Charaka-Samhita — trans. Kaviraj Avinash Chandra Kaviratna

* What is said here is this ; if the very roots of a ‘Gulma’ be torn up, it does not ripen. The fact is, it is the heat of the excited bile and of blood that causes boils to ripen. It is the heat of bile and blood that causes ‘Gulmas’ also to ripen. If, therefore, the bile and the blood be expelled, ‘Gulmas’ would not ripen or suppurate. — T.

M 74

CHARAKA-SA MH1 TA.

A ‘Gulina’ that has ripened, drenchiug the ducts, goes out either by the upward or the downward passage.*

The physician, checkiing all supervening symptoms, should not, for ten, or two and ten, days, interfere with the pus issuing of itself, but should give the patient beneficial food and diet.

After this, the drinking of ghee , along with the application of healing drugs, is beneficial. 45-46

The ghee for administration in such cases, it is desirable, should be pure, boiled with bitters, and mixed with honey.

If in consequence of indulgence jn food and drink that are cold, heavy, and oily, phlegm-born ‘Gulma’ is generated, and if emetics be incapable of being administered to the person afflicted by it, and if his digestive fire be mild, he should be made to fast from the very outset. 47 r If a person afflicted with (phlegm-born) ‘Gulma’ presents these symptoms, viz., mildness of digestive fire, mild pains, heaviness and stupefaction of the stomach, nausea, and disgust for food, he should then be considered as fit for the administration of emetics. 48

After a person has undergone a course of fast and emetics, he should be treated with drugs that are of heating virtues. The physi¬ cian should also give him. a' course of food and drink mixed with things that are acrid and bitter. 49

Seeing a ‘Gulma’ that exists with epistasis and constipated bowels and that is hard and elevated, the physician should, from the outset, considerately cause ‘sweda’ to be applied. After the patient has undergone the process of ‘sweda’, the physician should, by proper •means, kindle the digestive fire of the patient. 5°

In a case of phlegm-bom ‘Gulma’, after the patient has undergone a course of fast and emetics, after he has undergone the process of ‘sweda’, and after -his digestive fire has been kindled, the patient should, in proper time, drink ghee mixed with alkaline ashes and acrids (such, for example, as Tryushanadi-Ghrita). S1

When it has been ascertained that a phlegm-born ‘Gulma’ has sifted from its place, the patient should be subjected to a process of correction by means of oily purgatives or by oily enemata mixed with the decoction of the ten- roots. 52

■*/.«., it bursts and the pus escapes either through the mouth or the anal duct. — T.

James W. Reese, Esq., Westminister Maryland, U. S. A. : — You have undertaken k great and difficult work, and one which, it seems to me, deserves the approbation and encouragement of all who care to know what wise men of the past ages thought and taught on a topic So important as the preservation of health and cure of disease.

William Emmette Coleman, Esq., San Francisco, California . As each successive part is issued, the greater intrinsic value of the work is apparent. . .

there is much in it both of interest and value to the Western mind, occidental medical science, therapeutic. American and European medical science has much to learn .

Chas. E. Sajons, Esq., Philadelphia, U. S. A. .-—You are entitled to the greatest praise. Next May or June the Satellite— a. journal under my editorial management — will begin to review books, &c., and one of the first to be taken up will be yours.

Chas. O. Curtman, Esq., St. Louis, Ohio, U. S. A. : — The work interests me verv highly, and I have already, on last night taken it to the meeting of one of our medical societies, and read extracts from it which excited a lively curiosity and expressions of interest. I will send selections from it to a medical journal and also to a pharmaceutical monthly.

Professor E. B. Cowel, Cambridge .-■ — A careful translation of this ancient work will be very interesting and valuable. I can only hope that you may succeed in translat¬ ing the entire work. It will be a great achievement when finished.

R. G. Eccles, Esq., Dean St. Brooklyn, New York : — Matter is certainly of great interest' to me.

E. P. Davis Esq., Editor of the A met ican fournal of the Medical Sciences, Phila¬ delphia-.— Thank you’ for thip erudite and interesting contribution to the Medical

F. A. Castle, Esq.,— Even a superficial examination of it impresses me with its importance. I shall certainly avail myself of an early opportunity for bringing it to the attention of the Librarian of the New York Academy of Medicine.

H.‘ C. Wood, Esq., Philadelphia : — I have found it exceedingly interesting’aod sin¬ cerely hope that you will carry on the work to completion and that I will be one of the happy ones who have a copy in my library. I have written a long notice of it which I expect will appearin the -University- Medical Magazine,, the demi-official organ of- the greatest Medical University in America.