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

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page 47

The translator’s English as printed (Kunja Lal Bhishagratna). The original-language text is not held; names are romanised as the translator printed them.

Chap. XX I. ] UTTARA-TANTRAM. 1 1 $

The use of the powders of Sarja- bark mixed with honey and expressed juice of the Kdrpdsi fruit is recommended in cases of Kama-Sra(va* A compound consisting of pulverised Ldkshd and Sarja-rasa (D. R. Rasânjhna) should be used in filling up the cavity of the affected organ in the said disease. The oil duly cooked with the tender sprouts of S'aivdla , Mahd-vriksha, Jarnbu and of Antra, as well as with Karkata-S* ringi honey and Manduki is highly efficacious in these cases. Powders of the barks of Tinduka , Abhayd , Rodhra , Santangd and of Atnalaka mixed with honey* and the expressed juice of Kapittha should be similarly used. 33-36.

The expressed juice of Antra , Kapittha , Madhuka flower, Dhava and of S'dla, or an oil duly cooked with these is likswise recommended as ear-drops in these cases. The oil cooked with Priyangu , Yashti-madhu , Ambdlikd , Dhdtaki , S'ita-parni, Manjishthd , Lodhra , and Ldkshd (as Kalka), and with the expressed juice of the sprouts of Kapittha as the liquid, if used as an ear-drop, arrests the secretion in a case of Kama- &rava. 37-38.

Treatment of Puti-karna i—Rasdnjana

rubbed and dissolved in the breast-milk and mixed with honey proves highly efficacious even in chronic and longstanding cases of Puti-karna attended with fetid discharge. The use as ear-drops of the compound composed of oil, the expressed juice of Nirgundi and honey mixed together arrests an attack of Puti-karna. 39-40.

Treatment of Krimi-karna Vermifuges should be employed for the treatment of a case it$ ' THE SUSHRUTA SAM HIT A. [ Chap. XXI.

* S'rikantha Datta in his commentary on Vrinda quotes this couplet, but does not read ‘honey’ there. He reads in place of j

Krimi-karna. Fumigation* of the affected parts with the fumes of (dried) Vdrtdku , or (the pouring of) mustard oil (into the cavity of the affected organ) is also beneficial in such cases. Vidanga and Haritdla (yellow orpiment) mixed with cow's urine (and used as an ear-drop) as well as fumigating the affected organ with the fumes of (burnt) Guggulu tends to destroy the fetor in the ear due to local parasites. Administration of emetics, smoke-inhalation and gurgles are also beneficial in such cases. 4 1 - 4 2 .

Treatment of Karna-Kshveda, Vidradhi, etc- : — Use of mustard oil as an ear-drop is efficacious in cases of Karna-kshveda-t An abscess (Vidradhi) in the ear should be treated as an ordinary abscess. The affected ear should be sufficiently fomented after being filled in with oil so as to soften the filthy deposit in the cavity of the ear, after which the filthy matter should be extracted with a probe or a director (S>al4kd). 43-45Treatment of Karna-kandu and karna-pratSngfha Fumigation of the parts with the help of a tube (Nidi-sveda), exhibitions of emetics, smoke-inhalations, head-purging (errhines), as well as all kinds of Kapha-subduing measures should be resorted to in cases of Karna-kandu. Application of Sneha and of Sveda and then of head-purgatives (errhines) should be made in cases of Karna-pratinrfha,

* Dallana explains this to mean fumigation of the affected organ, as Well as the use of the same in the manner of smoking.

+ The use of oil is also recqjmnended in cases of abscess in the ear. la cases of acute and painful Vâtaja Vidradhi sesamum oil should be used, whereas in cases of Kaphaja Vidradhi the use of mustard oil is recommended.— Dallana.

Chap. XXI. ]

UTTARA-TANfRAM,

4 n* and the treatment thereafter should conform to the nature of the specific deranged Dosha of the body involved In the case. 46-47.

Treatment of Karna-psCka, etc.

Remedies and remedial measures described in connection with Pittaja Visarpa* should be used with equal profit in a case of Karna-psâa (inflammatory suppuration of the ear). Any filth or vermin, etc., lodged in the cavity of the ear should be removed with the help of a probe, or (by cutting it) with a horn. Cures for the remaining cases of affections in the ear have been described before ( in the Chikitsita-sthdna, Chapters XVIII, Viand XXIII). 48-50.

Thus ends the twenty-first chapter of the Ultara-Tanlra in the Sus'ruta SamhiU which’ deals with the treatment of the diseases peculiar to the ear.

* In place of ‘Pittaja-Visarpa’, both Vrinda and Chakradalta read ‘Kshataj a- Visarpa’.

CHAPTER XXII.

Now we shall discourse on the chapter which deals with the causes and symptoms of diseases of the nose

(N£s£-gata-roga-ViJns(ri lya). i. Nomenclature and Classification

Diseases which are specifically found to affect the organ of smell may be classified into Thirty-one different groups, viz., — Apinasa, Puti-nasya, NdsA-pAka. SonitaPitta,Puya-s'onita, Kshavathu, Bhramsathu, Dipta, N£s£- nAha, Pari-srAva, NAsA-sosha, the four kinds of Ars'as ( polypoids), the four kinds of swelling, the seven types of tumours and the five types of Prati-s'y£ya which will be described hereafter with the specific treatment of each. Thus the diseases of the nose arc said to be thirty-one in all. 2.

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