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.
t Blood would come out if the perforation be not satisfactorily done.
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TIIE EvMIRUTA SAMHITA.
[ <3hap. XVII.
Instantly with the perforation the affected organ should be sprinkled over with breast-milk. The SalakA should be retained in its place and the diseased growth or appearance (cataract), whether fixed or mobile, should be duly fomented from the outside with the help of the tender leaves of VAyu-subduing efficacy, and the region of the Drishti-mandala should be subsequently scraped with the (pointed) end of a SalAkA. The mucus or phlegm (Kapha) accumulated in the affected eye should be removod by asking the patient to snuff it off by closing the nostril on the other side of the operated eyeball. The part should be regarded as properly scraped when it would assume the glossiness of a resplendent cloudless sun and would be free from pain. Then the SalAkA (rod) should be gently withdrawn as soon as it would be able to perceive vision, and then the (affected) eye should be sprinkled over with clarified butter and bandaged with a piece of linen. During this period * the patient should be laid on his back in a comfortable chamber (free from dust and smoke), and be warned against indulging in all those bodily functions such as eructation, coughing, yawning, spitting, sneezing, etc. The regimen of diet and conduct thereafter should be the same as observed by one internally treated with a Sneha (See Chapter XXXI, Chikitsita-stha'na). 36-A.
The bandage should be removed on every fourth day, and the organ should be washed with the decoction of the drugs of VAyu-subduing properties and bandaged again with a fresh one. The eye should be (mildly) fomented on every fourth day as before, so that the bodily VAyu might not be aggravated. This rule should be t The period during which these rules should be followed is ‘seven days* according to Vagbhata. But according to Dallana it is only the period during which the operation lasts.
Chap. XVII.]
U TTARA-TANTR AM.
p. 79
followed for ten days, as it would impart a fresh vigour to the sight After-measures (such as snuffs, errhines, Tarpanas, etc.) should then be employed and the Diet should consist of light articles of food and be given only in moderate quantities. 36.
Persons declared unfit for venesection (viz., infants, old men, etc.) in the chapter on venesection * should not be subjected to any surgical operation, in cases of Nilikrf except at the place mentioned before (viz. the natural aperture — Daiva-krita Chhidra). 37.
Symptoms and treatment of the disorders resultingfrom an injudicious operation : — If the incidental haemorrhage (from a puncture in a wrong place) fill in the cavity of the eye, in that case the eye should be beneficially sprinkled over with clarified butter duly cooked with Yashti-madJiu and breast-milk. An incision (puncture) close to the exterior corner (Apdnga) of the eye would usher in swelling, pain, lachrymation and redness of the eye, which should be remedied by poulticing (UpanAha) the part between the arches of the eye-brows, and sprinkling (Sechana) the eye over with tepid clarified butter. In the event of the organ being punctured near the Krishna-mandala (region of the iris) and the Krishna-mandala being affected thereby, the affected part should be sprinkled over with clarified butter, purgative should be administered and blood-letting (by means of leeches) should be resorted to. A distressing pain ensues from the puncture being made on the upper part of the eye (Krishna-mandala) and this should be cured by sprinkling drops of lukewarm clarified butter on the scat of affection. Excessive lachrymation sets in
* S'irira-Sttidna, Chapter VII.
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THE SUSIIRUTA SAM HIT A. [ Chap. XVII.
with pain and redness of the eye in the event of the puncture being made on the lower part of the eye (Krishna-mandala) and such cases should be treated in the preceding manner. Emulsive (Sneha) application and fomentation (Sveda) of the parts as well as applications of Anuvâsana enema should be considered as remedies in cases of redness, lachrymation, pain, numbness and bristling (of the eye-lashes) in the eye, as the result of an excessive and improper handling of the instrument during the operation. 37-38.
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