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

case of PratirfyAya the patient should sit, lie, or move about in closed and windless rooms and wear warm and thick turban on his head. He should take VijayA (Haritaki) and partake of meals consisting of Paldnna* cooked without clarified butter. He should also be subjected to a course of strong head-purging as well as of smoke-inhalations. Use of new wine and cold drink, cold baths, sexual intercourse, anxious cares, lamentations, voluntary retention of stools and urine, as well as partaking of fares which are excessively dry (and beget dryness in the system), should be foregone by a person suffering from an attack of Pinasa. 15-16.

Fastings and employment of digestive (Ptahana) and appetising (Dipaniya) remedies should be the medical treatment in cases of Pinasa (nasal catarrh) accompanied by such distressing symptoms as vomiting, aching, heaviness in the limbs, feverishness, non-relish for food, apathy, and Atisira (diarrhoea). In case of an adult person suffering from an attack of Pinasa due to the concerted action of Vâyu and Kapha, the patient should be made to vomit by taking in a large quantity of any liquid substance. The complications (Upadrava) in^ volved therein should be remedied by appropriate diet and remedial agents and after their subsidence, the patient should be treated according to the instructions given before. 17-18.

Treatment of VaCtaJa Type in cases of yitaja-Pratisyiya clarified butter dply cooked with the drugs of the Viddri-gandkddi group or with the five officinal salts should be prescribed for internal

* Paldnna is generally prepared by cooking together rice, meat and clarified butter as well as other spices, but in this case clarified butter should not be used.

U8 THE SUSHRUTA SAMHITX. [Chap. XXItf.

* use^accordiftg to the rules of taking Sneha (see chapter XXXI., Chikitshita-Sthâna). The process of snuffing, f etc., should also be resorted to, if necessary, as in a case of Ardita (Facial paralysis). 19.

Treatment of Pittaja and Raktaja types S — In the Pittaja and Raktaja types (of Pratisydya) the patient should be given draughts* of clarified butter duly cooked with the drugs of the Kdkolyddi group. Coldf washes and plasters should also be used. Sarjarasa (Resin), Pattanga (red-sandal), Priyangu , honey, sugar, Drdkshd , Madhulikd (Guduchi), Goji y S'ri-parni and Yashti-madhu should be prescribed as gurgles, and purgings (errhines ?) should be induced with the help of the drugs of sweet potency (such as Drdkshd , Aragbadha , honey, sugar, etc.). Oil duly cooked with (a paste composed of) Dkava-bâvky Tri-phald, S'ydmd , Tilvaka , Yashti-madhu , S'ri-pamt, Rajaniy and with milk weighing ten times as much as oil, should be preserved for a time and used as an errhine (Nasya) in either of these cases. 20.

Treatment of Kaphaja Type s— In a case of the Kaphaja-Pratis'yiya, emulsive measures (Sneha-karma) should be performed with clarified butter, and the patient should be made to vomit by using Yavtfgu (gruel) prepared with Misha- pulse and Tila, (sesamum-seed), after which the general Kapha-subduing measure should be employed. Oil duly cooked with the two kinds of Bald, the two kinds of Brihati y

♦Some read in place of This word means that the clarified butter for use in this case should be duly cooked with the ftpjR (bitter) drugs, viz., the leaves of Patola y etc.

t Both the commentators of Vrinda and Chakradatta explain the term (cold) to mean ‘prepared with the drugs of cold potency such as the drugs of the Nyagrodhâdi and Utpalâdi groups.’

Chap. XXIV.]

UTTARA-TANTRAM.

p. 129

Vidanga , Tri-kantaka , S'vetd- roots, Sahd (Mudgaparni), Bhadrd (GAmbhAri) and Varshâbhu should be employed as an errhine. Sarald , Kinihi \ Ddru , Nikumbha (Danti) and Ingudi should be pasted together and duly formed as Vartis. These Vartis should be duly used for the purposes of smoking (Dhuma-pAna) 21-22. Treatment of Tri-doshaja Type

Clarified butter duly prepared with the drugs of bitter and pungent tastes, inhalation of the smoke of strongpotencied drugs as well as the use of articles of pungent taste and other appropriate medicinal preparations would prove curative in a case of Tri-3oshaja Pratis'y^ya (nasal catarrh) brought about by the aggravation of all the three Doshas. An intelligent physician should prescribe as an errhine the medicated oil duly cooked and prepared with the admixture of Rasdnjana , Ati-vishd, Musta and Bhadra-ddru. Gargles prepared with the decoction of Musta, Tejovati , Pdthd , Katphala , Katuka , Vachd , Sarshapa (mustard), Pippali-mula , Pippali , Saindhava , Agnika (AjamodA), Tuttha , Karanja- seeds. Salt and Bhadra-ddru should be prescribed. Oil duly cooked with the preceding drugs is recommended for purging (£>iro-vireka) the head of the patient. 23-24.

Flesh of birds and beasts of the Jdngala group, aquatic flowers and the VAyu-subduing drugs (Bhadra-dArvAdi) should be duly cooked in milk mixed with water weighing half as much as the milk. * The liquid in this case should be reduced to the original quantity of milk, when it should be taken down and allowed to cool. Clarified butter should then be prepared from this milk and should be again duly cooked with the drugs of the Sarvagandhd (EIAdi) group, sugar, Atlanta, Yashti -

* Some say that milk and water in equal parts should be taken.

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