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.
Urethral-injections composed of the aforesaid drugs should be applied (after the manner of Uttara-vasti) in the event of bleeding from the bladder. Measures laid down in connection with the treatment of Rakta-pitta should be resorted to in cases of bleeding-piles. In cases of menorrhagia as well as in cases of excessive bleeding incidental to any surgical operation, the above measures (of the medical treatment) should be adopted by an experienced physician. The subsequent treatment of the cases should be determined by the nature and intensity of the deranged bodily Doshas as well as of the blood involved therein. 28- 29.
Thus ends the forty-fifth chapter of the Utlara-Tantra in the Sus'ruta Samhild which deals wifh (the symptoms and) the medical treatment of Rakta-pitta.
CHAPTER XLVI.
Now we shall discourse on the chapter which deals with (the symptoms and) the medical treatment of fainting fits (Murchchhsf-Pratishectha). i.
Defi nation S — The deranged and aggravated Doshas of the body of a person who is emaciated or accustomed to the use of incompatible articles of food or who has become very weak on account of a sudden suppression of his natural urgings or of any external blows or injur>’ give rise to fainting fits. The deranged bodily Vayu, etc. choking up the sense-carrying nerves of the body, produces that giddy state in a patient in which the world seems to vanish from the eyes of the afflicted person and the perception of the pleasure or pain is suspended for the time being. The patient, in consequence of this suspension of the sense-perception drops down insensible as a log of wood and this disease is called Murchchha or Moha (fainting). It admits of being divided into six kinds or types according as an attack is due to the action of the deranged Doshas separately or to that of blood, wine or poison, but a predominance of the deranged Pitta may be detected in all forms of the diseases due to any cause whatever. 2.
Premonitory Symptoms s— Pain or oppression of the heart, yawning, lassitude, loss of consciousness and of strength arc the symptoms which usher in an attack of the disease (MurchchhA) according to the nature of the deranged bodily Dosha lying at its root. 3.
The natural elements, water (Ap) and earth (Kshiti) abound with the attribute of Tamas (insensibility). A smell of blood also contains the same attribute, Tamas.
p. 286
THE SUSHRUTA SAMHITX. tChap. XLVL
It is therefore that persons generally lose their consciousness at the smell of blood. Several authorities hold that the loss of consciousness in these instances happens in virtue of the natural properties of the thing itself, viz., blood, wine and poison which also possess these properties in a greater degree and it is therefore that an use of cither of these substances suspends animation and produces Moha (fainting). 4-5.
Symptoms* — Acascof Murchchha (fit of unconsciousness) due to the effects of (deranged) blood is characterised by stiffened condition of the limbs and by the fixedness of the eyes (Drishti) and by deep breathing. Delirious talks, mental aberration and the state of the patient convulsively lying flat on the earth until the wine is perfectly assimilated into the system are the symptoms of a case of Murchchhd due to the effects of wine ; while shivering, drowsiness, thirst and numbness of the body) attended with the specific symptoms of poisoning form the general characterstics of the type due to the effect of poison. 6.
General Treatment S— Constant sprinkling of water over the body (water-spray) plunge-bath in cold water, contact of cold gems and garlands of flowers, cold plasters and compresses, (cold) breeze and fanning, cold and perfumed drinks and cooling measures in general are efficacious in all cases of the desease under discussion. Cordials prepared with the expressed juice of IkshUy Piydla and Drdkshd and with sugar or with the expressed juice of Drdkshd and Madhuka ( Maula ) or those prepared by boiling Kdsmarya and Khatjura or clarified butter duly cooked with the drugs of the Jivaniya group with the d**ugs of the Madhura group, or the essence of Jângala meat in combination with the expressed juice of pomegranate should be taken in a
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