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

well as that of a woman who has recently miscarried, or of a woman in her courses is deranged by the use of! unwholesome or injudicious food (and regimen of conduct), and by supressing the discharge of the blood (lochia) it gives rise to Gulma attended with pain and burning sensation. A Gulma of this type is easily mistaken for a case of conception, which exhibits all the symptoms of pregnancy as well as those which are peculiar to the state of the Pittaja type, with the exception that the abdomen does not enlarge and there is no movement (in the womb).' The medical treatment of a Gulma of the present type should be taken in hand after the lapse of the natural term of gestation and this is known as the Raktaja-Gulma * by the experienced physician, io.

General Treatment a person suffering from an attack of Vrftaja Gulma should be duly treated with a Sneha, purged with any fatty purgative and then treated in the proper time with Nirudha and Anuvdsana Vastis. In a case of Pittaja type of the disease, the patient should be treated (rubbed) with clarified butter duly prepared and cooked with the drugs of the Kdkolyddi group and then being properly purged with the compounds of sweet drugs (of the Aragvadhddi group) he should be treated with Nirudha Vastis. In a case of the Kaphaja type, the patient should be first anointed with a medicated Ghrita duly cooked and prepared with the drugs of the Pippalyddi group, then purged with a strong (Tikshna) purgative and then treated with Nirudha Vastis of the same

* This Raktaja Gulma is peculiar to the females only. But some authorities an of opinion that a kind of Raktaja (blood -origined) Gulma doe to the vitiated blood of the organism may be possible both in the nudes and females.

Chap. XLIL]

UTTARA-TANTRA.

p. 249

character. In a Tri-doshaja type, measures held to be remedial for each of the Dosha s should be adopted or employed. Measures laid down in connection with the Pittaja type of the disease should be as well employed in cases of Raktaja (bloodorigincd) Gulma in female patients. Now hear me describe the recipes of the medicines which would particularly lead to the disintegration of the blood (in cases of Raktaja Gulma). Clarified butter duly cooked and prepared with the alkaline preparation of Palds a wood (water charged with the burnt ashas of Paldsa) should be internally administered, and the medicated clarified butter known as the PippalyAdi Ghrita should be employed after the manner of an Uttara-vasti. In the alternative, the discharge (of blood) should be induced with the help of the drugs of heat-making (Ushna) potency (eg , Pippalyâdi group) and measures laid down in connection with menorrhagia (Asrigdara) should be adopted after the flow has fairly set in. it.

Anuvasana : — The use of curd, clarified butter, oil, lard (Vasa) and marrow of Anupa (such as boar buffalo, etc.) and Audaka (aquatic) animals, boiled together and applied after the manner of an Anuvafeanavasti, proves beneficial in a case of V^taja-Gulma. The application of similar Vastis charged with a solution of clarified butter and the lard of animals of the Jângala and Eka-sapha groups proves efficacious in the Pittaja type of the disease, while the application of these containing solutions of oil and the marrow of any Jangala animal will prove beneficial in a case of the Kpahaja type*. 12-15.

* Dallana recommends ihe use of V^yu subduing, Pitta-subduing and Kapha-subduing drugs as Kalka in the preparation of these three Vastis respectively.

p. 250

THE &USHRUTA SAMHIT&

[Chap. XLII.

In a case of the Vattaja type of Gulma, the patient should be made to use the medicated Ghrita duly cooked with the expressed juice of Amalaka and with the Kalka of the six drugs * and with the admixture of sugar and Saindhava (as an after-throw). 1 5.

Chitraka Ghrita : —Clarified butter duly cooked with curd, fermented rice-boilings (Kinjika) as well as with the decoction of Vadara and the expressed juice of Mulaka and with the Kalka of Chitraka , Tti-katu , Saindhava , Prithvikd, Chavya , Dâdima, Dipyaka , Granthika , Ajdji , Habushd and Dhanydka taken in equal parts, proves curative in cases of Vtftaja Gulma, S>ula (colic), distention of the abdomen and dulness of appetite. 1 6.

Hingvstcli Ghrita S — Clarified butter duly cooked with Hingu , Sauvarcliala-salt , Ajdji , Vit-salt , Dddima , Dipyaka , Pushkara , Vyosha , Dhanydka , Amla-vctasa, Yava-kshdra , Chitraka , S' at hi, Vachd , Ajagandhd , , ZiVrf and Surasa as Kalka and with the admixture of curd (Dadhi) as liquid, proves efficacious in a case of Vdtaja Gulma, colic-pain and suppression of stool and urine. 17.

D4dhlka Ghrita : — Clarified butter duly cooked with Vit-salt , Dddima , Saindhava , Chitraka , Vyosha , Jiraka , Hingu , Sauvarcliala-salt , Yava-Kshdra , Rushtha , S'unthi, Vrikshdmla (turmerie) and Amlavetasa as Kalka and with the expressed juice of Vija-pura and with curd weighing four times as much as of Ghrita, proves curative in cases of Gulma, enlargement of spleen and Sula. The clarified butter thus prepared is called Dstohika-Ghrita. 18.

Rasona Ghrita S — Clarified butter duly cooked with the admixture of the expressed juice of Rasona

* The six drugs to be used as Kalka are Pippali, Pippali-raula, Chavya, Chitraka, Nagara and Yava-kshdra taken one Pala of each.

Chap. XLIL]

UTTARA-TANTlU.