An English Translation of the Sushruta Samhita, Vol. III: Uttara-tantra — trans. Kaviraj Kunja Lal Bhishagratna (1916)

THE SlfSHRUTA SAMHlTX. [dhap. xdlt

XLIV.) and mixed with the scented drugs (mentioned in the Sutra-sthdna, Ch. XLIV). - An adequate quantity of fermented-ricc boilings (DhanyAmla) with a profuse quantity of Vidanga should then be internally administered, whereby the worms would be dislodged from the hearts (and expelled through the lower orfices of the body). A diet consisting of cooked barley grains saturated with powdered Vidanga should then be given to*tlie patient. 12.

Thus ends the forty-third chapter of the Uttara Tantra in the Sus'ruta Samhiti which treats of the (symptoms and) treatment of Hridroga.

CHAPTER XL1V.

Now we shall discourse on the chapter which deals with the (symptoms and) medical treatment of Jaundice, etc. (Pandu-roga Pratishedha). r. * Etiology and Nomenclature The deranged bodily Doshas of a person addicted to sexual excesses* or to eating clay or salts or articles of keen potency and of acid or saline taste or to strong liquors in excessive quantities or to sleeping in the day, contaminate the blood and produce a yellowish (Pându) colour of the skin. This is known as Pându-roga and is divided into four distinct types f according as they are severally originated through the action of the deranged Vdta, Pitta, or Kapha, the fourth being the one incidental to their concerted action. The disease has got the name of Prfudtt-roga from the fact that a deep yellow (Pându) colour is imparted to the skin of the patient suffering therefrom. 2

Premonitory symptoms Cracking of the skin, salivation (spitting) a sense of lassitude in the limbs, (desire for) eating clay, swelling of the eyelids, yellow r colour of stool and urine, and indigestion arc the premonitory symptoms which usher in an attack of Pându-roga. The diseases known as Kdmald-PâlakiPindu (popularly called KAmalA), Kumbha-Kimald,

* Mddhava in his Niddna reads “Vyaydma” (physical exercise) in the place of “Vyavdya” “sexual enjoyment.” Charaka, however, includes both “Vyavdyd” and Vydydma” in the long list of the causes of Pdndu-rogo.

t A variant reads that Pdndu-roga is of eight kinds* In that case the four different varieties of Pandu, separately mentioned below should be added to the four kinds mentioned here. Charaka says that Pdndu-roga. is of five different tvpps : — by separating and adding the one due to the eating of day to the four kinds enumerated here. ,

2*]0 THE SUSHKUTA SAM HIT A. [Chap. XLlV.

Ldgharaka and Alasa (otherwise known as Halimaka) are all included within Jaundice (PAmdu-roga), the characteristic symptoms of which are fully enumerated in succession below. 3-4.

Specific Symptoms 5— A black colour of the eyes and of the skin marked by the prominent appearance of black-coloured vein (on the surface), black colour of the stool and of the urine, blackness of the face an4 of the finger-nails as well as other symptoms characteristic of the deranged bodily VAyu are manifested in the Vrftaja type of Pandu. Yellowness of the eyes and of the skin marked by the appearance of veins (S*irA) of the same colour (on its surface), yellowness of the stool and of the urine, yellowness of the face and fingernails and other specific symptoms of the deranged Pitta, mark the Pittaja type of the disease. Whiteness of the eyes and of the skin, marked by the appearance of veins of the same colour (on its surface), whiteness of the stool and urine, whiteness of the face and of the finger-nails and other specific symptoms of the deranged Kapha mark a case of the Kaphaja type of the disease. AH the preceding symptoms are exhibited in a case of the Sshmipstta type. Now I shall describe the symptoms which mark the disease known as KAmalA. 5 -8.

The Pitta of a patient suffering from any disease not radically cured gets deranged by the use of any v acid, or unwholesome food or drink, and imparts a (deep) yellow tint to his complexion and produces physical weakness as well as all the specific symptoms (of PAndu-roga) described above. This disease is known as Kstmâlrf. When it is accompanied by a general swelling (edema) of the body and a crushing pain in the joints, is called Kumbha-K4ma&, which, when it developes in its course such symptoms as fever,

Oi»p. XUV.] UTTARHANTRA. 271