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

Specific Treatment S— Clarified butter duly cooked with goat's urine and with the decoction of Kulattha, Yava , Kola i S’ ana* seeds, Palankashd (Guggulu\ Jatdmdmsi, Das'a-vtula and Pathyd may be given with advantage in a case of the Vâaja type (of ApasmAra). Clarified butter duly cooked with the decoction of the drugs of the first (i.e. VidAri-gandhAdi) group and with the drugs of Kdkolyddi group (as Kalka) if administered with milk, honey and sugar would be beneficial in a case of the Pittaja type. The use of (the medicated) Ghrita duly cooked with Ktishnd , Vachd and the drugs of the Mustakddi group (as Kalka) and with the decoction of the drugs of the Aragvadhddi group* and with the five officinal kinds of animal urine is recommended in cases of the Kaphaja type of ApasmAra. 16 — 18.

Siddhatrthaka Ghrita ■ Clarified butter duly cooked with (the Kalka of) Sura-druma , Vacha , Kushtha , Siddhdrtha , Vyosha , Hingu , Manjishtkd, the two kinds of Rajani , Samangd; Tri-phald, Ambuda (Musta), Karanja- seeds, S' Irish /-seeds, Giri-karnd (white AparAjitA # and Hutds'ana (Chitraka) and with four times as much of cow's urine is called Siddhâthaka Ghrita, which proves curative in cases of poisoning, worms (in the intestines), Kushtha, asthma, derangements of Kapha, Vishama-Jvara, Bhuta-graha, insanity and ApasmAra. 19.

* According to Dallana, the Ghrita should be cooked with the decoction of Krishnd and Vacha, while the drugs of the Aragvadhddi group should be used as Kalka.

Chap. LXIJ

UTTARA-TANTRA.

3»S

Pancha-gavya Ghrita Clarified butter

duly cooked with the Kalka of Das’a-mula % barks of Indrcwriksha * Murvd , Bhdrgi *f, Tri-phald> Sampdka , (Aragvadha), S'reyasi (Gaja-pippali), Sapta-parni \ Apd - mdrga and Pilu, and with the decoction of Bhu~nitnba % Putika (Karanja), Vyoska, Chitraka , Trivrit , Pdthd % the two kinds of Haridrd, the two kinds of Sdrivd % Push - £ara-roots Katuka , Madayanti (Mallikd), (Vachd), NiHni and Vidanga , and with the milk, curd (Dadhi), urine and the expressed liquid of dung of a cow is called Paneha-gavya Ghrita. It proves curative in all forms of ApasmAra, Bhuta-graha, Chdturthaka (quartian) fever, Phthisis, Asthma and Insanity. 20.

General Treatment Vastis should be applied in the Vdtaja, purgatives, in the Pittaja and emetics, in the Kaphaja types of ApasmAra. 21 .

Milk should be duly cooked with Bhdrgi and P£yasa (porridge) should be prepared by cooking grains of £>&li rice with this milk. This preparation should be given to a boar kept fasting for three days. When it is assured that the food taken has acquired a sweet taste (t.e. that the process of digestion has begun in the stomach of the boar) and when the symptoms of poisoning come to be exhibited in the boar, the contents should be taken out (of the boar’s stomach) and (should be dried and) powdered. Three parts of this powder and one part of Kinva (the sediment of wine) should be mixed together and made to ferment in a cleansed earthen pitcher with the addition of the cooled decoction of Bhdrgi. The wine (SurA) thus prepared should be given in proper doses to

* By the term ‘Indra-vriksha-twak* some mean (barks of) Kutaja and Twak (cinnamon).

f Bhdrgi— Pallana explains it as Goshthodumbara— the wild fig.

p. 49

p. 386

THE SUSRUTA SAMHITA

[Chap. LXI.

the patient as soon as it would acquire its (particular) taste and aroma. Venesection (in the forehead) as recommended before (S>drira-sthdna, Chap. VIII, 25-26) should be resorted to and prophylactic and auspicious articles should be used (by the patient). 22-23.

Thus ends the sixty-first chapter in the Uttara-Tantra of the Sus'ruta Samhitd which dealt with the (symptoms and) treatment of Apasmdra.

CHAPTER LXIL

Now wc shall discourse on the chapter which deals with the (symptoms and) medical treatmentlof Insanity ( U n maCda-Prat ished ha), r.

Derivation S — In as much as (in this disease) the deranged bodily Doshas traversing the upper part of the body affect the up-coursing nerves and produce thereby a distracting state of the mind, it is called Unmdda (Insanity), and it is a disease of the Manas (mind) 2.

Classification This disease is divided into five different types according to the nature of their origin —viz., the three types due to the several actions of the three deranged and aggravated Doshas, the one due to their concerted actions and the one due to grief, etc, (real or imaginary). There is a sixth kind also, viz., that due to the effects of poison, which should be treated according to the nature and intensity of the deranged Dosha or Doshas lying at the root and which in its early stage, if not abnormally aggravated, goes by the name of Mâda. 3.

Premonitory Symptoms s— Fits of unconsciousness, agitated state of the mind, ringing of the ears, emaciation of the body, excessive energy of action aversion to food, eating filthy things in dreams, perturbation te. palpitation (of the heart) due to Vdyu and vertigo or giddiness are the symptoms in a patient which forebode a speedy and impending attack of insanity. 4.

Specific Symptoms of Vrftaja, Pittaja