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

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page 130

The translator’s English as printed (Kunja Lal Bhishagratna). The original-language text is not held; names are romanised as the translator printed them.

A pulverised compound of Pathyd> Vâchd, Hingu , Kalinga (Indra-yava), Grinja (a variety of garlic), Souvarchala and Ativishd taken with tepid water instantaneously relieves an attack of indigestion, colic, VisuchikA and an aversion to food. The medicine known as Kshtfrtf-gada (Kalpa — chapter VII) or Vit- salt, or mustard-seeds and a profuse quantity of treacle, should be taken (with tepid water). Sain • dhava ) Hingu , Vija-pura , (D. R. seeds of £>Aka), clarified butter and the two Tri-vargas (Tri-phalA and Tri-katu) in combination with any fermented gruel (KAnjika), or Tri-katu and Saindhava- salt mixed together with the milky exudation of Snuhi , should be taken (with KAnjika). In the alternative, the medicated salt known as Kalystna-Lavana described before under the treatment of VAta-vyAdhi should be t*aken (with KAnjika). Pippali t Yamdni and Apdmdrga , or Pippali and Danti in equal parts should be similarly taken. Pippali mixed with Danti should also be used with the expressed juice of Koshdvati (GhoshA). Pippali and S r unthi should also be taken with hot water. 1 1.

The drugs known as Vyosha ( Tri-katu ), Karanja-ixuits (seeds), the two kinds of Haridrd* and the root of Mdtulunga taken in equal parts should be pounded together, made into GutikAs (or pills) and dried in the shade. The application of these pills as an eye-salve (Anjana) along the eye-lids proves curative in cases of VisuchikA.f 12.

* Chakrapâni reads Haridrd in the singular number.

f Some here read the following two compounds as an additional text s—

Kushtha, Aguru, Patra, Râni, S'igru, Vach £ end Tvak should be

Ciap. tVLJ tJTTARA-TANTRA. 3S5

Diet S— Digestive and appetising Pey 4 , etc, should be given to the patient when he experiences a good hunger after he had been fully treated with a course of emetic or purgative or kept fasting for a proper period. 13.

Causes and Symptoms of Anrfha:*-

The disease in which Ama (undigested food) or fecal matter, gradually incarcerated (in the stomach) through the action of the deranged and aggravated local VAyu fails to find its natural outlet, or is not spontaneously evacuated is called Anrfha (Enteritis ?).

A case of Anâha due to the accumulation of undigested food (in the stomach) exhibits such symptoms as thirst, cattarrh, burning in the head, a sense of heaviness and cramps in the stomach, nausea (D. R. — heaviness of the heart) and suppression of eructations. While a case of Anâha in the Pakvd^aya (intestines) is marked by a sense of stuffedness in the back and waist, suppression of stool and urine, eolic, epileptic or fainting ^ts, vomiting of feces, laboured and difficult respiration (D. R. — swelling), as well as the symptoms mentioned under the head of Alasaka. 14.

Treatment : — In a case of Aniha due to the presense of Ama, the patient should be treated with emetics and then with digestive medicines and diet according to the prescribed order. The Ama (undigested food) in a case not marked by any vomiting of feces should be treated with fomentation and therapeutic mixed together and pasted with KAnjika. This would be the best remedy, for rubbing over the body of the patient, in a case of ViBttchik^

Oil should be duly cooked with Chitraka, Yuthi-flower, oiUcakes (of sesamum), BhalUtaka, the two Kshiras, Saindhava and two parts of Kushtha. This should be prescribed by an expert to be rubbed* or used as a plaster over the body of the patient.

356 fHE SUSHRUTA SAMHITX. [Chap, LVl.

agents of digestive efficacy. Vartis (suppositories) made by pasting the purgative drugs mentioned in connection with the medical treatment of Visuchikd together with the urine of a she-buffalo, or of a she-goat or of a ewe or of a she-elephant, or of a cow, should be used. The body of the patient should be first fomented and then the powders of the drugs used in preparing the afore-said Vartis should be blown (into his intestines) through a pipe inserted into his rectum. Decoction should be duly prepared by boiling the drugs of emetic and purgative virtue in cow’s urine. Nirudha Vasti* should soon be applied with the above decoction mixed with half as much of cow’s urinef and with honey and adding also the powders of Trivrit and salt weighing a Prakuncha (Pala). The procedure laid down in respect of the exhibition of purgatives should be adopted here. Oil duly cooked and boiled with the foregoing drugs should also be injected into the rectum, if necessary, after the manner of an Aunvâsana Vasti. 15 — 16.

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

* The application of this Nirudha Vasti ‘should be prescribed only in the "<ro” stage of Andha and never in its stage.

f^Kdrtika Kundu does not include “urine” in this list. lie reads w WITt3*hf* (added in half dose) in place of "iSJutspRH”.

CHAPTER LVII.

Now we shall discourse on the chapter which deals with the (symptoms and) medical treatment of aversion to food (Arochaka- Pratishedha). u

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