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

Chap. XX.] CHIKITSA STHANAM. 457

tion with Niruddha-prakas'a, should be employed in a case of Sanniruddha-Guda. 27.

Treatment of Valmika : -The diseased

patches should be scraped ofif in a case of Valmika and cauterised with fire or with an alkali ; while the purifica- tion and healing up (of the incidental ulcerj should be effected as in the treatment of an Arvuda (tumour;. A case of Valmika appearing in any part of the body other than a Marma, and not of a considerable growth should be duly treated with venesection after the application of Sams'odhana measures (purgative, emetic, etc.;. The affected part should be plastered (Pralepa) with a medicinal compound composed of the roots of {Vana-) Kulattha, Arevata, Danti and S'ydmd, pasted together with Guduchi^ rcck-salt, Palala (pastes of sesa- mum) and powdered barley. It should be poulticed (Upan^ha) with the same compound, well mixed with clarified butter and made lukewarm (in case suppu- ration be desired). When found to be fully suppu- rated, the course of the pus- channels should be ascertained by an experienced surgeon. The ulcer should then be opened (with a knifed and cauterised, and after being fully purified of the putrid flesh (\\\ its cavity), it should be again cauterised with an alkali. Healing (Ropana) remedies should be applied to it after it has been found to be thoroughly cleansed Nimba- oil cooked with Sumanas (Jdti leaves, Granthi, Bhalld- taka, Manah s'ild, Kdldnusdri, small Eld, Aguru and red Chandana should be applied with advantage to heal up the vincidental ulcer in a case of) Valmika. A patient suffering from an attack of Valmika appearing either on his hands or feet and attended with swell- ing and a large number of cavities should be aban- doned by a wise physician. 28.

458 THE SUSHRUTA SAMHITA. [Chap. XX.

Treatment of Ahi-putansi, etc.:— in

the treatment of an infant laid up with an attack of Ahi putana( the breast-milk of its mother or nurse should be first purified. Cases of Ahi-putana yield to the use of a potion of clarified butter, cooked with Triphald^ Rasdn- jana and Patola leaves, and a decoction of Triphaldy Kola and Khadira should be used (as a wash) to heal the ulcer. Plasters composed of sulphate of iron, Goro- chandy sulphate of copper {Tutthd), Haritdla and Rasdn- jana, pasted together with Kdnjika, or of Vadari bark and rock-salt, should be applied (to the diseased locality*. It should be dusted as well with the pulverised com- pound of a burnt earthen pot and sulphate of copper. The preceding measures should be adopted in cases of Vrishana-Kachchhu as well. 29-30.

Treatment of Guda-Bhramsa : -in a

case of Guda-Bhramsa, the protruded part should be
fomented and lubricated with Sneha.* It should then be
gently re-introduced. The region of the anus should
then be bandaged with apiece of hide m the manner of
a Gophana Bandha, with an opening in it (lying imme
diately below the anus), so that it may not in any way
interfere with the emission of Vayu. The affected part
should then be constantly fomented. A quantity of milk,
Mahd-pancha-mtila and the body (flesh) of a mouse,
bereft of its entrails should be first boiled together (with
water). An oil cooked with the milk thus prepared
(with water) and the Vayu-subduing drugs should
be administered as drink and unguents. By these
measures the most difficult cases of prolapsus aui would
be cured. 31-32.

* According to S'lva-dasa, cow's fat only should be used. Thus ends the twentieth Chapter of the Chikitsita Sthanam in the Sus'ruta Samhitji which deals with the treatment of minor ailments.

CHAPTER XXI.

Now we shall discourse on the medical treatment of
the Sores on the penis produced by the Suka, a kind of
poisonous insect (S'uka-Rog^a). r.

Treatment of Sarshapi, etc. :— In a

case of the Sarshapi type of the disease, the affected (ulcerated) part should be scarified and dusted with the (powdered) dru^^s of an astringent taste (as de- scribed in the Mis'raka chapter), and an oil, cooked with (the Kalka and decoction of) the same drugs, should be applied for healing purposes. In a case of the Ashthi- likai type of the disease, the skilful physician should apply leeches to the seat of affection. In case the swelling does not still subside, it should be removed and treated as a KaphajaGranthi (glandular swelling). A GrantM type of the disease should be constantly fomented in the manner of Naidi-Sveda, and should be poulticed with a lukewarm medicinal compound mixed with a profuse quantity of Sneha (oil). 2-4.

