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

shall pursue the same course of medical treatment in those four diseases known as Adhimantha, Abhishyanda, Sirotp^ta and Sira-harsh a due to the vitiated condition of the blood. Persons suffering from any of the aforesaid four complaints should be first anointed and lubricated with old and matured clarified butter technically known as Kaumbha Ghrita*, or with a copious quantity of clarified butter. Venesection should then be resorted to. The patient, having been made thus to bleed as much as required, should be treated with clarified butter duly cooked with Siro-virechana drugs and mixed with sugar, as an errhine for cleansing the head. Piasters, washes, snuffs (Nasya), inhalations (Dhuma)of medicated smokes, eye-drops (Aschyotana), Abhyanjanaf, Tarpana (soothing measures), Sneha-karma (emulsive measures) and Puta-paka should then be prescribed according to the nature of the deranged Dosha involved in each case. 2 5.

A plaster (Pralepa) composed of Nilotpala , Us'ira, Dâru-haridrd , Kdliya, Yashti-madhu , Mnsta , Lodhra and Padma-Kdshtha (taken in equal parts and) mixed with Ghrita — duly washed, should be applied refund the region t Dallana explains “Abhyanjana” a* collyrium, but he also says that some commentators take it in its usual sense of anointment with clarified butter washed hundred times in water, or such other Sncha.

* See Chapter XLV, Sutra-Sthana.

p. 46

THE SUSHRUTA SAMHITA.

[ Chap. Xil.

of the affected eye. Mild fomentations (Sveda), or leeches should be applied to the region around the eye in the event of there being intolerable pain (due to any defect in bleeding) in the affected organ. Large draughts of clarified butter tend to alleviate the pain. Remedial measures and agents mentioned in connection with rittâbhishyanda, should be as well employed. 6-7.

Rain-water with powdered Kasetu and Yashti-maihu added thereto may be squeezed with benefit through a piece of linen into the affected organ* as an Afichyotana. Flowers of PAtald , Arjuna , S'riparni > DhAtaki , Dhdtri , Vilva, the two kinds of Vrihati , and of Vimbi-lota and ManjishthA taken in equal parts and pasted together with honey or expressed juice of sugar-cane and applied to the affected organ as an Anjana (Collyrium) is said to be a curative in cases of Raktdbhishyanda. 8 9.

A similar compound consisting of C bandana, Kumuda , Patra , S'ild-jatu , Kumkuma , powders of dead iron and dead copper, Tuttha (Sulphate of copper), lead, bell-metal, RasAnjana and the resinous exudation of a Nimba tree taken in equal parts should be pasted with honey and made into large Vartis (sticks). These arc always recommended to be applied to the affected eye as an Anjana. 10.

Treatment of ^irotpsfta A compound consisting of honey and clarified butter and applied as an Anjana should be regarded as a patent cure in cases of Sirotprfta eye-disease. A compound composed of Saindhava (salt), Kdsisa (Sulphate of iron) and pasted together with breast-milk should be similarly used. The

* Both Dallana and S'ivadâsa say that pure transparent water may be used in preparing the compound if rain-water is not available. Dallana says further that the affected eye should also be washed with the liquid compound thus prepared. S'ivadasa, however, supports this latter view.

Chap. XII ]

UTTARA-TANTRAM.

4 7 application as an Anjana * of S'amkha ^ccnch-shell), Manah-s'ild, Tuttha , Ddru-haridrd, and Saindhava pasted with hdney, or of (white) Maricha pasted with the juice of S'itisha flowers, honey and wine, or of Svarna-Garika pasted with honey would be attended with beneficial results in cases of Sirotprfta. 1 1.

^Ir^-harsha : —A compound consisting of Phdnita{ treacle boiled down to a sticky consistency) and honey should be applied to the affected organ as an Anjana in a case of Sirat-harsha. Similar applications of compounds composed of Rasdnjana (Antimony) pasted with honey, or of Saindhava and Kds'is'a (Sulphate of iron) pasted with honey, or of Vetrdmla * and Saindhaza pasted with Phdnita and breast-milk would likewise prove highly efficacious. 12.

Treatment of Arjuna A’l the measures and remedies for PittAbhishyanda should be employed in cases of Arjuna cye-discasc. The expressed juice of sugar-cane, honey, sugar, breast-milk, Ddru-haridra , Yashti-madhu and Saindhava should be used in combination as a wash (Seka), or as an Anjana. Ami a (KAnjika, &c.) should also be used as an iUchyotana (eyedrop) in such cases. The following drugs, viz., sugar, Yashti-madhu , Katvanga , Mastn , Am la, honey, Saindhava , Vija-puraka , Kola and Dddimba of acid taste and other acid fruits cither singly or in combination of two or three should be judiciously used (as an Aschyotana with a due consideration of the vitiated Dosha in each case). 13-14.