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

aching* pain in the limbs, vertigo, physical langour, drowsiness and emaciation comes to be known Lagharaka. This, in its turn, when marked by an excessive preponderance of the deranged V£yu and Pitta is called Alasa, otherwise known as Halimaka, by those who are conversant with its nature. 9-12.

Supervening Symptoms Aversion to food, thirst, vomiting, fever, headache, dulncss of appetite, swelling about the neck, weakness, epileptic fits, exhaustion and a pain in the region of the heart arc included their distressing concomitants. 1 3.

General Treatment : — Having ascertained the curable nature of an attack of Pandu-roga, the patient should be treated with clarified butter*. He should then be purged and vomited with the compounds containing powdered Haritaki mixed with a copious quantity of honey and clarified butter. Clarified butter duly cooked with turmeric or the one known as Traiphala-Ghriita + as well as the one known as TailvakaGhrita J may also be used for the purpose. Drugs possessed of purgative properties should also be taken in combination with clarified butter (or clarified butter duly cooked with purgative drugs should be prescribed). Half a Pala (four TolAs) of Nikumbha duly cooked in an adequate quantity (eight Palas) of the urine of a she-buffalo should be daily used. Similarly half a Kudava measure of treacle mixed (D. R. duly cooked)

* Some say that the Sneha used should be the Kaly^naka-Ghrita (Ch. LX II.). Others says that simply matured clarified butter should be used.

t Traiphala-Ghrita may mean either the Ghrita duly cooked with Tri-phald or the one known as Traiphala-Ghrita mentioned in. *

£ Similarly Tailvaka-Ghrita may mean the Ghrita of that name mentioned in Chap. V. Chikitsita-st^na or the one duly cooked with Tilvaka.

2J2

THE SUSUKUTA SAMHITA.

tChap. XUV, with pulverised Haritaki should be taken by the gatient. A decoction of the drugs of the Aragvadhddi group, may be likewise prescribed for internal use. Powdered (dead) iron mixed with pulverised Vyosha and Vidanga , or powdered Haridrd* and Tri-phald should be licked up with honey and clarified butter, f Any other medicinal compound mentioned anywhere as remedial to Gulma should also be administered. 14.

The aggravated Doshas should be gradually eliminated from the system in as much as an quick and excessive elimination of the Doshas under the circumstances might produce swelling in the patient. Either the expresed juice of Dhdtri or of sugar-cane, or a Mantha J should be taken with honey by a patient and he should take wholesome diet. 15-16.

Clarified butter duly cooked with the Kalka and decoction of the two kinds of Vrihati , Rajani , S'ukdkhyd (1 S'ukcbs'itnbi ), Kdkddani , Kdkamdchi , Addri-vimbi and Kadamba-pushpi ( Bhumi-Kadambd ) should be taken as a remedy for Ffitadtt-roga. Pippali - powder dissolved in milk should also be taken according to the condition of the appetite. The use of a decoction of YashtitnadhUy or of powdered Yashtwnadhu mixed with honey would likewise prove efficacious. Powdered

* Here we have followed Dallana in the text. Some take Haridri to mean DAm-Haridri.

+ According to Charaka’s recipe, however, we find that the two compounds here have been combined into one and there we find the definite mention of D4rvi (Diru-haridrd). In our practice also we follow Char aka in this case.

t Mantha is prepared by mixing powdered grains of barley with clarified butter and a copious quantity of water. Some commentators, however, on the authority of other medical works, are of opinion that in cases of P4ndu (jaundice) the word “Mantha*’ is technically used for the preparation of the powdered grains of barley mixed with the expressed juice of A'malaki and of sugar-cane and with honey.

Chap. XLIV.j

UTTARA-TANTRA,

p. 273

leaves of Tri-phald and powdered (dead) iron should be frequently taken as an electuary in combination with cow's urine. A compound composed of powdered coral, pearl, antimony and conch-shell, or powdered Giru mrittikd (ferrugnious earth) should be similarly used by the patient. 17-18.

A compound consisting of half a seer of powdered goat’s dung together with a Pala weight of each of the drugs known as Vit- salt, Haridrd and Saindhava-s alt, should be licked with honey by a patient living on wholesome diet. A compound of Mandure (iron-rust), Agni (Chitraka), Vidanga, Pathyd , Tri-katu all taken in equal parts with Tdpya (Svarna-mâkshika) equal to their combined weight should be duly soaked in cow’s urine and formed into a lambative with the addition of honey, the same being prescribed for an immediate cure of a serious type of Pdndu-roga. 19-20.