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

larged spleen, or clarified butter mixed with Hingu should be as well administered in such cases. Vijapuraka-Sdra* duly cooked in milk as well as draughts of castor oil mixed with wine, Mastu } milk or meat-soup (whichever of these may be conducive to the health of the patient) should be taken and the diet should be taken with milk or with the meat-soup of J ingala animals. 62.

Symptoms of Kukshi-£ula The deranged and Aggravated bodily Viyu, affecting the fire of digestion and incarcerated in the region of the Kukshi (loins) interferes with the digestion of the food previously taken which remains stiff and undigested in consequence. The patient breathes heavily owing to the accumulation of undigested (fecal) matter and tosses about in agony of pain, finding no relief in any posture whatever, whether sitting or lying. The disease is called Kukâhi-Siula, and is due to indigestion incidental to the action of the deranged bodily VAyu. 63.

Treatment of Kukshi-^u la:— Vomiting

should be induced and fasting should be prescribed in the case according to the strength of the patient. Acid and appetising drugs should be employed for the alleviation of the Doshas (VAyu and Ama). A decoction of Ndgara y Dipyaka , Chavya , Hingu , Sauvarchala , Vit, i* and the seeds of Mdtulunga , S'ydmd , Uruvuka , Brihati and of Kantakdri , should be taken for the relief of the pain (Sula). Vachd , Sauvarchala , Hingu , Kushtha Ativishd, Abhayd and Kutaja-secds taken together would instantaneously relieve Sula. Purgatives should be administered, and Sneha-Vastis and Nirudha-Vastis should be applied for the amelioration of the deranged

* Vijapuraka-sdra, according to Dallana, means the fruit of Vijapuraka. Vijaka*sara (the pith of Vijaka) is, however, a variant.

+ llingu, Souvarchala and Vit-salt should be used as an after-throw.

Chap. XLII.]

UTTARA-TANTRA.

p. 263

Doshas according to their nature and intensity. SnehaSveda and poultices should be applied and Dhdnydmla (fermented paddy-boilings) should be employed as washes. 64-66.

Symptoms and treatment of HrichChhula S — The deranged bodily Viyu aggravated by the vitiated Rasa (chyle) and incarcerated in the region of the heart through the action of the deranged Pitta and Kapha, produces £>ula (pain) in the heart and gives rise to difficulty of respiration. This disease which is called Hrich-chhula (cardiac colic) is ushered in through the action of the deranged Vâyu and Rasa of the body. Remedial measures mentioned in connection with the treatment of the diseases of the heart should be as well employed in the present malady. 67-68.

Symptoms of Vasti-S»ulaand Mutragula S — The local Vayu aggravated by the suppression of stool and urine is incarcerated in the region of the Vasti (bladder) and gives rise to a pain in the bladder, in the groins and about the umbilicus causing a further suppression of the stool, urine and flatus. The disease is called Vasti-Slula (bladder colic) and is due to the action of the deranged bodily Vafyu. A cutting pain experienced in the genital, the intestines and fche loins as well as at the sides and in the inguinal regions and about the umbilicus and causing a complete suppression of urine, is called Mutra*Siula. The disease should be likewise attributed to the action of the deranged bodily Vâyu 69-70.

Symptoms Of Vlt-£ula !— The bodily

Vdyu deranged and aggravated by the use of dry food, etc., affects or impairs the digestive fire and obstructs the evacuation of feces accumulated in the bowels and gives rise to an excruciating pain in the locality by

264 THE SUSIIRUTA SAM HIT A. _ fChap. XLII.

stuffing or choking the channels of the intestines. The pain is first experienced in the region of the right or left Kukshi (loin), but it soon extends over the whole abdomen with rumbling sounds therein. Thirst becomes unquenchable and vertigo and epileptic fits follow in its train, and the patient finds no relief even after the evacuation of the bladder and of the bowels. This disease is called Vit-Sula and is a very violent one. 71.

Treatment An experienced physician should instantly employ {in such cases) the medicinal remedies which have the virtue of eliminating the deranged Doshas from the system. Fomentations, emetics as well as Sneha-Vastis and Nirudha-Vastis should be applied, and the bowel-cleansing compounds dealt with before should be administered. Medicinal measures mentioned in connection with the treatment of Uddvarta should be likewise employed with advantage. 77.

Symptoms of Annaja dula : — A voracious eating in an impaired state of digestive fire, aggravate the local VAyu which makes the food taken remain stiffed in the Koshtha. The food thus undigested in the Koshtha causes an intolerable colic, which brings on a distension of the abdomen, epileptic fits, eructation, nausea and an attack of Vilambik^. The patient shivers, vomits, or passes stool, and even loses consciousness. Anti-colic (pain-killing) pills, powders and medicinal Kshdras are recommended in the case. Ail the medical remedies applicable in cases of Gulma should likewise be applied in cases of £>ula. 73 — 74.