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An English Translation of the Sushruta Samhita (Bhishagratna ed.)

Preserved in the archive of the housea source of Sushruta Samhita (Ayurveda)

The passage held in the archive
The person whose Doshas are in a state of equilibrium, whose appetite is good, whose Dhatus are performing their normal functions, whose excretions are in their normal state, and whose Atma (self), mind and senses are full of bliss, is called a healthy man (Svastha).Sutrasthanam, Ch. XV (definition of svastha) — trans. Kaviraj Kunja Lal Bhishagratna, 1907/1911

A dispassionate examination of these facts (and such as can be multiplied to any extent), will convince an impartial reader that Ayurveda, as we find it described in Charaka Samhita and Susrula Samhita, if approached in a spirit of fairness and enquiry, might reveal the germs of not a few of the marvellous achievement of the present age in the domain of Medical Science and afford to the assiduous

INTRODUCTION. XVll

Student a vast scope and varied materials for comparision between the Eastern and the Western systems, and render material help in improving upon the one with the aid of the other, and this to the benefit of the suffering humanity at large.

Lastly it is our prayer, that if Western Medical Science was ever anywise, directly or indirectly, benefited by the ancient Medical Science of the Hindus, it is but meet and fair that the former should come forward to render all possible aid to her parent Science, and that as it is almost dying now for want of aid and succour we look hopefully to our present benign Government in whose power lies the means of its complete regeneration.

PLATE No. I.

Vital points (Marmas) in the arm (inner side).

Vital points (Marmas) in the arm (ouVer side).

'J" indicates the points recognised in Juijutsu.

See Chapter VI, S'arira-S'thana.

PLATIO No If.

Vital points (Marmas) in the leg ' Vital points (Marmas) in the back (outer side). j of the thigh and the leg.

**J" indicates the points recognised in Juijutsu.

See Chapter VI, S'arira-Sthana,

CONTENTg.

NIDANA STHANA.

(Sect/on on Pathology).

CHAPTPR I. ^ ,

Diseases of the Nervous System, etc :— The action of the V.-tyu

in its normal state. — The Prana V^yu— The Udana Vdyu — The Samana V^yu — The Vy^na V^yu — The Apana Vdyu. — Descriptions of the nature of the diseases — When they are localised in the different parts of the system. — Pathology of Vatta-rakta — Its premonitory symptoms — Its prognosis. — Spasms — Convulsions — Epilepsy without Convulsions — Epilepsy with Convulsions. — Hemiplegia — Its Prognosis. — Wry-neck or Torticollis. — Facial Paralysis — Its Premonitory Symptoms — Its Prognosis. — Sciatica. — Erb's Paralysis. — Synovitis of the Knee-joints. — Lameness. — V^ta-Kantaka. — Pada-D^ha — Pada-Harsha. — Ams'a-s'oshaka. — Ear-ache. — Deafness. — Nasal voice. — Indistinct Speech. — Tuni — Prati-tuni. — Tympanites. — Vata- shthili,— Pratyashthila. ..» ... • ... Pages 1—17.

HsemorrhoidS : — Classifications — Patholog>'— Premonitory Symptoms. — VatajaType — Pittaja Type — Kaphaja Type — Raktaja Type — Sannipataja Type — Congenital Type. — Figwarts or condylomatous growths about the genitals.— Prognosis. .,'. ... ... ... 18—24.

tJrinary Calculii ;— General Etiology. — Premonitory Symptoms.— Leading Indications. — S'leshmaja As'mari — Pittaja As'mari— Vataja As'mari. —Seminal Concretions.— Supervening Symptoms.^ — Situation of the Blad- der*-—How stones are formed in the Bladder. ... ... 25— 30'

Fistula-in-ano cand Fistular Ulcers :— Classifications— Premonitory Symptoms.— Derivation of the term Bhagandara.— Vataja Type— Pittaja Type— Kaphaja Type— Sannipatika Type— Traumatic Type— S'ata-ponaka Type— Ushtra-griva Type— Parisravi Type— S'ambukavarta Tppe— Un- margi Type.— Fistulous Pustules.— Prognosis. ... ... 3i~34'

