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

The vein should be incised with a Vrihimukha instrument at a distance of two fingers above the seat of the Kshipra-marma in such diseases as Padadaha, Pada-harsha, Ava-vahuka, Chippa, Visarpa, Vata-rakta, Vata-kantaka, Vicharchika, Padadari etc. The mode of opening a vein in the case of Slipada (Elephantiasis)

* In medicinal preparations, a Prastha measure is understood to be four seers in the casj of liquids, but in cases of excreta due to emetic and piLjgalive measures and of blood-letting, • a Prastha U meant to be thirteen Palas and a half only.

[Chap. VIII. SARIRA STIIANAM.

p. 203

would b2 described under the treatment of that disease. In Vata-rogas, such as Kroshtuka-s'irah (Synovites), maimedness (Pangu) and lameness (Khanja\ the S'iia (vein) of the Jangha (lower leg-calf), four fingers above the Gulpha, should be opened. In cases of Apachi (scrofula"), the vein should be opened simultaneously with the appearance of the disease two fingers below the Indravasti-marma. In a case of Gridhrasi (sciatica^ the vein should be opened four fingers above or below the Jdnu (knee-joint). In a case of goitre, the veins attached to the roots of the Uru (thighs) should be opened. The instructions regarding the opening of a vein in one leg shall hold good in the case of that in the other, as well as in cases of those situated in the two upper extremities (hands), but the speciality is that in a case of enlarged spleen, the vein near the Kurparasandhi (elbow-joint) of the left hand or that inside the fourth and the fifth fingers should be opened. Similarly in a case of Yakriddalyodara or Kaphodara, the corresponding vein in the right hand should be opened. Several authorities advise the opening of the same vein in cases of cough and asthma* due to the action of the deranged Kapha. 27-35.

In a case of Vis'vachi, the same argument holds good (four fingers above or below the Kurpara-sandhi) as in a case of Gridhrasi. In a case of Pravahika (diarrhoea) attended with Sula (colic), the vein within two fingers width around of the Pelvis (Sroni) should be opened. The vein of the penis should be opened in a case of Parikartika (D.R.-Parivartika), Upadans'a, S'uka-dosha and seminal disorders. The vein on either side of

• Gayi holds Ihat in cases of asthma and cough venesection should be hal recourse to only when they are in a mild form.

2Cl\ TllK SUSIIRUTA SAMIIITA. Chap. VIII.]

the scrotum should b::^ opened in a case of hydrocele (Mutra-Vriddhi). 36-39.

Th2 vein four finders below the navel and on the left side of the Sevani (suture) should be opened in a case of Dakodara (ascites). In a case of internal abscess and c )lic in the sides (Pleurodynia), the vein in the region between th3 breast and the left armpit should be opened. Several authorities assert that in a case of Avavahuka and Vahus'osha (atrophy of the hand), the vein between the Amsas (shoulders) should be opened. In a ca?c of Tritiyaka (Tertian) fever, the vein inside the Trika-Sandhi should be opened. In a case of Chatiirthaka fever, a vein joined with either side of and below the shoulder-joint should be opened. In a case of Apasmara, the middle vein adjacent to the joint of the jaw-bones (Hanu-Sandhi) should be opened. In a case of insanity and hysteria* (Apasmara), the vein between the temple and the edge of the sculp or those in the Ap'inga (tips of the eyes), the forehead or the chest should be opened. In cases of the diseases of the tongue and the teeth, the veins on the under-surface (Adho-Jihva) of the tongue should be opened. In the case of a disease of the palate, the local vein should be opened. In diseases of the ears and specially in a case of inflammatory ear-ache (Karna-Sula), the vein along the region above the ears should be opened. In diseases of the nose and specially in a case of the loss of the smelling faculty, the vein at the tip of the nose should be opened. In cases of eye-diseases, such as