An English Translation of the Sushruta Samhita, Vol. II — trans. Kaviraj Kunja Lal Bhishagratna (1911)
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The translator’s English as printed (Kunja Lal Bhishagratna). The original-language text is not held; names are romanised as the translator printed them.
the above-named (heated) articles. As an alternative, a metal saucer containing milk, curd, Dhanyamla, meatsoup and a decoction of the tender leaves of the Vayusubduing plants (jointly or separately) should be heated over a fire. The mouth of the saucer should be covered (with a pie£e of blanket or such other cloth)* and the affected part of the body should be fomented with the vapours rising therefrom. As an alternative, another pitcher should be placed with its mouth downward over the mouth of the above pitcher (containing the abovenamed heated articles). Then an aperture should be made in the side of the upper pitcher and a pipe to the shape of an elephant's trunk should be inserted into it. The affected part of the body should then be fomented with the vapour escaping through that pipe. 4.
IVIetrical Texts :— The mode of applying heat to a patient suffering from any disease or affection of the bodily Vayu (disease of the nervous system, etc.,'^ is as follows : — He should be first anointed with oil, etc.,"* and wrapped up in a thick cloth. He should then be made to sit in an easy posture. Heat should then be applied through a pipe shaped as an elephant's trunk. The advantage of this mode of fomentation is that the entire body of the patient may be easily fomented without causing him any serious trouble. The pipe should be made half a Vydmaf in length with three bends or turns:]: in its body to resemble t A Vyama is the length measured by the outstretched hands of a man.
* The mouth of the pitcher should be covered only to mitigate and regulate the heat.
t The reasons for bending the tube are to make the fomentation delightful, in consequence of the vapour not passing in a straight course.
560 THE SUSHRUTA SAMHITA. [Chap. XXXII, the trunk of an elephant.* The use of a pipe made of the materials (such as Kus'a, Kds'a, etc.) used in the making of a Kilinji (basket) and resembling the trunk of an elephant in shape is only recommended for the purposes of Sveda heat-application). 5.
A plot of ground commensurate with the length of the patient's body should be dug and heated with fire of Khadira wood and then sprinkled over with milk, water and Dhanyamla. The heated ground should b2 then covered with a layer of leaves (of the Vayu-subduing plants) and the patient should be made to lie down full stretched upon the (bed of) leaves and thereby fomented.i* As an alternative, a stone slab should be heated and the fomentation (Sveda) should be applied similarly to the patient by making him lie down upon it after the ashes and cinders have been removed \. As an alternative, the patient should be seated inside a chamber with four doors (one on each side) and fomented by lighting up a good blazing fire (of Khadira wood) at all the doors (simultaneously §. Another alternative is that the patient should be laid on a mattress (made of Kus'a, Kds'a^ etc.) or on a similar bed as before and fomented with the fumes of duly boiled paddy (and Mashapulse, etc.) kept under the same mattress. In the same manner, Sveda (fomentation) might be applied with the help of heated co.v-dung, ashes, husks of paddy, weeds, etc. 7.
Upanaha-Sveda (Poulticing) :— The roots of the Vayu-subduing drugs should be pasted together
* This is called the " Naidi-Sveda ". t This is called the " Karshu-sveda ". X This is called the " As'ma-ghana-sveda ". § This is called the " Kuti-Sveda".
p. 561
with Amla (Kanjika) and mixed with an abundant quantity of rock-salt and of Sneha (clarified butter, etc.). The paste should be heated and applied lukewarm to the affected part. Ths pastes of the drugs included within the Kdkolyddi, the Elddi or the Suras ddi groups as well as a paste of mustard seed, sesamum or linseed, or Kris'ara, Payasa (porridge) UtkairikEi, or Vesava^ra, or the drugs of S'dlvana* (as described under the treatment of Vata-VyAdhi) should be similarly applied (lukewarm to the affected locality) folded in a piece of thin linen. This is what is called the Upanaiha-Sveda. 8,
Drava-Sveda (Diaphoresis with fluids) :— A jar or a cauldron should be filled with a lukewarm decoction of any of the V^yu-subduing drugs and the patient should be immersed therein. In the same way, the patient might be immersed in a tubful of warm milk, meat-soup, soup (of Mudga or Mdsha pulse), oil, Dhdnydmla (fermented or sour gruel), clarified butter, lard, cow's urine, etcf The patient may also be sprinkled over or washed with a tepid decoction (of the above-mentioned drugs).^ This is what is called the Drava-Sveda. 9.
Of the four forms of Sveda described above those known as the Tapa-Sveda and Ushma-Sveda pre-eminently destroy the deranged Kapha, while the UpandhaSveda subdues the deranged Va^yu of the body ;
• Drugs of the Kakolyadi group should be used in cases of the djminant deranged Pitta acting in concert with the deranged Vayu ; those of Eladi group in cases of the dominant deranged Kapha acting in concert with the deranegd Vayu and the S'alvana, or sesamum, linseed, etc., in cases of a simple or complicated deranged Vayu, t This is called the Avagsiha-Sveda.
X This is called the "Parislieka-Sveda."
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562 THE SUSHRUTA SAMHITA. [Chap. XXXII
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