A compound consisting of cow's urine, Chitraka^ Trikatu and honey should be kept for a fortnight in a

• A Tula is equal to a hundred Palas or twelve seers and a half of our modern measure.

t Dallana, in his commentary, says that the two Ghritas (Nila and Mahd-Nila) seem to be spurious (Anarsha). But he has included them in his commentary as Jejjata and Gayaddsa have read and explained them before him.

356 THE SUSHRUTA SAMHITA. [Chap. IX.

closed earthen pitcher which formerly contained clarified
butter. A Svitra-patient would do well to take this
medicine after this period. He should also observe the
rules of diet and regimen of a Kushtha-patient. The
application of a Lepa (medicinal plaster), prepared by
pasting the tender twigs of the Putika^ Arka, Snuhi,
Aragvadha and of the fdti flower with cow's urine, would
prove curative in cases of Svitra, ringworm, ulcer, bad
types of haemorrhoids and sinus. 22-23.

In case the foregoing medicinal remedies prove
ineffective, the patient should be duly bled for the
purpose of letting out the vitiated blood from the
system, and after sufficiently recouping his strength
(after blood-betting) his body should be anointed with
clarified butter. Copious vomitings should be induced
with the help of strong emetics and the patient should
be treated subsequently with a judicious administration
of purgatives (so as to remove the aggravated Doshas
from the system). The aggravated Doshas of the
body, not being fully expelled from the organism of
a Kushtha-patient by means of the preceding emetic
and purgative measures, tend to extend all over the
organism and the disease in consequence thereof is sure
to lapse into one of an incurable type. Hence the
aggravated Doshas should be fully eliminated from the
organism. 24-25.

Emetics should be administered to a Kushtha-patient
once a fortnight and Sramsana (purgatives) once a
month. He should be bled twice a year though not
profusely and medicated snuffs should be administered
to him every fourth day. 26.

Internal application of Haritaki^ Trikatu and treacle

( prepared from the juice of the sugarcane ) mixed with

oil would lead to the early recovery of a case of Kushtha.

Chap. IX.] CHIKITSA STHANAM. 357

As an alternative, he should use a lambative medicinal
compound of Amalaka, Aksha^ Pippali and Vidanga
mixed with honey and claiified butter. Or he should
take a Pala weight of Haridrd with* an adequate quantity
of cow's urine every day for a month in order to get
free from Kushtha ; or the same quantity of the fine
powder of Pippali or of Chitraka should be given ' to
him through the same vehicle and for the same period
which would cure him of Kushtha. The same quantity
of the fine powder of Rasdnjana should be given through
the said vehicle and in the same manner for a period
of one month and the same should also be repeatedly
applied externally. 27-28.

The bark of Arishta (Nimba) and Sapta-pamiJ^dkshd^
Musta, Das'a-muli, Haridrd, Ddj-u-haridrd, Manjishthd,
A/cs/Mj Vdsaka, Deva ddru, Pathyd^ ChiU-aka Trikati^^
Amalaki and Vidanga taken in equal parts and pounded
together should be mixed with powdered Vidanga^^x^-
ing as much as the total weight of the preceding drugs ;
the patient should be made to take a Pala weight of
this pulverised compound every day (for a month), or he
should be made to drink (in adequate doses) a Drona
measure of medicated clarified butter, cooked with the
powders of Triphald and Trikatu. As an alternative,
Aksha-pida should be boiled in a Drona measure of
cow's* urine. Clarified butter, cooked in this pre-
paration may be used, as a remedy for Kushtha.
An adequate quantity of old and matured clarified
butter should be boiled with Aragvadhd.^ Sapta-parna^
Patola, Vrikshaka, Naktamdla, Nimba, the two kinds
of Haridrd and Mushkaka, This medicated Ghrita,

* Cow's urine and water in equal parts should be taken according to some commentators. Dallana, however, recommends cow's urine only and no water,

358 THE SUSHRUTA SAMHITA. [Chap. IX'

thus prepared, would lead to the destruction of Kushtha* 29-30.

Drugs such as Rodhra,Nimba^ Padma-kdshtha^ Rakta-
chandana, Sapta-parni, Aksha, Vrikshaka and Vijaka
should be administered in the bath-]* of the patient in
the event of there being any burning sensation ; or a
potion consisting of honey and pasted Tri-bhandi
(Trivrit) should be given to him. Old and matured
Mudga, boiled in the decoctionj of Nimha and mixed
with oil, should be given to the patient as drink where
sloughing would be detected in the diseased localities.
A decoction of Nimha or that of Arka, Alarka and
Sapta-chchhada should be given him if there be any
worms in the diseased locality. The affected part of
the body should be plastered over with the roots of the
As'va-mdra and Vidanga, pasted with cow's urine, in the
event of its being eaten away by the worms. Cow's urine
should be sprinkled over the diseased locality and all
food (of the patient) should be given with the powders
of Vidanga. 31-32.

