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

p. 586

men (Adhmana). It arrests the emission of flatus (Vayu), stool and urine, makes the abdomen distended, produces a breaking pain in the sides, a pricking pain in the anus (Guda) and in the urinary bladder (^Vasti) as well as a disrelish for food. This is called Adhmana. The patient, in such a case, should be treated with Andha-varti, appetising medicines and with Vasti measures. 15.

Pari kartika (cutting pain in the anus, etc.): — The Vayu and Pitta in the organism of an enfeebled person or of a person whose bowels can be easily moved or of one of a dry and arid temperament or afflicted with impaired digestive capacity, are deranged and aggravated by the use of any extremely sharp, hot, saline or dry (emetic or purgative) which give rise to a sort of cutting, sawing pain (Parikartika) in the anus, penis, umbilical region and the neck of the bladder (Vasti). The emission of flatus is arrested, the Va) u (windj lies incarcerated in the abdomen and relish for food vanishes. The remedy consists in employing a Pichchha- Vasti with Yashti-madhu and black sesamum pasted together and dissolved in clarified butter and honey. The patient should be laved in cold water and be given his food with milk. Anuvasana-Vasti* with the cream of clarified butter or with oil cooked with Yashti-jnadhu should be employed. 16,

Parisrava (.Dysenteric stools) : — TheDoshas and the morbid matter accumulated in the system of a man of extremely constipated bowels and almost saturated with a plethora of Doshas (morbific diathesis) are stirred up but are not fully emitted under the action of a mild

* In cases of a Pitta-predomin.ince, the Vasti should be employed with the cream of clarified butler and in caces of a Vayu predominance, with oil.

Chap. XXXIV,] CHIKITSA STHANAM, 587

(emetic or purgative) medicine. The Doshas (consequently) try to pass out of the body constantly but in small quantities and bring on weakness, numbness and rigidity of the abdomen, aversion to food and lassitude of the limbs. The deranged Pitta (bile) and Kapha (mucus) are constantly emitted with pain through the anus) in such a case, and the disease is called Parisraiva. Asthapana-vasti with a decoction of Aja-kafna, Dhava, Tints' a and P aids' a saturated with honey is recommended in such cases. After the subsidence of the bodily Doshas involved in the case, the patient should be treated with Sneha and Sams'odhana * (emetic or purgative) remedies should again be employed. 17.

Pravahika (Diarrhoea^ : — A medicine (purgative or emetic) administered to a person who has been excessively treated with Sveda or with Sneha produces PraVJfchikai in him by making him pass his stool and flatus without any straining or by restraining altogether those natural urgings respectively. Constant passing of slimy, black, white or red-coloured mucus (Kapha) with cramps^ loud flatus and burning sensation form the chief characteristics of this disease. Its medical treatment should be similar to that of a case of Parisrava. 18.

Hridayopasarana (Overwhelming the heart); — Urgings towards vomiting or purging being injudiciously checked by a person from ignorance, causes a downward or upward coursing of the Do.ihas of the body to and in the heart, thus pressing the greatest of the Marmas and giving rise to an excruciating pain in that locality. The patient, in such a case, drops down unconscious in a swoon with upturned eyes, violently

* Dallana recommends that a strong purgative or emetic should be employed.

^88 THE SUSHRUTA SAMHITA. [Chap. XXXIV.

gushing his teeth and biting his tongue. An inexperienced physician usually abandons such a patient as lost, whereas the remedy in such cases consists in anointing his body with a Sncha (oil or clarified butter) and fomenting it with half-boiled and unhusked paddy (Dh^nya-Sveda). Oil cooked with Yashti-madhu should be employed in the manner of an Anuvdsana Vasti, and strong errhines (Nasya) should also be administered. After that the patient should be made to vomit with draughts of the washings of rice mixed with Yashti-madhu and Vastis* should be employed in consideration of the preponderance of the Dosha or Doshas involved in the case. 19.

Vi band ha (retention of flatus, stool and urine) : — Use of cold water, exposure to cold winds and resorting to cool places and such other conduct during the action of an emetic or a purgative remedy in a person tend to thicken the Doshas loosened and dislodged from their seats by virtue of its potency, arrest their out-flow, make them adhere to the internal passages through which they pass and, by affecting the excretions, give rise to a suppression of stool, urine and Vayu (flatus), attended with rumbling in the intestines, fever, burning sensation and excruciating pain. The patient should in such a case f be made to speedily vomit the contents of his stomach, and the concomitant symptoms (such as fever, etc.'l should be treated with appropriate medicinal remedies (as in the case of their actual and respective attacks). Drugs efficacious in subduing the Doshas confined in the lower cavity (abdomen) of the body {Adhobhdga-hard) \ should be employed for purgative purposes with the admixture of