Treatment of KumbhiksC, etc. :— An

incision should be made into the suppurated seat of affection in a case of the Kumbhikai type of the disease, and the incidental ulcer should be purified (disinfected) and healed up with the application of the oil, cooked with Triphaldy Lod/tra, Tindtika and Amrdtaka^ In the Alaji type of the disease, the affected part should be bled by applying leeches to it and should then be affused with a decoction of th? astringent drugs. An

* S'lva-dasa in his commentary on Chikra-datta quotes this couplet from Sus'ruta, but there he reads '^fi^§f^^ in place of ^Tl?|flli'^? t^*^ is to say, he says that A'mra should be used in place of Amrataka. He further adds that the stones of Amra and Tinduka fruits should be taken,

460 THE SUSHRUTA SAMHITA. [Chap. XXI.

Oil, cooked with the decoction of the same drugs, should be used to heal up the (incidental) ulcer. 5-6.

Treatment of IVIridita, etc. :— in the

Mridita type of the disease, the affected part should be

affused with tepid Valai oil and poulticed with a

lukewarm plaster (Upanaha) of the drugs of the Mad-

hura (Kdkolyddi) group, pasted and mixed with clarified

butter. Leeches should be speedily applied to the condyl-

omatous growths (Pidakai) in a case of Sammudha-

Pidakat. In cases of suppuration, they should be opened

and plastered with honey and clarified butter. In a case

of Avamantha, the growths (Pidakd) should be opened,

when suppurated, and healed up with the application of

an oil, cooked with Dhava, As va-Karna, Paitanga,

S'allaki and Tinduka. 7 — 9

Treatment of Pushkarika, etc. :— in a

case of Pushkarikai, all kinds of cooling measures should
be applied and the vitiated blood should be extracted
by applying leeches. The affected part should be
subsequently affused with clarified butter. In a
case of the Sparsa-ha(ni type of the disease, blood
should be let out and plasters (Pradeha) of Madhura
(Kdkolyddi) drugs should be applied. The affected part
should be affused with a very cold compound of milk,
clarified butter and the expressed juice of sugar cane.
In the type of the disease known as Uttama(, the
Pidakis ^condylomatous growths) should be removed
with the help of a Vadisa instrument, and powders of
astringent drugs with honey should ba applied to the
seat of affection. 10 — 12.

Treatment of Sata-ponaka, etc.: — in

a case of the Sa,ta-ponaka type of the disease, the affect-
ed part should be scarified and the measures laid down
in coniection \yith Rasa-Kriyd should be resorted to.

Chap. XXI.] CHIKITSA STHANAM. 46 1

After this, an oil, cooked with the Prithak-pamyddi
drugs* should be likewise applied to the seat of the
disease.) The medicinal treatnnent, in a case of Tvak-
paika, should be the same as described in connection
with Erysipelas (Visarpa). The remedial measures,
laid down under the head of Rakta-vidradhi, should be
employed in a case of the SDnitairvuda type of the
disease. 13-14.

General Treatment :— Remedies such as

medicinal decoctions, pastes (Kalka\ medicated clarified
butter, powders, Rasa-Kriyd, etc., and the measures for
purifying and healing (incidental sores or ulcers\ should
be employed with due consideration to the nature
and intensity of the aggravated Doshas involved in the
case. The application of specifically prepared medicated
clarified butter, purgatives, blood-letting and light
diet should be similarly prescribed. f 15.

Prognosis : -The medical treatment of the
patient affected with any of the following types of the
disease, viz., Arvuda, Mdmsa-paka, Vidradhi and Tila-
Kdlaka should be undertaken without holding out any
definite prospect of recovery. 16.

Thus ends the twenty-first Chapter of the Chikitsita Sthdnam in the Suslruta Samhit^ which deals with the treatment of S*uka-Roga.

* For Ra?a-kriya and the Prithak-pamyldi drugs, see Chapter XXXVI— Sulra-sthdna.

t This seems to be the general treatment of all the types of S uka- Roga.

CHAPTER XXII.

Now we shall discourse on the medical treatment of the affections of the mouth (IVIukha-Rog'a). i.

Treatment Of Vataja Oshtha-kopa:—

In a case of inflammation of the lips (Oshtha-Kopa)
due to the action of the deranged Vaiyu, the affected
part should be rubbed with (an ointment composed of)
the four kinds of lardacious (Sneha) substances mixed
with wax. Fomentations in the manner of Naidi-Sveda
should also be resorted to by an intelligent physician.
Applications of the Sativana poultices and those of the
medicated oils, possessed of the virtue of subduing the
deranged Vayu, as errhines and Mastikya (Siro-vasti)
are also recommended. The lips should be treated
with the powder composed of S'riveshtaka* Sarja rasa^
Sura-ddru, Guggulu and Yashti-madJiu. 2-4.