As an alternative, the affected parts should be
rubbed with the oil of Karanja, mustard, S'igru^ or
Kos'dmra, or with an oil (any one of the preceding oils)
cooked with (a decoction of) pungent, bitter and heat-
producing substances. Measures laid down under the
head of Dushta-Vrana (malignant ulcer) should be
resorted to in a case where the aforesaid remedies would
fail to produce any beneficial effect. 33.

* Dallana says that the authorship of this remedy should not be attri- buted toSus'ruta, inasmuch as Jejjata does not meniion it in his commentary.

t The drugs are to be boiled in water in which the patient should take his bath.

X The decoction should be prepared in the manrer of **Shadanga»

Halpa."

Chap. IX.] CHIKITSA STHANAM. 359

Vajraka-Taila :— The roots of Sapta-pama,
Karanja, Arka, Mdlati, Karavira, Snuhi, S'irisha,
Chitraka and Asphotd as well as of Vis ha (aconite root),
Ldngala, Vajrdkhya (mica), sulphate of iron, Haritdla^
Manah-s'ild Karanja-SQQds, Trikatu, Triphald, the two
kinds of Haridrd, white mustard-seeds, Vidanga and
Prapunndda should be pasted together with the urine of
a cow. The paste thus prepared should be cooked in
an adequate quantity of oil.* This oil known as the
Vajraka-Taila, used as uguents, proves remedial to
Kushtha etc., sinus and malignant ulcers in general. 34.

IVIaha-Vajraka Taila :~The drugs and sub- stances known as white mustard-seeds (Siddhdrthaka), the two kinds of Karanja^ the two kinds of Haridrdy Rasdnjana^Kutaja^ Prapunndda, Sapta-parna^Mrigddani Ldkshdy Sarja-rasa^ Arka, Asphotd, Aragvadha^ Snuhi, S'irisha, Tuvara^ Kutaja^ Arushkara, Vacha, Kushtha^ Vidanga, Manjishthd, Ldngali, Chitraka, Mdlati, Katu- tumbi, Gandhdhvd, Mulaka, Saindhava^ Karavira, Griha- dhunia^ Visha (aconite), Kampillaka^ Sindura (mercuric oxide), Tejohvd and sulphate of copper should be taken in equal parts and made into a paste. This paste (Kalka) should be cooked with either Karanja-o\\ or mustard-oilf, both of which have great curative potency, with double the quantity of cow's urine. It may also be prepared with sesamum-oil, but in this case four times as much of cow's urine should be taken. As an anointment it is undoubtedly efficacious in a case of Kushtha of whatsoever type as well as in cases of scrofula, fistula-in- ano, sinus and malignant ulcers. This oil is known by the

* S'ivadasa, the commentator on chakradatta, asserts, on the authority of Vagbhata, that the oil should be sesamum-oil and it should be boiled with cow's urine.

t According to Gayaddsa mustard-oil should be used.

358 THE SUSHRUTA SAMHITA. [Chap. IX-

thus prepared, would lead to the destruction of Kushtha* 29-30.

Drugs such as Rodhra.Nimba^ Padma-kdshtha^ Rakta-
chandana, Sapta-parni, Aksha, Vrikshaka and Vijaka
should be administered in the bathf of the patient in
the event of there being any burning sensation ; or a
potion consisting of honey and pasted Tri-hhandi
(Trivrit) should be given to him. Old and matured
Mudga, boiled in the decoction| of Nimha and mixed
with oil, should be given to the patient as drink where
sloughing would be detected in the diseased localities.
A decoction of Nimha or that of Arka^ Alarka and
Sapta-chchhada should be given him if there be any
worms in the diseased locality. The affected part of
the body should be plastered over with the roots of the
As'va-mdra and Vidanga, pasted with cow's urine, in the
event of its being eaten away by the worms. Cow's urine
should be sprinkled over the diseased locality and all
food (of the patient) should be given with the powders
of Vidanga. Zi-l^.

* Dallana says that the authorship of this remedy should not be attri- buted toSus'ruta, inasmuch as Jejjata does not mention it in his commentary.

t The drugs are to be boiled in water in which the patient should take his bath.

X The decoction should be prepared in the manner of *'Shadanga. Ualpa."

