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.
affections (Kushtha) due to the bodily Doshas which, being vitiated, had interfered with the gastric digestion with reactionary acidity and produced the vomiting.. Painful swelling of the bladder and of the scrotum, and about the anus as well as suppression of urine, formation of gravels in the bladder and involuntary emission of semen are the symptoms which manifest themselves in a case of repressed seminal discharge. 12-13.
Ungratified hunger brings on drowsiness, aching pain in the limbs, disrelish for food, sense of exhaustion, and weakness of eye-sight. An ungratified thirst brings on dryness of the throat and mouth, dulness of hearing and pain at the heart. A suppression of breath in an exhausted person brings on cardiac troubles, fainting fits and an attack of Gulma. An unindulged sleep produces yawning, aching pain in the limbs, and a sense of heaviness in the limbs as well as in the head and the eyes. It may also bring on drowsiness. 14-17.
Prognosis • — An Udâvarta-patient afflicted with thirst and cramps (Sula), vomiting fecal matter and suffering from weakness and a distressing exhaustion should be given up by a wise physician. 18.
General Treatment in ail forms ofUdAvarta the preliminary treatment generally consists in restoring the deranged and incarcerated bodily Vrfyu to its normal course and direction. Now hear me again describe the specific medicinal remedies to be separately employed in each case. 19.
Specific Treatment s— in a case of Vtftaja Udâvarta the patient should be first treated with a Sneha and Sveda (fomentation) after which medicinal injections should be made into the rectum after the manner of an Asthdpana-vasti. In a case due to the incarceration of feces in the intestines ( Purishaja ), the remedial
Chap. LV.] UTTARA-TANTRA. 347
measures and medicines laid down in connection with the treatment of Andha should be employed. 2&-2T.
Wine charged with a large quantity of Souvarchala - salt should be administered in a case due to the retention of urine* Milk or Eld should also be taken in combination with wine. The expressed juice of Dhdtri diluted with water should be taken for three successive days ; or the expressed liquid of the dung of a horse or of an ass should be taken ; or wine made from treacle (Goudika) should be taken with honey and cooked meat should beltaken by biting at intervals. One Told weight of the compound consisting of Bhadra-ddru , Musta, Murvd , Haridrd and Yashti-madhu shonld be dissolved in an adequate quantity of rain-water and then be taken. The expressed juice of Duspars’d (Durd-labhd) or an infusion of Kum-kuma (D. R. — decoction of Kakubha i e . Arjuna' should be taken, or Ervdruka- seeds mixed with a little salt should also be taken with water. Milk duly cooked with Pa ticha-mula* or the expressed juice of Drdksha should be prescribed. The medicinal remedies previously described h s possessed of the efficacy of disintegrating gravels, (Asmari)f should be administered. Similarly, all the measures to be mentioned hereafter in connection with the medical treatment of Mutra-krichchhra { (strangury) and of Mutrdghdta § (obstruction of urine) which I shall have occasion to deal with later on should also be adopted in this case. 22.
A case of Uddvarta due to the suppression of t For As'mari— See Chiktisita-sthana, Chapter VII.
* Both Dâllana and S'ivadasa recommend the use of minor Panchamula, but S'rikantha recommeds the Trina-Puncha-mula.
% For Mutra-Krichchhra— See ch. LIX., Uttara-Tantra.
| For Mutr4ghat6— See ch. LVIII., Uttara-Tantra
3^8 THE SUSHRUTA SAM HIT A [Chap. LV.
yawning should be conquered with the applications of Sneha and of Sveda (fomentation). The patient should be treated with Sneha and then fomented and lachrymation should then be induced (with appropriate remedies)* in a case where the flow of tears has been suddenly checked. Sneezing should be induced with the help of strong Anjanas and Avapidas, or by the application of Vartis, or by holding any strong smell at his nose or by blowing any strong medicinal powder into the nose (Pradhamna) or by making the patient look towards the sun (or such like luminous body) in a case of Uddvarta due to the suppression of sneezing. 23—24.
In a case of Udâvarta due to suppressed eructation, the patient should be made to inhale the fumes of oily or lardaceous articles in due orderf or to take draught of wine surcharged with Souvarchala - salt and the expressed juice of Vija-pura . A case of Udavarta due to suppressed \romiting should be duly conquered with emulsive measures (treating with a Sneha), etc., according to the nature of the deranged bodily Dosha involved in each case. In the alternative unguents with (Saindhava) salt and (Yava-) Kshara should be applied. 25 — 26.
Milk should be duly cooked with the admixture of four times as much water and- with the drugs of bladder-cleansing virtues J and boiled until all the water is evaporated. Draughts of this medicated milk should be prescribed in copious quantities in a case of Udavarta due to the retention of seminal fluid and the patient
* These are the applications of strong Anjanas and Avapida-Nasyas.
+ The order is (i) Dhuma-inhalation, ( 2 ) Nasya (errhine) and (j) Kavala (gargle)
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