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.

[Chap. I.

external causes i. e., they are traumatic in their origin. 15.

Prognosis of the Vataja Type s— Of the diseases of the eyes which are due to the action of the deranged Viyu, those known as Hatddhimantha, Nimisha, Gambhirika affecting the vision, and Vâta-hatavartma (Vdyu-afflicted Sclerotic coat) is said to be incurable. A temporary cure (Yipya) is all that can be effected in a case of Kâcha (cataract) due to the action of the deranged bodily Vâyu ; while the affection of the eyes known as the Anyato-Vâta, Adhi-mantha (ophthalmia), £>ushkctkshi-p£ka, Abhishyanda and Maruta-Paryaya are curable. 16.

Prognosis of the Pittaja Type Of

the diseases due to the deranged action of the Pitta known as Hrasva-jâdya and Jala-srâva should be deemed incurable ; and palliative measures are the only remedies in cases of Kâcha, Parimlayi and Nila, while Abhishynda, Adhi-mantha Amlddhyushita, Suktik3, Pitta-Vidagdha-Drishti, Pothaki and Lagana are curable. 17.

Prognosis of Kaphaja Type.— Of the

diseases due to the aggravation of Kapha, the one known as the Srâva-roga is incurable and (Kaphaja) Kdcha (cataract) admits of only palliative treatment, while a cure may be be effected in the following cases, viz,, Abhishyanda (conjunctivitis), Adhi-mantha, Bal6saGrathita, £>leshma-Vidagdha-Drishti, Pothaki, Lagana, Krimi-granthi, Pariklinna-Vartma, Sukldrma, Pishtaka, Sleshmo-pandha. 1 8.

Prognosis of the Raktaja Type :-~0f

the diseases of the eyes due to the vitiated condition of the blood, those known as RaktasrAva, Ajakdjâta, Avalambita (pendent), £>onitArsas and Siikra-roga should a ftp- 10 UTTARA-TANTARAM. J be regarded as incurable, and the type of *KAcha (cataract) due to the same cause admits of only palliative measures, while the diseases known as Adhi-mantha, Abhishyanda, Klishta-vartma, SirA-harsha and SirotpAta, Anjana, SirA-jAla, Parvani, Avrana (non-ulcerated), S>ukraroga, SonitArma and Arjuna may be included within the group of curables. 19.

Prognosis of the Tridoshaja Type, etc- 5 — Of the eye-diseases due to the concerted action of the three aggravated Doshas, those known as PuyasrAva, NakulAndhya, AkshipAkAtyaya and Alaji are incurable and palliative measures are only possible in cases of KAcha (cataract) or Pakshma-kopa ; while those known as VartmAvabandha, SirAja-pidakA, PrastAryarma, Adhi-mAnsArma, Snayvarma, Utsangini, PuyAlasa, Arvuda, SyAva-vartma, Kardama-vartma, Arsovartma, SukrArs'as, SarkarA-vartma, the two forms of inflammation with or without local swelling known as) Sasopha-pAka and As'opha-pAka, Bahala-vartma, KumbhikA and Visa-vartma yeild to the curative efficacy of appropriate remedial agents. Both the forms of eyie-disease due to the external causes* should be considered as incurable. 20 — 21.

Their Localities • — Thus we have finished enumerating the seventy-six types of eye-diseases, of which nine are confined to the Sandhis (binding unions), twenty-one to the Vartma (eye-lids), eleven to the ^nkla-bhs(ga (the Vitreous body), four to the Krishna bhtfga (the region of the Choroid), seventeen to the entire region (eye-ball) and twelve t <f the region of the Drishti (pupil or the ’crystalline lens, etc.). The

•The one due to any external blow or hurt (Sa*nimitt&) and the other originating from the sudden sight of any celestial being of extreme brilliancy (A-nimitta)'

THE SUSHRUTA SAMHITX.

[Chap. I.

two cases due to the extraneous cause (are chiefly located in the Driflhti though affecting the whole of the eye-ball and) arc very painful and incurable* The characteristic symptoms of all these will be hereafter described in detail. 22 — 23.

Thus ends the first chapter of the Uttra-tantra in the Sus'ruta Sanihita which deals with the diseases, viz. of the eye, etc.

CHAPTER II.

Now we shall discourse on the chapter which deals with the pathology of diseases which are peculiar to the joints or binding membranes of the eye (S$U1Clhl« grata- Roga- VI J nan lya).

The names of those diseases Diseases

peculiar to the joining (Sandhi) of the eye are nine in number and are named Puydlasa, Upandha, (the four kinds of) Srdva (viz. Puya-srdva, S>leshma-srdva, Raktasrdva, Pitta-srdva), Parvani, Alaji and Krimi-granthi. 2.

Symptoms of PuysClasa and UpansCha : — A suppurated swelling occurring at any of these joining and exuding a sort of fetid and dense * pus is called Puyilasa. A painless cyst (Granthi) of considerable size occurring at the union of the pupil (with the Krishna-mandala) and attended with an itching sensation and a little suppuration is called Upangha. 3. A.

Symptoms Of Srdva. I — The ( deranged ) Doshas f of the locality passing through the lachrymal ducts into the binding tissues of the four different Sandhis (joinings) set up a painless J secretion (Srdva) from the localities characterised by the specific symptoms of the different Doshas involved. These are known as Srâras, which according to some, are also called otherwise.

* According to Mddhava’s reading, the swelling should be painful (OTfeO* There is no mention whether the pus should be dense or

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