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

After this, an oil, cooked with the Prithak-parnyddi drugs* should be likewise applied to the seat of the disease. 1 The medicinal treatment, in a case of Tvakpaika, should be the same as described in connection with Erysipelas (Visarpa), The remedial measures, laid down under the head of Rakta-vidradhi, should be employed in a case of the SDiiitairvuda type of the disease. 13-T4.

General Treatment :— Remedies such as

medicinal decoctions, pastes (Kalka\ medicated clarified butter, powders, Rasa-Kriy^, etc., and the measures for purifying and healing (incidental sores or ulcers\ should be employed with due consideration to the nature and intensity of the aggravated Doshas involved in the case. The application of specifically prepared medicated clarified butter, purgatives, blood-letting and light diet should be similarly prescribed. -j* 15.

Prognosis : -The medical treatment of the patient affected with any of the following types of the disease, viz., Arvuda, Mdmsa-paka, Vidradhi and TilaKdlaka should be undertaken without holding out any definite prospect of recovery. 16.

Thus ends the twenty-first Chapter of the Chikitsita Sthanam in the Sus ruta Samhita which deals with the treatment of S'uka-Roga, t This seems to be the general treatment of all the types of S ukaRoga.

* For Rasa-kriya and the Prithak-parnyadi drugs, see Chapter XXXVI— Sulra-sthana.

CHAPTER XXII.

Now we shall discourse on the medical treatment of the affections of the mouth (lYIukha-ROga). i.

Treat mcnt Of Vataja Oshtha-kopa: —

In a case of inflammation of the lips (Oshtha-Kopa) due to the action of the deranged Vayu, the affected part should be rubbed with (an ointment composed ofj the four kinds of lardacious (Sneha) substances mixed with wax. Fomentations in the manner of NadiSveda should also be resorted to b}' an intelligent physician. Applications of the Saivana poultices and those of the medicated oils, possessed of the virtue of subduing the deranged Vdyu, as errhines and Mastikya (Siro-vasti) are also recommended. The lips should be treated with the powder composed of S'ri-7'eshtaka* Sarja rasa^ Siira-ddru, Giigguhi and Yashti-madhu. 2-4.

Treatment of Pittaja Oshtha-kopa, etc.: -In a case of Oshtha-kopa of traumatic origin, (Abhighataja) or one due to the deranged action of the blood (Raktaja) or of the Pitta, bleeding of the affected part should be effected by the application of leeches and all the measures and remedies (Sams'odhana and vSams'amana) mentioned in connection with the treatment of the Pitta-Vidradhi should be likewise employed. 5Treatment of Kaphaja Oshthakopa :

— Theu^e of medicated Siro-virechana(errhines\ fumigations, (Vairechanika Dhuma), fomentation and (Svcda) Kavala (gurgles), prepared from the Kapha subduing drugs should be recommended after blood-letting in the Kaphaja type of Oshtha-kopa. The swollen and inflamed lips should be treated (Pratisarana) with a compound con- * Vdgbhata reads " ^v^f^ig- " /. e., wax, in place of ift^g^'f; |p. 463 sisting of Trikatu, Sarjikd-ksluira, Yava-Kshdra and Vid-lavana ;black-salt) * pounded together and made into a thin paste with the admixture of honey. 6.

Treatment of lYIedoja Oshtha-kopa :

— In a case of the fatty type of Oshtha-kopa, the affected part should be fomented and opened (when suppurated) ; and should then be purified and cauterised with fire. A paste compound of Priyangu, Triphald, Lodhra and honey should be rubbed over the affected part (Prati-sirana). These are the remedies for the curable types of Oshtha-kopa. 'j-'6.

Treatment of the Diseases of Danta

-IVIuIa : — Now we shall describe the treatment of the affection of the roots of the teeth (Gingivitis). In a case of the Sitatda type of the disease, the gums should be first bled and a decoction of Sarshapiiy Ndgara, Triphild and Musta "f* mixed with Rasdnjana should then be used as gurgles. The gums should be plastered (Pralepa) with Priyangu, Musta and Triphald and (clarified butter, cooked with) the decoction of Triphald, Madhuka, Utpala and Padmaka should be used as an errhine. In an acute case of Danta-Pupputaka, the gums should be first bled and then rubbed (Prati-sarana) with the five officinal kinds of salt and Yava-Kshdra mixed with honey. The use of errhines (Siro-virechana), medicated snuffs (Nasya) and demulcent food is recommended. 9-10.

Treatment of Danta-Veshta, etc. :—

In a case of Danta-Veshta, the swelling should be first bled and then rubbed with a pulverised compound of Rodhra, Pattanga, Yasliti-madhii and Ldkshd mixed with a profuse quantity of honey. A decoction of (the bark f Vrinda and Chakra-datta do not read Musia, nor Rasanjana.

* Vtinda and Chakrapini do not read Vid-lavana,

p. 464