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

Exhibition of emetics or vomiting is an excellent remedy in a case of Atisdra marked by heaviness, (in the abdomen) and the predominance of the deranged bodily Kapha. A case attended with fever, burning sensation and suppression of stool and marked by an aggravation of Vdyu should be treated as a case of Rakta-pitta. Intestinal injections with urine-purifying (Mutra-Sodhana) drugs should be speedily administered in the manner of an Asthstpana or Anuvatsana Vasti, as the occasion might arise, in a case marked by an excess sive accumulation of the deranged bodily Doshas in the affqcted locality as well as by the suppression (of stool) during the mature stage of the disease. 59-60.

Intestinal injections consisting of oil or clarified butter duly cooked and prepared with the drugs of sweet and acid tastes should be applied in the manner of an Anuvâana Vasti in a case marked by the protrusion of the bowel through violent and excessive straining and by painful obstruction of urine (Mutrdghdta) and pain in the waist. Pitta-subduing washes, and injections prepared with the Pitta-subduing drugs and applied in the manner of Anuvdsana Vasti, are the remedies in a case marked by the suppuration of the anus due to the aggravation of Pitta in an injudicious or intemperate patient. Anuvâana Vasti charged with oil duly cooked with wine, Vifaa and Dadhi-manda should be applied in a case of Atisdra marked by the aggravation of the deranged bodily Viyu, and milk duly boiled and cooked with the admixture of Kachchurdj roots should be given to drink. 61-63.

Pichchhat- Vasti should be applied (into the rectum) in a case of Atisdra marked by painful and frequent emission of blood, though in scanty quantities at a time, and by an entire suppression of Vdyu (flatus). An

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226 THE SUSHRUTA SAMHITA. [Chap. XL.

atonic condition of the anus results from a longstanding attack of Atisdra which should, therefore, be remedied by rubbing the part with oil. 64-65.

Did ! — The diet of the patient suffering from Atisdra should be prepared with the admixture of Kapittha , S'dlntali , Phanji (a kind of Pdthd), VanaKdrpdsi (D. R. Vata and Kdrpdsi), Dddima , Yuthikd , Kachchhurd , SV#, S' ana, Chuchchu , Dadhi (curd), S'dlaparni y Pris'niparni, Vrihati , Kanta-kdrikd , S'm/- amstrd, Vilva , Pdthd, Ndgara and Dhanydka and may also consists of the pastes of sesamum and Mudga pulse or of Mudga soup. 66.

Causes and Symptoms of RaktdtiSfCra S — The bodily Pitta of a person already suffering from an attack of Pittaja-Atisdra is further deranged and aggravated, if Pitta-generating eatables are taken, and ushers in the discharge of blood with stool accompanied by fever, burning sensation, thirst, gripings (Sula) and excessive suppuration (inflamation) of the anus (Guda). The above are the characteristics of the Rakttfti-srfra. 67.

Treatment S— Draughts of milk duly boiled and cooked with the leaves of Vata , etc, (those included within the Nyagrodhddi group) should be given with clarified butter, or with sugar and honey in a case marked by a discharge of blood before or after motions ; or the butter prepared by stirring the preceding preparation of milk should be taken ; and draught of the Takra (thus prepared) should be taken as an after-potion. The discharge of blood (in a case of Atisâra) may be stopped by a potion consisting of the barks of Piydla> S*dlmaliy Plaksha> S'allaki, and of Tinis'a pasted together with milk and mixed with honey. The same result is obtained by administering the milk of a sheChap. XL J OttARA-tANtRA.

goat with a paste of Yashti-madhu , sugar* Lodhra, Payasyd (Arkapushpi) and Ddrvi and mixed with honey, or with a paste (or powder) of Manjishthd, S'arivdy Lodhra , Padntaka , Kumuda , Utpala and Padmd (Bhdrgi. 68-71.

Sugar, Utpala , Lodhra , Samangd, Yashti-madhu and 7 Y/# ; or Tila y Mocha-rasa and Lodhra ; or Yashti-madhu and Utpala ; or Kachchurd and Tila are the ingredients of four recipes which, if taken with the she-goat’s milk and honey, would remove the blood in the stool. Pastes of unripe Vilva fruits, treacle and honey taken before the meal would be a remedy in a case marked by watery motions mixed with blood. A case of blooddysentry due to the deranged blood, and Pitta and attended with Sula yields to the use of a compound consisting of Kosakdra (a kind of sugar-cane) pulverised parched paddy fried in clarified butter and mixed with sugar and honey. A case of blood-dysentery due to the action of the deranged blood, and Pitta may be cured with a compound of the kernel of a ^unripe) Vilva-ix\x\\. mixed with Yashti-madhu and taken with the washings of rice, honey and sugar. The remedies mentioned in connection with a case of Guda-pâka (suppuration of anus) should also be employed in these cases. Application of Pichchhrf-Vasti is recommended in the type where the pain begins to subside. A purgative consisting of the decoction of Vidanga, Triphald and Pippali should be given to a patient with good appetite as soon as the stool woi^d . assume* the colour of blood. In the alternative, a purgative consisting only of milk cooked with Eranda- roots (castor plant) should be employed and the patient should be tHE SUSHRUTA SAMHITX. [Chap. XL.

* D. R. — When the stool would harden J

given Yavdgu prepared with appetising and Vdyusubduing drugs. 72-78.