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

Fasting as already advised should be first observed and it should be broken with gruels (Yavdgu) duly cooked with the two kinds Vald , or with Ams's-mati , ot S'vadanishtrd and Vrihati , or S’atdvari made cold and mixed with honey. The soup (Yusha) of Mudga duly cooked with the drugs of appetising virtue, or with mild add bitter drugs of appetising property would cure (the Dosha in) the acute stage (Amd-dosha) of the stool.

Decoctions of Haridrd , Ativishd, Pdtha, Vatsa- seeds

(Indra-yava) and Rasdnjana ; or of Rasdnjam , the two kinds of Haridrd and A^/VyVi-sceds (lndra-yava ; or of Pdthd, Guduchi \ Bhu-nhnba and Ifcatu-rohim would

* We have lha recipe of this Ghrita in Charaka Samhitd also. But there we find JCshdrd in place of Kshira and that appears to be the better reading. See Chapter XIX,— under Chdngeri Ghrita, Charaka SarahiUL

220 THE StfSHRUTA SAMHITX, tChap.XL.

prove ^xtremly useful in correcting (PAchana) the deranged Pitta. 28—29.

Six Yogas for Pittaja-Atlssfra s— Any

one of the six decoctions respectively prepared with Mustd , Kutaja-sseds (Indra-yava.J, Bhu-nimba and Rasdnjana ; or with Ddivi , Durdlabhd , Vilva and red Chandana ; or with Chandana , Vdlaka , Mustd , Bhunimba , DurAlavd ; or with Mrindla, Chandana , Rodhra , Ndgara and Nilotpala ; or with Pdthd , Musta , the two kinds of Haridrd , Pippali and A^&ytf-seeds ; or with the seeds and barks of Vats aka, S' ringavera and Vachd mixed with clarified butter should be regarded as good remedies for the Pittaja type of AtisAra. 30.

A case of Pittaja- AtisAra in its acute (Ama) stage would yield to the use of a decoction of (unripe) Vilva, Indra-yava , Ambit oda (Musta), Vdlaka and Ativishd . A decoction of Yashti-madhu , Utpala , Vilva, Antra, Hrivera, IJdira and Ndgara mixed with honey proves curative in the case under discussion. 31 — 32.

Astringent or constipating (Samstambhana) remedies should be employed in a case of the chronic (Pakva) AtisAra marked by dullness of the Grahani, viz, the digestive fire and by constant motions. Any of the four following medicinal compounds, vis., Samangd, D/tdtaki-fi ower, Manjisthd, Lodhra and Mustd ; or *of S'dlmali-veshtaka, Rodhra and the bark of Vrikshaka (Kutaja) and of Dadima ; or of the stone of Amra } Lodhra, the inner pulp of (unripe) Vilva and Priyangu ; or of Yashti-madhu, S'ringavera and the bark of Dirgha-vrinta (S>yonAka) should be taken with honey and the washings of rice in cases of chronic (Pakva) AtisAra. 33 — 34,

The decoction of Musta alone should be taken with honey in the case under discussion, or a decoction of

Chap. XL.] UTTARA-TANTRA. 22 1

any of the nine Ganas, m., the Lodhrddi , Amboshikddt] or Priyuhgvddi groups, etc. (see Chapter XXXVIII, Sutra-Sthâna) should be employed. Similarly, the decoction of Padmd , Samangd , Y ashti-madhu and dried Vilva and Jambu fruits should be taken with the washings of rice mixed with honey. A paste of the root of Kachchhurd weighing an Udumvara (two Toids) should be similarly taken .with the same vehicles). A case of Pakvâtisdra marked by bloody stool or by emission of blood (from the intestines) would yield to the use of the decoction of Payasyd , Chandana , Padmd (Bhdrgi), Sitd (sugar), Mustd and the polens of lotus. 35 — 38.

Application Of Ghrita S— Clarified butter with Yava-kshdra should be given to a patient with due regard to the* state of his digestive power if, after being treated with fasting, etc., he be still found to be affected with Sula and dryness and if the stool would be found to be free from mucus i.e., in a case of Pakvâtisdra. The colic (in a case of Atisdra) is relieved by taking (a potion of clarified butter duly cooked with) Vald y Vrihati, Amsu-mati and Kachchhurd- roots mixed with a little honey and Y ashti-madhu (as an after-throw). Clarified butter duly cooked with Ddwi, Vilva , Kand (Pippali), Drdkshdy Katuka and Indra-yava would prove curative in a case of Atisard due to the action of the Vâta, Pittd and Kaphd (jointly or separ-* ately). A draught of milk, honey and clarified buttef (in equal parts) mixed with sugar, Ajaniodd , Katvanga and Y ashti-madhu (as an after-throw)^ would relieve the griping (Sula) in the intestines (in a case of Atisara). 39 — 42.

PutapsCka Preparations s— A case of

long-standing (chronic) Atisdra marked by stools of various colours and a keen digestion but unattended ill * HE SUSHRUTA SAMHITX. [Chap. XL.