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

' 638 THE SUSHRUTA SAMHITA. [Chap. XXXVIII.

suppression of flatus (Vdyu) and of urine, in cases of there being any rumbling sounds in the intestines (Atopa), and Gulma and in diseases due to worms. 18.

Madana-phala, Yaskti-madhu, Vacka, Deva-ddru, Sarshapa, Pippalimiila, Saindhava salt (Sindhuttha), Yamdm,Mtsi and Indra-j'ava should be pounded together and made into a paste with the admixture of the decoction prepared with a Pala measure each of Vdsaka, As'ma bheda, Varshdbhu, DhAnyn, Era^ida-mula, Das'amitla, Vald, 3Iurvd, Yava, Kola, Nis'a-cJichJiada (Sathi), Ktilattha, Vilva, and Bhu-nimha and dissolved in an adequate quantity of honey and the expressed juice of sugar-cane, milk, oil, clarified butter, meat-essence, and the urine (of a cow) by stirring them together. The solution thus prepared should be speedily injected in the manner of an Asthdpana injection into the rectum of a patient suffering from a disease marked by the concerted action of two or more of the deranged Doshas. Diseases such as Gridhrasi, S'arkara, Ashthild Tuni and Gulma may be rapidly cured with this injection (^Vasti). 19.

Madana fruit, Yashti-madhu, Mzsz (anlsl), Saindhava, Priyangu and hidra-yava pounded together and made into a paste with the decoction of the drug-?, one Pala each of Rdsnd, Aragvadha, Varshdbhu, Kaluka, Us'ira, Mustaka, Trdyamdnd, Amrita (Guduchi), Raktd (Manjishthd), Pa?icha-7nicla, Vibhitaka and Vald should be duly mixed with (an adequate quantity) of Rasdnjana, extract of meat (Rasa\ honey, Sauvira and the expressed juice of the Drdkshd. The solution thus prepared should be injected lukewarm into the bowels of the patient in the manner of an Asthapana-Vasti. It adds to the growth of flesh, creates fresh semen and Ojas, improves the digestive capacity and the strength

p. 639

of the body, imparts longevity and cures and conquers the following diseases, viz., Gulma^ Menorrhagia, Erysipelas (Visarpa), Strangury, Kshata-kshaya, Vishama-jvara, Haemorrhoids, Diarrhoea (Grahani), Vata-kundali, catching pain due to the incarceration of the V^yu in the regions of the thighs, knee-joints, head and bladder (Vasti), obstinate constipation of the bowels, (UdAvarta) and the other distempers of the bodily Vayu, Vata-rakta, Sarkara (gravels in the bladder), Ashthil^, cramp in the groins, Udara, aversion to food, Rakta-pitta (Haemorrhage), affections of the deranged Kapha, Insanity, Prameha, distension of the abdomen (Adhmana), catching pain at the heart (Hrid-graha). 20. A Vasti composed of the decoction of the Vdyusubduing drugs mixed with Trivrit*, Saindhava and Kdnjika (or the expressed juice of acid fruits) should be applied lukewarm in cases due to the aggravation of the bodily Va^yu. Similarly, a Vasti composed of the decoctions of the drugs included within the Nyagrodhddi group mixed with sugar, clarified butter, powders of those included within the Kdkolyddi group should be applied in diseases due to the aggravation of the Pitta. A Vasti composed of the decoction of the drugs of the Aragvadhddi group saturated with the pulverised compound of those included within the Pippalyddi group, should be employed with (an adequate quantity of) cow's urine, added thereto in a case of the aggravation of Kapha. A Vasti composed of a copious quantity of the decoction of Kshira-Vrikshas mixed with (an adequate quantity of) the expressed juice of the sugar-cane, milk,

* According to Dallana, "Trivrit" should be understood to mean the same as " Traivrita" mentioned in the treatment of Maha-vala-vyadhj (see Chapter V., Para. 25, Chikitsita Slhanam).

640 THE SUSHRUTA SAMHITA. [Cliap. XXXVIII.

sugar, and clarified butter should be applied in a cold state in cases marked by a vitiated condition of the blood of the system. 21—24.

^odhana (corrective) Vastis :— The drui^s of the S'odhana group possessed of corrective therapeutic properties) should be pounded together and mixed with an admixture of their own decoction. The solution thus formed should be mixed with Saindhava and Sneha and stirred with ladle. It should then be injected into the bowels of the patient. This is called the S'odhana-Vasti*. 25.

Lckhana-Vasti : —The powders of the drugs of the UsJiakddi group should be mixed with the decoction of Triphald and with cow's urine, honey and Yava-kshdra. The whole solution should be applied as a Vast! and is called the Lekhana-Vasti. 26.

Vrimhana-Vasti : — A paste composed of the drugs of the J/^(///«ra (Kdkolyadi) group mixed with the decoction of the drugs possessed of tonic and constructive properties (Vrimhana drugs) should be injected into the bowels with clarified butter and the extract of meat added thereto. It is called the Vrimhana-Vasti. 27.

Vaji-karana-Vasti :— The seeds of the

Atmaguptd should be pounded and mixed with the decoction of (the roots of) the Uchchatd together with (the contents of) the egg of a sparrow (Chataka) and an adequate quantity of milk, clarified butter and sugar. The solution should be injected into the bowels in the manner of a Vasti and is called the Vaji-karana-Vasti (aphrodisiac). 28.