in the treatment of an Arvuda (tumour;. A case of Valmika appearing in any part of the body other than a Marma, and not of a considerable growth should be duly treated with venesection after the application of Sams'odhana measures (purgative, emetic, etc;. The affected part should be plastered (Pralepa^ with a medicinal compound composed of the roots of {Vana-) Kulattha, Arevata, Danti and S'ydmd, pasted together w'ith Guduchi^ rcck-salt, Palala (pastes of sesamum) and powdered barley. It should be poulticed (Upanaha) with the same compound, well mixed with clarified butter and made lukewarm (in case suppuration be desired). When found to be fully suppurated, the course of the pus- channels should be ascertained by an experienced surgeon. The ulcer should then be opened (with a knife) and cauterised, and after being fully purified of the putrid flesh (\\\ its cavity), it should be again cauterised with an alkali. Healing (Ropana) remedies should be applied to it after it has been found to be thoroughly cleansed Nimbaoil cooked with Sumanas (Jati leaves, Granthi, Bhalldtaka, Manah s'ild, Kdldniisdri, small Eld, A ^uru and red Chandana should be applied with advantage to heal up the ^incidental ulcer in a case of) Valmika. A patient suffering from an attack of Valmika appearing either on his hands or feet and attended with swelling and a large number of cavities should be abandoned by a wise physician. 28.

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Treatment of Ahi-putana, etc.:— in