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.
Heaviness of the limbs, shivering, nausea, appearance of goose-flesh, excessive sleep, obstruction of the internal passages of the body, slight pain (in the limbs), water-brash, sweet taste in the mouth, slight heat in the body, vomiting, lassitude, mal-assimilation (Avipâkatd), whiteness (glossinss) of the eyes arc the indications which point to the Kaphaja origin of the disease. 13.
Symptoms of the TrI -dosha ja fever : — Insomnia, vertigo, laboured or difficult breathing, drowsiness (somnolence), a sense of innertness in the limbs, aversion to food, thirst, swoon, delirium, numbness, burning sensation and shivering of the body, pain about the region of the heart, delayed assimilation of the deranged bodily Doshas, (temporary) insanity, blackish yellow coat on the teeth, blackness and roughness of the tongue, pain in the head, in the' jointstf 4 THE SUSHRUTA SAMHITX. [Chap- XXXIX. and in the bone, dilation of the pupil and cloudiness of the eyes, pain and ringing in the ears, delirious talks, inflamation of the living membranes of the channels (of the nose and of the mouth), indistinct sound in the mouth, coma (loss of consciousness) as well as perspiration, scanty emission of urine and faecal matter at long intervals, are the symptoms which are exhibited in a case of fever due to tl\p concerted action of all the three deranged Doshas of the body ( Pri-doshaja or Sannipatoaja) 14.
Abhlnyasa fever : — Now hear from me about the peculiar forms of this type of fever the symptoms whereof are as follows : — Where a slight or imperceptible rise of the bodily heat, or a slightly subnormal temperature attended with a subcomatose state, erroneous vision, loss of voice, injured or cracked condition of the tongue, dryness of the throat, suppression of stool, perspiration and urine, tearful eyes, hardness of the thorax *, aversion to food, dulness of complexion, difficult breathing and delirious talks and other concomitant symptoms are the specific indications in a patient always confined to his bed, it is known by the name of Abhinyataa, while others call it a case of Hataujasa fever. 15.
An attack of Sannipdtaja fever can be cured only with the greatest difficulty, while others hold it to be almost incurable. A case of Sannipdtaja fever attended with somnolence is called Abhiuyis*, it is called Hataujasa when the vitality of the patient is greatly diminished and it is called Sannyâa when there is an innertness of the limbs. 16
* is * different reading in place of * f«f$-
\ The term fijâg is more appropriately applicable to tftpf than to both grammatically and in sense.
Chap* XXXIX.] UTTARA-TANTRA. 175
When ^in a case of Sannipâtaja fever), the Ojo-dhatu (one of the fundamental principles) of the organism being disturbed or agitated by the deranged and aggravated Pitta and Vâyu, gives rise to shivering and numbness of limbs and makes the patient drop into fits of unconsciousness whether asleep or awake, and when there are somnolence delirious talks, horripilation, looseness* of the limbs and slight pain (in the body)— this kind of fever is called Ojo-nirodhaja fever (due to an obstruction or an overwhelmed condition of the Ojo-dhAtu) by the experts. 17.
The disease, (in such cases) finds aggravation on the seventh, the tenth or on the twelfth day * when the case takes either a favourable turn or ends in death. 18.
Symptoms of Dwandvaja fever
A case of fever which involves, and is due to the combined action of any two deranged Doshas of the body, is called Dwandvaja fever and such cases are classified into three different types (e. g. Vâta-pitta-fever, Vâta-sleshma-fever and Pitta-s'leshma-fever). Yawning, distension of the abdomen, loss of consciousness, shivering pain in the joints, emaciation of the body, thirst, delirium and heat or increased temperature of the skin, are the characteristic symptoms of Vita-pitta fever (due to the action of the deranged Pitta and Vayu). Aching pain (S>ula), cough, the vomiting of Kapha, shivering, coryza, cold, sense of heaviness of the limbs, aversion to food, and a feeling of general numbness, are the
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