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

knee-joints. Lukewarm oil should be rubbed over the region of the neck of the bladder, and the penis should >jbe (artificially) excited and ma Je steady and straight. The orifice or the channel of the urethra should be first (dilated and) searched with the help of an indicator (S'alaka), and then the pipe of the Uttara-vasti, lubricated with clarified butter, should be gently and gradually inserted therein to the extent of six fingers. The Sneha should be injected into the urethra by gently pressing the bladder of the Uttaravasti, and the pipe should then be gradually withdrawn from the urethra. The patient should be made to partake of a moderate quantity of boiled rice with milk, Yusha (Mudga-soup, etc.), or meat-soup* in the evening after the dribbling out of the injected Sneha. Three or four injections should be thus made with the help of an urethral enema (Uttaravasti). 41.

Vaginal Uttara-vasti :— A grown up female patient, (under the circumstances), should be laid on her back with arched and up-drawn knees, and an injection should be made into her vaginal canal (Yoni) by an experienced physician (D, R, — carefully). The pipe should be most gently pressed in the case of a girl before menstruation. For the purpose of purifying the uterus (Garbhas'aya\ double the ordinary (one Prasrita) quantity of Sneha should be injected into the vaginal canal (by means of a Vasti) with a pipe having three Karnikas (protuberance) attached to it. 42-43.

In case the injected fluid does not come back (within the prescribed time), a fresh Vasti (^enema) should be

* Milk, Yusha and meat-soup should be prescribed in cases of the predominance of Kapha, Piita and Vayu respectively. — Dallana.

p. 625

again applied with (the decoctions of) the S'odhana* (purifying) drugs, or a Varti (plug) prepared with the Sodhana drugs should be injected into the rectum. As an alternative, an indicator (Eshani) should be inserted into the mouth of the bladder, or the region of the abdomen below the umbilicus, and be firmly pressed with a close fist, or medicinal plugs or sticks (Varti) of the size of a Mucfj^a-pulse, cardamom-seed (Ela), or mustard-seed should be made up of Saindhava and the leaves of the Aragz'ad/ia pasted with the expressed juice of Niigundi and cow's urine, and these plugs (Varti) should, according to the age of the patient, be inserted (into the mouth of the bladder) with (the top-end of) a rod or an indicator (Salaka) for the out-flow of the injected fluid. Another alternative is to use a stick (^ Varti) made up of the pendant soot of a room (Agara-dhuma\ Vrihati, Pippali, Madanaixxskt, Saindhava salt and S' untJii pasted with S'ukta (a sort of Kanjika) and cow's urine (in the preceding manner). Other (similar) measures should be adopted for the successful action of an Anuvasana enema (Vasti). 44-A.

A cold decoction of Yashti-madhu saturated with honey and sugart or a decoction of the (bark of the) milk-exuding trees (Kshiri-Vriksha\ or cold milk, should again be injected into the bladder, in the event of there being a burning sensation in that organ. 44.

Diseases such as derangements of the semen, or of ovum, or difficult menstruation, excess or suppression t According to Dallana a quantity of sugar and honey should be added in each of the three cases, viz., (i) the decoction of Yashtimadhu, (2) that of the Kshiri-trees, and (3) milk.

* The S'odhana drugs here are the Trina-pancha-mula and such other drugs. — Dallana.

626 THE SUSIIRUTA SAMHITA. tChap. XXXVII.

of the monthly flow, diseases of the uterus and of the vaginal canal, non-falling of the placenta, strangury and other diseases of the urine, gravel, stones (As'mari), spermatorrhea (S'ukrotseka), cramps in the bladder, in the groins and in the urethra and all other severe diseases of the bladder other than Meha, will all yield to the application of an Uttara-vasti (urethral enema). Symptoms which mark, or dangers which attend, a judicious or an injudicious application of an Uttara-vasti are respectively identical with those which characterise or attend those of a Sneha-vasti. 45-46.

Thus ends the Thirty-seventh Chapter of the Chikitsita Sthinam in the Sus'ruta Samhitd which deals with the Anavasana-vasti and the ULtaravasti.

CH.\PTER XXXVIII.

Now. we shall discourse on the mode of applying as well as on the treatment with a Nirudha-vastr

(Nlrudhopakrama-Chikitsitam). i. The mode of preparing a Vasts ;— The