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

— In a case of Grala-s'andika, the Sundikd (protuberance) should be drawn out along the tongue with the help of the thumb and the second finger of the hand, or with a Samdams'a (forceps) and then cut off with a Mandalagra instrument. But it should be severed neither more nor less than three-quarters of the appendage, inasmuch as profuse hcnemorrhage might follow an excessive incision, and death might result therefrom ; whereas, a case of lesser severance is usually found to be attended with swelling, excessive salivation, somnolence,* vertigo, darkness of vision, etc. Hence a surgeon, well-versed in the science of surgery and wellskilled in practical operations, should carefully operate a Gala-s'undika (with a knife) and subsequently adopt the following measures. The incidental ulcer should b^ treated with the pulverised compound of Maricha, Ati-vishd,Pdthd, Vachd, Kusht ha d,nd Kutannata, mixed with honey and rock-salt. A decoction of Vachd, Ati-vishd, Pdthd, Rdsnd, Katuka-rohini and Pichu-marda should be used as gurgle (Kavala). The five drugs, viz.,

* S'rikantha Datla, in his commentary on Vrinda's compilation, quotes this passage from the text, but does not include "somnolence" therein. He reads "^MWHl H^T^w;" in place of "^fMT f^ ^^TO»T: " i

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Ingudi, Apdmdr^a, Danti, Sarald and Deva-ddru should be pasted together and made into Vartis (sticks), well flavoured by the addition of perfuming drugs. Twice every day (once in the morning and again in the evening), should the patient be made to inhale the fumes of these burning Vartis (sticks) which have the property of subduing the (deranged) Kapha, and should be made to take the soup of Mudga boiled in alkaline water.* In cases of Tundikeri, Adhrusha, Kurma, Mamsa samgh^ta and Tailu pupputa, the preceding measures should be adopted, but the surgical operation should vary with the nature of the particular disease under treatment. 33-34.

Treatment of Talu-paka, etc. :—

Remedies which destroy the deranged Pitta should be employed in Taklu-paika (suppuration of the palate) ; while applications of Sneha (oil, etc.) and Sveda (fomentations),as wellas V^yu-subduing measures should be the remedies in a case of a Talu-Sopha (swelling of the palate). The remedies to be employed in the diseases affecting the palate have been thus described above. Now hear me discourse on the remedial measures in Kantha-Roga (diseases of the throat). 35-36.

Treatment of Throat-diseases :- In

a curable type of Rohini, blood letting and the applications of emetics, gurgles, inhalations (of medicated fumes) and errhines (Nasya) are efficacious. In cases of Vj^taja Rohini, blood letting should be first effected, and the affected part should then be

* The alkaline water to be used in the Mudga-soup should be prepared from Yava-kshdra according to Dallana. But according to S ivadasa, alkaline water prepared from the ashes of Mushkaka, Apamarga, etc., should be used.

Chap. XXII.] CHIKITSA STHANAM. 47 1

rubbed with salts. Gurgles (.Gandusha) of tepid Sneha (oil, clarified butter, etc.) should be constantly resorted to In cases of the Pittaja BiOhini, the powdered Pattanga^ honey and sugar should be rubbed iPrati sarana) over (the affected part), and the decoctions* of Drdkshd and of Paruskaka, should be used as gurgles (Kavala). In the Kaphaja type of Rohiai, the affected part should be rubbed with Katuka and Agdra-dhuma ^^soot of a house — chimney-soot). An oil properly cooked with S'vetd Vidanga^ Danti and Saindhava should be employed as (Nasya) and employed as gurgles (Kavala). In a case of Riktaja Rohiui, a physician shall employ the same measures of treatment as in the Pittaja type of the disease, "i^y .

Treatment of Kantha-^aluka, etc.:

— In a case of Kantha-Saluka, it should be bled and treated as a case of Tundikeri, and the patient should be enjoined to take a single meal in the day consisting only of a small quantity of Yavdnna (barley-rice) with clarified butter. The treatment of a case of Adhijihvikai should be the same as that of Upa-jihvika. In a case of Eka-vrinda, blood-letting of the affected part should be resorted to (by the application of leeches), and Sodhanaf (purifying) remedies should be employed. The medical treatment of a case of Gilaiyu (SJayu.-D.R.l consists of a surgical operation (on the seat of thi disease). Incision should be made into a

• According to Chakra-pani, Dtaksha and Parushaka should be combinedly used in preparing the decoction.

t The "purifying remedies" here means S'iro-virechana, fumigation, plasiers and applications of alkali, etc., for purifying the Doshas in the throat,

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