An English Translation of the Sushruta Samhita, Vol. II — trans. Kaviraj Kunja Lal Bhishagratna (1911)
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The translator’s English as printed (Kunja Lal Bhishagratna). The original-language text is not held; names are romanised as the translator printed them.
Incurable Types : — A case of an internal abscess suppurating about the heart, bladder or umbilicus as well as one of the Tridosha type (appearing in any part of the organism) should be given up as incurable. The abscess in which the marrow suppurates (generally) becomes fatal. The suppurating process in an internal abscess, which generally affects the underlying bone, is sometimes found to affect the marrow. The suppurated marrow, failing to find an outlet on account of the compactness of the local flesh and bone, produces a sort of burning sensation in the locality which consumes the body like a blazing fire. The disease confined to the bone, like a piercing dirt, torments the patient for a considerable length of time. An incision (made into the affected bone) is followed by the secretion of a fat-like, glossy, white, cold and thick pus. Men, learned in the knowledge of the Medicinal Sastras, designate such an abscess as an Asthighata-Vidradhi (abscess of the bone) which involves all the three kinds of deranged Doshas, and is attended with various kinds of pain w hich mark them respectively. 25-26.
Thu'^ rnrls th' ninili Chapler of the Nidanasthanam in ihe Sii^'mta Siimliiid which treats o(the celiology of absccs.?.
CHAPTER X.
Now we shall discourse on the Nidanam of Visarpa (erysipelas), Nadi (sinus) and Stana-roga
(diseases affecting the mammae of a womanl i.
Definition of Visarpa :— The deranged and aggravated Doshas, (Vayu, Pittam and Kapham) having recourse to, and affecting the Tvaka (Skin), flesh and blood, speedily give rise to a sort of shifting, elevated swelling ( Sotha) marked by the characteristic symptoms of any of them involved in the case. This swelling tends to extend all over the body. The disease is called Visarpa from the fact of its extending or swiftly shifting character (Skr. srip —to go, to extend). 2.
The Vataja Type :— The swelling (Sotha) is soft and rough and assumes a black colour attended with an aching pain in the limbs and a cutting or piercing pain (in the affected locality). It is further marked b}' (all the usual! symptoms of the Vatika fever. A case of this type in which uneven flame coloured \esicles or bulbs appear on the affected part through the extreme vitiation (of the Vayu and Pittam) should be given up as incurable. 3.
The Pittaja and Kaphaja Types : - The
Pittaja Visarpa (erysipelas) rapidly extends (over the body, attended with severe fever, a burning sensation, suppuration and cracking (of the skin . A large number of vesicles appears on the spot which assume a blood-red colour. A case of this t}'pe, characterised by the destruction of the local flesh and veins owing to the excessively aggravated condition of the deranged Doshas (Kaphha and Pittam) and a
68 Tin: SUSllKUTA SAMIIITA. [Chap. X.
coll}'rium-likc black colour (of the swelling), should be regarded as incurable. The Kaphaja Visarpa extends slowly and the process of suppuration is tardy. The affected part becomes white, glossy and swollen, and is marked by a slight \n\.\n and excessive itching. 4-5.
The Sannipatika Type : -The Visarpa of the Tridoshaja type is deep-seated and the affected part assumes all colours and is attended with all sorts of piin which are peculiar to the three aforesaid types The local flesh and veins arc destroyed in the suppurating stage (jf this disease and hence, it shouldbc looked upon as incurable 6.
The Kshataja Type (Erysipelas due to a wound or an ulccri:— The Pittam of a person with a temperament marked by the extreme aggravation of all the three Doshas, in conjunction with the blood, resorts to a wound* in his body and immediately gives rise to Erysipelas (Sopha— lit rash) which assumes a reddishbrown colour, with high fever with a burning sensation, and suppuration in its train, and it is found to be covered with black vesicles to the size of Kulattha pulse. 7.
Prognosis ;— The Vataja, Pittaja and Kaphaja Visarpas are curable ; the Sannipatika and Khataja ones being incurable. The symptoms, which indicate an unfavourable prognosis in a case of Vataja or Pittaja Erysipelas, have been described before Those, which attack the vital parts (Marmas) of the body, can be cured only with the greatest difficulty.f 8.
• Or through the extreme augmentation of all the three doshas in the ulcer (Sadyah kshata-Vrana) according to others.
+ Golden coljured (yellow) Erysipelas due to the action of the (deranged) Tillam is incurable (PiKatrni A'anchana-vapuscha ia hA na sydhyei.).—D. K.
p. 69
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