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

Riding (on horse-back, etc.) under the circumstances may cause vomitings, swoons, vertigo, a sense of fatigue, stiffness of limbs, and the serious functional derangements of the sense organs. A long continuance in a sitting posture or bathing may give rise to pain in the region of the pelvis ; while, on the contrary, excessive walking under the circumstances aggravates the Vayu and is attended with pain in the knee-joints, atrophy of the thighs, edematous swellings of the localities, or the form of disease known as Pada-harsha (sensitiveness in the feet). 1 5-D.

The use of cold water and other cold things* (such as paste of Sandal, etc.) under the circumstances tends to aggravate the bodily Vayu and brings on an aching

* In place of "^cTWtJmt^Tt" Gayadasa reads] "^fWt5T^?[PTf' which means the use of cold food and drink, This reading seems to b^ better.— ^^/.

652 THE SUSHRUTA SAMHITA. [Chap. XXXIX.

pain in the limbs, Sula (gastralgia), stuffcdness of the injestcd food in the stomach (Vishtambha) and inflation of the abdomen (Adhm:ina) and shivering. An undue exposure to the sun and wind produces fever and discoloration of the complexion. The use of any unwholesome and incompatible diet as well as food taken before the complete digestion of the previous meal tends to produce serious distempers and may ultimately result in death. The use of incongenial fare undoubtedly leads to the deterioration of the strength and complexion of the body. A man of irregular and intemperate habits, who cats voraciously like an animal, suffers from indigestion which is the cause (source) of a number of physical distempers. 15.

In all these instances the real cause of the distress should be first ascertained, which should be then remedied with proper antidotal measures and remedies 16.

Articles of Diet:— A diet consisting of cooked S has ht i grdi'm (Tandula) or matured S'dli rice, Mudga pulse as well as (the soup of the flesh of) an Ena, Lava, hare, peacock, Tittiri, or deer, and such other light food should be given to a patient after the exhibition of emetics and purg-atives. 17.

Thus' ends ihe Thirty-ninth Chapter of the Chikitsila Sthanam in the Sus'ruta Samhita which deals with the treatment of distressing symptoms which are manifested in a patient.

CHAPTER XL.

Now we shall discourse on the treatment which consists in employing the (inhalation of) medicated fumes, snuflfs errhines't and garc^les (DhumaNasya-Kavala-Graha-Chikitsita). i.

Dhuma (fumes) may be divided into five groups* z^/^., Prayogika (capable of being daily used), Snehana (soothing), Vairechana (expectoranti.t Kasaghna (anticough) and Vamaniya (emetic). 2.

lYIaterialsof different Dhuma-varti :

— The drugs of the Elddi group, excepting KushtJia and Tagara, should be pasted together. A space of eight fingers out of the entire length of a stem of S'ara weed twelve fingers long should be covered with a piece of silk cloth and plastered with the coat of the preceding paste. This stick should be burnt and used in the Prziyogika Dhuma pana. The pith (pulp) of oleaginous fruits, wax and resin, Guggulu, etc., with the admixture of a Sneha (oil or clarified buttery should be used in the Snehana-Dhuma. The drugs included into SiroVircchana group should be used in Vairechana Dhuma. Vrihati, Kanta-kdrika, Trikatu, Kdsa-ntarda, Hitigu^ Ingudi-bark,) Manah-s'ild, Guduchi^ and Karkata-s' ringi and such other drugs which allay cough should be used in the Kasaghna-Dhuma. Nerves, skin, horns, hoops, shells of a crab, dried fish, dry meat or worms, etc, and

* Charaka, however, divides Dhuma into three classes only — viz.^ Prdyogika, Snaihika and Vairechanaka, and includes the Kasa-hara into the Prayogika, and Vamaniya into the Vairechana Dhuma.

\ The term Vairechana here means S'iro-Virechana by means of fumes.

X Some commentators mean to explain "f f^flcg^" as Ingudi and cardamom instead of as Ingudi-bark. This seems to be belter.

p. 654

such other emetic drugs should be used in the V^maniya-Dhuma. 3.

Formation of the pipe used in

Dhuma-Pana : — The pipe to be used in respect of an inhaler should be made of one or other of the same substances* of which the pipes of enema-syringes (Vasti-Nctra) arc made. The girth of such a pipe should be equal to that of the small finger at its mouth with an inner aperture or calibre as large as a Kaldya pulse, and its girth at the root or base should be equal to that of the thumb, while the girth of the inner apertureor near (at the root) should be sufficiently large to allow the Dhuma-Varti (made of S'ara weed) to fit in. The length of the pipe should be forty-eight fingcrsf in respect of a Prdyogika, thirty-two fingers in respect of a Snehana, twenty-four fingers in respect of a Vaircchana, sixteen fingers in respect of a Kdsaghna (anti-cough) and Vamaniya (emetic) Dhuma. The girth of the aperture (channel) should be equal to that of a stone of the Kola fruit in respect of the tube to be used in the last two cases (Kasaghna and Vdmaniya), The tube to be employed in fumigating an ulcer should be eight fingers in length and equal to a Kaldya pulse in outer girth, while the girth of the inner orifice should be sufficient to allow a Kulattha pulse to pass in. 4. The medicinal stick (Varti) should be lubricated