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.
An eye-salve or an Anjana made of Samudra-phena , Saindhava y conch-shell, Mudga and white Markka mixed together (in the shape of a powder) should be prescribed in a case of Aklinna-vartma as it would promptly alleviate the local itching. The foregoing measures and remedies should be likewise employed in a case of Praklinna-vartma according to the nature of the deranged Doshas involved therein. An Anjana prepared with the admixture of Kajjala and Tuthhaka (Sulphate of copper) rubbed in clarified butter on the surface of a copper vessel, would be similarly used (in such cases). 35-36.
Thus ends the twelfth chapter ol the Uttara-Tanlra in the Sus'rula SamhiU which treats of the curative treatment of Raktabhishyanda.
CHAPTER XIII.
Now we shall discourse on the curative treatment of eye-diseases in which Scarification should be resorted to
(Lekhya-Roga-Pratishedha). r.
The general course of treatment to be adopted in the nine kinds of eye diseases which arc amenable to Scarifying (Lekhana) operations is as follows : — The patient should be laid in a chamber not exposed to the sun and the gales of wind, after having been treated with proper emulsive measures (Sneha-karma)* and subjected to a course of emetics and purgatives. The eyelid should be over-turned with the thumb and the index finger and should be very carefully fomented with a piece of linen soaked in lukewarm water and squeezed. The eye-lid should be covered with a piece of linen and over-turned with the thumb and the index finger at the time to guard against its movement and enclosing. The (part of the) eye-lid to be scraped, should be wiped with a linen and marked with a surgical instrument and the scraping should be effected therein with a scraping knife or any (rough) leaf according to the exigencies of the case. After the subsidence of the. bleeding, the part should be fomented and then gently rubbed (PratisArana) with a medicinal compound consisting of Manuks' ild (Realgar), Kâs'isa (Sulphate of iron), Trikatu , Atjana (black antimony), Saindhava salt and MAkshika finely pounded together. After this the part should be washed with lukewarm water and lubricated with clarified butter. The subsequent treatment thereof should be
* It should be noted that the patient should also be fomented (Svcda) after being treated with the emulsive measures.
Chap. XIII. ]
UTTARA-TANTRAM.
p. 55
like that of an ulcer (Vrana).* Fomentations, Avapida, etc., should also be employed after three days, Thus I have described to you the general measures to be observed in scraping an affected locality in the eye, 2.
Satisfactory and deficient scari* fication : — Stoppage of bleeding, subsidence of the swelling and itching, a smooth level aspect of the part like the surface of a finger nail are the features, which mark a proper and satisfactory scarification. Redness of the eyes, swelling and discharge of blood from the operated locality, occurrence of Timira (blindness or darkness of vision), non-ameliorations of the disease under treatment, brownness, heaviness, numbness, itching, horripilation and coating (as if with foreign matter) of the eye-lids and a consequent high inflammation of the eye if not attended to in time, are the symptoms which attend an incomplete and unsatisfactory scarification, and this should be remedied by anointingf and scarifying the affected part again. 3-4.
Excessive Scarification Excessive discharge and pain in the locality together with an upturning of the eye-lids and spontaneous uprooting of the eye-lashes should be ascribed to excessive scraping. Fomentation, application of Sneha and employment of VAyu-subduing measures should be resorted to in such cases. 5.
In the following diseases of the eye, viz., VartmAvabandha, Klishta-vartma, Bahala-vartma and Pothaki, the affected part should first be gently scraped and then
* For the first seven days the treatment should be like that of an incidental ulcer (Sadyo-vrana) after which period, the case should be treated, if necessary, as a case of S'arira-Vrana.
+ Dallana says that some read (fomenting) in place of
( anointing).
TIIE SUSIIRUTA SAMIXITX. [ Chap. Kill.
5 6
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