An English Translation of the Sushruta Samhita, Vol. III: Uttara-tantra — trans. Kaviraj Kunja Lal Bhishagratna (1916)
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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.
t The term “Dosha” here means S'leshma, Pitta, Rakta (blood) and the concerted action of the above three Doshas. It should be noted that Viyu is excluded from the list as it does not produce any secretion,
% Mâdhava does not mention this (painlessness) to be a symptom.
IO THE SUSHRUTA SAMHITX. C U *
Netra-nddi and are classified into four different groups, the different symptoms of which will be described presently. A suppuration (D. R. swelling) in any* of the unions (Sandhi) of the eye marked by a discharge of pus is called Puytf-sntva. This is due to the concerted action of the Doshas (Kapha, Pitta and blood). The secretion of slimy, white and thick muco-purulent discharges marked by the absence of pain * is called &eshnu(-srrfva. The flow of thin, warmf and blood-streaked copious discharge due to a contaminated state of the local blood is called Bakttf-srtfva. A warm, water-like and yellowish blue (D. R. reddish yellow) discharge from the middle part of the union (owing to the deranged condition of the Pitta) is called Pittft-srdva. 3.
Symptoms of Parvanl, etc. : — A small, round and copper-coloured swelling occurring at the joining of the Krishna-mandala and Sukla-mandala, due to the vitiated state of the local blood and attended with a burning sensation and aching pain, is called Parvaui. A swelling possessed of the preceding features and occurring at the very same joining is called Alaji (Keratitis) A cyst or swelling (Granthl) characterised by an itching sensation appearing on the joining of the eye-lids and eye-lashes owing to the germination of parasites (Krimi) in those localities, is called Krimi-granthi. Parasites of different forms in such a case are found to Infest the regions where the inner lining of the Vartmat According to Madhava’s reading thinness and warmness are not essential.
* According to Madhava’s reading, the absence of pain is not a necessary concomitant in this case.
t The difference between a case of Parranl and that of Alaji is that the swelling in a case of Parvani is smaller, and that in the Alaji is larger.
d»p. it ]
UTTARA-TANTARAM.
ir mandala (eye-lid) is connected with the ^ukla-mandala (Sclerotic coat) of the eye and to invade and vitiate the substaace of the eye-ball. 4 — 5.
Thus ends the second chapter of the U ttara-Tantra in the Sus'ruta Samhita which deals with the pathology of the diseases peculiar to the Sandhi (unions) of the eye.
CHAPTER III.
Now we shall discourse on the chapter which deals with the pathology of diseases peculiar to the region of the eye-lids (Vartmagata- Roga-Vijnaniyai i. Causes and Names s— The Doshas of the body jointly or severally expanding through the nerves and veins, (Sirft) of the eye-lids (Vartma) bringing about an augmentation of the quantity of the blood and the growth of the flesh in the localities (determination of blood toward formation of fleshy growth in the affected parts) give rise to a host of local diseases which are known as Utsangini, KumbhikA, Pothaki, Vartma-Sarkard. Arso-vartma, S>ushkdrrfas, Anjana, Bahala-vartma, Vartmâvabandha, Klishta-vartma, Kardama-vartma, Sydva-vartma, Praklinna-vartma, Pariklinna-vartma, Vâtdhata-vartma, Arvuda, Nimisha, £>onitarsas, Lagana, Visha-vartma and Pakshma-kopa. These twenty-one diseases are restricted to the eye-lids (Vartma). 2.
The Specific symptoms of the diseases of the eye-HdS S — The names of these have been enumerated ; now hear me describe their specific symptoms. A (rolled up and indented) boil or eruption (Pidakd) appearing along the lower eye-lid on its exterior side with its mouth or head directed inward is called Utsangini. A number of boils or pustules (Pidakd) to the size of a Kumbhikd seed appearing on the joint of the eye-lids and the eye-lashes and becoming inflamed after being burst is called Kumbhikrf * 3—4.
* This disease (Kumbhiid) is due to the concerted action of the three Doshas.
t Chap. HU
UTTARA-TAKTARAM.
p. 13
A number of red and heavy (hard) boils or pustules (PidakA) resembling red mustard seeds attended with pain, itching and exudation is called Pothaki. A rough and large pustule (Pidakd) surrounded by other very small and thick erythematous pustules (covering the entire length of the eye-lid) is called V artma-sarkartf.
S — 6.
Vegetations of small (D. R. soft) and rough papilse (Pidakâs) on the eye-lid resembling Ervdruka seeds and attended with very little pain are called Arso-vartma. Long, rough, hard, and numbed papilse (Amkura) on the eye-lid (2) are called {laghktfrrfas. 7 — 8.
A small, soft, copper-coloured pustule (PidakA) appearing on the eye-lid and attended with burning, pricking sensation and a slight pain is called an Anjana. Vegetations of pustules (PidakA) of equal size (D. R. — attended with hardness) occurring all along the eye-lid and resembling it (or each other) in colour are called Bahai a-vartma. 9-10.
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