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

In a case of excessive protrusion or hanging down of the tongue, the organ should be rubbed with powdered Trikatu and rock-salt or pasted with a plaster ofp. 584 sesamum and grapes (Driksha and re-introduced into its proper place and position after which some other men should bs made to taste any acid article in the sight of the patient. In a caso of the expansion of the eyes they should be rubbed with clarified butter and (gently) pressed. Errhines and fomentations of the part with drugs) antidotal to the dera iged Vayu and Kapha, are recommended in a case of a numbness or catching pain of the jaw-bones in such cases. The other supervening distresses such as thirst etc, should be treated with appropriate medicinal remedies. A faintness (under the circumstances) should be broken with the (sweet) sounds of a lute or a lyre. 12.

JiV2idaina (Haemorrhage) due to excessive purging : - An excess (Ati-yoga) of purging is marked, at the outset, by a flow of watery mucus through the rectum, lesembling the crest of a peacock's plume in colour This is followed by an emission of shreddy and bloodstreaked mucu5 resembling the washings of meat, succeeded by an oozing out of actual red blood attended with a shivering, protrusion of the anus and all the supervening distresses of emetics. The treatment in such cases should be as in those of haemorrhage. The protruded anus should be first lubricated (with a Sneha) and subsequently fomented and re-introduced into its proper place or it should be treated according to the directions laid down in the chapter of KshudraRoga*. The shivering should be treated with remedies laid down in connection with Vata-vyad!ii. Remedies in cases of a protrusion of the tongue, etc., have been already described. Milk boiled (according to the K'--hirapaka-vidhi) with Kds'mari fruit, Vadari fruit, Us'ira

* The remedial measures for the treatment of Guda-bhrams'a, etc., under the Kshudra-Roga, bhould be employed in such cases.

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and Durvd grass subsequently cooled and mixed with the cream of clarified butter and Anjana, should be syringed into the rectum in the manner of an Asthdpana-Vasti in the case of an excessive flow of red blood (lit. life-blood) from the bowels. Vasti should be employed in such cases, with a decoction of the drugs of the Nyagrodhddi group mixed with milk, clarified butter, expressed juice of sugar-cane and (goat's) blood. Remedies mentioned under haemoptysis (Raktapitta) and bloody dysentery should be employed in cases marked by spitting of life-blood (Jiva-s'onita). Decoctions of the drugs of the Nyagrodhddi group should be given with food and drink. 13.

Jiva-^onita, how to be known :— A piece of a linen or cotton should be soaked in (and dyed with) the emitted blood where any doubt would arise whether it is a case of arterial blood (Jiva-s'onita) or one of Rakta pitta. The continuance of the dye or red stain on the linen even after being washed with hot water would conclusively establish its identity with the arterial blood or Jiva-s'onita, As an alternative^ the discharged blood mixed with barley-pjwder or any other kind of food should be given to a dog to eat. If it is eaten by the dog, it would at once establish the identity of the emitted blood with the healthy arterial blood of the organism. 14.

Adhmana (flatulent distention of the abdomen): — If a person who is suffering from a plethora of the Doshas in his system and who has not previously been treated with a Sneha and whose bowels still contain the undigested residue of a previous meal and (consequently) an abundance of Vayu therein, takes a (purgative or an emetic) which is neither emollient nor hot, the medicine is likely to produce a flatulent distention of his abdo74