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

the treatment of an infant laid up with an attack of Ahi putanai the breast-milk of its mother or nurse should be first purified. Cases of Ahi-putana yield to the usc of a potion of clarified butter, cooked with Triphaldy Rasdnjatia and Patola leaves, and a decoction of Triphald, Kola and Khadira should be used (as a wash) to heal the ulcer. Plasters composed of sulphate of iron, Gorochandy sulphate of copper {Tuttha), Haritdla and Rasdnjana, pasted together with Kanjika, or of Vadari bark and rock-salt, should be applied (to the diseased locality . It should be dusted as well with the pulverised compound of a burnt earthen pot and sulphate of copper. The preceding measures should be adopted in cases of Vrishana-Kachchhu as well. 29-30.

Treatment of Guda-Bhramsa : in a

case of Guda-Bhramsa; the protruded part should be fomented and lubricated with Sneha.* It should then be gently re-introduced. The region of the anus should then be bandaged with apiece of hide in the manner of a Gophana Bandha, with an opening in it (lying imme diately below the anus), so that it may not in any way interfere with the emission of Vayu. The affected part should then be constantly fomented. A quantity of milk, Mahd-pancha-mida and the body (flesh) of a mouse, bereft of its entrails should be first boiled together (^with water). An oil cooked with the milk thus prepared (with water) and the Vayu-subduing drugs should be administered as drink and unguents. By these measures the most difficult cases of prolapsus ani would be cured. 31-32.

* According to S'iva-dasa, cow's fat only should be used. Thus ends the twentieth Chapter of the Chikitsita Sthanam in the SJus'ruta Sanibita which deals with the treatment of niinor ailments.

CHAPTER XXL

Now we shall discourse on the medical treatment of the Sores on the penis produced by the Suka, a kind of poisonous insect (^'uka-Rog*a). r.

Treatment of Sarshapi, etc. :— in a case of the Sarshapi type of the disease, the affected (ulcerated) part should be scarified and dusted with the (powdered) drugs of an astringent taste (as described in the Mis'raka chapter), and an oil, cooked with (the Kalka and decoction of) the same drugs, should be applied for healing purposes. In a case of the Ashthilikai type of the disease, the skilful physician should apply leeches to the seat of affection. In case the swelling does not still subside, it should be removed and treated as a Kaphaja Granthi (glandular swelling). A Granthi type of the disease should be constantly fomented in the manner of Nadi-Sveda, and should be poulticed with a lukewarm medicitial compound mixed with a profuse quantity of Sneha (oil). 2-4.

Treatment of Kumbhik£(, etc. :— An

incision should be made into the suppurated seat of affection in a case of the KumbhikSk type of the disease, and the incidental ulcer should be purified (disinfected) and healed up with the application of the oil, cooked with Triphald, Lod/ira, Tindtika and Amrdtaka^ In the Alaji type of the disease, the affected part should be bled by applying leeches to it and should then be affused with a decoction of th'^ astringent drugs. An

* S iva-dasa in his commentary on Chikra-datta quotes this couplet from Sus'ruta, but there he reads ^rW§i?f7T in place of ^?57fT%'T; '^at is to say, he says that A'^mra should be used in place of Amrataka. He fuither adds that the stones of Amra and Tinduka fruits should be taken.

460 THE SUSHRUTA SAMHITA. [Chap. XXI.

oil, cooked with the decoction of the same drugs, should be used to heal up the (incidental) ulcer. 5-6.

Treatment of IVIridita, etc. :— in the

Mridita type of the disease, the affected part should be affused with tepid Valsi oil and poulticed with a lukewarm plaster (Upaa.iha) of the drugs of the Madhura (Kakolyadi) group, pasted and mixed with clarified butter. Leeches should be speedily applied to the condylomatous growths (Pidaka'' in a case of SammudhaFidakak. In cases of suppuration, they should be opened and plastered with honey and clarified butter. In a case of Avamantha, the growths (Pidakd) should be opened, when suppurated, and healed up with the application of an oil, cooked with Dhava, As va-Karna, Pattanga,

S'allaki and Jinduka. 7 — 9

Treatment of Pushkarika, etc. :— In a case of Pushk.irika', all kinds of cooling measures should be applied and ths vitiated blood should be extracted by applying leeches. The affected part should be subsequently affused with clarified butter. In a case of the Sparsa-haini type of the disease, blood should be let out and plasters (Pradeha) of Madhura (Kdkolyddi) dru^s should be applied. The affected part should be affused with a very cold compound of milk, clarified butter and the expressed juice of sugar cane. In the type of the disease known as Uttama^, the Pidakas 'condylomatous growths) shouM be removed with the help of a Vadisa instrument, and powders of astringent drugs with honey should be applied to the seat of affection. 10 — 12.

Treatment of ^ata-ponaka, etc.: —in

a case of the Sa-ta-poaaka type of the disease, the affected part should be scarified and the measures laid down in connection with Rasi-Kriyd should be resorted to.

Chap. XXL] CHIKITSA STHANAM. 46I