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.
Specific Symptoms:— Hoarseness of voice, a sense of stuffedness and obstruction in the nostrils accompanied by a thin mucous secretion, dryness of the throat, of the palate and of the lips, a -pricking, and piercing pain in the region of the temples, as well as excessive sneezing and a bad taste in the mouth are the characteristics of Vsftaja type of catarrh (Pratis'yâya). A hot and yellowish secretion from the nose, heated skin, thirst, emaciation and yellowness of the complexion, as well as the secretion being sudden, hot and smoky — these are the characteristics which mark the Pittaja type of catarrh. Constant running at the nose, the secretion being ’ white and cold, paleness (of the skin) and swelling (D. R.
Chap. XXIV. ] UTTARA-TANTRAM. * li$
whiteness) of the eyes, heaviness of the head, flabbiness of the face* and tickling and itching sensation in the regions of the head, throat, lips and of the palate are the features which mark the Kaphaja type of the disease. 5-7.
The spontaneous disappearance, as well as reappearance of Pratisyâya — be it acute or chronic — is the characteristic symptom of Tri-doshaja Pratis'ydya, wherein the specific symptoms of all (the three) kinds of Apinasa are present. 8.
Symptoms of Raktaja PratisysCya Discharge of blood (from the nose), redness of the eyes, a bruised pain in the chest which seems as if struck with a blow, fetid smell in the breath and the mouth, and loss of the faculty of smelling are the characteristic symptoms of the Raktaja type of Pratis'ydya which has its origin in the deranged condition of the blood. In these cases f hosts of extremely small worms of whitish or blackish \ hue are found to infest the affected localities (viz., the nostrils) which show symptoms identical with those of the head-disease due to the germination of parasites in that region. 9.
Prognosis : — The malignant nature of the disease (Dushta-Pratisyâya) should be inferred from the constant alternate sliminess and dryness, as well as constant alternate contraction and expansion of the nostrils,
* In place of ’—some read t. e . “the man (patient) gets heaviness of the head.” In this case the flabbiness of the face is not seperately mentioned.
t According to some this is the characteristic symptom of another kind of Pratis'yfya, and not one of the symptoms of the Raktaja type as appears at the first sight.
$ MAdhaya Kar reads *. e t , glossy white in hue, in place of gron;* /. e. whitish and blackish in hue.
126 THE SUSHRUTA SAMHITX. [Chap. XXIV.
fetour in the breath and loss of the faculty of smell. Such a case of Pratisyaya should be regarded as extremely hard to cure. Neglected and not properly remedied at the outset of an attack, any type of catarrh (Pratisydya) may bring on cases of malignant Pinasa, which in time gives rise to a number of diseases and produces in its train deafness, blindness, loss of smell, violent ocular affections, cough, dulness of appetite, and *£>opha (swelling). 10-11.
General Treatment of Pratisyaya
Potions of clarified butter, various sorts of emetics, and fomentations (Sveda) may be prescribed in nasal catarrh (Pratirfydya), except in fresh and acute cases. Errhines (Nasya) of Avapida type may also be employed in time, if required. Fomentation should be applied and diet should be taken in a tepid state with articles of acid taste, and draughts of milk should be administered with green ginger* and with any modification of the expressed juice of sugar-cane*f“ for the purpose of thickening and maturing the secreted mucus, in cases where that maturing process has not already spontaneously set in. The mucus found matured, thick and pendent should be made to secrete by applying head-purgatives (Siro-vireka). Purgatives, Vasti of the Asthdpana kind, smoke-inhalations and medicinal gurgles should also be prescribed according to the exigencies of each case under treatment and in consideration of the nature and intensity of the deranged Dosha involved therein. 12-14.
* Some explain “A'rdraka” to mean the expressed juice of fresh ginger, while others explain it to mean the powder of dried ginger.
t In place of ‘‘TjfaqffTOftih’’ — w ith any modification of the expressed juice of sugar-cane, such as treacle, sugar, etc , some read u with articles of pungent taste.
Chap. XXIVO UTTARA-TANTRAM. 1 27
Regimen of diet and conduct In a
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