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.
characterised by £>ula, burning sensation, inflamation and piercing pain. 29.
Diet and Sveda : — Drinks composed of the meat-essence of an animal of the JAngala group, profusely salted with Saindhava and mixed with clarified butter and Tvi-katu and taken lukewarm are good for Gulma-patients. PeyAs prepared with the VAyusubduing drugs and the soup of Kulattha - pulse cooked with a Sneha as well as the Khada-yusha prepared with Pancha-mula also are likewise efficacious as Diet. Draughts of milk with Ardraka should be prescribed in a case of Gulma attended with the suppression of stool and flatus. Fomentation (Sveda) after the manner of Kumbhika, Pinda and Ishtaka (see Chapter XXXII) Chikitsita Sthana) are also efficacious. 30 — 32.
Purgatives preceded by the application of fomentation should be exhibited to a Gulma-patient, since it is extremely difficult to purge him. Vilepana (massage of the Gulma), application of unguents and poultices, Samdahana (cauterisation) as w ell as tepid fomentation after the manner of £>Alvana-Sveda and the like arc likewise applicable. Medicated Ghritas, powders and Vartis mentioned in connection with the treatment of Udara as well as medicated salt? mentioned under the head Udarâmaya* are likewise applicable in the present disease. 33-34.
Medicated Plugs or Vartis made of Sdmudra f, t According to some ‘Suraudra’ means Sdraudra*salt and others, it means Semudra-Phena.
* Udardmaya may mean cither indigestion or ascites. Anilamaya (Vata-vyjSdhi) is a variant addopted by Dallana and is undoubtedly preferable since there are several medicated salts «. Patra-Lavana, Kanda-Lavana, in the treatment of Vata-Vyadhi. See Chap. IV, Chikitsita Sthina.
Chap. XLII.] UTTARA-TANTRA. 2$5
Ardraka, Sarshapa (mustard) and a profuse quantity of Markka pasted together should be inserted into the rectum in suppression of stool and flatus in a case of Gulma. Arishtas made with Danti -roots, Chitraka- roots, or with the Viyu-subduing drugs according to the manner laid down in the Sutra-sthâna should be prescribed, or the patient should be made to use the duly fried tender sprouts of Putika and Nripa-Vriksha , A Gulma patient with the upward coursing of his bodily Vâyu should not be treated with Nirudha-Vasti. 35 — 37.
Compounds of Trivit and S'unthi or of treacle and powdered Haritaki* as well as of Guggulu , Trivit , Danti , Dravanti , Saindliava and Vacha should be administered through milk, wine or the expressed juice of grapes, according to the strength (of the disease and of the patient). Pilu made into k a paste and salted jvith the addition of Saindhava should also be similarly taken. Wine surcharged with Pippali, Pippali-roots , CJiavya , C hit} aka and Saindhava and taken at an opportune moment (/. e ., when attended with tympanities, etc.) would prove readily curative in a case of Gulma. A Gulma-patient afflicted with a suppression of stool and of flatus should take barley with milk or Kulmdsha (Mâsha-cakes) profusely saturated with salt and clarified butter. 38-39.
Supervening Symptoms :~if s'uia which
is its supervening symptom anyhow appears whereupon the patient suffers a kind of digging |nd piercing pain resembling that arising from the piercing of a dart, there will also appear the following distressing concomitants according to the Dosha or Doshas involved,
* According to some commentators the first two compounds should be taken with water. %
2$6 THE SUSHRUTA SAMHITA. [Chap. XLU supression of stool and urine, difficult respiration, and numbness or stiffness of the limbs (in cases cf aggravated Vtfyu), thirst, burning sensation, vertigo, indigestion of food, and excess of the colic pain (in cases of aggravated Pitta), and goose-flesh, aversion to food, vomiting, increase of pain after the taking of food and a sense of lassitude in the limbs (in cases of aggravatedKapha). The course of medical treatment in such cases should be determined by the nature and number of the deranged bodily Doshas specifically lying at the root and should be as follows. 40.
The following three compounds, viz., (r) Pathyd , the three kinds of salt (Saindhava, Sauvarchala and Vit) Yava-Kshdra , Hingu , Twnburu , Pushkara , Yanidni, Harid'd , Vidanga and Anil a-v eta set ; (2) Viddri, Triphala , Satdvari , S'ringdta, Guda-s drkara (GAngeri-phala), Kds'mari-phala , Yashthi-madhu , Paiushaka , Hima (sandal wood) and (3) Shad-granthd (Vacha), Ativishd , Dcva* ddru , Pathyd , Maricha , Vrikshaka, Pippali-mula, Chavya , Ndgara , Kshdra (Yuva-kshara) and Chitraka should be respectively given in the VAtaja, Pittaja and Kaphaja types of the disease. The medium through which these compounds should be given wouid be tepid Amla - Kdnjika , luke-warm milk and tepid water respectively. The preceding three compounds should be jointly administered in sets of tw r o or three when two or three Doshas are involved in any case. 41.
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