Treatment of Pittaja Oshtha-kopa,

etc.:— In a case of Oshtha-kopa of traumatic origin,
(AbhighsLtaja) or one due to the deranged action of the
blood (Raktaja) or of the Pitta, bleeding of the affect-
ed part should be effected by the application of leeches
and all the measures and remedies (Samsodhana and
Samsamana) mentioned in connection with the treatment
of the Pitta-Vidradhi should be likewise employed. 5-

Treatment of Kaphaja Oshthakopa :

— Theu^e of medicated Siro-virechana(errhines\ fumiga-
tions, (Vairechanika Dhuma), fomentation and (Sveda)
Kavala (gurgles), prepared from the Kapha -subduing
drugs should be recommended after blood-letting in the
Kaphaja type of Oshtha-kopa. The swollen and inflamed
lips should be treated (Pratisirana) with a compound con-

* y^gbhata reads " ^^f^^ » i. e., wax, in place of tiflf^^pfT I

Chap. XXII.] CHIKITSA STHANAM. 463

sisting of TrikatUf Sarjikd-kshdra, Yava Kshdra and
Vid-lavana vblack-salt) * pounded together and made
into a thin paste with the admixture of honey. 6.

Treatment of lYIedoJa Oshtha-kopa :

— In a case of the fatty type of Oshtha-kopa, the
affected part should be fomented and opened (when
suppurated) ; and should then be purified and
cauterised with fire, A paste compound of Priyangu,
Triphald, Lodhra and honey should be rubbed over the
affected part (Prati-sArana). These are the remedies for
the curable types of Oshtha-kopa, 7-8.

Treatment of the Diseases of Danta

-lYIula :— Now we shall describe the treat-
ment of the affection of the r(jots of the teeth (Gingi-
vitis). In a case of the Sitatda type of the disease,
the gums should be first bled and a decoction of
Sarshapa^ Ndgara, Triphild and Musta f mixed
with Rasdnjana should then be used as gurgles. 1 he
gums should be plastered (Pralepa) with Priyangu,
Musta and Triphald and (clarified butter, cooked with)
the decoction of Triphald, Madhuka, Utpala and
Padmaka should be used as an errhine. In an acute
case of Danta-Pupputaka, the gums should be first bled
and then rubbed (Prati-sarana) with the five officinal
kinds of salt and Yava-Kshdra mixed with honey.
The use of errhines (Siro-virechana), medicated snuffs
(Nasya) and demulcent food is recommended. 9-10.

Treatment of Danta-Veshta, etc. :—

In a case of Danta-Veshta, the swelling should be first
bled and then rubbed with a pulverised compound of
Rodhra, Pattanga, Yashti-madhu and Ldkshd mixed with
a profuse quantity of honey. A decoction of (the bark

* Vrinda and Chakrapani do not read Vid-lavana,

t Vrinda and Chakra-datta do not read Musta, nor Rasanjana.

4^4 THE SUSHRUTA SAMHITA. [Chap. XXII.

of) the Kshiri trees, mixed with sugar, honey and clari-
fied butter (as an after-throw) should be used as gurgles
(Gandusha). Clarified butter, cooked with the drugs
of the Kdkolyddi group with ten times its own weight of
milk, should be used as snufi* (Nasya). In a case of
Saushira, the affected parts, after being properly bled,
should be plastered (Lepa) with Lodhra, Musta and
Rasdnjana, pounded together and mixed with honey.
A decoction of the Kshiri trees should be used as
gurgles (Gandusha), and clarified butter cooked with
the paste-compound of Sdrivd, Utpala, Yashti-madhu,
Sdvara {hod\ir?^\ Aguru, (red) Chandana and ten times
its own weight of milk should be recommended
as an errhine. 1 1-12.

Treatment of Pari-dara, etc. :— In a

case of Pari-dara the treatment should consist of the
remedies described in connection with Sitada* In a
case of Upa kusai as well,* the system of the patient
should be cleansed both ways ^by means of emetics and
purgatives), and his head should be cleansed with Siro-
virechana. The affected part (in a case of Upa-kus'a)
should, in addition, be bled (by rubbing it over) with the
leaves of the Kdkodtimbarikd, or of the Goji, or with
the application of a medicinal compound composed of
the five officinal kinds of salt and Trikatu mixed with
honey. Tepid watery solutions-|- of Pippali^ (white)
Sarshapa^ Ndgara, and Nichula fruits should also be
used as gurgles (Kavala). The use of clarified butter
cooked with the drugs of the Madhuta (Kdkolyddi)