Cutaneous Affections in general:— Premonitory Symptoms—

/Etiology — Classifications. — Aruna-Kushtha — Audumbara — Rishya-jihva — Kapdla Kushtha (Macula).— Kakanaka—Pundarika—Dadru (ring-worm) — Sthularushka— Eka-Kushtha ( Ichthyosis)- Charma-dala (Hypertrophy of the skin) — Visarpa-Kushtha — Parisarpa-Kushtha — Sidhma— Vicharchika (Psoriasis)— Vip^dika—Kitima (Keloid)— Pama (Eczema)— Kachchhu— Rakasa (Dry Erythema) — Kilasa. — Congenital cause of Kushtha. — Prognosis. — How Kushtha becomes contageous. — Some other contagious diseases enumerated. ... ... ... ••• 35 — 42'

Diseases of the Urinary tracts :— Pathology— Premonitory Symp- toms.— General characteristics. — Kaphaja Type — Pittaja Type — Vataja Type. — Names and Symptoms of Kaphaja Meha — Sura-meha — Lavana- meha — Pishta-meha — Sandra-meha — S'ukra-meha. — Names and Symptoms of Pittaj a Meha — Nila-Meha — Haridra-meha — Amla-meha — Ksh^ra-Meha — Manjishtha-meha — Rakta-meha. — Names and Symptoms of Vsttaja Meha — Sarpir-mcha — Vasa-meha — Kshaudra-meha — Hasti-meha. — Supervening Symptoms. — Kaphaja Types — Pittaja Types — Vataja Types. — Abscesses. — Carbuncles. — Pimples. — Pustules, etc., due to Prameha. — Prognosis. — Symptoms of Madhu -Meha. .. . ... ... ... 43—49.

CHAPTER Vn.

Dropsy with an abnormal condition of the abdomen: — Classifications. — t»redisposing causes.— Premonitory Symptoms.— Vataja, Pittaja and Kaphaja Types.— Tridoshaja Type. — Enlargement of the Spleen and the Liver with dropsy of the AMomen. — Vaddha-gudodara — Parisrdvi-Udara. — Jalodara (Ascites). — General Characterstics of Dropsy. —Prognosis. 50 — 54.

False Presentations and Difficult Labour -.—Causes.— Definition.

— Classifications and Symptoms. — Abortion. — Miscarriage. — Prognosis.

Csesarian Section. • • • •• ■•• 55— 60.

Chapter Ix

Vidradhi (Abscess, etc.) '• — Definition and Classification— Vataja, Pittaja and Kaphaja Types— Sdnnipdtika Type— Traumatic Type— Ivaktaja Type— Incurable type of External Abscess.— Internal Abscesses— Their localities.— Differentiating diagnosis of Gulma and Vidradhi. — Incurable Type . ... •■• .-. ••• .-. 61 — 66,

Erysipelas, Sinus and Diseases affecting the mammary glands

of women •• — Definition of Erysipelas — Vataja, Pittaja and Kaphaja Types — Sannipatika Type — Kshataja Type.— Prognosis. — Nsidi-Vrana (Sinus). — Classification — Vataja, Kaphaja and Pittaja Types — Dvandvaja and Tri-doshaja Types— S'alyaja Type.— Stana-roga.— Breast-milk— Its character — Its normal and abnormal traits. — Stana- Vidradhi (Inflammation of mammary glands). ... ... ... ... 67 — 71.

CHAPTER XI. Glands, Scrofula, Tumours and Goitre :— Dosha-origened Glands

— Sirdja gland (aneurysm or Varicose Veins). — Apachi (Scrofula* etc.) — Its symptoms. — Tumour — Its symptoms — Blood-origined Tumour. — Mamsa- Arvuda. — Prognosis. — Adhyarvuda. — Dvirarvuda. — Cause of its not being suppurated.— Definition of Goitre— Its specific Symptoms— Vataja Goitre— Kaphaja Goitre — Medoja Goitre.— Prognosis.— General shape of Goitre.— ... ... ... ... ... 73—78.

