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

Such swelling of the eye-lid attended with an itching sensation and a slight pain as impedes or interferes with its being evenly opened is called Vartma-bandha. A mild and copper-coloured inflammatory swelling of both the eye-lids simultaneously attended with a slight pain and changing suddenly into redness (D. R. — suddenly discharging blood therefrom) is called Klishtavartma. 11-12.

A case of Klishta-vartma in which the Pitta has deranged and affected the blood antf much dirty matter (mucus) is discharged as a consequence is called a case of Vartraa-kardama. A dark brown colour of the eye-lids both internally and externally marked by a

(2) According to Mâdhava, the papilse in such cases occur in the inner side of the eye-lid.

14 THE SUSHRUTA SAMHITX. { Ch*p. III.

swelling (D. R. — pain) and attended with a discharge of pus and with burning and itching sensations is called tfydva-vartma. 13-14An external swelling of the eye-lid with a deposit of mucous matter in its inner surface accompanied with a little pain as well as a discharge, itching and pricking sensation, is called a Praklinna-Vartma. A sticking together of the eye-lids even in the absence of any suppuration and in spite of the eyes being constantly washed (with water) * is called Pariklinna-vartma. 15 — 16.

The drooping down (lit. — inactivity) of the eye-lids, whether attended with any pain or not, (so as to obstruct the opening of the eye-lashes) where the eyelids seem to be out of joint is called VârfhatarVartma. A red and knotty swelling (Granthi) of an uneven size or shape, growing hastily on the interior side of the eye-lid and attended with a little pain is called an Arvuda or tumour. 17 — 18.

Constant wrinklings of the eye-lids owing to the incarceration of the (deranged) Vâyu within the nerves or veins (Sir&) controlling their wrinkings (closing and opening) are known as Nimesha. Soft and fleshy growths (Amkura) on the eye-lid which reappear even after being removed with a knife, and are attended with pain, itching and burning sensation are called fiiomtâsas and should be ascribed to the vitiated condition of the blood. 19-20.

A thick, slimy, hard and painless nodular swelling (Granthi) on the eye-lid resembling a Sola fruit in size and marked by an itching sensation and absence of suppuration is called Lagana t* An inflammatory swelling

* A different reading reads ‘whether washed or not.* This, however, not a good reading, t Certain editions read Nagaaa*

Chap. III. ] uttara-tantaram. i 5

of the eye-lid dotted with minute punctures like the pores in the stem of a water-soaked lotus plant is called

Visa-vartma. 21-22.

An accumulation of the deranged Doshas about the eye-lashes makes them rough and sharp-pointed, which give pain to the eye and give relief when drawn off. The disease is known as Pakshma-kopa in which the eye cannot bear the least wind or heat or the glare of fire. 23.

Thus ends the third chapter of the Uttara-Tantra in I he Sus'ruta Samhitd which deals with the pathology of the diseases of the eye-lids.

CHAPTER IV.

Now we shall discourse bn the chapter which deals with the pathology of diseases of the Sclerotic coat (white coat) of the eye (8taklagata-Roga«Vijndniya). i.

Names 5—' The eleven different forms of diseases which are peculiar to the Sclerotic coat (white) of the eye, are Prastftryarma, Suklftrma, Kshatajârma (Rakt 4 - rma), Adhimâns£rma, Sndyvarma, Suktik&, Aijuna, Pishtaka, Sir&-j<Ua, Sirii-pidak<i, and Balâsa-grathita. 2.

Symptoms : — A thin and extended glandular swelling (Granthi) coloured reddish blue and apearing on the Sclerotic coat (Sukla) is called Praâtrfryarma. A crop of soft and whitish growths slowdy extending over the entire length of the Sclerotic coat is called Siuklâma. The fleshy growth on the white coat of the eye resembling a (red) lotus flower in colour is called Lohitrfrma. The soft, extended, thick and darkbrown and liver-coloured growth of flesh on the white coat is called Adhi-mtfnssfrma. The rough, yellowish (D. R. white) growth of flesh on the white coat, and gaining (slowly) in size, is called Sndyvarma. 3-7.

The appearance of dark brown specks resembling flesh in colour or of those having the colour of an oyster-shell on the white coat (Siukla) of the eye is called Sluktikat The appearance of a single dot or speck on the Sclerotic coat (£>ukla), coloured like a (drop of the) hares blood, is called Arjuna. A raised and circular dot or speck appearing on the white coat and coloured white like pasted rice and (as transparent as) water is called Pishtaka. Red and extensive patches of hardened veins spreading over the white coat and looking like a net-work is called Sirft-jrfla. The

Chap. IV. UTTARA-TANTARAM. 17