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 bodily Dcshas are aggravated through deficient or scanty vomitings under the action of an emetic drug and expands through the entire organism, giving rise to itching, swelling, cutaneous affections, pustular erup tions, fever aching of the limbs, piercing pain and suchlike symptoms. The remaining or uneliminated Doshas should then be expelled with (adequate) medicines of strong, potency (Mahaushadhi). Similarly, insufficient purgiiigs under the action of a mild purgative, administered without a previous application of Sneha and Sveda to the patient, produce a numbed and drumlike distension of the abdomen below the umbilicus, causing a retention of the stool and flatus, and produce (colic) pain (S'ula), itching and urticarious eruptions (Mandalai. The remedy under these circumstances should consist in employing emulsive measures (Sneha) and a stronger purgative after having employed an Asthapana-Vasti . Draughts of hot water should be given to the patient and the abdomen and the sides should be fomented with the heated palms of the hands for exciting or inducing purging in the event of an unsatisfactory purging and of obnoxious matter not being expelled from the system The purging (of Dosha) would thus be induced. A second dose of a purgative should be again administered in the evening with a due consideration to the strength of the patient when the first would be found to have been digested before producing a sufficient purging if the system of the patient be still full of Doshas and rrorbid matter. In case of failure of this also to remove the Doshas (excreta), the system of the patient should be first treated with
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Sneha and Sveda after the lapse of ten days and should then be again cleansed with a further dose of a purgative*. Patients in whom purging can be induced only with the greatest difficulty should be first treated with Asthapana. Sneha should again be applied and a strong purgative should then be administered. 8.
Ati-yOga (Over-drugging with purgatives, etc.): — Women, merchants^ persons attending a king and pious Brdhmanas learned in the Vedas (S'rotriya) are often subjected to the necessity of repressing their natural urgings of the body towards micturition, etc., out of a sense of delicacy, fear or greed. The V^yu in their systems remains consequently aggravated and accordingly purgatives fail to easily produce any effect in their organism. Hence their system should be cleansed with purgatives preceded by Sveda (fomentations) and a copious application of Sneha. An over-dose of a purgative or a strong one administered to a person copiously treated with Sneha and Sveda or to one whose bowels are easily moved would exhibit the symptoms of an over-dosage (Ati-yoga) of purgatives.
Excessive emission of Pitta *,bile), loss of strength (Bala) and an aggravation and augmentation of the deranged Vd,yu follow from the over dosage ( Ati-yoga) of an emetic medicine. In such cases, the body of the patient should hi anointed with clarified butter and he should be bathed in cold water and made to take a lambativef with sugar and honey with a due consideration of the nature and intensity of the Doshas involved. An over-dose of a purgative may bring on excessive t A different reading says that the patient should be fomented with washings of rice mixed with honey.
* Dallana says that the system of the patient, in this case, should be cleansed with an emetic or a purgative as the case may be.
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emission of Kapha (mucus) mixed even with blood in the end. In this case, too, loss of strength (Bala) and enragement of the bodily Vayu would be the consequence. The patient in such a case should be sprinkled over with or bathed in very cold water and vomiting should be induced with potions of cold washings of rice mixed with honey. Applications of Pichchha-vasti and of Anuvasana enemetas with milk and clarified butter are recommendc 1. The patient should also be made to drink potions of the washings of rice mixed with the drugs of the Prtyangvddi group The diet should ccnsist of boiled rice with milk or meat-soup. 9-10.
Jivadana (Haemorrhage) due to excessive vomiting : — In the event of an excessive use of an emetic the patient may spit or vomit blood. In such a case the tongue hangs out (of the mouth) and the eyes seem to expand, and numbness of the jaws, thirst, hiccough, fever and faintness are found to supervene. A potion of goat's blood, red Chandana, Us'ira, A^njana and the powders of fried padd\' mixed with water and sugar, should be administered in these cases. As an alternative, the patient should be made to take his food in the Peyd form with the expressed juice of fruits (such as the Dadimha^ etc.^ and with clarified butter, honey and sugar, or a Peya prepared with the sprouts of Vata, etc. with honey, or one cooked with any drug having the power of producing costiveness ; or he should be made to take his food with milk or with the soup of the meat of a Jangala animal. Measures laid down in respect of excessive bleeding or haemorrhLige should also be resorted to 11.
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