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.
localities should be treated with excisions, are Sleshmopandha, Lagana, Visa-vartma, Krimi-granthi and Anjana — thus numbering five in all. The two kinds of eye-disease beginning with Sird viz., Sirotpdta and Sird* harsha, the two kinds of Akshi-pdka attended or unattended with swelling, war., Sasothâkshi-pdka and Asothdkshi-pdka, and Anyatovdta, Puydlasa, Vdtaviparyaya and the four types of Abhishyanda and the four types of Adhimantha should be treated with Veneseotion (Sird-vyadhana). 5-6.
Eye-diseases— not to be operated
Operations should not be resorted to in cases of Srnshkdkshi-pdka, Kapha-Vidagdha-Drishti, Pitta- VidagdhaDrishti, Amlddhyushita-Drishti, Sukra-roga, Arjuna, Pishtaka, Aklinna-vartma, Dhuma-dars'in, Suktikd, Praklinna-vartma and Valdsa — thus making twelve in all. In the traumatic forms also of eye-disease surgical operations are not advised by experts. 7.
Names of curable and incurable eyedisease : — Palliative or temporary relief is all that can be offered in any of the six types of Kâcha described before, as well as in the affection known as Pakshma-kopa, if the patient retains the faculty of sight Four of the Vâyu-origined, two of the Pittaja, one of the Kaphaja, four of the blood-origined and four of the types caused by the concerted action of the three Doshas, as well as the two traumatic forms of optical affections should be regarded as beyond all cure. 8-9.
Thus ends the eighth chapter of the Uttara-Tantra in the Sus'ruta Samhitd which deals with the classification of eye-diseases according to the different inodes of treatment.
CHAPTER IX.
Now we shall discourse on the remedial measures of Abhishyanda (Ophthalmia) due to the action of the deranged Vâyu (V^tgfohishyanda-Pratlshedha)* i.
The patient should be treated with old and matured clarified butter, both in a case of (Vitaja) Abhishyanda (Ophthalmia) and (Vâtaja) Adhimantha (Conjunctivites). The diseased organ should be then duly* fomented and local venesection resorted to. Then after having effected full purging with the help of a Sneha-vasti (oleaginous enema), such measures as Tarpana, Putapâka, fumigation, sprinklings (Aschyotana) f, snuffing (Nasya), oily washings, Siro-vasti (errhines) or washing the organ with Kânjika ( Amla) or with any decoction prepared with the drugs of the Vayu-subduing group or with that of the flesh of any aquatic (Jalaja) animal, or of one frequenting the marshy places (Anupa), should be resorted to. A compound consisting of clarified butter, curd, fat and marrow should be applied lukewarm to the affected organ, which should also be f As'chyotana (Eye-drop) — Consists in dropping into the eye with the two fingers, honey, A'sava, drug-decoction or any oleaginous substance. Its doses are eight drops for scarifying purposes, ten drops for lubricating the part with any oleaginous substance (Snehana), twelve drops for the healing of any local ulcer (Ropana). They should be dropped lukewarm in winter and cold in summer into the eyes. In diseases of Vdtaja origin they should be of a bitter taste ; oleaginous in diseases due to the Pitta ; and bitter,— warm and parching in diseases due to Kapha. — Vaidyaka Nighantu as quoted in the Vaidyaka-S'abda-Sindhu. Cf. also Chapter XVIII, Uttara-Tantra.
* It should be noted that the part of the forehead adjoining the eye and not the eye itself— should be fomented, since fomentation should not be applied directly over the eye.
Chap. IX.}
uttara-tantaram.
3 $ covered with a compress or linen soaked with the preceding lardacious compound. Milk, Ves'avdra, Jâlvana Poultiee, Porridges (Pdyasa), etc., should be used by a physician in poulticing the affected organ. A portion of clarified butter cooked with the decoction of Triphali , or simply old and matured clarified butter, or milk duly cooked with the drugs of the Vâyu-subduing group, or of the first group (viz., Viddri-Gandhddi Gana) should be taken after the meal. 2. A.
The application of any lardacious substance other than oil cooked with the admixture of the Vdyu-subduing drugs will prove beneficial for Tarpana purposes in such cases. The use of medicated Sneha in the shape of Putapdka, Dhuma (fumigation) and Nasya (snuffs) is likewise recommended. Oil (duly) cooked with Sthird , milk and the drugs of the Madhura group should be employed as a snuff (in such cases). The milk of a she-goat duly cooked with the admixture of the leaves, roots or barks of Eranda plants, or with the roots of Kantakdri , should be employed lukewarm in washing (Sechana) the affected organ. A liquid compound containing half milk and half water, and boiled together with Saindhava , Vdld, Yashti-madhu and Pippali , should be used in washing the eye as well as an Aschyotana (eye-drop). A liquid compound consisting of the milk of a she-goat diluted with the addition of water, boiled with the admixture of Hriveta y Chakra (Tagara), Man - jishthd , and Udumbara- barks is considered to be the best eye-drop in cases of there being any £ain (£>ula) in the eye. 2 . B.
A thin plaster compound of Yasthi-madhu , Rajani> Pathyd and Devaddru , pasted together with the milk of a she-goat should be used as an Anjana (collyrium) in a case of acute Ophthalmia ( Abhishyanda), and it proves
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