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

THE SUSHRUTA SAMHITX. [ Chap. XXVI.

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Clarified butter skimmed from milk, and fresh Vasd (lard)* of Jdngala animals should be used as errhines, and, cooked with the drugs of the Utpalddi group, should be used in the manner of Asthdpana-vasti. Pood should be taken with meat-soup of Jângala animals, and clarified butter should be used in the manner of an Anuvisana Vasti. Clarified butter skimmed from milk and dffy cooked with the drugs of the Madhura group and mixed with sugar should be used for emulsive purposes (Snehana), and all measures and remedies which are remedial to the deranged blood and Pitta may be likewise employed with profit in these cases. 6-7.

Treatment of Kaphaja ^iro-roga:—

In a case of Kaphaja-S'iroroga, the Kapha-subduing measures, such as strong emetics, head-purgatives (S’irovireka) and gargling should be resorted to. The transparent upper part of clarified butter f should be given to drink, and fomentation should then be frequently applied to the head. Head-purgatives should then be administered with the pith of Madhuka wood, or with Mesha-s ringi and Ingudi bark. Vartis (sticks) made of Mesha-s ringi and Ingudi barks should be used in smoking. Snuffs of powdered Katphala should be taken, and gargles with Kapha-subduing drugs should be used. Plasters prepared with Sarald, Kushtha , S'drngashtd , Deva-ddru , and Rohisha pasted together with the alkaline water and mixed with Saindhava salt should be applied lukewarm to the head. The diet should consist of cooked barley or Shashtika rice, which should

* In place of ‘to’ 0 ard ) some reat * which means meat-soup.

+ 1 According to a variant matured clarified butter should be used in this case.

CIt*p. XXVI. 3

UTTARA-TANTRAM.

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be judiciously taken with Yava-kshdra and powdered Trirkatn and with the soup of Mudga, Patola and Kulattha pulse. S.

Treatment of Tri-doshaja and KshayS'iroroga 3 — The Measures which are severally remedial to the three deranged Doshas pf the b.ody should be employed in a case of Siroroga marked by the concerted action of the three Doshas (Tri-dgshaja') and draughts of old and matured clarified butter are said to be specially efficacious in such instances. Employment of nutritive (Vrimhana) measures and remedies is recommended in cases of the diseases of the head due to any waste or atrophy of the local fat, etc. (Kahayaja Siroroga). Clarified butter duly cooked with the admixture of the drugs of the V &yu-subduing and the Madhura groups* should be given as drinks and errhines. Any medicated Ghrita which acts as a remedy in cases of consumptive cough would be found most efficacious in the present (Kshayaja) type. 9-10.

Treatment of Krimija Siroroga 3 —

In a case of head-disease (head-ache ?) due to the germination of parasites (Krimi) in the head, the patient should be made to snuff in a quantity of animal blood. The worms or parasites lured with the smell of the blood, would greedily come down (into the passages of the nostrils) when they should be carefully extracted (by means of tongs, etc). Head-purgatives composed of the pulverised seeds of Hraswa (small) S’igru mixed with Kdnsya (dead brass) and Nili (indigo) pounded together should then be used, if necessary, or any vermifuge drug (Vidanga, etc.) pasted with the urine of a cow should be

* According to Videha the clarified butter in this case should be cooked with the decoction of the Vdyu-subduing drugs and with the Kalka oi the Madhura drups.

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THE SUSHRUTA SAMHITX. [Chap, XXVI.

p. 138

stuffed into the nostrils in the manner of an Avapida Nasya. Fumigations should be applied into the nostrils with the fumes of burnt sordid fishes and vermifuge foods and drinks of various kind should be given. 1 1.

Treatment of Suryavarta and Ardhdvabhedaka : — Errhines etc. (plaster, gargle, etc.) should be prescribed in cases of the Suryavarta type of Siroroga. The diet should principally consist of boiled rice and milk with clarified butter and the essence or extract of the meat of Jângala animals. These and similar other suitable remedial agents should be employed in cases of the Ardha£vabhedaka type of Siroroga. S>irisha* and Mulaka seeds or bamboo-roots camphor, or Vacha and Mdgadhi \ or Yashti-madhu and honey, or Manah sild , pasted with honey, or (pasted) Chandana should be stuffed into the nostrils in the manner of an Avapida Nasya m a case of the Surydvarta type of Siroroga as well as in a case of Ardhavabhedaka headache. After the use of the above, the patient should be made to snuff in the medicated clarified butter cooked with the drugs of the Madhura (Kakolyâdi) group, in both the above cases. Plasters composed of Sdrivd , Utpala , Kushtha and Yashti-madhu pasted with Kdnjika(acid gruel) and surcharged with oil and clarified butter are to be found efficacious in both the cases, if applied to the affected region. This may be employed with equal success in the cases of the Kaphaja type { of Siroroga. 12-14.

* Sripati Datta, the commentator of Vrinda, prescribes the bark and S'ivadasa Sen, the commentator of Chakrapdni, prescribes the seeds of S'irisha.

t Some take to mean | t In place of the Kaphaja type some read the Kshayaja type. But it is not accepted by Jejjata. Others again read “Anildtmake” i.r., in the Vdtaja type.

UTTAttA-TAfcTRAk

dhap. XXVI.