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

of Vsitaja vaginal diseases. Rudhirakshara (menorrhoea), Vâmini, Sramsini, Puttraghni and Pittali are the Pittaja ones. Atyanandd (nymphomania), Karnini, the two kinds of CharanA and Slaishmiki find their origin in Kapha, and Shandi, Phalini, Mahati, Suchivaktrd and Sarvaja are said to be due to the aggravation of the three Doshas. 4 .

Symptoms of the Vataja types s— An

Udâvarti yoni discharges painful and frothy menses and a Baildhya yoni is marked by the absence or suppression of the catamenial flow. A local pain is always complained of in a ViplutaC yoni and in a Pariplutat yoni an excessive local pain is experienced at the time of sexual congress. A Vatalai yoni is marked by an aching and piercing pain in the organ which seems rough and numbed. The peculiar pain due to the derangement of the Vdyu is also felt in the first four types of the scries. 5.

Symptoms of the Pittaja types:—

Discharge of the menses with a burning sensation in the passage is the characteristic symptom of LohitaksharSL or Rudhira-kashra£ yoni. The yoni from which the semen charged with the menstrual blood, is ejected with Viyu (sound) is called Va'mini ; the coming out (prolapsus) of the organ (uterus) when disturbed and a difficult or painful parturition arc the symptoms of a Prasramsini yor]i. The yoni in the case of repeated abortions due to the excessive discharge of catamenial blood during the period \>f gestation is called Puttraghni. All extremely burning sensation and suppuration in the organ attended with fever are the symptoms which mark a Pittala£ yoni. The four previous vaginal diseases arc also marked by the specific symptoms of the aggravated Pitta. 6.

p. 166

THE SUSHRUTA SAMlIITA. [Chap. XXXVIII.]

Symptoms of the Kaphaja types

An Atyrfnandrf yoni knows no satisfaction in matters of sexual pleasures. Haemorrhoid growths or polypii due to the aggravation of Kapha and vitiated blood appear on the living membrane of the organ in a Karnini yoni. In an Acharauat yoni a greater quantity of ovum is secreted before the completion of sexual act, and in the other i. in an Aticharani yoni the semen is not retained in consequence of over-indulgence. A SleshmalaJ yoni is very cold and slimy and has a local itching sensation. The first four kinds of this series of vaginal disease (lit. diseased vagina) arc also characterised by the actions of the deranged and aggravated Kapha in the locality. 7.

Symptoms of the Tri-doshaja

types S —The yoni of a woman marked by the nonappearance of the menses, non-development of her breasts and the roughness of the vagina (vaginal canal) which is felt at the time of coition is called a Shandlli. A woman of tender years, who has just passed her girlhood, when ravished by a man with an abnormally developed genital organ, offers the illustration of a Phalini yoni. An extremely dilated vagina is called Mahstyoni, while an extremely constricted one is called a Suchivaktrai (lit. a vagina with a needle-eyed vulva). The yoni marked with the symptoms of the aggravation of all the three Doshas is said to be a Sarvaja yoni. The four preceding kinds of vaginal malformations or diseases 4rc also due to the concerted action of the three deranged Doshas in the locality and these last (five) kinds of Tridoshaja vaginal diseases are incurable. 8.

Medical Treatment The medical treatment of the curable types of vaginal diseases should

Chap. XXXVIII.] UTTARA-T ANTRA. 1 67

begin with the administration of a Sneha according to the Dosha involved in each case and applications of properly charged vaginal enemas (Uttara-vasti) should be particularly resorted to. In cases where the yoni (vagina) would feel cold, rough, numbed and be marked by diminished sensibility of its mucous membrane during sexual action it should be fomented, in the manner of Kumbhi-sveda, with the flesh of aquatic and A'nupa animals ; and drugs of the Madhura group mixed with Ves'avâra (all described before) should be applied (in the form of poultice) to the part, and plugs of oil-soaked cotton should be constantly retained in the yoni (vagina). Proper vaginal lotions and washes as well as the measures of Purana i r. medical injection (prepared with the VYiyu-subduing drugs) should also be employed ; cooling measures should be adopted in the cases marked by dryness and sucking pain (Osha and Chosa) in the affected locality. The vagina should be filled up with the powders of the five officinal kinds of drug ( Pancha-kashdya ) in a case, marked by fetour and slimy mucous secretion, and the decoction of the drugs of Râjavrikshâdi group should be used in washing. Pindas (balls) of disinfectant (Sodhona, lit. purifying) drugs pasted with cow’s urine and saturated with salt, should be inserted into the vagina marked by the discharge of pus. 9 — T2.

A yoni (vagina) marked by an itch and impaired sensibility should be fumigated with the vapour of Vrihati and the two kinds of Havidrd #akcn together, which should be as well inserted and retained in the vagina (in the shape of a plugl A plug or stick composed of a paste of disinfectant (or Sodhana) drugs should be inserted into and retained in a Karnini yoni ; and a prolapsing (Prasramsini) yoni should be fomented with l68