CHAPTER XII. Hydrocele, Hernia, Scrotal Tumours, Upadamsa (disease of the

ginital organ) and Elephantiasis:— Classification of Vriddhi — Definition and Premonitory Symptoms of Vriddhi. — Symptoms of Dosha-origined Vriddhi.— Medoja Vriddhi — Raktaja Vriddhi— Hydrocele. — Inguinj^I

Hernia.— Upadams'a— Symptoms of. different Dosha-origined types of UpadamSf'a.r— Raktaja Upadams'a.— -Definition of Elephantiasis. — Causes a,ncl Symptoms of different kinds of Elephantiasis. — Prognosis of Elephan- tiasis.— Localisation of Elephantiasis. ... ... ... 79 — 84.

l^iseases known by the general name of Kshudra-Roga (minor

ailrnents):— The Names ?ind Symptoms of the diseases included therein. — ^jagallika— Yava-prakhya — Andhalaji — Vivrita— Kachchhapika — Valmika ^— indra-vriddha— Panasikd— Pashana-Gardabha- Jala-Gaiddabha— Kak- sha— Vishphota — Agni-Rohini — Chippa — Kunakha— Anus'ayi — Vidarikd— S'arkardrbuda — Pama — Vicharchikd — Rakasa — Pdda-ddrika — Kadara — Alasa — Indra-lupta (Alopecia) — Darunaka — Arumshika— Palita— Masurika etc. — Tila-kalaka — Nyachchha— Charma-kila — Vyanga— Parivartika— Ava- patika — Niruddha-Prakas'a — Niiuddhat-guda — Ahi-putana — Vrishana- ^achchh^— Guda-Bhrams'au ' . j .. ":. '\, :,:' ... • • • 85—93.

CHAPTER XIV.

■' Sukdi-dbSh,a:--^Its classification.— Symptoms of different Types. — iProgonsis. ... ..' ... ... .••94 — 9^.

Fracture and Dislocation, etc -.—Their Causes.— General features of Sandhi-mukta (Dislocation). — Diagnostic Symptons of Dislocation. — TWfferent -kinds of Kanda-bhagna (Fracture) — General, symptoms of Kanda- 'bhagna. — Curable and incurable Types, ... ... ... 97 — ioq.

Mukha-Roga (Diseases which affect the cavity of the mouth in general).* — General Classification and Localisation. — Diseases of the lips. — Dosha-origined Types. — Raktaja Type— Mangsaja Type — Medoja Type — Diseases of the roots of the teeth.— Their Names and specific Symp- toms.—Danta-Nstdi (Sinus at therootof a, tooth).— Diseases of the tooth proper. -^Their Names and specific Symptoms. — Diseases of the tongue — Their Names and specific Symptoms^ — Diseases of the Palate— Their Js^mes and specific Symptoms.— Diseases of the Throat and Larnyx

. — Their Names and specific Symptoms. — The different Kinds and Symp- toms of Rohini,— Diseases in the entire cavity. ... ... loi — III.

End of the contents of Sutra-stlisina.

SARIRA STHANA.

(Section on Anatomy).

CHAl TER 1. The Science of Being in General -.—The Twenty -four Tattwas or

first Principles. — ThePurusha or the Primordial Being or the Self-conscious Reality.— The Prakriti or the External Nature personified or the non* conscious Eternity — Traits of Commonalty and Diversity. — Comparison of the Philosophy of A'yurveda with that of Samkhya as well as with the other branches of Philosophy. — Prakriti and Purusha how understood in the A'yurveda — Different kinds of Manas (mind). — The five Primary Elements of Creation — Their specific function— Their mutual co-operation in creation. ... ... ... ... ... 113 — 121.

