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

Pittaja and Kaphaja types s— Clarified butter should be constantly used with milk in the Pittaja type of the disease. Piyasa * duly prepared with the admixture of Yashtt-madhu and clarified butter, should also be taken. Lambatives composed of the powdered drugs of the Madkura (Kâkolyddi) group saturated with honey and clarified butter, or of powders of S'atdvari or of V aid should be similarly taken. Powders of pungent drugs should be taken with a copious quantity of cow’s urine or licked with oil and honey in a case of the Kaphaja type of Svara-bheda. 12 — 13.

Medoja, Kshayaja, etc., Types The

medical treatment in the case of the Medoja type of Svarabheda should be the same as in the Kaphaja type. The medical treatment of the Tri-Doshaja and Kshayaja types of the disease should be taken in hand without holding out any hope of recovery. Milk f duly cooked with the drugs of the Madhura group should be taken in combination with sugar and honey in a case due to the effects of loud speaking. 14— 1 5.

Thus ends the fifty-third chapter of the Uttara-Tantra in the Sus'ruta Samhitd which deals with the {symptoms and) treatment of hoarseness* f Milk of a cow or of a sbe-buflalo, etc*, may be used ^ere*— Dallana.

* Pstyasa is a Special preparation of rice boiled with milk and sugar.

p. 43

CHAPTER LIY.

Now we shall discourse on the chapter which deals with the (symtoms and) medical treatment of worms

(Kr I m 1 - Roga - Prat ished ha) i.

Causes The Pitta and Kapha of the body are aggravated by such causes as eating before the digestion of a previous meal, excessive use of any indigestible, uncongenial, incompatible or filthy articles of fare, sedentary habits, partaking of cold, heavy or fatty meals, sleeping in the day-time, excessive use of Mdsha, cikes, Vidala (cereals), Visa (lotus stems), S'dluka (bulbous root of the lotus), Kas'eruka, pot-herbs, Surd (wine) S'ukta (a kind of fermented rice-gruel), curd, milk, treacle, sugar-cane, Palala (dried plants of corn), flesh of Anupa animals, Pinydka (oil cakes), Prithuka (Chipitaka), and such other articles of fare as well as by the use of sweet, acid and liquid articles. They help the germination of parasites of various shapes in the different parts of the body, Amdsaya (stomach) and Pakvds'aya (intestines) being their principal seats or location. 2.

Classification : — The worms or parasites (which are found to germinate and grow in a living human organism) are divided into twenty different species, and have their origin either in feces, Kapha or blood *. Now I shall enumerate their names and characteristic features. 2 — 3.

Names and Symptoms of Purishaja

Worms S — The seven kinds of worms which are

* Charaka speaks of another kind viz. Malajft (produced from the external filth of the body), over and above that kind of worms which are present in every organism from the very birth (Sahara)*

Chap. LIV.] UTTARA-TANTkA, 339

known as Ajava, Vijava, Kipya, Tripya, Gandu-pada, Chum and Dvi-mukha, originate from feces (Purishaja). They are white and extremely attenuated in their size. They frequent the passage of the rectum and produce a pricking pain (therein). Several of them are thicker and have tails. Cramps (Sula), dulness of appetite, yellowness of complexion, distension of the abdomen, loss of strength, water-brash, aversion to food, heart-disease (Hrid-roga) and looseness of stool, are the symptoms which mark the presence of worms (in the intestines), which originate in the feces. Of these Gandu-pada worms are red and long in their shape producing such symptoms as cutting pain (J>ula), rumbling sound in the intestines, looseness of stool, and indigestion and they come out of the anus with an itching sensation. 4 — 5.

Names and Symptoms of Kaphaja

Krimi: — Those known as Darbha-pushpa, Mahdpushpa, Praluna, Chipita, Pipilikd and Ddruna,have their origin in the deranged Kapha. They are either hairy or have hairs only on their heads, or are marked with brown spots on their sides or are provided with tails. They are white and small-sized like fresh paddy-sprouts. They eat away the marrow and bore into the eye-balls, the palate and the ears and produce head-ache, cardiac troubles (Hrid-roga), vomiting and catarrh. 6 — 7.

Names and Symptoms of Raktaja

Krimi The names of the worms originating from the vitiated blood are Kesâda, Romdda, Nakhâda, Dantida, Kikkisa, Kushthaja and Parisarpa * They are either black or blood-coloured, glossy and thick and

* The names of these worms have been derived from the nature of their actions on the different parts of the organism.

340 THE SUSHRUTA SAM HIT*. [Chap- LIV.