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

medicine <{for a time even after his recovery) till he is restored to his wonted strength and vigour. * 68.

Any of the preceding prejudicial acts done in a weak state of health, closely following a recovery from fever may bring on a relapse which invariably con* sumes the body just as fire does a dried and sapless tree. These rules, therefore, should be strictly followed after recovery from fever till the fundamental Principles of the body have returned to their normal edndition and the health and strength is fully regained. 69,

A very small amount of physical exertion, in cases of fever, is likely to usher in an attack of fainting fit and hence the patient in such cases should be support* ed when he sits taking his food or passing urine or stool. An emetic or purgative (Sodhana) remedy should be resorted to even after the subsidence of fever in the case where the continuance of a residue of the deranged Doshas in the organism would be apprehended from such symptoms as aversion to food, weariness of the limbs, discoloration of the body, its evacuations, etc. A fever-patient emaciated through prolonged suffering should not be largely fed at a time (D. R. should not have a bath) and in haste i.e. until the patient recruits his strength in as much as it might lead to a fresh attack of the disease. 70 — 72.

All cases of fever should be remedied with therapeutic agents antidotal to the exciting factors. The principal pathogenic cause or causes should be first removed and remedied in a case of fever* due to bodily

* Additional text A patient suffering from acute fever should forego also the use of astringent, heavy and dry food as well as fatty and secreting food. In short he should also discourage mental emotions of anger, grief, etc. as well as the use of newly collected corns. This is evidently Dallana’s reading.

THE SUSHRUTA SAMHITX. tChap. XXXfX.

f 92 exhaustion, waste or hurt. An attack of (peurperal) fever incidental to miscarriage or to the spontaneous accumulation off milk in the breast of the mother after delivery, should be medically treated by an experienced physician with Dosha-subduing iSams'amana) remedies according to the deranged bodily Dosha involved therein. Now we shall deal with the recipes of Dosha-subduing (Sam^amana) decoctions which may be advantageously employed in all types of fever. 73— 74Samsamana decoctions for V£taJ'wara: — A decoction duly prepared of Pippali \ Sdrivdy Drdksha , S' atapushpd and Harenu should be given with the admixture of treacle in a case of Vdtaja fever or a cold infusion { of Guduchi should be taken by the patient. Similarly a decoction of Vald, Darbha and S'wa-danshtrd boiled down to a quarter part of the original quantity of water and mixed with sugar and clarified butter ; or a decoction of 5 atapushpd , Vachd , Kushtha , Devaddru , Harenukd, Kustumburu Nalada and Musta mixed with sugar and honey should be given to a patient in a case of Vataja fever. A decoction of Drdkshd , Guduchi , Kds'marya, Trdyamdnd and Sdrivd mixed with treacle should be prescribed in * a case of Vdtaja fever. A potion of the expressed juice of Guduchi mixed with an equal quantity of that of S'atdvari and with treacle proves almost instantaneously efficacious in a case of fever of the same type. Rubbing of the

X Accotding to Dallana the cold infusion of Guduchi should be given in a case of Vdtaja fever involving the action of vitiated Pitta also ; whereas the decoction duly prepared of Guduchi should be prescribed if, in a case of Vdtaja-fever, the vitiated Kapha is also involved. Cold infusion is prepared by keeping over-night a quantity of the drugs immersed in hot water. The infusion thus prepared is used in the morning*Chap, XXXIX.] UTTARA-T ANTRA. 1 93 body .with clarified butter as well as fomentation (Sveda) and plaster should also be prescribed under certain conditions in the present disease. 75 — Si.

Samsamana decoctions for Pittaja

Jwaras — A decoction of S'riparni y red sandal wood, Us'ira y Parushaka and Madhuka (Moul) flowers duly boiled and mixed with a proportionate quantity of sugar (when cold), or a decoction of the drugs of the Sdrivddi group duly mixed with sugar, or a decoction of the drugs of the Utpalddi group and Yashti-madhu , * or a cold infusion of the drugs of the same group mixed with sugar would cure a case of Pittaja fever. A similar preparation of Guduchi, Padmaka , Rodhra , Sdrivd and Ptpala taken, when cold, with sugar would prove beneficial in cases of Pittaja fever. 82-84.