Purification of Semen and Cataminal fluid etc. :— Derange- ment of Semen.— Specific treatment. — Derangement of Cataminal fluid.— Specific treatment. — Traits of pure and healthy Semen and Cataminal fluid, — Menorrhagia. — Amenorrhoea. — Their treatment. — Regimen to be ob- served during Menses. — Conduct of husband during the period. — Prohibited period. —Conception — Subsequent Conduct. — Causes of different Colours in; the child. — About twins — Causes of the child being of Defective Organ —Fecundation without sexual intercourse— Causes of Deformity in the child — State of the Foetus — Its activity while in the womb. ... 122—133,

Pregnancy, etc :— Combination of Self with the Impregnated Matter. —Factors which determine Sex. — Period and Signs of Menstruation. —Signs of Pregnancy. — Prohibited conducts during Gestation. — Develop-

ment of the Foetus. — Longings and its effects during pregnancy.— Develop- ment of the Foetus from the Sixth to the Eighth month. — Time of Delivery. — Different opinions on th3 formation of the Foetal body. — The solution — Factors respectively supplied by the Paternal and Maternal Elements, etc.— • External Signs of Male, Female and Twin conception. ... 134—143.

The development of Factors in the womb as well as the

Factors which contribute to the growths of its different bodily organs and principles :— Different folds of skin over the foetus. — The definition of Kalas and their varieties. — Seat of the semen. — Why and how semen is discharged. — Placenta. — Formation of different limbs and organs of the Foetal body. — Sleep and its effect. — Heart and its action. — Effects of day- sleep. — Somnolence. — Effect of Sleep on an Enciente woman —Gnawing. —The temperaments. — Symptoms of Vataja, Pittaja and Kafaja tempera- ments - Symptoms of Dvandvaja and Sannnipatika temperaments. — Sattvika, Rajasika and Tamasika features. ... ... ... 144 — 158.

The Anatomy of the Human body :— Definition of foetus.—

Enumeration of the dfferent Limbs and Membeis of body. — Their Numbers— The Cavities or Viscera. — Channels. — Kandara. — ^Jala or Plexuses. — Kurcha or Cluster. — Sevani or Sutures. — Asthi-Sanghdta. — Simanta. — Bones of the four Extremeties. — Bones of the Trunk. — Bones above the Cavicles — Different kinds of Bones and theif situation — Sandhi or Joints. — Joints of the four Extremities, — Sandhis of the Koshtha and Clavicles. — Their forms, distinctions and locations, — The Snayu or Ligaments. — Their Number and Situations. — Muscles. — Muscles in the extremities in the Koshtha — Of the Head and Neck. — Extra Muscles in Women. — The Vaginal Canal — The Uterus — The Womb. — Superiority of Surgery — Preparations of dead body — Mode of dissection. ... .. 156 — 172.

The Marmas or Vital parts of the body:— Classifications of

Marmas— Their different Numbers. — Their Locations. — Their Names and Distributions. — The different Heads of Marmas. — Qualitative Classes. — Different opinions on Marmas. — Marmas of the Extremities. — Marmas of the Thorax, etc. — Marmas in ihe Back. — Marmas in the Clavicular region. v—Jheir specific Symptoms when injured. ... ... 173 — i^d.

The Description and Classification of Sirsi or the Vascular

System: — Their Numbers and action. — Names and Classification of the principal Siras. — Their specific Locations. — The Pitta, Kapha, Vayu and Rakta-carrying S:r4s.— Specific Colours of Sir^s. — The specific Sirds not to be punctured. — Siras of the four Extremeties, Trunk and the region above the Clavicles and their roots. ... ... ... 191 — 197.

The method of Venesection : — Persons unfit for Venesection :— Preliminary Rules. — The Jantra-Vidhi or how the patient should be placed in cas3s of Venesection. — Venesection in the Extremeties. — Venesection on the diff'erent parts of the body. — Proper and Defective Venesection — Classi- fication and definition of Defective Venesection. ... ... 198 — 208.

The Description of the Arteries, Nerves and Ducts :— Region

and Number of Dhamanis. — Functions of the up-coursing Dhamanis. — Functions of the down-coursing Dhamanis. - Functions of the lateral cours- ing Dhamanis. — The Situation of the S rotas and the specific Symptoms when pierce 1 at the roots. ... ... ... 209 — 215.

Nursing and Manigement, etc- of Pregnant Women from the

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