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

easiness even if he drinks water. In the type due to the waste of the fundamental organic fluid (Rasa) which is known as Kshayaja thirst, the patient constantly drinks water in large quantity both in the day and in the night but still finds no relief. This type is attributed by several authorities to the concerted action of the three deranged Doshas and all the specifice symptoms due to the waste of the vital organic principle (Rasa) described before are expected there. 9 — 10.

Amaja and Annaja Thirsts— The symptoms of all the three (aggravated) Doshas in addition to pain in the heart, spitting and a sense of lassitude in the limbs are present in the type which is due to indigestion (Xmaja). The case of thirst which is produced by using extremely fatty and saline articles of fare, as well as those which are hard to digest is due to errors in diet (and is known as Annaja thirst). 1 1 — 12.

Prognosis : — A patient who has become extremely weak and deaf in consequence of thirst and who suffers from a mental stupour and lies with his tongue protruded and hung down should not be taken charge of (by a physician) for treatment. 1 3.

General Treatment Vomiting should be induced with a solution of powdered Pippali in a case of thirst in which the stomach of the patient becomes fully loaded (with water). A plaster composed of Dddinta, Amrdtaka and Mdtulunga is also beneficial. Drugs which are cooling in their virtue and potency should be applied in the three cases of thirst (due to the three Doshas). A gargle composed of a solution of powdered Amalaka with any acid drug (Mdtulunga, etc.) should be retained in the mouth for removing the bad taste in the mouth under the circumstances. Water made hot by immersing bits of heated gold, silver, etc ,

Chap. XLVIII.] UTTARA-TANTRA. 30 $

as well as pieces of heated stone or baked clay in it and taken in a tepid state, or cold water charged with sugar and honey, is possessed of the efficacy of allaying thirst. 14 — 16.

Specific Treatment A patient suffering from Vtttaja thirst would find relief by taking lukewarm and in a little quantity at a time the water boiled with the drugs of any of * the five Pancha-mula groups or with the drugs of the first group (Vidâri-gandhâdigana). A decoction of the drugs of the Pitta-subduing groups subsequently cooled and taken with the addition of honey and sugar, or milk duly boiled with the admixture of the drugs of the Jivaniya group (KâkoIyddi Gana) would allay a case of Pittajft thirst. Water duly boiled with Vilva , Adhaki , the drugs of the Kantaka-Pancha-mula \ and Darbha allays a case of Kaphaja thirst. Vomiting induced with the help of a draught of the infusion of tender Nimba- leaves taken lukewarm would likewise prove curative in such a case. 17 — 19.

The Pitta-subduing remedies and measures should, in the alternative, be applied in all types of thirst which cannot otherwise be allayed. The expressed juice or a decoction of ripe Udumvara should be taken with

* The five Pancha-mula groups are (i) The major pancha-mula, (2) The minor Paucha-mula, {3) The Valli Pancha-mula, (4) The Kantaka-Panchamula, (5) The Trina-Pancha-mula. See Chap. XXXVIII, Sutra sthftna.

f The Pitta-subduing groups are Utpalâli, $ 4 rivadi and K£ko1y£di . groups, t In place of ‘‘qRjqfTWy#!, etc.'*, some read “qrCWmrfcT etc., i.e. Kantaka (Gokshura) and the drugs included in the group known as viz. Pippali, Pippali-mula, Chavya, Chitraka and Ndgara.

The commentator K£rtika Kundu supports this: — Dallana. For Kantaka— Pancha-mula, see Chap. XXXVIII — Sutra-Sthdna.

p. 39

30 6 THE SU.SE TRUTA SAMHITX. [Chap. XLVIIL sugar under the circumstances. A thirst-afflicted patient should likewise drink the water duly boiled with the drugs of the Sdrivddi group sufficiently cooled down for the purpose. 20—21.

Water duly boiled with Kas'eru , S'ringdtaka , Padtna , Mocha (plantain-flower) and Vis'd is efficacious in allaying thirst incidental to hurt (Kshataja). Water containing Nilotpala , Us'ira and red Chandana should be kept in an open space during the night and a physician should give this well-scented water mixed with sugar and honey and with a large quantity of Drdkshd to the thirstafflicted patients on the following morning for their benefit. Cold infusions of the drugs of any of the Trinapancha-mula , Utpalddi and Madhura (D. R. the first group /.ft, VidcirigandhAdi) groups mixed with the drugs of the Sdrivddi group as well as that of the drugs of the Madhuka-pushpddi groups should be prepared in the preceding manner and prescribed. The six kinds of cordials (P£naka) separately prepared (in the preceding manner) with the (four kinds of) Rdjadana , Kshiri or Kapitana are also beneficial in such cases. Fruits of Tundikeri (wild KdrpAsa) and of Kdrpdsa pasted together (and dissolved in water) and taken internally would prove beneficial. A case of thirst incidental to any ulcer (Kshataja) is allayed with the stoppage or removal of the pain or by taking meat-soup or the blood (of deer, goat, etc.). 22 — 26.

A case of thirst due to the waste (Kshrfyaja) of any fundamental organic fluid (Rasa) is removed by taking draughts of clarified butter churned from milk ,*

* In P lac * s of and some read