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

Treacle (Phdnita) mixed with powdered S'unthi , curd, oil, milk and clarified butter should be given in a case marked by good appetite but by frothy motions devoid of all fcecal matter. Badara - fruits boiled with oil and treacle, or cakes prepared from them and dried unripe Vilva - fruits should be prescribed. Cakes prepared with boiled Mdsha-^vXst should be prescribed to be taken with curd followed by a draught of S'vetd (cakemade) wine in the case marked by the absence of fecal matter in the stool. The blood-stained flesh of a hare cooked with 5 amangd , curd and clarified butter should be taken with well boiled rice. 79.

A decoction of Mdsha- pulse, Kola and barley duly cooked in equal parts of the oil and clarified butter and mixed with curd and the expressed juice of Dddima should be prescribed as diet in the case. The absence of any fecal matter in the stool (Furisha-Kshaya) would yield to the use of Bit (black salt), dried unripe Vilva fruit and S'unthi pasted with any acid juice and mixed with curd-cream and cooked in equal parts of oil and clarified butter. Clarified butter duly cooked with as- tringent and appetising ‘drugs should be given in a case of Atisdra attended with Sula where the patient feels a good appetite after the loss of fecal matter. 80 — 81.

Symptoms of PravXhfkX The Vdyu in the organism of a person addicted to the use of unwholesome food, is deranged and aggravated. It carries down the accumulations of Valdsa (mucus) into the lower part of the body, whence, mixed with stools, they are constantly passed off with tenesmus. The disease is called Prâvtfhiktf (mucous diarrhoea). The

Chap. XL.]

UTTARA-TANTRA.

p. 229

motions are attended with Sula (pain) in the Vsftaja type of the disease, with burning sensation in the Pittaja one, with mucus in the Kaphaja one and with blood (blood-streaked mucus) in the Baktaja (bloodorigined type). Excessive use of dry (Ruksha) or of fatty articles of food may be regarded as the exciting factor of these cases. The specific indications of PravAhikA as well as its Ama or acute and Pakva or mature stage are respectively identical with those of the several types of AtisAra. 82-83.

Treatment In the event of fasting and other digestive (PAchana) compounds (cf PravAhikA) producing no beneficial effect in serious cases they are found to readily yield to the use of boiled milk, oil, Tila (sesamum) or Pichchhila Vasti. The green stems of S'almali well covered with green AkyVblades, should be scorched in the fire in the manner of Puta-pAka. The juice should be squeezed out thereof and mixed with boiled milk, oil, clarified butter and powdered Yashti-madku , and should be carefully injected into the rectum in the manner of Vasti application in cases of PravAhikA marked with the retention of stool and urine. Similar injections of a decoction of Das'a-mula duly cooked in milk and mixed with honey and applied in the manner of an Asthipana- Vasti as well as the application of oil in the manner of an Anuvâana Vasti would prove highly efficacious in cases marked with painful tenesmus, 84 — 86.

Diet • — Oil duly cooked with the drugs of the VAyu-subduing (VidAri-gandhAdi) group and with (the five officinal kinds of) salt should be used in (the preparation ol) food and drink. A compound consisting of Lodhra , Bit - salt and dried unripe Ff/m-fruit pasted with oil and mixed with Tri-katu should be

2$0 THE SUSHRUTA SAMHITX. [Chap. XL.

given to be licked*, The food (boiled rice) of a diarrhoetic patient should be taken with honey and curd from which the cream has not been removed ; or with milk warmed by a piece of red-hot metal f (other than gold and silver) and mixed when cold with a profuse quantity of honey. The use of milk duly boiled and cooked with the admixture of Tri-katu and Viddri - gandkd, with the food would prove curative in a case attended with Sula. He should also be given soups (Rasa) prepared with the drugs of appetising, astringent (GrAhi) and Viyu-subduing virtues. Fish he may take and his soup should be prepared with oil and clarified butter with the admixture of Vayu-subduing drugs. The diet in this disease should consist of venison, mutton or goats flesh cooked with the tender sprouts of a Vata tree or of blood of a fatty goat duly cooked with curd (Dadhi), oil and clarified butter. He may take his food with an unsalted soup (Yusha) of a peacock or of a Liva bird, or with well prepared curd. He may take (with benefit) well cooked Mdsha-pulsc mixed with the transparent upper part of clarified butter (Ghrita-manda) and with curd, while chewing at intervals (with his teeth) the unpowdered Markka (black pepper). 87 — 89.

A compound of milk, honey and clarified butter mixed with the decoction of Yashti-madhu and Utpala should be applied in the manner of Vasti-application in (a case of Pravdhiki, marked by) excessive pain and painful micturation (Mutra-Krichchhra). The application of this Vasti would alleviate the burning sensation, t In place of — Kupya (any metal other than gold and silver)

* According to some variants this compound should be taken thrice daily.

some read — Kurpa which is explained to mean a kind of stone.

Chap. XL.]

UTTARA-TANTRA.

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