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.
/Etiology : — The derangement of the Doshas either several or combined or an apathetic state of the mind (through grief, etc.) tends to block the foodcarrying channels vis., the esophagus, etc., as well as the region of the heart causing aversion to all sorts of food, which is designated Bhaktopaghaita (lit. aversion to food — popularly known as Arochaka) by the physicians and it is divided into five distinct types (according to the different nature of its exciting factor). 2.
Specific Symptoms Pain and cramps at the heart and a vapid taste in the mouth are the symptoms which mark the Vdtaja type of Arochaka. Excessive burning sensation (in the region) of the heart, sucking pain (in the locality), a bitter taste in the mouth, thirst and fainting fits are the features which mark the Pittaja type of the disease. Itching sensation, heaviness of the body, water-brash, lassitude, drowsiness and a sweet taste in the mouth are the indications which characterise the Kaphaja type. The Tri-doshaja type is characterised by a good many symptoms which severally mark the three Doshas. Indulgence in sensual pleasure, as well as in fear and grief, ^r the sight of any repugnant article, or of anything that tends to disturb the mental ' Mdnasa) equilibrium, may also usher in an attack of Arochaka. 3-7.
Treatment In a case of the Vtftaja type, the patient should be first made to vomit with the help of
THE SUSHRUTA SAMHITX. [Chap. EVIL
i$8 decoction of Vacha and then be given a pulverised compound of Krishnd , Vidanga , Yava-Kshdra , Harem > Bhdrgi % Rdsnd , 2 s 4 f*, Hingu t Saindhava and Ndgara through the medium of any Sneha or wine or hot water. Vomiting should be induced with emetics sweetened f with the solution of treacle in the Fittaja type of the disease. The*use of a lambative prepared with Sain - dhava, Sitd (sugar), honey and clarified butter would also be efficacious. In the Kaphaja type, vomiting should be induced with the decoction of Nimba and the powders of Yamdni should then (after the taking of the meal) be administered with the decoction of Aragvadha mixed with honey. The pulverised compound mentioned in connection with the treatment of the VAtaja type may also be administered (in this case). All the preceding measures should be employed in the Tri-doshaja type of Arochaka. 8-n.
Four Specific Lambatives (i )Drdkshd % Patola , FzY-salt, Vetra, Karira (bamboo-sprouts), Nimba f Murud y Abhayd, Aksha , Vadara , Amalaka , (barks of) Kutaja and seeds of Karanja and of Aragvadha should be (powdered and) duly cooked with the urine of a cow in the form of a lambative. (2) A similar preparation should be made of Mustd, V<zchd> Tri-katu> the two kinds of Rajani } Bhdrgi , Kushtka and Nirdahani% and cooked with the urine of a ewe. (3) Similarly t According to some, the emetic used should be Madana fruit ; while, according to others, it should be the drugs of the Madhura (Kâkolyâdi) group— the word ‘Madhura 5 indicating the same. Some, however, read ‘Madhuka* (Yashti-madhu) for ‘Madhura’.
* EU— Dalian a says that some take EH. in the sense of Ela*v£luk£ (a part used for the whole). S'ivaddsa, however, refutes this and asserts, on the authority of V£gbhata, that “Ela M should mean EH.
t Kirdahani, according to some, means Chitraka, but, according to others, it means Yamini. The former sense is the most general one.
Chap. LVII. ] U TTARA-T ANTRA. 359
Pdtkd } V amsd-lochana, Ativi$hd and Rajani should be boiled together with the urine of a she-eiephant. (4) Mandukiy Arka , Atnritd and Ldngald should be similarly boiled by an experienced and practical, physician with the urine of a she-buffalo. Whoever licks up any * * * § of the four preceding lambatives gets rid of Gulma, aversion to food, asthma* and diseases affecting the heart and the larynx. 12,
Regimen Of Diet:— The patient should partake of fruits, edible roots, etc. which grow in his country and take cordials, Shddavas f Rigas \ and other palatable dishes which are congenial to his physical temperament and which he is accustomed to. He should also be made to take (articles of) different Rasas § in different ways and his food should be at the same time light, Ruksha and agreeable to his taste. 13.
The due applications of Asthâpana-Vasti, purgatives and of light head-purgatives (errhines) are efficacious in the disease under discussion. The drugs known as Tryushana , Rajani (D. R. — the two kinds of Rajani) and Tri-phald pounded together and mixed with powdered Yava-kskdra and honey, should be used as a toothpowder in washing the mouth. Any other drugs of bitter and pungent taste may be likewise prescribed for the purpose. 14-15.
* According to Dallana the four lambatives should be used in cases , of Vdtaja, Pittaja, Kaphaja and Tri-doshaja types of Arochaka riâpectively.
f “Shidava”— It is a preparation with a variety Of articles of sweet, acid and saline tastes.
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