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

UTTARA-TANTRA.

p. 343

with the treatment of alopecia (Indra-lupta) should be employed in cases of RomsCda worms {vis. where the worms would be found to have invaded the hairs of the body). Medicines enumerated in connection with the treatment of the diseases of the mouth should be prescribed in cases of Danttfda worms {vis. where the vermins would be found to have taken lodgment in the teeth). Cases where the worms would be found to have their origin in the vitiated condition of the blood should be treated as cases of Kushtha to all intents and purposes. The drugs of the Surasddi Gana, however, may be used in any shape * in any case (of Krimi). 17.

Diet S — Meals composed of the articles of bitter and pungent tastes as well as draughts of milk mixed with the soup of Kulattha - pulse are recommended. A person suffering from any complaint due to the presence of worms (Krimi of whatever kind) and seeking their destruction, should refrain from using milk, cooked meat, clarified butter, curd, pot-herb (edible leaves), things of acid or sweet tastes as well as cold things in general. 18.

Thus ends the fifty-fourth chapter in the Uttara-Tantra of the Sus'ruta Samhitd which deals with the (symptoms and) treatment of Krimi-Roga.

* Both internally and externally e. g. as a drink or bath.

CHAPTER LV.

Now we shall discourse on the chapter which deals with the (symptoms and) medical treatment of the disease due to the retention of any natural physical urging (UdsCvarta-Pratlshedha). i.

Causes S— A wise man valuing his life shall never repress any natural urging of his body, whether upward or downward, e. g. that of Vâyu, etc. Udivarta is 90 called from its origin from the repression of any natural urging such as Vdta (flatus), evacuation of bowels, micturition, yawning, lacrimation, sneezing, eructation, vomiting and discharge of semen when it makes its appearance (Udita) and urges a person to answer its call. Udivarta is also brought on by the repression of hunger, thirst, respiration and sleep. I shall now fully describe its symptoms and the mode of medical treatment to be pursued therein. It is of thirteen different types and are brought about through the aforesaid causes, over and above the one incidental to the habitual use of unwholesome food and drink (Apathyaja). 2-4.

Symptoms of Vdtaja Udrfvarta

The vital ApAna-Vdyu (at the anus) anyhow obstructed in its passage gives rise to distension and cramps in the abdomen, oppression and a constricted feeling at the heart, headache, laboured breathing, hiccough, cough, catarrh, catching pain at the throat which makes speaking and Deglutition difficult (Gala-graha), violent movement of deranged Pitta and Kapha all through the body and suppression of stools or emission of fecal matter through the mouth. 5.

Chap. LV.]

UTTARA-TANTRA.

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PurfShaJa Udavarta S— A repressed urging

for stool is followed by the exhibition of such symptoms, as rumbling in the intestines, severe pain (in the abdomen), cutting pain in the anus, upward coursing of the flatus, suppression of stool or even emission of feces through the mouth. 6.

Mutraja Udavarta S— A repression of the desire of making water is followed by scanty emission of urine which is often given out by painful drops producing distension of the bladder and an excruciating pain in the urethra, anus, scrotum and the inguinal regions and about the umbilicus, and sometimes even in the head, accompanied with distortion of features in consequence. 7.

A repression of yawning leads to wry-ncck (numbness of the Manyd and of the neck) as well as troubles of the head due to the incarcerated local Vdyu and violent diseases affecting the eyes, nose, ears and the mouth. Tears born of any mental condition of grief or joy and voluntarily repressed without being given free vent to, give rise to severe distempers of the eyes, heaviness of the head and catarrh (Pinasa). 8-9.

A repression of sneezing is followed by acute diseases of the head, eyes, nose and ears. A sense of fulness in the throat as well as the suppression and croaking of the incarcerated V6yu (wind) are also exhibited in this case.* The voluntary repression of any natural urging towards eructation gives rise to diseases peculiar to the derangement of the bodily Viyu. 10-11.

A repression of vomiting is followed by cutaneous

* The symptoms mentioned in this sentence (which comprises a line in the verse) is taken by MAdhava with the following line which enumerates the symptoms of Uddvarta due to the voluntary repression of eructation.

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34 ' the SUSHRUTA SAMIIITX. [Chap. LV.