Chap. IX.] CHIKITSA STHANAM. 359

Vajraka-TaJIa :— The roots of Sapta-pama,
Karanja, Arka, Mdlati^ Karavira^ Snuhi, S'irisha,
Chitraka and Asphotd as well as of Visha (aconite roc»t),
Ldngala, Vajrdkhya (mica), sulphate of iron, Haritdla^
Manah-s'ild Karanja-seQds^ Trikatu, Triphald, the two
kinds of Haridrd, white mustard-seeds, Vidanga and
Prapunndda should be pasted together with the urine of
a cow. The paste thus prepared should be cooked in
an adequate quantity of oil.* This oil known as the
Vajraka-Taila, used as uguents, proves remedial to
Kushtha etc., sinus and malignant ulcers in general. 34.

lYIaha-Vajraka Taila :— The drugs and sub- stances known as white mustard-seeds (Siddhdrthaka), the two kinds of Karanja^ the two kinds of Haridrd^ Rasdnjana^Kutaja^ Prapunndda, Sapta-parna^Mrigddani Ldkshd, Sarja-rasa, Arka, Asphotd, Aragvadha, Sttuhi, S'irisha, Tuvara, Kutaja^ Arushkara, Vacha, Kushtha^ Vidanga, Manjishthd, Ldngali, Chitraka, Mdlati, Katu- tumbi, Gandhdhvd, Mulaka, Saindhava^ Karavira^ Griha' dhunMy Visha (aconite), Kampillaka^ Sindura (mercuric oxide), Tejohvd and sulphate of copper shuuld be taken in equal parts and made into a paste. This paste (Kalka) should be cooked with either Karanja-oW or mustard-oil-f, both of which have great curative potency, with double the quantity of cow's urine. It may also be prepared with sesamum-oil, but in this case four times as much of cow's urine should be taken. As an anointment it is undoubtedly efficacious in a case of Kushtha of whatsoever type as well as in cases of scrofula, fistula-in- ano, sinus and malignant ulcers. This oil is known by the

* S'ivadasa, ihe commentator on chakradatla, asserts, on the authority of Vagbhata, that the oil should be sesamum-oil and it should be boiled with cow's urine.

t According to Gayaddsa mustard-oil should be used.

Now we shall discourse on the medical treatment of major cutaneous affections (IVIahfif-Kushtha).* i.

Metrical Text :— An intelligent physician
should have recourse to the following medicinal com-
pounds in virulent types of Kushtha, urinary com-
plaints (Meha), diseases due to the action of the de-
ranged and aggravated Kapha and general cedima of
the body and also in respect of inordinately corpulent
persons wishing to reduce their obesity. 2.

IVIantha-KalpaS : -Pounded barley-corn should be saturated with the urine of a cow and kept in a large bamboo basket (Kilinj i) for the whole night ; and shou'd then bi drieJ in the sun on the following day. This process should be continued for seven consecutive days. At the close of this period it should be fried in an earthen vessel vKapdla) and then ground to fine powder (Saktu). The powder, thus prepared should be given every morning to a person afflicted with Kushtha (leprosy), or any urinary complaint (Prameha) through the medium of a decoction of the drugs included within the S' alas drddz group, or of the Kantakz {thorny ) f trees, and mixed with a pulverised compound of Bhalld- taka, Prapunndda, Avalguja, Arka, Chitraka^ Vidanga and Musta weighing a fourth part of the S'aktu. Barley- corn should, in the same manner, be soaked in a

* Kushtha which affects the deeper tissues and fundamental principles of the body is called Maha-Kushtba.

Gayi interprets the term " Maha-Kushlha " as signifying those seven types of Kushtha which cannot be attributed to any detectable cause,

t Vadara, Khadira, Arimeda, Snuhi, etc.

Chap. X.] CHlKlTSA STHANaM. 3,^3

decoction of the drugs constituting the S' dla-sdrddi or
\.\mq Aragvadhddi ^XQM'^?,, or barley-corn should be given
to a cow to eat and the undigested barley-corn passed
with the cow-dung should be collected. This barley-
corn should then be fried and powdered in the form of
Saktu. This powder should be mixed with a pul-
verised compound of Bhalldtaka^ etc., mentioned above,
and given to the patient through the medium of a
decoction of any one of the Khadira^ Asana^ Nimba,
Rdja- Vriksha, Rohitaka and Guduchi, sweetened with
honey and sugar, and acidified with grapes, or the ex-
pressed juice of pomegranate and Amla-vetasa and
then mixed with rock-salt. This is the method of pre-
paring all kinds of Manthas. 3.

Articles of food made of barley-corn in the form
of Dhana, Lunchaka, Kulmdsha, Apupa, Purnakosa,
Utkarika,* Sashkulika, Kundrif and Kondli, etc., should
be given as diet. Preparations of wheat and Venu-yava
(seeds of bamboo) after the manner of barley prepara-
tions should also be recommended as a proper
food. 4-5.