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

hot water. When a least residue of a purgative medicine previously administered would be found to have been retained in the stomach of a strong patient and with extremely aggravated Doshas of the body, the patient, if there be an insufficient purging, should be similarly made to vomit. 5.

Jirnaushadhatvam Evils of a digested purgative, etc.^l : — A mild purgative or emetic or a medicine administered in a small dose to a man of extremely constipated bowels (Krura-koshtha) or of an extremely keen digestive capacity iTikshn^gni), is like food easily digested in the stomach (and therefore fails to produce the wished-for results). The aggravated Doshas, being thus unexpelled by the (purgative or emetic) medicine from the body, brings on fresh distempers and loss of strength (BalaH of the body. Under the circumstances a stronger medicine or a larger dose of the same should be administered to the patient. A mild medicine as well as a medicine administered without a previous application of Sneha and Sveda subdues only a slight aggravation of the Doshas. 6.

Evils of insufficient or excessive

expulsion of the Doshas: — A nausea a sense of heaviness in the limbs, a sticky sensation in the chest and aggravation of the (existing) disease are the evils which attend an insufficient ejection of any bodily Dosha from the system after the administration of an emetic More satisfactory vomitings should be induced in such cases with the help of an appropriate (and stronger) medicine. Tympanites, heaviness of the head, suppression or incarceration of Vayu (flatus), a cutting pain (Pari-kartana) in the anus and aggravation of the existing) disease, are the evils which result from an imper- * For the meaning of "Bala" bere see Chapter XV., Sutra-Sthana.

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feet or partial expulsion of the Doshas from the system under the administration of a purgative remedy. The remedy in such cases should consist in inducing stronger purgings after a further application of Sneha and Sveda to the patient. A mild medicine should b2 administered on the third day to a strong-limbed patient, if there be a large quantity of dislodged agitated Dosha in his system. 7.

Vata-S'ula (Flatulent colicj : — The bodily YAyu become enraged or agitated by the use of parching (Ruksha) medicines by a person who has not been treated with a previous application of Sneha and Sveda or by one who does not observe a total abstinence in sexual matters. The V^yu thus enraged tends to produce a kind of pain (S'ula) in the sides, waist (S'roni), back, tendons and the (principal) Marma (heart) and brings on vertigo, epileptic fits and loss of consciousness. The remedy under such circumstances consists in anointing the patient's body with oil or clarified butter, fomenting it with (hot and half-boiled i paddy (Dhinya-Sveda) An oil cooked with Yashti-madhu should then be employed as an Anuvasana-Vasti. 8-A.

AyOga (Partial and deficient medfcation) : — A mild or an insufficient dose of an emetic or purgative, administered without a previous application of Sneha and Sveda to the patient, fails to find an outlet either through the upper or the lower fissures of the body and hence brings about an aggravation of the Doshas incarcerated in the organism and produces a loss of strength (Bala), as well as tympanites with a catching pain in the chest (Hridaya-graha), thirst, epileptic fits and a burning sensation in the body. This is called Ayoga. The remedy in such cases should consist in inducing, without any delay, vomiting with powered MadanaChap. XXXIV.] CHIKITSA STHANAM. 5^1 fruit dissolved in a saline solution, or in moving the bowels with a stronger purgative in the shape of decoctions. 8-B.